A national budget shortfall of at least R570 million has put three tertiary hospitals in a precarious position, forcing them to make crucial and potentially catastrophic service delivery cuts to avoid running out of money next year., the Groote Schuur Hospital, Tygerberg Hospital and the Red Cross War Memorial Children’s Hospital have to de-escalate their services from mid-December to mid-January.
‘The implication of this could mean a non-payment of salaries, a non-payment of all accounts, a non-delivery of consumables, the inability to order essential pharmaceuticals and other items, and we will have to carry these costs over into the new financial year, which is predicted to offer another reduction in our budgets.
The National Treasury Services Grant, the Human Resources and Training Grant and the Provincial Equitable Share all received significant cuts earlier this year, and further cuts are expected for the next few years. ‘We treat very complicated cases from all over the country. Even before this we struggled with reduced theatre time. Due to surgery operating time cuts, specialists will not be able to keep up their own skills, let alone do training. All registrar training only happens at public hospitals.’
Foster Mohale, the spokesperson for the National Department of Health, says the calculated wage bill shortfall was estimated to be about R8.7 billion for the health sector.
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