1. Mpumalanga Department of Health Report on Hospital Revitalization Grant

2. 1. Data on trends in allocations, transfers and expenditure.
Allocation for 2011/12 financial year R 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
Goods & services
20,163,000
335,000
TOTAL
356,557,000
24,665,000
67,236,000

3. 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
Actual expenditure: as at 30th June 2011.
April
May
June
Total
Quarterly
Percentage
368,000
8,885,000
15,412,000 7%

4. 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

5. 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

6. 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

7. 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

8. 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

9. 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)

10. 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

11. 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

12. THANKS