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BUDGET 2004 DEPARTMENT OF HEALTH. Ad Hoc Committee on Health National Assembly 9 th June 2004. Overview of achievements and challenges in relation to the National Ten Point Plan. Reorganisation of support services - PowerPoint PPT Presentation
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BUDGET 2004DEPARTMENT OF HEALTHAd Hoc Committee on HealthNational Assembly9th June 2004
Overview of achievements and challenges in relation to the NationalTen Point Plan
Reorganisation of support servicesHealth Information System (HIS) has been implemented in the three Academic Hospitals and is being rolled out to 5 further sites.Laboratory services: Hospital laboratories have been transferred to the National Health Laboratory System (NHLS). A service level agreement has been signed with the NHLS.Transfer of the medico-legal mortuaries from SAPS to the Department of Health will occut from 1 April 2005.
Improving quality of careSub-directorate has been established to monitor and evaluate quality of care.Various initiatives:External client satisfaction survey at selected sitesA structured system for monitoring complaints and compliments has been implementedDevelopment of a structured approach to motality and morbidity monitoring and review
Revitalisation of public hospitalsCurrent projects include George, Worcester, and Vredenburg hospitalsPreparatory planning for Paarl and Robertson hospitals completed and both projects are ready to go out on tenderBusiness cases to motivate for funding have been submitted for the Khayelithsha-Mitchells Plain Hospitals and Victoria HospitalDeveloping business cases for Valkenburg, Tygerberg, Red Cross and Somerset West hospitals
Primary health care and district health systemDistrict health plans promoting intersectoral collaboration have been developedServices strengthened by cooperation with local government but consolidation of all personal primary health services under a single employing authority is seen as the solution to current service related problems
Strategic interventions to decrease morbidity and mortalityHealth programmes have been established to deal with:HIV/AIDS, STIS and TBWomens healthMental healthChronic diseasesFood strategiesViolence against women and children
Resource mobilisation, allocation and managementStrengthening planning, budgeting and inter- and intra-provincial equityFurther developed by the quarterly Monitoring and Evaluation of Programme performance against the objectives stated in the strategic planPerformance agreements of senior managers are related to the strategic goals of their componentsRevenue generation and retention is a priority and receiving attentionPublic private partnerships (PPPs) are being promoted
Human resource development (HRD)HRD addressing identified needs to ensure an appropriate skills mixImplemented an Employee Assistance Programme to support staffLearnerships promotedCommunication and empowerment of health service usersAppointed Health Facility Boards in the Western Cape
Vision, mission and key priorities next 3 years
Vision:Equal access to quality careBetter Care for Better Health, all Day, Everyday!Mission:To improve the health of all people in the Western Cape and beyond, by ensuring the provision of a balanced health care system, in partnership with all stakeholders, within the context of optimal socio-economic development.
Key prioritiesImplementation of Healthcare 2010 restructuring with underlying principles of:Quality care at all levelsAccessiblity of careEfficiencyCost effectivenessPrimary health care approachCollaboration between all levels of careDe-institutionalisation of chronic care
Utilization rate = 3.4 visits per year1300 additional staffCost per visit = R62Additional funds for health promotion and home-based carePrimary level services in CHCs, clinics and at home
Admission rate = 80Staff/bed =1.77 Cost / PDE = R484
District HospitalsAdm rate = 64Staff/bed = 2.4Cost / PDE = R730
Regional HospitalsTertiary beds forOtherprovincesTertiary bedsFor the WesternCape
Adm rate = 11.5Staff/bed = 4Cost / PDE = R1641
SHAPE OF THE FUTURE HEALTH SERVICES in 2010
Key general prioritiesMaximise overall efficiencyReduce personnel costsImprove staff moraleGeneral stringency measures throughout to remain within allocated budget
Key prioritiesPrimary Health CareAddress the long queues and waiting timesImprove the availability of medicationPhased take-over of responsibility for funding of local government personal primary health care services with effect from 1st July 2004Transfer of the Emergency Medical Services personnel from the City of Cape Town and improve of the quality of EMS across the province
Key prioritiesDuring 2005/06 the funding for hospitals currently classified as regional hospitals (in the Metro) and which will be reclassified as district hospitals will move from Sub-programme 4.1 to 2.9Similarly during 2006/07 when 950 beds in Tygerberg hospital are classifed as regional beds funding will be moved from Programme 5 to Sub-programme 4.1
Key prioritiesTertiary services:Rationalise duplication of servicesRestructure staffing establishmentsRevise Joint Agreements with the universitiesResolve the conditional grant funding shortfalls
FUNDING
Chart3
100100
110.4109.5
118.5696123.4065
126.869472137.8450605
141.713200224152.8701720945
148.7988602352166.0170068946
154.7508146446178.1362483979
Western Cape
South Africa
Total expenditure scaled to 100
Sheet1
Cost per person per annum
Mediese Fondse5900
Publieke Sektor911
NoordKaap604
Mpumalange1712
NoordWes1949
Vrystaat2242
Limpopo3180
WesKaap3964
OosKaap4377
Kwazulu7534
Gauteng7675
2001/22002/32003/42004/52005/62006/7
10.40%7.40%7%11.70%5%4%
9.50%12.70%11.70%10.90%8.60%7.30%
2000/12001/22002/32003/42004/52005/62006/7
Western Cape100110.4118.5696126.869472141.713200224148.7988602352154.7508146446
South Africa100109.5123.4065137.8450605152.8701720945166.0170068946178.1362483979
Uitgawe per kapita (Publieke sektor)
Limpopo627
NoordWes740
OosKaap769
Mpumalange770
Kwazulu1006
NoordKaap1042
Vrystaat1049
WesKaap1377
Gauteng1668
Sheet1
0
0
Jaarkoste per persoon
Sheet2
604
1712
1949
2242
3180
3964
4377
7534
7675
2002/3 Geskatte Uitgawes
Sheet3
Western Cape
South Africa
Totale uitgawes geskaal na 100
Uitgawe per kapita (Publieke Sektor)
Chart1
3071581
1104087
327210
156112
57962
16983
4809
Rb
Sources of Funding
Sheet1 (2)
EQUIPMENT
EarmarkedTotal
2003/440kry totale
2004/542
2005/644
2006/746
HIS
2003/438.5
2004/522.8
2005/617.6
2006/7kry nuwe jaar
2000/12001/22002/32003/42004/52005/62006/7
Own receipts98,781117194119872165000156112162125176633
2004/52005/62006/7
Compen-sation289729493060
Goods & Services136115031645
Transfers & Subsidies381402423
Capital Assets99104108
4738
Personnel Numbers
31.3.200331.3.2004
Administration597528
District Health5,3274,972
Emergency956833
Regional6,9037,165
Central8,9228,690
Training787747
Support473449
TOTAL23,96523,384
PHC
2003/42004/5
Manage3295627378
Clinics264879272805
Centres384819425898
Community3344332396
Other4352750422
HIV/AIDS3814690119
Nutrition4340216511
Coroner304227
Hospitals333717368953
11751931284709
Provincial Hos
2003/42004/5
General665390729642
TB5426958402
Psychiatric232790260131
Chronic5322754594
Dental4737251546
10530481154315
Tertiary CG1104087
Training CG202106
Equitable436754
Totaal1742947
Sheet1 (2)
98781
117194
119872
165000
156112
162125
176633
Rm
Revenue (Actual - Budget)
Sheet1
2897
1361
381
99
Rm
Budget 2004/5
Sheet2
289729493060
136115031645
381402423
99104108
2004/5
2005/6
2006/7
Rm
Economic Classification
Sheet3
597528
53274972
956833
69037165
89228690
787747
473449
31.3.2003
31.3.2004
Personnel Numbers
665390729642
5426958402
232790260131
5322754594
4737251546
2003/4
2004/5
Rm
Provincial Hospitals
3295627378
264879272805
384819425898
3344332396
4352750422
3814690119
4340216511
304227
333717368953
2003/4
2004/5
Rm
District Health
0
0
0
Central Hospitals2004/5
Cost per person per annum
Mediese Fondse5900
Publieke Sektor911
NoordKaap604
Mpumalange1712
NoordWes1949
Vrystaat2242
Limpopo3180
WesKaap3964
OosKaap4377
Kwazulu7534
Gauteng7675
2001/22002/32003/42004/52005/62006/7
10.40%7.40%7%11.70%5%4%
9.50%12.70%11.70%10.90%8.60%7.30%
2000/12001/22002/32003/42004/52005/62006/7
WesKaap100110.4118.5696126.869472141.713200224148.7988602352154.7508146446
Suid-Afrika100109.5123.4065137.8450605152.8701720945166.0170068946178.1362483979
Uitgawe per kapita (Publieke sektor)
Limpopo627
NoordWes740
OosKaap769
Mpumalange770
Kwazulu1006
NoordKaap1042
Vrystaat1049
WesKaap1377
Gauteng1668
0
0
Jaarkoste per persoon
0
0
0
0
0
0
0
0
0
2002/3 Geskatte Uitgawes
00
00
00
00
00
00
00
WesKaap
Suid-Afrika
Totale uitgawes geskaal na 100
0
0
0
0
0
0
0
0
0
Uitgawe per kapita (Publieke Sektor)
Rm2004/5
Allocations
Equitable share - scarce skills124000
Equitable share - Other2947581
Equitable share3071581
CG - Tertiary1104087
CG - Training327210
Revenue156112
CG - AIDS57962
CG - Quality16983
CG - Nutrition4809
4738744
0
0
0
0
0
0
0
Rb
Sources of Funding
Chart3
28.7
29.1
30
29.6
26.8
26.0026961975
25.8314367089
25.2214418278
24.6783270783
Health budget as % of total provincial budget
Prov Budgets
WORKINGS FOR MINISTER'S PRESENTATION: BUDGET REVIEW 02_03
saved in my docs: BR pres May04
Provincial Health Budgets
Actual 2001/2 Rm% Personnel (2001/2)
N Cape571Gauteng54
Mpumalanga1,457Mpumalanga56
N West1,699E Cape58
Free State1,953K-Natal59
Limpopo2,664N Cape63
W Cape3,581W Cape63
E Cape3,892Free State63
Gauteng6,838Limpopo65
K-Natal7,033N West68
TOTAL29,63459
Prov Budgets
53.5
55.7
57.7
59.3
62.5
62.7
63.3
65.2
68.2
% Personeeluitgawes (2001/2)
W Cape Budgets
Western Cape Budget
Rm1998/9 Actual1999/00 Actual2000/01 Actual2001/2 Actual2002/3 Actual2003/4 Budget2004/5 Budget2005/6 MTEF2006/7 MTEF
TOTAL PROVINCIAL105517551074795611513534125169971450023216752482183448721965843621217204
% INCREASE1.97.18.711.715.59.58.87.9
HEALTH BUDGET303240631254983451309370628438755624356097473874449581415236051
% OF TOTAL28.729.130.029.626.826.025.825.224.7
W Cape Budgets
28.7
29.1
30
29.6
26.8
26.0026961975
25.8314367089
25.2214418278
24.6783270783
Gesondheid % van Provinsie
PERSONNEL
W Cape Health Expenditure on Personnel as Proportion of Total Budget
W Cape Health Expenditure on Personnel as Proportion of Total Expenditure
YEARTOTALPERSONNELPERSONNEL PROPORTION OF EXPENDITUREINCREASE IN TOTAL EXPENDITUREINCREASE IN PERSONNEL EXPENDITURE
R'000R'000%%%
1999/20003,1071,95463
2000/20013,3422,0666286
2001/20023,5582,2136267
2002/20033,8762,4086299
2003/20044,3822,49857134
COND GRANTS
Total Conditional Grants Allocated to Provinces in 2002/3
R Million
E Cape592,080
Free State567,609
Gauteng2,551,993
K-Natal1,127,856
Limpopo371,682
Mpumalanga242,765
N Cape161,629
N West249,671
W Cape1,548,592
TOTAL7,413,877
NTSG
National Tertiary SerNational Tertiary Services Grant: National Allocation and Allocation to Western Province NATIONAL ALLOCATIONR000 WESTERN PROVINCE ALLOCATIONR000 WP SHARE OF TOTAL NATIONAL ALLOCATION%1998 / 1999 actual 3,021,000 937,737 31.01999
National Tertiary Services Grant: National Allocation and Allocation to Western Province
NATIONAL ALLOCATIONWESTERN PROVINCE ALLOCATIONWP SHARE OF TOTAL NATIONAL ALLOCATIONAMOUNT LOST DUE TO % DECREASE
R'000R'000%R'000
1998 / 1999 actual3,021,000937,73731.0
1999 / 2000 actual3,127,270954,49930.514,955
2000 / 2001 actual3,319,285961,94929.067,029
2001 / 2002 voted3,448,2671,011,43629.357,527
2002 / 2003 MTEF3,666,8421,030,51028.1106,211
2003 / 2004 MTEF3,892,8491,049,25227.0157,531
2004 / 2005 MTEF4,151,5421,072,70325.8214,275
TOTAL617,528
National Tertiary Services Grant called thus after 2002/3 .
