Spending reviews

 

The first round of expenditure review was focused on healthcare, transport and informatization covering about 8.6 % of GDP. The review identified potential measures of about 8.9 % of the total healthcare and informatization expenditure. The general government budget for 2017 to 2019 includes healthcare measures amounting to EUR 174 mil. (which corresponds to 3.9 % of healthcare expenditure).

The 2017 spending reviews on education, environment, labour market policies and the social policies reviewed expenditures amounting to 7.3% GDP. The revisions identified measures with potential savings of EUR 277 mil. covering 4.7% of the envelope reviewed. This figure comprises EUR 88 mil. within education, EUR 59 mil. within labour market policies and social policies, and EUR 130 mil. within the environment. The reviews recommend to increase the value in education quality, air pollution, waste water processing, and pension saving performance.

In 2018, the expenditures and results in agriculture, inclusion of marginalised groups, and employment and remuneration in the general government (wage bill) will be analysed. Final reports will be prepared by March 2019.

 

2018

Groups at Risk of Poverty and Social Exclusion (2018)

The spending review will review the expenditures impacting integration of the at-risk-of-poverty-and-social-exclusion groups. It will focus on the efficiency of current protection and integration policies, investigate data collection set-up, outline the of best practice examples, and investigate into the option of their systematic implementation.

Terms of reference

 

Agriculture and rural development (2018)

The revision will review expenditures amounting to 1.9% GDP a year (EUR 1.8 bn) on the agricultural policy and support of rural development, including the expenditures of the affiliated organisations of the department and the largest enterprises under its managerial control. The aim of the revision is to assess the efficiency of the MARD SR's spending with the emphasis on attainment of better results.

Terms of reference

 

Public wage bill (2018)

The spending review of public wage bill will assess employment and wages in general government sector, excluding employees working in two sectors - healthcare and education - or employed under special acts (police officers, etc.). Such scope encompasses approx. 234 thousand employees and amounts to EUR 3,3 bn (4,1% of GDP; 9,8% of total general government expenditure). The main objective of the review is to identify possibilities of efficiency increase in human resources utilization.

Terms of reference

 

Healthcare II. (2018)

Healthcare Spending Review II. seeks to identify the best opportunities for improving patient health by increasing the allocative efficiency of available resources. Emphasis will be placed on finding health-enhancing value measures that can be implemented while further reducing inefficient expenditure. The review will introduce funding based on setting total required healthcare expenditure, while improving the tracking of results and data collection. An increase of health expenditure above the level of inflation will be conditional on demonstrating a positive impact on health outcomes. In addition, the major prerequisites for faster growth are an end to growing hospital indebtedness, a change in the remuneration mechanism of health care workers, prescription limits, and the full functionality of DRG and eHealth. The main outcome for the healthcare sector is to reduce amenable mortality to the level of the average of the other V4 countries (Czech Republic, Hungary and Poland) by 2020 with health expenditure rising at the rate of inflation.

Terms of reference

 

2017

Education (2017)

The education spending review amounting to 3 % GDP a year has set a goal to prepare measures leading to the improvement of the quality of education in Slovakia. Support of the teaching profession with emphasis on beginner teachers, and stronger link between remuneration and education quality were identified as key factors in education quality. The revision also outlined a potential space for cost saving within rationalization of the regional education network, cancellation of bonus for continous education credits, and higher proportion of students not continuing in postgratuate study, amounting in aggregate to EUR 88 mil. a year.

Interim report
Terms of reference

 

Labour Market Policies and Social Policies (2017)

The spending review of labour market policies and social policies of the Ministry of Labour, Social Affairs, and Family and of the Social Insurance Company addressed expenditures amounting to 3.7% GDP a year. The main objective of the MLSAF SR policies focuses on the increase in the employment rate and the decrease the at-risk-of-poverty rate of citizens. Measures concentrate on the introduction of annual declaration of social insurance contributions, suggestions of better targeting of social policy, more efficient operation of labour offices and the Social Insurance Agency, and of the second and third pillar pension scheme.

Interim report
Terms of reference

 

Environment (2017)

The environmental spending review amounting to 0.6% GDP proposes combination of lower expenditures and higher revenues with the potential amount of EUR 130 mil. (0.1% GDP). It identified measures in improving the efficiency of the Slovak Water Management Company operation, higher fees for dumping which would also motivate greater degree of waste recycling, implementation of innovative forms of nature protection funding, better subsidy management, and revocation of optional exemptions in the area of excise taxes (coal, electricity, gas). The proposed measures aimed to increase value could lead to the creation of a significant social and economic value. 

Interim report
Terms of reference

 

2016

Informatization (2016)

The review of informatization expenditures presents measures that offer direct savings of approximately 5-9 % of IT spending in 2017 (€22-40m annually) and introduce higher value to the existing investments of at least 1 % (€4m annually). The report offers procedural and methodological measures that will allow for more effective evaluation and management of the state’s IT sector.

Final report
Terms of reference

 

Healthcare (2016)

Outcome target of the review is reduction of amendable mortality through public health care system to the average levels in Czech Republic, Poland and Hungary (V3 countries). Achieving this goal requires effective redistribution of resources from cost inefficient areas to areas where they can contribute to amendable mortality reduction.

Final report
Terms of reference

 

Transport (2016)

Review of transport spending totalling 2.4% GDP (€2.0bn) per year has set a goal to prepare measures for improving efficiency in capital as well as operating expenditures. The measures will allow for more efficient investments without cutting the overall capital expenditure envelope,and for sustainable reduction ofunit operating costs in the budget of the Ministry of Transport.

Motorway Cost Estimation Review - The Case of Slovakia
  • Report - 17.07.2018,  [pdf, 4586 kB]
Final report 
Terms of reference