APPROPRIATION MINISTER(S): Minister of Health (M36)

APPROPRIATION ADMINISTRATOR: Ministry of Health

RESPONSIBLE MINISTER FOR MINISTRY OF HEALTH: Minister of Health

Overview of the Vote

Vote Health ($16,773 million in 2017/18) is the primary source of funding for New Zealand's health and disability system (ACC is the other major source of public funding). It is a significant investment for the Crown, typically making up around a fifth of government expenditure. The services funded are intended to support all New Zealanders to live well, stay well, and get well, in a health system that is people-powered, provides services closer to home, is designed for value and high performance, and works as one team in a smart system. The Vote comprises:

  • $12,683 million (75.6% of the Vote) is provided to 20 district health boards for services to meet the needs of each district's population, taking into account regional considerations, government priorities, and the strategic direction set for the health sector. Among the many services provided or funded by DHBs are hospital care; most aged care, mental health, and primary care services; the combined pharmaceuticals budget; and some public health services.
  • $2,698 million (16.0% of the Vote) funds health and disability services, funded at a national level, and managed by the Ministry of Health, comprising:

- National Disability Support Services ($1,208 million or 7.0% of the Vote)

- Public Health Service Purchasing ($406 million or 2.4% of the Vote)

- National Elective Services ($347 million or 2.1% of the Vote)

- Primary Health Care Strategy ($196 million or 1.2% of the Vote)

- National Maternity Services ($147 million or 0.9% of the Vote)

- National Emergency Services ($110 million or 0.7% of the Vote)

- National Child Health Services ($85 million or 0.5% of the Vote)

- National Personal Health Services ($84 million or 0.5% of the Vote)

- National Mental Health Services ($62 million or 0.4% of the Vote)

- Other national services ($54 million or 0.3% of the Vote).

  • $736 million (4.4% of the Vote) for the support, oversight, governance, and development of the health and disability sectors, comprising:

- Ministry of Health operating costs ($198 million or 1.2% of the Vote) and capital investment ($8 million or less than 0.1% of the Vote)

- Supporting Equitable Pay for Care and Support Workers ($279 million or 1.7% of the Vote)

- Health Workforce Training and Development ($187 million or 1.1% of the Vote)

- Monitoring and Protecting Health and Disability Consumer Interests ($29 million or 0.2% of the Vote)

- National Health Information Systems ($8 million or less than 0.1% of the Vote)

- Other expenses ($27 million or 0.2% of the Vote).

  • $656 million (4.0% of the Vote) for capital investment, comprising: sector capital investment ($591 million or 3.5% of the Vote), technical expenditure ($15 million or less than 0.1% of the Vote), and a provision for deficit support for DHBs ($50 million or 0.3% of the Vote).

Details of these appropriations are set out in Parts 2-4.

Details of Appropriations and Capital Injections

Annual and Permanent Appropriations

2016/172017/18
Titles and Scopes of Appropriations by Appropriation TypeFinal
Budgeted
$000
Estimated
Actual
$000
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.
54,27854,17851,618

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).
34,96433,76436,213

Payment Services (M36)

This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
17,91817,81817,340

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.
22,43322,33324,694

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.
48,57248,27247,426

Total Departmental Output Expenses

178,165176,365177,291

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.
17,01017,0108,000

Total Departmental Capital Expenditure

17,01017,0108,000

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.
720320650

Health and Disability Support Services - Auckland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.
1,195,2671,195,2671,239,980

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.
664,890664,890694,230

Health and Disability Support Services - Canterbury DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.
1,335,6971,335,6971,375,372

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.
702,655702,655738,901

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.
1,321,7351,321,7351,377,805

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.
470,212470,212484,193

Health and Disability Support Services - Hutt DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.
372,955372,955388,121

Health and Disability Support Services - Lakes DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.
298,534298,534310,096

Health and Disability Support Services - MidCentral DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.
482,764482,764499,456

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.
403,203403,203418,304

Health and Disability Support Services - Northland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Northland DHB.
536,635536,635557,165

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.
171,495171,495178,097

Health and Disability Support Services - Southern DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Southern DHB.
818,589818,589852,087

Health and Disability Support Services - Tairawhiti DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.
154,032154,032160,113

Health and Disability Support Services - Taranaki DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.
324,724324,724338,959

Health and Disability Support Services - Waikato DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.
1,088,8001,088,8001,134,739

Health and Disability Support Services - Wairarapa DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.
130,946130,946136,657

Health and Disability Support Services - Waitemata DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.
1,391,6751,391,6751,450,808

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.
124,489124,489128,823

Health and Disability Support Services - Whanganui DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.
210,551210,551218,859

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.
185,014184,514186,745

Monitoring and Protecting Health and Disability Consumer Interests (M36)

This appropriation is limited to the provision, purchase, and support of services that monitor and protect health and disability consumer interests.
28,74628,74628,746

National Child Health Services (M36)

This appropriation is limited to the provision, purchase, and support of child health services.
83,50183,40185,001

National Contracted Services - Other (M36)

This appropriation is limited to the purchase of other services directly by the Crown to support the health and disability services sector, including the national management of pharmaceuticals, and health research.
26,60726,60728,720

National Disability Support Services (M36)

This appropriation is limited to the provision, purchase, and support of disability support services.
1,183,8651,183,3651,208,374

National Elective Services (M36)

This appropriation is limited to the provision, purchase, and support of elective surgery services.
356,205347,205346,517

National Emergency Services (M36)

This appropriation is limited to the provision, purchase, and support of emergency services.
101,050100,550109,958

National Health Information Systems (M36)

This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.
5,4185,4188,236

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.
3,8283,3286,828

National Maternity Services (M36)

This appropriation is limited to the provision, purchase, and support of maternity services.
152,847152,347146,767

National Mental Health Services (M36)

This appropriation is limited to the provision, purchase, and support of mental health services.
69,66969,16962,183

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.
85,45084,95084,057

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
185,794185,294195,405

Problem Gambling Services (M36)

This appropriation is limited to the provision, purchase, and support of services that minimise the harm from gambling, in accordance with the Gambling Act 2003.
19,86516,06517,521

Public Health Service Purchasing (M36)

This appropriation is limited to the provision, purchase, and support of public health services.
393,311386,311405,471

Supporting Equitable Pay for Care and Support Workers (M36)

This appropriation is limited to costs related to workers in the care and support sector, incurred as a result of legislation giving effect to the pay equity settlement with care and support workers.
--279,000

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.
6,2526,252-

Total Non-Departmental Output Expenses

15,087,99015,063,69015,882,944

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.
2,0302,0302,030

Legal Expenses (M36)

This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown.
1,0287781,028

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.
24,43423,43424,289

Repayment of District Health Board Loans (M36)

This appropriation is limited to expenses associated with the early repayment at fair value of District Health Board Loans.
275,00075,974-

Total Non-Departmental Other Expenses

302,492102,21627,347

Non-Departmental Capital Expenditure

Deficit Support for DHBs (M36)

This appropriation is limited to equity injections to District Health Boards to address deficits.
74,62474,62450,000

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.
2,722,3452,682,345303,388

Health Sector Projects (M36)

This appropriation is limited to the provision or purchase of health sector assets.
241,059211,059288,108

Residential Care Loans - Payments (M36)

This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities.
15,00015,00015,000

Loans for Capital Projects (M36)

This appropriation is limited to the provision of loans to health sector Crown entities or agencies for new investments and reconfiguration of their balance sheets.
85,00085,000-

Refinance of Crown Loans (M36)

This appropriation is limited to refinancing existing Crown loans made to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration.
204,214204,214-

Total Non-Departmental Capital Expenditure

3,342,2423,272,242656,496

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.
20,70920,50920,991
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.
4,7064,6064,702
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.
16,00315,90316,289

Total Multi-Category Expenses and Capital Expenditure

20,70920,50920,991

Total Annual and Permanent Appropriations

18,948,60818,652,03216,773,069

Capital Injection Authorisations

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Ministry of Health - Capital Injection (M36)---

Supporting Information

Part 1 - Vote as a Whole

1.1 - New Policy Initiatives

Policy InitiativeAppropriation2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional Support

Health and Disability Support Services - DHBs

Non-departmental output expense
-439,000439,000439,000439,000
Equitable Pay for Care and Support Workers

Supporting Equitable Pay for Care and Support Workers

Non-departmental output expense
-279,000348,000377,000356,000
Disability Support Services - Additional Support

National Disability Support Services

Non-departmental output expense
-44,56244,56244,56244,562
Pharmaceuticals - More Publicly Funded Medicines

Health and Disability Support Services - DHBs

Non-departmental output expense
-20,00020,00014,0006,000
Primary Health Care - Additional Support

Primary Health Care Strategy

Non-departmental output expense
-9,5859,5859,5859,585
Emergency Ambulance Services - Additional support

National Emergency Services

Non-departmental output expense
-8,57111,57114,57117,571
National Bowel Screening Programme

Public Health Service Purchasing

Non-departmental output expense
1647,2386,2825,7016,898
Elective Surgery - Government's Health Target

National Elective Services

Non-departmental output expense
-6,0006,0006,0006,000
Disability Support Services - Enabling Good Lives

Managing the Purchase of Services

Departmental output expense
-3,300---
Water Fluoridation (Assistance)

Public Health Service Purchasing

Non-departmental output expense
-3,0003,0003,0003,000
Health Workforce Training and Development - Additional Support

Health Workforce Training and Development

Non-departmental output expense
-1,9191,9191,9191,919
Contraceptive Services for Low Income Women

Public Health Service Purchasing

Non-departmental output expense
-1,3803,8805,8805,880

Managing the Purchase of Services

Departmental output expense
-120120120120
Organ Donation - National Strategy

National Personal Health Services

Non-departmental output expense
-700700700700

Total new operating expenditure

164

824,375

894,619

922,038

897,235

DHB Capital Investment Pool

Equity for Capital Projects for DHBs and Health Sector Crown Agencies

Non-departmental capital expenditure
-150,000---

Total capital expenditure

-

150,000

-

-

-

Total Initiatives

164

974,375

894,619

922,038

897,235

1.2 - Trends in the Vote

Summary of Financial Activity

2012/132013/142014/152015/162016/172017/182018/192019/202020/21
Actual
$000
Actual
$000
Actual
$000
Actual
$000
Final Budgeted
$000
Estimated
Actual
$000
Departmental
Transactions
Budget
$000
Non-
Departmental
Transactions
Budget
$000
Total
Budget
$000
Estimated
$000
Estimated
$000
Estimated
$000

Appropriations

Output Expenses13,564,86014,002,49714,297,23414,746,55615,266,15515,240,055177,29115,882,94416,060,23516,096,14316,112,55516,087,836
Benefits or Related Expenses------N/A-----
Borrowing Expenses------------
Other Expenses26,10027,87326,48025,307302,492102,216-27,34727,34727,34727,34727,347
Capital Expenditure259,582336,432689,136487,2723,359,2523,289,2528,000656,496664,49662,21162,21162,211
Intelligence and Security Department Expenses and Capital Expenditure-------N/A----
Multi-Category Expenses and Capital Expenditure (MCA)
Output Expenses15,75020,03620,87820,70520,70920,50920,991-20,99120,99120,99120,991
Other Expenses------------
Capital Expenditure------N/A-----

Total Appropriations

13,866,29214,386,83815,033,72815,279,84018,948,60818,652,032206,28216,566,78716,773,06916,206,69216,223,10416,198,385

Crown Revenue and Capital Receipts

Tax Revenue------N/A-----
Non-Tax Revenue625,524655,187669,571687,880659,638659,638N/A748,686748,686772,866794,560794,560
Capital Receipts25,645375,698147,80024,64827,49927,499N/A27,49927,49927,49927,49927,499

Total Crown Revenue and Capital Receipts

651,1691,030,885817,371712,528687,137687,137N/A776,185776,185800,365822,059822,059

Note - where restructuring of the vote has occurred then, to the extent practicable, prior years information has been restated as if the restructuring had occurred before the beginning of the period covered. In this instance Total Appropriations for the Budgeted and Estimated Actual year may not equal Total Appropriations in the Details of Appropriations and Capital Injections.

Adjustments to the Summary of Financial Activity Table Due to Vote Restructuring

There have been no restructuring adjustments to prior year information in the Summary of Financial Activity table.

1.3 - Analysis of Significant Trends

Total Vote: All Appropriations

Vote Health has grown from actual expenditure in 2012/13 of $13,866 million to budgeted expenditure in 2017/18 of $16,773 million, an increase of $2,907 million over five years (around 4% per annum). This has mainly been driven by increases to the Vote's output expenses, which were $13,607 million in 2012/13 and are budgeted at $16,109 million in 2017/18 - an increase of $2,502 million.              

Output Expenses

The growth in the Vote's operating expenses is driven mainly by additional funding provided to district health boards towards demographic and cost pressures. Their appropriations for 2017/18 are budgeted at $12,683 million, an increase of $1,792 million over the actual expenditure in 2012/13. In addition to this expenditure, district health boards are typically contracted by the Ministry of Health for additional national services of around $1,000 million per annum. In some cases, this funding is being devolved to district health boards, making them directly responsible for the services previously administered nationally.

Also contributing to the growth are increases in funding for national services administered by the Ministry of Health, such as disability support services and various public and personal health services. The 2017/18 appropriations for these national services are budgeted for $2,698 million, which is $363 million greater than the actual expenditure in 2012/13 (an increase of around 2.8% per annum). The main drivers of the increase are the Crown's ongoing investment in:

  •  supporting equitable pay for care and support workers, which is a new investment of $279 million in 2017/18
  •  additional elective surgeries, which has increased by $69 million (almost 25%) since 2012/13
  •  disability support services, which has increased by nearly $180 million (or 18%) since 2012/13.

Funding for the support, oversight, governance, and development of the health and disability sectors has also grown, from actual expenditure of $395 million in 2012/13 to budgeted expenditure in 2017/18 of $736 million. The increase has been driven mainly by additional funding for the training and development of the health workforce.

Capital Expenditure

The Crown continues to invest in sector capital. Appropriations for 2017/18 are $591 million, however, as in previous years, this includes funding for multi-year projects and provision for some future expenses or risks. Actual expenditure has typically been between $150 million and $200 million per annum.

There is $65 million of other capital expenditure appropriated in the 2017/18 budget, comprising provisions for deficit support and for the rollover of Crown Loans to district health boards (the latter being technical expenditure).

The expected actual capital expenditure for 2016/17 is $3,272 million, mainly due to one-off equity injections into DHBs, to allow their Crown loans to be repaid.

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.

Expenses and Revenue

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation54,27854,17851,618
Revenue from the Crown54,27854,27851,618
Revenue from Others---

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide information technology services and infrastructure to support the operation of New Zealand's health services.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Client Insight and Analytics

Percentage of published Tier 1 statistics meet Statistics New Zealand standards within agreed timetable

--100%

Respondent satisfaction with how the Health Survey is conducted is greater than

--90%

National Infrastructure and Ministry Information Systems

The percentage of time for which key sector- and public-facing systems are available (see Note 1)

99%90%99%

Number of security breach incidents

--0

Note 1: Key sector- and public-facing systems are National Health Index (NHI), National Immunisation Register (NIR), Online Pharmacy, Special Authorities, Oracle Financials, and Web Access.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
National Bowel Screening Programme Rollout2016/172,5002,5002,5002,5002,500
Electronic oral health record2014/15340340340340340
Population Health Data Warehouse2014/15136136136136136
Whanau Ora IT System - transfer to departmental expenses2014/15350----

Managing the Purchase of Services (M36)

Scope of Appropriation

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

Expenses and Revenue

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation34,96433,76436,213
Revenue from the Crown34,96434,96436,213
Revenue from Others---

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the administration of health and disability services, purchased on behalf of the Crown in line with Government priorities and the Ministry of Health's strategic intentions (as outlined in the Ministry of Health's Statement of Intent).

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

The Ministry procurement process is in line with government standards

AchievedAchievedAchieved

The ratio of departmental expenditure for the output class against relevant non-departmental expenditure

1:801:1051:107

Social agencies are required to move contracts with non-government organisations (NGOs) to the streamlined contract framework as they are renewed. The Ministry will move the following numbers of contracts

800800840

The percentage of Ministry feedback to Crown Funding Agreement Variation (CFAV) monitoring reports that are supplied to DHBs within agreed timeframes (see Note 1)

95%100%95%

The percentage of complaints in regards to Disability Support Services (DSS) that receive either a resolution notification or progress update within 20 days of DSS receiving the complaint

--95%

Note 1: When a monitoring report is received at the Ministry, it is logged into an electronic system. This generates an automated letter to say it has been received. The 'formal response' is the next contact the Ministry has with the provider when necessary. The formal response could be a phone call, email, formal letter or an actual visit.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Disability Support Services - Enabling Good Lives2017/18-3,300---
Contraceptive Services for Low Income Women2017/18-120120120120
Proceeds of Crime 2016 - Methamphetamine Demand Reduction in Northland2016/17120----
National Bowel Screening Programme Rollout2016/172,9452,6452,4152,3402,340
Problem Gambling Services - Continued Support2016/17260293293--
Better Public Services seed funding: social bonds pilots2014/15360----
Healthy Families NZ2014/151,0001,0001,0001,0001,000

Memorandum Account

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000

Problem Gambling

Opening Balance at 1 July(515)(515)(515)
Revenue (funded by Problem Gambling Levy)1,0011,001990
Expenses1,0011,001990
Transfers and Adjustments---

Closing Balance at 30 June

(515)(515)(515)

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.

Expenses and Revenue

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation17,91817,81817,340
Revenue from the Crown17,91817,91817,340
Revenue from Others---

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide for timely and appropriate payments to be made to eligible parties (including eligible health service providers and consumers) and contracts to be audited and processed efficiently and effectively.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of claims paid on time

95%99%98%

The percentage of claims processed accurately

95%99%95%

The percentage of all draft agreements prepared for funders within target timeframes

95%85%95%

The percentage of agreements prepared accurately (see Note 1)

95%98%95%

The percentage of calls to contact centres answered within service specifications for timeliness (20 seconds)

80%80%80%

The percentage of calls abandoned by callers prior to being answered by the contact centre is less than

5%3.5%5%

The percentage of enquiries resolved in under 10 business working days

95%95%95%

The total dollar value of payments made to those primary health and disability providers who have been subject to audit and compliance activities during the year, expressed as a percentage of the budget for those providers (see Note 2)

80%94%80%

Court written decisions and findings relating to concluded Ministry of Health Audit & Compliance initiated prosecutions contain no adverse judicial comment in regards to the evidential basis of the prosecutions

--0

Percentage of Health Integrity Line complaints that are evaluated within 10 working days of complaint being received is greater than or equal to

--95%

Note 1: All information is deemed to be processed accurately if agreements are legally binding and purchase order information is correctly entered.

Note 2: Total dollar value of payments to primary healthcare and disability providers is approximately $6.900 million.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Free under 13s - Ministry payment system changes2015/16223223223223223

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

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation22,43322,33324,694
Revenue from the Crown9,1929,19210,653
Revenue from Others13,24113,24114,041

What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that health and disability services are regulated so that appropriate standards are followed.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of medium and high priority quality incident notifications relating to medicines and medical devices that undergo an initial review within 5 working days

90%95%90%

The percentage of all certificates issued to providers under the Health and Disability Services (Safety) Act 2001 within target timeframes

90%90%90%

The 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%90%

The percentage of all licences and consents issued to radiation users under the Radiation Safety Act 2016 within 10 working days of the receipt of all information and payment of the required fee

90%100%90%

The percentage of all New Medicines Applications (for ministerial consent to market) that receive an initial assessment within 200 days

80%80%80%

The percentage of all Changed Medicines Notifications (for ministerial consent to market) responded to within 45 days

100%100%100%

Average rating for statutory committee satisfaction with secretariat services provided by the Ministry

greater than 4 out of 54greater than 4 out of 5

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Radiation Safety Act - administration of new regulations2016/17374574574574574
Regulation of Psychoactive Substances2013/141,8001,8001,8001,8001,800

Reasons for Change in Appropriation

This appropriation increased by $2.261 million to $24.694 for 2017/18 mainly due to a $1.700 million departmental output class budget adjustment (see Note 1).

Note 1: In 2016/17 funding was transferred between the 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.

Conditions on Use of Appropriation

ReferenceConditions
Medicines Act 1981The Ministry responds to incident notifications regarding the quality of medicines, medical devices and advertising.
Hazardous Substances and New Organisms (Act) 1996Section 100 of the Hazardous Substances and New Organisms Act 1996 sets out requirements for appointment of enforcement officers.
Health Act 1956Section 7A of the Health Act1956 sets out requirements for the designation by the Director-General of Health of medical officers of health. Section 28 of the Health Act 1956 sets out requirements for appointment by a local authority of environmental health officers. Section 121 of that Act provides that regulations may further prescribe qualifications which environmental health officers must possess. Section 69ZK of the Health Act 1956 sets out requirements for appointment by the Director-General of Health of persons or agencies as drinking-water assessors.
Biosecurity Act 1993Section 105B of the Biosecurity Act 1993 sets out requirements for appointment by the Director-General of Health of auditors under that Act.
Section 103 of the Biosecurity Act 1993 sets out requirements for appointment by a chief technical officer of inspectors/authorised persons to administer or enforce that Act, and/or to carry out a national pest management plan or national pathway plan.
Mental Health (Compulsory Assessment and Treatment) Act 1992Section 92A of the Mental Health (Compulsory Assessment and Treatment) Act 1992 sets out requirements for delegation by Area Mental Health Services Directors of their powers to a suitably qualified person.
Section 93 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 sets out requirements for designation by Area Mental Health Services Directors of health professionals as 'duly authorised officers'.
All recommendations for appointments meet the requirements of health legislation
  • Crown Entities Act 2004
  • New Zealand Public Health and Disability Act 2000
  • Health Research Council Act 1990
  • Health and Disability Commissioner Act 1994.
For regulatory authorities and committees:
  • Health Practitioners Competence Assurance Act 2003
  • New Zealand Public Health and Disability Act 2000
  • Human Assisted Reproductive Technology Act 2004.

Memorandum Account

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000

Office of Radiation Safety

Opening Balance at 1 July1,0191,019989
Revenue9258951,500
Expenses9259251,500
Transfers and Adjustments---

Closing Balance at 30 June

1,019989989

 

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000

Medsafe

Opening Balance at 1 July1,2881,288216
Revenue9,3057,6139,305
Expenses9,3058,6859,305
Transfers and Adjustments---

Closing Balance at 30 June

1,288216216

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

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation48,57248,27247,426
Revenue from the Crown48,42348,42347,277
Revenue from Others149149149

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve: health sector services are appropriately planned, funded, and monitored; health sector Crown entities, agencies, and companies are appropriately governed; and sector co-ordination is encouraged and assisted.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Planning and funding advice for the financial year is provided to Crown entities by 31 December

AchievedAchievedAchieved

The Ministry provides the Minister with advice of all DHB annual plans by 30 June

AchievedAchievedAchieved

The percentage of monitoring feedback reports about performance supplied to DHBs within agreed timeframes

100%100%100%

The percentage of quarterly and monthly monitoring reports about DHBs provided to the Minister within agreed timeframes

100%65%100%

The percentage of quarterly and monthly monitoring reports about Crown entities (excluding DHBs) provided to the Minister within agreed timeframes

100%100%100%

Maintain the capability and capacity to respond to national emergencies and emerging health threats (see Note 1)

--Achieved

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 2)

100%100%100%

Note 1: Capability and capacity to respond means the Ministry has the necessary systems, procedures, facilities and staffing in place to initiate and manage at the national level the health response to a national emergency or emerging health threat.

