Adjustments Estimate of National Expenditure 2011/12

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ADJUSTMENTS APPROPRIATION BILL 2011

STANDING COMMITTEE ON APPROPRIATIONS

ADJUSTMENTS ESTIMATE OF NATIONAL EXPENDITURE 2011/12

15 NOVEMBER 2011

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Adjustments Estimate of National Expenditure 2011/12

Original budget 2011/12 R25 731 554

Plus: Roll over funds from 2010/11 R 231 314

Plus: Unforeseen and Unavoidable

– Repair of 19 Clinics damaged

by Floods (HIG) R 2 606

Plus: ICS R 2 497

Total Revised budget for 2011/12R25 967 971

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ADJUSTMENT ESTIMATE AMOUNT

ROLL-OVER 231,314,000

IT systems in the renovated Civitas building (Pr. 1) 5,500,000

Advertising services rendered in respect of the Khomanani project (Pr. 3) 7,500,000

Office accommodation in the Civitas building (Pr. 1) 30,000,000

Hospital Revitalization

Gauteng (Pr. 5) 55,500,000

Eastern Cape (Pr. 5) 29,000,000

Tuberculosis prevalence survey (Pr. 3) 3,814,000 Infrastructure planning, Insfractucture Unit Support project and cost of PPP investigations (Pr. 5) 100,000,000

UNFORESEEABLE & UNAVOIDABLE EXPENDITURE 5 103 000

Improvement of Conditions of Services 2,497,000Health Disaster Management Grant: Repair of flood damaged health infrastructure – HIG (Pr. 5) 2,606,000

TOTAL 236,417,000

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Adjustments Estimate of National Expenditure 2011/12: Virements

Vote no. 16Department name: Health

Detail of utilisation of savingsFrom To:Programme Subprogramme Economic ClassificationAmount

R'000 Motivation Programme: Subprogramme Economic Classification

Health Planning and Systems Enablement

International Relations Current payments: Compensation of employees

(955) Attache's appointed late in financial year resulted in underspending.


Sector Procurement Policy Current payments: Compensation of employees

Administration Financial Management Payments for capital assets: Machinery and equipment

(159) Lesser procurement need than anticipated.


Sector Procurement Policy Payments for capital assets: Machinery and equipment

Administration Corporate Services Payments for capital assets: Machinery and equipment

(1,300) Reprioritization to make funds available for essential lab equipment

Primary Health Care Services

Non-Communicable Diseases

Payments for capital assets: Machinery and equipment


Health Information Management, Monitoring and Evaluation






Health Regulation and Compliance Management

Occupational Health Payments for capital assets: Machinery and equipment





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(2 241) Reprioritization to make funds available for essential lab equipment




2 241 Procurement of essential lab equipment.

Approved by Accounting Officer



(577) Attache's appointed late in financial year resulted in underspending



Current payments: Compensation of employees

577 Increase in number of laboratory staff to concur backlog



Technical Policy and Planning Current payments: Compensation of employees

(2 342) Newly created unit - slow progress made in filling of vacancies




2 342 Increase in number of laboratory staff to concur backlog




(500) Newly created unit - slow progress made in filling of vacancies

Administration Corporate Services Current payments: Compensation of employees

500 Staff moved to create a PMDS unit for performance evaluation.








3 153 Cluster is under-funded. Large number of staff qualified for upgrades due to the OSD implementation.




(468) Attache's appointed late in financial year resulted in anticipated underspending




468 Increase in number of laboratory staff to concur backlog






2 000 Additional security staff needed in new building



(100) Reprioritization to fund additional security needs for the Department.


100 Reprioritization to fund additional security needs for the Department.


Hospitals, Tertiary Services and Workforce Development

Human Resource Policy Research and Planning

Current payments: Goods and services

(150) Reprioritization to fund additional security needs for the Department.

Administration Corporate Services Current payments: Goods and services

150 Reprioritization to fund additional security needs for the Department.


Primary Health Care Services Health Promotion and Nutrition Current payments: Goods and services

(6 000) Reprioritization to fund the National Health Insurance Initiative.


National Health Insurance Current payments: Goods and services

6 000 Funding of the National Health Insurance initiative.



Health Human Resources and Workforce Management and Development


(6 000) Reprioritization to fund the National Health Insurance Initiative.





Health Regulation and Compliance Management

Food Control and Regulation Current payments: Goods and services

(1 000) Anticipated underspending will be utilized to fund the National Health Insurance initiative.





