Supplementary estimates of appropriations

Vote Health - Supplementary Estimates 2018/19

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 Appropriations and Forecast Permanent Appropriations#

  2018/19
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.
55,618 (4,500) 51,118

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).
41,974 7,400 49,374

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 (2,000) 15,340

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.
24,111 (668) 23,443

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 7,000 54,426

Total Departmental Output Expenses

186,469 7,232 193,701

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.
8,837 12,050 20,887

Total Departmental Capital Expenditure

8,837 12,050 20,887

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.
1,000 370 1,370

Health and Disability Support Services - Auckland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.
1,320,417 9,772 1,330,189

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.
724,436 4,517 728,953

Health and Disability Support Services - Canterbury DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.
1,421,052 18,320 1,439,372

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.
765,489 13,025 778,514

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.
1,439,807 7,317 1,447,124

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.
497,215 3,916 501,131

Health and Disability Support Services - Hutt DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.
397,128 4,624 401,752

Health and Disability Support Services - Lakes DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.
326,173 1,390 327,563

Health and Disability Support Services - MidCentral DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.
511,676 3,706 515,382

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.
437,795 4,308 442,103

Health and Disability Support Services - Northland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Northland DHB.
599,300 4,596 603,896

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.
181,432 996 182,428

Health and Disability Support Services - Southern DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Southern DHB.
876,351 7,676 884,027

Health and Disability Support Services - Tairawhiti DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.
165,267 948 166,215

Health and Disability Support Services - Taranaki DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.
345,188 4,582 349,770

Health and Disability Support Services - Waikato DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.
1,197,666 8,635 1,206,301

Health and Disability Support Services - Wairarapa DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.
140,030 620 140,650

Health and Disability Support Services - Waitemata DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.
1,531,538 10,010 1,541,548

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.
132,618 1,331 133,949

Health and Disability Support Services - Whanganui DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.
225,131 1,721 226,852

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.
3,500 5,058 8,558

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.
186,745 375 187,120

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.
29,546 - 29,546

National Child Health Services (M36)

This appropriation is limited to the provision, purchase, and support of child health services.
89,254 4,000 93,254

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 (5,232) 23,488

National Disability Support Services (M36)

This appropriation is limited to the provision, purchase, and support of disability support services.
1,268,594 83,113 1,351,707

National Elective Services (M36)

This appropriation is limited to the provision, purchase, and support of elective surgery services.
363,517 (1,160) 362,357

National Emergency Services (M36)

This appropriation is limited to the provision, purchase, and support of emergency services.
129,597 (5,284) 124,313

National Health Information Systems (M36)

This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.
8,042 - 8,042

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 - 6,828

National Maternity Services (M36)

This appropriation is limited to the provision, purchase, and support of maternity services.
181,067 - 181,067

National Mental Health Services (M36)

This appropriation is limited to the provision, purchase, and support of mental health services.
68,094 12,100 80,194

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.
78,151 (7,400) 70,751

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
266,396 (1,757) 264,639

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.
20,941 (3,176) 17,765

Public Health Service Purchasing (M36)

This appropriation is limited to the provision, purchase, and support of public health services.
423,424 (20,158) 403,266

Supporting Equitable Pay (M36)

This appropriation is limited to costs related to supporting equitable pay for care and support workers, and mental health and addiction support workers.
348,000 29,405 377,405

Supporting Safe Working Conditions for Nurses (M36)

This appropriation is limited to costs relating to meeting the obligations for safe staffing for nurses and to supporting the Care Capacity Demand Management (CCDM) Programme across District Health Boards.
- 45,694 45,694

Total Non-Departmental Output Expenses

16,737,125 247,958 16,985,083

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 - 2,030

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 10,000 11,028

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 4,000 28,289

Total Non-Departmental Other Expenses

27,347 14,000 41,347

Non-Departmental Capital Expenditure

     

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.
967,383 (703,110) 264,273

Equity Support for DHB deficits (M36)

This appropriation is limited to equity injections to District Health Boards to address working capital requirements.
139,211 95,000 234,211

Health Sector Projects (M36)

This appropriation is limited to the provision or purchase of health sector assets.
123,000 90,922 213,922

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

1,244,594 (517,188) 727,406

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 5,410 26,401

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 - 4,702

Policy Advice

This category is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters.
16,289 150 16,439

Supporting the Review of the New Zealand Health and Disability System

This category is limited to the expenses of, and providing support to, the Expert Panel advising Ministers on the Review of the New Zealand Health and Disability System.
- 5,260 5,260

Total Multi-Category Expenses and Capital Expenditure

20,991 5,410 26,401

Total Annual Appropriations and Forecast Permanent Appropriations

18,225,363 (230,538) 17,994,825

Capital Injection Authorisations#

  2018/19
  Estimates Budget
$000
Supplementary
Estimates Budget
$000
Total Budget
$000
Ministry of Health - Capital Injection (M36) - 10,092 10,092

Supporting Information#

Part 1 - Vote as a Whole#

Summary of Financial Activity
  2018/19
    Supplementary Estimates  
  Estimates
$000
Departmental
Transactions
$000
Non-Departmental
Transactions
$000
Total
Transactions
$000
Total
$000

