BUDGET 2004 DEPARTMENT OF HEALTH

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


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







TERTIARY HOSPITALS


Tygerberg1,652.251,256.53


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


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


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 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


Boland / Overberg70


Metro53

S Cape Prov aided41

Metro Prov aided77

BedsCost per pt dayCost per PDE




Metro191680428



Sheet2

Sheet3

Prov Budgets





N Cape571Gauteng54


N West1,699E Cape58



W Cape3,581W Cape63




TOTAL29,63459

Prov Budgets

0

0

0

0

0

0

0

0

0


W Cape Budgets

Western Cape Budget



% 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


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



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


25%

1,279,248319812306,16413,648

1,299,475324868.75306,66618,203

1,393,366348341.5305,97442,368

993022.25

all prog


REVENUE2003/4

2001/2

RRR




GROOTE SCHUUR25,348,88223,408,282

TYGERBERG36,258,53238,913,529

RED CROSS5,633,6807,022,707



METRO REGION8,753,26710,952,749

CHSO REGION1,828,4641,953,093




TOTAL108,709,013113,685,192

3'COSTS


2000/12001/22002/32003/4

R000R000R'000R0002004/52005/62006/7

R000R000R'000

1. Administration98,229116,495120,923232710207,723225,204236,192







TOTAL3,366,6893,581,0173,875,56243704954,504,5524,958,1415,236,051

APH BEDS CHART



RR

Tygerberg1,652.251,256.53


Red Cross2,216.421,425.91

APH BEDS

5284432401278

5413712181239

5433412161200

5563412411100

5823152501080

PSYCHIATRIC:

Acute

Chronic

Forensic



Chart2

2003 / 4 PLANNED

BEDS199920002001Mar-02

PSYCHIATRIC:

Acute528541543556582

Chronic443371341341315

Forensic240218216241250


TOTAL2,4892,3692,3002,2382,245

APH EXP

1941974

51132752

48115796

87409796

36609166


APH ACTIV





STIKLAND48,115,796

LENTEGEUR87,409,796

ALEXANDRA36,609,166

TOTAL225,209,484

APH COSTS





Stikland353103,1101,8175,1880104,82253.280.03500

Valkenberg385120,3112,19611,5890124,13650,985.62600

Alexandra457159,9231621,1290157,296891,694.080,400

METRO


RR





hosps pde



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


Kraaifontein18,1261,8093,3018,754

Macassar7,7711,8135922,507


Mitchells Plain23,2032,3501,3594,337

Retreat14,3701,6069462,900

Vanguard24,1401,5805,15113,666

TOTAL251,75519,76724,15676,425



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


Sarah Fox 36015,2593290015,25946.469.75.500

St Josephs 39034,5983450034,598100.3105.33.800

Joan du Plessis:

