Context

You have just been appointed as the head of department (HOD) of theGauteng Department of HealthLinks to an external site.. The GDOH is, however, recognised as facing financial constraints that appear to be harming service delivery. On the other hand, theWestern Cape Department of HealthLinks to an external site., which receives the same equity adjusted allocation, faces the same resource constraints, but not experience the same failures in service delivery.

Assignment (Design a budget process to maximise the responsiveness of government to society's needs)

Your task as the new HOD is to develop a strategic financial approach sufficient to address the key financial difficulties with a view to improving service delivery. In developing this approach, attempt to creatively take advantage of all aspects of the financial and fiscal framework.

Guidance

1. Describe a system of inter-governmental finances including national, state/provincial and local governments
2. Describe how the system of inter-governmental finances can be arranged and used to achieve policy objectives at all levels of Government
3. Present a case study involving a system of intergovernmental financing