Western Cape: Department of Health Public Hearing on Conditional Grants and Capital Expenditure 3rd Quarter 2007/8 7 February 2008

National Conditional Grants Y.T.D. 3rd Quarter 2007/8

National Conditional Grants Projection for Year End 2007/8

Department Projections for Year End 2007/8

National Tertiary Services Grant and Heath Professions 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 Professions 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 Activities Outputs Achieved Budget R’000 Improvement of the existing facilities (buildings and equipment) and construction of new facilities. Construction of 5 new facilities (George,Hermanus,Malmesbury, Paarl) Planning and site investigation of 3 facilities (Knysna, Salt River, Tygerberg) 18 Forensic Pathology Laboratories maintained. 7 Forensic Pathology Laboratories under construction and / or in place. 5 New facilities under construction. 2 Projects in planning phase. Upgrading and emergency repairs completed on 4 facilities   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 56 Vehicles in active service on the road. R1,000 Improved staffing Recruit and train additional staff 231 total staff appointed and in service 198 / 231 personnel appointed and in service. R35,669 Improve day-to-day management and running of FPS Management Consumables Managerial overheads, utilities, medical waste removal and consumables On target. R15,667

Forensic Pathology Services Grant Personnel expenditure Only 198 of the targeted 231 posts were filled by Q3 because Forensic Pathology skills is a scarce resource. Infrastructure On average, of the 5 contracts under construction, 80% of the contract time has lapsed and yet only 50% of the contract value has been spent. The cost drivers namely air-conditioning, cold rooms and refrigerated units and all the specialised equipment are only installed near the end. A month of contract time has been lost due to inclement weather. The Department is currently validating a claim from National Public Works for work undertaken on emergency repairs to the value of R5,4 million. This claim will be settled before financial year-end. Reports 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 under-spending at the end of 3rd quarter is mainly due to a time-lag in the transfer payments to Non-Government Organizations and claims to the City of Cape Town. These transactions presently reside in the Assets and Liabilities accounts and will be cleared to Voted Funds in the 4th quarter. There is an under-expenditure in Personnel costs as vacant posts have not been filled. Vacant posts are, however, being filled with Agency reflecting thus under Goods and Services. The Goods and Services budget will be spent at year end. The present trend reflects that there will be increased expenditure in the 4th quarter. All monthly and quarterly reports for 2007/08, to date, have been submitted to the National Department of Health.

Hospital Revitalization Program (HRP) Grant and Infrastructure Grant to the Province (IPG) District management = HC 2010 process CBS = Above target (discrepancy due to definition of Cat 3 patients –improve Info Max) (Still to be developed)

Hospital Revitalization Grant and Infrastructure Grant to the Province All projects are monitored in terms of cost and status via a monthly progress control meeting between the Departments of Health and Transport and 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 the National Department of Health. HRP submits monthly and quarterly reports to the National Department of Health. It is projected that both IGP and HRP spending will break even at year end.

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