Appropriations

         
Output Expenses 16,923,594 7,232 247,958 255,190 17,178,784
Benefits or Related Expenses - N/A - - -
Borrowing Expenses - - - - -
Other Expenses 27,347 - 14,000 14,000 41,347
Capital Expenditure 1,253,431 12,050 (517,188) (505,138) 748,293
Intelligence and Security Department Expenses and Capital Expenditure - - N/A - -
Multi-Category Expenses and Capital Expenditure (MCA)          
Output Expenses 20,991 5,410 - 5,410 26,401
Other Expenses - - - - -
Capital Expenditure - N/A - - -

Total Appropriations

18,225,363 24,692 (255,230) (230,538) 17,994,825

Crown Revenue and Capital Receipts

         
Tax Revenue - N/A - - -
Non-Tax Revenue 787,334 N/A 91,314 91,314 878,648
Capital Receipts 27,499 N/A - - 27,499

Total Crown Revenue and Capital Receipts

814,833 N/A 91,314 91,314 906,147

Part 2 - Details of Departmental Appropriations#

2.1 - Departmental Output Expenses#

Health Sector Information Systems (M36)
Scope of Appropriation
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.
Reasons for Change in Appropriation

This appropriation decreased by $4.500 million to $51.118 million for 2018/19 due to a fiscally neutral transfer between departmental output expenses that better reflected the outputs the Ministry expected to deliver during the year.

Managing the Purchase of Services (M36)
Scope of Appropriation
This appropriation is limited to purchasing services for the public and health and disability sector on behalf of the Crown, for those services where the Ministry has responsibility for the purchasing function (i.e. funding is not devolved to another entity).
Reasons for Change in Appropriation

This appropriation increased by $7.400 million to $49.374 million for 2018/19 due to:

  • $3.200 million for pay equity implementation costs arising from settlement of the mental health and addiction support workers (pay equity) claim
  • $3 million for a fiscally neutral transfer between departmental output expenses that better reflected the outputs the Ministry expected to deliver during the year, and
  • $1.200 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement.
Payment Services (M36)
Scope of Appropriation
This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
Reasons for Change in Appropriation

This appropriation decreased by $2 million to $15.340 million for 2018/19 due to a fiscally neutral transfer between departmental output expenses that better reflected the outputs the Ministry expected to deliver during the year.

Regulatory and Enforcement Services (M36)
Scope of Appropriation
This appropriation is limited to implementing, enforcing and administering health- and disability-related legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and support services for committees established under statute or appointed by the Minister pursuant to legislation.
Expenses and Revenue
  2018/19
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 24,111 (668) 23,443
Revenue from the Crown 10,653 2,082 12,735
Revenue from Others 13,458 (2,750) 10,708
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

Percentage of all licences and authorities issued to providers under the Medicines Act 1981 and Misuse of Drugs Act 1975 within target timeframes

90% (90%) -

Percentage of licences and authorities issued under the Medicines Act 1981 and Misuse of Drugs Act 1975 within target timeframes

- 90% 90%
Reasons for Change in Appropriation

This appropriation decreased by $668,000 to $23.443 million in 2018/19 due to:

  • $2 million for a reforecast of expected third-party revenue from Medsafe to reflect a change in the number and mix of applications, and
  • $750,000 for a reforecast of expected third-party revenue from the Office of Radiation Safety to reflect a reduction in the number of applications.

This decrease was partly offset by:

  • $1.500 million for a fiscally neutral transfer between departmental output expenses that better reflected the outputs the Ministry expected to deliver during the year, and
  • $582,000 to establish the Medicinal Cannabis Scheme quality standards and licensing framework.
Sector Planning and Performance (M36)
Scope of Appropriation
This appropriation is limited to advising on and co-ordinating health sector planning and performance improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities, and sector co-ordination.
Expenses and Revenue
  2018/19
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 47,426 7,000 54,426
Revenue from the Crown 47,277 7,000 54,277
Revenue from Others 149 - 149
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

The percentage of appointments to DHBs and other health Crown entity boards where advice is presented to the Minister prior to the current appointee's term expiring (see Note 1)

100% (5%) 95%

Note 1 - Unexpected resignation or departure prior to the expiration of the term is not included.

Reasons for Change in Appropriation

This appropriation increased by $7 million to $54.426 million due to:

  • $5 million transferred from the Health Sector Projects Operating Expenses appropriation for the development of a National Asset Management Plan, and
  • $2 million for a fiscally neutral transfer between departmental output expenses that better reflected the outputs the Ministry expected to deliver during the year.

