Presentation to the Health Portfolio Committee

Free State Department of Health

Dr V L Litlhakanyane13 May 2002

Introduction

-VISION

A healthy and self reliant Free State Community

INTRODUCTION Cont.

MISSION- Provide a quality, accessible, and comprehensive

Health Care Service to the Free State community,- Optimally utilises health care resources to

provide a caring and compassionate service,- Endevours to empower and develop all personnel

and stakeholders to the best of their potential.

INTRODUCTION Cont.

CORPORATE GOALSReduce the burden of HIV/AIDS and TBEffective and efficient manage resourcesImplement functional DHSEffective marketing of services and communicationDevelop personnel & stakeholdersProvide appropriate infrastructureAccessible and quality services at all levels

STRATEGIC PLAN DELIVERY MODEL

Funding throughprogrammes1 Administrationt

2 DHS

3 Regional Hospitals

4 Academic

5 Health Sciences

6 Support Services

7 Facilities & Capital

8 Supernumerary

Corporate Business Plan

Clinical HealthServices

Finance HealthSupport

Integrated Delivery Plans

Department Strategic Plan

OperationalFunctions

OperationalFunctions

OperationalFunctions

Expenditure 2001/2002

Expenditure per Programme

Programmes Budget 2001/2002

Actual Expenditure 2001/2002

Under (Over) Expenditure 2001/2002

%

Health Administration

78,731 90,242 (11,511) 114.62

District Health Services

742,167 777,354 (35,187) 104.74

Regional and Specialised Hospitals

566,794 583,710 (16,916) 102.98

Central Hospital Services

383,244 395,711 (12,467) 103.25

Health Sciences 59,979 63,660 (3.681) 106.14

Health Care Support Services

22,045 28,579 (6,534) 129.64

Health Facilities and Capital

Stock

59,970 35,359 24,611 58.96

Supernumerary Staff

78,322 73,798 4,524 94.22

Internal Charges (20,776) (19,770) (1,006) 95.16

Authorised Losses

0 11,076 11,076 0

Totals 1,970,476 2,039,719 (69,243) 103.51

Expenditure 2001/2002

Expenditure per Standard Item

Programmes Budget 2001/2002

Actual Expenditure 2001/2002

Under (Over) Expenditure 2001/2002

%

Personnel Expenditure

1,241,217 1,270,115 (28,898) 102.33

Administrative Expenditure

58,999 69,308 (10,309) 117.47

Stores & Livestock

297,266 324,380 (27,114) 109.12

Equipment 119,650 137,002 (17,352) 114.50

Land and Buildings

21 6 15 30.50

Professional and Specialised

Services

144,825 127,081 17,744 87.75

Transfer Payments

108,497 100,115 8,382 92.28

Miscellaneous 1 11,712 (11,711) 0

Totals 1,970,476 2,039,719 (69,243) 103.51

 

ACHIEVEMENTS

Filling of critical posts Drastic improvement in medicines and

consumables availability New and replacement equipment Increased access to services EMS personnel and vehicles Reduction in cataract operation backlog Rehabilitation services improvement

Financial Outlook

Departmental Receipts

Revenue items R thousand

Revenue generated1998/99 1999/00 2000/01

 2001/02

Projected Projected Projected2002/03 2003/04 2004/05

Patient fees

 Other  

35,825 

8,956

30,531 

8,860

40,994 

10,128

49,254 

17,854

58,476 

908

61,090 

946

63,827 

991

Total 

44,781 39,391 51,122 67,108 59,384 62,036 64,818

Budgets

An overview

Budgets  2001/2002 2002/2003

‘0002003/2004

‘0002004/2005

‘000

Final Totals for the Health Vote

1,879,973 2,052,681 2,163,690 2,312,570

- Equitable Share

1,475,549Baseline

Figure

1,428,188 1,482,527 1,539,469

- Own Revenue

- 68,015 76,245 85,030

- Conditional grants

404,424 556,478 604,918 688,071

MTEF

Graphs Graphs

DOH EXPENDITURE TRENDS 1999-2005

0

10

20

30

40

50

60

70

80

1999 2000 2001 2002 B/2003 B/2004 B/2005

FINANCIAL YEARS

PE

RC

EN

TA

GE

OF

TO

TA

L

PERSONNEL

ADMINISTRATION

STORES AND LIVESTOCK

EQUIPMENT

PROF. AND SPEC.SERVICES

TRANSFER PAYMENTS

Conditional Grants

  Allocated Budget

2001/2002‘000

Actual Expenditure2001/2002

‘000

Allocated Budget

2002/2003‘000

MTEF2003/2004

‘000

MTEF2004/2005

‘000

- Totals - Conditional grants

446,260 408,681 556,478 604,918 688,071

- National Tertiary services Grant

249,813 249,813 287,424

327,915 373,245

- Professional Training Dev

88,367 88,367 88,192 87,763 87,565

Development          

- PSNP 39,394 30,345 39,394 39,394 41,758

Hospital Rehabilitation

32,470 28,083 17,000 17,765 18,831

- HIV/AIDS 4,716 3,767 13,953 22,131 30,605

- Provincial Conditional Grant

- - 35,000 45,000 75,000

- Infrastructure Grant 7,000 3,511 18,000 28,000 29,260

- Infrastructure Grant (Floods)

20,500 3,765 14,210 5,145 0

- Supplementary Allocation

- - 29,852 29,374 29,242

- Financial Management

4,000 1,030 2,453 2,431 2,565

- Hospital Management Improvement Grant

- - 11,000 0 0

EQUITY

Interprovincial inequityReview of highly specialised services

Intraprovincial inequityNew municipal demarcationDHERFormulaReview of staff establishmentsCommunity serviceRural Health

Other Issues

- Public Private Partnerships

- HIV/AIDS

CONCLUSION

3,5% Over expenditure in 2001/2 mainly due to equipment and stores and livestock

30,8% more revenue than budgeted in 2001/2

4% increase in budget from 2001/2 to 2002/3 or R13M on expenditure

Higher health inflation than CPI and salary increases more than budget increase