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Department of Health • Annual Report 2004/05
N AT I O N A L D E PA RT M E N T O F H E A L T H - V O T E 1 6 N O T E S T O T H E A P P R O P R I A T I O N S TA T E M E N T FO R T H E Y E A R EN D ED 3 1 M AR C H 2 00 5
Detail of transfers and subsidies as per Appropriation Act (after Virement): Detail of these transactions can be viewed in note 11 (Transfers and subsidies) and Annexure 1 (A-K) to the annual financial statements. Detail of specifically and exclusively appropriated amounts voted (after Virement): Detail of these transactions can be viewed in note 1 (Annual Appropriation) to the annual financial statements. Detail on financial transactions in assets and liabilities: Detail of these transactions per programme can be viewed in note 8 (Details of special functions (theft and losses)) to the annual financial statements. Explanations of material variances from Amounts Voted (after virement):
awarded in December 2004 but training will commence over 3 phases. There was a delay in finalising the tender for the reliable inventory management and tracking system. Transfer on the HIV and Aids Conditional Grant were withheld due to Provincial Health Departments not complying with DORA requirements. Provincial Health Departments had not submitted expenditure certificates for Poverty Relief projects in spite of several requests. The matter is now being addressed on a more senior level. Life Line did not have a full staff compliment. Outstanding business plan for Soul City&#39;s second transfer was not received before 31 March 2005. Tenders for the purchasing of equipment could not be finalised in time. Software programmes were not purchased during the 2004/05 financial year.
Voted Funds after virement Actual Expenditure
4.1 Per programme: •
Voted Funds after virement Administration 130,737,000 Actual Expenditure 122,894,214.66 R’000 7,843 % 94.0 Health Service R’000 %
The saving under Programme 1: Administration can mainly be attributed to the following; • • Delay in delivery of current equipment/invoices. Upgrading of MBOD building started in July 2004 and not May 2004. Capital equipment were ordered but not delivered by March 2005.
7,016,895,000
6,737,738,301,80
The saving under Programme 3: Health Service Delivery can mainly be attributed to the following; • Projects with regard to the development of the essential equipment technology audits could not be finalised before 31 March 2005. Publication of regulation in order to ensure safety of medical devises could not be finalised before 31 March 2005. Governance structures for proper management and control of health technologies could not be developed before 31 March 2005. Laboratory equipment ordered but not delivered before 31 March 2005. Transfer of Conditional Grants were withheld due to Provincial Health Departments not complying with DORA requirements. The Provincial Health Department: KwaZulu-Natal refunded the Department with all funds transferred on the Hospital Revitalisation Grant. There was a decrease in claims submitted by ExMineworkers against the Compensation Fund. The transfer to Medico-Legal did not take place
• • Software programmes were not purchased during the 2004/05 financial year.
Voted Funds after virement Strategic Health Programmes Actual Expenditure
1,670,768,000
1,526,606,028.59
• The saving under Programme 2: Strategic Health Programmes can mainly be attributed to the following; • Condoms were ordered but not delivered before 31 March 2005. There was a delay in the development of ARV modules for the comprehensive HIV and Aids Treatment Plan. The tender for the Preparatory Training on Monitoring and Evaluation of the Comprehensive HIV and AIDS Care Management Treatment Plan for SA was
N AT I O N A L D E PA RT M E N T O F H E A L T H - VO T E 16 N O T E S T O T H E A P P R O P R I A T I O N S TA T E M E N T F OR T H E Y E A R E N D ED 3 1 M AR C H 2 0 05
because the process of transferring mortuaries was still in process.The anticipated transfer date is now 1/10/2005. • Tenders for the purchasing of equipment could not be finalised in time. Software programmes were not purchased during the 2004/05 financial year.
Financial transactions in assets and liabilities Transfers and subsidies Provinces &amp; municipalities
-92 249,614
Transfer withheld due to Provincial Health Departments not complying with DORA requirements. The Provincial Health Department: KwaZulu-Natal refunded the Department with all funds transferred on the Hospital Revitalisation Grant.
