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Conditional Grants Expenditure 31 March 2016 – Fourth Quarter Expenditure

Portfolio Committee on Health Parliament. Conditional Grants Expenditure 31 March 2016 – Fourth Quarter Expenditure. Date : 31 August 2016. Introduction. Spending Performance on all conditional grants as at end of 31 March 2016: Schedule 4 and 5 (Direct Grants)

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Conditional Grants Expenditure 31 March 2016 – Fourth Quarter Expenditure

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  1. Portfolio Committee on Health Parliament Conditional Grants Expenditure 31 March 2016 – Fourth Quarter Expenditure Date : 31 August 2016

  2. Introduction • Spending Performance on all conditional grants as at end of 31 March 2016: • Schedule 4 and 5 (Direct Grants) • Total CG spending sits at 99.1% or R31.9 bn against revised • budget of R32.2 bn. • HPTDG spent 100% of the budget whilst NTSG and HIV/AIDS • spent 99.6% and 99.9% respectively. • HFRG and NHI spent 96.4% and 90.2% respectively the norm. • Schedule 6 (Indirect Grant) • Spending for 4th quarter is at 95.3%.

  3. Grants Overview (Direct)

  4. Health Professions Training Grant

  5. Health Professions Training Grant (02) • All provinces spent 100% of the budget with the exception of Limpopo that • spent 96.8% due to outstanding invoices for medical equipment and rollover • has been requested. • Northern Cape is overspending due to accruals. Expenditure will be • journalised to equitable share to keep expenditure within the norm.

  6. National Tertiary Services Grant

  7. National Tertiary Service Grant (02) • All provinces spent 100% of the budget with the exception of EC, LP, MP & • NW. • The major reason for under spending is due to: • lack of contracts for medical equipment. • delays in delivery of medical equipment • However a rollover has been requested by all provinces under spending for • unpaid invoices and awaited delivery

  8. Comprehensive HIV/AIDS

  9. Comprehensive HIV/AIDS (02) • All provinces spent 100% of the budget with the exception of LP and NW • The reason for under spending is due to outstanding invoices for Medicines • and consumables. • However a rollover has been requested by both provinces

  10. Health Facility Revitalisation Grant

  11. Health Facility Revitalisation Grant (02) • All provinces under spent with the exception of EC, GP, KZN & LP that spent • 100%. • The main reason for under spending is due to: • Delays in appointment of staff in FS under Organisational Development. • Challenges with Implementing Agent in WC • Outstanding invoices of which rollover has been requested. • Rollover has been requested by all provinces under spending.

  12. National Health Insurance Grant

  13. National Health Insurance (02) • All provinces under spent with the exception of EC, FS, MP. • The main reason for under spending is due to: • Supply chain Management inefficiencies • Delays in delivery of WBOT uniforms and other equipment. • Inability to contract Health Professionals (HP) in WC as indirect funding • was converted to direct for HP contracting. • However, a rollover has been requested by all provinces under spending.

  14. Provincial Overview (Direct)

  15. Eastern Cape

  16. Eastern Cape (02) • All grants spent 100% with the exception NTSG and NHI. • The main reason for under spending of NTSG is due to: • challenges with specifications for equipment, equipment was only • procured towards the end of the financial year. • NHI over spent due to application of S22 of DoRA – unspent funds and not • surrendered from previous year are charged against current allocation.

  17. Free State

  18. Free State (02) • All grants spent 100% with the exception HFRG. • The main reason for under spending of HFRG is due to: • Non filling of posts under Organisational Development component of the • grant. Funds were only made available to the province during Adjustment • budget. • However, a rollover has been requested.

  19. Gauteng

  20. Gauteng (02) • All grants spent100% with the exception of NHI. • The main reason for under spending of NHI is due to: • Outstanding invoices for WBOT uniforms. • However, a rollover has been requested by the provinces.

  21. KwaZulu Natal

  22. KwaZulu Natal (02) • All grants spent 100% with the exception of NHI. • The main reason for under spending of NHI is due to: • IT project not completed and will be paid during 1st quarter of 2016/17 • However, a rollover has been requested by all provinces under spending.

  23. Limpopo

  24. Limpopo (02) • All grants spent below the norm with the exception of HFRG. • The main reason for under spending is due to: • Supply chain Management inefficiencies • Outstanding delivery for medical equipment (Full body Scanner machine) • Outstanding invoices for Condoms ordered in Q3. • Examination equipment for patients not yet delivered. • However, a rollover has been requested by all grant under spending.

  25. Mpumalanga

  26. Mpumalanga (02) • All grants spent 100% with the exception of NTSG & HFRG. • The main reason for under spending is due to: • Equipment procured during the 3rd quarter and not yet delivered for • NTSG. • Health Technology equipment not yet delivered • Mpumalanga affected with implementation of S22 of DoRA resulting on • overspending of NHI. • A rollover has been requested by the province for under spending grants.

  27. Northern Cape

  28. Northern Cape (02) • NTSG and HIV and AIDS spent the entire allocations at 100.7% and 100.4% respectively, however, • HFRG and NHI under spent at 95.1% and 54.5%. • The main reasons for under spending are due to: • Supply chain Management inefficiencies • Delays in delivery of WBOT uniforms and other equipment. • Outstanding invoices for health technology. • However, a rollover has been requested by the province for under spending • grants.

  29. North West

  30. North West (02) • All grants under spent with the exception of HPTDG. • The main reason for under spending is due to: • Outstanding invoices for infrastructure projects, NTSG equipment for • hospitals and WBOT equipments.. • However, a rollover has been requested by all provinces under spending.

  31. Western Cape

  32. Western Cape (02) • All grants spent 100% with the exception of HFRG & NHI. • The main reason for under spending is due to: • Challenges with implementing Agent. Currently province is using one • implementing agent (Public Works) • Delays in implementation of projects • Inability to contract Health Professionals (HP) in WC as indirect funding • was converted to direct for HP contracting. • Funds for conversion were only allocated during adjustment budget. • A rollover for infrastructure has been requested by the provinces.

  33. Indirect Grant – Schedule 6

  34. Indirect Grant – Schedule 6 (02) • The main reason for under spending is due to: • HPV – delays in submission of claims by provinces, outstanding invoices • of which rollover has been requested.. • NHI – Contracting of Health Professionals including Pharmacy Assistants have improved

  35. Conclusion • NHI framework has been reviewed to include the Ideal Clinic. Most activities • relates to Ideal Clinic which will accelerate expenditure in 2016/17. • Strengthening of monitoring and evaluation for infrastructure projects to • ensure spending efficacy.

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