Overcrowded Casualties wards are a reflection of poor Primary Health Care (PHC). This is one of the weakest areas because of over-referrals. This is a complex problem given the high burden of disease, the rural nature of the province and high unemployment rate. Facilities appear small for the population, however the province is "losing people" through migration and there should be a greater emphasis on building Community Health Centres (CHCs). The Hospital Revitalisation process looks at organisational development, quality, systems, and many more. It is currently being carried out at Pelonomi and Boitumelo. Others are still in the planning stage. The pace of revitalisation is slow, but comprehensive, including both the equipment and staff issues in a phased approach.