Formats and related files
Vote Health#
APPROPRIATION MINISTER(S): Minister of Health (M36)
APPROPRIATION ADMINISTRATOR: Ministry of Health
RESPONSIBLE MINISTER FOR MINISTRY OF HEALTH: Minister of Health
Overview of the Vote#
Vote Health ($19,871 million in 2019/20) is a significant public investment in the wellbeing of New Zealanders and their families. The Vote directly supports the day-to-day operation of strong and equitable public health and disability services delivered by a skilled workforce in our communities, hospitals and other care settings. It plays a key role in supporting population health across the life course, including improving health equity for Maori and other groups and helps facilitate the delivery of key system priorities including child wellbeing, mental wellbeing, wellbeing through prevention and primary health care. The Minister of Health is responsible for appropriations for 2019/20 covering the following:
- $13,980 million (70.4% of the Vote) is provided to the 20 district health boards (DHBs) for services to meet the needs of each district's population, taking into account regional considerations, government priorities, and the strategic direction set for the health sector. Among the many services provided or funded by DHBs are hospital care; most aged care, mental health, and primary care services; the combined pharmaceuticals budget; and some public health services.
- $3,221 million (16.2% of the Vote) funds health and disability services, funded at a national level, and managed by the Ministry of Health, consisting of:
- National Disability Support Services ($1,345 million or 6.8% of the Vote)
- Public Health Service Purchasing ($440 million or 2.2% of the Vote)
- National Planned Care Services ($396 million or 2.0% of the Vote)
- Primary Health Care Strategy ($331 million or 1.7% of the Vote)
- National Maternity Services ($189 million or 0.9% of the Vote)
- National Emergency Services ($150 million or 0.8% of the Vote)
- National Mental Health Services ($141 million or 0.7% of the Vote)
- National Child Health Services ($113 million or 0.6% of the Vote)
- National Personal Health Services ($67 million or 0.3% of the Vote)
- other national services ($49 million or 0.2% of the Vote).
- $911 million (4.6% of the Vote) for the support, oversight, governance, and development of the health and disability sectors, consisting of:
- Ministry of Health operating costs ($221 million or 1.1% of the Vote)
- Supporting Equitable Pay ($414 million or 2.1% of the Vote)
- Health Workforce Training and Development ($212 million or 1.1% of the Vote)
- Monitoring and Protecting Health and Disability Consumer Interests ($32 million or 0.2% of the Vote)
- other services ($32 million or 0.2% of the Vote).
- $46 million (or 0.2% of the Vote) for other expenses including $43 million for Provider Development.
- $1,713 million (8.6% of the Vote) for capital investment, consisting of:
- sector capital investment ($1,548 million or 7.8% of the Vote)
- Equity Support for DHB deficits ($134 million or 0.7% of the Vote)
- Residential Care Loans - Payments ($15 million or 0.1% of Vote)
- Ministry of Health capital expenditure ($16 million or 0.1% of Vote).
Details of these appropriations are set out in Parts 2-4.
Details of Appropriations and Capital Injections#
Annual Appropriations and Forecast Permanent Appropriations#
2018/19 | 2019/20 | ||
---|---|---|---|
Titles and Scopes of Appropriations by Appropriation Type | Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
Departmental Output Expenses |
|||
Health Sector Information Systems (M36) This appropriation is limited to the provision of information technology services and the publication of data and information derived from these services to the health and disability system. |
51,118 | 49,318 | 58,618 |
Managing the Purchase of Services (M36) This appropriation is limited to purchasing services for the public and health and disability sector on behalf of the Crown, for those services where the Ministry has responsibility for the purchasing function (i.e. funding is not devolved to another entity). |
49,374 | 47,374 | 42,441 |
Payment Services (M36) This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies. |
15,340 | 15,340 | 17,340 |
Regulatory and Enforcement Services (M36) This appropriation is limited to implementing, enforcing and administering health- and disability-related legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and support services for committees established under statute or appointed by the Minister pursuant to legislation. |
23,443 | 23,043 | 24,646 |
Sector Planning and Performance (M36) This appropriation is limited to advising on and co-ordinating health sector planning and performance improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities, and sector co-ordination. |
54,426 | 52,426 | 51,026 |
Total Departmental Output Expenses |
193,701 | 187,501 | 194,071 |
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. |
20,887 | 16,462 | 16,000 |
Total Departmental Capital Expenditure |
20,887 | 16,462 | 16,000 |
Non-Departmental Output Expenses |
|||
Health and Disability Support Services - Auckland DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Auckland DHB. |
1,330,189 | 1,330,189 | 1,391,484 |
Health and Disability Support Services - Bay of Plenty DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Bay of Plenty DHB. |
728,953 | 728,953 | 762,449 |
Health and Disability Support Services - Canterbury DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB. |
1,439,372 | 1,434,372 | 1,510,695 |
Health and Disability Support Services - Capital and Coast DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Capital and Coast DHB. |
778,514 | 778,514 | 817,679 |
Health and Disability Support Services - Counties-Manukau DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Counties-Manukau DHB. |
1,447,124 | 1,447,124 | 1,524,353 |
Health and Disability Support Services - Hawkes Bay DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Hawkes Bay DHB. |
501,131 | 501,131 | 524,166 |
Health and Disability Support Services - Hutt DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Hutt DHB. |
401,752 | 401,752 | 416,836 |
Health and Disability Support Services - Lakes DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Lakes DHB. |
327,563 | 327,563 | 340,415 |
Health and Disability Support Services - MidCentral DHB (M36) This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB. |
515,382 | 515,382 | 540,792 |
Health and Disability Support Services - Nelson-Marlborough DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Nelson-Marlborough DHB. |
442,103 | 442,103 | 462,233 |
Health and Disability Support Services - Northland DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Northland DHB. |
603,896 | 603,896 | 632,077 |
Health and Disability Support Services - South Canterbury DHB (M36) This appropriation is limited to personal and public health services, and management outputs from South Canterbury DHB. |
182,428 | 182,428 | 190,066 |
Health and Disability Support Services - Southern DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Southern DHB. |
884,027 | 884,027 | 926,825 |
Health and Disability Support Services - Tairawhiti DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB. |
166,215 | 166,215 | 171,979 |
Health and Disability Support Services - Taranaki DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB. |
349,770 | 349,770 | 362,111 |
Health and Disability Support Services - Waikato DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Waikato DHB. |
1,206,301 | 1,206,301 | 1,262,909 |
Health and Disability Support Services - Wairarapa DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB. |
140,650 | 140,650 | 149,112 |
Health and Disability Support Services - Waitemata DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB. |
1,541,548 | 1,541,548 | 1,622,080 |
Health and Disability Support Services - West Coast DHB (M36) This appropriation is limited to personal and public health services, and management outputs from West Coast DHB. |
133,949 | 133,949 | 137,668 |
Health and Disability Support Services - Whanganui DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB. |
226,852 | 226,852 | 234,337 |
Health Services Funding (M36) This appropriation is limited to initiatives to improve the financial sustainability and performance of District Health Boards. |
- | - | 23,681 |
Health Workforce Training and Development (M36) This appropriation is limited to the provision, purchase, and support of workforce development for people working in the health and disability sector and of services that support those workforces to be sustainable, flexible, and fit-for-purpose. |
187,120 | 187,120 | 211,641 |
Monitoring and Protecting Health and Disability Consumer Interests (M36) This appropriation is limited to the provision, purchase, and support of services that monitor and protect health and disability consumer interests. |
29,546 | 29,546 | 31,546 |
National Child Health Services (M36) This appropriation is limited to the provision, purchase, and support of child health services. |
93,254 | 93,254 | 112,980 |
National Contracted Services - Other (M36) This appropriation is limited to the purchase of other services directly by the Crown to support the health and disability services sector, including the national management of pharmaceuticals, and health research. |
23,488 | 23,488 | 23,488 |
National Disability Support Services (M36) This appropriation is limited to the provision, purchase, and support of disability support services. |
1,351,707 | 1,351,707 | 1,344,646 |
National Emergency Services (M36) This appropriation is limited to the provision, purchase, and support of emergency services. |
124,313 | 120,313 | 150,319 |
National Health Information Systems (M36) This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors. |
8,042 | 5,242 | 8,382 |
National Maori Health Services (M36) This appropriation is limited to the provision, purchase, and support of health and disability services that are either for Maori or by Maori. |
6,828 | 6,828 | 6,828 |
National Maternity Services (M36) This appropriation is limited to the provision, purchase, and support of maternity services. |
181,067 | 181,067 | 188,492 |
National Mental Health Services (M36) This appropriation is limited to the provision, purchase, and support of mental health services. |
80,194 | 77,694 | 141,296 |
National Personal Health Services (M36) This appropriation is limited to personal healthcare and support services purchased directly by the Crown, including mobile surgical services, telephone and online advice services, hospice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies. |
70,751 | 70,751 | 67,005 |
National Planned Care Services (M36) This appropriation is limited to the provision, purchase, and support of planned care interventions. |
362,357 | 362,357 | 396,085 |
Primary Health Care Strategy (M36) This appropriation is limited to services to implement and deliver the Primary Health Care Strategy. |
264,639 | 264,639 | 330,533 |
Problem Gambling Services (M36) This appropriation is limited to the provision, purchase, and support of services that minimise the harm from gambling, in accordance with the Gambling Act 2003. |
17,765 | 15,265 | 18,698 |
Public Health Service Purchasing (M36) This appropriation is limited to the provision, purchase, and support of public health services. |
403,266 | 392,608 | 440,302 |
Supporting Equitable Pay (M36) This appropriation is limited to costs related to supporting equitable pay for care and support workers, and mental health and addiction support workers. |
377,405 | 377,405 | 413,636 |
Auckland Health Projects Integrated Investment Plan (M36) The appropriation is limited to expenses incurred in developing an Integrated Investment Plan for Auckland Health projects. |
1,370 | 30 | - |
Health Sector Projects Operating Expenses (M36) This appropriation is limited to operating expenses associated with the governance, planning and development of health sector capital projects. |
8,558 | 4,558 | - |
Supporting Safe Working Conditions for Nurses (M36) This appropriation is limited to costs relating to meeting the obligations for safe staffing for nurses and to supporting the Care Capacity Demand Management (CCDM) Programme across District Health Boards. |
45,694 | 35,694 | - |
Total Non-Departmental Output Expenses |
16,985,083 | 16,942,285 | 17,889,824 |
Non-Departmental Other Expenses |
|||
International Health Organisations (M36) This appropriation is limited to the Crown funding New Zealand's World Health Organization (WHO) membership and contributing to specific WHO projects. |
2,030 | 2,030 | 2,030 |
Legal Expenses (M36) This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown. |
11,028 | 3,378 | 1,028 |
Provider Development (M36) This appropriation is limited to supporting the development of health or disability service providers, in particular, those supporting vulnerable populations, such as Maori and Pacific peoples. |
28,289 | 21,289 | 43,434 |
Total Non-Departmental Other Expenses |
41,347 | 26,697 | 46,492 |
Non-Departmental Capital Expenditure |
|||
Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36) This appropriation is limited to providing capital contributions to health sector Crown entities or agencies for new investments and reconfiguration of their balance sheets. |
264,273 | 148,773 | 1,507,470 |
Equity Support for DHB deficits (M36) This appropriation is limited to equity injections to District Health Boards to address working capital requirements. |
234,211 | 234,211 | 134,211 |
Health Sector Projects (M36) This appropriation is limited to the provision or purchase of health sector assets. |
213,922 | 213,922 | 40,600 |
Residential Care Loans - Payments (M36) This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities. |
15,000 | 15,000 | 15,000 |
Total Non-Departmental Capital Expenditure |
727,406 | 611,906 | 1,697,281 |
Multi-Category Expenses and Capital Expenditure |
|||
Policy Advice and Ministerial Servicing MCA (M36) The single overarching purpose of this appropriation is to provide policy advice and other support to Ministers in discharging their policy decision-making and other portfolio responsibilities. |
26,401 | 24,901 | 26,895 |
Departmental Output Expenses |
|||
Ministerial Servicing This category is limited to the provision of services to Ministers to enable them to discharge their portfolio responsibilities other than policy decision-making. |
4,702 | 4,702 | 4,702 |
Policy Advice This category is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters. |
16,439 | 16,439 | 17,889 |
Supporting the Review of the New Zealand Health and Disability System This category is limited to the expenses of, and providing support to, the Expert Panel advising Ministers on the Review of the New Zealand Health and Disability System. |
5,260 | 3,760 | 4,304 |
Total Multi-Category Expenses and Capital Expenditure |
26,401 | 24,901 | 26,895 |
Total Annual Appropriations and Forecast Permanent Appropriations |
17,994,825 | 17,809,752 | 19,870,563 |
Capital Injection Authorisations#
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Ministry of Health - Capital Injection (M36) | 10,092 | 10,092 | 3,144 |
Supporting Information#
Part 1 - Vote as a Whole#
1.1 - New Policy Initiatives
Policy Initiative | Appropriation | 2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Funding for District Health Boards |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders |
Health and Disability Support Services - DHBs Non-departmental output expense |
- | 569,000 | 569,000 | 569,000 | 569,000 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement |
Health and Disability Support Services - DHBs Non-departmental output expense |
50,252 | 115,394 | 116,826 | 116,826 | 116,826 |
Supporting Safe Working Conditions for Nurses Non-departmental output expense |
45,694 | - | - | - | - | |
Managing the Purchase of Services Departmental output expense |
1,200 | - | - | - | - | |
Funding the DHB PSA Multi-Employer Collective Agreements |
Health and Disability Support Services - DHBs Non-departmental output expense |
29,096 | 28,054 | 22,735 | 22,735 | 22,735 |
Increasing Access to and the Range of Affordable Pharmaceuticals |
Health and Disability Support Services - DHBs Non-departmental output expense |
- | 10,000 | 10,000 | 10,000 | 10,000 |
Christchurch Terror Attacks - Initial Health Response |
Health and Disability Support Services - Canterbury DHB Non-departmental output expense |
3,000 | - | - | - | - |
Improving the Financial Sustainability and Performance of District Health Boards |
Health Services Funding Non-departmental output expense |
- | 23,681 | 23,681 | 23,681 | 23,681 |
Funding for Mental Wellbeing |
||||||
Expanding Access and Choice of Primary Mental Health and Addiction Support |
National Mental Health Services Non-departmental output expense |
- | 29,000 | 76,281 | 108,250 | 150,375 |
Health Workforce Training and Development Non-departmental output expense |
- | 13,888 | 18,186 | 22,330 | 22,664 | |
Managing the Purchase of Services Departmental output expense |
- | 1,750 | 1,750 | 2,050 | 2,050 | |
Health Sector Information Systems Departmental output expense |
- | 3,000 | 750 | 750 | 750 | |
Policy Advice and Ministerial Servicing MCA - Policy Advice Departmental output expense |
- | 500 | 250 | 250 | 250 | |
Enhancing Specialist Alcohol and Other Drug Services |
National Mental Health Services Non-departmental output expense |
- | 10,500 | 10,500 | 10,500 | 10,500 |
Preventing Suicide and Supporting People Bereaved by Suicide |
National Mental Health Services Non-departmental output expense |
- | 10,100 | 10,000 | 9,950 | 9,950 |
Expanding Telehealth and Digital Supports for Mental Wellbeing |
National Mental Health Services Non-departmental output expense |
- | 5,200 | 5,200 | 5,200 | 5,200 |
Forensic Mental Health Services for Young People |
National Mental Health Services Non-departmental output expense |
- | 2,420 | 3,960 | 5,470 | 7,150 |
Forensic Mental Health Services for Adults |
National Mental Health Services Non-departmental output expense |
- | 1,770 | 3,430 | 4,410 | 5,390 |
Enhancing Primary Addiction Responses |
National Mental Health Services Non-departmental output expense |
- | 2,000 | 3,000 | 4,000 | 5,000 |
Mental Wellbeing Support for Parents and Whanau |
National Mental Health Services Non-departmental output expense |
- | 500 | 3,000 | 3,000 | 3,000 |
Policy Advice and Ministerial Servicing MCA - Policy Advice Departmental output expense |
- | 50 | 100 | 100 | 250 | |
Improving Support for People Experiencing a Mental Health Crisis |
National Mental Health Services Non-departmental output expense |
- | 2,000 | 2,000 | 2,000 | 2,000 |
Intensive Parenting Support - Expanding the Pregnancy and Parenting Service to Improve the Wellbeing Outcomes of Parents and their Children |
National Mental Health Services Non-departmental output expense |
- | 1,000 | 2,000 | 2,000 | 2,000 |
Support for Christchurch - Continuation of Funding for Primary Care and Community-Based Mental Health Workers |
National Mental Health Services Non-departmental output expense |
- | 5,480 | - | - | - |
Te Ara Oranga - Continuing the Methamphetamine Harm Reduction Programme in Northland |
National Mental Health Services Non-departmental output expense |
- | 1,000 | 1,000 | 1,000 | 1,000 |
Promoting Wellbeing in Primary and Intermediate Schools |
National Mental Health Services Non-departmental output expense |
- | 1,000 | 400 | 400 | 400 |
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018 |
Supporting Equitable Pay Non-departmental output expense |
29,405 | 36,636 | 34,468 | 42,787 | 42,787 |
Managing the Purchase of Services Departmental output expense |
3,200 | - | - | - | - | |
Health Workforce Training and Development Non-departmental output expense |
455 | 472 | - | - | - | |
Expanding and Enhancing School Based Health Services |
National Child Health Services Non-departmental output expense |
- | 4,976 | 4,626 | 4,626 | 4,626 |
Policy Advice and Ministerial Servicing MCA - Policy Advice Departmental output expense |
