Estimates of appropriations

Vote Health - Health Sector - Estimates 2020/21

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 ($20,269 million in 2020/21) 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 their 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 2020/21 covering the following:

  • $15,274 million (75.4% 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.
  • $3,760 million (18.6% 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 ($1,707 million or 8.5% of the Vote)
    • Public Health Service Purchasing ($469 million or 2.3% of the Vote)
    • National Planned Care Services ($425 million or 2.1% of the Vote)
    • Primary Health Care Strategy ($367 million or 1.8% of the Vote)
    • National Mental Health Services ($208 million or 1.0% of the Vote)
    • National Maternity Services ($205 million or 1.0% of the Vote)
    • National Emergency Services ($148 million or 0.7% of the Vote)
    • National Child Health Services ($112 million or 0.6% of the Vote)
    • National Personal Health Services ($67 million or 0.3% of the Vote)
    • other national services ($52 million or 0.3% of the Vote).
  • $529 million (2.6% of the Vote) for the support, oversight, governance, and development of the health and disability sectors, consisting of:
    • Ministry of Health operating costs ($250 million or 1.2% of the Vote)
    • Health Workforce Training and Development ($219 million or 1.1% of the Vote)
    • Monitoring and Protecting Health and Disability Consumer Interests ($26 million or 0.1% of the Vote)
    • other services ($34 million or 0.2% of the Vote).
  • $55 million (or 0.3% of the Vote) for other expenses including $45 million for Provider Development.
  • $651 million (3.1% of the Vote) for capital investment, consisting of:
    • sector capital investment ($583 million or 2.9% of the Vote)
    • Equity Support for DHB deficits ($39 million or 0.2% of the Vote)
    • Residential Care Loans ($20 million)
    • Ministry of Health capital expenditure ($9 million).

The Minister of Health is also responsible for a capital injection to the Ministry of Health of $6 million.

Details of these appropriations are set out in Parts 2-4.

Details of Appropriations and Capital Injections#

Annual Appropriations and Forecast Permanent Appropriations#

Titles and Scopes of Appropriations by Appropriation Type 2019/20 2020/21
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.
61,886 61,886 55,868

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).
52,677 52,677 51,276

Payment Services (M36)

This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
17,340 17,340 18,340

Policy Advice and Related Services (M36)

This appropriation is limited to the provision of policy advice (including second opinion advice and contributions to policy advice led by other agencies) and other support to Ministers in discharging their policy decision-making and other portfolio responsibilities relating to the health portfolio.
- - 27,441

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.
26,008 26,008 27,358

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.
71,551 71,147 69,649

Total Departmental Output Expenses

229,462 229,058 249,932

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.
23,000 23,000 9,242

Total Departmental Capital Expenditure

23,000 23,000 9,242

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.
1,422,151 1,422,151 1,488,802

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.
782,557 782,557 850,803

Health and Disability Support Services - Canterbury DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.
1,570,764 1,564,264 1,639,047

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.
832,961 832,961 874,620

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.
1,554,621 1,554,621 1,646,763

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.
538,008 538,008 584,103

Health and Disability Support Services - Hutt DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.
425,189 425,189 455,669

Health and Disability Support Services - Lakes DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.
350,494 350,494 381,058

Health and Disability Support Services - MidCentral DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.
555,666 555,666 602,102

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.
475,983 475,983 517,054

Health and Disability Support Services - Northland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Northland DHB.
645,368 645,368 701,814

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.
195,414 195,414 205,000

Health and Disability Support Services - Southern DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Southern DHB.
951,486 951,486 1,027,770

Health and Disability Support Services - Tairawhiti DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.
175,313 175,313 190,625

Health and Disability Support Services - Taranaki DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.
371,207 371,207 399,986

Health and Disability Support Services - Waikato DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.
1,293,945 1,293,945 1,402,590

Health and Disability Support Services - Wairarapa DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.
153,283 153,283 166,633

Health and Disability Support Services - Waitemata DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.
1,652,470 1,652,470 1,727,434

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.
140,859 140,859 151,334

Health and Disability Support Services - Whanganui DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.
241,001 241,001 261,102

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.
11,385 9,885 2,000

Health Services Funding (M36)

This appropriation is limited to initiatives to improve the financial sustainability and performance of District Health Boards.
11,500 11,500 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.
215,691 207,191 218,877

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.
26,346 26,346 26,346

National Child Health Services (M36)

This appropriation is limited to the provision, purchase, and support of child health services.
107,332 107,332 111,518

National Disability Support Services (M36)

This appropriation is limited to the provision, purchase, and support of disability support services.
1,599,240 1,599,240 1,706,581

National Emergency Services (M36)

This appropriation is limited to the provision, purchase, and support of emergency services.
149,205 149,205 147,590

National Health Information Systems (M36)

This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.
9,382 9,382 8,382

National Management of Pharmaceuticals (M36)

This appropriation is limited to services relating to the national management of pharmaceuticals.
23,488 23,488 23,488

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.
19,328 17,128 9,328

National Maternity Services (M36)

This appropriation is limited to the provision, purchase, and support of maternity services.
188,492 188,492 204,992

National Mental Health Services (M36)

This appropriation is limited to the provision, purchase, and support of mental health services.
159,917 140,360 207,782

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.
84,713 84,438 67,007

National Planned Care Services (M36)

This appropriation is limited to the provision, purchase, and support of planned care interventions.
401,749 400,049 424,590

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
325,533 325,533 367,368

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.
19,079 17,079 20,609

Public Health Service Purchasing (M36)

This appropriation is limited to the provision, purchase, and support of public health services.
677,540 669,666 468,955

Auckland Health Projects Integrated Investment Plan (M36)

The appropriation is limited to expenses incurred in developing an Integrated Investment Plan for Auckland Health projects.
1,340 340 -

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.
9,586 9,586 -

Total Non-Departmental Output Expenses

18,369,586 18,318,480 19,313,403

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.
2,100 2,100 2,230

Legal Expenses (M36)

This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown.
2,678 1,028 7,028

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.
37,165 28,365 45,022

Total Non-Departmental Other Expenses

41,943 31,493 54,280

Non-Departmental Capital Expenditure

     

Equity Support for DHB deficits (M36)

This appropriation is limited to equity injections to District Health Boards to address working capital requirements.
430,000 430,000 39,211

Residential Care Loans - Payments (M36)

This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities.
20,000 20,000 20,000

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.
354,836 252,625 -

Health Sector Projects (M36)

This appropriation is limited to the provision or purchase of health sector assets.
197,743 157,004 -

Total Non-Departmental Capital Expenditure

1,002,579 859,629 59,211

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.
37,604 37,604 -

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.
5,702 5,702 -

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.
25,005 25,005 -

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.
6,897 6,897 -

Total Multi-Category Expenses and Capital Expenditure

37,604 37,604 -

Total Annual Appropriations and Forecast Permanent Appropriations

19,704,174 19,499,264 19,686,068

Multi-Year Appropriations#

Type, Title, Scope and Period of Appropriations Appropriations, Adjustments and Use $000

Non-Departmental Capital Expenditure

   

Health Capital Envelope 2020-2025 (M36)

This appropriation is limited to the provision or purchase of health sector assets, providing capital to health sector Crown entities or agencies for new investments, and reconfiguration of District Health Board balance sheets.

Commences: 01 July 2020

Expires: 30 June 2025
Original Appropriation 3,115,454
Adjustments to 2018/19 -
Adjustments for 2019/20 -
Adjusted Appropriation 3,115,454
Actual to 2018/19 Year End -
Estimated Actual for 2019/20 -
Estimate for 2020/21 583,000
Estimated Appropriation Remaining 2,532,454

Total Annual Appropriations and Forecast Permanent Appropriations and Multi-Year Appropriations#

  2019/20 2020/21
Final
Budgeted
$000
Estimated
Actual
$000
Budget
$000
Total Annual Appropriations and Forecast Permanent Appropriations 19,704,174 19,499,264 19,686,068
Total Forecast MYA Non-Departmental Capital Expenditure - - 583,000

Total Annual Appropriations and Forecast Permanent Appropriations and Multi-Year Appropriations

19,704,174 19,499,264 20,269,068

Capital Injection Authorisations#

  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Ministry of Health - Capital Injection (M36) 3,144 - 5,783

Supporting Information#

Part 1 - Vote as a Whole#

1.1 - New Policy Initiatives#

Policy Initiative Appropriation 2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Funding for Public Health Services

           
COVID-19: Public Health Response package (see Note 1)

Public Health Service Purchasing

Non-departmental output expense
213,200 - - - -
 

National Mental Health Services

Non-departmental output expense
15,000 - - - -
 

Managing the Purchase of Services

Departmental output expense
8,000 - - - -
 

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
2,000 - - - -
COVID-19: Maori Health Response package

National Maori Health Services

Non-departmental output expense
13,000 - - - -
COVID-19: Pacific Response package (see Note 2)

Public Health Service Purchasing

Non-departmental output expense
14,000 - - - -
Measles Outbreak Response and Strengthening the Immunisation System

Public Health Service Purchasing

Non-departmental output expense
20,236 18,100 - - -
 

Policy Advice and Ministerial Servicing MCA - Policy Advice

Departmental output expense
5,081 - - - -
 

Policy Advice and Related Services

Departmental output expense
- 1,250 - - -
 

Health Sector Information Systems

Departmental output expense
1,400 - - - -
Refugee Quota Increase

Public Health Service Purchasing

Non-departmental output expense
765 9,170 9,170 9,170 9,170
Extending the Pilot of the Community Organisation Refugee Sponsorship Category

Public Health Service Purchasing

Non-departmental output expense
- - 46 46 46
Specialist Responses to Strangulation - Addressing Family Violence

Public Health Service Purchasing

Non-departmental output expense
- 2,700 2,750 2,750 2,750
 

Managing the Purchase of Services

Departmental output expense
- 100 50 50 50
Maintaining Access to Breast Screening for Women 45 to 69

Public Health Service Purchasing

Non-departmental output expense
- 2,022 2,022 2,022 2,022
Foetal Alcohol Spectrum Disorders and Neurodevelopment Issues' Response Prototype Service

Public Health Service Purchasing

Non-departmental output expense
2,625 2,615 1,260 - -
 

Managing the Purchase of Services

Departmental output expense
430 430 240 - -
Cancer Control Agency

Sector Planning and Performance

Departmental output expense
- 7,669 7,669 7,669 7,669
New Zealand Cancer Action Plan

Sector Planning and Performance

Departmental output expense
2,017 - - - -
 

National Personal Health Services

Non-departmental output expense
(2,017)        

Funding for District Health Boards

           
District Health Boards - Additional Support

Health and Disability Support Services - DHBs

Non-departmental output expense
- 980,000 980,000 980,000 980,000
Maintaining and Increasing the Combined Pharmaceutical Budget

Health and Disability Support Services - DHBs

Non-departmental output expense
- 10,000 50,000 50,000 50,000
Investment to Increase Access to Medicines

Health and Disability Support Services - DHBs

Non-departmental output expense
20,000 40,000 - - -
 

Public Health Service Purchasing

Non-departmental output expense
(6,700) - - - -
 

Supporting Equitable Pay

Non-departmental output expense
(14,800) - - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreement

Health and Disability Support Services - DHBs

Non-departmental output expense
8,124 10,842 11,166 11,166 11,166

Funding for Disability Support Services

           
Supporting Disabled New Zealanders to Live Good Lives

National Disability Support Services

Non-departmental output expense
103,700 182,200 182,200 182,200 182,200
Funded Family Care

National Disability Support Services

Non-departmental output expense
8,000 8,000 8,000 8,000 8,000
Funding the Impact of Expected Minimum Wage Increases for the Cost of In-Between Travel

National Disability Support Services

Non-departmental output expense
- 5,666 5,666 5,666 5,666
Transforming the Cross-Government Disability Support System

