Annual Performance Plan 2018/19
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ANNUAL PERFORMANCE PLAN 2018/19 COMPENSATION FUND Annual Performance Plan 2018/19 I Compensation Fund 1
Compensation Fund I WORKING FOR YOU TABLE OF CONTENTS FOREWORD BY THE MINISTER 3 ACCOUNTING OFFICER’S STATEMENT 4 OFFICIAL SIGN-OFF 6 LIST OF ACRONYMS 8 ORGANISATIONAL STRUCTURE 9 PART A: STRATEGIC OVERVIEW 12 1. UPDATED SITUATIONAL ANALYSIS 12 2. REVISIONS OF LEGISLATIVE AND OTHER MANDATES 14 3. OVERVIEW OF 2018/19 BUDGET AND MTEF ESTIMATES 16 PART B: PROGRAMMES AND SUB-PROGRAMME PLANS 20 PROGRAMME 1: ADMINISTRATION 20 PROGRAMME 2: COID SERVICES 26 PROGRAMME 3: MEDICAL BENEFITS 32 PROGRAMME 4: ORTHOTIC AND REHABILITATION 38 PART C: LINKS TO OTHER PLANS 44 ANNEXURE D 45 1. Vision 45 2. Mission 45 3. Values 45 4. Strategic orientated goals 45 ANNEXURE E 46 ANNEXURE F 54 2 Annual Performance Plan 2018/19 I Compensation Fund
FOREWORD BY THE MINISTER One of the key occupations of the Department of Labour (DoL) is to promote opportunities for women and men to obtain decent and productive work that is characterised by conditions of freedom, equity, security and dignity, the International Labour Organisation (ILO) defines these fundamental principles as “Decent Work”. In this formulation, the protection of workers against work-related sickness, disease and injury, as embodied in the Bill of Rights in our Constitution is an essential element of security and continues to be a high priority for this government. Mistakes, accidents, oversights, injuries, no matter how skilled and careful, can happen even in the safest workplaces. They usually occur when least expected and inadvertently cause harm to workers especially to those who are the most vulnerable and who work in precarious work environments. According to ILO estimates, each year two million men and women die from work-related diseases and accidents – a death toll averaging some 5, 000 workers a day. The socio-economic damage of these incidents and fatalities on workers and their families, as well as the entire society, has reached the levels where all of us need to join hands in finding solutions and real partnerships going forward. The 2018/19 Compensation Fund’s Annual Performance Plan (APP), is by and large a reflection of our resolve to ensure that we play our part in insuring that the Fund contributes to the attainment of “Decent Work” from occupational injuries and diseases perspective. To this end the Fund will be implementing its revised organisational structure which is geared towards improving performance in general and rehabilitation and the return to work programme in particular. Vocational rehabilitation will be one of the key focus areas, wherein workers who cannot return to work because of injuries or diseases sustained at a workplace, will be reskilled based on their current capabilities in order to enhance their re-absorption back in the labour market. This Plan is also designed to lift the overall quality of work and impact of the Compensation Fund in order to improve the lives of all those that we serve. I look forward to an effective and efficient implementation of this Plan, and I am confident that with dedication and commitments, nothing is impossible. We are here to serve; providing the best service delivery possible to our people is the end, the Annual Performance Plan is the means. _________________________ Ms MN Oliphant, MP Executive Authority of the Department of Labour Annual Performance Plan 2018/19 I Compensation Fund 3
Compensation Fund I WORKING FOR YOU ACCOUNTING OFFICER’S STATEMENT I am pleased to present the Compensation Fund’s Annual Performance Plan for 2018/2019 that covers the organisational renewal and priorities which must be achieved in the financial year. The Annual Performance Plan is based on five priorities, namely: building capacity to act truly as a vanguard for the protection of vulnerable workers and their families, ensuring that work places are safe from injuries and diseases; fast-tracking the improvement of service delivery; eradicating backlog; improving stakeholder relations, implementing rehabilitation and reintegration programme and amending the Compensation for Occupational Injuries and Diseases (COID) aimed at broadening the scope of coverage so as to include domestic workers. The Policy’s priorities are also to strengthen the core business and provide avenues to fulfil the goals on the National Development Plan (NDP) and the Medium Term Strategic Framework and advancing outcome 4 and outcome 13 aimed at improving the lives of vulnerable employed South Africans. Improved internal capacity and morale is a recipe for improved performance. During the 2017/18 Financial Year, the Compensation Fund has made significant progress in addressing backlog, improving relations with key and strategic stakeholders, setting up internal control measures and addressing key health and safety issues that affect vulnerable employees in a workplace. Processing of claims also improved significantly. Compared to the 90% of registered claims which were adjudicated within 60 working days of receipt during the 2016/17 Financial Year, 97% of the registered claims were adjudicated within 60 working days of receipt by the end of December of the 2017/18 Financial Year. Amongst the issues which are the focus by the Fund over the medium term is to continuously improve access to social insurance for the working age population with the aim of preventing or alleviating poverty and providing protection against vulnerability. It is on this basis that the Fund is working together with the Inspections and Enforcement Services of the Department of Labour to ensure that intense inspections are conducted within workplaces. Working towards impact In the year 2018/2019, the Compensation Fund will continue to ensure that its strategic investments are aimed at broadening coverage of services to all employees of the Republic of South Africa. This will be done through investment in human capacity development, improvement of technological infrastructure, investments on social security programmes, and building capacity in the provinces. In response to the service delivery challenges, the Fund is continuously investing on strengthening its provincial processing centres, to ensure an improved registration, adjudication and processing of all qualifying claims within reasonable turnaround times. Improvement on turn-around times in delivering quality services is key. In order for this to be realised, the Fund has budgeted R11 billion for the 2018/2019 financial year, capacitated its key and strategic programmes by reviewing its organisational structure and standard operating procedures. Given the budget pressures, it cannot be business as usual. Increased efficiency and productivity in every corner of the Compensation Fund is mandatory to get the best value from the income generated from employers. We have a choice; we can choose to focus on the impossibilities of it all, or we can choose to see the opportunities. In the words of Dr Nelson Mandela, “Let our choices reflect our hopes and not our fears”. And in our case, we choose that latter. 4 Annual Performance Plan 2018/19 I Compensation Fund
