In the
May 2014 general election, Makhura was elected to the
Gauteng Provincial Legislature, ranked first on the ANC's party list. In the aftermath of the election, on 20 May, the ANC announced that its caucus in the legislature would elect Makhura as
Premier of Gauteng. The announcement was a surprise to many observers and was the product of political compromise: because of the deteriorating relationship between the Gauteng ANC and the national ANC leadership, the most obvious candidates – the incumbent premier,
Nomvula Mokonyane, and Mashatile himself – were ruled out, and the Gauteng party nominated three compromise candidates: Makhura,
Barbara Creecy, and
Ntombi Mekgwe. Of this shortlisted trio, Makhura was regarded as the preferred candidate of the Gauteng party and Mekgwe was regarded as the likely preference of the national leadership; Makhura's appointment was therefore viewed as a considerable political coup for Mashatile and Makhura. Makhura was sworn in to office on 21 May, becoming Gauteng's youngest premier to date. He served in the office until October 2022: he became the ANC's candidate for premier in the
May 2019 election campaign, and he was re-elected by the newly elected provincial legislature on 22 May, defeating an opposition challenge by
Solly Msimanga of the
Democratic Alliance.
Economic policies During his first
State of the Province Address, delivered in
Thokoza in June 2014, Makhura said that the three pillars of his administration would be radical economic transformation, spatial transformation, and economic modernisation, and he linked all three pillars to the revitalisation and mainstreaming of
township economies. After a summit on township economies in October 2014, Makhura announced a plan to invest
R1 billion in township infrastructure over the next five years, towards the goal that economic growth in townships should account for 30 per cent of the province's economic growth during his administration. The so-called Township Economy Revitalisation Programme remained a cornerstone policy of Makhura's second term and it was generally well received. One major prong of the strategy was funneling government procurement funds to township enterprises; between 2014 and 2018, the
Gauteng Government's procurement spend on contracts with township enterprises increased from R600 million to R17 billion. During his February 2018 State of the Province Address, Makhura expanded the township programme to include scrutiny of
foreign-owned businesses in townships; he announced a drive to inspect and "shut down" any such businesses operating illegally. Another initiative announced in Makhura's first State of the Province Address was the establishment of a panel to review the impact of the
e-tolling policy. In later years he became an unequivocal critic of the policy. Indeed, in November 2018, Makhura joined civil society organisations in a march on the
Union Buildings that called on the national government to scrap e-tolls; he said that he was marching in his ANC capacity, not his government capacity, and "Those who are in government will have to be put under pressure by the ANC." However, the e-tolls remained in place throughout Makhura's premiership, and some commentators were disappointed by his failure to drive change in the policy. Makhura's other economic policies included the establishment of
special economic zones. In all, during his first term as premier, the Gauteng economy attracted R199 billion in new
foreign direct investment and R53 billion in new government investment in infrastructure, and employment in the province rose from 4.4 million to 5.1 million.
Healthcare scandals For many observers, the largest scandal of Makhura's administration was the
Life Esidimeni scandal: the 2016 revelations that dozens of psychiatric patients had died in under-resourced and unlicensed private care homes after being moved to those homes as part of the policy of
deinstitutionalisation adopted by the Gauteng Department of Health under the leadership of Makhura's provincial health minister,
Qedani Mahlangu. In his report on the scandal, health ombudsman
Malegapuru Makgoba found that Makhura had not been responsible for the deinstitutionalisation policy or aware of the fatalities. On Makgoba's recommendation, Makhuru and national Health Minister
Aaron Motsoaledi appointed an independent task team to lead a turnaround intervention in the Gauteng Department of Health, but the task team's report and recommendations, finalised in 2018, were not made public. In May 2018, the opposition Democratic Alliance tabled a
motion of no confidence in Makhura's leadership, framed as a means of exerting accountability for the Life Esidimeni tragedy; the motion failed by 38 votes to 27 in the ANC-controlled legislature. In later years Makhura continued to deny responsibility for the tragedy. Makhura was also premier during the
COVID-19 pandemic. At the height of the pandemic, he was broadly commended for his "on-the-ground style of leadership". However, in 2021 and 2022, the province was wreaked by
corruption scandals relating to
PPE procurement. Most notably, a
Special Investigating Unit probe into procurement corruption at Tembisa Hospital in
Tembisa, Gauteng resulted in the
murder of Babita Deokaran in August 2021. The Tembisa investigation was later widened to include pre-pandemic contracts, and a 2022
Mail & Guardian investigation suggested that Makhura had known of and concealed the alleged misconduct of a hospital executive. Makhura denied any knowledge of such misconduct. According to Makhura, subsequent investigations into the provincial health department uncovered "structural and systemic problems", including a "culture of irregular processes", in health procurement in the province.''''''
Party chairmanship At the outset of his premiership, Makhura officially remained the provincial secretary of the ANC, but a party elective conference in October 2014 elected him to the position of deputy provincial chairperson. Mashatile was re-elected as provincial chairperson at the same conference, and
Hope Papo was elected to succeed Makhura as provincial secretary. Makhura declined a nomination to challenge Mashatile for the chairmanship at the conference. In subsequent years, the pair continued to work closely together, though there were reports that their relationship grew strained in 2016 when Mashatile returned to Gauteng from the national government to serve in Makhura's
Executive Council. In
December 2017, Mashatile was elected as national treasurer-general of the ANC, and Makhura became acting provincial chairperson in his stead. The provincial party held its next elective conference in
Irene six months later; on 21 July 2018 Makhura was officially elected as ANC provincial chairperson, running unopposed after
Sputla Ramokgopa declined a nomination to stand against him. After a hard-fought contest with
Lebogang Maile,
Panyaza Lesufi was elected to succeed Makhura as deputy provincial chairperson. Maile's faction, which dominated the newly elected
Provincial Executive Committee, was viewed as hostile to Makhura's leadership. After Makhura won re-election to his second term as premier in 2019, he said publicly that he intended to serve only one term as ANC provincial chairperson. At the next elective conference on 27 June 2022, Lesufi was elected as provincial chairperson after another close contest with Maile.
Resignation In early September 2022, Makhura announced that he would resign from the premiership once the ANC had selected his successor, though he denied reports that Lesufi's provincial executive was forcing him to resign. He announced his resignation on 4 October, and Lesufi was elected to succeed him on 6 October. There was speculation, ultimately unfounded, that Makhura would seek a top leadership position in the national ANC. == Luthuli House: 2023–present ==