DEPARTMENT OF HEALTH PROVINCE OF MPUMALANGA VOTE NO. 10 ANNUAL REPORT 2016/2017 FINANCIAL YEAR 1 Department of Health: Mpumalanga Province Annual Report for 2016/17 Financial Year Vote No 10 Contents PART A: GENERAL INFORMATION ...................................................................................................................................... 5 1. DEPARTMENT GENERAL INFORMATION ............................................................................................................... 5 2. FOREWORD BY THE MEC ...................................................................................................................................... 10 3. REPORT OF THE ACCOUNTING OFFICER ........................................................................................................... 12 4. STATEMENT OF RESPONSIBILITY AND CONFIRMATION OF ACCURACY FOR THE ANNUAL REPORT ....... 18 5. STRATEGIC OVERVIEW ......................................................................................................................................... 19 5.1 Vision ................................................................................................................................................................... 19 5.2 Mission ................................................................................................................................................................. 19 5.3 Values .................................................................................................................................................................. 19 6. LEGISLATIVE AND OTHER MANDATES ................................................................................................................ 20 7. ORGANISATIONAL STRUCTURE ........................................................................................................................... 24 8. ENTITIES REPORTING TO THE MINISTER/MEC .................................................................................................. 25 PART B: PERFORMANCE INFORMATION........................................................................................................................... 27 1. AUDITOR GENERAL’S REPORT: PREDETERMINED OBJECTIVES .................................................................... 27 2. OVERVIEW OF DEPARTMENTAL PERFORMANCE .............................................................................................. 27 2.1 Service delivery environment .......................................................................................................................... 27 2.2 Service delivery improvement plan .................................................................................................................. 28 2.3 Organisational environment ............................................................................................................................. 30 2.4 Key policy developments and legislative changes .......................................................................................... 30 3. STRATEGIC OUTCOME ORIENTED GOALS ......................................................................................................... 30 3.1 Strategic goals of the Department ............................................................................................................................. 30 4. PERFORMANCE INFORMATION BY PROGRAMME ............................................................................................. 31 4.1 PROGRAMME 1: ADMINISTRATION ............................................................................................................. 31 4.2 PROGRAMME 2: DISTRICT HEALTH SERVICES (DHS) .............................................................................. 38 4.3 PROGRAMME 3: EMERGENCY MEDICAL SERVICES (EMS) ..................................................................... 57 4.4 PROGRAMME 4: PROVINCIAL HOSPITAL SERVICES ................................................................................ 60 4.5 PROGRAMME 5: TERTIARY HOSPITAL SERVICES .................................................................................... 66 4.6 PROGRAMME 6: HEALTH SCIENCE AND TRAINING .................................................................................. 70 4.7 PROGRAMME 7: HEALTH CARE SUPPORT SERVICES (HCSS) ............................................................... 73 4.8 PROGRAMME 8: HEALTH FACILITY MANAGEMENT (HFM) ....................................................................... 78 5. TRANSFER PAYMENTS .......................................................................................................................................... 82 5.1. Transfer payments to public entities ................................................................................................................ 82 5.2. Transfer payments to all organisations other than public entities .................................................................... 82 6. CONDITIONAL GRANTS .......................................................................................................................................... 83 6.1. Conditional grants and earmarked funds paid ................................................................................................. 83 6.2. Conditional grants and earmarked funds received .......................................................................................... 83 2 Department of Health: Mpumalanga Province Annual Report for 2016/17 Financial Year Vote No 10 7. DONOR FUNDS ....................................................................................................................................................... 90 7.1. Donor funds received ...................................................................................................................................... 90 8. CAPITAL INVESTMENT ........................................................................................................................................... 90 8.1. Capital investment, maintenance and asset management plan ...................................................................... 90 PART C: GOVERNANCE ..................................................................................................................................... 95 1. INTRODUCTION ....................................................................................................................................................... 95 2. RISK MANAGEMENT ............................................................................................................................................... 95 3. FRAUD AND CORRUPTION .................................................................................................................................... 95 4. MINIMISING CONFLICT OF INTEREST .................................................................................................................. 95 5. CODE OF CONDUCT ............................................................................................................................................... 96 6. HEALTH, SAFETY AND ENVIRONMENTAL ISSUES ............................................................................................. 96 7. PORTFOLIO COMMITTEES .................................................................................................................................... 97 8. SCOPA RESOLUTIONS ......................................................................................................................................... 125 9. PRIOR MODIFICATIONS TO AUDIT REPORTS ................................................................................................... 147 10. INTERNAL CONTROL UNIT .................................................................................................................................. 148 11. INTERNAL AUDIT AND AUDIT COMMITTEES ..................................................................................................... 149 12. AUDIT COMMITTEE REPORT ............................................................................................................................... 150 PART D: HUMAN RESOURCES MANAGEMENT............................................................................................. 154 1. INTRODUCTION ..................................................................................................................................................... 154 2. OVERVIEW OF HUMAN RESOURCES ................................................................................................................. 154 4. HUMAN RESOURCES OVERSIGHT STATISTICS ............................................................................................... 154 PART E: FINANCIAL INFORMATION ............................................................................................................... 210 1. REPORT OF THE AUDITOR GENERAL ................................................................................................................ 210 2. ANNUAL FINANCIAL STATEMENTS ..................................................................................................................... 221 3 Department of Health: Mpumalanga Province Annual Report for 2016/17 Financial Year Vote No 10 4 Department of Health: Mpumalanga Province Annual Report for 2016/17 Financial Year Vote No 10 1. DEPARTMENT GENERAL INFORMATION PHYSICAL ADDRESS: INDWE (BUILDING NO. 3) NO 7