Supplementary estimates of appropriations

Vote Health - Supplementary Estimates 2011/12

MINISTER(S) RESPONSIBLE FOR APPROPRIATIONS: Minister of Health (M36)

ADMINISTERING DEPARTMENT: Ministry of Health

MINISTER RESPONSIBLE FOR MINISTRY OF HEALTH: Minister of Health

Details of Appropriations#

Details of Annual and Permanent Appropriations

Details of Annual and Permanent Appropriations - Health
  2011/12
Titles and Scopes of Appropriations by Appropriation Type Estimates
Budget
$000
Supplementary
Estimates
Budget
$000
Total
Budget
$000

Departmental Output Expenses

     

Information and Payment Services MCOA (M36)

79,279 (1,176) 78,103
Health Sector Information Systems
This appropriation is limited to the provision of information technology services and the publication of data derived from these services to the health and disability system.
56,769 892 57,661
Payment Services
This output class is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
22,510 (2,068) 20,442

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).
25,528 12,216 37,744

Policy Advice (M36)

This appropriation is limited to the provision of policy advice and ministerial servicing that relates to the health and disability system, including the provision of advice and information to the public and other agencies on health and disability policy issues.
33,845 (19,299) 14,546

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.
38,748 (14,710) 24,038

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.
27,216 18,110 45,326

Total Departmental Output Expenses

204,616 (4,859) 199,757

Non-Departmental Output Expenses

     

Crown Health Financing Agency (M36)

Funding for Crown Health Financing Agency (CHFA) to provide and manage the Crown term debt facilities for DHBs, provide independent advice to the Minister on the credit worthiness and financial sustainability of DHBs, and to manage residual area health board liabilities.
1,900 - 1,900

Health and Disability Support Services - Auckland DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Auckland DHB.
993,557 (1,280) 992,277

Health and Disability Support Services - Bay of Plenty DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Bay of Plenty DHB.
567,474 271 567,745

Health and Disability Support Services - Canterbury DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Canterbury DHB.
1,167,291 11,857 1,179,148

Health and Disability Support Services - Capital and Coast DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Capital and Coast DHB.
623,960 (430) 623,530

Health and Disability Support Services - Counties-Manukau DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Counties-Manukau DHB.
1,121,468 565 1,122,033

Health and Disability Support Services - Hawkes Bay DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hawkes Bay DHB.
406,757 (4,971) 401,786

Health and Disability Support Services - Hutt DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hutt DHB.
333,345 (3) 333,342

Health and Disability Support Services - Lakes DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Lakes DHB.
260,135 (278) 259,857

Health and Disability Support Services - MidCentral DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from MidCentral DHB.
424,893 (106) 424,787

Health and Disability Support Services - Nelson-Marlborough DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Nelson-Marlborough DHB.
345,263 558 345,821

Health and Disability Support Services - Northland DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Northland DHB.
448,202 (105) 448,097

Health and Disability Support Services - South Canterbury DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from South Canterbury DHB.
152,762 (34) 152,728

Health and Disability Support Services - Southern DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Southern DHB.
721,784 1,191 722,975

Health and Disability Support Services - Tairawhiti DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Tairawhiti DHB.
133,429 430 133,859

Health and Disability Support Services - Taranaki DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Taranaki DHB.
282,865 (238) 282,627

Health and Disability Support Services - Waikato DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waikato DHB.
924,120 (5,227) 918,893

Health and Disability Support Services - Wairarapa DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Wairarapa DHB.
112,529 64 112,593

Health and Disability Support Services - Waitemata DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waitemata DHB.
1,172,846 945 1,173,791

Health and Disability Support Services - West Coast DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from West Coast DHB.
113,013 14 113,027

Health and Disability Support Services - Whanganui DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Whanganui DHB.
191,163 66 191,229

Health Services Funding (M36)

Funding to respond to emerging health sector risks, provision for DHB structural deficit support, and contingency funding for Government priority health policy initiatives.
165,745 (165,745) -

Health Workforce Training and Development (M36)

Provision of clinical training for doctors, nurses, dentists and other health professionals.
155,549 5,238 160,787

Monitoring and Protecting Health and Disability Consumer Interests (M36)

Provision of services to monitor and protect health consumer interests by the Health and Disability Commissioner, District Mental Health Inspectors and Review Tribunals, and the Mental Health Commission.
15,231 - 15,231

National Advisory and Support Services (M36)

Provision of advisory and support services by independent service providers.
340 - 340

National Child Health Services (M36)

For the funding and purchase of child health services directly by the Crown.
68,130 10,860 78,990

National Contracted Services - Other (M36)

For the funding and purchase of other health services including mobile surgical services, telephone advice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies.
111,262 (17,843) 93,419

National Disability Support Services (M36)

Delivery of disability support services provided through DHBs and third-party service providers.
1,028,402 6,732 1,035,134

National Elective Services (M36)

Funding for the purchase of additional elective surgery services.
260,056 5,000 265,056

National Emergency Services (M36)

For the funding and purchase of health emergency services directly by the Crown.
86,831 690 87,521

National Maori Health Services (M36)

For the funding and purchase of Maori health services directly by the Crown.
8,605 (4,423) 4,182

National Maternity Services (M36)

For the funding and purchase of maternity services directly by the Crown.
147,307 (7,803) 139,504

