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Detailed report on grant allocation, expenditures, monitoring, capacity building, contractor issues, and plans for improvements in hospital infrastructure projects. Includes compliance details, under-expenditure reasons, and strategies for enhanced spending.
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Mpumalanga Department of Health Report on Hospital Revitalization Grant
1. Data on trends in allocations, transfers and expenditure. • Allocation for 2011/12 financial year R 356 557 million • Economic classification
Data on trends in transfers 2011\12 • Total Amount Received as at 30th June 2011. • Actual expenditure: as at 30th June 2011.
2.Department’s monitoring capacity thus far, for the financial year 2011\12. • 90% of the HRP post structure has been filled
2. Cont: • Compliance to HRP Process for the approval of projects: • Business Case, Health Brief, Operational Narrative and Designs • Peer reviews, Initial PIP and annual PIP by NDoH • Monitoring and Evaluation Practices on a continuous basis • The Department of Health to sit in the bid committees • Department of Public Works, Roads and Transport as an implementing agent for Infrastructure delivery • Site project managers appointed in each hospital • Technical support unit appointed by National Treasury/National Department of Heath • -IDIP-Resident Engineer • Conducting quarterly reviews
2. Cont: • Submission of reports totalling to 17 to the National Department of Health • -12 Monthly reports • -4 Quarterly reports • -Annual report • Site visits • Monthly Site visits by the HRP Unit • National Treasury visits • Support visits National Department of Health
2. Cont: • Political Visits • -Premier • -Portfolio Committee • -MEC & HOD Programme Optional Management • -Meeting(Programme Operational Management Meeting) • Monthly Steering committee meetings • Monthly Site and technical meetings with consultants • Monthly inter departmental( Health, Public Works, Roads & Transport & IDT) meetings
2. Cont: • Reasons for under-expenditure • Poor performance of contractors, which has led contracts to being terminated, contractors are opposing termination thus delaying appointment of new contractors therefore funds were not spent • Equipment ordered but not yet delivered and payments not yet effected(funds are committed) • Delays in procurement of consultants for projects under planning
2. Cont: • Plans to improve spending • National Department of Health initiative to revitalise Nursing Schools using funds from projected savings • Implementation of projects on planning to kick start on second of the financial year • Appointment of new contractors with a proven capacity to deliver big projects • Strengthen inter departmental partnership with implementing agent • Strengthen capacity of the infrastructure unit(appointment of Resident Engineer)
3. Whether monthly reports are received from receiving departments or municipalities, and if not, what are the departments doing in order to ensure compliance with monthly reporting. • Reports required in compliance with DoRA have been submitted to the department (National Department of Health) monthly and quarterly reports • The provincial office received confirmation of receipt from the National Department of Health
HRP Business Plan • An approval of 2011\12 Annual Project Implementation Plan for Hospital Revitalisation grant • Business Plans approved for planning • Kwa-Mhlanga Hospital • Lydenburg Hospital • Tintswalo Hospital • Barberton Hospital • Middleburg Hospital and • Mapulaneng Hospital • Business Plans approved for implementation • Themba Hospital • Rob Ferreira Hospital and • Ermelo Hospital