2.3 - Departmental Capital Expenditure and Capital Injections#

Ministry of Health - Capital Expenditure PLA (M36)
Scope of Appropriation
This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989.
Capital Expenditure
  2018/19
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Forests/Agricultural - - -
Land - - -
Property, Plant and Equipment 50 1,813 1,863
Intangibles 8,787 10,237 19,024
Other - - -

Total Appropriation

8,837 12,050 20,887
Reasons for Change in Appropriation

This appropriation increased by $12.050 million to $20.887 million for 2018/19 due to:

  • $10.092 million from a capital injection in relation to the National Bowel Screening Programme, and
  • $1.958 million from a reforecast of departmental capital expenditure to reflect the change in timing of capital projects.
Capital Injections and Movements in Departmental Net Assets
Ministry of Health
Details of Net Asset Schedule 2018/19
Main Estimates Projections
$000
2018/19
Supplementary Estimates Projections
$000
Explanation of Projected Movements in 2018/19
Opening Balance 34,652 31,451 Supplementary Estimates opening balance reflects the audited results as at 30 June 2018.
Capital Injections - 10,092 This capital injection relates to the National Screening Solution for the National Bowel Screening Programme.
Capital Withdrawals - -  
Surplus to be Retained (Deficit Incurred) - -  
Other Movements - -  

Closing Balance

34,652 41,543  

Part 3 - Details of Non-Departmental Appropriations#

3.1 - Non-Departmental Output Expenses#

Auckland Health Projects Integrated Investment Plan (M36)
Scope of Appropriation
The appropriation is limited to expenses incurred in developing an Integrated Investment Plan for Auckland Health projects.
Reasons for Change in Appropriation

This appropriation increased by $370,000 to $1.370 million for 2018/19 due to a transfer from 2017/18 to support further development of the Northern Region's Investment Planning.

Health and Disability Support Services - Auckland DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.
Reasons for Change in Appropriation

This appropriation increased by $9.772 million to $1,330.189 million for 2018/19 due to:

  • $5.963 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $3.693 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $346,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs
  • $95,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs, and
  • $30,000 was transferred from other DHBs due to an adjustment of population-based funding during the year.

This increase was partly offset by:

  • $355,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Services Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs.
Health and Disability Support Services - Bay of Plenty DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Bay of Plenty DHB.
Reasons for Change in Appropriation

This appropriation increased by $4.517 million to $728.953 million for 2018/19 due to:

  • $2.253 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $1.112 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $1.060 million for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $206,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $56,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $165,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Services Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs, and
  • $5,000 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
This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.
Reasons for Change in Appropriation

This appropriation increased by $18.320 million to $1,439.372 million for 2018/19 due to:

  • $7.014 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $5.260 million was carried forward from 2017/18 to continue work on Canterbury Earthquake repairs
  • $3 million for additional support for those affected by the Christchurch mosque attacks
  • $2.546 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $414,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $107,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $21,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Services Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise funding from DHBs.
Health and Disability Support Services - Capital and Coast DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Capital and Coast DHB.
Reasons for Change in Appropriation

This appropriation increased by $13.025 million to $778.514 million for 2018/19 due to:

  • $6.786 million for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $3.250 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $2.819 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $220,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $56,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $96,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs, and
  • $10,000 transferred to 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
This appropriation is limited to personal and public health services, and management outputs from Counties-Manukau DHB.
Reasons for Change in Appropriation

This appropriation increased by $7.317 million to $1,447.124 million for 2018/19 due to:

  • $4.457 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $2.773 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $471,000 for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $408,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs
  • $109,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs, and
  • $15,000 was transferred from other DHBs due to an adjustment of population-based funding during the year.

This increase was partly offset by:

  • $916,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Services Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs.
Health and Disability Support Services - Hawkes Bay DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Hawkes Bay DHB.
Reasons for Change in Appropriation

This appropriation increased by $3.916 million to $501.131 million for 2018/19 due to:

  • $2.098 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $919,000 for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $856,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $147,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $38,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $122,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs, and
  • $20,000 was transferred to other DHBs due to an adjustment of population-based funding during the year.
Health and Disability Support Services - Hutt DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.
Reasons for Change in Appropriation

This appropriation increased by $4.624 million to $401.752 million for 2018/19 due to:

  • $2.295 million for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $1.342 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $892,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $119,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $29,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $43,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs, and
  • $10,000 was transferred to other DHBs due to an adjustment of population-based funding during the year.
Health and Disability Support Services - Lakes DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.
Reasons for Change in Appropriation

This appropriation increased by $1.390 million to $327.563 million for 2018/19 due to:

  • $1.026 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $427,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $100,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $25,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $180,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs, and
  • $8,000 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
This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.
Reasons for Change in Appropriation

This appropriation increased by $3.706 million to $515.382 million for 2018/19 due to:

  • $1.926 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $869,000 for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $763,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $155,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve funding to DHBs, and
  • $39,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $36,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs, and
  • $10,000 was transferred to 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
This appropriation is limited to personal and public health services, and management outputs from Nelson-Marlborough DHB.
Reasons for Change in Appropriation

This appropriation increased by $4.308 million to $442.103 million for 2018/19 due to:

  • $1.996 million for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $1.224 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $929,000 for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $125,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $34,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.
Health and Disability Support Services - Northland DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Northland DHB.
Reasons for Change in Appropriation

This appropriation increased by $4.596 million to $603.896 million for 2018/19 due to:

  • $1.950 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $1.533 million for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $1.252 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $162,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $46,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $347,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs.
Health and Disability Support Services - South Canterbury DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from South Canterbury DHB.
Reasons for Change in Appropriation

