1

Outcome of Conditional Grants & Capital Expenditure as at

31 December 2006[Section 32 of PFMA]

Select Committee on Finance

National Council of Provinces

Presented by:

Intergovernmental RelationsNational Treasury

February 2007

2

Key priorities for 2006 MTEF (1)

• Health– Recruit health professionals;

– Expand Emergency Medical Services, implement new national ambulance service model; and

– Step up primary health care, improve services in rural areas,

– Modernize tertiary services.

3

Provincial Social Services (2)

Table: Provincial Social Services Expenditure as at 31 December 2006

Education 80 238 155 80 873 734 58 020 188 72,3% -635 579 – -0,8% 44,1% 57,9% 52 962 445 9,5%

Health 53 230 283 53 790 743 38 685 905 72,7% -560 460 – -1,1% 29,4% 38,6% 33 488 006 15,5%

Social Development 5 321 680 5 255 525 3 540 595 66,5% – 66 155 1,2% 2,7% 3,5% 2 930 246 20,8%

Total 138 790 118 139 920 001 100 246 688 72,2% -1 196 039 66 155 -0,8% 76,1% 100,0% 89 380 697 12,2%

Net -1 129 884

Year-on-year

growth(Over) Under

% (Over) / under of adjusted budget

% share of total

provincial expenditure

2005/06: Actual as at

31 December 2006

R thousand

% share of total Social

Services expenditure

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Actual as % of adjusted

budget

4

Health (1)

• Spending at R38,7bn or 72,7% against R53,2bn adjusted budget– Projecting to overspend by R560,5m (GP – R399,1m)– Increase of R5,2bn or 15,5% compared to the previous year – Low rate of health spending in NW (68,1%) and EC (69,1%) – NC (77,6%) and GP (76,3%) reflects the highest rate of

spending in health• Health Personnel spending at R21,2bn or 73,6%

(R28,8bn adjusted budget)• NPNC spending at R14,3bn or 73,8% of R19,3bn

adjusted budget– Projecting to overspend by R649,7m

• Capital spending at R3,2bn or 63,2% – Significant increase of 52,2% compared to spending for the

same period last year– Low rate of capital spending in NW (54,4%) and KZN (59,3%) – GP (70,9%) and MP (67,9%) reflects the highest rate of capital

spending in health

5

Table: Provincial Health Expenditure as at 31 December 2006

Eastern Cape 7 336 999 7 327 682 5 070 084 69,1% – 9 317 0,1% 26,5% 33,5% 4 560 255 11,2%

Free State 3 369 410 3 395 169 2 498 786 74,2% -25 759 – -0,8% 28,7% 37,4% 2 278 350 9,7%

Gauteng 10 659 498 11 058 644 8 135 710 76,3% -399 146 – -3,7% 34,7% 46,6% 6 896 669 18,0%

Kw aZulu-Natal 11 819 251 11 868 210 8 574 768 72,5% -48 959 – -0,4% 32,0% 40,2% 7 525 901 13,9%

Limpopo 5 604 259 5 701 916 4 029 675 71,9% -97 657 – -1,7% 24,0% 32,4% 3 234 123 24,6%

Mpumalanga 3 032 242 2 976 628 2 161 866 71,3% – 55 614 1,8% 23,8% 31,3% 2 000 327 8,1%

Northern Cape 1 316 370 1 374 228 1 021 753 77,6% -57 858 – -4,4% 30,6% 42,5% 788 217 29,6%

North West 3 615 906 3 615 906 2 463 051 68,1% – – 0,0% 23,1% 32,6% 2 111 268 16,7%

Western Cape 6 476 348 6 472 360 4 730 212 73,0% – 3 988 0,1% 34,5% 45,6% 4 092 896 15,6%

Total 53 230 283 53 790 743 38 685 905 72,7% -629 379 68 919 -1,1% 29,4% 38,6% 33 488 006 15,5%

Net -560 460

% share of Health to

total provincial

expenditure

% share of Health to

total Social serv

expenditure

2005/06: Actual as at

31 December 2006

Year-on-year

growth

Actual as % of adjusted

budget(Over) Under

% (Over) / under of adjusted budget

R thousand

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Health (2)

