Vote Health - Supplementary Estimates 2014/15

Details of Appropriations and Capital Injections#

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Annual and Permanent Appropriations#

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Capital Injection Authorisations#

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Supporting Information#

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Part 1 - Vote as a Whole#

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1.2 - Trends in the Vote

Summary of Financial Activity

Part 2 - Details of Departmental Appropriations#

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2.1 - Departmental Output Expenses

Health Sector Information Systems (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $426,000 to $50.673 million for 2014/15. This decrease relates to:

• $1.739 million was transferred within the Ministry of Health's departmental operating appropriations as part of aligning the Ministry's departmental funding with the types of outputs it is expected to deliver.

The decrease was partly offset by:

• $530,000 for the costs of implementing the Electronic Oral Health Records system for DHBs and other stakeholders was transferred to this appropriation from the Vote Health non-departmental expense appropriation National Personal Health Services
• $393,000 to implement the Population Health Data Warehouse for the National Screening Unit was transferred to this appropriation from the Vote Health non-departmental operating appropriation Public Health Service Purchasing, and
• $390,000 for the costs of implementing the Whanau Ora IT system that was transferred from the Vote Health non-departmental appropriation National Health Information Systems to this appropriation.

Managing the Purchase of Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $3.755 million to $32.918 million for 2014/15. This increase relates to:

• $1.493 million of new funding, agreed by Cabinet, for the Better Public Services Seed Fund for two Social Bonds pilots
• $1.262 million was transferred within the Ministry of Health's departmental operating appropriations as part of aligning the Ministry's departmental funding with the types of outputs it is expected to deliver, and
• $1 million for the costs of implementing the National Telehealth Service was transferred to this appropriation from the Ministry of Health's non-departmental appropriation Public Health Service Purchasing.

Payment Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $1.950 million to $17.948 million for 2014/15. This decrease relates to a transfer of $1.950 million within the Ministry of Health's departmental operating appropriations, as part of aligning the Ministry's departmental funding with the types of outputs it is expected to deliver.

Regulatory and Enforcement Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $372,000 to $26.150 million for 2014/15. This increase relates to the transfer of funding within the Ministry of Health's departmental operating appropriations as part of aligning the Ministry's departmental funding with the types of outputs it is expected to deliver.

Sector Planning and Performance (M36)

Scope of Appropriation

How Performance will be Assessed and End of Year Reporting Requirements

Reasons for Change in Appropriation

This appropriation increased by $1.441 million to $48.001 million for 2014/15 due to a transfer within the Ministry of Health's departmental operating appropriations as part of aligning the Ministry's departmental funding with the types of outputs it is expected to deliver.

2.3 - Departmental Capital Expenditure and Capital Injections

Ministry of Health - Capital Expenditure PLA (M36)

Scope of Appropriation

Capital Expenditure

Reasons for Change in Appropriation

This appropriation increased by $3 million to $18.010 million for 2014/15 due to a reforecast of departmental capital expenditure.

Ministry of Health

Part 3 - Details of Non-Departmental Appropriations#

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3.1 - Non-Departmental Output Expenses

Health and Disability Support Services - Auckland DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $14.452 million to $1,092.299 million for 2014/15. This increase relates to:

• $10 million of transitional funding was transferred to this appropriation from the Vote Health appropriation Health Services Funding
• $3.089 million to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities
• $828,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $662,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $100,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation
• $86,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $78,000 for the staffing of youth forensic specialist community services was transferred from the Vote Health appropriation National Mental Health Services to this appropriation, devolving this funding to the DHB, and
• $17,000 for rural sustainability support was transferred to this appropriation from the Vote Health appropriation Primary Health Care Strategy.

The increase was partly offset by:

• $408,000 was transferred to other DHBs, in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs.

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

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $1.054 million to $614.392 million for 2014/15. This increase relates to:

• $497,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $397,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $141,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $97,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support
• $59,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation, and
• $11,000 to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities.

The increase was partly offset by:

• $148,000 was transferred to other DHBs, in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs.

