Categories: GovernmentNews

Gauteng Health Department Tightens Oversight on Overtime Management

  • Centralized Approval Process: The Gauteng Department of Health has decided to retract the authority previously delegated to hospital CEOs for approving commuted overtime, now requiring all applications to be approved centrally by the Head of Department. This shift aims to streamline oversight and accountability.
  • Addressing Financial Challenges: The decision to centralize approval comes in response to persistent challenges related to managing and monitoring overtime expenditure, which has led to budget overruns in the past. By strengthening processes and implementing stricter controls, the department seeks to improve financial management and optimize resource allocation.
  • Published by
    Miriam Matoma


In response to recent misunderstandings surrounding its internal memo on commuted overtime, the Gauteng Department of Health (GDoH) seeks to provide clarity and address any misinterpretations regarding the matter.

The GDoH has made the decision to retract the authority delegated to CEOs of hospitals to approve commuted overtime for the upcoming 2024/25 financial year. Instead, all applications for commuted overtime will now require approval from the GDoH Head of Department.

This decision stems from persistent challenges encountered in managing and monitoring overtime performance and enforcing consequence management. These challenges have contributed to excessive spending within the commuted overtime budget.

With the aim of enhancing efficiencies and optimizing limited resources, the Department recognizes the necessity to reinforce existing processes and implement measures to promote accountability. This is crucial in curbing the misuse of the system and preventing irregularities in the utilization of commuted overtime funds.

The Department is currently in the process of reviewing its current policy and relevant procedures. This review will involve consultations with affected employees to ensure that the quality of patient care remains uncompromised. Simultaneously, efforts are underway to establish a uniform and consistent approach to managing commuted overtime.

The decision to centralize the approval process for commuted overtime aligns with the Department’s commitment to prudent financial management and transparent governance practices. By consolidating oversight at the departmental level, the GDoH aims to address inefficiencies and promote fiscal responsibility.

Furthermore, by engaging with stakeholders and frontline healthcare workers, the Department seeks to foster a collaborative environment conducive to effective overtime management. This collaborative approach emphasizes the importance of safeguarding patient care while streamlining administrative processes.

In light of South Africa’s healthcare landscape, characterized by resource constraints and evolving patient needs, the GDoH’s initiative to enhance oversight and accountability in overtime management is particularly relevant. The optimization of overtime utilization is essential for ensuring the sustainability of healthcare services and maximizing the impact of limited resources.

As the Department progresses with its review of commuted overtime procedures, it remains committed to transparency and open communication with all stakeholders. This commitment underscores the GDoH’s dedication to upholding the highest standards of governance and service delivery in the provision of healthcare to South Africans.

In conclusion, the Gauteng Department of Health’s decision to revise commuted overtime approval processes reflects its proactive approach to addressing challenges and improving operational efficiencies. By prioritizing accountability and transparency, the Department aims to enhance the delivery of healthcare services and optimize resource allocation for the benefit of all South Africans.

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Miriam Matoma

Miriam is a freelance writer, she covers economics and government news for Rateweb. You can contact her on: Email: miriam@rateweb.co.za Twitter: @MatomaMiriam