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NATIONAL DEPARTMENT OF HEALTH

NATIONAL DEPARTMENT OF HEALTH. PRESENTATION TO THE SELECT COMMITTEE ON APPROPRIATIONS. 28 MAY 2010. INTRODUCTION. The Department takes note of the Appropriation Bill and its contents and prescripts. The Health Department falls under Schedule 2, Vote 15 on page 15 of the Appropriation Bill.

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NATIONAL DEPARTMENT OF HEALTH

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  1. NATIONAL DEPARTMENT OF HEALTH PRESENTATION TO THE SELECT COMMITTEE ON APPROPRIATIONS. 28 MAY 2010

  2. INTRODUCTION • The Department takes note of the Appropriation Bill and its contents and prescripts. • The Health Department falls under Schedule 2, Vote 15 on page 15 of the Appropriation Bill.

  3. INTRODUCTION Continued. • The aim of the Health Department is to promote the health of all people in South Africa through an accessible, caring and high quality health system based on the primary health care approach.

  4. IMPLEMETING PROGRAMMES • In order for the Department to achieve its mandate and aim as indicated, six (6) programmes are in place for the implementation of agreed objectives and targets in the Department’s five year Strategic Plan and the 2010/10 Annual Performance Plan. • The total allocation for 2010/11 is R21,497 billion.

  5. IMPLEMETING PROGRAMMES ALLOCATIONS

  6. 2009/10 – 2010/11 COMPARATIVE

  7. 2010/11 ALLOCATIONS • The increase in the 2010/11 allocations are mainly on the following areas : • Improvement of Conditions of services • HIV and AIDS expanded treatment programme conditional grant and • Hospital Revitalization grant for WC. • Inflation rate. • 91% of the allocation is for Conditional grants transfers to provinces.

  8. 2010/11 ALLOCATIONS • The Department acknowledges that Treasury has limited funds. • There are budget pressures that will have a negative impact on achieving set goals and objectives in specific under the Compensation of Employees funding, which is inadequate.

  9. 2009/10 EXPENDITURE OUTCOME • The final appropriation for the National Department of Health for the year 2009/10 was R18 billion. • Of the R18 billion appropriated, an amount of R16,7 billion is a provision for Conditional Grants. This is 91% of the total allocation for Vote 15. • Actual total expenditure amounted to R17,9 billion which is 98% of the appropriated amount. • Under expenditure amounted to R457 million which is 2% of the total appropriated.

  10. ECONOMIC CLASSIFICATION

  11. PROGRAMMES EXCLUDING CONDITIONAL GRANT

  12. PROGRAMMES INCLUDING CONDITIONAL GRANTS

  13. SUMMARISED REASONS FOR UNDERSPENDING • The under spending of R4,7m (2%) in Programme 1 was due to the delays experienced in the relocation to the newly upgraded Civitas Building resultant from incomplete processes between the contractors and the Public Works Department. Although the funds are committed, the payments could not be made during the year. • Programme 2 under spent by R26m (0.46%) due to the delayed delivery of a portion of the H1N1 vaccines procured out of the country, as well as pending court case for the construction of a mortuary for the Forensic Pathology Services Conditional grant at in Northern Cape (R10.2m).

  14. SUMMARISED REASONS FOR UNDERSPENDING • Programme 3 under spent by R11m (2.64%) due to the late commitment of funds for the 2010 EMS capital equipment for the readiness at some provincial level. • Programme 5 under spent by R402.389m (4%) due to the delays in the construction processes of revitalization of hospitals. Further details are in slides 16 -18 of the presentation under conditional grants. • The under expenditure in Programme 6 amounting to R5,2m (6%) was attributed to outstanding accounts to be claimed from the Department of International Corporations and Relations.

  15. ROLLOVERS FROM 2009-10 TO 2010-11 • The National Department of Health requested Roll-over to the amount of R414m as follows: • Payment for the Capital Assets R14,m for the purchase of IT equipment, including Cisco network equipments, as well as furniture and communication equipment for the newly renovated Civitas building. Also to cover capital expenses for the 2010 EMS unit. • Transfers of withheld funds for the Hospital Revitalization grant amounting to R381,6m. • Goods and Services for the amount of R18m to be used for PHC facilities audit , TB Day and H1N1 vaccines.

  16. CONCLUSION • The Department takes cognizance that under expenditure is not a desirable outcome, however, in some instances, controls had to be put in place to ensure compliance with legislation such as the PFMA and Supply Chain regulations, which unfortunately resulted in the under expenditure. • The funds are however committed and will be spent as soon as the requested roll over is approved.

  17. NATIONAL DEPARTMENT OF HEALTH The End

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