This appropriation increased by $996,000 to $182.428 million for 2018/19 due to:

  • $698,000 for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $187,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $100,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $14,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $3,000 transferred to other DHBs due to an adjustment of population-based funding during the year.
Health and Disability Support Services - Southern DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Southern DHB.
Reasons for Change in Appropriation

This appropriation increased by $7.676 million to $884.027 million for 2018/19 due to:

  • $3.609 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $2.074 million for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $1.707 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $257,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $67,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $23,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs, and
  • $15,000 was transferred to other DHBs due to an adjustment of population-based funding during the year.
Health and Disability Support Services - Tairawhiti DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.
Reasons for Change in Appropriation

This appropriation increased by $948,000 to $166.215 million for 2018/19 due to:

  • $546,000 for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $283,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $139,000 for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $100,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $12,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $132,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs.
Health and Disability Support Services - Taranaki DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.
Reasons for Change in Appropriation

This appropriation increased by $4.582 million to $349.770 million for 2018/19 due to:

  • $2.945 million for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $1.097 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $473,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $102,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $26,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $61,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs.
Health and Disability Support Services - Waikato DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.
Reasons for Change in Appropriation

This appropriation increased by $8.635 million to $1,206.301 million for 2018/19 due to:

  • $6.353 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $2.285 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $324,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $89,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $416,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs.
Health and Disability Support Services - Wairarapa DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.
Reasons for Change in Appropriation

This appropriation increased by $620,000 to $140.650 million for 2018/19 due to:

  • $415,000 for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $106,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $100,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $10,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $11,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs.
Health and Disability Support Services - Waitemata DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.
Reasons for Change in Appropriation

This appropriation increased by $10.010 million to $1,541.548 million for 2018/19 due to:

  • $4.748 million for settlement of the DHB Public Service Association multi-employer collective agreement
  • $4.040 million for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $956,000 for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $415,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs
  • $112,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs, and
  • $40,000 was transferred from other DHBs due to an adjustment of population-based funding during the year.

This increase was partly offset by:

  • $301,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs.
Health and Disability Support Services - West Coast DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from West Coast DHB.
Reasons for Change in Appropriation

This appropriation increased by $1.331 million to $133.949 million for 2018/19 due to:

  • $518,000 for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $488,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $216,000 for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $100,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $9,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.
Health and Disability Support Services - Whanganui DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.
Reasons for Change in Appropriation

This appropriation increased by $1.721 million to $226.852 million for 2018/19 due to:

  • $768,000 for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement
  • $462,000 for settlement of the DHB Public Service Association multi-employer collective agreement
  • $421,000 for a fiscally neutral technical change in DHB capital charge following the revaluation of DHB assets
  • $100,000 of the Budget 2012 Cancer Control initiative was transferred from the National Personal Health Services appropriation to devolve the funding to DHBs, and
  • $18,000 of the Budget 2018 Extending Zero Fees Doctors' Visits to Under 14s initiative was transferred from the Primary Health Care Strategy appropriation to devolve the funding to DHBs.

This increase was partly offset by:

  • $44,000 for the Budget 2018 Very Low Cost General Practitioner Visits for Community Card Holders initiative was transferred to the Primary Health Care Strategy appropriation to centralise the funding from DHBs, and
  • $4,000 was transferred to other DHBs due to an adjustment of population-based funding during the year.
Health Sector Projects Operating Expenses (M36)
Scope of Appropriation
This appropriation is limited to operating expenses associated with the governance, planning and development of health sector capital projects.
Reasons for Change in Appropriation

This appropriation increased by $5.058 million to $8.558 million in 2018/19 due to:

  • $5 million for the development of a National Health Asset Management Plan
  • $3.100 million carried forward from 2017/18 for developing the business case for the Dunedin Hospital redevelopment
  • $1.338 million carried forward from 2017/18 for developing the detailed business case for the Canterbury DHB Parkside development, and
  • $620,000 carried forward from 2017/18 for developing the detailed business case for Canterbury DHB specialist mental health services.

This increase was partly offset by:

  • $5 million transferred to the Sector Planning and Performance appropriation for the development of a National Health Asset Management Plan.
Health Workforce Training and Development (M36)
Scope of Appropriation
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.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

Midwifery#

     

Percentage of graduates who complete the Midwifery First Year of Practice Training Programme

- 90% 90%

Hauora Maori Support:#

     

Percentage of trainees that passed the course they enrolled in

- 80% 80%

Nursing Workforce#

     

The number of New Entry to Specialty Practice (NESP) nurse trainees supported by Ministry of Health funding is equal to or greater than

163 (8) 155

Mental Health Workforce#

     

Percentage of workers supported by the Ministry of Health development funding who achieve a mental health and addiction specific qualification

100% (100%) -

Number of workers who achieve a mental health and addiction related qualification through Ministry of Health funded workforce development training programmes

- 770 770

Disability Support Workers#

     

Percentage of disability support workers supported by the Ministry of Health development funding who achieved competency at New Zealand Qualifications Authority (NZQA) qualification levels

100% (100%) -

Number of disability workers working towards a disability related qualification with support from Ministry of Health grants through disability workforce development programmes

- 3,250 3,250

Maori and Pacific Multi-disciplinary Workforce#

     

Percentage of eligible Maori workforce accessing support provided by the Ministry of Health who successfully complete their training programme

100% (100%) -

Percentage of eligible Pacific workforce accessing support provided by the Ministry of Health who successfully complete their training programme

100% (100%) -
Reasons for Change in Appropriation

This appropriation increased by $375,000 to $187.120 million in 2018/19 due to:

  • $455,000 for the Mental Health and Addiction Support Workers pay equity settlement.