- | 100 | 100 | 200 | 100 | |
Managing the Purchase of Services Departmental output expense |
- | 156 | 45 | 45 | - | |
Establishing a New Mental Health and Wellbeing Commission |
Monitoring and Protecting Health and Disability Consumer Interests Non-departmental output expense |
- | 2,000 | 2,000 | 2,000 | 2,000 |
Funding for Disability Support Services |
||||||
Disability Support Services - Maintaining Health Services for Disabled New Zealanders |
National Disability Support Services Non-departmental output expense |
60,400 | 72,000 | 72,000 | 72,000 | 72,000 |
Funding the Growth in In-Between Travel for Home and Community Support |
National Disability Support Services Non-departmental output expense |
- | - | 39,440 | 39,440 | 39,440 |
Meeting Minimum Wage Obligations under the Home and Community Support (Payment for Travel Between Clients) Settlement Act |
National Disability Support Services Non-departmental output expense |
- | 5,756 | 5,756 | 5,756 | 5,756 |
Disability Support System Transformation - MidCentral Prototype |
National Disability Support Services Non-departmental output expense |
112 | 220 | - | - | - |
Funding for other initiatives |
||||||
Nursing Workforce Accord - Providing Additional Places for Nurse Entry to Practice |
Health Workforce Training and Development Non-departmental output expense |
- | 6,133 | 6,133 | 6,133 | 6,133 |
Health Workforce Training and Development to Benefit Rural and Regional Areas |
Health Workforce Training and Development Non-departmental output expense |
- | 4,563 | 4,563 | 4,563 | 4,563 |
Increasing Access to and Modernising Child Development Services to Improve the Health and Social Outcomes of Children with Additional Needs |
National Child Health Services Non-departmental output expense |
- | 8,750 | 8,750 | 8,750 | 8,750 |
Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years |
National Child Health Services Non-departmental output expense |
- | 10,000 | - | - | - |
Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years |
National Child Health Services Non-departmental output expense |
4,000 | - | - | - | - |
Supporting Schools and Early Learning Settings to Improve Wellbeing Through Healthy Eating and Quality Physical Activity |
Public Health Service Purchasing Non-departmental output expense |
- | 2,570 | 1,810 | 1,810 | 1,810 |
National Community Maternity Services - Maintaining Primary Maternity Services for New Zealanders to Support Healthy Pregnancies and Births |
National Maternity Services Non-departmental output expense |
- | 7,425 | 7,425 | 7,425 | 7,425 |
Improving the Financial Sustainability and Performance of Emergency Services |
National Emergency Services Non-departmental output expense |
- | 13,430 | 7,570 | - | - |
Supporting the Continued Delivery of Emergency Ambulance Services |
National Emergency Services Non-departmental output expense |
- | 4,301 | 4,301 | 4,301 | 4,301 |
Planned Care, including Elective Surgery - Maintaining Services for New Zealanders |
National Planned Care Services Non-departmental output expense |
- | 16,700 | 16,700 | 16,700 | 16,700 |
Planned Care, including Elective Surgery - Increasing the Number of Interventions for New Zealanders |
National Planned Care Services Non-departmental output expense |
- | 12,000 | 12,000 | 12,000 | 12,000 |
Increasing Access to Gender Affirming Surgery |
National Planned Care Services Non-departmental output expense |
- | 748 | 748 | 748 | 748 |
Establish New Zealand Blood Service as the National Organ Donation Agency |
National Planned Care Services Non-departmental output expense |
100 | 475 | 250 | 250 | 250 |
Primary Care - Maintaining Access to Primary Health Services for New Zealanders |
Primary Health Care Strategy Non-departmental output expense |
- | 16,800 | 16,800 | 16,800 | 16,800 |
Strategy to Prevent and Minimise Gambling Harm |
Problem Gambling Services Non-departmental output expense |
- | 3,171 | 8,582 | 9,068 | - |
Managing the Purchase of Services Departmental output expense |
- | 260 | 293 | 293 | - | |
National Bowel Screening Programme - Rollout of Programme to a Further Four DHBs |
Public Health Service Purchasing Non-departmental output expense |
- | 9,000 | 9,000 | 9,000 | 9,000 |
Synthetic Drugs Response |
Public Health Service Purchasing Non-departmental output expense |
6,750 | 5,550 | 2,150 | 2,150 | - |
Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence |
Public Health Service Purchasing Non-departmental output expense |
- | 524 | 524 | 524 | 524 |
Policy Advice and Ministerial Servicing MCA - Policy Advice Departmental output expense |
- | 300 | 300 | - | - | |
Support for Rainbow Communities |
Public Health Service Purchasing Non-departmental output expense |
60 | 1,010 | - | - | - |
Funded Family Care |
Legal Expenses Non-departmental other expense |
10,000 | ||||
Supporting Integrated Health and Social Services at Auckland City Mission |
Provider Development Non-departmental other expense |
16,700 | - | - | - | - |
Reducing the Incidence and Improving the Management of Rheumatic Fever |
Public Health Service Purchasing Non-departmental output expense |
- | 2,710 | 3,030 | 3,130 | 3,130 |
Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline |
Provider Development Non-departmental other expense |
- | 2,380 | 2,380 | 2,380 | 2,380 |
Managing the Purchase of Services Departmental output expense |
- | 120 | 120 | 120 | 120 | |
Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes |
Provider Development Non-departmental other expense |
- | 500 | 1,473 | 1,500 | 2,000 |
Managing the Purchase of Services Departmental output expense |
400 | 463 | 1,464 | 1,968 | ||
Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree |
Provider Development Non-departmental other expense |
- | 315 | 780 | 1,245 | 1,395 |
Managing the Purchase of Services Departmental output expense |
- | 150 | 150 | 150 | 150 | |
Maori Health Workforce Development Package - Pathways to Ongoing Employment to Enable Equitable Health Outcomes |
Provider Development Non-departmental other expense |
- | 2,500 | 2,500 | 2,500 | 2,500 |
Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes |
Provider Development Non-departmental other expense |
- | 750 | 750 | 750 | 750 |
Policy Advice and Ministerial Servicing MCA - Policy Advice Departmental output expense |
- | 250 | 250 | 250 | 250 | |
An Effective, Timely Crown Response to the Royal Commission of Inquiry into Historical Abuse in Care |
Managing the Purchase of Services Departmental output expense |
- | 150 | - | - | - |
Medicinal Cannabis Scheme - Quality Standards and Licensing |
Regulatory and Enforcement Services Departmental output expense |
582 | 535 | - | - | - |
Infrastructure Support for District Health Boards' Capital Projects |
Sector Planning and Performance Departmental output expense |
- | 3,000 | 4,500 | 5,500 | 7,000 |
Enhancing the Ministry of Health's Capability to Support Government Priorities |
Sector Planning and Performance Departmental output expense |
- | 600 | 600 | 600 | 600 |
Policy Advice and Ministerial Servicing MCA - Policy Advice Departmental output expense |
- | 400 | 400 | 400 | 400 | |
Establishing the NZ Health and Disability System Review |
Policy Advice and Ministerial Servicing MCA - Supporting the Review of the New Zealand Health and Disability System Departmental output expense |
5,260 | 4,304 | - | - | - |
2020 Cannabis Referendum: Approach and Timeframes |
Policy Advice and Ministerial Servicing MCA - Policy Advice Departmental output expense |
150 | - | - | - | - |
Total Operating Expenditure |
266,416 | 1,102,377 | 1,167,779 | 1,211,260 | 1,248,527 | |
District Health Boards' Capital Investment |
Equity for Capital Projects for DHBs and Health Sector Crown Agencies Non-departmental capital expenditure |
- | 850,000 | 850,000 | - | - |
District Health Boards - Deficit Support |
Equity Support for DHB deficits Non-departmental capital expenditure |
95,000 | 95,000 | - | - | - |
Dunedin Hospital Redevelopment drawdown from Contingency Fund |
Health Sector Projects Non-departmental capital expenditure |
9,600 | 10,600 | - | - | - |
Total Capital Expenditure |
104,600 | 955,600 | 850,000 | - | - | |
National Screening Solution drawdown from Contingency Fund |
Departmental capital injection |
10,092 | 3,144 | 733 | - | - |
Total |
381,108 |
2,061,121 |
2,018,512 |
1,211,260 |
1,248,527 |
1.2 - Trends in the Vote
Summary of Financial Activity
2014/15 | 2015/16 | 2016/17 | 2017/18 | 2018/19 | 2019/20 | 2020/21 | 2021/22 | 2022/23 | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Actual $000 |
Actual $000 |
Actual $000 |
Actual $000 |
Final Budgeted $000 |
Estimated Actual $000 |
Departmental Transactions Budget $000 |
Non- Departmental Transactions Budget $000 |
Total Budget $000 |
Estimated $000 |
Estimated $000 |
Estimated $000 |
|
Appropriations |
||||||||||||
Output Expenses | 14,297,234 | 14,746,556 | 15,228,315 | 16,133,480 | 17,178,784 | 17,129,786 | 194,071 | 17,889,824 | 18,083,895 | 18,045,678 | 18,186,298 | 18,222,865 |
Benefits or Related Expenses | - | - | - | - | - | - | N/A | - | - | - | - | - |
Borrowing Expenses | - | - | - | - | - | - | - | - | - | - | - | - |
Other Expenses | 26,480 | 25,307 | 102,469 | 22,196 | 41,347 | 26,697 | - | 46,492 | 46,492 | 35,230 | 35,722 | 36,372 |
Capital Expenditure | 689,136 | 487,272 | 3,043,698 | 348,501 | 748,293 | 628,368 | 16,000 | 1,697,281 | 1,713,281 | 1,046,633 | 135,021 | 68,850 |
Intelligence and Security Department Expenses and Capital Expenditure | - | - | - | - | - | - | - | N/A | - | - | - | - |
Multi-Category Expenses and Capital Expenditure (MCA) | ||||||||||||
Output Expenses | 20,878 | 20,705 | 20,521 | 20,586 | 26,401 | 24,901 | 26,895 | - | 26,895 | 22,391 | 22,191 | 22,241 |
Other Expenses | - | - | - | - | - | - | - | - | - | - | - | - |
Capital Expenditure | - | - | - | - | - | - | N/A | - | - | - | - | - |
Total Appropriations |
15,033,728 | 15,279,840 | 18,395,003 | 16,524,763 | 17,994,825 | 17,809,752 | 236,966 | 19,633,597 | 19,870,563 | 19,149,932 | 18,379,232 | 18,350,328 |
Crown Revenue and Capital Receipts |
||||||||||||
Tax Revenue | - | - | - | - | - | - | N/A | - | - | - | - | - |
Non-Tax Revenue | 669,571 | 687,880 | 675,915 | 834,322 | 878,648 | 878,648 | N/A | 927,996 | 927,996 | 964,087 | 981,317 | 998,811 |
Capital Receipts | 147,800 | 24,648 | 23,133 | 23,719 | 27,499 | 27,499 | N/A | 27,499 | 27,499 | 27,499 | 27,499 | 27,499 |
Total Crown Revenue and Capital Receipts |
817,371 | 712,528 | 699,048 | 858,041 | 906,147 | 906,147 | N/A | 955,495 | 955,495 | 991,586 | 1,008,816 | 1,026,310 |
Note - where restructuring of the vote has occurred then, to the extent practicable, prior years information has been restated as if the restructuring had occurred before the beginning of the period covered. In this instance Total Appropriations for the Budgeted and Estimated Actual year may not equal Total Annual Appropriations and Forecast Permanent Appropriations and Multi-Year Appropriations in the Details of Appropriations and Capital Injections.
Adjustments to the Summary of Financial Activity Table Due to Vote Restructuring
There have been no restructuring adjustments to prior year information in the Summary of Financial Activity table.
1.3 - Analysis of Significant Trends
Total Vote: All Appropriations
Vote Health has grown from actual expenditure in 2014/15 of $15,034 million to budgeted expenditure in 2019/20 of $19,871 million, an increase of $4,837 million over five years. This has mainly been driven by increases to:
- Output Expenses, which were $14,318 million in 2014/15 and are budgeted at $18,111 million in 2019/20 - an increase of $3,793 million, and
- Capital Expenditure, which was $689 million in 2014/15 and is budgeted at $1,713 million in 2019/20 - an increase of $1,024 million.
Output Expenses
The growth in the Vote's Output Expenses is mainly in funding provided to DHBs to address demographic and cost pressures. Their appropriations for 2019/20 are budgeted at $13,980 million, an increase of $2,536 million over the actual expenditure in 2014/15. In addition to this expenditure, DHBs are typically contracted by the Ministry of Health for additional national services. In some cases, this funding is being devolved to DHBs, making them directly responsible for services previously administered nationally.
Also contributing to the growth are increases in funding for national services administered by the Ministry of Health, such as disability support services and various public and personal health services. The 2019/20 appropriations for these national services are budgeted for $3,221 million which is $758 million greater than the actual expenditure in 2014/15. The main drivers of the increase are the Crown's ongoing investment in:
- disability support services, which has increased by nearly $219 million since 2014/15
- primary health care strategy, which has increased by nearly $176 million since 2014/15, and
- additional planned care (elective) services, which has increased by $106 million since 2014/15.
Funding for the support, oversight, governance, and development of the health and disability sectors has also grown. Actual expenditure of $411 million in 2014/15 has increased to budgeted expenditure in 2019/20 of $911 million. The increase is mainly in funding to support pay equity.
Other Expenses
Vote Health also provides funding for Other Expenses, such as grants to support the development of service providers in the health and disability sector, and to fund international health organisations. It also funds the defence and settlement of legal claims. This expenditure is budgeted to grow to $46 million in 2019/20 from the actual expenditure of $26 million in 2014/15, largely driven by investment in Provider Development.
Capital Expenditure
The Crown continues to provide capital for sector infrastructure. Appropriations for 2019/20 are $1,548 million, compared to actual expenditure of $652 million in 2014/15. As in previous years, this includes funding for multi-year projects and provision for some future expenses or risks.
There is $165 million of other capital expenditure appropriated for 2019/20. This comprises equity injections to district health boards to address working capital requirements, residential care loans, and authority for the Ministry of Health to purchase or develop assets for its use.
In 2016/17, additional capital funding of $2,415 million was provided to replace DHBs' Crown loans with equity. This resulted in a significant increase in the capital expenditure appropriated in that year. See Summary of Financial Activity table in Part 1.2.
Crown Revenue and Capital Receipts
Vote Health receives Crown Revenue from ACC for the purchase of public health acute and other services from DHBs, and capital charge revenue from Crown Entities in the health sector. The ACC revenue has increased from $475 million in 2014/15 to forecast revenue of $553 million in 2019/20. The capital charge revenue has grown from $194 million in 2014/15 to forecast revenue of $375 million in 2019/20. This has been impacted by changes in the capital charge rate and the replacement of DHBs' Crown loans with equity in 2016/17.
Vote Health receives Capital Receipts in the form of repayments from residential care loans and equity repayments from DHBs. The residential care loan repayments are forecast at $15 million per annum. The equity repayments from DHBs vary significantly across years. In 2014/15, Canterbury DHB made significant repayments from the insurance proceeds it received as a result of the Canterbury earthquakes. These repayments contributed towards the Canterbury hospital rebuild funded by capital expenditure appropriations.
1.4 - Reconciliation of Changes in Appropriation Structure
Old Structure | New Structure | |||||
---|---|---|---|---|---|---|
2018/19 Appropriations in the 2018/19 Structure |
2018/19 (Current) $000 |
Appropriations to which Expenses (or Capital Expenditure) have been Moved from or to |
Amount Moved $000 |
2018/19 Appropriations in the 2019/20 Structure |
2018/19 (Restated) $000 |
2019/20 $000 |
Non-Departmental Output Expenses |
Non-Departmental Output Expenses |
|||||
National Elective Services | 362,357 | renamed | - | National Planned Care Services | 362,357 | 396,085 |
Total |
362,357 |
- |
Total |
362,357 |
396,085 |
Explanations of the reasons for changing the appropriation structure are noted in the details of each appropriation in Parts 2-4.
Part 2 - Details of Departmental Appropriations#
2.1 - Departmental Output Expenses
Health Sector Information Systems (M36)
Scope of Appropriation
Expenses and Revenue
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 51,118 | 49,318 | 58,618 |
Revenue from the Crown | 51,118 | 51,118 | 58,618 |
Revenue from Others | - | - | - |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide information technology services and infrastructure to support the operation of New Zealand's health services.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Client Insight and Analytics# |
|||
Percentage of published Tier 1 statistics meet Statistics New Zealand standards within agreed timetable |
100% | 100% | 100% |
Respondent satisfaction with how the Health Survey is conducted is greater than |
90% | 90% | 90% |
National Infrastructure and Ministry Information Systems# |
|||
The percentage of time for which key sector- and public-facing systems are available (see Note 1) |
99% | 100% | 99% |
Number of security breach incidents |
0 | 0 | 0 |
Note 1 - Key sector- and public-facing systems are National Health Index, National Immunisation Register, Online Pharmacy, Special Authorities, Oracle Financials, and Web Access.
End of Year Performance Reporting
The Ministry of Health will report performance information for this appropriation in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Expanding Access and Choice of Primary Mental Health and Addiction Support | 2019/20 | - | 3,000 | 750 | 750 | 750 |
National Bowel Screening Programme Implementation Year Two | 2018/19 | 4,000 | 4,000 | 2,500 | 2,500 | 2,500 |
Previous Government |
||||||
National Bowel Screening Programme Rollout | 2016/17 | 2,500 | 2,500 | 2,500 | 2,500 | 2,500 |
Reasons for Change in Appropriation
This appropriation increases by $7.500 million to $58.618 million due to:
- $4.500 million one-off reduction in 2018/19 for a fiscally neutral transfer between departmental output expenses that better reflects the outputs the Ministry expects to deliver during the year, and
- $3 million for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support.
Managing the Purchase of Services (M36)
Scope of Appropriation
Expenses and Revenue
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 49,374 | 47,374 | 42,441 |
Revenue from the Crown | 49,374 | 49,374 | 42,441 |
Revenue from Others | - | - | - |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve the administration of health and disability services, purchased on behalf of the Crown in line with Government priorities and the Ministry of Health's strategic intentions (as outlined in the Ministry of Health's Statement of Strategic Intentions).
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
The Ministry procurement process is in line with government standards |
Achieved | Achieved | Achieved |
The ratio of departmental expenditure for the output class against relevant non-departmental expenditure |
1:107 | 1:107 | 1:107 |
The percentage of Ministry feedback to Crown Funding Agreement Variation (CFAV) monitoring reports that are supplied to DHBs within agreed timeframes (see Note 1) |
95% | 100% | 95% |
The percentage of complaints in regards to Disability Support Services (DSS) that receive either a resolution notification or progress update within 20 days of DSS receiving the complaint |
95% | 95% | 95% |
Note 1 - When a monitoring report is received at the Ministry, it is logged into an electronic system. This generates an automated letter to say it has been received. The 'formal response' is the next contact the Ministry has with the provider when necessary. The formal response could be a phone call, email, formal letter or an actual visit.