Prior to that called the Central Hospitals Grant . Redistribution of Specialised Services Grant added to this amount.
31%
3,021,000937,737937,7370
3,127,270969,454954,49914,955
3,319,2851,028,978961,94967,029
3,448,2671,068,9631,011,43657,527
3,666,8421,136,7211,030,510106,211
3,892,8491,206,7831,049,252157,531
4,151,5421,286,9781,072,703214,275
24,627,0557,635,614617,528
PR TR GRANT
Professional training and Development Grant: National Allocation and Allocation to Western Province
NATIONAL ALLOCATIONR'000WESTERN PROVINCE ALLOCATIONR'000WP SHARE OF TOTAL NATIONAL ALLOCATION%AMOUNT LOST DUE TO % DECREASE
1998 / 1999 actual1,060,000263,94024.9
1999 / 2000 actual1,117,920278,38224.9
2000 / 2001 actual1,174,000292,32624.9
2001 / 2002 actual1,233,924308,77625.0
2002 / 2003 voted1,279,248306,16423.9306,140
2003 / 2004 MTEF1,299,475306,66623.6306,642
2004 / 2005 MTEF1,393,366305,97422.0305,952
TOTAL918,735
This grant was called the Health Professions Training and Research grant prior to 2002/3.
25%
1,279,248319812306,16413,648
1,299,475324868.75306,66618,203
1,393,366348341.5305,97442,368
993022.25
REV BUD
REVENUEACTUALACTUAL REVENUE 2002/3ACTUAL REVENUE
REVENUE2003/4
2001/2
RRR
ENGINEERING & TECHNICAL SUPPORT SERVICES-2,721
EMERGENCY MEDICAL SERVICES350,5181,564,605
WESTERN CAPE NURSING COLLEGE474,386402,844
GROOTE SCHUUR25,348,88223,408,282
TYGERBERG36,258,53238,913,529
RED CROSS5,633,6807,022,707
ASSOCIATED PSYCHIATRIC HOSPITALS4,295,9053,529,325
DENTAL HOSPITALS1,341,5211,552,718
METRO REGION8,753,26710,952,749
CHSO REGION1,828,4641,953,093
BOLAND / OVERBERG REGION6,983,2987,957,559
WEST COAST / WINELANDS REGION8,213,0428,270,148
SOUTHERN CAPE / KAROO REGION9,227,5188,154,912
TOTAL108,709,013113,685,192
all prog
Western Cape: Health: All ProgrammesActualActualActualActualMTEF
2000/12001/22002/32003/4
R000R000R'000R0002004/52005/62006/7
R000R000R'000
1. Administration98,229116,495120,923232710207,723225,204236,192
2. District health services876,701951,9881,018,64411448051,204,5661,800,1921,963,917
3. Emergency services151,481131,673152,910186425174,233198,056209,829
4. Provincial hospital services855,444909,382974,90610396421,062,393812,8301,287,929
5. Central hospital services1,275,6451,346,7221,476,20116231161,692,1071,769,8331,388,541
6. Health sciences & training50,36458,83365,3817210079,92170,45663,999
7. Health care support58,82565,92466,5977169783,60981,57085,644
TOTAL3,366,6893,581,0173,875,56243704954,504,5524,958,1415,236,051
3'COSTS
An analysis of the costs with the patient activities shows the following:
Cost per patient dayCost per PDE
RR
Tygerberg1,652.251,256.53
Groote Schuur2,488.721,620.17
Red Cross2,216.421,425.91
APH BEDS CHART
5284432401278
5413712181239
5433412161200
5563412411100
5823152501080
PSYCHIATRIC:
Acute
Chronic
Forensic
INTELLECTUAL DISABILITY
ASSOCIATED PSYCHIATRIC HOSPITALS:NUMBERS OF BEDS:1999 TO 2003
APH BEDS
2003 / 4 PLANNED
BEDS199920002001Mar-02
PSYCHIATRIC:
Acute528541543556582
Chronic443371341341315
Forensic240218216241250
INTELLECTUAL DISABILITY1,2781,2391,2001,1001,080
TOTAL2,4892,3692,3002,2382,245
Chart2
1941974
51132752
48115796
87409796
36609166
ASSOCIATED PSYCHIATRIC HOSPITALS: FUNDS ALLOCATION
APH EXP
ASSOCIATED PSYCHIATRIC HOSPITALS
FUND ALLOCATION 2002/3
APH MANAGEMENT1,941,974
VALKENBERG51,132,752
STIKLAND48,115,796
LENTEGEUR87,409,796
ALEXANDRA36,609,166
TOTAL225,209,484
APH ACTIV
The patient activities at the Associated Psychiatric Hospitals were as follows:
Commissioned bedsTotal patient daysSeparationsOut patient visitsCasualty headcountPDEsALOSOccupancySeparations per beddeliveriesoperations
Lentegeur psychiatric384100,3721,4805,2200102,11276.171.81,400
Lentegeur intellectual disabilty600200,244540200,4242,634.8091.7
Stikland353103,1101,8175,1880104,82253.280.03500
Valkenberg385120,3112,19611,5890124,13650,985.62600
Alexandra457159,9231621,1290157,296891,694.080,400
APH COSTS
Cost / patient dayCost / PDE
RR
Lentegeur289,80288,38
Stikland466,65459,02
Valkenberg425,00411,91
Alexandra233,29232,74
METRO
Services rendered at Metro Midwife Obstetric Units:
TOTAL HEADCOUNTTOTAL BIRTHSFIRST ANTENATAL VISITFOLLOW UP ANTENATAL VISITS
PHC VISITS
Bishop Lavis22,9711,8942,1334,419
Elsies River29,3161,3552,99710,023
Guguletu21,8802,3011,3014,180
Hanover Park40,2741,8522,1814,681
Khayelitsha Site B18,5122,0978743,473
Kraaifontein18,1261,8093,3018,754
Macassar7,7711,8135922,507
Michael Mapongwanya31,1921,8683,32117,485
Mitchells Plain23,2032,3501,3594,337
Retreat14,3701,6069462,900
Vanguard24,1401,5805,15113,666
TOTAL251,75519,76724,15676,425
Activities at the Metro district hospitals:
Metro: district hospitalsCommissioned bedsTotal patient daysSeparationsOut patient visitsCasualty headcountPDEsLOSOccupancySeparations per bedTotal birthsoperations
Wesfleur 1282,9473,70471,16923,68434,2480,519132.3774454
False bay7017,5485,39334,76414,19333,7043,267.677431734
Eerste River11215,9033,4473,6511,00217,4384,638.930.80660
Conradie 219018,9772,81110,18978922,5990.7-14.801042
Booth Memorial 36417,606430001,76040.975.46.70386
Maitland Cottage 38518,3909400017,34219.559.111.100
Sarah Fox 36015,2593290015,25946.469.75.500
St Josephs 39034,5983450034,598100.3105.33.800
Joan du Plessis:
hosps pde
GENERAL HOSPITALS: COSTS OF TREATING PATIENTS
2002/03
COST PER PATIENT DAYCOST PER PDE
H Holland1,010.99499.40
Karl Bremer705.62591.21
Somerset1,068.90844.54
Victoria1,055.66749.11
GF Jooste765.77751.58
Paarl936.03373.43
George1,009.28737.63
Eben Donges1,098.75805.95
DISTRICT HOSPITALS: COSTS OF TREATING PATIENTS
COST PER PATIENT DAYCOST PER PDE
Wesfleur4816.53414.46Wesfleur414.46
False Bay938.22488.49False Bay488.49
Eerste Rivier401.84366.64Eerste Rivier366.64
Citrusdal494.34435.77Citrusdal435.77
Swartland986.47537.42Swartland537.42
LAPA Munnik921.86726.24LAPA Munnik726.24
Stellenbosch1022.46613.02Stellenbosch613.02
Vredenburg859.26466.53Vredenburg466.53
Vredendal717.84634.7Vredendal634.7
Beaufort West952.58729.9Beaufort West729.9
Knysna788.34484.43Knysna484.43
Alan Blyth584.77481.19Alan Blyth481.19
Mossel Bay870.34532.1Mossel Bay532.1
Oudtshoorn828.7594.04Oudtshoorn594.04
Riversdale767.89433.35Riversdale433.35
Otto du Plessis696.35571.45Otto du Plessis571.45
Caledon873711.64Caledon711.64
Ceres501.65393.83Ceres393.83
Hermanus753.92439.61Hermanus439.61
Montagu487.3395.24Montagu395.24
Swellendam713.55573.73Swellendam573.73
Robertson560.85406.37Robertson406.37
ASSOCIATED PSYCHIATRIC HOSPITALS
COST PER PATIENT DAYCOST PER PDE
Lentegeur289,80288,38
Stikland466,65459,02
Valkenberg425,00411,91
Alexandra233,29232,74
TERTIARY HOSPITALS
COST PER PATIENT DAYCOST PER PDE
Tygerberg1,652.251,256.53
Groote Schuur2,488.721,620.17
Red Cross2,216.421,425.91
Chart4
366.64
393.83
395.24
406.37
414.46
433.35
435.77
439.61
466.53
481.19
484.43
488.49
532.1
537.42
571.45
573.73
594.04
613.02
634.7
711.64
726.24
729.9
DIST HOSPS
DISTRICT HOSPITALS: COSTS PDE
Eerste Rivier366.64
Ceres393.83
Montagu395.24
Robertson406.37
Wesfleur414.46
Riversdale433.35
Citrusdal435.77
Hermanus439.61
Vredenburg466.53
Alan Blyth481.19
Knysna484.43
False Bay488.49
Mossel Bay532.1
Swartland537.42
Otto du Plessis571.45
Swellendam573.73
Oudtshoorn594.04
Stellenbosch613.02
Vredendal634.7
Caledon711.64
LAPA Munnik726.24
Beaufort West729.9
D HOSPS COSTS
Programme 2.4: District Hospitals
Number of hospitalsCommissioned bedsAverage cost per patient dayAverage cost per PDEAverage occupancy
RR%
W Coast / Winelands6475851.07570.1461.5
Boland / Overberg7374675.5498.8470.4
Southern Cape / Karoo6490788.08581.9882.1
Southern Cape Provincially aided4114457.36394.7741.2
Metro3.5 11912679.973427.5753.3 1
Metro Provincially aided429970.6670.6677.4
1Conradie was closed to acute cases after 5 months.