Managing the Purchase of Services

Departmental output expense
- 5,816 - - -
 

National Disability Support Services

Non-departmental output expense
- 4,800 - - -
 

Sector Planning and Performance

Departmental output expense
- 1,454 - - -

Funding for Mental Wellbeing

           
Preventing and Reducing Homelessness - Funding a Balanced Approach

National Mental Health Services

Non-departmental output expense
- 1,998 2,791 3,442 1,631
 

Managing the Purchase of Services

Departmental output expense
- 374 324 374 -
 

Public Health Service Purchasing

Non-departmental output expense
110 200 - - -
Towards a Safe and Effective Criminal Justice System

National Mental Health Services

Non-departmental output expense
475 5,060 4,110 - -
Responding to the 15 March 2019 Terror Attacks

National Mental Health Services

Non-departmental output expense
3,241 2,784 2,661 - -
Mental Health and Addiction Treatment Services

National Mental Health Services

Non-departmental output expense
1,053 1,022 1,074 - -

Funding for other Sustainability initiatives

           
Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System

Sector Planning and Performance

Departmental output expense
4,000 6,000 6,000 6,000 6,000
 

Managing the Purchase of Services

Departmental output expense
4,000 5,000 5,000 5,000 5,000
 

Policy Advice and Related Services

Departmental output expense
- 3,500 3,500 3,500 3,500
 

Regulatory and Enforcement Services

Departmental output expense
1,000 1,500 1,500 1,500 1,500
 

Health Sector Information Systems

Departmental output expense
- 1,000 1,000 1,000 1,000
 

Payment Services

Departmental output expense
- 1,000 1,000 1,000 1,000
 

Policy Advice and Ministerial Servicing MCA - Ministerial Servicing

Departmental output expense
1,000 - - - -
A Free Consultation, Including Eye Check, for SuperGold Card Holders

Primary Health Care Strategy

Non-departmental output expense
- 12,925 61,660 61,660 61,660
Primary Care - Maintaining Access to Primary Health Services for New Zealanders

Primary Health Care Strategy

Non-departmental output expense
- 23,910 23,910 23,910 23,910
Well Child Tamariki Ora - Maintaining Universal Health Services for Children and their Families from Birth to Five Years

National Child Health Services

Non-departmental output expense
4,000 16,790 16,790 16,790 16,790
Planned Care Interventions - Managing Services in Line with Demographic Changes

National Planned Care Services

Non-departmental output expense
- 16,000 16,000 16,000 16,000
Planned Care - Maintaining Services for New Zealanders at Increased Pricing Levels

National Planned Care Services

Non-departmental output expense
- 15,350 15,350 15,350 15,350
Continuing Section 88 Primary Maternity Funding to Enable Ongoing Access to Free Maternity Services for New Zealand Women

National Maternity Services

Non-departmental output expense
- 16,500 13,500 13,500 13,500
Sustaining Access to Hospice Specialist Palliative Care

National Personal Health Services

Non-departmental output expense
- 4,700 5,000 5,000 5,000
 

Policy Advice and Related Services

Departmental output expense
- 300 - - -
Emergency Road Ambulance Services - Maintaining Viable Services

National Emergency Services

Non-departmental output expense
- 2,801 5,117 5,376 5,648
Supporting the Continued Delivery of Emergency Ambulance Services

National Emergency Services

Non-departmental output expense
- 3,952 3,952 3,952 3,952

Funding for other initiatives

           
Dunedin Hospital Redevelopment

Health Sector Projects Operating Expenses

Non-departmental output expense
5,000 - - - -
National Storage Facilities - Replacement and Relocation

Regulatory and Enforcement Services

Departmental output expense
- 686 390 390 390
Transforming Access to and Use of Health Information to Improve the Wellbeing of New Zealanders

Health Sector Information Systems

Departmental output expense
1,800 - - - -
 

National Health Information Systems

Non-departmental output expense
(1,800) - - - -

Total Operating Expenditure

 

437,940

1,436,186

1,450,868

1,442,483

1,440,570

District Health Boards - Capital Investment (see Note 3)

Health Capital Envelope 2020-2025

Non-departmental capital expenditure
- - 50,000 150,000 300,000
Equity Support Arising from DHB Deficits in 2019/20

Equity Support for DHB Deficits

Non-departmental capital expenditure
68,000 - - - -
Health Capital Investment Package

Equity for Capital Projects for DHBs and Health Sector Crown Agencies

Non-departmental capital expenditure
150,000 150,000 - - -
Dunedin Hospital Redevelopment

Health Sector Projects

Non-departmental capital expenditure
17,800 - - - -

Total Capital Expenditure

 

235,800

150,000

50,000

150,000

300,000

National Storage Facilities - Replacement and Relocation Departmental capital injection - 5,050 - - -

Total

 

673,740

1,591,236

1,500,868

1,592,483

1,740,570

Note 1 - This includes up to $17 million for Maori specific investments.

Note 2 - In addition, a further $3 million has been reprioritised within existing Vote Health baselines for this initiative.

Note 3 - This initiative is for $750 million over four years, with a further $250 million in 2024/25.

Summary of Financial Activity

  2015/16 2016/17 2017/18 2018/19 2019/20 2020/21 2021/22 2022/23 2023/24
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 14,767,261 15,248,836 16,154,066 17,130,653 18,636,652 18,585,142 249,932 19,313,403 19,563,335 19,689,411 19,717,094 19,714,121
Benefits or Related Expenses - - - - - - N/A - - - - -
Borrowing Expenses - - - - - - - - - - - -
Other Expenses 25,307 102,469 22,196 26,229 41,943 31,493 - 54,280 54,280 36,736 37,890 37,890
Capital Expenditure 487,272 3,043,698 348,501 511,849 1,025,579 882,629 9,242 642,211 651,453 791,550 1,030,550 913,004
Intelligence and Security Department Expenses and Capital Expenditure - - - - - - - N/A - - - -
Multi-Category Expenses and Capital Expenditure (MCA)                        
Output Expenses - - - - - - - - - - - -
Other Expenses - - - - - - - - - - - -
Capital Expenditure - - - - - - N/A - - - - -

Total Appropriations

15,279,840 18,395,003 16,524,763 17,668,731 19,704,174 19,499,264 259,174 20,009,894 20,269,068 20,517,697 20,785,534 20,665,015

Crown Revenue and Capital Receipts

                       
Tax Revenue - - - - - - N/A - - - - -
Non-Tax Revenue 687,880 675,915 834,322 863,778 980,523 980,523 N/A 996,316 996,316 1,013,259 1,030,071 1,030,071
Capital Receipts 24,648 23,133 23,719 24,981 32,499 32,499 N/A 32,499 32,499 32,499 32,499 32,499

Total Crown Revenue and Capital Receipts

712,528 699,048 858,041 888,759 1,013,022 1,013,022 N/A 1,028,815 1,028,815 1,045,758 1,062,570 1,062,570

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

  2015/16
Adjustments
$000
2016/17
Adjustments
$000
2017/18
Adjustments
$000
2018/19
Adjustments
$000
2019/20
Final Budgeted
Adjustments
$000
2019/20
Estimated
Actual
Adjustments
$000

Appropriations

           
Output Expenses 20,705 20,521 20,586 23,755 37,604 37,604
Benefits or Related Expenses - - - - - -
Borrowing Expenses - - - - - -
Other Expenses - - - - - -
Capital Expenditure - - - - - -
Intelligence and Security Department Expenses and Capital Expenditure - - - - - -
Multi-Category Expenses and Capital Expenditure (MCA)            
Output Expenses (20,705) (20,521) (20,586) (23,755) (37,604) (37,604)
Other Expenses - - - - - -
Capital Expenditure - - - - - -

Total Appropriations

-

-

-

-

-

-

Crown Revenue and Capital Receipts

           
Tax Revenue - - - - - -
Non-Tax Revenue - - - - - -
Capital Receipts - - - - - -

Total Crown Revenue and Capital Receipts

- - - - - -

The prior year information in the Summary of Financial Activity table has been restated to reflect the current Vote structure.

Total Vote: All Appropriations

Vote Health has grown from actual expenditure in 2015/16 of $15,280 million to budgeted expenditure in 2020/21 of $20,269 million, an increase of $4,989 million over five years. This has mainly been driven by increases to:

  • Output Expenses, which were $14,767 million in 2015/16 and are budgeted at $19,563 million in 2020/21 - an increase of $4,796 million, and
  • Capital Expenditure, which was $487 million in 2015/16 and is budgeted at $651 million in 2020/21 - an increase of $164 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 2020/21 are budgeted at $15,274 million, an increase of $3,483 million over the actual expenditure in 2015/16. 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 2020/21 appropriations for these national services are budgeted for $3,760 million which is $1,188 million greater than the actual expenditure in 2015/16. The main drivers of the increase are the Crown's ongoing investment in:

  • disability support services, which has increased by nearly $540 million since 2015/16
  • Ministry of Health funded primary health care services, which has increased by nearly $187 million since 2015/16, and
  • Ministry of Health funded mental health services, which has increased by $155 million since 2015/16.

Funding for the support, oversight, governance, and development of the health and disability sectors has also grown. Actual expenditure of $405 million in 2015/16 has increased to budgeted expenditure in 2020/21 of $529 million. The increase is mainly in funding to the Ministry, for oversight and management of the health sector, and health workforce training and development.

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 $55 million in 2020/21 from the actual expenditure of $25 million in 2015/16, largely driven by investment in Provider Development.

Capital Expenditure

The Crown continues to provide capital for sector infrastructure. Appropriations for 2020/21 are $583 million, compared to actual expenditure of $194 million in 2015/16. As in previous years, this includes funding for multi-year projects and provision for some future expenses or risks.

There is $68 million of other capital expenditure appropriated for 2020/21. 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 $484 million in 2015/16 to forecast revenue of $576 million in 2020/21.

In 2019/20 only, ACC paid the Crown an additional $20 million for the treatment of people injured by the Whakaari/White Island eruption. This was offset by an increase in the National Personal Health Service non-departmental appropriation for payment to DHBs.

The capital charge revenue has grown from $204 million in 2015/16 to forecast revenue of $420 million in 2020/21. 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 $20 million per annum.

1.4 - Reconciliation of Changes in Appropriation Structure#

2019/20 Appropriations
in the 2019/20 Structure
2019/20
(Current)
$000
Old Structure New Structure
Appropriations to which
Expenses (or Capital
Expenditure) have been Moved from or to
Amount
Moved
$000
2019/20 Appropriations
in the 2020/21 Structure
2019/20
(Restated)
$000
2020/21
$000

Policy Advice and Ministerial Servicing MCA

     

Departmental Output Expense

   

Departmental Output Expense

           
Ministerial Servicing 5,702 Transferred to: Policy Advice and Related Services (5,702)      
Policy Advice 25,005 Transferred to: Policy Advice and Related Services (25,005)      
Supporting the Review of the New Zealand Health and Disability System 6,897 Transferred to: Policy Advice and Related Services (6,897)      
    Transferred from Ministerial Servicing 5,702 Policy Advice and Related Services 37,604 27,441
    Transferred from Policy Advice 25,005      
    Transferred from Supporting the Review of the New Zealand Health and Disability System 6,897      

Non-Departmental Output Expense

     

Non-Departmental Output Expense

   
National Contracted Services Other 23,488 Renamed - National Management of Pharmaceuticals 23,488 23,488

Non-Departmental Capital Expenditure

     

Non-Departmental Capital Expenditure

   
Equity for Capital Projects for DHBs and Health Sector Crown Agencies 354,836 Transferred to: Health Capital Envelope 2020-2025 (354,836)      
Health Sector Projects 197,743 Transferred to: Health Capital Envelope 2020-2025 (197,743)      
    Transferred from Equity for Capital Projects for DHBs and Health Sector Crown Agencies 354,836 Health Capital Envelope 2020-2025 552,579 583,000
    Transferred from Health Sector Projects 197,743      
Total Changes in Appropriations 613,671   -   613,671 633,929

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
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.
Expenses and Revenue
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 61,886 61,886 55,868
Revenue from the Crown 61,886 61,886 55,868
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
Assessment of Performance 2019/20 2020/21
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% 99% 99%

Number of security breach incidents

0 1 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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System 2020/21 - 1,000 1,000 1,000 1,000
Measles Outbreak Response and Strengthening the Immunisation System 2019/20 1,400 - - - -
Transforming Access to and Use of Health Information to Improve the Wellbeing of New Zealanders 2019/20 1,800 - - - -
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 3,000 750 750 750 750
National Bowel Screening Programme Implementation Year Two 2018/19 4,000 2,500 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 decreases by $6.018 million to $55.868 million mainly due to:

  • $2.250 million reduction in the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support
  • $1.800 million reduction in the initiative Transforming Access to and Use of Health Information to Improve the Wellbeing of New Zealanders
  • $1.500 million reduction in the Budget 2018 initiative National Bowel Screening Programme Implementation Year Two, and
  • $1.400 million reduction in the initiative Measles Outbreak Response and Strengthening the Immunisation System.