Chart4


2002/03


H Holland1,010.99499.40


Somerset1,068.90844.54

Victoria1,055.66749.11

GF Jooste765.77751.58

Paarl936.03373.43

George1,009.28737.63





















Ceres501.65393.83Ceres393.83











TERTIARY HOSPITALS


Tygerberg1,652.251,256.53


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


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


Swellendam573.73

Oudtshoorn594.04

Stellenbosch613.02

Vredendal634.7

Caledon711.64

LAPA Munnik726.24

Beaufort West729.9

hosp activ



RR%


Boland / Overberg7374675.5498.8470.4



Metro3.5 11912679.973427.5753.3 1






COSTS_PDE

DISTRICT HOSPITALS


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


GENERAL HOSPITALS


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


02/0303/0403/0403/04

RRR




Lentegeur28889,478

Stikland45950,602

Valkenberg41251,729

Alexandra23338,986

Wesfleur41415,956

False Bay48818,578


G F Jooste75270,646

Somerset84598,712

H Holland49945,066

Victoria74961,288


Mowbray52245,907

Citrusdal4364,918

Swartland53722,898

LAPA Munnik7263,210


Vredenburg46713,899

Vredendal63513,642

Paarl37381,139


Knysna48422,532

Allan Blyth4815,466

Mossel Bay53221,280

Oudtshoorn59431,487

Riversdale43312,133

George73882,489


Caledon71110,081

Ceres39413,619

Hermanus4409,201

Montagu3958,026

Robertson4069,670

Swellendam5748,136


Sheet13



R'000R




Lentegeur558

Stikland987

Valkenberg746

Alexandra238

Wesfleur81136

False Bay1,764

Eerste River111559

GF Jooste403387

Somerset1,6832775

H Holland1,5482214

Victoria2,6803541

Karl Bremer5,954


Brooklyn Chest173

KBH Rehab2,022620

Citrusdal164,226280

Swartland1,077,411

LAPA Munnik91,51595


Vredenburg615,003

Vredendal2,232,787



Knysna803,938

Allan Blyth450,654

Mossel Bay876,093

Oudtshoorn1,738,480

Riversdale411,644

George2,245,9612767

Nelspoort209,305


Caledon887,086

Ceres202,955271

Hermanus475,562

Montagu368,355

Swellendam537,251

Robertson552,969


Brewelskloof71,497



GF Jooste403663387

Somerset1,6832,1002,775


Victoria2,6801,8243,541



Eben Donges3,9835,6205,873

Paarl2,6763,2053,706

George2,2452,6152,767



























Sheet3

MBD0004F03E.xls

Chart1

47585157062

37467649970

49078858282

19168042853

11445739541

299717177

Beds

Cost per pt day

Cost per PDE

Occupancy


Chart2

47585157062

37467649970

49078858282

19168042853

11445739541

299717177

Beds

Cost per pt day

Cost per PDE

Occupancy

Chart3

62

70

82

53

41

77

Occupancy


Chart4

475851570

374676499

490788582

191680428

114457395

2997171

Beds

Cost per pt day

Cost per PDE


Sheet1





Metro19168042853



Occupancy


Boland / Overberg70


Metro53

S Cape Prov aided41

Metro Prov aided77





Metro191680428



Sheet2

Sheet3

Prov Budgets





N Cape571Gauteng54


N West1,699E Cape58



W Cape3,581W Cape63




TOTAL29,63459

Prov Budgets

0

0

0

0

0

0

0

0

0


W Cape Budgets

Western Cape Budget



% 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


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



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


25%

1,279,248319812306,16413,648

1,299,475324868.75306,66618,203

1,393,366348341.5305,97442,368

993022.25

all prog


REVENUE2003/4

2001/2

RRR




GROOTE SCHUUR25,348,88223,408,282

TYGERBERG36,258,53238,913,529

RED CROSS5,633,6807,022,707



METRO REGION8,753,26710,952,749

CHSO REGION1,828,4641,953,093




TOTAL108,709,013113,685,192

3'COSTS


2000/12001/22002/32003/4

R000R000R'000R0002004/52005/62006/7

R000R000R'000

1. Administration98,229116,495120,923232710207,723225,204236,192







TOTAL3,366,6893,581,0173,875,56243704954,504,5524,958,1415,236,051

APH BEDS CHART



RR

Tygerberg1,652.251,256.53


Red Cross2,216.421,425.91

APH BEDS

5284432401278

5413712181239

5433412161200

5563412411100

5823152501080

PSYCHIATRIC:

Acute

Chronic

Forensic



Chart2

2003 / 4 PLANNED

BEDS199920002001Mar-02

PSYCHIATRIC:

Acute528541543556582

Chronic443371341341315

Forensic240218216241250


TOTAL2,4892,3692,3002,2382,245

APH EXP

1941974

51132752

48115796

87409796

36609166


APH ACTIV





STIKLAND48,115,796

LENTEGEUR87,409,796

ALEXANDRA36,609,166

TOTAL225,209,484

APH COSTS





Stikland353103,1101,8175,1880104,82253.280.03500

Valkenberg385120,3112,19611,5890124,13650,985.62600

Alexandra457159,9231621,1290157,296891,694.080,400

METRO


RR





hosps pde



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


Kraaifontein18,1261,8093,3018,754

Macassar7,7711,8135922,507


Mitchells Plain23,2032,3501,3594,337

Retreat14,3701,6069462,900

Vanguard24,1401,5805,15113,666

TOTAL251,75519,76724,15676,425



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


Sarah Fox 36015,2593290015,25946.469.75.500

St Josephs 39034,5983450034,598100.3105.33.800

Joan du Plessis:

