Kirland Investments applied for permits to establish private hospitals in the Eastern Cape in 2006-2007. The Superintendent-General initially refused the applications on an Advisory Committee's recommendation. However, while the Superintendent-General was on sick leave following an accident, the Acting Superintendent-General approved Kirland's applications on 23 October 2007. According to uncontroverted evidence, this approval was granted under direct political pressure from the MEC for Health, who instructed the Acting Superintendent-General to approve the applications. Upon his return, the Superintendent-General withdrew the approval in June 2008. Kirland successfully challenged the withdrawal in the High Court, which set aside both the withdrawal and the approval itself. The Supreme Court of Appeal upheld the invalidity of the withdrawal but set aside the High Court's order invalidating the approval, finding the approval had not been properly subjected to review proceedings.