The PoKZN reported spending was not in line with budget due to the following reasons: delays on construction as a result of earlier delays in the acquisition of health technology for the King George V hospital; the overspending for the Lower Umfolozi, Hlabisa and Rietvlei hospitals due to spill-over of purchases that had been scheduled for the previous years; the inavailability of dedicated resource to drive the aspect of Hospital Revitalization; Hospital Revitalization Planning was not aligned to Supply Chain Management processes and timeframes.