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Estimates of the Provincial Revenue and Expenditure (EPRE) %u2013 2025/26 Financial Year7.5 Departmental infrastructure payments 7.5.1 Departmental infrastructure payments Table 7: Summary of departmental payments and estimates on infrastructure OutcomeMain appropriationAdjusted appropriationRevised estimateMedium-term estimates % change from 2024/25R thousand 2021/22 2022/23 2023/24 2025/26 2026/27 2027/28Existing infrastructure assets 385 126 265 763 311 588 963 924 1 116 833 725 919 1 213 235 1 170 873 1 193 109 67.1Maintenance and repairs 55 537 27 049 54 980 424 367 500 379 194 242 533 708 623 043 626 534 174.8Upgrades and additions 53 501 58 929 96 120 248 731 381 650 296 288 403 099 278 715 248 374 36.0Refurbishment and rehabilitation 276 088 179 785 160 488 290 826 234 804 235 389 276 428 269 115 318 201 17.4New infrastructure assets 245 659 222 397 93 722 62 500 77 417 106 209 116 398 194 895 148 544 9.6Infrastructure transfers %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 Current %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 Capital %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 Infrastructure payments for financial assets %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Infrastructure leases %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Non infrastructure 510 342 668 372 707 079 449 882 282 056 644 178 292 238 269 670 329 841 (54.6)Total department infrastructure 1 141 127 1 156 532 1 112 389 1 476 306 1 476 306 1 476 306 1 621 871 1 635 438 1 671 494 9.92024/25Table 7 above shows summary of infrastructure expenditure per category from 2021/22 to 2025 MTEF. Infrastructure spending shows an increase from R1.141 billion in 2021/22 to a revised estimate of R1.476 billion in 2024/25. Overall, the budget shows a growth of 9.9 per cent from R1.476 billion in 2024/25 to R1.621 billion due to additional funding allocation on the Health Facility Revitalisation Grant. In 2026/27 and 2027/28 financial year, the budget for departmental infrastructure amounts to R1.635 billion and R1.671 billion respectively. The budget for upgrades and additions increases by 36 per cent from R296.288 million to R403.099 million when compared to the 2024 revised estimate due to additional allocation provided for upgrades and additions of the Oncology Building at Nelson Mandela Academic Hospital and upgrades and additions to the Outpatient Department (OPD) at Madwaleni Hospital. The budget for refurbishments and rehabilitation increases by 17.4 per cent from R235.389 million to R276.428 million when compared to the 2024 revised estimate due to additional funding provision for renovations of accommodation for health professionals at Cofimvaba Hospital and Infrastructure improvements to Lilitha College in Gqeberha. 7.5.2 Maintenance The budget for maintenance increases by 174.8 per cent from R194.242 million to R533.708 million when compared to the 2024 revised estimate due to additional allocation provision for scheduled maintenance of boilers, generators, laundry equipment and kitchen equipment in various District Hospital Facilities. In ensuring that the facilities are functioning optimally in providing improved health care services, the programme implements scheduled/preventative maintenance programmes for short-term and medium-term scheduled servicing for big machinery and medical equipment. The objective of such programmes will also be to prevent unnecessary breakdowns and asset failures, as well as to prevent high maintenance costs related to deferred maintenance. A total of 15 laundry equipment and 1000 medical equipment are planned to be maintained in 2025/26. In addition, 200 medical equipment will be commissioned for different facilities. In 2026/27 and 2027/28 financial year, the departmental maintenance budget amounts to R623.043 million and R626.534 million respectively. 179