4,253 1,387 59,497
4.2 Per economic classification:
Departmental agencies &amp; accounts Current payments Compensation of employees Goods and services R&#39;000 22 104,498 Non-profit institutions Households
Provincial Health Departments had not submitted expenditure certificates for Poverty Relief projects. Life Line did not have a full staff compliment to comply with previous submitted budget plans. Outstanding business plan for Soul City&#39;s second transfer was not received before 31 March 2005. The transfer to Medico-Legal did not take place because the process of transferring mortuaries was still in process.The anticipated transfer date is now 1/10/2005.
Delay in delivery of current equipment/invoices. • Condoms were ordered but not delivered before 31 March 2005. • There was a delay in the development of ARV modules for the comprehensive HIV and Aids Treatment Plan. The tender for the Preparatory Training on Monitoring and Evaluation of the Comprehensive HIV and AIDS Care Management Treatment Plan for SA was awarded in December 2004 and training commenced which will be completed in 3 phases flowing into 2005/06. Projects with regard to the development of the essential equipment technology audits could not be finalised before 31 March 2005. Publication of regulation in order to ensure safety of medical devises could not be finalised before 31 March 2005. Governance structures for proper management and control of health technologies could not be developed before 31 March 2005. Laboratory equipment were ordered but not delivered before 31 March 2005.
Payments on capital assets Buildings &amp; other fixed structures 1,881
Upgrading of MBOD building started in July 2004 and not May 2004.
Capital equipment were ordered but not delivered by March 2005.
Software &amp; other intangible assets
Software programmes were not purchased during 2004/05 financial year.
N AT I O N A L D E PA RT M E N T O F H E A L T H - V O T E 1 6 S T AT E M E N T O F F I N A N C I A L P E R F O R M A N C E FO R T H E Y E A R EN D ED 3 1 M AR C H 2 00 5
2004/05 R&#39;000
2003/04 R&#39;000
REVENUE Annual appropriation Appropriation for unauthorised expenditure approved Departmental revenue Local and foreign aid assistance TOTAL REVENUE
8,818,400 10,468 18,114 111,772 8,958,754
8,556,695 4,173 128,273 8,689,141
EXPENDITURE Current expenditure Compensation of employees Goods and services Financial transactions in assets and liabilities Local and foreign aid assistance Unauthorised expenditure approved Total current expenditure
4. 5. 6. 3. 7.
190,808 412,539 92 128,003 10,468 741,910
177,743 398,059 3,108 72,677 651,587
Transfers and subsidies Expenditure for capital assets Buildings and other fixed structures Machinery and Equipment Software and other intangible assets Local and foreign aid assistance Total expenditure for capital assets TOTAL EXPENDITURE NET SURPLUS/(DEFICIT) Add back fruitless and wasteful expenditure NET SURPLUS/(DEFICIT) FOR THE YEAR
9. 10. 10. 10. 3.
7,757,406
7,784,661
7,719 18,525 150 4,901 31,295 8,530,611 428,143 63 428,206
20,312 111 20,423 8,456,671 232,470 32 232,502
Reconciliation of Net Surplus/(Deficit) for the year Voted Funds to be surrendered to the Revenue Fund Departmental receipts to be surrendered to revenue fund Local and foreign aid assistance
14. 15. 3.
