Medics Push Back as Gauteng Health Plans to Slash Doctors’ Overtime

Doctors in Gauteng’s public hospitals are facing growing uncertainty over their pay and working conditions, as the provincial Department of Health moves to reduce overtime contracts — a move that has drawn sharp criticism from the South African Medical Association Trade Union (SAMATU).

According to SAMATU, the department is introducing a new overtime approval system that threatens to significantly cut the hours — and salaries — of doctors who rely on these contracts in the overstretched public health sector.

Doctors’ Union Slams Lack of Consultation

SAMATU General Secretary Cedric Sihlangu has called on all affected healthcare professionals to reject the proposed changes, warning that the unilateral amendments risk causing harm not only to the doctors but also to the quality of care provided to patients.

“The Department of Health is attempting to unilaterally cut out doctors from working overtime and leaving junior doctors and trainees unsupervised after hours. This is irresponsible and will endanger the lives of patients,” said Sihlangu.

He added that the union had not been properly consulted and that the changes could see doctors’ contracts amended without due process.

Impact on an Already Strained System

The overtime system is critical in ensuring that doctors can cover after-hours shifts, assist with emergencies, and support junior staff, especially in under-resourced public hospitals.

Reducing overtime contracts, SAMATU argues, could result in fewer doctors available at night or on weekends, longer patient waiting times, and increased pressure on remaining medical staff — many of whom are already at breaking point.

A Pattern of Cost-Cutting?

This is not the first time concerns have been raised over cost-cutting in the Gauteng health system. Last year, the department was accused of quietly changing how overtime was approved, effectively shrinking doctors’ take-home pay without officially announcing any cuts.

Medical unions say these backdoor measures are becoming a trend — and that they reflect a broader disregard for the well-being of healthcare workers.

What Happens Next?

SAMATU is now mobilising its members and encouraging collective action against the proposal. The union says it is open to engaging with the department, but insists that any decisions about doctors’ working hours and compensation must involve transparent negotiation.

With public health services under increasing pressure, the outcome of this dispute could have far-reaching consequences for both healthcare workers and the communities they serve.

{Source EWN}

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