This decrease was partly offset by:

  • $1 million for the Budget 2020 initiative Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System.

Managing the Purchase of Services (M36)

Scope of Appropriation
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).
Expenses and Revenue
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 52,677 52,677 51,276
Revenue from the Crown 52,677 52,677 51,276
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
Assessment of Performance 2019/20 2020/21
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% 98% 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% 100% 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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Transforming the Cross-Government Disability Support System 2020/21 - 5,816 - - -
Preventing and Reducing Homelessness - Funding a Balanced Approach 2020/21 - 374 324 374 -
Specialist Responses to Strangulation - Addressing Family Violence 2020/21 - 100 50 50 50
COVID-19: Public Health Response package 2019/20 8,000 - - - -
Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System 2019/20 4,000 5,000 5,000 5,000 5,000
Foetal Alcohol Spectrum Disorders and Neurodevelopment Issues' Response Prototype Service 2019/20 430 430 240 - -
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 1,750 1,750 2,050 2,050 2,050
Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes 2019/20 400 463 1,464 1,968 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 2019/20 150 150 150 150 150
Increasing the Pacific Provider and Workforce Development Fund to Support a Pacific Workforce Pipeline 2019/20 120 120 120 120 120
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 - - - -
Transforming the Disability Support System 2018/19 6,420 - - - -
Integrated Therapies Pilot for 18-25 Year Olds 2018/19 420 420 - - -
Meeting Air Ambulance Service Cost Pressures 2018/19 300 300 300 300 300

Previous Government

           
Contraceptive Services for Low Income Women 2017/18 120 120 120 120 120
National Bowel Screening Programme Rollout 2016/17 2,340 2,340 2,340 2,340 2,340
Reasons for Change in Appropriation

This appropriation decreases by $1.401 million to $51.276 million mainly due to:

  • $8 million reduction in COVID-19: Public Health Response package, and
  • $6.420 million reduction in the 2018/19 initiative Transforming the Disability Support System.

This decrease is partly offset by:

  • $5.816 million for the Budget 2020 initiative Transforming the Cross-Government Disability Support System
  • $4.800 million for a transfer from 2019/20 to 2020/21 for the National Bowel Screening Programme
  • $1 million for the Budget 2020 initiative Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System
  • $475,000 uplift in a fiscally neutral transfer from the National Mental Health Services appropriation to support implementation of the initiative Towards a Safe and Effective Criminal Justice System
  • $374,000 for the initiative Preventing and Reducing Homelessness - Funding a Balanced Approach, and
  • $100,000 for the Budget 2020 initiative Specialist Responses to Strangulation - Addressing Family Violence.

Payment Services (M36)

Scope of Appropriation
This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
Expenses and Revenue
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 17,340 17,340 18,340
Revenue from the Crown 17,340 17,340 18,340
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
Assessment of Performance 2019/20 2020/21
Final Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of claims paid on time

98% 100% 98%

The percentage of claims processed accurately

95% 98% 95%

The percentage of all draft agreements prepared for funders within target timeframes

95% 93% 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% 84% 80%

The percentage of calls abandoned by callers prior to being answered by the contact centre is less than

5% 2.5% 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.

Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System 2020/21 - 1,000 1,000 1,000 1,000
Reasons for Change in Appropriation

This appropriation increases by $1 million to $18.340 million due to the Budget 2020 initiative Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System.

Policy Advice and Related Services (M36)

Scope of Appropriation
This appropriation is limited to the provision of policy advice (including second opinion advice and contributions to policy advice led by other agencies) and other support to Ministers in discharging their policy decision-making and other portfolio responsibilities relating to the health portfolio.
Expenses and Revenue
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation - - 27,441
Revenue from the Crown - - 27,441
Revenue from Others - - -
Comparators for Restructured Appropriation
Vote, Type and Title of Appropriation 2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Vote Health: Multi-Category Expenses and Capital Expenditure: Policy Advice and Ministerial Servicing MCA      
Ministerial Servicing 5,702 5,702 -
Policy Advice 25,005 25,005 -
Supporting the Review of the New Zealand Health and Disability System 6,897 6,897 -
Total 37,604 37,604 27,441
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 and End of Year Reporting Requirements
Assessment of Performance 2019/20 2020/21
Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Average score attained from a sample of the Ministry's written policy advice as assessed using the agreed DPMC Framework

Greater than 3.2 out of 5 3.2 Greater than 3.2 out of 5

The satisfaction of the Minister/Associate Ministers of Health with the policy advice service

Equal to or greater than 4 out of 5 4 Equal to or greater than 4 out of 5

The percentage of responses provided to the Minister within agreed timeframes for written parliamentary questions and Ministerial letters

95% 98% 95%

Percentage of responses provided to the Minister within agreed timeframes, for requested briefing

95% 87% 95

Percentage of Ministerial letters accepted without substantive amendment

95% 99% 95%

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% 96% 95%
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Sustaining Access to Hospice Specialist Palliative Care 2020/21 - 300 - - -
Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System 2019/20 1,000 3,500 3,500 3,500 3,500
Measles Outbreak Response and Strengthening the Immunisation System 2019/20 5,081 1,250 - - -
COVID-19: Public Health Response package 2019/20 2,000 - - - -
Enhancing the Ministry of Health's Capability to Support Government Priorities 2019/20 400 400 400 400 400
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 500 250 250 250 250
Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes 2019/20 250 250 250 250 250
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 2019/20 100 100 200 100 100
Mental Wellbeing Support for Parents and Whanau 2019/20 50 100 100 250 250
Establishing the NZ Health and Disability System Review 2018/19 4,304 - - - -
Reasons for Change in Appropriation

This restructured appropriation decreases by $10.163 million to $27.441 million mainly due to:

  • $4.304 million reduction from the initiative Establishing the NZ Health and Disability System Review
  • $3.831 million for the initiative Funding the Response to the Measles Outbreak and Strengthening the Immunisation System
  • $2.593 million for a transfer from 2018/19 to 2019/20 for the initiative Establishing the NZ Health and Disability System Review, and
  • $2 million for the COVID-19: Public Health Response package in 2019/20 only.

This decrease is partly offset by:

  • $2.500 million uplift for the Budget 2020 initiative Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System, and
  • $300,000 for the Budget 2020 initiative Sustaining Access to Hospice Specialist Palliative Care.

Regulatory and Enforcement Services (M36)

Scope of Appropriation
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.
Expenses and Revenue
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 26,008 26,008 27,358
Revenue from the Crown 12,285 12,285 12,839
Revenue from Others 13,723 13,723 14,519
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
Assessment of Performance 2019/20 2020/21
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% 92% 90%

The percentage of all certificates issued to providers under the Health and Disability Services (Safety) Act 2001 within target timeframes

90% 94% 90%

Percentage of licences and authorities issued under the Medicines Act 1981 and Misuse of Drugs Act 1975 within target timeframes

90% 92% 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% 93% 90%

The percentage of all New Medicines Applications (for ministerial consent to market) that receive an initial assessment within 200 days

80% 91% 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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
National Storage Facilities - Replacement and Relocation 2020/21 - 686 390 390 390
Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System 2019/20 1,000 1,500 1,500 1,500 1,500
Medicinal Cannabis Scheme - Quality Standards and Licensing 2018/19 535 - - - -

Previous Government

           
Radiation Safety Act - administration of new regulations 2016/17 574 574 574 574 574
Reasons for Change in Appropriation

This appropriation increases by $1.350 million mainly due to:

  • $796,000 uplift in third-party revenue from licensing of medicinal cannabis activities
  • $686,000 for the Budget 2020 initiative National Storage Facilities - Replacement and Relocation, and
  • $500,000 uplift in the Budget 2020 initiative Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System.

This increase is partly offset by:

  • $535,000 reduction in the initiative Medicinal Cannabis Scheme - Quality Standards and Licensing.
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
  2019/20 2020/21
Budgeted
$000
Estimated Actual
$000
Budget
$000

Medicinal Cannabis

     
Opening Balance at 1 July - - -
Revenue 265 265 1,061
Expenses 265 265 1,061

Closing Balance at 30 June

- - -

 

  2019/20 2020/21
Budgeted
$000
Estimated Actual
$000
Budget
$000

MedSafe

     
Opening Balance at 1 July (2,046) (2,046) (2,776)
Revenue 9,500 8,300 9,500
Expenses 9,500 9,030 9,500

Closing Balance at 30 June

(2,046) (2,776) (2,776)

 

  2019/20 2020/21
Budgeted
$000
Estimated Actual
$000
Budget
$000

Office of Radiation Safety

     
Opening Balance at 1 July (104) (104) (504)
Revenue 1,500 1,100 1,500
Expenses 1,500 1,500 1,500

Closing Balance at 30 June

(104) (504) (504)

Sector Planning and Performance (M36)

Scope of Appropriation
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.
Expenses and Revenue
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 71,551 71,147 69,649
Revenue from the Crown 71,402 71,402 69,500
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
Assessment of Performance 2019/20 2020/21
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% 99% 100%

The percentage of quarterly and monthly monitoring reports about DHBs provided to the Minister within agreed timeframes

100% 0 100%

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% 98% 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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Cancer Control Agency 2020/21 - 7,669 7,669 7,669 7,669
Transforming the Cross-Government Disability Support System 2020/21 - 1,454 - - -
Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System 2019/20 4,000 6,000 6,000 6,000 6,000
New Zealand Cancer Action Plan 2019/20 2,017 - - -  
Infrastructure Support for District Health Boards' Capital Projects 2019/20 3,000 4,500 5,500 7,000 7,000
Enhancing the Ministry of Health's Capability to Support Government Priorities 2019/20 600 600 600 600 600
Reasons for Change in Appropriation

This appropriation decreases by $1.902 million to $69.649 million mainly due to:

  • $12.181 million for a fiscally neutral transfer in 2019/20 from the Health Services Funding appropriation for the Budget 2019 initiative Improving the Financial Sustainability and Performance of District Health Boards, and
  • $2.017 million for a fiscally neutral transfer in 2019/20 from the National Personal Health Services appropriation to support implementation of the New Zealand Cancer Action Plan.

This decrease was partly offset by:

  • $7.669 million for the Budget 2020 initiative Cancer Control Agency
  • $2 million uplift in the Budget 2020 initiative Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System
  • $1.500 million uplift in the Budget 2019 initiative Infrastructure Support for District Health Boards' Capital Projects, and
  • $1.454 million for the Budget 2020 initiative Transforming the Cross-Government Disability Support System.

2.3 - Departmental Capital Expenditure and Capital Injections#

Ministry of Health - Capital Expenditure PLA (M36)

Scope of Appropriation
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.
Capital Expenditure
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Forests/Agricultural - - -
Land - - -
Property, Plant and Equipment 350 350 6,213
Intangibles 22,650 22,650 3,029
Other - - -

Total Appropriation

23,000 23,000 9,242
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
Assessment of Performance 2019/20 2020/21
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 $13.758 million to $9.242 million mainly due to:

  • reductions in the forecast funding profile for capital investment.

