Context

You have just been appointed as the head of department (HOD) of theGauteng Department of HealthThe GDOH is, however, recognised as facing financial constraints that appear to be harming service delivery. On the other hand, theWestern Cape Department of Health 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, include

• Rationale for Government intervention
• Government spending (socialising spending in society)
• Taxation (mobilising resources for social interventions)
• Fiscal policy (macroeconomic policy as a strategic policy objective)
• The budget process - intergovernmental finance with a performance orientation t
• a holistic look at the role of public finance in government