Page 190 - Demo

Estimates of the Provincial Revenue and Expenditure (EPRE) %u2013 2025/26 Financial Year1.7 Aligning departmental budgets to achieve government%u2019s prescribed outcomes The departmental budget is aligned directly to the Constitution of the Republic of South Africa section 27, achievement of the output targets related to Outcome 2 of the National Development Plan (NDP): %u201ca long and healthy life for all South Africans%u201d and indirectly to Outcomes 1, 8 and 12. The four specific Output targets linked to Outcome 2 are: increasing life expectancy; decreasing maternal and child mortality; combating HIV/AIDS and decreasing the burden of disease from tuberculosis; and strengthening health system effectiveness. The strategic intent of the National Development Plan (NDP) 2030 for the health sector is the achievement of a health system that works for everyone and produces positive health outcomes and is accessible to all. The NDP vision is that by 2030 it is possible for South Africa to have: %uf0b7 Raised the life expectancy of South Africans to at least 70 years. %uf0b7 Produced a generation of under 20-year-old that is largely free of HIV. %uf0b7 Reduced the burden of disease. %uf0b7 Achieved an infant mortality rate of less than 20 deaths per thousand live births, including an under 5-year-old mortality rate of less than 30 per thousand;(e) achieved a significant shift in equity, efficiency, and quality of health service provision; (f) achieved universal coverage. %uf0b7 Significantly reduced the social determinants of disease and adverse ecological factors. 1.8 Budget decisions The department continues to operate within a fragile space bedded within intractable service pressures with resource limitations. This fragility is fuelled by the escalating burden of disease, including the multi - morbidity from chronic diseases, mental illness, and others. While the pace and scale of progress has been constrained primarily through reduced budgets and the magnitude of historical medico legal claims brought against the department, the need to ensure uninterrupted service provision continues. The department received an additional allocation of R503.611 million over 2025 MTEF for the wage agreement in Compensation of Employees; Strengthening of medical records for the reduction of medico legal contingencies; funding for payables and accruals of R302.031 million for the medicines, medical supplies, medical gas, surgical implants, property payments, food for patients and medical and chemical waste. 2 REVIEW OF THE CURRENT FINANCIAL YEAR (2024/25) 2.1 Key achievements Integrated Medico Legal Strategy To defend medico legal cases, the department requires complete, clear, and readily available patient records to determine the merits of the cases. The department identified an area in Mthatha Airport Hanger for the management and storage of medical records. The area has been provided with computers and scanners in preparation for the process of archiving and digitalising medical records. The team has started with maternity files, they are sorted and properly scanned into the system. As of 16 December 2024, a total of 942 files have been sorted and scanned into the system. 169