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Provincial Health Departments Pose a Significant Fiscal Risk

Treasury's MTBPS warns that weak controls, unpaid bills and medico-legal claims in provincial health departments pose a serious fiscal risk.
Provincial Health Departments Pose a Significant Fiscal Risk
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Weak financial controls in provincial health departments pose significant fiscal risks, according to Treasury's medium-term budget policy statement (MTBPS), tabled in Parliament on Wednesday. Treasury highlighted unpaid obligations, mounting debts and medico-legal claims as key pressures on health budgets.

Five of the nine provincial health departments received qualified audits for 2025/2026, the Auditor-General told Parliament last month. Three received unqualified audits with findings. Only the Western Cape achieved a clean audit.

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