This decrease was partly offset by:

  • $5.050 million for the Budget 2020 initiative National Storage Facilities - Replacement and Relocation.
Capital Injections and Movements in Departmental Net Assets
Ministry of Health
Details of Net Asset Schedule 2019/20
Estimated Actual
$000
2020/21
Projected
$000
Explanation of Projected Movements in 2020/21
Opening Balance 40,207 40,207  
Capital Injections - 5,783 The capital injection for 2020/21 relates to the National Bowel Screening Programme and the National Screening Solution ($733,000) and National Storage Facilities - Replacement and Relocation ($5.050 million).
Capital Withdrawals - -  
Surplus to be Retained (Deficit Incurred) - -  
Other Movements - -  

Closing Balance

40,207 45,990  

Part 3 - Details of Non-Departmental Appropriations#

3.1 - Non-Departmental Output Expenses#

Health and Disability Support Services - Auckland DHB (M36)

Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,422,151 1,422,151 1,488,802
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 64,546 64,546 64,546 64,546
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 856 4,280 4,280 4,280
Investment to Increase Access to Medicines 2019/20 1,902 3,804 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 813 1,064 1,061 1,061 1,061
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 53,228 53,228 53,228 53,228 53,228
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 951 951 951 951 951
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 13,785 14,786 14,786 14,786 14,786
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 3,527 3,327 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 (3,320) (6,230) (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 1,321 566 566 566 566
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 2,527 2,527 2,527 2,527 2,527
Reasons for Change in Appropriation

This appropriation increases by $66.651 million to $1,488.802 million mainly due to:

  • $64.546 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $2.762 million for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services
  • $1.902 million for the initiative Investment to Increase Access to Medicines
  • $1.001 million uplift for settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $856,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $450,000 transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $251,000 uplift for Settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $2.910 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $1.267 million reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $755,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines, and
  • $200,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses.
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
This appropriation is limited to personal and public health services, and management outputs from Bay of Plenty DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 782,557 782,557 850,803
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 69,888 69,888 69,888 69,888
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 599 2,993 2,993 2,993
Investment to Increase Access to Medicines 2019/20 1,122 2,244 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 353 536 587 587 587
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 30,451 30,451 30,451 30,451 30,451
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 561 561 561 561 561
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 5,242 5,184 5,184 5,184 5,184
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 1,065 787 787 787 787
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 (1,955) (3,668) (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 2017/18 785 337 337 337 337
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 1,515 1,515 1,515 1,515 1,515
Reasons for Change in Appropriation

This appropriation increases by $68.246 million to $850.803 million mainly due to:

  • $69.888 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $1.122 million for the initiative Investment to Increase Access to Medicines
  • $599,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $189,000 transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $183,000 uplift for Settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $1.713 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $1.026 million reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $448,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $278,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses
  • $230,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services, and
  • $58,000 reduction from Settlement of the NZNO Nurses and Midwives 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
This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,570,764 1,564,264 1,639,047
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 85,195 85,195 85,195 85,195
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 1,071 5,356 5,356 5,356
Investment to Increase Access to Medicines 2019/20 2,168 4,336 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 697 960 1,037 1,037 1,037
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 64,773 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 1,084
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 16,446 16,748 16,748 16,748 16,748
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 2,145 1,354 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 (3,762) (7,059) (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 1,523 653 653 653 653
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 2,930 2,930 2,930 2,930 2,930
Reasons for Change in Appropriation

This appropriation increases by $68.283 million to $1,639.047 million mainly due to:

  • $85.195 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $2.168 million for the initiative Investment to Increase Access to Medicines
  • $1.071 million for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $533,000 transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients
  • $302,000 uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $263,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements, and
  • $42,000 transfer from the National Mental Health Services appropriation, devolving funding to DHBs for Forensic Mental Health Services: Prison In-reach Services.

This increase is partly offset by:

  • $9 million for transfers from capital appropriations for operating costs, in 2019/20 only, associated with earthquake repair projects
  • $5 million for a transfer from 2018/19 to 2019/20 reflecting the timing of funding for work on earthquake repairs
  • $3.297 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $1.932 million reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $870,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $791,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $411,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from Capital and Coast DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 832,961 832,961 874,620
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 40,911 40,911 40,911 40,911
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 561 2,803 2,803 2,803
Investment to Increase Access to Medicines 2019/20 1,140 2,280 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 719 886 887 887 887
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 34,281 34,281 34,281 34,281 34,281
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 570 570 570 570 570
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 7,875 9,221 9,221 9,221 9,221
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 2,891 2,259 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 (1,982) (3,718) (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 2017/18 797 342 342 342 342
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 1,542 1,542 1,542 1,542 1,542
Reasons for Change in Appropriation

This appropriation increases by $41.659 million to $874.620 million mainly due to:

  • $40.911 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $1.346 million uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $1.140 million for the initiative Investment to Increase Access to Medicines
  • $561,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $535,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services
  • $472,000 transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients
  • $167,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements, and
  • $86,000 transfer from the National Mental Health Services appropriation, devolving funding to DHBs for Forensic Mental Health Services: Prison In-reach Services.

This increase is partly offset by:

  • $1.736 million additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $756,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $632,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $455,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - 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 - Counties-Manukau DHB (M36)

Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Counties-Manukau DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,554,621 1,554,621 1,646,763
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 92,920 92,920 92,920 92,920
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 1,092 5,462 5,462 5,462
Investment to Increase Access to Medicines 2019/20 2,200 4,400 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 849 1,156 1,152 1,152 1,152
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 71,757 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 1,100
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 10,043 11,316 11,316 11,316 11,316
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 2,869 2,638 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 (3,808) (7,146) (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 1,525 654 654 654 654
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 2,957 2,957 2,957 2,957 2,957
Reasons for Change in Appropriation

This appropriation increases by $92.142 million to $1,646.763 million mainly due to:

  • $92.920 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $2.200 million for the initiative Investment to Increase Access to Medicines
  • $1.273 million uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $1.092 million for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $368,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $307,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $3.338 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $1.166 million reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $871,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $420,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services, and
  • $231,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses.
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
This appropriation is limited to personal and public health services, and management outputs from Hawkes Bay DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 538,008 538,008 584,103
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 47,637 47,637 47,637 47,637
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 399 1,997 1,997 1,997
Investment to Increase Access to Medicines 2019/20 768 1,536 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 353 415 415 415 415
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 20,414 20,414 20,414 20,414 20,414
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 384 384 384 384 384
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 4,699 4,314 4,314 4,314 4,314
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 779 536 536 536 536
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 (1,340) (2,515) (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 2017/18 544 233 233 233 233
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 1,053 1,053 1,053 1,053 1,053
Reasons for Change in Appropriation

This appropriation increases by $46.095 million to $584.103 million mainly due to:

  • $47.637 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $768,000 for the initiative Investment to Increase Access to Medicines
  • $399,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $135,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $62,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $1.175 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $653,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $385,000 reduction from Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $311,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $243,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $154,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 425,189 425,189 455,669
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 31,370 31,370 31,370 31,370
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 302 1,508 1,508 1,508
Investment to Increase Access to Medicines 2019/20 594 1,188 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 382 482 482 482 482
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 13,086 13,086 13,086 13,086 13,086
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 297 297 297 297 297
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 3,292 3,360 3,360 3,360 3,360
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 827 558 558 558 558
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 (1,038) (1,948) (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 2017/18 420 180 180 180 180
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 2016/17 813 813 813 813 813
Reasons for Change in Appropriation

This appropriation increases by $30.480 million to $455.669 million mainly due to:

  • $31.370 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $594,000 for the initiative Investment to Increase Access to Medicines
  • $302,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $100,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements, and
  • $68,000 uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement.

This increase is partly offset by:

  • $910,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $429,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $269,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses
  • $240,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines, and
  • $116,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 350,494 350,494 381,058
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 31,128 31,128 31,128 31,128
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 264 1,320 1,320 1,320
Investment to Increase Access to Medicines 2019/20 500 1,000 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 223 321 343 343 343
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 11,391 11,391 11,391 11,391 11,391
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 250 250 250 250 250
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 2,315 2,350 2,350 2,350 2,350
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 404 265 265 265 265
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 (879) (1,650) (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 2017/18 356 152 152 152 152
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 2016/17 680 680 680 680 680
Reasons for Change in Appropriation

This appropriation increases by $30.564 to $381.058 million mainly due to:

  • $31.128 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $500,000 for the initiative Investment to Increase Access to Medicines
  • $264,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $98,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements
  • $84,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $35,000 uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement.

This increase is partly offset by:

  • $771,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $419,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $204,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $139,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $101,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 555,666 555,666 602,102
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 47,586 47,586 47,586 47,586
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 407 2,036 2,036 2,036
Investment to Increase Access to Medicines 2019/20 800 1,600 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 579 731 730 730 730
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 22,680 22,680 22,680 22,680 22,680
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 400 400 400 400 400
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 4,604 4,498 4,498 4,498 4,498
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 662 418 418 418 418
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 (1,393) (2,614) (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 2017/18 564 242 242 242 242
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 1,099 1,099 1,099 1,099 1,099
Reasons for Change in Appropriation

This appropriation increases by $46.436 million to $602.102 million mainly due to:

  • $47.586 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $800,000 for the initiative Investment to Increase Access to Medicines
  • $407,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $271,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $152,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $1.221 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $741,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $322,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $244,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses
  • $156,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services, and
  • $106,000 reduction from Settlement of the NZNO Nurses and Midwives 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 - Nelson-Marlborough DHB (M36)

Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Nelson-Marlborough DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 475,983 475,983 517,054
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 41,966 41,966 41,966 41,966
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 347 1,733 1,733 1,733
Investment to Increase Access to Medicines 2019/20 680 1,360 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 236 353 373 373 373
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 18,566 18,566 18,566 18,566 18,566
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 340 340 340 340 340
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 2,262 2,375 2,375 2,375 2,375
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 1,312 1,181 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 (1,183) (2,220) (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 2017/18 474 203 203 203 203
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 2016/17 913 913 913 913 913
Reasons for Change in Appropriation

This appropriation increases by $41.071 million to $517.054 million mainly due to:

  • $41.966 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $680,000 for the initiative Investment to Increase Access to Medicines
  • $347,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $117,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements
  • $116,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $113,000 uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement.

This increase is partly offset by:

  • $1.037 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $711,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $271,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $133,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services, and
  • $131,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses.
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
This appropriation is limited to personal and public health services, and management outputs from Northland DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 645,368 645,368 701,814
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 57,817 57,817 57,817 57,817
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 490 2,449 2,449 2,449
Investment to Increase Access to Medicines 2019/20 928 1,856 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 312 384 382 382 382
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 25,827 25,827 25,827 25,827 25,827
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 464 464 464 464 464
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 4,415 4,267 4,267 4,267 4,267
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 1,202 942 942 942 942
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 (1,615) (3,030) (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 2017/18 646 277 277 277 277
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 1,239 1,239 1,239 1,239 1,239
Reasons for Change in Appropriation

This appropriation increases by $56.446 million to $701.814 million mainly due to:

  • $57.817 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $928,000 for the initiative Investment to Increase Access to Medicines
  • $490,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $153,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $72,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $1.415 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $659,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $369,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $260,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses
  • $188,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services, and
  • $148,000 reduction from Settlement of the NZNO Nurses and Midwives 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
This appropriation is limited to personal and public health services, and management outputs from South Canterbury DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 195,414 195,414 205,000
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 10,142 10,142 10,142 10,142
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 138 691 691 691
Investment to Increase Access to Medicines 2019/20 280 560 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 71 110 115 115 115
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 6,679 6,679 6,679 6,679 6,679
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 140 140 140 140 140
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 1,631 1,525 1,525 1,525 1,525
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 151 91 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 (490) (919) (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 2017/18 199 85 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 2016/17 386 386 386 386 386
Reasons for Change in Appropriation

This appropriation increases by $9.586 million to $205 million mainly due to:

  • $10.142 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $280,000 for the initiative Investment to Increase Access to Medicines
  • $138,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $50,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $39,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $429,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $261,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $114,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $106,000 reduction from Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $60,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $53,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from Southern DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 951,486 951,486 1,027,770
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 78,869 78,869 78,869 78,869
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 686 3,428 3,428 3,428
Investment to Increase Access to Medicines 2019/20 1,350 2,700 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 425 620 654 654 654
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 37,872 37,872 37,872 37,872 37,872
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 675 675 675 675 675
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 8,366 7,715 7,715 7,715 7,715
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 1,593 1,133 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 (2,348) (4,406) (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 2017/18 947 406 406 406 406
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 1,839 1,839 1,839 1,839 1,839
Reasons for Change in Appropriation

This appropriation increases by $76.284 million to $1,027.770 million mainly due to:

  • $78.869 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $1.350 million for the initiative Investment to Increase Access to Medicines
  • $686,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $364,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients
  • $195,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements, and
  • $20,000 transfer from the National Mental Health Services appropriation, devolving funding to DHBs for Forensic Mental Health Services: Prison In-reach Services.