Note 2: Unexpected resignation or departure prior to the expiration of the term is not included.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Canterbury Earthquake Recovery Authority (CERA) transition of functions and funding2016/17330340340340340
Cancer: next phase of Faster Cancer Treatment2014/15330----

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

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Forests/Agricultural---
Land---
Property, Plant and Equipment9,3869,3861,000
Intangibles7,6247,6247,000
Other---

Total Appropriation

17,01017,0108,000

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the renewal, upgrade, or redesign of assets to support the delivery of the Ministry of Health's core functions and responsibilities (refer to Part 2.1).

How Performance will be Assessed and End of Year Reporting Requirements

Expenditure is in accordance with the Ministry of Health's capital asset management plan.

End of Year Performance Reporting

The Ministry of Health will report performance information for its departmental outputs in its Annual Report.

Reasons for Change in Appropriation

This appropriation decreased by $9.010 million to $8 million for 2017/18 mainly due to the Ministry of Health transitioning from owning information technology assets to purchasing them as a service.

Capital Injections and Movements in Departmental Net Assets

Ministry of Health

Details of Net Asset Schedule2016/17
Estimated Actual
$000
2017/18
Projected
$000
Explanation of Projected Movements in 2017/18
Opening Balance34,54134,541
Capital Injections--
Capital Withdrawals--
Surplus to be Retained (Deficit Incurred)--
Other Movements--

Closing Balance

34,54134,541

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation720320650

What is Intended to be Achieved with this Appropriation

This appropriation is intended to establish the Auckland Health Investment Planning Group to assist the Auckland metro DHBs to develop a comprehensive integrated investment plan to meet the forecast significant population pressures.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted in 2016/17 under s15D(2)(b)(iii) of the PFA as the amount of the appropriation is less than $5 million.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Establish Auckland Health Projects Integrated Plan2016/171,370----

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,195,2671,195,2671,239,980

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Each DHB has a statutory responsibility to prepare:

  • an Annual Plan for approval by the Minister of Health (Section 38 of the New Zealand Public Health and Disability Act 2000) - providing accountability to the Minister of Health
  • a Statement of Performance Expectations (Section 149C of the Crown Entities Act 2004 as amended by the Crown Entities Amendment Act 2013) - providing financial accountability to Parliament and the public annually
  • a Statement of Intent (Section 139 of the Crown Entities Act) - providing accountability to Parliament and the public at least triennially.

In 2010 Cabinet determined that the documents could be brought together into a single DHB Annual Plan with Statement of Intent and Statement of Performance Expectations, to be known as the 'Annual Plan'.

The Statement of Performance Expectations provides specific measures/targets for the coming year, with comparative prior year and current year forecast (at a minimum).

Four Output Classes are used by all DHBs to reflect the nature of services provided:

  • Prevention
  • Early Detection and Management
  • Intensive Assessment and Treatment
  • Rehabilitation and Support.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-41,41941,41941,41941,419
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,8871,8871,321566
DHB Efficiency Savings2017/18-(874)(874)(874)(874)
DHB capital charge rate change 8% to 6%2016/17(9,096)(12,135)(12,135)(12,135)(12,135)
Devolve Hospice Funding to DHBs2016/17608608608608608
District Health Boards - Additional Support2016/1745,25545,25545,25545,25545,255
More Publically Funded Medicines2016/173,6503,6502,7142,7142,527
In-between Travel - Devolution2015/162,4382,4382,4382,4382,438
District Health Board (DHB) Additional Funding for Pressures2015/1636,41736,41736,41736,41736,417
Improving Hospice Community Palliative Care Services2015/161,2111,2111,2111,2111,211
Reprioritising DHB Savings Delivered by PHARMAC2015/16(1,217)(1,217)(1,217)(1,217)(1,217)
DHB Demographics2014/1513,19913,19913,19913,19913,199
Contribution to DHB cost pressures2014/158,7458,7458,7458,7458,745
Aged Residential Care - subsidy increase2014/15881881881881881
DHB Demographics2013/1412,06812,06812,06812,06812,068
Contribution to DHB cost pressures2013/149,3689,3689,3689,3689,368
Aged Care and Dementia2013/14736736736736736
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14402402402402402

Reasons for Change in Appropriation

This appropriation increased by $44.713 million to $1,239.980 million for 2017/18 mainly due to:

  • $41.419 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.887 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation664,890664,890694,230

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-24,62224,62224,62224,622
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,1221,122785337
DHB Efficiency Savings2017/18-(524)(524)(524)(524)
DHB capital charge rate change 8% to 6%2016/17(1,736)(2,309)(2,309)(2,309)(2,309)
Devolve Hospice Funding to DHBs2016/17511511511511511
District Health Boards - Additional Support2016/1728,83628,83628,83628,83628,836
More Publically Funded Medicines2016/172,1881,6271,6271,5151,515
In-between Travel - Devolution2015/166882,1262,1262,1262,126
District Health Board (DHB) Additional Funding for Pressures2015/1619,10719,10719,10719,10719,107
Improving Hospice Community Palliative Care Services2015/16722722722722722
Reprioritising DHB Savings Delivered by PHARMAC2015/16(631)(631)(631)(631)(631)
DHB Demographics2014/1514,65714,65714,65714,65714,657
Contribution to DHB cost pressures2014/154,9854,9854,9854,9854,985
Aged Residential Care - subsidy increase2014/15530530530530530
Contribution to DHB cost pressures2013/145,1995,1995,1995,1995,199
DHB Demographics2013/145,1335,1335,1335,1335,133
Aged Care and Dementia2013/14441441441441441
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14111111111111111

Reasons for Change in Appropriation

This appropriation increased by $29.340 million to $694.230 million for 2017/18 mainly due to:

  • $24.622 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.122 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,335,6971,335,6971,375,372

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-47,75547,75547,75547,755
Pharmaceuticals - More Publicly Funded Medicines2017/18-2,1762,1761,523653
DHB Efficiency Savings2017/18-(1,055)(1,055)(1,055)(1,055)
DHB capital charge rate change 8% to 6%2016/17(3,506)(5,069)(5,069)(5,069)(5,069)
Devolve Hospice Funding to DHBs2016/17937937937937937
District Health Boards - Additional Support2016/1732,12532,12532,12532,12532,125
More Publically Funded Medicines2016/174,2323,1473,1472,9302,930
In-between Travel - devolution2015/163,5583,5583,5583,5583,558
Improving Hospice Community Palliative Care Services2015/161,4221,4221,4221,4221,422
Supporting Health Services in Canterbury2015/165,4805,4805,480--
District Health Board (DHB) Additional Funding for Pressures2015/1621,53321,53321,53321,53321,533
Reprioritising DHB Savings Delivered by PHARMAC2015/16(670)(670)(670)(670)(670)
DHB Demographics2014/1518,88918,88918,88918,88918,889
Contribution to DHB cost pressures2014/1510,23610,23610,23610,23610,236
Aged Residential Care - subsidy increase2014/151,0671,0671,0671,0671,067
DHB Demographics2013/1423,89923,89923,89923,89923,899
Contribution to DHB cost pressures2013/1410,57910,57910,57910,57910,579
Aged Care and Dementia2013/14886886886886886
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14194194194194194

Reasons for Change in Appropriation

This appropriation increased by $39.675 million to $1,375.372 million for 2017/18 mainly due to:

  • $47.755 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $2.176 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation702,655702,655738,901

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-25,00125,00125,00125,001
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,1381,138797342
DHB Efficiency Savings2017/18-(558)(558)(558)(558)
DHB capital charge rate change 8% to 6%2016/17(1,333)(1,732)(1,732)(1,732)(1,732)
Devolve Hospice Funding to DHBs2016/171,9091,9091,9091,9091,909
District Health Boards - Additional Support2016/1715,06015,06015,06015,06015,060
More Publically Funded Medicines2016/172,2271,6561,6561,5421,542
In-between Travel - devolution2015/161,6441,6441,6441,6441,644
District Health Board (DHB) Additional Funding for Pressures2015/1611,54711,54711,54711,54711,547
Improving Hospice Community Palliative Care Services2015/16749749749749749
Reprioritising DHB Savings Delivered by PHARMAC2015/16(360)(360)(360)(360)(360)
DHB Demographics2014/159,0689,0689,0689,0689,068
Contribution to DHB cost pressures2014/155,5315,5315,5315,5315,531
Aged Residential Care - subsidy increase2014/15564564564564564
DHB Demographics2013/147,6497,6497,6497,6497,649
Contribution to DHB cost pressures2013/145,7835,7835,7835,7835,783
Aged Care and Dementia2013/14470470470470470

Reasons for Change in Appropriation

This appropriation increased by $36.246 million to $738.901 million for 2017/18 mainly due to:

  • $25.001 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.138 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,321,7351,321,7351,377,805

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-47,82247,82247,82247,822
Pharmaceuticals - More Publicly Funded Medicines2017/18-2,1792,1791,525654
DHB Efficiency Savings2017/18-(1,044)(1,044)(1,044)(1,044)
DHB capital charge rate change 8% to 7%, then to 6%2016/17(4,201)(5,612)(5,612)(5,612)(5,612)
Devolve Hospice Funding to DHBs2016/171,5501,5501,5501,5501,550
District Health Boards - Additional Support2016/1749,00949,00949,00949,00949,009
More Publically Funded Medicines2016/174,2713,1763,1762,9572,957
In-between Travel - devolution2015/162,7762,7762,7762,7762,776
District Health Board (DHB) Additional Funding for Pressures2015/1621,48621,48621,48621,48621,486
Improving Hospice Community Palliative Care Services2015/161,4051,4051,4051,4051,405
Reprioritising DHB Savings Delivered by PHARMAC2015/16(669)(669)(669)(669)(669)
DHB Demographics2014/1526,48526,48526,48526,48526,485
Contribution to DHB cost pressures2014/1510,08310,08310,08310,08310,083
Aged Residential Care - subsidy increase2014/151,0551,0551,0551,0551,055
DHB Demographics2013/1421,61621,61621,61621,61621,616
Contribution to DHB cost pressures2013/1410,46110,46110,46110,46110,461
Aged Care and Dementia2013/14874874874874874

Reasons for Change in Appropriation

This appropriation increased by $56.070 million to $1,377.805 million for 2017/18 mainly due to:

  • $47.822 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $2.179 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation470,212470,212484,193

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - additional support2017/18-17,07217,07217,07217,072
Pharmaceuticals - More Publicly Funded Medicines2017/18-778778544233
DHB Efficiency Savings2017/18--(370)(370)(370)
DHB capital charge rate change 8% to 6%2016/17(1,364)(1,817)(1,817)(1,817)(1,817)
Devolve Hospice Funding to DHBs2016/17168168168168168
District Health Boards - Additional Support2016/17-10,84210,84210,84210,842
More Publically Funded Medicines2016/17-1,5211,1311,1311,053
In-between Travel - devolution2015/164421,3641,3641,3641,364
District Health Board (DHB) Additional Funding for Pressures2015/1617,05317,05317,05317,05317,053
Improving Hospice Community Palliative Care Services2015/16515515515515515
Reprioritising DHB Savings Delivered by PHARMAC2015/16(572)(572)(572)(572)(572)
DHB Demographics2014/154,0924,0924,0924,0924,092
Contribution to DHB cost pressures2014/153,5903,5903,5903,5903,590
Aged Residential Care - subsidy increase2014/15373373373373373
DHB Demographics2013/144,1424,1424,1424,1424,142
Contribution to DHB cost pressures2013/143,7313,7313,7313,7313,731
Aged Care and Dementia2013/14315315315315315
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/1494125125125125

Reasons for Change in Appropriation

This appropriation increased by $13.981 million to $484.193 million for 2017/18 mainly due to:

  • $17.072 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $778,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation372,955372,955388,121

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-13,15513,15513,15513,155
Pharmaceuticals - More Publicly Funded Medicines2017/18-599599420180
DHB Efficiency Savings2017/18-(302)(302)(302)(302)
DHB capital charge rate change 8% to 6%2016/17(1,359)(1,803)(1,803)(1,803)(1,803)
Devolve Hospice Funding to DHBs2016/171,6841,6841,6841,6841,684
District Health Boards - Additional Support2016/177,9807,9807,9807,9807,980
More Publically Funded Medicines2016/171,174873873813813
In-between Travel - devolution2015/16944944944944944
District Health Board (DHB) Additional Funding for Pressures2015/166,1386,1386,1386,1386,138
Improving Hospice Community Palliative Care Services2015/16402402402402402
Reprioritising DHB Savings Delivered by PHARMAC2015/16(191)(191)(191)(191)(191)
DHB Demographics2014/154,3654,3654,3654,3654,365
Contribution to DHB cost pressures2014/152,9222,9222,9222,9222,922
Aged Residential Care - subsidy increase2014/15305305305305305
Contribution to DHB cost pressures2013/143,0443,0443,0443,0443,044
DHB Demographics2013/142,0922,0922,0922,0922,092
Aged Care and Dementia2013/14256256256256256
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14138138138138138

Reasons for Change in Appropriation

This appropriation increased by $15.166 million to $388.121 million for 2017/18 mainly due to:

  • $13.155 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $599,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation298,534298,534310,096

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-11,15711,15711,15711,157
Pharmaceuticals - More Publicly Funded Medicines2017/18-508508356152
DHB Efficiency Savings2017/18-(236)(236)(236)(236)
DHB capital charge rate change 8% to 6%2016/17(1,217)(1,616)(1,616)(1,616)(1,616)
Devolve Hospice Funding to DHBs2016/17281281281281281
District Health Boards - Additional Support2016/1713,93513,93513,93513,93513,935
More Publically Funded Medicines2016/17983731731680680
In-between Travel - devolution2015/16777777777777777
District Health Board (DHB) Additional Funding for Pressures2015/165,5195,5195,5195,5195,519
Improving Hospice Community Palliative Care Services2015/16322322322322322
Reprioritising DHB Savings Delivered by PHARMAC2015/16(162)(162)(162)(162)(162)
DHB Demographics2014/152,4112,4112,4112,4112,411
Contribution to DHB cost pressures2014/152,2962,2962,2962,2962,296
Aged Residential Care - subsidy increase2014/15238238238238238
DHB Demographics2013/142,6652,6652,6652,6652,665
Contribution to DHB cost pressures2013/142,3752,3752,3752,3752,375
Aged Care and Dementia2013/14202202202202202

Reasons for Change in Appropriation

This appropriation increased by $11.562 million to $310.096 million for 2017/18 mainly due to:

  • $11.157 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $508,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation482,764482,764499,456

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-17,68117,68117,68117,681
Pharmaceuticals - More Publicly Funded Medicines2017/18-806806564242
DHB Efficiency Savings2017/18-(389)(389)(389)(389)
DHB capital charge rate change 8% to 6%2016/17(2,110)(2,808)(2,808)(2,808)(2,808)
Devolve Hospice Funding to DHBs2016/17293293293293293
District Health Boards - Additional Support2016/1715,22915,22915,22915,22915,229
More Publically Funded Medicines2016/171,5871,1801,1801,0991,099
In-between Travel - devolution2015/161,5301,5301,5301,5301,530
District Health Board (DHB) Additional Funding for Pressures2015/167,8947,8947,8947,8947,894
Improving Hospice Community Palliative Care Services2015/16526526526526526
Reprioritising DHB Savings Delivered by PHARMAC2015/16(245)(245)(245)(245)(245)
DHB Demographics2014/155,2825,2825,2825,2825,282
Contribution to DHB cost pressures2014/153,7653,7653,7653,7653,765
Aged Residential Care - subsidy increase2014/15393393393393393
Contribution to DHB cost pressures2013/143,9093,9093,9093,9093,909
DHB Demographics2013/142,6532,6532,6532,6532,653
Aged Care and Dementia2013/14331331331331331
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/145555555555

Reasons for Change in Appropriation

This appropriation increased by $16.692 million to $499.456 million for 2017/18 mainly due to:

  • $17.681 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $806,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation403,203403,203418,304

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-14,85214,85214,85214,852
Pharmaceuticals - More Publicly Funded Medicines2017/18-677677474203
DHB Efficiency Savings2017/18-(320)(320)(320)(320)
DHB capital charge rate change 8% to 6%2016/17(1,479)(1,975)(1,975)(1,975)(1,975)
Devolve Hospice Funding to DHBs2016/17395395395395395
Kaikoura and Marlborough Earthquake Relief Package2016/17915----
District Health Boards - Additional Support2016/178,7838,7838,7838,7838,783
More Publically Funded Medicines2016/171,318980980913913
In-between Travel - devolution2015/161,2581,2581,2581,2581,258
District Health Board (DHB) Additional Funding for Pressures2015/1615,31515,31515,31515,31515,315
Improving Hospice Community Palliative Care Services2015/16445445445445445
Reprioritising DHB Savings Delivered by PHARMAC2015/16(515)(515)(515)(515)(515)
DHB Demographics2014/155,8875,8875,8875,8875,887
Contribution to DHB cost pressures2014/153,0933,0933,0933,0933,093
Aged Residential Care - subsidy increase2014/15324324324324324
DHB Demographics2013/146,4746,4746,4746,4746,474
Contribution to DHB cost pressures2013/143,1903,1903,1903,1903,190
Aged Care and Dementia2013/14269269269269269
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/149595959595

Reasons for Change in Appropriation

This appropriation increased by $15.101 million to $418.304 million for 2017/18 mainly due to:

  • $14.852 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $677,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation536,635536,635557,165

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-20,26620,26620,26620,266
Pharmaceuticals - More Publicly Funded Medicines2017/18-923923646277
DHB Efficiency Savings2017/18-(409)(409)(409)(409)
DHB capital charge rate change 8% to 6%2016/17(2,758)(2,758)(2,758)(2,758)
Devolve Hospice Funding to DHBs2016/17673673673673673
Better Health Outcomes in Northland2016/17119----
District Health Boards - Additional Support2016/1725,02225,02225,02225,02225,022
More Publically Funded Medicines2016/171,7901,3311,3311,2391,239
In-between Travel - devolution2015/161,6251,6251,6251,6251,625
District Health Board (DHB) Additional Funding for Pressures2015/1621,71321,71321,71321,71321,713
Improving Hospice Community Palliative Care Services2015/16584584584584584
Reprioritising DHB Savings Delivered by PHARMAC2015/16(734)(734)(734)(734)(734)
DHB Demographics2014/156,2036,2036,2036,2036,203
Contribution to DHB cost pressures2014/153,9893,9893,9893,9893,989
Aged Residential Care - subsidy increase2014/15414414414414414
DHB Demographics2013/146,1736,1736,1736,1736,173
Contribution to DHB cost pressures2013/144,1134,1134,1134,1134,113
Aged Care and Dementia2013/14346346346346346
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14255255255255255

Reasons for Change in Appropriation

This appropriation increased by $20.530 million to $557.165 million for 2017/18 mainly due to:

  • $20.266 million of new funding in the Budget 2017 initiative District Health Boards - Additional Support
  • $923,000 due to the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation171,495171,495178,097

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-6,2486,2486,2486,248
Pharmaceuticals - More Publicly Funded Medicines2017/18-28528519985
DHB Efficiency Savings2017/18-(140)(140)(140)(140)
DHB capital charge rate change 8% to 6%2016/17(757)(757)(757)(757)(757)
Devolve Hospice Funding to DHBs2016/17116116116116116
District Health Boards - Additional Support2016/173,6953,6953,6953,6953,695
More Publically Funded Medicines2016/17558415415386386
In-between Travel - devolution2015/16573573573573573
District Health Board (DHB) Additional Funding for Pressures2015/162,8362,8362,8362,8362,836
Improving Hospice Community Palliative Care Services2015/16189189189189189
Reprioritising DHB Savings Delivered by PHARMAC2015/16(88)(88)(88)(88)(88)
DHB Demographics2014/151,4361,4361,4361,4361,436
Contribution to DHB cost pressures2014/151,3561,3561,3561,3561,356
Aged Residential Care - subsidy increase2014/15141141141141141
DHB Demographics2013/143,7683,7683,7683,7683,768
Contribution to DHB cost pressures2013/141,3891,3891,3891,3891,389
Aged Care and Dementia2013/14118118118118118

Reasons for Change in Appropriation

This appropriation increased by $6.602 million to $178.097 million for 2017/18 mainly due to:

  • $6.248 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $285,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation818,589818,589852,087

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-29,68129,68129,68129,681
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,3521,352947406
DHB Efficiency Savings2017/18-(651)(651)(651)(651)
DHB capital charge rate change 8% to 6%2016/17(3,105)(3,105)(3,105)(3,105)(3,105)
Devolve Hospice Funding to DHBs2016/17935935935935935
District Health Boards - Additional Support2016/1727,25627,25627,25627,25627,256
More Publically Funded Medicines2016/172,6561,9751,9751,8391,839
In-between Travel - devolution2015/162,3092,3092,3092,3092,309
District Health Board (DHB) Additional Funding for Pressures2015/1613,32913,32913,32913,32913,329
Improving Hospice Community Palliative Care Services2015/16882882882882882
Reprioritising DHB Savings Delivered by PHARMAC2015/16(415)(415)(415)(415)(415)
DHB Demographics2014/157,3697,3697,3697,3697,369
Contribution to DHB cost pressures2014/156,3636,3636,3636,3636,363
Aged Residential Care - subsidy increase2014/15658658658658658
DHB Demographics2013/148,6418,6418,6418,6418,641
Contribution to DHB cost pressures2013/146,6236,6236,6236,6236,623
Aged Care and Dementia2013/14550550550550550
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14110110110110110

Reasons for Change in Appropriation

This appropriation increased by $33.498 million to $852.087 million for 2017/18 mainly due to:

  • $29.681 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.352 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation154,032154,032160,113

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-5,6615,6615,6615,661
Pharmaceuticals - More Publicly Funded Medicines2017/18-25825818177
DHB Efficiency Savings2017/18-(120)(120)(120)(120)
DHB capital charge rate change 8% to 6%2016/17(392)(517)(517)(517)(517)
Devolve Hospice Funding to DHBs2016/17172172172172172
District Health Boards - Additional Support2016/177,0547,0547,0547,0547,054
More Publically Funded Medicines2016/17503374374348348
In-between Travel - devolution2015/16367367367367367
District Health Board (DHB) Additional Funding for Pressures2015/162,4872,4872,4872,4872,487
Improving Hospice Community Palliative Care Services2015/16164164164164164
Reprioritising DHB Savings Delivered by PHARMAC2015/16(77)(77)(77)(77)(77)
DHB Demographics2014/151,2211,2211,2211,2211,221
Contribution to DHB cost pressures2014/151,1851,1851,1851,1851,185
Aged Residential Care - subsidy increase2014/15121121121121121
DHB Demographics2013/142,9342,9342,9342,9342,934
Contribution to DHB cost pressures2013/141,2141,2141,2141,2141,214
Aged Care and Dementia2013/14102102102102102
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/144848484848

Reasons for Change in Appropriation

This appropriation increased by $6.081 million to $160.113 million for 2017/18 mainly due to:

  • $5.661 million of new funding in the Budget 2017 initiative District Health Boards - Additional Support
  • $258,000 due to the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation324,724324,724338,959

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-11,61611,61611,61611,616
Pharmaceuticals - More Publicly Funded Medicines2017/18-529529370159
DHB Efficiency Savings2017/18-(258)(258)(258)(258)
DHB capital charge rate change 8% to 6%2016/17(1,003)(1,337)(1,337)(1,337)(1,337)
Devolve Hospice Funding to DHBs2016/17333333333333333
District Health Boards - Additional Support2016/176,9986,9986,9986,9986,998
More Publically Funded Medicines2016/171,041774774721721
In-between Travel - devolution2015/16952952952952952
District Health Board (DHB) Additional Funding for Pressures2015/1613,61013,61013,61013,61013,610
Improving Hospice Community Palliative Care Services2015/16362362362362362
Reprioritising DHB Savings Delivered by PHARMAC2015/16(460)(460)(460)(460)(460)
DHB Demographics2014/153,2083,2083,2083,2083,208
Contribution to DHB cost pressures2014/152,4962,4962,4962,4962,496
Aged Residential Care - subsidy increase2014/15261261261261261
DHB Demographics2013/143,4053,4053,4053,4053,405
Contribution to DHB cost pressures2013/142,5962,5962,5962,5962,596
Aged Care and Dementia2013/14219219219219219
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/146969696969

Reasons for Change in Appropriation

This appropriation increased by $14.235 million to $338.959 million for 2017/18 mainly due to:

  • $11.616 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $529,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.