Chart4


2002/03


H Holland1,010.99499.40


Somerset1,068.90844.54

Victoria1,055.66749.11

GF Jooste765.77751.58

Paarl936.03373.43

George1,009.28737.63





















Ceres501.65393.83Ceres393.83











TERTIARY HOSPITALS


Tygerberg1,652.251,256.53


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


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


Swellendam573.73

Oudtshoorn594.04

Stellenbosch613.02

Vredendal634.7

Caledon711.64

LAPA Munnik726.24

Beaufort West729.9

hosp activ



RR%


Boland / Overberg7374675.5498.8470.4



Metro3.5 11912679.973427.5753.3 1






COSTS_PDE

DISTRICT HOSPITALS


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


GENERAL HOSPITALS


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


02/0303/0403/0403/04

RRR




Lentegeur28889,478

Stikland45950,602

Valkenberg41251,729

Alexandra23338,986

Wesfleur41415,956

False Bay48818,578


G F Jooste75270,646

Somerset84598,712

H Holland49945,066

Victoria74961,288


Mowbray52245,907

Citrusdal4364,918

Swartland53722,898

LAPA Munnik7263,210


Vredenburg46713,899

Vredendal63513,642

Paarl37381,139


Knysna48422,532

Allan Blyth4815,466

Mossel Bay53221,280

Oudtshoorn59431,487

Riversdale43312,133

George73882,489


Caledon71110,081

Ceres39413,619

Hermanus4409,201

Montagu3958,026

Robertson4069,670

Swellendam5748,136


Sheet13



R'000R




Lentegeur558

Stikland987

Valkenberg746

Alexandra238

Wesfleur81136

False Bay1,764

Eerste River111559

GF Jooste403387

Somerset1,6832775

H Holland1,5482214

Victoria2,6803541

Karl Bremer5,954


Brooklyn Chest173

KBH Rehab2,022620

Citrusdal164,226280

Swartland1,077,411

LAPA Munnik91,51595


Vredenburg615,003

Vredendal2,232,787



Knysna803,938

Allan Blyth450,654

Mossel Bay876,093

Oudtshoorn1,738,480

Riversdale411,644

George2,245,9612767

Nelspoort209,305


Caledon887,086

Ceres202,955271

Hermanus475,562

Montagu368,355

Swellendam537,251

Robertson552,969


Brewelskloof71,497



GF Jooste403663387

Somerset1,6832,1002,775


Victoria2,6801,8243,541



Eben Donges3,9835,6205,873

Paarl2,6763,2053,706

George2,2452,6152,767



























Sheet3

MBD0004F03E.xls

Chart1

47585157062

37467649970

49078858282

19168042853

11445739541

299717177

Beds

Cost per pt day

Cost per PDE

Occupancy


Chart2

47585157062

37467649970

49078858282

19168042853

11445739541

299717177

Beds

Cost per pt day

Cost per PDE

Occupancy

Chart3

62

70

82

53

41

77

Occupancy


Chart4

475851570

374676499

490788582

191680428

114457395

2997171

Beds

Cost per pt day

Cost per PDE


Sheet1





Metro19168042853



Occupancy


Boland / Overberg70


Metro53

S Cape Prov aided41

Metro Prov aided77





Metro191680428



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



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



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


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


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


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


Red Cross Childrens7,02315,2729,390

Groote Schuur23,40837,45337,035

Tygerberg38,91446,77143,401

SUB-TOTAL69,34599,49689,826


2002/03As at 10/05/20042004/05

2003/04

R'000R'000R'000

SUB-TOTAL69,34599,49689,826

CHS

2002/03 ACTUAL INCOME


2004/05 BUDGET

Revenue: Tertiary hospitals

PHS

PROGRAMME 4 - PROVINCIAL HOSPITAL SERVICES (EXCLUDING: APH)

FINANCIAL YEAR: 2003/04

2002/032003/042004/05


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


Mowbray Maternity1,7152,1871,706

US: Dental Training1,1841,178798


GF Jooste403387362

UWC: Dental Training369574300

Brooklyn Chest173198143

Nelspoort209197133

Brewelskloof7124444

Conradie Hospital68420.0

TOTAL FOR PROVINCIAL HOSPITAL SERVICES19,65826,46332,613


2002/03As at 10/05/20042004/05

2003/04

R'000R'000R'000

TOTAL FOR PROVINCIAL HOSPITAL SERVICES19,65826,46332,613

PHS



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 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

2000080420456288827136623711024220865470145148025700

2000090420485291826336724111024276874476146149625772

2000100620373298619637123920024167864475148148725654

000

2000110320339297818837523720024119876487146150925628

000

2000121120289295318040123720024062865490151150625568

000

2001010420229272616623223502023590852492153149725087

000

000

2001020120253280117246323420023925846514159151925444

2001030820297321117048023530024396804518163148525881

20010403201263263160493231300124277833539166153825815

000

20010509201763331160536232300124439857517166154025979

000

000

20010603202403321160523232300124480840529161153026010

000

000

20010702202873331162529230300124543856535158154926092

000

000

20010806202983376162536233300124609863538159156026169

000

000

20010903203393366159553231400124653869536160156526218

000

20011002203543344157544229400124633863540162156526198

000

000

20011106203743300157537230300124602857544165156626168

000

000

20011203203303324157565229300124609844546165155526164

000

20020102205643339149472228300124756830548169154726303

000

20020205205563378151657225300124971817561175155326524

000

000

20020326205053475136733219300125072808562174154426616

000

000

000

000

20020426205003415132728221200124999798243173121426213

000

000

20020528203893289130720216200124747804224171119925946

000

000

000

20020627203953217125744218200124702806250174123025932

000

000

20020723203913196122741214100124666785255172121225878

000

000

000

000

20020826204733160121709210100124675782281117118025855

000

000

20020927204183024111733192100124480777284110117125

Date post:	12-Jan-2016
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BUDGET 2004 DEPARTMENT OF HEALTH

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