This increase is partly offset by:

  • $2.058 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $1.257 million reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $651,000 reduction from Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $541,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $460,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $263,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 175,313 175,313 190,625
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 15,692 15,692 15,692 15,692
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 130 651 651 651
Investment to Increase Access to Medicines 2019/20 254 508 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 139 215 228 228 228
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 5,104 5,104 5,104 5,104 5,104
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 127 127 127 127 127
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 1,265 1,215 1,215 1,215 1,215
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 267 184 184 184 184
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 (445) (835) (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 2017/18 181 77 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 2016/17 348 348 348 348 348
Reasons for Change in Appropriation

This appropriation increases by $15.312 million to $190.625 million mainly due to:

  • $15.692 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $254,000 for the initiative Investment to Increase Access to Medicines
  • $130,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $76,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements, and
  • $43,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients.

This increase is partly offset by:

  • $390,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $161,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $104,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $83,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses
  • $50,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services, and
  • $50,000 reduction from Settlement of the NZNO Nurses and Midwives 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
This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 371,207 371,207 399,986
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 29,304 29,304 29,304 29,304
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 265 1,325 1,325 1,325
Investment to Increase Access to Medicines 2019/20 522 1,044 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 325 410 410 410 410
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 10,787 10,787 10,787 10,787 10,787
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 261 261 261 261 261
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 2,622 2,847 2,847 2,847 2,847
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 428 276 276 276 276
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 (914) (1,715) (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 2017/18 370 159 159 159 159
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 2016/17 721 721 721 721 721
Reasons for Change in Appropriation

This appropriation increases by $28.779 million to $399.986 million mainly due to:

  • $29.304 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $522,000 for the initiative Investment to Increase Access to Medicines
  • $265,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $225,000 uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $95,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients, and
  • $85,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $801,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $456,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $211,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $152,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $102,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,293,945 1,293,945 1,402,590
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 112,579 112,579 112,579 112,579
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 920 4,602 4,602 4,602
Investment to Increase Access to Medicines 2019/20 1,796 3,592 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 649 915 1,024 1,024 1,024
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 49,732 49,732 49,732 49,732 49,732
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 898 898 898 898 898
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 13,229 11,383 11,383 11,383 11,383
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 2,206 1,698 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 (3,132) (5,877) (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 1,260 540 540 540 540
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 2,422 2,422 2,422 2,422 2,422
Reasons for Change in Appropriation

This appropriation increases by $108.645 million to $1,402.590 million mainly due to:

  • $112.579 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $1.796 million for the initiative Investment to Increase Access to Medicines
  • $920,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $436,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients
  • $266,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements, and
  • $63,000 transfer from the National Mental Health Services appropriation, devolving funding to DHBs for Forensic Mental Health Services: Prison In-reach Services.

This increase is partly offset by:

  • $2.745 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $1.846 million reduction from Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $1.276 million reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $720,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $508,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $354,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 153,283 153,283 166,633
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 13,610 13,610 13,610 13,610
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 114 572 572 572
Investment to Increase Access to Medicines 2019/20 220 440 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 94 119 119 119 119
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 7,853 7,853 7,853 7,853 7,853
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 110 110 110 110 110
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 990 1,100 1,100 1,100 1,100
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 98 70 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 (377) (707) (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 2017/18 152 65 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 2016/17 294 294 294 294 294
Reasons for Change in Appropriation

This appropriation increases by $13.350 million to $166.633 million mainly due to:

  • $13.610 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $220,000 for the initiative Investment to Increase Access to Medicines
  • $114,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $110,000 uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement, and
  • $25,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $330,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $190,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $87,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $44,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services, and
  • $28,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses.
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
This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,652,470 1,652,470 1,727,434
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 77,260 77,260 77,260 77,260
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 1,099 5,497 5,497 5,497
Investment to Increase Access to Medicines 2019/20 2,278 4,556 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 596 761 757 757 757
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 75,057 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 1,139
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 9,362 9,737 9,737 9,737 9,737
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 4,675 4,262 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 (3,942) (7,398) (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 1,580 677 677 677 677
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 3,027 3,027 3,027 3,027 3,027
Reasons for Change in Appropriation

This appropriation increases by $74.964 million to $1,727.434 million due to:

  • $77.260 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $2.278 million for the initiative Investment to Increase Access to Medicines
  • $1.099 million for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $382,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients
  • $375,000 uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $165,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements, and
  • $109,000 transfer from the National Mental Health Services appropriation, devolving funding to DHBs for Forensic Mental Health Services: Prison In-reach Services.

This increase is partly offset by:

  • $3.456 million of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $1.510 million reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $903,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $422,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services, and
  • $413,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses.
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
This appropriation is limited to personal and public health services, and management outputs from West Coast DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 140,859 140,859 151,334
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 10,929 10,929 10,929 10,929
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 89 444 444 444
Investment to Increase Access to Medicines 2019/20 172 344 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 91 130 137 137 137
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 2,978 2,978 2,978 2,978 2,978
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 86 86 86 86 86
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 1,227 1,146 1,146 1,146 1,146
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 486 404 404 404 404
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 (305) (571) (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 2017/18 124 53 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 2016/17 246 246 246 246 246
Reasons for Change in Appropriation

This appropriation increases by $10.475 million to $151.334 million mainly due to:

  • $10.929 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $172,000 for the initiative Investment to Increase Access to Medicines
  • $89,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget, and
  • $39,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements.

This increase is partly offset by:

  • $266,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $160,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $82,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses
  • $81,000 reduction from Settlement of the NZNO Nurses and Midwives multi-employer collective agreement
  • $71,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines, and
  • $34,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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
This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 241,001 241,001 261,102
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Additional Support 2020/21 - 20,651 20,651 20,651 20,651
Maintaining and Increasing the Combined Pharmaceutical Budget 2020/21 - 171 853 853 853
Investment to Increase Access to Medicines 2019/20 326 652 - - -
Settlement of the Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers Multi-Employer Collective Agreements 2019/20 218 274 273 273 273
District Health Boards - Additional Support to Improve the Health of New Zealanders 2019/20 6,484 6,484 6,484 6,484 6,484
Increasing Access to and the Range of Affordable Pharmaceuticals 2019/20 163 163 163 163 163
Settlement of the NZNO Nurses and Midwives Multi-Employer Collective Agreement 2018/19 1,724 1,739 1,739 1,739 1,739
Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses 2018/19 467 352 352 352 352
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 (572) (1,074) (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 2017/18 232 99 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 2016/17 449 449 449 449 449
Reasons for Change in Appropriation

This appropriation increases by $20.101 million to $261.102 million mainly due to:

  • $20.651 million for the Budget 2020 initiative District Health Boards - Additional Support
  • $326,000 for the initiative Investment to Increase Access to Medicines
  • $171,000 for the Budget 2020 initiative Maintaining and Increasing the Combined Pharmaceutical Budget
  • $57,000 for a transfer from the National Personal Health Services appropriation, devolving funding of supportive care services for cancer patients
  • $56,000 uplift for settlement of the DHB Midwifery Employee Representation and Advisory Services Midwives and PSA Clerical Workers multi-employer collective agreements, and
  • $15,000 uplift for Settlement of the NZNO Nurses and Midwives multi-employer collective agreement.

This increase is partly offset by:

  • $502,000 of additional efficiency savings due to the transfer of responsibilities for hospital medicines purchasing to PHARMAC as part of the Combined Pharmaceutical Budget
  • $334,000 reduction in the allocation of devolved Pay Equity funding to DHBs and Disability Support Services
  • $133,000 reduction in funding from the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines
  • $115,000 reduction from Funding the DHB PSA Multi-Employer Collective Agreements - Allied and Nurses, and
  • $66,000 for a transfer between DHBs for the Inter-District Flow programme to reflect costs to lead DHBs in delivering some national services.
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 Sector Projects Operating Expenses (M36)

Scope of Appropriation
This appropriation is limited to operating expenses associated with the governance, planning and development of health sector capital projects.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 11,385 9,885 2,000
What is Intended to be Achieved with this Appropriation

This appropriation is intended to enable the planning for major capital projects for DHBs.

How Performance will be Assessed and End of Year Reporting Requirements
Assessment of Performance 2019/20 2020/21
Final Budgeted
Standard
Estimated
Actual
Budget
Standard

The key project milestones for major DHB capital projects are delivered as per agreed timeframes

Achieved Achieved Achieved
End of Year Performance Reporting

Performance information 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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Dunedin Hospital Redevelopment 2019/20 5,000 - - - -
Reasons for Change in Appropriation

This appropriation decreases by $9.385 million to $2 million due to:

  • $5 million one-off funding in 2019/20 for operating costs for the Southern DHB's Dunedin Hospital redevelopment project
  • $2.600 million for a fiscally neutral transfer from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation in 2019/20 for land acquisition for the Southern DHB's Dunedin Hospital redevelopment
  • $1.635 million carried forward from 2018/19 to 2019/20 for various projects
  • $1.150 million for a fiscally neutral transfer from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation in 2019/20 for the Canterbury DHB's Christchurch Hospital Campus Programme and detailed business case, and
  • $1 million for a fiscally neutral transfer from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation in 2019/20 for operating costs for the Canterbury DHB's Christchurch Hospital Acute Services Building.

This decrease is partly offset by:

  • $2 million for an ongoing transfer from the Health Capital Envelope 2020-2025 appropriation to enable ongoing planning for major DHB capital projects.

Health Services Funding (M36)

Scope of Appropriation
This appropriation is limited to initiatives to improve the financial sustainability and performance of District Health Boards.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 11,500 11,500 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
Assessment of Performance 2019/20 2020/21
Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Proportion of the funding either spent (or contracted) against the allocated plan for the financial period will be

100% 100% 100%
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.

Service Providers
Provider 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 11,500 11,500 23,681 Ongoing

Total

11,500

11,500

23,681

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Improving the Financial Sustainability and Performance of District Health Boards 2019/20 23,681 23,681 23,681 23,681 23,681
Reasons for Change in Appropriation

This appropriation increases by $12.181 million to $23.681 million due to a one-off reduction in 2019/20 for a fiscally neutral transfer to the Sector Planning and Performance appropriation for the Budget 2019 initiative Improving the Financial Sustainability and Performance of District Health Boards.

