A key role of Family Physicians is clinical governance i.e. providing leadership to achieving clinical outcomes for populations. Whilst this is so it is very difficult when managers dont make that role explicit and support it. See more about family medicine in Gauteng.
In 2018 MEC Gwen Ramakgopa and HOD Mac Lukhele clearly tasked family physicians in Gauteng to provide clinical leadership around a set of poorly performing indicators at a district level. See more about Family Medicine in the Johannesburg Health District. Clinical managers are now responsible for Sub-Districts with family physicians deployed to strengthen CHCs. Prof Moosa leads the Department of Family Medicine again since August 2022. The team includes clinical managers, family physicians, members of the district clinical specialist team, senior sub-district managers and programme coordinators.