Question NW1029 to the Minister of Health
18 June 2020 - NW1029
Ismail, Ms H to ask the Minister of Health
(1)What oversight measuring tools does his department use to ensure that provincial health departments use the monies allocated to them adequately and appropriately; (2) whether he has found that each provincial department of health has used the allocated monies adequately in the past three financial years; if not, what is the position in this regard; if so, what are the relevant details?
Reply:
1. The oversight measuring tools to strengthen health system effectiveness based on the use of cost-effective interventions that are rendered at an appropriate level of the health system, the Provincial Health Departments report monthly, quarterly, half yearly and annually to National Department as per Public Finance Management Act No.1 of 1999 as amended, section 40. The reports entails In-Year Monitoring, Division of Revenue Act (Conditional Grants) and Pre-determined sets of Non Negotiables.
The reports are tabled and discussed through the National Health Chief Financial Officers Forum, Technical National Health Council and National Health Council.
2. Yes, the allocated funds were used adequately.
The Provincial Departments of health spending for the past three years are as follows;
EASTERN CAPE
ll Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Qualified |
Financially Unqualified |
Financially Unqualified |
Financially Unqualified |
Qualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
24 026 752 |
22 337 081 |
20 650 214 |
19 033 530 |
17 714 926 |
Actual Expenditure |
24 472 665 |
22 275 458 |
20 506 290 |
18 957 776 |
17 549 854 |
Employee Compensation |
15 980 940 |
14 558 949 |
13 454 333 |
12 562 282 |
11 576 335 |
Goods and Services |
6 110 829 |
5 784 042 |
5 206 207 |
4 522 995 |
4 595 261 |
Capital Assets |
1 287 172 |
1 236 256 |
1 277 587 |
1 280 152 |
1 020 742 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
- |
- |
- |
- |
90 403 |
Irregular Expenditure |
295 570 |
176 117 |
241 |
946 |
91 209 |
Fruitless & Wasteful Expenditure |
1 224 |
998 |
6 855 |
2 161 |
1 819 |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
48 005 |
52 246 |
45 140 |
45 140 |
43 210 |
Posts Filled |
41 519 |
40 424 |
40 282 |
40 225 |
39 216 |
|
|||||
SOURCE |
FREE STATE
Financial Information
All Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Qualified |
Financially Unqualified |
Financially Unqualified |
Qualified |
Qualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
10 381 697 |
9 738 931 |
9 043 067 |
8 728 675 |
8 327 177 |
Actual Expenditure |
10 238 606 |
9 801 950 |
9 077 195 |
8 694 952 |
8 293 755 |
Employee Compensation |
6 678 866 |
6 262 519 |
5 814 798 |
5 539 463 |
5 258 723 |
Goods and Services |
2 586 120 |
2 647 858 |
2 365 315 |
2 375 189 |
2 287 592 |
Capital Assets |
686 059 |
654 221 |
714 398 |
621 435 |
648 642 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
- |
140 791 |
67 634 |
31 814 |
11 167 |
Irregular Expenditure |
359 511 |
324 525 |
300 966 |
56 055 |
16 707 |
Fruitless & Wasteful Expenditure |
32 910 |
1 171 |
662 |
691 |
7 966 |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
22 902 |
21 629 |
21 596 |
20 952 |
23 930 |
Posts Filled |
17 781 |
17 371 |
17 329 |
17 810 |
17 916 |
|
|||||
SOURCE |
GAUTENG
Financial Information
All Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Financially Unqualified |
Financially Unqualified |
Financially Unqualified |
