Western Cape: Department of Health Public Hearing on Conditional Grants and Capital Expenditure 1st and 2nd Quarter 2007/8 13 November 2007

National Conditional Grants 1st and 2nd Quarter 2007/8

National Tertiary Services Grant & Heath Professional Training and Development Grant District management = HC 2010 process CBS = Above target (discrepancy due to definition of Cat 3 patients –improve Info Max) (Still to be developed)

National Tertiary Services Grant & Heath Professional Training and Development Grant A Twelfth of the grants are allocated, monthly, in order to avoid over expenditure For the NTSG the receiving hospitals provide quarterly activity reports which are submitted to the National Department of Health and National Treasury Annual student surveys are conducted in collaboration with the Universities. This is used to monitor and plan the HPTDG All monthly financial reports have been submitted.

Forensic Pathology Services Grant District management = HC 2010 process CBS = Above target (discrepancy due to definition of Cat 3 patients –improve Info Max) (Still to be developed)

Forensic Pathology Services Grant Objectives 2007/8 Activities Outputs Achieved Budget R79,425 Improvement of the existing facilities (buildings and equipment) and construction of new facilities Construction of new facilities (George,Hermanus,Malmesbury, Paarl). Planning for (Knysna, Salt River, Tygerberg) 18 Forensic Pathology Laboratories maintained  7 Forensic Pathology Laboratories under construction and/or built 9 Facilities under construction and/or upgraded R24,789 Equipping of facilities Procure additional equipment Additional equipment procured as per implementation plan Equipment procured as per target R2,300 Improved transport capacity Procure additional vehicles 52 total vehicles in active service on the road R1,000 Improved staffing Recruit and train staff 231 staff in service R35,669 Improve day-to-day management ·  Management of consumables Managerial overheads, utilities, medical waste removal and consumables R15,667

Forensic Pathology Services Grant The current spending trends reflect the following: A under spend on Personnel costs of R5 926m, An overspend on Machinery & Equipment of R7 471m An overspend on Buildings & Fixtures of R31 188m And Goods and Services breaking even Subsequent to the adjustment budget and roll-overs the projected overspend for Forensic Pathology is estimated to be R2 512m by year end All reports and submissions for 2007/8 have been submitted to the National Department of Health

HIV and AIDS Grant District management = HC 2010 process CBS = Above target (discrepancy due to definition of Cat 3 patients –improve Info Max) (Still to be developed)

HIV and AIDS Grant The current reflection of under-spending is mainly due to a lag in the transfer payments to Non-Government Organizations. These are being addressed. There is presently an under-expenditure in Personnel costs as all the vacant posts have not been filled, however, should all the posts be filled this would result in an over expenditure by the year end. The price of drugs have decreased resulting in a saving in Goods and Services costs All monthly and quarterly reports for 2007/08 to date have been submitted to the National Department of Health.

Hospital Revitalisation Grant & Infrastructure Grant to Province District management = HC 2010 process CBS = Above target (discrepancy due to definition of Cat 3 patients –improve Info Max) (Still to be developed)

Hospital Revitalisation Grant & Infrastructure Grant to Province All projects are monitored in terms of cost and status via a monthly progress control meeting between the Departments of Health and Transport & Public Works. Projects are also monitored via Treasury’s quarterly infrastructure reports, as well as monthly financial reports for both HRP and IGP. HRP has a function responsible for monitoring and evaluation of projects as prescribed by National Department of Health. HRP submits monthly and quarterly reports to National Department of Health. Projections indicate that IGP will break even and that HRP will overspend for the current financial year. A request for front-loading on next year’s budget has been made to Treasury which will alleviate the over expenditure on HRP. The projected over expenditure is mainly due to some essential variations required on the projects at Worcester and Paarl Hospitals and the fact that very good momentum is maintained on both projects.