Mpumalanga Department of Health Report on Hospital Revitalization Grant

1. Data on trends in allocations, transfers and expenditure. Allocation for 2011/12 financial year R 356 557 million Economic classification CAPITAL BUDGET EXPENDITURE 2011/12 2010/11 Building & other fix structure 277,496,000 21,981,000 65,362,000 Machinery & Equipment 55,098,000 1,632,000 789,000 CURRENT Compensation of employees 3,800,000 717,000 695 000 Goods & services 20,163,000 335,000 390 000 TOTAL 356,557,000 24,665,000 67,236,000

Data on trends in transfers 2011\12 Total Amount Received as at 30th June 2011. April May June Total 18,456,000 27,109,000 32,098,000 77 663 000 Actual expenditure: as at 30th June 2011. April May June Total Quarterly Percentage 368,000 8,885,000 15,412,000 24 665 000 7%

2.Department’s monitoring capacity thus far, for the financial year 2011\12. 90% of the HRP post structure has been filled POSTS STATUS Director Filled-01\04\2009 Infrastructure Manager Not Filled-No suitable qualified candidate HT Manager Filled-01\08\2011 OD\QA Manager Filled-01\09\2009 M&E Manager Optional Not advertised Site Project Managers Filled x2 -01\08\2009 Finance Manager Filled-01\01\2010 Electrical Engineering Technicians Filled x3-01\09\2009 Secretary Filled-01\06\2009 Administrative Officer

Compliance to HRP Process for the approval of projects: 2. Cont: Compliance to HRP Process for the approval of projects: Business Case, Health Brief, Operational Narrative and Designs Peer reviews, Initial PIP and annual PIP by NDoH Monitoring and Evaluation Practices on a continuous basis The Department of Health to sit in the bid committees Department of Public Works, Roads and Transport as an implementing agent for Infrastructure delivery Site project managers appointed in each hospital Technical support unit appointed by National Treasury/National Department of Heath -IDIP-Resident Engineer Conducting quarterly reviews

2. Cont: Submission of reports totalling to 17 to the National Department of Health -12 Monthly reports -4 Quarterly reports -Annual report Site visits Monthly Site visits by the HRP Unit National Treasury visits Support visits National Department of Health

2. Cont: Political Visits -Premier -Portfolio Committee -MEC & HOD Programme Optional Management -Meeting(Programme Operational Management Meeting) Monthly Steering committee meetings Monthly Site and technical meetings with consultants Monthly inter departmental( Health, Public Works, Roads & Transport & IDT) meetings

2. Cont: Reasons for under-expenditure Poor performance of contractors, which has led contracts to being terminated, contractors are opposing termination thus delaying appointment of new contractors therefore funds were not spent Equipment ordered but not yet delivered and payments not yet effected(funds are committed) Delays in procurement of consultants for projects under planning

2. Cont: Plans to improve spending National Department of Health initiative to revitalise Nursing Schools using funds from projected savings Implementation of projects on planning to kick start on second of the financial year Appointment of new contractors with a proven capacity to deliver big projects Strengthen inter departmental partnership with implementing agent Strengthen capacity of the infrastructure unit(appointment of Resident Engineer)

3. Whether monthly reports are received from receiving departments or municipalities, and if not, what are the departments doing in order to ensure compliance with monthly reporting. Reports required in compliance with DoRA have been submitted to the department (National Department of Health) monthly and quarterly reports The provincial office received confirmation of receipt from the National Department of Health

HRP Business Plan An approval of 2011\12 Annual Project Implementation Plan for Hospital Revitalisation grant Business Plans approved for planning Kwa-Mhlanga Hospital Lydenburg Hospital Tintswalo Hospital Barberton Hospital Middleburg Hospital and Mapulaneng Hospital Business Plans approved for implementation Themba Hospital Rob Ferreira Hospital and Ermelo Hospital Hospital boards and Management team trained in November 2009

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