CPC Qualicare / DocWeb | Doctor's Online resource for South African Doctors CPC Qualicare / DocWeb | Doctor's Online resource for South African Doctors
The official website of CPC/Qualicare IPA

June 2014 Newsletter

Centralise this Integrated Pollution and Waste Information System: IPWIS
A summary to date of the new regulations and how to comply:

The Department of Environmental Affairs and Development Planning for the Western Cape has, in recent, wide and far reaching new legislation, passed regulations which will affect each and every Family Practitioner with immediate effect!
The legislation is extremely comprehensive and very strict with massive, crippling fines of up to R2million and prison sentences of up to 5 years in jail, for offenders.

Every Family Practitioner (even if you only use a glove and dispose of it) will have to register individually with the Integrated Pollution Waste Information System of the Western Cape Department of Health, using Annexure 5, Form 2.1 (see docweb website) as a Waste Generator of one or more of the categories of Waste below:

  •  Infectious,
  • Pathological,
  • Sharps and even
  • Pharmaceutical Waste
  • Cytotoxic Waste
  • and amongst other information, will have to the period for which you want to register as a Waste generator and declare the weight of the waste you have generated .

You furthermore have to nominate your transporter of medical waste, and list the name of the transporter of the waste and of the treatment facility, and their method of treatment of the waste. YOU MAY UNDER NO CIRCUMSTANCES TRANSPORT MEDICAL WASTE YOURSELFOR SEND IT WITH YOUR STAFF TO A LOCAL HOSPITAL, NOR MAY A LOCAL HOSPITAL ACCEPT YOUR WASTE FOR DESTRUCTION. They also may not provide you with a delivery note for the receipt of your medical waste. Remember that you will have to produce this receipt to the health inspectors should they call on you.
Once  you have registered on the IPWIS site , you have to submit this information on form Annexure 5 to This email address is being protected from spambots. You need JavaScript enabled to view it. as well as This email address is being protected from spambots. You need JavaScript enabled to view it. AND keep accurate monthly records and receipts for regular inspections by Provincial health inspectors.( See completed example on the docweb website) .

It goes without saying that the methods which you have become used to using PathCare to collect and destroy your sharps, and then forgetting about the matter, are over, abruptly!

From 30 June 2014 PathCare is no longer permitted to collect, transport or dispose of your waste any longer as they are not registered as transporters of medical waste! Going forward, your practices will have to urgently register with a professional waste disposal company, then document all of the transactions with them and be able to produce them for waste inspectors who will commence visiting your practices shortly.

Doctors in the Eden District are subject to the same laws as those in the rest of the Western Cape, however the Eden District requires currently that they have to register either on the Eden website, on their system called Collaborator, or register manually with the Eden Waste Municipal disposal authorities, EIWIS (Registration form also on Docweb website.) Should doctors in Eden have any difficulty then they may however also register on IPWIS, which will then relay their registration to the Eden District.

The Municipality of Cape Town has , within the past week also been sending out registration forms to practitioners but the DOH advises that you should in any event register with IPWIS. Watch this space for information on whether you also have to register with the City of Cape Town.

Acknowledging the extremely onerous requirement of the new law, and the fact that the law precludes Pathcare from now accepting your waste for destruction, and with the greatest regret, PathCare is forced to terminate their Sharps collection service by the end of June, by which time you must have registered with the department as above. All Pathcare bins MUST be collected no later than 30 June 2014. Should you have the odd bin which has fallen through the cracks, our outsource partner Solid Waste Technologies (SWT) will  prepared to assist you as the empty  Pathcare Bins actually come from SWT.

Qualicare wants to take this opportunity of thanking the PathCare organisation for having selflessly performed this onerous service for so many years, and assure them of our continued loyalty and support.

Qualicare has concluded a group price for Qualicare members with Solid Waste Technologies (SWT) for:

  • 1 x 7.6lt sharps container , of R70.00 individual price+ VAT
  • 1 x 50lt lined Bio-bin R110.00 individual price+VAT

These will be delivered every 2 months, and your waste will be , collected, weighed, fully documented ,  transported, incinerated and again  fully documented for you by Solid Waste Technologies (SWT) at a Qualicare group cost of R180.00 plus VAT for both items together. Extra bins or boxes may be ordered directly with SWT at a further cost of R 70.00 per sharps container of 7.6 L and R 110.00 per 50 L Bio box. You are also free to negotiate prices on different sizes of bins for your practice needs however these fall outside of the group deal which we have negotiated for Qualicare doctors.

