. The North West provincial Department of Health did not effectively liaise with the local community and the adjacent mining company to ensure that the new Bapong clinic would be constructed in a demarcated area suitable to all role-players and that would adequately address the health needs of the community. Project construction was postponed during June 2008 as a result of a court interdict obtained by the tribal authorities and the adjacent chrome mine. The estimated budget for the new Bapong community health centre amounted to R24 000 000. The Independent Development Trust Client Progress Report for February 2008 for the North West Health Infrastructure Programme Phase 3, indicated a further increase in cost of R15 220 000. According to the 2011 Medium Term Expenditure Framework the Bapong community health centre is progressing well and was 98 percent completed on 31 March 2011. . Management at the Kalafong Hospital in Gauteng was not engaged during the planning stage of the project for upgrading and renovating the intensive care unit, to ensure that their needs were addressed before commencement of the project. This resulted in scope changes and a delay of 41 months after the planned date of completion for this project in which critically ill patients on life support systems were affected.