 

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,088,8001,088,8001,134,739

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-39,52539,52539,52539,525
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,8011,8011,260540
DHB Efficiency Savings2017/18-(827)(827)(827)(827)
DHB capital charge rate change 8% to 6%2016/17(3,508)(4,687)(4,687)(4,687)(4,687)
Devolve Hospice Funding to DHBs2016/171,1781,1781,1781,1781,178
District Health Boards - Additional Support2016/1749,12149,12149,12149,12149,121
More Publically Funded Medicines2016/173,4982,6012,6012,4222,422
In-between Travel - devolution2015/162,9722,9722,9722,9722,972
District Health Board (DHB) Additional Funding for Pressures2015/1643,95743,95743,95743,95743,957
Improving Hospice Community Palliative Care Services2015/161,1581,1581,1581,1581,158
Reprioritising DHB Savings Delivered by PHARMAC2015/16(1,474)(1,474)(1,474)(1,474)(1,474)
DHB Demographics2014/1514,77014,77014,77014,77014,770
Contribution to DHB cost pressures2014/158,0968,0968,0968,0968,096
Aged Residential Care - subsidy increase2014/15835835835835835
DHB Demographics2013/1417,67017,67017,67017,67017,670
Contribution to DHB cost pressures2013/148,4048,4048,4048,4048,404
Aged Care and Dementia2013/14694694694694694
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14384384384384384

Reasons for Change in Appropriation

This appropriation increased by $45.939 million to $1,134.739 million for 2017/18 mainly due to:

  • $39.525 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.801 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation130,946130,946136,657

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-4,7604,7604,7604,760
Pharmaceuticals - More Publicly Funded Medicines2017/18-21721715265
DHB Efficiency Savings2017/18-(104)(104)(104)(104)
DHB capital charge rate change 8% to 6%2016/17(448)(448)(448)(448)(448)
Devolve Hospice Funding to DHBs2016/179393939393
District Health Boards - Additional Support2016/172,8262,8262,8262,8262,826
More Publically Funded Medicines2016/17425316316294294
In-between Travel - devolution2015/16419419419419419
District Health Board (DHB) Additional Funding for Pressures2015/165,4625,4625,4625,4625,462
Improving Hospice Community Palliative Care Services2015/16145145145145145
Reprioritising DHB Savings Delivered by PHARMAC2015/16(185)(185)(185)(185)(185)
DHB Demographics2014/151,4311,4311,4311,4311,431
Contribution to DHB cost pressures2014/151,0031,0031,0031,0031,003
Aged Residential Care - subsidy increase2014/15105105105105105
DHB Demographics2013/142,6702,6702,6702,6702,670
Contribution to DHB cost pressures2013/141,0311,0311,0311,0311,031
Aged Care and Dementia2013/148888888888

Reasons for Change in Appropriation

This appropriation increased by $5.711 million to $136.657 million for 2017/18 mainly due to:

  • $4.760 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $217,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,391,6751,391,6751,450,808

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-49,54449,54449,54449,544
Pharmaceuticals - More Publicly Funded Medicines2017/18-2,2572,2571,580677
DHB Efficiency Savings2017/18-(1,072)(1,072)(1,072)(1,072)
DHB capital charge rate change 8% to 6%2016/17(5,020)(5,020)(5,020)(5,020)(5,020)
Devolve Hospice Funding to DHBs2016/172,6352,6352,6352,6352,635
District Health Boards - Additional Support2016/1743,95043,95043,95043,95043,950
More Publically Funded Medicines2016/174,3723,2513,2513,0273,027
In-between Travel - devolution2015/163,3443,3443,3443,3443,344
District Health Board (DHB) Additional Funding for Pressures2015/1629,89329,89329,89329,89329,893
Improving Hospice Community Palliative Care Services2015/161,4621,4621,4621,4621,462
Reprioritising DHB Savings Delivered by PHARMAC2015/16(965)(965)(965)(965)(965)
DHB Demographics2014/1538,66138,66138,66138,66138,661
Contribution to DHB cost pressures2014/1510,40710,40710,40710,40710,407
Aged Residential Care - subsidy increase2014/151,0831,0831,0831,0831,083
DHB Demographics2013/1417,68917,68917,68917,68917,689
Contribution to DHB cost pressures2013/1410,94310,94310,94310,94310,943
Aged Care and Dementia2013/14888888888888888
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14287287287287287

Reasons for Change in Appropriation

This appropriation increased by $59.133 million to $1,450.808 million for 2017/18 mainly due to:

  • $49.544 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $2.257 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation124,489124,489128,823

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-3,8963,8963,8963,896
Pharmaceuticals - More Publicly Funded Medicines2017/18-17717712453
DHB Efficiency Savings2017/18-(86)(86)(86)(86)
DHB capital charge rate change 8% to 6%2016/17(179)(235)(235)(235)(235)
Devolve Hospice Funding to DHBs2016/17190190190190190
District Health Boards - Additional Support2016/172,6082,6082,6082,6082,608
More Publically Funded Medicines2016/17355264264246246
In-between Travel - devolution2015/16242242242242242
District Health Board (DHB) Additional Funding for Pressures2015/162,0192,0192,0192,0192,019
Improving Hospice Community Palliative Care Services2015/16116116116116116
Reprioritising DHB Savings Delivered by PHARMAC2015/16(64)(64)(64)(64)(64)
DHB Demographics2014/151,8431,8431,8431,8431,843
Contribution to DHB cost pressures2014/15937937937937937
Aged Residential Care - subsidy increase2014/158787878787
Contribution to DHB cost pressures2013/141,0221,0221,0221,0221,022
DHB Demographics2013/14726726726726726
Aged Care and Dementia2013/147373737373

Reasons for Change in Appropriation

This appropriation increased by $4.334 million to $128.823 million for 2017/18 mainly due to:

  • $3.896 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $177,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation210,551210,551218,859

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-7,2677,2677,2677,267
Pharmaceuticals - More Publicly Funded Medicines2017/18-33133123299
DHB Efficiency Savings2017/18-(161)(161)(161)(161)
DHB capital charge rate change 8% to 6%2016/17(561)(745)(745)(745)(745)
Devolve Hospice Funding to DHBs2016/17383383383383383
District Health Boards - Additional Support2016/174,4164,4164,4164,4164,416
More Publically Funded Medicines2016/17651484484449449
In-between Travel - devolution2015/16627627627627627
District Health Board (DHB) Additional Funding for Pressures2015/163,4053,4053,4053,4053,405
Improving Hospice Community Palliative Care Services2015/16219219219219219
Reprioritising DHB Savings Delivered by PHARMAC2015/16(106)(106)(106)(106)(106)
DHB Demographics2014/151,7981,7981,7981,7981,798
Contribution to DHB cost pressures2014/151,6471,6471,6471,6471,647
Aged Residential Care - subsidy increase2014/15165165165165165
Contribution to DHB cost pressures2013/141,7431,7431,7431,7431,743
DHB Demographics2013/141,2161,2161,2161,2161,216
Aged Care and Dementia2013/14142142142142142
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/145555555555

Reasons for Change in Appropriation

This appropriation increased by $8.308 million to $218.859 million for 2017/18 mainly due to:

  • $7.267 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $331,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation185,014184,514186,745

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: the New Zealand health sector is supported to develop a sustainable, flexible, and fit-for-purpose workforce through the funding of clinical training and other initiatives.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Medicine Workforce

The number of first year general practitioner trainees supported by the Ministry of Health funding is equal to or greater than

--180

Percentage of vocationally registered general practitioners trained in New Zealand with support from Ministry of Health funding who are still practising in New Zealand after:

  • two years is equal to or greater than
--80%
  • five years is equal to or greater than
--80%

The number of training units for vocational registrars (excluding general practitioners) supported by Ministry of Health funding is equal to or greater than

--1,206

Percentage of vocationally registered specialist doctors (excluding general practitioners) trained in New Zealand with support from Ministry of Health funding who are still practising in New Zealand after:

  • two years is equal to or greater than
--70%
  • five years is equal to or greater than
--80%

The number of post-graduate year one trainees supported by Ministry of Health funding is equal to or greater than

--490

Percentage of post-graduate year one trainees trained in New Zealand with support from Ministry of Health funding who were still practising in New Zealand after:

  • two years is equal to or greater than
--90%
  • five years is equal to or greater than
--85%

Nursing workforce

The number of Nursing Entry to Practice (NETP) trainees supported by Ministry of Health funding is equal to or greater than

--1,135

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

--163

Midwifery Workforce

The number of midwifery first year of practice trainees supported by Ministry of Health funding is equal to or greater than

--161

Mental Health Workforce

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

--100%

Disability Support Workers

Percentage of disability support workers supported by the Ministry of Health development funding who achieved competency at NZQA qualification levels

--100%

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%

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

--100%

Voluntary Bonding Scheme (VBS)

People are being retained in the scheme: The percentage of registrants who applied for payment in the previous year who applied for payment in the current academic year, where this is allowable under the terms of the scheme

75%75%75%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs122,679122,679Not yet knownOngoing
Royal New Zealand College of General Practitioners21,67021,670Not yet knownOngoing
Te Pou Limited17,15117,151Not yet knownOngoing
New Zealand College of Midwives4,0234,023Not yet knownOngoing
Te Rau Matatini Limited3,5303,505Not yet knownOngoing
Auckland University3,0683,068Not yet knownOngoing
Auckland UniServices Limited2,2802,280Not yet knownOngoing
Otago University2,2472,247Not yet knownOngoing
Other NGO8,3667,391Not yet knownOngoing
Total185,014184,014186,745

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Health Workforce Training and Development - Additional support2017/18-1,9191,9191,9191,919
Health Workforce Training and Development - Additional Support2016/172,7652,6952,6952,6952,695
Workforce: Post-Graduate Education And Training of Doctors2014/155,3145,3147,6587,6587,658

Conditions on Use of Appropriation

ReferenceConditions
Health Practitioners Competence Assurance Act 2003Section 115 sets out conditions for designating health services as a health profession.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation28,74628,74628,746

What is Intended to be Achieved with this Appropriation

This appropriation is intended to protect the rights of people using health and disability services. This includes addressing the concerns of whanau and appropriately investigating alleged breaches of patients' rights.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Health and Disability Commissioner

The performance measures are those contained in the Crown entity's Statement of Performance Expectations

Health Quality and Safety Commission

The performance measures are those contained in the Crown entity's Statement of Performance Expectations

Mental health reviews and inquiries

The percentage of District Mental Health Inspectors' monthly reports, on their duties undertaken, sent to the Director of Mental Health within one month after completion

90%85%90%

The annual report by the Mental Health Review Tribunal, on their duties undertaken, to the Director of Mental Health by the due date (31 October)

--Achieved

The six monthly reports, administered by the Tribunal's secretariat, to the Director of Mental Health by the due dates:

  • report one
--Achieved
  • report two
--Achieved

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

75%55%75%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
Quality & Safety Commission13,47613,476Not yet knownOngoing
Health & Disabilities Commissioner12,07010,920Not yet knownOngoing
Mental Health District Inspectors3,2003,200Not yet knownOngoing
Total28,74628,74628,746

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Severe Acute Maternal Morbidity (SAMM) audit2015/16500500500500500
District Health Inspectors - cost pressures2014/15500500500500500
Health Quality and Safety Commission funding (technical change)2013/1412,97612,97612,97612,97612,976
Health and Disability Commission services2013/14750750750750750

Conditions on Use of Appropriation

ReferenceConditions
Health and Disability Commissioner Act 1994Sections 8-10 provide for the appointment of Commissioners.
New Zealand Public Health and Disability Act 2000The Health Quality and Safety Commission (HQSC) is established under Part 4 (section 59A) of the Act.
Mental Health (Compulsory Assessment and Treatment) Act 1992Section 102, the Mental Health Review Tribunal's primary function is to consider whether patients subject to compulsory treatment orders are mentally disordered as defined by the Act.
Mental Health (Compulsory Assessment and Treatment) Act 1992Section 94, District Inspectors are barristers and solicitors appointed by the Minister of Health to uphold the rights of patients as set out in the Act and under s 98A they report monthly to the Director of Mental Health.

National Child Health Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of child health services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation83,50183,40185,001

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide services that support the development of New Zealand children and establish a foundation for those children to live longer, healthier, and more independent lives.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Infants receive their full Well Child/Tamariki Ora (WCTO) Entitlement

Percent of enrolled infants (0-12 months) who receive all core WCTO contacts (see Note 1)

85%77%85%

Telephone information and advisory services to support the Well Child/Tamaki Ora Framework are delivered (PlunketLine):

  • The percentage of time the phone line service is available 24/7 is greater than or equal to
99%100%99%

B4 School Checks

Percentage of the population delivered B4SCs

90%90%90%

Percentage of the high deprivation population delivered B4SCs

90%90%90%

Note 1: Enrolling with a WCTO provider at birth or as soon as possible thereafter allows sufficient time for WCTO providers to deliver the first core contact on time at around 6 weeks and therefore meet the quality indicator of delivering the full entitlement to children in the first year of life (if core 1 is missed, they are unable to meet the full entitlement measure).

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs26,87227,610Not yet knownOngoing
Royal New Zealand Plunket Society53,59053,590Not yet knownOngoing
Other NGOs3,0392,201Not yet knownOngoing
Total83,50183,40185,001

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
School-Based Health Services - Additional Support2016/177070707070
National Child Health Services - Pressure2015/162,9612,9612,9612,9612,961
Demographic and cost pressures2014/151,6451,6451,6451,6451,645
B4 School Checks - increase target coverage2013/141,7481,7481,7481,7481,748
Children's Action Plan2013/14700700700700700
Well Child2013/143030303030

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 3 of the Act provides for the provision of health and disability services including child health services.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation26,60726,60728,720

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide health-related services that align with Government priorities or the strategic direction for health services (see the Ministry of Health's Statement of Intent) but are out of scope for other national services appropriations in Vote Health. Examples include: funding for the basic operating costs of PHARMAC and the Health Research Council.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

PHARMAC

The performance measures are those contained in the Crown entity's Statement of Performance Expectations

Health Research Council

The performance measures are those contained in the Crown entity's Statement of Performance Expectations

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
PHARMAC21,98821,988Not yet knownOngoing
Other Crown Entities306306Not yet knownOngoing
NGOs4,3133,813Not yet knownOngoing
Total26,60726,10728,720

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Healthy Homes Initiative - Expansion2016/174,5004,5004,5004,5004,500
Other Nationally Purchased Health Services - Additional Support2016/17400400400400400
Palliative Care Community Service Support Roles2015/167,0007,0007,0007,0007,000
Pressures funding for contract lens and chaplaincy services2014/152222222222
Establish National Health Information System appropriation (technical change)2013/14(5,356)(5,356)(5,356)(5,356)(5,356)
Health Quality and Safety Commission (technical change)2013/14(12,976)(12,976)(12,976)(12,976)(12,976)
Establish National Personal Health Services appropriation2013/14(74,710)(74,710)(74,710)(74,710)(74,710)

Reasons for Change in Appropriation

This appropriation increased by $2.113 million to $28.720 million for 2017/18 mainly due to:

  • $1.300 million was transferred to the National Maternity Services appropriation in 2016/17 for pressures on maternity services, with no impact on 2017/18
  • $1.115 million due to the one-off transfer of uncommitted funding from the system integration programme to the Health Services Fund appropriation as part of Budget 2014 4 Year Plan Reprioritisation
  • $1 million was transferred to the Health Workforce Training and Development appropriation for the Voluntary Bonding Scheme in 2016/17, with no impact on 2017/18.

This was partly offset by:

  • $1.302 million was carried forward into 2016/17 for the National Dementia initiative, with no impact on 2017/18.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Pubic Health and Disability Act 2000The Pharmaceutical Management Agency (PHARMAC) is established under Part 4 (sections 46-52) of the Act.

National Disability Support Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of disability support services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,183,8651,183,3651,208,374

Components of the Appropriation

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Residential Care526,920528,642Not yet known
Community Care275,690282,112Not yet known
Environmental Support132,845139,315Not yet known
Funded Family Care6,8658,797Not yet known
Other disability support services241,545224,499Not yet known
Total1,183,8651,183,3651,208,374

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide support for disabled people and their families/whanau to enable them to live good lives.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Needs Assessment and Service Co-ordination

All new eligible Disability Support Services clients are assessed within 20 days of referral is equal to or greater than

80%86%80%

All new clients assessed as being eligible for Ministry-funded support are provided with their support options within 20 days of assessment is equal to or greater than

80%88%85%

Community Support Services

The percentage of self-directed funding arrangements to improve the person's choice, control and flexibility, (eg, Choices in Community Living, Individualised Funding, Enhanced Individualised Funding, Flexible Disability Supports, Personal Budgets and Enabling Good Lives) within the total client population is greater than or equal to

--10%

The percentage of people engaged in early intervention by completing Behaviour Support Treatment Programme to prevent inappropriate behaviour from becoming permanent is greater than or equal to

--75%

Residential to Community Support Services

Percentage of Disability Support Service clients moving from mainstream residential service to community support services increases over time so that the percentage receiving community support services is greater than or equal to

--77%

Environmental Support

The percentage of equipment available and supplied from the Ministry of Health's standardised equipment list to ensure value for money is greater than or equal to

75%78%75%

Quality

The percentage of requirements identified in Disability Support Services purchased audits and evaluations that are actively monitored by the Ministry of Health so that they are implemented by the providers in a timely manner is greater than or equal to

--90%

Stakeholder Engagement

Percentage of stakeholders surveyed assess the engagement and content of the DSS external forums (eg Consumer Consortium, Provider Forums etc.) as meeting expectations or above

--80%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
IDEA Services Limited226,380227,171Not yet knownOngoing
DHBs109,249119,450Not yet knownOngoing
Enable New Zealand (an operating division of MidCentral DHB)68,36480,388Not yet knownOngoing
NZ Care Group61,17565,284Not yet knownOngoing
Manawanui in Charge Ltd49,81053,283Not yet knownOngoing
Spectrum Care Trust44,18650,953Not yet knownOngoing
Geneva Healthcare Limited26,11726,721Not yet knownOngoing
Te Roopu Taurima O Manukau Trust25,58228,727Not yet knownOngoing
Hohepa Services Limited23,16223,914Not yet knownOngoing
Environmental Health Management Services Limited23,03524,739Not yet knownOngoing
Healthcare Of New Zealand22,80424,981Not yet knownOngoing
Community Living Limited20,78020,360Not yet knownOngoing
Other NGOs483,222437,392Not yet knownOngoing
Total1,183,8651,183,3651,208,374

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Disability Support Services - Additional support2017/18-44,56244,56244,56244,562
Funding Emerging Health Sector Risks from Contingency2016/1716,700----
Enabling Good Lives Christchurch And Waikato2016/171,277----
Disability Support Services - Additional Support2016/1742,29642,29642,29642,29642,296
In-Between Travel - Devolution to DHBs2015/16(31,845)(31,845)(31,845)(31,845)(31,845)
In-Between Travel2015/1614,00014,00014,00014,00014,000
Home based support (In-Between Travel)2014/1524,00024,00024,00024,00024,000
Disability Support: Community Residential Services - Pressure2015/1612,30712,30712,30712,30712,307
Disability Support Services - Pressures2015/169,8009,8009,8009,8009,800
Disability Support: Home and Community Support Services - Pressure2015/166,0906,0906,0906,0906,090
Disability Support: Environmental Support Services - Pressure2015/162,2412,2412,2412,2412,241
Disability Support: Other Services and Minimum Wage Increase - Pressure2015/165,6835,6835,6835,6835,683
Disability Support: High and Complex Services Cost Pressure2015/16510510510510510
Enabling Good Lives - Transfer to Vote Social Development2015/16(4,500)----
Demographic and cost pressures2014/1524,81224,81224,81224,81224,812
Vocational services for school leavers with disabilities and very high needs2014/151,5001,5001,5001,5001,500
Enabling Good Lives - Hamilton demonstration2014/151,360----
Aged Residential Care - subsidy increase2014/15400400400400400
Family Caregivers2013/1423,00023,00023,00023,00023,000
Residential Services - demographics2013/1410,15510,15510,15510,15510,155
Sleepovers2013/1410,00010,00010,00010,00010,000
Environmental/community services - demographics2013/144,4304,4304,4304,4304,430
Enabling Good Lives2013/14300300300300300

Reasons for Change in Appropriation

This appropriation increased by $24.509 million to $1,208.374 million for 2017/18 mainly due to:

  • $44.562 million of new funding in the Budget 2017 initiative Disability Support Services - Additional support.

This was partly offset by:

  • $16.700 million was provided for cost pressures, in 2016/17 only, from the Risk Pool for Emerging Health Sector Risks
  • $1.277 million was transferred from Vote Social Development for the Enabling Good Lives pilot in 2016/17.

Conditions on Use of Appropriation

ReferenceConditions
Health and Disability Services (Safety) Act 2001The provision of health and disability services, including rehabilitation services, physiotherapy services; services provided to people with disabilities or people who are frail (whether because of their age or for some other reason), for their care or support or to promote their independence; and rest home care services that are residential care provided for the care or support of, or to promote the independence of, people who are frail.
New Zealand Public Health and Disability Act 2000Sections 70A - 70E provide that the Ministry may pay family members for providing support care to their disabled children only where expressly permitted under an applicable family care policy (or otherwise expressly authorised by law). Section 70E in particular bars complaints of discrimination based on such policies to the Human Rights Commission/courts/tribunals (subject to certain conditions).
Disabled Persons Community Welfare Act 1975Section 25A sets out the right of review for persons in residential care to assess the adequacy of the disability services or whether or not the person's needs are appropriately met.

National Elective Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of elective surgery services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation356,205347,205346,517

What is Intended to be Achieved with this Appropriation

This appropriation is intended to improve access to elective procedures by funding more procedures and improvements to how elective procedures are provided or supported.

How Performance will be Assessed and End of Year Reporting Requirements

The Electives initiative supports agreed levels of delivery of surgical discharges. The Ambulatory initiative supports agreed levels of surgical and medical first specialist assessments, community referred test and some non-admitted procedures. All of these are used to support the delivery of the Health Target. The output is the agreed Health Target discharges, above the base funding for each DHB, which are funded through non-departmental expenditure funding only. This is only a proportion of each DHB's total health target expectation. The Bariatric initiative supports agreed levels of bariatric surgery discharges above DHB base levels. The Quality initiative is targeted funding to support DHBs in maintaining timely access, implementing system change or new models of care to create capacity to elective surgery.

