NATIONAL DEPARTMENT OF HEALTH

23-04-19 DORA (5-3-07) 1

NATIONAL DEPARTMENT OF HEALTH

PUBLIC HEARINGS ON

DIVISION OF REVENUE ACT

Public Hearing on 5 March 2007

Presented by:

Mr T Mseleku

23-04-19 DORA (5-3-07) 2


Mpumalanga Province:The submission must focus on justifying why the

committee should not reduce the allocation.

• All Conditional Grants earmarked for Mpumalanga Department of Health because it has failed to appear before the committee during the whole of last financial year (2006/07) to respond on the performance of its Conditional Grants majority of which are consistently and materially under-performing

23-04-19 DORA (5-3-07) 3


MpumalangaBenchmark - 83% Amount Provincial % actual payments

Available Actual payments of total availableNTSG 45,571R 38,208R 83.84%HPTD 54,363R 34,947R 64.28%Hosp Revit 72,896R 55,846R 76.61%HIV & AIDS 110,710R 83,618R 75.53%FPS 43,591R 15,135R 34.72%Total 327,131R 227,754R 69.62%

23-04-19 DORA (5-3-07) 4


HOSPITAL REVITALIZATION GRANT

The submission must focus on justifying why the committee should not reduce the allocation.

• The hospital revitalization Grant for the KwaZulu-Natal, North West, Northern Cape and Limpopo Provinces as they are materially under-performing

23-04-19 DORA (5-3-07) 5


Hospital Revitalisation - Spending Performance to End of January 2007Benchmark 83% Allocation - DoRA Roll Overs Amount Provincial % actual payments % actual payments

Available Actual payments of total available of DoRA allocationR '000 R '000 R '000 R '000

E/Cape 105,318 19,753 125,071 101,556 81.20% 96.43%F/State 45,673 13,925 59,598 44,935 75.40% 98.38%Gauteng 327,525 87,676 415,201 278,187 67.00% 84.94%KZN 205,171 116,382 321,553 156,010 48.52% 76.04%Limpopo 48,247 64,224 112,471 124,066 110.31% 257.15%Mpumelanga 53,477 19,419 72,896 55,848 76.61% 104.43%N/Cape 313,649 1,483 315,132 181,486 57.59% 57.86%N/West 190,884 32,704 223,588 149,104 66.69% 78.11%W/Cape 149,703 28,553 178,256 141,140 79.18% 94.28%TOTAL 1,439,647 384,119 1,823,766 1,232,332 67.57% 85.60%

23-04-19 DORA (5-3-07) 6


Hospital Revitalization

Reasons for under-spending• Roll overs to the value of R 379 million were

approved late in some cases only in November.• Actual cash flow lags approval by between 3 to

5 months• The reason why KZN, N/Cape and N/West

under-spent was that a number of projects had to be delayed due to lack of funding in 2007/08

23-04-19 DORA (5-3-07) 7


Hospital Revitalization (cont.)

Reasons for over-spending

• Limpopo has used equitable share funding to fund a portion of their Hospital Revitalization programme because of existing contractual obligations

23-04-19 DORA (5-3-07) 8


Forensic Pathology Services

The submission must focus on justifying why the committee should not reduce the allocation.

• The Forensic Pathology is generally and consistently very low and slow spending in all the Provincial Departments of Health, i.e. under performing

23-04-19 DORA (5-3-07) 9



The grant cover the following areas –

• The refurbishment of SAPS mortuaries, under arrangements with National DPW, some of which were not in a state to allow health officials to work in them

• The building of new mortuaries under arrangements with provincial DPW

23-04-19 DORA (5-3-07) 10


Forensic Pathology Services (cont.)

• The equipping of the mortuaries, including new vehicles

• The employment of all mortuary staff by the Provincial Health Departments

• Other items not related to failure to spend, such as staff training, health and safety and IT.

23-04-19 DORA (5-3-07) 11



Reasons for under-spending on grant• Roll over of R 93 m only approved in

December 2005 of 2005/06 • Poor recording of expenditure• Expenditure on some aspect dependent on

finalizing of capital expenditure• Invoices continually awaited from SAPS (+/-

R 50 m) and Department of Public Works (R25m)

23-04-19 DORA (5-3-07) 12


Forensic Pathology ServicesAmount Provincial % actual paymentsAvailable Actual payments of total available

R '000 R '000E/Cape 91,867 14,305 15.57%F/State 46,883 20,479 43.68%Gauteng 82,020 39,040 47.60%KZN 160,360 38,068 23.74%Limpopo 45,443 32,559 71.65%Mpumalanga 43,591 15,135 34.72%N/Cape 27,718 8,861 31.97%N/West 40,106 9,382 23.39%W/Cape 85,734 23,660 27.60%TOTAL 623,722 201,489 32.30%

23-04-19 DORA (5-3-07) 13


23-04-19 DORA (5-3-07) 14


23-04-19 DORA (5-3-07) 15


23-04-19 DORA (5-3-07) 16


23-04-19 DORA (5-3-07) 17


23-04-19 DORA (5-3-07) 18


The End

Documents

NATIONAL DEPARTMENT OF HEALTH