Formats and related files
Vote Health#
APPROPRIATION MINISTER(S): Minister of Health (M36)
APPROPRIATION ADMINISTRATOR: Ministry of Health
RESPONSIBLE MINISTER FOR MINISTRY OF HEALTH: Minister of Health
Details of Appropriations and Capital Injections#
Annual and Permanent Appropriations#
2017/18 | |||
---|---|---|---|
Titles and Scopes of Appropriations by Appropriation Type | Estimates Budget $000 |
Supplementary Estimates Budget $000 |
Total Budget $000 |
Departmental Output Expenses |
|||
Health Sector Information Systems (M36) This appropriation is limited to the provision of information technology services and the publication of data and information derived from these services to the health and disability system. |
51,618 | 1,777 | 53,395 |
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). |
36,213 | 6,310 | 42,523 |
Payment Services (M36) This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies. |
17,340 | (900) | 16,440 |
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. |
24,694 | (583) | 24,111 |
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. |
47,426 | 48 | 47,474 |
Total Departmental Output Expenses |
177,291 | 6,652 | 183,943 |
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. |
8,000 | 1,929 | 9,929 |
Total Departmental Capital Expenditure |
8,000 | 1,929 | 9,929 |
Non-Departmental Output Expenses |
|||
Auckland Health Projects Integrated Investment Plan (M36) The appropriation is limited to expenses incurred in developing an Integrated Investment Plan for Auckland Health projects. |
650 | (280) | 370 |
Health and Disability Support Services - Auckland DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Auckland DHB. |
1,239,980 | 12,101 | 1,252,081 |
Health and Disability Support Services - Bay of Plenty DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Bay of Plenty DHB. |
694,230 | 519 | 694,749 |
Health and Disability Support Services - Canterbury DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB. |
1,375,372 | 8,136 | 1,383,508 |
Health and Disability Support Services - Capital and Coast DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Capital and Coast DHB. |
738,901 | (3,268) | 735,633 |
Health and Disability Support Services - Counties-Manukau DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Counties-Manukau DHB. |
1,377,805 | (2,113) | 1,375,692 |
Health and Disability Support Services - Hawkes Bay DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Hawkes Bay DHB. |
484,193 | (1,767) | 482,426 |
Health and Disability Support Services - Hutt DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Hutt DHB. |
388,121 | (3,241) | 384,880 |
Health and Disability Support Services - Lakes DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Lakes DHB. |
310,096 | 4,616 | 314,712 |
Health and Disability Support Services - MidCentral DHB (M36) This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB. |
499,456 | (5,203) | 494,253 |
Health and Disability Support Services - Nelson-Marlborough DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Nelson-Marlborough DHB. |
418,304 | 59 | 418,363 |
Health and Disability Support Services - Northland DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Northland DHB. |
557,165 | 7,124 | 564,289 |
Health and Disability Support Services - South Canterbury DHB (M36) This appropriation is limited to personal and public health services, and management outputs from South Canterbury DHB. |
178,097 | (1,078) | 177,019 |
Health and Disability Support Services - Southern DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Southern DHB. |
852,087 | (5,701) | 846,386 |
Health and Disability Support Services - Tairawhiti DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB. |
160,113 | 542 | 160,655 |
Health and Disability Support Services - Taranaki DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB. |
338,959 | (3,296) | 335,663 |
Health and Disability Support Services - Waikato DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Waikato DHB. |
1,134,739 | 15,758 | 1,150,497 |
Health and Disability Support Services - Wairarapa DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB. |
136,657 | (1,407) | 135,250 |
Health and Disability Support Services - Waitemata DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB. |
1,450,808 | 13,650 | 1,464,458 |
Health and Disability Support Services - West Coast DHB (M36) This appropriation is limited to personal and public health services, and management outputs from West Coast DHB. |
128,823 | (746) | 128,077 |
Health and Disability Support Services - Whanganui DHB (M36) This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB. |
218,859 | (303) | 218,556 |
Health Sector Projects Operating Expenses (M36) This appropriation is limited to operating expenses associated with the governance, planning and development of health sector capital projects. |
- | 10,328 | 10,328 |
Health Workforce Training and Development (M36) This appropriation is limited to the provision, purchase, and support of workforce development for people working in the health and disability sector and of services that support those workforces to be sustainable, flexible, and fit-for-purpose. |
186,745 | - | 186,745 |
Monitoring and Protecting Health and Disability Consumer Interests (M36) This appropriation is limited to the provision, purchase, and support of services that monitor and protect health and disability consumer interests. |
28,746 | 1,100 | 29,846 |
National Child Health Services (M36) This appropriation is limited to the provision, purchase, and support of child health services. |
85,001 | (2,000) | 83,001 |
National Contracted Services - Other (M36) This appropriation is limited to the purchase of other services directly by the Crown to support the health and disability services sector, including the national management of pharmaceuticals, and health research. |
28,720 | (3,500) | 25,220 |
National Disability Support Services (M36) This appropriation is limited to the provision, purchase, and support of disability support services. |
1,208,374 | 29,306 | 1,237,680 |
National Elective Services (M36) This appropriation is limited to the provision, purchase, and support of elective surgery services. |
346,517 | 9,628 | 356,145 |
National Emergency Services (M36) This appropriation is limited to the provision, purchase, and support of emergency services. |
109,958 | 160 | 110,118 |
National Health Information Systems (M36) This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors. |
8,236 | (3,208) | 5,028 |
