pmg-assets.s3-website-eu-west-1.amazonaws.compmg-assets.s3-website-eu-west-1.amazonaws.com/n...included...

��

1

��

2

��

KAGISO LE TSWELELOPELE

Department:

Health

North West Province

REPUBLIC OF SOUTH AFRICA

VOTE 03

Health

��

��

��

��

4

��

5

��

6

��

7

��

8

��

9

��

10

��

11

��

12

��

13

��

• • • • • •

14

��

• • • • • • • •

15

��

16

��

17

��

• •

•

•

•

•

•

18

��


Department:

Health

North West Province


VOTE 03

Health

��

��

��

��

20

��

21

��

• • • • •

22

��

23

��

24

��

25

��

•

•

•

•

•

26

��

27

��

28

��

District Health Services Strategic

objectives Performance Indicator Actual

Achievement 2011/2012

Planned Target

2012/2013

Actual Achievement

2012/2013

Deviation from planned target to

Actual Achievement for 2012/2013

Comment on deviations

Improve District Health Services

Provincial PHC expenditure per uninsured person

254.76 305 362 57 Expenditure on HIV grant included in the calculation

PHC total headcount 7,863,769 7, 800,000 7,850,623 50,623 Improve facility utilisation and use of care givers to market services at PHC facilities

PHC total headcount under 5 years

3,841,463 1,500,000 1,527,922 27,922 Family profiling and health promotion on baby services at PHC facilities

Utilization rate- PHC 2.9 3 2 -1 Patients bypassing PHC facilities to utilisies Hospitals/including care in community by outreach PHC team

Utilization rate under 5 years- PHC

4.2 5 4 -1 Family profiling and health promotion on baby services at PHC facilities

Percentage of fixed PHC facilities with a monthly supervisory visit

79 65 73 5 Supervision visit is part of local health managers KPA and is focus area

Expenditure per PHC visit 205 305 192 -113 HIV conditional grant not included in the calculations.

Percentage of complaints of users of PHC services resolved within 25 days.

65 85 77 -8 Poor client management and ineffective feedback mechanism to complainants

CHC’s/CDC’s with resident doctor rate

34.25 25 40 15 Appointment of medical officers for sub district PHC facilities and family physicians

Number of PHC facilities assessed for compliance against the 6 priority of the core standards

292 311 194 -117 Other facilities were waiting for the new NCS tools

29

��

HIV and TB control Strategic

objectives Performance

Indicator Actual


Planned Target

2012/2013

Actual Achievement

2012/2013




Improve HAST HCT testing rate 94 95 98 3 Improved training of health professionals

Percentage of HIV-TB co-infected patients placed on ART

51,1 60 58.2 -1.8 Non adherence to guidelines

Total number of patients (Children and Adult) initiated on ART

151,589 176,000 179,236 3,236 Most sites have been accredited for ART initiations. Training of health professionals took place trough out the financial year

Facility ARV drug stock out rate

0 0 6 6 Shortage of one drug at a given time however clients were given alternative drugs

District Hospitals Strategic



Planned Target

2012/2013

Actual Achievement

2012/2013




Improve Hospital services

Caesarean section rate for district hospitals

18 11 20 9 Poor utilisation of partogramm and the risk assessment.

Unavoidable obstetric factors.

Late reporting of clients with complications Due to few assisted deliveries, all complications are taken to caesarean section

Separations- Total 223,233 200,500 134,168 -66,332 Less referral to hospitals/inadequate number of medical officers at rural hospitals

Patient Day Equivalent 1,578,136 175,000 102,751 -72,249

OPD Total Headcounts 848,223 430,500 490,494 59,994 Patients tend to go directly to the hospital without referral by the PHC facility

Average length of stay 4 4 3 -1 Correct diagnosis and patient management in hospitals

Bed Utilisation rate 60 72 59 -13 Some hospital do not have enough medical and nursing personnel to full cover medical services

Expenditure per patient day equivalent (PDE)

1,030 866 2 424 1,558 The target has been stagnant, prices have gone up and OSD payment to staff has a factor

Percentage of complaints of users District Hospital Services resolved within 25 Days

61 100 85 -15 Clinical complaints sometimes take long to be resolved especially where more than one facility are involved

Percentage of District Hospitals with monthly Maternal Mortality and Morbidity Meetings

100 100 100 0

District Hospital patient satisfaction rate

79 95 86 -9 Satisfaction rate affected by responsiveness of clients and their experience based on expectation clients

Number of District Hospitals assessed for compliance against the 6 priorities of the core standards

12 14 14 0

30

��

HIV and TB control Strategic


Indicator Actual


Planned Target

2012/2013

Actual Achievement

2012/2013




New smear positive PTB cure rate

70.8 73 69.3 -3.7 Ineffective TB management and patient defaulter problem, poverty lack of food

Reduce the number of new cases of HIV

Male condoms distribution rate

8,7 9 25 16 Improved reporting on distribution by districts

Number of Male Medical Circumcision conducted

2,116 17,000 13, 626 3,374 Poor Reporting Limited skills to perform MMC

Poor integration of MMC with traditional MC

Improve TB case detection/ finding

Number of new TB cases reported

24,930 37,000 24,609 -12,391 Less patients are diagnosed and there is a need for intensified case finding in all districts

Improve TB outcomes

Percentage of TB patients cured

67.2 73 69.3 -3.7 Poor reporting and management of TB programme in some sub district

PTB two months smear conversion rate

61.6 70 61.7 -8.3 Non adherence to guidelines by some facilities resulting in sputum not taken on time

Smear turnaround time under 48 hour rate

60 75 64 -11 Poor communication and ineffective use of SMS machine in CHC and poor NHLS delivery.

New smear positive defaulter rate

8.6 7 7.7 0.7

Mother Child Women’s Health Strategic



Planned Target

2012/2013

Actual Achievement

2012/2013


Actual Achievement for

2012/2013


To reduce maternal mortality ratio

Public health facility Maternal mortality ratio

189 128\100,000 116/100,000 -12/100,000 Saving mothers babies and risk identification programmes working

To reduce perinatal mortality by 2 % annually

Perinatal mortality rate 35 30\1000 33/1000 3/1000 The work of District clinical specialist teams and quality monitoring teams improved on the indicators

To reduce VITA deficiency in children 0-5 years

Vitamin A coverage under 12-59 months

37 50 36 -14 Mothers reluctant to bring >18 months children for to PHCs if they are not sick.

To increase the percentage of pregnant women who book for antenatal care before 20 weeks

Antenatal visits before 20 weeks rate

80 42 43 1 This is key performance indicators for coordinators

To increase the cervical cancer screening coverage

Cervical cancer screening coverage

49 50 58 8 Focused programme of women health in district and use of PHC nurses to screen women during clinic visits.

To increase the proportion of schools which are visited by a school health nurse

Number of quintile 1 schools visited by school health teams

74 2,000 460 -1,540 Shortage of school health teams to conduct school health visits in some of the sub districts.

Improve MCWH Immunization coverage under 1 year

83 90 92 2 Training of nurses on IMCI and the correct monitoring of usage of Road To Health Chart

Measles coverage under 1 year


31

��

Mother Child Women’s Health Strategic



Planned Target

2012/2013

Actual Achievement

2012/2013



2012/2013


Pneumococcal (PCV) 2nd Dose Coverage

N/a 85 98.9 13.9 Training of nurses on IMCI and the correct monitoring of usage of Road To Health Chart

Rota Virus (RV) 2nd Dose Coverage


Diarrhoea incidence under 5 years

72 <100 84 -16 Improved child care services at PHC level

Pneumonia incidence under 5 years

70 <100 32 -68 Improved immunisation coverage

Baby tested PCR Positive six weeks after birth as a proportion of babies tested at six weeks

4 <5 3 -2 Improved usage of protocols by PHC facilities

Couple year protection rate

24 40 37 -3 Low uptake of long term contraceptive methods such as IUCD and sterilization for males and females

Delivery rate for women under 18 years

7 <10 7 -3 Health promotion and community dialogue improves this indicator

Public Health Facility Infant mortality (under 1) rate

8 10 8 -2 Saving mothers babies and risk identification programmes working

Public Health Facility Child Mortality (under 5) rate

6 0.8 7 6.2 Incorrect targeting that will be corrected in the 2013/14 financial year

Disease Control and Prevention Strategic


Indicator Actual


Planned Target

2012/2013

Actual Achievement

2012/2013

Deviation from planned target to Actual Achievement for

2012/2013


Improve DCP

Hypertension high risk cases incidence rate

6 0.8 5 4.2 Intensified screening increased detection rate and subsequent increased incidence rate

Diabetes high risk cases incidence rate

2 0.4 1 0.6 Promotion of healthy life style have impact on the indicator

Malaria case fatality rate

3.1 0.5 0 -0.5 Moderate rains falls and effective surveillance programme of the malaria endemic areas

Cholera case fatality Rate

0 0.5 0 -0.5 Most communities having access to clean water suppliers

Cataract surgery rate

74% 450 386 -64 The Bureau for the prevention of the blindness increased the operation in the Province.

Partnership with Fred Hollows led to additional patients being operated.

32

��

Emergency Medical Services Strategic



Planned Target

2012/2013

Actual Achievement

2012/2013

Deviation from planned target to Actual Achievement for

2012/2013


Improve patient response times

Percentage of patients in rural areas transported within 40mins

61 60 68.5 8.5 Improve training of staff

Percentage of patients in urban areas transported within 15mins norm

78 76 68 -8 This is a result of a decreased number of ambulances as well as a lack of PPTS

Rostered ambulances 90 90 83 -7 The lack of ambulances is due to vehicle shortages

All calls with response time within 60 minutes

N/a 70 82 12 Improved training of staff

33

��

Provincial Hospitals Strategic



Planned Target

2012/2013

Actual Achievement

2012/2013





Caesarean section rate 40.9 40 43% 3 Above target with MPH being the highest due to direct referral of critical patients. High number of high risk patients. Most cases seen includes previous caesarean, foetal distress.

Separations- Total 109,911 115,000 171,008 56,008 Influenced by renovations at JST in the 2nd and 3rd Qtrs which affected bed availability.

Patient Day Equivalent - Total

666,525 703,000 764,327 61.327 Increased patient activities in regional hospitals due to the nature of service and referrals from district hospitals

OPD Headcount-Total 476,865 510,000 516,308 6.308 Increase of activities at JST. Despite down referrals to PHC services, OPD numbers increased.

Average length of stay 5.3 6 5 -1 Active management of patients. Availability of consultants influenced this indicator

Bed Utilisation rate 80.2 75 79 4 Pressure on beds is high due to number of referrals and complicated cases that warrants long admission.


1,511 2,300 2,212 -88 Under allocation.

34

��

Provincial Hospitals Strategic



Planned Target

2012/2013

Actual Achievement

2012/2013




Percentage of complaints of users of Regional Hospital Services resolved within 25 Days

85 75 85.7 10.7 Noted improvement in turnaround time for resolving of complaints

Number of Regional Hospitals with monthly Maternal Mortality and Morbidity Meetings

3 4 5 1 All hospitals are compliant in MMM meetings

Percentage of Regional Hospital Patients satisfied with service received ( Regional Hospital Satisfaction Rate)

83 85 91.4% 6.4 Prompt intervention to complaints and improved staff attitude and hotel services.

Number of Regional Hospitals assessed for compliance against 6 priority areas of the core standards

2 4 5 1 All hospitals submitted self-assessment on core standards.

Set up and maintain strategies that will safeguard against clinical risks

Nosocomial (health care associated) infection rate

0.6 <3 0.3% -2.7 Adherence to good infection control practices and preventative strategies.

