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Select Committee on Finance and Appropriations National Council of Provinces Presented by:

Provincial Budgets and Expenditure as at 30 June 2009 (2009/10 Financial Year) [Section 32 of PFMA]. Select Committee on Finance and Appropriations National Council of Provinces Presented by: Intergovernmental Relations National Treasury 18 September 2009. Key highlights (1).

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Select Committee on Finance and Appropriations National Council of Provinces Presented by:

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  1. Provincial Budgets and Expenditureas at 30 June 2009(2009/10 Financial Year)[Section 32 of PFMA] Select Committee on Finance and Appropriations National Council of Provinces Presented by: Intergovernmental Relations National Treasury 18 September 2009

  2. Key highlights (1) • The presentation covers provincial spending as at 30 June 2009 (first quarter) • Based on Section 40(4) PFMA reports (IYM) submitted by PTs • Published in Government Gazette on 30 July 2009 • Press Release published on 14 August 2009 • Health at 28.3% of total provincial budgets • 7 provinces projecting to overspend their health budgets (EC – R727.9m, KZN – R486m, LP – R478.9m, MP – R350.3m) • Capital - Provinces spent R1.6bn or 21.2% which is 39.5% compared to the same period in 2008/09 • Spending against budgets on health conditional grants is 19.3% excluding schedule 4 grants

  3. Health (1) • Spending at R20.9bn or 25.4% against R82.4bn main budget • 7 provinces projecting to overspend their main budgets • EC – R727.9m, KZN – R486m, LP – R478.9m, MP – R350.3m • Increase of R3.8bn or 22.2% compared to the previous year • Low rate of health spending in FS (22.1%) and LP (22.2%) • EC (28.3%) and MP (27.9%) reflects the highest rate of spending in health • Health Personnel spending at R11.4bn or 24.7% (R46bn main budget) • Goods and Services spending at R7bn or 27.9% of R25.2bn budget • Projected overspending of R1.3bn in 6 provinces • KZN – R518.9m, MP – R336.1m, LP – R278.3m, FS – R159.3m • Capital spending at R1.6bn or 21.2% of R7.8bn budget • Increase of 39.5% compared to spending over the same period last year • Low rate of capital spending in NC (14.2%) and LP (15.2%) • NW, KZN (both at 30.6%) and MP (26.5%) reflects the highest rate of capital spending in health

  4. Health (2)

  5. Health: Programme Analyses • Programme 2: Provincial District Health Services • Spending at R8.4bn or 24.9% of R33.9bn main budget • Projected over-expenditure of R1.4bn in 6 provinces • LP – R408.7m, KZN – R369.1m, EC – R360.1m • Lowest rate of spending in GP (21.4%) and NC (22.2%) • Highest in EC (29.4%) and MP (29.3%) • Programme 4: Provincial Hospital Services • Spending at R4.8bn or 25.8% of R18.6bn main budget • Projected over-expenditure of R873.9m in 6 provinces • EC – R429.2m, KZN – R243.9m • Lowest rate of spending in WC (18.7%) and NC (22.5%) • Highest in EC (30.6%) and KZN (28.2%) • Programme 5: Central Hospital Services • Spending at R3.2bn or 28.9% of R11bn main budget • Projected over-expenditure of R515.8m in 4 provinces • KZN – R369.1m, WC – R65.8m, MP – R46.9m • Lowest rate of spending in NW (17.2%) and LP (22.2%) • Highest in WC (32.6%) and KZN (31.3%)

  6. Health: District Services

  7. Health: Hospital Services

  8. Health: Central Hospital Services

  9. Health: Personnel

  10. Health: Goods and Services

  11. Health: Capital Capital spending at R1.6bn or 21.2% of R7.8bn budget • Increase of 39.5% compared to spending over the same period last year • Low rate of capital spending in NC (14.2%) and LP (15.2%) • NW, KZN (both at 30.6%) and MP (26.5%) reflects the highest rate of capital spending in health

  12. Conditional Grants

  13. Conditional Grants: OutcomesHealth – 2008/09 • Free Sate problems with ART roll out. • KZN overspent, however in the previous year, R100 million was withheld and reallocated to other provinces • Two contractors in Western Cape went bankrupt, hence the delay – unspent funds to be rolled over

  14. Conditional Grants: OutcomesHealth – 2008/09 • Poor performance by contractors in Mpumalanga • R171 million to be rolled over in Western Cape, due to project delays experienced in Mitchell’s plain and Khayelitsha hospital

  15. Conditional Grants • The total conditional grant allocation is R49.3bn (including Schedule 4 and 8 grants) with health making up the bulk at R15.6bn • Specific health grants that show low rates of spending include: • Health Disaster Response (Cholera) (2.1%) • Hospital Revitalisation (18.7%) • Comprehensive HIV and AIDS (19%)

  16. HIV and AIDS

  17. Hospital Revitalisation

  18. Conditional Grants – Spending Rates

  19. THANK YOUTHANK YOU THANK YOU

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