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Commuted Overtime performed by Medical Doctors – Technical Report

Health departments spent R 6.9 bn on commuted overtime in 2021, which was 4.6% of total provincial health CoE in 2021. The strongest contributor to commuted overtime expenditure growth between 2010 and 2021 was the expansion of the number of doctors in the health system. The coverage of doctors after hours seems to be low as 1 doctor is representing 14 doctors after hours. This needs to be compared with the actual workload during overtime periods to ascertain whether the expenditure on commuted overtime is realistic. Commuted overtime expenditure growth is directly related to growth in the basic salaries of the recipients. Lower annual COLA and fewer progressions and promotions will slow down commuted overtime expenditure growth.  No evidence of excessive individual claims was detected in the 2021 PERSAL data.