Health and Disability Support Services - Canterbury DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $21.853 million to $1,277.138 million for 2014/15. This increase relates to:

• $21 million for earthquake repairs was transferred to this appropriation from the Vote Health capital appropriation Equity for Capital Projects to DHBs and Health Sector Crown Agencies
• $1 million for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $800,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $339,000 for the staffing of youth forensic specialist community services was transferred from the Vote Health appropriation National Mental Health Services to this appropriation, devolving this funding to the DHB
• $337,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $214,000 was an adjustment in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $174,000 for rural sustainability support was transferred to this appropriation from the Vote Health appropriation Primary Health Care Strategy, and
• $121,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

The increase was partly offset by:

• $2.101 million for the Chatham Islands was transferred from 2014/15 to 2015/16, and
• $31,000 to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities.

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

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $152,000 to $678.807 million for 2014/15. This increase relates to:

• $528,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $423,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation, and
• $63,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

The increase was partly offset by:

• $862,000 was transferred to other DHBs, in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs.

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

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $2.318 million to $1,246.364 million for 2014/15. This increase relates to:

• $990,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $791,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $554,000 to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities
• $261,000 for the staffing of youth forensic specialist community services was transferred from the Vote Health appropriation National Mental Health Services to this appropriation, devolving this funding to the DHB
• $117,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation, and
• $25,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support.

The increase was partly offset by:

• $420,000 was transferred to other DHBs, in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs.

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

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $2.756 million to $435.492 million for 2014/15. This decrease relates to:

• $5 million from the sale of Napier Hill was transferred from 2014/15 to 2015/16 to fund a mental health unit.

The decrease was partly offset by:

• $1 million from the sale of Napier Hill was transferred from 2013/14 to 2014/15 to fund a mental health unit
• $350,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $280,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $205,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $190,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $90,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support
• $87,000 for the patient transfer service was transferred from the Vote Health appropriations National Emergency Services to this appropriation, devolving this service to the DHB, and
• $42,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - Hutt DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $795,000 to $357.834 million for 2014/15. This increase relates to:

• $286,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $245,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $229,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation, and
• $35,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - Lakes DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $593,000 to $278.253 million for 2014/15. This increase relates to:

• $223,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $179,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $66,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support
• $61,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $37,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs, and
• $27,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - MidCentral DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $2.960 million to $460.022 million for 2014/15. This increase relates to:

• $2 million to meet expected cost pressures was transferred from 2013/14 to 2014/15
• $368,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $294,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $261,000 for the patient transfer service was transferred from the Vote Health appropriations National Emergency Services to this appropriation, devolving this service to the DHB
• $200,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $75,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support, and
• $44,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

The increase was partly offset by:

• $282,000 to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities.

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

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $1.028 million to $378.204 million for 2014/15. This increase relates to:

• $303,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $243,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $238,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $169,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $75,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support, and
• $36,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

The increase was partly offset by:

• $36,000 to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities.

Health and Disability Support Services - Northland DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $1.903 million to $487.869 million for 2014/15. This increase relates to:

• $887,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $387,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $310,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $282,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support, and
• $47,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

The increase was partly offset by:

• $10,000 was transferred to other DHBs, in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs.

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

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $751,000 to $164.569 million for 2014/15. This increase relates to:

• $186,000 to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities
• $171,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $132,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $106,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $76,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support
• $64,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs, and
• $16,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - Southern DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $4.331 million to $776.461 million for 2014/15. This increase relates to:

• $1.490 million for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $804,000 to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities
• $616,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $552,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $493,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $302,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support, and
• $74,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - Tairawhiti DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $521,000 to $144.333 million for 2014/15. This increase relates to:

• $128,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support
• $113,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $102,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $91,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $73,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs, and
• $14,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - Taranaki DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $1.041 million to $304.189 million for 2014/15. This increase relates to:

• $372,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $244,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $196,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $109,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $91,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support, and
• $29,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - Waikato DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $7.216 million to $1,002.408 million for 2014/15. This decrease relates to:

• $15 million was returned to the Crown in a technical adjustment to the DHBs baseline, with no impact on the DHB's operating funding.

The decrease was partly offset by:

• $3 million to meet expected cost pressures was expense transferred from 2013/14 to 2014/15
• $2.455 million to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities
• $783,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $626,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $395,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $290,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support
• $141,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs, and
• $94,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - Wairarapa DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $373,000 to $122.511 million for 2014/15. This increase relates to:

• $105,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $98,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $78,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $44,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $36,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support, and
• $12,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health and Disability Support Services - Waitemata DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $4.911 million to $1,311.848 million for 2014/15. This increase relates to:

• $3.106 million to adjust fully for rate changes, asset revaluations, and accounting policy changes following Cabinet's decision permitting this for statutory Crown entities
• $1.015 million for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $812,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $382,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $119,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation, and
• $15,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support.

