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3 September 2008

Western Cape: Department of Health Public Hearing on Conditional Grants and Capital Expenditure 1 st Quarter 2008/9. 3 September 2008. National Conditional Grants Y.T.D. 1st Quarter 2008/9. National Conditional Grants Projection for Year End 2008/9.

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3 September 2008

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  1. Western Cape: Department of HealthPublic Hearing on Conditional Grants and Capital Expenditure 1st Quarter 2008/9 3 September 2008

  2. National Conditional GrantsY.T.D. 1st Quarter 2008/9

  3. National Conditional GrantsProjection for Year End 2008/9

  4. National Tertiary Services Grantand Heath Professions Training and Development Grant

  5. National Tertiary Services Grant & Heath Professions Training and Development Grant • A Twelfth of the grants are allocated, monthly, in order to avoid over expenditure • HPTDG is a block grant allocated where students are rotating and is included in the budget of the underlying facilities • Our costing show an under-funding for both the HPTDG and the NTSG • For the HPTDG the Department trains 30 % of the country's medical officers and 45 % of the dentists (a very expensive course) yet we receive only 20% of the funding • We have allocated the amount of the NTSG to the Central Hospitals according to the Level 3 bed ratio • For the HPTDG & NTSG the receiving hospitals provide quarterly activity reports which have been submitted to the National Department of Health and National Treasury

  6. Forensic Pathology Services Grant

  7. Forensic Pathology Services Grant Personnel Expenditure and Training • 214 of the targeted 231 posts were filled by Q1 and all staff are orientated to the Forensic Pathology Services standard training Infrastructure • The department continued with the implementation of the Forensic Pathology Information system to 17 of its’ 18 facilities • The vehicle fleet consisted of 44 body transportation vehicles, 19 administration vehicles and is being maintained by GMT. • Three (3) incidence response vehicles are converted for the transport of 23 bodies each providing the ability to respond to mini and mass disasters. • Limited infrastructure funding exists for the following: Knysna, Salt River, Tygerberg, Stellenbosch, Riversdale, Beaufort west, Swellendam, Vredenburg, Laingsburg, Mosselbay, Wolseley, Oudtshoorn, Vredendal Reports • All reports have been submitted to the NDOH.

  8. Forensic Pathology Services Grant

  9. HIV and AIDS Grant

  10. HIV and AIDS Grant • The current under-spending at the end of 1st quarter is mainly due to a time-lag in the transfer payments to Non-Government Organizations and claims from the City of Cape Town these entities have been paid but the entries presently reside against the Assets and Liability accounts which still need to be cleared. • Agency costs have been incurred for posts not yet filled • The Goods and Services budget is presently reflecting an upward trend for medicine costs. • All monthly and quarterly reports for 2008/09, to date, have been submitted to the National Department of Health.

  11. Hospital Revitalization Program (HRP) Grant and Infrastructure Grant to the Province (IPG)

  12. Hospital Revitalization Grant and Infrastructure Grantto the Province • All projects are monitored in terms of their costs and status via a monthly progress control meeting between the Departments of Health and Transport & Public Works • Projects are also monitored via Treasury’s quarterly infrastructure reports and monthly financial reports for both HRP and IGP • HRP, in addition, have a function responsible for monitoring and evaluation of projects as prescribed by the National Department of Health • HRP submits, on time, the monthly and quarterly reports to the National Department of Health • It is projected that IGP will break even at year end • HRP have a planned under spend of R 82 m in 2008/09 to facilitate the expected budget shortfall in 2009/10 • Construction of the Mitchells Plain- and Khayelitsha Hospitals will, notwithstanding the above roll-over, place significant pressure on the 2009/10 funding envelope • Five of the HRP projects, however, will go out to tender during the third quarter of 2008 and this might impact on spending projections

  13. THANK YOU

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