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.
1.2 - Trends in the Vote#
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.
1.3 - Analysis of Significant Trends#
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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
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: |
|||
|
80% | 80% | 80% |
|
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: |
|||
|
70% | 70% | 70% |
|
80% | 80% | 80% |
The number of post-graduate year one trainees supported by Ministry of Health funding is equal to or greater than |
490 | 490 | 490 |
Percentage of post-graduate year one trainees trained in New Zealand with support from Ministry of Health funding who were still practising in New Zealand after: |
|||
|
90% | 90% | 90% |
|
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
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
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: |
|||
|
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
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
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: |
|||
|
95% | 97% | 95% |
Ambulance response times - for immediately life-threatening incidents an ambulance reaches the scene within: |
|||
|
50% | 44% | 50% |
|
95% | 92% | 95% |
|
50% | 47% | 50% |
|
95% | 90% | 95% |
Percentage of air ambulance activations that are within the target times: |
|||
|
90% | 81% | 90% |
|
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
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
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
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
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
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
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
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
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
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
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: |
|||
|
75% | 72% | 75% |
|
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
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
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
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
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
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.