Crude fatality rate 5.2 <7 6% -1

Provincial Hospitals: Specialized Strategic



Planned Target

2012/2013

Actual Achievement

2012/2013





Caesarean section rate N/a N/a N/a N/a

Total Separations in Specialized hospitals

1,463 1,600 1, 563 -37 Down referral & discharges lower because of poor support systems in the community

Patient Day Equivalent 335,805 352,600 87,867 -264,733 BPH target for 2012/13 set too high

OPD Headcount 20,533 17,500 19,956 2,456 BPH is treating MHCU’s who are supposed to be treated at PHC level

Average length of stay 472 365 220 -145 Well-developed Multi Professional Team service delivery with outcome measurement tools in place Increased discharge rate of Section 33 Social Workers and Nurses commitment in encouraging custodians to accept and support their MHCU’s

Bed Utilisation rate 73.1 75 75 0


832.66 1,000 942.85 -57.15 Under allocation

Percentage of complaints of users of Hospital Services resolved within 25 Days

95 100 100 0

Percentage of Specialized Hospitals with monthly Maternal Mortality and Morbidity Meetings

100 100 100 0

35

��

Provincial Hospitals: Specialized Strategic



Planned Target

2012/2013

Actual Achievement

2012/2013




Percentage of Specialized Hospital Patients satisfied with service received ( Regional Hospital Satisfaction Rate)

83 90 97.9 7.9 Good quality care both in terms of professional and hotel / support services

Number of Specialized Hospitals assessed for compliance against 6 priority areas of the core standards

100 2 2 0



0.8 <3 0.7 -2.3 Vigilant compliance to Infection Prevention and Control practices and committed team

Crude fatality rate 5.2 <3 0.4 -2.6 Good quality care and due to the nature of the hospital, patient case mix and diagnostic profile

•

•

•

•

•

• • • • •

36

��

Tertiary Hospitals Strategic objectives

Performance Indicator

Actual Achievement

2011/2012

Planned Target

2012/2013

Actual Achievement

2012/2013



2012/2013



Caesarean section rate

41.5 40 44 4 Criteria for referral of high risk/ complex patients tightened increased referrals.

Separations-Total 16,970 16,000 45,908 29,908 Higher than anticipated PDEs & OPD headcounts require that patients more (quicker) discharges and/ or transfers

Patient Day Equivalent - Total

139,488 140,500 180,243 39,743 Capacity & level of services provided continues to improve less referral from NWP. Therefore higher PDEs & OPD headcounts

OPD Headcount Total in Central and Tertiary Hospitals

116,947 114,750 129,227 14.477 Capacity & level of services provided continues to improve less referrals from NWP. Therefore higher PDEs & OPD headcounts

Average length of stay

6.47 7 4 -3

Bed Utilisation rate 71.67 75 83 8 Good i.t.o. target. Opening of new/ expanded tertiary services units have increased the total bed number, thus lowering what has been high occupancy (Q1, Q2)


2,382 3,000 2,874 -126 Conditional grant (NTSG) expenditure below target. Suppliers of specialised radiology equipment were not able to deliver timeously.

Percentage of complaints of users of Hospital Services resolved within 25 Days

86.17 100 95 -5 With QA support these are continually improving to shorten our investigation time and redress the complainants.

Hospitals with monthly Maternal Mortality and Morbidity Meetings

3 3 3 0

Percentage of users of Tertairy Hospital Patients satisfied with service received

84.5 85 90 5 Facility QA continuously evaluating these surveys and QIPs done according to the patient responses improvement

Number of Tertiary Hospitals assessed for compliance against 6 priority areas of the core standards

100 3 3 0



NA <5 0.8 -4.2 Active infection prevention & control campaigns on-going, hospital cleanliness campaigns and antibiotic advocacy have contributed

Crude fatality rate NA <7 2.6 -4.4 Emphasis on efficiency, efficacy through adherence to guidelines and protocol has resulted in low fatalities despite the higher than expected PDEs & OPD headcounts

37

��

Tertiary Hospitals : Specialized Strategic


Indicator Actual


Planned Target

2012/2013

Actual Achievement

2012/2013



2012/2013


Monitoring and evaluation of Specialized Tertiary Hospital performance

Bed utilisation rate rehabilitation

67 75 61.4 -13.6 Department of Justice not honouring appointments

Total Separations 29 240 48 -192 Department of Justice not honouring appointments

Patient Day Equivalent 5,013 9,200 5,349 -3,851 Department of Justice not honouring appointments

OPD Headcount -Totals

80 560 292 -268 Department of Justice not honouring appointments

Average length of stay 30 32 28 -4 Effective and efficient services rendered, new outcome measurement tools implemented

Expenditure per Patient Day Equivalent (PDE)

2,484 2,550 1,976.54 -573.56 WH under-allocated on the NTSG budget

Percentage of complaints of users of Specialized Hospital Services resolved within 25 days

98 100 100 0

Percentage of users of Specialized Hospital satisfied with services received

84.5 95 99.6 4.6 Good quality of care both in terms of professional and hotel / support services ensures a higher patient satisfaction rate and prompt resolution of complaints

Number of Specialized Hospital assessed for compliance with core standards

100 2 2 0

•

•

• •

• • •

•

38

��

Health Sciences Training Strategic


Indicator Actual


Planned Target

2012/2013

Actual Achievement

2012/2013




Provide relevant and targeted education and training

Number of employees accessing ABET

274 250 260 10 Target exceeded due to the number of employees who are willing to register on ABET programme

Number of unemployed youth on an internship programme

350 300 490 190 Department’s responsiveness to provide unemployed graduates with experiential learning.

Number of learners registered for learnership

213 120 88 -32 Although 120 learners were recruited, 30 out of this number were given study bursaries to pursue nursing studies. Two terminated the contract.

Number of nursing students in basic nursing programme

160 1,230 1,454 224 Approved intake for 2013 was increased to meet service delivery needs and gaps at institutional level.

Number of nurses qualifying in post basic courses

170 250 124 -126 Limited enrolment of nurses from facilities due to staff shortage at facilities

Number of staff on the emergency care technician programme

NA 90 68 -22 Target was not met due to shortage of lecturing staff

Number of staff on Basic Emergency skills training course (BEST)

110 160 60 -100 84 spaces were created for students but only 60 arrived for training

Intake of Nurse students

1,216 150 292 142 Approved intake for 2013 was increased to meet service delivery needs and gaps at institutional level.

Students with bursaries from the province

91 305 489 184 With the introduction of the bursary system nursing students who previously were appointed on PERSAL are being faced out.

Basic nurse students graduating

171 200 214 14 Increased success rate amongst students who had outstanding course work to complete before graduating.

39

��

Challenges Remedial Actions Inadequate funding for the learnership programme Reprioritise the allocated budget in favour of the learnership programme.

Limited infrastructure: Revitalisation of Nursing College process currently slow due to National Directive of approving a master plan for all colleges.

To continuously engage with Capital Planning and the National department of Health.

Lease and outsource learner accommodation.

Limited Transport to ferry students to Clinical areas and Lecturers for clinical accompaniment.

Continuously engage the Provincial transport Manager to within the limited budget allocation, prioritise student and lecturer transport.

Shortage of staff due to resignations. Within the limited budget for Compensation of Employees reprioritisation will be done and critical posts filled.

Administration Strategic


Indicator Actual


Planned Target

2012/2013

Actual Achievement

2012/2013



2012/2013


Improve access to essential medical supplies through effective drug management systems

Percentage availability of essential medical supplies

91 96 91 -5 Unavailability of certain medical items due to:

(a)Supply problems such as delayed and partial supply from the suppliers and manufacturing problems

Number of personnel trained on drug supply management

124 120 22 -98 Delayed uptake of learners on the training programme due to shortage of funds by the training partner.

Improve transport management system

Number of red fleet vehicle procured

49 60 103 43 Used unspent funds for conversion of Dental Mobile Clinics and Obstetric Ambulances to procure additional vehicles.

Improved medical equipment maintenance in all healthcare facilities

Number of healthcare facilities with medical equipment maintenance plans

100 100 100 0

40

��

Administration Strategic


Indicator Actual


Planned Target

2012/2013

Actual Achievement

2012/2013



2012/2013


Ensure equitable access to healthcare facilities services by persons with disabilities

Number of assistive device issued

2,621 3,000 3,250 250 Funds were solicited from another directorate to procure additional assistive devices to address the backlog

Ensure equity in access and distribution of HT by creation of planning sub-system

Number of districts utilizing EHTP as a planning tool

0 19 0 -19 No implementation commenced yet as end users do not understand the tool. Workshop is in planning process to empower hospitals on the implementation of the tool.

•

• • •

41

��

Administration Strategic objectives

Performance Indicator Actual Achievement 2011/2012

Planned Target 2012/2013

Actual Achievement 2012/2013

Deviation from planned target to Actual Achievement for 2012/2013


Accelerate delivery on the hospital revitalization programme

Number of projects initiated on the programme

Business cases initiated or finalized

1 2 2 0

Projects or planning or design

0 1 1 0

Projects on construction

2 6 3 -3 Revitalization programme had financial constraints that was caused by over commitment of projects hence the projects were to the financial

Appropriate expenditure of the allocated HRP budget

97.1 100 92 -8 Late awarding of some tenders and cancellation of other tenders

Number of new hospitals buildings completed and handed over

0 0 0 0 -

Ensure effective monitoring on infrastructure development and maintenance

Number of Health facilities receiving essential upgrades

Hospitals 2 4 3 -1 Other projects were cancelled due to Department over committed

EMRS Colleges 0 0 0 0

Primary Health Care facilities

8 12 2 -10 Other projects were cancelled due to Department over committed

Nursing schools, forensic mortuaries, Youth centers, laundry, bulk pharmacy store and other health facilities

2 6 0 -6 Designs to be finalized, however rescheduled.

Appropriate expenditure of the allocated IGP budget ( Percentage).

93.9 100 100 0

Number of new PHC facilities completed

CHCs 1 1 1 0

Clinics 4 3 0 -3 Construction resumed late, however progressing well, to be completed in the next financial year.

Appropriate expenditure of the allocated clinic building budget (Percentage)

59.2 100 100 0

Appropriate expenditure of the allocated maintenance budget (Percentage)

94.3 100 82 -18 Lack of capacity and proper implementation of maintenance programme

42

��

43

��

-

44

��

45

��

• • • • •

46

��

47

��

48

��

49

��

-

-

-

- -

50

��


Department:

Health

North West Province


VOTE 03

Health

��

��

��

��

• • • • • • • •

52

��

o o

o

• • • • •

53

��

• • • • •

•

•

•

54

��

•

•

•

55

��

•

56

��

57

��

•

• • • •

58

��

59

��

60

��


Department:

Health

North West Province


VOTE 03

Health

��

��

��

��

•

•

•

62

��

• •

63

��

64

��

- - -

65

��

66

��

67

��

68

��

69

��

70

��

71

��

72

��

73

��

74

��

75

��

76

��

77

��

78

��

79

��

80

��

81

��

82

��

83

��

84

��


Department:

