On patient day equivalent (PDE) the CEO noted that it has decreased mostly because there has been a noted decrease in the number of outpatients department (OPD) headcount since May 2013. The reason for the decrease in OPD headcount is the increase in the hours of operation of primary health care (PHC) facilities in Msukaligwa sub-district which now opens seven days in a week for a 12 hour day. The average length of stay is 3.3% above the norm, mostly due to orthopaedic patients. Fourteen of the inpatients with orthopaedic problems could not be transferred due to lack of beds in receiving Witbank and Rob Ferreira Hospitals. To address this challenge the hospital will revive the orthopaedic outreach services.