OHSC Complete SOP list

OHSC: Office of Health Standards Compliance

The OHSC, or Office of Health Standards Compliance, is a South African independent agency established to ensure quality & safety in healthcare. It monitors & enforces compliance with national health standards in health facilities & investigates complaints regarding non-compliance.

Beware of Bogus Practice Inspectors

 

– To protect yourself, post a ‘Right of Entry Reserved’ sign

– Always be polite, but refuse entry to anyone who can’t provide proper ID & state their purpose

– Ask them to return with valid identification; also, to make an appointment.’

Dear Members & Shareholders,
We’ve compiled key documents to help you prepare for OHSC inspections. Inspectors have started evaluating GP practices, so it’s essential to be prepared.  Please review them urgently and contact your Qualicare consultants if you need assistance.

OHSC – How to prepare for upcoming OHSC inspections
OHSC Compliance Summary 2025 OHSC Checklist SOP Adverse Drug Reaction (ADR) Management Product Quality Problem Report Form Notifiable Medical Conditions Booklet Notifiable Medical Conditions (NMC) Disease List Patient Complaint Form SOP Decontamination Processes SOP Health Records Management SOP Invasive Procedures SOP Management of Complaints Users Requiring Urgent Care (TRIAGE) SOP Safe Injection Practices SOP Waste Management The OHSC Report Back Document Inspection Example of Requirements 27/11/25
OHSC Complete SOP List
Annexure 1.1 – Display and Communication of Services Offered Annexure 1.2 – Communication of Operating Hours to Users Annexure 1.3 – Management of Complaints Related to Health Services Annexure 1.4 – Provision of Information on Indicative Fees for Services Annexure 1.5 – Display and Communication of User Experience of Care Survey Results Annexure 1.6 – Triage and Prioritisation of Users Requiring Urgent Care Annexure 1.7 – Checklist – What Staff Should Be Able to Explain in an Interview Annexure 1.8 – Emergency Medical Services Annexure 1.9 – Users Are Provided with Emergency Contact Details Annexure 1.10 – Accurate Referral Documentation Annexure 1.11 – Minimum Requirements for Referral Chain Documentation Annexure 1.12 – Health Record Filing, Archiving, Disposing, Storage and Retrieval System Complies with the Law Annexure 1.13 – Confidentiality Annexure 1.14 – Patient Privacy and Confidentiality Annexure 1.15 – Confidentiality of Health Records Annexure 1.16 – Health Records of Users in Accordance with the Requirements of Section 13 of the Act Annexure 1.17 – The Health Establishment Must Record Information Relating to the Examination and Health Care Interventions of Users Annexure 1.18 – Documentation of Diagnostic Investigation Results Annexure 1.19 – Checklist – Reviewing Diagnostic Investigation Results Annexure 1.20 – Patient Record Audit Checklist – Communication of Diagnostic Results Annexure 1.21 – Response to Diagnostic Investigation Results Annexure 1.22 – Informed Consent Process Annexure 1.23 – Consent to Disclosure of Information Annexure 2.1 – Clinical Management Systems Annexure 2.2 – Environmental Cleaning and Disinfection Annexure 2.3 – User Involvement in Care Decisions Annexure 2.4 – Emergency Resuscitation Trolley or Bag Checklist Annexure 2.5 – Emergency Medical Supplies & Equipment Checklist Annexure 2.6 – Emergency Equipment Audit Checklist Annexure 2.7 – Infection Prevention and Control Programme – Hand Hygiene Facilities Checklist Annexure 2.8 – Alcohol-Based Hand Rub Availability Checklist Annexure 2.9 – Hand Hygiene Poster Display Checklist Annexure 2.10 – Clean Linen Availability Checklist Annexure 2.11 – Staff Awareness Prophylactic Immunisation Procedure Checklist Annexure 2.12 – Decontamination Procedure Staff Interview Checklist Annexure 2.13 – Waste Management Observation Checklist Annexure 3.1 – Ordering of Medicines and Medical Supplies Annexure 3.2 – Stock Level Monitoring Checklist Annexure 3.3 – Storage of Medicines and Medical Supplies Annexure 3.4 – Medicine Availability Checklist Annexure 3.5 – Repackaging of Medicine Checklist Annexure 3.6 – Cold Chain Management at the Fridge Site Annexure 3.6a – Cold Chain Compliance Checklist for Thermolabile Medicines Annexure 3.7 – Basic Medical Supplies Availability Checklist Annexure 3.8 – Schedule 5 & 6 Medication Storage Compliance Checklist Annexure 3.9 – Schedule 5 & 6 Drug Register Compliance Review Annexure 3.10 – Stock Reconciliation - Schedule 5 & 6 Medicines Annexure 3.11 – Store & Management of Medicines Annexure 3.12 – Medicine and Storage Management SOP Annexure 3.13 – Informing Users About Their Medicines Annexure 3.14 – Labelling of Dispensed Medicines Annexure 3.15 – Medicines Are Dispensed by Licensed Health Care Providers Annexure 3.16 – Availability and Functionality of Medical Equipment

To Request Access to more the Latest Information Available on OHSC contact your QC Consultant:

Shireen Harris shireen@cpcqualicare.co.za

Zulfah Nordien zulfah@cpcqualicare.co.za

Wendy Alexander wendyalexander@cpcqualicare.co.za

Yvette Du Bruyn yvette@cpcqualicare.co.za

Recommendation:

Use the attached ‘manuals’ as a guide for quality improvement, focusing on changes that are feasible and affordable.

Please give us feedback on what you are unhappy about & what is totally impractical & not applicable in a GP practice!

Certification and Accreditation:

OHSC certifies compliant health facilities and provides a certificate of compliance, which is a prerequisite for accreditation under the National Health Insurance (NHI) Fund. 

2025 – OHSC Inspection: Latest Information
2025 - OHSC - Regulatory GP Inspection Tool - Administration & Practice Management
2025 - OHSC - Regulatory GP Inspection Tool - Clinical Care & Support