Executive Briefing
Welcome · Presidency
Land Reform programme slipped milestone — 1.4M title-deed target at risk.
Today's focus
Land Reform programme slipped milestone — 1.4M title-deed target at risk
Live signal
Renewable IPP Round 7 ahead of plan · 5,200 MW added
On your radar
Cabinet sequencing memo due Friday
Why this matters · citizen
Whether 62 million South Africans see life improve over five years.
NDP 2030 outcome
NDP 2030 — eliminate poverty & reduce inequality
Impact metric
58% of NDP milestones on track · target 84% by FY2030
National Department of Health
NDoH · Provincial Health · NHI Fund · Director-General · National Department of Health
Branches
5
Sub-teams
20
Total FTE
514
Total Budget
R272.40bn
Principal
Director-General · National Department of Health
Accounting Officer
Deputies & political principals
- Deputy Minister of Health · Political Principal
- 9 Provincial MECs for Health · National Health Council
NHI Branch
DDG: NHI · Phase 1 readiness 47%
Budget
R8.40bn
FTE
88
Sub-teams
4
Status
at-risk
Implement NHI Act, accredit facilities, build NHI Fund.
Delivery vs plan47%
Sub-teams (4)
NHI Fund Establishment
Board appointed Q1
22 FTE
Facility Accreditation (OHSC)
240/1,200 facilities
28 FTE
Benefits Design & HTA
18 FTE
Provider Payment Reform
20 FTE
Primary Health Care Services
DDG: PHC · 3,800 PHC clinics
Budget
R84.20bn
FTE
142
Sub-teams
4
Status
on-track
Delivery vs plan72%
Sub-teams (4)
Clinical Services & Quality
48 FTE
Community Health Workers
67,000 CHWs
38 FTE
Ideal Clinic Programme
62% clinics ideal
32 FTE
School Health
8.4M learner screenings
24 FTE
Hospital, Tertiary & EMS
DDG: Hospitals · Stockout rate 9.2%
Budget
R124.80bn
FTE
96
Sub-teams
4
Status
at-risk
Delivery vs plan64%
Sub-teams (4)
Central Hospital Reform
10 central hospitals
24 FTE
Emergency Medical Services
Response time 47min urban
28 FTE
Pharmaceutical Supply
Stockout 9.2% (target <5%)
24 FTE
Forensic Pathology
20 FTE
HIV/AIDS, TB & Maternal Health
DDG: Programmes · 8.1M on ARVs
Budget
R28.40bn
FTE
124
Sub-teams
4
Status
ahead
Delivery vs plan94%
Sub-teams (4)
HIV Treatment & Prevention
8.1M on ARVs · viral suppr 78%
48 FTE
TB Programme
Case-finding +18% YoY
32 FTE
Maternal & Child Health
MMR 88/100k
24 FTE
Non-Communicable Diseases
20 FTE
Health Regulation & Compliance
DDG: Regulation · OHSC inspections
Budget
R1.80bn
FTE
64
Sub-teams
4
Status
on-track
Sub-teams (4)
Office of Health Standards Compliance
1,840 inspections/yr
28 FTE
Health Professions Liaison (HPCSA)
14 FTE
Clinical Trials & Ethics
12 FTE
Medico-legal Risk
R124bn contingent liability
10 FTE
Entities · SOEs · Regulators reporting in
5 reporting entities
NHLS
Pathology backbone
Budget: R12.40bn
SAHPRA
Medicines regulator
Budget: R0.42bn
OHSC
Facility accreditation 240/1,200
Budget: R0.31bn
Compensation Commissioner (Occ Health)
Mining health
Council for Medical Schemes
9.1M lives covered
Risk Register
Top exposures
NHI Phase 1 facility-accreditation slippage
criticalOwner: DDG: NHI
→ OHSC surge inspections; provincial recovery plans.
Drug stockouts in 3 provinces > 12%
highOwner: DDG: Hospitals
→ Centralised procurement override Q2.
Medico-legal contingent liability R124bn
criticalOwner: DDG: Regulation
→ Clinical risk programme + State Liability Bill.
Healthcare-worker attrition (nurses) 8.4%
highOwner: Provincial MECs
→ Retention package; rural allowance reform.
Cross-Office Dependencies
Flows in / flows out