{"id":63387,"date":"2025-10-24T17:36:26","date_gmt":"2025-10-24T17:36:26","guid":{"rendered":"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2"},"modified":"2025-10-24T19:18:08","modified_gmt":"2025-10-24T19:18:08","slug":"private-clinic-in-tsepong-raises-eyebrows-2","status":"publish","type":"post","link":"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2","title":{"rendered":"Private clinic in T\u0161epong raises eyebrows"},"content":{"rendered":"

Africa-Press – Lesotho. <\/strong><\/span>IN an unusual development, the government has authorized a privately owned medical facility to operate from within the premises of the Queen \u2018Mamohato Memorial Hospital (QMMH), the country\u2019s largest publicly owned referral hospital.<\/p>\n

The private medical facility will serve as a referral centre for critical patients, the Lesotho Times can reveal.<\/p>\n

The government says the new private wing, which will be operated by local company, Tsebo Health Solutions, starting 1 November 2025, aims to reduce the need to refer patients to South African hospitals.<\/p>\n

However, critics of the arrangement say they foresee major problems with the deal. Firstly, they argue that it is not standard practice for a privately owned medical facility to be located within a public hospital. Secondly, they foresee a replay of the problems that occurred when the running of T\u0161epong was wholly subcontracted to a private South African hospital group before the government cancelled the deal citing ever escalating costs.<\/p>\n

After cancellation of that original deal, the critics say it would have been better if the government had fully resourced T\u0161epong to operate as a public institution instead of rehiring a private outfit whose credentials are not fully tested, and which might again be motivated more by profit than the public good.<\/p>\n

This local private entity, Tsebo Health Solutions, has partnered with Busamed, a private hospital group in South Africa that operates multiple facilities, including Busamed Gateway Private Hospital, Busamed Lowveld Private Hospital, and Busamed Paardevlei Private Hospital, offering comprehensive medical and surgical services.<\/p>\n

Strangely, Tsebo\/Busamed are yet to register with the Lesotho Medical, Dental, and Pharmacy Council (LMDPC), a key legal requirement before operating a health facility in Lesotho.<\/p>\n

The Lesotho Times has seen a memo released on 10 October 2025 by the Deputy MD-Administration and Support Services at QMMH, Nthati Lebona, informing staff about the new private facility.<\/p>\n

While the government claims the initiative will save treasury millions of maloti, the critics argue it might not be so.<\/p>\n

Although contract details have not been disclosed, they say the arrangement could remain costly since this is a commercial arrangement with a private profit driven entity.<\/p>\n

The better option would have been for the government to address its capacity issues and ensure QMMH or Maseru District Hospital are fully resourced to handle patients instead of outsourcing to a private player who could end up charging much more for services: the very reason the government threw out South Africa\u2019s Netcare from QMMH in the first place.<\/p>\n

History repeating itself<\/p>\n

The opening of the private wing comes after the government of Lesotho terminated its Public-Private Partnership (PPP) with T\u0161epong Consortium.<\/p>\n

The consortium consisted of South Africa\u2019s Netcare Hospital Group and local companies: Afri\u2019nnai Health, Excel Health Services, Women Investment, and D10 Investments.<\/p>\n

The government had on 27 October 2008 entered into a contract with T\u015depong Consortium to design, build, part-finance, and operate the 425-bed QMMH and a gateway clinic. The project also refurbished and re-equipped three filter clinics in Qoaling, Mabote, and Likotsi to manage patient referrals to the hospital.<\/p>\n

At the time, the PPP agreement was estimated at M1.165 billion (US$84 million). Construction was scheduled to take two years, followed by a 16-year operational period during which the T\u0161epong Consortium would manage all clinical and non-clinical services.<\/p>\n

During that time, the consortium would receive a \u201cunitary fee\u201d of M255.6 million (US$18.4 million) from the government to cover operational costs and provide a return on debt and equity.<\/p>\n

In 2021, the government terminated the agreement, citing concerns that it was gobbling half of the country\u2019s health budget.<\/p>\n

The Ministry of Health also alleged that Netcare was benefiting unfairly. After the contract was prematurely terminated, Netcare demanded M1.6 billion from the government for outstanding services.<\/p>\n

Backdoor replication of PPP?<\/p>\n

Critics say the government now appears to be returning the same private services through the backdoor under the guise of setting up a private wing within the QMMH facility in Ha Leqele.<\/p>\n

