PRESENTATION TO THE STANDING COMMITTEE ON APPROPRIATIONS- UNAUDITED EXPENDITURE OUTCOME AS AT 31MARCH 2011 2011/06/03.

PRESENTATION TO THE STANDING COMMITTEE ON APPROPRIATIONS- UNAUDITED EXPENDITURE OUTCOME AS AT 31MARCH 2011 2011/06/03

INTRODUCTION Year end target : 100% Actual : 97% ( 97.5% in 2009/10).
Under expenditure has been realized in all programmes. Total under expenditure amounts to R742,933m for the 2010/11 financial year, compared to R457,249m for the 2009/10 financial year.

ANALYSIS OF THE EXPENDITURE
Under expenditure is in all Economic Classifications: Expenditure on CoE under spending due to slow recruitment process for critical posts. Amount : R31m.

G&S and Capital expenditure under spending of R184,299m was due to commitments of R213m in the system which were note cleared by year end. Some commitments in the system were not honoured due to banking details of suppliers not verified on Safetyweb before year-end. An amount of R7 million for the IT Equipment was not processed as approval was only granted the 1st week of March 2011 by the Bid Adjudication Committee for the procurement of the server. An amount of R11,6 million for procurement of equipment for the Forensic Chemistry Laboratories was not processed as SCM process were not met before financial year end.

Transfers under spending of R509,370 million due to stopping of transfer for Hospital Revitalization Grant (R452m). NGO funds not transferred: Love Iife R38m Payment to Zivikele NGO - R600,000 Transfer to NHLS-Cancer register- R415,000 Estimated accruals for the 2010/11 financial year amount to R67m as against R57m for 2009/10 ( R10m decrease). Estimated commitments for 2010/11 amounts to R213m against R276m 2009/10.

Budget Available [C-D] Actual Expenditure in % [D/C]
SUMMARY PER PROGRAMME A B C D E F Programmes Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/C] R'000 Programme 1 264,834 282,134 260,153 21,981 92% Programme 2 7,294,902 7,393,626 7,232,830 160,796 98% Programme 3 406,933 422,636 391,352 31,284 93% Programme 4 1,897,051 1,897,551 1,883,285 14,266 99% Programme 5 11,528,757 11,557,057 11,072,395 484,662 96% Programme 6 104,508 108,508 78,192 30,316 72% Total 21,496,985 21,661,512 20,918,207 743,305 97%

SUMMARY ECONOMIC CLASSIFICATION
B C D E F Economic Classification Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/100] R'000 Compensation of Employees 370,204 384,404 353,574 30,830 92% Goods and Services 693,295 726,779 542,480 184,299 75% Total Transfers & Subsidies 20,403,271 20,505,411 20,004,041 501,370 98% Payment of Capital Assets 30,715 44,918 17,549 27,369 39% Payment of Financial Assets - 563 -563 Total 21,497,485 21,661,512 20,918,207 743,305 97%

Summary Graph Adjusted Budget vs. Actual Expenditure

PROGRAMME 1 PER SUB-PROGRAMME
C D E F Subprogramme Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/C] R'000 Minister 1,816 1,809 7 100% Deputy Minister 1,496 698 798 47% Management 28,948 23,501 5,447 81% Corporate Services 181,013 198,313 178,900 19,413 90% Office of Accomodation 51,561 55,245 -3,684 107% Total 264,834 282,134 260,153 21,981 92%

PROGRAMME 1 PER ECONOMIC CLASSIFICATION
B C D E F Economic Classification Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/100] R'000 Compensation of Employees 111,709 114,409 105,880 8,529 93% Goods and Services 145,968 149,568 148,656 912 99% Total Transfers & Subsidies 370 551 -181 149% Payment of Capital Assets 6,787 17,787 5,061 12,726 28% Payment of Financial Assets 5 -5 264,834 282,134 260,153 21,981 92%

PROGRAMME 1 Graph Adjusted Budget vs. Actual Expenditure

C D E F Subprogramme Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/C] R'000 Maternal Child & Women Health 57,307 57,907 51,238 6,669 88% HIV & AIDS & STI 6,489,300 6,536,300 6,415,851 120,449 98% Communicable Disease 52,722 57,646 54,649 2,997 95% Non-Communicable Disease 665,352 712,552 695,270 17,282 TB Control and Management 30,221 29,221 15,822 13,399 54% Total 7,294,902 7,393,626 7,232,830 160,796