National Maori Health Services (M36) This appropriation is limited to the provision, purchase, and support of health and disability services that are either for Maori or by Maori. |
6,828 | (4,078) | 2,750 |
National Maternity Services (M36) This appropriation is limited to the provision, purchase, and support of maternity services. |
146,767 | 19,900 | 166,667 |
National Mental Health Services (M36) This appropriation is limited to the provision, purchase, and support of mental health services. |
62,183 | 2,373 | 64,556 |
National Personal Health Services (M36) This appropriation is limited to personal healthcare and support services purchased directly by the Crown, including mobile surgical services, telephone and online advice services, hospice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies. |
84,057 | (1,350) | 82,707 |
Primary Health Care Strategy (M36) This appropriation is limited to services to implement and deliver the Primary Health Care Strategy. |
195,405 | (2,000) | 193,405 |
Problem Gambling Services (M36) This appropriation is limited to the provision, purchase, and support of services that minimise the harm from gambling, in accordance with the Gambling Act 2003. |
17,521 | 300 | 17,821 |
Public Health Service Purchasing (M36) This appropriation is limited to the provision, purchase, and support of public health services. |
405,471 | (29,904) | 375,567 |
Supporting Equitable Pay for Care and Support Workers (M36) This appropriation is limited to costs related to workers in the care and support sector, incurred as a result of legislation giving effect to the pay equity settlement with care and support workers. |
279,000 | 20,300 | 299,300 |
Total Non-Departmental Output Expenses |
15,882,944 | 81,457 | 15,964,401 |
Non-Departmental Other Expenses |
|||
International Health Organisations (M36) This appropriation is limited to the Crown funding New Zealand's World Health Organization (WHO) membership and contributing to specific WHO projects. |
2,030 | (187) | 1,843 |
Legal Expenses (M36) This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown. |
1,028 | 1,000 | 2,028 |
Provider Development (M36) This appropriation is limited to supporting the development of health or disability service providers, in particular, those supporting vulnerable populations, such as Maori and Pacific peoples. |
24,289 | (5,750) | 18,539 |
Total Non-Departmental Other Expenses |
27,347 | (4,937) | 22,410 |
Non-Departmental Capital Expenditure |
|||
Deficit Support for DHBs (M36) This appropriation is limited to equity injections to District Health Boards to address deficits. |
50,000 | 36,924 | 86,924 |
Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36) This appropriation is limited to providing capital contributions to health sector Crown entities or agencies for new investments and reconfiguration of their balance sheets. |
303,388 | (182,749) | 120,639 |
Health Sector Projects (M36) This appropriation is limited to the provision or purchase of health sector assets. |
288,108 | (7,446) | 280,662 |
Residential Care Loans - Payments (M36) This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities. |
15,000 | - | 15,000 |
Total Non-Departmental Capital Expenditure |
656,496 | (153,271) | 503,225 |
Multi-Category Expenses and Capital Expenditure |
|||
Policy Advice and Ministerial Servicing MCA (M36) The overarching purpose of this appropriation is to provide policy advice and other support to Ministers in discharging their policy decision-making and other portfolio responsibilities. |
20,991 | (400) | 20,591 |
Departmental Output Expenses |
|||
Ministerial Servicing This category is limited to the provision of services to Ministers to enable them to discharge their portfolio responsibilities other than policy decision-making. |
4,702 | 500 | 5,202 |
Policy Advice This category is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters. |
16,289 | (900) | 15,389 |
Total Multi-Category Expenses and Capital Expenditure |
20,991 | (400) | 20,591 |
Total Annual and Permanent Appropriations |
16,773,069 | (68,570) | 16,704,499 |
Capital Injection Authorisations#
2017/18 | |||
---|---|---|---|
Estimates Budget $000 |
Supplementary Estimates Budget $000 |
Total Budget $000 |
|
Ministry of Health - Capital Injection (M36) | - | 2,000 | 2,000 |
Supporting Information#
Part 1 - Vote as a Whole#
1.2 - Trends in the Vote
Summary of Financial Activity
2017/18 | |||||
---|---|---|---|---|---|
Supplementary Estimates | |||||
Estimates $000 |
Departmental Transactions $000 |
Non-Departmental Transactions $000 |
Total Transactions $000 |
Total $000 |
|
Appropriations |
|||||
Output Expenses | 16,060,235 | 6,652 | 81,457 | 88,109 | 16,148,344 |
Benefits or Related Expenses | - | N/A | - | - | - |
Borrowing Expenses | - | - | - | - | - |
Other Expenses | 27,347 | - | (4,937) | (4,937) | 22,410 |
Capital Expenditure | 664,496 | 1,929 | (153,271) | (151,342) | 513,154 |
Intelligence and Security Department Expenses and Capital Expenditure | - | - | N/A | - | - |
Multi-Category Expenses and Capital Expenditure (MCA) | |||||
Output Expenses | 20,991 | (400) | - | (400) | 20,591 |
Other Expenses | - | - | - | - | - |
Capital Expenditure | - | N/A | - | - | - |
Total Appropriations |
16,773,069 | 8,181 | (76,751) | (68,570) | 16,704,499 |
Crown Revenue and Capital Receipts |
|||||
Tax Revenue | - | N/A | - | - | - |
Non-Tax Revenue | 748,686 | N/A | 14,468 | 14,468 | 763,154 |
Capital Receipts | 27,499 | N/A | - | - | 27,499 |
Total Crown Revenue and Capital Receipts |
776,185 | N/A | 14,468 | 14,468 | 790,653 |
Part 2 - Details of Departmental Appropriations#
2.1 - Departmental Output Expenses#
Health Sector Information Systems (M36)
Scope of Appropriation
Expenses and Revenue
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 51,618 | 1,777 | 53,395 |
Revenue from the Crown | 51,618 | 1,777 | 53,395 |
Revenue from Others | - | - | - |
Reasons for Change in Appropriation
This appropriation increased by $1.777 million to $53.395 million for 2017/18 due to:
- $1.300 million due to a departmental output class budget adjustment (see Note 1), and
- $777,000 was carried forward from 2016/17 for the National Bowel Screening programme.
This was partly offset by:
- $300,000 was transferred to Vote Internal Affairs for the Service Innovation work programme.
Note 1 - In 2017/18 funding was transferred between departmental output classes, so that funding better reflected the outputs the Ministry expected to deliver during the year. This transfer was fiscally neutral to the Vote and to the Crown, and affected only the 2017/18 financial year.
