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Purchase Order Surgeon in South Africa Cape Town –Free Word Template Download with AI

Professional Medical Services Procurement – Surgeon Engagement

PO No: CT-2025-04871   Status: Issued

Date of Issue: 14 June 2025
Required Commencement: 01 July 2025
Contract Duration: 12 Months (renewable)
Payment Terms: Net 30 Days
Currency: South African Rand (ZAR)
PO Reference: CT-2025-04871
1. BUYER INFORMATION

Procuring Entity

Cape Town Metropolitan Health Authority
Department of Clinical Services – Surgical Division
124 Bree Street, Cape Town, 8001
Western Cape, South Africa
Tel: +27 21 467 8000
Email: [email protected]

Authorised Officer

Dr. Thandiwe Mokoena
Head of Surgical Services
Cape Town Metropolitan Health Authority
Registration No: HPCSA-448291
Tel: +27 21 467 8142
Email: [email protected]

2. SUPPLIER / CONTRACTED SURGEON INFORMATION

Contracted Surgeon

Dr. James van der Merwe, MBChB, MCh (Surg)
Specialist Surgeon – General & Vascular Surgery
HPCSA Registration No: 0012345678
Practice Address: 45 Kloof Street, Cape Town, 8001
Western Cape, South Africa
Tel: +27 21 424 5567
Email: [email protected]

Supplier Details

VAT Registration: 4930123456
Bank: Standard Bank, Cape Town
Account No: 0123456789
Branch Code: 051001
Account Type: Cheque
Speciality: General Surgery, Vascular Surgery, Trauma

3. SCOPE OF SERVICES – SURGEON ENGAGEMENT

This Purchase Order is issued by the Cape Town Metropolitan Health Authority to formally engage the services of a qualified Specialist Surgeon for the provision of surgical, pre-operative, and post-operative care at the designated public hospital facilities within the Cape Town metropolitan area, South Africa. The Surgeon shall be responsible for performing scheduled and emergency surgical procedures, supervising junior surgical staff, conducting multidisciplinary team meetings, and ensuring compliance with all South African Health Professions Council (HPCSA) regulatory standards.

4. LINE ITEMS AND COST BREAKDOWN
Ref Description of Service Frequency Unit Rate (ZAR) Quantity Amount (ZAR)
01 Monthly surgical consultation and ward rounds at Cape Town General Hospital Monthly R 45,000.00 12 R 540,000.00
02 Emergency surgical call-out service (24/7 availability, minimum 4 calls per month) Monthly R 28,500.00 12 R 342,000.00
03 Supervision and mentorship of two (2) surgical registrars Monthly R 18,000.00 12 R 216,000.00
04 Participation in multidisciplinary team (MDT) meetings and surgical audit reviews Monthly R 7,500.00 12 R 90,000.00
05 Continuing Professional Development (CPD) and academic contribution Quarterly R 12,000.00 4 R 48,000.00
06 Annual surgical equipment and instrument review for Cape Town facilities Annual R 15,000.00 1 R 15,000.00
TOTAL CONTRACT VALUE (INCL. 15% VAT) R 1,251,000.00
5. TERMS AND CONDITIONS
  1. This Purchase Order is governed by the laws of the Republic of South Africa and the Public Finance and Management Act (PFMA), 1999 (Act No. 1 of 1999), as amended.
  2. The Surgeon shall maintain valid HPCSA registration, professional indemnity insurance (minimum cover of R 5,000,000), and all necessary speciality credentials throughout the contract period in South Africa.
  3. All surgical procedures performed under this Purchase Order shall comply with the National Department of Health's Clinical Practice Guidelines and the Cape Town Metropolitan Health Authority's internal surgical protocols.
  4. The Surgeon shall be available for emergency call-outs within the Cape Town metropolitan area, including surrounding districts such as Mitchells Plain, Khayelitsha, and Gugulethu, with a maximum response time of 90 minutes.
  5. Payment shall be made within thirty (30) calendar days of receipt of a valid tax invoice, subject to satisfactory completion of the services as outlined in this Purchase Order.
  6. The Surgeon shall submit monthly activity reports detailing the number of procedures performed, complications encountered, and patient outcomes to the Head of Surgical Services at the Cape Town facility.
  7. Either party may terminate this Purchase Order with thirty (30) days' written notice. In the event of termination, the Surgeon shall be compensated for services rendered up to the effective date of termination.
  8. All patient records and surgical documentation generated under this engagement shall remain the property of the Cape Town Metropolitan Health Authority and shall be stored in accordance with the Protection of Personal Information Act (POPIA), 2013.
  9. The Surgeon shall not sub-contract any portion of the services specified in this Purchase Order without prior written consent from the Authorised Officer.
  10. Disputes arising from this Purchase Order shall be resolved through mediation in Cape Town, South Africa, in accordance with the rules of the South African Dispute Resolution Centre.
6. DELIVERY AND COMMENCEMENT DETAILS

The Surgeon shall commence all duties no later than 01 July 2025 at the Cape Town General Hospital Surgical Unit, 124 Bree Street, Cape Town, 8001, South Africa. The Surgeon is required to report to the Surgical Registrar's office for orientation and credentialing verification prior to the first day of active service. All services shall be rendered at the designated Cape Town public health facilities as directed by the Head of Surgical Services.

7. AUTHORITY AND SIGNATURES

This Purchase Order is authorised and issued under the delegated authority of the Cape Town Metropolitan Health Authority's Procurement Committee. By signing below, both parties acknowledge and agree to the terms, conditions, and scope of services as set forth in this document.

Dr. Thandiwe Mokoena
Head of Surgical Services
Cape Town Metropolitan Health Authority
Date: _______________
Dr. James van der Merwe
Contracted Surgeon
HPCSA Reg: 0012345678
Date: _______________
Mr. Pieter Botha
Procurement Officer
Cape Town Metropolitan Health Authority
Date: _______________

This Purchase Order (PO No: CT-2025-04871) is a controlled document of the Cape Town Metropolitan Health Authority, South Africa. Unauthorised reproduction or distribution is prohibited. For queries, contact the Procurement Division at [email protected] or +27 21 467 8000. This document is valid for acceptance within fourteen (14) calendar days of the issue date.

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