2Conradie hospital had 190 beds in addition to the above figure.
3 Conradie and Wesfleur have not been included.
4 Eerste River was not in full use so the occupancy was low. False Bays occupancy was 67.6%.
hosp activ
DISTRICT HOSPITALS
PATIENT DAYSPDE'SSEPARATIONSEMU HEADCOUNTSOPD HEADCOUNTSOPERATIONSBIRTHS
Eerste Rivier2,94734,2483,70423,68471,169454774
Alan Blyth8,0559,7893,4052,6832,572177179
Beaufort West13,08817,0816,8833,0429,0601,023673
Caledon11,18413,7203,6175,2882,397413549
Ceres26,28433,4808,91614,0517,7579721,402
Citrusdal9,0759,8482,4712,140201132109
False Bay17,54833,7045,39314,19334,764734431
Hermanus10,78918,5033,7609,41713,958970770
Knysna25,60541,6698,5435,83142,8471,8491,373
LAPA Munnik3,1784,0341,2332,593069201
Montagu14,64518,0563,9393,8745,828266565
Mossel Bay21,80435,6647,89615,26326,7381,070954
Otto du Plessis8,83910,7712,8404,6282,743340319
Oudtshoorn38,44853,63610,38517,60428,4202,2501,560
Riversdale14,29125,3184,4766,39727,020656505
Robertson16,18622,3395,56213,2305417805745
Stellenbosch22,35837,3366,79710,67034,6392,0481312
Swartland21,93039,8106,64814,300398829441126
Swellendam10,446223393,68713,2305417805745
Vredenburg14,30726,3516,07616,93319,5655141,127
Vredendal16,97819,2026,9305,3631,922680777
Wesfleur2,94734,2483,70423,68471,169454774
`10,72512,2543,2431,5363,098151306
Piketberg5,7076,4442,2292,2360184219
Laingsburg5,3856,1401,2391,435852090
Murraysburg1,3592,1057431,0841,177093
Prince Albert7,7358,3252,5961,41172158
Uniondale3,8554,4321,74999175963216
Yellow = provincially aided hospitals
GENERAL HOSPITALS
PATIENT DAYSPDE'SSEPARATIONSEMU HEADCOUNTSOPD HEADCOUNTSOPERATIONSBIRTHS
H Holland40,63082,25215,90427,10199,0274,1562,226
Karl Bremer82,76398,27820,07923,05523,9625,9012,820
Somerset76,15296,38319,75425,44435,8604,6214,821
Victoria49,14569,25615,14827,72933,2153,3260
GF Jooste72,47593,84414,12640,25024,5033,7210
Paarl75,829190,07219,75541,091305,1027,4153,561
George73,263100,24319,69029,33052,4284,8342,239
Eben Donges62,91985,77717,39333,65235,6164,4541,247
COSTS_PDE
COST/PDECOSTSPDE'SCOST/PDE
02/0303/0403/0403/04
RRR
Groote Schuur1620689,560
Tygerberg1257700,932
Red Cross1426196,899
Lentegeur28889,478
Stikland45950,602
Valkenberg41251,729
Alexandra23338,986
Wesfleur41415,956
False Bay48818,578
Eerste River36725,301
G F Jooste75270,646
Somerset84598,712
H Holland49945,066
Victoria74961,288
Karl Bremer59165,274
Mowbray52245,907
Citrusdal4364,918
Swartland53722,898
LAPA Munnik7263,210
Stellenbosch60324,392
Vredenburg46713,899
Vredendal63513,642
Paarl37381,139
Beaufort West73013,692
Knysna48422,532
Allan Blyth4815,466
Mossel Bay53221,280
Oudtshoorn59431,487
Riversdale43312,133
George73882,489
Otto du Plessis5717,050
Caledon71110,081
Ceres39413,619
Hermanus4409,201
Montagu3958,026
Robertson4069,670
Swellendam5748,136
Eben Donges80675,144
REV COLLEC
REVENUE COLLECTION : COMPARISON BETWEEN HOSPITALS
REVENUE02/03 revenue03/04 revenue
R'000R
Groote Schuur23,40837,453
Tygerberg38,91446,771
Red Cross7,02315,272
Lentegeur558
Stikland987
Valkenberg746
Alexandra238
Wesfleur81136
False Bay1,764
Eerste River111559
GF Jooste403387
Somerset1,6832775
H Holland1,5482214
Victoria2,6803541
Karl Bremer5,954
Mowbray Maternity1,715454
Brooklyn Chest173
KBH Rehab2,022620
Citrusdal164,226280
Swartland1,077,411
LAPA Munnik91,51595
Stellenbosch1,052,180
Vredenburg615,003
Vredendal2,232,787
Paarl2,676,2113706copy in templete
Beaufort West1,263,176
Knysna803,938
Allan Blyth450,654
Mossel Bay876,093
Oudtshoorn1,738,480
Riversdale411,644
George2,245,9612767
Nelspoort209,305
Otto du Plessis802,350
Caledon887,086
Ceres202,955271
Hermanus475,562
Montagu368,355
Swellendam537,251
Robertson552,969
Eben Donges3,983,0205873
Brewelskloof71,497
nameAact 0203B 0304Act.0304
Metropole Rehabilitation Centre33360620
GF Jooste403663387
Somerset1,6832,1002,775
Hottentots Holland1,5481,6972,214
Victoria2,6801,8243,541
Mowbray Maternity1,715185454
Mowbray RGP0.01,2001,732
Eben Donges3,9835,6205,873
Paarl2,6763,2053,706
George2,2452,6152,767
Groote Schuur5.1Central Hospital Services23,40835,00037,453
Tygerberg5.1Central Hospital Services38,91454,34046,771
Rooikruis5.1Central Hospital Services7,02311,50015,272
Westfleur2.9District Hospitals8181136
Lapa Munnik2.9District Hospitals9214495
Eerste Rivier2.9District Hospitals111540559
Citrusdal2.9District Hospitals164246280
Ceres2.9District Hospitals203300271
Montagu2.9District Hospitals368300419
Riversdal2.9District Hospitals412500799
Ladismith (Allan Blyth Hospital)2.9District Hospitals451232561
Hermanus2.9District Hospitals476450548
Swellemdam2.9District Hospitals537500738
Robertson2.9District Hospitals553550568
Vredenburg2.9District Hospitals615850963
Falsebay2.9District Hospitals700690932
Knysa2.9District Hospitals799700853
Bredasdorp (Otto du Plessis)2.9District Hospitals802630758
Mosselbaai2.9District Hospitals876800857
Caledon2.9District Hospitals8878501,067
Stellenbosch2.9District Hospitals1,052969915
Falsebay RGP2.9District Hospitals1,0631,700702
Swartland2.9District Hospitals1,0771,3291,571
Beaufort-West2.9District Hospitals1,2631,2001,452
Oudsthoorn2.9District Hospitals1,7371,6341,336
Vredendal2.9District Hospitals2,2332,7962,855
Sheet13
Sheet3
MBD0004F03E.xls
Chart1
47585157062
37467649970
49078858282
19168042853
11445739541
299717177
Beds
Cost per pt day
Cost per PDE
Occupancy
DISTRICT HOSPITALS: OCCUPANCY, COSTS
Chart2
47585157062
37467649970
49078858282
19168042853
11445739541
299717177
Beds
Cost per pt day
Cost per PDE
Occupancy
Chart3
62
70
82
53
41
77
Occupancy
DISTRICT HOSPITALS: BED OCCUPANCY PERCENTAGE
Chart4
475851570
374676499
490788582
191680428
114457395
2997171
Beds
Cost per pt day
Cost per PDE
DISTRICT HOSPITALS: BEDS, COSTS
Sheet1
BedsCost per pt dayCost per PDEOccupancy
West Coast / Winelands47585157062
Boland / Overberg37467649970
Southern Cape / Karoo49078858282
Metro19168042853
S Cape Prov aided11445739541
Metro Prov aided299717177
Occupancy
West Coast / Winelands62
Boland / Overberg70
Southern Cape / Karoo82
Metro53
S Cape Prov aided41
Metro Prov aided77
BedsCost per pt dayCost per PDE
West Coast / Winelands475851570
Boland / Overberg374676499
Southern Cape / Karoo490788582
Metro191680428
S Cape Prov aided114457395
Metro Prov aided2997171
Sheet2
Sheet3
Prov Budgets
WORKINGS FOR MINISTER'S PRESENTATION: BUDGET REVIEW 02_03
saved in my docs: BR pres May04
Provincial Health Budgets
Actual 2001/2 Rm% Personnel (2001/2)
N Cape571Gauteng54
Mpumalanga1,457Mpumalanga56
N West1,699E Cape58
Free State1,953K-Natal59
Limpopo2,664N Cape63
W Cape3,581W Cape63
E Cape3,892Free State63
Gauteng6,838Limpopo65
K-Natal7,033N West68
TOTAL29,63459
Prov Budgets
0
0
0
0
0
0
0
0
0
% Personeeluitgawes (2001/2)
W Cape Budgets
Western Cape Budget
Rm1998/9 Actual1999/00 Actual2000/01 Actual2001/2 Actual2002/3 Actual2003/4 Budget2004/5 Budget2005/6 MTEF2006/7 MTEF
TOTAL PROVINCIAL105517551074795611513534125169971450023216752482183448721965843621217204
% INCREASE1.97.18.711.715.59.58.87.9
HEALTH BUDGET303240631254983451309370628438755624356097473874449581415236051
% OF TOTAL28.729.130.029.626.826.025.825.224.7
3454060375509943500705025745550346258975316365161
2751488154745086696487647189393901129110
W Cape Budgets
0
0
0
0
0
0
0
0
0
Gesondheid % van Provinsie
PERSONNEL
0
0
0
0
0
0
0
"Verlies" aan Provinsiale Begroting
COND GRANTS
WesKaap Gesondheid
TotaalPersoneel% Personeel
R'000GroeiR'000Groei%
1999/20003,1071,95463%
2000/20013,3428%2,0666%62%
2001/20023,5586%2,2137%62%
2002/20033,8769%2,4089%62%
2003/20044,38213%2,4984%57%
NTSG
Total Conditional Grants (2002/3)
R Million
N Cape161,629
Mpumalanga242,765
N West249,671
Limpopo371,682
Free State567,609
E Cape592,080
K-Natal1,127,856
W Cape1,548,592
Gauteng2,551,993
TOTAL7,413,877
NTSG
0
0
0
0
0
0
0
0
0
Conditional Grants (Total) (2002/3)
PR TR GRANT
National Tertiary Services Grant
National TotalWestern CapeWC %Lost due
R'000R'000%R'000
1998 / 1999 actual3,021,000937,73731.0
1999 / 2000 actual3,127,270954,49930.514,955
2000 / 2001 actual3,319,285961,94929.067,029
2001 / 2002 voted3,448,2671,011,43629.357,527
2002 / 2003 MTEF3,666,8421,030,51028.1106,211
2003 / 2004 MTEF3,892,8491,049,25227.0157,531
2004 / 2005 MTEF4,151,5421,072,70325.8214,275
TOTAL617,528
National Tertiary Services Grant called thus after 2002/3 .
Prior to that called the Central Hospitals Grant . Redistribution of Specialised Services Grant added to this amount.
REV BUD
Professional Training and Development Grant
National TotalWCWC %Loss
R'000R'000R'000
1999 / 2000 actual1,117,920278,38224.9
2000 / 2001 actual1,174,000292,32624.9
2001 / 2002 actual1,233,924308,77625.0
2002 / 2003 voted1,279,248306,16423.913,648
2003 / 2004 MTEF1,299,475306,66623.618,203
2004 / 2005 MTEF1,393,366305,97422.042,368
TOTAL74,218
This grant was called the Health Professions Training and Research grant prior to 2002/3.
