A multi-departmental task force has been established to fast-track repairs and governance reforms at Charlotte Maxeke Johannesburg Academic Hospital, Health Minister Aaron Motsoaledi confirmed following a high-level site inspection.
Motsoaledi, joined by Finance Minister Enoch Godongwana and Gauteng Premier Panyaza Lesufi, toured the facility to assess progress on reconstruction efforts stalled since a fire damaged portions of the building five years ago. The visit responds to a Public Protector report that documented maladministration, systemic operational failures, and substantial budget underspending at the institution.
Officials confirmed the 2021 fire began in the level-two underground parking area. While the structure was not fully fire-compliant at the time of its original construction, investigators have not yet determined the blaze’s cause or assigned individual accountability.
Finance Minister Enoch Godongwana stressed that funding is not the primary obstacle. During the 2023/24 fiscal year, only 51% of the allocated budget was expended—leaving more than R300 million unutilized despite urgent repair requirements. Godongwana pointed to procurement vulnerabilities as a core challenge, citing examples where contractors circumvent regulations by submitting bids through multiple entities under single ownership.
The Development Bank of Southern Africa (DBSA), managing the reconstruction, projects that structural repairs to the affected medical wing will conclude by August, with the wing scheduled to resume patient services by October. Until then, temporary support structures necessary to stabilize the building incur ongoing costs of approximately R3.2 million per month.
To ensure tighter coordination and accountability, a weekly oversight committee will convene every Tuesday under the chairmanship of Premier Panyaza Lesufi. The committee includes representatives from the National Treasury, the National Department of Health, and the DBSA. Its mandate covers both implementation of the Public Protector’s remedial actions and broader procurement reforms initiated by national health authorities following prior governance reviews.
Premier Panyaza Lesufi indicated the committee’s scope will extend province-wide. “We’ll bring all the potential hospitals that have a problem under one roof when we have these kinds of discussions,” Lesufi stated, signaling a proactive approach to infrastructure integrity across Gauteng’s public healthcare network.
Health Minister Aaron Motsoaledi affirmed confidence in the new strategy: “We have put up a plan and we are satisfied about that plan… They will be sitting going through the Public Protector’s report and making sure that they fix things.” He also noted that procurement procedures have already been revised at the national level to address prior vulnerabilities.
Charlotte Maxeke Johannesburg Academic Hospital continues to serve as a vital referral center for the region. Authorities emphasized that restoring its full capacity remains a priority, alongside systemic reforms designed to prevent recurrence of delays and governance shortcomings.

