GAUTENG: HEALTH

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GAUTENG HEALTH

• CONDITIONAL GRANTS
• 7 June 2005

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2004-05Conditional Grants

• National Tertiary Grant
• Health Professions Training and Development Grant
• Revitalisation Grant (Capital)
• Provincial Infrastructure Grant (Capital)
• HIV/AIDS Grant
• Integrated Nutrition Grant
• Hospital Quality and Management Improvement Grant

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Budget allocation trends
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National Tertiary Service Grant
Issue 2003-04 2004-05
Transfers from National Monthly Monthly
Budget / Amount Transferred R1 676 760 000 R1 727 736 000
Spending Total Budget spent Total Budget spent
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Health Professions Training Grant
Issue 2003-04 2004-05
Transfers from National Monthly Monthly
Budget / Amount Transferred R539 330 000 R560 778 000
Spending Total Budget spent Total Budget spent
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Integrated Nutrition Programme
Issue 2003-04 2004-05
Transfers from National Quarterly Quarterly
Budget / Amount Transferred R74 273 000 10 307 000
Spending Total Budget spent R9.8 million spent
The Integrated Nutrition Programme was shifted to
Education from 1 April 2004 thus the reduced
allocation per head
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Hospital Management and Quality Improvement Grant
Issue 2003-04 2004-05
Transfers from National Quarterly Quarterly
Budget / Amount Transferred R29 125 000 R20 776 000 R15 582 000
Spending Total Budget spent Total Budget spent
R5,194million was transferred by National
department on the 31 March 2005 but accounted for
in the books of Provincial department on the 1st
April 2005.
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HIV/AIDS Grant
Issue 2003-04 2004-05
Transfers from National Quarterly Monthly
Budget / Amount Transferred R64 288 000 R134 231 000
Spending Total Budget spent R134 million
There was an under-expenditure of R231 000 during
2004-05. This artificial and is mainly due to
unprocessed journals at year-end.
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Revitalisation Grant
Issue 2003-04 2004-05
Transfers from National Monthly Monthly
Budget / Amount Transferred R87 939 000 R155 126 000
Spending Total Budget spent R61.2million
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Revitalisation Grant

• Approval was received from the National
  Department of Health to utilize R90 million of
  the Revitalisation grant for the New Pretoria
  Academic hospital.
• A request for the roll-over of the full amount
  has been submitted to Gauteng Treasury

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Provincial Infrastructure Grant
Issue 2003-04 2004-05
Transfers from National Quarterly Quarterly
Budget / Amount Transferred R47 160 000 R66 458 000
Spending Total Budget spent R57.6million
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Infrastructure Grant

• R8,8 million was not spent during 2004-05.
• The whole amount was however committed during
  2004-05 and expenditure will take place in
  2005-06.
• A request was submitted to Gauteng Treasury for
  the roll-over of the full unspent amount.

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Expenditure vs. Budget
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Budget vs. expenditure
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Monitoring

• Financial
• Monitoring done on different management levels
• Compliance with reporting requirements
• Performance
• Compliance with reporting requirements
• No qualification from Auditor General on
  conditional grants for 2003-04
• Will be further strengthened during 2005/6

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Reporting

• Financial Reporting
• Report done on template provided by National
  Treasury
• Finalised and submitted every month on the dates
  stipulated by the DORA (15th of each month)
• Performance Report
• Submitted quarterly as required
• Other ad hoc

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Local Government

• Local Government (LG) provides Primary Health
  Care Services at LG clinics on an agency basis
• Provincial health provides funding.
• Cash subsidy by means of transfer payments
• Pharmaceuticals
• Payments for the Cost of Laboratory tests
• Local Government reports monthly by means of a
  certificate.

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Challenges

• Accuracy and reliability of data
• Allocations do not take cross border flow of
  patients into consideration
• Range of eligible services provided at each
  institution exceed grant allocations
• Complex nature of Gauteng, means that some
  services e.g. renal dialysis provided by some
  regional hospitals which are not funded
• Psychiatric tertiary services not funded

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• Thank you