National Mental Health Services (M36)

For the funding and purchase of mental health services directly by the Crown.
70,192 (25,730) 44,462

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
178,771 (7,200) 171,571

Problem Gambling Services (M36)

Funding to support the research and implementation of strategies to prevent and minimise the harm from gambling, and for the provision of treatment services to problem gamblers and assistance to their families and whanau in accordance with the Gambling Act 2003.
17,864 2,000 19,864

Public Health Service Purchasing (M36)

Public Health Services funded by the Ministry of Health from DHBs and other public health service providers.
453,708 (5,371) 448,337

Total Non-Departmental Output Expenses

13,266,749 (200,306) 13,066,443

Departmental Other Expenses

     

Earthquake/Storm Damages (M36)

This appropriation is limited to costs arising from damage caused by earthquakes, storms or other natural disasters.
- 2,400 2,400

Total Departmental Other Expenses

- 2,400 2,400

Non-Departmental Other Expenses

     

International Health Organisations (M36)

Funding for New Zealand's membership to the World Health Organisation (WHO), and the contribution to specific WHO projects.
2,030 (190) 1,840

Legal Expenses (M36)

Funding for the defence and settlement of legal claims against the Crown.
1,028 5,000 6,028

Provider Development (M36)

Funding support and provide assistance for the development of the third party health service workforce, in particular, Maori and Pacific people's providers.
24,874 415 25,289

Total Non-Departmental Other Expenses

27,932 5,225 33,157

Departmental Capital Expenditure

     

Ministry of Health - Capital Expenditure PLA (M36)

This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989.
20,460 (6,506) 13,954

Total Departmental Capital Expenditure

20,460 (6,506) 13,954

Non-Departmental Capital Expenditure

     

Deficit Support for DHBs (M36)

This appropriation is limited to equity injections to District Health Boards to address deficits.
- 60,849 60,849

Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)

Capital contributions to District Health Boards and health sector Crown agencies to cover new investments and reconfiguration of their balance sheets.
347,611 (218,053) 129,558

Health Sector Projects (M36)

Capital investment in specific health sector assets.
2,665 - 2,665

Loans for Capital Projects (M36)

Provision of new loans to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration.
68,043 242,821 310,864

Residential Care Loans (M36)

Funding to provide interest-free loans to people entering into aged residential care facilities.
15,000 3,000 18,000

Total Non-Departmental Capital Expenditure

433,319 88,617 521,936

Total Annual and Permanent Appropriations

13,953,076 (115,429) 13,837,647

Details of Projected Movements in Departmental
Net Assets#

Ministry of Health

Ministry of Health - Details of Projected Movements in Departmental Net Assets - Health
Details of Net Asset Schedule 2011/12
Main Estimates Projections
$000
2011/12
Supplementary Estimates Projections
$000
Explanation of Projected Movements in 2011/12
Opening Balance 43,254 31,719 Supplementary Estimates opening balance reflects the audited results as at 30 June 2011.
Capital Injections 1,100 - The capital injection planned for 2011/12 is now expected to be drawn down in 2012/13.
Capital Withdrawals - (879)  
Surplus to be Retained (Deficit Incurred) - -  
Other Movements - -  

Closing Balance

44,354 30,840  

Information Supporting the Supplementary Estimates Vote Health#

MINISTER(S) RESPONSIBLE FOR APPROPRIATIONS: Minister of Health (M36)

ADMINISTERING DEPARTMENT: Ministry of Health

MINISTER RESPONSIBLE FOR MINISTRY OF HEALTH: Minister of Health

Part 1 - Summary of the Vote#

Part 1.3 - Trends in the Vote

Summary of Financial Activity

Summary of Financial Activity - Health
  2011/12
    Supplementary Estimates  
  Estimates
$000
Departmental
Transactions
$000
Non-Departmental
Transactions
$000
Total
Transactions
$000
Total
$000

Appropriations

         
Output Expenses 13,471,365 (4,859) (200,306) (205,165) 13,266,200
Benefits and Other Unrequited Expenses - N/A - - -
Borrowing Expenses - - - - -
Other Expenses 27,932 2,400 5,225 7,625 35,557
Capital Expenditure 453,779 (6,506) 88,617 82,111 535,890
Intelligence and Security Department Expenses and Capital Expenditure - - N/A - -

Total Appropriations

13,953,076 (8,965) (106,464) (115,429) 13,837,647

Crown Revenue and Capital Receipts

         
Tax Revenue - N/A - - -
Non-Tax Revenue 600,838 N/A 1,805 1,805 602,643
Capital Receipts 36,499 N/A - - 36,499

Total Crown Revenue and Capital Receipts

637,337 N/A 1,805 1,805 639,142

Part 2 - Details and Expected Performance for Output Expenses#

Part 2.1 - Departmental Output Expenses#

Information and Payment Services MCOA (M36)

Scope of Appropriation

Health Sector Information Systems
This appropriation is limited to the provision of information technology services and the publication of data derived from these services to the health and disability system.
Payment Services
This output class is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.

Explanation for Use of Multi-Class Output Expense Appropriation

These two output expenses under this MCOA are grouped together as sector focused services. Both of these outputs form the basis of a shared service to support the health and disability system. A shared service approach supports a more unified approach that will lead to more efficient systems to reduce costs and maximise information sharing. This grouping provides a high level of transparency for these functions.