Health Workforce Training and Development (M36)

Scope of Appropriation
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.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 215,691 207,191 218,877
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
Assessment of Performance 2019/20 2020/21
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:

     
  • two years is equal to or greater than
80% 80% 80%
  • five years is equal to or greater than
80% 80% 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:

     
  • two years is equal to or greater than
70% 70% 70%
  • five years is equal to or greater than
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:

     
  • two years is equal to or greater than
90% 90% 90%
  • five years is equal to or greater than
85% 85% 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 1,135 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

770 786 770

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

3,250 3,250 3,250

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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 125,894 125,894 Not yet known Ongoing
University of Auckland 3,457 3,457 Not yet known Ongoing
Auckland UniServices Limited 2,543 2,543 Not yet known Ongoing
University of Otago 2,517 2,517 Not yet known Ongoing

Non-Governmental Organisations

       
Royal New Zealand College of General Practitioners 23,129 23,129 Not yet known Ongoing
Te Pou Limited 15,142 15,142 Not yet known Ongoing
Te Rau Ora Limited 6,929 6,929 Not yet known Ongoing
New Zealand College of Midwives 3,323 3,323 Not yet known Ongoing
Other NGOs 32,757 24,257 Not yet known Ongoing

Total

215,691

207,191

218,877

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
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 22,664
Nursing Workforce Accord - Providing Additional Places for Nurse Entry to Practice 2019/20 6,133 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 4,563
Mental Health and Addiction Support Workers (Pay Equity) Settlement 2018 2018/19 472 - - - -

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

Monitoring and Protecting Health and Disability Consumer Interests (M36)

Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of services that monitor and protect health and disability consumer interests.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 26,346 26,346 26,346
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
Assessment of Performance 2019/20 2020/21
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% 73% 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% 99% 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
Health Quality & Safety Commission 12,976 12,976 Not yet known Ongoing
Health & Disability Commissioner 12,870 12,870 Not yet known Ongoing
Other 500 500 Not yet known Ongoing

Total

26,346

26,346

26,346

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Establishing a New Mental Health and Wellbeing Commission 2019/20 2,000 2,000 2,000 2,000 2,000

National Child Health Services (M36)

Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of child health services.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 107,332 107,332 111,518
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
Assessment of Performance 2019/20 2020/21
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% 75% 85%

Telephone information and advisory services delivered by Plunketline to support the Well Child/Tamaki Ora Framework:

     
  • The percentage of time the phone line service is available 24/7 is greater than or equal to
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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 40,782 40,782 Not yet known Ongoing
Non-Governmental Organisations        
Royal New Zealand Plunket Trust 65,477 65,477 Not yet known Ongoing
Other NGOs 1,073 1,073 Not yet known Ongoing

Total

107,332

107,332

111,518

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Well Child Tamariki Ora - Maintaining Universal Health Services for Children and their Families from Birth to Five Years 2019/20 4,000 16,790 16,790 16,790 16,790
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 8,750
Expanding and Enhancing School Based Health Services 2019/20 4,976 4,626 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 - - - -
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
Reasons for Change in Appropriation

This appropriation increases by $4.186 million to $111.518 million mainly due to:

  • $12.790 uplift for the Budget 2020 initiative Well Child Tamariki Ora - Maintaining Universal Health Services for Children and their Families from Birth to Five Years, and
  • $1.696 million for a transfer from 2019/20 for Well Child Tamariki Ora - Maintaining Universal Health Services for Children and their Families from Birth to Five Years.

This increase is partly offset by:

  • $10 million for 2019/20 only for the Budget 2019 initiative Well Child Tamariki Ora - Maintaining Universal Health Services for Children and their Families from Birth to Five Years, and
  • $350,000 for a reduction in funding from the Budget 2019 initiative Expanding and Enhancing School Based Health Services.
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 Disability Support Services (M36)

Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of disability support services.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 1,599,240 1,599,240 1,706,581
Components of the Appropriation
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Residential Care 774,692 777,900 Not yet known
Community Care 470,001 477,410 Not yet known
Environmental Support 167,430 166,790 Not yet known
Funded Family Care 21,800 16,600 Not yet known
Other disability support services 165,317 160,540 Not yet known

Total

1,599,240

1,599,240

1,706,581

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
Assessment of Performance 2019/20 2020/21
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% 84% 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% 19% 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% 84% 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% 81% 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% 76% 75%

Quality

     

The percentage of services that have implemented audit/evaluation requirements within the time required by the auditor

90% 88% 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% 84% 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 131,918 131,966 Not yet known Ongoing
Enable New Zealand (an operating division of MidCentral DHB) 111,801 111,374 Not yet known Ongoing

Non-Governmental Organisations

       
IDEA Services Limited 237,062 240,790 Not yet known Ongoing
Manawanui in Charge Ltd 93,729 93,175 Not yet known Ongoing
NZ Care Group 81,443 81,815 Not yet known Ongoing
Spectrum Care Trust 56,950 57,922 Not yet known Ongoing
Healthcare of New Zealand Limited 37,664 38,307 Not yet known Ongoing
Geneva Healthcare Limited 35,286 35,888 Not yet known Ongoing
Te Roopu Taurima O Manukau Trust 28,313 28,759 Not yet known Ongoing
Hohepa Services Limited 27,687 27,802 Not yet known Ongoing
Environmental Health Management Services Limited 25,713 25,615 Not yet known Ongoing
Community Living Limited 19,845 20,158 Not yet known Ongoing
Other NGOs 711,829 705,669 Not yet known Ongoing

Total

1,599,240

1,599,240

1,706,581

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Funding the Impact of Expected Minimum Wage Increases for the Cost of In-Between Travel 2020/21 - 5,666 5,666 5,666 5,666
Funding the Growth in In-Between Travel for Home and Community Support 2020/21 - 39,440 39,440 39,440 39,440
Transforming the Cross-Government Disability Support System 2020/21 - 4,800 - - -
Supporting Disabled New Zealanders to Live Good Lives 2019/20 103,700 182,200 182,200 182,200 182,200
Funded Family Care 2019/20 8,000 8,000 8,000 8,000 8,000
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 5,756
Disability Support Services - Maintaining Health Services for Disabled New Zealanders 2018/19 72,000 72,000 72,000 72,000 72,000
Disability Support System Transformation - MidCentral Prototype 2018/19 220 - - - -
Transforming the Disability Support System 2018/19 4,829 - - - -
Disability Support Services - Additional Support 2017/18 54,407 46,407 42,407 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
Reasons for Change in Appropriation

This appropriation increases by $107.341 million to $1,706.581 million mainly due to:

  • $78.500 million uplift for the Budget 2020 initiative Supporting Disabled New Zealanders to Live Good Lives
  • $39.440 million for the Budget 2019 initiative Funding the Growth in In-Between Travel for Home and Community Support
  • $5.666 million for the Budget 2020 initiative Funding the Impact of Expected Minimum Wage Increases for the Cost of In-Between Travel, and
  • $4.800 million for the Budget 2020 initiative Transforming the Cross-Government Disability Support System.

This increase is partly offset by:

  • $8 million reduction in the Budget 2018 initiative Disability Support Services - Additional Support,
  • $7.778 million reduction in the allocation of devolved Pay Equity funding, and
  • $4.829 million reduction in funding for the initiative Transforming the Disability Support System.
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
This appropriation is limited to the provision, purchase, and support of emergency services.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 149,205 149,205 147,590
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
Assessment of Performance 2019/20 2020/21
Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Emergency calls are triaged and services dispatched effectively and efficiently:

     
  • Call response times - percentage of calls answered in 15 seconds
95% 97% 95%

Ambulance response times - for immediately life-threatening incidents an ambulance reaches the scene within:

     
  • Urban reached in 8 minutes
50% 44% 50%
  • Urban reached in 20 minutes
95% 92% 95%
  • Rural reached in 12 minutes
50% 47% 50%
  • Rural reached in 30 minutes
95% 90% 95%

Percentage of air ambulance activations that are within the target times:

     
  • Day response in 10 minutes
90% 81% 90%
  • Night response in 20 minutes
90% 89% 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Non-Governmental Organisations

       
Order of St John 109,885 109,885 Not yet known Ongoing
Air Ambulance Providers 25,523 25,523 Not yet known Ongoing
Wellington Free Ambulance Service 13,797 13,797 Not yet known Ongoing

Total

149,205

149,205

147,590

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Emergency Road Ambulance Services - Maintaining Viable Services 2020/21 - 2,801 5,117 5,376 5,648
Supporting the Continued Delivery of Emergency Ambulance Services 2020/21 - 3,952 3,952 3,952 3,952
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 4,301
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 14,571 17,571 17,571 17,571 17,571
Ambulance Services - Additional Support 2016/17 3,711 3,711 3,711 3,711  
Reasons for Change in Appropriation

This appropriation decreases by $1.615 million to $147.590 million due to:

  • $5.860 million reduction for the Budget 2019 initiative Improving the Financial Sustainability and Performance of Emergency Services
  • $4 million transferred from 2018/19 to 2019/20 for a new service delivery model for air ambulance services, and
  • $3.740 million transferred from 2018/19 to 2019/20 for the Budget 2018 initiative Radio Assurance.

This decrease is partly offset by:

  • $3.952 million for the Budget 2020 initiative Supporting the Continued Delivery of Emergency Ambulance Services
  • $3 million uplift for the Budget 2017 initiative Emergency Ambulance Services - additional support
  • $2.801 million for the Budget 2020 initiative Emergency Road Ambulance Services - Maintaining Viable Services, and
  • $2.232 million reduction in the transfer to Vote Labour Market for emergency health services funded by ACC.

National Health Information Systems (M36)

Scope of Appropriation
This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 9,382 9,382 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
Assessment of Performance 2019/20 2020/21
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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
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 6,066 6,066 Not yet known Ongoing

Total

9,382

9,382

8,382

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Transforming Access to and Use of Health Information to Improve the Wellbeing of New Zealanders 2019/20 (1,800) - - - -
Reasons for Change in Appropriation

This appropriation decreases by $1 million to $8.382 million due to:

  • $2.800 million carried forward from 2018/19 to 2019/20 for the New Zealand Health Practitioner Index.

This decrease is partly offset by:

  • $1.800 million transferred to the Health Sector Information Systems appropriation for the 2020 Budget initiative Transforming Access to and Use of Health Information to Improve the Wellbeing of New Zealanders.

National Management of Pharmaceuticals (M36)

Scope of Appropriation
This appropriation is limited to services relating to the national management of pharmaceuticals.
Expenses
  2019/20 2020/21
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
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

Note: the funding for these initiatives has subsequently been transferred to other appropriations

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 Maori Health Services (M36)

Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of health and disability services that are either for Maori or by Maori.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 19,328 17,128 9,328
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
Assessment of Performance 2019/20 2020/21
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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Non-Governmental Organisations

       
NGOs 19,328 17,128 Not yet known Ongoing

Total

19,328

17,128

9,328

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
COVID-19: Maori Health Response package 2019/20 13,000 - - - -
Reasons for Change in Appropriation

This appropriation decreases by $10 million to $8.328 million due to:

  • $13 million in 2019/20 only for the COVID-19: Maori Health Response package, and
  • $2 million carried forward from 2018/19 to 2019/20 for Maori health workforce development.

This decrease is partly offset by:

  • $5 million for a transfer from 2019/20 to 2020/21 for delivery of the Maori Health Action Plan.

National Maternity Services (M36)

Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of maternity services.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 188,492 188,492 204,992
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
Assessment of Performance 2019/20 2020/21
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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 2,800 2,800 Not yet known Ongoing

Non-Governmental Organisations

       
Midwives 182,812 182,812 Not yet known Ongoing
Other NGOs 2,880 2,880 Not yet known Ongoing

Total

188,492

188,492

204,992

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Continuing Section 88 Primary Maternity Funding to Enable Ongoing Access to Free Maternity Services for New Zealand Women 2020/21 - 16,500 13,500 13,500 13,500
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 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
Reasons for Change in Appropriation

This appropriation increases by $16.500 million to $204.992 million due to the Budget 2020 initiative Continuing Section 88 Primary Maternity Funding to Enable Ongoing Access to Free Maternity Services for New Zealand Women.