I want to take this opportunity to thank the Minister and Deputy Minister of Labour for their leadership and support in my plan of turning the Compensation Fund around and improving service delivery. Conclusion The pace and magnitude of outcry for improving service delivery is currently racing ahead beyond our control and manifests in threats to the Compensation Fund. There is an urgent need for the holistic assurance of discipline and dedication from the employees of the Fund to shape the performance environment and facilitate progress towards sustainable and improved service delivery. Simply put, if social development is a goal of the country, prevention of injury on duty, occupational diseases and/or fatalities that occurs in a workplace provides boundary conditions and economic growth, as they always say that “A productive employee is a happy and healthy employee”. Transforming the Compensation Fund has taken great effort, but with everyone in unison, greater heights can be achieved. I believe that this Annual Performance Plan will go a long way in ensuring that the Compensation Fund achieves its stated objectives and fulfilling its mandate. ___________________ Mr. T.M. Lamati Director-General Department of Labour Annual Performance Plan 2018/19 I Compensation Fund 5
Compensation Fund I WORKING FOR YOU OFFICIAL SIGN-OFF It is hereby certified that this Annual Performance Plan: • Was developed by the management of the Compensation Fund under the guidance of the Minister of Labour, Ms MN Oliphant, MP. • Takes into account all the relevant policies, legislation and other mandates for which the Compensation Fund is responsible and was prepared in line with the Compensation Fund Strategic Plan. • Accurately reflects the performance targets which the Compensation Fund will endeavour to achieve over the period 2018/19. M.J. Ledwaba Director: SPPM&E Signature: T. Headbush Chief Operations Officer: Signature: N. Qamata Chief Director: Corporate Services Signature: M. Ruiters Chief Director: Signature: COID Services 6 Annual Performance Plan 2018/19 I Compensation Fund
J. Modiba Chief Financial Officer Signature: V. Mafata Compensation Commissioner Signature: T. Lamati Director-General of Labour Signature: S.P. Holomisa, MP Deputy Minister Signature: Approved by: M.N. Oliphant, MP Executive Authority Signature: Annual Performance Plan 2018/19 I Compensation Fund 7
Compensation Fund I WORKING FOR YOU LIST OF ACRONYMS ACRONYM DESCRIPTION AGSA Auditor-General of South Africa APP Annual Performance Plan CD Chief Director CF Compensation Fund CPI Consumer Price Index COIDA Compensation for Occupational Injuries and Diseases Act D Director DOL Department of Labour GDP Gross domestic Product TTD Temporary Total Disablement IES Inspection and Enforcement Services KRA Key Result Area MTEF Medium Term Expenditure Framework MP Member of Parliament N/A Not Applicable ROE Return of Earnings TTD Temporary Total Disablement PA Pensions Administrators 8 Annual Performance Plan 2018/19 I Compensation Fund
ORGANISATIONAL STRUCTURE Compensation Commissioner: Mr. V. Mafata Director: Internal Audit Ms. B Gumbu Acting Director: Risk Management Ms. K Lebepe Director: Anti-Corruption and Integrity Management Ms. K Lebepe Chief Director: Acting Chief Chief Chief Chief Chief Orthotics, Director: Director: Director: Director: Director: Operations LAP and Executive Medical COID Financial Corporate Officer: Rehabilitation Support: Benefits: Services Management Services Mr. T Services: Vacant Ms. M Ruiters Ms. M Ruiters Mr. J Modiba Ms. N Qamata Headbush Vacant Annual Performance Plan 2018/19 I Compensation Fund 9
Compensation Fund I WORKING FOR YOU 10 Annual Performance Plan 2018/19 I Compensation Fund
PART A STRATEGIC OVERVIEW Annual Performance Plan 2018/19 I Compensation Fund 11
Compensation Fund I WORKING FOR YOU PART A: STRATEGIC OVERVIEW The South African labour administration system recognises that labour market flexibility for competitiveness of enterprises should be balanced with the promotion and protection of the basic rights of workers and with provision of adequate social safety nets to protect vulnerable workers. Despite the introduction of progressive labour and employment policy reforms and programmes, the labour market is still characterised by high levels of unemployment and under-employment, inequality and discrimination, violation of employment standards and fundamental rights at work, and unacceptably high levels of workplace incidents and injuries. 1. UPDATED SITUATIONAL ANALYSIS 1.1. PERFORMANCE DELIVERY ENVIRONMENT The Fund’s delivery environment is affected by many external environmental factors. Some of the challenges from this environment are as follows: • The first challenge is: The World Bank has lowered its estimates for South Africa’s economic growth between 2017 and 2019. It said South Africa’s economy, which grew by 0.5% in 2016 (2017 Budget Review), would not show much improvement with 0.6% growth in 2017 and 1.1% in 2018, before showing more gains in 2019 of 2%. The projections for 2017 and 2018 are 0.5 and 0.7 percentage points less respectively than its January 2017 figures The figures paint a far gloomier picture than the South African Reserve Bank’s (SARB) latest economic projections. It said on 25 May that it had revised growth projections down to 1.0% (2017), 1.5% (2018) and 1.7% (2019). These figures were lower than the official growth projections revealed in the 2017 Budget Review, which expected growth figures of 1.3% (2017), 2% (2018) and 2.2% (2019). The SARB’s reasoning for the lower projections were due to “the expected impact of the sovereign credit ratings downgrade on domestic private sector gross fixed capital formation in particular”. The World Bank agreed, saying a “deterioration of investor confidence in South Africa amid two recent sovereign rating downgrades to sub investment grade” have impacted its economic growth. These will have a negative effect on the Funds ability to grow the investment portfolio. As a result of the slow growth, many businesses will be negatively affected. This will in return impact on the Funds investment growth as the Fund will in all probability receive less revenue from business. DoL will continue to implement measures to ensure that employers are submitting (Return of Earnings ) ROE’s to the Fund. • The second challenge relates to: Poverty alleviation programs designed to promote employment and strengthen protection of social security are overwhelmed by the current South African’s unemployment rate which according to the Statistic SA 1st Quarter Labour Survey 2017: “The growth in employment by 144 000, was offset by the growth in the number of job-seekers by 433 000 driving the unemployment rate to 27,7% in the first quarter (Q1) of 2017. This is the highest unemployment rate observed since September 2003. The growth in employment was observed in all industries except agriculture, trade and services. The biggest growth was observed in manufacturing (62 000), finance & other business services (49 000) and Mining (26 000). Mining grew for the first time in Q1:2017 after declining for four successive quarters. Furthermore, employment grew in all provinces quarter to quarter except in Eastern Cape and Limpopo. All metros registered growth in employment except Nelson Mandela Bay, Mangaung and City of Johannesburg which remained virtually unchanged. There were approximately 500 000 extra people in employment in Q1:2017 compared to the same period last year. The year-on- year employment growth was driven by manufacturing (145 000), construction (143 000) and finance (152 000). Of the 433 000 people who joined the ranks of the unemployed, approximately 58% were young people aged 15-34 years increasing the youth unemployment rate by 1,6 percentage points to 38,6%. The proportion of those in short term unemployment 12 Annual Performance Plan 2018/19 I Compensation Fund