The increase was partly offset by:

• $538,000 was transferred to other DHBs, in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs.

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

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $446,000 to $119.605 million for 2014/15. This increase relates to:

• $223,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $98,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support
• $82,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $66,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation, and
• $10,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

The increase was partly offset by:

• $33,000 was transferred to other DHBs, in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs.

Health and Disability Support Services - Whanganui DHB (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $654,000 to $202.295 million for 2014/15. This increase relates to:

• $157,000 for afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $124,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $115,000 for rural afterhours services was transferred from the Vote Health appropriation Primary Health Care Strategy to this appropriation, devolving this funding to the DHB
• $103,000 was provided in line with the annual adjustment of DHB appropriations based on the Population Based Funding Formula, driven by changes in the resident population between DHBs
• $73,000 for the patient transfer service was transferred from the Vote Health appropriations National Emergency Services to this appropriation, devolving this service to the DHB
• $63,000 was transferred from the Vote Health appropriation Primary Health Care Strategy for rural sustainability support, and
• $19,000 for an annual funding top-up for respite care for people with dementia was transferred from the Vote Health appropriation National Contracted Services - Other to this appropriation.

Health Services Funding (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $75.336 million to $0 for 2014/15. This decrease relates to:

• $39.500 million for deficit support was transferred from this appropriation to the Vote Health capital appropriation Deficit Support
• $10 million of transitional funding was transferred to the Vote Health appropriation Auckland DHB from this appropriation
• $10 million for aged residential care and dementia care pathways was transferred to the Vote Health appropriations National Contracted Services - Other, National Disability Support Services, and to the 20 District Health Board appropriations
• $3.192 million for the Cochlear Implant Programme for children was transferred to the Vote Health appropriation National Disability Support Services
• $3 million to establish a 111 Clinical Hub servicing the three Auckland Metro DHBs for one year, as a proof of concept, was transferred to the Vote Health appropriation National Emergency Services
• $3 million for implementing patient portals was transferred to the Vote Health appropriation National Health Information Systems
• $2.121 million for disability support cost pressures was transferred from this appropriation to the Vote Health operating appropriation National Disability Support Services
• $2.023 million for the General Practice Education Programme (GPEP) was transferred to the Vote Health appropriation Health Workforce Training and Development
• $1 million for Free Primary Care for Under 13s and pharmacy system changes was transferred to the Vote Health appropriation Primary Health Care Strategy
• $500,000 for the seasonal influenza vaccination campaign was transferred to the Vote Health appropriation Public Health Service Purchasing
• $400,000 for additional cochlear implants was transferred to the Vote Health appropriation National Disability Support Services
• $350,000 for the new national intestinal failure service was transferred to the Vote Health appropriation National Elective Services, and
• $250,000 for breast cancer registers was transferred to the Vote Health appropriation National Personal Health Services.

Health Workforce Training and Development (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $3.727 million to $177.441 million for 2014/15. This increase relates to:

• $3 million to support 160 additional Nurse Entry to Practice placements in DHBs and 40 additional Aged Residential Care Nurse Entry to Practice placements was transferred from 2013/14 to 2014/15, and
• $2.023 million for additional trainees in the General Practice Education Programme (GPEP) in the 2014/15 year was transferred from the Vote Health appropriation Health Services Funding to this appropriation.

The increase was partly offset by:

• $1.296 million for graduate nurses in Very Low Cost Access practices was transferred to the Vote Health appropriation Primary Health Care Strategy, as that appropriation's scope was the best fit with the purpose of the funding.

Monitoring and Protecting Health and Disability Consumer Interests (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $500,000 to $27.596 million for 2014/15 due to a transfer to the appropriation of $500,000 from the Vote Health appropriation International Health Organisations for a contribution to the Health and Disability Commissioner's cost pressures.

