1. Outcome of Conditional Grants & Capital Expenditure as at 30 June 2005 [Health]
Select Committee on Finance
National Council of Provinces
Presented by:
Mark Blecher
Public Finance
National Treasury
12 October 2005

2. Provincial Health

3. Provincial District Health Services (Programme 2)

4. Provincial Hospital Services (Programme 4)

5. Central Hospital Services
(Programme 5)

6. Provincial Health – Personnel

7. Provincial Health – NPNC

8. CAPEX TRENDS

9. Provincial Health – Capital

10. Provincial Capital: (Over)/Under Exp

11. INFRASTRUCTURE TRENDS

12. Capex v/s Infrastructure Budgets
Provincial Health:
Capex v/s Infrastructure Budgets

13. Capex v/s Infrastructure Expenditure
Provincial Health:
Capex v/s Infrastructure Expenditure

14. CONDITIONAL GRANTS EXPENDITURE

16. [Overview – 1st Quarter]
Conditional Grants
[Overview – 1st Quarter]

17. Provincial CGs Spending Rate

18. Publication Dates for Provincial S32 Reports
2005/06 Financial Year:
2nd Quarter (as at 30 September 2005) October 2005
3rd Quarter (as at 31 December 2005) January 2006
4th Quarter (as at 31 March 2006) April 2006

19. Proposed Dates for QPRs
Practice Note 3 of 2005 (issued with effect from 01 August 2005):
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 Sections 19(1)(c) and 21(2)(d) of the Act, 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 tabled by the dates provided below.
The dates are as follows:
First Quarter: August 2005
Second Quarter: 07 November 2005
Third Quarter: 07 February 2006
Fourth Quarter: 08 May 2006

20. Detail on Conditional Grants by Grant Type

21. Health Grants National Tertiary Services Grant
Objective (Schedule 4 Grant):
To fund national tertiary delivery in 27 hospitals across the nine provinces, as identified by the national department of Health (DOH), in order to ensure equitable access to basic tertiary health services by all South Africans
First Quarter Expenditure:
Spending of this grants is subsumed in the spending of a range of programmes and therefore no reporting is required
Health spent R1 154 million or 24,5% of the R4 709 million allocation
Transfers amounted to 25%
Highest: KN 27%; FS 25,8%; GP 25% and WC 25%
Lowest: NW 7% and LP 10%
Service Delivery Outcome:
Department / Sector to respond

22. Health Grants Health Professions Training and Development Grant
Objectives (Schedule 4 Grant):
Support provinces to fund service costs associated with training of health professionals
Enable shifting of teaching activities from central hospitals to regional and district facilities
Development and recruitment of medical specialist in under-served provinces
First Quarter Expenditure:
Spending of this grants is subsumed in the spending of a range of programmes and therefore no reporting is required
Health spent R314,7 million or 20,7% of the R1 520 million allocation
Transfers amounted to 25%
Highest: FS 32,5%; GP 25% and WC 25%
Lowest: EC 3,5%; KN 11% and LP 10%
Service Delivery Outcome:
Department / Sector to respond

23. Health Grants Comprehensive HIV and Aids Grant
Objectives:
To Enable the health sector to develop an effective response to the HIV/Aids epidemic and other matters
First Quarter Expenditure:
Health spent R187,6 million or 16,5% of the R1 135 million allocation
Transfers amounted to 13,7%
Highest: GP 27,7% and WC 22%
Lowest: NW 9,1%; LP 10% and FS 11,5%
Service Delivery Outcome:
Department / Sector to respond

24. Health Grants Hospital Revitalisation Grant
Objective:
To transform and modernise infrastructure and equipment in hospitals in line with national policy and to achieve a sustainable infrastructure from which modern, equitable and sustainable services can be delivered
First Quarter Expenditure:
Health spent R125,6 million or 12,2% of the R1 027 million allocation
Transfers amounted to 25%
Highest: GP 43,9%
Lowest: KN 0,9%; FS 6,2% and NW 8,6%
Service Delivery Outcome:
Department / Sector to respond

25. Health Grants Integrated Nutrition Programme Grant
Objective:
To implement integrated nutrition activities aimed at improving the nutritional status of all South Africans
First Quarter Expenditure:
Health spent spent R16 million or 13% of the R123,4 million allocation
Transfers amounted to 22,2%
Highest: NC 29,9%; MP 25,4% and EC 21,6%
Lowest: GP 1%; WC 7,3%; NW 7,8% and FS 7,8%
Service Delivery Outcome:
Department / Sector to respond

26. Health Grants Hospital Management and Quality Improvement Grant
Objective (Schedule 5 Grant):
To transform hospital management and improve quality of care in line with national policy
First Quarter Expenditure:
Health spent spent R20,7 million or 13,8% of the R150,3 million allocation
Transfers amounted to 25%
Highest: MP 38,8%
Lowest: NC 0%
Service Delivery Outcome:
Department / Sector to respond

27. THANK YOU THANK YOU
THANK YOU