Financially Unqualified |
Qualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
47 543 133 |
42 739 750 |
38 192 111 |
35 816 383 |
32 015 230 |
Actual Expenditure |
46 010 560 |
42 013 459 |
37 440 067 |
34 864 555 |
31 005 212 |
Employee Compensation |
26 902 299 |
25 085 331 |
23 289 574 |
20 648 000 |
18 654 909 |
Goods and Services |
15 229 603 |
13 583 390 |
11 078 374 |
11 257 325 |
9 735 281 |
Capital Assets |
1 572 106 |
1 476 113 |
1 582 158 |
1 481 189 |
1 031 499 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
- |
- |
- |
- |
- |
Irregular Expenditure |
2 292 068 |
1 352 204 |
1 860 020 |
493 155 |
- |
Fruitless & Wasteful Expenditure |
26 682 |
37 918 |
- |
7 433 |
159 759 |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
72 244 |
71 943 |
72 894 |
73 199 |
n/a |
Posts Filled |
63 962 |
66 124 |
67 467 |
65 118 |
n/a |
|
|||||
SOURCE |
KWAZULU-NATAL
Financial Information
All Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Qualified |
Qualified |
Qualified |
Qualified |
Qualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
42 850 312 |
40 228 250 |
37 337 104 |
34 213 586 |
31 409 398 |
Actual Expenditure |
42 549 830 |
39 911 321 |
37 026 397 |
34 110 724 |
31 245 510 |
Employee Compensation |
26 336 189 |
24 614 793 |
23 354 896 |
21 793 160 |
20 014 422 |
Goods and Services |
13 342 400 |
12 343 292 |
11 382 844 |
10 105 233 |
8 895 999 |
Capital Assets |
1 758 330 |
1 592 882 |
1 106 314 |
1 257 629 |
1 505 879 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
14 248 |
- |
18 997 |
147 119 |
127 693 |
Irregular Expenditure |
2 977 103 |
1 464 342 |
1 325 084 |
1 257 484 |
708 803 |
Fruitless & Wasteful Expenditure |
6 089 |
3 186 |
5 763 |
5 117 |
3 033 |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
n/a |
74 080 |
79 087 |
78 669 |
81 226 |
Posts Filled |
n/a |
68 125 |
69 924 |
72 078 |
71 257 |
|
|||||
SOURCE |
LIMPOPO
Financial Information
All Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Qualified |
Qualified |
Qualified |
Qualified |
Financially Unqualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
19 801 784 |
18 609 439 |
17 300 715 |
15 501 794 |
14 618 588 |
Actual Expenditure |
19 722 686 |
18 389 158 |
17 217 613 |
15 432 088 |
14 526 110 |
Employee Compensation |
14 199 041 |
12 978 967 |
12 218 486 |
11 352 270 |
10 336 806 |
Goods and Services |
4 839 161 |
4 259 771 |
3 785 515 |
3 012 337 |
3 122 861 |
Capital Assets |
425 597 |
457 016 |
421 877 |
499 136 |
493 679 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
- |
- |
- |
- |
- |
Irregular Expenditure |
80 243 |
165 956 |
217 342 |
259 062 |
544 881 |
Fruitless & Wasteful Expenditure |
1 728 |
3 523 |
3 378 |
15 901 |
43 356 |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
64 343 |
63 460 |
63 640 |
63 460 |
63 460 |
Posts Filled |
32 908 |
33 848 |
34 613 |
35 552 |
35 202 |
|
|||||
SOURCE |
MPUMALANGA
Financial Information
All Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Qualified |
Qualified |
Qualified |
Qualified |
Qualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
13 119 591 |
12 160 053 |
10 611 965 |
10 163 902 |
9 045 682 |
Actual Expenditure |
13 055 943 |
12 083 013 |
10 579 880 |
10 080 392 |
8 879 292 |
Employee Compensation |
7 662 953 |
7 217 105 |
6 686 678 |
6 102 017 |
5 537 663 |
Goods and Services |
3 913 891 |
3 439 974 |
3 064 888 |
2 902 264 |
2 639 473 |
Capital Assets |
1 028 712 |
1 057 356 |
509 496 |
595 955 |