National Child Health Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $3.521 million to $85.704 million for 2014/15. This increase relates to:

• $2.500 million for pressures on the Prime Minister's Youth Mental Health project and the Well Child Tamariki Ora Quality Improvement Framework was transferred from the Vote Health appropriation National Maternity Services to this appropriation
• $2.117 million for DHBs to rollout further Children's Teams as part of the Children's Action Plan was transferred from Vote Social Development to this appropriation, and
• $1.021 million for discrete Well Child projects and the Online Child Development and Health Information Project was transferred from 2013/14 to 2014/15.

The increase was partly offset by:

• $2.117 million for the Children's Action Plan Programme (as above) was transferred from 2014/15 to 2015/16 as teams are still being established and funding is anticipated to be required in 2015/16.

National Contracted Services - Other (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $1.233 million to $25.130 million for 2014/15. This increase relates to:

• $2.500 million for a contribution to implementing dementia care pathways across District Health Boards and communities was transferred from the Vote Health appropriation Health Services Funding to this appropriation
• $992,000 for immunisation services was transferred from the Vote Health appropriation Public Health Service Purchasing to this appropriation so the funds could be passed to PHARMAC, which now purchases these services, and
• $636,000 for storage of vaccines was transferred from the Vote Health appropriation Public Health Service Purchasing to this appropriation so the funds could be passed to PHARMAC, which has taken over this contract from the Ministry of Health.

The increase was partly offset by:

• $1.078 million for annual funding top-ups for respite care for people with dementia was transferred to Vote Health appropriations for Health and Disability Support Services - DHBs
• $1 million for renal transplants was transferred to the Vote Health appropriation National Personal Health Services as its scope best fits the purpose of the funding
• $750,000 for long-term chronic health conditions was transferred to the Vote Health appropriation National Disability Support Services to consolidate funding for equipment and housing modification services for people with a chronic health condition and disabled clients in the one appropriation
• $50,000 for the Rheumatic Fever Prevention Programme was transferred to the Vote Health appropriation Public Health Service Purchasing as its scope was the most appropriate to the expenditure, and
• $17,000 for chaplaincy services was transferred to the Vote Health appropriation National Personal Health Services as its scope best fits the purpose of the funding.

National Disability Support Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $8.137 million to $1,109.410 million for 2014/15. This decrease relates to:

• $22 million related to the in-between travel times negotiation envelope was returned to the Crown
• $1.500 million for school leavers with disabilities and very high needs was transferred to Vote Social Development for vocational services
• $1.100 million for the Enabling Good Lives demonstration in Hamilton was transferred to Vote Social Development, and
• $300,000 for the Enabling Good Lives Christchurch demonstration was transferred to Vote Social Development.

The decrease was partly offset by:

• $10 million for Sleepover settlements was transferred from 2013/14 to 2014/15
• $3.192 million for the Cochlear Implant Programme for children was transferred to this appropriation from the Vote Health appropriation Health Services Funding
• $2.121 million for disability support cost pressures was transferred to this appropriation from the Vote Health operating appropriation Health Services Funding
• $750,000 for long-term chronic health conditions was transferred to this appropriation from the Vote Health appropriation National Contracted Services - Other to consolidate funding for equipment and housing modification services for people with a chronic health condition and disabled clients in the one appropriation
• $400,000 for the purchase of additional cochlear implants was transferred to this appropriation from the Vote Health appropriation Health Services Funding, and
• $300,000 for an increase to the subsidy paid for aged residential care, as agreed in Budget 2014, was transferred from the Vote Health appropriation Health Services Funding to this appropriation.

National Elective Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $7.650 million to $290.177 million for 2014/15. This decrease relates to:

• $8 million for the initiative addressing colonoscopy wait times was transferred to the Vote Health appropriation National Personal Health Services, as its scope is the best fit with the purpose of the funding.

The decrease was partly offset by:

• $350,000 for the new national intestinal failure service was transferred from the Vote Health appropriation Health Services Funding to this appropriation.

National Emergency Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $2.579 million to $96.318 million for 2014/15. This increase relates to:

• $3 million to establish a 111 Clinical Hub servicing the three Auckland Metro DHBs for one year, as a proof of concept, was transferred to this appropriation from the Vote Health appropriation Health Services Funding.

The increase was partly offset by:

• $421,000 for the patient transfer service was transferred to the Vote Health appropriations Health and Disability Support Services - MidCentral DHB, Hawke's Bay DHB, and Whanganui DHB, devolving that funding to them. Note: the funding for the rest of the 20 DHBs was devolved in previous years.