End of Year Performance Reporting
The Ministry of Health will report performance information for this appropriation in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government | ||||||
Expanding Access and Choice of Primary Mental Health and Addiction Support | 2019/20 | - | 1,750 | 1,750 | 2,050 | 2,050 |
Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes | 2019/20 | - | 400 | 463 | 1,464 | 1,968 |
Strategy to Prevent and Minimise Gambling Harm | 2019/20 | - | 260 | 293 | 293 | - |
Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree | 2019/20 | - | 150 | 150 | 150 | 150 |
Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline | 2019/20 | - | 120 | 120 | 120 | 120 |
Expanding and Enhancing School Based Health Services | 2019/20 | - | 156 | 45 | 45 | - |
An Effective, Timely Crown Response to the Royal Commission of Inquiry into Historical Abuse in Care | 2019/20 | - | 150 | - | - | - |
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018 | 2018/19 | 3,200 | - | - | - | - |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 1,200 | - | - | - | - |
Transforming the Disability Support System drawdown from Contingency Fund | 2018/19 | 6,971 | 6,420 | - | - | - |
Integrated Therapies Pilot for 18-25 Year Olds | 2018/19 | 620 | 420 | 420 | - | - |
Developing a Free Annual Health Check for SuperGold Card Holders | 2018/19 | 1,000 | - | - | - | - |
Meeting Air Ambulance Service Cost Pressures | 2018/19 | 300 | 300 | 300 | 300 | 300 |
Very Low Cost General Practitioner Visits for Community Services Card Holders | 2017/18 | 400 | - | - | - | - |
Previous Government |
||||||
Contraceptive Services for Low Income Women | 2017/18 | 120 | 120 | 120 | 120 | 120 |
National Bowel Screening Programme Rollout | 2016/17 | 2,415 | 2,340 | 2,340 | 2,340 | 2,340 |
Problem Gambling Services - Continued Support | 2016/17 | 293 | - | - | - | - |
Reasons for Change in Appropriation
This appropriation decreases by $6.933 million to $42.441 million mainly due to:
- $3.200 million for a one-off increase in funding in 2018/19 from Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018
- $3 million uplift in 2018/19 for a fiscally neutral transfer between departmental output expenses that better reflects the outputs the Ministry expects to deliver during the year
- $1.200 million for a one-off increase in funding in 2018/19 for settlement of the NZNO nurses multi-employer collective agreement
- $1 million for a one-off increase in funding for the Budget 2018 initiative Developing a Free Annual Health Check for SuperGold Card Holders
- $551,000 for a reduction in funding in 2019/20 for the initiative Transforming the Disability Support System, and
- $400,000 in 2018/19 only for Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Services Card Holders.
This decrease is partly offset by:
- $1.750 million for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support
- $400,000 for the Budget 2019 initiative Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes
- $260,000 from Strategy to Prevent and Minimise Gambling Harm, and
- $576,000 for four other Budget 2019 initiatives.
Memorandum Account
2018/19 | 2019/20 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Problem Gambling |
|||
Opening Balance at 1 July | (609) | (609) | (609) |
Revenue | 990 | 990 | 957 |
Expenses | 990 | 990 | 957 |
Closing Balance at 30 June |
(609) | (609) | (609) |
Payment Services (M36)
Scope of Appropriation
Expenses and Revenue
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 15,340 | 15,340 | 17,340 |
Revenue from the Crown | 15,340 | 15,340 | 17,340 |
Revenue from Others | - | - | - |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide for timely and appropriate payments to be made to eligible parties (including eligible health service providers and consumers) and contracts to be audited and processed efficiently and effectively.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
The percentage of claims paid on time |
98% | 100% | 98% |
The percentage of claims processed accurately |
95% | 99% | 95% |
The percentage of all draft agreements prepared for funders within target timeframes |
95% | 85% | 95% |
The percentage of agreements prepared accurately (see Note 1) |
95% | 100% | 95% |
The percentage of calls to the contact centre answered within service specifications for timeliness (20 seconds) |
80% | 80% | 80% |
The percentage of calls abandoned by callers prior to being answered by the contact centre is less than |
5% | 4.5% | 5% |
The percentage of enquiries resolved within 10 working days |
95% | 96% | 95% |
Court written decisions and findings relating to concluded Ministry of Health Audit & Compliance initiated prosecutions contain no adverse judicial comment in regards to the evidential basis of the prosecutions |
0 | 0 | 0 |
Percentage of Health Integrity Line complaints that are evaluated within 10 working days of complaint being received is greater than or equal to |
95% | 100% | 95% |
Note 1 - All information is deemed to be processed accurately if agreements are legally binding and purchase order information is correctly entered.
End of Year Performance Reporting
The Ministry of Health will report performance information for this appropriation in its Annual Report.
Reasons for Change in Appropriation
The increase in this appropriation is due to a one-off funding reduction of $2 million in 2018/19 from a fiscally neutral transfer between departmental outputs that better reflects the outputs the Ministry expects to deliver.
Regulatory and Enforcement Services (M36)
Scope of Appropriation
Expenses and Revenue
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 23,443 | 23,043 | 24,646 |
Revenue from the Crown | 12,735 | 12,735 | 11,188 |
Revenue from Others | 10,708 | 10,708 | 13,458 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to ensure that health and disability services are regulated so that appropriate standards are followed.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
The percentage of medium and high priority quality incident notifications relating to medicines and medical devices that undergo an initial review within 5 working days |
90% | 90% | 90% |
The percentage of all certificates issued to providers under the Health and Disability Services (Safety) Act 2001 within target timeframes |
90% | 90% | 90% |
Percentage of licences and authorities issued under the Medicines Act 1981 and Misuse of Drugs Act 1975 within target timeframes |
90% | 90% | 90% |
The percentage of all licences and consents issued to radiation users under the Radiation Safety Act 2016 within 10 working days of the receipt of all information and payment of the required fee |
90% | 100% | 90% |
The percentage of all New Medicines Applications (for ministerial consent to market) that receive an initial assessment within 200 days |
80% | 90% | 80% |
The percentage of all Changed Medicines Notifications (for ministerial consent to market) responded to within 45 days |
100% | 100% | 100% |
Average rating for statutory committee satisfaction with secretariat services provided by the Ministry |
4 out of 5 or greater | 4 | 4 out of 5 or greater |
End of Year Performance Reporting
The Ministry of Health will report performance information for this appropriation in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Medicinal Cannabis Scheme - Quality Standards and Licensing | 2018/19 | 582 | 535 | - | - | - |
Previous Government |
||||||
Radiation Safety Act - administration of new regulations | 2016/17 | 574 | 574 | 574 | 574 | 574 |
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Memorandum Account
2018/19 | 2019/20 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Office of Radiation Safety |
|||
Opening Balance at 1 July | 398 | 398 | 398 |
Revenue | 750 | 750 | 1,500 |
Expenses | 750 | 750 | 1,500 |
Closing Balance at 30 June |
398 | 398 | 398 |
MedSafe |
|||
Opening Balance at 1 July | (1,310) | (1,310) | (1,310) |
Revenue | 8,121 | 8,121 | 10,121 |
Expenses | 8,121 | 8,121 | 10,121 |
Closing Balance at 30 June |
(1,310) | (1,310) | (1,310) |
Sector Planning and Performance (M36)
Scope of Appropriation
Expenses and Revenue
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 54,426 | 52,426 | 51,026 |
Revenue from the Crown | 54,277 | 54,277 | 50,877 |
Revenue from Others | 149 | 149 | 149 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve: health sector services are appropriately planned, funded, and monitored; health sector Crown entities, agencies, and companies are appropriately governed; and sector co-ordination is encouraged and assisted.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Planning and funding advice for the financial year is provided to Crown entities by 31 December |
Achieved | Achieved | Achieved |
The Ministry provides the Minister with advice of all DHB annual plans by 30 June |
Achieved | Achieved | Achieved |
The percentage of monitoring feedback reports about performance supplied to DHBs within agreed timeframes |
100% | 100% | 100% |
The percentage of quarterly and monthly monitoring reports about DHBs provided to the Minister within agreed timeframes |
100% | 55% | 100% |
The percentage of quarterly and monthly monitoring reports about Crown entities (excluding DHBs) provided to the Minister within agreed timeframes |
100% | 100% | 100% |
Maintain the capability and capacity to respond to national emergencies and emerging health threats (see Note 1) |
Achieved | Achieved | Achieved |
The percentage of appointments to DHBs and other health Crown entity boards where advice is presented to the Minister prior to the current appointee's term expiring (see Note 2) |
95% | 91% | 95% |
Note 1 - Capability and capacity to respond means the Ministry has the necessary systems, procedures, facilities and staffing in place to initiate and manage at the national level the health response to a national emergency or emerging health threat.
Note 2 - Unexpected resignation or departure prior to the expiration of the term is not included.
End of Year Performance Reporting
The Ministry of Health will report performance information for this appropriation in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Infrastructure Support for District Health Boards' Capital Projects | 2019/20 | - | 3,000 | 4,500 | 5,500 | 7,000 |
Enhancing the Ministry of Health's Capability to Support Government Priorities | 2019/20 | - | 600 | 600 | 600 | 600 |
2.3 - Departmental Capital Expenditure and Capital Injections
Ministry of Health - Capital Expenditure PLA (M36)
Scope of Appropriation
Capital Expenditure
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Forests/Agricultural | - | - | - |
Land | - | - | - |
Property, Plant and Equipment | 1,863 | 1,863 | 1,163 |
Intangibles | 19,024 | 14,599 | 14,837 |
Other | - | - | - |
Total Appropriation |
20,887 | 16,462 | 16,000 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve the renewal, upgrade, or redesign of assets to support the delivery of the Ministry of Health's core functions and responsibilities (refer to Part 2.1).
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Expenditure is in accordance with the Ministry of Health's capital asset management plan |
Achieved | Achieved | Achieved |
End of Year Performance Reporting
The Ministry of Health will report performance information for its departmental outputs in its Annual Report.
Reasons for Change in Appropriation
This appropriation decreased by $4.887 million to $16 million. This was due to the forecast funding profile for capital investment.
Capital Injections and Movements in Departmental Net Assets
Ministry of Health
Details of Net Asset Schedule | 2018/19 Estimated Actual $000 |
2019/20 Projected $000 |
Explanation of Projected Movements in 2019/20 |
---|---|---|---|
Opening Balance | 31,451 | 41,543 | |
Capital Injections | 10,092 | 3,144 | The capital injections for 2018/19 and 2019/20 relate to the National Bowel Screening Programme and the National Screening Solution. |
Capital Withdrawals | - | - | |
Surplus to be Retained (Deficit Incurred) | - | - | |
Other Movements | - | - | |
Closing Balance |
41,543 | 44,687 |
Part 3 - Details of Non-Departmental Appropriations#
3.1 - Non-Departmental Output Expenses
Health and Disability Support Services - Auckland DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,330,189 | 1,330,189 | 1,391,484 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Each DHB has a statutory responsibility to prepare:
- an Annual Plan for approval by the Minister of Health (Section 38 of the New Zealand Public Health and Disability Act 2000) - providing accountability to the Minister of Health
- a Statement of Performance Expectations (Section 149C of the Crown Entities Act 2004 as amended by the Crown Entities Amendment Act 2013) - providing financial accountability to Parliament and the public annually
- a Statement of Intent (Section 139 of the Crown Entities Act) - providing accountability to Parliament and the public at least triennially.
These documents are brought together into a single DHB Annual Plan with the Statement of Intent and Statement of Performance Expectations, and is known as the 'Annual Plan'.
The Statement of Performance Expectations provides specific measures/targets for the coming year, with comparative prior year and current year forecast (at a minimum).
Four Output Classes are used by all DHBs to reflect the nature of services provided:
- Prevention
- Early Detection and Management
- Intensive Assessment and Treatment, and
- Rehabilitation and Support.
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 53,228 | 53,228 | 53,228 | 53,228 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 951 | 951 | 951 | 951 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 5,963 | 13,785 | 14,786 | 14,786 | 14,786 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 3,693 | 3,527 | 3,327 | 3,327 | 3,327 |
District Health Boards - Additional Support | 2018/19 | 71,115 | 71,115 | 71,115 | 71,115 | 71,115 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (2,796) | (3,320) | (6,230) | (6,230) | (6,230) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 41,419 | 41,419 | 41,419 | 41,419 | 41,419 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | 10,614 | 10,614 | 10,614 | 10,614 | 10,614 |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 1,887 | 1,321 | 566 | 566 | 566 |
DHB Efficiency Savings | 2017/18 | (874) | (874) | (874) | (874) | (874) |
District Health Boards - Additional Support | 2016/17 | 45,255 | 45,255 | 45,255 | 45,255 | 45,255 |
More Publicly Funded Medicines | 2016/17 | 2,714 | 2,527 | 2,527 | 2,527 | 2,527 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 36,417 | 36,417 | 36,417 | 36,417 | 36,417 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (1,217) | (1,217) | (1,217) | (1,217) | (1,217) |
Reasons for Change in Appropriation
This appropriation increases by $61.295 million to $1,391.484 million mainly due to:
- $53.228 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $7.822 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $951,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $652,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
- $300,000 transferred from the National Personal Health Services appropriation, devolving the National Intestinal Failure Service funding to Auckland DHB, and
- $67,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $566,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $524,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $253,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
- $187,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $166,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Bay of Plenty DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 728,953 | 728,953 | 762,449 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 30,451 | 30,451 | 30,451 | 30,451 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 561 | 561 | 561 | 561 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 2,253 | 5,242 | 5,184 | 5,184 | 5,184 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 1,112 | 1,065 | 787 | 787 | 787 |
District Health Boards - Additional Support | 2018/19 | 31,327 | 31,327 | 31,327 | 31,327 | 31,327 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (1,646) | (1,955) | (3,668) | (3,668) | (3,668) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 24,622 | 24,622 | 24,622 | 24,622 | 24,622 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (256) | (256) | (256) | (256) | (256) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 1,122 | 785 | 337 | 337 | 337 |
DHB Efficiency Savings | 2017/18 | (524) | (524) | (524) | (524) | (524) |
District Health Boards - Additional Support | 2016/17 | 28,836 | 28,836 | 28,836 | 28,836 | 28,836 |
More Publicly Funded Medicines | 2016/17 | 1,627 | 1,515 | 1,515 | 1,515 | 1,515 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 19,107 | 19,107 | 19,107 | 19,107 | 19,107 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (631) | (631) | (631) | (631) | (631) |
Reasons for Change in Appropriation
This appropriation increases by $33.496 million to $762.449 million mainly due to:
- $30.451 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $2.989 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $561,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $375,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $39,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $337,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $309,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $119,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
- $112,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $47,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Canterbury DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,439,372 | 1,434,372 | 1,510,695 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 64,773 | 64,773 | 64,773 | 64,773 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 1,084 | 1,084 | 1,084 | 1,084 |
Christchurch Terror Attacks - Initial Health Response | 2018/19 | 3,000 | - | - | - | - |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 7,014 | 16,446 | 16,748 | 16,748 | 16,748 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 2,546 | 2,145 | 1,354 | 1,354 | 1,354 |
District Health Boards - Additional Support | 2018/19 | 45,104 | 45,104 | 45,104 | 45,104 | 45,104 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (3,167) | (3,762) | (7,059) | (7,059) | (7,059) |
Previous Government |
||||||
District Health Boards - Additional Support | 2017/18 | 47,755 | 47,755 | 47,755 | 47,755 | 47,755 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (2,693) | (2,693) | (2,693) | (2,693) | (2,693) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 2,176 | 1,523 | 653 | 653 | 653 |
DHB Efficiency Savings | 2017/18 | (1,055) | (1,055) | (1,055) | (1,055) | (1,055) |
District Health Boards - Additional Support | 2016/17 | 32,125 | 32,125 | 32,125 | 32,125 | 32,125 |
More Publicly Funded Medicines | 2016/17 | 3,147 | 2,930 | 2,930 | 2,930 | 2,930 |
Supporting Health Services in Canterbury | 2015/16 | 5,480 | - | - | - | - |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 21,533 | 21,533 | 21,533 | 21,533 | 21,533 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (670) | (670) | (670) | (670) | (670) |
Reasons for Change in Appropriation
This appropriation increases by $71.323 million to $1,510.695 million due to:
- $64.773 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $9.432 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $5.333 million for a technical change in funding due to the difference between capital charge expense and the interest paid on debt
- $1.084 million for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $765,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $77,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $5.260 million carried forward from 2017/18 to 2018/19 only reflecting the timing of funding for work on earthquake repairs
- $3 million one-off funding provided in 2018/19 for Budget 2019 initiative Initial Response and Psychosocial Support for Those Affected by the Christchurch Mosque Attack
- $653,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $595,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $401,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement
- $217,000 reduction in funding from the Budget 2016 More Publicly Funded Medicines initiative, and
- $15,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Capital and Coast DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 778,514 | 778,514 | 817,679 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 34,281 | 34,281 | 34,281 | 34,281 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 570 | 570 | 570 | 570 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 3,250 | 7,875 | 9,221 | 9,221 | 9,221 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 2,819 | 2,891 | 2,259 | 2,259 | 2,259 |
District Health Boards - Additional Support | 2018/19 | 31,515 | 31,515 | 31,515 | 31,515 | 31,515 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (1,669) | (1,982) | (3,718) | (3,718) | (3,718) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 25,001 | 25,001 | 25,001 | 25,001 | 25,001 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (3,709) | (3,709) | (3,709) | (3,709) | (3,709) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 1,138 | 797 | 342 | 342 | 342 |
DHB Efficiency Savings | 2017/18 | (558) | (558) | (558) | (558) | (558) |
District Health Boards - Additional Support | 2016/17 | 15,060 | 15,060 | 15,060 | 15,060 | 15,060 |
More Publicly Funded Medicines | 2016/17 | 1,656 | 1,542 | 1,542 | 1,542 | 1,542 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 11,547 | 11,547 | 11,547 | 11,547 | 11,547 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (360) | (360) | (360) | (360) | (360) |
Reasons for Change in Appropriation
This appropriation increases by $39.165 million to $817.679 million mainly due to:
- $34.281 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $4.625 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $570,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $403,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
- $72,000 additional funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
- $41,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $341,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $313,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $114,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $69,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Counties-Manukau DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,447,124 | 1,447,124 | 1,524,353 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 71,757 | 71,757 | 71,757 | 71,757 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 1,100 | 1,100 | 1,100 | 1,100 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 4,457 | 10,043 | 11,316 | 11,316 | 11,316 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 2,773 | 2,869 | 2,638 | 2,638 | 2,638 |
District Health Boards - Additional Support | 2018/19 | 66,206 | 66,206 | 66,206 | 66,206 | 66,206 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (3,206) | (3,808) | (7,146) | (7,146) | (7,146) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 47,822 | 47,822 | 47,822 | 47,822 | 47,822 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (6,631) | (6,631) | (6,631) | (6,631) | (6,631) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 2,179 | 1,525 | 654 | 654 | 654 |
DHB Efficiency Savings | 2017/18 | (1,044) | (1,044) | (1,044) | (1,044) | (1,044) |
District Health Boards - Additional Support | 2016/17 | 49,009 | 49,009 | 49,009 | 49,009 | 49,009 |
More Publicly Funded Medicines | 2016/17 | 3,176 | 2,957 | 2,957 | 2,957 | 2,957 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 21,486 | 21,486 | 21,486 | 21,486 | 21,486 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (669) | (669) | (669) | (669) | (669) |
Reasons for Change in Appropriation
This appropriation increases by $77.229 million to $1,524.353 million mainly due to:
- $71.757 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $5.586 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $1.100 million for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $757,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
- $96,000 additional funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
- $77,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $654,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $654,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
- $602,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget, and
- $219,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Hawkes Bay DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 501,131 | 501,131 | 524,166 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 20,414 | 20,414 | 20,414 | 20,414 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 384 | 384 | 384 | 384 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 2,098 | 4,699 | 4,314 | 4,314 | 4,314 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 856 | 779 | 536 | 536 | 536 |
District Health Boards - Additional Support | 2018/19 | 15,924 | 15,924 | 15,924 | 15,924 | 15,924 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (1,128) | (1,340) | (2,515) | (2,515) | (2,515) |
Previous Government |
||||||
District Health Boards - Additional Support | 2017/18 | 17,072 | 17,072 | 17,072 | 17,072 | 17,072 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (1,996) | (1,996) | (1,996) | (1,996) | (1,996) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 778 | 544 | 233 | 233 | 233 |
DHB Efficiency Savings | 2017/18 | (370) | (370) | (370) | (370) | (370) |
District Health Boards - Additional Support | 2016/17 | 10,842 | 10,842 | 10,842 | 10,842 | 10,842 |
More Publicly Funded Medicines | 2016/17 | 1,131 | 1,053 | 1,053 | 1,053 | 1,053 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 17,053 | 17,053 | 17,053 | 17,053 | 17,053 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (572) | (572) | (572) | (572) | (572) |
Reasons for Change in Appropriation
This appropriation increases by $23.035 million to $524.166 million mainly due to:
- $20.414 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $2.601 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $384,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $277,000 transferred from the National Personal Health Services appropriation, devolving the Budget initiative 2015 Palliative Care Innovations funding to DHBs, and
