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SELECT COMMITTEE ON APPROPRIATION HEARING ON DIVISION OF REVENUE BILL B4-2011

SELECT COMMITTEE ON APPROPRIATION HEARING ON DIVISION OF REVENUE BILL B4-2011. 2011-03-23. Introduction.

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SELECT COMMITTEE ON APPROPRIATION HEARING ON DIVISION OF REVENUE BILL B4-2011

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  1. SELECT COMMITTEE ON APPROPRIATIONHEARING ON DIVISION OF REVENUE BILL B4-2011 2011-03-23

  2. Introduction • During the Medium Term Framework ( MTEF) budget process, the Health Department requested additional funding for both National and Provincial departments for the amount of R19,9 billion for the three year MTEF period. • Cabinet and National Treasury approved an amount of R18 billion made up of R3,4billion for National Health and R14,6 billion for the provincial health departments for earmarked funds additional to the equitable share baseline.

  3. Expenditure Trends • The Department’s expenditure grew from R13.6 billion in 2007/08 to R23.1 billion in 2010/11 at an average annual rate of 19.4 percent. • Over the Medium Term period, expenditure is expected to grow to R30.1 billion, at an average annual rate of 9.2 percent. • The increase in both periods is driven largely by transfers to provinces for the conditional grants, with the main increase being on the HIV and AIDS and the Revitalization of Hospitals grants, while the National Tertiary Services grant (NTSG) increased significantly in the MTEF period. • The Forensic Pathology Services grant will be phased out in the 2012/13 financial year and has therefore been included in the provincial equitable share allocations.

  4. Medium Term Allocation for 2011/12 – 2013/14 • The Budget includes new allocations of R442 million for 2011/12, R692 million for 2012/13 and R2.2 billion for 2013/14.

  5. Programme Allocations for 2011/12-2013/14

  6. Economic Classifications Allocations for 2012/13 to 2013/14

  7. Conditional Grants Purposes for 2011-12 The Department of Health of consists of the following grants: • Comprehensive HIV and Aids Grant To enable the health sector to develop an effective response to HIV and Aids including universal access to HIV Counselling and Testing (HCT). To support the implementation of the National Operational Plan for comprehensive HIV and Aids treatment and care.To subsidise in-part funding for antiretroviral treatment programme. • Forensic Pathology Services Grant To continue the development and provision of adequate forensic pathology services in all provinces. • Health Infrastructure Grant To supplement provincial funding of health infrastructure to accelerate the provision of health facilities and ensure proper maintenance of provincial health infrastructure.

  8. Conditional Grants Purposes for 2011-12 Cont…. • Health Professions Training and Development Grant Support provinces to fund service costs associated with training of health professionals. Development and recruitment of medical specialists in under-served provinces (Eastern Cape, Limpopo, Mpumalanga, Northern Cape and North West). Support and strengthen undergraduate and postgraduate training processes in health facilities. • Hospital Revitalisation Grant To provide funding to enable provinces to plan, manage, modernise, rationalise and transform health infrastructure, health technology, monitoring and evaluation of the health facilities in line with national policy objectives. Supplement expenditure on health infrastructure delivered through public-private partnerships. • National Tertiary Services Grant To compensate tertiary facilities for the additional costs associated with spill over effects. Ensure adequate provision of tertiary health services for all South African citizens.

  9. Conditional Grants Allocations 2011/12-2013/14

  10. Health Infrastructure Grant

  11. Comprehensive HIV and Aids Grant

  12. Forensic Pathology Services

  13. Hospital Revitalization Grant

  14. Health Professions Training and Development Grant

  15. National Tertiary Services

  16. Conditional Grants Allocations 2011/12-2013/14 • Schedule 4 grants: specifying allocations to provinces to supplement the funding of programmes or functions funded from provincial budgets; • Transfer payments cannot be withheld based on non performance or compliance, however, the new Division of Revenue Grant allows a 5% withholding while interventions are put in place. • Grants included are: - National Tertiary Services, - Health Professions Training and Development - Forensic Pathology Services.

  17. Conditional Grants Allocations 2011/12 - 2013/14 • Schedule 5 : specifying specific-purpose allocations to provinces. • Grants included are: - HIV and AIDS grant and the Revitalization of Hospital grant. • Schedule 5 grants may be withheld for non performance and or compliance. Interventions must also be put in place for compliance.

  18. Additional Priority focus areas (Earmarked Funds) Allocated directly to Provinces.

  19. Additional Priority focus areas (Earmarked Funds) Allocated directly to Provinces.

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