Managing the Purchase of Services (M36)#
Scope of Appropriation#
Expenses and Revenue#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 36,213 | 6,310 | 42,523 |
Revenue from the Crown | 36,213 | 6,310 | 42,523 |
Revenue from Others | - | - | - |
Reasons for Change in Appropriation#
This appropriation increased by $6.310 million to $42.523 million for 2017/18 due to:
- $2.500 million was transferred from the Supporting Equitable Pay for Care and Support Workers appropriation for pay equity implementation costs
- $1.500 million was provided for the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Services Card Holders
- $1.200 million was drawndown from the Pay Equity tagged contingency fund, established in Budget 2017, for pay equity implementation costs
- $1.065 million was carried forward from 2016/17 to reflect the funding profile for the technology solution to support the national bowel screening programme, and
- $45,000 was carried forward from 2016/17 to reflect the funding profile of a project developing breast screening targets.
Payment Services (M36)#
Scope of Appropriation#
Expenses and Revenue#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 17,340 | (900) | 16,440 |
Revenue from the Crown | 17,340 | (900) | 16,440 |
Revenue from Others | - | - | - |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
The total dollar value of payments made to those primary health and disability providers who have been subject to audit and compliance activities during the year, expressed as a percentage of the budget for those providers (see Note 1) |
80% | (80%) | - |
Note 1 - The dollar value of payments to primary healthcare and disability providers is approximately $6.900 billion.
This measure has been removed as the measurement of performance is covered by two remaining measures which provide performance information about the quality and responsiveness of the audit and compliance activities.
Reasons for Change in Appropriation#
This appropriation decreased by $900,000 to $16.440 million for 2017/18. This was due to a departmental output class budget adjustment. In 2017/18 funding was transferred between departmental output classes, so that the funding better reflected the outputs the Ministry expected to deliver during the year. This transfer was fiscally neutral to the Vote and to the Crown, and affected only the 2017/18 financial year.
Regulatory and Enforcement Services (M36)#
Scope of Appropriation#
Expenses and Revenue#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 24,694 | (583) | 24,111 |
Revenue from the Crown | 10,653 | - | 10,653 |
Revenue from Others | 14,041 | (583) | 13,458 |
Reasons for Change in Appropriation#
This appropriation decreased by $583,000 to $24.111 million for 2017/18 due to:
- $1.400 million due to the reforecast of expected third party revenue for Natural Health Products.
This was partly offset by:
- $817,000 due to an increase in the forecast of expected third party revenue and associated expenditure for MedSafe.
Memorandum Account#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
MedSafe | |||
Opening Balance as at 1 July | 216 | (210) | 6 |
Revenue | 9,305 | 816 | 10,121 |
Expenses | 9,305 | 816 | 10,121 |
Transfers and Adjustments | - | - | - |
Closing Balance at 30 June | 216 | (210) | 6 |
Revenue and expenditure for MedSafe have been increased following an updated fees review.
Sector Planning and Performance (M36)#
Scope of Appropriation#
Expenses and Revenue#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 47,426 | 48 | 47,474 |
Revenue from the Crown | 47,277 | 48 | 47,325 |
Revenue from Others | 149 | - | 149 |
Reasons for Change in Appropriation#
This appropriation increased by $48,000 to $47.474 million for 2017/18. This was due to funding provided for the Migrant Settlement initiative.
2.3 - Departmental Capital Expenditure and Capital Injections#
Ministry of Health - Capital Expenditure PLA (M36)#
Scope of Appropriation
Capital Expenditure
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Forests/Agricultural | - | - | - |
Land | - | - | - |
Property, Plant and Equipment | 1,000 | (950) | 50 |
Intangibles | 7,000 | 2,879 | 9,879 |
Other | - | - | - |
Total Appropriation |
8,000 | 1,929 | 9,929 |
Reasons for Change in Appropriation
This appropriation increased by $1.929 million to $9.929 million for 2017/18. This was due to the reforecast of departmental capital expenditure.
Capital Injections and Movements in Departmental Net Assets
Ministry of Health
Details of Net Asset Schedule | 2017/18 Main Estimates Projections $000 |
2017/18 Supplementary Estimates Projections $000 |
Explanation of Projected Movements in 2017/18 |
---|---|---|---|
Opening Balance | 34,541 | 32,652 | Supplementary Estimates opening balance reflects the audited results as at 30 June 2017. |
Capital Injections | - | 2,000 | This capital injection relates to the National Bowel Screening Programme and the National Screening IT Solution. |
Capital Withdrawals | - | - | |
Surplus to be Retained (Deficit Incurred) | - | - | |
Other Movements | - | - | |
Closing Balance |
34,541 | 34,652 |
Part 3 - Details of Non-Departmental Appropriations#
3.1 - Non-Departmental Output Expenses#
Auckland Health Projects Integrated Investment Plan (M36)
Scope of Appropriation
Expenses
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 650 | (280) | 370 |
Reasons for Change in Appropriation
This appropriation decreased by $280,000 to $370,000 for 2017/18 due to:
- $1 million was transferred to 2018/19 to support further development of the Northern Region's Investment Planning.
This was partly offset by:
- $720,000 was carried forward from 2016/17.
Health and Disability Support Services - Auckland DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 1,239,980 | 12,101 | 1,252,081 |
Reasons for Change in Appropriation#
This appropriation increased by $12.101 million to $1,252.081 million for 2017/18 due to:
- $10.614 million was transferred from other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs
- $469,000 was transferred from other DHBs due to an adjustment of population based funding during the year
- $398,000 due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays
- $328,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB, and
- $292,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement.
Health and Disability Support Services - Bay of Plenty DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 694,230 | 519 | 694,749 |
Reasons for Change in Appropriation#
This appropriation increased by $519,000 to $694.749 million for 2017/18 due to:
- $465,000 for initiatives relating to Drivers of Crime was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB
- $254,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $125,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
This was partly offset by:
- $256,000 was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $69,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
Health and Disability Support Services - Canterbury DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 1,375,372 | 8,136 | 1,383,508 |
Reasons for Change in Appropriation#
This appropriation increased by $8.136 million to $1,383.508 million for 2017/18 due to:
- $5.598 million was carried forward from 2016/17 to continue work on Canterbury Earthquake repairs
- $4 million was transferred from the Equity for Capital Project for DHBs and Health Sector Crown Agencies appropriation for Canterbury Earthquake repairs expenditure
- $477,000 for initiatives relating to Drivers of Crime was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB
- $426,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement
- $286,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB, and
- $149,000 was transferred from other DHBs due to an adjustment of population based funding during the year.
