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NATIONAL DEPARTMENT OF HEALTH

NATIONAL DEPARTMENT OF HEALTH. PUBLIC HEARINGS ON DIVISION OF REVENUE ACT Public Hearing on 5 March 2007 Presented by: Mr T Mseleku. NATIONAL DEPARTMENT OF HEALTH. Mpumalanga Province: The submission must focus on justifying why the committee should not reduce the allocation.

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NATIONAL DEPARTMENT OF HEALTH

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  1. NATIONAL DEPARTMENT OF HEALTH PUBLIC HEARINGS ON DIVISION OF REVENUE ACT Public Hearing on 5 March 2007 Presented by: Mr T Mseleku DORA (5-3-07)

  2. NATIONAL DEPARTMENT OF HEALTH Mpumalanga Province: The submission must focus on justifying why the committee should not reduce the allocation. • All Conditional Grants earmarked for Mpumalanga Department of Health because it has failed to appear before the committee during the whole of last financial year (2006/07) to respond on the performance of its Conditional Grants majority of which are consistently and materially under-performing DORA (5-3-07)

  3. NATIONAL DEPARTMENT OF HEALTH DORA (5-3-07)

  4. NATIONAL DEPARTMENT OF HEALTH HOSPITAL REVITALIZATION GRANT The submission must focus on justifying why the committee should not reduce the allocation. • The hospital revitalization Grant for the KwaZulu-Natal, North West, Northern Cape and Limpopo Provinces as they are materially under-performing DORA (5-3-07)

  5. NATIONAL DEPARTMENT OF HEALTH DORA (5-3-07)

  6. NATIONAL DEPARTMENT OF HEALTH Hospital Revitalization Reasons for under-spending • Roll overs to the value of R 379 million were approved late in some cases only in November. • Actual cash flow lags approval by between 3 to 5 months • The reason why KZN, N/Cape and N/West under-spent was that a number of projects had to be delayed due to lack of funding in 2007/08 DORA (5-3-07)

  7. NATIONAL DEPARTMENT OF HEALTH Hospital Revitalization(cont.) Reasons for over-spending • Limpopo has used equitable share funding to fund a portion of their Hospital Revitalization programme because of existing contractual obligations DORA (5-3-07)

  8. NATIONAL DEPARTMENT OF HEALTH Forensic Pathology Services The submission must focus on justifying why the committee should not reduce the allocation. • The Forensic Pathology is generally and consistently very low and slow spending in all the Provincial Departments of Health, i.e. under performing DORA (5-3-07)

  9. NATIONAL DEPARTMENT OF HEALTH Forensic Pathology Services The grant cover the following areas – • The refurbishment of SAPS mortuaries, under arrangements with National DPW, some of which were not in a state to allow health officials to work in them • The building of new mortuaries under arrangements with provincial DPW DORA (5-3-07)

  10. NATIONAL DEPARTMENT OF HEALTH Forensic Pathology Services (cont.) • The equipping of the mortuaries, including new vehicles • The employment of all mortuary staff by the Provincial Health Departments • Other items not related to failure to spend, such as staff training, health and safety and IT. DORA (5-3-07)

  11. NATIONAL DEPARTMENT OF HEALTH Forensic Pathology Services Reasons for under-spending on grant • Roll over of R 93 m only approved in December 2005 of 2005/06 • Poor recording of expenditure • Expenditure on some aspect dependent on finalizing of capital expenditure • Invoices continually awaited from SAPS (+/- R 50 m) and Department of Public Works (R25m) DORA (5-3-07)

  12. NATIONAL DEPARTMENT OF HEALTH DORA (5-3-07)

  13. NATIONAL DEPARTMENT OF HEALTH DORA (5-3-07)

  14. NATIONAL DEPARTMENT OF HEALTH DORA (5-3-07)

  15. NATIONAL DEPARTMENT OF HEALTH DORA (5-3-07)

  16. NATIONAL DEPARTMENT OF HEALTH DORA (5-3-07)

  17. NATIONAL DEPARTMENT OF HEALTH DORA (5-3-07)

  18. NATIONAL DEPARTMENT OF HEALTH The End DORA (5-3-07)

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