They further reported that many hospitals are experiencing delays and there are significant variation orders as a result of poor planning. The variation of projects can be costly because an initial budget can escalate and may double the original budget. The King George Hospital project in KwaZulu-Natal was mentioned as an example. In addition, poor performance of contractors impacts negatively on the quality and timely completion of projects. Kimberley Mental Health Facility in the Northern Cape and the Thabamoopo Hospital in Limpopo are but two examples. New contractors have now been appointed for these two health projects. National Treasury further reported that the planning stage for projects does not take full account of the cost, including cost related to procurement and maintenance of equipment. Mamelodi Hospital in Gauteng is a point in case as it did not procure equipment and now the hospital can not provide any services. Treasury recommended that the National Department of Health enhances its monitoring and evaluation capacity, and that project sites should be visited at least twice a year.