1. Health Expenditure as at 31 August 2010
19 OCTOBER 2010 1

2. Health – Hospital Revitalisation (2nd Q – 2009/10)

3. Health – Hospital Revitalisation (3rd Q – 2009/10)

4. Health – Hospital Revitalisation (Outcomes – 2009/10)

5. Health – Hospital Revitalisation (1st Q – 2010/11)

6. Health Spending is at R38.4bn or 39% against R98.4bn budget
29.8% of total provincial budgets
Increase of R3.2bn or 9.1% compared to same period of last year
WC – (13.7%); NC – (13.7%); GT – (13.2%); FS – (11.8%)
Projected overspending of R4.1bn in 7 provinces
GT – R1.6bn; EC – 1.2bn; NW – 615m
Personnel spending at R22.8bn or 41.1% (R55.6bn budget)
Projected overspending of R1.9bn in all 9 provinces (GP – R929.6m; EC – R384.9m, NW – R202.9m )
Capital spending at R2.6bn or 29.2%
Projected underspending of R663.8m in 5 provinces (GT – R211.8m; EC – R122m and NC – R164.6m )
Low rate of capital spending in FS (10.1%) and LP (24.7%)
NW (61.3%) and WC (34.7%) reflects the highest rate of capital spending 6

7. Health

8. Health – Payments for Capital Assets

9. Health – Hospital Revitalisation Grant

10. Health – Hospital Revitalisation (Vulindlela as at 17 Oct 2010)
KZN Vulindlela information not available. Spending figure (5 months actual and projections moving forward)

11. HOSPITAL REVITALIZATION GRANT
Quarterly reports are not adequate and lacks details
Reason for delays
Timeframes
Many hospitals experiencing delays and significant variation orders as a result of poor planning. E.g. King George hospital (KZN)
Poor performance of contractors impacts negatively on quality and the timeous completion of projects. e.g. the Kimberley mental health facility (NC) and the Thabamoopo hospital (LP), where a new contractor has been appointed
Planning of projects do not take full account of the cost and procurement of equipment and maintenance. E.g. Mamelodi Hospital (GT)
The national department needs to enhance its monitoring and evaluation, Project sites must be visited at least twice a year.