The Committee raised concerns regarding attaining spending efficiencies in the health care sector that help in the attainment of quality health care services. The Health Facility Revitalisation Grant had spent only R182.8 million or 42 per cent at end of 31 January 2013 while the National Health Insurance component of the National Health Grant had spent less than 5 per cent of its R291 million allocation as the end of the third quarter. The Department had reported that there had been challenges with GP contracting though work is underway to resolve the bottlenecks.