Health

North West Province


VOTE 03

Health

��

��

� ��

��

86

��

• • •

87

��

• •

• • • • •

• •

• • • • •

88

��

• •

89

��

• • • •

•

•

90

��

•

•

•

•

•

•

91

��

2013/05/31

92

��

CODE DESCRIPTION BASIS Professional Fee R

FACILITY FEE LEVEL 1 LEVEL 2 LEVEL 3

R c R c R c

01 Anaesthetics

0111 Anaesthetics Cat A – General medical practitioner Procedure 160.00

0112 Anaesthetics Cat A – Specialist medical practitioner Procedure 241.00

0121 Anaesthetics Cat B – General medical practitioner Procedure 273.00

0122 Anaesthetics Cat B – Specialist medical practitioner Procedure 411.00

0131 Anaesthetics Cat C – General medical practitioner Procedure 960.00

0132 Anaesthetics Cat C – Specialist medical practitioner Procedure 1441.00

02 Confinement

0210 Natural Birth – Facility Fee Incident 3792.00 3792.00 3792.00

0211 Natural Birth – General medical practitioner Incident 1607.00

0212 Natural Birth – Specialist medical practitioner Incident 2075.00

0213 Natural Birth – Nursing practitioner Incident 1944.00

0220 Caesarean Section – Facility Fee Incident 5972.00 5972.00 5972.00

0221 Caesarean Section – General medical practitioner Incident 1607.00

0222 Caesarean Section – Specialist medical practitioner Incident 2075.00

03 Dialysis 0310 Haemo – Facility Fee Day 1171.00 1171.00 1340.00

0311 Haemo-dialysis – General medical practitioner Day 202.00

0312 Haemo-dialysis – Specialist medical practitioner Day 253.00

0313 Haemo-dialysis- Nursing Practitioner Day 162.00

0320 Peritoneal Dialysis – Facility Fee Session 179.00 179.00 206.00

0321 Peritoneal Dialysis – General medical practitioner Session 33.00

0322 Peritoneal Dialysis – Specialist medical practitioner Session 39.00

0323 Peritoneal Dialysis – Nursing practitioner Session 22.00

0330 Plasmapheresis - Facility Fee Session 1171.00 1171.00 1340.00

0331 Plasmapheresis - General medical practitioner Session 202.00

0332 Plasmapheresis - Specialist medical practitioner Session 2253.00

04 Medical Reports

0410 Medical Report – Facility Fee Report 113.00 113.00 137.00

0411 Medical Report – General medical practitioner Report 192.00

0412 Medical Report – Specialist medical practitioner Report 296.00

0421 Copies of Medical Report, records, X-Rays, completion of certificates / Forms - General medical practitioner

Copy 96.00

0422 Copies of Medical Report, records, X-Rays, completion of certificates / Forms - Specialist medical practitioner

Copy 148.00

0425 Copies of X-rays films, ultrasounds etc. Copy 96.00

05 Imaging

0510 Radiology, Cat A – Facility Fee Procedure 59.00 59.00 67.00

0511 Radiology, Cat A – General medical practitioner Procedure 53.00

0512 Radiology, Cat A – Specialist medical practitioner Procedure 99.00

93

��



R c R c R c

0514 Radiology, Cat A – Allied health practitioner Procedure 52.00

0520 Radiology, Cat B – Facility Fee Procedure 162.00 162.00 187.00

0521 Radiology, Cat B – General medical practitioner Procedure 143.00

0522 Radiology, Cat B – Specialist medical practitioner Procedure 278.00

0524 Radiology, Cat B – Allied health practitioner Procedure 138.00

0530 Radiology, Cat C – Facility Fee Procedure 718.00 718.00 820.00

0531 Radiology, Cat C – General medical practitioner Procedure 441.00

0532 Radiology, Cat C – Specialist medical practitioner Procedure 1355.00

0540 Radiology, Cat D – Facility Fee Procedure 1928.00 1928.00 2202.00

0541 Radiology, Cat D – General medical practitioner Procedure 1621.00

0542 Radiology, Cat D – Specialist medical practitioner Procedure 3383.00

06 Inpatients

0610 Inpatient General ward – Facility Fee Day 1312.00 1312.00 1312.00

0611 Inpatient General Ward – General medical practitioner Day 113.00

0612 Inpatient General Ward – Specialist medical practitioner Day 197.00

0620 Inpatient High care – Facility Fee 12 hours 1514.00 1514.00 1514.00

0621 Inpatient High Care – General medical practitioner 12 hours 59.00

0622 Inpatient High Care – Specialist medical practitioner 12 hours 112.00

0630 Inpatient Intensive care – Facility Fee 12 hours 3317.00 3317.00 3317.00

0631 Inpatient Intensive Care – General medical practitioner 12 hours 65.00

0632 Inpatient Intensive Care– Specialist medical practitioner 12 hours 125.00

0640 Inpatient Chronic care – Facility Fee Day 319.00 319.00 319.00

0641 Inpatient Chronic care – General medical practitioner Day 37.00

0642 Inpatient Chronic care – Specialist medical practitioner Day 86.00

0643 Inpatient Chronic care – Nursing practitioner Day 22.00

0650 Day patient – Facility Fee Day 838.00 838.00 838.00

0651 Day patient – General medical practitioner Day 113.00

0652 Day patient – Specialist medical practitioner Day 197.00

0653 Day patient – Nursing practitioner Day 65.00

0660 Inpatient Boarder/Patient companion – Facility Fee Day 261.00 261.00 261.00

0663 Inpatient Boarder/Patient Companion – Nursing practitioner Day 22.00

0670 Inpatient General ward – Facility Fee 12 hours 273.00 348.00 656.00

0671 Inpatient General Ward – General medical practitioner 12 hours 57.00

0672 Inpatient General Ward – Specialist medical practitioner 12 hours 98.00

0673 Inpatient General Ward – Nursing practitioner (MOU) 12 hours 37.00

0680 Inpatient Chronic care – Facility Fee 12 hours 160.00 160.00 160.00

0681 Inpatient Chronic care – General medical practitioner 12 hours 18.00

0682 Inpatient Chronic care – Specialist medical practitioner 12 hours 41.00

0683 Inpatient Chronic care – Nursing practitioner 12 hours 13.00

07 Mortuary

0710 Mortuary – Facility Fee Day 138.00 138.00 158.00 0720 Cremation Certificate – Facility Fee Certificate 138.00 1381.00 158.00 08 Pharmaceutical 0810 Medication Fee – Facility Fee Prescription 26.00 26.00 32.00

0815 Pharmaceutical IP Item Varies

94

��



R c R c R c

0816 Pharmaceutical –TTO Item Varies

0817 Pharmaceutical - Chronic OPD Item Varies

0818 Pharmaceutical – Oncology IP Item Varies

0819 Pharmaceutical – Immune Suppressant Drugs IP Item Varies

0820 Pharmaceutical Flat Fee – Chronic OPD Item Varies

0825 Pharmaceutical Flat Fee – IP Item Varies

0827 Pharmaceutical – Acute OPD Item Varies

0828 Pharmaceutical – Oncology OPD Item Varies

0829 Pharmaceutical – Immune Suppressant Drugs OPD Item Varies

0830 Pharmaceutical Flat Fee – Acute OPD Item Varies

09 Oral Health 0910 Oral Care Cat A – Facility Fee Procedure 23.00 23.00 25.00

0911 Oral Care Cat A – General medical practitioner Procedure 36.00

0912 Oral Care Cat A – Specialist medical practitioner Procedure 30.00

0914 Oral Care Cat A – Allied health practitioner Procedure 26.00

0920 Oral Care Cat B – Facility Fee Procedure 70.00 70.00 70.00

0921 Oral Care Cat B – General medical practitioner Procedure 70.00

0922 Oral Health Cat B – Specialist medical practitioner Procedure 111.00

0924 Oral Care Cat B – Allied health practitioner Procedure 57.00

0930 Oral Care Cat C – Facility Fee Procedure 422.00 422.00 484.00

0931 Oral Care Cat C – General medical practitioner Procedure 425.00

0932 Oral Care Cat C – Specialist medical practitioner Procedure 729.00

0940 Oral Care Cat D – Facility Fee Procedure 1662.00 1662.00 1900.00

0941 Oral Care Cat D – General medical practitioner Procedure 1303.00

0942 Oral Care Cat D – Specialist medical practitioner Procedure 2674.00

0950 Oral Care Cat E – Facility Fee Procedure 5594.00 5594.00 6394.00

0951 Oral Care Cat E – General medical practitioner Procedure 4383.00

0952 Oral Care Cat E – Specialist medical practitioner Procedure 8993.00

10 Consultations

1010 Outpatient Consultation – Facility Fee Visit 74.00 74.00 91.00

1011 Outpatient Consultation – General medical practitioner Visit 75.00

1012 Outpatient Consultation – Specialist medical practitioner Visit 173.00

1013 Outpatient Consultation – Nursing practitioner Visit 43.00

1014 Outpatient Consultation – Allied health practitioner Visit 45.00

1020 Emergency Consultation – Facility Fee Visit 151.00 151.00 178.00

1021 Emergency Consultation – General medical practitioner Visit 113.00

1022 Emergency Consultation – Specialist medical practitioner Visit 259.00

1023 Emergency Consultation – Nursing practitioner Visit 65.00

1024 Emergency Consultation – Allied health practitioner Visit 67.00

1030 Follow-Up Outpatient Consultation – Facility Fee Visit 74.00 74.00 91.00

1031 Follow-Up Outpatient Consultation – General medical practitioner Visit 75.00

1032 Follow-Up Outpatient Consultation – Specialist medical practitioner Visit 173.00

1033 Follow-Up Outpatient Consultation – Nursing practitioner Visit 43.00

1034 Follow-Up Outpatient Consultation – Allied health practitioner Visit 45.00

11 Minor Theatre Procedures

1110 Minor Procedure Cat A – Facility Fee Procedure 352.00 352.00 421.00 1111 Minor Procedure Cat A – General medical practitioner Procedure 111.00

95

��



R c R c R c

1112 Minor Procedure Cat A – Specialist medical practitioner Procedure 212.00

1120 Minor Procedure Cat B – Facility Fee Procedure 352.00 352.00 421.00 1121 Minor Procedure Cat B – General medical practitioner Procedure 163.00

1122 Minor Procedure Cat B – Specialist medical practitioner Procedure 371.00

1130 Minor Procedure Cat C – Facility Fee Procedure 352.00 352.00 421.00 1131 Minor Procedure Cat C – General medical practitioner Procedure 258.00

1132 Minor Procedure Cat C – Specialist medical practitioner Procedure 579.00

1140 Minor Procedure Cat D – Facility Fee Procedure 352.00 352.00 421.00 1141 Minor Procedure Cat D – General medical practitioner Procedure 681.00

1142 Minor Procedure Cat D – Specialist medical practitioner Procedure 1534.00

12 Major Theatre Procedures

1210 Theatre Procedure Cat A – Facility Fee Procedure 1135.00 1664.00 1919.00

1211 Theatre Procedure Cat A – General medical practitioner Procedure 111.00

1212 Theatre Procedure Cat A – Specialist medical practitioner Procedure 212.00

1220 Theatre Procedure Cat B – Facility Fee Procedure 1720.00 2522.00 2906.00

1221 Theatre Procedure Cat B – General medical practitioner Procedure 163.00

1222 Theatre Procedure Cat B – Specialist medical practitioner Procedure 37100

1230 Theatre Procedure Cat C – Facility Fee Procedure 2952.00 4335.00 5002.00

1231 Theatre Procedure Cat C – General medical practitioner Procedure 245.00

1232 Theatre Procedure Cat C – Specialist medical practitioner Procedure 549.00

1240 Theatre Procedure Cat D – Facility Fee Procedure 7574.00 11111.00 12805.00

1241 Theatre Procedure Cat D – General medical practitioner Procedure 681.00

1242 Theatre Procedure Cat D – Specialist medical practitioner Procedure 1534.00

13 Treatments

1310 Supplementary Health Treatment – Facility Fee Contact 50.00 50.00 56.00 1313 Supplementary Health Treatment- Nurse practitioner Contact 38.00 1314 Supplementary Health Treatment – Allied health practitioner Contact 38.00 1320 Supplementary Health Group Treatment – Facility Fee Contact 37.00 37.00 40.00 1324 Supplementary Health Group Treatment – Allied health practitioner Contact 26.00

