Hospitals
Add maternity, without adding risk.
Unused maternity capacity is a cost with no offsetting revenue. Building a maternity service to fill it means building a clinical model, a governance spine and a specialist panel from nothing, and carrying the clinical and medico-legal risk while you do it. We bring a governed maternity programme that already runs, so your group adds volume without adding that risk.
The proposition
Turn unused capacity into governed volume.
Empty beds and underused theatre time carry cost whether or not they are used. Turning that capacity into governed programme volume, without building the model, the governance or the specialist panel from scratch, is the problem this solves. We keep the clinical and medico-legal risk in hand, so the exposure that made a group hesitate to run maternity in the first place is managed from day one.
What we bring
The parts that are hard to build.
A hospital group would need all of this in place before a single patient could be safely seen. We already have it, in use across a live maternity service. You are not starting from a blank page.
Build it yourself
- Build the governance spine and audit from scratch
- Write every protocol, SOP and role card yourself
- Win a funder contract with no track record
- Recruit specialists who are wary of hospital groups
- Stand up a support office for booking, billing and claims
- Wait years to prove it is safe and that it pays
Add Network One Health
- A governance spine
- Clinical and operational manuals
- Structured commissioning
- Induction, change management and supportive supervision
- A funder contract in place
- A skilled support office
- Credibility that fills the programme
How we commission a site
From empty room to go-live, through set gates.
We do not run an open-ended build. Each site moves through a defined sequence, and it only opens once the gate before it is signed off. That is what keeps a launch predictable, and the standard the same at every site.
01
Specify the site
Set the rooms, equipment, staffing and hours against a minimum site spec.
02
Staff the team
Recruit and roster the disciplines the maternity pathway needs.
03
Credential
Check and sign off every provider against the network standards.
04
Sign off training
Induction and competency sign-off before the first patient.
05
Go live
Open under the pathway, with supportive supervision from day one.
Governance and quality
Named accountable entities, and they hold.
A hospital partner is not joining a loose panel of providers. It is joining a governed programme with clear accountability, escalation and a standard that does not vary by site.
- Two named entities. The accountable clinical entity is Dr H P Manyonga & Associates Inc.; the accountable operating entity is Network One Health. At each site, a partnership group integrates our governance with the host hospital's own.
- A fixed governance cadence. A weekly clinical huddle, a monthly multidisciplinary case review, a monthly operational meeting, and quarterly and annual contract reviews, at every site.
- Escalation with time thresholds, not good intentions. A serious incident reaches the clinical leads within the hour and the governance council within a day, with a root-cause analysis started within five working days.
- One standard, every site. The same minimum site specification, credentialing bar and commissioning gates apply everywhere, so quality does not vary by location.
- Metrics tracked to improve, not to punish. Caesarean and vaginal birth rates, NICU admissions, maternal complications and patient experience are reviewed at a joint audit and quality committee.
How it works
The care stays the same. The arrangement flexes.
The clinical pathway and standards do not change. What changes is who supplies the facility, who holds the funds and how value is shared. We agree the fit before we talk commercials.
We run the practice
Network One Health runs the practice end to end.
NOMA Direct →We run it with your hospital
Network One Health and a hospital share the work under clear rules.
NOMA Partner →You stay independent, we connect you
Independent clinicians plug into the pathway without giving up their practice.
NOMA Affiliate →We build it together
Network One Health operates inside a jointly owned structure with a hospital group.
NOMA Embedded →
Why the programme staffs
We can hold the specialists a group cannot.
Specialists are wary of hospital groups, and of anything that looks like employment. Network One Health is clinician-owned and clinician-governed, and Dr Howard Manyonga is closely connected to the specialist community through SASOG and GMG. That is why clinicians join us, and why the programme staffs and holds. For a hospital partner, that is the hardest part solved.
A governed maternity programme that already runs. Specialist-led and POPIA-compliant, on a designated EMR, reporting maternal and neonatal outcomes against defined measures since 2022.
Request a partnership meeting.
Tell us about your facility and we will show you the fit and how we manage the risk.