In order to qualify for the group rate, you must :

  1. Sign the SWT client contract (attached and on the docweb site)
  2. Write “CPC/Qualicare member “ at the top of your SWT contract
  3. Note their terms and conditions (initial each page)
  4. Provide SWT with your practice registration document (if you have one)
  5. Provide SWT with your practice letterhead and cancelled cheque
  6. Provide SWT with a copy of the ID of the document of your designated waste generator in your practice
  7. Copy all of these details to Ethel at This email address is being protected from spambots. You need JavaScript enabled to view it.
  8. Agree to permit Qualicare to pay your outstanding invoices at the end of any 1 month, via our debt order system, (which we run anyway for your subscriptions). You will be fully billed and documented by SWT however Qualicare will pay your and all other members accounts centrally. You will note the relevant deduction by Qualicare, on your bank statement shortly thereafter and the receipt of payments will also be reflected on your next month’s statement from SWT. Under no circumstances should you pay SWT yourselves unless you are NOT part of the group deal.
  9. Should you already have a contract with SWT outside of the Qualicare arrangement, please contact your Qualicare representative for instructions to convert to the group deal.

Bins and Boxes are dated and MUST, in terms of the new regulation be collected and disposed of, whether they are full, partially full, or empty, every 2 months. No bin /container may be in your rooms after expiry date, even if it is unused.

We have elected to place this business with Solid Waste Technologies due to their size, footprint, reliability, dependability and price to:

  • Supply the above mentioned empty containers to your practices regularly
  • To weigh and remove the aforementioned containers every 2 months with full accompanying documentation for removal, transportation, destruction, etc., to allow you to sustain an inspection by the new IPWIS Inspectorate division.

You are however, not compelled to use SWT and of course, are free to utilise any waste disposal company of your choice.

We cannot emphasise firmly enough that each one of the following steps must be followed to avoid criminal prosecution and the resultant stiff penalties including fines and jail sentences.

Follow the steps below (this has to be done by every practice):

STEP 1:

Visit the docweb.co.za website and find he forms to be completed to register as a waste generator with IPWIS (PLEASE DO NOT SEND THIS APPLICATION TO SWT):

Complete the forms below:

  • Solid Waste Technologies CT Permit
  • Form Annexure 5  ( see Example of a completed annexure 5)
    Email your waste generator application to: This email address is being protected from spambots. You need JavaScript enabled to view it. OR This email address is being protected from spambots. You need JavaScript enabled to view it. Please ensure that you copy This email address is being protected from spambots. You need JavaScript enabled to view it. in on your emails for record keeping

STEP 2:

Forms to be completed to register with Solid Waste Technologies (PLEASE DO NOT SEND THIS APPLICATION TO THE WESTERN CAPE DEPT):

SWT Application forms

SWT Terms and Conditions (Please take special note of the maximum weight of any one container)

The following documents need to accompany the forms to register with SWT in order for the account to be opened:

  • Practice Letterhead
  • Cancelled cheque
  • Doctor’s I.D, who is the waste generator designated by your practice

You may either fax or email your SWT application form to: (Fax) 086 531 4807 OR Email to This email address is being protected from spambots. You need JavaScript enabled to view it.

Please ensure that you copy This email address is being protected from spambots. You need JavaScript enabled to view it. in on your emails for record keeping

Important FAQs from the field representatives over the past 3 weeks include:

  1. One doctor can be the registered dr ( and therefore the waste generator) of an entire multiman practice
  2. NO doctor may keep a container, even if it is not full, for more than 2 months BY LAW.
  3. Inspectors are in the field right now and are entitled to issue warnings and fines with no further warning
  4. The pricing of the containers is per container. Doctors can have ONE 7.6 l sharps for R70 (excl. VAT), and ONE  50 L bin for R110 (excl. VAT). The price includes all transport, paper work, transportation and destruction
  5. NO DOCTOR can transport his own waste, anywhere, not even to a nearby friendly hospital
  6. NO doctor can use a local hospital in the platteland to destroy his waste. 
  7. Doctors in Medical Centres and Hospitals may NOT take their waste to the hospitals incinerators but MUST register with IPWIS and dispose of their waste in the approved manner.

QC Team

 

Last modified on Friday, 11 July 2014 09:52

Disclaimer*

The entire contents of the CPC/Qualicare website, www.docweb.co.za , are for informational purposes only. CPC/Qualicare (PTY)LTD & Cape Primary Care Holdings LTD, their Directors & staff do not necessarily share the views expressed in any of the articles. Neither CPC/Qualicare (PTY)LTD or CPC Holdings (PTY)LTD, their Directors & staff accept any liability whatsoever for any loss, whether it be direct, indirect or consequential, arising from information made available on the website, www.docweb.co.za & actions resulting therefrom. Any disclosure, re-transmission, dissemination or any other use of this information is prohibited.

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