Health

KwaZulu-Natal Department Budget for 2015-16

Vision

The vision of the Department of Health is: A long and healthy life for all South Africans.

Mission

The department’s mission statement is: To develop a sustainable, co-ordinated, integrated and comprehensive health system at all levels of care, based on the primary health care approach through the district health system.

Core functions

The main purpose of the department is to develop and implement a sustainable, co-ordinated, integrated and comprehensive health system based on the primary health care approach, which encompasses promotive, curative, rehabilitative, supportive and palliative care. This is guided by the principles of accessibility, equity, quality and efficiency, sustainability, community participation, appropriate technology, and inter-governmental and inter-sectoral collaboration.

The department provides health services primarily to the uninsured population of KZN, who comprise about 86.6 per cent of the province’s total population of 10 694 400 (2014 Mid-Year Population Estimates, Stats SA). In addition, the department provides central health services to people beyond provincial boundaries. The following main categories of health services provided by the department are:

Primary health care services

Primary health care services are rendered at community/household level and in fixed clinics and include the promotion of health and prevention of illness, as well as curative and rehabilitative services.

Hospital services

District hospitals render hospital services at a general practitioner level, while provincial hospitals render hospital services at a specialist level. Specialised hospitals render specialised hospital services for patients with TB, psychiatric illnesses and those patients requiring long-term or chronic step-down/rehabilitative care. Tertiary and central hospitals render tertiary, central and quaternary hospital services at specialist level. Central and tertiary hospitals provide facilities and expertise for sophisticated medical procedures.

Forensic pathology services

Rendering specialised forensic and medico-legal services to establish the circumstances and causes surrounding unnatural death, to ensure integrity of forensic evidence and to provide Inspector of Anatomy Services.

Emergency medical services

The aim of this category is to provide emergency care and transport for victims of trauma, road traffic accidents, and emergency medical and obstetric conditions. Planned patient transport is provided for interhospital transfer, while indigent patients are transported between clinics and hospitals

The Budget Cycle
Plan

2015-16 Budget

The Estimates of Provincial Revenue and Expenditure (EPRE) is a book published along with the tabling of the budget for the new financial year.

Programme budgets for 2015-16

A department's programmes are the activities that it spends money on during the financial year. Different programmes have different expenditure budgets, depending on their requirements and available finances. More detail on the programmes is available in the department's Estimates of Provincial Expenditure documents.

Budgeted spending by sub-programme for each programme

Each chart shows the budgeted spending by each sub-programme of that programme.

Administration
Central Hospital Services
District Health Services
Emergency Medical Services
Health Care Support Services
Health Facilities Management
Health Sciences and Training
Provincial Hospital Services

Budgeted spending by Economic Classification for each programme

Each chart shows the budgeted spending by economic classification under that Programme.

Administration
Central Hospital Services
District Health Services
Emergency Medical Services
Health Care Support Services
Health Facilities Management
Health Sciences and Training
Provincial Hospital Services

Budgeted spending by programme for Economic Classification items

Each chart shows the budgeted spending of each Programme under that Economic Classification.

Current payments - Compensation of employees
Current payments - Goods and services
Payments for capital assets - Buildings and other fixed structures
Payments for capital assets - Machinery and equipment
Payments for financial assets -
Transfers and subsidies - Departmental agencies and accounts
Transfers and subsidies - Households
Transfers and subsidies - Non-profit institutions
Transfers and subsidies - Provinces and municipalities

2015-16 Adjusted Budget

The Adjusted Estimates of Provincial Revenue and Expenditure (AEPRE) is a book published along with the tabling of the adjusted budget.

Please note
The tables in EPRE chapter (Excel) is not available yet
Implement
Please note
Implementation data coming soon
Review

Planned compared to historical expenditure

Budgeted and actual expenditure/allocations for a department can increase or decrease from year to year. Changes in expenditure for a department can be because of changes in the activities of the department, because of changes in priorities between departments, because of cost efficiencies or because of increases in the price of goods and services due to inflation.

The chart shows the department’s actual expenditure for past years, and budgeted expenditure for the current year and the upcoming three years of the medium-term expenditure framework (MTEF). By adjusting these numbers to take inflation into account, it is possible to determine if a department’s expenditure is really increasing or decreasing in real terms, as compared to the rest of the economy.

Previous financial years indicate actual expenditure while upcoming financial years indicate estimated expenditure:

Year Phase
2011-12 Audited Outcome
2012-13 Audited Outcome
2013-14 Audited Outcome
2014-15 Adjusted appropriation
2015-16 Main appropriation
2016-17 Medium Term Estimates
2017-18 Medium Term Estimates

Budgeted and Actual Expenditure comparison

Compare the Adjusted Appropriation to the Main Appropriation to see how the spending plans changed during the year. The Audited Outcome then shows what was actually spent.

Note: Direct charges against the National Revenue Fund are excluded

Main Appropriation
Adjusted Appropriation
Final Appropriation
Audited Outcome

Budgeted and Actual Expenditure comparison by Programme

Compare the amount of budget allocated to each of this deparment’s programmes at each phase in the process leading up to the Audited Outcome

Main Appropriation
Adjusted Appropriation
Final Appropriation
Audited Outcome
National Health Insurance, Health Planning and Systems Enablement
Hospitals, Tertiary Health Services and Human Resource Development
HIV and AIDS, Tuberculosis, and Maternal and Child Health
Primary Health Care Services
Administration
Health Regulation and Compliance Management
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