. "To give effect to Cabinet approved reductions of R531 million over the medium term, the department will reduce spending on the three conditional grants related to health infrastructure, due to slow spending and weaknesses in performance." . "Reductions of R26 million over the MTEF have been made to the national health insurance (NHI) grant due to slow spending." . The three health infrastructure grant (Hospital Revitalisation, Health Infrastructure and Nursing Colleges and school grants) have been consolidated into a single direct grant, called the Health Facility Revitalisation Grant with three windows. . It is envisioned that the new configuration will allow more flexibility to shift funds in between and ensure timely delivery of health infrastructure. . Spending on infrastructure increased from R3.2 billion in 2009/2010 to R5.8 billion in 2012/2013, and is expected to increase to R.5 billion over the medium term. . The Health Facility Revitalisation Grant has been allocated R14.9 billion over the MTEF period (R5.1 billion, R4.7 billion and R5 billion). . The new indirect schedule 6A grant has been established called National Health grant. This grant will have two components, one for National Health Insurance (NHI) and one for Health Facility Revitalisation grant. . The new National Health Grant contains a Health Facility Revitalisation component. This grant has been allocated R4.2 billion over the MTEF period (R897 million, R1.7 billion and R1.7 billion) and is a grant in kind to the provinces.