Formats and related files
MINISTER(S) RESPONSIBLE FOR APPROPRIATIONS: Minister of Health (M36)
ADMINISTERING DEPARTMENT: Ministry of Health
MINISTER RESPONSIBLE FOR MINISTRY OF HEALTH: Minister of Health
Overview of the Vote#
The Minister of Health is responsible for appropriations in the Vote for the 2009/10 financial year totalling just under $12,978 million, an increase of $899 million or 7.4% from 2008/09 (Supplementary Estimates) and covering the following:
Departmental Operating Appropriations
A total of just over $217 million (1.7% of the Vote) relates to the functions of the Ministry of Health for: policy advice, administering the purchasing of national health services, performance monitoring of the funders and providers of health and disability services, developing and administering legislation and regulations related to health service facilities, providers and public safety, ministerial servicing, and information services.
Non-Departmental Operating Appropriations
A total of nearly $12,406 million (95.6% of the Vote) is for operating expenses to be incurred on behalf of the Crown and is intended to be spent as follows:
Output Expenses
These total just over $12,382 million (95.5% of the Vote) and are to fund the purchases of health services as follows:
- Nearly $9,700 million (74.8% of the Vote) to fund health services from DHBs through the DHB appropriations.
- Just over $895 million (6.9% of the Vote) to purchase national disability support services.
- Nearly $515 million (4.0% of the Vote) to purchase public health services.
- Almost $841 million (6.5% of the Vote) to purchase national health services and provide clinical training for health professionals.
- Nearly $242 million (1.9% of the Vote) to manage health sector risks.
- Just over $154 million (1.2% of the Vote) to purchase primary health care services.
- Nearly $36 million (0.3% of the Vote) to fund other health and disability services.
Other Expenses Incurred by the Crown
A total of nearly $24 million (0.2% of the Vote) is for other expenses to fund provider development, legal expenses and international health obligations including World Health Organisation (WHO) membership.
Capital Expenditure
A total of nearly $355 million (2.7% of the Vote) is to provide capital funding and will be spent as follows:
- Just over $304 million (2.3 % of the Vote) is to provide debt or equity for District Health Boards (DHBs) or the New Zealand Blood Service to cover new investments or for other purposes agreed by the Crown including balance sheet restructuring, or to invest in specific health sector assets.
- $15 million (0.1% of the Vote) is to provide interest-free loans to assist people in long term care.
- Just over $35 million (0.3% of the Vote) is to purchase or develop assets for use by the Ministry of Health.
In 2009/10 the appropriations in Vote Health have been changed by creating an appropriation for Primary Care Services funding for which was previously held in Health Services Funding.
Details of these appropriations are set out in Parts 2-6 for Vote Health in the Information Supporting the Estimates of Appropriations.
Details of Appropriations#
Details of Annual and Permanent Appropriations
| 2008/09 | 2009/10 | ||
|---|---|---|---|
| Titles and Scopes of Appropriations by Appropriation Type | Budgeted $000 | Estimated Actual $000 | Budget $000 |
Departmental Output Expenses | |||
Administration of Funding and Purchasing of Health and Disability Support Services (M36)Administration of the funding and purchasing of health and disability support services on behalf of the Crown, including post-clinical education and training. Services funded and purchased include some national personal health services, Maori health services, disability support services, mental health services, public health services and national screening services. | 28,822 | 27,822 | 23,614 |
Administration of Legislation and Regulations (M36)Implementation, enforcement and administration of health legislation and regulations. | 34,879 | 34,579 | 36,724 |
Funding and Performance of Crown Entities (M36)Administration of funding to DHBs and Crown Entities and the provision of advice on planning and performance, supporting and monitoring the implementation of strategic plans, assistance to meet legislative obligations and regulatory frameworks and advice on governance issues to Ministers and Crown Entities. | 8,548 | 8,548 | 9,109 |
Information Services (M36)Provision of national health information services. | 61,921 | 59,921 | 62,859 |
Payment Services (M36)Provision of health sector payments and the administration of contracts and payments. | 20,042 | 19,542 | 19,937 |
Servicing of Ministers and Ministerial Committees (M36)Provision of administrative and advisory support services to the Minister and Associate Ministers of Health and ministerial advisory committees. | 15,629 | 15,129 | 15,431 |
Strategy, Policy and System Performance (M36)Provision of health policy advice, leadership for the health and disability sector, and research and evaluation of long term strategic plans and regulatory frameworks. | 48,153 | 46,153 | 49,575 |
Total Departmental Output Expenses | 217,994 | 211,694 | 217,249 |