This was partly offset by:
- $2.693 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $107,000 due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays.
Health and Disability Support Services - Capital and Coast DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 738,901 | (3,268) | 735,633 |
Reasons for Change in Appropriation#
This appropriation decreased by $3.268 million to $735.633 million for 2017/18 due to:
- $3.709 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs.
This was partly offset by:
- $197,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement
- $160,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB, and
- $84,000 was transferred from other DHBs due to an adjustment of population based funding during the year.
Health and Disability Support Services - Counties-Manukau DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 1,377,805 | (2,113) | 1,375,692 |
Reasons for Change in Appropriation#
This appropriation decreased by $2.113 million to $1,375.692 million for 2017/18 due to:
- $6.631 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $152,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
This was partly offset by:
- $3.865 million due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays
- $473,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB, and
- $332,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement.
Health and Disability Support Services - Hawkes Bay DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 484,193 | (1,767) | 482,426 |
Reasons for Change in Appropriation#
This appropriation decreased by $1.767 million to $482.426 million for 2017/18 due to:
- $1.996 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $45,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
This was partly offset by:
- $163,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $111,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Hutt DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 388,121 | (3,241) | 384,880 |
Reasons for Change in Appropriation#
This appropriation decreased by $3.241 million to $384.880 million for 2017/18 due to:
- $3.656 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $35,000 was transferred to other DHBs due to an adjustment to population based funding during the year.
This was partly offset by:
- $241,000 due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays
- $113,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $96,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Lakes DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 310,096 | 4,616 | 314,712 |
Reasons for Change in Appropriation#
This appropriation increased by $4.616 million to $314.712 million for 2017/18 due to:
- $3.454 million was transferred from other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs
- $1.019 million due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays
- $93,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $72,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
This was partly offset by:
- $22,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
Health and Disability Support Services - MidCentral DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 499,456 | (5,203) | 494,253 |
Reasons for Change in Appropriation#
This appropriation decreased by $5.203 million to $494.253 million for 2017/18 due to:
- $5.496 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs.
This was partly offset by:
- $183,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement
- $108,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB, and
- $2,000 was transferred from other DHBs due to an adjustment of population based funding during the year.
Health and Disability Support Services - Nelson-Marlborough DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 418,304 | 59 | 418,363 |
Reasons for Change in Appropriation#
This appropriation increased by $59,000 to $418.363 million for 2017/18 due to:
- $150,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $83,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
This was partly offset by:
- $137,000 was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $37,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
Health and Disability Support Services - Northland DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 557,165 | 7,124 | 564,289 |
Reasons for Change in Appropriation#
This appropriation increased by $7.124 million to $564.289 million for 2017/18 due to:
- $6.297 million was transferred from other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs
- $750,000 for initiatives relating to Drivers of Crime was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB
- $194,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement
- $138,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB, and
- $85,000 for the Dedicated Methamphetamine Treatment Pathway (Social Detoxification) service was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB.
This was partly offset by:
- $297,000 due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays, and
- $43,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
Health and Disability Support Services - South Canterbury DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 178,097 | (1,078) | 177,019 |
Reasons for Change in Appropriation#
This appropriation decreased by $1.078 million to $177.019 million for 2017/18 due to:
- $1.178 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $14,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
This was partly offset by:
- $69,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $45,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Southern DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 852,087 | (5,701) | 846,386 |
Reasons for Change in Appropriation#
This appropriation decreased by $5.701 million to $846.386 million for 2017/18 due to:
- $5.668 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs
- $1.205 million due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays, and
- $52,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
This was partly offset by:
- $750,000 for initiatives relating to Drivers of Crime was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB
- $276,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $198,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Tairawhiti DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 160,113 | 542 | 160,655 |
Reasons for Change in Appropriation#
This appropriation increased by $542,000 to $160.655 million for 2017/18 due to:
- $459,000 was transferred from other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs
- $49,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB, and
- $44,000 of funding was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement.
This was partly offset by:
- $8,000 was transferred to other DHBs due to an adjustment of population based funding during the year, and
- $2,000 due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays.
Health and Disability Support Services - Taranaki DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 338,959 | (3,296) | 335,663 |
Reasons for Change in Appropriation#
This appropriation decreased by $3.296 million to $335.663 million for 2017/18 due to:
- $3.474 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $35,000 was transferred to other DHBs due to an adjustment to population based funding during the year.
This was partly offset by:
- $114,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $99,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Waikato DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 1,134,739 | 15,758 | 1,150,497 |
Reasons for Change in Appropriation#
This appropriation increased by $15.758 million to $1,150.497 million for 2017/18 due to:
- $10.574 million due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays
- $4.385 million was transferred from other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs
- $355,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement
- $263,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB, and
- $214,000 for initiatives relating to Drivers of Crime was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB.
This was partly offset by:
- $33,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
Health and Disability Support Services - Wairarapa DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 136,657 | (1,407) | 135,250 |
Reasons for Change in Appropriation#
This appropriation decreased by $1.407 million to $135.250 million for 2017/18 due to:
- $1.478 million was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $9,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
This was partly offset by:
- $50,000 of funding was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $30,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Waitemata DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 1,450,808 | 13,650 | 1,464,458 |
Reasons for Change in Appropriation#
This appropriation increased by $13.650 million to $1,464.458 million for 2017/18 due to:
- $12.603 million was transferred from other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs
- $416,000 for the youth addiction treatment service was transferred from the National Mental Health Services appropriation to the DHB, devolving the funding to the DHB
- $400,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $368,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
This was partly offset by:
- $119,000 was transferred to other DHBs due to an adjustment of population based funding during the year, and
- $18,000 due to a technical change to DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in its revenue is offset by a change in the capital charge it pays.