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

General Surgery and Orthopaedics Initiative

DHBs achieve contracted Orthopaedic and General Surgery Initiative volumes

--100%

Mobility Action Programme

Programmes achieve targeted outcomes

--100%

Electives Initiative Discharges (see Note 1)

Auckland DHB

5,2985,2715,271

Bay of Plenty DHB

1,9942,1052,105

Canterbury DHB

5,6055,8525,852

Capital and Coast DHB

2,6232,7062,706

Counties Manukau DHB

3,9864,4094,409

Hawkes Bay DHB

1,5881,6601,660

Hutt Valley DHB

1,1921,3541,354

Lakes DHB

966987987

MidCentral DHB

1,8121,8961,896

Nelson Marlborough DHB

1,3351,4071,407

Northland DHB

1,7961,9171,917

South Canterbury DHB

449479479

Southern DHB

2,5912,7332,733

Tairawhiti DHB

349371371

Taranaki DHB

1,0671,1221,122

Waikato DHB

4,0764,1954,195

Wairarapa DHB

374396396

Waitemata DHB

5,7705,9765,976

West Coast DHB

255272272

Whanganui DHB

559592592

Total Electives Initiative Discharges

43,68545,70045,700

Bariatric Initiative

All 20 DHBs deliver the total volume of bariatric surgery procedures required

--20 DHBs

Quality Initiative

All 20 DHBs deliver quality initiatives that support improved access and timeliness of elective services

--100%

Mobile Surgical Services

Mobile Surgical Services achieved contracted volumes

--100%

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

100%100%100%

Note 1: the 2017/18 targets for the Electives and Ambulatory initiative are indicative. Following the Budget announcements, the Ministry of Health will negotiate the actual targets with the district health boards, to reflect the additional funding made available in Budget 2017.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs345,643345,143Not yet knownOngoing
NGOs10,5622,062Not yet knownOngoing
Total356,205347,205346,517

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Elective Surgery - Government's Health Target2017/18-6,0006,0006,0006,000
Elective Surgery - Government's Health Target2016/1724,00024,00024,00024,00024,000
Additional 2000 Elective Procedures2015/1612,00012,00012,00012,00012,000
More Elective Surgery, Reducing Pain, and Increasing Prevention2015/1627,00012,000---
Electives Health Target - increased discharges2014/1525,00025,00025,00025,00025,000
Electives - bariatric surgery2014/152,5002,500---
National Intestinal Failure Services2014/15300300300300300
Electives - additional 2000 discharges per annum2013/1412,00012,00012,00012,00012,000
Electives - maintain existing volumes2013/1410,00010,00010,00010,00010,000

Reasons for Change in Appropriation

This appropriation decreased by $9.688 million to $346.517 million for 2017/18 mainly due to:

  • $15 million was due to the profile of the Budget 2015 initiative More Elective Surgery, Reducing Pain, And Increasing Prevention, which was $27 million in 2016/17 and $12 million in 2017/18.

This was partly offset by:

  • $6 million for the Budget 2017 initiative Elective Surgery - Government's Health Target.

National Emergency Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of emergency services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation101,050100,550109,958

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide emergency services to assist people who require urgent acute health care (for example, air and road ambulances) are provided in a timely fashion.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Emergency calls are triaged and services dispatched effectively and efficiently:

  • Call response times - percentage of calls answered in 15 seconds
95%95%95%

Ambulance response times - for immediately life-threatening incidents an ambulance reaches the scene within:

  • Urban reached in 8 minutes
50%54%50%
  • Urban reached in 20 minutes
95%96%95%
  • Rural reached in 12 minutes
50%51%50%
  • Rural reached in 30 minutes
95%93%95%

Percentage of air ambulance activations that are within the target times:

  • Day response in 10 minutes
--50%
  • Night response in 20 minutes
--50%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
Order of St John's63,69563,738Not yet knownOngoing
Wellington Free Ambulance Service7,2377,237Not yet knownOngoing
Central Emergency Communications Ltd4,7944,794Not yet knownOngoing
Air Ambulance Providers8,0009,458Not yet knownOngoing
Other17,32415,323Not yet knownOngoing
Total101,050100,550109,958

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Emergency Ambulance Services - additional support2017/18-8,57111,57114,57117,571
Ambulance Services - Additional Support2016/173,7113,7113,7113,7113,711
Ambulance Services - Pressure2015/163,3503,3503,3503,3503,350
Air and road ambulance - demographics and cost pressures2014/152,1362,1362,1362,1362,136
Air ambulances2013/141,8731,8731,8731,8731,873
Whole of Government Radio Network2013/14636636636636636
Ambulance Services2012/131,8501,8501,8501,8501,850

Reasons for Change in Appropriation

This appropriation increased by $8.908 million to $109.958 million for 2017/18 mainly due to $8.571 million of new funding in the Budget 2017 initiative Emergency Ambulance Services - Additional support.

National Health Information Systems (M36)

Scope of Appropriation

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

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation5,4185,4188,236

What is Intended to be Achieved with this Appropriation

This appropriation is intended to fund or purchase health information systems on behalf of the health and social sectors, making that procurement more efficient and effective.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of scheduled updates to the New Zealand Formulary, a key sector independent resource, providing healthcare professionals with the clinically validated medicines for patients, delivered in line with contractual requirements

--100%

DHBs implement the InterRAI Home Care and Contact Assessments tools for assessing the needs of older people to access long-term support services in the community or residential care (see Note 1)

20 DHBs20 DHBs20 DHBs

Note 1: InterRAI is a collaborative network of researchers in over 30 countries committed to improving health care for persons who are elderly, frail, or disabled.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs518518Not yet knownOngoing
New Zealand Medicines Formulary Limited Partnership1,7131,713Not yet knownOngoing
Other NGOs3,1873,187Not yet knownOngoing
Total5,4185,4188,236

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Establish National Health Information Systems - diagnostic system changes2013/144,0004,0004,0004,0004,000
Whanau Ora IT Solutions2013/141,877----
Establish National Health Information Systems - New Zealand Medicines Formulary2013/142,2002,2002,2002,2002,200
Establish National Health Information Systems - InterRAI software implementation2013/141,3561,3561,3561,3561,356
Establish National Health Information Systems - National Immunisation Register (NIR)2013/14486486486486486

Reasons for Change in Appropriation

This appropriation increased by $2.818 million to $8.236 million for 2017/18 mainly due to:

  • $4 million was transferred to the Health Workforce Training and Development appropriation in 2016/17, with no impact on 2017/18.

This was partly offset by:

  • $702,000 was due to the transfer between years for the Electronic Oral Health Records (EOHR), to reflect the expected expenditure profile.

National Maori Health Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of health and disability services that are either for Maori or by Maori.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation3,8283,3286,828

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide support and encouragement for (i) health services provided by Maori, and (ii) for health services for Maori.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Funding and purchasing of services to reduce Maori health disparities and improve Maori health outcomes

Rongoa (traditional Maori healing) services

The percentage of Rongoa providers delivering their minimum contracted number of client contacts

--100%

Provision and funding to support the delivery of health services for Maori

The percentage of providers who deliver services in accordance with their provider contracts with the Ministry of Health

100%100%100%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
NGOs3,8283,328Not yet knownOngoing
Total3,8283,3286,828

Reasons for Change in Appropriation

This appropriation increased by $3 million to $6.828 million for 2017/18 mainly due to $3 million, in 2016/17 only, transferred to fund cost pressures in Public Health Services Purchasing and National Maternity Services appropriations.

National Maternity Services (M36)

Scope of Appropriation

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

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation152,847152,347146,767

What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that women are supported with ante-natal care, care during labour and birth, and post-natal care, so that the health of both mothers and babies is promoted.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Lead Maternity Carer

Lead maternity carers (LMCs) deliver quality maternity services in compliance with the Section 88 Primary Maternity Services Notice 2007 (excludes DHB primary maternity services)

Women giving birth in the year who receive primary maternity services through the section 88 Primary Maternity Services Notice:

  • Percentage of women registered within the first trimester
--73%
  • Total percentage of women
70%93%93%
  • Total number of women based on birth data for the year
40,069 to 30 Dec 201455,00056,000

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs3,6812,285Not yet knownOngoing
Midwives146,861147,757Not yet knownOngoing
NGOs2,3052,305Not yet knownOngoing
Total152,847152,347146,767

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Funding Emerging Health Sector Risks from Contingency2016/172,300----
Community midwives - cost and volume pressures2015/164,8824,8824,8824,8824,882

Reasons for Change in Appropriation

This appropriation decreased by $6.080 million to $146.767 million for 2017/18 mainly due to:

  • $3.080 million for maternity pressures, in 2016/17 only, was transferred from the National Child Health Services, Provider Development, and National Contracted Services - Other appropriations, with no impact on 2017/18
  • $2.300 million was provided for cost pressures, in 2016/17 only, from the Risk Pool for Emerging Health Sector Risks.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 88 sets out the process for giving notice of payment terms or conditions to any person. The Ministry has issued a Notice pursuant to section 88 of the Act, the "Primary Maternity Services Notice 2007," which sets out terms and conditions.

National Mental Health Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of mental health services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation69,66969,16962,183

What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that people are supported with mental health issues, including addiction, and work is undertaken to respond to suicidal behaviour and reduce its impact on communities.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Mental Health Programmes

Inpatient Mental Health Services; national specialist Ashburn clinic: the number of occupied bed days

--7,200

Mental Health Services

Mother/Baby unit: number of occupied day beds

--30

Addictions

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

--2,000

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

--46,000

The number of clients receiving Opioid Substitution Treatment services to overcome their addiction is greater than or equal to

--5,200

Deliver on the Drivers of Crime Action Plan:

Triple P Parenting Programme: the number of practitioners trained

800800800

Triple P Parenting Programme: the number of families receiving an intervention

1,8001,8001,800

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs14,68519,524Not yet knownOngoing
Health Promotion Agency5,3095,309Not yet knownOngoing
ESR1,0081,008Not yet knownOngoing
Ashburn Hall Charitable Trust5,1255,125Not yet knownOngoing
Odyssey House Trust3,5923,592Not yet knownOngoing
The Salvation Army New Zealand Trust2,2862,286Not yet knownOngoing
Te Rau Matatini Limited2,0002,000Not yet knownOngoing
Other NGOs35,66535,665Not yet knownOngoing
Total69,66969,16962,183

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Proceeds of Crime 2016 - Methamphetamine Demand Reduction in Northland2016/175,092----
Responding to Mental Health Concerns at an Earlier Stage2016/173,0003,0003,0003,0003,000
Supporting Health Services in Canterbury2016/171,0001,0001,000--
Mother and baby care2013/145,2005,2005,2005,2005,200
Youth mental health services2013/144,0404,0404,0404,0404,040
Pre-employment Drug Testing2013/141,3981,3981,3981,3981,398

Reasons for Change in Appropriation

This appropriation decreased by $7.486 million to $62.183 million for 2017/18 mainly due to:

  • $5.092 million under the Criminal Proceeds (Recovery) Act 2009 to expand alcohol and drug treatment and reduce demand for methamphetamine in Northland was provided in 2016/17, with no impact on 2017/18
  • $2.801 million for the Youth Forensic In-Patient Unit at Capital and Coast DHB was carried forward to 2016/17, with no impact on 2017/18.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000The Health Promotion Agency (HPA) is established under Part 4 (sections 57-59) of the Act. Section 59 outlines provisions relating to grants, sponsorship, and other matters. Subsection 1 expressly provides that the HPA may, amongst other things, make grants to any entity with which the HPA is engaged and spends funds received the previous year, without further appropriation by Parliament. Subsection 2 sets out conditions or limitations on such spending.
Alcoholism and Drug Addiction Act 1966The Substance Addiction (Compulsory Assessment and Treatment) Act 2017 comes into force on 21 February 2018.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation85,45084,95084,057

Components of the Appropriation

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Cancer Control23,97627,087Not yet known
Helplines22,64923,749Not yet known
Hospice & Palliative Care7,2007,203Not yet known
Other31,62526,911Not yet known
Total85,45084,95084,057

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: people are supported with the identification, management, and treatment of personal health conditions (for example, treatment for cancer, and hospice services).

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Nationally Purchased Personal Health

National telehealth services

Phone line service is available 24/7

99%99%99%

Call abandonment rate (percentage less than)

10%9%10%

Percentage of calls answered within 20 seconds greater than

80%80%80%

Percentage of surveyed callers satisfied or very satisfied with the National Telehealth Service greater than

--95%

Cancer Services

DHBs who receive funding from the Faster cancer treatment service improvement fund implement service improvements to support achievement of the health target for cancer and implement the tumour standards

100%100%100%

Six monthly DHB reports show Palliative Care innovations are being delivered

--100%

High Cost Treatment Pool

The percentage of completed applications managed within three weeks

100%100%100%

Cardiac Services

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

--5 DHBs

Percentage of DHBs achieving the Acute Coronary Syndrome indicators as in the DHB Annual and Regional Plans

--90%

National Renal Transplant Service (NRTS)

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

--10

Diabetes

DHBs report quarterly to show implementation of "Living well with Diabetes' is achieved in line with project plans and quality standards for diabetes care

--100%

Long Term Conditions

Percentage of all DHBs implementing the Long Term Conditions Outcome Framework

--100%

Stroke Services Improvement

All DHBs will provide an organised acute stroke service as recommended in the NZ Clinical guidelines for stroke management

--20

Oral Health Promotion Campaign

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

--1.81

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs36,75941,367Not yet knownOngoing
Homecare Medical (NZ) Limited Partnership31,31131,311Not yet knownOngoing
Interchurch Council for Hospital Chaplaincy2,6842,684Not yet knownOngoing
Accident Compensation Corporation2,0002,000Not yet knownOngoing
Health Promotion Agency2,0002,000Not yet knownOngoing
Other NGOs10,6965,588Not yet knownOngoing
Total85,45084,95084,057

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Organ Donation - National Strategy2017/18-700700700700
Cancer: Faster Cancer Treatment2014/155,6905,3505,3505,3505,350
Oral Health: Better Oral Health Promotion2014/152,5002,5002,5002,5002,500
Organ donation - more renal transplants performed2014/151,0001,0001,0001,0001,000
Establish appropriation - Healthline2013/1415,23815,23815,23815,23815,238
Establish appropriation - hospices2013/1415,00015,00015,00015,00015,000
Establish appropriation - cancer control2013/1414,47114,47114,47114,47114,471
Establish appropriation - CVD/Diabetes2013/145,7845,7845,7845,7845,784
Establish appropriation - Mobile Surgical Services2013/145,6615,6615,6615,6615,661
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/144,3003,1003,1003,1003,100
Establish appropriation - oral health2013/143,0813,0813,0813,0813,081
Establish appropriation - hospital chaplaincy2013/142,8572,8572,8572,8572,857
Establish appropriation - other2013/142,6962,6962,6962,6962,696
Establish appropriation - InterRAI2013/142,6442,6442,6442,6442,644
Prostate Awareness and Quality Improvement Programme2013/141,0501,0501,0501,0501,050
Familial gastrointestinal cancer registry and hospices2013/14500500500500500
Sexual Health2013/14228228228228228

Conditions on Use of Appropriation

ReferenceConditions
 
New Zealand Public Health and Disability Act 2000Section 59 outlines provisions relating to grants, sponsorship, and other matters. Subsection 1 expressly provides that the Health Promotion Agency (HPA) may, amongst other things, make grants to any entity with which the HPA is engaged and spends funds received the previous year, without further appropriation by Parliament. Subsection 2 sets out conditions or limitations on such spending.

Primary Health Care Strategy (M36)

Scope of Appropriation

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

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation185,794185,294195,405

Components of the Appropriation

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
VLCA59,30459,382Not yet known
Care Plus64,33665,114Not yet known
Free Under 13s33,62233,600Not yet known
System Level Measures23,00023,582Not yet known
Other5,5323,616Not yet known
Total185,794185,294195,405

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide accessible primary care services in New Zealand communities, enabling people to live healthier, more independent lives.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Access to affordable primary health care services

The number of high needs patients in Very Low Cost Access (VLCA) practices

--785,000

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

80%99%98%

The number of patients receiving a long term conditions (LTC) service in pharmacies nationally

140,000140,000140,000

Rural retention and locum support

AchievedAchievedAchieved

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs179,780181,678Not yet knownOngoing
The New Zealand Rural General Practice Network Incorporated1,8391,839Not yet knownOngoing
Other NGOs4,1751,777Not yet knownOngoing
Total185,794185,294195,405

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Primary Health Care - Additional support2017/18-9,5859,5859,5859,585
Primary Health Care - Additional Support2016/1714,32914,32914,32914,32914,329
Under 13s - Free Prescriptions & GP Visits2015/1630,00030,00030,00030,00030,000
Primary Health Care - Pressure2015/163,7533,7793,8053,8053,805
Primary care - demographics and contribution to cost pressures2014/153,3253,3253,3253,3253,325
Rural General Practice - flexible funding2014/152,0002,0002,0002,0002,000
Care Plus volume increase and performance incentives2013/146,2006,2006,2006,2006,200

Reasons for Change in Appropriation

This appropriation increased by $9.611 million to $195.405 million for 2017/18 mainly due to $9.585 million of new funding for the Budget 2017 initiative Primary Health Care - Additional support.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation19,86516,06517,521

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide services to reduce the harm caused by problem gambling.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Implementation of the Preventing and Minimising Gambling Harm (PMGH) Strategy

The number of people accessing support from problem gambling services

6,7506,7506,750

The number of brief only interventions delivered

6,0006,0006,000

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
The Salvation Army New Zealand Trust4,7854,785Not yet knownOngoing
Health Promotion Agency3,1803,180Not yet knownOngoing
The Salvation Army New Zealand Trust1,9241,924Not yet knownOngoing
Other NGOs9,9766,176Not yet knownOngoing
Total19,86516,06517,521

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Problem Gambling Services - Continued Support2016/176,9136,9946,914--

Reasons for Change in Appropriation

This appropriation decreased by $2.344 million to $17.521 million for 2017/18 mainly due the carry forward of $2.425 million into 2016/17, with no impact on 2017/18.

Public Health Service Purchasing (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of public health services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation393,311386,311405,471

Components of the Appropriation

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
National Screening Services114,467111,967Not yet known
Nutrition & Physical Activity34,77513,576Not yet known
Emergency Preparedness10,20310,026Not yet known
Tobacco27,58227,932Not yet known
Communicable Diseases29,67027,830Not yet known
Sexual Health21,20621,150Not yet known
Rheumatic Fever12,00112,100Not yet known
Science Purchasing12,21215,540Not yet known
Safe Water Subsidy Scheme15,35610,669Not yet known
Alcohol & Drug15,30415,563Not yet known
Public Health Infrastructure14,58011,118Not yet known
Other Services85,954108,840Not yet known
Total393,311386,311405,471

What is Intended to be Achieved with this Appropriation

This appropriation is intended to support communities with the identification, management, and treatment of public health issues. This includes, for example, health promotion, screening for cancer and other conditions, investigating environmental or border health issues, and identifying and managing communicable diseases.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

National Screening Unit

National Cervical Screening Programme (NCSP) eligible women to be screened every three years

The number of women screened within the last three years, as a proportion of the eligible population (women aged 25 - 69 hysterectomy adjusted)

80%76%80%

The number of Maori women screened within the last three years, as a proportion of the eligible population (Maori women aged 25-69 hysterectomy adjusted)

80%66%80%

The number of Pacific women screened within the last three years, as a proportion of the eligible population (Pacific women aged 25-69 hysterectomy adjusted)

80%77%80%

The number of Asian women screened within the last three years, as a proportion of the eligible population (Asian women aged 25-69 hysterectomy adjusted)

80%64%80%

BreastScreen Aotearoa (BSA) eligible women to be screened every two years

Women screened within the last two years, as a proportion of the eligible population (women aged 45-69 years)

70%71%70%

Maori women screened within the last two years, as a proportion of the eligible population (Maori women aged 45-69 years)

70%64%70%

Pacific women screened within the last two years, as a proportion of the eligible population (Pacific women aged 45-69 years)

70%71%70%

Bowel Screening Programme

Phased implementation of bowel cancer screening programme with the following deliverables to be achieved in 2017/18:

  • implementation in five DHBs
--100%
  • establishment of a National Coordination Centre and
--100%
  • establishment of four Regional Centres
--100%

Better Help for Smokers to Quit Health Target

Primary Care indicator

90%90%90%

Pregnancy indicator

90%90%90%

Environmental and Border Health

Providers of environmental and border protection scientific, surveillance, analysis, and/or advisory services, with contracts over $500,000 per annum, deliver milestones in accordance with contract requirements

95%100%95%

The number of training courses, workshops and forums provided to public health statutory officers from DHB public health units during the year

151615

Services for Children

The proportion of infants exclusively and fully breastfeeding at:

  • Six weeks
75%74%75%
  • Three months
57%56%57%

Other Child and Youth - Violence Intervention Programme

DHBs achieve Violence Intervention Programme benchmark audit scores of 80/100

90%93%90%

DHBs have improved programme responsiveness to Maori as required by the evaluation measurement

90%92%90%

Rheumatic Fever

All 11 District Health Boards (DHBs) with a high incidence of rheumatic fever continue to reduce or maintain their rheumatic fever incidence rates from previous year

--100%

Annual Influenza Immunisation Programme

Number of vaccine doses distributed annually is equal to or greater than

--1.2 million

Percentage of over 65 year-olds immunised

--75%

Sexual and Reproductive Health

New Zealand AIDS Foundation

The percentage of all clients tested for HIV/AIDS who are provided with a pre- and post-counselling session

100%100%100%

Convene and facilitate National HIV/AIDS Forum

AchievedAchievedAchieved

New Zealand Family Planning Association

The percentage of general consultations fully delivered as per contract across the 17 relevant DHB regions

--100%

The percentage of school linked and outreach consultations fully delivered as per contract across the 17 relevant DHB regions

--100%

The percentage of pregnancy/maternity single episode consultations fully delivered as per contract across the 17 relevant DHB regions

--100%

Emergency Preparedness

Maintain emergency management capability and capacity in DHBs (see Note 1)

--Achieved

Contracted providers for the maintenance of the national reserve supply of pandemic stock deliver milestones, in accordance with contractual requirements

--95%

Providers of national road ambulance services deliver emergency management capability and capacity milestones, in accordance with contractual requirements (see Note 2)

--95%

Community Postvention Response

The forecast number of communities, that are experiencing level three cluster suicides, provided support per annum

333

Note 1: Capability and capacity in DHBs - Each DHB develops, maintains and exercises a DHB Health Emergency Plan (HEP) (which meets the DHBs responsibilities under the Civil Defence Emergency Management Act 2002 and the National Health Emergency Plan 2015) and has sufficient numbers of staff trained to support an emergency response.