431,224 18,114 -21,132
172,844 4,173 55,485
N AT I O N A L D E PA RT M E N T O F H E A L T H - VO T E 16 S T AT E M E N T O F F I N A N C I A L P O S I T I O N A S A T 3 1 M AR CH 20 0 5
ASSETS Current assets Unauthorised expenditure Fruitless and wasteful expenditure Cash and cash equivalents Prepayments and advances Receivables Local and foreign aid assistance receivable TOTAL ASSETS 7. 8. 11. 12. 13. 3. 291,475 29 267,423 12,010 7,081 4,932 291,475 182,140 10,468 147,207 808 23,657 182,140
LIABILITIES Current liabilities Voted funds to be surrendered to the Revenue Fund Departmental revenue to be surrendered to the Revenue Fund Payables Local and foreign aid assistance unutilised 14. 15. 16. 3. 290,972 278,492 80 3,550 8,850 181,684 137,844 302 13,556 29,982
Represented by: Recoverable revenue
N AT I O N A L D E PA RT M E N T O F H E A L T H - V O T E 1 6 S T AT E M E N T O F C H A N G E S I N N E T A S S E T S FO R T H E Y E A R EN D ED 3 1 M AR C H 2 00 5
Recoverable revenue Opening balance Debts written off Debts recovered (included in departmental receipts) Debts raised Closing balance 6.3 456 17 -514 544 503 1,285 12 -2,289 1,448 456
N AT I O N A L D E PA RT M E N T O F H E A L T H - VO T E 16 C A S H F L O W S TAT E M E N T F OR T H E Y E A R E N D ED 3 1 M AR C H 2 0 05
CASH FLOWS FROM OPERATING ACTIVITIES Receipts Annual appropriated funds received Appropriation for unauthorised expenditure received Departmental revenue received Local and foreign aid assistance received Net (increase)/decrease in working capital Surrendered to Revenue Fund Current payments Transfers and subsidies paid Net cash flow available from operating activities 8,806,464 8,665,668 10,468 18,114 106,840 5,374 -156,180 -741,414 -7,757,406 151,464
CASH FLOWS FROM INVESTING ACTIVITIES Payments for capital assets Net cash flows from investing activities
-31,295 -31,295
CASH FLOWS FROM FINANCING ACTIVITIES Increase/(decrease) in loans received Net cash flows from financing activities Net increase/(decrease) in cash and cash equivalents Cash and cash equivalents at beginning of period Cash and cash equivalents at end of period
47 47 120,216 147,207 267,423
N AT I O N A L D E PA RT M E N T O F H E A L T H - V O T E 1 6 N O T E S TO T H E A N N U A L F I N A N C I A L S TA T E M E N T FO R T H E Y E A R EN D ED 3 1 M AR C H 2 00 5
1.1 Annual Appropriation Included are funds appropriated in terms of the Appropriation Act for National Departments (Voted Funds) Total Appropriation 2003/04 R&#39;000 106,999 1,902,070 6,547,626 8,556,695
Final Appropriation R&#39;000 Administration Strategic Health Programmes Health Service Delivery Total 130,737 1,670,768 7,016,895 8,818,400
Actual Funds Received R&#39;000 130,737 1,598,689 6,936,242 8,665,668
Variance over/(under) R&#39;000 72,079 80,653 152,732
Explanation of material variances including whether or not application will be made for a rollover. Conditional Grant payments were delayed.The amounts were included in the Department&#39;s application for rollover.