This increase was partly offset by:

  • $80,000 transferred to the National Disability Support Services appropriation to support implementation of the Disability Support System Transformation programme.
Monitoring and Protecting Health and Disability Consumer Interests (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of services that monitor and protect health and disability consumer interests.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

Mental health reviews and inquiries#

     

Number of Mental Health Tribunal review quarterly reports provided to the Director of Mental Health within agreed contract timeframes

- 4 4

Report One, as part of the three monthly reports, administered by the Tribunal's secretariat, to the Director of Mental Health, is received by 20 October

Achieved (Achieved) -

Report Two, as part of the three monthly reports, administered by the Tribunal's secretariat, to the Director of Mental Health, is received by 20 May

Achieved (Achieved) -

The start of the Mental Health Tribunal review is held within 28 days of receipt of the application

75% 5% 80%
National Child Health Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of child health services.
Reasons for Change in Appropriation

This appropriation increased by $4 million to $93.254 million in 2018/19 due to funding provided for Well Child Tamariki Ora - Maintaining Universal Health Service for Children and their Families from Birth to Five Years.

National Contracted Services - Other (M36)
Scope of Appropriation
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.
Reasons for Change in Appropriation

This appropriation decreased by $5.232 million to $23.488 million in 2018/19. Following a review of the programmes funded by this appropriation, it was determined that for several smaller programmes, their fiscally neutral transfer to other appropriations would better reflect the nature of the services being purchased. These transfers are as follows:

  • $4.351 million to the Public Health Service Purchasing appropriation, and
  • $881,000 to the National Disability Support Services appropriation.
National Disability Support Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of disability support services.
Reasons for Change in Appropriation

This appropriation increased by $83.113 million to $1,351.707 million in 2018/19 due to:

  • $60.400 million for the Budget 2019 initiative Disability Support Services - Maintaining Health Services for Disabled New Zealanders
  • $21.300 million from a reprioritisation of funding from other Vote Health appropriations for disability health services to help address cost pressures
  • $881,000 from a fiscally neutral transfer following a review of the programmes funded by the National Contracted Services - Other appropriation to better reflect the nature of the services being purchased by that appropriation
  • $340,000 from a fiscally neutral transfer from Vote Social Development for Disability Support System Transformation
  • $112,000 for the Disability Support System Transformation - MidCentral Prototype, and
  • $80,000 for a fiscally neutral transfer from the Health Workforce Training and Development appropriation to support implementation of the Disability Support System Transformation - MidCentral Prototype.
National Elective Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of elective surgery services.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

Electives Initiative Discharges#

     

Auckland DHB

5,605 166 5,771

Bay of Plenty DHB

2,430 148 2,578

Canterbury DHB

5,962 284 6,246

Capital and Coast DHB

2,718 (159) 2,559

Counties Manukau DHB

4,549 278 4,827

Hawkes Bay DHB

1,749 67 1,816

Hutt Valley DHB

1,500 (7) 1,493

Lakes DHB

1,073 119 1,192

MidCentral DHB

1,967 108 2,075

Nelson Marlborough DHB

1,423 42 1,465

Northland DHB

1,999 122 2,121

South Canterbury DHB

479 17 496

Southern DHB

2,934 177 3,111

Tairawhiti DHB

372 16 388

Taranaki DHB

1,121 33 1,154

Waikato DHB

4,410 238 4,648

Wairarapa DHB

396 13 409

Waitemata DHB

6,193 134 6,327

West Coast DHB

271 11 282

Whanganui DHB

593 19 612

Total Electives Initiative Discharges

47,744 1,826 49,570

Mobile Surgical Services#

     

Mobile Surgical Services achieved contracted volumes

100% (100%) -

Mobile Surgical Services deliver rural health professional development according to contractual requirements

100% (100%) -

Mobile Surgical Services meet contractual service delivery agreements across mobile surgical services, rural health professional development, clinical networking services and Telehealth resource centre

- Achieved Achieved

Bariatric Initiative#

     

DHBs deliver the total agreed number of bariatric surgery procedures

127 (127) -

General Surgery and Orthopaedics Initiative#

     

DHBs achieve contracted Orthopaedic and General Surgery Initiative volumes

100% (100%) -
Reasons for Change in Appropriation

This appropriation decreased by $1.160 million to $362.357 million in 2018/19 due to:

  • $3.120 million for a transfer to 2019/20 to meet service delivery in Planned Care Radiology, Organ Donation Link Staff and the Mobility Action Programme, and
  • $100,000 for a fiscally neutral transfer to the National Personal Health Services appropriation to establish the National Organ Donation Agency.