- $28,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $234,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $212,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $88,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
- $78,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $77,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Hutt DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 401,752 | 401,752 | 416,836 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 13,086 | 13,086 | 13,086 | 13,086 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 297 | 297 | 297 | 297 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 1,342 | 3,292 | 3,360 | 3,360 | 3,360 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 892 | 827 | 558 | 558 | 558 |
District Health Boards - Additional Support | 2018/19 | 13,119 | 13,119 | 13,119 | 13,119 | 13,119 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (874) | (1,038) | (1,948) | (1,948) | (1,948) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 13,155 | 13,155 | 13,155 | 13,155 | 13,155 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (3,656) | (3,656) | (3,656) | (3,656) | (3,656) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 599 | 420 | 180 | 180 | 180 |
DHB Efficiency Savings | 2017/18 | (302) | (302) | (302) | (302) | (302) |
District Health Boards - Additional Support | 2016/17 | 7,980 | 7,980 | 7,980 | 7,980 | 7,980 |
More Publicly Funded Medicines | 2016/17 | 873 | 813 | 813 | 813 | 813 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 6,138 | 6,138 | 6,138 | 6,138 | 6,138 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (191) | (191) | (191) | (191) | (191) |
Reasons for Change in Appropriation
This appropriation increases by $15.084 million to $416.836 million mainly due to:
- $13.086 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $1.950 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $297,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $217,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $22,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $179,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $164,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $65,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement
- $60,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $30,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Lakes DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 327,563 | 327,563 | 340,415 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 11,391 | 11,391 | 11,391 | 11,391 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 250 | 250 | 250 | 250 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 1,026 | 2,315 | 2,350 | 2,350 | 2,350 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 427 | 404 | 265 | 265 | 265 |
District Health Boards - Additional Support | 2018/19 | 12,019 | 12,019 | 12,019 | 12,019 | 12,019 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (740) | (879) | (1,650) | (1,650) | (1,650) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 11,157 | 11,157 | 11,157 | 11,157 | 11,157 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | 3,454 | 3,454 | 3,454 | 3,454 | 3,454 |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 508 | 356 | 152 | 152 | 152 |
DHB Efficiency Savings | 2017/18 | (236) | (236) | (236) | (236) | (236) |
District Health Boards - Additional Support | 2016/17 | 13,935 | 13,935 | 13,935 | 13,935 | 13,935 |
More Publicly Funded Medicines | 2016/17 | 731 | 680 | 680 | 680 | 680 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 5,519 | 5,519 | 5,519 | 5,519 | 5,519 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (162) | (162) | (162) | (162) | (162) |
Reasons for Change in Appropriation
This appropriation increases by $12.852 million to $340.415 million mainly due to:
- $11.391 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $1.289 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $250,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $173,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $18,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $152,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $139,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $129,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
- $51,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $23,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - MidCentral DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 515,382 | 515,382 | 540,792 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 22,680 | 22,680 | 22,680 | 22,680 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 400 | 400 | 400 | 400 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 1,926 | 4,604 | 4,498 | 4,498 | 4,498 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 763 | 662 | 418 | 418 | 418 |
District Health Boards - Additional Support | 2018/19 | 18,596 | 18,596 | 18,596 | 18,596 | 18,596 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (1,173) | (1,393) | (2,614) | (2,614) | (2,614) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 17,681 | 17,681 | 17,681 | 17,681 | 17,681 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (5,496) | (5,496) | (5,496) | (5,496) | (5,496) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 806 | 564 | 242 | 242 | 242 |
DHB Efficiency Savings | 2017/18 | (389) | (389) | (389) | (389) | (389) |
District Health Boards - Additional Support | 2016/17 | 15,229 | 15,229 | 15,229 | 15,229 | 15,229 |
More Publicly Funded Medicines | 2016/17 | 1,180 | 1,099 | 1,099 | 1,099 | 1,099 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 7,894 | 7,894 | 7,894 | 7,894 | 7,894 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (245) | (245) | (245) | (245) | (245) |
Reasons for Change in Appropriation
This appropriation increases by $25.410 million to $540.792 million mainly due to:
- $22.680 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $2.678 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $400,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $283,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $29,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $242,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $220,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $101,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement
- $81,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $26,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Nelson-Marlborough DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 442,103 | 442,103 | 462,233 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 18,566 | 18,566 | 18,566 | 18,566 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 340 | 340 | 340 | 340 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 929 | 2,262 | 2,375 | 2,375 | 2,375 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 1,224 | 1,312 | 1,181 | 1,181 | 1,181 |
District Health Boards - Additional Support | 2018/19 | 20,417 | 20,417 | 20,417 | 20,417 | 20,417 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (996) | (1,183) | (2,220) | (2,220) | (2,220) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 14,852 | 14,852 | 14,852 | 14,852 | 14,852 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (137) | (137) | (137) | (137) | (137) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 677 | 474 | 203 | 203 | 203 |
DHB Efficiency Savings | 2017/18 | (320) | (320) | (320) | (320) | (320) |
District Health Boards - Additional Support | 2016/17 | 8,783 | 8,783 | 8,783 | 8,783 | 8,783 |
More Publicly Funded Medicines | 2016/17 | 980 | 913 | 913 | 913 | 913 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 15,315 | 15,315 | 15,315 | 15,315 | 15,315 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (515) | (515) | (515) | (515) | (515) |
Reasons for Change in Appropriation
This appropriation increases by $20.130 million to $462.233 million due to:
- $18.566 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $1.333 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $340,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $236,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
- $88,000 for settlement of the DHB Public Service Association multi-employer collective agreement, and
- $24,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $203,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $187,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget, and
- $67,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Northland DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 603,896 | 603,896 | 632,077 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 25,827 | 25,827 | 25,827 | 25,827 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 464 | 464 | 464 | 464 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 1,950 | 4,415 | 4,267 | 4,267 | 4,267 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 1,252 | 1,202 | 942 | 942 | 942 |
District Health Boards - Additional Support | 2018/19 | 36,358 | 36,358 | 36,358 | 36,358 | 36,358 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (1,360) | (1,615) | (3,030) | (3,030) | (3,030) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 20,266 | 20,266 | 20,266 | 20,266 | 20,266 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | 6,297 | 6,297 | 6,297 | 6,297 | 6,297 |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 923 | 646 | 277 | 277 | 277 |
DHB Efficiency Savings | 2017/18 | (409) | (409) | (409) | (409) | (409) |
District Health Boards - Additional Support | 2016/17 | 25,022 | 25,022 | 25,022 | 25,022 | 25,022 |
More Publicly Funded Medicines | 2016/17 | 1,331 | 1,239 | 1,239 | 1,239 | 1,239 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 21,713 | 21,713 | 21,713 | 21,713 | 21,713 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (734) | (734) | (734) | (734) | (734) |
Reasons for Change in Appropriation
This appropriation increases by $28.181 million to $632.077 million due to:
- $25.827 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $2.465 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $464,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $315,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $32,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $277,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $255,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $248,000 transferred to the Primary Health Care Strategy appropriation to support the Budget initiative 2018 Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
- $92,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $50,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - South Canterbury DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 182,428 | 182,428 | 190,066 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 6,679 | 6,679 | 6,679 | 6,679 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 140 | 140 | 140 | 140 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 698 | 1,631 | 1,525 | 1,525 | 1,525 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 187 | 151 | 91 | 91 | 91 |
District Health Boards - Additional Support | 2018/19 | 4,830 | 4,830 | 4,830 | 4,830 | 4,830 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (412) | (490) | (919) | (919) | (919) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 6,248 | 6,248 | 6,248 | 6,248 | 6,248 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (1,178) | (1,178) | (1,178) | (1,178) | (1,178) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 285 | 199 | 85 | 85 | 85 |
DHB Efficiency Savings | 2017/18 | (140) | (140) | (140) | (140) | (140) |
District Health Boards - Additional Support | 2016/17 | 3,695 | 3,695 | 3,695 | 3,695 | 3,695 |
More Publicly Funded Medicines | 2016/17 | 415 | 386 | 386 | 386 | 386 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 2,836 | 2,836 | 2,836 | 2,836 | 2,836 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (88) | (88) | (88) | (88) | (88) |
Reasons for Change in Appropriation
This appropriation increases by $7.638 million to $190.066 million mainly due to:
- $6.679 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $933,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $140,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $102,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $10,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $86,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $78,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $36,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
- $29,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Southern DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 884,027 | 884,027 | 926,825 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 37,872 | 37,872 | 37,872 | 37,872 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 675 | 675 | 675 | 675 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 3,609 | 8,366 | 7,715 | 7,715 | 7,715 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 1,707 | 1,593 | 1,133 | 1,133 | 1,133 |
District Health Boards - Additional Support | 2018/19 | 31,932 | 31,932 | 31,932 | 31,932 | 31,932 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (1,977) | (2,348) | (4,406) | (4,406) | (4,406) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 29,681 | 29,681 | 29,681 | 29,681 | 29,681 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (5,668) | (5,668) | (5,668) | (5,668) | (5,668) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 1,352 | 947 | 406 | 406 | 406 |
DHB Efficiency Savings | 2017/18 | (651) | (651) | (651) | (651) | (651) |
District Health Boards - Additional Support | 2016/17 | 27,256 | 27,256 | 27,256 | 27,256 | 27,256 |
More Publicly Funded Medicines | 2016/17 | 1,975 | 1,839 | 1,839 | 1,839 | 1,839 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 13,329 | 13,329 | 13,329 | 13,329 | 13,329 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (415) | (415) | (415) | (415) | (415) |
Reasons for Change in Appropriation
This appropriation increases by $42.798 million to $926.825 million mainly due to:
- $37.872 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $4.757 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $675,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $475,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $47,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $405,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $371,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $136,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines
- $114,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
- $17,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Tairawhiti DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 166,215 | 166,215 | 171,979 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 5,104 | 5,104 | 5,104 | 5,104 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 127 | 127 | 127 | 127 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 546 | 1,265 | 1,215 | 1,215 | 1,215 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 283 | 267 | 184 | 184 | 184 |
District Health Boards - Additional Support | 2018/19 | 4,986 | 4,986 | 4,986 | 4,986 | 4,986 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (375) | (445) | (835) | (835) | (835) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 5,661 | 5,661 | 5,661 | 5,661 | 5,661 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | 459 | 459 | 459 | 459 | 459 |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 258 | 181 | 77 | 77 | 77 |
DHB Efficiency Savings | 2017/18 | (120) | (120) | (120) | (120) | (120) |
District Health Boards - Additional Support | 2016/17 | 7,054 | 7,054 | 7,054 | 7,054 | 7,054 |
More Publicly Funded Medicines | 2016/17 | 374 | 348 | 348 | 348 | 348 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 2,487 | 2,487 | 2,487 | 2,487 | 2,487 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (77) | (77) | (77) | (77) | (77) |
Reasons for Change in Appropriation
This appropriation increases by $5.764 million to $171.979 million due to:
- $5.104 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $719,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $127,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $88,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $10,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $95,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
- $77,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $70,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $26,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $16,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Taranaki DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 349,770 | 349,770 | 362,111 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 10,787 | 10,787 | 10,787 | 10,787 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 261 | 261 | 261 | 261 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 1,097 | 2,622 | 2,847 | 2,847 | 2,847 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 473 | 428 | 276 | 276 | 276 |
District Health Boards - Additional Support | 2018/19 | 10,296 | 10,296 | 10,296 | 10,296 | 10,296 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (770) | (914) | (1,715) | (1,715) | (1,715) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 11,616 | 11,616 | 11,616 | 11,616 | 11,616 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (3,474) | (3,474) | (3,474) | (3,474) | (3,474) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 529 | 370 | 159 | 159 | 159 |
DHB Efficiency Savings | 2017/18 | (258) | (258) | (258) | (258) | (258) |
District Health Boards - Additional Support | 2016/17 | 6,998 | 6,998 | 6,998 | 6,998 | 6,998 |
More Publicly Funded Medicines | 2016/17 | 774 | 721 | 721 | 721 | 721 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 13,610 | 13,610 | 13,610 | 13,610 | 13,610 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (460) | (460) | (460) | (460) | (460) |
Reasons for Change in Appropriation
This appropriation increases by $12.341 million to $362.111 million due to:
- $10.787 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $1.525 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $261,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $195,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $18,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $159,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $144,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $53,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines
- $45,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement, and
- $44,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Waikato DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,206,301 | 1,206,301 | 1,262,909 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 49,732 | 49,732 | 49,732 | 49,732 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 898 | 898 | 898 | 898 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 6,353 | 13,229 | 11,383 | 11,383 | 11,383 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 2,285 | 2,206 | 1,698 | 1,698 | 1,698 |
District Health Boards - Additional Support | 2018/19 | 49,816 | 49,816 | 49,816 | 49,816 | 49,816 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (2,637) | (3,132) | (5,877) | (5,877) | (5,877) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 39,525 | 39,525 | 39,525 | 39,525 | 39,525 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | 4,385 | 4,385 | 4,385 | 4,385 | 4,385 |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 1,801 | 1,260 | 540 | 540 | 540 |
DHB Efficiency Savings | 2017/18 | (827) | (827) | (827) | (827) | (827) |
District Health Boards - Additional Support | 2016/17 | 49,121 | 49,121 | 49,121 | 49,121 | 49,121 |
More Publicly Funded Medicines | 2016/17 | 2,601 | 2,422 | 2,422 | 2,422 | 2,422 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 43,957 | 43,957 | 43,957 | 43,957 | 43,957 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (1,474) | (1,474) | (1,474) | (1,474) | (1,474) |
Reasons for Change in Appropriation
This appropriation increases by $56.608 million to $1,262.909 million due to:
- $49.732 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $6.876 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $898,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $623,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $64,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $541,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $495,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $291,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
- $179,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $79,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Wairarapa DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 140,650 | 140,650 | 149,112 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 7,853 | 7,853 | 7,853 | 7,853 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 110 | 110 | 110 | 110 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 415 | 990 | 1,100 | 1,100 | 1,100 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 106 | 98 | 70 | 70 | 70 |
District Health Boards - Additional Support | 2018/19 | 5,092 | 5,092 | 5,092 | 5,092 | 5,092 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (317) | (377) | (707) | (707) | (707) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 4,760 | 4,760 | 4,760 | 4,760 | 4,760 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (1,478) | (1,478) | (1,478) | (1,478) | (1,478) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 217 | 152 | 65 | 65 | 65 |
DHB Efficiency Savings | 2017/18 | (104) | (104) | (104) | (104) | (104) |
District Health Boards - Additional Support | 2016/17 | 2,826 | 2,826 | 2,826 | 2,826 | 2,826 |
More Publicly Funded Medicines | 2016/17 | 316 | 294 | 294 | 294 | 294 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 5,462 | 5,462 | 5,462 | 5,462 | 5,462 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (185) | (185) | (185) | (185) | (185) |
Reasons for Change in Appropriation
This appropriation increases by $8.462 million to $149.112 million due to:
- $7.853 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $575,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $110,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $78,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $9,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $65,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $60,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $22,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines
- $8,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs, and
- $8,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Waitemata DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,541,548 | 1,541,548 | 1,622,080 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 75,057 | 75,057 | 75,057 | 75,057 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 1,139 | 1,139 | 1,139 | 1,139 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 4,040 | 9,362 | 9,737 | 9,737 | 9,737 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 4,748 | 4,675 | 4,262 | 4,262 | 4,262 |
District Health Boards - Additional Support | 2018/19 | 70,419 | 70,419 | 70,419 | 70,419 | 70,419 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (3,319) | (3,942) | (7,398) | (7,398) | (7,398) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 49,544 | 49,544 | 49,544 | 49,544 | 49,544 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | 12,603 | 12,603 | 12,603 | 12,603 | 12,603 |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 2,257 | 1,580 | 677 | 677 | 677 |
DHB Efficiency Savings | 2017/18 | (1,072) | (1,072) | (1,072) | (1,072) | (1,072) |
District Health Boards - Additional Support | 2016/17 | 43,950 | 43,950 | 43,950 | 43,950 | 43,950 |
More Publicly Funded Medicines | 2016/17 | 3,251 | 3,027 | 3,027 | 3,027 | 3,027 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 29,893 | 29,893 | 29,893 | 29,893 | 29,893 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (965) | (965) | (965) | (965) | (965) |
Reasons for Change in Appropriation
This appropriation increases by $80.532 million to $1,622.080 million mainly due to:
- $75.057 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $5.322 million uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $1.139 million for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $787,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $80,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $677,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $623,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $224,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines
- $216,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs, and
- $73,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - West Coast DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 133,949 | 133,949 | 137,668 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 2,978 | 2,978 | 2,978 | 2,978 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 86 | 86 | 86 | 86 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 518 | 1,227 | 1,146 | 1,146 | 1,146 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 488 | 486 | 404 | 404 | 404 |
District Health Boards - Additional Support | 2018/19 | 2,876 | 2,876 | 2,876 | 2,876 | 2,876 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (256) | (305) | (571) | (571) | (571) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 3,896 | 3,896 | 3,896 | 3,896 | 3,896 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (781) | (781) | (781) | (781) | (781) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 177 | 124 | 53 | 53 | 53 |
DHB Efficiency Savings | 2017/18 | (86) | (86) | (86) | (86) | (86) |
District Health Boards - Additional Support | 2016/17 | 2,608 | 2,608 | 2,608 | 2,608 | 2,608 |
More Publicly Funded Medicines | 2016/17 | 264 | 246 | 246 | 246 | 246 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 2,019 | 2,019 | 2,019 | 2,019 | 2,019 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (64) | (64) | (64) | (64) | (64) |
Reasons for Change in Appropriation
This appropriation increases by $3.719 million to $137.668 million due to:
- $2.978 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $709,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $86,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $62,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs, and
- $6,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs.
