The Gauteng Department of Health concluded a services agreement in 2007 with 3P Consulting (Pty) Ltd for the establishment and operation of a Project Management Unit to implement a departmental turnaround strategy. The agreement was for an initial period of two years, with a clause providing for renewal. Following negotiations in late 2008, the Department approved an extension of the agreement for a further three years to May 2012, with adjusted contract values. After a new MEC for Health was appointed in 2009, the Department refused to allow 3P Consulting to perform under the renewed agreement and repudiated it, alleging that both the original agreement and the renewal were unlawful and irregular under public procurement rules. 3P Consulting approached the South Gauteng High Court, which declared the renewal valid and ordered specific performance. The Department appealed to the Supreme Court of Appeal.