14 Emergency Medical Services

1410 Patient transport service – Facility Fee 100km 286.00 286.00 286.00 1420 Basic life support – Facility Fee 50km 782.00 782.00 782.00 1430 Intermediate life support – Facility Fee 50km 1057.00 1057.00 1057.00 1440 Advanced life support– Facility Fee 50km 1757.00 1757.00 1757.00 1450 Emergency service standby – Facility Fee Once-Off 400.00 400.00 400.00 1451 Emergency service standby – General medical practitioner Hour 537.00

1452 Emergency service standby – Specialist medical practitioner Hour 723.00

1453 Emergency service standby – Nursing practitioner Hour 305.00

1454 Emergency service standby – Emergency care practitioner Hour N/A

1455 Emergency service standby – Basic life support practitioner Hour 126.00

1456 Emergency service standby – Intermediate life support practitioner Hour 192.00

1457 Emergency service standby – Advanced life support practitioner Hour 337.00

1460 Rescue – Facility Fee Hour 837.00 837.00 837.00 1461 Rescue – General medical practitioner Hour 1255.00

1462 Rescue – Specialist medical practitioner Hour 1881.00

1463 Rescue – Nursing practitioner Hour 837.00

1464 Rescue – Basic life support practitioner Hour N/A

1465 Rescue – Basic life support practitioner Hour 128.00

1466 Rescue - Intermediate life support practitioner Hour 158.00

1467 Rescue – Advanced life support practitioner Hour 348.00

1470 Emergency transport air services fixed wing Flying Hour 7701.00 7701.00 7701.00

96

��



R c R c R c

1480 Emergency transport air services helicopter (Single Engine) Flying Hour 8457.00 8457.00 8457.00 1490 Emergency service standby – Facility Fee Additional

50km 185.00 185.00 185.00

15 Assistive Devices & Prosthesis

1510 Assistive Devices & Prosthesis - Item Fee Item Varies

1520 Prosthetic Devices- Item Fee Item Varies

1530 Dental Items – Item Fee Item Varies

16 Cosmetic Surgery

1610 Cosmetic Surgery Cat A – Facility Fee Procedure 2390.00 2390.00 2730.00 1611 Cosmetic Surgery Cat A – General medical practitioner Procedure 1253.00 1612 Cosmetic Surgery Cat A – Specialist medical practitioner Procedure 1877.00 1620 Cosmetic Surgery Cat B – Facility Fee Procedure 5376.00 5376.00 6145.00 1621 Cosmetic Surgery Cat B – General medical practitioner Procedure 1484.00 1622 Cosmetic Surgery Cat B – Specialist medical practitioner Procedure 2227.00 1630 Cosmetic Surgery – Cat C – Facility Fee Procedure 8683.00 8683.00 9924.00 1631 Cosmetic Surgery Cat C – General medical practitioner Procedure 2510.00 1632 Cosmetic Surgery Cat C – Specialist medical practitioner Procedure 3765.00 1640 Cosmetic Surgery Cat D – Facility Fee Procedure 14665.00 14665.00 16760.00 1641 Cosmetic Surgery Cat D – General medical practitioner Procedure 2816.00 1642 Cosmetic Surgery Cat D – Specialist medical practitioner Procedure 4143.00 17 Laboratory Services

1700 Drawing of Blood Contact 30.00 30.00 30.00

1710 Laboratory Test Varies 18 Radiation Oncology (Refer to proposed list) 1800 Radiation Oncology (NHRPL less VAT) Item Varies 19 Nuclear Medicines 1900 Itemisation of Isotopes Item Varies

1910 Nuclear Medicine Cat A - Facility Fee Procedure 536.00 536.00 536.00

1912 Nuclear Medicine Cat A: Specialist medical practitioner Procedure 243.00

1920 Nuclear Medicine Cat B- Facility Fee Procedure 536.00 536.00 536.00

1922 Nuclear Medicine Cat-B Specialist medical practitioner Procedure 730.00

1930 Nuclear Medicine Cat C- Facility Fee Procedure 536.00 536.00 536.00

1932 Nuclear Medicine Cat C - Specialist medical practitioner Procedure 1460.00

1940 Nuclear Medicine Cat D- Facility Fee Procedure 536.00 536.00 536.00

1942 Nuclear Medicine Cat-D Specialist medical practitioner Procedure 2190.00

1950 Positron Emission Tomography (PET) Cat E – Facility Fee 5208.00 5208.00 5208.00

1952 Positron Emission Tomography (PET) Cat E - Specialist medical practitioner

2367.00

20 Ambulatory Procedures

2010 Ambulatory Procedure Cat A – Facility Fee Procedure 113.00 113.00 137.00

2011 Ambulatory Procedure Cat A – General medical practitioner Procedure 37.00

2012 Ambulatory Procedure Cat A – Specialist medical practitioner Procedure 74.00

2013 Ambulatory Procedure Cat A – Nursing practitioner Procedure 22.00

2014 Ambulatory Procedure Cat A – Allied Health Worker Procedure 22.00

2020 Ambulatory Procedure Cat B – Facility Fee Procedure 113.00 113.00 13700

2021 Ambulatory Procedure Cat B – General medical practitioner Procedure 5300

2022 Ambulatory Procedure Cat B – Specialist medical practitioner Procedure 81.00

2023 Ambulatory Procedure Cat B- Nursing Practitioner Procedure 30.00

2024 Ambulatory Procedure Cat B- Allied Health Worker Procedure 30.00

21 Blood and Blood Products

2100 Blood and Blood Products Varies

97

��



R c R c R c

22 Hyperbaric Oxygen Therapy

2200 Hyperbaric Oxygen Therapy– Facility Fee (Flat Fee) Session 355.00 355.00 355.00

2210 Hyperbaric Oxygen Therapy– Facility Fee Session 1177.00 1177.00 1177.00

2211 Hyperbaric Oxygen therapy - General medical practitioner Session 452.00

2212 Hyperbaric Oxygen therapy – Specialist medical practitioner Session 452.00

2220 Emergency Hyperbaric Oxygen Therapy – Facility Fee Session 1189.00 1189.00 1189.00

2221 Emergency Hyperbaric Oxygen Therapy – General medical practitioner Session 660.00

2222 Emergency Hyperbaric Oxygen Therapy – Specialist medical practitioner Session 660.00

23 Consumables (Not included in Facility Fee) Buy-outs

2300 Consumables not included in the facility fee Item Varies

24 Autopsies

2410 Autopsy– Facility Fee Per case 7400 74.00 91.00

2411 Autopsy- General Practitioner Per case 75.00

2412 Autopsy- Specialist Practitioner Per case 173.00

98

��

1.

2.

3.

4.

5.

6.

7.

99

��

8.

9.

10.

11.

12.

13.

14.

15.

16.

17.

18.

100

��

19.

20.

21.

22.

23.

24.

25.

26.

27.

101

��

28.

29.

30.

31.

32.

33.

34.

35.

36.

37.

38.

39.

40.

41.

42.

43.

102

��

44.

45.

46.

47.

48.

49.

50.

51.

52.

53.

54.

55.

103

��

56.

57.

58.

59.

60.

61.

62.

104

��

63.

105

��

106

��

107

��

108

��

109

��

110

��

111

��

Vote

3- N

W:H

EALT

H

App

ropr

iatio

n St

atem

ent

for t

he y

ear e

nded

31

Mar

ch 2

013

Appr

opria

tion

per p

rogr

amm

e 20

12/13

20

11/12

Adju

sted

Ap

prop

riatio

n Sh

iftin

g of

Fu

nds

Vire

men

t Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

Va

rianc

e Ex

pend

iture

as %

of

fina

l ap

prop

riatio

n

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'

000

R'00

0 R'

000

R'00

0 R'

000

R'00

0 %

R'

000

R'00

0 1.

ADMI

NIST

RATI

ON

C

urre

nt p

aym

ent

241,

505

-

(12,

000)

22

9,50

5

229,

457

48

10

0.0%

26

7,76

6

266,

937

Tr

ansf

ers

& su

bsid

ies

5,

546

50

-

5,59

6

5,59

6

- 10

0.0%

5,

524

5,

476

Pa

ymen

t for

cap

ital a

sset

s

3,70

9

(50)

(1

,000

) 2,

659

2,

357

30

2

88.6

%

3,38

4

2,68

4

Paym

ent f

or fi

nanc

ial a

sset

s

- -

- -

- -

0.0%

-

-

25

0,76

0

-

(13,

000)

23

7,76

0

237,

410

35

0

27

6,67

4

275,

097

2.

DIST

RICT

HEA

LTH

SERV

ICES

Cur

rent

pay

men

t 3,

398,

333

25

,745

54

,370

3,

478,

448

3,

473,

251

5,

197

99

.9%

3,

045,

106

3,

045,

957

T

rans

fers

and

sub

sidi

es

158,

850

(1

6,20

1)

- 14

2,64

9

142,

633

16

10

0.0%

14

7,85

7

146,

037

Pa

ymen

t for

cap

ital a

sset

s

43,3

34

(9,5

44)

- 33

,790

32

,447

1,

343

96

.0%

41

,489

39

,950

Pa

ymen

t for

fina

ncia

l ass

ets

-

- -

- -

- 0.

0%

- -

3,60

0,51

7

-

54,3

70

3,65

4,88

7

3,64

8,33

1

6,55

6

3,

234,

452

3,

231,

944

3.

EMER

GENC

Y ME

DICA

L SE

RVIC

ES

C

urre

nt p

aym

ent

215,

862

12

4

(10,

650)

20

5,33

6

205,

390

(5

4)

100.

0%

189,

476

18

9,09

0

Tra

nsfe

rs a

nd s

ubsi

dies

53

6

- (3

50)

186

14

1

45

75.8

%

446

32

3

Pay

men

t for

cap

ital a

sset

s

25,3

85

(124

) (1

,000

) 24

,261

24

,175

86

99

.6%

20

,329

18

,462

P

aym

ent f

or fi

nanc

ial a

sset

s

- -

- -

- -

0.0%

-

-

24

1,78

3

-

(12,

000)

22

9,78

3

229,

706

77

210,

251

20

7,87

5

4. PR

OVIN

CIAL

HOS

PITA

L SE

RVIC

ES

C

urre

nt p

aym

ent

1,76

5,27

9

(1,3

39)

(2,0

00)

1,76

1,94

0

1,76

1,98

6

(46)

10

0.0%

1,

550,

467

1,

551,

838

T

rans

fers

and

sub

sidi

es

7,51

1

1,33

9

- 8,

850

8,

782

68

99

.2%

5,

098

3,

913

P

aym

ent f

or c

apita

l ass

ets

23

,556

-

(5,0

00)

18,5

56

17,9

60

596

96

.8%

22

,935

22

,175

P

aym

ent f

or fi

nanc

ial a

sset

s

- -

- -

- -

0.0%

-

-

1,

796,

346

-

(7

,000

) 1,

789,

346

1,

788,

728

61

8

1,

578,

500

1,

577,

926

5.

CENT

RAL

HOSP

ITAL

SER

VICE

S

Cur

rent

pay

men

t

183

,470

-

-

183

,470

18

0,56

4

2,90

6

98.4

%

1

80,6

60

181,

025

T

rans

fers

and

sub

sidi

es

2

00

- -

2

00

134

66

67

.0%

174

25

3

Pay

men

t for

cap

ital a

sset

s

28,0

95

- -

28,0

95

12,1

14

15,9

81

43.1

%

13,4

46

13,0

02

Pay

men

t for

fina

ncia

l ass

ets

- -

-

- -

- 0.

0%

-

-

211

,765

-

-

211

,765

19

2,81

2

18,9

53

194

,280

19

4,28

0

112

��

Appr

opria

tion

per p

rogr

amm

e 20

12/13

20

11/12

Adju

sted

Ap

prop

riatio

n Sh

iftin

g of

Fu

nds

Vire

men

t Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

Va

rianc

e Ex

pend

iture

as %

of

fina

l ap

prop

riatio

n

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'

000

R'00

0 R'

000

R'00

0 R'

000

R'00

0 %

R'

000

R'00

0 6.