This increase is partly offset by:
- $53,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $49,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $18,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $2,000 reduction in funding for settlement of the DHB Public Service Association multi-employer collective agreement.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health and Disability Support Services - Whanganui DHB (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 226,852 | 226,852 | 234,337 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.
How Performance will be Assessed and End of Year Reporting Requirements
Please refer to the performance reporting information as shown in "Health and Disability Support Services - Auckland DHB".
End of Year Performance Reporting
The DHB will report performance information in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Additional Support to Improve the Health of New Zealanders | 2019/20 | - | 6,484 | 6,484 | 6,484 | 6,484 |
Increasing Access to and the Range of Affordable Pharmaceuticals | 2019/20 | - | 163 | 163 | 163 | 163 |
Settlement of the NZNO Nurses Multi-Employer Collective Agreement | 2018/19 | 768 | 1,724 | 1,739 | 1,739 | 1,739 |
Funding the DHB PSA Multi-Employer Collective Agreements | 2018/19 | 462 | 467 | 352 | 352 | 352 |
District Health Boards - Additional Support | 2018/19 | 7,053 | 7,053 | 7,053 | 7,053 | 7,053 |
Savings in the PHARMAC Combined Pharmaceuticals Budget | 2018/19 | (482) | (572) | (1,074) | (1,074) | (1,074) |
Previous Government |
||||||
District Health Boards - Additional support | 2017/18 | 7,267 | 7,267 | 7,267 | 7,267 | 7,267 |
Funding Redistribution of Budget 2017 District Health Boards - Additional Support initiative | 2017/18 | (659) | (659) | (659) | (659) | (659) |
Pharmaceuticals - More Publicly Funded Medicines | 2017/18 | 331 | 232 | 99 | 99 | 99 |
DHB Efficiency Savings | 2017/18 | (161) | (161) | (161) | (161) | (161) |
District Health Boards - Additional Support | 2016/17 | 4,416 | 4,416 | 4,416 | 4,416 | 4,416 |
More Publicly Funded Medicines | 2016/17 | 484 | 449 | 449 | 449 | 449 |
District Health Board (DHB) Additional Funding for Pressures | 2015/16 | 3,405 | 3,405 | 3,405 | 3,405 | 3,405 |
Reprioritising DHB Savings Delivered by PHARMAC | 2015/16 | (106) | (106) | (106) | (106) | (106) |
Reasons for Change in Appropriation
This appropriation increases by $7.485 million to $234.337 million mainly due to:
- $6.484 million for the Budget 2019 initiative District Health Boards - Additional Support to Improve the Health of New Zealanders
- $956,000 uplift for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
- $163,000 for the Budget 2019 initiative Increasing Access to and the Range of Affordable Pharmaceuticals
- $118,000 transferred from the National Personal Health Services appropriation, devolving the Budget 2015 initiative Palliative Care Innovations funding to DHBs
- $11,000 transferred from the Primary Health Care Strategy appropriation, devolving the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s funding to DHBs, and
- $5,000 for settlement of the DHB Public Service Association multi-employer collective agreement.
This increase is partly offset by:
- $99,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
- $90,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of their Combined Pharmaceutical Budget
- $35,000 reduction in funding from the Budget 2016 initiative More Publicly Funded Medicines, and
- $32,000 transferred to the Primary Health Care Strategy appropriation to support the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Service Card Holders, centralising the funding from DHBs
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
Health Services Funding (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | - | - | 23,681 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve long-term financial sustainability in the financial performance of District Health Boards.
How Performance will be Assessed and End of Year Reporting Requirements
Performance information for this appropriation will be provided in 2019/20 Supplementary Estimates.
End of Year Performance Reporting
The performance measures for this appropriation will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Improving the Financial Sustainability and Performance of District Health Boards | 2019/20 | - | 23,681 | 23,681 | 23,681 | 23,681 |
Reasons for Change in Appropriation
This is a new appropriation for 2019/20 with funding of $23.681 million for the Budget 2019 initiative Improving the Financial Sustainability and Performance of District Health Boards.
Health Workforce Training and Development (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 187,120 | 187,120 | 211,641 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve the following: the New Zealand health sector is supported to develop a sustainable, flexible, and fit-for-purpose workforce through the funding of clinical training and other initiatives.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Medicine Workforce# |
|||
The number of first year general practitioner trainees supported by the Ministry of Health funding is equal to or greater than |
180 | 180 | 180 |
Percentage of vocationally registered general practitioners trained in New Zealand with support from Ministry of Health funding who are still practising in New Zealand after: |
|||
|
80% | 92% | 80% |
|
80% | 78% | 80% |
The number of training units for vocational registrars (excluding general practitioners) supported by Ministry of Health funding is equal to or greater than |
1,206 | 1,206 | 1,206 |
Percentage of vocationally registered specialist doctors (excluding general practitioners) trained in New Zealand with support from Ministry of Health funding who are still practising in New Zealand after: |
|||
|
70% | 82% | 70% |
|
80% | 80% | 80% |
The number of post-graduate year one trainees supported by Ministry of Health funding is equal to or greater than |
490 | 490 | 490 |
Percentage of post-graduate year one trainees trained in New Zealand with support from Ministry of Health funding who were still practising in New Zealand after: |
|||
|
90% | 91% | 90% |
|
85% | 90% | 85% |
Nursing Workforce# |
|||
The number of Nursing Entry to Practice trainees supported by Ministry of Health funding is equal to or greater than |
1,135 | 1,131 | 1,135 |
The number of New Entry to Specialty Practice nurse trainees supported by Ministry of Health funding is equal to or greater than |
155 | 155 | 160 |
Midwifery Workforce# |
|||
The number of midwifery first year of practice trainees supported by Ministry of Health funding is equal to or greater than |
161 | 161 | 161 |
Percentage of graduates who complete the Midwifery First Year of Practice Training Programme |
90% | 90% | 90% |
Mental Health Workforce# |
|||
Number workers who achieve a Mental Health and Addiction related qualification through Ministry of Health funded workforce development training programmes |
- | - | 770 |
Disability Support Workers# |
|||
Number of disability workers working towards a disability related qualification with support from Ministry of Health grants through disability workforce development programmes |
- | - | 3250 |
Voluntary Bonding Scheme (VBS)# |
|||
People are being retained in the scheme: The percentage of registrants who applied for payment in the previous year who applied for payment in the current academic year, where this is allowable under the terms of the scheme |
75% | 75% | 75% |
Hauora Maori Support# |
|||
Percentage of trainees that passed the course they enrolled in |
80% | 80% | 80% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 122,049 | 122,049 | Not yet known | Ongoing |
University of Auckland | 3,516 | 3,516 | Not yet known | Ongoing |
Auckland UniServices Limited | 2,558 | 2,558 | Not yet known | Ongoing |
University of Otago | 1,972 | 1,972 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
Royal New Zealand College of General Practitioners | 22,060 | 22,060 | Not yet known | Ongoing |
Te Pou Limited | 15,850 | 15,850 | Not yet known | Ongoing |
Te Rau Matatini Limited | 4,992 | 4,992 | Not yet known | Ongoing |
New Zealand College of Midwives | 3,561 | 3,561 | Not yet known | Ongoing |
Other NGOs | 10,562 | 10,562 | Not yet known | Ongoing |
Total |
187,120 |
187,120 |
211,641 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Expanding Access and Choice of Primary Mental Health and Addiction Support | 2019/20 | - | 13,888 | 18,186 | 22,330 | 22,664 |
Nursing Workforce Accord - Providing Additional Places for Nurse Entry to Practice | 2019/20 | - | 6,133 | 6,133 | 6,133 | 6,133 |
Health Workforce Training and Development to Benefit Rural and Regional Areas | 2019/20 | - | 4,563 | 4,563 | 4,563 | 4,563 |
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018 | 2018/19 | 455 | 472 | - | - | - |
Previous Government |
||||||
Health Workforce Training and Development - Additional support | 2017/18 | 1,919 | 1,919 | 1,919 | 1,919 | 1,919 |
Health Workforce Training and Development - Additional Support | 2016/17 | 2,695 | 2,695 | 2,695 | 2,695 | 2,695 |
Reasons for Change in Appropriation
This appropriation increases by $24.521 million to $211.641 million mainly due to:
- $13.888 million for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support
- $6.133 million for the Budget 2019 initiative Nursing Workforce Accord - Providing Additional Places for Nurse Entry to Practice, and
- $4.563 million for the Budget 2019 initiative Health Workforce Training and Development to Benefit Rural and Regional Areas.
Monitoring and Protecting Health and Disability Consumer Interests (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 29,546 | 29,546 | 31,546 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to protect the rights of people using health and disability services. This includes addressing the concerns of whanau and investigating alleged breaches of patients' rights.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Mental health reviews and inquiries# |
|||
The percentage of District Mental Health Inspectors' monthly reports, on their duties undertaken, sent to the Director of Mental Health, within one month after completion |
90% | 90% | 90% |
The annual report by the Mental Health Review Tribunal, on their duties undertaken, to the Director of Mental Health, by the due date (31 October) |
Achieved | Achieved | Achieved |
Number of Mental Health Tribunal review quarterly reports provided to the Director of Mental Health within agreed contract timeframes |
4 | 4 | 4 |
The start of the Mental Health Tribunal review is held within 28 days of receipt of the application |
80% | 80% | 80% |
Health and Disability Commissioner
The performance measures are those contained in the Crown entity's Statement of Performance Expectations.
Health Quality and Safety Commission
The performance measures are those contained in the Crown entity's Statement of Performance Expectations.
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations; Crown entity performance information will be reported in their respective Annual Reports.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
Health Quality & Safety Commission | 13,476 | 13,476 | Not yet known | Ongoing |
Health & Disability Commissioner | 12,870 | 12,870 | Not yet known | Ongoing |
Mental Health District Inspectors | 3,200 | 3,200 | Not yet known | Ongoing |
Total |
29,546 |
29,546 |
31,546 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Establishing a New Mental Health and Wellbeing Commission | 2019/20 | - | 2,000 | 2,000 | 2,000 | 2,000 |
Previous Government |
||||||
Severe Acute Maternal Morbidity (SAMM) audit | 2015/16 | 500 | 500 | 500 | 500 | 500 |
National Child Health Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 93,254 | 93,254 | 112,980 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide services that support the development of New Zealand children and establish a foundation for those children to live longer, healthier, and more independent lives.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Infants receive their full Well Child/Tamariki Ora (WCTO) Entitlement# |
|||
Percentage of enrolled infants (0-12 months) who receive all core WCTO contacts (see Note 1) |
85% | 85% | 85% |
Telephone information and advisory services delivered by Plunketline to support the Well Child/Tamaki Ora Framework: |
|||
|
99% | 100% | 99% |
B4 School Checks (B4SCs)# |
|||
Percentage of the population delivered B4SCs |
90% | 90% | 90% |
Percentage of the high deprivation population delivered B4SCs |
90% | 90% | 90% |
Note 1 - Enrolling with a WCTO provider at birth or as soon as possible thereafter allows sufficient time for WCTO providers to deliver the first core contact on time at around 6 weeks and therefore meet the quality indicator of delivering the full entitlement to children in the first year of life (if core 1 is missed, they are unable to meet the full entitlement measure).
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 33,358 | 33,358 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
Royal New Zealand Plunket Society | 57,310 | 57,310 | Not yet known | Ongoing |
Other NGOs | 2,586 | 2,586 | Not yet known | Ongoing |
Total |
93,254 |
93,254 |
112,980 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Increasing Access to and Modernising Child Development Services to Improve the Health and Social Outcomes of Children with Additional Needs | 2019/20 | - | 8,750 | 8,750 | 8,750 | 8,750 |
Expanding and Enhancing School Based Health Services | 2019/20 | - | 4,976 | 4,626 | 4,626 | 4,626 |
Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years | 2019/20 | - | 10,000 | - | - | - |
Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years | 2018/19 | 4,000 | - | - | - | - |
Expansion of School Based Health Services | 2018/19 | 4,253 | 4,253 | 4,253 | 4,253 | 4,253 |
Previous Government |
||||||
School-Based Health Services - Additional Support | 2016/17 | 70 | 70 | 70 | 70 | 70 |
National Child Health Services - Pressure | 2015/16 | 2,961 | 2,961 | 2,961 | 2,961 | 2,961 |
Reasons for Change in Appropriation
This appropriation increases by $19.726 million to $112.980 million due to:
- $10 million for the Budget 2019 initiative Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years
- $8.750 million for the Budget 2019 initiative Increasing Access to and Modernising Child Development Services to Improve the Health and Social Outcomes of Children with Additional Needs, and
- $4.976 million for the Budget 2019 initiative Expanding and Enhancing School Based Health Services.
This increase is partly offset by $4 million for 2018/19 only for Well Child Tamariki Ora - Maintaining Universal Health Service for Children and Their Families from Birth to Five Years.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
National Contracted Services - Other (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 23,488 | 23,488 | 23,488 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide for the operating costs of PHARMAC to deliver health-related services that align with Government priorities or the strategic direction for health services (see the Ministry of Health's Statement of Strategic Intentions) but are out of scope for other national services appropriations in Vote Health.
How Performance will be Assessed and End of Year Reporting Requirements
The performance measures are those contained in PHARMAC's statement of performance expectations.
End of Year Performance Reporting
Performance information for this appropriation will be reported by PHARMAC in its annual report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Previous Government |
||||||
Healthy Homes Initiative - Expansion | 2016/17 | 4,500 | 4,500 | 4,500 | 4,500 | 4,500 |
Other Nationally Purchased Health Services - Additional Support | 2016/17 | 400 | 400 | 400 | 400 | 400 |
Palliative Care Community Service Support Roles | 2015/16 | 7,000 | 7,000 | 7,000 | 7,000 | 7,000 |
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Pubic Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
National Disability Support Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,351,707 | 1,351,707 | 1,344,646 |
Components of the Appropriation
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Residential Care | 575,402 | 580,607 | Not yet known |
Community Care | 355,369 | 358,388 | Not yet known |
Environmental Support | 167,388 | 167,500 | Not yet known |
Funded Family Care | 11,804 | 11,827 | Not yet known |
Other disability support services | 241,744 | 233,385 | Not yet known |
Total |
1,351,707 |
1,351,707 |
1,344,646 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide support for disabled people and their families/whanau to enable them to live good lives.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Needs Assessment and Service Co-ordination# |
|||
All new eligible Disability Support Services clients are assessed within 20 days of referral is equal to or greater than |
80% | 85% | 80% |
All new clients assessed as being eligible for Ministry-funded support are provided with their support options within 20 days of assessment is equal to or greater than |
85% | 90% | 85% |
Community Support Services# |
|||
The percentage of self-directed funding arrangements to improve the person's choice, control and flexibility, (e.g. Choices in Community Living, Individualised Funding, Enhanced Individualised Funding, Flexible Disability Supports, Personal Budgets and Enabling Good Lives) within the total client population is greater than or equal to |
10% | 15% | 10% |
The percentage of people engaged in early intervention by completing Behaviour Support Treatment Programme to prevent inappropriate behaviour from becoming permanent is greater than or equal to |
75% | 75% | 75% |
Residential to Community Support Services# |
|||
Percentage of Disability Support Service clients moving from mainstream residential service to community support services increases over time so that the percentage receiving community support services is greater than or equal to |
77% | 77% | 77% |
Environmental Support# |
|||
The percentage of equipment available and supplied from the Ministry of Health's standardised equipment list to ensure value for money is greater than or equal to |
75% | 75% | 75% |
Quality# |
|||
The percentage of services that have implemented audit/evaluation requirements within the time required by the auditor |
90% | 100% | 90% |
Stakeholder Engagement# |
|||
Percentage of stakeholders surveyed assess the engagement and content of the DSS external forums (e.g. Consumer Consortium, Provider Forums etc.) as meeting expectations or above |
80% | 85% | 80% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 151,594 | 151,594 | Not yet known | Ongoing |
Enable New Zealand (an operating division of MidCentral DHB) | 107,195 | 107,195 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
IDEA Services Limited | 209,785 | 209,785 | Not yet known | Ongoing |
NZ Care Group | 75,186 | 75,186 | Not yet known | Ongoing |
Manawanui in Charge Ltd | 67,849 | 67,849 | Not yet known | Ongoing |
Spectrum Care Trust | 51,386 | 51,386 | Not yet known | Ongoing |
Environmental Health Management Services Limited | 30,491 | 30,491 | Not yet known | Ongoing |
Healthcare of New Zealand Limited | 30,161 | 30,161 | Not yet known | Ongoing |
Geneva Healthcare Limited | 28,983 | 28,983 | Not yet known | Ongoing |
Te Roopu Taurima O Manukau Trust | 28,783 | 28,783 | Not yet known | Ongoing |
Hohepa Services Limited | 24,607 | 24,607 | Not yet known | Ongoing |
Community Living Limited | 21,993 | 21,993 | Not yet known | Ongoing |
Other NGOs | 523,694 | 523,694 | Not yet known | Ongoing |
Total |
1,351,707 |
1,351,707 |
1,344,646 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Funding the Growth in In-Between Travel for Home and Community Support | 2020/21 | - | - | 39,440 | 39,440 | 39,440 |
Meeting Minimum Wage Obligations under the Home and Community Support (Payment for Travel Between Clients) Settlement Act | 2019/20 | - | 5,756 | 5,756 | 5,756 | 5,756 |
Disability Support Services - Maintaining Health Services for Disabled New Zealanders | 2018/19 | 60,400 | 72,000 | 72,000 | 72,000 | 72,000 |
Disability Support System Transformation - MidCentral Prototype | 2018/19 | 112 | 220 | - | - | - |
Transforming the Disability Support System drawdown from Contingency Fund | 2018/19 | 5,622 | 4,829 | - | - | - |
Disability Support Services - Additional Support | 2017/18 | 58,407 | 54,407 | 46,407 | 42,407 | 42,407 |
Previous Government |
||||||
Disability Support Services - Additional support | 2017/18 | 44,562 | 44,562 | 44,562 | 44,562 | 44,562 |
Disability Support Services - Additional support | 2016/17 | 42,296 | 42,296 | 42,296 | 42,296 | 42,296 |
In-Between Travel | 2015/16 | 14,000 | 14,000 | 14,000 | 14,000 | 14,000 |
Disability Support: Community Residential Services - Pressure | 2015/16 | 12,307 | 12,307 | 12,307 | 12,307 | 12,307 |
Disability Support Services - Pressures | 2015/16 | 9,800 | 9,800 | 9,800 | 9,800 | 9,800 |
Disability Support: Home and Community Support Services - Pressure | 2015/16 | 6,090 | 6,090 | 6,090 | 6,090 | 6,090 |
Disability Support: Environmental Support Services - Pressure | 2015/16 | 2,241 | 2,241 | 2,241 | 2,241 | 2,241 |
Disability Support: Other Services and Minimum Wage Increase - Pressure | 2015/16 | 5,683 | 5,683 | 5,683 | 5,683 | 5,683 |
Disability Support: High and Complex Services Cost Pressure | 2015/16 | 510 | 510 | 510 | 510 | 510 |
Reasons for Change in Appropriation
This appropriation decreases by $7.061 million to $1,344.646 million mainly due to:
- $21.300 million of funding reprioritised from Public Health Service Purchasing, Primary Health Care Strategy, National Emergency Services and National Personal Health Services appropriations in 2018/19 only to meet pressures on disability support services
- $4 million reduction in 2019/20 for the Budget 2018 initiative Disability Support Services - Additional Support, and
- $793,000 reduction in funding from the initiative Transforming the Disability Support System drawdown from Contingency Fund.