The decrease was partly offset by:

  • $1.960 million carried forward from 2017/18 for the Mobility Action Programme Electives Musculoskeletal Initiative, and
  • $100,000 to establish the New Zealand Blood Service as the National Organ Donation Agency.
National Emergency Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of emergency services.
Reasons for Change in Appropriation

This appropriation decreased by $5.284 million to $124.313 million in 2018/19 due to:

  • $3.740 million transferred to 2019/20 for the Budget 2018 Radio Assurance initiative, and
  • $3.500 million for a fiscally neutral reprioritisation of funding for disability and mental health services to address cost pressures.

This decrease is partly offset by:

  • $1.956 million carried forward from 2017/18 for Whole of Government Radio Network project.
National Maternity Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of maternity services.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
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 receiving antenatal primary maternity services under the Notice who registered with a LMC in the first trimester

- 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%) -

Percentage of women giving birth in the year who receive antenatal primary maternity services from a LMC under the Primary Maternity Services Notice 2007 (the Notice)

- 93% 93%

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) -

Total number of women giving birth in the year who receive antenatal primary maternity service from an LMC under the Notice

- 56,000 56,000

Note 1 - Lead Maternity Carers (LMCs) deliver quality maternity services in compliance with the Section 88 Primary Maternity Services Notice 2007 which excludes DHB primary maternity services.

National Mental Health Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of mental health services.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard
Addictions
     

The number of clients receiving Alcohol and Other Drugs treatment to overcome their addiction is greater than or equal to

25,000 25,000 50,000

The number of clients receiving outpatient services (including intensive outpatient care) to overcome their addiction is greater than or equal to

46,000 4,000 50,000
Reasons for Change in Appropriation

This appropriation increased by $12.100 million to $80.194 million in 2018/19 due to:

  • $7.500 million from a reprioritisation of funding from other Vote Health appropriations for mental health services to address cost pressures, and
  • $4.600 million from a fiscally neutral transfer from the Public Health Service Purchasing appropriation to support a health approach to Synthetic Drugs Response initiatives.
National Personal Health Services (M36)
Scope of Appropriation
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.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

National Renal Transplant Service (NRTS)#

     

The NRTS supports the increase in live organ donors of 10 per annum

10 (10) -

Long Term Conditions#

     
Cardiac Services
     

Completion rates of the surgical registry is greater than or equal to 80%, for all 5 relevant DHBs

5 DHBs (5 DHBs) -

Oral Health#

     

Average number of decayed missing and filled teeth (DMFT) per child at age 5 is equal to or less than

1.81 (0.02) 1.79
Reasons for Change in Appropriation

This appropriation decreased by $7.400 million to $70.751 million in 2018/19 due to:

  • $4 million for the devolution of funding to DHBs from the Budget 2012 Cancer Control initiative, and
  • $3.500 million from a reprioritisation of funding for disability and mental health services to address cost pressures.

This decrease was partially offset by:

  • $100,000 for a fiscally neutral transfer from the National Elective Services appropriation, for the establishment of the National Organ Donation Agency.
Primary Health Care Strategy (M36)
Scope of Appropriation
This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

The percentage of Community Service Card (CSC) holders accessing subsidised General Practice (GP) visits

70% (70%) -

The percentage of enrolled CSC holders and dependents that have access to reduced general practice fees (consistent with Very Low Cost Access (VCLA) practice maximum charges) during daytime visits

- 92% 92%

Percentage of non-VLCA practices providing reduced fees (consistent with VLCA practice maximum charges) to CSC holders

- 85% 85%

Percentage of total population enrolled in a Primary Health Organisation (PHO)

- 95% 95%

Percentage of Maori population enrolled in a PHO

- 95% 95%

The percentage of New Zealand children who receive free access to Under 13 services during day time and after hours

98% (98%) -

The percentage of New Zealand children who receive free access to Under 14 services during day time and after hours

75% (75%) -

The percentage of enrolled children under 14 years that have access to zero fees general practice services during daytime

- 98% 98%

The percentage of enrolled children under 14 years that have access to zero fees general practice services during afterhours

- 95% 95%

Rural retention and locum support

Achieved (Achieved) -

Number of new rural long-term placements quarterly

- 17.5 17.5

Percentage of Rural Locum Support requests filled

- 90% 90%
Reasons for Change in Appropriation

This appropriation decreased by $1.757 million to $264.639 million in 2018/19 due to:

  • $4.500 million from a fiscally neutral reprioritisation of funding for disability and mental health services, and
  • $991,000 from a fiscally neutral transfer devolving funding to DHBs for the Budget 2018 Extending Zero Fees Doctors' Visits for Under 14s initiative.

This decrease was partly offset by:

  • $3.269 million from centralisation of funding from DHBs for the Budget 2018 Very Low Cost General Practitioner Visits for Community Service Card Holders initiative, and
  • $465,000 carried forward from 2017/18 for Budget 2018 initiatives Very Low Cost General Practitioner Visits for Community Card Holders and Extending Zero Fees Doctors' Visits to Under 14s.
Problem Gambling Services (M36)
Scope of Appropriation
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.
Reasons for Change in Appropriation

This appropriation decreased by $3.176 million to $17.765 million for 2018/19 due to transfers between years to continue work on the problem gambling services plan.

