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Department: Health6.3 Donor Funding None. 7 PAYMENT SUMMARY 7.1 Key assumptions The department has made provision for pay progression at 1.5 per cent. The revised inflation projections (CPI) to be utilised for the determination of baselines over the 2025 MTEF are 4.5 per cent in 2025/26, 4.5 per cent in 2026/27, and 4.5 in 2027/28. The 2023 MTEF Baseline adjustments were affected as follows: %uf0b7 An addition of R175.580 million in 2025/26, R183.243 million in 2026/27 and R192.247 in 2027/28 for COE adjustment for wage agreement. %uf0b7 An addition of R26.000 million in 2025/26, R18.477 million in 2027/28 and R17.514 million to strengthen medical records for the reduction of medico legal contingencies. %uf0b7 An addition of R302.031 million in 2025/26 for payables and accruals for the medicines, medical supplies, medical gas, surgical implants, property payments, food for patients and medical and chemical waste. %uf0b7 A reduction of R1.045 billion in 2025/26, R1.092 billion in 2026/27, R1.141 billion in 2027/28 from overtime to fund core vacant posts. %uf0b7 Addition of R1.045 billion in 2025/26, R1.092 billion in 2026/27, R1.141 billion in 2027/28 to fund core vacant posts. 7.2 Programme summary Table 4: Summary of payments and estimates by programmeOutcome Main appropriationAdjusted appropriation Revised estimate Medium-term estimates % change from 2024/25R thousand 2021/22 2022/23 2023/24 2025/26 2026/27 2027/281. Administration 773 703 716 793 758 667 988 331 968 331 862 946 888 753 912 159 944 412 3.02. District Health Services 15 077 221 15 094 877 15 618 193 15 568 004 15 660 045 15 739 260 15 773 326 16 666 348 17 350 499 0.23. Emergency Medical Services 1 452 877 1 353 522 1 360 385 1 562 632 1 564 583 1 496 420 1 638 706 1 650 100 1 749 214 9.54. Provincial Hospital Services 3 926 710 3 686 353 4 253 340 4 231 168 4 350 027 4 647 012 4 701 833 4 702 086 4 957 257 1.25. Central Hospital Services 4 713 574 4 751 526 4 928 873 5 036 282 5 085 431 4 979 798 5 760 414 5 291 362 5 502 618 15.76. Health Sciences and Training 985 706 774 759 1 076 571 1 165 111 1 123 111 1 015 205 1 186 843 1 128 613 1 180 850 16.97. Health Care Support Services 115 053 112 986 112 696 248 787 248 787 194 175 248 101 250 631 263 799 27.88. Health Facilities Management 1 071 575 1 087 913 1 018 088 1 306 528 1 306 528 1 372 027 1 454 706 1 425 666 1 450 518 6.0Total payments and estimates 27 578 729 28 116 419 29 126 813 30 106 843 30 306 843 30 306 843 31 652 682 32 026 965 33 399 167 4.42024/25 Tables 4 above shows the summary of payments and estimates by programme. The total payments increased from R27.578 billion in 2021/22 to a revised estimate of R30.306 billion in 2024/25. In 2025/26, the budget increases by 4.4 per cent from R30.306 billion in 2024/25 to R31.652 billion due to additional allocation to strengthen medical records for the reduction of medico legal contingencies, COE adjustments for wage agreement and funding for payables and accruals of non-negotiable items, as well as additional funding on conditional grants. The department reprioritised funds from other programmes to fund Programmes 5, 6 and 7 as evident by growth which more than 10 per cent. 176