6

Health: Programme Analyses

• Programme 2: Provincial District Health Services– Spending at R15,2bn or 71,1% of R21,4bn adjusted

budget– Lowest rate of spending in EC (68,6%) & NW (69,0%)

and highest in KZN (74,1%) and NC (72,6%) • Programme 4: Provincial Hospital Services

– Spending at R9,5bn or 74,7% of R12,7bn adjusted budget

– Lowest rate of spending in MP (61,1%) and NW (71,9%) and highest in LP (86,1%) & NC (81,8%)

• Programme 5: Central Hospital Services– Spending at R6,5bn or 79,3% of R8,2bn adjusted

budget– Lowest rate of spending in NW (61,5%) & LP (70,9%)

and highest in GP (84,0%) and MP (81,9%)

7

Table: Provincial District Health Services Expenditure (Programme 2) as at 31 December 2006

Eastern Cape 3 314 391 3 268 683 2 272 694 68,6% – 45 708 1,4% 11,9% 44,8% 2 143 910 6,0%

Free State 1 309 177 1 258 641 916 510 70,0% – 50 536 3,9% 10,5% 36,7% 795 234 15,3%

Gauteng 2 492 773 2 492 773 1 796 277 72,1% – – 0,0% 7,7% 22,1% 1 516 415 18,5%

Kw aZulu-Natal 5 390 094 5 428 714 3 994 492 74,1% -38 620 – -0,7% 14,9% 46,6% 3 522 358 13,4%

Limpopo 2 916 510 2 901 362 2 026 440 69,5% – 15 148 0,5% 12,1% 50,3% 1 698 110 19,3%

Mpumalanga 1 587 572 1 546 352 1 121 946 70,7% – 41 220 2,6% 12,4% 51,9% 1 015 458 10,5%

Northern Cape 510 966 499 516 370 723 72,6% – 11 450 2,2% 11,1% 36,3% 286 050 29,6%

North West 1 894 386 1 894 386 1 307 911 69,0% – – 0,0% 12,3% 53,1% 1 154 366 13,3%

Western Cape 1 996 771 1 976 416 1 415 932 70,9% – 20 355 1,0% 10,3% 29,9% 1 176 589 20,3%

Total 21 412 640 21 266 843 15 222 925 71,1% -38 620 184 417 0,7% 11,6% 39,4% 13 308 490 14,4%

Net 145 797

R thousand

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Actual as % of adjusted

budget(Over) Under

% (Over) / under of adjusted budget

% share of DHS to total provincial

expenditure

% share of DHS to total

Health expenditure

2005/06: Actual as at

31 December 2006

Year-on-year

growth

Health: District Services

8

Table: Provincial Hospital Services Expenditure (Programme 4) as at 31 December 2006

Eastern Cape 2 269 097 2 269 097 1 649 605 72,7% – – 0,0% 8,6% 32,5% 1 542 018 7,0%

Free State 867 048 915 301 701 102 80,9% -48 253 – -5,6% 8,1% 28,1% 659 199 6,4%

Gauteng 2 824 831 2 864 367 2 141 767 75,8% -39 536 – -1,4% 9,1% 26,3% 1 917 895 11,7%

Kw aZulu-Natal 3 163 833 3 129 891 2 279 232 72,0% – 33 942 1,1% 8,5% 26,6% 2 017 858 13,0%

Limpopo 623 210 747 975 536 463 86,1% -124 765 – -20,0% 3,2% 13,3% 443 693 20,9%

Mpumalanga 435 347 387 734 265 807 61,1% – 47 613 10,9% 2,9% 12,3% 300 292 -11,5%

Northern Cape 307 834 322 256 251 685 81,8% -14 422 – -4,7% 7,5% 24,6% 219 226 14,8%

North West 830 666 830 666 597 461 71,9% – – 0,0% 5,6% 24,3% 578 123 3,3%

Western Cape 1 349 533 1 369 533 1 038 826 77,0% -20 000 – -1,5% 7,6% 22,0% 954 402 8,8%

Total 12 671 399 12 836 820 9 461 948 74,7% -246 976 81 555 -1,3% 7,2% 24,5% 8 632 706 9,6%

