When Departments reprioritise budgets to allocate to the establishment of a new service, need or requirement, the allocation process often requires that the funds are taken away from somewhere else (instead of additional funding becoming available) (EMERALD, 2017). Where major programme changes are required, Departments will engage Treasury, Cabinet, and then Parliament (according to set budget cycle deadlines) for the reprioritisation of funds, plans and allocations (see section on budget process, as well as (EMERALD, 2017) p.36, and 02.02.04.04).

References:

EMERALD. (2017). Moving towards Universal Health Coverage for Mental Disorders in South Africa.