(i.e. those who have been looking for work for less than a year) increased by 2,4 percentage points to 34,2% a further indication that these were young people who joined the labour force at the beginning of the year. Unemployment rate remained high among those with education level of less than matric at 33,1% which is 5,4 percentage points higher than the national average. While the unemployment rate among graduates remained at 7,3%. Unemployment rate increased or remained virtually unchanged in all provinces except Northern Cape. The biggest increase in unemployment rate was observed in Eastern Cape which increased by 3.8 percentage points to 32,2%. The expanded unemployment which includes those who wanted to work but did not look for work increased by 391 000 people, resulting in an increase of 0,8 of a percentage point in the expanded unemployment rate to 36,4%. This is approximately 9,3 million people who did not have work but wanted to work in Q1:2017. The above mentioned should be seen together with the outcomes of the StatSA Poverty Survey published on 22 August. The report states the following: “Despite the general decline in Poverty between 2006 and 2011, poverty levels in South Africa rose in 2015. When applying the upper-bound poverty line ( R992 per person per month)in 2015 prices), we see that more than one out of every two South African were poor in 2015, with the poverty headcount increasing to 55,5% from a series low of 53,2% in 2011. This translates into over 30,4 million South Africans living in poverty in 2015. While the recent increase in headcount is unfortunate, we are still better off compared to the country’s poverty situation a decade earlier when it was estimated that two out of every three people (66,6% or roughly 31,6 million) people were living below the upper-bound poverty line in 2006”. There is a need to ensure compliance by employers on COID services and the Fund is working with the Inspections and Enforcement Services (IES) in this regard by creating awareness on safety in the workplaces. • The third challenge is: New technological innovations will have impact on the labour market as many of the jobs will become automated. This might have a negative impact on the labour market as many jobs might become redundant resulting in an increase in the unemployment rate. Training of employers and CF employees on Umehluko will continue to ensure an improvement in the delivery of services. • The fourth challenge relates to: Lack of Safety Compliance by the Mining Industry and other industries to the Occupational Health and Safety Amendment Act gives rise to the high injury and fatalities in the labour market. There is a need to ensure compliance by employers on COID services and the Fund is working with the Inspections and Enforcement Services (IES) in this regard by creating awareness on safety in the workplaces. • The fifth challenge is: Inadequate instruments for constant performance monitoring and evaluation of labour market policies and programmes to determine their impact on the economy: -- Stakeholder participation and strategic partnerships in programme delivery, monitoring and feedback is inadequate, despite our strong culture of social dialogue in policy development. -- Planning processes are to some extent not well co-ordinated between strategic departments on related socio- economic development programmes. -- Our appreciation and use of modern information and communication technology systems to manage data and information is inadequate. 1.2 OVERVIEW OF THE ORGANISATIONAL ENVIRONMENT The Compensation Fund plays a significant role in terms of providing social security to employees. However, the Fund is impacted by various challenges which impedes on its mandate and strategic objectives. The following strengths and weaknesses have been identified in the CF Environment: Strengths • CF Strategic Plan 2015/16-2019/20 • Continuous implementation of the CF Action plan Annual Performance Plan 2018/19 I Compensation Fund 13
Compensation Fund I WORKING FOR YOU • Collective and participatory planning process by CF management including Provincial Offices • Revised organisational structure which is being implemented • Contribution to Outcome 13 • Improving employer compliance and revenue generation(CF-Filling) • Staff skill development (through bursaries and other initiatives) Weakness • The ever changing economic landscape which has the prospects to affect the investment by the Fund. The Fund appointed Actuaries to ensure informed investments are done through the Public Investment Corporation (PIC). • All identified and/or suspected fraudulent activities are dealt with through both internal processes and law enforcement agencies. • Systems not responsive to effective and efficient service delivery. The Fund is in the process of procuring systems that will ensure service delivery including the turnaround times is improved. This includes a system wherein employers will perform self-registration and declarations. • Ability to attract and retain critical skill, e.g. Medical Practitioners. The Fund reviewed job profiles for required critical skill to ensure ability to compete with already established departments requiring similar skill set. The Fund further partnered with the South African Institute of Chartered Accountants (SAICA) wherein the Fund invested in the training of critical skills. Further to this, the following key issues have been identified related to the Fund’s Organisational Environment: • The Fund’s Head Office vacancy rate was at 23.2% at the end of December 2017. This can be attributed to the fact that due to implementation of the revised CF structure, new posts are being created which will be filled in due course. • The Fund is in process of addressing the Audit Findings from the Auditor General of South Africa ( AGSA) Audit Report of 2016/17. In order to address the audit findings the Fund developed an AGSA Audit Action Plan and being monitored on a continuous basis. • The Fund is continuing with the implementation of the revised Structure. As part of the process the programme structure has been revised. The revised Programme structure contains the following 4 Programmes which are reflected in the 2018/19 APP: -- Programme 1: ADMINISTRATION -- Programme 2: COID SERVICES -- Programme 3: MEDICAL BENEFITS -- Programme 4: ORTHOTIC AND REHABILITATION • The Fund has paid 100% of approved benefits within five working days by 31 December 2017. • 97% (142 666 claims finalised out of the 147 529 received) of claims received was adjudicated within 60 workings of receipts (end of December 2017). • 94% of medical invoices received (568 311 invoices were received and 536 899 was finalised within 60 workings of receipts (end of December 2017). 