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Fri 12 Sep 2003, 13:58 NETCARE PREFERRED BIDDER FOR NHS CONTRACTS
NETWORK HEALTHCARE HOLDINGS LIMITED -                  
  Network Healthcare Holdings Limited                                             
  (Incorporated in the Republic of South Africa)                                  
  Registration number 1996/008242/06                                              
  JSE share code: NTC ISIN code: ZAE000011953("Netcare")                          
  NETCARE PREFERRED BIDDER FOR NHS CONTRACTS WORTH R 1.4 BILLION                  
  1    Introduction                                                               
  Netcare has cautiously been pursuing its international expansion programme. It  
  is currently completing the third successful Waiting List Initiative for the    
  National Health Service ("NHS") in the United Kingdom ("UK") which, in          
  aggregate, involved the treatment of approximately 2500 patients. As part of the
  experience gained and as the next logical step, Netcare has, since December     
  2002, been involved in the pre-qualification and bidding process against a      
  multitude of international healthcare companies for the Independent Sector      
  Treatment Centre ("TCs") programme offered by the NHS.                          
  The TC programme was launched by the British Government as a means of addressing
  clinical capacity shortfalls and gaps across a range of medical specialties     
  relating to elective in-patient and day-case surgeries. At present, capacity    
  gaps in the NHS have resulted in lengthy patient waiting lists, but via the     
  establishment of the TCs, which are essentially new treatment centres designed  
  to deliver high quality, cost-effective scheduled diagnostic and/or treatment   
  services to NHS patients. The pressure on Waiting Lists is expected to be       
  drastically reduced.                                                            
  2    Details                                                                    
  The British Secretary of State for Health, Dr John Reid, today announced that   
  Netcare has been selected as the Likely Preferred Bidder for two new TCs. These 
  include the Greater Manchester TC which aims to perform approximately 45 000    
  surgical procedures (orthopaedic, general, and ear, nose and throat) at the     
  Greater Manchester Surgical Centre (GMSC), and the Ophthalmology Chain (OC)     
  which involves performing approximately 49 000 cataract procedures using a      
  combination of mobile and fixed sites. Both contracts will be for a period of   
  five years, will commence during the course of 2004, and are still subject to   
  finalisation of all agreements.                                                 
  The benefits of the TCs for both Netcare and South Africa are extensive. Netcare
  is entering into fixed contracts with guaranteed patient volumes and numbers of 
  elective procedures, which in turn, means that our investment is protected and  
  the usual risks associated with managing such healthcare facilities are         
  lessened. The total aggregate value of the contracts should generate revenue of 
  approximately R1.4 billion in current terms.                                    
  The TCs will also assist Netcare in fulfilling its strategic objective of       
  retaining doctors and staff in its hospitals and within the South African       
  healthcare system. Given Netcare"s established networks and experience gained   
  through the group"s participation in the Waiting List Initiatives, Netcare      
  believes it has developed and implemented an effective model for operating the  
  TCs which will not have an impact on local operations nor denude healthcare     
  resources in South Africa.                                                      
  3    Future prospects                                                           
  Netcare believes that the current experience gained through the Waiting List    
  Initiatives and the TC programme will form the platform for a sustainable       
  expansion into the United Kingdom and Europe.                                   
  Further announcements regarding the status of these contracts will be published 
  from time to time.                                                              
  Sandton                                                                         
  12 September 2003                                                               
  Sponsor                                                                         
  Merrill Lynch South Africa (Pty) Limited                                        
  Date: 12/09/2003 01:30:33 PM Produced by the JSE SENS Department
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