Solidarity seeks urgent answers on subsidy crisis threatening elderly care
Solidarity’s Social Workers’ Network has sent an urgent letter to the Gauteng Department of Social Development (DSD) and the MEC for Social Development, Nomantu Nkomo-Ralehoko, regarding delays in subsidy payments to organisations that provide essential services, particularly to the elderly.
According to Bianca Smit, coordinator of Solidarity’s Social Workers’ Network, organisations that care daily for some of the most vulnerable members of society are being placed in an impossible position, while they are still expected to continue delivering services without interruption.
This applies especially to organisations that provide home-based care to elderly people and that have historically relied on subsidies for funding.
“The department’s failure to pay subsidies, or even to provide clarity regarding funding, is not only placing organisations under severe pressure. It is also jeopardising the safety, health and dignity of elderly people,” says Smit.
“The organisations no longer know when funding will be paid, or whether it will be paid in future at all.”
The network was informed by members of the Pretoria Council for the Care of the Aged and the Silwerkroon Home-Based Care Programme that service-level agreements have still not been finalised and that funding has yet to be approved, despite the fact that services are expected to continue uninterrupted.
The department itself continues to refer elderly people to these organisations. Solidarity warns that the need for care does not disappear simply because subsidy payments are delayed.
“Elderly people do not become less vulnerable because the department falls behind with its administration.
“They remain dependent on social work services, home-based care, nutrition programmes, health monitoring and protective services. The state cannot neglect its responsibilities and expect welfare organisations to carry the burden alone,” says Smit.
According to information received by the network, several organisations are already on the brink of operational collapse. Services are being scaled back, fewer people can be assisted, and the loss of experienced and professional staff is becoming an increasing risk.
“When these organisations begin to buckle, it is not the department that bears the consequences first, but rather the elderly person sitting alone at home.
“It is the vulnerable older person who receives less support, and it is families who are suddenly left without assistance,” explains Smit.
Solidarity warns that the consequences are already becoming visible and believes pressure on families and communities is increasing, creating a heightened risk of neglect. The potential closure of community-based programmes will further worsen the situation.
Therefore, the Solidarity Social Workers’ Network demands that the department immediately provide clarity regarding the status of funding and publish timelines for outstanding payments.
Furthermore, meaningful consultation with service providers is essential, and an emergency plan must be implemented to safeguard the continued care of elderly people.