HIV and AIDS, TB and Maternal, Child and Women's Health

HIV and AIDS and TB Payments for capital assets: Machinery and equipment

(3 005) Reprioritazation as a result of anticipated underspending on capital funds.


HIV and AIDS and TB Current payments: Compensation of employees

3 005 Partially fund the Datacpturers initiative.



Health Information Management, Monitoring and Evaluation


(120) Function to host the Department Web site was moved from Health Information Management, Monitoring and Evaluation to Corporate Services (Information Communication Directorate)


120 Function to host the Department Web site was moved from Health Information Management, Monitoring and Evaluation to Corporate Services (Information Communication Directorate).


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HIV and AIDS and TB Current payments: Goods and services

(15) Insufficient funds made available for Tuberculosis unit to purchase capital equipment.


HIV and AIDS and TB Payments for capital assets: Machinery and equipment

15 Insufficient funds made available for Tuberculosis unit to purchase capital equipment.


Administration Financial Management Current payments: Compensation of employees

(346) Re-allocation of funds to follow the move of the Risk Management Unit.


346 Re-allocation of funds to follow the move of the Risk Management Unit.


Administration Financial Management Current payments: Goods and services

(100) Re-allocation of funds to follow the move of the Risk Management Unit.


100 Re-allocation of funds to follow the move of the Risk Management Unit.



(86) Internal Audit reprioritized to make funds available to buy essential computer equipment to enable them to meet their operational requirements.


86 Funds will be utilized to purchase essential computer equipment to meet their operational requirements.


- HIV and AIDS, TB and Maternal, Child and Women's Health


(3 500) Reprioritization within the Cluster to make funds available for the essential funding of Lifeline.


HIV and AIDS and TB Current transfers: Non-profit institutions

3 500 Lifeline was requested to run the HCT Nerve Centre based at SANAC office and require additional operational funds.



Maternal, Child and Women's Health

Current transfers: Non-profit institutions

(406) One of the Cluster's NGO partners no longer meets the set requirements for funding, therefor funds needs to be re-appropriated.


Maternal, Child and Women's Health


406 Funds will be utilized for essential operational requirements of the Ckuster.




(8 000) Reprioritazation within the HIV/AIDS cluster to make funds avaiable to fund the MOU signed between the Minister and University of Witwatersrand to educate medical students and improve health service delivery.


Human Resource Policy Research and Planning

Current transfers: Households

8 000 MOU signed with the University of Witwatersrand to educate medical students and improve health service delivery.


- HIV and AIDS, TB and Maternal, Child and Women's Health


(5 000) Reprioritization within Cluster to make funds available for research studies.


HIV and AIDS and TB Current transfers: Universities and technikons

5 000 Transfer to University of Witwatersrand for research studies on Tenovir gel as a microbicide for women to prevent HIV infection.

Approved through Legislature

Administration Management Current payments: Compensation of employees

(1 000) The approval of a severance package for a senior official resulted in unspent compensation funds.

Administration Management Current transfers: Households

1 000 DPSA approved a severance package to a senior official.



(200) Reprioritization to ensure sufficient funds for the payment of a severance package.


200 DPSA approved a severance package to a senior official.






1 000 DPSA approved a severance package to a senior official.


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Summary NDoH per Programme (R’000):

Programme Main Adjustments Adjusted Appropriation Appropriation Appropriation

Pr. 1: Administration 326,071 35,570 361,641Pr. 2: Health Planning and Systems Enablement 160,827 1,799 162,626Pr. 3: HIV and Aids, TB and MCWH 8,026,528 3,314 8,029,842

Pr. 4: Primary Health Care Services730,012 7,578 737,590

Pr. 5: Tertiary Services and Workforce Development 15,962,715 188,956 16,151,671Pr. 6: Health Regulation and Compliance 525,401 -800 524,601Total 25,731,554 236,417 25,967,971

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Summary NDoH per Economic Classification (R’000):

Classification Main Adjustments Adjusted Appropriation Appropriation Appropriation

Compensation of Employees 424,000 3,302 427,302Goods and Services 785,296 125,119 910,415Transfer Payments 24,489,339 105,400 24,594,739Capital Payments 32,919 2,596 35,515Total 25,731,554 236,417 25,967,971

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Programme 1: Administration

Original budget 2011/12 R 326 071

Plus: Roll over

– Civitas rent R 30 000

– IT systems for Civitas R 5 500

Plus: Virement R 70

Revised budget 2011/12 R361 641

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Programme 2: Health Planning and System Enablement

