​In the wake of the media briefing by the Gauteng Provincial Treasury on Monday, 12 May 2025, the Gauteng Department of Health (GDoH) has been inundated with enquiries regarding its financial performance. The department provided context to further inform the public on its state of affairs.
During the 2024/25 financial year, the Department spent R65.29 billion of its adjusted budget of R66.01 billion. This translates to expenditure of 99% of the total allocation. The other unspent 1% to the amount of R724 million primarily stems from prioritisation of payment of invoices and delays in filling of funded posts due to the new DPSA circular which constrained departments from concluding appointments.
Out of the R724 million underspent, the Department submitted a request for a roll-over of funds amounting to R367 million of the service commitments, where goods and services were received by the department before the end of the financial year on 31 March 2025. The amount is a breakdown of conditional grants amounting to R266 million and R101 million for equitable share. 
The approval of the rollover request will ensure the continuation of essential services and address the financial commitments that were unfulfilled during the previous financial year further reducing the overall underspending to 0.5%, of which R171 million is money that was set aside for compensation of employees and cannot be rolled over in terms of the PFMA prescripts. 
On the matter of payments of supplier invoices, it is important to clarify that the reported 21% invoice payment rate for Quarter 4 reflects the performance related to supplier payments within 30 days. 
The calculation of the 30 days was negated by the large volumes of the transactions that were older than 30 days that the GDoH had to process. However, this figure does not indicate a lack of payments to suppliers, as the Department prioritised settling older invoices during this period.
The Department continues to evaluate its financial management strategies to enhance cash flow and ensure timely payments. This includes better forecasting of expenses and seeking additional budgetary support where necessary.