B C D E F Economic Classification Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/100] R'000 Compensation of Employees 89,483 90,583 86,801 3,782 96% Goods and Services 351,840 357,324 257,091 100,233 72% Total Transfers & Subsidies 6,837,256 6,929,396 6,882,760 46,636 99% Payment of Capital Assets 16,323 5,916 10,407 36% Payment of Financial Assets - 262 -262 Total 7,294,902 7,393,626 7,232,830 160,796 98%

Programme 2 Graph Adjusted Budget vs. Actual Expenditure

C D E F Subprogramme Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/C] R'000 Health Information Research and Evaluation 304,044 312,044 307,657 4,387 99% Financial Planning and health Economics 36,373 43,776 29,337 14,439 67% Pharmaceutical Policy and Planning 15,526 15,826 13,060 2,766 83% Office Standards Compliance 50,990 41,298 9,692 81% Total 406,933 422,636 391,352 31,284 93%

B C D E F Economic Classification Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/100] R'000 Compensation of Employees 64,647 69,647 60,252 9,395 87% Goods and Services 61,380 58,880 40,461 18,419 69% Total Transfers & Subsidies 277,839 287,839 286,054 1,785 99% Payment of Capital Assets 3,067 6,270 4,507 1,763 72% Payment of Financial Assets 78 -78 406,933 422,636 391,352 31,284 93%

Programme 3 Adjusted Budget vs. Actual Expenditure

C D E F Subprogramme Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/C] R'000 Human Resources Policy, Research and Planning 8,856 7,011 1,845 79% Sector Labour Relations and Planning 3,533 4,033 2,755 1,278 68% Human Resources Development and Management 1,884,662 1,873,519 11,143 99% Total 1,897,051 1,897,551 1,883,285 14,266

B C D E F Economic Classification Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/100] R'000 Compensation of Employees 17,711 13,684 4,027 77% Goods and Services 13,926 4,058 9,868 29% Total Transfers & Subsidies 1,865,387 - 100% Payment of Capital Assets 527 119 408 23% Payment of Financial Assets 37 -37 1,897,551 1,883,285 14,266 99%

C D E F Subprogramme Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/C] R'000 District Health Services 34,718 46,418 28,869 17,549 62% Environmental Health Promotion and Nutrition 20,185 10,233 9,952 51% Occupation Health 32,451 31,851 30,566 1,285 96% Hospitals and Health Facilities Management 11,441,403 11,458,603 11,002,727 455,876 Total 11,528,757 11,557,057 11,072,395 484,662

B C D E F Economic Classification Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/100] R'000 Compensation of Employees 43,900 45,800 43,570 2,230 95% Goods and Services 59,203 85,603 57,919 27,684 68% Total Transfers & Subsidies 11,422,419 10,969,190 453,229 96% Payment of Capital Assets 3,235 1,678 1,557 52% Payment of Financial Assets 38 -38 Total 11,528,757 11,557,057 11,072,395 484,662

C D E F Subprogramme Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/C] R'000 Multilateral Relations 50,736 35,757 14,979 70% Food Control and Non-Medical Health product Regulation 7,174 6,174 5,750 424 93% Pharmaceutical and Related Product Regulation Management 46,598 51,598 36,685 14,913 71% Total 104,508 108,508 78,192 30,316 72%

B C D E F Economic Classification Original Budget Adjusted Budget Actual Expenditure Budget Available [C-D] Actual Expenditure in % [D/100] R'000 Compensation of Employees 42,754 46,254 43,387 2,867 94% Goods and Services 60,978 61,478 34,295 27,183 56% Total Transfers & Subsidies - 99 -99 Payment of Capital Assets 776 268 508 35% Payment of Financial Assets 143 -143 Total 104,508 108,508 78,192 30,316 72%

ROLL-OVERS Out of the total under expenditure of R743m , only an amount of R285m has been requested for roll over as follows: Computer equipment for FCL Pretoria - R61,000 Payment Webcam - capital equipment for Security – R100,000 Hospital Revitalization Grant , for Gauteng committed funds towards services rendered at Chris Baragwanath hospital - 72,6 million, 46 million for Eastern Cape and funding of 5 PPP projects and 5 national projects to improve infrastructure planning and procurement of health facilities for the amount of R100 million. Consultancy services for services rendered by Lung Institute – R232,000