Original budget 2011/12 R160 827

Plus: Roll over R 0

Plus: Virement R 1 799


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Programme 3: HIV and AIDS and MCWH

Original budget 2011/12 R8 026 528

Plus: Roll over

– Advertising services for

Khomanani R 7 500

– TB prevelance survey R 3 814

Plus: VirementR (8 000)

Revised budget 2011/12 R8 029 842

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Programme 4: Primary Health Care Services


Plus: Roll over R 0

Plus: Virement R 6 581

Plus: ICS (Labs) R 997


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Programme 5: Hospital and Tertiary Service and Workforce Management

Original budget 2011/12R15 962 715

Plus: Roll over – HRG – GautengR 55 500

– Eastern Cape R 29 000

– PPP investigations R 100 000

Unforeseen and Unavoidable – 19 Clinics

Flood damagedR 2 606

Plus: VirementR 1 850

Revised budget 2011/12R16 151 671

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Programme 6: Health Regulation and Compliance Management


Plus: Roll over R 0

Plus: Virement R (2 300)

Plus: ICS R 1 500


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NATIONAL DEPARTMENT OF HEALTH

IN YEAR MONITORING REPORT

SEPTEMBER 2011

1515

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DEPARTMENTAL SUMMARY FINANCIAL REPORT

Sub-ProgrammeAdjustment

BudgetR’000

Actual Expenditure

R’000

Funds Available

R’000

% Spent

% Available

1: Administration

361,641

146,958

214,683 41% 59%

2: Health Planning and System Enablement

162,626

43,516

119,110 27% 73%

3: HIV & AIDS, TB and Maternal, Child and Women`s Health

8,029,842

3,934,658

4,095,184 49% 51%

4: Primary Health Care Services

737,590

354,043

383,547 48% 52%

5: Hospitals, Tertiary Services and Workforce Development

16,151,671

8,326,663

7,825,008 52% 48%

6: Health Regulation and Compliance Management

524,601

217,977

306,624 42% 58%

Total

25,967,971

13,023,815

12,944,156 50% 50%

1616

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DEPARTMENTAL SUMMARY FINANCIAL REPORT

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Economic ClassificationAdjustment

Budget R'000

Actual Expenditure

R'000

Funds Available

R'000

% Spent

% Available

Compensation of Employees 427,302

199,429

227,873 47% 53%

Goods and Services 903,553

220,277

683,276 24% 76%

Total Transfers & Subsidies

24,601,601

12,595,911

12,005,690 51% 49%

Payment of Capital Assets

35,515

6,672

28,843 19% 81%

Payment of Financial Assets

-

1,526

-1,526 0% 0%

Total

25,967,971

13,023,815

12,944,156 50% 50%

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SUMMARY: CONDITIONAL GRANTS

Grant

Annual Budget R'000

Amount Transferred

R'000

Amount Spend R'000

Spending in % of Annual

Budget

HIV and Aids 7 492 962 3 749 000 3 035 870 41%

Forensic Pathology 590 380 303 580 290 337 49%

HIG 1 701 856 961 586 647 662 38%

HPTDG 1 977 310 999 654 1 059 428 54%

HRG 4 136 290 2 311 825 1 729 174 42%

NTSG 8 048 878 4 024 434 4 044 463 50%

TOTALS 23,947,676 12,350,079 10,806,934 45%

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SUMMARY: GRANTS PER PROVINCE

Provinces

Annual Budget R'000

Amount Transferred

R'000

Amount Spend R'000


Budget

Eastern Cape 2,398,879 1,199,528 998,104 42%

Free State 1,957,043 1,072,361 871,656 45%

Gauteng 6,114,069 3,094,293 2,854,313 47%

KwaZulu-Natal 4,408,894 2,244,651 2,191,886 50%

Limpopo 1,676,735 885,026 820,804 49%

Mpumalanga 1,219,002 617,779 380,128 31%

Northern Cape 1,035,014 504,613 380,897 37%

North West 1,425,599 789,878 590,651 41%

Western Cape 3,712,441 1,941,950 1,718,495 46%

TOTALS 23,947,676 12,350,079 10,806,934 45%

1919

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HIV AND AIDS GRANT

Provinces

Annual Budget R'000

Amount Transferred

R'000

Amount Spend R'000


Budget

Eastern Cape 864,173 432,086 311,338 36%

Free State 530,440 265,220 175,270 33%

Gauteng 1,620,673 804,663 718,560 44%

KwaZulu-Natal 1,889,427 944,714 870,886 46%

Limpopo 624,909 312,454 293,219 47%

Mpumalanga 490,366 245,184 182,861 37%

Northern Cape 212,923 106,463 62,108 29%

North West 599,437 299,720 179,096 30%

Western Cape 660,614 338,496 242,532 37%

TOTALS 7,492,962 3,749,000 3,035,870 41%

2020

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FORENSIC PATHOLOGY SERVICES GRANT