Non-Departmental Output Expenses | |||
Clinical Training Agency (M36)Provision of clinical training for doctors, nurses, dentists and other health professionals. | 122,271 | 115,271 | 125,692 |
Health and Disability Support Services - Auckland DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Auckland DHB. | 881,337 | 881,337 | 941,884 |
Health and Disability Support Services - Bay of Plenty DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Bay of Plenty DHB. | 491,430 | 491,430 | 522,467 |
Health and Disability Support Services - Canterbury DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Canterbury DHB. | 1,027,024 | 1,027,024 | 1,078,053 |
Health and Disability Support Services - Capital and Coast DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Capital and Coast DHB. | 536,775 | 536,775 | 569,843 |
Health and Disability Support Services - Counties-Manukau DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Counties-Manukau DHB. | 932,041 | 932,041 | 999,265 |
Health and Disability Support Services - Hawkes Bay DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hawkes Bay DHB. | 358,708 | 358,708 | 377,914 |
Health and Disability Support Services - Hutt DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hutt DHB. | 287,506 | 287,506 | 307,500 |
Health and Disability Support Services - Lakes DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Lakes DHB. | 234,294 | 234,294 | 245,689 |
Health and Disability Support Services - MidCentral DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from MidCentral DHB. | 373,103 | 373,103 | 399,608 |
Health and Disability Support Services - Nelson-Marlborough DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Nelson-Marlborough DHB. | 309,705 | 309,705 | 322,716 |
Health and Disability Support Services - Northland DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Northland DHB. | 389,731 | 389,731 | 417,725 |
Health and Disability Support Services - Otago DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Otago DHB. | 418,864 | 418,864 | 436,500 |
Health and Disability Support Services - South Canterbury DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from South Canterbury DHB. | 137,842 | 137,842 | 143,662 |
Health and Disability Support Services - Southland DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Southland DHB. | 234,756 | 234,756 | 244,770 |
Health and Disability Support Services - Tairawhiti DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Tairawhiti DHB. | 115,426 | 115,426 | 123,786 |
Health and Disability Support Services - Taranaki DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Taranaki DHB. | 257,887 | 257,887 | 268,645 |
Health and Disability Support Services - Waikato DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waikato DHB. | 781,745 | 779,745 | 841,504 |
Health and Disability Support Services - Wairarapa DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Wairarapa DHB. | 99,926 | 99,926 | 104,172 |
Health and Disability Support Services - Waitemata DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waitemata DHB. | 1,013,278 | 1,013,278 | 1,065,771 |
Health and Disability Support Services - West Coast DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from West Coast DHB. | 101,740 | 101,740 | 106,112 |
Health and Disability Support Services - Whanganui DHB (M36)Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Whanganui DHB. | 172,777 | 172,777 | 181,245 |
Health Services Funding (M36)Funding to respond to emerging health sector risks, provision for DHB structural deficit support, and contingency funding for Government priority health policy initiatives. | 174,869 | 147,869 | 239,738 |
Management of Residual Health Liabilities and District Health Board Term Debt (M36)Funding for Crown Health Financing Agency (CHFA) to provide and manage the Crown term debt facilities for DHBs, provide independent advice to the Minister on the credit worthiness and financial sustainability of DHBs, and to manage residual area health board liabilities. | 1,751 | 1,751 | 1,700 |
Meningococcal Vaccine Programme (M36)Funding for the purchase and delivery of a vaccine against the epidemic strain of group B meningococcal disease to target population groups. | 2,132 | 2,132 | 1,800 |
Monitoring and Protecting Health and Disability Consumer Interests (M36)Provision of services to monitor and protect health consumer interests by the Health and Disability Commissioner, District Mental Health Inspectors and Review Tribunals, and the Mental Health Commission. | 14,659 | 14,659 | 14,484 |
National Advisory and Support Services (M36)Provision of advisory and support services by independent service providers. | 340 | 340 | 340 |
National Child Health Services (M36)For the funding and purchase of child health services directly by the Crown. | 55,443 | 54,443 | 58,994 |
National Contracted Services - Other (M36)For the funding and purchase of other health services including mobile surgical services, telephone advice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies. | 123,302 | 118,402 | 172,018 |
National Disability Support Services (M36)Delivery of disability support services provided through DHBs and third-party service providers. | 889,671 | 889,671 | 895,386 |