Net -165 421

R thousand

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Actual as % of adjusted

budget(Over) Under

% (Over) / under of adjusted budget

% share of PHS to total provincial

expenditure

% share of PHS to total

Health expenditure

2005/06: Actual as at

31 December 2006

Year-on-year

growth

Health: Hospital Services

9

Table: Central Hospital Services Expenditure (Programme 5) as at 31 December 2006

Free State 576 169 617 940 440 429 76,4% -41 771 – -7,2% 5,1% 17,6% 418 160 5,3%

Gauteng 3 337 868 3 717 728 2 804 546 84,0% -379 860 – -11,4% 12,0% 34,5% 2 529 146 10,9%

Kw aZulu-Natal 1 168 164 1 194 121 888 158 76,0% -25 957 – -2,2% 3,3% 10,4% 786 585 12,9%

Limpopo 492 539 492 539 349 423 70,9% – – 0,0% 2,1% 8,7% 297 509 17,4%

Mpumalanga 417 534 453 591 341 759 81,9% -36 057 – -8,6% 3,8% 15,8% 294 902 0,0%

North West 69 380 69 380 42 645 61,5% – – 0,0% 0,4% 1,7% – 0,0%

Western Cape 2 122 767 2 137 767 1 625 098 76,6% -15 000 – -0,7% 11,8% 34,4% 1 417 258 14,7%

Total 8 184 421 8 683 066 6 492 058 79,3% -498 645 – -6,1% 4,9% 16,8% 5 743 560 13,0%

Net -498 645

R thousand

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Actual as % of adjusted

budget(Over) Under

% (Over) / under of adjusted budget

% share of CHS to total provincial

expenditure

% share of CHS to total

Health expenditure

2005/06: Actual as at

31 December 2006

Year-on-year

growth

Health: Central Hospital Services

10

Table: Provincial Personnel Expenditure: Health as at 31 December 2006

Eastern Cape 3,979,988 3,921,810 2,874,249 72.2% – 58,178 1.5% 23.3% 56.7% 2,560,376 12.3%

Free State 2,002,525 2,018,155 1,505,126 75.2% -15,630 – -0.8% 27.9% 60.2% 1,386,550 8.6%

Gauteng 5,179,398 5,381,628 3,994,376 77.1% -202,230 – -3.9% 33.7% 49.1% 3,475,705 14.9%

KwaZulu-Natal 6,723,759 6,600,408 4,908,627 73.0% – 123,351 1.8% 30.4% 57.2% 4,338,030 13.2%

Limpopo 3,160,127 3,316,127 2,365,586 74.9% -156,000 – -4.9% 21.8% 58.7% 2,115,874 11.8%

Mpumalanga 1,678,923 1,619,810 1,162,684 69.3% – 59,113 3.5% 21.8% 53.8% 1,080,964 7.6%

Northern Cape 590,828 608,350 462,339 78.3% -17,522 – -3.0% 25.8% 45.2% 385,576 19.9%

North West 1,972,888 1,972,888 1,417,471 71.8% – – 0.0% 22.2% 57.5% 1,310,531 8.2%

Western Cape 3,543,036 3,419,496 2,529,041 71.4% – 123,540 3.5% 34.8% 53.5% 2,206,903 14.6%

Total 28,831,472 28,858,672 21,219,499 73.6% -391,382 364,182 -0.1% 27.4% 54.9% 18,860,509 12.5%

Net -27,200

R thousand

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Actual as % of adjusted

budget(Over) Under

% (Over) / under of adjusted budget

% share of Health

Personnel to total

personnel expenditure

% share of Health

personnel to total Health expenditure

2005/06: Actual as at 31

December 2006

Year-on-year growth

Health: Personnel

11

Table: Provincial Capital Expenditure: Health as at 31 December 2006

Eastern Cape 573 037 543 455 355 140 62,0% – 29 582 5,2% 28,6% 7,0% 231 408 53,5%

Free State 236 498 207 616 150 031 63,4% – 28 882 12,2% 22,3% 6,0% 112 463 33,4%

Gauteng 1 030 332 1 042 431 730 314 70,9% -12 099 – -1,2% 46,8% 9,0% 438 308 66,6%

Kw aZulu-Natal 1 109 560 1 127 321 658 263 59,3% -17 761 – -1,6% 30,8% 7,7% 596 247 10,4%