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
This appropriation is limited to the provision, purchase, and support of mental health services.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 159,917 140,360 207,782
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
Assessment of Performance 2019/20 2020/21
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 7,200 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 48,789 48,789 Not yet known Ongoing
Health Promotion Agency 9,078 9,078 Not yet known Ongoing
ESR (Institute of Environmental Science and Research) 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 3,808 3,808 Not yet known Ongoing
Tui Ora Compass Health 3,360 3,360 Not yet known Ongoing
Te Rau Matatini Limited 2,653 2,653 Not yet known Ongoing
The Salvation Army New Zealand Trust 2,506 2,506 Not yet known Ongoing
Other NGOs 82,948 63,391 Not yet known Ongoing

Total

159,917

140,360

207,782

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Preventing and Reducing Homelessness - Funding a Balanced Approach 2020/21 - 1,998 2,791 3,442 1,631
COVID-19: Public Health Response package 2019/20 15,000 - - - -
Responding to the 15 March 2019 Terror Attacks 2019/20 3,241 2,784 2,661 - -
Towards a Safe and Effective Criminal Justice System 2019/20 475 5,060 4,110 - -
Mental Health and Addiction Treatment Services 2019/20 1,053 1,022 1,074 - -
Expanding Access and Choice of Primary Mental Health and Addiction Support 2019/20 29,000 76,281 108,250 150,375 183,500
Enhancing Specialist Alcohol and Other Drug Services 2019/20 10,500 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 9,950
Expanding Telehealth and Digital Supports for Mental Wellbeing 2019/20 5,200 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 7,150
Forensic Mental Health Services for Adults 2019/20 1,770 3,430 4,410 5,390 5,390
Enhancing Primary Addiction Responses 2019/20 2,000 3,000 4,000 5,000 5,000
Mental Wellbeing Support for Parents and Whanau 2019/20 500 3,000 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 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 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 1,000
Promoting Wellbeing in Primary and Intermediate Schools 2019/20 1,000 400 400 400 400
Integrated Therapies Pilot for 18-25 Year Olds 2018/19 3,630 4,000 - - -
Improving Mental Health Services for Children in Canterbury and Kaikoura 2017/18 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

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 $47.865 million to $207.782 million mainly due to:

  • $47.281 million uplift for the Budget 2019 initiative Expanding Access and Choice of Primary Mental Health and Addiction Support
  • $15.330 million transferred from 2019/20 to 2020/21 for Expanding Access and Choice of Primary Mental Health and Addiction Support
  • $4.585 million for the initiative Towards a Safe and Effective Criminal Justice System
  • $2.500 million uplift for the Budget 2019 initiative Mental Wellbeing Support for Parents and Whanau
  • $1.998 million for the initiative Preventing and Reducing Homelessness - Funding a Balanced Approach
  • $1.660 million uplift for the Budget 2019 initiative Forensic Mental Health Services for Adults
  • $1.540 million uplift for the Budget 2019 initiative Forensic Mental Health Services for Young People
  • $1 million uplift for the Budget 2019 initiative Enhancing Primary Addiction Responses
  • $1 million uplift for the Budget 2019 initiative Intensive Parenting Support - Expanding the Pregnancy and Parenting Service to Improve the Wellbeing Outcomes of Parents and their Children, and
  • $370,000 uplift for the Budget 2018 initiative Integrated Therapies Pilot for 18-25 Year Olds.

This increase is partly offset by:

  • $15 million in 2019/20 only for COVID-19: Public Health Response package
  • $5.480 million reduction for the 2019/20 initiative Support for Christchurch - Continuation of Funding for Primary Care and Community-Based Mental Health Workers
  • $3.510 million carried forward from 2018/19 to 2019/20 for national Synthetic Drug Response initiatives
  • $3.400 million reduction for a transfer in 2019/20 from the Public Health Service Purchasing appropriation for the Synthetic Drug Response initiatives
  • $600,000 reduction in the Budget 2019 initiative Promoting Wellbeing in Primary and Intermediate Schools
  • $457,000 reduction in the initiative Responding to the 15 March 2019 Terror Attacks
  • $320,000 transferred to DHBs for the devolution of Forensic Mental Health Services: Prison In-reach Services, and
  • $100,000 reduction in the Budget 2019 initiative Preventing Suicide and Supporting People Bereaved by Suicide.
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
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.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 84,713 84,438 67,007
Components of the Appropriation
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Helplines 22,649 22,649 Not yet known
District Health Boards (funding from ACC for treatment of Whakaari/White Island victims) 20,000 20,000 -
Cancer Control 9,184 9,184 Not yet known
Other 32,880 32,605 Not yet known
Total 84,713 84,438

67,007

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
Assessment of Performance 2019/20 2020/21
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% 13% 10%

Percentage of calls answered within 20 seconds greater than

80% 70% 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 19 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 37,003 37,003 Not yet known Ongoing
Central Region's Technical Advisory Services Limited 7,355 7,355 Not yet known Ongoing
Northern Regional Alliance Limited 869 869 Not yet known Ongoing

Non-Governmental Organisations

       
Homecare Medical (NZ) Limited Partnership 22,849 22,849 Not yet known Ongoing
Interchurch Council for Hospital Chaplaincy 3,370 3,370 Not yet known Ongoing
Other NGOs 13,267 12,992 Not yet known Ongoing

Total

84,713

84,438

67,007

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Sustaining Access to Hospice Specialist Palliative Care 2020/21 - 4,700 5,000 5,000 5,000
New Zealand Cancer Action Plan 2019/20 (2,017) - - - -

Previous Government

           
Organ Donation - National Strategy 2017/18 700 700 700 700 700
Reasons for Change in Appropriation

This appropriation decreases by $17.706 million to $67.007 million due to:

  • $20 million in 2019/20 only for DHB Funding Arrangements Relating to the Whakaari/White Island Response
  • $4.198 million for the devolution of funding to DHBs for supportive care services for cancer patients, and
  • $225,000 reduction in funding for the initiative Establish New Zealand Blood Service as the National Organ Donation Service (note this initiative was transferred from the National Planned Care Services appropriation).

This decrease is partly offset by:

  • $4.700 million for the Budget 2020 initiative Sustaining Access to Hospice Specialist Palliative Care, and
  • $2.017 million transferred in 2019/20 to the Sector Planning and Performance appropriation for the New Zealand Cancer Action Plan.
Conditions 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
This appropriation is limited to the provision, purchase, and support of planned care interventions.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 401,749 400,049 424,590
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
Assessment of Performance 2019/20 2020/21
Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Mobility Action Programme

     

Programmes achieve targeted outcomes

100% 100% 100%

Planned Care Interventions

     

The percentage of delivery to plan for Planned Care Interventions will be

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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 395,290 393,590 Not yet known Ongoing

Non-Governmental Organisations

       
NGOs 6,459 6,459 Not yet known Ongoing

Total

401,749

400,049

424,590

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Planned Care Interventions - Managing Services in Line with Demographic Changes 2020/21 - 16,000 16,000 16,000 16,000
Planned Care - Maintaining Services for New Zealanders at Increased Pricing Levels 2020/21 - 15,350 15,350 15,350 15,350
Planned Care, including Elective Surgery- Maintaining Services for New Zealanders 2019/20 16,700 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 12,000
Increasing Access to Gender Affirming Surgery 2019/20 748 748 748 748 748
Establish New Zealand Blood Service as the National Organ Donation Agency (Note) 2018/19 475 250 250 250 250
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

Note this funding has been subsequently transferred to the National Personal Health Services appropriation.

Reasons for Change in Appropriation

This appropriation increases by $22.841 million to $424.590 million due to:

  • $16 million for the Budget 2020 initiative Planned Care Interventions - Managing Services in Line with Demographic Changes, and
  • $15.350 million for the Budget 2020 initiative Planned Care - Maintaining Services for New Zealanders at Increased Pricing Levels.

This increase is partly offset by:

  • $5.389 million transferred from 2018/19 to 2019/20 for planned care interventions, and
  • $3.120 million transferred from 2018/19 to 2019/20 for Planned Care, Organ Donation and Mobility Action Programmes.

Primary Health Care Strategy (M36)

Scope of Appropriation
This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 325,533 325,533 367,368
Components of the Appropriation
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Very Low Cost Access 93,883 93,883 Not yet known
Care Plus 76,228 76,228 Not yet known
Free Under 14s 41,721 41,721 Not yet known
Community Services Card 75,110 75,110 Not yet known
System Level Measures 25,382 25,382 Not yet known
Other 13,209 13,209 Not yet known

Total

325,533

325,533

367,368

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
Assessment of Performance 2019/20 2020/21
Final Budgeted
Standard
Estimated
Actual
Budget
Standard

Access to affordable primary health care services

     

The number of high needs patients in Very Low Cost Access (VLCA) practices

785,000 824,000 785,000

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% 97% 92%

Percentage of non-VLCA practices providing reduced fees (consistent with VLCA practice maximum charges) to CSC holders

85% 92% 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% 98% 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% 95% 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 24 17.5

Percentage of Rural Locum Support requests filled

90% 100% 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 319,204 319,204 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 4,490 4,490 Not yet known Ongoing

Total

325,533

325,533

367,368

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
A Free Consultation, Including Eye Check, for SuperGold Card Holders 2020/21 - 12,925 61,660 61,660 61,660
Primary Care - Maintaining Access to Primary Health Services for New Zealanders 2020/21 - 23,910 23,910 23,910 23,910
Primary Care - Maintaining Access to Primary Health Services for New Zealanders 2019/20 16,800 16,800 16,800 16,800 16,800
Extending Zero Fees Doctors' Visits to Under 14s 2018/19 4,900 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 2017/18 100,000 100,000 100,000 100,000 100,000

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
Reasons for Change in Appropriation

This appropriation increases by $41.835 million to $367.368 million due to:

  • $23.910 million for the Budget 2020 initiative Primary Care - Maintaining Access to Primary Health Services for New Zealanders
  • $12.925 million for the Budget 2020 initiative A Free Consultation, Including Eye Check, for SuperGold Card Holders, and
  • $5 million for a fiscally neutral transfer in 2019/20 only to the Health Workforce Training and Development appropriation to support the delivery of health workforce development programmes recommended by the New Zealand Health and Disability System Review Interim Report 2019.

Problem Gambling Services (M36)

Scope of Appropriation
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.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 19,079 17,079 20,609
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
Assessment of Performance 2019/20 2020/21
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% 90% 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
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 5,451 5,451 Not yet known Ongoing
The Salvation Army New Zealand Trust 2,094 2,049 Not yet known Ongoing
Other NGOs 9,854 7,899 Not yet known Ongoing

Total

19,079

17,079

20,609

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Strategy to Prevent and Minimise Gambling Harm 2019/20 3,171 8,582 9,068 - -
Reasons for Change in Appropriation

This appropriation increases by $1.530 million to $20.609 million due to:

  • $5.411 million uplift in the initiative Strategy to Prevent and Minimise Gambling Harm, and
  • $3 million for a transfer from 2019/20 to 2020/21 for work on the problem gambling services plan.

This increase is partly offset by:

  • $5 million transferred from 2018/19 to 2019/20 for the initiative Problem Gambling Services - Continued Support, and
  • $1.881 million transferred from 2018/19 to 2019/20 to continue work in the problem gambling services plan.