National Health Information Systems (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $1.791 million to $14.200 million for 2014/15. This increase relates to:

• $3 million for implementing patient portals, to allow people to securely access their health information online, was transferred from the Vote Health appropriation Health Services Funding
• $650,000 to continue work on the maternity information system, which supports the maternity quality initiative and the maternity/ child health clinical integration programme, was transferred from the Vote Health appropriation Public Health Service Purchasing to this appropriation, and
• $519,000 for the Whanau Ora IT solution was transferred from 2013/14 to 2014/15.

The increase was partly offset by:

• $1.988 million for the Whanau Ora IT solution was transferred from 2014/15 to 2015/16, following contract negotiations with the key provider, and
• $390,000 for the costs of implementing the Whanau Ora IT system was transferred to the Ministry of Health's departmental expenses.

National Maternity Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $2.500 million to $144.666 million for 2014/15 due to the transfer to the Vote Health appropriation National Child Health Services of funding for pressures on the Prime Minister's Youth Mental Health project and the Well Child Tamariki Ora Quality Improvement Framework.

National Mental Health Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $9.237 million to $46.639 million for 2014/15. This decrease relates to:

• $5.200 million for the specialist sexual violence sector was transferred to Vote Social Development
• $3.095 million for the operational costs of the new Youth Forensic Inpatient Unit, which is being established but is not yet operating, was transferred from 2014/15 to 2015/16
• $1.570 million for youth one stop shops was transferred to Vote Social Development
• $678,000 for the staffing of youth forensic specialist community services was transferred to the Vote Health appropriations Health and Disability Support Services - Auckland DHB, Canterbury DHB, and Counties-Manukau DHB, devolving that funding to those DHBs, and
• $200,000 was transferred from 2014/15 to 2015/16 for New Zealand Drug Harm Index, which will likely be completed in 2015/16, funded through the Proceeds of Crime programme.

The decrease was partly offset by:

• $1.012 million for the Like Minds Like Mine programme was transferred from the Vote Health appropriation Public Health Service Purchasing to this appropriation, so it can be passed to the Health Promotion Agency, which is now managing this programme, and
• $494,000 was transferred from 2013/14 to 2014/15 for mental health services initiatives supporting the Drivers of Crime work programme.

National Personal Health Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $10.583 million to $95.645 million for 2014/15. This increase relates to:

• $8 million for the initiative addressing colonoscopy wait times was transferred from the Vote Health appropriation National Elective Services to this appropriation, as its scope is the best fit with the purpose of the funding
• $1.811 million to improve outcomes for pregnant women and mothers with substance abuse disorders was allocated to Vote Health by the Crown using Proceeds of Crime funding
• $1 million for renal transplants was transferred to this appropriation as its scope best fits the purpose of the funding
• $773,000 for project work including the Faster Cancer Treatment initiatives: Tumour Standards and Decision Support Tools for Primary Care was transferred from 2013/14 to 2014/15
• $250,000 for breast cancer registers was transferred to this appropriation from the Vote Health appropriation Health Services Funding, and
• $17,000 for chaplaincy services was transferred to this appropriation from the Vote Health appropriation National Contracted Services - Other as its scope best fits the purpose of the funding.

The increase was partly offset by:

• $638,000 to complete various cancer projects was transferred from 2014/15 to 2015/16
• $530,000 for the costs of implementing the Electronic Oral Health Records system for DHBs and other stakeholders was transferred to the Ministry of Health's departmental expense appropriation Health Sector Information Systems, and
• $100,000 for the Rheumatic Fever Prevention Programme was transferred to the Vote Health appropriation Public Health Service Purchasing as its scope was the most appropriate to the expenditure.

Primary Health Care Strategy (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $14.451 million to $155.290 million for 2014/15. This decrease relates to:

• $9 million for afterhours services was transferred to Vote Health appropriations for Health and Disability Support Services - DHBs, devolving that funding to the DHBs
• $5.032 million for rural afterhours services was transferred to Vote Health appropriations for Health and Disability Support Services - DHBs, devolving that funding to the DHBs
• $2 million for rural sustainability support was transferred to Vote Health appropriations for Health and Disability Support Services - DHBs, and
• $715,000 for graduate nurse placements in high needs practices in 2015 was transferred from 2014/15 to 2015/16 to align the funding with the 2015 calendar year.