Expenses and Revenue

Expenses and Revenue - Information and Payment Services MCOA (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000

Total Appropriation

79,279 (1,176) 78,103
Health Sector Information Systems 56,769 892 57,661
Payment Services 22,510 (2,068) 20,442

Revenue from Crown

78,922 (2,903) 76,019
Health Sector Information Systems 56,637 741 57,378
Payment Services 22,285 (3,644) 18,641

Revenue from Other

357 1,727 2,084
Health Sector Information Systems 132 151 283
Payment Services 225 1,576 1,801

Reasons for Change in Appropriation

This appropriation will decrease by $1.176 million to $78.103 million in 2011/12. This decrease is due to:

  • Health Sector Information Systems - increase  - $892,000
  • Payment Services - $2.068 million.

Health Sector Information Systems

  • output class budget adjustments - $5,000
  • in principle expense transfer of unspent funding from 2010/11 - $2.109 million
  • Budget 2012 - departmental output expense reprioritisation - reduction - $1.222 million.

Payment Services

  • output class budget adjustments - $1.527 million
  • in principle expense transfer of unspent funding from 2010/11 - increase - $65,000
  • Budget 2012 - departmental output expense reprioritisation - $606,000.

Managing the Purchase of Services (M36)#

Scope of Appropriation#

This appropriation is limited to purchasing services for the public and health and disability sector on behalf of the Crown, for those services where the Ministry has responsibility for the purchasing function (i.e. funding is not devolved to another entity).

Expenses and Revenue#

Expenses and Revenue - Managing the Purchase of Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 25,528 12,216 37,744
Revenue from Crown 25,388 11,919 37,307
Revenue from Other 140 297 437

Reasons for Change in Appropriation#

This appropriation will increase by $12.216 million to $37.744 in 2011/12. This increase is due to:

  • output class budget adjustments - $13.190 million
  • Budget 2012 - departmental output expense reprioritisation - reduction  - $974,000.

Policy Advice (M36)#

Scope of Appropriation#

This appropriation is limited to the provision of policy advice and ministerial servicing that relates to the health and disability system, including the provision of advice and information to the public and other agencies on health and disability policy issues.

Expenses and Revenue#

Expenses and Revenue - Policy Advice (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 33,845 (19,299) 14,546
Revenue from Crown 33,725 (19,365) 14,360
Revenue from Other 120 66 186

Reasons for Change in Appropriation#

This appropriation will decrease by $19.299 million to $14.546 million in 2011/12. This decrease is due to:

  • output class budget adjustments - $18.877 million
  • Budget 2012 - departmental output expense reprioritisation - $422,000.

Regulatory and Enforcement Services (M36)#

Scope of Appropriation#

This appropriation is limited to implementing, enforcing and administering health- and disability-related legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and support services for committees established under statute or appointed by the Minister pursuant to legislation.

Expenses and Revenue#

Expenses and Revenue - Regulatory and Enforcement Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 38,748 (14,710) 24,038
Revenue from Crown 22,150 (11,053) 11,097
Revenue from Other 16,598 (3,657) 12,941

Reasons for Change in Appropriation#

This appropriation will decrease by $14.710 million to $24.038 million in 2011/12. This decrease is due to:

  • output class budget adjustments - $11.760 million
  • Budget 2012 - departmental output expense reprioritisation - $545,000
  • National Radiation Laboratory - transfer to Public Health Service Purchasing NDE appropriation - $933,000
  • National Radiation Laboratory - third party revenue reduction - $1.472 million.

Sector Planning and Performance (M36)#

Scope of Appropriation#

This appropriation is limited to advising on and co-ordinating health sector planning and performance improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities, and sector co-ordination.

Expenses and Revenue#

Expenses and Revenue - Sector Planning and Performance (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 27,216 18,110 45,326
Revenue from Crown 27,067 17,378 44,445
Revenue from Other 149 732 881

Reasons for Change in Appropriation#

This appropriation will increase by $18.110 million to $45.326 million in 2011/12. This increase is due to:

  • output class budget adjustments - $18.969 million
  • Budget 2012 - departmental output expense reprioritisation - reduction - $1.231 million
  • Sublease of T and T House - $162,000
  • ESR Rentals reforecast - $210,000.

Part 2.2 - Non-Departmental Output Expenses#

Health and Disability Support Services - Auckland DHB (M36)#

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Auckland DHB.

Expenses

Expenses - Health and Disability Support Services Auckland DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 993,557 (1,280) 992,277

Reasons for Change in Appropriation

This appropriation will decrease by $1.280 million to $992.277 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $1.994 million
  • a transfer of elder abuse funding to Public Health Service Purchasing - $78,000
  • balancing adjustments between DHB appropriations - $1.070 million
  • a transfer of oral health business case funding from National Contracted Services - Other - increase - $1.272 million
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $462,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $128,000.

Health and Disability Support Services - Bay of Plenty DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Bay of Plenty DHB.

Expenses#

Expenses - Health and Disability Support Services Bay of Plenty DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 567,474 271 567,745

Reasons for Change in Appropriation#

This appropriation will increase by $271,000 to $567.745 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $1.176 million
  • balancing adjustments between DHB appropriations - $310,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $784,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - $276,000
  • a transfer of maternity service specifications funding from National Maternity Services - $77,000.