HEAL

TH S

CIEN

CE A

ND T

RAIN

ING

C

urre

nt p

aym

ent

2

23,1

59

(3,2

82)

(6,0

00)

2

13,8

77

213,

434

44

3

99.8

%

2

14,3

81

212,

791

T

rans

fers

and

sub

sidi

es

23,8

91

3,70

0

-

27

,591

27

,502

89

99

.7%

11

,625

11

,575

P

aym

ent f

or c

apita

l ass

ets

2

,272

(4

18)

-

1

,854

1,

174

68

0

63.3

%

2,2

38

2,18

6

Pay

men

t for

fina

ncia

l ass

ets

- -

-

- -

- 0.

0%

-

-

249

,322

-

(6

,000

)

243

,322

24

2,11

0

1,21

2

228

,244

22

6,55

2

7. HE

ALTH

CAR

E SU

PPOR

T SE

RVIC

ES

C

urre

nt p

aym

ent

95,8

52

(37)

(4

,300

)

91

,515

91

,514

1

10

0.0%

112

,940

11

0,69

4

Tra

nsfe

rs a

nd s

ubsi

dies

114

38

-

1

52

152

-

100.

0%

1

09

31

Pay

men

t for

cap

ital a

sset

s

18,5

69

(1)

(3,7

00)

14,8

68

14,7

98

70

99.5

%

17,5

42

16,4

43

Pay

men

t for

fina

ncia

l ass

ets

- -

-

- -

- 0.

0%

-

-

114

,535

-

(8

,000

)

106

,535

10

6,46

4

71

130

,591

12

7,16

8

8. HE

ALTH

FAC

ILIT

Y MA

NAGE

MENT

Cur

rent

pay

men

t

94

,547

-

(8,3

70)

86,1

77

80,4

03

5,77

4

93.3

%

62,3

87

62,6

94

Tra

nsfe

rs a

nd s

ubsi

dies

- -

-

- -

- 0.

0%

-

- P

aym

ent f

or c

apita

l ass

ets

524

,116

-

-

524

,116

49

4,87

0

29,2

46

94.4

%

4

98,1

63

476,

719

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- -

-

- -

0.0%

- -

6

18,6

63

-

(8,3

70)

6

10,2

93

575,

273

35

,020

5

60,5

50

539,

413

Sub

tota

l 7,0

83,69

1 -

- 7,0

83,69

1 7,0

20,83

4 62

,857

99.1%

6,4

13,54

2 6,3

80,25

5 S

tatu

tory

App

ropr

iatio

n

Cur

rent

pay

men

t

-

-

0.0%

T

rans

fers

and

sub

sidi

es

-

- 0.

0%

Pay

men

t for

cap

ital a

sset

s

-

- 0.

0%

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

T

OTAL

7,08

3,691

-

-

7,08

3,691

7,0

20,83

4 62

,857

99.1%

6,41

3,542

6,3

80,25

5 R

econ

ciliat

ion

with

Sta

tem

ent o

f Fin

ancia

l Per

form

ance

Ad

d:

Dep

artm

enta

l rec

eipt

s

1,3

37

3

,192

Dire

ct E

xche

quer

rece

ipts

-

-

N

RF

Rec

eipt

s

-

-

Aid

ass

ista

nce

-

-

A

ctua

l am

ount

s per

Sta

tem

ent o

f Fin

ancia

l Per

form

ance

(Tot

al Re

venu

e)

7

,085,0

28

6,41

6,734

Add

: Ai

d as

sist

ance

-

-

D

irect

Exc

hequ

er p

aym

ents

P

rior y

ear u

naut

horis

ed e

xpen

ditu

re a

ppro

ved

with

out f

undi

ng

Act

ual a

mou

nts p

er S

tate

men

t of F

inan

cial P

erfo

rman

ce -

Expe

nditu

re

7

,020,8

34

6,38

0,255

113

��

Appr

opria

tion

per E

cono

mic

class

ifica

tion

2012

/13

2011

/12

Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

%

of fi

nal

appr

opria

tion

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

C

urre

nt p

aym

ents

C

ompe

nsat

ion

of e

mpl

oyee

s

4,0

61,8

71

39,3

47

35,7

70

4,1

36,9

88

4,1

29,3

21

7,66

7

99.8

%

3,1

44,9

67

3,1

42,7

96

G

oods

and

ser

vice

s

2,1

57,3

16

(20,

638)

(2

4,72

0)

2,1

11,9

58

2,1

06,5

01

5,45

7

99.7

%

1,3

78,8

68

1,3

79,0

97

In

tere

st a

nd re

nt o

n la

nd

1,5

65

(4)

-

1

,561

178

1,

383

11

.4%

199

1,2

51

T

rans

fers

& su

bsid

ies

P

rovi

nces

& m

unic

ipal

ities

- -

-

-

- -

0.0%

-

-

D

epar

tmen

tal a

genc

ies

& a

ccou

nts

3

,900

-

-

3

,900

3

,900

-

100.

0%

3,6

18

3,6

18

U

nive

rsiti

es &

tech

niko

ns

20,5

60

(20,

560)

-

-

-

- 0.

0%

-

-

F

orei

gn g

over

nmen

ts &

inte

rnat

iona

l or

gani

satio

ns

-

- -

-

-

- 0.

0%

-

-

P

ublic

cor

pora

tions

& p

rivat

e en

terp

rises

- -

-

-

- -

0.0%

1

,071

1

,071

N

on-p

rofit

inst

itutio

ns

1

57,0

04

(29,

400)

-

1

27,6

04

1

27,6

37

(33)

10

0.0%

138

,054

137

,078

H

ouse

hold

s

15,1

84

38,8

87

(350

)

53

,721

53

,402

31

9

99.4

%

27,0

90

25,8

41

G

ifts

and

dona

tions

- -

-

-

- -

0.0%

-

-

P

aym

ent f

or ca

pita

l ass

ets

B

uild

ings

& o

ther

fixe

d st

ruct

ures

504

,136

-

-

504

,136

487

,879

16

,257

96

.8%

475

,591

469

,368

M

achi

nery

& e

quip

men

t

162

,155

(7

,632

) (1

0,70

0)

1

43,8

23

1

12,0

16

31,8

07

77.9

%

1

46,0

04

1

22,2

54

H

erita

ge a

sset

s

-

- -

-

-

- 0.

0%

-

-

S

peci

alis

ed m

ilitar

y as

sets

- -

-

-

- -

0.0%

-

-

B

iolo

gica

l ass

ets

- -

-

-

- -

0.0%

-

-

L

and

& su

bsoi

l ass

ets

- -

-

-

- -

0.0%

-

-

S

oftw

are

& ot

her i

ntan

gibl

e as

sets

- -

-

-

- -

0.0%

-

-

P

aym

ent f

or fi

nanc

ial as

sets

- -

-

-

- -

0.0%

-

-

T

otal

7,08

3,691

-

-

7,08

3,691

7,02

0,834

62

,857

99.1%

5,31

5,462

5,28

2,374

114

��

Stat

utor

y App

ropr

iatio

n 20

12/13

20

11/12

Di

rect

char

ge ag

ainst

the N

atio

nal/P

rovin

cial R

even

ue

Fund

Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

% o

f fin

al ap

prop

riatio

n Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

R'

000

R'00

0 R'

000

R'00

0 R'

000

R'00

0 %

R'

000

R'00

0

Lis

t all

dire

ct c

harg

es a

gain

st th

e R

even

ue F

und

Pr

esid

ent a

nd D

eput

y Pr

esid

ent s

alar

ies

-

- 0.

0%

M

embe

r of e

xecu

tive

com

mitt

ee/p

arlia

men

tary

offi

cers

-

-

0.0%

Ju

dges

and

mag

istra

tes

sala

ries

-

- 0.

0%

Se

ctor

edu

catio

n an

d tra

inin

g au

thor

ities

SET

A

-

-

0.0%

N

atio

nal s

kills

fund

-

-

0.0%

T

otal

-

- -

-

-

- 0.0

%

-

-

115

��

Deta

il per

pro

gram

me 1

- AD

MINI

STRA

TION

Fo

r the

year

ende

d 31

Mar

ch 20

13

2012

/13

2011

/12

Deta

ils p

er S

ub-P

rogr

amm

e Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

%

of fi

nal

appr

opria

tion

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

1.1

MANA

GEME

NT

Cur

rent

pay

men

t

234

,575

(2

70)

(12,

000)

222

,305

222

,257

48

10

0.0%

261

,657

260

,962

Tra

nsfe

rs a

nd s

ubsi

dies

5

,546

50

5,5

96

5,5

96

- 10

0.0%

5

,524

5

,476

Pay

men

t for

cap

ital a

sset

s

3,7

09

(50)

(1

,000

)

2

,659

2

,357

30

2

88.6

%

3,2

84

2,6

49

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

1.2

OFFI

CE O

F TH

E ME

C

C

urre

nt p

aym

ent

6,9

30

270

7,2

00

7,2

00

- 10

0.0%

6

,109

5

,975

Tra

nsfe

rs a

nd s

ubsi

dies

-

-

0.0%

Pay

men

t for

cap

ital a

sset

s

-

- 0.

0%

1

00

35

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

P

aym

ent f

or c

apita

l ass

ets

-

-

0.0%

Tot

al

2

50,7

60

- (1

3,00

0)

2

37,7

60

2

37,4

10

350

99

.9%

2

76,6

74

2

75,0

97

116

��

2012

/13

2011

/12

Prog

ram

me 1

Per

Eco

nom

ic cla

ssifi

catio

n Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

% o

f fin

al ap

prop

riatio

n Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

R'

000

R'00

0 R'

000

R'00

0 R'

000

R'00

0 %

R'

000

R'00

0

Cur

rent

pay

men

ts

Com

pens

atio

n of

em

ploy

ees

142

,158

(12,

000)

130

,158

12

9,93

0

228

99

.8%

160

,333

16

0,12

4

G

oods

and

ser

vice

s

99,3

47

2

11

99

,558

99

,499

59

99

.9%

107

,417

10

6,75

9

In

tere

st a

nd re

nt o

n la

nd

29

29

29

- 10

0.0%

17

54

Tra

nsfe

rs &

subs

idies

P

rovi

nces

& m

unic

ipal

ities

-

-

0.0%

Dep

artm

enta

l age

ncie

s &

acc

ount

s

-

- 0.

0%

U

nive

rsiti

es &

tech

niko

ns

-

- 0.

0%

F

orei

gn g

over

nmen

ts &

inte

rnat

iona

l org

anis

atio

ns

-

- 0.

0%

P

ublic

cor

pora

tions

& p

rivat

e en

terp

rises

-

-

0.0%

Non

-pro

fit in

stitu

tions

-

-

0.0%

Hou

seho

lds

5

,546

50

5,5

96

5,59

6

- 10

0.0%

5

,524

5,

476

Gift

s an

d do

natio

ns

-

- 0.

0%

P

aym

ent f

or ca

pita

l ass

ets

Bui

ldin

gs &

oth

er fi

xed

stru

ctur

es

-

- 0.

0%

M

achi

nery

& e

quip

men

t

3

,709

(2

90)

(1,0

00)

2,4

19

2,35

6

63

97.4

%

3,3

83

2,68

4

H

erita

ge a

sset

s

-

- 0.

0%

S

peci

alis

ed m

ilitar

y as

sets

-

-

0.0%

Bio

logi

cal a

sset

s

-

- 0.

0%

L

and

& su

bsoi

l ass

ets

-

- 0.