Provinces

Annual Budget R'000

Amount Transferred

R'000

Amount Spend R'000


Budget

Eastern Cape 73,506 39,140 43,351 59%

Free State 39,451 17,304 14,821 38%

Gauteng 97,966 48,984 47,760 49%

KwaZulu-Natal 161,550 79,795 93,701 58%

Limpopo 42,308 22,100 19,368 46%

Mpumalanga 53,114 26,721 17,133 32%

Northern Cape 24,240 13,000 10,626 44%

North West 28,019 20,010 11,550 41%

Western Cape 70,226 36,526 32,027 46%

TOTALS 590,380 303,580 290,337 49%

2121

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HEALTH INFRASTRUCTURE GRANT

Provinces

Annual Budget R'000

Amount Transferred

R'000

Amount Spend R'000


Budget

Eastern Cape 299,754 163,500 113,004 38%

Free State 129,621 104,018 55,170 43%

Gauteng 142,694 77,832 25,711 18%

KwaZulu-Natal 358,471 195,528 161,508 45%

Limpopo 270,802 147,708 150,522 56%

Mpumalanga 146,368 79,836 41,079 28%

Northern Cape 89,501 48,816 27,832 31%

North West 145,466 79,344 6,611 5%

Western Cape 119,179 65,004 66,225 56%

TOTALS 1,701,856 961,586 647,662 38%

2222

Note: Adjusted Budget: R1 704 462. Expenditure equates to 38%

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HEALTH PROFESSIONS TRAINING AND DEVELOPMENT GRANT

Provinces

Annual Budget R'000

Amount Transferred

R'000

Amount Spend R'000


Budget

Eastern Cape 170,071 85,038 82,019 48%

Free State 124,444 62,220 67,746 54%

Gauteng 690,803 345,402 347,415 50%

KwaZulu-Natal 249,917 124,956 191,632 77%

Limpopo 99,730 66,380 61,922 62%

Mpumalanga 80,718 39,000 30,279 38%

Northern Cape 65,510 28,600 27,452 42%

North West 88,323 44,160 47,065 53%

Western Cape 407,794 203,898 203,898 50%

TOTALS 1,977,310 999,654 1,059,428 54%

2323

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HOSPITAL REVITALIZATION GRANT

Provinces

Annual Budget R'000

Amount Transferred

R'000

Amount Spend R'000


Budget

Eastern Cape 382,048 175,102 138,721 36%

Free State 417,883 265,999 188,692 45%

Gauteng 801,965 437,430 313,802 39%

KwaZulu-Natal 547,698 298,740 268,492 49%

Limpopo 371,672 202,728 140,951 38%

Mpumalanga 356,557 181,096 68,580 19%

Northern Cape 406,892 189,762 154,156 38%

North West 370,074 249,504 253,997 69%

Western Cape 481,501 311,464 201,783 42%

TOTALS 4,136,290 2,311,825 1,729,174 42%

2424

Note: Adjusted Budget: R4 220 790. Spending equates to 41%

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NATIONAL TERTIARY SERVICES GRANT

Provinces

Annual Budget R'000

Amount Transferred

R'000

Amount Spend R'000


Budget

Eastern Cape 609,327 304,662 309,671 51%

Free State 715,204 357,600 369,957 52%

Gauteng 2,759,968 1,379,982 1,401,065 51%

KwaZulu-Natal 1,201,831 600,918 605,667 50%

Limpopo 267,314 133,656 154,822 58%

Mpumalanga 91,879 45,942 40,196 44%

Northern Cape 235,948 117,972 98,723 42%

North West 194,280 97,140 92,332 48%

Western Cape 1,973,127 986,562 972,030 49%

TOTALS 8,048,878 4,024,434 4,044,463 50%

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Adjustments Estimate of National Expenditure 2011/12

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