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Provincial Budgets and Expenditure as at 30 September 2007 2007/08 Financial Year

Provincial Budgets and Expenditure as at 30 September 2007 2007/08 Financial Year. NCOP Hearings Presented by: Intergovernmental Relations National Treasury. November 2007. National adjustments to PES. Provincial Social Services (2). Health (1).

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Provincial Budgets and Expenditure as at 30 September 2007 2007/08 Financial Year

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  1. Provincial Budgets and Expenditure as at 30 September 20072007/08 Financial Year NCOP Hearings Presented by: Intergovernmental Relations National Treasury November 2007

  2. National adjustments to PES

  3. Provincial Social Services (2)

  4. Health (1) • Spending at R28.4bn or 47.9% against R59.3bn budget • Seven provinces projecting to overspend by R1.7bn (KZN, LP, GP, WC, FS, NC) while MP projecting to underspend by R214.6m • Increase of R3.4bn or 13.7% compared to the previous year • Low rate of health spending in NW (43.7%) and MP (44.0%) • KZN (51.4%) and NC (51.0%) reflects the highest rate of spending in health • Health personnel spending at R15.8bn or 48.1% (R32.9bn budget) • Seven provinces projecting to overspend by R846.2m (GP, KZN, LP, EC) • Two provinces projecting to underspend by R150.3m • NPNC spending at R10.3bn or 49.1% of R20.9bn budget • Capital spending at R2.3bn or 42.1% • Increase of 20.9% compared to spending for the same period last year • Five provinces projecting to overspend by R232.5m while the remaining provinces projecting under expenditure of R214.2m • Low rate of capital spending in MP (29.5%) and NC (34.5%) • FS (69.0%) and KZN (49.9%) reflects the highest rate of capital spending in health

  5. Health (2)

  6. Health (3)Programme Analyses • Prog 2: Provincial District Health Services • Spending at R11.6bn or 47.7% of R24.3bn budget • Lowest rate of spending in GP (41.5%) and NW (41.7%) and highest in KZN (52.6%) and FS (49.7%) • Prog 4: Provincial Hospital Services • Spending at R6.9bn or 48.9% of R14.0bn budget • Lowest rate of spending in MP (41.9%) and EC (44.5%) and highest in NC (52.8%) and LP (52.3%) • Prog 5: Central Hospital Services • Spending at R4.5bn or 52.0% of R8.6bn budget • Lowest rate of spending in NW (37.0%) and MP (49.3%) and highest in FS (54.3%) and KZN (52.9%)

  7. Health (4)District health services

  8. Health (5)Hospital services

  9. Health (6)Central hospital services

  10. Health (7)Personnel

  11. Health (8)Capital

  12. Health (8)Non-Personnel, Non-Capital

  13. Payments for Capital Assets (3)Education & Health • Education capital spending low at R1.5bn or 38.0% • However. increase of R326.1m or 28.7% compared to spending last year • Low rate of education capital spending in EC (18.2%) and NW (22.4%) • LP (63.6%) and WC (51.9%) reflects the highest rate of capital spending in education • Health capital spending at R2.3bn or 42.1% • Increase of 20.9% compared to spending for the same period last year • Five provinces projecting to overspend by R232.5m while the remaining provinces projecting under expenditure of R214.2m • Low rate of health capital spending in MP (29.5%) and NC (34.5%) • FS (69.0%) and KZN (49.9%) reflects the highest rate of capital spending in health

  14. Payments for Capital Assets (5)Health

  15. Conditional grants

  16. Conditional Grants (1)Flow of Information

  17. Important dates and submissions

  18. Publication Dates for Provincial S32 Reports • 2007/08 Financial Year: • 2nd Quarter (as at 30 September 2007)30 October 2007 • 3rd Quarter (as at 31 December 2007)30 January 2008 • 4th Quarter (as at 31 March 2008)30 April 2008

  19. Detail on Conditional Grants by Grant Type

  20. Health Grants (1)Comprehensive HIV and Aids Grant • Objective (Schedule 5 Grant): • To enable the health sector to develop an effective response to HIV and Aids • Support implementation of the National Operational Plan for Comprehensive HIV and Aids Treatment and Care

  21. Health Grants (1)Comprehensive HIV and Aids Grant • First Six Months Expenditure: • Health spent R885.2m or 45.5% of the R1.9bn allocation • Transfers received amounted to 50.0% of national allocation • Highest spending: NC 58.6% and MP 50.3% • Lowest spending: EC 41.3% and FS 41.7% • Service Delivery Outcome: • Department / Sector to respond

  22. Health Grants (2)Forensic Pathology Services Grant • Objective (Schedule 5 Grant): • To provide for the transitional activities required to transfer the Medico-Legal Mortuaries from SAPS to Health • To initiate the development and provision of a comprehensive Forensic Pathology Service to ensure impartial professional evidence for the criminal justice system concerning death due to unnatural causes

  23. Health Grants (2)Forensic Pathology Services Grant • First Six Months Expenditure: • Health spent R272.7m or 49.5% of the R551.4m allocation • Transfers received amounted to 50.0% of national allocation • Highest spending: NC 193.5% and FS 79.2% • Lowest spending: MP 27.4% and KN 31.4% • Service Delivery Outcome: • Department / Sector to respond

  24. Health Grants (3)Health Professions Training and Development Grant • Objective (Schedule 4 Grant): • Support provinces to fund costs associated with training of health professionals • Development and recruitment of medical specialists in under-served provinces • Support and strengthen undergraduate and post graduate teaching and training processes in health facilities • Enable shifting of teaching activities from central hospital to regional and district hospitals

  25. Health Grants (3)Health Professions Training and Development Grant • First Six Months Expenditure: • Spending of this grants is subsumed in the spending of a range of programmes and therefore no reporting is required • However, spent R767.8m or 48.1% of the R1.6bn allocation • Transfers received amounted to 50.0% of national allocation • Highest spending: NW 66.5% and FS 63.7% • Lowest spending: NC 0.3% and MP 28.7% • Service Delivery Outcome: • Department / Sector to respond

  26. Health Grants (4)Hospital Revitalisation Grant • Objective (Schedule 5 Grant): • To provide funding to enable provinces to plan, manage, modernise, rationalise and transform the infrastructure, health technology, monitoring and evaluation of hospitals in line with national policy objectives • To transform hospital management and improve quality of care in line with national policy

  27. Health Grants (4)Hospital Revitalisation Grant • First Six Months Expenditure: • Health spent R782.1m or 41.0% of the R1.9bn allocation • Transfers received amounted to 50.0% of national allocation • Highest spending: WC 58.0% and FS 45.8% • Lowest spending: MP 15.7% and EC 37.7% • Service Delivery Outcome: • Department / Sector to respond

  28. Health Grants (5)National Tertiary Services Grant • Objective (Schedule 4 Grant): • To compensate provinces for the supra-provincial nature of tertiary services provision and spill over effects • To provide strategic funding to enable provinces to plan. modernise. rationalise and transform the tertiary hospital service delivery platform in line with national policy objectives including improving access and equity

  29. Health Grants (5)National Tertiary Services Grant • First Six Months Expenditure: • Spending of this grants is subsumed in the spending of a range of programmes and therefore no reporting is required • However, spent R2.5bn or 47.9% of the R5.3bn allocation • Transfers received amounted to 50.0% of national allocation • Highest spending: KN 52.1% and FS 51.9% • Lowest spending: NC 0.7% and MP 31.6% • Service Delivery Outcome: • Department / Sector to respond

  30. THANK YOUTHANK YOU THANK YOU

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