Health and Disability Support Services - Canterbury DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Canterbury DHB.

Expenses#

Expenses - Health and Disability Support Services Canterbury DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 1,167,291 11,857 1,179,148

Reasons for Change in Appropriation#

This appropriation will increase by $11.857 million to $1,179.148 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $516,000
  • balancing adjustments between DHB appropriations - $340,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $1.315 million
  • a transfer of Health Benefits funding from National Contracted Services - Other - $561,000
  • a transfer of maternity service specifications funding from National Maternity Services - $157,000
  • a transfer for 2011/12 DHB deficit support from Health Services Funding - $25 million
  • an expense transfer for Canterbury DHB reconstruction to 2012/13 - reduction - $15 million.

Health and Disability Support Services - Capital and Coast DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Capital and Coast DHB.

Expenses#

Expenses - Health and Disability Support Services Capital and Coast DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 623,960 (430) 623,530

Reasons for Change in Appropriation#

This appropriation will decrease by $430,000 to $623.530 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $598,000
  • balancing adjustments between DHB appropriations - $410,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $295,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $83,000
  • a transfer of epidermolysis bullosa funding from Primary Health Care Strategy - increase - $200,000.

Health and Disability Support Services - Counties-Manukau DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Counties-Manukau DHB.

Expenses#

Expenses - Health and Disability Support Services CountiesManukau DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 1,121,468 565 1,122,033

Reasons for Change in Appropriation#

This appropriation will increase by $565,000 to $1,122.033 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $1.433 million
  • balancing adjustments between DHB appropriations - reduction - $20,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $1.324 million
  • a transfer of Health Benefits funding from National Contracted Services - Other - $542,000
  • a transfer of maternity service specifications funding from National Maternity Services - $152,000.

Health and Disability Support Services - Hawkes Bay DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hawkes Bay DHB.

Expenses#

Expenses - Health and Disability Support Services Hawkes Bay DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 406,757 (4,971) 401,786

Reasons for Change in Appropriation#

This appropriation will decrease by $4.971 million to $401.786 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $713,000
  • balancing adjustments between DHB appropriations - increase - $170,000
  • a transfer of oral health business case funding from National Contracted Services - Other - increase - $321,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $196,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $55,000
  • an expense transfer to 2013/14 of funding from the surplus for the  sale of Napier Hill Site - $5 million.

Health and Disability Support Services - Hutt DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hutt DHB.

Expenses#

Expenses - Health and Disability Support Services Hutt DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 333,345 (3) 333,342

Reasons for Change in Appropriation#

This appropriation will decrease by $3,000 to $333.342 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $640,000
  • balancing adjustments between DHB appropriations - $35,000
  • a transfer of oral health business case funding from National Contracted Services - Other - increase - $466,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $161,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $45,000.

Health and Disability Support Services - Lakes DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Lakes DHB.

Expenses#

Expenses - Health and Disability Support Services Lakes DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 260,135 (278) 259,857

Reasons for Change in Appropriation#

This appropriation will decrease by $278,000 to $259.857 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $718,000
  • balancing adjustments between DHB appropriations - $20,000
  • a transfer of oral health business case funding from National Contracted Services - Other - increase - $299,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $126,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $35,000.

Health and Disability Support Services - MidCentral DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from MidCentral DHB.

Expenses#

Expenses - Health and Disability Support Services MidCentral DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 424,893 (106) 424,787

Reasons for Change in Appropriation#

This appropriation will decrease by $106,000 to $424.787 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $780,000
  • balancing adjustments between DHB appropriations - $290,000
  • a transfer of oral health business case funding from National Contracted Services - Other - increase - $700,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $206,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $58,000.

Health and Disability Support Services - Nelson-Marlborough DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Nelson-Marlborough DHB.

Expenses#

Expenses - Health and Disability Support Services NelsonMarlborough DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 345,263 558 345,821

Reasons for Change in Appropriation#

This appropriation will increase by $558,000 to $345.821 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $297,000
  • balancing adjustments between DHB appropriations - $155,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $486,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - $167,000
  • a transfer of maternity service specifications funding from National Maternity Services - $47,000.

Health and Disability Support Services - Northland DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Northland DHB.

Expenses#

Expenses - Health and Disability Support Services Northland DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 448,202 (105) 448,097

Reasons for Change in Appropriation#

This appropriation will decrease by $105,000 to $448.097 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $607,000
  • balancing adjustments between DHB appropriations - increase - $110,000
  • a transfer of oral health business case funding from National Contracted Services - Other - increase - $115,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $216,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $61,000.

Health and Disability Support Services - South Canterbury DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from South Canterbury DHB.

Expenses#

Expenses - Health and Disability Support Services South Canterbury DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 152,762 (34) 152,728

Reasons for Change in Appropriation#

This appropriation will decrease by $34,000 to $152.728 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $49,000
  • balancing adjustments between DHB appropriations - $80,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $74,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $21,000.

Health and Disability Support Services - Southern DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Southern DHB.

Expenses#

Expenses - Health and Disability Support Services Southern DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 721,784 1,191 722,975

Reasons for Change in Appropriation#

This appropriation will increase by $1.191 million to $722.975 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $376,000
  • balancing adjustments between DHB appropriations - $240,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $888,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - $343,000
  • a transfer of maternity service specifications funding from National Maternity Services - $96,000.

