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Outcome of Conditional Grants & Capital Expenditure as at 31 December 2006 [Section 32 of PFMA]

Outcome of Conditional Grants & Capital Expenditure as at 31 December 2006 [Section 32 of PFMA]. Select Committee on Finance National Council of Provinces Presented by: Intergovernmental Relations National Treasury February 2007. Key priorities for 2006 MTEF (1). Health

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Outcome of Conditional Grants & Capital Expenditure as at 31 December 2006 [Section 32 of PFMA]

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  1. Outcome of Conditional Grants & Capital Expenditure as at 31 December 2006[Section 32 of PFMA] Select Committee on Finance National Council of Provinces Presented by: Intergovernmental Relations National Treasury February 2007

  2. Key priorities for 2006 MTEF (1) • Health • Recruit health professionals; • Expand Emergency Medical Services, implement new national ambulance service model; and • Step up primary health care, improve services in rural areas, • Modernize tertiary services.

  3. Provincial Social Services (2)

  4. Health (1) • Spending at R38,7bn or 72,7% against R53,2bn adjusted budget • Projecting to overspend by R560,5m (GP – R399,1m) • Increase of R5,2bn or 15,5% compared to the previous year • Low rate of health spending in NW (68,1%) and EC (69,1%) • NC (77,6%) and GP (76,3%) reflects the highest rate of spending in health • Health Personnel spending at R21,2bn or 73,6% (R28,8bn adjusted budget) • NPNC spending at R14,3bn or 73,8% of R19,3bn adjusted budget • Projecting to overspend by R649,7m • Capital spending at R3,2bn or 63,2% • Significant increase of 52,2% compared to spending for the same period last year • Low rate of capital spending in NW (54,4%) and KZN (59,3%) • GP (70,9%) and MP (67,9%) reflects the highest rate of capital spending in health

  5. Health (2)

  6. Health: Programme Analyses • Programme 2: Provincial District Health Services • Spending at R15,2bn or 71,1% of R21,4bn adjusted budget • Lowest rate of spending in EC (68,6%) & NW (69,0%) and highest in KZN (74,1%) and NC (72,6%) • Programme 4: Provincial Hospital Services • Spending at R9,5bn or 74,7% of R12,7bn adjusted budget • Lowest rate of spending in MP (61,1%) and NW (71,9%) and highest in LP (86,1%) & NC (81,8%) • Programme 5: Central Hospital Services • Spending at R6,5bn or 79,3% of R8,2bn adjusted budget • Lowest rate of spending in NW (61,5%) & LP (70,9%) and highest in GP (84,0%) and MP (81,9%)

  7. Health: District Services

  8. Health: Hospital Services

  9. Health: Central Hospital Services

  10. Health: Personnel

  11. Health: Capital

  12. Health: Non-personnel Non-capital

  13. Payments for Capital Assets trends (Capital Expenditure)

  14. Payments for Capital Assets (Health) • Health capital spending at R3,2bn or 63,2% • Increase of 52,2% compared to spending for the same period last year • Projecting to underspend by R116,4m • Low rate of health capital spending in NW (54,4%) and KZN (59,3%) • GP (70,9%) and MP (67,9%) reflects the highest rate of capital spending in health

  15. Health: Capital

  16. Monthly Exp and Projections: Payments for Capital Assets

  17. Conditional Grants

  18. Conditional Grants – Flow of Info

  19. Conditional Grants (3)

  20. Conditional Grants: Spending Rates

  21. Health GrantsComprehensive 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 • 3rd Quarter Expenditure: • Health spent R1,3bn or 75,9% of the R1,7bn adjusted allocation (includes provincial roll-overs) • Transfers received amounted to 73,5% of national allocation • Highest spending: GP (106,4%); EC (77,7%) and NW (75,8%) • Lowest spending: MP (61,2%); NC (61,5%) and LP (65,7%) • Service Delivery Outcome: • Department / Sector to respond

  22. HIV/AIDS grant

  23. Health GrantsForensic 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 • 3rd Quarter Expenditure: • Health spent R168,2m or 27,0% of the R623,9m adjusted allocation (including provincial roll-overs) • Transfers received amounted to 70,1% of national allocation • Highest spending: LP (66,7%); GP (42,8%) and FS (35,7%) • Lowest spending: EC (13,2%); KZN (15,0%) and NW (20,6%) • Service Delivery Outcome: • Department / Sector to respond

  24. Forensic pathology

  25. Health GrantsHealth Professions Training and Development Grant • Objectives (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 • 3rd Quarter Expenditure: • Spending of this grants is subsumed in the spending of a range of programmes and therefore no reporting is required • However, spent R1,1bn or 72,5% of the R1,5bn adjusted allocation (including provincial roll-overs) • Transfers received amounted to 75,0 of national allocation • Highest spending: LP (87,2%); NW (80,8%) and FS (80,6%) • Lowest spending: EC (46,2%); MP (61,3%) and KZN (69,7%) • Service Delivery Outcome: • Department / Sector to respond

  26. Health GrantsHospital 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 • 3rd Quarter Expenditure: • Health spent R1,1bn or 61,2% of the R1,8bn adjusted allocation (including provincial roll-overs) • Transfers received amounted to 72,1% of national allocation • Highest spending: LP (103,2%); MP (75,5%) and EC (71,4%) • Lowest spending: KZN (44,5%); NC (54,4%) and GP (55,2%) • Service Delivery Outcome: • Department / Sector to respond

  27. Health GrantsNational 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 • 3rd Quarter Expenditure: • Spending of this grants is subsumed in the spending of a range of programmes and therefore no reporting is required • However, spent R3,7bn or 73,5% of the R5bn adjusted allocation (including provincial roll-overs) • Transfers received amounted to 75,0% of national allocation • Highest spending: FS (76,9%); WC (75,2%) and MP (75,1%) • Lowest spending: LP (50,9%); NW (61,0%) and EC (65,3%) • Service Delivery Outcome: • Department / Sector to respond

  28. Hospital Revitalisation

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