Western Cape: Department of HealthPublic Hearing on Conditional Grants and Capital Expenditure 1st Quarter

2008/9

3 September 2008

National Conditional GrantsY.T.D. 1st Quarter 2008/9

Budget Payments SpendR'000 R'000 %

HIV and AIDS 241 467 49 649 20.6%

Forensic Pathology Services (FPSG)

55 535 14 709 26.5%

Infrastructure Grant to Provinces (IGP)

93 810 17 077 18.2%

Hospital Revitalisation (HRP)

400 388 41 853 10.5%

Health Professions Training & Development (HPTDG)

356 414 89 104 25.0%

National Tertiary Services (NTSG)

1 486 054 371 514 25.0%

TOTAL (all grants) 2 633 668 583 905 22.2%

National Conditional GrantsProjection for Year End 2008/9

Budget Rollover/Adj Projection SpendR'000 R'000 R'000 %

HIV and AIDS 241 467 241 467 100.0%

Forensic Pathology Services (FPSG)

55 535 55 535 100.0%

Infrastructure Grant to Provinces (IGP)

93 810 93 810 100.0%

Hospital Revitalisation (HRP)

400 388 318 623 79.6%

Health Professions Training & Development (HPTDG)

356 414 356 414 100.0%

National Tertiary Services (NTSG)

1 486 054 1 486 054 100.0%

TOTAL (all grants) 2 633 668 - 2 551 903 96.9%

National Tertiary Services Grantand Heath Professions Training and

Development Grant

National Tertiary Services Grant & Heath Professions Training and Development Grant

• A Twelfth of the grants are allocated, monthly, in order to avoid over expenditure

• HPTDG is a block grant allocated where students are rotating and is included in the budget of the underlying facilities

• Our costing show an under-funding for both the HPTDG and the NTSG

• For the HPTDG the Department trains 30 % of the country's medical officers and 45 % of the dentists (a very expensive course) yet we receive only 20% of the funding

• We have allocated the amount of the NTSG to the Central Hospitals according to the Level 3 bed ratio

• For the HPTDG & NTSG the receiving hospitals provide quarterly activity reports which have been submitted to the National Department of Health and National Treasury

Forensic Pathology Services Grant

Forensic Pathology Services Grant

Personnel Expenditure and Training• 214 of the targeted 231 posts were filled by Q1 and all staff are orientated to

the Forensic Pathology Services standard training Infrastructure• The department continued with the implementation of the Forensic

Pathology Information system to 17 of its’ 18 facilities• The vehicle fleet consisted of 44 body transportation vehicles, 19

administration vehicles and is being maintained by GMT.• Three (3) incidence response vehicles are converted for the transport of 23

bodies each providing the ability to respond to mini and mass disasters.

• Limited infrastructure funding exists for the following: Knysna, Salt River, Tygerberg, Stellenbosch, Riversdale, Beaufort west, Swellendam, Vredenburg, Laingsburg, Mosselbay, Wolseley, Oudtshoorn, Vredendal

Reports• All reports have been submitted to the NDOH.

Forensic Pathology Services Grant

Facility Description Funded R’000Shortfall

R’000

Beaufort west New Forensic Pathology Laboratory 3,281 4,219

Knysna Temporary accommodation required due to unavailability of land . 43 12,757

Laingsburg Forensic Pathology Laboratory 79 4,761

Mosselbay Temporary accommodation required due to unavailability of land 54 10,946

Oudtshoorn Forensic Pathology Laboratory - 14,641

Riversdale New Forensic Pathology Laboratory 65 4,935

Salt River Inadequacy of current facility 3,847 66,153

Stellenbosch New Forensic Pathology Laboratory 911 13,089

Swellendam Forensic Pathology Laboratory - 8,989

Tygerberg Dissection area, refrigeration and office accommodation required. Due to its’ strategic location this will act as a disaster response centre 2,000 68,000

Vredenburg Forensic Pathology Laboratory - 9,260

Vredendal This project was managed by National Public Works and no progress has been made. 14 1,986

Wolseley Forensic Pathology Laboratory - 8,989

Total 228,725

HIV and AIDS Grant

HIV and AIDS Grant

• The current under-spending at the end of 1st quarter is mainly due to a time-lag in the transfer payments to Non-Government Organizations and claims from the City of Cape Town these entities have been paid but the entries presently reside against the Assets and Liability accounts which still need to be cleared.

• Agency costs have been incurred for posts not yet filled

• The Goods and Services budget is presently reflecting an upward trend for medicine costs.

• All monthly and quarterly reports for 2008/09, to date, have been submitted to the National Department of Health.

Hospital Revitalization Program (HRP) Grant and Infrastructure Grant to the

Province (IPG)

Hospital Revitalization Grant and Infrastructure Grantto the Province

• All projects are monitored in terms of their costs 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 and monthly financial reports for both HRP and IGP

• HRP, in addition, have a function responsible for monitoring and evaluation of projects as prescribed by the National Department of Health

• HRP submits, on time, the monthly and quarterly reports to the National Department of Health

• It is projected that IGP will break even at year end

• HRP have a planned under spend of R 82 m in 2008/09 to facilitate the expected budget shortfall in 2009/10

• Construction of the Mitchells Plain- and Khayelitsha Hospitals will, notwithstanding the above roll-over, place significant pressure on the 2009/10 funding envelope

• Five of the HRP projects, however, will go out to tender during the third quarter of 2008 and this might impact on spending projections

THANK YOU