Health and Disability Support Services - West Coast DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 128,823 | (746) | 128,077 |
Reasons for Change in Appropriation#
This appropriation decreased by $746,000 to $128.077 million for 2017/18 due to:
- $781,000 was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $14,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
This was partly offset by:
- $29,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $20,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Whanganui DHB (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 218,859 | (303) | 218,556 |
Reasons for Change in Appropriation#
This appropriation decreased by $303,000 to $218.556 million for 2017/18 due to:
- $659,000 was transferred to other DHBs for funding redistribution of the Budget 2017 initiative District Health Boards - Additional Support based on updated funding profiles for DHBs, and
- $17,000 was transferred to other DHBs due to an adjustment of population based funding during the year.
This was partly offset by:
- $250,000 for initiatives relating to Drivers of Crime was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB
- $75,000 was transferred from the National Disability Support Services appropriation and devolved to the DHB to provide for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement, and
- $48,000 of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred from the National Personal Health Services appropriation, devolving the funding to the DHB.
Health Sector Projects Operating Expenses (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | - | 10,328 | 10,328 |
What is Intended to be Achieved with this Appropriation#
This appropriation is intended to enable the planning for major DHB capital projects.
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
The key project milestones for major DHB capital projects are delivered as per agreed timeframes |
- | Achieved | Achieved |
End of Year Performance Reporting#
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.
Reasons for Change in Appropriation#
This appropriation increased by $10.328 million to $10.328 million for 2017/18 due to:
- $6 million was transferred from the Health Sector Projects appropriation for developing the business case for the Dunedin Hospital redevelopment
- $4.200 million was transferred from the Health Sector Projects appropriation for developing the business cases for hospital redevelopments under consideration by the Christchurch Hospital Redevelopment Partnership Group (CHRPG)
- $3.508 million was carried forward from 2016/17 for the Dunedin Hospital redevelopment, and
- $120,000 was transferred from the Health Sector Projects appropriation for developing the business case for Buller Integrated Family Centre (IFHC).
This was partly offset by:
- $3.500 million was transferred to 2018/19 for the Dunedin Hospital redevelopment.
Monitoring and Protecting Health and Disability Consumer Interests (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 28,746 | 1,100 | 29,846 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
Mental health reviews and inquiries# |
|||
Report one, as part of the six monthly reports, administered by the Tribunal's secretariat, to the Director of Mental Health, is received by 20 October |
Achieved | Achieved | Achieved |
Report two, as part of the six monthly reports, administered by the Tribunal's secretariat, to the Director of Mental Health, is received by 20 May |
Achieved | Achieved | Achieved |
The due date for each report has been included in the performance measure description.
Reasons for Change in Appropriation#
This appropriation increased by $1.100 million to $29.846 million for 2017/18 due to:
- $800,000 was transferred from the Public Health Service Purchasing appropriation to support the Health and Disability Commission, and
- $300,000 was transferred from the National Child Health appropriation to meet pressures within the district inspectors' programme.
National Child Health Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 85,001 | (2,000) | 83,001 |
Reasons for Change in Appropriation#
This appropriation decreased by $2 million to $83.001 million for 2017/18 due to:
- $1.010 million was transferred to the National Disability Support Services appropriation to meet pressures on disability support services
- $690,000 was transferred to the National Mental Health appropriation to meet pressures on the Fit for Future programme, and
- $300,000 was transferred to the Monitoring and Protecting Health & Disability Consumer Interests appropriation to meet pressures within the district inspectors' programme.
National Contracted Services - Other (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 28,720 | (3,500) | 25,220 |
Reasons for Change in Appropriation#
This appropriation decreased by $3.500 million to $25.220 million for 2017/18 due to:
- $2.500 million was transferred to the National Maternity Services appropriation to meet service pressures
- $542,000 was transferred to the National Elective Services appropriation to fund additional elective surgeries and higher than expected organ transplant volumes, and
- $458,000 was transferred to the National Disability Support Services appropriation to meet pressures on disability support services.
National Disability Support Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 1,208,374 | 29,306 | 1,237,680 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
Quality# |
|||
The percentage of services that have implemented audit/evaluation requirements within the time required by the auditor |
90% | - | 90% |
The wording of this performance measure has been revised to ensure it is measurable and easy to understand.
Reasons for Change in Appropriation#
This appropriation increased by $29.306 million to $1,237.680 million for 2017/18 due to:
- $24.115 million was transferred from the Public Health Service Purchasing, National Maori Health Services, Provider Development, Primary Health Care Strategy, National Child Health Services and National Contracted Services - Other appropriations to meet pressures on disability support services, and
- $9 million was provided for the Budget 2018 initiative Disability Support Services - Additional Support.
This was partly offset by:
- $3.809 million was transferred to DHBs, devolving responsibility and funding to DHBs, for guaranteed hours of work for the home and community support sector as part of the In-between Travel (Part B) agreement.
National Elective Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 346,517 | 9,628 | 356,145 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
Electives Initiative Discharges# |
|||
Auckland DHB |
5,271 | 334 | 5,605 |
Bay of Plenty DHB |
2,105 | 325 | 2,430 |
Canterbury DHB |
5,852 | 110 | 5,962 |
Capital and Coast DHB |
2,706 | 12 | 2,718 |
Counties Manukau DHB |
4,409 | 140 | 4,549 |
Hawkes Bay DHB |
1,660 | 89 | 1,749 |
Hutt Valley DHB |
1,354 | 146 | 1,500 |
Lakes DHB |
987 | 86 | 1,073 |
MidCentral DHB |
1,896 | 71 | 1,967 |
Nelson Marlborough DHB |
1,407 | 16 | 1,423 |
Northland DHB |
1,917 | 82 | 1,999 |
South Canterbury DHB |
479 | 0 | 479 |
Southern DHB |
2,733 | 201 | 2,934 |
Tairawhiti DHB |
371 | 1 | 372 |
Taranaki DHB |
1,122 | (1) | 1,121 |
Waikato DHB |
4,195 | 215 | 4,410 |
Wairarapa DHB |
396 | 0 | 396 |
Waitemata DHB |
5,976 | 217 | 6,193 |
West Coast DHB |
272 | (1) | 271 |
Whanganui DHB |
592 | 1 | 593 |
Total Electives Initiative Discharges |
45,700 | 2,044 | 47,744 |
Bariatric Initiative# |
|||
DHBs deliver the total agreed number of bariatric surgery procedures |
20 DHBs | 127 | 127 |
The budget standard for the Electives initiative set in the 2017/18 Estimates of Appropriation were indicative. The Elective initiative discharge targets for 2017/18 were negotiated by the Ministry of Health and the DHBs after the 2017 Budget announcements and the 2017/18 Budget Standards have been updated accordingly.
