Page 201 - Demo

Department: Health7.5.3 Non- infrastructure items The budget for non-infrastructure decreases by 54.6 per cent from R644.178 million to R292.238 million when compared to the 2024 revised estimate mainly due to the procurement and installation of radiology medical equipment for servicing various health facilities, personnel related expenditure for Health Facilities Grant, as well as Programme Management Services at GSA Cluster level and Head Office. In 2026/27 and 2027/28 financial year, the departmental budget on noninfrastructure amounts to R269.670 million and R329.841 million respectively. 7.6 Departmental Public-Private Partnership (PPP) projects Table 8: Summary of departmental Public-Private Partnership (PPP) projects Annual cost of projectOutcomeMain appropriationAdjusted appropriation Revised estimate Medium-term estimates % change from 2024/25R thousand 2021/22 2022/23 2023/24 2025/26 2026/27 2027/28Projects signed in terms of Treasury Regulation 16 64 836 7 883 10 870 11 358 11 358 11 358 11 867 12 413 12 971 4.5PPP unitary charge1 6 275 63 300 9 191 9 604 9 604 9 604 10 034 10 496 10 968 4.5of which:for the capital portion (principal plus interest) %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 for services provided by the operator %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 Advisory fees2 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 Project monitoring cost3 1 608 1 536 1 679 1 754 1 754 1 754 1 833 1 917 2 003 4.5Revenue generated (if applicable)4 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 Contingent liabilities (information)5 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 Projects in preparation, registered in terms of Treasury Regulation 16* 5 069 73 001 %u2013 5 530 5 530 5 530 5 778 6 044 6 316 4.5Advisory fees 4 841 5 069 %u2013 5 530 5 530 5 530 5 778 6 044 6 316 4.5Project team cost 68 160 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Site acquisition %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Capital payment (where applicable)6 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Other project costs %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013 %u2013Total 137 837 12 952 10 870 16 888 16 888 16 888 17 645 18 457 19 287 4.52024/25 Table 8 above shows the summary of expenditure on PPP projects. PPP spending decreased from R137.837 million in 2021/22 to R16.888 million in 2024/25. In 2025/26, the budget shows a growth of 4.5 per cent from R16.888 million to R17.645 million when compared to the 2024/25 revised estimate due to the implementation of the 4.5 per cent inflation adjustment. In 2026/27 and 2027/28, PPP has an allocation of R18.457 million and R19.287 million respectively. 7.7 Conditional Grants Payments 7.7.1 Conditional grant payments by grant Table 9: Summary of departmental conditional grants by grant Outcome Mainappropriation Adjusted appropriation Revised estimate Medium-term estimates2021/22 2022/23 2023/24 2024/25 2025/26 2026/27 2027/283 116 477 3 214 612 2 884 993 3 077 003 3 077 003 3 077 003 3 110 225 3 253 178 3 400 306 1.1 685 588 730 601 725 692 789 942 789 942 789 942 775 953 731 947 765 047 (1.8) - - - - - - - - - - 1 101 960 1 177 597 1 153 056 1 255 448 1 255 448 1 255 448 1 351 007 1 309 991 1 369 236 7.6 41 272 181 021 105 561 63 501 63 501 63 501 64 899 65 769 68 748 2.2 - - - - - - - - - - 1 960 1 905 1 943 2 010 2 010 2 270 12 111 - - 433.5 14 033 12 268 13 166 10 720 10 720 10 720 - - - (100.0) - - - - - - - - - - 459 188 578 743 576 510 581 770 581 770 581 770 596 426 613 899 641 671 2.5 5 420 478 5 896 747 5 460 921 5 780 394 5 780 394 5 780 654 5 910 621 5 974 784 6 245 008 2.2 % change from 2024/25 R thousand Human Resources and Training Grant Total National Health Insurance Grant Human Papillomavirus Grant Expanded Public Works Programme- Integrated Expanded Public Works Programme- Social Sector 2019/20 Provincial Disaster Relief Grant District Health Programme Grant Health Facility Revitalisation Grant Health Professions,Training and Development Grant National Tertiary Services Grant Table 9 above shows the summary of payments and estimates of conditional grants per grant from 2021/22 to 2027/28 financial years. Spending on conditional grants increased from R5.420 billion in 2021/22 to R5.780 billion in 2024/25. In 2025/26, conditional grants show an increase of 2.2 per cent 180