2. REVISIONS OF LEGISLATIVE AND OTHER MANDATES 2.1. CONSTITUTIONAL MANDATE The mandate of the Compensation Fund is derived from Section 27 (1) (c) of the Constitution of the Republic of South Africa. In terms of this Act, specifically the mentioned Section, all South Africans have a right to social security. The Compensation Fund is mandated to provide social security to all injured and diseased employees 14 Annual Performance Plan 2018/19 I Compensation Fund
2.2. LEGISLATIVE MANDATE The Compensation Fund is a Schedule 3A Public Entity (These entities are normally extensions of a public entity with the mandate to fulfil a specific economic or social responsibility of government. They rely on government funding and public money, either by means of a transfer from the Revenue Fund or through statutory money. As such, these entities have the least autonomy.) of the Department of Labour. The Fund administers the Occupational Injuries and Diseases Act No 130/1993 as amended by the COIDA 61/1997. The main objective of the Act is to provide compensation for disablement caused by occupational injuries or diseases sustained or contracted by employees, or for death resulting from injuries or diseases, and provide for matters connected therewith. The Fund generates its revenue from levies paid by employers and this consists of annual assessments paid by registered employers on a basis of a percentage or fixed rate of the annual earnings of their employees. The COID Act, however, makes provision for a minimum assessment to ensure the assessment is not less than the administration costs incurred. The operations of the Fund are also informed by the following legislations: • Constitution of the Republic of South Africa, 1996, as amended; • Occupational Health and Safety Act, 1993; • National Economic Development and Labour Council Act (NEDLAC), 1994; • Labour Relations Act, 1995, as amended; • Basic Conditions of Employment Act, 1997, as amended • Employment Equity Act, 1998, as amended; • Skills Development Act 1998, as amended; • Unemployment Insurance Act, 2001, as amended; • Unemployment Insurance Contributions Act, 2002; • Employment Services Act, 2014; • Public Finance Management Act, 1999, as amended; • Public Service Act, 1994, as amended; • Broad Based Black Economic Empowerment Act, 2003; • Preferential Procurement Policy Framework Act, 2000; • Prevention and Combating of Corrupt Activities Act, 2004; • Promotion of Access to Information Act, 2000; • Promotion of Administrative Justice Act, 2000; and • Promotion of Equality and Elimination of Unfair Discrimination Act, 2000. I would like to take this opportunity to thank the Minister, the Deputy Minister, the Director- General and the Compensation Fund Board for their leadership and support as well as the Compensation Fund employees for their dedication in ensuring that we meet the Fund’s mandate. _______________________________ Mr. V. Mafata Compensation Commissioner Annual Performance Plan 2018/19 I Compensation Fund 15
Compensation Fund I WORKING FOR YOU 3. OVERVIEW OF 2018/19 BUDGET AND MTEF ESTIMATES 3.1 EXPENDITURE ESTIMATES Compensation Fund: Adjusted ap- Audited outcomes Medium-term expenditure propriation Programme 2014/15 2015/16 2016/17 2017/18 2018/(R’ 2019/20 2020/21 (R ‘000) (R ‘000) (R ‘000) (R ‘000) 000) (R ‘000) (R ‘000) Programme 1: ADMINISTRATION 984 503 821 534 983 480 1 431 175 2 022 981 2 124 130 2 230 337 Programme 2: COID SERVICES 6 038 562 8 510 520 5 590 621 7 810 777 5 903 137 6 198 294 6 508 209 Programme 3: MEDICAL BENEFITS 22 523 31 979 47 440 65 101 3 106 697 3 187 761 3 338 753 Programme 4: ORTHOTIC AND - - - - 2 450 2 550 2 677 REHABILITATION Subtotal 7 045 588 9 364 033 6 621 541 9 307 053 11 035 265 11 512 735 12 079 976 Direct charges against Revenue Total Change to budget estimate Economic Classification Current Payments Compensation of employees 410 076 501 302 636 375 653 450 843 370 885 539 929 816 Goods and services of which: 577 570 937 636 315 195 854 052 1 085 113 1 139 368 1 196 337 Communication 37 470 13 347 16 208 25 086 18 340 19 257 20 220 Computer services 40 669 109 618 75 584 95 575 222 333 233 449 245 122 Consultants, contractors and special 38 606 441 774 25 994 148 687 208 064 218 467 229 391 services Inventory 11 597 4 028 3 673 15 967 15 513 16 289 17 103 Maintenance repair and running cost 2 722 3 572 6 952 8 458 23 013 24 163 25 371 Operating leases 89 965 78 799 78 270 85 952 153 445 161 118 169 173 Travel and subsistence 62 501 34 052 30 412 44 476 51 049 53 602 56 282 Advertising and Legal services 43 560 40 633 40 305 75 990 77 178 81 038 85 089 Other (Administrative expenditure 250 480 211 813 37 797 353 861 316 178 331 985 348 586 Items not provided for in the template) Depreciation and Acc Amortisation 21 120 12 350 41 850 22 946 112 000 117 600 123 480 Interest and rent on land - - - Financial transactions in assets and - - - liabilities Transfers and subsidies to: 6 030 049 7 909 975 5 526 309 7 775 060 8 912 531 9 358 158 9 826 066 Provinces and municipalities - - - Departmental agencies and accounts - - - Universities and technikons - - - Public corporations and private - - - enterprises Foreign governments and international - - - organisations Non-profit institutions - - - Households/ Compensation benefits 6 030 049 7 909 975 5 526 309 7 775 060 8 912 531 9 358 158 9 826 066 Payments for capital assets 6 773 2 770 101 812 24 491 82 251 12 070 4 278 Buildings and other fixed structures - - - Machinery and equipment 6 773 2 770 101 812 15 491 67 251 9 070 2 778 Cultivated assets - - - - - - - 16 Annual Performance Plan 2018/19 I Compensation Fund