A memo titled \u201cOpening of New Private Wing \u2013 Tsebo Health Solutions\u201d, approved by the QMMH Managing Director Clinical Health Management, Dr Kasanji Benjamin Ngoie, details that the private wing is designed to provide high-quality, patient-centred services.<\/p>\n

\u201cWe are pleased to inform you that our hospital will soon have a new private wing as part of our ongoing efforts to enhance patient care and improve delivery,\u201d the memo reads.<\/p>\n

According to the memo, the private wing will be located around the area where Ward O and P, the retail pharmacy and coffee shop are currently located. It is projected to offer specialised consultations, private wards, executive suites, and more.<\/p>\n

According to the memo, \u201crelevant departments will receive further communication regarding roles, responsibilities, and operational guidelines.\u201d<\/p>\n

\u201cWe count on your cooperation and professionalism to ensure the successful launch and smooth running of this new wing. This initiative marks a significant milestone in our hospital\u2019s growth and shared commitment to delivering exceptional healthcare service,\u201d the memo addressed to staff reads.<\/p>\n

Reducing SA referrals<\/p>\n

Principal Secretary of the Ministry of Health, \u2018Maneo Ntene, told the Lesotho Times that the private wing at QMMH is aimed at reducing referrals to South Africa. She said Lesotho loses significant amounts of money through these referrals.<\/p>\n

Last year, reports suggested that Lesotho was struggling with medical debt amounting to M211 million owed to the South African government.<\/p>\n

The health sector was allocated M3.4 billion for the 2023-2024 financial year and M3.1 billion for 2024-2025.<\/p>\n

Ms Ntene confirmed that Tsebo Health Solutions will partner with Busamed to run the QMMH private wing.<\/p>\n

\u201cThe Tsebo Health Solutions partnered with a hospital called Busamed, which has facilities in Durban, Bloemfontein, and Gauteng. So Tsebo partnered with Busamed to run that private wing at Mamohato,\u201d she said.<\/p>\n

\u201cLesotho refers patients to South Africa for cases where it lacks equipment, expertise, or specialists. We spend a lot of money on referrals. We decided to reduce referrals, because sometimes we pay for people who would have already passed away.<\/p>\n

\u201cFor example, a patient may have a treatment date this week, but when they arrive in South Africa, they are given a date in December or January because Lesotho has been referring patients for decades. Our patients are deprioritised,\u201d she explained.<\/p>\n

Referring patients abroad is costly, she said.<\/p>\n

\u201cWhen we pay, it is like we are paying for a private service, yet it is just a referral. We analysed this and recognised that treating patients locally keeps them close to relatives and reduces costs significantly,\u201d she said.<\/p>\n

She said cancer treatment remains a challenge, as radiation therapy is still done in South Africa although Lesotho is now building a cancer hospital to address this gap.<\/p>\n

\u201cThe only challenge that might remain for in the short term is with cancer cases requiring radiation in South Africa. We are still building a cancer hospital in the country. But in terms of general referrals, we are about to overcome them because we are tired of sending patients to South Africa.<\/p>\n

\u201cBusamed will come with specialists, providing resources, human capital, and equipment that we currently lack. If we monitor and maintain that standard, we will help a lot of Basotho,\u201d she said.<\/p>\n

Tsebo \u201cnot registered\u201d<\/p>\n

When asked if Tsebo Health Solutions is registered with LMDPC, Ms Ntene said, to her knowledge, it had applied.<\/p>\n

Tsebo Health Solutions was registered with the Ministry of Trade, Industry, and Business Development on 30 April 2024, with shareholders HR MO-SE Holdings and Ntsekhe Holdings. HR MO-SE Holdings is owned by Hubbard Lephallo Monaheng, Relebohile Sefako, and Sekhonyana Molapo.<\/p>\n

However, LMDPC President, Dr Makamole Lelimo, told the Lesotho Times that the council has not received an official application from Tsebo. The company had indicated it would submit all required documentation, which the council is still awaiting.<\/p>\n

According to Dr Lelimo, medical practitioners, dental surgeons, or pharmacists must apply for approval to open a private wing under Order No.13 of 1970.<\/p>\n

\u201cHmk, Tsebo Health Solutions\u2026 I don\u2019t quite remember whether they applied, but I will check the records and ask my colleagues. They said we should expect an application, but I have not seen it. They mentioned something like that, but it has been a while,\u201d he said.<\/p>\n

Asked if it is acceptable for a private wing to operate inside a public hospital, he said the matter is still being discussed.<\/p>\n