Note 2: Capability and capacity in road ambulance services - providers maintain emergency plans (that are integrated with other health agency plans) to enable coordinated health care delivery during an emergency, maintain emergency equipment, participate in exercises and have sufficient numbers of staff trained to support an emergency response.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs126,630126,630Not yet knownOngoing
ESR15,16115,161Not yet knownOngoing
New Zealand Family Planning Association Incorporated11,85411,854Not yet knownOngoing
BreastScreen South Ltd9,3529,352Not yet knownOngoing
United Fresh New Zealand Incorporated7,8047,804Not yet knownOngoing
Auckland UniServices Limited5,4125,412Not yet knownOngoing
BreastScreen Auckland Limited4,9264,926Not yet knownOngoing
New Zealand Post Limited4,9004,900Not yet knownOngoing
New Zealand AIDS Foundation Charitable Trust4,2304,230Not yet knownOngoing
Auckland Council4,1314,131Not yet knownOngoing
Pacific Radiology Group Limited3,7933,793Not yet knownOngoing
CBG Health Research Limited3,7303,730Not yet knownOngoing
National Heart Foundation of NZ - Auckland3,5143,514Not yet knownOngoing
Needle Exchange Services Trust Incorporated2,2042,204Not yet knownOngoing
Other NGOs185,670178,670Not yet knownOngoing
Total393,311386,311405,471

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
National Bowel Screening Programme2017/181647,2386,2825,7016,898
Water Fluoridation (Assistance)2017/18-3,0003,0003,0003,000
Contraceptive Services for Low Income Women2017/18-1,3803,8805,8805,880
Primary Care Services2015/163,9043,9043,9043,9043,904
Intensive Alcohol and Drug Support for Pregnant Women - Extension of Services2016/173,0003,0003,0003,0003,000
Public Health Services - Additional Support2016/171,5591,5591,5591,5591,559
National Bowel Screening Programme Establishment2016/176,4566,6163,0722,8202,820
Bowel Cancer Screening Pilot Extension2015/166,0003,000---
Public Health - Pressure2015/164,2184,2184,2184,2184,218
Healthy Families New Zealand2014/159,0009,0009,0009,0009,000
Public health demographic and cost pressures2014/153,9253,9253,9253,9253,925
NZ Health Survey - biomedical testing2014/15289289289289289
Rheumatic Fever2013/1410,0005,0005,0005,0005,000
Screening services - volume increases2013/146,2836,2836,2836,2836,283
Immunisation2013/143,0353,0353,0353,0353,035
Public Health Units - volumes and infrastructure2013/141,1501,1501,1501,1501,150
Establish National Health Information System appropriation (technical change)2013/14(2,686)(2,686)(2,686)(2,686)(2,686)
Establish National Personal Health Services appropriation (technical change)2013/14(5,885)(5,885)(5,885)(5,885)(5,885)

Reasons for Change in Appropriation

This appropriation increased by $12.160 million to $405.471 million for 2017/18 mainly due to:

  • $19.197 million was due to the transfer of funding for the Sanitary Works Subsidy Scheme from 2016/17 to 2017/18 to match the expected profile of payments under the scheme
  • $7.234 million for the Budget 2017 initiative National Bowel Screening Programme
  • $3 million for the Budget 2017 initiative Water Fluoridation (Assistance)
  • $1.380 million for the Budget 2017 initiative Contraceptive Services for Low Income Women.

This was partly offset by:

  • $7.100 million was due to the end of time limited funding for the Rheumatic Fever Prevention Programme
  • $5.664 million was due to transfers between years for the Drinking Water Subsidy Scheme and Assistance Programme.

Supporting Equitable Pay for Care and Support Workers (M36)

Scope of Appropriation

This appropriation is limited to costs related to workers in the care and support sector, incurred as a result of legislation giving effect to the pay equity settlement with care and support workers.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation--279,000

What is Intended to be Achieved with this Appropriation

This appropriation is intended to support the achievement of pay equity in the care and support sector.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)(ii) of the PFA as end-of-year performance information for the appropriation is not likely to be informative as this appropriation is an interim measure to enable providers to be reimbursed for additional costs incurred in relation to the care and support worker pay equity settlement.

Note: Performance information for National Disability Support Services will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations; and performance information for aged residential care services purchased by DHBs can be found in DHBs' Annual Reports.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Equitable Pay for Care and Support Workers2017/18-279,000348,000377,000356,000

Reasons for Change in Appropriation

This is a newly established appropriation of $279 million for the Budget 2017 initiative Equitable Pay for Care and Support Workers.

3.4 - Non-Departmental Other Expenses

International Health Organisations (M36)

Scope of Appropriation

This appropriation is limited to the Crown funding New Zealand's World Health Organization (WHO) membership and contributing to specific WHO projects.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation2,0302,0302,030

What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that New Zealand maintains its membership in the World Health Organization (WHO) and contributes to specific WHO projects.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)(iii) of the PFA as the amount of the appropriation is less than $5 million.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
World Health Organization (WHO)2,0302,0302,030Ongoing

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,0287781,028

What is Intended to be Achieved with this Appropriation

This appropriation is intended to enable action to be taken regarding legal claims related to Vote Health, and these are funded and appropriate settlements are made, as appropriate.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)(iii) of the PFA as the amount of the appropriation is less than $5 million.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation24,43423,43424,289

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide for third-party health services, particularly those providing predominantly for Maori and Pacific peoples, to be supported to become more effective, efficient, and sustainable.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

To support Maori Providers to build their capability and capacity

The number of Maori Providers contracted for development activities

--135

Percentage of Maori Providers that demonstrate improved management, access or quality of services through Results Based Accountability (RBA) reporting

--90%

Hauora Maori Scholarships - To support Maori students onto a health career pathway

The number of students funded to undertake training towards a Health career

--520

Te Ao Auahatanga Hauora Maori - Innovation Funds

The number of Maori Providers contracted to implement innovations

--30

Percentage of Maori Providers that engage an evaluator in the establishment phase of their innovation programme

--90%

Pacific Provider Development

To recruit and retain Pacific health professionals onto a health career pathway

The number of Pacific students funded through the Ministry of Health Pacific Health Scholarships is at least

--160

The percentage course completion for students through the Postgraduate Certificate in Specialty Care (Pacific Health), Postgraduate Diploma in Specialty Care (Pacific Health) and Master of Nursing Health Programme is at least

--80%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs1,8552,473Not yet knownOngoing
Alliance Health Plus Trust1,3501,350Not yet knownOngoing
Pacific Perspectives Limited1,2701,270Not yet knownOngoing
NGOs19,95918,341Not yet knownOngoing
Total24,43423,43424,289


Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Pacific Provider2013/141,125----

3.5 - Non-Departmental Capital Expenditure

Deficit Support for DHBs (M36)

Scope of Appropriation

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

Capital Expenditure

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation74,62474,62450,000

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: DHBs are supported to maintain their working capital.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted under s15D(2)(b)(ii) of the PFA as the end-of-year performance information for the appropriation is not likely to be informative in the light of the nature of the transaction or causal event giving rise to the capital expenditure because the funding is, in essence, a contingency.

Note that DHBs will report performance information in their Annual Reports.

Reasons for Change in Appropriation

This appropriation decreased by $24.624 million to $50 million for 2017/18 mainly due to $24.624 million carried forward to 2016/17, to provide balance sheet support for DHBs incurring deficits, with no impact on 2017/18.

Conditions on Use of Appropriation

All expenditure from this appropriation requires the joint agreement of the Minister of Health and the Minister of Finance.

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.

Capital Expenditure

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation2,722,3452,682,345303,388

What is Intended to be Achieved with this Appropriation

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

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

DHB seeking equity funding for approved business cases receive that funding

100%100%100%

End of Year Performance Reporting

The DHBs will report performance information for this appropriation in their Annual Reports.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
DHB Capital Investment Pool2017/18-150,000---
Convert DHB debt to equity2016/172,415,000----
Canterbury Hospital Rebuild (to Health Sector Projects)2014/15(186,000)----
Transfer to align with forecast expenditure2013/14221,000----

Reasons for Change in Appropriation

This appropriation decreased by $2,418.957 million to $303.388 million for 2017/18 mainly due to:

  • $2,415 million was provided in 2016/17 only due to Cabinets agreement to convert existing Crown debt to equity; this had no impact on 2017/18. Note that this was fiscally neutral to the Crown
  • $150 million for the Budget 2017 initiative DHB Capital Investment Pool.

Note: Equity funding is appropriated so that the cost of capital projects can be met. Unspent funding is carried forward (to meet the expenditure profile of agreed projects) and to enable the funding of future projects (subject to their approval through the Government's capital process).

Health Sector Projects (M36)

Scope of Appropriation

This appropriation is limited to the provision or purchase of health sector assets.

Capital Expenditure

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation241,059211,059288,108

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide for capital projects delivered on behalf of the Crown, supporting heath sector organisations to deliver health services for New Zealanders.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

All Cabinet approved hospital redevelopment project meets project milestones

100%100%100%

End of Year Performance Reporting

This non-departmental capital appropriation will be reported on in the Minister's report on Vote Health appropriations used for purchasing outputs supplied by third-party service providers that do not report directly to Parliament on that expenditure (this was previously known as the section 32a report).

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Canterbury Hospital Rebuild (to Health Sector Projects)2014/15186,000----

Reasons for Change in Appropriation

This appropriation increased by $47.049 million to $288.108 million for 2017/18 mainly due to transfers between years for the Canterbury and West Coast hospital development.

Note: Funding is appropriated so that the cost of health sector capital projects can be met. Unspent funding is carried forward to meet the expenditure profile of the agreed projects.

Residential Care Loans - Payments (M36)

Scope of Appropriation

This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities.

Capital Expenditure

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation15,00015,00015,000

What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that New Zealanders who are entering residential care facilities receive an appropriate level of financial assistance so they can afford that care.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Percentage of entitled people are able to access residential care loans

--100%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

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.

Expenses, Revenue and Capital Expenditure

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000

Total Appropriation

20,70920,50920,991

Departmental Output Expenses

Ministerial Servicing4,7064,6064,702
Policy Advice16,00315,90316,289

Funding for Departmental Output Expenses

Revenue from the Crown

20,70920,70920,991
Ministerial Servicing4,7064,7064,702
Policy Advice16,00316,00316,289

What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that Ministers are supported and advised so they can discharge their portfolio responsibilities.

How Performance will be Assessed for this Appropriation

2016/172017/18
Assessment of Performance Final Budgeted
Standard
Estimated
Actual
Budget
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%98%96%

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

96%83%96%

The percentage of Ministerial letters that required no revision

98%99%98%

The percentage of responses to Official Information Act requests provided to the Minister within the agreed timeframe (for requests made to the Minister) or to the requestor within the statutory timeframe, including where extended in line with the Act (for requests made to the Ministry)

95%88%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

The average score attained by written policy advice as assessed by an external reviewer

greater than 7 out of 107/10greater than 7 out of 10

Total policy function cost per output hour

$165 to $175$175$175-$185

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Published 25 May 2017
Page updated 11 Oct 2017

The Estimates contain requests from Vote Ministers for appropriations.

The Estimates outlines for the financial year about to start (the Budget year) expenses and capital expenditure the Government plans to incur on specified areas within each Vote, and capital injections it plans to make to individual departments.  The Estimates is organised into 10 sector volumes, with each Vote allocated to one sector.  Supporting information in the Estimates summarises the new policy initiatives and trend information for each Vote and provides information on what is intended to be achieved with each appropriation in a Vote and how performance against each appropriation will be assessed and reported on after the end of the Budget year.

See Budget Data for Excel workbooks containing the data published in the Estimates of Appropriations 2017/18.

See also the Summary Tables for the Estimates of Appropriations 2017/18.

 

Chapters of the Health Sector volume of the Estimates of Appropriations 2017/18 are available in PDF and HTML format.

Using PDF Files

Contents

Introduction

Purpose of the Estimates of Appropriations

The Estimates of Appropriations (the Estimates) provides members of Parliament with:

  • Details of the terms of all proposed appropriations and of capital injections to departments and Offices of Parliament.
  • Supporting information providing for each appropriation or category of a multi-category appropriation:
    • a concise explanation of what is intended to be achieved, and
    • (unless an appropriation has been exempted from end-of-year performance reporting)
      • a concise explanation of how performance will be assessed
      • who will report on what was achieved with the appropriation, and
      • in what document that report will be presented to the House of Representatives.

The information ensures that Parliament can exercise an appropriate level of scrutiny and control over the Government's operating and investing activities and provides a basis against which Parliament can, after the end of the financial year, assess actual performance against each appropriation (or category of a multi-category appropriation).

The 10 sector volumes of the Estimates are presented to the House of Representatives on the same day as the Government introduces the main Appropriation Bill for each financial year.

How the Estimates of Appropriations are Organised

The Estimates of Appropriations is organised into 10 volumes (B.5 Vols 1-10) by sector, each of which covers one or more Votes. The scope of each sector and the allocation of Votes to a sector reflect a balancing of three desired characteristics - namely that each volume should, as far as possible:

  • reflect natural sectors
  • keep together Votes administered by the same department, and
  • keep together Votes allocated to a particular select committee of the House of Representatives for examination.

The number of sectors and coverage of each sector was set initially in consultation with the Finance and Expenditure Committee.

The number of Votes has increased from 44 in the 2016/17 Estimates of Appropriations to 46 for 2017/18 as:

  • Vote Vulnerable Children, Oranga Tamariki was created on 1 April 2017 (and included in the 2016/17 Supplementary Estimates) consequent on the establishment of the Ministry for Vulnerable Children, Oranga Tamariki
  • Vote Social Housing has been created by transferring relevant appropriations from Vote Social Development and Vote Building and Housing.

The table below shows the Votes in each sector and which department (or Office of Parliament) administers each Vote.

Votes in Each Sector

Votes by Sector Department Administering Vote(s)
Economic Development and Infrastructure Sector - B.5 Vol.1  
Vote Business, Science and Innovation Ministry of Business, Innovation and Employment
Vote Labour Market  
Vote Transport Ministry of Transport
Education Sector - B.5 Vol.2  
Vote Education Ministry of Education
Vote Tertiary Education  
Vote Education Review Office Education Review Office
Environment Sector - B.5 Vol.3  
Vote Environment Ministry for the Environment
Vote Conservation Department of Conservation
Vote Parliamentary Commissioner for the Environment Parliamentary Commissioner for the Environment
External Sector - B.5 Vol.4  
Vote Foreign Affairs and Trade Ministry of Foreign Affairs and Trade
Vote Official Development Assistance  
Vote Defence Ministry of Defence
Vote Defence Force New Zealand Defence Force
Vote Customs New Zealand Customs Service
Finance and Government Administration Sector - B.5 Vol.5  
Vote Prime Minister and Cabinet Department of the Prime Minister and Cabinet
Vote Communications Security and Intelligence Government Communications Security Bureau
Vote Security Intelligence New Zealand Security Intelligence Service
Vote State Services State Services Commission
Vote Finance The Treasury
Vote Revenue Inland Revenue Department
Vote Office of the Clerk Office of the Clerk of the House of Representatives
Vote Parliamentary Service Parliamentary Service
Vote Audit Controller and Auditor-General
Vote Ombudsmen Office of the Ombudsman
Health Sector - B.5 Vol.6  
Vote Health Ministry of Health
Justice Sector - B.5 Vol.7  
Vote Justice Ministry of Justice
Vote Courts  
Vote Corrections Department of Corrections
Vote Police New Zealand Police
Vote Serious Fraud Serious Fraud Office
Vote Attorney-General Crown Law Office
Vote Parliamentary Counsel Parliamentary Counsel Office
Māori, Other Populations and Cultural Sector - B.5 Vol.8  
Vote Māori Development Te Puni Kōkiri
Vote Treaty Negotiations Ministry of Justice
Vote Pacific Peoples Ministry for Pacific Peoples
Vote Women Ministry for Women
Vote Statistics Statistics New Zealand
Vote Internal Affairs Department of Internal Affairs
Vote Arts, Culture and Heritage Ministry for Culture and Heritage
Vote Sport and Recreation  
Primary Sector - B.5 Vol.9  
Vote Primary Industries and Food Safety Ministry for Primary Industries
Vote Lands Land Information New Zealand
Social Development and Housing Sector - B.5 Vol.10  
Vote Social Development Ministry of Social Development
Vote Social Housing  
Vote Vulnerable Children, Oranga Tamariki Ministry for Vulnerable Children, Oranga Tamariki
Vote Building and Housing Ministry of Business, Innovation and Employment

Appropriations

Purpose and Nature of Appropriations

An appropriation is a statutory authority from Parliament allowing the Crown or an Office of Parliament to incur expenses or capital expenditure.

Neither the Crown nor an Office of Parliament can legally incur any expense or capital expenditure - as those terms are defined in the Public Finance Act 1989 (PFA) - unless it is expressly authorised by or under an Act of Parliament.

Limits Created by Appropriations

Each appropriation is allocated to, and managed as, one of seven types of appropriation.

Each appropriation has a defined scope that limits the uses or activities for which the expenses or capital expenditure can be incurred. The scope should be sufficient on its own to establish the nature and extent of the authority to incur expenses or capital expenditure. The wording of the appropriation scope should achieve the balance between being sufficiently precise to act as an effective constraint against non-authorised activities and not so specific that it inadvertently limits activity intended to be authorised.

Except in a very limited number of cases (eg, permanent appropriations or revenue dependent appropriations) an appropriation also limits the amount of expenses or capital expenditure that can be incurred, and the time period within which those expenses or capital expenditure can be incurred.

Aside from the very limited exclusions provided for in the PFA, the amount of expense or capital expenditure authorised by an appropriation is measured in accordance with generally accepted accounting practice.

Responsibility for Appropriations

The PFA requires each appropriation to be the responsibility of one Minister (or the Speaker) and to be administered by one department (or an Office of Parliament).

A Vote is a group of appropriations (and can be a single appropriation) administered by a single department or Office of Parliament. Different appropriations within a Vote may be the responsibility of different Ministers.

Types of Appropriation

The PFA provides for seven types of appropriation. Four appropriation types authorise the incurring of expenses; one type authorises the incurring of capital expenditure; and the remaining types authorise both. These appropriation types can be further differentiated by whether the expenses or capital expenditure are departmental or non-departmental transactions.

Appropriation Type Transaction Status Description
Output Expenses Departmental Authorises expenses to be incurred by a department or an Office of Parliament in supplying a specified category of outputs (goods and services).
  Non-Departmental Authorises expenses to be incurred by the Crown (excluding departments) in purchasing a specified category of outputs (goods and services) from Crown entities or other third parties.
Benefits or Related Expenses Non-Departmental

Authorises expenses to be incurred by the Crown (excluding departments) in transferring resources (generally to individuals for their personal benefit) for which the Crown receives nothing directly in return.

Examples include Jobseeker Support and Emergency Benefit, Student Allowances and various scholarships and awards.

Borrowing Expenses Departmental

Authorises the incurring of interest or other financing expenses for loans made to a department or an Office of Parliament, or public securities (undertakings that represent part of the public debt) issued by a department or an Office of Parliament.

In practice, limitations on the rights of departments to borrow or issue securities and limitations on how Offices of Parliament can be funded mean that this type of appropriation is unlikely to be used.

  Non-Departmental

Authorises the incurring of interest or other financing expenses for loans made to the Crown (excluding departments), or public securities (undertakings that represent part of the public debt) issued by the Crown.

Crown debt management is centralised, which means that most debt-servicing expenses appear in Vote Finance.

Other Expenses Departmental

Authorises expenses to be incurred by a department or an Office of Parliament that are not either output expenses or borrowing expenses.

Other expenses should be used only for events that cannot be related back to output production, such as redundancy costs arising from a government decision to cease purchasing certain types of outputs, or a loss on sale of assets made surplus by departmental restructuring.

  Non-Departmental

Authorises expenses to be incurred by the Crown (excluding departments) that are not structured or managed as output expenses, benefits or related expenses, or borrowing expenses.

Other expenses is the residual appropriation type, which should not be used where an appropriation could be better classified or managed as one of the other appropriation types (eg, as output expenses).

Examples include disposal of an asset for less than market value, grants to community organisations, subscriptions for membership of international bodies and remuneration of independent statutory officers.

Capital expenditure Departmental Authorises capital expenditure to be incurred by a department or an Office of Parliament to acquire or develop assets for the use of the department.
  Non-Departmental Authorises capital expenditure to be incurred by the Crown (excluding departments) to acquire or develop Crown assets, including the purchase of equity, or making a loan to a person or organisation that is not a department.
Expenses or Capital expenditure Incurred by an Intelligence and Security Department Departmental Authorises both expenses and capital expenditure to be incurred by the New Zealand Security Intelligence Service or the Government Communications Security Bureau.
Multi-Category Appropriations Departmental or
Non-Departmental
Allows separate categories of departmental output expenses, non-departmental output expenses, departmental other expenses, non-departmental other expenses, or non-departmental capital expenditure to be grouped together in one appropriation provided all the categories contribute to a single overarching purpose.

Types of Output Expense Appropriations

Some variation is possible for output expense appropriations. For example, the constraint on the amount of expense that can be incurred is not always a fixed sum.

Output Expense Appropriations Type and Authority Description, Constraints on Form and Typical Application

Standard Output Expense Appropriations

(section 7A(1)(a), Public Finance Act 1989)

Departmental or non-departmental:  Authorise a department or an Office of Parliament to incur expenses in supplying a specified category of outputs (goods and services), or the Crown (excluding departments) to incur expenses to purchase a specified category of outputs.

Annual or multi-year:  The authority lapses at the end of the financial year or multi-year period specified.

Single category of output expenses only:  The scope is limited to a single category of outputs (a grouping of similar or related outputs).

Amount limited by Appropriation Act: The amount of a standard output expense appropriation is limited to a set amount of New Zealand dollars specified in an Appropriation Act.

Typical application:  The normal or default form for an output expense appropriation, used for a wide range of outputs for which the flexibility offered by a multi-category appropriation is not required.

Revenue-Dependent Appropriations (RDA)

(section 21(1), Public Finance Act 1989)

Departmental only:  Authorises a department or an Office of Parliament to incur expenses in supplying a specified category of outputs (goods and services) that are not paid for directly by the Crown.

A proposed RDA must be approved by the Minister of Finance, before it is presented in the Estimates.  Each category of outputs for which an RDA is approved is listed in an Appropriation Act for the relevant financial year.

Annual only:  The authority lapses at the end of the financial year specified.

Single category of output expenses only:  The scope of an RDA is limited to a single category of outputs (a grouping of similar or related outputs).

Amount limited by amount of revenue earned:  The amount of an RDA is limited tothe amount of revenue earned by a department or an Office of Parliament from other departments or from parties other than the Crown during a financial year.  The Minister of Finance can further direct a department to incur expenses to a level lower than the amount of revenue earned, though such directions have been rare.

Typical application:  An RDA provides flexibility to respond to unanticipated changes in the level of external demand for a category of outputs, where the full cost of the outputs is met by external parties and not the Crown.

Appropriation Period

Three kinds of appropriation can be distinguished on the basis of period - annual and multi-year (as referred to in the above table on types of output expense appropriations), and permanent:

  • Annual Appropriations - Most appropriations allow expenses or capital expenditure to be incurred only during a particular financial year. The amounts for RDAs are forecasts only.
  • Multi-Year Appropriations (MYAs) - The PFA also permits appropriations that allow expenses or capital expenditure to be incurred during a specified period that spans the whole or parts of more than one financial year, but no more than five financial years.
  • Permanent Appropriations (sometimes referred to as permanent legislative authorities or PLAs) -Permanent appropriations are authorised by legislation other than an Appropriation Act and continue in effect until revoked by Parliament. Generally the authorising legislation will impose limits on the scope of the appropriation and not its amount. For those appropriations with limits set in cash terms, section 11(2) of the Public Finance Act 1989 requires that they be reported on an accrual basis. The usual legislative wording allows for expenses to be incurred for the purpose specified in the legislation “without further appropriation than this section”. The scope of a permanent appropriation will reference the relevant section of the authorising legislation.

Types of Crown Revenue and Capital Receipts

An operating and capital split also applies to Crown revenue and receipts. The following table outlines the three Crown revenue/receipt types:

Crown Revenue Type Transaction Status Description
Tax Revenue Non-Departmental Tax payable to the Crown, such as Income Tax, GST and Fringe Benefit Tax.
Non-Tax Revenue Non-Departmental Revenue earned by the Crown from its investing and other operating activities.  Examples include interest income, capital charges and dividends from State-owned enterprises.
Capital Receipts Non-Departmental

Capital received by the Crown:

  • when loans are raised (which appear in Vote Finance) or repayments of principal are made on debts owed to the Crown (for example, in Vote Social Development), or
  • when capital assets are sold.

Capital Injections and Movements in Net Assets

A capital injection is an investment by the Crown in a department (or an Office of Parliament), which increases the department's net asset balance. Section 12A of the PFA requires capital injections to departments or an Office of Parliament to be authorised under an Appropriation Act.

Further information on capital injections and other movements in a department's net asset balance appears in the Estimates in a Vote that has appropriations belonging to a department's responsible Minister. The movements reconcile a department's opening and closing net asset balances. This makes it easier to see the balance sheet flows.