Adjusted ap- Audited outcomes Medium-term expenditure propriation Programme 2014/15 2015/16 2016/17 2017/18 2018/(R’ 2019/20 2020/21 (R ‘000) (R ‘000) (R ‘000) (R ‘000) 000) (R ‘000) (R ‘000) Software and other intangible assets - - - 9 000 15 000 3 000 1 500 Land and subsoil assets of which: - - - - - - - Capitalised compensation Total 7 045 588 9 364 033 6 621 541 9 307 053 11 035 265 11 512 735 12 079 976 3.2. RELATING EXPENDITURE TRENDS TO STRATEGIC GOALS The Compensation Fund recorded a total spending of R 6 621 541 billion for the 2016/17 financial year against a total approved budget of R 8 240 388, which represent a 20% under spending for 2016/17 financial year. The following were the main cost drivers for the recorded 2016/17 budget spending: • Compensation of Employees: The total spending for the 2016/17 is, R 636 375 million. • Goods and Services: The total spending for the 2016/17 is, R 357 045 million. • Capital Expenditure: The total spending for the 2016/17 is, R 101 812 million. • Benefits paid: The total spending for the 2016/17 is, R 5 526 309 billion. The total approved Compensation Fund budget allocation for 2017/18 financial year is, R 9 307 053 billion, with the following major sub-allocations: • Compensation of Employees: , R 653 450 million • Goods and Services: , R 854 052 million • Capital Expenditure: R 24 491 million • Benefits paid: R 7 775 060 billion Compensation of Employees: The Fund has spent a total of R 636 million on Compensation of Employees over the 2016/17 financial year, which recorded 100% spending. The total approved Compensation of Employees budget for the 2017/18 financial year is R 653 million, which includes the newly approved functional structure implemented in October 2017/18 financial year. Goods and Services: The Fund has spent a total amount of R 357 million for the 2016/17 financial year on Goods and Services; this includes the organisational administrative expenditure and all the consultation fees. The 2017/18 approved budget for Goods and Services, amounts to R 854 million. Capital Expenditure: The Compensation Fund spent a total amount of R 102 for the 2016/17 financial year; this is mainly due the procurement of office furniture and the office equipment. The total Capital Expenditure Budget amounts to R 24 million, for the 2017/18 financial year. The major part of the budget will be utilised on the Compensation Fund’s relocation project to the new building. Annual Performance Plan 2018/19 I Compensation Fund 17
Compensation Fund I WORKING FOR YOU Strategic objectives of the Compensation Fund Strategic objective 1 Provide effective and efficient client oriented support services. Objective statement 1 To provide value adding services to clients through Human Resources, Risk Management, Financial Services and Audit Services. Strategic objective 2 Provide faster, reliable and accessible COID services by 2020. Objective statement 2.1 Promote rehabilitation, re-integration and return to work of injured and diseased workers and contribute to various schemes designed to decrease unemployment including investing mandated funds in socially responsible investments. Objective statement 2.2 To process compensation benefits and medical expenses for injured and diseased workers and promote rehabilitation, re-integration and return to work policy for injured and diseased workers. 18 Annual Performance Plan 2018/19 I Compensation Fund
PART B PROGRAMMES AND SUB-PROGRAMME PLANS Annual Performance Plan 2018/19 I Compensation Fund 19
Compensation Fund I WORKING FOR YOU PART B: PROGRAMMES AND SUB-PROGRAMME PLANS 4. PROGRAMME 1: ADMINISTRATION 4.1. PROGRAMME PURPOSE The purpose of the programme is to provide an effective and efficient client oriented support services to the Fund/entity. PROGRAMME DESCRIPTION: • Compensation Commissioner: To compensate workers and or their family members for occupational injuries and diseases sustained by the worker while on duty. • Executive Support: To provide executive and administrative support of the Office of the Commissioner. • Internal Audit: To provide an independent and objective assurance service.. • Risk Management: To provide risk and integrity management services . • Anti-Corruption and Integrity Management: To provide anti-corruption and integrity management services. • Office of the Chief Operations Officer: To strategically oversee the management of operations services. • Chief Financial Officer: To provide financial management services. . • Corporate Services: To provide corporate services.. STRATEGIC OBJECTIVES Strategic objective 1 Provide effective and efficient client oriented support services. Objective statement 1.1 To provide value adding services to clients through Human Resources, Risk Management, Financial Services and Audit Services. Baseline • R33 billion proceeds from investments. • 70% achievement of the audit plan (based on the average of 2013/14-81% and 2014/15 - 61%. • Risk management Maturity level 2. 20 Annual Performance Plan 2018/19 I Compensation Fund
4.2. STRATEGIC OBJECTIVE ANNUAL TARGET FOR 2018-2019 Estimated Audited/ Actual Performance Medium-term Targets Strategic Objective Performance 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/2021 Risk Management Provide effective Achieve risk The Fund’s risk The Fund’s risk The Fund’s risk The Fund’s risk The Fund’s risk The Fund’s risk and efficient client management maturity management maturity management maturity management maturity management maturity management maturity management maturity oriented support level 2. level increased level increased to 3.5 level increased to 3.7 level increased to 4 by level increased to 5 by level increased to 5.5 services. annually to 3 by 31 by 31 March 2017. by 31 March 2018. 31 March 2019. 31 March 2020. by 31 March 2021. March 2016. Internal Audit Provide an effective 61% of the plan 70.45% (31/44) of the 78% of projects were 80% of projects on the 85% of projects on 90% of projects on 90% of projects on and efficient client implemented by project plan were executed during the risk based audit plan the risk based plan the risk based plan the risk based plan Annual Performance Plan 2018/19 I Compensation Fund oriented support 31 March 2015 (22 implemented by 31 financial year (36/46). implemented annually implemented by 31 implemented by 31 implemented by 31 services. projects). March 2016. by 31 March 2018. March 2019. March 2020. March 2021. Financial Management Provide an effective 49.7 billion in 4.02% growth was Investment portfolio Investment return at Investment return at Investment return at Investment return at and efficient client investments. achieved return = 7.3% for the a rate of CPI+2% at 31 a rate of CPI+2% at 31 a rate of CPI+2% at 31 a rate of CPI+2% at 31 oriented support [The Investments as at year to March 2017 March 2018. March 2019. March 2020. March 2021. services. 1 April 2015 amounted compared to 8.28% to R 49.7 billion and target return. the closing balance as at 31 March 2016 amounted to R 51 billion.] 21