25%
1,279,248319812306,16413,648
1,299,475324868.75306,66618,203
1,393,366348341.5305,97442,368
993022.25
all prog
REVENUEACTUALACTUAL REVENUE 2002/3ACTUAL REVENUE
REVENUE2003/4
2001/2
RRR
ENGINEERING & TECHNICAL SUPPORT SERVICES-2,721
EMERGENCY MEDICAL SERVICES350,5181,564,605
WESTERN CAPE NURSING COLLEGE474,386402,844
GROOTE SCHUUR25,348,88223,408,282
TYGERBERG36,258,53238,913,529
RED CROSS5,633,6807,022,707
ASSOCIATED PSYCHIATRIC HOSPITALS4,295,9053,529,325
DENTAL HOSPITALS1,341,5211,552,718
METRO REGION8,753,26710,952,749
CHSO REGION1,828,4641,953,093
BOLAND / OVERBERG REGION6,983,2987,957,559
WEST COAST / WINELANDS REGION8,213,0428,270,148
SOUTHERN CAPE / KAROO REGION9,227,5188,154,912
TOTAL108,709,013113,685,192
3'COSTS
Western Cape: Health: All ProgrammesActualActualActualActualMTEF
2000/12001/22002/32003/4
R000R000R'000R0002004/52005/62006/7
R000R000R'000
1. Administration98,229116,495120,923232710207,723225,204236,192
2. District health services876,701951,9881,018,64411448051,204,5661,800,1921,963,917
3. Emergency services151,481131,673152,910186425174,233198,056209,829
4. Provincial hospital services855,444909,382974,90610396421,062,393812,8301,287,929
5. Central hospital services1,275,6451,346,7221,476,20116231161,692,1071,769,8331,388,541
6. Health sciences & training50,36458,83365,3817210079,92170,45663,999
7. Health care support58,82565,92466,5977169783,60981,57085,644
TOTAL3,366,6893,581,0173,875,56243704954,504,5524,958,1415,236,051
APH BEDS CHART
An analysis of the costs with the patient activities shows the following:
Cost per patient dayCost per PDE
RR
Tygerberg1,652.251,256.53
Groote Schuur2,488.721,620.17
Red Cross2,216.421,425.91
APH BEDS
5284432401278
5413712181239
5433412161200
5563412411100
5823152501080
PSYCHIATRIC:
Acute
Chronic
Forensic
INTELLECTUAL DISABILITY
ASSOCIATED PSYCHIATRIC HOSPITALS:NUMBERS OF BEDS:1999 TO 2003
Chart2
2003 / 4 PLANNED
BEDS199920002001Mar-02
PSYCHIATRIC:
Acute528541543556582
Chronic443371341341315
Forensic240218216241250
INTELLECTUAL DISABILITY1,2781,2391,2001,1001,080
TOTAL2,4892,3692,3002,2382,245
APH EXP
1941974
51132752
48115796
87409796
36609166
ASSOCIATED PSYCHIATRIC HOSPITALS: FUNDS ALLOCATION
APH ACTIV
ASSOCIATED PSYCHIATRIC HOSPITALS
FUND ALLOCATION 2002/3
APH MANAGEMENT1,941,974
VALKENBERG51,132,752
STIKLAND48,115,796
LENTEGEUR87,409,796
ALEXANDRA36,609,166
TOTAL225,209,484
APH COSTS
The patient activities at the Associated Psychiatric Hospitals were as follows:
Commissioned bedsTotal patient daysSeparationsOut patient visitsCasualty headcountPDEsALOSOccupancySeparations per beddeliveriesoperations
Lentegeur psychiatric384100,3721,4805,2200102,11276.171.81,400
Lentegeur intellectual disabilty600200,244540200,4242,634.8091.7
Stikland353103,1101,8175,1880104,82253.280.03500
Valkenberg385120,3112,19611,5890124,13650,985.62600
Alexandra457159,9231621,1290157,296891,694.080,400
METRO
Cost / patient dayCost / PDE
RR
Lentegeur289,80288,38
Stikland466,65459,02
Valkenberg425,00411,91
Alexandra233,29232,74
hosps pde
Services rendered at Metro Midwife Obstetric Units:
TOTAL HEADCOUNTTOTAL BIRTHSFIRST ANTENATAL VISITFOLLOW UP ANTENATAL VISITS
PHC VISITS
Bishop Lavis22,9711,8942,1334,419
Elsies River29,3161,3552,99710,023
Guguletu21,8802,3011,3014,180
Hanover Park40,2741,8522,1814,681
Khayelitsha Site B18,5122,0978743,473
Kraaifontein18,1261,8093,3018,754
Macassar7,7711,8135922,507
Michael Mapongwanya31,1921,8683,32117,485
Mitchells Plain23,2032,3501,3594,337
Retreat14,3701,6069462,900
Vanguard24,1401,5805,15113,666
TOTAL251,75519,76724,15676,425
Activities at the Metro district hospitals:
Metro: district hospitalsCommissioned bedsTotal patient daysSeparationsOut patient visitsCasualty headcountPDEsLOSOccupancySeparations per bedTotal birthsoperations
Wesfleur 1282,9473,70471,16923,68434,2480,519132.3774454
False bay7017,5485,39334,76414,19333,7043,267.677431734
Eerste River11215,9033,4473,6511,00217,4384,638.930.80660
Conradie 219018,9772,81110,18978922,5990.7-14.801042
Booth Memorial 36417,606430001,76040.975.46.70386
Maitland Cottage 38518,3909400017,34219.559.111.100
Sarah Fox 36015,2593290015,25946.469.75.500
St Josephs 39034,5983450034,598100.3105.33.800
Joan du Plessis:
Chart4
GENERAL HOSPITALS: COSTS OF TREATING PATIENTS
2002/03
COST PER PATIENT DAYCOST PER PDE
H Holland1,010.99499.40
Karl Bremer705.62591.21
Somerset1,068.90844.54
Victoria1,055.66749.11
GF Jooste765.77751.58
Paarl936.03373.43
George1,009.28737.63
Eben Donges1,098.75805.95
DISTRICT HOSPITALS: COSTS OF TREATING PATIENTS
COST PER PATIENT DAYCOST PER PDE
Wesfleur4816.53414.46Wesfleur414.46
False Bay938.22488.49False Bay488.49
Eerste Rivier401.84366.64Eerste Rivier366.64
Citrusdal494.34435.77Citrusdal435.77
Swartland986.47537.42Swartland537.42
LAPA Munnik921.86726.24LAPA Munnik726.24
Stellenbosch1022.46613.02Stellenbosch613.02
Vredenburg859.26466.53Vredenburg466.53
Vredendal717.84634.7Vredendal634.7
Beaufort West952.58729.9Beaufort West729.9
Knysna788.34484.43Knysna484.43
Alan Blyth584.77481.19Alan Blyth481.19
Mossel Bay870.34532.1Mossel Bay532.1
Oudtshoorn828.7594.04Oudtshoorn594.04
Riversdale767.89433.35Riversdale433.35
Otto du Plessis696.35571.45Otto du Plessis571.45
Caledon873711.64Caledon711.64
Ceres501.65393.83Ceres393.83
Hermanus753.92439.61Hermanus439.61
Montagu487.3395.24Montagu395.24
Swellendam713.55573.73Swellendam573.73
Robertson560.85406.37Robertson406.37
ASSOCIATED PSYCHIATRIC HOSPITALS
COST PER PATIENT DAYCOST PER PDE
Lentegeur289,80288,38
Stikland466,65459,02
Valkenberg425,00411,91
Alexandra233,29232,74
TERTIARY HOSPITALS
COST PER PATIENT DAYCOST PER PDE
Tygerberg1,652.251,256.53
Groote Schuur2,488.721,620.17
Red Cross2,216.421,425.91
DIST HOSPS
366.64
393.83
395.24
406.37
414.46
433.35
435.77
439.61
466.53
481.19
484.43
488.49
532.1
537.42
571.45
573.73
594.04
613.02
634.7
711.64
726.24
729.9
D HOSPS COSTS
DISTRICT HOSPITALS: COSTS PDE
Eerste Rivier366.64
Ceres393.83
Montagu395.24
Robertson406.37
Wesfleur414.46
Riversdale433.35
Citrusdal435.77
Hermanus439.61
Vredenburg466.53
Alan Blyth481.19
Knysna484.43
False Bay488.49
Mossel Bay532.1
Swartland537.42
Otto du Plessis571.45
Swellendam573.73
Oudtshoorn594.04
Stellenbosch613.02
Vredendal634.7
Caledon711.64
LAPA Munnik726.24
Beaufort West729.9
hosp activ
Programme 2.4: District Hospitals
Number of hospitalsCommissioned bedsAverage cost per patient dayAverage cost per PDEAverage occupancy
RR%
W Coast / Winelands6475851.07570.1461.5
Boland / Overberg7374675.5498.8470.4
Southern Cape / Karoo6490788.08581.9882.1
Southern Cape Provincially aided4114457.36394.7741.2
Metro3.5 11912679.973427.5753.3 1
Metro Provincially aided429970.6670.6677.4
1Conradie was closed to acute cases after 5 months.
2Conradie hospital had 190 beds in addition to the above figure.