Movement Type Description
Capital injections Investment by the Crown in a department, which increases the department's closing net asset balance.
Capital withdrawals Returns of capital by a department to the Crown, which reduce the department's closing net asset balance.
Surplus to be retained/(deficit incurred) The net surplus forecast to be retained by a department from its operations for a financial year in accordance with section 22(1) of the PFA, or the forecast deficit for the department.  A surplus or deficit will, respectively, increase or decrease the department's closing net asset balance.
Other movements This section is for any other movements that will affect the department's net asset balance. For example movements in asset revaluation reserves.

Guide to Reading the Estimates of Appropriations

After the introduction in each sector volume, the following information is provided, where applicable, for each Vote within the sector.

Title page The title page specifies the appropriation Minister(s) responsible for existing and proposed appropriations in the Vote, the appropriation administrator, and the responsible Minister for the department.
Overview A plain-language overview of the focus of the appropriations in the Vote.
Details of each appropriation and capital injection

One or more tables containing information on each appropriation in a Vote:

Annual and Permanent Appropriations - The title, scope, and amount of each annual and permanent appropriation, the title and single overarching purpose of each multi-category appropriation and the title, scope and forecast amount of each category within a multi-category appropriation.

  • The 2016/17 Final Budgeted column shows the amount in the 2016/17 Estimates varied by any change in the 2016/17 Supplementary Estimates.
  • The 2016/17 Estimated Actual column shows the estimated amount that will have been spent against each appropriation (or category within a multi-category appropriation) by the end of the 2016/17 financial year.
  • In the 2017/18 Budget column, the annual amounts for which parliamentary authority is sought in the Appropriation (2017/18 Estimates) Bill appear in bold type. As permanent appropriations have already been approved by Parliament, their amounts are forecasts, not a limit, so are not shown in bold type.

Multi-Year Appropriations - The type, title, scope and amount of each MYA , including any adjustments since originally appropriated, amounts incurred or estimated for particular years, and the estimated remaining balance.

Total Annual, Permanent and Multi-Year Appropriations - The Total Annual and Permanent Appropriations and MYA forecasts by appropriation type. This table summarises total appropriations, or forecasts for MYAs for the Vote.

Capital Injection Authorisations - The name of the department seeking the additional capital.

  • The 2016/17 Final Budgeted column shows the amount in the 2016/17 Estimates varied by any change in the 2016/17 Supplementary Estimates
  • The 2016/17 Estimated Actual amount is the estimated amount of capital injection that will have been made to the department/Office by the end of the 2016/17 financial year.
  • The 2017/18 Budget amount is the amount for which parliamentary authority is sought in the Appropriation (2017/18 Estimates) Bill and appears in bold type.

Supporting information

 
Part 1 - Vote as a Whole

Part 1.1 New Policy initiatives - A table showing how new initiatives (if any) and the associated expenses or capital expenditure are allocated to appropriations in the Vote. References are included where appropriations in other Votes are affected by the same initiative.

Part 1.2 Trends in the Vote- A presentation of the actual and estimated trends in the Vote.

Summary of Financial Activity - A table showing financial information for the Vote over the preceding five years (actual, budgeted or estimated actual), the current year (Budget) and the following three years (estimated) for each type of appropriation and Crown revenue and capital receipts.  Where Votes have been combined or separated, appropriations have been moved into/out of a Vote, or where categories of expenses or capital expenditure have been moved into/out of a multi-category appropriation, to the extent practicable the information in the table is restated as if these adjustments had occurred before the beginning of the period covered by the table.

Adjustments to the Summary of Financial Activity - A table showing any restated adjustments made to the preceding five years of the Summary of Financial Activity table. Where no restatement has occurred, a statement to this effect is inserted under this sub-heading.

Part 1.3 Analysis of Significant Trends - High-level analysis of appropriations and Crown revenue and capital receipts by type over the nine financial years covered by the Summary of Financial Activity table, explanations of significant changes and may also contain graphical presentations.

Part 1.4 Reconciliation of Changes in Appropriation Structure - A table providing a reconciliation and explanation of any changes in the structure or classification of appropriations (and categories within MCAs) made in the Budget year to facilitate traceability of expenditure between financial years.

Part 1.5 Relationship between individual Appropriations and the Work Programme - An optional table to be used when the relationship between individual Appropriations and the Work Programmeis not readily apparent from the information provided elsewhere in the supporting information.

Guide to Reading the Estimates of Appropriations (continued)

Parts 2-4 Information Provided for each Appropriation or Capital Injection
(where applicable)
Part 2- Departmental Appropriations Part 3 - Non-Departmental Appropriations

Part 4 - MCAs
  Part 2.1
Output Expenses
Part 2.2
Other Expenses*
Part 2.3
Capital Expenditure and Capital Injections**
Part 3.1
Output Expenses
Part 3.2
Benefits or Related Expenses
Part 3.3
Borrowing Expenses
Part 3.4
Other Expenses
Part 3.5
Capital Expenditure
Part 4
Expenses and Capital Expenditure
Title of the appropriation.
The scope of the appropriation. N/A
The single overarching purpose statement for an MCA. N/A N/A N/A N/A N/A N/A N/A N/A
The scope of each category in a multi-category appropriation. N/A N/A N/A N/A N/A N/A N/A N/A
A table showing the budgeted amount and estimated actual expenditure for the previous financial year, and the budgeted amount for the appropriation for the current financial year. ✓ and revenue sources ✓ for capital expenditure




Components of the appropriation or category (where applicable). This information, while not required by the PFA, allows for more meaningful information to be provided where the expense is more than $50 million. N/A N/A




Comparators for restructured appropriations or categories (where applicable). N/A
What is intended to be achieved with each appropriation.
How performance will be assessed for each appropriation (or a statement of why the appropriation has been exempted from this requirement).

N/A
What is intended to be achieved with each category of an MCA, and (if not exempted from reporting) how performance will be assessed. N/A N/A N/A N/A

N/A N/A N/A N/A
Which appropriation Minister or agency will report at the end-of-year on the performance of the appropriation (if not exempted from reporting) and the name of the document in which the information will be presented to the House.


N/A
Service providers table (or text if there is only one service provider), which identifies the main service providers for each non-departmental output expense and non-departmental other expense appropriations. N/A N/A N/A





N/A N/A N/A
Current and past policy initiatives (if any). The current and past policy initiatives tables provides a five-year history of announced initiatives that impact on the Budget year, the preceding year, and the following three years. N/A





Reasons for change, which explain significant changes of amounts of an appropriation between years (if any).

Conditions on use of appropriation, which can include administrative criteria and processes contained in legislation, regulation and Government decisions. N/A N/A



N/A
Memorandum accounts (if any), which record accumulated surpluses and deficits incurred in the provision of outputs on a basis of full cost-recovery from third parties (including other departments). N/A N/A

N/A


N/A N/A N/A N/A
Multi-year appropriations (if any). The information provided is similar to other information above, with the exception of memorandum accounts. N/A N/A



N/A N/A N/A
Capital injections and movements in departmental net assets table. This table shows how capital injections to be authorised relate to movements in departmental net assets and what any capital injection is for. N/A N/A

N/A


N/A N/A N/A N/A N/A

* This appropriation is used for events that cannot be related back to output production and for the salaries of the Officers of Parliament as determined by the Remuneration Authority.

** The purchase or development of assets by a department (other than an intelligence and security department) is made under a permanent appropriation authorised by section 24 of the PFA. Capital expenditure is defined in the PFA as the cost of assets acquired or developed, including tangible, intangible or financial assets, and any ownership interest in entities, but excluding inventories.

Useful Links

  • The suite of documents presented to the House on Budget day can be accessed in the Budgets section of the website: www.treasury.govt.nz/budget/2017
  • Summary Tables, which are available online, provide a high-level perspective and comparative “ready reference” for all appropriations (annual, permanent and MYAs). They cover:
    • the trends for all Votes - showing actual or estimated actual totals for the five years to 2016/17, Budget totals proposed for 2017/18 and estimated totals for the three financial years to 2020/21 with respect to each type of appropriation and of Crown revenue and capital receipts
    • each appropriation type and total appropriations - showing budgeted and estimated actual totals for 2016/17 and totals proposed for 2017/18 for each Vote
    • multi category expenses and capital expenditure (MCAs)
    • current-year revenue-dependent appropriations for each Vote
    • multi-year appropriations by Vote, appropriation type and period
    • capital injection authorisations for 2017/18, and
    • types of Crown revenue and Crown capital receipts for 2016/17 and 2017/18 associated with each Vote.

For inclusion in the Summary Tables, MYAs are converted into actual or forecast amounts for each financial year. The summary tables can be accessed here: www.treasury.govt.nz/budget/2017/summarytables/estimates/

An electronic archive of Budgets of the Government of New Zealand from 1997 to 2016 can be accessed here: www.treasury.govt.nz/budget/archive

How the Estimates Relate to Other Performance Information Presented to the House

This section outlines the relationship between the information in the Estimates and other performance information presented to the House.

Strategic Intentions

Each department, Office of Parliament, Crown entity and Public Finance Act Schedule 4A company presents information on its strategic intentions to the House, at least once every three years. It may be more frequently if the responsible Minister requires it; or if there is a material or significant change in the intentions; or the information in the strategic intentions is false or misleading.

Strategic intentions set out the direction of an agency and how the agency is organised to get there. The information must cover at least the next four financial years, and may include the current financial year. An agency's most recent strategic intentions must always be available on the agency's website, and can be presented to the House with other information eg, the annual report for the previous financial year or grouped with other agencies in a sector.

Annual Performance Expectations

What an agency (eg, department, Office of Parliament, Crown entity or other service provider) intends to achieve with expenditure from appropriations in the next financial year and how each agency will demonstrate its performance (if not exempted) is available in the Estimates.

In addition, Crown entities and Public Finance Act Schedule 4A companies may have reportable outputs that are funded from revenue other than appropriations. What each agency intends to achieve and how it will demonstrate its performance for all its reportable outputs are presented to the House in a Statement of Performance Expectations. The Statement of Performance Expectations must always be available on an agency's website and can be presented to the House with other information eg, the strategic intentions or annual report.

End of Year Performance Information

Performance information on what has been achieved with each appropriation as a whole and each category of a multi-category appropriation is provided to the House in the document most recently indicated in the Estimates or Supplementary Estimates. For example, reporting against appropriations would typically be provided to the House with the annual report of the appropriation administrator (department or Office of Parliament), the Crown entity receiving the appropriation, or in a Minister's report. Alternatively, information on the performance of an appropriation may be provided in a separate sector or thematic report where this would be more useful to Parliament.

Departmental, Office of Parliament, Crown entity, PFA Schedule 4A Company annual reports, and Ministerial reports on what has been achieved with appropriations are required to be provided to the House in the timeframes indicated below:

  • Departmental and Office of Parliament annual report -each department's annual report must be presented 3-4 months after the end of the financial year. The annual report includes the financial statements for the previous financial year, the forecast financial statements for the current financial year, the statement of expenses and capital expenditure, and reporting against the department's strategic intentions and annual performance expectations contained in the Estimates.
  • Crown entity orPFA Schedule 4A company annual report - each annual report must be presented 4-5 months after the end of the financial year and includes the financial statements, as well as reporting against the Crown entity's strategic intentions and annual performance expectations from all sources of reportable revenue.
  • Appropriation Minister's report - the appropriation Minister must present within 4 months after the end of the financial year a report on what has been achieved with non-departmental appropriations that are not reported to the House thorough any other mechanism and have not been exempted from year-end reporting under s.15D of the PFA.

Terms and Definitions

The table below contains terms that are used in the Estimates of Appropriations.

Term Definition
Appropriation An appropriation is a parliamentary authorisation for the Crown or an Office of Parliament to incur expenses or capital expenditure.
Appropriation Minister The Minister responsible for specific appropriations being sought within a Vote.  As several Ministers may now hold appropriations within a single Vote, each appropriation will have a tag (M1, M2 etc) identifying the Minister responsible for that line item.
Appropriation scope One of the defining terms of an appropriation that establishes limits on the activities for which the Crown or an Office of Parliament is authorised to incur expenses or capital expenditure under that appropriation.
Capital expenditure The cost of assets acquired or developed including any ownership interest in entities, but excluding inventory.
Capital injection Investment by the Crown in a department, which increases the department's net asset balance.
Capital withdrawals Returns of capital by a department to the Crown, which reduce the department's closing net asset balance.
Category A grouping of similar or related expenses or a grouping of similar or related capital expenditure.
Crown revenue Revenue earned on behalf of the Crown.  These flows are accounted for as revenue to the Crown rather than as departmental revenue.
Department Generally references to Departments also include an Office of Parliament as provided in section 26E(5) of the Public Finance Act 1989.
Estimated actual

For an amount, the estimated actual incorporates the actual amount that has been spent and an estimate of the amount to be spent for the rest of the year. 

For anything else, the estimated actual incorporates actual performance that has been achieved and an estimate of performance for the rest of the year. 

Expenses Amounts consumed or losses of service potential or future economic benefits, other than those relating to capital withdrawals, in a financial year.  [An accrual concept measured in accordance with generally accepted accounting practice.]
GST Goods and services tax.  Appropriations are stated GST exclusive.
MCA Multi-category appropriation.
MYA Multi-year appropriation.
N/A Not applicable.
Office of Parliament There are three Offices of Parliament - the Controller and Auditor General, the Office of the Ombudsmen, and the Parliamentary Commissioner for the Environment. Each is headed by an Officer of Parliament.
Outputs Goods or services supplied by departments and other entities to external parties.  Outputs are a variety of types, including policy advice, administration of contracts and grants, and the provision of specific services.
PFA Public Finance Act 1989.
PLA Permanent Legislative Authority - the traditional term for an appropriation authorised for an indefinite period by legislation other than an Appropriation Act (also known as a permanent appropriation).
RDA Revenue-dependent appropriations, which are authorised by section 21(1) of the PFA 1989.
Responsible Minister The Minister responsible for the financial performance of a department or Crown entity.  In relation to an Office of Parliament, the Office of the Clerk of the House of Representatives, and the Parliamentary Service, the Speaker is the responsible Minister.
Revenue from the Crown Revenue earned by a department from the Crown for the provision of outputs to or on behalf of the Crown.  These flows are accounted for as departmental revenue.  Revenue from the Crown is eliminated for purposes of reporting the Crown's overall financial performance and position.
Revenue from Others Revenue earned by a department from other departments and from third parties.  Revenue from other departments is eliminated for purposes of reporting the Crown's overall financial performance and position.
Vote A grouping of one or more appropriations that are the responsibility of one or more Ministers of the Crown and are administered by one department or Office of Parliament.

Vol 6 Social Sector Overview

Social Sector Overview Statement

Vote Health in this volume is part of the Social Sector, which also includes Vote Education (in volume 2), Vote Corrections, Vote Courts, Vote Justice and Vote Police (all in volume 7), Vote Māori Development and Vote Pacific Peoples (both in volume 8) and Vote Building and Housing, Vote Social Development, Vote Social Housing and Vote Vulnerable Children, Oranga Tamariki (all in volume 10). In addition, appropriations to be used by the Social Investment Agency are in Vote State Services (in volume 5).

Government Priorities for the Social Sector

Agencies within the social sector deal with some of the most complex issues facing New Zealand today. For very vulnerable New Zealanders the solutions do not sit within the ambit of a single agency and so agencies have to take person and family/whānau-centred ways of working to improve outcomes. The sector collaborates and undertakes joint activity at local, regional and national levels, when necessary to achieve Government Priorities such as through the focus on investing in vulnerable children through the establishment of a new government agency, and the Better Public Services Results Programme. Some example areas requiring cross-agency collaboration include Welfare Dependence, Health Outcomes for Children, Educational Attainment and Social Housing.

The Government's intent to implement social investment approaches across the social sector provides an opportunity for agencies to sharpen their focus on lifting outcomes for all New Zealanders, but particularly for the most vulnerable. Social investment promotes a client-centred approach so the social sector can help improve the lives of vulnerable New Zealanders and increase the effectiveness of government spending.

Social investment at its most simple is about investing earlier, and more effectively, in the lives of those who may otherwise be on track to experience poor outcomes so they achieve better in the longer-term and at a lower total cost. This will be achieved through better use of data and evidence, more rigorous programme evaluation and both a whole-of-life and whole-of-system understanding of impact, centred around people, not agencies, and whole of life service decision-making and delivery systems.

The Government has established a new portfolio with a Minister Responsible for Social Investment to further advance social investment. As well as better understanding and addressing need within portfolios, social investment approaches will increase understanding of the whole-of-social-system response required to achieve desired outcomes for particular groups of people over their lifetime.

To support the Minister and the sector, a Social Investment Board and Social Investment Agency are being established on 1 July 2017.

How we will Deliver on Government Priorities

Social Sector agencies will continue to develop social investment approaches in their sectors. Agencies are furthering their understanding of the application of investment approaches. There are now investment approaches to welfare, social housing and justice. The Ministry for Vulnerable Children, Oranga Tamariki, launched on 1 April 2017, is taking an investment approach to vulnerable children and is the first agency established from day one using a social investment approach.

The Social Investment Board will drive action to improve outcomes for vulnerable population. It will:

  • advise on the strategic direction, priorities and joint results for the social sector in areas where better results cannot be achieved without a collective approach
  • advise on best investments for achieving joint results, including advice on optimal resource allocations and any reprioritisation across time, and how investments are performing
  • oversee the implementation of any investment plans agreed by the government, working with social sector agencies to deliver demonstrable results.

Social sector agencies are continuing to trial new ways of working. A number of frontline initiatives are adopting social investment principles, for example Whānau Ora, the Family Violence Integrated Safety Response and Place-Based Initiatives. Whānau Ora supports whānau to achieve their aspirations by placing whānau at the centre of planning and decision-making and tailoring solutions relevant to their unique circumstances. The Integrated Safety Response tests an improved multi-agency approach to risk assessment and safety planning for families following a Police family violence incident or high risk prison release. The Place-Based Initiatives aim to improve outcomes for at-risk young people and their families by giving local social sector leaders the data, flexibility and support to collectively tailor responses to what works in their specific communities.

Agencies will be assisted by the social investment architecture developed by the Social Investment Agency. This will include tools, templates, methodologies and analysis to drive effective practice across the social sector. The Social Investment Agency will also provide whole of life and whole of system advice to Ministers, monitor capability across the sector and monitor the impact of some investments and the social investment approach.

How we will Measure Performance

Measurement is inherent in social investment approaches. It includes:

  • Measurement and evaluation to ensure service effectiveness
  • Feedback loops to inform decision makers
  • Commissioning of services to achieve desired outcomes
  • Social licence to gain New Zealanders' support for the sharing and use of data
  • Governance across the social investment system so we can better understand the impact we are having.

There is an expectation that social sector agencies will use social investment approaches to enhance their business as usual operations. Greater use of data and evidence and a focus on tracking outcomes will continue to improve agencies' understanding of their customers and service effectiveness, and enable them to identify opportunities across the system to reduce future demand pressures.

The Social Investment Board will formalise the collective accountability of chief executives for social investment advice and the delivery of results. The Board will have a role in monitoring the performance of investments.

Vote Health

APPROPRIATION MINISTER(S): Minister of Health (M36)

APPROPRIATION ADMINISTRATOR: Ministry of Health

RESPONSIBLE MINISTER FOR MINISTRY OF HEALTH: Minister of Health

Overview of the Vote

Vote Health ($16,773 million in 2017/18) is the primary source of funding for New Zealand's health and disability system (ACC is the other major source of public funding). It is a significant investment for the Crown, typically making up around a fifth of government expenditure. The services funded are intended to support all New Zealanders to live well, stay well, and get well, in a health system that is people-powered, provides services closer to home, is designed for value and high performance, and works as one team in a smart system. The Vote comprises:

  • $12,683 million (75.6% of the Vote) is provided to 20 district health boards for services to meet the needs of each district's population, taking into account regional considerations, government priorities, and the strategic direction set for the health sector. Among the many services provided or funded by DHBs are hospital care; most aged care, mental health, and primary care services; the combined pharmaceuticals budget; and some public health services.
  • $2,698 million (16.0% of the Vote) funds health and disability services, funded at a national level, and managed by the Ministry of Health, comprising:

- National Disability Support Services ($1,208 million or 7.0% of the Vote)

- Public Health Service Purchasing ($406 million or 2.4% of the Vote)

- National Elective Services ($347 million or 2.1% of the Vote)

- Primary Health Care Strategy ($196 million or 1.2% of the Vote)

- National Maternity Services ($147 million or 0.9% of the Vote)

- National Emergency Services ($110 million or 0.7% of the Vote)

- National Child Health Services ($85 million or 0.5% of the Vote)

- National Personal Health Services ($84 million or 0.5% of the Vote)

- National Mental Health Services ($62 million or 0.4% of the Vote)

- Other national services ($54 million or 0.3% of the Vote).

  • $736 million (4.4% of the Vote) for the support, oversight, governance, and development of the health and disability sectors, comprising:

- Ministry of Health operating costs ($198 million or 1.2% of the Vote) and capital investment ($8 million or less than 0.1% of the Vote)

- Supporting Equitable Pay for Care and Support Workers ($279 million or 1.7% of the Vote)

- Health Workforce Training and Development ($187 million or 1.1% of the Vote)

- Monitoring and Protecting Health and Disability Consumer Interests ($29 million or 0.2% of the Vote)

- National Health Information Systems ($8 million or less than 0.1% of the Vote)

- Other expenses ($27 million or 0.2% of the Vote).

  • $656 million (4.0% of the Vote) for capital investment, comprising: sector capital investment ($591 million or 3.5% of the Vote), technical expenditure ($15 million or less than 0.1% of the Vote), and a provision for deficit support for DHBs ($50 million or 0.3% of the Vote).

Details of these appropriations are set out in Parts 2-4.