National Elective Services (M36)Funding for the purchase of additional elective surgery services. | 195,198 | 185,198 | 189,898 |
National Emergency Services (M36)For the funding and purchase of health emergency services directly by the Crown. | 69,358 | 69,358 | 81,194 |
National Maori Health Services (M36)For the funding and purchase of Maori health services directly by the Crown. | 8,562 | 8,562 | 8,562 |
National Maternity Services (M36)For the funding and purchase of maternity services directly by the Crown. | 137,333 | 133,333 | 137,483 |
National Mental Health Services (M36)For the funding and purchase of mental health services directly by the Crown. | 55,445 | 54,045 | 69,268 |
Primary Health Care Strategy (M36)This appropriation is limited to services to implement and deliver the Primary Health Care Strategy. | - | - | 154,535 |
Problem Gambling Services (M36)Funding to support the research and implementation of strategies to prevent and minimise the harm from gambling, and for the provision of treatment services to problem gamblers and assistance to their families and whanau in accordance with the Gambling Act 2003. | 17,719 | 16,019 | 17,510 |
Public Health Service Purchasing (M36)Public Health Services funded by the Ministry of Health from DHBs and other public health service providers. | 453,201 | 445,801 | 514,781 |
Scientific Advice to Support Pest Management Strategies as They Affect Public Health (M36)Purchasing taxonomic services to support surveillance programmes for exotic mosquitoes of public health significance. | 56 | 56 | 56 |
Total Non-Departmental Output Expenses | 11,477,205 | 11,410,805 | 12,382,270 |
Non-Departmental Other Expenses | |||
International Health Organisations (M36)Funding for New Zealand's membership to the World Health Organisation (WHO), and the contribution to specific WHO projects. | 3,483 | 3,483 | 2,570 |
Legal Expenses (M36)Funding for the defence and settlement of legal claims against the Crown. | 1,778 | 1,778 | 1,778 |
Provider Development (M36)Funding support and provide assistance for the development of the third party health service workforce, in particular, Maori and Pacific people's providers. | 19,289 | 19,289 | 19,289 |
Total Non-Departmental Other Expenses | 24,550 | 24,550 | 23,637 |
Departmental Capital Expenditure | |||
Ministry of Health - Capital Expenditure PLA (M36)This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989. | 35,455 | 35,455 | 35,410 |
Total Departmental Capital Expenditure | 35,455 | 35,455 | 35,410 |
Non-Departmental Capital Expenditure | |||
Equity for Capital Projects for DHBs and the New Zealand Blood Service (M36)Capital contributions to DHBs and the New Zealand Blood Service to cover new investments and reconfiguration of their balance sheets. | 99,918 | 61,923 | 279,249 |
Loans for Capital Projects (M36)Provision of new loans to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration. | 89,923 | 70,000 | 24,900 |
Residential Care Loans (M36)Funding to provide interest-free loans to people entering into aged residential care facilities. | 15,000 | 12,000 | 15,000 |
Deficit Support for DHBs (M36)This appropriation is limited to equity injections to District Health Boards to address deficits. | 100,000 | 75,000 | - |
Health Sector Projects (M36)Capital investment in specific health sector assets. | 3,765 | 3,765 | - |
Loan for consideration for the Queen Mary Hospital site in Hanmer Springs (M36)This appropriation is limited to provision of a two-year interest free loan to the Crown Health Financing Agency to provide consideration to the Canterbury District Health Board for the transfer of the Queen Mary Hospital site in Hanmer Springs. | 14,800 | 14,800 | - |
Total Non-Departmental Capital Expenditure | 323,406 | 237,488 | 319,149 |
Total Annual and Permanent Appropriations | 12,078,610 | 11,919,992 | 12,977,715 |
Details of Projected Movements in Departmental
Net Assets#
Ministry of Health
| Details of Net Asset Schedule | 2008/09 Estimated Actual $000 | 2009/10 Projected $000 | Explanation of Projected Movements in 2009/10 |
|---|---|---|---|
| Opening Balance | 19,973 | 33,740 | The opening balance increases as a result of a capital injection in 2008/09 totalling $24.578 million. This injection provides further funding for the B4 School Check information system ($1 million) and the National Systems Development Programme ($23.578 million).This increase is partly offset by a capital transfer from 2008/09 to 2009/10 of funding for Information Directorate projects ($10.811 million). |
| Capital Injections | 13,767 | 10,594 | A breakdown of the 2008/09 capital injection is shown above. The 2009/10 capital injection provides funding for Information Directorate projects resulting from the capital transfer from 2008/09 ($10.811 million). This increase is partly offset by a contribution from the Ministry of Health to the State Services Commission for the Identity Verification Service ($217,000). |
| Capital Withdrawals | - | - | |
| Surplus to be Retained (Deficit Incurred) | - | - | |
| Other Movements | - | - | |
Closing Balance | 33,740 | 44,334 |