3 Conradie and Wesfleur have not been included.
4 Eerste River was not in full use so the occupancy was low. False Bays occupancy was 67.6%.
COSTS_PDE
DISTRICT HOSPITALS
PATIENT DAYSPDE'SSEPARATIONSEMU HEADCOUNTSOPD HEADCOUNTSOPERATIONSBIRTHS
Eerste Rivier2,94734,2483,70423,68471,169454774
Alan Blyth8,0559,7893,4052,6832,572177179
Beaufort West13,08817,0816,8833,0429,0601,023673
Caledon11,18413,7203,6175,2882,397413549
Ceres26,28433,4808,91614,0517,7579721,402
Citrusdal9,0759,8482,4712,140201132109
False Bay17,54833,7045,39314,19334,764734431
Hermanus10,78918,5033,7609,41713,958970770
Knysna25,60541,6698,5435,83142,8471,8491,373
LAPA Munnik3,1784,0341,2332,593069201
Montagu14,64518,0563,9393,8745,828266565
Mossel Bay21,80435,6647,89615,26326,7381,070954
Otto du Plessis8,83910,7712,8404,6282,743340319
Oudtshoorn38,44853,63610,38517,60428,4202,2501,560
Riversdale14,29125,3184,4766,39727,020656505
Robertson16,18622,3395,56213,2305417805745
Stellenbosch22,35837,3366,79710,67034,6392,0481312
Swartland21,93039,8106,64814,300398829441126
Swellendam10,446223393,68713,2305417805745
Vredenburg14,30726,3516,07616,93319,5655141,127
Vredendal16,97819,2026,9305,3631,922680777
Wesfleur2,94734,2483,70423,68471,169454774
`10,72512,2543,2431,5363,098151306
Piketberg5,7076,4442,2292,2360184219
Laingsburg5,3856,1401,2391,435852090
Murraysburg1,3592,1057431,0841,177093
Prince Albert7,7358,3252,5961,41172158
Uniondale3,8554,4321,74999175963216
Yellow = provincially aided hospitals
GENERAL HOSPITALS
PATIENT DAYSPDE'SSEPARATIONSEMU HEADCOUNTSOPD HEADCOUNTSOPERATIONSBIRTHS
H Holland40,63082,25215,90427,10199,0274,1562,226
Karl Bremer82,76398,27820,07923,05523,9625,9012,820
Somerset76,15296,38319,75425,44435,8604,6214,821
Victoria49,14569,25615,14827,72933,2153,3260
GF Jooste72,47593,84414,12640,25024,5033,7210
Paarl75,829190,07219,75541,091305,1027,4153,561
George73,263100,24319,69029,33052,4284,8342,239
Eben Donges62,91985,77717,39333,65235,6164,4541,247
REV COLLEC
COST/PDECOSTSPDE'SCOST/PDE
02/0303/0403/0403/04
RRR
Groote Schuur1620689,560
Tygerberg1257700,932
Red Cross1426196,899
Lentegeur28889,478
Stikland45950,602
Valkenberg41251,729
Alexandra23338,986
Wesfleur41415,956
False Bay48818,578
Eerste River36725,301
G F Jooste75270,646
Somerset84598,712
H Holland49945,066
Victoria74961,288
Karl Bremer59165,274
Mowbray52245,907
Citrusdal4364,918
Swartland53722,898
LAPA Munnik7263,210
Stellenbosch60324,392
Vredenburg46713,899
Vredendal63513,642
Paarl37381,139
Beaufort West73013,692
Knysna48422,532
Allan Blyth4815,466
Mossel Bay53221,280
Oudtshoorn59431,487
Riversdale43312,133
George73882,489
Otto du Plessis5717,050
Caledon71110,081
Ceres39413,619
Hermanus4409,201
Montagu3958,026
Robertson4069,670
Swellendam5748,136
Eben Donges80675,144
Sheet13
REVENUE COLLECTION : COMPARISON BETWEEN HOSPITALS
REVENUE02/03 revenue03/04 revenue
R'000R
Groote Schuur23,40837,453
Tygerberg38,91446,771
Red Cross7,02315,272
Lentegeur558
Stikland987
Valkenberg746
Alexandra238
Wesfleur81136
False Bay1,764
Eerste River111559
GF Jooste403387
Somerset1,6832775
H Holland1,5482214
Victoria2,6803541
Karl Bremer5,954
Mowbray Maternity1,715454
Brooklyn Chest173
KBH Rehab2,022620
Citrusdal164,226280
Swartland1,077,411
LAPA Munnik91,51595
Stellenbosch1,052,180
Vredenburg615,003
Vredendal2,232,787
Paarl2,676,2113706copy in templete
Beaufort West1,263,176
Knysna803,938
Allan Blyth450,654
Mossel Bay876,093
Oudtshoorn1,738,480
Riversdale411,644
George2,245,9612767
Nelspoort209,305
Otto du Plessis802,350
Caledon887,086
Ceres202,955271
Hermanus475,562
Montagu368,355
Swellendam537,251
Robertson552,969
Eben Donges3,983,0205873
Brewelskloof71,497
nameAact 0203B 0304Act.0304
Metropole Rehabilitation Centre33360620
GF Jooste403663387
Somerset1,6832,1002,775
Hottentots Holland1,5481,6972,214
Victoria2,6801,8243,541
Mowbray Maternity1,715185454
Mowbray RGP0.01,2001,732
Eben Donges3,9835,6205,873
Paarl2,6763,2053,706
George2,2452,6152,767
Groote Schuur5.1Central Hospital Services23,40835,00037,453
Tygerberg5.1Central Hospital Services38,91454,34046,771
Rooikruis5.1Central Hospital Services7,02311,50015,272
Westfleur2.9District Hospitals8181136
Lapa Munnik2.9District Hospitals9214495
Eerste Rivier2.9District Hospitals111540559
Citrusdal2.9District Hospitals164246280
Ceres2.9District Hospitals203300271
Montagu2.9District Hospitals368300419
Riversdal2.9District Hospitals412500799
Ladismith (Allan Blyth Hospital)2.9District Hospitals451232561
Hermanus2.9District Hospitals476450548
Swellemdam2.9District Hospitals537500738
Robertson2.9District Hospitals553550568
Vredenburg2.9District Hospitals615850963
Falsebay2.9District Hospitals700690932
Knysa2.9District Hospitals799700853
Bredasdorp (Otto du Plessis)2.9District Hospitals802630758
Mosselbaai2.9District Hospitals876800857
Caledon2.9District Hospitals8878501,067
Stellenbosch2.9District Hospitals1,052969915
Falsebay RGP2.9District Hospitals1,0631,700702
Swartland2.9District Hospitals1,0771,3291,571
Beaufort-West2.9District Hospitals1,2631,2001,452
Oudsthoorn2.9District Hospitals1,7371,6341,336
Vredendal2.9District Hospitals2,2332,7962,855
Sheet3
MBD0004F03E.xls
Chart1
47585157062
37467649970
49078858282
19168042853
11445739541
299717177
Beds
Cost per pt day
Cost per PDE
Occupancy
DISTRICT HOSPITALS: OCCUPANCY, COSTS
Chart2
47585157062
37467649970
49078858282
19168042853
11445739541
299717177
Beds
Cost per pt day
Cost per PDE
Occupancy
Chart3
62
70
82
53
41
77
Occupancy
DISTRICT HOSPITALS: BED OCCUPANCY PERCENTAGE
Chart4
475851570
374676499
490788582
191680428
114457395
2997171
Beds
Cost per pt day
Cost per PDE
DISTRICT HOSPITALS: BEDS, COSTS
Sheet1
BedsCost per pt dayCost per PDEOccupancy
West Coast / Winelands47585157062
Boland / Overberg37467649970
Southern Cape / Karoo49078858282
Metro19168042853
S Cape Prov aided11445739541
Metro Prov aided299717177
Occupancy
West Coast / Winelands62
Boland / Overberg70
Southern Cape / Karoo82
Metro53
S Cape Prov aided41
Metro Prov aided77
BedsCost per pt dayCost per PDE
West Coast / Winelands475851570
Boland / Overberg374676499
Southern Cape / Karoo490788582
Metro191680428
S Cape Prov aided114457395
Metro Prov aided2997171
Sheet2
Sheet3
Prov Budgets
WORKINGS FOR MINISTER'S PRESENTATION: BUDGET REVIEW 02_03
saved in my docs: BR pres May04
Provincial Health Budgets
Actual 2001/2 Rm% Personnel (2001/2)
N Cape571Gauteng54
Mpumalanga1,457Mpumalanga56
N West1,699E Cape58
Free State1,953K-Natal59
Limpopo2,664N Cape63
W Cape3,581W Cape63
E Cape3,892Free State63
Gauteng6,838Limpopo65
K-Natal7,033N West68
TOTAL29,63459
Prov Budgets
0
0
0
0
0
0
0
0
0
% Personeeluitgawes (2001/2)
W Cape Budgets
Western Cape Budget
Rm1998/9 Actual1999/00 Actual2000/01 Actual2001/2 Actual2002/3 Actual2003/4 Budget2004/5 Budget2005/6 MTEF2006/7 MTEF
TOTAL PROVINCIAL105517551074795611513534125169971450023216752482183448721965843621217204
% INCREASE1.97.18.711.715.59.58.87.9
HEALTH BUDGET303240631254983451309370628438755624356097473874449581415236051
% OF TOTAL28.729.130.029.626.826.025.825.224.7
3454060375509943500705025745550346258975316365161
2751488154745086696487647189393901129110
W Cape Budgets
0
0
0
0
0
0
0
0
0
Gesondheid % van Provinsie
PERSONNEL
0
0
0
0
0
0
0
"Verlies" aan Provinsiale Begroting
COND GRANTS
WesKaap Gesondheid
TotaalPersoneel% Personeel
R'000GroeiR'000Groei%
1999/20003,1071,95463%
2000/20013,3428%2,0666%62%
2001/20023,5586%2,2137%62%
2002/20033,8769%2,4089%62%
2003/20044,38213%2,4984%57%
NTSG
Total Conditional Grants (2002/3)
R Million
N Cape161,629
Mpumalanga242,765
N West249,671
Limpopo371,682
Free State567,609
E Cape592,080
K-Natal1,127,856
W Cape1,548,592
Gauteng2,551,993
TOTAL7,413,877
NTSG
0
0
0
0
0
0
0
0
0
Conditional Grants (Total) (2002/3)
PR TR GRANT
National Tertiary Services Grant
National TotalWestern CapeWC %Loss
R'000R'000%R'000
1998 / 1999 actual3,021,000937,73731.0
1999 / 2000 actual3,127,270954,49930.514,955
2000 / 2001 actual3,319,285961,94929.067,029
2001 / 2002 voted3,448,2671,011,43629.357,527
2002 / 2003 MTEF3,666,8421,030,51028.1106,211
2003 / 2004 MTEF3,892,8491,049,25227.0157,531
2004 / 2005 MTEF4,151,5421,072,70325.8214,275
TOTAL617,528
National Tertiary Services Grant called thus after 2002/3 .
Prior to that called the Central Hospitals Grant . Redistribution of Specialised Services Grant added to this amount.
REV BUD
Professional training and Development Grant: National Allocation and Allocation to Western Province
NATIONAL ALLOCATIONR'000WESTERN PROVINCE ALLOCATIONR'000WP SHARE OF TOTAL NATIONAL ALLOCATION%AMOUNT LOST DUE TO % DECREASE
1998 / 1999 actual1,060,000263,94024.9
1999 / 2000 actual1,117,920278,38224.9
2000 / 2001 actual1,174,000292,32624.9
2001 / 2002 actual1,233,924308,77625.0
2002 / 2003 voted1,279,248306,16423.9306,140
2003 / 2004 MTEF1,299,475306,66623.6306,642
2004 / 2005 MTEF1,393,366305,97422.0305,952
TOTAL918,735
This grant was called the Health Professions Training and Research grant prior to 2002/3.