This decrease is partly offset by:
- $11.6 million uplift in 2019/20 from the Budget 2019 initiative Disability Support Services - Maintaining Health Services for Disabled New Zealanders, which increases the funding received from $60.400 million in 2018/19 to $72 million in 2019/20
- $5.756 million for the Budget 2019 initiative Meeting Minimum Wage Obligations under the Home and Community Support (Payment for Travel Between Clients) Settlement Act, and
- $1.828 million transfer from Vote Social Development for Disability Support System Transformation - MidCentral Prototype.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
New Zealand Public Health and Disability Act 2000 | Sections 70A - 70E provide that the Ministry may pay family members for providing support care to their disabled children only where expressly permitted under an applicable family care policy (or otherwise expressly authorised by law). Section 70E in particular bars complaints of discrimination based on such policies to the Human Rights Commission/courts/tribunals (subject to certain conditions). |
Disabled Persons Community Welfare Act 1975 | Section 25A sets out the right of review for persons in residential care to assess the adequacy of the disability services or whether or not the person's needs are appropriately met. |
National Emergency Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 124,313 | 120,313 | 150,319 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide emergency services to assist people who require urgent acute health care (for example, air and road ambulances) are provided in a timely fashion.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Emergency calls are triaged and services dispatched effectively and efficiently: |
|||
|
95% | 95% | 95% |
Ambulance response times - for immediately life-threatening incidents an ambulance reaches the scene within: |
|||
|
50% | 52% | 50% |
|
95% | 95% | 95% |
|
50% | 50% | 50% |
|
95% | 95% | 95% |
Percentage of air ambulance activations that are within the target times: |
|||
|
50% | 62% | 55% |
|
50% | 79% | 55% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Non-Governmental Organisations |
||||
Order of St John | 87,861 | 87,861 | Not yet known | Ongoing |
Air Ambulance Providers | 23,180 | 19,180 | Not yet known | Ongoing |
Wellington Free Ambulance Service | 10,566 | 10,566 | Not yet known | Ongoing |
Central Emergency Communications Ltd | 2,706 | 2,706 | Not yet known | Ongoing |
Total |
124,313 |
120,313 |
150,319 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Improving the Financial Sustainability and Performance of Emergency Services | 2019/20 | - | 13,430 | 7,570 | - | - |
Supporting the Continued Delivery of Emergency Ambulance Services | 2019/20 | - | 4,301 | 4,301 | 4,301 | 4,301 |
Radio Assurance | 2018/19 | 3,740 | - | - | - | - |
Meeting Air Ambulance Service Cost Pressures | 2018/19 | 14,700 | 14,700 | 14,700 | 14,700 | 14,700 |
Previous Government |
||||||
Emergency Ambulance Services - additional support | 2017/18 | 11,571 | 14,571 | 17,571 | 17,571 | 17,571 |
Ambulance Services - Additional Support | 2016/17 | 3,711 | 3,711 | 3,711 | 3,711 | 3,711 |
Ambulance Services - Pressure | 2015/16 | 3,350 | 3,350 | 3,350 | 3,350 | 3,350 |
Reasons for Change in Appropriation
This appropriation increases by $26.006 million to $150.319 million mainly due to:
- $13.430 million for the Budget 2019 initiative Improving the Financial Sustainability and Performance of Emergency Services
- $4.301 million for the Budget 2019 initiative Supporting the Continued Delivery of Emergency Ambulance Services
- $3.740 million transferred from 2018/19 to 2019/20 for the Budget 2018 initiative Radio Assurance
- $3.500 million reprioritised in 2018/19 only to help address pressures on disability and mental health services, and
- $3 million uplift in 2019/20 for the Budget 2017 initiative Emergency Ambulance Services - additional support.
This increase is partly offset by $1.956 million carried forward from 2017/18 to 2018/19 for the Whole of Government Radio Network.
National Health Information Systems (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 8,042 | 5,242 | 8,382 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to fund or purchase health information systems on behalf of the health and social sectors, making that procurement more efficient and effective.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
The percentage of scheduled updates to the New Zealand Formulary, a key sector independent resource, providing healthcare professionals with the clinically validated medicines for patients, delivered in line with contractual requirements |
100% | 100% | 100% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Non-Governmental Organisations |
||||
New Zealand Medicines Formulary Limited Partnership | 2,214 | 2,214 | Not yet known | Ongoing |
Momentum Health Care Incorporated | 1,102 | 1,102 | Not yet known | Ongoing |
Other NGOs | 4,726 | 1,926 | Not yet known | Ongoing |
Total |
8,042 |
5,242 |
8,382 |
National Maori Health Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 6,828 | 6,828 | 6,828 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide support and encouragement for (i) health services provided by Maori, and (ii) for health services for Maori.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Funding and purchasing of services to reduce Maori health disparities and improve Maori health outcomes# |
|||
Rongoa (traditional Maori healing) services |
|||
The percentage of Rongoa providers delivering their minimum contracted number of client contacts |
100% | 100% | 100% |
Provision and funding to support the delivery of health services for Maori |
|||
The percentage of providers who deliver services in accordance with their provider contracts with the Ministry of Health |
100% | 100% | 100% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Non-Governmental Organisations |
||||
NGOs | 6,828 | 6,828 | 6,828 | Ongoing |
Total |
6,828 |
6,828 |
6,828 |
National Maternity Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 181,067 | 181,067 | 188,492 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to ensure that women are supported with antenatal care, care during labour and birth, and postnatal care, so that the health of both mothers and babies is promoted.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Lead Maternity Carer (see Note 1)# |
|||
Percentage of women giving birth in the year who receive antenatal primary maternity services from a LMC under the Primary Maternity Services Notice 2007 (the Notice) |
93% | 93% | 93% |
Percentage of women receiving antenatal primary maternity services under the Notice who registered with a Lead Maternity Carer (LMC) in the first trimester |
73% | 73% | 73% |
Total number of women giving birth in the year who receive antenatal primary maternity service from an LMC under the Notice |
56,000 | 56,000 | 56,000 |
Note 1 - Lead Maternity Carers (LMCs) deliver quality maternity services in compliance with the Section 88 Primary Maternity Services Notice 2007 which excludes DHB primary maternity services.
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 2,800 | 2,800 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
Midwives | 175,992 | 175,992 | Not yet known | Ongoing |
Other NGOs | 2,275 | 2,275 | Not yet known | Ongoing |
Total |
181,067 |
181,067 |
188,492 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
National Community Maternity Services - Maintaining Primary Maternity Services for New Zealanders to Support Healthy Pregnancies and Births | 2019/20 | - | 7,425 | 7,425 | 7,425 | 7,425 |
National Maternity Services - Additional Support | 2017/18 | 25,900 | 25,900 | 25,900 | 25,900 | 25,900 |
Previous Government |
||||||
National Maternity Services Settlement drawdown from Contingency Fund | 2017/18 | 8,400 | 8,400 | 8,400 | 8,400 | 8,400 |
Community midwives - cost and volume pressures | 2015/16 | 4,882 | 4,882 | 4,882 | 4,882 | 4,882 |
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. Section 88 sets out the process for giving notice of payment terms or conditions to any person. The Ministry has issued a Notice pursuant to section 88 of the Act, the "Primary Maternity Services Notice 2007," which sets out terms and conditions. |
National Mental Health Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 80,194 | 77,694 | 141,296 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to ensure that people are supported with mental health issues, including addiction, and work is undertaken to respond to suicidal behaviour and reduce its impact on communities.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Mental Health Programmes# |
|||
Inpatient Mental Health Services; national specialist Ashburn clinic: the number of occupied bed days |
7,200 | 8,000 | 7,200 |
Mental Health Services# |
|||
Mother/Baby unit (see Note 1) |
|||
The total number of bed days that Ministry of Health funded Mother/Baby unit beds are occupied |
767 | 767 | 767 |
Addictions# |
|||
The number of clients receiving Alcohol and Other Drugs treatment to overcome their addiction is greater than or equal to |
50,000 | 50,000 | 50,000 |
The number of clients receiving outpatient services (including intensive outpatient care) to overcome their addiction is greater than or equal to |
50,000 | 50,000 | 50,000 |
The number of clients receiving Opioid Substitution Treatment services to overcome their addiction is greater than or equal to |
5,200 | 5,200 | 5,200 |
Deliver on the Drivers of Crime Action Plan:# |
|||
Positive Parenting Programme (Triple P) |
|||
The number of practitioners trained |
60 | 60 | 60 |
The number of families receiving an intervention |
1,800 | 1,800 | 1,800 |
Note 1 - The Ministry funds three Mother/Baby unit beds for use during the year.
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 34,304 | 34,304 | Not yet known | Ongoing |
Health Promotion Agency | 7,078 | 7,078 | Not yet known | Ongoing |
Institute of Environmental Science and Research (ESR) | 1,650 | 1,650 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
Ashburn Hall Charitable Trust | 5,125 | 5,125 | Not yet known | Ongoing |
Odyssey House Trust | 3,641 | 3,641 | Not yet known | Ongoing |
Te Rau Matatini Limited | 2,962 | 2,962 | Not yet known | Ongoing |
The Salvation Army New Zealand Trust | 2,404 | 2,404 | Not yet known | Ongoing |
Other NGOs | 23,030 | 20,530 | Not yet known | Ongoing |
Total |
80,194 |
77,694 |
141,296 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Expanding Access and Choice of Primary Mental Health and Addiction Support | 2019/20 | - | 29,000 | 76,281 | 108,250 | 150,375 |
Enhancing Specialist Alcohol and Other Drug Services | 2019/20 | - | 10,500 | 10,500 | 10,500 | 10,500 |
Preventing Suicide and Supporting People Bereaved by Suicide | 2019/20 | - | 10,100 | 10,000 | 9,950 | 9,950 |
Expanding Telehealth and Digital Supports for Mental Wellbeing | 2019/20 | - | 5,200 | 5,200 | 5,200 | 5,200 |
Forensic Mental Health Services for Young People | 2019/20 | - | 2,420 | 3,960 | 5,470 | 7,150 |
Forensic Mental Health Services for Adults | 2019/20 | - | 1,770 | 3,430 | 4,410 | 5,390 |
Enhancing Primary Addiction Responses | 2019/20 | - | 2,000 | 3,000 | 4,000 | 5,000 |
Mental Wellbeing Support for Parents and Whanau | 2019/20 | - | 500 | 3,000 | 3,000 | 3,000 |
Improving Support for People Experiencing a Mental Health Crisis | 2019/20 | - | 2,000 | 2,000 | 2,000 | 2,000 |
Intensive Parenting Support - Expanding the Pregnancy and Parenting Service to Improve the Wellbeing Outcomes of Parents and their Children | 2019/20 | - | 1,000 | 2,000 | 2,000 | 2,000 |
Support for Christchurch - Continuation of Funding for Primary Care and Community-Based Mental Health Workers (See Note 1) | 2019/20 | - | 5,480 | - | - | - |
Te Ara Oranga - Continuing the Methamphetamine Harm Reduction Programme in Northland | 2019/20 | - | 1,000 | 1,000 | 1,000 | 1,000 |
Promoting Wellbeing in Primary and Intermediate Schools | 2019/20 | - | 1,000 | 400 | 400 | 400 |
Integrated Therapies Pilot for 18-25 Year Olds | 2018/19 | 1,400 | 3,630 | 4,000 | - | - |
Improving Mental Health Services for Children in Canterbury and Kaikoura | 2017/18 | 7,300 | 10,000 | 10,000 | - | - |
Previous Government |
||||||
Responding to Mental Health Concerns at an Earlier Stage | 2016/17 | 3,000 | 3,000 | 3,000 | 3,000 | 3,000 |
Supporting Health Services in Canterbury | 2016/17 | 1,000 | - | - | - | - |
Note 1 - Funding for prior years was initially appropriated under the Health and Disability Support Services - Canterbury DHB appropriation.
Reasons for Change in Appropriation
This appropriation increases by $61.102 million to $141.296 million mainly due to:
- $29 million for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support
- $10.500 million for the Budget 2019 initiative Enhancing Specialist Alcohol and Other Drug Services
- $10.100 million for the Budget 2019 initiative Preventing Suicide and Supporting People Bereaved by Suicide
- $5.200 million for the Budget 2019 initiative Expanding Telehealth and Digital Supports for Mental Wellbeing
- $2.700 million uplift in 2019/20 for the Budget 2018 initiative Improving Mental Health Services for Children in Canterbury and Kaikoura
- $2.420 million for the Budget 2019 initiative Forensic Mental Health Services for Young People
- $2.230 million uplift in 2019/20 for the Budget 2018 initiative Integrated Therapies Pilot for 18-25 Year Olds
- $2 million for the Budget 2019 initiative Enhancing Primary Addiction Responses
- $2 million for the Budget 2019 initiative Improving Support for People Experiencing a Mental Health Crisis
- $1.770 million for the Budget 2019 initiative Forensic Mental Health Services for Adults
- $1 million for the Budget 2019 initiative Intensive Parenting Support - Expanding the Pregnancy and Parenting Service to Improve the Wellbeing Outcomes of Parents and their Children
- $1 million for the Budget 2019 initiative Te Ara Oranga - Continuing the Methamphetamine Harm Reduction Programme in Northland
- $1 million for the Budget 2019 initiative Promoting Wellbeing in Primary and Intermediate Schools, and
- $500,000 for the Budget 2019 initiative Mental Wellbeing Support for Parents and Whanau.
This increase is partly offset by:
- $7.500 million reprioritised in 2018/19 only to help address pressures on disability and mental health services
- $1.200 million reduction in 2019/20 for initiatives that support a health approach as part of the Synthetic Drugs Response, and
- $1 million reduction in 2019/20 for the Budget 2016 initiative Supporting Health Services in Canterbury.
Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | The Health Promotion Agency (HPA) is established under Part 4 (sections 57-59) of the Act. Section 59 outlines provisions relating to grants, sponsorship, and other matters. Subsection 1 expressly provides that the HPA may, amongst other things, make grants to any entity with which the HPA is engaged and spends funds received the previous year, without further appropriation by Parliament. Subsection 2 sets out conditions or limitations on such spending. |
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
National Personal Health Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 70,751 | 70,751 | 67,005 |
Components of the Appropriation
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Cancer Control | 11,201 | 11,201 | Not yet known |
Helplines | 22,218 | 22,218 | Not yet known |
Hospice & Palliative Care | 7,292 | 7,292 | Not yet known |
Other | 30,040 | 30,040 | Not yet known |
Total |
70,751 |
70,751 |
67,005 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve the following: people are supported with the identification, management, and treatment of personal health conditions (for example, treatment for cancer, and hospice services).
