Kirland Investments applied for approvals to establish and operate two private hospitals in Port Elizabeth and Jeffreys Bay under the Health Act 66 of 1977. The Superintendent-General, Mr Boya, initially decided to refuse the applications, but his decisions were never communicated. During his absence, the Acting Superintendent-General, Dr Diliza, approved the applications after being instructed to do so by the MEC, Ms Jajula, allegedly under political pressure. On returning, Boya purported to withdraw Diliza’s approvals without a hearing, asserting they were invalid. Kirland appealed internally to the MEC, who upheld the withdrawal. Kirland then approached the High Court, which set aside the withdrawal and the MEC’s decision, but also (without a proper application) set aside Diliza’s approvals and remitted the matter. Both sides appealed to the Supreme Court of Appeal.