Page 209 - Demo

Department: HealthGoods and services show a growth of 12.2 per cent from R1.002 billion to R1.124 billion in 2025/26 when compared to the 2024/25 revised estimate due to additional funding for the medicines, medical supplies, medical gas, surgical implants, property payments, food for patients and medical and chemical waste. Transfers and subsidies show a negative growth of 50.9 per cent from R108.010 million to R53.063 million in 2025/26 when compared to the 2024/25 revised estimate due to a high revised estimate attributable to the payment of Medico Legal Claims. Payments for capital assets show a negative growth of 81.5 per cent from R70.827 million to R13.136 million in 2025/26 when compared to the 2024/25 revised estimate, due to high revised estimate in 2024/25 emanating from reprioritisation during 2024 MTEF for purchase of medical equipment and assistive devices in General Hospitals. Service Delivery Measures Table 21: Selected service delivery measures for the programme: P4: Provincial Hospital Services Estimatedperformance Medium-term estimatesProgramme performance measures 2024/25 2025/26 2026/27 2027/28Patient experience of care survey rate New indicator 100% 100% 100%Severity assessment code1 incident reported within 24 hours rate 100% 100% 100% 100%Patient Safety Incident case closure rate (Psychiatric Hospital) 100% 97% 98% 99%Average length of stay (General Hospital) 5.3 days 5.7 days 5.7 days 5.7 daysInpatient bed utilisation rates (TB Hospital) 27% 30% 30% 30%Expenditure per PDE ( TB Hospital) 3 695 3 800 3 810 3 820Table 21 above shows the key service delivery measures for Provincial Hospital Services. Performance is measured by the patient day equivalent, bed utilisation and average length of stay rates. TB hospitals%u2019 performance is measured by the number of hospitals implementing National Core Standards and those conducting clinical audits. The aim is to reduce the rate of patients infecting one another. 8.5 Programme 5: Central Hospital Services Objectives: To provide tertiary health services and create a platform for the training of health workers. The programme only has 2 sub-programmes with the following objectives: Central Hospital Services: To render a highly specialised medical health and quaternary services on a national basis and a platform for the training of health workers and research.Provincial Tertiary Hospital Services: The rendering of general specialist and tertiary health services on a national basis and maintaining a platform for the training of health workers and research. Table 22: Summary of payments and estimates: P5 - Central Hospital Services Outcome 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. Central Hospital Services 1 702 835 1 521 690 1 751 326 1 685 599 1 741 206 1 717 041 1 829 053 1 644 205 1 718 065 6.52. Provincial Tertiary Services 3 010 739 3 229 836 3 177 547 3 350 683 3 344 225 3 262 757 3 931 361 3 647 157 3 784 553 20.5Total payments and estimates 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 15.72024/25Tables 22 above shows the summary of payments and estimates for Central Hospital Services from 2021/22 to 2024/25 and over the 2025 MTEF per sub-programme. The programme%u2019s total expenditure increased from R4.751 billion in 2021/22 to a revised estimate of R4.979 billion in 2024/25. In 2025/26, the budget increases by 15.7 per cent from R4.979 billion to R5.760 billion when compared to the 2024/25 revised estimate due to additional funding for the wage agreement and funding for the medicines, medical supplies, medical gas, surgical implants, property payments, food for patients and medical and chemical waste. 188