Health and Disability Support Services - Tairawhiti DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Tairawhiti DHB.

Expenses#

Expenses - Health and Disability Support Services Tairawhiti DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 133,429 430 133,859

Reasons for Change in Appropriation#

This appropriation will increase by $430,000 to $133.859 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $313,000
  • balancing adjustments between DHB appropriations - $75,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - $65,000
  • a transfer of maternity service specifications funding from National Maternity Services - $18,000
  • a transfer for Tairawhiti special projects from National Contracted Services - Other - $585,000.

Health and Disability Support Services - Taranaki DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Taranaki DHB.

Expenses#

Expenses - Health and Disability Support Services Taranaki DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 282,865 (238) 282,627

Reasons for Change in Appropriation#

This appropriation will decrease by $238,000 to $282.627 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $459,000
  • balancing adjustments between DHB appropriations - increase - $15,000
  • a transfer of oral health business case funding from National Contracted Services - Other - increase - $31,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $137,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $38,000.

Health and Disability Support Services - Waikato DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waikato DHB.

Expenses#

Expenses - Health and Disability Support Services Waikato DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 924,120 (5,227) 918,893

Reasons for Change in Appropriation#

This appropriation will decrease by $5.227 million to $918.893 million in 2011/12. This decrease is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - $1.168 million
  • balancing adjustments between DHB appropriations - increase - $870,000
  • a transfer of oral health business case funding from National Contracted Services - Other - increase - $1.515 million
  • a transfer of Health Benefits funding from National Contracted Services - Other - increase - $434,000
  • a transfer of maternity service specifications funding from National Maternity Services - increase - $122,000
  • an expense transfer for Waikato DHB surpluses to 2012/13 - $7 million.

Health and Disability Support Services - Wairarapa DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Wairarapa DHB.

Expenses#

Expenses - Health and Disability Support Services Wairarapa DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 112,529 64 112,593

Reasons for Change in Appropriation#

This appropriation will increase by $64,000 to $112.593 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $186,000
  • balancing adjustments between DHB appropriations - $310,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $12,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - $54,000
  • a transfer of maternity service specifications funding from National Maternity Services - $15,000
  • a transfer of Wairarapa ambulance services funding to National Emergency Services - reduction - $141,000.

Health and Disability Support Services - Waitemata DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waitemata DHB.

Expenses#

Expenses - Health and Disability Support Services Waitemata DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 1,172,846 945 1,173,791

Reasons for Change in Appropriation#

This appropriation will increase by $945,000 to $1,173.791 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $393,000
  • balancing adjustments between DHB appropriations - reduction - $750,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $1.286 million
  • a transfer of Health Benefits funding from National Contracted Services - Other - $551,000
  • a transfer of maternity service specifications funding from National Maternity Services - $154,000
  • an expense transfer of unspent funding for campus development at the Waitemata DHB from 2010/11 - $97,000.

Health and Disability Support Services - West Coast DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from West Coast DHB.

Expenses#

Expenses - Health and Disability Support Services West Coast DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 113,013 14 113,027

Reasons for Change in Appropriation#

This appropriation will increase by $14,000 to $113.027 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $90,000
  • balancing adjustments between DHB appropriations - $40,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $5,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - $46,000
  • a transfer of maternity service specifications funding from National Maternity Services - $13,000.

Health and Disability Support Services - Whanganui DHB (M36)#

Scope of Appropriation#

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Whanganui DHB.

Expenses#

Expenses - Health and Disability Support Services Whanganui DHB (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 191,163 66 191,229

Reasons for Change in Appropriation#

This appropriation will increase by $66,000 to $191.229 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding to National Child Health Services - reduction - $220,000
  • balancing adjustments between DHB appropriations - $40,000
  • a transfer of oral health business case funding from National Contracted Services - Other - $133,000
  • a transfer of Health Benefits funding from National Contracted Services - Other - $88,000
  • a transfer of maternity service specifications funding from National Maternity Services - $25,000.

Health Services Funding (M36)#

Scope of Appropriation#

Funding to respond to emerging health sector risks, provision for DHB structural deficit support, and contingency funding for Government priority health policy initiatives.

Expenses#

Expenses - Health Services Funding (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 165,745 (165,745) -

Reasons for Change in Appropriation#

This appropriation will decrease by $165.745 million to $0 in 2011/12. This decrease is due to:

  • a transfer of funding for rural immersion to Health Workforce Training and Development - $2.500 million
  • a transfer of 2011/12 DHB deficit support funding to Deficit Support for DHBs and Canterbury DHB - $68.809 million
  • a transfer of funding for the sleepovers court case to National Disability Support Services - $9.600 million
  • a transfer of funding for Tairawhiti DHB service improvement to National Contracted Services - Other - $585,000
  • a transfer of Health Voluntary Bonding Scheme funding to Health Workforce Training and Development - 12.856 million
  • a transfer of funding for the St Johns Horowhenua Pilot to National Emergency Services - $700,000
  • an expense transfer from 2011/12 to 2012/13 for training 800 health professionals for electives - $15.520 million
  • a transfer of funding for the Reduce Electives Waiting Lists Incentive to National Electives Services - $10 million
  • a transfer of CHFA Global Settlement Offer funding to Legal Expenses - $3.200 million
  • reprioritisation of unutilised risk reserve funding - $41.712 million
  • a transfer of funding for the Safe Staffing Workplaces Unit to National Contracted Services - Other - $800,000
  • funding for the confidential listening and assistance service - increase - $347,000
  • funding from anticipated 2011/12 underspends - increase - $190,000.

