Transcript Slide 1

Occupational Health and Workers’
Compensation (ODMWA)
Regional Dialogue: Portability of
Social Security Benefits
Barry Kistnasamy
Compensation Commissioner
26 March 2015
Slide 1
Overview
• Context
• Some macro issues
• Compensation &
Services
• Way forward
Slide 2
Context
• Multiple policy and legal frameworks
covering compensation & other social
protection benefits
• Migrant / Contract labour / within and
cross-border
• Fragmented or non-existent services for
workers / ex-workers
• Inability of claimants to access benefits
Slide 3
103 year old History…
Miners’ Phthisis
Act 19 of 1912
McCulloch J. 2013
Slide 4
Workers’ Compensation
Administration
Occupational Diseases in
Mines & Works Act ,
1973
Department of Health -
R2.9b
Compensation for Occupational
Injuries and Diseases Act, 1993
Department of Labour; Rand Mutual (RMA) &
Federated Employers (FEMA)
R40b
Coverage
Mine workers for heart& lung
diseases only
All workers in formal economy for injuries and
diseases except mine workers under ODMWA
Funding
Levies on employers (risk-rated
through Risk committee) – 246
mines & works; levies cover
benefits only
Office in Johannesburg
(Braamfontein) – CCOD, MBOD
& NIOH (service delivery)
Levies on employers (risk-rated on claims
record) – 400 000 employers; levies cover
benefits, services & administration
Organisation
Slide 5
Offices in Pretoria with some decentralisation
through Department of Labour regional
offices; Rand Mutual and Federated
Employees with some decentralised offices
Contestation
Cape PLC Asbestos
settlement
2003
Mr Thembekile
Mankayi versus
AngloGold Ashanti
2011
Silicosis claims
settlement
2013
Chamber of Mines
versus Compensation
Commissioner & Dept of
Health
2012
The Mining Economy
• 20 Trillion Rand sector (net asset value)
• 7.7% of annual GDP
Slide 7
DMR 2010
DMR Database of Mines & Quarries (2010)
Province
Coal
Diamond
Gold
Platinum
Other
Total
Eastern Cape
0
0
0
0
140
140 (8)
Free State
2
2
6
0
40
61 (9)
Gauteng
6
3
25
2
129
167 (5)
Kwazulu-Natal
12
0
1
0
120
133 (7)
3
0
1
12
134
156 (6)
Mpumalanga
85
0
14
0
89
194 (4)
North West
0
199
6
25
97
327 (1)
Northern Cape
0
152
0
0
76
228 (2)
Western Cape
0
20
0
0
177
197 (3)
108
395
53
45
1 002
1 603
Limpopo
Total
246 controlled mines & works
Slide 8
Migrant Mine Workers
Year
RSA
Mozambique
Lesotho
Swaziland
% NonRSA
1920
74 452
77 921
10 439
3 449
57
1940
178 708
74 883
52 044
7 152
49
1960
141 406
101 733
48 824
6 623
62
1980
233 055
39 636
96 308
5 050
44
1995
122 562
55 140
87 935
15 304
58
2000
99 575
57 034
58 224
9 360
57
2010*
152 486
35 782
35 179
5 009
34
* Data from TEBA
Slide 9
Ex-Mine Workers by Country
(1984 – 2013)*
Country
South Africa
Gold
Platinum
Coal
Contractors
Unknown
Total
%
507 256
115805
37358
231288
31181
922888
74
111281
7933
1519
16204
6358
143295
11
Mozambique
75324
8465
1402
13722
5619
104532
8
Malawi
24392
4076
116
33
237
28854
2
Botswana
20822
3241
1
572
307
24943
2
Swaziland
20406
1572
146
1657
647
24428
2
Other
173
30
31
323
36
593
Total
759654
141122
40573
263799
44385
1249533
Lesotho
Slide 10
*TEBA data
10
Ex-Mine Workers by Province
(1984 -2013)*
Province
Eastern Cape
North West
Gauteng
Free State
KwaZulu-Natal
Limpopo
Mpumalanga
Northern Cape
Western Cape
Total
Total
281553
168171
160530
112077
92092
75527
27264
4987
687
922888
Slide 11
%
31
18
17
12
10
8
3
1
*TEBA data
11
ODMWA:
Finance Journey
Source
Claimant
TB
Grade 1
Risk
Committee
Medical
Treatment
Grade 2
MHSA
MS
Qu
Current
ery
CCOD
Co
mp
Death
en
sib
All
Autopsy
Death
le
Certification
Appeal
Ex-miners/
workers
A ll
BME
Externalization to
Households and
Public Sector
KEY
STATE
LEVIES
Slide 12
12
Certifications by Commodity
80
70
Percentage
60
50
40
Gold
30
Asbestos
20
Platinum
10
0
Slide 13
Claims by Province
80
70
Number of claimants
60
50
TB 75%
OSB1
40
OSB2
TB1
30
TB2
20
10
0
Limpopo
Mpumalanga Eastern_Cape Northern_Cape Western_Cape
Province
Slide 14
Kzn
Northwest
Gauteng
Free_State
Claims by Country
180
160
Number of claimants
140
120
TB75%
OSB1
100
OSB2
80
TB1
TB2
60
40
20
0
Mozambique
Lesotho
Botswana
Country
Slide 15
Swaziland
South Africa
Country of Claimant
COUNTRY
No.