Limpopo 778 576 734 507 465 552 59,8% – 44 069 5,7% 38,3% 11,6% 177 314 162,6%

Mpumalanga 269 899 235 609 183 376 67,9% – 34 290 12,7% 24,6% 8,5% 184 196 -0,4%

Northern Cape 281 861 294 568 186 680 66,2% -12 707 – -4,5% 50,8% 18,3% 76 611 143,7%

North West 342 286 342 286 186 354 54,4% – – 0,0% 18,6% 7,6% 108 911 71,1%

Western Cape 449 160 426 981 289 826 64,5% – 22 179 4,9% 27,9% 6,1% 180 288 60,8%

Total 5 071 209 4 954 774 3 205 536 63,2% -42 567 159 002 2,3% 32,1% 8,3% 2 105 746 52,2%

Net 116 435

% share of Health

Capital to total

Capital expenditure

% share of Capital to

total Health expenditure

2005/06: Actual as at

31 December 2006

Year-on-year growth

Actual as % of adjusted

budget(Over) Under

% (Over) / under of adjusted budget

R thousand

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Health: Capital

12

Table: Provincial Non-Personnel, Non-Capital Expenditure: Health as at 31 December 2006

Eastern Cape 2 783 974 2 862 417 1 840 695 66,1% -78 443 – -2,8% 9,6% 36,3% 1 768 471 4,1%

Free State 1 130 387 1 169 398 843 629 74,6% -39 011 – -3,5% 9,7% 33,8% 779 337 8,2%

Gauteng 4 449 768 4 634 585 3 411 020 76,7% -184 817 – -4,2% 14,5% 41,9% 2 982 656 14,4%

Kw aZulu-Natal 3 985 932 4 140 481 3 007 878 75,5% -154 549 – -3,9% 11,2% 35,1% 2 591 624 16,1%

Limpopo 1 665 556 1 651 282 1 198 537 72,0% – 14 274 0,9% 7,1% 29,7% 940 935 27,4%

Mpumalanga 1 083 420 1 121 209 815 806 75,3% -37 789 – -3,5% 9,0% 37,7% 735 167 11,0%

Northern Cape 443 681 471 310 372 734 84,0% -27 629 – -6,2% 11,1% 36,5% 326 030 14,3%

North West 1 300 732 1 300 732 859 226 66,1% – – 0,0% 8,0% 34,9% 691 826 24,2%

Western Cape 2 484 152 2 625 883 1 911 345 76,9% -141 731 – -5,7% 13,9% 40,4% 1 705 705 12,1%

Total 19 327 602 19 977 297 14 260 870 73,8% -663 969 14 274 -3,4% 10,8% 36,9% 12 521 751 13,9%

Net -649 695

% share of NPNC to

total provincial

expenditure

% share of NPNC to

total Health expenditure

2005/06: Actual as at

31 December 2006

Year-on-year

growth

Actual as % of adjusted

budget(Over) Under

% (Over) / under of adjusted budget

R thousand

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Health: Non-personnel Non-capital

13

Payments for Capital Assets trends (Capital Expenditure)

14

• Health capital spending at R3,2bn or 63,2% – Increase of 52,2% compared to spending for

the same period last year

– Projecting to underspend by R116,4m– Low rate of health capital spending in NW

(54,4%) and KZN (59,3%)

– GP (70,9%) and MP (67,9%) reflects the highest rate of capital spending in health

Payments for Capital Assets (Health)

15

Table: Provincial Capital Expenditure: Health as at 31 December 2006

Eastern Cape 573 037 543 455 355 140 62,0% – 29 582 5,2% 28,6% 7,0% 231 408 53,5%

Free State 236 498 207 616 150 031 63,4% – 28 882 12,2% 22,3% 6,0% 112 463 33,4%

Gauteng 1 030 332 1 042 431 730 314 70,9% -12 099 – -1,2% 46,8% 9,0% 438 308 66,6%

Kw aZulu-Natal 1 109 560 1 127 321 658 263 59,3% -17 761 – -1,6% 30,8% 7,7% 596 247 10,4%

