Patients receiving care from the public sector access services via a primary health care facility (e.g., community clinics, day-hospitals) and they can access secondary and tertiary care via referral (via the general practitioner or district surgeon). Similarly, within the private sector, specialist services at secondary and tertiary levels are accessed via referral from a local practicing general practitioner. This is enforced by medical insurance service providers, where patients will only be covered/insured for secondary and tertiary services with supporting referral documentation from the PHC authority (e.g., general practitioner), and with prior authorisation for in-hospital treatment and care.