1. Social Sector Expanded Public Works Programme (EPWP) Incentive Grant 4 th Quarter expenditure 2011/ 2012 Select Committee on Appropriations National Parliament Committee Room M6, Marks Building 22 May 2012

2. Background EPWP The EPWP is a nation-wide programme with the objective of drawing significant numbers of the unemployed into productive work, so that learners gain skills while they work, and increase their capacity to earn an income, through a stipend The coordination of these skills development opportunities is crucial To maximise outcomes within Primary Health Care and related programmes; To ensure skills synergy with the Human Resource Plan and To enhance service delivery; Ultimately the objective is to translate the EPWP opportunities into real jobs in the Provincial Government Health and at its Non Profit Organisation (NPO) partners

3. Background: Training of Community Care Workers Traditionally the focus of the EPWP funding has been to fund and strengthen the community based services rendered by the NPOs - pivotal to Primary Health Care through the Training of Community Care Workers on accredited training Training of farm workers (126) in Ancillary Health Care Appointment and training of relief workers Payment of stipends to carers and relief workers Exit strategy Funding into formal nurse training, and Learner Pharmacist’s Assistants Basic & Post Basic training Training outcomes 2007/ 082008/ 092009/ 102010/ 112011/ 12TOTAL 10091805184016141919 8187

4. Background: EPWP expansion Focus on recruitment and selection of recent matriculants, within the framework of EPWP, to offer 12 month internship opportunities in the following Learner Pharmacist’s Assistants Basic & Post Basic Data Capturers Human Resources Finance Assistant to Artisan’s (ATAs) Operating Theatre Practitioners EMS Basic Ambulance Assistants Exit strategy: Absorption of 80% of interns

5. Background: EPWP budget Expenditure Allocation to Community Based Services for delivery of NPO driven community based services Training providers Stipends to learners/ interns Logistics: travel and accommodation 2009/ 10 Rm 2010/ 11 Rm 2011/ 12 Rm 77,38286,1

6. Background: EPWP expansion Programme2008/092009/102010/112011/12TOTAL2012/ 13 Data Capturers165110117150 542150 Assistant to artisans (ATAs) 147120 267120 Learner Pharmacist’s Assistants Basic & Post Basic 120 HR interns66 70 Finance interns40 50 Operating Theatre Practitioners 8 88 Basic Ambulance Assistants 130 TOTAL 165110264504 1043648

7. Incentive Grant 2011/ 2012 Western Cape Government Health was allocated an amount of R8,664,000.00 of the overall Social Sector EPWP Incentive grant to: Increase job creation by focusing on the strengthening and expansion of social service delivery among Home Community Based Care programmes that have employment potential and; Strengthen management capacity at NPO level to ensure efficient implementation of grant outputs. This incentive grant was based on the EPWP 2010/ 11 Western Cape Government Health performance in creating job opportunities Increase in 2010/ 11 and 2011/2012 funded by incentive grants of R1m and R8,6m respectively Carers: 2009/ 20102010/ 20112011/2012 249126553000

8. Allocation split Total AllocationPortion for Stipends & % Portion for Management Capacity & % Expected Incentive Grant Full Time Equivalents (FTEs) Iincentive Grant % Contribution to baseline R8,664,000.00R6,931,200.00 (80%) R1,732,800.00 (20%) 43815.3%

9. Incentive grant plan 80% : portion for stipends employment of an additional 438 Community Care Workers (CCWs) in the 8 Metro sub-districts and in 3 rural districts Criteria based on the districts with the lower community care worker population coverage. 20% : portion for management capacity the training of current Community Care Workers (CCWs) in Community Rehabilitation as an identified need in the HBC programme

10. Reasons for under expenditure: R3.3m Portion for stipends Under-expenditure within the District allocations (R1.6m) Higher attrition than normal: 147 CCWs out of 3000 funded CCWs (5%). Delays in appointments and therefore delays in expenditure Meetings with National Departments of Public Works, Social Development, Health and the Western Cape Government Health to address and resolve the non-compliance issue to the Division of Revenue Act (DoRA) on the payment of stipends to the Community Care Worker led to delays in implementation Delays in claims for Quarter 4 Many claims from Districts received late and were not processed before financial year end. Portion for management capacity Delays in use of the R1.7m capacity building allocation (R1,7m) Delays in procurement of a training provider and award of tender

11. Plan of Action There is a request to Provincial Treasury roll-over the R3,3m under-expenditure. To sustain the funding of the 438 CCWs (the expansion from 2562 to 3000 CCWs) required for Home Based Care (R1,6m) The training of CCWs in community rehabilitation (R1,7m). UCT consortium sole bidder. Administrative processes will be reviewed to ensure no lag in processing of claims