1. Select Committee on Finance National Council of Provinces
Health services: Preliminary Outcome of Conditional Grants & Capital Expenditure as at 31 March 2007 (2006/07 Financial Year)
Select Committee on Finance
National Council of Provinces
Presented by:
National Treasury
11 May 2007

2. Key priorities for 2006 MTEF
Health
Hospital Revitalisation
Forensic pathology
Recruit health professionals (including CHWs);
Expand Emergency Medical Services, implement new national ambulance service model;
Primary health care,
Modernise tertiary services.

3. Health (1)
Spending at R53,6bn or 100,6% against R53,3bn adjusted budget
Four provinces (FS, GP, LP and NC) overspent their adj budgets
Preliminary overspending of R328,2m (GP – R372,2m)
Increase of R6,6bn or 14,0% compared to the previous year
Low rate of health spending in NW (96,2%) and EC (98,2%)
NC (107,0%) and LP (104,8%) reflects the highest rate of spending in health
Health Personnel spending at R28,8bn or 99,5% (R28,9bn adjusted budget)
NPNC spending at R20,2bn or 104,2% of R19,4bn adjusted budget
Preliminary overspending of R806,3m (GP – R329,7m)
Capital spending at R4,7bn or 93,1%
Increase of 21,4% compared to audited spending
Low rate of capital spending in KZN (84,6%) and NC (85,2%)
LP (111,8%) and FS (104,2%) reflects the highest rate of capital spending in health

4. Health (2)

5. Health: Programme Analyses
Programme 2: Provincial District Health Services
Spending at R21,1bn or 99,0% of R21,3bn adjusted budget
Lowest rate of spending in NW (94,7%) and WC (96,6%)
Highest in LP (105,3%) and NC (101,3%)
Programme 4: Provincial Hospital Services
Spending at R13,0bn or 102,1% of R12,8bn adjusted budget
Lowest rate of spending in LP (98,1%) and MP (98,8%)
Highest in NC (111,0%) and FS (110,1%)
Programme 5: Central Hospital Services
Spending at R8,7bn or 106,4% of R8,2bn adjusted budget
Preliminary over-expenditure of R522,9m (GP – R412,9m)
Lowest rate of spending in NW (99,5%) and WC (100,2%)
Highest in GP (112,2%) and FS (106,2%)

6. Health: District Services

7. Health: Hospital Services

8. Health: Central Hospital Services

9. Health: Personnel

10. Health: Capital

11. Health: Non-personnel Non-capital

12. Payments for Capital Assets (Health)
Health capital spending at R4,7bn or 93,1%
Increase of 21,4% compared to audited outcome ast year
Preliminary underspending of R343,4m
Low rate of health capital spending in KZN (84,6%) and NC (85,2%)
LP (111,8%) and FS (104,1%) reflects the highest rate of capital spending in health

13. Health: Capital

14. Monthly Expenditure: Payments for Capital Assets

15. Proposed Dates for CG QPRs
National departments administering conditional grants are required to table QPRs (including both financial and non-financial information) with the SCOF in the NCOP at the end of each quarter in line with the requirements of the DoRA, Grant Frameworks and Treasury Regulation 5.3
Departments are required to provide the NT with copies of the reports tabled at SCOF in NCOP
The quarterly reports for each quarter should be submitted to the NT by the dates provided

16. Health Grants Comprehensive 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
4th Quarter Expenditure:
Health spent R1,7bn or 103,1% of the R1,7bn adjusted allocation (includes provincial roll-overs)
Transfers received amounted to 100,0% of national allocation
Highest spending: EC (121,0%) and LP (112,9%)
Lowest spending: NC (91,3%) and NW (96,0%)
Service Delivery Outcome:
Department / Sector to respond

17. CG: performance (non-financial) reporting

18. HIV/AIDS

19. Health Grants Hospital 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
4th Quarter Expenditure:
Health spent R1,6bn or 88,7% of the R1,8bn adjusted allocation (including provincial roll-overs)
Transfers received amounted to 100,0% of national allocation
Highest spending: LP (346,2%) and EC (108,1%)
Lowest spending: KZN (69,9%) and NC (72,2%)
Service Delivery Outcome:
Department / Sector to respond

20. Hospital Revitalisation

21. Health Grants Forensic 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
4th Quarter Expenditure:
Health spent R342,0m or 55,4% of the R616,9m adjusted allocation (including provincial roll-overs)
Transfers received amounted to 100,0% of national allocation
Highest spending: LP (108,6%) and GP (78,7%)
Lowest spending: KZN (39,8%) and NW (41,7%)
Service Delivery Outcome:
Department / Sector to respond

22. Forensic pathology

23. Health Grants National 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
4th Quarter Expenditure:
Spending of this grants is subsumed in the spending of a range of programmes and therefore no reporting is required
However, spent R5,0bn or 99,4% of the R5,0bn adjusted allocation (including provincial roll-overs)
Transfers received amounted to 100,0% of national allocation
Highest spending: LP (100,2%)
Lowest spending: EC (92,2%) and MP (98,2%)
Service Delivery Outcome:
Department / Sector to respond

24. National tertiary services grant

25. Health Grants Health 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
4th Quarter Expenditure:
Spending of this grants is subsumed in the spending of a range of programmes and therefore no reporting is required
However, spent R1,5bn or 100,2% of the R1,5bn adjusted allocation (including provincial roll-overs)
Transfers received amounted to 100,0% of national allocation
Highest spending: LP (104,5%) and EC (100,9%)
Lowest spending: MP (96,2%)
Service Delivery Outcome:
Department / Sector to respond

26. Health professions training grant