434 074 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
- |
33 999 |
- |
- |
190 115 |
Irregular Expenditure |
138 899 |
309 920 |
1 552 623 |
1 919 578 |
1 918 896 |
Fruitless & Wasteful Expenditure |
487 |
317 |
2 306 |
1 007 |
3 614 |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
22 338 |
22 516 |
21 970 |
21 670 |
31 277 |
Posts Filled |
20 412 |
20 421 |
20 288 |
20 090 |
19 244 |
|
|||||
SOURCE |
|||||
Note |
NORTH WEST
Financial Information
All Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Qualified |
Qualified |
Qualified |
Qualified |
Financially Unqualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
n/a |
10 600 197 |
9 681 617 |
9 199 705 |
8 184 743 |
Actual Expenditure |
n/a |
10 303 417 |
9 767 254 |
9 042 677 |
8 372 853 |
Employee Compensation |
n/a |
6 412 002 |
6 051 077 |
5 609 901 |
5 389 881 |
Goods and Services |
n/a |
3 005 112 |
2 802 201 |
2 581 210 |
2 286 569 |
Capital Assets |
n/a |
641 097 |
600 349 |
675 411 |
579 777 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
n/a |
- |
99 647 |
- |
262 564 |
Irregular Expenditure |
n/a |
880 911 |
682 777 |
696 654 |
763 834 |
Fruitless & Wasteful Expenditure |
n/a |
1 770 |
1 501 |
15 254 |
20 374 |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
n/a |
21 809 |
21 357 |
21 334 |
21 103 |
Posts Filled |
n/a |
17 536 |
17 310 |
17 946 |
18 929 |
|
|||||
SOURCE |
n/a |
||||
Note |
NORTHERN CAPE
Financial Information
All Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Qualified |
Qualified |
Qualified |
Qualified |
Qualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
4 858 837 |
4 631 443 |
4 494 185 |
4 228 961 |
3 758 130 |
Actual Expenditure |
4 839 637 |
4 567 470 |
4 369 138 |
4 168 520 |
3 714 324 |
Employee Compensation |
2 804 762 |
2 572 131 |
2 322 039 |
2 150 712 |
1 936 740 |
Goods and Services |
1 627 617 |
1 452 145 |
1 479 782 |
1 317 295 |
1 150 049 |
Capital Assets |
350 015 |
480 835 |
395 290 |
583 256 |
486 084 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
1 261 |
100 296 |
51 576 |
92 790 |
91 636 |
Irregular Expenditure |
714 939 |
412 379 |
574 183 |
805 906 |
537 169 |
Fruitless & Wasteful Expenditure |
5 394 |
5 270 |
10 537 |
4 392 |
6 212 |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
7 533 |
7 196 |
7 703 |
9 020 |
8 929 |
Posts Filled |
6 828 |
6 924 |
6 882 |
6 840 |
6 694 |
|
|||||
SOURCE |
|||||
Note |
WESTERN CAPE
Financial Information
All Financial Values: R'000 |
2018/19 |
2017/18 |
2016/17 |
2015/16 |
2014/15 |
|
|||||
AUDIT OUTCOME |
Clean Audit |
Financially Unqualified |
Financially Unqualified |
Financially Unqualified |
Financially Unqualified |
|
|||||
APPROPRIATION STATEMENT |
|||||
Total Final Appropriation |
23 215 861 |
21 738 171 |
20 234 419 |
19 154 794 |
17 552 380 |
Actual Expenditure |
23 045 811 |
21 498 184 |
20 080 640 |
18 740 193 |
17 307 548 |
Employee Compensation |
13 515 392 |
12 660 391 |
11 833 864 |
10 949 652 |
10 072 353 |
Goods and Services |
7 219 595 |
6 892 429 |
6 457 483 |
5 976 263 |
5 510 960 |
Capital Assets |
1 004 040 |
751 434 |
784 560 |
747 064 |
746 805 |
|
|||||
UIFW EXPENDITURE |
|||||
Unauthorised Expenditure |
- |
- |
- |
- |
- |
Irregular Expenditure |
12 886 |
23 553 |
11 330 |
7 284 |
24 426 |
Fruitless & Wasteful Expenditure |
- |
- |
7 |
- |
- |
|
|||||
HUMAN RESOURCES |
|||||
Posts Approved |
33 857 |
33 018 |
32 626 |
33 055 |
33 190 |
Posts Filled |
31 914 |
31 549 |
31 463 |
31 432 |
31 267 |
|
|||||
SOURCE |
END.