STAKEHOLDER ENGAGEMENT

Stakeholders are the individuals and groups who have an interest in, or who are affected by, Group business operations and the manner in which business objectives are achieved.

AfroCentric’s long-term sustainability depends on strong stakeholder relationships, which are maintained through transparent and effective communication. We engage with key stakeholders in a responsive, constructive and collaborative manner to achieve mutual value.

The AfroCentric Board and executive management are responsible for sustainably managing the Group to create value for shareholders and stakeholders in the long term. This sustainable shareholder value depends on the value the Group identifies and creates for all the other stakeholder groups that may materially influence the Group’s ability to create value.

Stakeholder Engagement

STAKEHOLDER GROUP   OVERVIEW   IMPACT AND ENGAGEMENT   EXPECTATIONS/CONCERNS   RELATED MATERIAL MATTERS AND OUR STRATEGIC RESPONSE
Our clients – medical schemes   SA schemes:
Open schemes: Bonitas, Fedhealth, Medshield

Closed schemes: AECI, Barloworld, GEMS, Horizon, MBMed, NedGroup, ParMed, POLMED, SABC, SAMWUMED, Sasolmed

Outside SA schemes: NAMMED, Namibia Health Plan, Swazimed
  Medical schemes choose their administrator and health risk provider. The quality of the end-to-end service delivered to our clients has a direct impact on their ability to retain their customers, i.e. the scheme members who, in turn, impact their satisfaction levels with all Group companies.

To manage these relationships, the Group regularly engages clients at formal meetings and through the annual report and website. Additionally, the CEOs of the Group and Medscheme engage regularly with these key clients.
 
  • Quality of administration and health risk management
  • Rates (costs of services)
  • Reputation-related matters
  • Level of transformation
  • Outcomes (service level agreements)
 
Material matters
1, 2, 3, 6, 7, 8, 9, 11
Improve efficiencies through cost consciousness
Deliver exceptional client service
Promote transformation
Reduce the cost of healthcare
Maximise growth opportunities
Shareholders, investors   Institutional and individual investors   Shareholders affect AfroCentric by voting at Annual General Meetings (“AGMs”) and accordingly, AfroCentric has a duty to maximise shareholder returns.

Engagement takes place through the annual report, the website, trading statements and SENS announcements.
 
  • Long-term value creation
  • Improved market share
  • Demonstrate industry leadership
  • Dividends
 
Material matters 1, 3, 6, 7, 9
Enhance shareholder value
Maximise growth opportunities
Improve efficiencies through cost consciousness
Diversify revenue sources
Regulators   Council for Medical Schemes
The Council for Medical Schemes (“CMS”) is a statutory body established by the Medical Schemes Act 131 of 1998 to provide regulatory supervision of private health financing through medical schemes.
  The Group’s major subsidiary, Medscheme, depends on the CMS for the accreditation to conduct healthcare administration and health risk management. Any proposed amendments to benefit options must be approved by the CMS. Medscheme is required to provide electronic submissions of the financial overview of each scheme, a process managed by Group Compliance.

Engagement takes place via Group Compliance, as required, and via annual reports and other interactions.
 
  • Ensure Medscheme is a leading administrator and health risk management provider
  • Approval
    of changes to benefit options
  • Regulatory oversight
 
Material matters 1, 9
Uplift our people
Deliver exceptional client service
    Medicines Control Council
The Medicines Control Council (“MCC”) applies standards laid down by the Medicines and Related Substances Act, 101 of 1965, which governs the manufacture, distribution, sale and marketing of medicines.
  The MCC regulates pharmaceutical manufacturers and distributors. Pharmacy Direct, Curasana and Activo Health are impacted by amendments to regulations and must also comply with MCC licensing requirements.

Engagement takes place through the annual report and other interactions.
 
  • Implement and promote Good Pharmacy Practice
 
Material matters 1, 9
Deliver exceptional client service
    South African Pharmacy Council
The South African Pharmacy Council (“SAPC”) is mandated to protect, promote and maintain the health, safety and wellbeing of patients and the public, ensuring quality pharmaceutical service for all South Africans.
  The SAPC regulates pharmacists, pharmacy support personnel and pharmacy premises in South Africa. Pharmacy Direct, Curasana and Activo Health have to implement Good Pharmacy Practice and comply with the Pharmacy Act 53 of 1974.

Engagement takes place through the annual report and other interactions.
 
  • Implement and promote Good Pharmacy Practice
  • Adhering to the Pharmacy Act
 
Material matters 1, 9
Deliver exceptional client service
    The Johannesburg Stock Exchange
The Johannesburg Stock Exchange (“JSE”) offers secure, efficient primary and secondary capital markets across a diverse range of securities, supported by its post-trade and regulatory services.
  The JSE is the presiding authority over AfroCentric’s public listing. It creates a healthy exchange for trade and engagement and the relationship is managed by Group Finance with the Group’s corporate sponsors, Sasfin Capital.  
  • Adherence to JSE Listings Requirements
  • IFRS compliance
 
Material matter 9
Enhance shareholder value
    Competition Commission
The stated purpose of the Competition Act 89 of 1998 is to promote and maintain competition in South Africa.
  The Competition Commission ensures that AfroCentric does not act anti-competitively, and, more broadly, controls restrictive practices and ensures fair competition in the industry.  
  • Compliance
 
Material matters 1, 9
Enhance shareholder value
Deliver exceptional client service
Suppliers   Contractors and suppliers.   Direct supplier engagements, the annual report and our website.  
  • Procurement opportunities
  • Contract terms
 
Material matters 6, 11
Promote transformation
AfroCentric employees   The Group’s employees who perform core functions within the organisation.   AfroCentric employees operationalise our value proposition. We rely on their skills, wellbeing and motivation. The Group has a responsibility to clients to ensure all core employees are in place for the smooth running of the organisation.

The Group values the contribution of every employee. We engage them regularly through internal communication channels such as the Company intranet, newsletters, CEO roadshows and manager/team dialogues.
 
  • Job stability and employee wellness
  • Growth of the business
 
Material matters 3, 6, 7, 10
Promote transformation
Uplift our people
Trade unions   National Education, Health and Allied Workers Union (“NEHAWU”) is the union for workers from the Education, Health, Government and Social Welfare sectors.   Trade unions have the ability to impede business operations through industrial action.

Engagement is conducted as required through established channels, primarily if there are any matters regarding terms of employment. The relationship is managed by the Group’s Human Capital function.
 
  • Fair and equitable standards of employment
  • Benchmarking of remuneration
 
Material matter 10
Promote transformation
Uplift our people
Government   Government has proposed National Health Insurance (“NHI”) to create universal access to appropriate, efficient and quality health services.   Government is a key stakeholder, particularly with the advent of a unified NHI, due to be phased in over a 14-year period. Therefore, it is important that government has a full understanding of our business and service offering. Group revenue may be negatively impacted in the longer term if there is a significant move away from private healthcare funding. However, revenue may be positively impacted if tenders are issued to the private sector for service delivery.

The Group continuously engages government (predominantly the Department of Health) to ensure there are adequate procedures in place for the NHI to run smoothly and for AfroCentric to benefit from any available opportunities.
 
  • Standardisation of efficient and quality health services for all individuals
 
Material matters 1, 3, 6, 9
Promote transformation
Diversify revenue sources
Deliver exceptional client service
Maximise growth opportunities
Reduce the cost of healthcare