The budget standard for bariatric surgery procedures has been amended to better reflect national funding arrangements for all DHBs.
Reasons for Change in Appropriation#
This appropriation increased by $9.628 million to $356.145 million for 2017/18 due to:
- $4.628 million was carried forward from 2016/17 reflecting the timing of expenditure for Orthopaedic and General Surgery initiative
- $4 million was transferred from the National Health Information Systems and National Contracted Services - Other appropriations to fund additional elective surgeries and higher than expected organ transplant volumes, and
- $1 million was carried forward from 2016/17 reflecting the timing of expenditure for work on the Ophthalmology Electives programme.
National Emergency Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 109,958 | 160 | 110,118 |
Reasons for Change in Appropriation#
This appropriation increased by $160,000 to $110.118 million for 2017/18 due to:
- $130,000 was transferred from Vote Police for the Whole of Government Radio Network project, and
- $30,000 was transferred from Vote Business, Science and Innovation for the St John Mobile Caller Location service.
National Health Information Systems (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 8,236 | (3,208) | 5,028 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
DHBs implement the InterRAI Home Care and Contact Assessments tools for assessing the needs of older people to access long-term support services in the community or residential care |
20 DHBs | (20 DHBs) | - |
This performance measure is no longer required as all 20 DHBs implemented the InterRAI assessment tool at the end of the 2017 financial year.
Reasons for Change in Appropriation#
This appropriation decreased by $3.208 million to $5.028 million for 2017/18 due to:
- $3.458 million was transferred to the National Elective Services appropriation to fund additional elective surgeries and higher than expected organ transplant volumes.
This was partly offset by:
- $250,000 was carried forward from 2016/17 reflecting timing of expenditure for the Electronic Oral Health Record programme.
National Maori Health Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 6,828 | (4,078) | 2,750 |
Reasons for Change in Appropriation#
This appropriation decreased by $4.078 million to $2.750 million for 2017/18. This was due to funding transferred to the National Disability Support Services appropriation to meet pressures on disability support services.
National Maternity Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 146,767 | 19,900 | 166,667 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
Lead Maternity Carer (see Note 1)# |
|||
Percentage of women giving birth in the year registered with a Lead Maternity Carer (LMC) within the first trimester, who receive primary maternity services through the Section 88 Primary Maternity Services Notice 2007 |
73% | - | 73% |
Percentage of women giving birth in the year who receive primary maternity services through the Section 88 Primary Maternity Services Notice 2007 |
93% | - | 93% |
Total number of women giving birth in the year who receive primary maternity services through the Section 88 Primary Maternity Services Notice 2007, based on birth data for the year |
56,000 | - | 56,000 |
Note 1 - Lead Maternity Carers (LMC) deliver quality maternity services in compliance with the Section 88 Primary Maternity Services Notice 2007 which excludes DHB primary maternity services.
These performance measures have been refined to provide meaningful performance information about utility and access to the full range of services provided under Section 88 of the Primary Maternity Services Notice 2017.
Reasons for Change in Appropriation#
This appropriation increased by $19.900 million to $166.667 million for 2017/18 due to:
- $9 million was provided for the Budget 2018 initiative National Maternity Services - Additional Support
- $8.400 million was drawndown from the National Maternity Services - Additional Support contingency fund established in Budget 2017, and
- $2.500 million was transferred from the National Contracted Services - Other appropriation to meet service pressures.
National Mental Health Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 62,183 | 2,373 | 64,556 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
Mental Health Services# |
|||
Mother / Baby unit (see Note 1) |
|||
The number of bed days that Ministry of Health funded Mother/Baby unit beds are occupied |
30 | 737 | 767 |
Addictions# |
|||
The number of clients receiving Alcohol and Other Drugs treatment to overcome their addiction is greater than or equal to |
2,000 | 23,000 | 25,000 |
Deliver on the Drivers of Crime Action Plan# |
|||
Positive Parenting Programme (Triple P) |
|||
The number of practitioners trained |
800 | (740) | 60 |
Note 1 - The Ministry funds three Mother/Baby unit beds for use during the year.
The wording of the Mother/Baby unit measure has been amended to provide more meaningful performance information.
The budget standard for the Positive Parenting Programme has been amended from 800 (which was a data error) to more accurately reflect the number of practitioners who receive training each year.
The budget standard for the Addictions measure has been amended from 2,000 (which was a data error).
Reasons for Change in Appropriation#
This appropriation increased by $2.373 million to $64.556 million for 2017/18 due to:
- $3.900 million was carried forward from 2016/17 for the Methamphetamine Action Plan
- $921,000 was carried forward from 2016/17 for Substance Addiction (Compulsory Assessment and Treatment)
- $877,000 was transferred from the National Child Health Services and Provider Development appropriations to meet pressures on the Fit for Future programme, and
- $700,000 was drawndown from the Mental Health contingency for the Improvement of Mental Health Services for Children in Canterbury and Kaikoura programme.
This was partly offset by:
- $2.906 million of funding for initiatives relating to Drivers of Crime was transferred to DHBs, devolving the funding to the DHBs
- $618,000 was transferred to 2018/19 to complete programmes that support the Methamphetamine Action Plan
- $416,000 of funding for the youth addiction treatment service was transferred to Waitemata DHB, devolving the funding to the DHB, and
- $85,000 of funding for the Dedicated Methamphetamine Treatment Pathway (Social Detoxification) service was transferred to Northland DHB, devolving the funding to the DHB.