The decrease was partly offset by:

• $1.296 million for graduate nurses in Very Low Cost Access practices was transferred from the Vote Health appropriation Health Workforce Training and Development, as this appropriation's scope is the best fit with the purpose of the funding, and
• $1 million for the Free Primary Care for Under 13s and pharmacy system changes initiative, agreed in Budget 2014, was transferred to this appropriation from the Vote Health appropriation Health Services Funding.

Problem Gambling Services (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $1.800 million to $19.333 million for 2014/15 due to a transfer of funds from 2013/14 to 2014/15 in line with the problem gambling service plan.

Public Health Service Purchasing (M36)

Scope of Appropriation

How Performance will be Assessed and End of Year Reporting Requirements

Reasons for Change in Appropriation

This appropriation decreased by $27.601 million to $401.927 million for 2014/15. This decrease relates to:

• $19 million for the multi-year Sanitary Works Subsidy Scheme was transferred from 2014/15 to 2015/16 to meet the expected payment profile of contracts in 2015/16
• $6.740 million for the multi-year Drinking Water Subsidy Scheme was transferred from 2014/15 to 2015/16 to meet the expected payment profile of contracts in 2015/16
• $3.700 million for the Rheumatic Fever Prevention Programme was transferred from 2014/15 to 2015/16 to align with the expected expenditure for this four year programme
• $1.012 million for the Like Minds Like Mine programme was transferred to the Vote Health appropriation National Mental Health Services, so it can be passed to the Health Promotion Agency, which is now managing this programme
• $1 million was transferred to the Ministry of Health's departmental expense appropriation Managing the Purchase of Services for the costs of implementing the National Telehealth Service
• $992,000 for immunisation services was transferred to the Vote Health appropriation National Contracted Services - Other so the funds could be passed to PHARMAC, which now purchases these services
• $910,000 to build and implement the Population Health Data Warehouse for the National Screening Unit was transferred to the Ministry of Health's departmental operating appropriation Health Sector Information Systems and to the Ministry's departmental capital
• $650,000 to continue work on the maternity information system, which supports the maternity quality initiative and the maternity/ child health clinical integration programme, was transferred to the Vote Health appropriation National Health Information Systems, and
• $636,000 for storage of vaccines was transferred to the Vote Health appropriation National Contracted Services - Other so the funds could be passed to PHARMAC, which has taken over this contract from the Ministry of Health.

The decrease was partly offset by:

• $4.940 million for the Drinking Water Subsidy Programme and the Sanitary Works Subsidy Scheme, which are multi-year initiatives, was transferred from 2013/14 to 2014/15
• $1.249 million for the Rheumatic Fever Prevention Programme, which is a four-year initiative, was transferred from 2013/14 to 2014/15
• $500,000 for the seasonal influenza vaccination campaign was transferred to this appropriation from the Vote Health appropriation Health Services Funding
• $200,000 from the Proceeds of Crime initiative was allocated to Vote Health by the Crown for an initiative to update the New Zealand Drug Harm Index, and
• $150,000 for the Rheumatic Fever Prevention Programme was transferred to this appropriation as its scope best fits the purpose of the funding.

3.4 - Non-Departmental Other Expenses

International Health Organisations (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $500,000 to $1.530 million for 2014/15 due to funding saved through favourable exchange rates being transferred to the Vote Health appropriation Monitoring and Protecting Health & Disability Consumer Interests to contribute to meeting the Health and Disability Commissioner's cost pressures.

Provider Development (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $209,000 to $25.623 million for 2014/15 due to the transfer from 2013/14 to 2014/15 of $209,000 for regional Pacific networks, in line with negotiated contracts.

3.5 - Non-Departmental Capital Expenditure

Deficit Support for DHBs (M36)

Scope of Appropriation

Capital Expenditure

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 for this appropriation 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.

Reasons for Change in Appropriation

This appropriation increased by $39.500 million to $39.500 million for 2014/15 due to the transfer of funding to this appropriation from the Vote Health operating appropriation Health Services Funding.

