The PoKZN reported that it under-spent due to: non-approval of filling of critical posts due to the concerns that these additional staff costs are sustainable over the longer term when the Revitalization grant is no longer available; the delay in the implementation of Hospital Information System due to late finalization of the Service Level Agreement and, subsequently, due to the moratorium imposed by the National Department of Health; and delays in the implementation of the Digital Radiography Picture Archiving Communication System / Radiography Information System.