25%
1,279,248319812306,16413,648
1,299,475324868.75306,66618,203
1,393,366348341.5305,97442,368
993022.25
all prog
REVENUEACTUALACTUAL REVENUE 2002/3ACTUAL REVENUE
REVENUE2003/4
2001/2
RRR
ENGINEERING & TECHNICAL SUPPORT SERVICES-2,721
EMERGENCY MEDICAL SERVICES350,5181,564,605
WESTERN CAPE NURSING COLLEGE474,386402,844
GROOTE SCHUUR25,348,88223,408,282
TYGERBERG36,258,53238,913,529
RED CROSS5,633,6807,022,707
ASSOCIATED PSYCHIATRIC HOSPITALS4,295,9053,529,325
DENTAL HOSPITALS1,341,5211,552,718
METRO REGION8,753,26710,952,749
CHSO REGION1,828,4641,953,093
BOLAND / OVERBERG REGION6,983,2987,957,559
WEST COAST / WINELANDS REGION8,213,0428,270,148
SOUTHERN CAPE / KAROO REGION9,227,5188,154,912
TOTAL108,709,013113,685,192
3'COSTS
Western Cape: Health: All ProgrammesActualActualActualActualMTEF
2000/12001/22002/32003/4
R000R000R'000R0002004/52005/62006/7
R000R000R'000
1. Administration98,229116,495120,923232710207,723225,204236,192
2. District health services876,701951,9881,018,64411448051,204,5661,800,1921,963,917
3. Emergency services151,481131,673152,910186425174,233198,056209,829
4. Provincial hospital services855,444909,382974,90610396421,062,393812,8301,287,929
5. Central hospital services1,275,6451,346,7221,476,20116231161,692,1071,769,8331,388,541
6. Health sciences & training50,36458,83365,3817210079,92170,45663,999
7. Health care support58,82565,92466,5977169783,60981,57085,644
TOTAL3,366,6893,581,0173,875,56243704954,504,5524,958,1415,236,051
APH BEDS CHART
An analysis of the costs with the patient activities shows the following:
Cost per patient dayCost per PDE
RR
Tygerberg1,652.251,256.53
Groote Schuur2,488.721,620.17
Red Cross2,216.421,425.91
APH BEDS
5284432401278
5413712181239
5433412161200
5563412411100
5823152501080
PSYCHIATRIC:
Acute
Chronic
Forensic
INTELLECTUAL DISABILITY
ASSOCIATED PSYCHIATRIC HOSPITALS:NUMBERS OF BEDS:1999 TO 2003
Chart2
2003 / 4 PLANNED
BEDS199920002001Mar-02
PSYCHIATRIC:
Acute528541543556582
Chronic443371341341315
Forensic240218216241250
INTELLECTUAL DISABILITY1,2781,2391,2001,1001,080
TOTAL2,4892,3692,3002,2382,245
APH EXP
1941974
51132752
48115796
87409796
36609166
ASSOCIATED PSYCHIATRIC HOSPITALS: FUNDS ALLOCATION
APH ACTIV
ASSOCIATED PSYCHIATRIC HOSPITALS
FUND ALLOCATION 2002/3
APH MANAGEMENT1,941,974
VALKENBERG51,132,752
STIKLAND48,115,796
LENTEGEUR87,409,796
ALEXANDRA36,609,166
TOTAL225,209,484
APH COSTS
The patient activities at the Associated Psychiatric Hospitals were as follows:
Commissioned bedsTotal patient daysSeparationsOut patient visitsCasualty headcountPDEsALOSOccupancySeparations per beddeliveriesoperations
Lentegeur psychiatric384100,3721,4805,2200102,11276.171.81,400
Lentegeur intellectual disabilty600200,244540200,4242,634.8091.7
Stikland353103,1101,8175,1880104,82253.280.03500
Valkenberg385120,3112,19611,5890124,13650,985.62600
Alexandra457159,9231621,1290157,296891,694.080,400
METRO
Cost / patient dayCost / PDE
RR
Lentegeur289,80288,38
Stikland466,65459,02
Valkenberg425,00411,91
Alexandra233,29232,74
hosps pde
Services rendered at Metro Midwife Obstetric Units:
TOTAL HEADCOUNTTOTAL BIRTHSFIRST ANTENATAL VISITFOLLOW UP ANTENATAL VISITS
PHC VISITS
Bishop Lavis22,9711,8942,1334,419
Elsies River29,3161,3552,99710,023
Guguletu21,8802,3011,3014,180
Hanover Park40,2741,8522,1814,681
Khayelitsha Site B18,5122,0978743,473
Kraaifontein18,1261,8093,3018,754
Macassar7,7711,8135922,507
Michael Mapongwanya31,1921,8683,32117,485
Mitchells Plain23,2032,3501,3594,337
Retreat14,3701,6069462,900
Vanguard24,1401,5805,15113,666
TOTAL251,75519,76724,15676,425
Activities at the Metro district hospitals:
Metro: district hospitalsCommissioned bedsTotal patient daysSeparationsOut patient visitsCasualty headcountPDEsLOSOccupancySeparations per bedTotal birthsoperations
Wesfleur 1282,9473,70471,16923,68434,2480,519132.3774454
False bay7017,5485,39334,76414,19333,7043,267.677431734
Eerste River11215,9033,4473,6511,00217,4384,638.930.80660
Conradie 219018,9772,81110,18978922,5990.7-14.801042
Booth Memorial 36417,606430001,76040.975.46.70386
Maitland Cottage 38518,3909400017,34219.559.111.100
Sarah Fox 36015,2593290015,25946.469.75.500
St Josephs 39034,5983450034,598100.3105.33.800
Joan du Plessis:
Chart4
GENERAL HOSPITALS: COSTS OF TREATING PATIENTS
2002/03
COST PER PATIENT DAYCOST PER PDE
H Holland1,010.99499.40
Karl Bremer705.62591.21
Somerset1,068.90844.54
Victoria1,055.66749.11
GF Jooste765.77751.58
Paarl936.03373.43
George1,009.28737.63
Eben Donges1,098.75805.95
DISTRICT HOSPITALS: COSTS OF TREATING PATIENTS
COST PER PATIENT DAYCOST PER PDE
Wesfleur4816.53414.46Wesfleur414.46
False Bay938.22488.49False Bay488.49
Eerste Rivier401.84366.64Eerste Rivier366.64
Citrusdal494.34435.77Citrusdal435.77
Swartland986.47537.42Swartland537.42
LAPA Munnik921.86726.24LAPA Munnik726.24
Stellenbosch1022.46613.02Stellenbosch613.02
Vredenburg859.26466.53Vredenburg466.53
Vredendal717.84634.7Vredendal634.7
Beaufort West952.58729.9Beaufort West729.9
Knysna788.34484.43Knysna484.43
Alan Blyth584.77481.19Alan Blyth481.19
Mossel Bay870.34532.1Mossel Bay532.1
Oudtshoorn828.7594.04Oudtshoorn594.04
Riversdale767.89433.35Riversdale433.35
Otto du Plessis696.35571.45Otto du Plessis571.45
Caledon873711.64Caledon711.64
Ceres501.65393.83Ceres393.83
Hermanus753.92439.61Hermanus439.61
Montagu487.3395.24Montagu395.24
Swellendam713.55573.73Swellendam573.73
Robertson560.85406.37Robertson406.37
ASSOCIATED PSYCHIATRIC HOSPITALS
COST PER PATIENT DAYCOST PER PDE
Lentegeur289,80288,38
Stikland466,65459,02
Valkenberg425,00411,91
Alexandra233,29232,74
TERTIARY HOSPITALS
COST PER PATIENT DAYCOST PER PDE
Tygerberg1,652.251,256.53
Groote Schuur2,488.721,620.17
Red Cross2,216.421,425.91
DIST HOSPS
366.64
393.83
395.24
406.37
414.46
433.35
435.77
439.61
466.53
481.19
484.43
488.49
532.1
537.42
571.45
573.73
594.04
613.02
634.7
711.64
726.24
729.9
D HOSPS COSTS
DISTRICT HOSPITALS: COSTS PDE
Eerste Rivier366.64
Ceres393.83
Montagu395.24
Robertson406.37
Wesfleur414.46
Riversdale433.35
Citrusdal435.77
Hermanus439.61
Vredenburg466.53
Alan Blyth481.19
Knysna484.43
False Bay488.49
Mossel Bay532.1
Swartland537.42
Otto du Plessis571.45
Swellendam573.73
Oudtshoorn594.04
Stellenbosch613.02
Vredendal634.7
Caledon711.64
LAPA Munnik726.24
Beaufort West729.9
hosp activ
Programme 2.4: District Hospitals
Number of hospitalsCommissioned bedsAverage cost per patient dayAverage cost per PDEAverage occupancy
RR%
W Coast / Winelands6475851.07570.1461.5
Boland / Overberg7374675.5498.8470.4
Southern Cape / Karoo6490788.08581.9882.1
Southern Cape Provincially aided4114457.36394.7741.2
Metro3.5 11912679.973427.5753.3 1
Metro Provincially aided429970.6670.6677.4
1Conradie was closed to acute cases after 5 months.
2Conradie hospital had 190 beds in addition to the above figure.
3 Conradie and Wesfleur have not been included.
4 Eerste River was not in full use so the occupancy was low. False Bays occupancy was 67.6%.
COSTS_PDE
DISTRICT HOSPITALS
PATIENT DAYSPDE'SSEPARATIONSEMU HEADCOUNTSOPD HEADCOUNTSOPERATIONSBIRTHS
Eerste Rivier2,94734,2483,70423,68471,169454774
Alan Blyth8,0559,7893,4052,6832,572177179
Beaufort West13,08817,0816,8833,0429,0601,023673
Caledon11,18413,7203,6175,2882,397413549
Ceres26,28433,4808,91614,0517,7579721,402
Citrusdal9,0759,8482,4712,140201132109
False Bay17,54833,7045,39314,19334,764734431
Hermanus10,78918,5033,7609,41713,958970770
Knysna25,60541,6698,5435,83142,8471,8491,373
LAPA Munnik3,1784,0341,2332,593069201
Montagu14,64518,0563,9393,8745,828266565
Mossel Bay21,80435,6647,89615,26326,7381,070954
Otto du Plessis8,83910,7712,8404,6282,743340319
Oudtshoorn38,44853,63610,38517,60428,4202,2501,560
Riversdale14,29125,3184,4766,39727,020656505
Robertson16,18622,3395,56213,2305417805745
Stellenbosch22,35837,3366,79710,67034,6392,0481312
Swartland21,93039,8106,64814,300398829441126
Swellendam10,446223393,68713,2305417805745
Vredenburg14,30726,3516,07616,93319,5655141,127
Vredendal16,97819,2026,9305,3631,922680777
Wesfleur2,94734,2483,70423,68471,169454774
`10,72512,2543,2431,5363,098151306
Piketberg5,7076,4442,2292,2360184219
Laingsburg5,3856,1401,2391,435852090
Murraysburg1,3592,1057431,0841,177093
Prince Albert7,7358,3252,5961,41172158
Uniondale3,8554,4321,74999175963216
Yellow = provincially aided hospitals
GENERAL HOSPITALS
PATIENT DAYSPDE'SSEPARATIONSEMU HEADCOUNTSOPD HEADCOUNTSOPERATIONSBIRTHS
H Holland40,63082,25215,90427,10199,0274,1562,226
Karl Bremer82,76398,27820,07923,05523,9625,9012,820
Somerset76,15296,38319,75425,44435,8604,6214,821
Victoria49,14569,25615,14827,72933,2153,3260
GF Jooste72,47593,84414,12640,25024,5033,7210
Paarl75,829190,07219,75541,091305,1027,4153,561
George73,263100,24319,69029,33052,4284,8342,239
Eben Donges62,91985,77717,39333,65235,6164,4541,247
REV COLLEC
COST/PDECOSTSPDE'SCOST/PDE
02/0303/0403/0403/04
RRR
Groote Schuur1620689,560
Tygerberg1257700,932
Red Cross1426196,899
Lentegeur28889,478
Stikland45950,602
Valkenberg41251,729
Alexandra23338,986
Wesfleur41415,956
False Bay48818,578
Eerste River36725,301
G F Jooste75270,646
Somerset84598,712
H Holland49945,066
Victoria74961,288
Karl Bremer59165,274
Mowbray52245,907
Citrusdal4364,918
Swartland53722,898
LAPA Munnik7263,210
Stellenbosch60324,392
Vredenburg46713,899
Vredendal63513,642
Paarl37381,139