Conditions on Use of Appropriation#
Reference | Conditions |
---|---|
Substance Addiction (Compulsory Assessment and Treatment) Act 2017 | Section 12 details the principles under which powers conferred by the Act are to be exercised. Section 35 provides for the objective of the compulsory treatment given to a patient. |
National Personal Health Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 84,057 | (1,350) | 82,707 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
Long Term Conditions# |
|||
Cardiac Services |
|||
The national percentage of completed registry entries for patients who present with Acute Coronary Syndrome (ACS) and have undergone coronary angiography |
New measure | 93% | 93% |
The national percentage of patients presenting with suspected Acute Coronary Syndrome (ACS) receiving an angiogram within 3 days of admission (where day of admission is day zero) |
New measure | 70% | 70% |
Percentage of all DHBs implementing the Long Term Conditions Outcome Framework |
100% | (100%) | - |
Percentage of DHBs achieving the Acute Coronary Syndrome indicators as in the DHB Annual and Regional Plans |
90% | (90%) | - |
Two new measures have been included to better reflect the focus on outcomes in the work undertaken in cardiac services.
The Long Term Conditions Outcomes Framework measure has been removed as the framework provides guidance to DHBs for contracting for service development and commissioning for long term conditions and is not mandatory.
The measure for percentage of DHBs achieving the ACS indicators has been removed as focus has shifted onto the outcome of the cardiac service. New ACS measures with an outcomes focus have been introduced to reflect this change.
Reasons for Change in Appropriation#
This appropriation decreased by $1.350 million to $82.707 million for 2017/18 due to:
- $3.100 million of the Budget 2013 Diabetes Care Improvement Packages initiative was transferred to DHBs, devolving the funding to the DHBs.
This was partly offset by:
- $1.750 million was transferred from the Provider Development appropriation to provide ongoing support and training for nurses and rest homes.
Primary Health Care Strategy (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 195,405 | (2,000) | 193,405 |
Reasons for Change in Appropriation#
This appropriation decreased by $2 million to $193.405 million for 2017/18 due to:
- $2.500 million was transferred to the National Disability Support Services appropriation to meet pressures on disability support services.
This was partly offset by:
- $500,000 was provided for the Budget 2018 initiative Very Low Cost General Practitioner Visits for Community Services Card Holders.
Problem Gambling Services (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 17,521 | 300 | 17,821 |
Reasons for Change in Appropriation#
This appropriation increased by $300,000 to $17.821 million for 2017/18. This was due to transfers between years to continue work on the problem gambling services plan.
Public Health Service Purchasing (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 405,471 | (29,904) | 375,567 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
Sexual and Reproductive Health# |
|||
New Zealand Family Planning Association |
|||
The percentage of school linked and outreach consultations fully delivered as per contract across the 17 relevant DHB regions |
100% | (100%) | - |
Community Postvention Response# |
|||
The forecast number of communities, that are experiencing level three cluster suicides, provided support per annum |
3 | (3) | - |
This measure duplicates the content of an existing NZ Family Planning Association measure and is therefore not required. School-linked and outreach clinic volumes are a subset of general consultations.
The Community Postvention Response performance measure has been removed as it is not able to be measured annually.
Reasons for Change in Appropriation#
This appropriation decreased by $29.904 million to $375.567 million for 2017/18 due to:
- $13.197 million was transferred to 2018/19 reflecting forecast timing of expenditure to provide subsidies to councils to upgrade regional sewerage systems
- $13.069 million was transferred to the National Disability Support Services appropriation to meet pressures on disability support services
- $6 million was transferred to 2018/19 to support the roll-out of the National Bowel Screening programme
- $3 million was transferred to 2018/19 reflecting timing of expenditure to support fluoridation subsidy payments to local councils
- $1.380 million was transferred to 2018/19 reflecting timing of expenditure to support the Contraceptive Access for Low Income Women programme
- $800,000 was transferred to the Monitoring and Protecting Health and Disability Consumer Interests appropriation to support the Health and Disability Commission
- $720,000 was transferred to 2018/19 reflecting timing of expenditure to support the Fetal Alcohol Spectrum Disorder Action Plan, and
- $500,000 was transferred to 2018/19 to reflect the funding profile for setting up services to support Syrian Refugees.
This was partly offset by:
- $5.500 million was carried forward from 2016/17 for the National Bowel Screening programme
- $1.832 million was drawndown from the National Bowel Screening programme contingency fund, established in Budget 2017, to implement the programme at Southern and Counties Manukau DHBs
- $758,000 was carried forward from 2016/17 to reflect the funding profile for setting up services to support Syrian Refugees
- $566,000 was carried forward from 2016/17 for the Healthy Homes initiatives, and
- $106,000 was provided for the Community Organisation Refugee Sponsorship programme.
Supporting Equitable Pay for Care and Support Workers (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 279,000 | 20,300 | 299,300 |
Reasons for Change in Appropriation#
This appropriation increased by $20.300 million to $299.300 million for 2017/18 due to:
- $22.800 million was drawndown from the Pay Equity contingency fund, established in Budget 2017, to fund increased annual leave liability payable to care and support workers.
This was partly offset by:
- $2.500 million was transferred to the Managing the Purchase of Services appropriation for pay equity implementation costs.
3.4 - Non-Departmental Other Expenses#
International Health Organisations (M36)#
Scope of Appropriation
Expenses
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 2,030 | (187) | 1,843 |
Reasons for Change in Appropriation
This appropriation decreased by $187,000 to $1.843 million for 2017/18. This was due to funding transferred to the Legal Expenses appropriation to meet forecast legal costs.
Legal Expenses (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 1,028 | 1,000 | 2,028 |
Reasons for Change in Appropriation#
This appropriation increased by $1 million to $2.028 million for 2017/18. This was due to funding transferred from the Provider Development and International Health Organisations appropriations to meet forecast legal costs.