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Nationally Purchased Personal Health# |
|||
National telehealth services |
|||
Phone line service is available 24/7 |
99% | 99% | 99% |
Call abandonment rate (percentage less than) |
10% | 10% | 10% |
Percentage of calls answered within 20 seconds greater than |
80% | 80% | 80% |
Percentage of surveyed callers satisfied or very satisfied with the National Telehealth Service greater than |
95% | 90% | 90% |
Palliative Care# |
|||
Six monthly DHB reports show Palliative Care innovations are being delivered |
100% | 100% | 100% |
High Cost Treatment Pool# |
|||
The percentage of completed applications managed within three weeks |
100% | 100% | 100% |
Long Term Conditions# |
|||
Diabetes |
|||
DHBs report quarterly to show implementation of "Living well with Diabetes' is achieved in line with project plans and quality standards for diabetes care |
100% | 100% | 100% |
Cardiac Services |
|||
The national percentage of completed registry entries for patients who present with Acute Coronary Syndrome (ACS) and have undergone coronary angiography |
93% | 93% | 93% |
The national percentage of patients presenting with suspected ACS receiving an angiogram within 3 days of admission (where day of admission is day zero) |
70% | 70% | 70% |
Stroke Services Improvement |
|||
All DHBs will provide an organised acute stroke service as recommended in the NZ Clinical guidelines for stroke management |
20 | 20 | 20 |
Oral Health Promotion Campaign# |
|||
Average number of decayed missing and filled teeth (DMFT) per child at age 5 is equal to or less than |
1.79 | 1.79 | 1.79 |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 22,573 | 22,573 | Not yet known | Ongoing |
Central Region's Technical Advisory Services Limited | 7,355 | 7,355 | Not yet known | Ongoing |
Northern Regional Alliance Limited | 819 | 819 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
Homecare Medical (NZ) Limited Partnership | 22,218 | 22,218 | Not yet known | Ongoing |
Interchurch Council for Hospital Chaplaincy | 2,874 | 2,874 | Not yet known | Ongoing |
Other NGOs | 14,912 | 14,912 | Not yet known | Ongoing |
Total |
70,751 |
70,751 |
67,005 |
Current and Past Policy Initiatives
First
Impact 2018/19
Final Budgeted
$000 2019/20
Budget
$000 2020/21
Estimated
$000 2021/22
Estimated
$000 2022/23
Estimated
$000
Previous Government
Organ Donation - National Strategy 2017/18 700 700 700 700 700Conditions on Use of Appropriation
Reference | Conditions |
---|---|
New Zealand Public Health and Disability Act 2000 | Section 59 outlines provisions relating to grants, sponsorship, and other matters. Subsection 1 expressly provides that the Health Promotion Agency (HPA) may, amongst other things, make grants to any entity with which the HPA is engaged and spends funds received the previous year, without further appropriation by Parliament. Subsection 2 sets out conditions or limitations on such spending. |
New Zealand Public Health and Disability Act 2000 | Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed. |
National Planned Care Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 362,357 | 362,357 | 396,085 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to improve access to planned care interventions by funding more procedures and improvements to how elective procedures are provided or supported.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Mobility Action Programme# |
|||
Programmes achieve targeted outcomes |
100% | 100% | 100% |
Planned Care Interventions# |
|||
Service improvement activities are delivered to support implementation of the planned care strategy |
- | - | Achieved |
Quality Initiative# |
|||
All 20 DHBs deliver quality initiatives that support improved access and timeliness of elective services |
100% | 100% | 100% |
Mobile Surgical Services# |
|||
Mobile Surgical Services meet contractual service delivery agreements across mobile surgical services, rural health professional development, clinical networking services and Telehealth resource centre |
Achieved | Achieved | Achieved |
The Planned Care initiative supports agreed levels of delivery of planned care interventions. The output is the agreed discharges, above the base funding for each DHB, which are funded through non-departmental expenditure funding only. The Quality initiative is targeted funding to support DHBs in maintaining timely access, implementing system change or new models of care to create capacity to planned care interventions.
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 357,096 | 357,096 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
NGOs | 5,261 | 5,261 | Not yet known | Ongoing |
Total |
362,357 |
362,357 |
396,085 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Planned Care, including Elective Surgery - Maintaining Services for New Zealanders | 2019/20 | - | 16,700 | 16,700 | 16,700 | 16,700 |
Planned Care, including Elective Surgery - Increasing the Number of Interventions for New Zealanders | 2019/20 | - | 12,000 | 12,000 | 12,000 | 12,000 |
Increasing Access to Gender Affirming Surgery | 2019/20 | - | 748 | 748 | 748 | 748 |
Establish New Zealand Blood Service as the National Organ Donation Agency (Note) | 2018/19 | 100 | 475 | 250 | 250 | 250 |
Elective Surgical Procedures | 2018/19 | 31,500 | 31,500 | 31,500 | 31,500 | 31,500 |
Previous Government |
||||||
Elective Surgery - Government's Health Target | 2017/18 | 6,000 | 6,000 | 6,000 | 6,000 | 6,000 |
Elective Surgery - Government's Health Target | 2016/17 | 24,000 | 24,000 | 24,000 | 24,000 | 24,000 |
Additional 2000 Elective Procedures | 2015/16 | 12,000 | 12,000 | 12,000 | 12,000 | 12,000 |
Note this funding has been subsequently transferred to the National Personal Health Services appropriation.
Reasons for Change in Appropriation
This appropriation increases by $33.728 million to $396.085 million mainly due to:
- $16.700 million for the Budget 2019 initiative Planned Care, including Elective Surgery - Maintaining Services for New Zealanders
- $12 million for the Budget 2019 initiative Planned Care, including Elective Surgery - Increasing the Number of Interventions for New Zealanders
- $3.120 million transferred from 2018/19 to 2019/20 for Planned Care, Organ Donation and Mobility Action Programmes, and
- $748,000 for the Budget 2019 initiative Increasing Access to Gender Affirming Surgery.
This increase is partly offset by $1.960 million in 2018/19 only (which was transferred from 2017/18) for Musculoskeletal planned care services.
Primary Health Care Strategy (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 264,639 | 264,639 | 330,533 |
Components of the Appropriation
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Very Low Cost Access | 75,385 | 75,385 | Not yet known |
Care Plus | 72,306 | 72,306 | Not yet known |
Free Under 14s | 38,624 | 38,624 | Not yet known |
Community Services Card | 36,996 | 36,996 | Not yet know |
System Level Measures | 24,524 | 24,524 | Not yet known |
Other | 16,804 | 16,804 | Not yet known |
Total |
264,639 |
264,639 |
330,533 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide accessible primary care services to New Zealand communities, enabling people to live healthier, more independent lives.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Access to affordable Primary Health Care Strategy# |
|||
The number of high needs patients in Very Low Cost Access (VLCA) practices |
785,000 | 785,000 | 785,000 |
The percentage of enrolled Community Services Card (CSC) holders and dependents that have access to reduced general practice fees (consistent with VLCA practice maximum charges) during daytime visits |
92% | 93% | 92% |
Percentage of non-VLCA practices providing reduced fees (consistent with VLCA practice maximum charges) to CSC holders |
85% | 86% | 85% |
The percentage of enrolled children under 14 years that have access to zero fees general practice services during day time |
98% | 99% | 98% |
The percentage of enrolled children under 14 years that have access to zero fees general practice services during after hours |
95% | 97% | 95% |
The number of patients receiving a long-term conditions (LTC) service in pharmacies nationally |
140,000 | 140,000 | 140,000 |
Percentage of total population enrolled in a Primary Health Organisation (PHO) |
95% | 93% | 95% |
Percentage of Maori population enrolled in a PHO |
95% | 91% | 95% |
Rural retention and locum support# |
|||
Number of new rural long-term placements quarterly |
17.5 | 29 | 17.5 |
Percentage of Rural Locum Support requests filled |
90% | 91% | 90% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 258,051 | 258,051 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
The New Zealand Rural General Practice Network Incorporated | 1,839 | 1,839 | Not yet known | Ongoing |
Other NGOs | 4,749 | 4,749 | Not yet known | Ongoing |
Total |
264,639 |
264,639 |
330,533 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Primary Care - Maintaining Access to Primary Health Services for New Zealanders | 2019/20 | - | 16,800 | 16,800 | 16,800 | 16,800 |
Extending Zero Fees Doctors' Visits to Under 14s | 2018/19 | 2,858 | 4,900 | 4,900 | 4,900 | 4,900 |
Primary Health Care - Additional Support | 2018/19 | 9,499 | 9,499 | 9,499 | 9,499 | 9,499 |
Very Low Cost General Practitioner Visits for Community Services Card Holders | 2017/18 | 58,608 | 100,000 | 100,000 | 100,000 | 100,000 |
Previous Government |
||||||
Primary Health Care - Additional support | 2017/18 | 9,585 | 9,585 | 9,585 | 9,585 | 9,585 |
Primary Health Care - Additional Support | 2016/17 | 14,329 | 14,329 | 14,329 | 14,329 | 14,329 |
Under 13s - Free Prescriptions & GP Visits | 2015/16 | 30,000 | 30,000 | 30,000 | 30,000 | 30,000 |
Primary Health Care - Pressure | 2015/16 | 3,805 | 3,805 | 3,805 | 3,805 | 3,805 |
Reasons for Change in Appropriation
This appropriation increases by $65.894 million to $330.533 million due to:
- $41.392 million uplift in 2019/20 from the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Services Card Holders
- $16.800 million for the Budget 2019 initiative Primary Care - Maintaining Access to Primary Health Services for New Zealanders
- $4.500 million reprioritised in 2018/19 only to help address pressures on disability and mental health services
- $2.334 million from the centralisation of funding from DHBs for the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Services Card Holders, and
- $2.042 million uplift in 2019/20 from the Budget 2018 initiative Extending Zero Fees Doctors' Visits to Under 14s.
This increase is partly offset by:
- $709,000 reduction in 2019/20 for the devolution of funding to DHBs for the Budget 2018 initiative Extending Zero Fees Doctors' Visits for Under 14s, and
- $465,000 for a one-off increase in 2018/19 (transferred from 2017/18) for the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Card Holders.
Problem Gambling Services (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 17,765 | 15,265 | 18,698 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide services to reduce the harm caused by problem gambling.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Implementation of the Preventing and Minimising Gambling Harm (PMGH) Strategy# |
|||
The number of people accessing support from problem gambling services |
6,750 | 6,750 | 6,750 |
The number of brief only interventions delivered |
6,000 | 6,000 | 6,000 |
Percentage of total gambler clients with a completed Problem Gambling Severity Index score |
- | - | 90% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
Health Promotion Agency | 1,680 | 1,680 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
Problem Gambling Foundation | 4,987 | 4,987 | Not yet known | Ongoing |
The Salvation Army New Zealand Trust | 1,924 | 1,924 | Not yet known | Ongoing |
Other NGOs | 9,174 | 6,674 | Not yet known | Ongoing |
Total |
17,765 |
15,265 |
18,698 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Strategy to Prevent and Minimise Gambling Harm | 2019/20 | - | 3,171 | 8,582 | 9,068 | - |
Previous Government |
||||||
Problem Gambling Services - Continued Support | 2016/17 | 6,914 | - | - | - | - |
Reasons for Change in Appropriation
This appropriation increases by $0.933 million to $18.698 million due to:
- $5 million transfer from 2018/19 to 2019/20 for continuation of Problem Gambling Services, and
- $3.171 million for the Strategy to Prevent and Minimise Gambling Harm.
This increase was partly offset by:
- $1.914 million net funding in 2018/19 only for Budget 2016 initiative Problem Gambling Services - Continued Support, after transferring $5 million to 2019/20, and
- $5.324 million one-off increase in 2018/19 (transferred from 2017/18) for Problem Gambling Services.
Public Health Service Purchasing (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 403,266 | 392,608 | 440,302 |
Components of the Appropriation
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
National Screening Services | 135,036 | 133,728 | Not yet known |
Nutrition & Physical Activity | 33,948 | 33,948 | Not yet known |
Emergency Preparedness | 6,903 | 6,903 | Not yet known |
Tobacco | 25,575 | 25,575 | Not yet known |
Communicable Diseases | 26,319 | 26,319 | Not yet known |
Sexual Health | 26,107 | 24,457 | Not yet known |
Rheumatic Fever | 5,000 | 5,000 | Not yet known |
Science Purchasing | 11,923 | 11,923 | Not yet known |
Safe Water Subsidy Schemes | 17,010 | 10,310 | Not yet known |
Alcohol & Drug Services | 15,887 | 15,887 | Not yet known |
Public Health Infrastructure | 12,527 | 12,527 | Not yet known |
Other Services | 87,031 | 86,031 | Not yet known |
Total |
403,266 |
392,608 |
440,302 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to support communities with the identification, management, and treatment of public health issues. This includes, for example, health promotion, screening for cancer and other conditions, investigating environmental or border health issues, and identifying and managing communicable diseases.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
National Screening Unit# |
|||
National Cervical Screening Programme (NCSP) eligible women to be screened every three years |
|||
The number of women screened within the last three years, as a proportion of the eligible population (women aged 25 - 69 hysterectomy adjusted) |
80% | 80% | 80% |
The number of Maori women screened within the last three years, as a proportion of the eligible population (Maori women aged 25-69 hysterectomy adjusted) |
80% | 80% | 80% |
The number of Pacific women screened within the last three years, as a proportion of the eligible population (Pacific women aged 25-69 hysterectomy adjusted) |
80% | 80% | 80% |
The number of Asian women screened within the last three years, as a proportion of the eligible population (Asian women aged 25-69 hysterectomy adjusted) |
80% | 80% | 80% |
BreastScreen Aotearoa (BSA) eligible women to be screened every two years |
|||
Women screened within the last two years, as a proportion of the eligible population (women aged 45-69 years) |
70% | 70% | 70% |
Maori women screened within the last two years, as a proportion of the eligible population (Maori women aged 45-69 years) |
70% | 70% | 70% |
Pacific women screened within the last two years, as a proportion of the eligible population (Pacific women aged 45-69 years) |
70% | 70% | 70% |
Bowel Screening Programme# |
|||
Number of DHBs that implement the bowel cancer screening programme following the phased implementation schedule |
3 DHBs | 3 DHBs | 6 DHBs |
Better Help for Smokers to Quit# |
|||
Primary Care indicator |
90% | 90% | 90% |
Pregnancy indicator |
90% | 90% | 90% |
Environmental and Border Health# |
|||
Providers of environmental and border protection scientific, surveillance, analysis, and/or advisory services, with contracts over $500,000 per annum, deliver milestones in accordance with contract requirements |
95% | 100% | 95% |
The number of training courses, workshops and forums provided to public health statutory officers from DHB public health units during the year |
15 | 15 | 15 |
Services for Children# |
|||
The proportion of infants exclusively and fully breastfeeding at: |
|||
|
75% | 73% | 75% |
|
57% | 59% | 57% |
Other Child and Youth - Violence Intervention Programme# |
|||
DHBs achieve Violence Intervention Programme benchmark audit scores of 80/100 |
90% | 94% | 90% |
DHBs have improved programme responsiveness to Maori as required by the evaluation measurement |
90% | 93% | 90% |
Rheumatic Fever# |
|||
Number of DHBs with high incidence rates of rheumatic fever maintain or reduce rheumatic fever rates as per contracted targets (rate per 100,000) (see Note 1) |
5 DHBs or more | 3 DHBs or more | 5 DHBs or more |
Annual Influenza Immunisation Programme# |
|||
Number of vaccine doses distributed annually is equal to or greater than |
1.2 million | 1.2 million | 1.2 million |
Percentage of over 65 year-olds immunised |
75% | 75% | 75% |
Sexual and Reproductive Health# |
|||
New Zealand AIDS Foundation |
|||
The percentage of all clients tested for HIV/AIDS who are provided with a pre- and post-counselling session |
100% | 100% | 100% |
Convene and facilitate National HIV/AIDS Forum |
Achieved | Achieved | Achieved |
New Zealand Family Planning Association |
|||
The percentage of general consultations fully delivered across the 17 relevant DHB regions as per contract |
100% | 100% | 100% |
The percentage of pregnancy/maternity single episode consultations fully delivered across the 17 relevant DHB regions as per contract |
100% | 100% | 100% |
Emergency Preparedness# |
|||
Maintain emergency management capability and capacity in DHBs (see Note 2) |
Achieved | Achieved | Achieved |
Contracted providers for the maintenance of the national reserve supply of pandemic stock deliver milestones, in accordance with contractual requirements |
95% | 95% | 95% |
Providers of national road ambulance services deliver emergency management capability and capacity milestones, in accordance with contractual requirements (see Note 3) |
95% | 95% | 95% |
Note 1 - Although rheumatic fever had reduced nationally by 16 percent from 2012 to 3.2 cases per 100,000 population in the 2016/17 financial year, the Ministry continues to focus efforts on reducing rheumatic fever rates with the 11 DHBs with high incidence rates.
Note 2 - Capability and capacity in DHBs: Each DHB develops, maintains and exercises a DHB Health Emergency Plan (HEP) (which meets the DHBs responsibilities under the Civil Defence Emergency Management Act 2002 and the National Health Emergency Plan 2015) and has sufficient numbers of staff trained to support an emergency response.
Note 3 - Capability and capacity in road ambulance services: Service providers maintain emergency plans (that are integrated with other health agency plans) to enable coordinated health care delivery during an emergency, maintenance of emergency equipment, participation in exercises and to ensure they have sufficient numbers of staff trained to support an emergency response.
