Conditional Grants Presentation

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Conditional Grants Presentation

• Northern Cape
• Province

Select Committee on Finance Tuesday 07th June
2005
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Vision

• Health service excellence for all.

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Mission

• Empowered by the Peoples Contract, we are
  committed to provide quality health care
  services we will promote a healthy society in
  which we care for one another and take
  responsibility for our health our caring,
  multi-skilled professionals will integrate
  comprehensive services, using evidence-based
  care-strategies and partnerships to maximise
  efficiencies for the benefit of all.

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Trends in Allocations
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Trends in Allocations

• The conditional grants increase at a dramatic
  rate over the six year period indicated above.
• The first MTEF period (2002/03 2004/05) shows a
  overall increase of 67.
• The main contributors to this increase are the
  Hospital Revitalisation and comprehensive HIV
  AIDS grants.
• The decrease in Integrated Nutrition Programme is
  because of the Primary School Nutrition component
  being managed by the Department of Education from
  2004/05.

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Trends in Allocations

• The second MTEF period (2004/05 2007/08) shows
  an overall increase of 166.
• The other grant that show a dramatic increase of
  208 is the National Tertiary Services grant.
• The Integrated Nutrition Programme is phased out
  in 2006/07.

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Conditional Grants Expenditure Performance
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Conditional Grants Expenditure Performance
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Conditional Grants Expenditure Performance

• The Department spent all its conditional grants
  in 2002/03 except the small under-expenditure of
  1.8 on the Hospital Revitalisation.

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Conditional Grants Expenditure Performance
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Conditional Grants Expenditure Performance
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Conditional Grants Expenditure Performance

• The under spending on capital is mainly because
  of the following
• Delays by Public Works with the tendering process
  (eg advertisement, adjudication and awarding of
  contracts)
• Lack of appropriate skills and capacity in Public
  Works.
• The revision of the designs to include the
  requirements of the Health and Pharmaceutical
  Acts.
• Lack of business principles by contractors
  resulting in cash flow problems and delays in
  completion of contracts.

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Conditional Grants Expenditure Performance

• No reference bench marks of design exist
  nationally on the Mental Health facility as no
  new facility has been built in more than the last
  two decades.
• The availability of material in the rural areas
  poses a challenge for the timely completion of
  projects.

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Conditional Grants Expenditure Performance

• Remedial Measures
• Formal establishment of the Departmental project
  office to maintain pressure on implementation
  process rendered by the Department of Public
  Works.
• Appoint appropriate technical assistance to
  render advise for the management of cash flow,
  the resources and time management.
• Delegation of the tender processes to the
  Departments as part of their Supply Chain
  Management.
• Capacity of contractors to be categorised into
  their appropriate levels of capacity.

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Conditional Grants Expenditure Performance
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Conditional Grants Expenditure Performance
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Monthly Reports

• The Northern Cape Department of Health is the
  receiving Department and does not transfer
  grants to other departments or institutions.

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Hospital Revitalisation

• Number of hospitals completed on the programme -
  2
• Each completed hospital should have achieved
  modernized infrastructure, up to date equipment,
  improved management systems and quality assurance
  systems.

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Economic spin offs

• Unemployment in the Northern Cape is high.
• Revitalisation projects assists in improving the
  economic climate
• Multi procurement policy
• Capacity building

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Submission of Business Cases 2005/06

• Business Cases have been submitted

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THANK YOU