Beaufort West73013,692
Knysna48422,532
Allan Blyth4815,466
Mossel Bay53221,280
Oudtshoorn59431,487
Riversdale43312,133
George73882,489
Otto du Plessis5717,050
Caledon71110,081
Ceres39413,619
Hermanus4409,201
Montagu3958,026
Robertson4069,670
Swellendam5748,136
Eben Donges80675,144
Sheet13
REVENUE COLLECTION : COMPARISON BETWEEN HOSPITALS
REVENUE02/03 revenue03/04 revenue
R'000R
Groote Schuur23,40837,453
Tygerberg38,91446,771
Red Cross7,02315,272
Lentegeur558
Stikland987
Valkenberg746
Alexandra238
Wesfleur81136
False Bay1,764
Eerste River111559
GF Jooste403387
Somerset1,6832775
H Holland1,5482214
Victoria2,6803541
Karl Bremer5,954
Mowbray Maternity1,715454
Brooklyn Chest173
KBH Rehab2,022620
Citrusdal164,226280
Swartland1,077,411
LAPA Munnik91,51595
Stellenbosch1,052,180
Vredenburg615,003
Vredendal2,232,787
Paarl2,676,2113706copy in templete
Beaufort West1,263,176
Knysna803,938
Allan Blyth450,654
Mossel Bay876,093
Oudtshoorn1,738,480
Riversdale411,644
George2,245,9612767
Nelspoort209,305
Otto du Plessis802,350
Caledon887,086
Ceres202,955271
Hermanus475,562
Montagu368,355
Swellendam537,251
Robertson552,969
Eben Donges3,983,0205873
Brewelskloof71,497
nameAact 0203B 0304Act.0304
Metropole Rehabilitation Centre33360620
GF Jooste403663387
Somerset1,6832,1002,775
Hottentots Holland1,5481,6972,214
Victoria2,6801,8243,541
Mowbray Maternity1,715185454
Mowbray RGP0.01,2001,732
Eben Donges3,9835,6205,873
Paarl2,6763,2053,706
George2,2452,6152,767
Groote Schuur5.1Central Hospital Services23,40835,00037,453
Tygerberg5.1Central Hospital Services38,91454,34046,771
Rooikruis5.1Central Hospital Services7,02311,50015,272
Westfleur2.9District Hospitals8181136
Lapa Munnik2.9District Hospitals9214495
Eerste Rivier2.9District Hospitals111540559
Citrusdal2.9District Hospitals164246280
Ceres2.9District Hospitals203300271
Montagu2.9District Hospitals368300419
Riversdal2.9District Hospitals412500799
Ladismith (Allan Blyth Hospital)2.9District Hospitals451232561
Hermanus2.9District Hospitals476450548
Swellemdam2.9District Hospitals537500738
Robertson2.9District Hospitals553550568
Vredenburg2.9District Hospitals615850963
Falsebay2.9District Hospitals700690932
Knysa2.9District Hospitals799700853
Bredasdorp (Otto du Plessis)2.9District Hospitals802630758
Mosselbaai2.9District Hospitals876800857
Caledon2.9District Hospitals8878501,067
Stellenbosch2.9District Hospitals1,052969915
Falsebay RGP2.9District Hospitals1,0631,700702
Swartland2.9District Hospitals1,0771,3291,571
Beaufort-West2.9District Hospitals1,2631,2001,452
Oudsthoorn2.9District Hospitals1,7371,6341,336
Vredendal2.9District Hospitals2,2332,7962,855
Sheet3
MBD0004F03E.xls
Chart1
47585157062
37467649970
49078858282
19168042853
11445739541
299717177
Beds
Cost per pt day
Cost per PDE
Occupancy
DISTRICT HOSPITALS: OCCUPANCY, COSTS
Chart2
47585157062
37467649970
49078858282
19168042853
11445739541
299717177
Beds
Cost per pt day
Cost per PDE
Occupancy
Chart3
62
70
82
53
41
77
Occupancy
DISTRICT HOSPITALS: BED OCCUPANCY PERCENTAGE
Chart4
475851570
374676499
490788582
191680428
114457395
2997171
Beds
Cost per pt day
Cost per PDE
DISTRICT HOSPITALS: BEDS, COSTS
Sheet1
BedsCost per pt dayCost per PDEOccupancy
West Coast / Winelands47585157062
Boland / Overberg37467649970
Southern Cape / Karoo49078858282
Metro19168042853
S Cape Prov aided11445739541
Metro Prov aided299717177
Occupancy
West Coast / Winelands62
Boland / Overberg70
Southern Cape / Karoo82
Metro53
S Cape Prov aided41
Metro Prov aided77
BedsCost per pt dayCost per PDE
West Coast / Winelands475851570
Boland / Overberg374676499
Southern Cape / Karoo490788582
Metro191680428
S Cape Prov aided114457395
Metro Prov aided2997171
Sheet2
Sheet3
National Tertiary Services and Training and Development Grants value in real terms
Chart2
1254275
1235382.40798503
1167942.23917403
1101288.29393709
1064257.07233817
1013730.00860196
1003596.33485811
Sheet1
DEPARTEMENT GESONDHEID
TESOURIE-TOEKENNING FEBRUARIE 2004
DESEMBER-ADDISIONELEGEWYSIGDE
TOEKENNINGSTOEKENNINGSTOEKENNING
2004/52005/62006/72004/52005/62006/72004/52005/62006/7
RmRmRmRmRmRmRmRmRm
Equitable Share289058130610113209143181000185000204000307158132460113413143
Own Receipts156112162125176633156112162125176633
Including Earmarked810798464788920810798464788920
AIDS321573357235284321573357235284
Equipment489225107553636489225107553636
Conditional Grants148775015034031568605233014660277670151105115500051646275
NTSG & Training Grant110408711213801188663110408711213801188663
Training & Development327210323278323278327210323278323278
AIDS3466135849380002330146602776705796282451115670
Nutrition480952880480952880
Management & Quality169831760818664169831760818664
TOTAL437833145644144777748204301231602281670473874449581415236051
Die nie-geoormerkte addisionele toekenning bestaan uit:
2004/52005/62006/7
RmRmRm
Scarce Skills 2003/450
Scarce Skills505863
Staff Performance303234
Head Office111216
AIDS Administration303540
Generalised Service Buffer104851
Equitable Share181185204
IMPLIKASIES
Nooddienste
Kan nie die Nooddienste se "Job Evaluations" bekostig nie, wat die provinsialisering sal belemmer.
Geen rele groei in EMS nie
Personeel
Personeel verminder met 2.5% p.j., grotendeels vir die oorname van PGS vanaf Plaaslike Owerhede.
Sny Agentskapdienste met 60%. (Bespaar: R43m)
Slegs die helfte van die vereiste HK-poste sal gevul word.
Byvoordele
Slegs 0.5% "Staff Performance Management Awards"
Kan nie 2003/4 se 2de en 3de kerwe betaal nie.
Verdere Job Evaluation word heroorweeg.
Munisipaliteite
Geen verdere backlogs betaal aan plaaslike owerhede. (PGS en Nooddiensste)
Sal nie plaaslike owerhede kan help met transformasiekostes nie.
Ander
Bewaarskole word uitfaseer.
Kan nie gratis sorg vir gestremdes bekostig nie
ONTLEDING VAN TOEKENNING OOR LANG TERMYN
Rm2000/12001/22002/32003/42004/52005/62006/7
ActualActualActualAdj BudAllocations
Equitable share - scarce skills1240008322489510
Equitable share - Other1982654211049423323862764678294758131627873323633
Own receipts98781117194119872154261156112162125176633
Conditional grants1285254135332914233041467653151105115500051646275
INP28789287892878934653480952880
NTSG961949101143610474381076724110408711213801188663
HPTD292326308776316364314696327210323278323278
AIDS2190432811713242045796282451115670
HOSPITAL MANAGE1900016376169831760818664
MORTUARIES1000
3366689358101738755624386592473874449581415236051
37%37%35%32%30%29%29%
% Of Total
NTS & Training & Development37%37%35%32%30%29%29%
AIDS0%0%0%1%1%2%2%
Equitable share59%59%60%63%62%64%63%
Own Income3%3%3%4%3%3%3%
NTS & Training & Development1254275132021213638021391420143129714446581511941
Real GrowthMTEF
NTS & Training & Development-2%-6%-6%-4%-5%-1%-10%
AIDS91%161%98%133%36%35%
Equitable share (Excl Sc sk, Revenue)-0%1%10%0.17%1.34%-0.63%0.88%
Own Income12%-7%20%-5%-2%3%
Total allocation-1%-1%5%1.6%-1.3%-0.1%0.1%
Total, excluding AIDS, Nutrition & Scarce Skills-1%-1%5%-1.3%-0.8%-0.6%-2.7%
Nominal Growth
NTS & Training & Development5%3%2%3%1%5%
AIDS98%171%107%139%42%40%
Equitable share (Excl Sc Sk, Revenue)6%11%19%6.6%7%5%
Own Income19%2%29%1%4%9%
Total allocation6%8%13%8%5%6%
Total, excluding AIDS, Nutrition & Scarce Skills6.4%8.1%12.8%5.2%5.2%5.1%
Weighted Inflation6.9%9.3%8.2%6.4%6.0%5.7%
1254275123538211679421101288106425710137301003596
Sheet1
Sheet2
Sheet3
Equitable Share real
Chart4
1982654
1974885.21522146
1997424.93958666
2188201.63423367
2191707.18973044
2219357.17153553
2206161.41583135
Sheet1
DEPARTEMENT GESONDHEID
TESOURIE-TOEKENNING FEBRUARIE 2004
DESEMBER-ADDISIONELEGEWYSIGDE
TOEKENNINGSTOEKENNINGSTOEKENNING
2004/52005/62006/72004/52005/62006/72004/52005/62006/7
RmRmRmRmRmRmRmRmRm
Equitable Share289058130610113209143181000185000204000307158132460113413143
Own Receipts156112162125176633156112162125176633
Including Earmarked810798464788920810798464788920
AIDS321573357235284321573357235284
Equipment489225107553636489225107553636
Conditional Grants148775015034031568605233014660277670151105115500051646275
NTSG & Training Grant110408711213801188663110408711213801188663
Training & Development327210323278323278327210323278323278
AIDS3466135849380002330146602776705796282451115670
Nutrition480952880480952880
Management & Quality169831760818664169831760818664
TOTAL437833145644144777748204301231602281670473874449581415236051
Die nie-geoormerkte addisionele toekenning bestaan uit:
2004/52005/62006/7
RmRmRm
Scarce Skills 2003/450
Scarce Skills505863
Staff Performance303234
Head Office111216
AIDS Administration303540
Generalised Service Buffer104851
Equitable Share181185204
IMPLIKASIES
Nooddienste
Kan nie die Nooddienste se "Job Evaluations" bekostig nie, wat die provinsialisering sal belemmer.
Geen rele groei in EMS nie
Personeel
Personeel verminder met 2.5% p.j., grotendeels vir die oorname van PGS vanaf Plaaslike Owerhede.
Sny Agentskapdienste met 60%. (Bespaar: R43m)
Slegs die helfte van die vereiste HK-poste sal gevul word.
Byvoordele
Slegs 0.5% "Staff Performance Management Awards"
Kan nie 2003/4 se 2de en 3de kerwe betaal nie.
Verdere Job Evaluation word heroorweeg.
Munisipaliteite
Geen verdere backlogs betaal aan plaaslike owerhede. (PGS en Nooddiensste)
Sal nie plaaslike owerhede kan help met transformasiekostes nie.
Ander
Bewaarskole word uitfaseer.