Health Workforce Training and Development (M36)#

Scope of Appropriation#

Provision of clinical training for doctors, nurses, dentists and other health professionals.

Expenses#

Expenses - Health Workforce Training and Development (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 155,549 5,238 160,787

Reasons for Change in Appropriation#

This appropriation will increase by $5.238 million to $160.787 million in 2011/12. This increase is due to:

  • a transfer of funding for the BreastScreen Aotearoa Fellowship from Public Health Service Purchasing - $90,000
  • a transfer of funding for Health Workforce maternity contracts from National Maternity Services - $2.100 million
  • a transfer of rural immersion funding from Health Services Funding - $2.500 million
  • a transfer of funding for Health Workforce mental health contracts from National Mental Health Services - $20.330 million
  • a transfer of funding for Health Workforce primary care contracts from Primary Health Care Strategy - $500,000
  • a transfer of funding for Health Workforce disability contracts from National Disability Support Services - $3.842 million
  • a transfer of Health Voluntary Bonding Scheme funding from Health Services Funding - $12.856 million
  • a transfer of funding for Sector Capability Health Workforce contracts from National Contracted Services - Other - $20,000
  • a transfer of electives training funding to National Elective Services - reduction - $5 million
  • reprioritisation of a projected 2011/12 underspend - reduction - $32 million.

National Child Health Services (M36)#

Scope of Appropriation#

For the funding and purchase of child health services directly by the Crown.

Expenses#

Expenses - National Child Health Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 68,130 10,860 78,990

Reasons for Change in Appropriation#

This appropriation will increase by $10.860 million to $78.990 million in 2011/12. This increase is due to:

  • a transfer of DHB Well Child Tamariki Ora funding from DHBs - $12.726 million
  • an expense transfer of unspent National Child Health Services funding from 2010/11 - $2 million
  • an expense transfer for additional Well Child visits funding to 2012/13 - reduction - $1.400 million
  • an expense transfer for WellChild Tamariki Ora projects funding to 2012/13 - reduction - $2 million
  • reprioritisation of projected Sector Capability and Innovation Business Unit 2011/12 underspends - reduction - $466,000.

National Contracted Services - Other (M36)#

Scope of Appropriation#

For the funding and purchase of other health services including mobile surgical services, telephone advice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies.

Expenses#

Expenses - National Contracted Services Other (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 111,262 (17,843) 93,419

Reasons for Change in Appropriation#

This appropriation will decrease by $17.843 million to $93.419 million in 2011/12. This decrease is due to:

  • a transfer of oral health business case funding to DHBs - $10.952 million
  • a transfer of Sector Capability contracts to Health Workforce Training and Development - $20,000
  • a transfer of Health Benefits funding to DHBs - $5 million
  • an expense transfer of funding for oral health projects for adults from 2011/12 to 2012/13 and 2013/14 - $2.897 million
  • an expense transfer of rheumatic fever funding from 2011/12 to 2012/13 - $900,000
  • a transfer of funding for Tairawhiti DHB special projects to Tairawhiti DHB - $585,000
  • an expense transfer of Growing Up In New Zealand funding from 2011/12 to 2012/13 and 2013/14 - $800,000
  • a transfer of Maori Health contracts from National Maori Health Services - increase - $326,000
  • an expense transfer from 2010/11 of unspent funding for housing modifications and equipment for the disabled - increase - $2 million
  • a transfer of funding for Tairawhiti DHB service improvement from Health Services Funding - increase - $585,000
  • a transfer of funding for the Safe Staffing Health Workplaces Unit from Health Services Funding - increase - $400,000.

National Disability Support Services (M36)#

Scope of Appropriation#

Delivery of disability support services provided through DHBs and third-party service providers.

Expenses#

Expenses - National Disability Support Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 1,028,402   6,732    1,035,134

Reasons for Change in Appropriation#

This appropriation will increase by $6.732 million to $1,035.134 million in 2011/12. This increase is due to:

  • an expense transfer of unspent funding from 2010/11 for a new model for disability support services - $670,000
  • a transfer of funding for Intellectual Disability (Compulsory Care and Rehabilitation) clients from Public Health Service Purchasing - $304,000
  • a transfer of funding for the sleepovers court case from Health Services Funding - $9.600 million
  • a transfer of funding for disability workforce contracts to Health Workforce Training and Development - reduction - $3.842 million.

National Elective Services (M36)#

Scope of Appropriation#

Funding for the purchase of additional elective surgery services.

Expenses#

Expenses - National Elective Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 260,056 5,000 265,056

Reasons for Change in Appropriation#

This appropriation will increase by $5 million to $265.056 million in 2011/12. This increase is due to:

  • a transfer of funding for electives training from Health Workforce Training and Development - $5 million
  • a transfer of funding for the Reduce Electives Waiting Lists Incentive from Health Services Funding - $10 million
  • an expense transfer to 2012/13 and 2013/14 for elective services productivity and workforce - reduction - $10,000 million.