0%

S

oftw

are

& ot

her i

ntan

gibl

e as

sets

-

-

0.0%

P

aym

ent f

or fi

nanc

ial as

sets

-

-

0.0%

Tot

al

250

,760

-

(1

3,000

)

2

37,76

0 23

7,410

35

0 99

.9%

276

,674

275,0

97

117

��

Deta

il per

pro

gram

me 2

- DI

STRI

CT H

EALT

H SE

RVIC

ES

For t

he ye

ar en

ded

31 M

arch

2013

20

12/13

20

11/12

De

tails

per

Sub

-Pro

gram

me

Adju

sted

Ap

prop

riatio

n Sh

iftin

g of

Fu

nds

Vire

men

t Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

Va

rianc

e Ex

pend

iture

as %

of

fina

l ap

prop

riatio

n

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

2.1

DIST

RICT

MAN

AGEM

ENT

Cur

rent

pay

men

t

303

,944

(9

16)

23,5

50

3

26,5

78

3

33,5

79

(7,0

01)

102.

1%

2

11,1

92

2

20,8

83

T

rans

fers

and

sub

sidi

es

79

79

9

05

(826

) 11

45.6

%

1

11

3

46

P

aym

ent f

or c

apita

l ass

ets

18

,384

(5

,867

)

12,5

17

11,0

34

1,48

3

88.2

%

31

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

2.2

CO

MMUN

ITY

BASE

D SE

RVIC

ES

Cur

rent

pay

men

t

9

,699

(7

26)

8

,973

5

,369

3,

604

59

.8%

14

,144

13

,774

Tra

nsfe

rs a

nd s

ubsi

dies

-

-

0.0%

72

P

aym

ent f

or c

apita

l ass

ets

-

-

0.0%

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

2.3

CO

MMUN

ITY

HEAL

TH C

ENTR

ES

Cur

rent

pay

men

t

651

,852

(2

,262

) 20

,500

670

,090

672

,256

(2

,166

) 10

0.3%

575

,746

591

,738

Tra

nsfe

rs a

nd s

ubsi

dies

533

533

2

,274

(1

,741

) 42

6.6%

2,2

74

P

aym

ent f

or c

apita

l ass

ets

-

-

0.0%

10

134

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

2.4

OT

HER

COMM

UNIT

Y SE

RVIC

ES

Cur

rent

pay

men

t

117

,153

2,

484

10

,320

129

,957

140

,147

(1

0,19

0)

107.

8%

1

24,8

13

1

42,2

99

T

rans

fers

and

sub

sidi

es

-

-

1

28

(128

) 0.

0%

12

Pay

men

t for

cap

ital a

sset

s

-

- 0.

0%

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

2.5

HIV/

AID

S

C

urre

nt p

aym

ent

5

67,9

90

16,5

04

584

,494

588

,915

(4

,421

) 10

0.8%

500

,258

468

,129

Tra

nsfe

rs a

nd s

ubsi

dies

156

,925

(1

6,50

4)

140

,421

132

,974

7,

447

94

.7%

143

,174

138

,173

Pay

men

t for

cap

ital a

sset

s

11,3

43

11,3

43

8,9

60

2,38

3

79.0

%

6,6

26

4,9

17

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

2.6

NUTR

ITIO

N

C

urre

nt p

aym

ent

13,4

93

(1,0

00)

12

,493

11

,773

72

0

94.2

%

8,6

41

9,4

31

T

rans

fers

and

sub

sidi

es

-

- 0.

0%

P

aym

ent f

or c

apita

l ass

ets

-

-

0.0%

Pay

men

t for

fina

ncia

l ass

ets

-

- 0.

0%

2.7

COMM

UNIT

Y HE

ALTH

CLI

NICS

C

urre

nt p

aym

ent

7

22,7

63

11,0

07

733

,770

731

,522

2,

248

99

.7%

644

,749

643

,842

Tra

nsfe

rs a

nd s

ubsi

dies

327

327

3

,024

(2

,697

) 92

4.8%

1

,000

1

,861

Pay

men

t for

cap

ital a

sset

s

6,1

18

(554

)

5,5

64

5,9

48

(384

) 10

6.9%

6

,877

6

,617

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

118

��

2.8

CORO

NER

SERV

ICES

Cur

rent

pay

men

t

28

,007

(6

5)

27

,942

25

,885

2,

057

92

.6%

26

,049

26

,137

Tra

nsfe

rs a

nd s

ubsi

dies

-

76

(76)

0.

0%

25

Pay

men

t for

cap

ital a

sset

s

3

41

3

41

3

41

- 10

0.0%

1

,970

1

,857

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

2.9

DI

STRI

CT H

OSPI

TALS

C

urre

nt p

aym

ent

9

83,4

32

719

9

84,1

51

9

63,8

05

20,3

46

97.9

%

9

39,5

14

9

29,7

24

T

rans

fers

and

sub

sidi

es

9

86

303

1,2

89

3,2

52

(1,9

63)

252.

3%

3,5

72

3,2

74

P

aym

ent f

or c

apita

l ass

ets

7

,148

(3

,123

)

4,0

25

6,1

64

(2,1

39)

153.

1%

26,0

06

26,3

94

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

Tot

al

3,6

00,5

17

- 54

,370

3

,654

,887

3

,648

,331

6,

556

99

.8%

3,2

34,4

52

3,2

31,9

44

2012

/13

2011

/12

Prog

ram

me 2

Per

Eco

nom

ic cla

ssifi

catio

n Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

%

of fi

nal

appr

opria

tion

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

C

urre

nt p

aym

ents

C

ompe

nsat

ion

of e

mpl

oyee

s

2,1

99,4

12

16,0

00

54,3

70

2,2

69,7

82

2,2

64,1

02

5,68

0

99.7

%

2,1

02,9

33

2,1

03,4

63

G

oods

and

ser

vice

s

1,2

01,3

28

7,00

0

1

,208

,328

1

,209

,052

(7

24)

100.

1%

9

43,0

24

9

42,4

15

In

tere

st a

nd re

nt o

n la

nd

3

38

3

38

97

241

28

.7%

148

80

Tra

nsfe

rs &

subs

idies

P

rovi

nces

& m

unic

ipal

ities

-

-

0.0%

Dep

artm

enta

l age

ncie

s &

acc

ount

s

-

- 0.

0%

U

nive

rsiti

es &

tech

niko

ns

-

- 0.

0%

F

orei

gn g

over

nmen

ts &

inte

rnat

iona

l or

gani

satio

ns

-

- 0.

0%

P

ublic

cor

pora

tions

& p

rivat

e en

terp

rises

-

-

0.0%

1

,071

1

,071

Non

-pro

fit in

stitu

tions

157

,004

(2

9,40

0)

127

,604

127

,637

(3

3)

100.

0%

1

38,0

30

1

37,0

78

H

ouse

hold

s

1,8

46

13,2

00

15

,046

14

,995

51

99

.7%

7

,757

7

,889

Gift

s an

d do

natio

ns

-

- 0.

0%

P

aym

ent f

or ca

pita

l ass

ets

Bui

ldin

gs &

oth

er fi

xed

stru

ctur

es

-

- 0.

0%

3

38

9

29

M

achi

nery

& e

quip

men

t

40

,589

(6

,800

)

33,7

89

32,4

48

1,34

1

96.0

%

41,1

51

39,0

19

H

erita

ge a

sset

s

-

- 0.

0%

S

peci

alis

ed m

ilitar

y as

sets

-

-

0.0%

Bio

logi

cal a

sset

s

-

- 0.

0%

L

and

& su

bsoi

l ass

ets

-

-

0.0%

Sof

twar

e &

othe

r int

angi

ble

asse

ts

-

- 0.

0%

Pay

men

t for

fina

ncial

asse

ts

-

- 0.

0%

T

otal

3,60

0,517

-

54,37

0

3,65

4,887

3,64

8,331

6,5

56

99.8%

3,23

4,452

3,23

1,944

119

��

Deta

il per

pro

gram

me 3

- EM

ERGE

NCY

MEDI

CAL

SERV

ICES

Fo

r the

year

ende

d 31

Mar

ch 20

13

2012

/13

2011

/12

Deta

ils p

er S

ub-P

rogr

amm

e Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

%

of fi

nal

appr

opria

tion

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

3.1

EMER

GENC

Y TR

ANSP

ORT

Cur

rent

pay

men

t

215

,862

12

4

(10,

650)

205

,336

205

,390

(5

4)

100.

0%

1

89,4

76

1

89,0

90

T

rans

fers

and

sub

sidi

es

5

36

(3

50)

1

86

1

41

45

75.8

%

4

46

3

23

P

aym

ent f

or c

apita

l ass

ets

12

,225

(1

,859

) (1

,000

)

9

,366

9

,280

86

99

.1%

10

,790

6

,363

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

3.

2 PL

ANNE

D PA

TIEN

T TR

ANSP

ORT

Cur

rent

pay

men

t

-

-

0.0%

Tra

nsfe

rs a

nd s

ubsi

dies

-

-

0.0%

Pay

men

t for

cap

ital a

sset

s

13,1

60

1,73

5

14

,895

14

,895

-

100.

0%

9,5

39

12,0

99

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

T

otal

241

,783

-

(12,

000)

229

,783

229

,706

77

10

0.0%

210

,251

207

,875

120

��

2012

/13

2011

/12

Pro

gram

me 3

Per

Eco

nom

ic cla

ssifi

catio

n

Adju

sted

Ap

prop

riatio

n Sh

iftin

g of

Fu

nds

Vire

men

t Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

Va

rianc

e Ex

pend

iture

as %

of

fina

l ap

prop

riatio

n

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

C

urre

nt p

aym

ents

C

ompe

nsat

ion

of e

mpl

oyee

s

1

58,9

11

1,24

7

160

,158

160

,158

-

100.

0%

1

44,4

91

1

44,4

91

G

oods

and

ser

vice

s

56,9

29

(1,1

23)

(10,

650)

45

,156

45

,219

(6

3)

100.

1%

44,9

65

44,5

91

In

tere

st a

nd re

nt o

n la

nd

22

22

13

9

59.1

%

20

7

T

rans

fers

& su

bsid

ies

Pro

vinc

es &

mun

icip

aliti

es

-

- 0.

0%

D

epar

tmen

tal a

genc

ies

& a

ccou

nts

-

-

0.0%

U

nive

rsiti

es &

tech

niko

ns

-

- 0.

0%

F

orei

gn g

over

nmen

ts &

inte

rnat

iona

l org

anis

atio

ns

-

- 0.

0%

P

ublic

cor

pora

tions

& p

rivat

e en

terp

rises

-

-

0.0%

Non

-pro

fit in

stitu

tions

-

-

0.0%

H

ouse

hold

s

5

36

(3

50)

1

86

1

41

45

75.8

%

4

46

3

23

G

ifts

and

dona

tions

-

-

0.0%

Pay

men

t for

capi

tal a

sset

s

B

uild

ings

& o

ther

fixe

d st

ruct

ures

-

-

0.0%

Mac

hine

ry &

equ

ipm

ent

25,3

85

(124

) (1

,000

)

24

,261

24

,175

86

99

.6%

20

,329

18

,463

H

erita

ge a

sset

s

-

- 0.

0%

S

peci

alis

ed m

ilitar

y as

sets

-

-

0.0%

B

iolo

gica

l ass

ets

-

-

0.0%

L

and

& su

bsoi

l ass

ets

-

-

0.0%

Sof

twar

e &

othe

r int

angi

ble

asse

ts

-

- 0.