ROLL-OVERS - CONT….. Advertising- Bulk Media buying-GAAP - R7,5 million Printing and payment to venues & facilities for Women's Health & Genetics activities – R1,3m Printing of Patient cards for the TB and TB prevalence survey – R5,2 million Balance of rental claim from Dept of Public Works for Civitas building. R64 million Transfer of R6 million to NHLS for the GeneXpert module R21 m to purchase of Servers for the NHI IT systems and to address IT security deficiencies. Laboratory equipment- FCL CPT - R1 million Procurement of IT server - R5,5 million NHLS Cancer register - R415,000 HIV/NGO NGO transfers- R600,000

ROLL-OVERS - CONT….. The following were requested for roll-overs but not approved internally: The roll over application for the amount of R3,5m for the Office of Standards was not approved ,due to a recurring trend of under expenditure. Purchase of the PMDS server : Department must use the current capital funding under 2011/12 to fund the PMDS server based on recurring under expenditure year on year. Love life transfer for the amount of R38m, the balance to be paid to Love Life should be paid from the (2011/12) current financial year's funding of Love Life due to the current review of Love Life funding across all other government Departments. eHR project proposed rollover not approved due to the fact that it is still under investigation. The Department to approach Treasury during the Adjustment Estimates should the need arise during the current financial year

ROLL-OVERS - CONT….. All managers requested Roll-over are requested to ensure that funds are spent within the timeframe as indicated in the roll-over request as follows: IT Capital equipment by May 2011 NHLS Cancer Register - May 2011 GeneXpert transfer ,Love Life & NGO Transfer- May 2011 Consultancy services for services rendered by Lung Institute – April 2011 Venues , printing - May 2011 Media buying to GCIS - June 2011

GOODS AND SERVICES UNDER EXPENDITURE
R'000 Budget 726,779 Expenditure 542,480 Balance 184,299 Less: 271,163 Commitments 213,784 Accruals 57,379 Less: Earmarked Funds 13,631 TB- National Prevalence Survey and Strengthen Management 11,083 Development new hospital reimbursement mechanism linked to case mix 1,000 EMS 2010 Unit 1,548

COMMITMENTS AND ACCRUALS
2010/11 R'000 2009/10 Commitments 213,784 276,075 Accruals 57,379 65,324 Programme 1 7,978 9,333 Programme 2 6,604 47,788 Programme 3 41,852 4,561 Programme 4 471 257 Programme 5 254 2,787 Programme 6 220 598

TRANSFER PAYMENTS 2010/11 R'000 2009/10 2008/09 Budget 20,505,411
2010/11 R'000 2009/10 2008/09 Budget 20,505,411 17,248,335 14,550,312 Expenditure 20,004,041 16,863,440 14,188,884 Balance 501,370 384,895 361,428 Love life 38,690 36,766 27,317 Hospital Revitalisation Grant 452,564 324,930 323,904

CAPITAL EQUIPMENT Comparisons of years Comments
2010/11 R'000 2009/10 R'000 Budget 44,918 29,741 Expenditure 17,549 13,408 Balance 27,369 16,333 Roll-overs Request from 09/10 FY for IT Equipment 14,203 Department requested Roll- over of R14,2 million from 2009/10. Which was approved. IT equipment Roll-over for the amount of R21million was requested for IT Deficiencies and the migration from Novel to Microsoft as well as the NHI IT preparations for the 2010/11.

IN CONCLUSION The under expenditure indicated does not reflect lack of capacity to spend the appropriated funds since the funds have been committed. The under expenditure for the Revitalization grant will be presented in detail with remedial action reflected.

PRESENTATION TO THE STANDING COMMITTEE ON APPROPRIATIONS- UNAUDITED EXPENDITURE OUTCOME AS AT 31MARCH 2011 2011/06/03.

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PRESENTATION TO THE STANDING COMMITTEE ON APPROPRIATIONS- UNAUDITED EXPENDITURE OUTCOME AS AT 31MARCH 2011 2011/06/03.

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