Limpopo 778 576 734 507 465 552 59,8% – 44 069 5,7% 38,3% 11,6% 177 314 162,6%

Mpumalanga 269 899 235 609 183 376 67,9% – 34 290 12,7% 24,6% 8,5% 184 196 -0,4%

Northern Cape 281 861 294 568 186 680 66,2% -12 707 – -4,5% 50,8% 18,3% 76 611 143,7%

North West 342 286 342 286 186 354 54,4% – – 0,0% 18,6% 7,6% 108 911 71,1%

Western Cape 449 160 426 981 289 826 64,5% – 22 179 4,9% 27,9% 6,1% 180 288 60,8%

Total 5 071 209 4 954 774 3 205 536 63,2% -42 567 159 002 2,3% 32,1% 8,3% 2 105 746 52,2%

Net 116 435

% share of Health

Capital to total

Capital expenditure

% share of Capital to

total Health expenditure

2005/06: Actual as at

31 December 2006

Year-on-year growth

Actual as % of adjusted

budget(Over) Under

% (Over) / under of adjusted budget

R thousand

Adjusted budget

Projected Outcome

Actual as at 31 December

2006

Health: Capital

16

Monthly Exp and Projections: Payments for Capital Assets

MONTHLY EXPENDITURE ON PAYMENTS FOR CAPITAL ASSETS FOR 2006/07

-

100 000

200 000

300 000

400 000

500 000

600 000

700 000

800 000

900 000

Apr May Jun Jul Aug Sep Oct Nov Dec Jan Feb Mar

Public Works,Roads andTransport

Health

Education

ACTUAL AS AT 31 DECEMBER 2006 PROJECTIONS

17

Conditional Grants

18

Office Of The Premier

Provincial Legislature

Health

Social Development

Roads And Public Works

Education

Housing,Local Government And Traditional Affairs

Agriculture

Economic Affairs,Environment And Tourism

Transport

11

Provincial Treasury

13

Safety And Liaosn

16

17

18

Conditional Grants : Flow of information

Provincial TreasurySubmit a report within 22 days after the end of each month as part of consolidated monthly

report.

National Treasury

National departmentSubmit a report within 20 days after

the end of each month.

Provincial departmentSubmit a report within 15 days after the end of each month.

Legislation

* Public Finance Management Act.

* Division of Revenue Act.

Conditional Grants – Flow of Info

19

Table: Provincial Conditional Grants Expenditure as at 31 December 2006

Agriculture 344 500 56 638 104 335 505 473 275 577 53 672 32,8%

Agricultural Disaster Management Grant – 45 403 55 871 101 274 – 24 101 23,8%1. Comprehensive Agricultural Support Programme 300 000 – 41 948 341 948 239 973 169 444 49,6%

Land Care Programme Grant: Poverty Relief and Infrastructure Development44 500 11 235 6 516 62 251 35 604 29 571 47,5%

Education 1 712 507 – 125 946 1 838 453 1 396 488 1 441 005 78,4%

Further Education and Training College Sector Recapitalisation470 000 – – 470 000 470 000 456 000 97,0%

HIV and Aids 144 471 – 1 701 146 172 102 958 95 384 65,3%

National School Nutrition Programme 1 098 036 – 124 245 1 222 281 823 530 889 621 72,8%

Health 10 033 366 173 176 430 435 10 636 977 7 559 192 2 552 008 62,0%

Comprehensive HIV and Aids 1 567 214 49 000 56 994 1 673 208 1 187 659 1 269 755 75,9%

Forensic Pathology Services 525 176 36 500 62 246 623 922 393 884 168 153 27,0%1. Health Professions Training and Development 1 520 180 – 18 202 1 538 382 1 140 134 1 114 598 72,5%

Hospital Revitalisation 1 439 647 87 676 292 179 1 819 502 1 101 642 1 114 100 61,2%1. National Tertiary Services 4 981 149 – 814 4 981 963 3 735 873 3 659 946 73,5%

1.

Actual as % of budget ( excluding Schedule 4

grants)

Spending of these grants is subsumed in the spending of a range of programmes across provincial departments and therefore no reporting is required on these grants.