Public Health Service Purchasing (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of public health services.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

Bowel Screening Programme#

     

Phased implementation of bowel cancer screening programme with the following deliverables to be achieved in 2018/19:

     
  • implementation in five DHBs
100% (100%) -
  • Number of DHBs that implement the bowel cancer screening programme following the phased implementation schedule
- 3 DHBs 3 DHBs
Reasons for Change in Appropriation

This appropriation decreased by $20.158 million to $403.266 million for 2018/19 due to:

  • $17.300 million for a fiscally neutral reprioritisation of funding for disability and mental health services
  • $13.072 million was transferred to 2019/20 to reflect the change in timing of the National Bowel Screening Programme
  • $6 million was transferred to 2019/20 for the Fluoridation Subsidies Scheme reflecting changes in the timing in the passage of an amendment to the Health Act 1956, and
  • $4.600 million for a fiscally neutral transfer to the National Mental Health Services appropriation, for Synthetic Drugs Response initiatives.

This decrease was partly offset by:

  • $6.750 million was provided to support health approaches for Synthetic Drugs Response initiatives
  • $5.426 million carried forward from 2017/18 for the Sanitary Works Subsidy scheme
  • $4.351 million from a fiscally neutral transfer following a review of the programmes funded by the National Contracted Services - Other appropriation to better reflect the nature of the services being purchased by that appropriation
  • $3.327 million carried forward from 2017/18 for the National Bowel Screening Programme
  • $900,000 carried forward from 2017/18 for setting up services for refugees, and
  • $60,000 for Support for Rainbow Communities.
Supporting Equitable Pay (M36)
Scope of Appropriation
This appropriation is limited to costs related to supporting equitable pay for care and support workers, and mental health and addiction support workers.
Reasons for Change in Appropriation

This appropriation increased by $29.405 million to $377.405 million due to the expected costs of settlement of the mental health and addiction support workers' pay equity claim.

Supporting Safe Working Conditions for Nurses (M36)
Scope of Appropriation
This appropriation is limited to costs relating to meeting the obligations for safe staffing for nurses and to supporting the Care Capacity Demand Management (CCDM) Programme across District Health Boards.
Expenses
  2018/19
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation - 45,694 45,694
What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve safer working conditions for nurses and improved support through the Care Capacity Demand Management Programme.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption has been granted under s15D(b)(ii) of the PFA as end-of-year performance information for the appropriation is an interim approach to provide funding for the nurses multi-employer collective agreement settlement and support to ensure care capacity demand is managed in the short term until the funding is allocated to District Health Boards.

Reasons for Change in Appropriation

This appropriation was established in 2018/19. Total funding of $45.694 million was for settlement of the New Zealand Nurses Organisation nurses multi-employer collective agreement.

3.4 - Non-Departmental Other Expenses#

Legal Expenses (M36)
Scope of Appropriation
This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown.
How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)ii of the PFA as additional performance information is unlikely to be informative because the transactions largely relate to the settlement of health-related or disability-related legal claims against the Crown.

Reasons for Change in Appropriation

This appropriation increased by $10 million to $11.028 million for 2018/19 due to costs arising from funded family care litigation.

Provider Development (M36)
Scope of Appropriation
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.
How Performance will be Assessed and End of Year Reporting Requirements
  2018/19
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard

Maori Workforce Development#

     

The percentage of Maori students recruited into a Foundation Course who gain acceptance into health related study through seven Maori Workforce Development Programmes

- 80% 80%

Te Ao Auahatanga Hauora Maori - Innovation Funds#

     

The number of Maori providers contracted to implement Te Kakano (Seeding) innovations

30 (11) 19
Reasons for Change in Appropriation

This appropriation increased by $4 million to $28.289 million for 2018/19, with $16.700 million provided for integrated health and social services facilities at the Auckland City Mission, however, due to changes in the timing of the construction project, $12.700 million of that funding was transferred to 2019/20.

3.5 - Non-Departmental Capital Expenditure#

Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)
Scope of Appropriation
This appropriation is limited to providing capital contributions to health sector Crown entities or agencies for new investments and reconfiguration of their balance sheets.
Reasons for Change in Appropriation

This appropriation decreased by $703.110 million to $264.273 million for 2018/19 due to:

  • $468 million transferred to 2019/20 and outyears to reflect unallocated funding for projects still subject to business cases
  • $210.995 million transferred to outyears to reflect the forecast funding profile for Auckland DHB's Facilities Infrastructure Remediation Programme
  • $74 million transferred to outyears to reflect the forecast funding profile for Canterbury DHB's relocation of mental health services to new facilities at the Hillmorton site
  • $47.560 million for a fiscally neutral transfer to the Health Sector Projects appropriation, for the Canterbury DHB's Christchurch Hospital energy centre
  • $27.600 million transferred to outyears to reflect the forecast funding profile for Capital and Coast DHB's Children's Hospital
  • $15.227 million for a fiscally neutral transfer to the Health Sector Projects appropriation, for Southern DHB's Dunedin Hospital redevelopment
  • $12.920 million for a fiscally neutral transfer to the Health Sector Projects appropriation, for West Coast DHB's Grey Base Hospital redevelopment
  • $8 million transferred to 2019/20 to reflect the forecast funding profile for Northland DHB's Whangarei Hospital Critical Capacity works programme
  • $5 million for a fiscally neutral transfer to Health Sector Projects Operating Expenses appropriation, for the development of a National Health Asset Management Plan
  • $2.400 million transferred to 2019/20 to reflect the forecast funding profile for Capital and Coast DHB's Mental Health Facility at Kenepuru, and
  • $2.100 million transferred to 2019/20 to reflect the forecast funding profile for Northland DHB's Bay of Islands Hospital redevelopment.

This decrease was partly offset by:

  • $94.828 million carried forward from 2017/18 for various DHB and health sector Crown agency capital projects
  • $64.192 million for the transfer of the completed Outpatients facility to Canterbury DHB, and
  • $11.672 million for a fiscally neutral transfer from the Health Sector Projects appropriation, for the transfer of the management for the Buller Integrated Family Health Centre project to West Coast DHB.
Equity Support for DHB deficits (M36)
Scope of Appropriation
This appropriation is limited to equity injections to District Health Boards to address working capital requirements.
Reasons for Change in Appropriation

This appropriation increased by $95 million to $234.211 million due to additional funding to support DHBs working capital requirements.

Health Sector Projects (M36)
Scope of Appropriation
This appropriation is limited to the provision or purchase of health sector assets.
Reasons for Change in Appropriation

This appropriation increased by $90.922 million to $213.922 million for 2018/19 due to:

  • $47.560 million for a fiscally neutral transfer from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation for the construction of Canterbury DHB's Christchurch Hospital Energy Centre
  • $35.615 million was carried forward from 2017/18 reflecting the timing of work for DHB and Crown agency capital projects
  • $15.227 million was transferred from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation for Southern DHB's Dunedin Hospital redevelopment
  • $12.920 million for a fiscally neutral transfer from the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation for West Coast DHB's Grey Base Hospital redevelopment
  • $11.672 million carried forward from 2017/18 for the Buller Integrated Family Health Care Centre project of the West Coast DHB, and
  • $9.600 million for design costs for Southern DHB's Dunedin Hospital redevelopment.

This increase was partly offset by:

  • $30 million transferred to 2019/20 to reflect the forecast funding profile for health sector projects, and
  • $11.672 million fiscally neutral transfer to the Equity for Capital Projects for DHBs and Health Sector Crown Agencies appropriation for management of the Buller Integrated Family Health Centre project by West Coast DHB.

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
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.
Scope of Appropriation
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.
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.
Supporting the Review of the New Zealand Health and Disability System
This category is limited to the expenses of, and providing support to, the Expert Panel advising Ministers on the Review of the New Zealand Health and Disability System.
Expenses, Revenue and Capital Expenditure
  2018/19
  Estimates
$000
Supplementary Estimates
$000
Total
$000

Total Appropriation

20,991 5,410 26,401

Departmental Output Expenses

     
Ministerial Servicing 4,702 - 4,702
Policy Advice 16,289 150 16,439
Supporting the Review of the New Zealand Health and Disability System - 5,260 5,260

Funding for Departmental Output Expenses

     

Revenue from the Crown

20,991 5,410 26,401
Ministerial Servicing 4,702 - 4,702
Policy Advice 16,289 150 16,439
Supporting the Review of the New Zealand Health and Disability System - 5,260 5,260
What is Intended to be Achieved with each Category and How Performance will be Assessed
  2018/19
Assessment of Performance Estimates
Standard
Supplementary Estimates
Standard
Total
Standard

Departmental Output Expenses

     

Ministerial Servicing

     

This category is intended to achieve the following: Ministers are provided with support so that they can discharge their portfolio responsibilities

     

The percentage of responses provided to the Minister within agreed timeframes; for written parliamentary questions and Ministerial letters

96% (1%) 95%

The percentage of responses provided to the Minister within agreed timeframes, for requested briefings

96% (1%) 95%

Percentage of Ministerial letters that require no revision

98% (98%) -

Percentage of Ministerial letters accepted without substantive amendment

- 95% 95%

Policy Advice

     

This category is intended to achieve the following: Ministers are provided with policy advice that appropriately informs them on issues affecting the health portfolio, Government priorities, and when otherwise appropriate

     

Total policy function cost per output hour

$175 to $185 ($175 to $185) -

Supporting the Review of the New Zealand Health and Disability System

     

This category is intended to achieve a review of the Health and Disability System

     

The Health and Disability System Review's key milestones are achieved

- Achieved Achieved

The Health and Disability System Review members are satisfied with the support services provided

- Satisfied or better Satisfied or better
Reasons for Change in Appropriation

This appropriation increased by $5.410 million to $26.401 million for 2018/19 due to:

  • $5.260 million for the establishment of the New Zealand Health and Disability System Review, and
  • $150,000 for policy issues relating to the 2020 Cannabis Referendum.