Public Health Service Purchasing (M36)

Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of public health services.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 677,540 669,666 468,955
Components of the Appropriation
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
COVID-19: Public Health Response package 213,200 213,200 -
COVID-19: Pacific Response package 14,000 14,000 -
National Screening Services 130,431 129,031 Not yet known
Nutrition & Physical Activity 34,700 34,700 Not yet known
Sexual Health 29,767 28,737 Not yet known
Tobacco 27,575 27,575 Not yet known
Communicable Diseases 26,131 26,131 Not yet known
Immunisation 23,205 23,205 Not yet known
Alcohol & Drug 15,817 14,293 Not yet known
Public Health Infrastructure 14,580 14,580 Not yet known
Science Purchasing 11,731 11,731 Not yet known
Emergency Preparedness 10,203 10,203 Not yet known
Rheumatic Fever 7,710 3,790 Not yet known
Other Services 118,490 118,490 Not yet known

Total

677,540

669,666

468,955

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
Assessment of Performance 2019/20 2020/21
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% 72% 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% 68% 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% 66% 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% 62% 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% 66% 70%

Pacific women screened within the last two years, as a proportion of the eligible population (Pacific women aged 45-69 years)

70% 73% 70%

Bowel Screening Programme

     

Number of DHBs that implement the bowel cancer screening programme following the phased implementation schedule

6 DHBs 4 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:

     
  • Six weeks
75% 72% 75%
  • Three months
57% 59% 57%

Other Child and Youth - Violence Intervention Programme

     

Across all DHBs the average median audit score for Violence Intervention Programme will be 75/100

Achieved Achieved Achieved

Across all DHBs the average median audit score for improving programme responsiveness to Maori as required by the evaluation measurement will be 75/100

Achieved Achieved Achieved

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 5 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% 97% 100%

The percentage of pregnancy/maternity single episode consultations fully delivered across the 17 relevant DHB regions as per contract

100% 80% 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 339,274 339,274 Not yet known Ongoing
ESR (Institute of Environmental Science and Research) 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

Local Government

       
Auckland Council 1,474 1,474 Not yet known Ongoing

Non-Governmental Organisations

       
New Zealand Family Planning Association Incorporated 13,484 13,484 Not yet known Ongoing
Screen South Ltd 9,709 9,709 Not yet known Ongoing
Homecare Medical (NZ) Limited Partnership 8,988 8,988 Not yet known Ongoing
United Fresh New Zealand Incorporated 7,804 7,804 Not yet known Ongoing
BreastScreen Auckland 5,306 5,306 Not yet known Ongoing
CBG Health Research Limited 4,556 4,556 Not yet known Ongoing
New Zealand AIDS Foundation Charitable Trust 4,270 4,270 Not yet known Ongoing
Pacific Radiology Group Limited 3,924 3,924 Not yet known Ongoing
National Heart Foundation of NZ - Auckland 3,616 3,616 Not yet known Ongoing
Needle Exchange Services Trust Incorporated 2,204 2,204 Not yet known Ongoing
Other NGOs 245,922 237,048 Not yet known Ongoing

Total

677,540

669,666

468,955

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Extending the Pilot of the Community Organisation Refugee Sponsorship Category 2021/22 - - 46 46 46
Maintaining Access to Breast Screening for Women 45 to 69 2020/21 - 2,022 2,022 2,022 2,022
Specialist Responses to Strangulation - Addressing Family Violence 2020/21 - 2,700 2,750 2,750 2,750
COVID-19: Public Health Response package (see Note 1) 2019/20 213,200 - - - -
COVID-19: Pacific Response package (see Note 2) 2019/20 14,000        
Refugee Quota Increase 2019/20 765 9,170 9,170 9,170 9,170
Measles Outbreak Response and Strengthening the Immunisation System 2019/20 20,236 18,100 - - -
Foetal Alcohol Spectrum Disorders and Neurodevelopment Issues' Response Prototype Service 2019/20 2,625 2,615 1,260 - -
Preventing and Reducing Homelessness - Funding a Balanced Approach 2019/20 110 200 - - -
Investment to Increase Access to Medicines 2019/20 (6,700) - - - -
National Bowel Screening Programme - Rollout of Programme to a Further Four DHBs 2019/20 9,000 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 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 1,810
Violence Intervention Programme - Health Sector Screening for Early Intervention and Prevention of Family Violence 2019/20 524 524 524 524 524
Synthetic Drugs Response 2018/19 5,550 2,150 2,150 - -
Support for Rainbow Communities 2018/19 1,010 - - - -
National Bowel Screening Programme Implementation Year Two 2018/19 13,184 13,314 14,196 14,196 14,196

Previous Government

           
National Bowel Screening Business Case 2017/18 3,585 3,300 3,330 3,330 3,330
Community Organisation Refugee Sponsorship Category 2017/18 249 249 249 249 249
National Bowel Screening Programme 2017/18 5,701 6,898 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 5,880 5,880 5,880 5,880 5,880
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 2,820 2,820 2,820 2,820 2,820

Note 1 - This includes up to $17 million for Maori specific investments

Note 2 - In addition, a further $3 million has been reprioritised within existing Vote Health baselines for this initiative

Reasons for Change in Appropriation

This appropriation decreases by $208.585 million to $468.955 million mainly due to:

  • $213.200 million in 2019/20 only for the COVID-19: Public Health Response package
  • $14 million in 2019/20 only for the COVID-19: Pacific Response package
  • $6.700 million for a transfer from 2018/19 to 2019/20 for the Sanitary Works Subsidy Scheme
  • $2.136 million net reduction in the initiative Measles Outbreak Response and Strengthening the Immunisation System
  • $1.650 million for a transfer from 2018/19 to 2019/20 for Contraceptive Services for Low Income Women
  • $1.400 million for the net impact of funding transfers between years for the Water Fluoridation (Assistance) initiative
  • $1.010 million reduction for the initiative Support for Rainbow Communities
  • $1 million for a transfer from 2018/19 to 2019/20 for Services for Refugees, and
  • $760,000 reduction in the Budget 2019 initiative Supporting Schools and Early Learning Settings to Improve Wellbeing Through Healthy Eating and Quality Physical Activity.

This decrease was partly offset by:

  • $9.034 million for the net impact of funding transfers between years and uplift in initiatives for the National Bowel Screening Programme
  • $8.405 million for the initiative Refugee Quota Increase
  • $6.700 million transfer for the initiative Investment to Increase Access to Medicines in 2019/20 only
  • $2.700 million for the Budget 2020 initiative Specialist Responses to Strangulation - Addressing Family Violence
  • $2.635 million transfer in 2019/20 for the initiative Foetal Alcohol Spectrum Disorders and Neurodevelopmental Issues' Response Prototype Service
  • $2.022 million for the Budget 2020 initiative Maintaining Access to Breast Screening for Women 45 to 69, and
  • $1.460 million for the transfer from 2019/20 to 2020/21 for Co-design of Integrated Service for Student Wellbeing.

3.4 - Non-Departmental Other Expenses#

International Health Organisations (M36)

Scope of Appropriation
This appropriation is limited to the Crown funding New Zealand's World Health Organization (WHO) membership and contributing to specific WHO projects.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 2,100 2,100 2,230
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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment
World Health Organization (WHO) 2,100 2,100 2,230 Ongoing
Reasons for Change in Appropriation

This appropriation increases by $130,000 to $2.230 million due to an increase in World Health Organization annual contributions arising from foreign exchange movements.

Legal Expenses (M36)

Scope of Appropriation
This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 2,678 1,028 7,028
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

The performance measures for this appropriation will be provided in 2020/21 Supplementary Estimates.

Reasons for Change in Appropriation

This appropriation increases by $4.350 million to $7.028 million due to:

  • $12 million for a transfer from 2019/20 to 2020/21 for costs arising from funded family care litigation.

This increase is partly offset by:

  • $7.650 million for a transfer from 2018/19 to 2019/20 for costs arising from funded family care litigation.

Provider Development (M36)

Scope of Appropriation
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.
Expenses
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 37,165 28,365 45,022
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
Assessment of Performance 2019/20 2020/21
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

20 20 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 2019/20
Final Budgeted
$000
2019/20
Estimated Actual
$000
2020/21
Budget
$000
Expiry of
Resourcing
Commitment

Crown Entities

       
DHBs 1,806 1,806 Not yet known Ongoing

Non-Governmental Organisations

       
NGOs 35,359 26,559 Not yet known Ongoing

Total

37,165

28,365

45,022

 
Current and Past Policy Initiatives
Policy Initiative Year of
First
Impact
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
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 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 2,380
Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes 2019/20 500 1,473 1,500 2,000 2,000
Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree 2019/20 315 780 1,245 1,395 1,395
Increasing Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund to Improve Maori Health Outcomes 2019/20 750 750 750 750 750
Reasons for Change in Appropriation

This appropriation increases by $7.857 million to $45.022 million mainly due to:

  • $4.700 million for the net impact of funding transfers between years for integrated health and social services facilities at the Auckland City Mission due to changes in the timing of the construction project
  • $1.839 million for the net impact of funding transfers between years for Te Ao Auahatanga Hauora Maori: Maori Health Innovation Fund for developing innovative system changes to improve health outcomes for Maori
  • $973,000 uplift for the Budget 2019 initiative Increasing Investment in Pacific Innovation Funds to Improve Pacific Health Outcomes, and
  • $465,000 uplift for the Budget 2019 initiative Support Programme for Pacific Students to Successfully Complete a Nursing/ Midwifery Undergraduate Degree.

3.5 - Non-Departmental Capital Expenditure#

Equity Support for DHB deficits (M36)

Scope of Appropriation
This appropriation is limited to equity injections to District Health Boards to address working capital requirements.
Capital Expenditure
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 430,000 430,000 39,211
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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
Equity Support Arising from DHB Deficits in 2019/20 2019/20 68,000 - - - -
District Health Boards - Deficit Support 2018/19 95,000 - - - -
Reasons for Change in Appropriation

This appropriation decreases by $390.789 million to $39.211 million due to:

  • $227.789 million for a fiscally neutral transfer from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation for payment of equity support arising from DHB deficits in 2019/20
  • $95 million reduction for the Budget 2019 initiative District Health Boards - Deficit Support, and
  • $68 million additional funding for the initiative Equity Support Arising from DHB Deficits in 2019/20.
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 Capital Envelope 2020-2025 (M36)

Scope of Appropriation and Expenses
Type, Title, Scope and Period of Appropriations Appropriations, Adjustments and Use $000

Health Capital Envelope 2020-2025 (M36)

This appropriation is limited to the provision or purchase of health sector assets, providing capital to health sector Crown entities or agencies for new investments, and reconfiguration of District Health Board balance sheets.

Commences: 01 July 2020

Expires: 30 June 2025
Original Appropriation 3,115,454
Adjustments to 2018/19 -
Adjustments for 2019/20 -
Adjusted Appropriation 3,115,454
Actual to 2018/19 Year End -
Estimated Actual for 2019/20 -
Estimate for 2020/21 583,000
Estimated Appropriation Remaining 2,532,454
Comparators for Restructured Appropriation
Vote, Type and Title of Appropriation 2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Vote Health: Non-Departmental Capital Expenditure      
Equity for Capital Projects for DHBs and Health Sector Crown Agencies 354,836 252,625 -
Health Sector Projects 197,743 157,004 -
Total 552,579 409,629 583,000
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
Assessment of Performance 2019/20 2020/21
Final Budgeted
Standard
Estimated
Actual
Budget
Standard

DHB seeking equity funding for approved business cases receive that funding

100% 100% 100%

All Cabinet approved hospital redevelopment projects meet project milestones

100% 100% 100%
End of Year Performance Reporting

Performance information 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
2019/20
Final Budgeted
$000
2020/21
Budget
$000
2021/22
Estimated
$000
2022/23
Estimated
$000
2023/24
Estimated
$000

Current Government

           
District Health Boards - Capital Investment (see Note 1) 2021/22 - - 50,000 150,000 300,000
Health Capital Investment Package 2019/20 150,000 150,000 - - -
Dunedin Hospital Redevelopment 2019/20 17,800 - - - -
District Health Boards' Capital Investment 2019/20 850,000 850,000 - - -
Dunedin Hospital Redevelopment 2018/19 10,600 - - - -

Note 1 - This initiative is for $750 million over four years, with a further $250 million in 2024/25

Conditions on Use of Appropriation

All expenditure from this appropriation requires the joint agreement of the Minister of Health and the Minister of Finance.

Residential Care Loans - Payments (M36)

Scope of Appropriation
This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities.
Capital Expenditure
  2019/20 2020/21
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation 20,000 20,000 20,000
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

An exemption under section 15D(2)(b)(ii) of the Public Finance Act 1989 has been granted as the end-of-year performance information for this appropriation is not likely to be informative in the light of the nature of the transactions giving rise to the expense.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.