By Abigail Visagie
Northern Cape Premier Dr Zamani Saul has announced changes to his provincial cabinet, appointing a new Member of the Executive Council (MEC) for the embattled Department of Health amid mounting pressure to stabilise the province’s healthcare system. The department has been without a political head for nearly four months following the abrupt resignation of former Health MEC Maruping Lekwene in November last year. MEC for Social Development, Youth, Women and People Living with Disabilities, Nontobeko Vilakazi, has now been appointed as the new MEC for Health. Meanwhile, MEC for Agriculture, Environmental Affairs, Rural Development and Land Reform, Mase Manopole, has been moved to the Social Development portfolio. Manopole’s former position has been filled by the ANC’s former John Taolo Gaetsewe regional secretary, Lebogang Motlhaping. Lekwene resigned on 5 November 2025 amid growing calls for the Department of Health to be placed under administration. His departure followed a damning Health Ombudsman’s report that exposed systemic failures at Robert Mangaliso Sobukwe Hospital (RMSH) and Kimberley Mental Health Hospital (KMHH), failures that were linked to the deaths of three psychiatric patients. An Auditor-General’s report further deepened the crisis, revealing R15.5 billion in financial irregularities within the department. Critics have since raised concerns about the stability of the province’s healthcare system, questioning the timing of Lekwene’s resignation and warning that the department was on the brink of collapse. Lekwene had served as MEC for Health since June 2020 and was reappointed following the 2024 general elections. His tenure was marred by controversy, including the department operating without a permanent head of department (HOD) for more than three years. Reacting to the cabinet reshuffle, the Democratic Alliance (DA) questioned Premier Saul’s intentions, arguing that the changes would not result in meaningful reform within the health sector. “He is simply rearranging the cabinet to fill the gap left by the resignation of former Health MEC Maruping Lekwene, without introducing the specialised, determined and ethical leadership required to restore integrity and turn the ailing health department around,” said DA Northern Cape provincial leader Isak Fritz. Fritz added that decisive leadership was crucial given the prolonged leadership vacuum caused by the ongoing HOD crisis, which has seen Dr Dion Theys seconded to an alternative position while he faces a corruption conviction and additional charges. The absence of a permanent accounting officer, he said, has resulted in the department being managed by a succession of acting appointees. “The state of the health sector will ultimately reflect Premier Saul’s legacy more than the performance of the many MECs who have held this portfolio during his tenure,” Fritz said. “At present, he risks being remembered for failing to address rampant corruption, deadly ambulance failures, crippling healthcare backlogs and the mental health hospital tragedy. It is now up to him, together with Vilakazi, to change this.”

