Western Cape Government: Health Annual Report 2018 - 2019 Annual Report 2018 - 2019 CONTENTS TABLE PART A: General Information ............................................................................................5 Department’s General Information ................................................................................. 6 List of Abbreviations / Acronyms ...................................................................................... 7 Foreword by the Minister ................................................................................................. 10 Report of the Accounting Officer ...................................................................................11 Overview of Operations at the Department ................................................................ 11 Overview of the Financial Results of the Department ................................................. 14 Unauthorised, Fruitless & Wasteful Expenditure ............................................................ 16 Future Plans of the Department ..................................................................................... 16 Public Private Partnerships .............................................................................................. 17 Disclosure Notes for projects signed in terms of Treasury Regulation 16 ................... 18 Changes to Activities in 2018/19 .................................................................................... 19 Supply Chain Management (SCM) ............................................................................... 21 Gifts & Donations.............................................................................................................. 22 Exemptions & Deviations received from National Treasury ........................................ 22 Events after the Reporting Date ..................................................................................... 22 Other.................................................................................................................................. 22 Acknowledgements ........................................................................................................ 22 Conclusion ........................................................................................................................ 22 Approval & Sign-off .......................................................................................................... 23 Statement of Responsibility & Confirmation of the Accuracy of the AR ................... 24 Strategic Overview ..........................................................................................................25 Legislative & Other Mandates ........................................................................................26 Organisational Structure .................................................................................................29 Entities reporting to the Minister/MEC ............................................................................ 29 PART B: Performance Information ..................................................................................33 Auditor-General’s Report: Predetermined Objectives ................................................ 34 Overview of Departmental Performance ......................................................................34 Service Delivery Environment .........................................................................................34 Problems Encountered and Corrective steps taken ................................................... 35 External Developments that impact on the Demand for Services ............................ 40 Service Delivery Improvement Plans ............................................................................. 40 Organisational Environment ........................................................................................... 43 Key Policy Developments & Legislative Changes ........................................................ 44 Strategic Outcome Oriented Goals for 2014/15 – 2019/20 ......................................... 45 Performance Information by Programme .....................................................................51 Programme 1: Administration ......................................................................................... 52 Programme 2: District Health Services ........................................................................... 56 Programme 3: Emergency Medical Services ............................................................... 71 Programme 4: Provincial Hospital Services ................................................................... 74 Programme 5: Central Hospital Services ....................................................................... 87 Programme 6: Health Sciences & Training .................................................................... 92 Programme 7: Health Care Support Services ............................................................... 97 Programme 8: Health Facilities Management ............................................................ 106 Transfer Payments..........................................................................................................110 Conditional Grants ........................................................................................................114 Donor Funds ...................................................................................................................124 Capital Investment ........................................................................................................126 PART C: Governance .....................................................................................................135 Introduction ....................................................................................................................136 Risk Management .........................................................................................................136 Fraud & Corruption ........................................................................................................137 Minimising Conflict of Interest ......................................................................................139 Code of Conduct ..........................................................................................................139 Health, Safety & Environmental Issues .........................................................................140 SCOPA Resolutions ........................................................................................................141 Prior Modification to Audit Reports ..............................................................................141 Internal Control Unit .......................................................................................................143 Internal Audit & Audit Committees ..............................................................................146 Audit Committee Report ...............................................................................................147 Part D: People Management ........................................................................................151 Legislation that governs People Management ..........................................................152 Introduction ....................................................................................................................154 Value of Human Capital in the Department ...............................................................154 People Management Priorities for 2018/19 and the Impact of these Priorities .......155 Human Resource Oversight Statistics ..........................................................................169 Part E: Financial Management .....................................................................................209 Report of the Auditor General ......................................................................................210 Report on the Audit of the Financial Statements ........................................................210 Report on the Audit of the Annual Performance Report ............................................211 Report on Audit of Compliance with Legislation ........................................................213 PART A GENERAL INFORMATION Department’s General Information FULL NAME OF DEPARTMENT Western Cape Government: Health PHYSICAL ADDRESS OF HEAD OFFICE 4 Dorp Street, Cape Town, 8001 POSTAL ADDRESS OF HEAD OFFICE PO Box 2060, Cape Town, 8000 CONTACT TELEPHONE NUMBERS +27 21 483 3235 (Directorate: Communications) FAX NUMBER +27 21 483 6169 E-MAIL ADDRESS [email protected] WEBSITE ADDRESS http://www.westerncape.gov.za 6 ANNUAL REPORT 2018-2019 Part A: General Information Part A: General Information ANNUAL REPORT 2018-2019 7 List of Abbreviations / Acronyms AGSA Auditor-General South Africa AIDS Acquired Immune Deficiency Syndrome ANC ANC Antenatal Care AO Accounting Officer APP Annual Performance Plan ART Antiretroviral Therapy ATA Assistant to Artisan BAS Basic Accounting System BVS Barret Value Survey CAD Computer Aided Despatch CDC Community Day Centre CHC Community Health Centre CoCT City of Cape Town COPC Community-Oriented Primary Care CRE Carbapenem-Resistant Enterobacteriaceae DHS District Health System DOCs Department of Community Safety DORA Division of Revenue Act DPSA Department of Public Service Administration ECMO Extra-Corporeal Membrane Oxygenation EE Employment Equity EHWP