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 193,356 | 193,356 | Not yet known | Ongoing |
Institute of Environmental Science and Research (ESR) | 15,463 | 15,463 | Not yet known | Ongoing |
Health Promotion Agency | 8,016 | 8,016 | Not yet known | Ongoing |
Auckland UniServices Limited | 4,330 | 4,330 | Not yet known | Ongoing |
State Owned Enterprises |
||||
New Zealand Post Limited | 5,082 | 5,082 | Not yet known | Ongoing |
Local Government |
||||
Auckland Council | 1,474 | 1,474 | Not yet known | Ongoing |
Far North District Council | 7,300 | 4,504 | Not yet known | Time Limited |
Rotorua Lakes District Council | 4,460 | 3,785 | Not yet known | Time Limited |
Non-Governmental Organisations |
||||
BreastScreen Auckland | 5,372 | 5,372 | Not yet known | Ongoing |
New Zealand Family Planning Association Incorporated | 12,854 | 12,854 | Not yet known | Ongoing |
Screen South Ltd | 10,488 | 10,488 | Not yet known | Ongoing |
Southern Community Laboratory | 8,377 | 8,377 | Not yet known | Ongoing |
United Fresh New Zealand Incorporated | 7,804 | 7,804 | Not yet known | Ongoing |
New Zealand AIDS Foundation Charitable Trust | 4,230 | 4,230 | Not yet known | Ongoing |
Pacific Radiology Group Limited | 4,158 | 4,158 | Not yet known | Ongoing |
CBG Health Research Limited | 3,986 | 3,986 | Not yet known | Ongoing |
National Heart Foundation of NZ - Auckland | 3,599 | 3,599 | Not yet known | Ongoing |
Needle Exchange Services Trust Incorporated | 2,243 | 2,243 | Not yet known | Ongoing |
Other NGOs | 100,674 | 93,487 | Not yet known | Ongoing |
Total |
403,266 |
392,608 |
440,302 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
National Bowel Screening Programme - Rollout of Programme to a Further Four DHBs | 2019/20 | - | 9,000 | 9,000 | 9,000 | 9,000 |
Reducing the Incidence and Improving the Management of Rheumatic Fever | 2019/20 | - | 2,710 | 3,030 | 3,130 | 3,130 |
Supporting Schools and Early Learning Settings to Improve Wellbeing Through Healthy Eating and Quality Physical Activity | 2019/20 | - | 2,570 | 1,810 | 1,810 | 1,810 |
Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence | 2019/20 | - | 524 | 524 | 524 | 524 |
Synthetic Drugs Response | 2018/19 | 6,750 | 5,550 | 2,150 | 2,150 | - |
Support for Rainbow Communities | 2018/19 | 60 | 1,010 | - | - | - |
National Bowel Screening Programme Implementation Year Two | 2018/19 | 13,391 | 13,184 | 13,314 | 14,196 | 14,196 |
Previous Government |
||||||
National Bowel Screening Business Case drawdown from Contingency Fund | 2017/18 | 3,713 | 3,585 | 3,300 | 3,330 | 3,330 |
Community Organisation Refugee Sponsorship Category | 2017/18 | 249 | 249 | 249 | 249 | 249 |
National Bowel Screening Programme | 2017/18 | 6,282 | 5,701 | 6,898 | 6,898 | 6,898 |
Water Fluoridation (Assistance) | 2017/18 | 3,000 | 3,000 | 3,000 | 3,000 | 3,000 |
Contraceptive Services for Low Income Women | 2017/18 | 3,880 | 5,880 | 5,880 | 5,880 | 5,880 |
Primary Care Services | 2015/16 | 3,904 | 3,904 | 3,904 | 3,904 | 3,904 |
Intensive Alcohol and Drug Support for Pregnant Women - Extension of Services | 2016/17 | 3,000 | 3,000 | 3,000 | 3,000 | 3,000 |
Public Health Services - Additional Support | 2016/17 | 1,559 | 1,559 | 1,559 | 1,559 | 1,559 |
National Bowel Screening Programme Establishment | 2016/17 | 3,072 | 2,820 | 2,820 | 2,820 | 2,820 |
Public Health - Pressure | 2015/16 | 4,218 | 4,218 | 4,218 | 4,218 | 4,218 |
Reasons for Change in Appropriation
This appropriation increases by $37.036 million to $440.302 million mainly due to:
- $17.300 million reprioritised in 2018/19 to help address pressures on disability and mental health services
- $16.817 million for the net impact of funding transfers between years for the National Bowel Screening Programme to support the rollout of the programme
- $9 million for the Budget 2019 initiative National Bowel Screening Programme - Rollout of Programme to a Further Four DHBs
- $9 million for the net impact of funding transfers between years for the Water Fluoridation (Assistance) initiative
- $2.710 million for the Budget 2019 initiative Reducing the Incidence and Improving the Management of Rheumatic Fever
- $2.570 million for the Budget 2019 initiative Supporting Schools and Early Learning Settings to Improve Wellbeing Through Healthy Eating and Quality Physical Activity
- $950,000 uplift in 2019/20 for the initiative Support for Rainbow Communities, and
- $524,000 for the Budget 2019 initiative Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence.
This increase is partly offset by:
- $18.623 million one-off increase in 2018/19 (transferred from 2017/18) for the Sanitary Works Subsidy Scheme
- $1.400 million one-off increase in 2018/19 (transferred from 2017/18) for Services to Refugees
- $1.380 million one-off increase in 2018/19 (transferred from 2017/18) for Contraceptive Services for Low Income Women, and
- $1.200 million reduction in funding for Synthetic Drugs Response.
Supporting Equitable Pay (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 377,405 | 377,405 | 413,636 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to support the achievement of pay equity in the care and support, mental health and addiction sectors.
How Performance will be Assessed and End of Year Reporting Requirements
An exemption was granted under s15D(2)(b)(ii) of the PFA as end-of-year performance information for the appropriation is not likely to be informative as this appropriation is an interim measure to enable providers to be reimbursed for additional costs incurred in relation to the care and support worker pay equity settlement.
Note - Performance information for National Disability Support Services will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations; and performance information for aged residential care services purchased by DHBs can be found in DHBs' Annual Reports.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018 | 2018/19 | 29,405 | 36,636 | 34,468 | 42,787 | 42,787 |
Previous Government |
||||||
Equitable Pay for Care and Support Workers | 2017/18 | 348,000 | 377,000 | 356,000 | 472,000 | 472,000 |
Reasons for Change in Appropriation
This appropriation increases by $36.231 million to $413.636 million due to:
- $29 million uplift in 2019/20 for the Budget 2017 initiative Equitable Pay for Care and Support Workers to reflect the increased pay rates to care and support workers from 1 July 2018, and
- $7.231 million uplift in 2019/20 for Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018.
3.4 - Non-Departmental Other Expenses
International Health Organisations (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 2,030 | 2,030 | 2,030 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to ensure that New Zealand maintains its membership in the World Health Organization (WHO) and contributes to specific WHO projects.
How Performance will be Assessed and End of Year Reporting Requirements
An exemption was granted under s15D(2)(b)(iii) of the PFA as the amount of the appropriation is less than $5 million.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
World Health Organization (WHO) | 2,030 | 2,030 | 2,030 | Ongoing |
Legal Expenses (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 11,028 | 3,378 | 1,028 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to enable action to be taken regarding legal claims related to Vote Health, and these are funded and appropriate settlements are made, as appropriate.
How Performance will be Assessed and End of Year Reporting Requirements
An exemption was granted under s15D(2)(b)(iii) of the PFA as the amount of the appropriation is less than $5 million.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Funded Family Care | 2018/19 | 10,000 | - | - | - | - |
Reasons for Change in Appropriation
The decrease in this appropriation is due to a one-off funding of $10 million received in 2018/19 for costs arising from litigation for funded family care.
Provider Development (M36)
Scope of Appropriation
Expenses
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 28,289 | 21,289 | 43,434 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide for third party health services, particularly those providing predominantly for Maori and Pacific peoples, to be supported to become more effective, efficient, and sustainable.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
To support Maori providers to build their capability and capacity# |
|||
The number of Maori providers contracted for development activities |
92 | 93 | 92 |
Percentage of Maori providers that demonstrate improved management, access or quality of services through Results Based Accountability reporting |
90% | 90% | 90% |
Hauora Maori Scholarships - To support Maori students onto a health career pathway# |
|||
The number of students funded to undertake training towards a Health career |
520 | 520 | 520 |
Te Ao Auahatanga Hauora Maori - Innovation Funds# |
|||
The number of Maori providers contracted to implement Te Kakano (Seeding) innovations |
19 | 19 | 20 |
The percentage of Te Ruinga (Spreading) innovation programmes monitored quarterly that show progress towards sustainability |
90% | 90% | 90% |
Maori Workforce Development# |
|||
The percentage of Maori students recruited into a Foundation Course who gain acceptance into health related study through seven Maori Workforce Development Programmes |
80% | 80% | 80% |
Pacific Provider Development# |
|||
To recruit and retain Pacific health professionals onto a health career pathway |
|||
The number of Pacific students funded through the Ministry of Health Pacific Health Scholarships is at least |
160 | 160 | 160 |
The percentage course completion for students through the Postgraduate Certificate in Specialty Care (Pacific Health), Postgraduate Diploma in Specialty Care (Pacific Health) and Master of Nursing Health Programme is at least |
80% | 80% | 80% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Service Providers
Provider | 2018/19 Final Budgeted $000 |
2018/19 Estimated Actual $000 |
2019/20 Budget $000 |
Expiry of Resourcing Commitment |
---|---|---|---|---|
Crown Entities |
||||
DHBs | 1,986 | 1,986 | Not yet known | Ongoing |
Non-Governmental Organisations |
||||
Alliance Health Plus Trust | 1,400 | 1,400 | Not yet known | Ongoing |
NGOs | 24,903 | 17,903 | Not yet known | Ongoing |
Total |
28,289 |
21,289 |
43,434 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Maori Health Workforce Development Package - Pathways to Ongoing Employment to Enable Equitable Health Outcomes | 2019/20 | - | 2,500 | 2,500 | 2,500 | 2,500 |
Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline | 2019/20 | - | 2,380 | 2,380 | 2,380 | 2,380 |
Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes | 2019/20 | - | 500 | 1,473 | 1,500 | 2,000 |
Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree | 2019/20 | - | 315 | 780 | 1,245 | 1,395 |
Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes | 2019/20 | - | 750 | 750 | 750 | 750 |
Supporting Integrated Health and Social Services at Auckland City Mission | 2018/19 | 16,700 | - | - | - | - |
Reasons for Change in Appropriation
This appropriation increases by $15.145 million to $43.434 million due to:
- $12.700 million transferred from 2018/19 to 2019/20 as a result of changes in the timing of the construction project for integrated health and social services facilities at the Auckland City Mission
- $2.500 million for the Budget 2019 initiative Maori Health Workforce Development Package - Pathways to Ongoing Employment to Enable Equitable Health Outcomes
- $2.380 million for the Budget 2019 initiative Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline
- $750,000 for the Budget 2019 initiative Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes
- $500,000 for the Budget 2019 initiative Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes, and
- $315,000 for the Budget 2019 initiative Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree.
This increase is partly offset by net funding of $4 million in 2018/19 only for integrated health and social services facilities at the Auckland City Mission, after transferring $12.700 million to 2019/20.
3.5 - Non-Departmental Capital Expenditure
Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)
Scope of Appropriation
Capital Expenditure
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 264,273 | 148,773 | 1,507,470 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve the following: equity funding is provided to DHBs to fund the cost of capital projects, where the DHB is unable to fund the projects entirely within their cash flows.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
DHB seeking equity funding for approved business cases receive that funding |
100% | 100% | 100% |
End of Year Performance Reporting
The DHBs will report performance information for this appropriation in their Annual Reports.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards' Capital Investment | 2019/20 | - | 850,000 | 850,000 | - | - |
District Health Boards' Capital Investment | 2018/19 | 750,000 | - | - | - | - |
Reasons for Change in Appropriation
This appropriation increases by $1,243.197 million to $1,507.470 million mainly due to:
- $1,138,354 million as the net effect of funding transfers from 2017/18 to 2018/19 and from 2018/19 to 2019/20 to reflect the changes in timing in various capital projects
- $850 million in 2019/20 for the Budget 2019 initiative District Health Boards' Capital Investment
- $47.560 million transferred to Health Sector Projects in 2018/19 for the Canterbury DHB Christchurch Hospital Energy Centre
- $15.227 million transferred to Health Sector Projects in 2018/19 for Southern DHB Dunedin Hospital redevelopment, and
- $12.920 million transferred to Health Sector Projects in 2018/19 for the West Coast DHB Grey Base Hospital redevelopment.
This increase is partly offset by:
- $750 million in 2018/19 only for the Budget 2018 initiative District Health Boards' Capital Investment, and
- $64.192 million in 2018/19 only for the transfer of the Outpatients Facility to Canterbury DHB.
Conditions on Use of Appropriation
All expenditure from this appropriation requires the joint agreement of the Minister of Health and the Minister of Finance.
Equity Support for DHB deficits (M36)
Scope of Appropriation
Capital Expenditure
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 234,211 | 234,211 | 134,211 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to achieve the following: DHBs are supported to maintain their working capital.
How Performance will be Assessed and End of Year Reporting Requirements
An exemption was granted under s15D(2)(b)(ii) of the PFA as the end-of-year performance information for the appropriation is not likely to be informative in the light of the nature of the transaction or causal event giving rise to the capital expenditure because the funding is, in essence, a contingency.
Note that DHBs will report performance information in their Annual Reports.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
District Health Boards - Deficit Support | 2018/19 | 95,000 | 95,000 | - | - | - |
Provision for Additional Deficit Support for District Health Boards | 2018/19 | 100,000 | - | - | - | - |
Reasons for Change in Appropriation
The decrease in this appropriation is due to a one-off funding of $100 million provided in 2018/19 from the Budget 2018 initiative Provision for Additional Deficit Support for District Health Boards.
Conditions on Use of Appropriation
All expenditure from this appropriation requires the joint agreement of the Minister of Health and the Minister of Finance.
Health Sector Projects (M36)
Scope of Appropriation
Capital Expenditure
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 213,922 | 213,922 | 40,600 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to provide for capital projects delivered on behalf of the Crown, supporting heath sector organisations to deliver health services for New Zealanders.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
All Cabinet approved hospital redevelopment projects meet project milestones |
100% | 100% | 100% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Dunedin Hospital Redevelopment drawdown from Contingency Fund | 2018/19 | 9,600 | 10,600 | - | - | - |
Reasons for Change in Appropriation
This appropriation decreases by $173.322 million to $40.600 million due to:
- $98.615 million as the net effect of funding transfers from 2017/18 to 2018/19 and from 2018/19 to 2019/20 to reflect the timing of health sector capital projects
- $47.560 million transferred from Equity for Capital Projects for DHBs and Health Sector Crown Agencies in 2018/19 for the Canterbury DHB Christchurch Hospital Energy Centre
- $15.227 million transferred from Equity for Capital Projects for DHBs and Health Sector Crown Agencies in 2018/19 for Southern DHB Dunedin Hospital redevelopment, and
- $12.920 million transferred from Equity for Capital Projects for DHBs and Health Sector Crown Agencies in 2018/19 for the West Coast DHB Grey Base Hospital redevelopment.
This decrease is slightly offset by $1 million uplift in 2019/20 for the Dunedin Hospital Redevelopment drawdown from Contingency Fund.
Residential Care Loans - Payments (M36)
Scope of Appropriation
Capital Expenditure
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 15,000 | 15,000 | 15,000 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to ensure that New Zealanders who are entering residential care facilities receive an appropriate level of financial assistance so they can afford that care.
How Performance will be Assessed and End of Year Reporting Requirements
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Percentage of entitled people are able to access residential care loans |
100% | 100% | 100% |
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Part 4 - Details of Multi-Category Expenses and Capital Expenditure#
Multi-Category Expenses and Capital Expenditure
Policy Advice and Ministerial Servicing (M36)
Overarching Purpose Statement
Scope of Appropriation
Departmental Output Expenses
Ministerial ServicingThis category is limited to the provision of services to Ministers to enable them to discharge their portfolio responsibilities other than policy decision-making.
Policy Advice
This category is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters.
Supporting the Review of the New Zealand Health and Disability System
This category is limited to the expenses of, and providing support to, the Expert Panel advising Ministers on the Review of the New Zealand Health and Disability System.
Expenses, Revenue and Capital Expenditure
2018/19 | 2019/20 | ||
---|---|---|---|
Final Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation |
26,401 | 24,901 | 26,895 |
Departmental Output Expenses |
|||
Ministerial Servicing | 4,702 | 4,702 | 4,702 |
Policy Advice | 16,439 | 16,439 | 17,889 |
Supporting the Review of the New Zealand Health and Disability System | 5,260 | 3,760 | 4,304 |
Funding for Departmental Output Expenses |
|||
Revenue from the Crown |
26,401 | 26,401 | 26,895 |
Ministerial Servicing | 4,702 | 4,702 | 4,702 |
Policy Advice | 16,439 | 16,439 | 17,889 |
Supporting the Review of the New Zealand Health and Disability System | 5,260 | 5,260 | 4,304 |
What is Intended to be Achieved with this Appropriation
This appropriation is intended to ensure that Ministers are supported and advised so they can discharge their portfolio responsibilities.
How Performance will be Assessed for this Appropriation
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
How performance will be assessed for the MCA as a whole |
|||
Satisfaction of the portfolio Minister with the policy advice service |
- | `- | See Note 1 |
Note 1 - The Standard will be identified based on the revised Ministerial Satisfaction Survey and updated in the Supplementary Estimates. All agencies are required to use the refined Ministerial Satisfaction Survey from 2019/20 to assess ministerial satisfaction with the policy service. The survey is currently under review and the refined survey and guidance will be released before 30 June 2019.
What is Intended to be Achieved with each Category and How Performance will be Assessed
2018/19 | 2019/20 | ||
---|---|---|---|
Assessment of Performance | Final Budgeted Standard |
Estimated Actual |
Budget Standard |
Departmental Output Expenses |
|||
Ministerial Servicing |
|||
This category is intended to achieve the following: Ministers are provided with support so that they can discharge their portfolio responsibilities |
|||
The percentage of responses provided to the Minister within agreed timeframes for written parliamentary questions and Ministerial letters |
95% | 85% | 95% |
The percentage of responses provided to the Minister within agreed timeframes for requested briefings |
95% | 85% | 95% |
The percentage of Ministerial letters accepted without substantive amendment |
95% | 90% | 95% |
The percentage of responses to Official Information Act requests provided to the Minister within the agreed timeframe (for requests made to the Minister) or to the requestor within the statutory timeframe, including where extended in line with the Act (for requests made to the Ministry) |
95% | 97% | 95% |
Policy Advice |
|||
This category is intended to achieve the following: Ministers are provided with policy advice that appropriately informs them on issues affecting the health portfolio, Government priorities, and when otherwise appropriate |
|||
The average score attained by written policy advice as assessed by an external reviewer |
greater than 7 out of 10 | 7/10 | Greater than 7 out of 10 |
Assessment of the quality of a sample of the Ministry's policy advice papers |
- | - | See Note 1 |
Supporting the Review of the New Zealand Health and Disability System |
|||
This category is intended to achieve a review of the Health and Disability System |
|||
The Health and Disability System Review's key milestones are achieved |
Achieved | Achieved | Achieved |
The Health and Disability System Review members are satisfied with the support services provided |
Satisfied or better | Satisfied or better | Satisfied or better |
Note 1 - The Standard will be identified based on the refreshed Policy Quality Framework and updated in the Supplementary Estimates. All agencies are required to use the refreshed Policy Quality Framework from 2019/20 to assess the quality of their policy advice papers. The Policy Quality Framework is currently being refreshed. The refreshed Framework will be released before 30 June 2019.
End of Year Performance Reporting
The Ministry of Health will report performance information for this appropriation in its Annual Report.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2018/19 Final Budgeted $000 |
2019/20 Budget $000 |
2020/21 Estimated $000 |
2021/22 Estimated $000 |
2022/23 Estimated $000 |
---|---|---|---|---|---|---|
Current Government |
||||||
Enhancing the Ministry of Health's Capability to Support Government Priorities | 2019/20 | - | 400 | 400 | 400 | 400 |
Expanding Access and Choice of Primary Mental Health and Addiction Support | 2019/20 | - | 500 | 250 | 250 | 250 |
Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes | 2019/20 | - | 250 | 250 | 250 | 250 |
Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence | 2019/20 | - | 300 | 300 | - | - |
Expanding and Enhancing School Based Health Services | 2019/20 | - | 100 | 100 | 200 | 100 |
Mental Wellbeing Support for Parents and Whanau | 2019/20 | - | 50 | 100 | 100 | 250 |
2020 Cannabis Referendum: Approach and Timeframes | 2019/20 | 150 | - | - | - | - |
Establishing the NZ Health and Disability System Review | 2018/19 | 5,260 | 4,304 | - | - | - |