Government Employees Medical Scheme and Others v Public Protector of the Republic of South Africa and Others (1000/19) [2020] ZASCA 111; [2020] 4 All SA 629 (SCA); 2021 (2) SA 114 (SCA) (29 September 2020)

Government Employees Medical Scheme and Others v Public Protector of the Republic of South Africa and Others (1000/19) [2020] ZASCA 111; [2020] 4 All SA 629 (SCA); 2021 (2) SA 114 (SCA) (29 September 2020)

The Supreme Court of Appeal held that the Public Protector does not have jurisdiction under sections 6(4) or (5) of the Public Protector Act to investigate the complaint against GEMS. GEMS is a private medical scheme regulated by the Medical Schemes Act and its own rules, serving a restricted class of government...

Source-derived case information.

Citation
[2020] ZASCA 111
Parties
Appellant: Government Employees Medical Scheme; Appellant: Gunvant Goolab; Appellant: Marthinus Johannes Kruger; Respondent: Public Protector of the Republic of South Africa; Respondent: Joel Moagl Tumelo Benedict Ngwato; Respondent: Registrar of Medical Schemes; Respondent: Council for Medical Schemes
Court
Supreme Court of Appeal
Jurisdiction
South Africa
Case Number
1000/19
Procedural Posture
Civil Appeal / Appeal From Gauteng Division of the High Court, Pretoria
Outcome
Appeal upheld; order of the high court set aside and replaced.
Judges
Ponnan, Mbha, Zondi, Goosen, Mabindla-Boqwana
Legal Topics
Public Protector Jurisdiction, Medical Schemes Act, Subpoena Powers, Exhaustion of Internal Remedies, Public Function Test
Administrative Law Civil Procedure Public Protector Jurisdiction Medical Schemes Act Subpoena Powers Exhaustion of Internal Remedies Public Function Test

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Parties

Government Employees Medical Scheme

Appellant

Gunvant Goolab

Appellant

Marthinus Johannes Kruger

Appellant

Public Protector of the Republic of South Africa

Respondent

Joel Moagl Tumelo Benedict Ngwato

Respondent

Registrar of Medical Schemes

Respondent

Council for Medical Schemes

Respondent

Procedural Posture

Civil Appeal / Appeal From Gauteng Division of the High Court, Pretoria

  1. 1 Whether the Public Protector has jurisdiction under sections 6(4) or (5) of the Public Protector Act 23 of 1994 to investigate complaints against the Government Employees Medical Scheme (GEMS).
  2. 2 Whether GEMS performs a public function or is a public entity subject to investigation by the Public Protector.
  3. 3 Whether the complaint by Mr Ngwato falls within the scope of the Public Protector's powers.

Ratio Decidendi

The Supreme Court of Appeal held that the Public Protector does not have jurisdiction under sections 6(4) or (5) of the Public Protector Act to investigate the complaint against GEMS. GEMS is a private medical scheme regulated by the Medical Schemes Act and its own rules, serving a restricted class of government employees but not performing a public function or qualifying as a public entity under the Act. The relationship between GEMS and its members is contractual, and complaints are subject to statutory procedures under the Medical Schemes Act, which Mr Ngwato failed to exhaust. The Public Protector’s powers are not unbounded and must be exercised within statutory limits; the use of...

Court Disposition

Appeal upheld; order of the high court set aside and replaced.

Orders

  • The appeal is upheld with costs, including those of two counsel.
  • The order of the court below is set aside and replaced by: (i) The application succeeds. (ii) It is declared that the first respondent is not empowered by sections 6(4) or (5) of the Public Protector Act 23 of 1994 to investigate the complaint lodged by the second respondent against the first applicant. (iii) The...