4.3. PROGRAMME PERFORMANCE INDICATORS AND ANNUAL TARGETS FOR 2018-2019 22 Key Estimated Indicator Strategic Audited/ actual performance Medium-term targets performance performance number objective indicators 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/2021 Risk Management 1.1 Provide effective The Fund’s risk Achieve risk The Fund’s risk The Fund’s risk The Fund’s risk The Fund’s risk The Fund’s risk The Fund’s risk and efficient client management management management management management management management management oriented support maturity level maturity level 2. maturity level maturity level maturity level maturity level maturity level maturity level services. increased to 4 by increased annually increased to 3.5 by increased to 3.7 by increased to 4 by increased to 5 by increased to 5.5 by 31 March 2019. to 3 by 31 March 31 March 2017. 31 March 2018. 31 March 2019. 31 March 2020. 31 March 2021. Compensation Fund I WORKING FOR YOU 2016. Internal Audit 1.2 Provide effective Percentage 61% of the plan 70.45% (31/44) 78% of projects 80% of projects 85% of projects on 90% of projects on 90% of projects on and efficient client implementation implemented by of the project were executed on the risk the risk based plan the risk based plan the risk based plan oriented support of the approved 31 March 2015 (22 plan were during the based audit plan implemented by implemented by implemented by services. annual risk-based projects). implemented by financial year implemented 31 March 2019. 31 March 2020. 31 March 2021. audit plan. 31 March 2016. (36/46). annually by 31 March 2018. Financial Management 1.3 Provide effective Percentage annual R49.7 billion in 4.02% growth was Investment Investment return Investment return Investment return Investment return and efficient client increase on investments. achieved portfolio return at a rate of CPI+2% at a rate of CPI+2% at a rate of CPI+2% at a rate of CPI+2% oriented support investment returns [The Investments = 7.3% for the at 31 March 2018. at 31 March 2019. at 31 March 2020. at 31 March 2021. services. by 31 March of the as at 1 April 2015 year to March current financial amounted to 2017 compared year compared R 49.7 billion to 8.28% target to the previous and the closing return. financial year. balance as at 31 March 2016 amounted to R 51 billion. ] Annual Performance Plan 2018/19 I Compensation Fund
4.4. QUARTERLY TARGETS FOR 2018-2019 Indicator Strategic Key performance Reporting Annual target Quarterly targets Budget estimate number objective indicators period 2018-2019 1st 2nd 3rd 4th (R’000) Risk Management 1.1 Provide effective The Fund’s risk Annual The Fund’s risk - - - The Fund’s risk R 21 969 and efficient management management management client oriented maturity level maturity level maturity level support services. increased to 4 by increased to 4 by 31 increased to 4 by 31 March 2019. March 2019. 31 March 2019. Internal Audit 1.2 Provide effective Percentage Quarterly 85% of projects on 15 % 45 % 60% 85% R 3 787 and efficient implementation the risk based plan client oriented of the approved implemented by 31 Annual Performance Plan 2018/19 I Compensation Fund support services. annual risk-based March 2019. audit plan. Financial Management 1.3 Provide effective Percentage Annual Investment return at - - - Investment return R 225 216 and efficient annual increase a rate of CPI+2% at at a rate of CPI+2% client oriented on investment 31 March 2019. by 31 March 2019. support services. returns by 31 March of the current financial year compared to the previous financial year. 23
Compensation Fund I WORKING FOR YOU 4.5. RECONCILING PERFORMANCE TARGETS WITH THE BUDGET AND MTEF ADJUSTED EXPENDITURE OUTCOME APPRO- 2020-2021 Budget Forecasts COMPENSATION FUND PROGRAMMES PRIATION 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 (R ‘000) (R ‘000) (R 000) (R ‘000) (R ‘000) (R ‘000) (R ‘000) Programme 1: Administration 984 503 821 534 983 480 1 431 175 2 022 981 2 124 130 2 230 337 Compensation Commissioner 11 032 8 941 9 852 35 334 30 904 32 449 34 073 CD: Chief Financial Officer 19 537 20 428 13 798 366 372 225 216 236 477 248 300 CD: Corporate Services 953 845 791 726 959 830 923 494 1 439 460 1 511 433 1 587 005 CD: Chief Operating Officer 89 439 730 105 975 327 401 343 771 360 959 Total 984 503 821 534 983 480 1 431 175 2 022 981 2 124 130 2 230 337 Change to 2005 budget estimate 1 Payable as from 1 April 2005. Salary: R Car allowance: R 2 Payable as from 1 April 2005. Salary: R Car allowance: R Economic classification Current payments 1 431 175 2 022 981 2 124 130 2 230 337 Compensation of Employees 445 774 494 193 636 375 653 450 843 370 885 539 929 816 Compensation Benefits - - - - Goods and Services of which: 517 926 312 965 219 059 730 288 985 360 1 108 921 1 172 763 Communication 23 580 24 287 25 016 25 086 26 089 27 133 28 490 Computer services 89 840 92 535 65 430 95 575 99 398 103 374 108 543 Consultants, contractors and special 139 764 44 795 43 276 148 687 154 635 160 820 168 861 services Inventory 15 008 15 457 15 922 15 967 16 606 17 271 18 133 Maintenance repair and running cost 7 950 8 188 8 434 8 458 8 796 9 148 9 604 Operating leases 120 413 24 045 24 766 128 100 133 224 138 553 145 481 Travel and subsistence 41 806 43 061 23 800 44 476 46 255 48 105 50 511 Investment Expenditure 75 199 56 100 7 783 80 000 83 200 86 528 90 854 Other 4 366 4 497 4 632 183 939 417 157 517 989 552 286 Depreciation and Amortisation 14 030 12 350 26 234 22 946 112 000 117 600 123 480 Interest and rent on land Financial transactions in assets and liabilities Transfers and subsidies to: Provinces and municipalities Departmental agencies and accounts Universities and technikons Public corporations and private enterprises Foreign governments and international organisations Non-profit institutions Households Transfers and subsidies to: Provinces and municipalities Departmental agencies and accounts Universities and technikons Public corporations and private enterprises 24 Annual Performance Plan 2018/19 I Compensation Fund
ADJUSTED EXPENDITURE OUTCOME APPRO- 2020-2021 Budget Forecasts COMPENSATION FUND PROGRAMMES PRIATION 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 (R ‘000) (R ‘000) (R 000) (R ‘000) (R ‘000) (R ‘000) (R ‘000) Foreign governments and international organisations Non-profit institutions Households Payments for capital assets 6 773 2 026 101 812 24 491 82 251 12 070 4 278 Buildings and other fixed structures Machinery and equipment 6 773 2 026 101 812 24 491 82 251 12 070 4 278 Cultivated assets Software and other intangible assets Land and subsoil assets of which: Capitalised compensation Total 984 503 821 534 983 480 1 431 175 2 022 981 2 124 130 2 230 337 PERFORMANCE AND EXPENDITURE TRENDS The total spending for Programme 1: Administration for the 2016/17 amounted to R 983 million, this is inclusive of the entire Compensation Fund staff costs, assets and Information and Communication Technology (ICT) related costs. The 2017/18 approved budget for Programme 1, total to R 1 431 billion. The huge increase in Programme 1 budget is due to the newly increased organisational structure and the Fund’s relocation project to the new building, planned for the 2017/18 financial year. Annual Performance Plan 2018/19 I Compensation Fund 25
Compensation Fund I WORKING FOR YOU 5. PROGRAMME 2: COID SERVICES 5.1. PROGRAMME PURPOSE To administer compensation claims, medical adjudication, accounts and customer care PROGRAMME DESCRIPTION: • Compensation Benefits: To monitor compensation benefits services. • Employer Services: To provide registration and assessment services of employers • Treasury, investment and actuarial services: To provide strategic management of the Fund’s treasury, investment and actuarial services. STRATEGIC OBJECTIVE Strategic Objective 2 Provide faster, reliable and accessible COID Services by 2020 Objective statement 2.1 Promote rehabilitation, re-integration and return to work of injured and diseased workers and contribute to various schemes designed to decrease unemployment including investing mandated funds in socially responsible investments. Baseline • All claims were paid within 45 days. • 481 853 employers assessed • 60 working days to process claims for payment 26 Annual Performance Plan 2018/19 I Compensation Fund