National Emergency Services (M36)#

Scope of Appropriation#

For the funding and purchase of health emergency services directly by the Crown.

Expenses#

Expenses - National Emergency Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 86,831 690 87,521

Reasons for Change in Appropriation#

This appropriation will increase by $690,000 to $87.521 million in 2011/12. This increase is due to:

  • a transfer of funding for Wairarapa ambulance services from Wairarapa DHB - $141,000
  • a transfer of funding for the St Johns Horowhenua Pilot from Health Services Funding - $700,000
  • a transfer of funding for an emergency management function to Public Health Service Purchasing - reduction - $151,000.

National Maori Health Services (M36)#

Scope of Appropriation#

For the funding and purchase of Maori health services directly by the Crown.

Expenses#

Expenses - National Maori Health Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 8,605 (4,423) 4,182

Reasons for Change in Appropriation#

This appropriation will decrease by $4.423 million to $4.182 million in 2011/12. This decrease is due to:

  • a transfer of funding for Maori health services contracts to National Contracted Services - Other and Public Health Service Purchasing - $464,000
  • a transfer of funding for Waikato change management to Provider Development - $415,000
  • reprioritisation of a projected underspend in 2011/12 - $3.544 million.

National Maternity Services (M36)#

Scope of Appropriation#

For the funding and purchase of maternity services directly by the Crown.

Expenses#

Expenses - National Maternity Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 147,307 (7,803) 139,504

Reasons for Change in Appropriation#

This appropriation will decrease by $7.803 million to $139.504 million in 2011/12. This decrease is due to:

  • a transfer of Health Workforce maternity contracts funding to Health Workforce Training and Development - $2.100 million
  • an expense transfer of Integrated Maternity Care funding to 2012/13 - $1 million
  • a transfer of funding for maternity service specifications to DHBs - $1.400 million
  • reprioritisation of projected 2011/12 underspends - $3.303 million.

National Mental Health Services (M36)#

Scope of Appropriation#

For the funding and purchase of mental health services directly by the Crown.

Expenses#

Expenses - National Mental Health Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 70,192 (25,730) 44,462

Reasons for Change in Appropriation#

This appropriation will decrease by $25.730 million to $44.462 million in 2011/12. This decrease is due to:

  • a transfer of funding for Health Workforce mental health contracts to Health Workforce Training and Development - $20.330 million
  • reprioritisation of a projected mental health underspend in 2011/12 - $5.400 million.

Primary Health Care Strategy (M36)#

Scope of Appropriation#

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.

Expenses#

Expenses - Primary Health Care Strategy (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 178,771 (7,200) 171,571

Reasons for Change in Appropriation#

This appropriation will decrease by $7.200 million to $171.571 million in 2011/12. This decrease is due to:

  • a transfer of funding for primary health Workforce contracts to Health Workforce Training and Development - $500,000
  • a transfer of reprioritised tobacco funding to Public Health Service Purchasing - $1 million
  • a transfer of funding for the epidermolysis bullosa serice to Capital and Coast DHB - $200,000
  • reprioritised funding for projected 2011/12 projected underspends - $5.500 million.

Problem Gambling Services (M36)#

Scope of Appropriation#

Funding to support the research and implementation of strategies to prevent and minimise the harm from gambling, and for the provision of treatment services to problem gamblers and assistance to their families and whanau in accordance with the Gambling Act 2003.

Expenses#

Expenses - Problem Gambling Services (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 17,864 2,000 19,864

Reasons for Change in Appropriation#

This appropriation will increase by $2 million to $19.864 million in 2011/12. This increase is due to an expense transfer from 2010/11 of unspent funding on problem gambling services.

Public Health Service Purchasing (M36)#

Scope of Appropriation#

Public Health Services funded by the Ministry of Health from DHBs and other public health service providers.

Expenses#

Expenses - Public Health Service Purchasing (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 453,708 (5,371) 448,337

Reasons for Change in Appropriation#

This appropriation will decrease by $5.371 million to $448.337 million in 2011/12. This decrease is due to:

  • a transfer of funding for the BreastScreen Aotearoa Fellowship to Health Workforce Training and Development - $90,000
  • a transfer of funding for Intellectual Disability (Compulsory Care and Rehabilitation) clients to National Disability Support Services - $304,000
  • an expense transfer of funding for the Drinking Water Capital Assistance Programme to 2012/13 - $4 million
  • an expense transfer of funding for the Bowel Screening Pilot to 2014/15 and 2015/16 - $3.480 million
  • reprioritisation of a projected underspend in 2011/12 of communicable diseases funding - $7.440 million
  • reprioritisation of a projected underspend in 2011/12 of environmental health funding - $1.486 million
  • reprioritisation of a projected underspend in 2011/12 of funding for the New Zealand Health Survey - $470,000
  • reprioritisation of a projected underspend in 2011/12 of immunisation funding - $6.280 million
  • reprioritisation of a projected underspend in 2011/12 of funding on the Sanitary Works Subsidy Scheme - $16.104 million
  • a transfer of elder abuse funding from Auckland DHB - increase - $78,000
  • a transfer of funding for Maori health contracts from National Maori Health Services - increase - $138,000
  • reprioritisation of tobacco funding from Primary Health Care Strategy - increase - $1 million
  • an expense transfer from 2010/11 of unspent public health funding - increase - $31.983 million
  • a transfer of funding for an emergency management function from National Emergency Services - increase - $151,000
  • a transfer from the Regulatory and Enforcement Services departmental appropriation for the funding of on-going costs of the National Radiation Laboratory - increase - $933,000.