0%

P

aym

ent f

or fi

nanc

ial as

sets

-

-

0.0%

T

otal

2

41,78

3 -

(12,0

00)

229

,783

229

,706

77

100.0

%

210

,251

207

,875

121

��

Deta

il per

pro

gram

me 4

- PR

OVIN

CIAL

HOS

PITA

L SE

RVIC

ES

For t

he ye

ar en

ded

31 M

arch

2013

20

12/13

20

11/12

De

tails

per

Sub

-Pro

gram

me

Adju

sted

Ap

prop

riatio

n Sh

iftin

g of

Fu

nds

Vire

men

t Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

Va

rianc

e Ex

pend

iture

as %

of

fina

l ap

prop

riatio

n

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

4.1

PROV

INCI

AL H

OSPI

TALS

C

urre

nt p

aym

ent

1,4

68,4

07

(1,3

24)

(2,0

00)

1,4

65,0

83

1,4

61,1

45

3,93

8

99.7

%

1,2

82,2

41

1,2

83,7

82

T

rans

fers

and

sub

sidi

es

6,1

17

1,33

9

7

,456

7

,838

(3

82)

105.

1%

4,2

64

2,6

44

P

aym

ent f

or c

apita

l ass

ets

18

,853

(3,6

00)

15,2

53

15,1

01

152

99

.0%

20

,718

19

,790

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

4.2

PS

YCHI

ATRI

C/ M

ENTA

L HO

SPIT

ALS

Cur

rent

pay

men

t

296

,872

(1

5)

296

,857

300

,841

(3

,984

) 10

1.3%

268

,226

268

,056

Tra

nsfe

rs a

nd s

ubsi

dies

1

,394

1

,394

944

45

0

67.7

%

8

34

1,2

69

P

aym

ent f

or c

apita

l ass

ets

4

,703

(1,4

00)

3,3

03

2,8

59

444

86

.6%

2

,217

2

,385

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

Tot

al

1,7

96,3

46

- (7

,000

)

1

,789

,346

1

,788

,728

61

8

100.0

%

1,5

78,5

00

1,5

77,9

26

122

��

2012

/13

2011

/12

Prog

ram

me 4

Per

Eco

nom

ic cla

ssifi

catio

n Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

%

of fi

nal

appr

opria

tion

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

C

urre

nt p

aym

ents

C

ompe

nsat

ion

of e

mpl

oyee

s

1,2

63,6

89

28,1

00

1

,291

,789

1,

291,

653

13

6

100.

0%

4

52,3

09

4

53,9

12

G

oods

and

ser

vice

s

5

01,5

07

(29,

406)

(2

,000

)

470

,101

47

0,30

6

(205

) 10

0.0%

78

43

Inte

rest

and

rent

on

land

83

(3

3)

50

27

23

54

.0%

Tra

nsfe

rs &

subs

idies

P

rovi

nces

& m

unic

ipal

ities

-

-

0.0%

Dep

artm

enta

l age

ncie

s &

acc

ount

s

-

- 0.

0%

U

nive

rsiti

es &

tech

niko

ns

3,8

00

(3,8

00)

-

- 0.

0%

F

orei

gn g

over

nmen

ts &

inte

rnat

iona

l org

anis

atio

ns

-

- 0.

0%

P

ublic

cor

pora

tions

& p

rivat

e en

terp

rises

-

-

0.0%

Non

-pro

fit in

stitu

tions

-

-

0.0%

Hou

seho

lds

3

,711

5,

139

8,8

50

8,78

2

68

99.2

%

5,0

98

3,9

14

G

ifts

and

dona

tions

-

-

0.0%

Pay

men

t for

capi

tal a

sset

s

B

uild

ings

& o

ther

fixe

d st

ruct

ures

-

-

0.0%

Mac

hine

ry &

equ

ipm

ent

23,5

56

(5

,000

)

18

,556

17

,960

59

6

96.8

%

22,9

35

22,1

76

H

erita

ge a

sset

s

-

- 0.

0%

S

peci

alis

ed m

ilitar

y as

sets

-

-

0.0%

Bio

logi

cal a

sset

s

-

- 0.

0%

L

and

& su

bsoi

l ass

ets

-

-

0.0%

Sof

twar

e &

othe

r int

angi

ble

asse

ts

-

- 0.

0%

P

aym

ent f

or fi

nanc

ial as

sets

-

-

0.0%

Tot

al

1

,796,3

46

- (7

,000)

1,78

9,346

1,7

88,72

8 61

8 10

0.0%

4

80,42

0

4

80,04

5

123

��

2012

/13

2011

/12

Deta

ils p

er S

ub-P

rogr

amm

e Ad

just

ed

Appr

opria

tion

Shift

ing

of F

unds

Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

% o

f fin

al ap

prop

riatio

n Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

R'

000

R'00

0 R'

000

R'00

0 R'

000

R'00

0 %

R'

000

R'00

0 5.1

PR

OVIN

CIAL

HOS

PITA

L TE

RTIA

RY S

ERVI

CES

Cur

rent

pay

men

t

183

,470

183

,470

180

,564

2,

906

98

.4%

180

,660

181

,025

Tra

nsfe

rs a

nd s

ubsi

dies

200

200

134

66

67

.0%

174

253

Pay

men

t for

cap

ital a

sset

s

28,0

95

28,0

95

12,1

14

15,9

81

43.1

%

13,4

46

13,0

02

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

T

otal

211

,765

-

-

211

,765

192

,812

18

,953

91

.0%

1

94,2

80

1

94,2

80

Deta

il per

pro

gram

me 5

- CE

NTRA

L HO

SPIT

AL S

ERVI

CES

For t

he ye

ar en

ded

31 M

arch

2013

20

12/13

20

11/12

Pr

ogra

mm

e 5 P

er E

cono

mic

class

ifica

tion

Adju

sted

Ap

prop

riatio

n Sh

iftin

g of

Fun

ds

Vire

men

t Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

Va

rianc

e Ex

pend

iture

as %

of f

inal

appr

opria

tion

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

C

urre

nt p

aym

ents

C

ompe

nsat

ion

of e

mpl

oyee

s

99,7

46

99,7

46

99,5

48

198

99

.8%

97

,717

95

,597

Goo

ds a

nd s

ervi

ces

83

,724

83

,724

81

,016

2,

708

96

.8%

82

,943

85

,428

Inte

rest

and

rent

on

land

-

-

0.0%

Tra

nsfe

rs &

subs

idies

P

rovi

nces

& m

unic

ipal

ities

-

-

0.0%

Dep

artm

enta

l age

ncie

s &

acc

ount

s

-

- 0.

0%

U

nive

rsiti

es &

tech

niko

ns

-

- 0.

0%

F

orei

gn g

over

nmen

ts &

inte

rnat

iona

l org

anis

atio

ns

-

- 0.

0%

P

ublic

cor

pora

tions

& p

rivat

e en

terp

rises

-

-

0.0%

Non

-pro

fit in

stitu

tions

-

-

0.0%

24

H

ouse

hold

s

2

00

2

00

1

34

66

67.0

%

1

50

2

53

G

ifts

and

dona

tions

-

-

0.0%

Pay

men

t for

capi

tal a

sset

s

B

uild

ings

& o

ther

fixe

d st

ruct

ures

-

-

0.0%

Mac

hine

ry &

equ

ipm

ent

28,0

95

28,0

95

12,1

14

15,9

81

43.1

%

13,4

46

13,0

02

H

erita

ge a

sset

s

-

- 0.

0%

S

peci

alis

ed m

ilitar

y as

sets

-

-

0.0%

Bio

logi

cal a

sset

s

-

- 0.

0%

L

and

& su

bsoi

l ass

ets

-

-

0.0%

Sof

twar

e &

othe

r int

angi

ble

asse

ts

-

- 0.

0%

Pay

men

t for

fina

ncial

asse

ts

-

- 0.

0%

T

otal

2

11,76

5 -

-

2

11,76

5 19

2,812

18

,953

91.0%

1

94,28

0

1

94,28

0

124

��

Deta

il per

pro

gram

me 6

- HE

ALTH

SCI

ENCE

AND

TRA

ININ

G Fo

r the

year

ende

d 31

Mar

ch 20

13

2012

/13

2011

/12

Det

ails p

er S

ub-P

rogr

amm

e A

djus

ted

Appr

opria

tion

S

hifti

ng o

f Fu

nds

Vire

men

t F

inal

Appr

opria

tion

A

ctua

l Ex

pend

iture

V

arian

ce

Exp

endi

ture

as %

of

fina

l ap

prop

riatio

n

Fin

al Ap

prop

riatio

n

Actu

al Ex

pend

iture

R'00

0 R

'000

R'00

0 R

'000

R'00

0 R

'000

%

R'00

0 R'

000

6.1

NURS

ES T

RAIN

ING

COLL

EGES

C

urre

nt p

aym

ent

1

55,3

50

(775

) (6

,000

)

148

,575

146

,857

1,

718

98

.8%

157

,878

156

,854

Tra

nsfe

rs a

nd s

ubsi

dies

4

,998

2,

941

7,9

39

7,8

88

51

99.4

%

1,9

95

2,2

38

P

aym

ent f

or c

apita

l ass

ets

1

,186

(1

99)

987

402

58

5

40.7

%

1,2

10

8

05

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

6.2

EMS

TRAI

NING

COL

LEGE

C

urre

nt p

aym

ent

22,1

01

(7,2

46)

14

,855

16

,919

(2

,064

) 11

3.9%

21

,654

21

,218

Tra

nsfe

rs a

nd s

ubsi

dies

-

-

0.0%

5

P

aym

ent f

or c

apita

l ass

ets

1

,086

(2

19)

867

772

95

89

.0%

468

847

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

6.3

PR

IMAR

Y HE

ALTH

CAR

E TR

AINI

NG

Cur

rent

pay

men

t

6

,309

4,

441

10,7

50

10,1

67

583

94

.6%

12

,799

13

,042

Tra

nsfe

rs a

nd s

ubsi

dies

2

,641

(2

,641

)

-

-

0.0%

438

P

aym

ent f

or c

apita

l ass

ets

-

-

0.0%

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

6.4

TR

AINI

NG O

THER

C

urre

nt p

aym

ent

39,3

99

298

39,6

97

39,4

91

206

99

.5%

22

,050

21

,677

Tra

nsfe

rs a

nd s

ubsi

dies

16

,252

3,

400

19,6

52

19,6

14

38

99.8

%

9,1

87

9,3

37

P

aym

ent f

or c

apita

l ass

ets

-

-

0.0%

560

534

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

Tot

al

2

49,3

22

- (6

,000

)

243

,322

242

,110

1,

212

99

.5%

2

28,2

44

2

26,5

52

125

��

2012

/13

2011

/12

Prog

ram

me 6

Per

Eco

nom

ic cla

ssifi

catio

n Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

%

of fi

nal

appr

opria

tion

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

C

urre

nt p

aym

ents

C

ompe

nsat

ion

of e

mpl

oyee

s

1

34,4

08

(6,0

00)

(6,0

00)

1

22,4

08

1

21,9

43

465

99

.6%

139

,594

138

,416

Goo

ds a

nd s

ervi

ces

88

,740

2,

718

91,4

58

91,4

80

(22)

10

0.0%

74

,778

74

,372

Inte

rest

and

rent

on

land

11

11

11

-

100.

0%

10

3

T

rans

fers

& su

bsid

ies

Pro

vinc

es &

mun

icip

aliti

es

-

- 0.

0%

D

epar

tmen

tal a

genc

ies

& a

ccou

nts

3

,900

3

,900

3

,900

-

100.

0%

3,6

18

3,6

18

U

nive

rsiti

es &

tech

niko

ns

16,7

60

(16,

760)

-

-

0.0%

For

eign

gov

ernm

ents

&

inte

rnat

iona

l org

anis

atio

ns

-

- 0.

0%

P

ublic

cor

pora

tions

& p

rivat

e

ent

erpr

ises

-

-

0.0%

N

on-p

rofit

inst

itutio

ns

-

- 0.