5.2. STRATEGIC OBJECTIVE ANNUAL TARGETS 2018-2019 Estimated Strategic Audited/ Actual Performance Medium-term Targets Performance Objective 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/2021 Provide faster, N/A 95% of claims paid 100% of approved 95% of approved 98% of approved 100% of approved 100% of approved reliable and within 5 working days benefits paid within benefits paid within 5 benefits paid within 5 benefits paid within 5 benefits paid within 5 accessible (R3,706 billion out of 5 working days by 31 working days yearly working days yearly working days yearly working days yearly COID Services R3.905) March 2017 by 2020 (R 4.3 billion was paid within 5 working days.) 481 853 registered 46% of active 95% of the annual 75 % of active 75% of active registered 90 % of active 90 % of active (active) employers as at employers were target was achieved registered employers employers assessed registered employers registered employers 31 March 2018. assessed [268 218 active assessed annually annually by 31 March assessed annually by 31 assessed annually by 31 Annual Performance Plan 2018/19 I Compensation Fund employers assessed / 2019 March 2020 March 2021 283 685 (60% of the total active employers on databank= 472 808 annual target *100)] N/A 76% 90% of the registered 85% of claims 90% of claims 90% of claims 90% of claims 77 916 out of 103055 compensation claims adjudicated within 60 adjudicated within 40 adjudicated within 30 adjudicated within 30 claims adjudicated were adjudicated working days of receipt working days of receipt working days of receipt working days of receipt were adjudicated within 60 working days within 60 working days (A total of 130 800 compensation of the 145 922 received during the financial year were adjudicated within 60 working days). 27
5.3. PROGRAMME PERFORMANCE INDICATORS AND ANNUAL TARGETS FOR 2018-2019 28 Estimated Indicator Strategic Key Performance Audited/ Actual Performance Medium-term Targets Performance number Objective Indicators 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/2021 2.1 Provide faster, Percentage of N/A 95% of claims paid 100% of approved 95% of approved 98% of approved 100% of approved 100% of approved reliable and approved benefits within 5 working benefits paid benefits paid benefits paid benefits paid benefits paid accessible paid within 5 days within 5 working within 5 working within 5 working within 5 working within 5 working COID Services working days (R3,706 billion out days by 31 March days yearly days yearly days yearly days yearly by 2020 of R3.905) 2017 (R 4.3 billion was Compensation Fund I WORKING FOR YOU paid within 5 working days.) 2.2 Provide faster, Percentage of 481 853 registered 46% of active 95% of the 75 % of active 75% of active 90 % of active 90 % of active reliable and active registered (active) employers employers were annual target was registered registered registered registered accessible employers as at 31 March assessed achieved employers employers employers employers COID Services assessed annually 2018. [268 218 active assessed annually assessed annually assessed annually assessed annually by 2020 by 31 March 2019 employers by 31 March 2019 by 31 March 2020 by 31 March 2021 (excl exempted assessed / 283 685 employers) (60% of the total active employers on databank= 472 808 annual target *100)] 2.3 Provide faster, Percentage of N/A 76% 90% of the 85% of claims 90% of claims 90% of claims 90% of claims reliable and claims adjudicated 77 916 out of registered adjudicated within adjudicated within adjudicated within adjudicated within accessible within 40 working 103055 claims compensation 60 working days of 40 working days of 30 working days of 30 working days of COID Services days of receipt adjudicated were claims were receipt receipt receipt receipt by 2020 adjudicated within adjudicated within 60 working days 60 working days (A total of 130 800 compensation of the 145 922 received during the financial year were adjudicated within 60 working days). Annual Performance Plan 2018/19 I Compensation Fund
5.4. QUARTERLY TARGETS FOR 2018-2019 Indicator Strategic Key Performance Reporting Annual Target Quarterly Targets Budget estimate number Objective Indicators Period 2018-2019 1st 2nd 3rd 4th (R’000) 2.1 Provide faster, Percentage of Quarterly 98% of approved 98% of approved 98% of approved 98% of approved 98% of approved R 6 508 209 reliable and approved benefits benefits paid benefits paid benefits paid benefits paid within benefits paid within accessible COID paid within 5 within 5 working within 5 working within 5 working 5 working days 5 working days Services by working days days yearly days yearly days yearly yearly yearly 2020 2.2 Provide faster, Percentage of Quarterly 75% of active 40% 55% 65% 75% reliable and active registered registered accessible COID employers employers Services by assessed annually assessed annually 2020 by 31 March 2019 by 31 March 2019 Annual Performance Plan 2018/19 I Compensation Fund (excl exempted employers) 2.3 Provide faster, Percentage of Quarterly 90% of claims 90% of claims 90% of claims 90% of claims 90% of claims reliable and claims adjudicated adjudicated within adjudicated within adjudicated within adjudicated within adjudicated within accessible COID within 40 working 40 working days of 40 working days of 40 working days of 40 working days of 40 working days of Services by days of receipt receipt receipt receipt receipt receipt 2020 29
Compensation Fund I WORKING FOR YOU 5.5. RECONCILING PERFORMANCE TARGETS WITH THE BUDGET AND MTEF ADJUSTED EXPENDITURE OUTCOME 2020-2021 Budget Forecasts APPROPRIATION COMPENSATION FUND PROGRAMMES 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 (R Million) (R Million) (R Million) (R Million) (R Million) (R Million) (R Million) Programme 2: 6 038 562 8 510 520 5 590 621 7 810 777 5 903 137 6 198 294 6 508 209 COID SERVICES CD: COID Services 6 038 562 8 510 520 5 590 621 7 810 777 5 839 240 6 131 202 6 437 762 CD: Provincial Operations - - - - 63 897 67 092 70 447 Total 6 038 562 8 510 520 5 590 621 7 810 777 5 903 137 6 198 294 6 508 209 Change to 2005 budget estimate 1 Payable as from 1 April 2005. Salary: R Car allowance: R 2 Payable as from 1 April 2005. Salary: R Car allowance: R Economic classification Current payments 6 038 562 8 510 520 5 590 621 7 810 777 5 903 137 6 198 294 6 508 209 Compensation of Employees - - - - - - - Compensation Benefits 6 033 809 7 952 904 5 526 309 7 775 060 5 882 747 6 147 471 6 454 845 Goods and Services of which: 4 753 557 616 64 312 35 717 20 390 50 823 53 364 Communication Computer services Consultants, contractors and special 2 853 59 980 3 945 4 378 4 372 4 569 4 797 services Inventory 4 509 4 712 4 948 Maintenance repair and running cost Operating leases Travel and subsistence 1 900 3 500 367 1 339 1 457 1 523 1 599 Debt Collectors - 494 136 60 000 30 000 - - - Other (Investment Management fees) - 10 052 40 019 42 020 Interest and rent on land Financial transactions in assets and liabilities Transfers and subsidies to: Provinces and municipalities Departmental agencies and accounts Universities and technikons Public corporations and private enterprises Foreign governments and international organisations Non-profit institutions Households Transfers and subsidies to: Provinces and municipalities Departmental agencies and accounts Universities and technikons Public corporations and private enterprises Foreign governments and international organisations Non-profit institutions Households 30 Annual Performance Plan 2018/19 I Compensation Fund