Part 5 - Details and Expected Results for Other Expenses#

Part 5.1 - Departmental Other Expenses#

Earthquake/Storm Damages (M36)

Scope of Appropriation

This appropriation is limited to costs arising from damage caused by earthquakes, storms or other natural disasters.

Expenses

Expenses - Earthquake/Storm Damages (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation - 2,400 2,400

Reasons for Change in Appropriation

This appropriation will increase by $2.400 million to $2.400 million in 2011/12. This increase is due to funding of expenses related to recovery from the Canterbury earthquakes.

Part 5.2 - Non-Departmental Other Expenses#

International Health Organisations (M36)#

Scope of Appropriation

Funding for New Zealand's membership to the World Health Organisation (WHO), and the contribution to specific WHO projects.

Expenses

Expenses - International Health Organisations (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 2,030 (190) 1,840

Reasons for Change in Appropriation

This appropriation will decrease by $190,000 to $1.840 million in 2011/12. This decrease is due to reprioritisation of projected unspent funding in 2011/12.

Scope of Appropriation#

Funding for the defence and settlement of legal claims against the Crown.

Expenses#

Expenses - Legal Expenses (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 1,028 5,000 6,028

Reasons for Change in Appropriation#

This appropriation will increase by $5 million to $6.028 million in 2011/12. This increase is due to funding for the CHFA Global Settlement Offer.

Provider Development (M36)#

Scope of Appropriation#

Funding support and provide assistance for the development of the third party health service workforce, in particular, Maori and Pacific people's providers.

Expenses#

Expenses - Provider Development (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 24,874 415 25,289

Reasons for Change in Appropriation#

This appropriation will increase by $415,000 to $25.289 million in 2011/12. This increase is due to a transfer of funding for Waikato change management from National Maori Health Services.

Part 6 - Details and Expected Results for Capital Expenditure#

Part 6.1 - Departmental Capital Expenditure#

Ministry of Health - Capital Expenditure PLA (M36)

Scope of Appropriation

This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989.

Capital Expenditure

Capital Expenditure - Ministry of Health Capital Expenditure PLA (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Forests/Agricultural - - -
Land - - -
Property, Plant and Equipment 5,000 47 5,047
Intangibles 15,460 (6,553) 8,907
Other - - -

Total Appropriation

20,460 (6,506) 13,954

Reasons for Change in Appropriation

This appropriation will decrease by $6.506 million to $13.954 million in 2011/12. This decrease is due to a small increase in purchases of property, plant and equipment ($47,000) and a reduction in purchases of intangibles ($6.553 million) due to project delays.

 

 

 

 

Part 6.2 - Non-Departmental Capital Expenditure#

Deficit Support for DHBs (M36)#

Scope of Appropriation

This appropriation is limited to equity injections to District Health Boards to address deficits.

Capital Expenditure

Capital Expenditure - Deficit Support for DHBs (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation - 60,849 60,849

Reasons for Change in Appropriation

This appropriation will increase by $60.849 million to $60.849 million in 2011/12. This increase is due to:

  • a capital transfer from 2010/11 of unspent deficit support funding - $17.040 million
  • a transfer of funding for 2011/12 DHB deficit support from Health Services Funding - $43.809 million.

Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)#

Scope of Appropriation#

Capital contributions to District Health Boards and health sector Crown agencies to cover new investments and reconfiguration of their balance sheets.

Capital Expenditure#

Capital Expenditure - Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 347,611 (218,053) 129,558

Reasons for Change in Appropriation#

This appropriation will decrease by $218.053 million to $129.558 million in 2011/12. This decrease is due to:

  • an equity to debt swap to Loans for Capital Projects - $280.000 million
  • funding for the purchase of Ngunguru Sandspit - increase - $9.300 million
  • transfer of the Ngunguru Sandspit to the Department of Conservation - $9.300 million
  • a capital transfer from 2010/11 of unspent Equity for Capital Projects funding - increase - $54.447 million
  • reprioritisation from projected unspent 2011/12 underspends - increase - $7.500 million.

Loans for Capital Projects (M36)#

Scope of Appropriation#

Provision of new loans to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration.

Capital Expenditure#

Capital Expenditure - Loans for Capital Projects (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 68,043 242,821 310,864

Reasons for Change in Appropriation#

This appropriation will increase by $242.821 million to $310.864 million in 2011/12. This increase is due to:

  • a capital transfer from 2010/11 of unspent Loans for Capital Projects funding - $72.821 million
  • an equity to debt swap from Equity for Capital Projects for DHBs and Health Sector Crown Agencies - $280 million
  • a capital transfer to 2012/13 and 2013/14 for Loans for Capital Projects - reduction - $110 million.

Residential Care Loans (M36)#

Scope of Appropriation#

Funding to provide interest-free loans to people entering into aged residential care facilities.

Capital Expenditure#

Capital Expenditure - Residential Care Loans (M36) - Health
  2011/12
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 15,000 3,000 18,000

Reasons for Change in Appropriation#

This appropriation will increase by $3 million to $18 million in 2011/12. This increase is due to a forecast increase in the cost of these loans.