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"content": "facilities as the key piloting service providers, the Meridian and the Clinix health providers, which we have mentioned earlier. The Meridian was paid over Kshs54 million and Clinix over Kshs96 million for piloting the scheme for the same Ministry under the leadership of the Acting Minister for Medical Services then, who is also the Minister of State for Public Service. When he appeared before the Committee, he informed the Committee that if we used the method I defined earlier - the method of capitation - the outpatient scheme had to crumble. I am quoting the Minister. That is was in 2010! Down the line in 2011, the same Minister for Medical Services together with the Minister of State for Public Service were happy to roll out a scheme of the outpatient service while they well know and having stated so before the Committee that it will crumble. They went ahead and signed a contract for provision of these services. The Minister for Medical Services is represented in the National Health Insurance Fund (NHIF) Board by none other than the Permanent Secretary and also the Director of Medical Services. Madam Temporary Deputy Speaker, while this was known by the Ministry as I have indicated earlier, further, the non-existence of facilities was well known by the Director of Medical Services and he did so in writing by informing the NHIF where he himself sits as a member of the Board. He wrote and indicated the non-existent facilities. Therefore, that was done early in January and February but later on having informed the NHIF where the Director sits and as the Registrar of the Medical Practitioners and Dentist Board, the Minister and the NHIF went ahead to pay for the non-existing facilities. The Permanent Secretary did not advice the Minister nor did the Director of Medical Services. It is on this basis that there was, indeed, negligence on the side of the two Ministers, the Director and the Permanent Secretary, Ministry of Medical Services. There was negligence on the part of the Board of the NHIF together with the CEO then. The non-existent facilities were paid for using public money while the Ministers knew that the money they paid was not for service that was to be provided to the beneficiaries."
}