Vote Health - Supplementary Estimates 2017/18

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#

Capital Injection Authorisations#

Supporting Information#

Part 1 - Vote as a Whole#

1.2 - Trends in the Vote

Summary of Financial Activity

Part 2 - Details of Departmental Appropriations#

2.1 - Departmental Output Expenses#

Health Sector Information Systems (M36)

Scope of Appropriation

Expenses and Revenue

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#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

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#

Revenue and expenditure for MedSafe have been increased following an updated fees review.

Sector Planning and Performance (M36)#

Scope of Appropriation#

Expenses and Revenue#

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

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

Part 3 - Details of Non-Departmental Appropriations#

3.1 - Non-Departmental Output Expenses#

Auckland Health Projects Integrated Investment Plan (M36)

Scope of Appropriation

Expenses

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

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#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

National Personal Health Services (M36)#

Scope of Appropriation#

Expenses#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

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#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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#

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

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#

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#

How Performance will be Assessed and End of Year Reporting Requirements#

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

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#

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#

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

Expenses, Revenue and Capital Expenditure

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.