Details of Appropriations and Capital Injections

Annual and Permanent Appropriations

2016/172017/18
Titles and Scopes of Appropriations by Appropriation TypeFinal
Budgeted
$000
Estimated
Actual
$000
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.
54,27854,17851,618

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).
34,96433,76436,213

Payment Services (M36)

This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
17,91817,81817,340

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.
22,43322,33324,694

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.
48,57248,27247,426

Total Departmental Output Expenses

178,165176,365177,291

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.
17,01017,0108,000

Total Departmental Capital Expenditure

17,01017,0108,000

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.
720320650

Health and Disability Support Services - Auckland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.
1,195,2671,195,2671,239,980

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.
664,890664,890694,230

Health and Disability Support Services - Canterbury DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.
1,335,6971,335,6971,375,372

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.
702,655702,655738,901

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.
1,321,7351,321,7351,377,805

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.
470,212470,212484,193

Health and Disability Support Services - Hutt DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.
372,955372,955388,121

Health and Disability Support Services - Lakes DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.
298,534298,534310,096

Health and Disability Support Services - MidCentral DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.
482,764482,764499,456

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.
403,203403,203418,304

Health and Disability Support Services - Northland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Northland DHB.
536,635536,635557,165

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.
171,495171,495178,097

Health and Disability Support Services - Southern DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Southern DHB.
818,589818,589852,087

Health and Disability Support Services - Tairawhiti DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.
154,032154,032160,113

Health and Disability Support Services - Taranaki DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.
324,724324,724338,959

Health and Disability Support Services - Waikato DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.
1,088,8001,088,8001,134,739

Health and Disability Support Services - Wairarapa DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.
130,946130,946136,657

Health and Disability Support Services - Waitemata DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.
1,391,6751,391,6751,450,808

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.
124,489124,489128,823

Health and Disability Support Services - Whanganui DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.
210,551210,551218,859

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.
185,014184,514186,745

Monitoring and Protecting Health and Disability Consumer Interests (M36)

This appropriation is limited to the provision, purchase, and support of services that monitor and protect health and disability consumer interests.
28,74628,74628,746

National Child Health Services (M36)

This appropriation is limited to the provision, purchase, and support of child health services.
83,50183,40185,001

National Contracted Services - Other (M36)

This appropriation is limited to the purchase of other services directly by the Crown to support the health and disability services sector, including the national management of pharmaceuticals, and health research.
26,60726,60728,720

National Disability Support Services (M36)

This appropriation is limited to the provision, purchase, and support of disability support services.
1,183,8651,183,3651,208,374

National Elective Services (M36)

This appropriation is limited to the provision, purchase, and support of elective surgery services.
356,205347,205346,517

National Emergency Services (M36)

This appropriation is limited to the provision, purchase, and support of emergency services.
101,050100,550109,958

National Health Information Systems (M36)

This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.
5,4185,4188,236

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.
3,8283,3286,828

National Maternity Services (M36)

This appropriation is limited to the provision, purchase, and support of maternity services.
152,847152,347146,767

National Mental Health Services (M36)

This appropriation is limited to the provision, purchase, and support of mental health services.
69,66969,16962,183

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.
85,45084,95084,057

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
185,794185,294195,405

Problem Gambling Services (M36)

This appropriation is limited to the provision, purchase, and support of services that minimise the harm from gambling, in accordance with the Gambling Act 2003.
19,86516,06517,521

Public Health Service Purchasing (M36)

This appropriation is limited to the provision, purchase, and support of public health services.
393,311386,311405,471

Supporting Equitable Pay for Care and Support Workers (M36)

This appropriation is limited to costs related to workers in the care and support sector, incurred as a result of legislation giving effect to the pay equity settlement with care and support workers.
--279,000

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.
6,2526,252-

Total Non-Departmental Output Expenses

15,087,99015,063,69015,882,944

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.
2,0302,0302,030

Legal Expenses (M36)

This appropriation is limited to funding the defence and settlement of health-related or disability-related legal claims against the Crown.
1,0287781,028

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.
24,43423,43424,289

Repayment of District Health Board Loans (M36)

This appropriation is limited to expenses associated with the early repayment at fair value of District Health Board Loans.
275,00075,974-

Total Non-Departmental Other Expenses

302,492102,21627,347

Non-Departmental Capital Expenditure

Deficit Support for DHBs (M36)

This appropriation is limited to equity injections to District Health Boards to address deficits.
74,62474,62450,000

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.
2,722,3452,682,345303,388

Health Sector Projects (M36)

This appropriation is limited to the provision or purchase of health sector assets.
241,059211,059288,108

Residential Care Loans - Payments (M36)

This appropriation is limited to the provision of interest-free loans to people entering into aged residential care facilities.
15,00015,00015,000

Loans for Capital Projects (M36)

This appropriation is limited to the provision of loans to health sector Crown entities or agencies for new investments and reconfiguration of their balance sheets.
85,00085,000-

Refinance of Crown Loans (M36)

This appropriation is limited to refinancing existing Crown loans made to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration.
204,214204,214-

Total Non-Departmental Capital Expenditure

3,342,2423,272,242656,496

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.
20,70920,50920,991
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.
4,7064,6064,702
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.
16,00315,90316,289

Total Multi-Category Expenses and Capital Expenditure

20,70920,50920,991

Total Annual and Permanent Appropriations

18,948,60818,652,03216,773,069

Capital Injection Authorisations

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Ministry of Health - Capital Injection (M36)---

Supporting Information

Part 1 - Vote as a Whole

1.1 - New Policy Initiatives

Policy InitiativeAppropriation2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional Support

Health and Disability Support Services - DHBs

Non-departmental output expense
-439,000439,000439,000439,000
Equitable Pay for Care and Support Workers

Supporting Equitable Pay for Care and Support Workers

Non-departmental output expense
-279,000348,000377,000356,000
Disability Support Services - Additional Support

National Disability Support Services

Non-departmental output expense
-44,56244,56244,56244,562
Pharmaceuticals - More Publicly Funded Medicines

Health and Disability Support Services - DHBs

Non-departmental output expense
-20,00020,00014,0006,000
Primary Health Care - Additional Support

Primary Health Care Strategy

Non-departmental output expense
-9,5859,5859,5859,585
Emergency Ambulance Services - Additional support

National Emergency Services

Non-departmental output expense
-8,57111,57114,57117,571
National Bowel Screening Programme

Public Health Service Purchasing

Non-departmental output expense
1647,2386,2825,7016,898
Elective Surgery - Government's Health Target

National Elective Services

Non-departmental output expense
-6,0006,0006,0006,000
Disability Support Services - Enabling Good Lives

Managing the Purchase of Services

Departmental output expense
-3,300---
Water Fluoridation (Assistance)

Public Health Service Purchasing

Non-departmental output expense
-3,0003,0003,0003,000
Health Workforce Training and Development - Additional Support

Health Workforce Training and Development

Non-departmental output expense
-1,9191,9191,9191,919
Contraceptive Services for Low Income Women

Public Health Service Purchasing

Non-departmental output expense
-1,3803,8805,8805,880

Managing the Purchase of Services

Departmental output expense
-120120120120
Organ Donation - National Strategy

National Personal Health Services

Non-departmental output expense
-700700700700

Total new operating expenditure

164

824,375

894,619

922,038

897,235

DHB Capital Investment Pool

Equity for Capital Projects for DHBs and Health Sector Crown Agencies

Non-departmental capital expenditure
-150,000---

Total capital expenditure

-

150,000

-

-

-

Total Initiatives

164

974,375

894,619

922,038

897,235

1.2 - Trends in the Vote

Summary of Financial Activity

2012/132013/142014/152015/162016/172017/182018/192019/202020/21
Actual
$000
Actual
$000
Actual
$000
Actual
$000
Final Budgeted
$000
Estimated
Actual
$000
Departmental
Transactions
Budget
$000
Non-
Departmental
Transactions
Budget
$000
Total
Budget
$000
Estimated
$000
Estimated
$000
Estimated
$000

Appropriations

Output Expenses13,564,86014,002,49714,297,23414,746,55615,266,15515,240,055177,29115,882,94416,060,23516,096,14316,112,55516,087,836
Benefits or Related Expenses------N/A-----
Borrowing Expenses------------
Other Expenses26,10027,87326,48025,307302,492102,216-27,34727,34727,34727,34727,347
Capital Expenditure259,582336,432689,136487,2723,359,2523,289,2528,000656,496664,49662,21162,21162,211
Intelligence and Security Department Expenses and Capital Expenditure-------N/A----
Multi-Category Expenses and Capital Expenditure (MCA)
Output Expenses15,75020,03620,87820,70520,70920,50920,991-20,99120,99120,99120,991
Other Expenses------------
Capital Expenditure------N/A-----

Total Appropriations

13,866,29214,386,83815,033,72815,279,84018,948,60818,652,032206,28216,566,78716,773,06916,206,69216,223,10416,198,385

Crown Revenue and Capital Receipts

Tax Revenue------N/A-----
Non-Tax Revenue625,524655,187669,571687,880659,638659,638N/A748,686748,686772,866794,560794,560
Capital Receipts25,645375,698147,80024,64827,49927,499N/A27,49927,49927,49927,49927,499

Total Crown Revenue and Capital Receipts

651,1691,030,885817,371712,528687,137687,137N/A776,185776,185800,365822,059822,059

Note - where restructuring of the vote has occurred then, to the extent practicable, prior years information has been restated as if the restructuring had occurred before the beginning of the period covered. In this instance Total Appropriations for the Budgeted and Estimated Actual year may not equal Total Appropriations in the Details of Appropriations and Capital Injections.

Adjustments to the Summary of Financial Activity Table Due to Vote Restructuring

There have been no restructuring adjustments to prior year information in the Summary of Financial Activity table.

1.3 - Analysis of Significant Trends

Total Vote: All Appropriations

Vote Health has grown from actual expenditure in 2012/13 of $13,866 million to budgeted expenditure in 2017/18 of $16,773 million, an increase of $2,907 million over five years (around 4% per annum). This has mainly been driven by increases to the Vote's output expenses, which were $13,607 million in 2012/13 and are budgeted at $16,109 million in 2017/18 - an increase of $2,502 million.              

Output Expenses

The growth in the Vote's operating expenses is driven mainly by additional funding provided to district health boards towards demographic and cost pressures. Their appropriations for 2017/18 are budgeted at $12,683 million, an increase of $1,792 million over the actual expenditure in 2012/13. In addition to this expenditure, district health boards are typically contracted by the Ministry of Health for additional national services of around $1,000 million per annum. In some cases, this funding is being devolved to district health boards, making them directly responsible for the services previously administered nationally.

Also contributing to the growth are increases in funding for national services administered by the Ministry of Health, such as disability support services and various public and personal health services. The 2017/18 appropriations for these national services are budgeted for $2,698 million, which is $363 million greater than the actual expenditure in 2012/13 (an increase of around 2.8% per annum). The main drivers of the increase are the Crown's ongoing investment in:

  •  supporting equitable pay for care and support workers, which is a new investment of $279 million in 2017/18
  •  additional elective surgeries, which has increased by $69 million (almost 25%) since 2012/13
  •  disability support services, which has increased by nearly $180 million (or 18%) since 2012/13.

Funding for the support, oversight, governance, and development of the health and disability sectors has also grown, from actual expenditure of $395 million in 2012/13 to budgeted expenditure in 2017/18 of $736 million. The increase has been driven mainly by additional funding for the training and development of the health workforce.

Capital Expenditure

The Crown continues to invest in sector capital. Appropriations for 2017/18 are $591 million, however, as in previous years, this includes funding for multi-year projects and provision for some future expenses or risks. Actual expenditure has typically been between $150 million and $200 million per annum.

There is $65 million of other capital expenditure appropriated in the 2017/18 budget, comprising provisions for deficit support and for the rollover of Crown Loans to district health boards (the latter being technical expenditure).

The expected actual capital expenditure for 2016/17 is $3,272 million, mainly due to one-off equity injections into DHBs, to allow their Crown loans to be repaid.

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.

Expenses and Revenue

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation54,27854,17851,618
Revenue from the Crown54,27854,27851,618
Revenue from Others---

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide information technology services and infrastructure to support the operation of New Zealand's health services.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Client Insight and Analytics

Percentage of published Tier 1 statistics meet Statistics New Zealand standards within agreed timetable

--100%

Respondent satisfaction with how the Health Survey is conducted is greater than

--90%

National Infrastructure and Ministry Information Systems

The percentage of time for which key sector- and public-facing systems are available (see Note 1)

99%90%99%

Number of security breach incidents

--0

Note 1: Key sector- and public-facing systems are National Health Index (NHI), National Immunisation Register (NIR), Online Pharmacy, Special Authorities, Oracle Financials, and Web Access.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
National Bowel Screening Programme Rollout2016/172,5002,5002,5002,5002,500
Electronic oral health record2014/15340340340340340
Population Health Data Warehouse2014/15136136136136136
Whanau Ora IT System - transfer to departmental expenses2014/15350----

Managing the Purchase of Services (M36)

Scope of Appropriation

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

Expenses and Revenue

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation34,96433,76436,213
Revenue from the Crown34,96434,96436,213
Revenue from Others---

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the administration of health and disability services, purchased on behalf of the Crown in line with Government priorities and the Ministry of Health's strategic intentions (as outlined in the Ministry of Health's Statement of Intent).

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

The Ministry procurement process is in line with government standards

AchievedAchievedAchieved

The ratio of departmental expenditure for the output class against relevant non-departmental expenditure

1:801:1051:107

Social agencies are required to move contracts with non-government organisations (NGOs) to the streamlined contract framework as they are renewed. The Ministry will move the following numbers of contracts

800800840

The percentage of Ministry feedback to Crown Funding Agreement Variation (CFAV) monitoring reports that are supplied to DHBs within agreed timeframes (see Note 1)

95%100%95%

The percentage of complaints in regards to Disability Support Services (DSS) that receive either a resolution notification or progress update within 20 days of DSS receiving the complaint

--95%

Note 1: When a monitoring report is received at the Ministry, it is logged into an electronic system. This generates an automated letter to say it has been received. The 'formal response' is the next contact the Ministry has with the provider when necessary. The formal response could be a phone call, email, formal letter or an actual visit.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Disability Support Services - Enabling Good Lives2017/18-3,300---
Contraceptive Services for Low Income Women2017/18-120120120120
Proceeds of Crime 2016 - Methamphetamine Demand Reduction in Northland2016/17120----
National Bowel Screening Programme Rollout2016/172,9452,6452,4152,3402,340
Problem Gambling Services - Continued Support2016/17260293293--
Better Public Services seed funding: social bonds pilots2014/15360----
Healthy Families NZ2014/151,0001,0001,0001,0001,000

Memorandum Account

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000

Problem Gambling

Opening Balance at 1 July(515)(515)(515)
Revenue (funded by Problem Gambling Levy)1,0011,001990
Expenses1,0011,001990
Transfers and Adjustments---

Closing Balance at 30 June

(515)(515)(515)

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.

Expenses and Revenue

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation17,91817,81817,340
Revenue from the Crown17,91817,91817,340
Revenue from Others---

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide for timely and appropriate payments to be made to eligible parties (including eligible health service providers and consumers) and contracts to be audited and processed efficiently and effectively.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of claims paid on time

95%99%98%

The percentage of claims processed accurately

95%99%95%

The percentage of all draft agreements prepared for funders within target timeframes

95%85%95%

The percentage of agreements prepared accurately (see Note 1)

95%98%95%

The percentage of calls to contact centres answered within service specifications for timeliness (20 seconds)

80%80%80%

The percentage of calls abandoned by callers prior to being answered by the contact centre is less than

5%3.5%5%

The percentage of enquiries resolved in under 10 business working days

95%95%95%

The total dollar value of payments made to those primary health and disability providers who have been subject to audit and compliance activities during the year, expressed as a percentage of the budget for those providers (see Note 2)

80%94%80%

Court written decisions and findings relating to concluded Ministry of Health Audit & Compliance initiated prosecutions contain no adverse judicial comment in regards to the evidential basis of the prosecutions

--0

Percentage of Health Integrity Line complaints that are evaluated within 10 working days of complaint being received is greater than or equal to

--95%

Note 1: All information is deemed to be processed accurately if agreements are legally binding and purchase order information is correctly entered.

Note 2: Total dollar value of payments to primary healthcare and disability providers is approximately $6.900 million.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Free under 13s - Ministry payment system changes2015/16223223223223223

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

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation22,43322,33324,694
Revenue from the Crown9,1929,19210,653
Revenue from Others13,24113,24114,041

What is Intended to be Achieved with this Appropriation

This appropriation is intended to ensure that health and disability services are regulated so that appropriate standards are followed.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of medium and high priority quality incident notifications relating to medicines and medical devices that undergo an initial review within 5 working days

90%95%90%

The percentage of all certificates issued to providers under the Health and Disability Services (Safety) Act 2001 within target timeframes

90%90%90%

The 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%90%

The percentage of all licences and consents issued to radiation users under the Radiation Safety Act 2016 within 10 working days of the receipt of all information and payment of the required fee

90%100%90%

The percentage of all New Medicines Applications (for ministerial consent to market) that receive an initial assessment within 200 days

80%80%80%

The percentage of all Changed Medicines Notifications (for ministerial consent to market) responded to within 45 days

100%100%100%

Average rating for statutory committee satisfaction with secretariat services provided by the Ministry

greater than 4 out of 54greater than 4 out of 5

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Radiation Safety Act - administration of new regulations2016/17374574574574574
Regulation of Psychoactive Substances2013/141,8001,8001,8001,8001,800

Reasons for Change in Appropriation

This appropriation increased by $2.261 million to $24.694 for 2017/18 mainly due to a $1.700 million departmental output class budget adjustment (see Note 1).

Note 1: In 2016/17 funding was transferred between the 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.

Conditions on Use of Appropriation

ReferenceConditions
Medicines Act 1981The Ministry responds to incident notifications regarding the quality of medicines, medical devices and advertising.
Hazardous Substances and New Organisms (Act) 1996Section 100 of the Hazardous Substances and New Organisms Act 1996 sets out requirements for appointment of enforcement officers.
Health Act 1956Section 7A of the Health Act1956 sets out requirements for the designation by the Director-General of Health of medical officers of health. Section 28 of the Health Act 1956 sets out requirements for appointment by a local authority of environmental health officers. Section 121 of that Act provides that regulations may further prescribe qualifications which environmental health officers must possess. Section 69ZK of the Health Act 1956 sets out requirements for appointment by the Director-General of Health of persons or agencies as drinking-water assessors.
Biosecurity Act 1993Section 105B of the Biosecurity Act 1993 sets out requirements for appointment by the Director-General of Health of auditors under that Act.
Section 103 of the Biosecurity Act 1993 sets out requirements for appointment by a chief technical officer of inspectors/authorised persons to administer or enforce that Act, and/or to carry out a national pest management plan or national pathway plan.
Mental Health (Compulsory Assessment and Treatment) Act 1992Section 92A of the Mental Health (Compulsory Assessment and Treatment) Act 1992 sets out requirements for delegation by Area Mental Health Services Directors of their powers to a suitably qualified person.
Section 93 of the Mental Health (Compulsory Assessment and Treatment) Act 1992 sets out requirements for designation by Area Mental Health Services Directors of health professionals as 'duly authorised officers'.
All recommendations for appointments meet the requirements of health legislation
  • Crown Entities Act 2004
  • New Zealand Public Health and Disability Act 2000
  • Health Research Council Act 1990
  • Health and Disability Commissioner Act 1994.
For regulatory authorities and committees:
  • Health Practitioners Competence Assurance Act 2003
  • New Zealand Public Health and Disability Act 2000
  • Human Assisted Reproductive Technology Act 2004.

Memorandum Account

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000

Office of Radiation Safety

Opening Balance at 1 July1,0191,019989
Revenue9258951,500
Expenses9259251,500
Transfers and Adjustments---

Closing Balance at 30 June

1,019989989

 

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000

Medsafe

Opening Balance at 1 July1,2881,288216
Revenue9,3057,6139,305
Expenses9,3058,6859,305
Transfers and Adjustments---

Closing Balance at 30 June

1,288216216

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

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation48,57248,27247,426
Revenue from the Crown48,42348,42347,277
Revenue from Others149149149

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve: health sector services are appropriately planned, funded, and monitored; health sector Crown entities, agencies, and companies are appropriately governed; and sector co-ordination is encouraged and assisted.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Planning and funding advice for the financial year is provided to Crown entities by 31 December

AchievedAchievedAchieved

The Ministry provides the Minister with advice of all DHB annual plans by 30 June

AchievedAchievedAchieved

The percentage of monitoring feedback reports about performance supplied to DHBs within agreed timeframes

100%100%100%

The percentage of quarterly and monthly monitoring reports about DHBs provided to the Minister within agreed timeframes

100%65%100%

The percentage of quarterly and monthly monitoring reports about Crown entities (excluding DHBs) provided to the Minister within agreed timeframes

100%100%100%

Maintain the capability and capacity to respond to national emergencies and emerging health threats (see Note 1)

--Achieved

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 2)

100%100%100%

Note 1: Capability and capacity to respond means the Ministry has the necessary systems, procedures, facilities and staffing in place to initiate and manage at the national level the health response to a national emergency or emerging health threat.

Note 2: Unexpected resignation or departure prior to the expiration of the term is not included.

End of Year Performance Reporting

The Ministry of Health will report performance information for this appropriation in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Canterbury Earthquake Recovery Authority (CERA) transition of functions and funding2016/17330340340340340
Cancer: next phase of Faster Cancer Treatment2014/15330----

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

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Forests/Agricultural---
Land---
Property, Plant and Equipment9,3869,3861,000
Intangibles7,6247,6247,000
Other---

Total Appropriation

17,01017,0108,000

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the renewal, upgrade, or redesign of assets to support the delivery of the Ministry of Health's core functions and responsibilities (refer to Part 2.1).

How Performance will be Assessed and End of Year Reporting Requirements

Expenditure is in accordance with the Ministry of Health's capital asset management plan.

End of Year Performance Reporting

The Ministry of Health will report performance information for its departmental outputs in its Annual Report.

Reasons for Change in Appropriation

This appropriation decreased by $9.010 million to $8 million for 2017/18 mainly due to the Ministry of Health transitioning from owning information technology assets to purchasing them as a service.

Capital Injections and Movements in Departmental Net Assets

Ministry of Health

Details of Net Asset Schedule2016/17
Estimated Actual
$000
2017/18
Projected
$000
Explanation of Projected Movements in 2017/18
Opening Balance34,54134,541
Capital Injections--
Capital Withdrawals--
Surplus to be Retained (Deficit Incurred)--
Other Movements--

Closing Balance

34,54134,541

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation720320650

What is Intended to be Achieved with this Appropriation

This appropriation is intended to establish the Auckland Health Investment Planning Group to assist the Auckland metro DHBs to develop a comprehensive integrated investment plan to meet the forecast significant population pressures.

How Performance will be Assessed and End of Year Reporting Requirements

An exemption was granted in 2016/17 under s15D(2)(b)(iii) of the PFA as the amount of the appropriation is less than $5 million.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Establish Auckland Health Projects Integrated Plan2016/171,370----

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,195,2671,195,2671,239,980

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Each DHB has a statutory responsibility to prepare:

  • an Annual Plan for approval by the Minister of Health (Section 38 of the New Zealand Public Health and Disability Act 2000) - providing accountability to the Minister of Health
  • a Statement of Performance Expectations (Section 149C of the Crown Entities Act 2004 as amended by the Crown Entities Amendment Act 2013) - providing financial accountability to Parliament and the public annually
  • a Statement of Intent (Section 139 of the Crown Entities Act) - providing accountability to Parliament and the public at least triennially.

In 2010 Cabinet determined that the documents could be brought together into a single DHB Annual Plan with Statement of Intent and Statement of Performance Expectations, to be known as the 'Annual Plan'.

The Statement of Performance Expectations provides specific measures/targets for the coming year, with comparative prior year and current year forecast (at a minimum).