R thousand

Division of Revenue Act, 2006

(Act No. 2 of 2006)

Other Gazetted Amounts

Provincial roll-overs

Total available 2006/07

Transferred from

National to province

Actual as at 31 December

2006

Conditional Grants (3)

20

Table: Selected Conditional Grants Spending Rate as at 31 December 2006

Number of provinces spent less than 60%

Number of provinces spent between 60% and

70% (inclusive)

Number of provinces spent more than 70%

Agriculture

Agricultural Disaster Management 2 EC, WC

Land Care Programme: Poverty Relief and Infrastructure Development7 EC, FS, GT, KZN, MPU, NW, WC 2 LIM, NC, Education

Further Education and Training College Sector Recapitalisation1 NW, 8 EC, FS, GT, KZN, LIM, MPU, NC, WC

HIV and AIDS (Life Skills Education) 4 GT, KZN, LIM, NC, 1 NW, 4 EC, FS, MPU, WC

National School Nutrition Programme 1 EC, 1 FS, 7 GT, KZN, LIM, MPU, NC, NW, WC Health

Comprehensive HIV and AIDS 5 FS, KZN, LIM, MPU, NC, 4 EC, GT, NW, WC

Forensic Pathology Services 8 EC, FS, GT, KZN, MPU, NC, NW, WC 1 LIM,

Hospital Revitalisation 3 GT, KZN, NC, 2 FS, NW, 4 EC, LIM, MPU, WC Housing

Integrated Housing and Human Settlement Development5 EC, FS, GT, LIM, MPU, 1 WC 3 KZN, NC, NW, Sport and Recreation South Africa

Mass Sport and Recreation Participation Programme4 GT, LIM, NW, WC 4 EC, FS, KZN, NC, 1 MPU, Trade and Industry

Industrial Development Zones 1 EC Transport

Gautrain Rapid Rail Link 1 GT Percentages represent actual expenditure of adjusted budget as published in the Division or Revenue Act, 2006 (Act No.2 of 2006) and subsequent gazettes.

Conditional Grants: Spending Rates

21

Health GrantsComprehensive HIV and Aids Grant

• Objective (Schedule 5 Grant):– To enable the health sector to develop an effective response to

HIV and Aids– Support implementation of the National Operational Plan for

Comprehensive HIV and Aids Treatment and Care

• 3rd Quarter Expenditure:– Health spent R1,3bn or 75,9% of the R1,7bn adjusted allocation

(includes provincial roll-overs) – Transfers received amounted to 73,5% of national allocation– Highest spending: GP (106,4%); EC (77,7%) and NW (75,8%)– Lowest spending: MP (61,2%); NC (61,5%) and LP (65,7%)

• Service Delivery Outcome:– Department / Sector to respond

22

HIV/AIDS grant

Province

R thousandEastern Cape 246,021 191,252 72.0% 77.7% 249,115 (3,094) Free State 142,265 97,788 75.0% 68.7% 142,265 - Gauteng 270,195 287,411 71.8% 106.4% 280,095 (9,900) KwaZulu-Natal 344,304 239,873 75.0% 69.7% 344,304 - Limpopo 211,545 139,041 75.0% 65.7% 211,545 - Mpumalanga 110,710 67,707 75.0% 61.2% 110,710 - Northern Cape 72,682 44,720 75.0% 61.5% 72,682 - North West 142,316 107,836 75.0% 75.8% 142,316 - Western Cape 133,170 94,127 68.4% 70.7% 133,170 - Total 1,673,208 1,269,755 73.5% 75.9% 1,686,202 (12,994)

% Actual payments

of total available

Projected outcome for

financial year

Projected (over)/under

Provincial actual

payments

% Transferred of national allocation

Total available

23

Health GrantsForensic Pathology Services Grant

• Objective (Schedule 5 Grant):– To provide for the transitional activities required to transfer the

Medico-Legal Mortuaries from SAPS to Health– To initiate the development and provision of a comprehensive

Forensic Pathology Service to ensure impartial professional evidence for the criminal justice system concerning death due to unnatural causes

• 3rd Quarter Expenditure:– Health spent R168,2m or 27,0% of the R623,9m adjusted

allocation (including provincial roll-overs) – Transfers received amounted to 70,1% of national allocation– Highest spending: LP (66,7%); GP (42,8%) and FS (35,7%)– Lowest spending: EC (13,2%); KZN (15,0%) and NW (20,6%)

