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Dr Barney Selebano approved the transfer of Life Esidimeni patients to unregistered NGOs where over 140 of them died.
It has also been revealed that while government plotted the transfer of patients, R20-million was set aside to plan new psychiatric facilities.
Selebano has admitted mistakes were made.
"We did things the wrong way, terribly wrong," said Selebano.
"We should have listened to other people."