2. Departmental revenue to be surrendered to revenue fund
Description Notes 2004/05 R&#39;000 2003/04 R&#39;000
Sales of goods and services other than capital assets Interest, dividends and rent on land Financial transactions in assets and liabilities 2.1 Transfers received consist of: Gifts, donations and sponsorships received ANNEXURE 1J Total revenue collected Departmental revenue collected
11,502 115 6,495 2 2 18,114 18,114
489 704 2,980 4,173 4,173
2.1 Financial transactions in assets and liabilities Nature of loss recovered Cheques written back Other
101 6,394 6,495
52 2,928 2,980
N AT I O N A L D E PA RT M E N T O F H E A L T H - VO T E 16 N O T E S T O T H E A N N U A L F I N A N C I A L S TA T E M E N T F OR T H E Y E A R E N D ED 3 1 M AR C H 2 0 05
3. Local and foreign aid assistance
3.1 Assistance received in cash Opening Balance R&#39;000 Name of donor and purpose Foreign European Union for PHSSP Flemish for assistive devices Belgium for TB/HIV/STI prevention Global fund for TB/AIDS and Malaria CDC for HIV and Aids Closing balance R&#39;000
Revenue R&#39;000
Expenditure R&#39;000
20,617 4 3,248 6,113 29,982
10,295 1,801 64,123 35,553 111,772
30,912 4 2,547 64,123 35,318 132,904
2,502 6,348 8,850
Analysis of balance Local and foreign aid receivable Local and foreign aid unutilised
4,932 8,850
3.2 Assistance received in kind 2004/05 R&#39;000 Name of donor and purpose Local Buddah&#39;s Light International Association-assistive devices PHWSBC-studies and travel and subsistence expenses Medunsa and Equity - Essential drug programme SA Medical Association-Professional Health Workers SITA-National Health Information System Committee meeting Aventis-IUATLD Conference, training and congresses Other Merck, Sharp &amp; Dohme-Develop curriculum, printing, Travel &amp; Subsistence Grain Handling Organisation of SA-Travel&amp; Subsistence Central Drug Authority-Travel &amp; Subsistence Health Protection Agency-Travel &amp; Subsistence GMP applicants-Travel and Subsistence 2003/04 R&#39;000
8,710 3 10 10 23 8,756
180 69 44 41 30 40 74 478
2004/05 R&#39;000 Foreign Belgium-Skills audit process; workshops and training CDC &amp; Prevention-Travel &amp; Subsistence; ARV implementation Global fund - Travel and Subsistence Internat Atomic Energy Agency-Travel &amp; Subsistence, course UN Population Fund in SA-Travel &amp; Subsistence, equipment Algerian Ministry-performing Cardiothoracic Surgery Brazilian Government-Travel &amp; Subsistence Canadian Internat Development-Support to NGO&#39;s Gobal Alliance-Media campaign for improved nutrition Internat Conference on Harmonisation-Travel &amp; Subsistence Japan Internat Cooperation Agency-Travel &amp; Subsistence Swedish Internat Development Cooperation-Training United Nations-Training Cuba and Puerto Rico-Subsistence USAID-launch of Palliative Care Guidelines, Travel &amp; Subsistence Vienna School of Clinical Research-Travel &amp; Subsistence, course Centre for Development and Population Activities-Training World Health Organisation-Malaria Survey; conferences, Travel &amp; Subsistence Reproductive Health Research Unit-Travel &amp; Subsistence NIP Donor Fund-Conference, Travel &amp; Subsistence Micronutrient Initiative-meeting, Travel &amp; Subsistence Family Health International-conference, accommodation UNICEF-study, training Presidency of Burkino Faso-Travel &amp; Subsistence Internat Federation of Gynaecology &amp; Obstetrics-Antenatal Care Department for Internat Development-SADC meetings, venues, facilities SC Johnson and TRI Internat-Printing, training UNFPA-Study, training Education Com for Foreign Med Graduates-Conference Belgium Technical Cooperation Funding-Venues &amp; Facilities Future Groups Internat-Travel &amp; Subsistence, Training Good Manufacturing Practise-Inspections Internat Total Engineering Corporation-Travel &amp; Subsistence Other 61 145 104 43 1,910 67 479 239 250 305 55 900 1,596 90 89 30 50 46 52 48 252 6,811 Total local and foreign aid assistance received in kind 15,567
248 152 96 13 103 385 64 536 19,266 60 86 119 29 75 582 63 663 22,540 23,018
4.1 Salaries and wages Basic salary Performance award Service Based Compensative/circumstantial Periodic payments Other non-pensionable allowances 124,514 5,282 21 1,265 10,703 23,588 165,373 120,940 1,516 392 6,660 23,289 152,797
4.2 Social contributions 4.2.1 Short term employee benefits Pension Medical UIF Bargain council 17,835 7,567 33 25,435 16,830 8,085 20 11 24,946
Total compensation of employees Average number of employees
190,808 1,099
177,743 1,139
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