Provider Development (M36)#
Scope of Appropriation#
Expenses#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 24,289 | (5,750) | 18,539 |
How Performance will be Assessed and End of Year Reporting Requirements#
2017/18 | |||
---|---|---|---|
Performance Measures | Estimates Standard |
Supplementary Estimates Standard |
Total Standard |
To support Maori providers to build their capability and capacity# |
|||
The number of Maori providers contracted for development activities |
135 | (43) | 92 |
Te Ao Auahatanga Hauora Maori - Innovation Funds# |
|||
The number of Maori providers contracted to implement Te Kakano (Seeding) innovations |
30 | - | 30 |
The percentage of Te Ruinga (spreading) innovation programmes monitored quarterly that show progress towards sustainability |
90% | - | 90% |
The budget standard for the number of Maori providers contracted for development activities has been reduced from 135 to reflect the forecast number of applications from providers that meet the eligibility criteria.
The Te Ao Auahatanga Hauroa Maori innovation fund performance measures have been expanded to reflect the work undertaken in this area.
Reasons for Change in Appropriation#
This appropriation decreased by $5.750 million to $18.539 million for 2017/18 due to:
- $3 million was transferred to the National Disability Support Services appropriation to meet pressures on disability support services
- $1.750 million was transferred to the National Personal Health Services appropriation to provide ongoing support and training for nurses and rest homes
- $813,000 was transferred to the Legal Expenses appropriation for legal costs, and
- $187,000 was transferred to the National Mental Health Services appropriation to meet pressures on the Fit for Future programme.
3.5 - Non-Departmental Capital Expenditure#
Deficit Support for DHBs (M36)#
Scope of Appropriation
Capital Expenditure
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 50,000 | 36,924 | 86,924 |
Reasons for Change in Appropriation
This appropriation increased by $36.924 million to $86.924 million for 2017/18. This was due to funding carried forward from 2016/17 to provide equity support for DHBs incurring deficits.
Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)#
Scope of Appropriation#
Capital Expenditure#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 303,388 | (182,749) | 120,639 |
Reasons for Change in Appropriation#
This appropriation decreased by $182.749 million to $120.639 million for 2017/18 due to:
- $117.042 million was transferred to outyears to reflect the unallocated funding for projects still subject to business cases
- $108 million was transferred to outyears to reflect the forecast funding profile for Canterbury Earthquake repairs
- $24.500 million was transferred to outyears to reflect the forecast funding profile for Counties Manukau DHB's recladding of the Scott Building
- $19.710 million was transferred to the Health Sector Projects appropriation to fund costs associated with the construction of the Acute Services Building in Christchurch
- $17.940 million was transferred to outyears to reflect the forecast funding profile for Waitemata DHB's Mason Forensic Clinic and Capital Recycling Approach
- $15.700 million was transferred to outyears to reflect the forecast funding profile for Counties Manukau DHB's Mental Health Unit
- $12 million was transferred to the Health Sector Projects appropriation to fund costs associated with the Energy Centre Tunnel for Canterbury DHB projects
- $11.672 million was transferred to the Health Sector Projects appropriation to fund costs associated with the Buller Integrated Family Health Centre
- $11.430 million was transferred to 2018/19 to reflect the forecast funding profile for Southern DHB's Intensive Care Unit and Gastroenterology Unit projects, and
- $4 million was transferred to Canterbury DHB for Canterbury Earthquake repairs expenditure.
This was partly offset by:
- $119.245 million was carried forward from 2016/17 reflecting the timing of funding for work on various DHB projects, and
- $40 million was carried forward from 2016/17 reflecting the timing of funding for work on Canterbury Earthquake repairs.
Health Sector Projects (M36)#
Scope of Appropriation#
Capital Expenditure#
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation | 288,108 | (7,446) | 280,662 |
Reasons for Change in Appropriation#
This appropriation decreased by $7.446 million to $280.662 million for 2017/18 due to:
- $123 million was transferred to 2018/19 to reflect the forecast funding profile for the development of the Canterbury DHB and West Coast DHB hospital projects
- $6 million was transferred to the Health Sector Projects Operating Expenses appropriation for developing the business case for the Dunedin Hospital Redevelopment
- $4.200 million was transferred for 2017/18 only to the Health Sector Projects Operating Expenses appropriation for developing the business cases for hospital redevelopments under consideration by the Hospital Redevelopment Partnership Group, and
- $120,000 was transferred to the Health Sector Projects Operating Expenses appropriation for developing the business case for the proposed Buller Integrated Family Health Centre (IFHC).
This was partly offset by:
- $82.492 million was carried forward from 2016/17 reflecting the timing of work for hospital redevelopments in Canterbury and West Coast DHBs
- $19.710 million was transferred from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation for the construction of the Acute Services Building at Christchurch Hospital
- $12 million was transferred from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation to fund costs associated with the Energy Centre Tunnel for Canterbury DHB projects, and
- $11.672 million was transferred from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation to fund costs associated with the Buller Intergrated Family Health Centre.
Part 4 - Details of Multi-Category Expenses and Capital Expenditure#
Multi-Category Expenses and Capital Expenditure#
Policy Advice and Ministerial Servicing (M36)
Overarching Purpose Statement
Scope of Appropriation
Departmental Output Expenses
Ministerial ServicingThis category is limited to the provision of services to Ministers to enable them to discharge their portfolio responsibilities other than policy decision-making.
Policy Advice
This category is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters.
Expenses, Revenue and Capital Expenditure
2017/18 | |||
---|---|---|---|
Estimates $000 |
Supplementary Estimates $000 |
Total $000 |
|
Total Appropriation |
20,991 | (400) | 20,591 |
Departmental Output Expenses |
|||
Ministerial Servicing | 4,702 | 500 | 5,202 |
Policy Advice | 16,289 | (900) | 15,389 |
Funding for Departmental Output Expenses |
|||
Revenue from the Crown |
20,991 | (400) | 20,591 |
Ministerial Servicing | 4,702 | 500 | 5,202 |
Policy Advice | 16,289 | (900) | 15,389 |
Reasons for Change in Appropriation
This appropriation decreased by $400,000 to $20.591 million for 2017/18. This was due to a departmental output class budget adjustment. In 2017/18 funding was transferred between departmental output classes, so that funding better reflected the outputs the Ministry expected to deliver during the year. This transfer was fiscally neutral to the Vote and to the Crown, and affected only the 2017/18 financial year.