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

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $207.630 million to $51.970 million for 2014/15. This decrease relates to:

• $260 million was transferred from 2014/15 to 2015/16 for capital projects where funding is required in outyears
• $68 million for the Grey Base Hospital redevelopment, the new energy centre, and demolition of buildings was transferred from this appropriation to the Vote Health capital appropriation Health Sector Projects
• $57.330 million was transferred from this appropriation to the Vote Health capital appropriation Loans for Capital Projects, so that capital loans can be provided to DHBs
• $21 million for earthquake repairs was transferred from this appropriation to the Vote Health appropriation Health and Disability Support Services - Canterbury DHB
• $11.200 million for the capital costs of the new Youth Forensic Mental Health Unit at Capital and Coast DHB was transferred to the Vote Health appropriation Loans for Capital Projects, and
• $1 million for the Free Primary Care for Under 13s and pharmacy system changes initiative, agreed in Budget 2014, was transferred to the Ministry of Health's departmental assets.

The decrease was partly offset by:

• $128 million was transferred from 2013/14 to 2014/15 for capital projects, and
• $82.900 million for the DHB's earthquake repairs programme was provided in line with Cabinet's decision [SEC Min (14) 10/3] to reflect the amount of the maximum insurance settlement received by Canterbury DHB, so as to better meet revised estimates of repair costs.

Health Sector Projects (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $179.720 million to $155.280 million for 2014/15. This decrease relates to:

• $290 million was transferred from 2014/15 to 2015/16 for capital projects where funding is required in outyears.

The decrease was partly offset by:

• $68 million for the Grey Base Hospital redevelopment, the new energy centre, and demolition of buildings was transferred from the Vote Health capital appropriation Equity for Capital Projects to DHBs and Health Sector Crown Agencies to this appropriation, and
• $42.280 million was transferred from 2013/14 to 2014/15 for capital projects.

Loans for Capital Projects (M36)

Scope of Appropriation

Capital Expenditure

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: debt funding is provided to DHBs to fund the cost of capital projects, where the DHB is unable to fund the projects entirely within their cash flows.

How Performance will be Assessed and End of Year Reporting Requirements

Reasons for Change in Appropriation

This appropriation increased by $82.546 million to $82.546 million for 2014/15. This increase relates to:

• $88.016 million was transferred from 2013/14 to 2014/15 for capital projects
• $57.330 million was transferred from the Vote Health capital appropriation Loans for Capital Projects to this appropriation, so that capital loans can be provided to DHBs, and
• $11.200 million for the capital costs of the new Youth Forensic Mental Health Unit at Capital and Coast DHB was transferred to this appropriation from the Vote Health appropriation Equity for Capital Projects to DHBs and Health Sector Crown Agencies.

The increase was partly offset by:

• $74 million was transferred from 2014/15 to 2015/16 for capital projects where funding is required in outyears.

Refinance of Crown Loans (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation increased by $40.390 million to $480.090 million for 2014/15 due to short-term roll-overs of some loans during the 2014/15 year. This expenditure is fiscally neutral to the Crown, being off-set by Crown receipts from the repayment of the loans being refinanced.

Refinance of DHB Private Debt (M36)

Scope of Appropriation

Reasons for Change in Appropriation

This appropriation decreased by $50 million to $0 for 2014/15 due to funding for the refinancing of Private Debt by Auckland DHB being transferred from 2014/15 to 2015/16, which is when the debt matures.

Part 4 - Details of Multi-Category Expenses and Capital Expenditure#

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Multi-Category Expenses and Capital Expenditure

Policy Advice and Ministerial Servicing (M36)

Overarching Purpose Statement

Scope of Appropriation

What is Intended to be Achieved with each Category and How Performance will be Assessed

Note 1 -  This is a new measure - measurement methodology is being developed.

Reasons for Change in Appropriation

This appropriation increased by $614,000 to $21.188 million for 2014/15. This increase relates to:

• the departmental category Ministerial Servicing increased by $195,000 to $4.747 million due to a transfer within the Ministry of Health's departmental operating appropriations, as part of aligning the Ministry's departmental funding with the types of outputs it is expected to deliver, and
• the departmental category Policy Advice increased by $419,000 to $16.441 million due to a transfer within the Ministry of Health's departmental operating appropriations, as part of aligning the Ministry's departmental funding with the types of outputs it is expected to deliver.