ADJUSTED EXPENDITURE OUTCOME 2020-2021 Budget Forecasts APPROPRIATION COMPENSATION FUND PROGRAMMES 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 (R Million) (R Million) (R Million) (R Million) (R Million) (R Million) (R Million) Payments for capital assets Buildings and other fixed structures Machinery and equipment Cultivated assets Software and other intangible assets Land and subsoil assets of which: Capitalised compensation Total 6 038 562 8 510 520 5 590 621 7 810 777 5 903 137 6 198 294 6 508 209 PERFORMANCE AND EXPENDITURE TRENDS Programme 2: COID Services, recorded a total spending of R 5 591 billion for the 2016/17 financial year, the major part of the expenditure under this programme is for the benefits paid for the period under review. The programme recorded a spending of 63% for the 2016/17; the 37% under spending was mainly due to finalised and not yet paid claims. The 2017/18 approved budget for Programme 2, amounts to 7.8 billion. This programme has been restructured on the new organisational structure, as from the 2018/19 financial year, it will cater only for Compensation benefits excluding Medical benefits. Annual Performance Plan 2018/19 I Compensation Fund 31
Compensation Fund I WORKING FOR YOU 6. PROGRAMME 3: MEDICAL BENEFITS 6.1. PROGRAMME PURPOSE To provide strategic support and medical expertise to claims processing. PROGRAMME DESCRIPTION: • Medical Services: To provide research and best practice standards regarding occupational diseases and injuries to support the Fund’s compensation and assessment services. • Medical Claims: To manage the adjudication of the medical claims and the processing of medical accounts. STRATEGIC OBJECTIVES Strategic objective 2 Provide faster, reliable and accessible COID Services by 2020 Objective statement 2 To process compensation benefits and medical expenses for injured and diseased workers and promote rehabilitation, re-integration and return to work policy for injured and diseased workers. Baseline No baseline 32 Annual Performance Plan 2018/19 I Compensation Fund
6.2. STRATEGIC OBJECTIVE ANNUAL TARGETS 2018-2019 Strategic Audited/ Actual Performance Estimated Performance Medium-term Targets Objective 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 Provide faster, N/A 97% 89% of the medical claims 85% of medical invoices 85% of medical 85% of medical 85% of medical reliable and 512 976 out of 529 785 were finalised within 60 finalised within 60 invoices finalised invoices finalised invoices finalised accessible COID medical invoices approved working days of receiving working days of receipt within 60 working within 40 working within 30 working Services by 2020 for payment within 60 invoice days of receipt days of receipt days of receipt working days (A total of 612 960 medical claims of the 686 385 received during the financial year were finalised within 60 working days) Annual Performance Plan 2018/19 I Compensation Fund N/A N/A N/A Respond to 85% 85% of pre- 85% of pre- 85% of pre- of received pre- authorisations authorisations authorisations authorisation request responded to within responded to within responded to within within 10 working days 10 working days on 10 working days on 10 working days on previously finalised previously finalised previously finalised cases cases cases 33
6.3. PROGRAMME PERFORMANCE INDICATORS AND ANNUAL TARGETS FOR 2018-2019 34 Estimated Indicator Strategic Key Performance Audited/ Actual Performance Medium-term Targets Performance number Objective Indicators 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 3.1 Provide faster, Percentage of medical N/A 97% 89% of the 85% of medical 85% of medical 85% of medical 85% of medical reliable and invoices finalised within medical claims invoices finalised invoices finalised invoices finalised invoices finalised 512 976 out of accessible COID 60 working days of were finalised within 60 working within 60 working within 40 working within 30 working 529 785 medical Services by 2020 receipt within 60 working days of receipt days of receipt days of receipt days of receipt invoices approved days of receiving for payment within invoice Compensation Fund I WORKING FOR YOU 60 working days (A total of 612 960 medical claims of the 686 385 received during the financial year were finalised within 60 working days) 3.2 Percentage of pre- N/A N/A N/A Respond to 85% of pre- 85% of pre- 85% of pre- authorisations responded 85% of received authorisations authorisations authorisations to within 10 working days pre-authorisation responded to responded to responded to on previously finalised request within 10 within 10 working within 10 working within 10 working cases working days days on previously days on previously days on previously finalised cases finalised cases finalised cases Annual Performance Plan 2018/19 I Compensation Fund
6.4. QUARTERLY TARGETS FOR 2018-2019 Indicator Key Performance Reporting Annual Target Quarterly Targets Budget estimate Strategic Objective number Indicators Period 2018-2019 1st 2nd 3rd 4th (R’000) 3.1 Provide faster, reliable Percentage of Quarterly 85% of medical 85% of medical 85% of medical 85% of medical 85% of medical R 3 338 753 and accessible COID medical invoices invoices finalised invoices finalised invoices finalised invoices invoices finalised Services by 2020 finalised within 60 within 60 working within 60 working within 60 working finalised within within 60 working working days of days of receipt days of receipt days of receipt 60 working days of receipt receipt days of receipt 3.2 Percentage of Quarterly 85% of pre- 85% of pre- 85% of pre- 85% of pre- 85% of pre- pre-authorisations authorisations authorisations authorisations authorisations authorisations responded to within responded to responded to responded responded responded to 10 working days on within 10 working within 10 working to within 10 to within 10 within 10 working previously finalised days on previously days on previously working days working days days on previously Annual Performance Plan 2018/19 I Compensation Fund cases finalised cases finalised cases on previously on previously finalised cases finalised cases finalised cases 35
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