0%

H

ouse

hold

s

3,2

31

20,4

60

23

,691

23

,602

89

99

.6%

8

,006

7

,957

Gift

s an

d do

natio

ns

-

- 0.

0%

P

aym

ent f

or ca

pita

l ass

ets

Bui

ldin

gs &

oth

er fi

xed

stru

ctur

es

-

- 0.

0%

M

achi

nery

& e

quip

men

t

2

,272

(4

18)

1

,854

1

,174

68

0

63.3

%

2,2

38

2,1

86

H

erita

ge a

sset

s

-

- 0.

0%

S

peci

alis

ed m

ilitar

y as

sets

-

-

0.0%

Bio

logi

cal a

sset

s

-

- 0.

0%

L

and

& su

bsoi

l ass

ets

-

-

0.0%

Sof

twar

e &

othe

r int

angi

ble

asse

ts

-

- 0.

0%

P

aym

ent f

or fi

nanc

ial as

sets

-

-

0.0%

T

otal

2

49,32

2 -

(6,00

0)

243

,322

242

,110

1,212

99

.5%

228

,244

226

,552

126

��

Deta

il per

pro

gram

me 7

- HE

ALTH

CAR

E SU

PPOR

T SE

RVIC

ES

For t

he ye

ar en

ded

31 M

arch

2013

20

12/13

20

11/12

De

tails

per

Sub

-Pro

gram

me

Adju

sted

Ap

prop

riatio

n Sh

iftin

g of

Fu

nds

Vire

men

t Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

Va

rianc

e Ex

pend

iture

as %

of

final

appr

opria

tion

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

R'00

0 R'

000

R'00

0 R'

000

R'00

0 R'

000

%

R'00

0 R'

000

7.1

ENGI

NEER

ING

Cur

rent

pay

men

t

42

,112

80

1

(6,0

00)

36,9

13

38,7

10

(1,7

97)

104.

9%

23,9

18

21,0

40

T

rans

fers

and

sub

sidi

es

85

85

85

- 10

0.0%

20

15

Pay

men

t for

cap

ital a

sset

s

17,4

90

(687

) (3

,200

)

13

,603

14

,258

(6

55)

104.

8%

5

42

2

38

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

7.2

LAUN

DRIE

S

C

urre

nt p

aym

ent

29,4

37

(138

) (8

00)

28,4

99

25,1

60

3,33

9

88.3

%

53,4

68

54,0

72

T

rans

fers

and

sub

sidi

es

20

35

55

55

-

100.

0%

P

aym

ent f

or c

apita

l ass

ets

58

58

40

18

69

.0%

16

,000

15

,767

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

7.3

OR

THOT

IC A

ND P

ROTH

ETIC

SER

VICE

S

C

urre

nt p

aym

ent

4,3

57

(2,5

00)

2,50

0

4,3

57

6,8

25

(2,4

68)

156.

6%

7,6

56

6,7

67

T

rans

fers

and

sub

sidi

es

64

(52)

12

12

- 10

0.0%

64

14

Pay

men

t for

cap

ital a

sset

s

1,0

21

686

(5

00)

1,2

07

5

00

707

41

.4%

1

,000

438

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

7.4

ME

DICI

NE T

RADI

NG A

CCOU

NT

Cur

rent

pay

men

t

19

,946

1,

800

21,7

46

20,8

19

927

95

.7%

27

,898

28

,815

Tra

nsfe

rs a

nd s

ubsi

dies

30

(3

0)

-

- 0.

0%

25

2

P

aym

ent f

or c

apita

l ass

ets

-

-

0.0%

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

Tot

al

1

14,5

35

- (8

,000

)

106

,535

106

,464

71

99.9%

130

,591

127

,168

127

��

Prog

ram

me 7

Per

Eco

nom

ic cla

ssifi

catio

n Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

% o

f fin

al ap

prop

riatio

n Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

R'

000

R'00

0 R'

000

R'00

0 R'

000

R'00

0 %

R'

000

R'00

0

Cur

rent

pay

men

ts

Com

pens

atio

n of

em

ploy

ees

41

,508

(600

)

40

,908

40

,532

37

6

99.1

%

41,9

57

41,1

64

G

oods

and

ser

vice

s

54,3

43

(38)

(3

,700

)

50

,605

50

,981

(3

76)

100.

7%

70,9

79

69,5

29

In

tere

st a

nd re

nt o

n la

nd

1

1

1

- 10

0.0%

4

2

Tra

nsfe

rs &

subs

idies

P

rovi

nces

& m

unic

ipal

ities

-

-

0.0%

Dep

artm

enta

l age

ncie

s &

acc

ount

s

-

- 0.

0%

U

nive

rsiti

es &

tech

niko

ns

-

- 0.

0%

F

orei

gn g

over

nmen

ts &

inte

rnat

iona

l org

anis

atio

ns

-

- 0.

0%

P

ublic

cor

pora

tions

& p

rivat

e en

terp

rises

-

-

0.0%

Non

-pro

fit in

stitu

tions

-

-

0.0%

Hou

seho

lds

114

38

1

52

1

52

- 10

0.0%

109

29

Gift

s an

d do

natio

ns

-

- 0.

0%

P

aym

ent f

or ca

pita

l ass

ets

Bui

ldin

gs &

oth

er fi

xed

stru

ctur

es

-

- 0.

0%

M

achi

nery

& e

quip

men

t

18

,569

(3,7

00)

14,8

69

14,7

98

71

99.5

%

17,5

42

16,4

44

H

erita

ge a

sset

s

-

- 0.

0%

S

peci

alis

ed m

ilitar

y as

sets

-

-

0.0%

Bio

logi

cal a

sset

s

-

- 0.

0%

L

and

& su

bsoi

l ass

ets

-

-

0.0%

Sof

twar

e &

othe

r int

angi

ble

asse

ts

-

- 0.

0%

Pay

men

t for

fina

ncial

asse

ts

-

- 0.

0%

T

otal

1

14,53

5 -

(8,00

0)

106

,535

106,4

64

71

99.9%

1

30,59

1

1

27,16

8

128

��

Deta

il per

pro

gram

me 8

- HE

ALTH

FAC

ILIT

Y MA

NAGE

MENT

Fo

r the

year

ende

d 31

Mar

ch 20

13

2012

/13

2011

/12

Deta

ils p

er S

ub-P

rogr

amm

e Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

% o

f fin

al ap

prop

riatio

n Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

R'

000

R'00

0 R'

000

R'00

0 R'

000

R'00

0 %

R'

000

R'00

0 8.1

CO

MMUN

ITY

HEAL

TH F

ACIL

ITIE

S

C

urre

nt p

aym

ent

-

- 0.

0%

T

rans

fers

and

sub

sidi

es

-

- 0.

0%

P

aym

ent f

or c

apita

l ass

ets

17

,485

17

,485

17

,478

7

10

0.0%

5

,801

3

,436

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

8.2

DI

STRI

CT H

OSPI

TAL

SERV

ICES

C

urre

nt p

aym

ent

42,6

20

42,6

20

36,8

46

5,77

4

86.5

%

23,2

84

25,8

17

T

rans

fers

and

sub

sidi

es

-

- 0.

0%

P

aym

ent f

or c

apita

l ass

ets

384

,964

384

,964

355

,770

29

,194

92

.4%

346

,790

336

,588

Pay

men

t for

fina

ncia

l ass

ets

-

-

0.0%

8.3

OT

HER

FACI

LITI

ES

Cur

rent

pay

men

t

-

-

0.0%

Tra

nsfe

rs a

nd s

ubsi

dies

-

-

0.0%

Pay

men

t for

cap

ital a

sset

s

1

21,6

67

1

21,6

67

1

21,6

22

45

100.

0%

1

45,5

72

1

36,6

95

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

8.4

HEAL

TH M

AINT

ENAN

CE

Cur

rent

pay

men

t

51

,927

(8,3

70)

43,5

57

43,5

57

- 10

0.0%

39

,103

36

,877

Tra

nsfe

rs a

nd s

ubsi

dies

-

-

0.0%

Pay

men

t for

cap

ital a

sset

s

-

- 0.

0%

P

aym

ent f

or fi

nanc

ial a

sset

s

-

- 0.

0%

Tot

al

6

18,6

63

- (8

,370

)

610

,293

575

,273

35

,020

94

.3%

5

60,5

50

5

39,4

13

129

��

Prog

ram

me 8

Per

Eco

nom

ic cla

ssifi

catio

n Ad

just

ed

Appr

opria

tion

Shift

ing

of

Fund

s Vi

rem

ent

Fina

l Ap

prop

riatio

n Ac

tual

Expe

nditu

re

Varia

nce

Expe

nditu

re as

% o

f fin

al ap

prop

riatio

n Fi

nal

Appr

opria

tion

Actu

al Ex

pend

iture

R'

000

R'00

0 R'

000

R'00

0 R'

000

R'00

0 %

R'

000

R'00

0

Cur

rent

pay

men

ts

Com

pens

atio

n of

em

ploy

ees

22

,039

22

,039

21

,455

58

4

97.4

%

5,6

33

5,6

29

G

oods

and

ser

vice

s

71,3

98

(8

,370

)

63

,028

58

,948

4,

080

93

.5%

54

,684

55

,960

Inte

rest

and

rent

on

land

1

,110

1

,110

1,11

0

0.0%

1,1

05

Tra

nsfe

rs &

subs

idies

P

rovi

nces

& m

unic

ipal

ities

-

-

0.0%

Dep

artm

enta

l age

ncie

s &

acc

ount

s

-

- 0.

0%

U

nive

rsiti

es &

tech

niko

ns

-

- 0.

0%

F

orei

gn g

over

nmen

ts &

inte

rnat

iona

l org

anis

atio

ns

-

- 0.

0%

P

ublic

cor

pora

tions

& p

rivat

e en

terp

rises

-

-

0.0%

Non

-pro

fit in

stitu

tions

-

-

0.0%

Hou

seho

lds

-

-

0.0%

Gift

s an

d do

natio

ns

-

- 0.

0%

P

aym

ent f

or ca

pita

l ass

ets

Bui

ldin

gs &

oth

er fi

xed

stru

ctur

es

5

04,1

36

5

04,1

36

487,

879

16

,257

96

.8%

475

,253

468

,439

Mac

hine

ry &

equ

ipm

ent

19,9

80

19,9

80

6,99

1

12,9

89

35.0

%

24,9

80

8,2

80

H

erita

ge a

sset

s

-

- 0.

0%

S

peci

alis

ed m

ilitar

y as

sets

-

-

0.0%

Bio

logi

cal a

sset

s

-

- 0.

0%

L

and

& su

bsoi

l ass

ets

-

-

0.0%

Sof

twar

e &

othe

r int

angi

ble

asse

ts

-

- 0.

0%

Pay

men

t for

fina

ncial

asse

ts

-

- 0.

0%

Tot

al

618

,663

-

(8

,370)

6

10,29

3 57

5,273

35

,020

94.3%

5

60,55

0

5

39,41

3

130

��

131

��

132

��

133

��

134

��

135

��

136

��

137

��

138

��

139

��

140

��

141

��

142

��

143

��

144

��

145

��

146

��

147

��

148

��

149

��

150

��

151

��

152

��

153

��

154

��

155

��

156

��

157

��

158

��

159

��

160

��

161

��

162

��

163

��

164

��

165

��

166

��

167

��

168

��

169

��

170

��

171

��

172

��

173

pmg-assets.s3-website-eu-west-1.amazonaws.compmg-assets.s3-website-eu-west-1.amazonaws.com/n...included...

Documents

Transcript of pmg-assets.s3-website-eu-west-1.amazonaws.compmg-assets.s3-website-eu-west-1.amazonaws.com/n...included...