Question NW272 to the Minister of Health
07 March 2024 - NW272
Hlengwa, Ms MD to ask the Minister of Health
Considering that he recently stated that the salaries of South African doctors are straining his department’s budget and that the department has had several bilateral engagements with the National Treasury to find creative ways to shield the healthcare service and the frontline workforce, and noting that his department has undertaken to place unemployed doctors in public service employment by 1 April 2024, how will his department’s budget be adjusted to account for this?
Reply:
1. Health sector relies on employment of doctors, nurses and other critical posts hence most of the budget is allocated to compensation of employees. Currently in 2023/2024 about 63% of total budget has been allocated to compensation of employees and 64% in 2024/2025 financial year.
2. As reflected during the media briefing hosted on 05/02/2024, we do acknowledge fiscus challenges the country is facing and the impact in the health care system. The Provincial Departments of Health continue to actively engage their Provincial Treasuries to find ways of addressing the unemployment of health professionals, including medical doctors. The ongoing provincial engagements will allow provinces to get leverage of activating the posts that were previous unfunded due to the budget pressures and subsequent austerity measures encountered last year.
Indeed the “several bilateral engagements” with National Treasury have yielded very positive results and become a confirmatory expression that government departments work together to better the lives of the people. On 21st February 2024, the Minister of Finance announced allocation of R848 billion for the health sector which is inclusive of the following obligations:
- Payment of current employees and the impact of the wage bill agreement
- Provision of the health services in all facilities
- Medical equipment
- Maintenance and construction of new facilities
Included in the budget above is an additional budget of R3.7 billion has been allocated towards compensation of employees in the sector for the financial year 2024/25 to address the wage bill increase and recruitment of additional staff including nurses and medical doctors.
As a result of the provincial inter-departmental engagements, Provincial Departments of Health have already advertised 823 since December 2023 and have reported projections of 1103 Medical Officer appointments by 1st April 2024. According to the 09th February 2024 persal print out, 425 Medical Officer appointments were captured for January 2024 of which 371 are Grade 1 category.
END.