Page 180 - Provincial Treasury Estimates.pdf

Department: +HDOWK
7.. Payment summary

7.1 Key assumptions

x The department has made provision for pay progression at 1.5 per cent.
x The revised projections for Consumer Price Index (CPI) inflation utilised for the determination of

baselines over the 2023 MTEF are 4.42 per cent in 2023/24, 4.45 per cent in 2024/25 and 4.48 per
cent in 2025/26;

x 2023 MTEF Baseline adjustments were effected as follows:
o An additional of R380.415 million in 2023/24; R390.194 million in 2024/25 and

R395.902 million in 2025/26 for cost of living adjustments ;
o Adjustments to baseline relating to data in the PES formula resulted to an additional amount
of R58.502 million, R105.189 million and R99.258 million in 2023/24, 2024/25 and 2025/26

respectively.
o An additional of R967.768 million in 2023/24; R1.005 billion in 2024/25 and R1.039 billion
in 2025/26 for Health Pressures such as CoE, service backlogs including ART and TB,

medicine & other goods and services; of which R30 million is ring-fenced in 2023/24,
R35 million in 2024/25 and R40 million in 2025/26 for the constitutional of care defences for
the undertaking to pay.

o An additional of R5.150 million in 2023/24 for the capacitation of legal services and an
amount of R42 million for energy (diesel) costs for the facilities not exempted from load

shedding; R5.150 million in 2024/25 for the capacitation of legal services and R827.403
million in 2025/26 for the carry through costs of COE shortfall; and
o Microsoft licenses function shift from the department to the Office of the Premier amounting

to R63.477 million in 2023/24; R66.333 million in 2024/25 and R69.318 million in 2025/26.

7.2 Programme summary

Table 6: Summary of payments and estimates by programme

Main Adjusted
Outcome Revised estimate Medium-term estimates % change from
appropriation appropriation 2022/23
R thousand 2019/20 2020/21 2021/22 2022/23 2023/24 2024/25 2025/26
1. Administration 589 052 590 629 716 793 738 303 807 753 722 089 798 917 883 000 926 618 10.6
2. District Health Services 13 640 040 15 075 401 15 094 877 14 402 516 14 836 712 14 932 932 14 188 408 15 081 608 15 598 348 (5.0)
3. Emergency Medical Services 1 277 761 1 272 046 1 353 522 1 353 075 1 378 643 1 532 182 1 507 673 1 563 509 1 635 539 (1.6)
4. Provincial Hospital Services 4 026 399 3 980 365 3 686 353 3 548 055 3 686 851 3 890 924 3 886 714 4 056 842 4 302 756 (0.1)
5. Central Hospital Services 4 329 290 4 845 403 4 751 526 4 751 404 4 910 397 5 131 789 4 943 073 5 017 853 5 377 246 (3.7)
6. Health Sciences And Training 728 562 720 097 774 759 1 025 626 1 138 363 733 534 1 245 542 1 035 217 1 081 588 69.8
7. Health Care Support Services 101 329 152 387 112 986 171 098 172 848 143 764 175 171 175 598 136 463 21.8
8. Health Facilities Management 1 496 307 1 357 890 1 087 913 1 340 974 1 277 491 1 139 758 1 393 841 1 465 226 1 512 632 22.3
Total payments and estimates 26 188 740 27 994 218 27 578 729 27 331 051 28 209 058 28 226 972 28 139 339 29 278 853 30 571 190 (0.3)

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