ANNUAL REPORT DEPARTMENT OF HEALTH PROVINCE OF MPUMALANGA 2018 2019 FINANCIAL YEAR FINAL ANNUAL REPORT 1.indd 1 9/10/19 5:46 PM FINAL ANNUAL REPORT 1.indd 2 9/10/19 5:46 PM Department of Health: Mpumalanga Province, Annual Report for 2018/19 Financial Year Vote No 10 DEPARTMENT OF HEALTH PROVINCE OF MPUMALANGA VOTE NO. 10 ANNUAL REPORT 2018/2019 FINANCIAL YEAR 3 FINAL ANNUAL REPORT 1.indd 3 9/10/19 5:46 PM Department of Health: Mpumalanga Province, Annual Report for 2018/19 Financial Year Vote No 10 CONTENTs PART A: GENERAL INFORMATION ..........................................................................................................................................6 1. DEPARTMENT GENERAL INFORMATION .....................................................................................................................6 2. LIsT OF ABBREVIATIONs/ACRONYMs .........................................................................................................................7 3. FOREWORD BY THE MEC ............................................................................................................................................10 4. REPORT OF THE ACCOUNTING OFFICER ..................................................................................................................12 5. sTATEMENT OF REsPONsIBILITY AND CONFIRMATION OF ACCURACY ................................................................18 6. sTRATEGIC OVERVIEW .................................................................................................................................................19 a. Vision ................................................................................................................................................................................19 b. Mission .............................................................................................................................................................................19 c. Values ...............................................................................................................................................................................19 7. LEGIsLATIVE AND OTHER MANDATEs ........................................................................................................................19 8. ORGANIsATIONAL sTRUCTURE ...................................................................................................................................21 9. ENTITIEs REPORTING TO THE MEC ............................................................................................................................21 1. AUDITOR GENERAL’s REPORT: PREDETERMINED OBJECTIVEs ............................................................................23 2. OVERVIEW OF DEPARTMENTAL PERFORMANCE ......................................................................................................23 2.1 service Delivery Environment ..........................................................................................................................................23 2.2 service Delivery Improvement Plan .................................................................................................................................25 2.3 Organisational environment ..............................................................................................................................................26 2.4 Key policy developments and legislative changes ...........................................................................................................27 3. sTRATEGIC OUTCOME ORIENTED GOALs .................................................................................................................27 PART B: PERFORMANCE INFORMATION ................................................................................................................................29 4. PERFORMANCE INFORMATION BY PROGRAMME .....................................................................................................29 PROGRAMME 1: ADMINIsTRATION ...............................................................................................................................39 PROGRAMME 2: DIsTRICT HEALTH sERVICEs (DHs) ................................................................................................33 PROGRAMME 3: EMERGENCY MEDICAL sERVICEs...................................................................................................46 PROGRAMME 4: PROVINCIAL HOsPITAL sERVICEs ..................................................................................................49 PROGRAMME 5: TERTIARY HOsPITAL sERVICEs .......................................................................................................53 PROGRAMME 6: HEALTH sCIENCE AND TRAINING ....................................................................................................55 PROGRAMME 7: HEALTH CARE sUPPORT sERVICEs (HCss) ..................................................................................58 PROGRAMME 8: HEALTH FACILITY MANAGEMENT (HFM) .........................................................................................62 5. TRANsFER PAYMENTs ..................................................................................................................................................67 6. CONDITIONAL GRANTs ................................................................................................................................................68 4 FINAL ANNUAL REPORT 1.indd 4 9/10/19 5:46 PM Department of Health: Mpumalanga Province, Annual Report for 2018/19 Financial Year Vote No 10 Department of Health: Mpumalanga Province, Annual Report for 2018/19 Financial Year Vote No 10 7 DONOR FUNDs ..............................................................................................................................................................77 8. CAPITAL INVEsTMENT ..................................................................................................................................................77 PART C: GOVERNANCE ............................................................................................................................................................79 1. INTRODUCTION ..............................................................................................................................................................80 2. RIsK MANAGEMENT ......................................................................................................................................................80 3. FRAUD AND CORRUPTION ............................................................................................................................................80 4. MINIMIsING CONFLICT OF INTEREsT ..........................................................................................................................80 5. CODE OF CONDUCT ......................................................................................................................................................81 6. HEALTH sAFETY AND ENVIRONMENTAL IssUEs ......................................................................................................81 7. PORTFOLIO COMMITTEEs ............................................................................................................................................82 8. sCOPA REsOLUTIONs ...................................................................................................................................................105 9. PRIOR MODIFICATIONs TO AUDIT REPORTs .............................................................................................................111 10. INTERNAL CONTROL UNIT ...........................................................................................................................................111 11. INTERNAL AUDIT AND AUDIT COMMITTEEs................................................................................................................112 12. AUDIT COMMITTEE REPORT ........................................................................................................................................114 PART D: HUMAN REsOURCE MANAGEMENT ........................................................................................................................116 1. INTRODUCTION ..............................................................................................................................................................117 2. OVERVIEW OF HUMAN REsOURCEs ..........................................................................................................................117 3. HUMAN REsOURCEs OVERsIGHT sTATIsTICs .........................................................................................................119 PART E: FINANCIAL INFORMATION .........................................................................................................................................163 1. REPORT OF THE AUDITOR GENERAL ..........................................................................................................................164 2. ANNUAL FINANCIAL sTATEMENTs ...............................................................................................................................174 5 FINAL ANNUAL REPORT 1.indd 5 9/10/19 5:46 PM Department of Health: Mpumalanga Province, Annual Report for 2018/19 Financial Year Vote No 10 PART A: GENERAL INFORMATION 6