\u201cBut it is an issue we were aware of. That\u2019s the official statement I can provide. We are expecting all their papers to be submitted,\u201d he said.<\/p>\n

Tsebo responds<\/p>\n

One of Tsebo Health Solution\u2019s directors, Sekhonyana Molapo, assured the Lesotho Times that they will be registered by the time the wing opens.<\/p>\n

\u201cThere is no way we can open a hospital, ward, or any health service without a license or registration. Even if we have a date, it could change depending on compliance with the Dental Council\u2019s protocols. When we enter this business, we ensure compliance with all regulations. By the due date, we would have met every requirement,\u201d he said.<\/p>\n

Mr Molapo explained that although documents were submitted, some were still outstanding and they were now in the process of completing them.<\/p>\n

\u201cIf those documents are not available, we cannot open the facility. The Ministry of Health and QMMH will not allow it. There are too many checks and balances.\u201d<\/p>\n

He said that they had undergone a rigorous process to win the right to operate from within Tsepong. They had responded to an expression of interest from the government and had submitted a comprehensive bid which met the terms solicited from the bidders resulting in their selection.<\/p>\n

\u201cYou must explain how you will execute the project, including sourcing clinical specialists and super-specialists. Doctors must be registered in Lesotho. There is no way to proceed without proper credentials, tried and tested. An expression of interest was released, preceded by a briefing session.\u201d<\/p>\n

For More News And Analysis About Lesotho<\/span> Follow Africa-Press<\/span><\/strong><\/p>\n","protected":false},"excerpt":{"rendered":"

Africa-Press – Lesotho. IN an unusual development, the government has authorized a privately owned medical facility to operate from within the premises of the Queen \u2018Mamohato Memorial Hospital (QMMH), the country\u2019s largest publicly owned referral hospital. The private medical facility will serve as a referral centre for critical patients, the Lesotho Times can reveal. The […]<\/p>\n","protected":false},"author":84,"featured_media":63386,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[2,5],"tags":[245],"class_list":["post-63387","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-all-news","category-economy","tag-lesotho"],"yoast_head":"\nPrivate clinic in T\u0161epong raises eyebrows - Lesotho<\/title>\n<meta name=\"description\" content=\"IN an unusual development, the government has authorized a privately owned medical facility to operate from within the p ...\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Private clinic in T\u0161epong raises eyebrows\" \/>\n<meta property=\"og:description\" content=\"IN an unusual development, the government has authorized a privately owned medical facility to operate from within the p ...\" \/>\n<meta property=\"og:url\" content=\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2\" \/>\n<meta property=\"og:site_name\" content=\"Lesotho\" \/>\n<meta property=\"article:publisher\" content=\"https:\/\/www.facebook.com\/AfricaPressTunisiaa\" \/>\n<meta property=\"article:published_time\" content=\"2025-10-24T17:36:26+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2025-10-24T19:18:08+00:00\" \/>\n<meta property=\"og:image\" content=\"https:\/\/static.africa-press.net\/lesotho\/sites\/62\/2025\/10\/sm_1761320364.212349.jpg\" \/>\n\t<meta property=\"og:image:width\" content=\"1200\" \/>\n\t<meta property=\"og:image:height\" content=\"798\" \/>\n\t<meta property=\"og:image:type\" content=\"image\/jpeg\" \/>\n<meta name=\"author\" content=\"cfeditoren\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"cfeditoren\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"8 minutes\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\/\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2#article\",\"isPartOf\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2\"},\"author\":{\"name\":\"cfeditoren\",\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/#\/schema\/person\/068c7ab4e9634ae78ec5d54ec46598bb\"},\"headline\":\"Private clinic in T\u0161epong raises eyebrows\",\"datePublished\":\"2025-10-24T17:36:26+00:00\",\"dateModified\":\"2025-10-24T19:18:08+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2\"},\"wordCount\":1655,\"commentCount\":0,\"image\":{\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2#primaryimage\"},\"thumbnailUrl\":\"https:\/\/static.africa-press.net\/lesotho\/sites\/62\/2025\/10\/sm_1761320364.212349.jpg\",\"keywords\":[\"Lesotho\"],\"articleSection\":[\"all news\",\"economy\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2\",\"url\":\"https:\/\/www.africa-press.net\/lesotho\/all-news\/private-clinic-in-tsepong-raises-eyebrows-2\",\"name\":\"Private clinic in T\u0161epong raises eyebrows - 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