Kan nie gratis sorg vir gestremdes bekostig nie
ONTLEDING VAN TOEKENNING OOR LANG TERMYN
Rm2000/12001/22002/32003/42004/52005/62006/7
ActualActualActualAdj BudAllocations
Equitable share - scarce skills1240008322489510
Equitable share - Other1982654211049423323862764678294758131627873323633
Own receipts98781117194119872154261156112162125176633
Conditional grants1285254135332914233041467653151105115500051646275
INP28789287892878934653480952880
NTSG961949101143610474381076724110408711213801188663
HPTD292326308776316364314696327210323278323278
AIDS2190432811713242045796282451115670
HOSPITAL MANAGE1900016376169831760818664
MORTUARIES1000
3366689358101738755624386592473874449581415236051
37%37%35%32%30%29%29%
% Of Total
NTS & Training & Development37%37%35%32%30%29%29%
AIDS0%0%0%1%1%2%2%
Equitable share59%59%60%63%62%64%63%
Own Income3%3%3%4%3%3%3%
NTS & Training & Development1254275132021213638021391420143129714446581511941
Real GrowthMTEF
NTS & Training & Development-2%-6%-6%-4%-5%-1%-10%
AIDS91%161%98%133%36%35%
Equitable share (Excl Sc sk, Revenue)-0%1%10%0.17%1.34%-0.63%0.88%
Own Income12%-7%20%-5%-2%3%
Total allocation-1%-1%5%1.6%-1.3%-0.1%0.1%
Total, excluding AIDS, Nutrition & Scarce Skills-1%-1%5%-1.3%-0.8%-0.6%-2.7%
Nominal Growth
NTS & Training & Development5%3%2%3%1%5%
AIDS98%171%107%139%42%40%
Equitable share (Excl Sc Sk, Revenue)6%11%19%6.6%7%5%
Own Income19%2%29%1%4%9%
Total allocation6%8%13%8%5%6%
Total, excluding AIDS, Nutrition & Scarce Skills6.4%8.1%12.8%5.2%5.2%5.1%
Weighted Inflation6.9%9.3%8.2%6.4%6.0%5.7%
NTSG & HPTD1254275123538211679421101288106425710137301003596
Equity1982654197488519974252188202219170722193572206161
Sheet1
0
0
0
0
0
0
0
Sheet2
0
0
0
0
0
0
0
Sheet3
Chart1
3100024204
3215757962
3357282451
35284115670
Earmarked
Conditional
Rm
HIV/AIDS
Sheet1
Social SectorONDERWYSGESONDHEID
RmReal valuesReal Growth% of ProvinceGeweegde inflasieProvinsieReal valuesReal GrowthWelsynReal valuesReal GrowthNominaalReal valuesReal GrowthNominaalReal valuesReal Growth
2003/422.37822.38133.7%3.50%16.73816.743.8883.895.1235.124.3564.36
2004/524.144098068722.681%132.1%6.4%2.60%18.27817.173%4.4934.229%5.4675.140%4.7394.452%
2005/625.383902943722.50-1%129.6%6.0%0.50%19.59117.371%4.9874.425%5.8135.150%4.9584.40-1%
2006/726.817804601722.49-0%126.8%5.7%21.14617.732%5.6264.727%6.0815.10-1%5.2364.39-0%
LOS
EquipmentEarmarkedTotal
2003/440
2004/542
2005/644
2006/746
VOLTOOI
AIDS
2003/42004/52005/62006/7
Earmarked31000321573357235284
Conditional242045796282451115670
Total5520490119116023150954
OWN REVENUE
Sheet1
Earmarked
Conditional
Rm
HIV/AIDS
Sheet2
Sheet3
REVENUE
Chart1
98781
117194
119872
165000
156112
162125
176633
Rm
Revenue (Actual - Budget)
Sheet1
EQUIPMENT
EarmarkedTotal
2003/440kry totale
2004/542
2005/644
2006/746
HIS
2003/438.5
2004/522.8
2005/617.6
2006/7kry nuwe jaar
2000/12001/22002/32003/42004/52005/62006/7
Own receipts98,781117194119872165000156112162125176633
Sheet1
Rm
Revenue (Actual - Budget)
Sheet2
Sheet3
Chart5
352936103764
107891621411608
165521923518301
196582646332613
693459949689826
2002/03 INCOME
2003/04 INCOME
2004/05 BUDGET
Rm
REVENUE: Total for Department
APH
ASSOCIATED PSHYCIATRIC HOSPITALS
2002/032003/042004/05
INCOMEINCOMEBUDGET
AlexandraAPHProvincial Hospital Services4.3Psychiatric/Mental Hospitals238137210
LentegeurAPHProvincial Hospital Services4.3Psychiatric/Mental Hospitals5586631,035
ValkenbergAPHProvincial Hospital Services4.3Psychiatric/Mental Hospitals7467321,061
StiklandAPHProvincial Hospital Services4.3Psychiatric/Mental Hospitals1,9872,0781,458
TOTAL3,5293,6103,764
PROG
REGIONPROGRAMSUB-SUB-PROGRAM
REGION/INSTITUTIONREGIONPROGRAMSUB-SUB-PROGRAMACTUAL INCOMEACTUAL INCOMEBUDGET
PROG2002/03As at 10/05/20042004/05
2003/04
NO.R'000R'000R'000
0INCOMEINCOMEBUDGET
APH
2002/03 INCOME
2003/04 INCOME
2004/05 BUDGET
Rm
Revenue: Psychiatric hospitals
DH
DISTRICT HOSPITALS
ACTUAL INCOMEACTUAL INCOMEBUDGET
2002/032003/042004/05
Westfleur81136146
Lapa Munnik9295169
Citrusdal164280280
Ceres203271316
Montagu368419318
Ladismith (Allan Blyth Hospital)451561344
Hermanus476548472
Swellemdam537738525
Eerste Rivier111559536
Riversdal412799565
Robertson553568573
Vredenburg615963585
Bredasdorp (Otto du Plessis)802758653
Knysna799853724
Falsebay700932811
Mosselbay876857823
Caledon8871,067894
Stellenbosch1,0529151,081
Swartland1,0771,5711,161
Beaufort-West1,2631,4521,235
Falsebay RGP1,0637021,595
Oudsthoorn1,7371,3361,681
Vredendal2,2332,8552,814
TOTAL16,55219,23518,301
REGION/INSTITUTIONACTUAL INCOMEACTUAL INCOMEBUDGET
2002/03As at 10/05/20042004/05
2003/04
R'000R'000R'000
TOTAL16,55219,23518,301
DH
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
000
ACTUAL INCOME 2002/03
ACTUAL INCOME 2003/04
BUDGET 2004/05
Revenue: Distric hospitals
CHS
ACTUAL REVENUE: CENTRAL HOSPITAL SERVICES
FINANCIAL YEAR: 2003/04
2002/032003/042004/05
ACTUAL INCOMEACTUAL INCOMEBUDGET
Red Cross Childrens7,02315,2729,390
Groote Schuur23,40837,45337,035
Tygerberg38,91446,77143,401
SUB-TOTAL69,34599,49689,826
REGION/INSTITUTIONACTUAL INCOMEACTUAL INCOMEBUDGET
2002/03As at 10/05/20042004/05
2003/04
R'000R'000R'000
SUB-TOTAL69,34599,49689,826
CHS
2002/03 ACTUAL INCOME
2003/04 ACTUAL INCOME
2004/05 BUDGET
Revenue: Tertiary hospitals
PHS
PROGRAMME 4 - PROVINCIAL HOSPITAL SERVICES (EXCLUDING: APH)
FINANCIAL YEAR: 2003/04
2002/032003/042004/05
ACTUAL INCOMEACTUAL INCOMEBUDGET
Karl Bremer0.00.09,981
Victoria2,6803,5414,084
Eben Donges3,9835,8733,762
Paarl2,6763,7063,278
Somerset1,6832,7753,055
George2,2452,7672,545
Hottentots Holland1,5482,2141,931
Mowbray Maternity1,7152,1871,706
US: Dental Training1,1841,178798
Metropole Rehabilitation Centre35620491
GF Jooste403387362
UWC: Dental Training369574300
Brooklyn Chest173198143
Nelspoort209197133
Brewelskloof7124444
Conradie Hospital68420.0
TOTAL FOR PROVINCIAL HOSPITAL SERVICES19,65826,46332,613
REGION/INSTITUTIONACTUAL INCOMEACTUAL INCOMEBUDGET
2002/03As at 10/05/20042004/05
2003/04
R'000R'000R'000
TOTAL FOR PROVINCIAL HOSPITAL SERVICES19,65826,46332,613
PHS
2002/03 ACTUAL INCOME
2003/04 ACTUAL INCOME
2004/05 BUDGET
Revenue: Regional hospitals
DOH2
DEPARTMENT OF HEALTH
2002/032003/042004/05
INCOMEINCOMEBUDGET
PSYCHIATRIC3,5293,6103,764
OTHER10,78916,21411,608
DISTRICT16,55219,23518,301
REGIONAL19,65826,46332,613
TERTIARY69,34599,49689,826
TOTAL FOR DEPT OF HEALTH119,873165,018156,112
DESCRIPTIONINCOMEACTUAL INCOMEBUDGET
2002/03As at 10/05/20042004/05
2003/04
R'000R'000R'000
TOTAL FOR DEPT OF HEALTH119,873165,018156,112
DOH2
2002/03 INCOME
2003/04 INCOME
2004/05 BUDGET
Rm
REVENUE: Total for Department
BUDGET TRENDS
Chart1
217
1285
187
1154
1743
75
78
Programs: Budgets 2004/5
Grafiek (2)
Personeelgetalle; die afgelope jaar
Personeelgetalle; die afgelope ses jaar
Nie-personeeluitgawes groter as R10m per jaar
Salarisse40%
Behuising1.600%
Gewone oortyd0.800%
Commuted overtime3.200%
Bonusse3.200%
Mediese fondse2.800%
Pensioenfonds5.600%
Ander1.200%
Klinieke36%
Streekshospitale15%
Nooddienste12%
Kroniese hospitale10%
Voeding (NGO's)8%
VIGS (NGO's)5%
Distrikhospitale4%
TB-hospitale4%
Studiebeurse3%
1 Administrasie217
2 Distrik1285
3 Nooddienste187
4 Provinsiale1154
5 Sentrale1743
6 Opleiding75
7 Ondersteuning78
Rm00/101/202/303/404/505/606/7
Equitable share - scarce skills1248390
Equitable share Other1,9832,1102,3322,7652,9483,1633,324
Eie inkomste99117120154156162177
Voorwaardelike toekennings1,2851,3531,4231,4681,5111,5501,646
Voeding (INP)29292935550.0
National Tersiary Services9621,0111,0471,0771,1041,1211,189
Prof. Train. & Developm.292309316315327323323
VIGS2412245882116
Hospitaalbestuur1916171819
Lykshuise1
3,3673,5813,8764,3874,7394,9585,236
National Tersiary Services + Training & Development Grants rele terme
Equitable Share rele terme
Eie inkomste (rele terme)
Grafiek (2)
24164
24090
24033
24073
24106
24073
24002
23968
23665
23587
23531
23478
23418
23475
23234
23367
23248
23331
Personeelgetalle
26785
24666
24018
24011
24078
24031
24220
24276
24167
24119
24062
23925
24396
24277
24439
24480
24543
24609
24653
24633
24602
24609
24756
24971
25072
24999
24747
24702
24666
24675
24480
24456
24388
24364
24164
24090
24033
24073
24106
24073
24002
23968
23665
23587
23531
23478
23418
23475
23234
23367
23248
23331
Groep na weer aanpas
16511000
34393216.1490167
48074742.815288
48168650.4319758
51595275.1622139
65339650.4900841
75244136.0015868
77627416.2549178
78650043.9658041
90119000
178241485.33703
212136927.487605
223086505.584108
251217691.962496
259763868.663462
364251162.011843
426340129.837886
766981091.427182
776038763.002562
795814849.992514
Rm
Projeksie 2004/5
Aktiwiteite
453327191.469575
333670870.9374
195435612.7996
188972036.061733
91423345.168975
69184307.9435251
68311407.196075
41998412.268475
33567297.879
33239437.41405
32053495.94895
26664925.85705
40832288.168
25613286.812575
25374476.4255
17792746.93385
15853727.74155
15659010.10535
14649670.720125
13930164.774875
11148856.397675
10943461.085825
10769860.2097
10379478.581925
10072702.16535
nie personeel
0
0
0
0
0
0
0
0
Personeeluitgawes
Oordragbetalings
Programme: Begroting 2004/5
Annexure A
DEPARTMENT OF HEALTH: PERSONNEL TOTALS
DATEPUBLIC SERVICE PERSONNELTOTALTOTAL
124567101116TOTAL 1-16317323+17+321 TO 32
19980428231712740413141316012126785973534162166928454
19990409213232420356292273010124666823640206166926335
0
20000407204352695293342251010124018802459129139025408
0
2000050320367275529034924901024011820481134143525446
000
000
2000060320385281228235224601024078841502142148525563
000
2000070620344281127935124411024031859482142148325514
000
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