​The Gauteng Department of Health (GDoH) has reaffirmed its commitment to continue working towards a clean audit. This comes after the release of the 2024/2025 Annual Report and the audit findings with the department maintaining an unqualified audit opinion with findings.
The GDoH continues to make steady progress in its efforts to decrease the number of audit findings that ultimately affects the final audit opinion. The total number of audit findings affecting the Department's financial management has decreased significantly from 138 to 42, showcasing a robust turnaround in governance and operational efficiency. 
By the end of July 2025, the Department had achieved 82% compliance rate in settling valid invoices within the mandated 30-day period, demonstrating a notable increase from previous years. This achievement comes as part of a broader strategy to address historical financial challenges.
The Department has implemented measures to address historical accruals that previously hindered timely payments, as part of the payment improvement strategy. 
For instance, in the first quarter of the 2025/26 financial year, the Department processed invoices totalling R4.1 billion. Of this amount, R1.6 billion was paid within 30 days, while R2.4 billion addressed prior year's accruals. The remaining balance is being resolved in phases, aligned with available cash flow and Treasury allocations. 
The focus is on settling of outstanding obligations and enforcing strict internal controls to ensure that suppliers receive prompt payment for services rendered.
Moreover, the Department has taken decisive steps to reduce irregular expenditure, which has decreased from R2.7 billion to R1.5 billion. This reduction is a critical element of restoring public trust and demonstrating fiscal responsibility. 
Notable reduction in contingent liabilities related to medico-legal claims has been achieved. The total value of contingent liability decreased from a targeted R16.2 billion to an actual R6.6 billion, representing more than a 50% reduction. This development reflects improved governance and more effective legal case management, which will improve the Department's financial sustainability in the long term.
While the Department acknowledges the challenges that have historically impacted financial stability, there is a commitment to improve financial management practices, clean governance and operational efficiencies in accordance with the Public Finance Management Act (PFMA) and Treasury Regulations. 
The steady improvement across legal, finance, assets, revenue, human resource and medico legal claims demonstrates the impact of the measures being implemented. These reforms are not isolated technical fixes but embedded systems of governance, risk management and internal control  that are aimed at enhancing financial sustainability and improved service delivery.