• Service Delivery Outcome:– Department / Sector to respond

24

Forensic pathology

Province

R thousandEastern Cape 91,867 12,126 71.8% 13.2% 72,259 19,608 Free State 46,883 16,723 69.4% 35.7% 36,383 10,500 Gauteng 82,020 35,137 70.2% 42.8% 82,020 - KwaZulu-Natal 160,360 24,012 68.8% 15.0% 133,360 27,000 Limpopo 45,643 30,462 74.6% 66.7% 45,443 200 Mpumalanga 43,591 13,149 71.4% 30.2% 23,251 20,340 Northern Cape 27,718 7,898 75.0% 28.5% 27,718 - North West 40,106 8,263 70.7% 20.6% 40,106 - Western Cape 85,734 20,383 66.5% 23.8% 56,827 28,907 Total 623,922 168,153 70.1% 27.0% 517,367 106,555

% Transferred of national allocation

% Actual payments

of total available

Projected outcome for

financial year

Projected (over)/under

Total available

Provincial actual

payments

25

Health GrantsHealth Professions Training and Development Grant

• Objectives (Schedule 4 Grant):– Support provinces to fund costs associated with training of

health professionals– Development and recruitment of medical specialists in under-

served provinces– Support and strengthen undergraduate and post graduate

teaching and training processes in health facilities– Enable shifting of teaching activities from central hospital to

regional and district hospitals

• 3rd Quarter Expenditure:– Spending of this grants is subsumed in the spending of a range

of programmes and therefore no reporting is required– However, spent R1,1bn or 72,5% of the R1,5bn adjusted

allocation (including provincial roll-overs)– Transfers received amounted to 75,0 of national allocation– Highest spending: LP (87,2%); NW (80,8%) and FS (80,6%)– Lowest spending: EC (46,2%); MP (61,3%) and KZN (69,7%)

• Service Delivery Outcome:– Department / Sector to respond

26

Health GrantsHospital Revitalisation Grant

• Objective (Schedule 5 Grant):– To provide funding to enable provinces to plan, manage,

modernise, rationalise and transform the infrastructure, health technology, monitoring and evaluation of hospitals in line with national policy objectives

– To transform hospital management and improve quality of care in line with national policy

• 3rd Quarter Expenditure:– Health spent R1,1bn or 61,2% of the R1,8bn adjusted

allocation (including provincial roll-overs)– Transfers received amounted to 72,1% of national allocation– Highest spending: LP (103,2%); MP (75,5%) and EC (71,4%)– Lowest spending: KZN (44,5%); NC (54,4%) and GP (55,2%)

• Service Delivery Outcome:– Department / Sector to respond

27

Health GrantsNational Tertiary Services Grant

• Objective (Schedule 4 Grant):– To compensate provinces for the supra-provincial nature of

tertiary services provision and spill over effects– To provide strategic funding to enable provinces to plan,

modernise, rationalise and transform the tertiary hospital service delivery platform in line with national policy objectives including improving access and equity

• 3rd Quarter Expenditure:– Spending of this grants is subsumed in the spending of a

range of programmes and therefore no reporting is required– However, spent R3,7bn or 73,5% of the R5bn adjusted

allocation (including provincial roll-overs)– Transfers received amounted to 75,0% of national allocation– Highest spending: FS (76,9%); WC (75,2%) and MP (75,1%)– Lowest spending: LP (50,9%); NW (61,0%) and EC (65,3%)

• Service Delivery Outcome:– Department / Sector to respond

28

Hospital Revitalisation

Province

R thousandEastern Cape 125,071 89,257 71.4% 134,061 (8,990) Free State 59,598 41,662 69.9% 59,598 - Gauteng 415,201 229,136 55.2% 415,201 - KwaZulu-Natal 317,289 141,180 44.5% 317,289 - Limpopo 112,471 116,038 103.2% 116,038 (3,567) Mpumalanga 72,896 55,057 75.5% 72,896 - Northern Cape 315,132 171,486 54.4% 315,132 - North West 223,588 144,706 64.7% 223,588 - Western Cape 178,256 125,578 70.4% 172,757 5,499 Total 1,819,502 1,114,100 61.2% 1,826,560 (7,058)

Total available

% Actual payments of

total available

Projected outcome for

financial year

Projected (over)/under

Provincial actual

payments December 06