N/A
SOUTH AFRICA
LESOTHO
MOZAMBIQUE
BOTSWANA
SWAZILAND
MALAWI
TANZANIA
BRITAIN
SCOTLAND
ZIMBABWE
ITALY
POLAND
ENGLAND
AUSTRIA
BELGIUM
GERMANY
ZAMBIA
Total
%
84436
78492
29567
8416
3316
2966
549
72
71
65
53
38
19
15
12
8
4
1
208100
Slide 16
41%
38%
14%
4%
2%
1%
Compensable Diseases
DISEASE
No.
115825
35788
27103
13966
7591
6110
673
292
291
234
151
75
208099
TB
Silicosis
N/A
Asbestos
Pneumoconiosis
Obstructive Airways Disease
Coal Workers Pneumoconiosis
Allergy Complex Salts Platinum
Carcinoma
TUBERCULOSIS + SILICOSIS + OAD
Progressive Systemic Sclerosis
Mixed Dust Diseases
Total
Slide 17
%
56%
17%
13%
7%
4%
3%
Gender of Claimants
GENDER
No.
FEMALE
MALE
N/A
NOT PRESENT
%
5173
2%
168929
81%
33998
16%
1
Total
208102
Slide 18
Certificate of Compensation
CERTIFICATE OF COMPENSATION
NOT PRESENT
No.
%
20993
PRESENT
11%
2
PRESENT - ID CORRECT
52915
27%
715
0.36%
PRESENT - ID NOT CONFIRMED
123440
62%
Total
198065
PRESENT - ID DIFFERENT
Slide 19
Payment Status
PAYMENT STATUS
No.
%
NOT PAID
103465
50%
PAID
104633
50%
Total
208098
PROOF OF PAYMENT
NOT PRESENT
PRESENT
Total
No.
104094
104004
208098
Slide 20
%
50%
50%
Record of Service / Fingerprints
RECORD OF SERVICE
NO
YES
Total
TEBA FINGERPRINTS
NO
YES
Total
Slide 21
No.
%
149736
58362
208098
72%
28%
No.
150934
57164
208098
%
73%
27%
Going Forward
Slide 22
Social Protection Reforms
• Policy & legislative changes - alignment of
compensation and other benefits towards an
enhanced social protection system
• Reorganisation of Compensation System
• One Stop Service Delivery
Slide 23
Reform of MBOD/CCOD
•
•
•
•
•
•
•
Reform legislation
Preparation for valuation / audit
Mines ?
Organogram / Recruit staff
??? Ex500k
workers
Decentralise services
Quantify the numbers of workers
MBODSustainability of the Fund
700k files
Work with stakeholders
CCOD
200k
Slide 24
Interventions
• Database
– Current workers
– Ex-workers
• Mapping
– Current & ex-workers
– Mines; ther sectors over time
– Services
• Surveillance
– TB
– Silicosis
Slide 25
Infrastructure
Slide 26
Mapping
Slide 27
One – Stop Service Framework
• Health Services
– Medical examinations
– Rehabilitation assessment & services
– Post mortems
• Health Promotion
• Social Services
– Social Development
– Counselling
– Bursaries
• Financial Services
– Compensation
– UIF, pension, provident and other funds (tracking & tracing)
Slide 28
Occupational Diseases
• Not diagnosed / mis
diagnosed
• Lack of knowledge
• Masked by other diseases
• Long lag time
• Need special investigations
• Difficult to find cause
Slide 29
One Stop Service Sites
• Eastern Cape - Mthatha (NMAH)*
• Gauteng - Carletonville (Hospital)*
• Northern Cape – Kuruman (2015/16)
• Limpopo – Burgersfort (2015/16)
• Others to follow including Mobile units
• Neighbouring countries (2015/16)
* Opened April 2014
Slide 30
One Stop Facilities
Slide 31
Working Together
• Leadership of Minister of Health & Deputy Minister of
Mineral Resources; SADC / Ministers of Health/Labour
• Distressed mining communities (Presidency)
• Development partners & NGOs
• Chamber of Mines, Trade Unions & Ex-mineworker
associations
• Developmental agenda
• Rural development / labour sending areas
• Build on government processes
Slide 32
Thank You
Ms Doreen Leseyane
Manager: Claims
(MBOD/CCOD)
[email protected]
+27 (0)11-356 5600
Dr Barry Kistnasamy
Compensation
Commissioner
Department of Health,
South Africa
[email protected]
[email protected]
+27(0)11-356 5602 /
+27(0)828067210
Slide 33