Upload
gino
View
87
Download
4
Tags:
Embed Size (px)
DESCRIPTION
Gauteng Department of Health. Presentation to the NCOP on Conditional Grants 11 May 2007. Overview. Budget Trends Pre-audited expenditure Capital and maintenance Monitoring 2007/08 Budget and MTEF. Conditional Grants. National Tertiary Services Grant (NTSG) - PowerPoint PPT Presentation
Citation preview
1
Gauteng Department of Health
Presentation to the NCOP on Conditional Presentation to the NCOP on Conditional GrantsGrants
11 May11 May 2007 2007
2
Overview
Budget Trends Pre-audited expenditure Capital and maintenance Monitoring 2007/08 Budget and MTEF
3
Conditional Grants
National Tertiary Services Grant (NTSG) Health Professions Training and
Development Grant (HPTDG) Revitalisation Grant (Capital) Provincial Infrastructure Grant (Capital) HIV and AIDS Grant Forensic Pathology Services Grant (FPS)
4
2003-2004 2004-2005 % change 2005-2006 % change 2006-2007 %change 2007-2008 %change
AdjustedAdj Bud 2004-
05from 03/04
Final Adjustment
budget from 04-05
Adjustment Budget
from 05-06Original budget
from 06-07
R'000 R'000 % R'000 % R'000 % R'000 %
NationalNational Tertiary Services Grant 1 679 760 1 727 736 2.86% 1 760 465 1.89% 1 866 094 6.00% 1 959 399 5.00%
Health Professions Training and Development Grant 539 330 560 778 3.98% 554 039 -1.20% 554 039 0.00% 581 741 5.00%HIV/AIDS 64 288 134 231 108.80% 185 048 37.86% 270 195 36.56% 399 604 58.14%
Forensic Pathology Services 16 944 82 020 352.97% 83 749Hospital Revitalisation (Capital) 87 939 155 126 76.40% 88 955 -88.43% 415 201 268.19% 503 284 53.66%
Infrastructure Grant (Capital) 47 160 66 458 40.92% 73 955 11.28% 81 549 10.27% 81 699 0.18%Total National 2 614 231 2 675 412 2.34% 2 709 057 3 269 098 3 609 476 14.27%
Conditional Grants
Budget Trends
The allocation for the NTSG and HPTDG has not kept up with CPIX or medical inflation.
5
Conditional Grant
Adjustment Budget
Allocation2006/7
Amount Transferre
d2006/7
YTD Unaudited
expenditure 2006/7
% Spent2006/7
R’000 R’000 R’000 %
National Tertiary Services
R 1 866 094 R1 866 094 R 1 866 094 100 %
Health Professions Training & Development
R 554 039 R 554 039 R 554 039 100 %
HIV and AIDS R 270 195 R270 195 R 270 210 100 %
Revitalisation (Capital Projects)
R 415 219 R 415 219 R 350 797 84 %
Provincial Infrastructure (Capital Projects)
R 81 549 R 81 549 R 81 549 100 %
Forensic Pathology R 82 020 R 82 020 R 66 285 81 %
Pre-audited expenditure at year closure 06/07
6
Conditional Grants Graph
0102030405060708090
100Re
vita
lisat
ion
Prov
incial Inf
rastru
ctur
e
NTSG
HPTG FPS
HIV/
AIDS
Budget
Expenditure
7
2006/07 Expenditure All conditional grants have been spent in full except for
Forensic Pathology Services which has under spent by R8,8 million
Replacement of cold rooms and body cabinets at institutions. equipment not delivered
Vehicles ordered in 06/07 but not delivered by the end of 31 March 2007.
Salary costs for the 1st quarter were paid by SAPS, claim of R3m was received but lower than anticipated
70% of posts filled by August due to delay in recruitment processes.
Delay in the approval of facility projects by National Public Works, DAC gave standing delegations to enable procurement processes to take place without waiting for National.
Emergency repairs on mortuaries done to the value of R4,6m, department received a claim of R164k.
8
2006/07 Expenditure Revitalisation – R63,8 million
During the 06/07 financial year it was reported that there will be an over expenditure on this grant
Projects were scaled down significantly to avoid over expenditure, in some projects Public works negotiated with contractors to stop work where possible without incurring penalties
Although additional funding was received in the 2006/07 Adjustments budget in January 07, it was difficult to bring on track those projects where contractors were stopped this resulted in the under expenditure specifically the revitalisation grant
Applied to Treasury for a roll over of funds.
9
Capital and Maintenance Expenditure
Pre-Audited outcome for 2006/07
Adjustment BudgetR’000
ExpenditureR’000 % spent
Buildings 694 154 610 852 88.00%
Equipment 376 178 310 054 82.42%
Maintenance of facilities 288 878 298 011 103.16%
10
The under-expenditure on buildings relates to the unspent revitalisation and forensic pathology grants
The under-expenditure on equipment is due to commitments incurred during 06/07 but deliveries and payment were not done before year closure as well as less equipment purchased than was budgeted for.
Capital and Maintenance Expenditure
11
Monitoring
Financial Monitoring is done monthly by analysing
reports and verifying information Between Health and Works Within Health between Branches and Directorates Between Health and Treasury Between Gauteng Health and the National Department of
Health Compliance with reporting requirements
Monitoring has been strengthened in 2006/7. Executive Support Programme Manager dealing specifically
with capital expenditure was appointed Project managers have been appointed and they work closely
with the Department of Public Works to monitor projects Financial Manager within the ESPM branch has been appointed
to manage and monitor project spending
12
2007/08 and MTEF Budget
2007/08 BUDGET AND MTEF ALLOCATIONS FOR CAPITAL INFRASTRUCTURE AND EQUIPMENT
Source 2007/08 2008/09 2009/10
R'000 R'000 R'000
Hospital Revitalisation Conditional Grant
503,284
428,54
5
716,267
Provincial Infrastructure Conditional Grant
81,699
86,981
91,329
Equitable Share capital projects
235,683
155,43
6
146,852
Equipment
375,807 268,781 301,381
1,196,473 939,743 1,255,829
13
2007/08 and MTEF Budget
2007/08 BUDGET AND MTEF ALLOCATIONS FOR OTHER CONDITIONAL GRANTS
Source 2007/08 2008/09 2009/10
R'000 R'000 R'000
National Tertiary Services 1,959,399 2,161,529 2,290,054
Health Professions Training 581,741 610,828 614,812
Forensic Pathology Services 83,749 77,472 69,969
HIV and AIDS 399,604 479,502 602,885
14
Challenges
Lack of adequate funding for all capital Infrastructure projects
Lack of due diligence in project implementation and management by project teams characterised by poor delivery, extensions and cost escalations of projects
Insufficient funding for medical equipment and declining budgets in real terms
15
Certified Business Plans 07/08
Grant Business plans
National Tertiary Grant Yes
Health Professions Training and Development Grant
Yes
Revitalisation Grant (Capital) Yes
Provincial Infrastructure Grant (Capital)
Yes
HIV and AIDS Grant Yes
Forensic Pathology Services Grant Yes
16
Thank you