Four Output Classes are used by all DHBs to reflect the nature of services provided:

  • Prevention
  • Early Detection and Management
  • Intensive Assessment and Treatment
  • Rehabilitation and Support.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-41,41941,41941,41941,419
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,8871,8871,321566
DHB Efficiency Savings2017/18-(874)(874)(874)(874)
DHB capital charge rate change 8% to 6%2016/17(9,096)(12,135)(12,135)(12,135)(12,135)
Devolve Hospice Funding to DHBs2016/17608608608608608
District Health Boards - Additional Support2016/1745,25545,25545,25545,25545,255
More Publically Funded Medicines2016/173,6503,6502,7142,7142,527
In-between Travel - Devolution2015/162,4382,4382,4382,4382,438
District Health Board (DHB) Additional Funding for Pressures2015/1636,41736,41736,41736,41736,417
Improving Hospice Community Palliative Care Services2015/161,2111,2111,2111,2111,211
Reprioritising DHB Savings Delivered by PHARMAC2015/16(1,217)(1,217)(1,217)(1,217)(1,217)
DHB Demographics2014/1513,19913,19913,19913,19913,199
Contribution to DHB cost pressures2014/158,7458,7458,7458,7458,745
Aged Residential Care - subsidy increase2014/15881881881881881
DHB Demographics2013/1412,06812,06812,06812,06812,068
Contribution to DHB cost pressures2013/149,3689,3689,3689,3689,368
Aged Care and Dementia2013/14736736736736736
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14402402402402402

Reasons for Change in Appropriation

This appropriation increased by $44.713 million to $1,239.980 million for 2017/18 mainly due to:

  • $41.419 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.887 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation664,890664,890694,230

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-24,62224,62224,62224,622
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,1221,122785337
DHB Efficiency Savings2017/18-(524)(524)(524)(524)
DHB capital charge rate change 8% to 6%2016/17(1,736)(2,309)(2,309)(2,309)(2,309)
Devolve Hospice Funding to DHBs2016/17511511511511511
District Health Boards - Additional Support2016/1728,83628,83628,83628,83628,836
More Publically Funded Medicines2016/172,1881,6271,6271,5151,515
In-between Travel - Devolution2015/166882,1262,1262,1262,126
District Health Board (DHB) Additional Funding for Pressures2015/1619,10719,10719,10719,10719,107
Improving Hospice Community Palliative Care Services2015/16722722722722722
Reprioritising DHB Savings Delivered by PHARMAC2015/16(631)(631)(631)(631)(631)
DHB Demographics2014/1514,65714,65714,65714,65714,657
Contribution to DHB cost pressures2014/154,9854,9854,9854,9854,985
Aged Residential Care - subsidy increase2014/15530530530530530
Contribution to DHB cost pressures2013/145,1995,1995,1995,1995,199
DHB Demographics2013/145,1335,1335,1335,1335,133
Aged Care and Dementia2013/14441441441441441
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14111111111111111

Reasons for Change in Appropriation

This appropriation increased by $29.340 million to $694.230 million for 2017/18 mainly due to:

  • $24.622 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.122 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,335,6971,335,6971,375,372

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-47,75547,75547,75547,755
Pharmaceuticals - More Publicly Funded Medicines2017/18-2,1762,1761,523653
DHB Efficiency Savings2017/18-(1,055)(1,055)(1,055)(1,055)
DHB capital charge rate change 8% to 6%2016/17(3,506)(5,069)(5,069)(5,069)(5,069)
Devolve Hospice Funding to DHBs2016/17937937937937937
District Health Boards - Additional Support2016/1732,12532,12532,12532,12532,125
More Publically Funded Medicines2016/174,2323,1473,1472,9302,930
In-between Travel - devolution2015/163,5583,5583,5583,5583,558
Improving Hospice Community Palliative Care Services2015/161,4221,4221,4221,4221,422
Supporting Health Services in Canterbury2015/165,4805,4805,480--
District Health Board (DHB) Additional Funding for Pressures2015/1621,53321,53321,53321,53321,533
Reprioritising DHB Savings Delivered by PHARMAC2015/16(670)(670)(670)(670)(670)
DHB Demographics2014/1518,88918,88918,88918,88918,889
Contribution to DHB cost pressures2014/1510,23610,23610,23610,23610,236
Aged Residential Care - subsidy increase2014/151,0671,0671,0671,0671,067
DHB Demographics2013/1423,89923,89923,89923,89923,899
Contribution to DHB cost pressures2013/1410,57910,57910,57910,57910,579
Aged Care and Dementia2013/14886886886886886
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14194194194194194

Reasons for Change in Appropriation

This appropriation increased by $39.675 million to $1,375.372 million for 2017/18 mainly due to:

  • $47.755 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $2.176 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation702,655702,655738,901

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-25,00125,00125,00125,001
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,1381,138797342
DHB Efficiency Savings2017/18-(558)(558)(558)(558)
DHB capital charge rate change 8% to 6%2016/17(1,333)(1,732)(1,732)(1,732)(1,732)
Devolve Hospice Funding to DHBs2016/171,9091,9091,9091,9091,909
District Health Boards - Additional Support2016/1715,06015,06015,06015,06015,060
More Publically Funded Medicines2016/172,2271,6561,6561,5421,542
In-between Travel - devolution2015/161,6441,6441,6441,6441,644
District Health Board (DHB) Additional Funding for Pressures2015/1611,54711,54711,54711,54711,547
Improving Hospice Community Palliative Care Services2015/16749749749749749
Reprioritising DHB Savings Delivered by PHARMAC2015/16(360)(360)(360)(360)(360)
DHB Demographics2014/159,0689,0689,0689,0689,068
Contribution to DHB cost pressures2014/155,5315,5315,5315,5315,531
Aged Residential Care - subsidy increase2014/15564564564564564
DHB Demographics2013/147,6497,6497,6497,6497,649
Contribution to DHB cost pressures2013/145,7835,7835,7835,7835,783
Aged Care and Dementia2013/14470470470470470

Reasons for Change in Appropriation

This appropriation increased by $36.246 million to $738.901 million for 2017/18 mainly due to:

  • $25.001 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.138 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,321,7351,321,7351,377,805

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-47,82247,82247,82247,822
Pharmaceuticals - More Publicly Funded Medicines2017/18-2,1792,1791,525654
DHB Efficiency Savings2017/18-(1,044)(1,044)(1,044)(1,044)
DHB capital charge rate change 8% to 7%, then to 6%2016/17(4,201)(5,612)(5,612)(5,612)(5,612)
Devolve Hospice Funding to DHBs2016/171,5501,5501,5501,5501,550
District Health Boards - Additional Support2016/1749,00949,00949,00949,00949,009
More Publically Funded Medicines2016/174,2713,1763,1762,9572,957
In-between Travel - devolution2015/162,7762,7762,7762,7762,776
District Health Board (DHB) Additional Funding for Pressures2015/1621,48621,48621,48621,48621,486
Improving Hospice Community Palliative Care Services2015/161,4051,4051,4051,4051,405
Reprioritising DHB Savings Delivered by PHARMAC2015/16(669)(669)(669)(669)(669)
DHB Demographics2014/1526,48526,48526,48526,48526,485
Contribution to DHB cost pressures2014/1510,08310,08310,08310,08310,083
Aged Residential Care - subsidy increase2014/151,0551,0551,0551,0551,055
DHB Demographics2013/1421,61621,61621,61621,61621,616
Contribution to DHB cost pressures2013/1410,46110,46110,46110,46110,461
Aged Care and Dementia2013/14874874874874874

Reasons for Change in Appropriation

This appropriation increased by $56.070 million to $1,377.805 million for 2017/18 mainly due to:

  • $47.822 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $2.179 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation470,212470,212484,193

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - additional support2017/18-17,07217,07217,07217,072
Pharmaceuticals - More Publicly Funded Medicines2017/18-778778544233
DHB Efficiency Savings2017/18--(370)(370)(370)
DHB capital charge rate change 8% to 6%2016/17(1,364)(1,817)(1,817)(1,817)(1,817)
Devolve Hospice Funding to DHBs2016/17168168168168168
District Health Boards - Additional Support2016/17-10,84210,84210,84210,842
More Publically Funded Medicines2016/17-1,5211,1311,1311,053
In-between Travel - devolution2015/164421,3641,3641,3641,364
District Health Board (DHB) Additional Funding for Pressures2015/1617,05317,05317,05317,05317,053
Improving Hospice Community Palliative Care Services2015/16515515515515515
Reprioritising DHB Savings Delivered by PHARMAC2015/16(572)(572)(572)(572)(572)
DHB Demographics2014/154,0924,0924,0924,0924,092
Contribution to DHB cost pressures2014/153,5903,5903,5903,5903,590
Aged Residential Care - subsidy increase2014/15373373373373373
DHB Demographics2013/144,1424,1424,1424,1424,142
Contribution to DHB cost pressures2013/143,7313,7313,7313,7313,731
Aged Care and Dementia2013/14315315315315315
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/1494125125125125

Reasons for Change in Appropriation

This appropriation increased by $13.981 million to $484.193 million for 2017/18 mainly due to:

  • $17.072 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $778,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation372,955372,955388,121

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-13,15513,15513,15513,155
Pharmaceuticals - More Publicly Funded Medicines2017/18-599599420180
DHB Efficiency Savings2017/18-(302)(302)(302)(302)
DHB capital charge rate change 8% to 6%2016/17(1,359)(1,803)(1,803)(1,803)(1,803)
Devolve Hospice Funding to DHBs2016/171,6841,6841,6841,6841,684
District Health Boards - Additional Support2016/177,9807,9807,9807,9807,980
More Publically Funded Medicines2016/171,174873873813813
In-between Travel - devolution2015/16944944944944944
District Health Board (DHB) Additional Funding for Pressures2015/166,1386,1386,1386,1386,138
Improving Hospice Community Palliative Care Services2015/16402402402402402
Reprioritising DHB Savings Delivered by PHARMAC2015/16(191)(191)(191)(191)(191)
DHB Demographics2014/154,3654,3654,3654,3654,365
Contribution to DHB cost pressures2014/152,9222,9222,9222,9222,922
Aged Residential Care - subsidy increase2014/15305305305305305
Contribution to DHB cost pressures2013/143,0443,0443,0443,0443,044
DHB Demographics2013/142,0922,0922,0922,0922,092
Aged Care and Dementia2013/14256256256256256
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14138138138138138

Reasons for Change in Appropriation

This appropriation increased by $15.166 million to $388.121 million for 2017/18 mainly due to:

  • $13.155 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $599,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation298,534298,534310,096

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-11,15711,15711,15711,157
Pharmaceuticals - More Publicly Funded Medicines2017/18-508508356152
DHB Efficiency Savings2017/18-(236)(236)(236)(236)
DHB capital charge rate change 8% to 6%2016/17(1,217)(1,616)(1,616)(1,616)(1,616)
Devolve Hospice Funding to DHBs2016/17281281281281281
District Health Boards - Additional Support2016/1713,93513,93513,93513,93513,935
More Publically Funded Medicines2016/17983731731680680
In-between Travel - devolution2015/16777777777777777
District Health Board (DHB) Additional Funding for Pressures2015/165,5195,5195,5195,5195,519
Improving Hospice Community Palliative Care Services2015/16322322322322322
Reprioritising DHB Savings Delivered by PHARMAC2015/16(162)(162)(162)(162)(162)
DHB Demographics2014/152,4112,4112,4112,4112,411
Contribution to DHB cost pressures2014/152,2962,2962,2962,2962,296
Aged Residential Care - subsidy increase2014/15238238238238238
DHB Demographics2013/142,6652,6652,6652,6652,665
Contribution to DHB cost pressures2013/142,3752,3752,3752,3752,375
Aged Care and Dementia2013/14202202202202202

Reasons for Change in Appropriation

This appropriation increased by $11.562 million to $310.096 million for 2017/18 mainly due to:

  • $11.157 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $508,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation482,764482,764499,456

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-17,68117,68117,68117,681
Pharmaceuticals - More Publicly Funded Medicines2017/18-806806564242
DHB Efficiency Savings2017/18-(389)(389)(389)(389)
DHB capital charge rate change 8% to 6%2016/17(2,110)(2,808)(2,808)(2,808)(2,808)
Devolve Hospice Funding to DHBs2016/17293293293293293
District Health Boards - Additional Support2016/1715,22915,22915,22915,22915,229
More Publically Funded Medicines2016/171,5871,1801,1801,0991,099
In-between Travel - devolution2015/161,5301,5301,5301,5301,530
District Health Board (DHB) Additional Funding for Pressures2015/167,8947,8947,8947,8947,894
Improving Hospice Community Palliative Care Services2015/16526526526526526
Reprioritising DHB Savings Delivered by PHARMAC2015/16(245)(245)(245)(245)(245)
DHB Demographics2014/155,2825,2825,2825,2825,282
Contribution to DHB cost pressures2014/153,7653,7653,7653,7653,765
Aged Residential Care - subsidy increase2014/15393393393393393
Contribution to DHB cost pressures2013/143,9093,9093,9093,9093,909
DHB Demographics2013/142,6532,6532,6532,6532,653
Aged Care and Dementia2013/14331331331331331
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/145555555555

Reasons for Change in Appropriation

This appropriation increased by $16.692 million to $499.456 million for 2017/18 mainly due to:

  • $17.681 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $806,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation403,203403,203418,304

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-14,85214,85214,85214,852
Pharmaceuticals - More Publicly Funded Medicines2017/18-677677474203
DHB Efficiency Savings2017/18-(320)(320)(320)(320)
DHB capital charge rate change 8% to 6%2016/17(1,479)(1,975)(1,975)(1,975)(1,975)
Devolve Hospice Funding to DHBs2016/17395395395395395
Kaikoura and Marlborough Earthquake Relief Package2016/17915----
District Health Boards - Additional Support2016/178,7838,7838,7838,7838,783
More Publically Funded Medicines2016/171,318980980913913
In-between Travel - devolution2015/161,2581,2581,2581,2581,258
District Health Board (DHB) Additional Funding for Pressures2015/1615,31515,31515,31515,31515,315
Improving Hospice Community Palliative Care Services2015/16445445445445445
Reprioritising DHB Savings Delivered by PHARMAC2015/16(515)(515)(515)(515)(515)
DHB Demographics2014/155,8875,8875,8875,8875,887
Contribution to DHB cost pressures2014/153,0933,0933,0933,0933,093
Aged Residential Care - subsidy increase2014/15324324324324324
DHB Demographics2013/146,4746,4746,4746,4746,474
Contribution to DHB cost pressures2013/143,1903,1903,1903,1903,190
Aged Care and Dementia2013/14269269269269269
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/149595959595

Reasons for Change in Appropriation

This appropriation increased by $15.101 million to $418.304 million for 2017/18 mainly due to:

  • $14.852 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $677,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation536,635536,635557,165

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-20,26620,26620,26620,266
Pharmaceuticals - More Publicly Funded Medicines2017/18-923923646277
DHB Efficiency Savings2017/18-(409)(409)(409)(409)
DHB capital charge rate change 8% to 6%2016/17(2,758)(2,758)(2,758)(2,758)
Devolve Hospice Funding to DHBs2016/17673673673673673
Better Health Outcomes in Northland2016/17119----
District Health Boards - Additional Support2016/1725,02225,02225,02225,02225,022
More Publically Funded Medicines2016/171,7901,3311,3311,2391,239
In-between Travel - devolution2015/161,6251,6251,6251,6251,625
District Health Board (DHB) Additional Funding for Pressures2015/1621,71321,71321,71321,71321,713
Improving Hospice Community Palliative Care Services2015/16584584584584584
Reprioritising DHB Savings Delivered by PHARMAC2015/16(734)(734)(734)(734)(734)
DHB Demographics2014/156,2036,2036,2036,2036,203
Contribution to DHB cost pressures2014/153,9893,9893,9893,9893,989
Aged Residential Care - subsidy increase2014/15414414414414414
DHB Demographics2013/146,1736,1736,1736,1736,173
Contribution to DHB cost pressures2013/144,1134,1134,1134,1134,113
Aged Care and Dementia2013/14346346346346346
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14255255255255255

Reasons for Change in Appropriation

This appropriation increased by $20.530 million to $557.165 million for 2017/18 mainly due to:

  • $20.266 million of new funding in the Budget 2017 initiative District Health Boards - Additional Support
  • $923,000 due to the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation171,495171,495178,097

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-6,2486,2486,2486,248
Pharmaceuticals - More Publicly Funded Medicines2017/18-28528519985
DHB Efficiency Savings2017/18-(140)(140)(140)(140)
DHB capital charge rate change 8% to 6%2016/17(757)(757)(757)(757)(757)
Devolve Hospice Funding to DHBs2016/17116116116116116
District Health Boards - Additional Support2016/173,6953,6953,6953,6953,695
More Publically Funded Medicines2016/17558415415386386
In-between Travel - devolution2015/16573573573573573
District Health Board (DHB) Additional Funding for Pressures2015/162,8362,8362,8362,8362,836
Improving Hospice Community Palliative Care Services2015/16189189189189189
Reprioritising DHB Savings Delivered by PHARMAC2015/16(88)(88)(88)(88)(88)
DHB Demographics2014/151,4361,4361,4361,4361,436
Contribution to DHB cost pressures2014/151,3561,3561,3561,3561,356
Aged Residential Care - subsidy increase2014/15141141141141141
DHB Demographics2013/143,7683,7683,7683,7683,768
Contribution to DHB cost pressures2013/141,3891,3891,3891,3891,389
Aged Care and Dementia2013/14118118118118118

Reasons for Change in Appropriation

This appropriation increased by $6.602 million to $178.097 million for 2017/18 mainly due to:

  • $6.248 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $285,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation818,589818,589852,087

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-29,68129,68129,68129,681
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,3521,352947406
DHB Efficiency Savings2017/18-(651)(651)(651)(651)
DHB capital charge rate change 8% to 6%2016/17(3,105)(3,105)(3,105)(3,105)(3,105)
Devolve Hospice Funding to DHBs2016/17935935935935935
District Health Boards - Additional Support2016/1727,25627,25627,25627,25627,256
More Publically Funded Medicines2016/172,6561,9751,9751,8391,839
In-between Travel - devolution2015/162,3092,3092,3092,3092,309
District Health Board (DHB) Additional Funding for Pressures2015/1613,32913,32913,32913,32913,329
Improving Hospice Community Palliative Care Services2015/16882882882882882
Reprioritising DHB Savings Delivered by PHARMAC2015/16(415)(415)(415)(415)(415)
DHB Demographics2014/157,3697,3697,3697,3697,369
Contribution to DHB cost pressures2014/156,3636,3636,3636,3636,363
Aged Residential Care - subsidy increase2014/15658658658658658
DHB Demographics2013/148,6418,6418,6418,6418,641
Contribution to DHB cost pressures2013/146,6236,6236,6236,6236,623
Aged Care and Dementia2013/14550550550550550
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14110110110110110

Reasons for Change in Appropriation

This appropriation increased by $33.498 million to $852.087 million for 2017/18 mainly due to:

  • $29.681 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.352 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation154,032154,032160,113

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-5,6615,6615,6615,661
Pharmaceuticals - More Publicly Funded Medicines2017/18-25825818177
DHB Efficiency Savings2017/18-(120)(120)(120)(120)
DHB capital charge rate change 8% to 6%2016/17(392)(517)(517)(517)(517)
Devolve Hospice Funding to DHBs2016/17172172172172172
District Health Boards - Additional Support2016/177,0547,0547,0547,0547,054
More Publically Funded Medicines2016/17503374374348348
In-between Travel - devolution2015/16367367367367367
District Health Board (DHB) Additional Funding for Pressures2015/162,4872,4872,4872,4872,487
Improving Hospice Community Palliative Care Services2015/16164164164164164
Reprioritising DHB Savings Delivered by PHARMAC2015/16(77)(77)(77)(77)(77)
DHB Demographics2014/151,2211,2211,2211,2211,221
Contribution to DHB cost pressures2014/151,1851,1851,1851,1851,185
Aged Residential Care - subsidy increase2014/15121121121121121
DHB Demographics2013/142,9342,9342,9342,9342,934
Contribution to DHB cost pressures2013/141,2141,2141,2141,2141,214
Aged Care and Dementia2013/14102102102102102
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/144848484848

Reasons for Change in Appropriation

This appropriation increased by $6.081 million to $160.113 million for 2017/18 mainly due to:

  • $5.661 million of new funding in the Budget 2017 initiative District Health Boards - Additional Support
  • $258,000 due to the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation324,724324,724338,959

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-11,61611,61611,61611,616
Pharmaceuticals - More Publicly Funded Medicines2017/18-529529370159
DHB Efficiency Savings2017/18-(258)(258)(258)(258)
DHB capital charge rate change 8% to 6%2016/17(1,003)(1,337)(1,337)(1,337)(1,337)
Devolve Hospice Funding to DHBs2016/17333333333333333
District Health Boards - Additional Support2016/176,9986,9986,9986,9986,998
More Publically Funded Medicines2016/171,041774774721721
In-between Travel - devolution2015/16952952952952952
District Health Board (DHB) Additional Funding for Pressures2015/1613,61013,61013,61013,61013,610
Improving Hospice Community Palliative Care Services2015/16362362362362362
Reprioritising DHB Savings Delivered by PHARMAC2015/16(460)(460)(460)(460)(460)
DHB Demographics2014/153,2083,2083,2083,2083,208
Contribution to DHB cost pressures2014/152,4962,4962,4962,4962,496
Aged Residential Care - subsidy increase2014/15261261261261261
DHB Demographics2013/143,4053,4053,4053,4053,405
Contribution to DHB cost pressures2013/142,5962,5962,5962,5962,596
Aged Care and Dementia2013/14219219219219219
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/146969696969

Reasons for Change in Appropriation

This appropriation increased by $14.235 million to $338.959 million for 2017/18 mainly due to:

  • $11.616 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $529,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.




 

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,088,8001,088,8001,134,739

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-39,52539,52539,52539,525
Pharmaceuticals - More Publicly Funded Medicines2017/18-1,8011,8011,260540
DHB Efficiency Savings2017/18-(827)(827)(827)(827)
DHB capital charge rate change 8% to 6%2016/17(3,508)(4,687)(4,687)(4,687)(4,687)
Devolve Hospice Funding to DHBs2016/171,1781,1781,1781,1781,178
District Health Boards - Additional Support2016/1749,12149,12149,12149,12149,121
More Publically Funded Medicines2016/173,4982,6012,6012,4222,422
In-between Travel - devolution2015/162,9722,9722,9722,9722,972
District Health Board (DHB) Additional Funding for Pressures2015/1643,95743,95743,95743,95743,957
Improving Hospice Community Palliative Care Services2015/161,1581,1581,1581,1581,158
Reprioritising DHB Savings Delivered by PHARMAC2015/16(1,474)(1,474)(1,474)(1,474)(1,474)
DHB Demographics2014/1514,77014,77014,77014,77014,770
Contribution to DHB cost pressures2014/158,0968,0968,0968,0968,096
Aged Residential Care - subsidy increase2014/15835835835835835
DHB Demographics2013/1417,67017,67017,67017,67017,670
Contribution to DHB cost pressures2013/148,4048,4048,4048,4048,404
Aged Care and Dementia2013/14694694694694694
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14384384384384384

Reasons for Change in Appropriation

This appropriation increased by $45.939 million to $1,134.739 million for 2017/18 mainly due to:

  • $39.525 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $1.801 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation130,946130,946136,657

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-4,7604,7604,7604,760
Pharmaceuticals - More Publicly Funded Medicines2017/18-21721715265
DHB Efficiency Savings2017/18-(104)(104)(104)(104)
DHB capital charge rate change 8% to 6%2016/17(448)(448)(448)(448)(448)
Devolve Hospice Funding to DHBs2016/179393939393
District Health Boards - Additional Support2016/172,8262,8262,8262,8262,826
More Publically Funded Medicines2016/17425316316294294
In-between Travel - devolution2015/16419419419419419
District Health Board (DHB) Additional Funding for Pressures2015/165,4625,4625,4625,4625,462
Improving Hospice Community Palliative Care Services2015/16145145145145145
Reprioritising DHB Savings Delivered by PHARMAC2015/16(185)(185)(185)(185)(185)
DHB Demographics2014/151,4311,4311,4311,4311,431
Contribution to DHB cost pressures2014/151,0031,0031,0031,0031,003
Aged Residential Care - subsidy increase2014/15105105105105105
DHB Demographics2013/142,6702,6702,6702,6702,670
Contribution to DHB cost pressures2013/141,0311,0311,0311,0311,031
Aged Care and Dementia2013/148888888888

Reasons for Change in Appropriation

This appropriation increased by $5.711 million to $136.657 million for 2017/18 mainly due to:

  • $4.760 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $217,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,391,6751,391,6751,450,808

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-49,54449,54449,54449,544
Pharmaceuticals - More Publicly Funded Medicines2017/18-2,2572,2571,580677
DHB Efficiency Savings2017/18-(1,072)(1,072)(1,072)(1,072)
DHB capital charge rate change 8% to 6%2016/17(5,020)(5,020)(5,020)(5,020)(5,020)
Devolve Hospice Funding to DHBs2016/172,6352,6352,6352,6352,635
District Health Boards - Additional Support2016/1743,95043,95043,95043,95043,950
More Publically Funded Medicines2016/174,3723,2513,2513,0273,027
In-between Travel - devolution2015/163,3443,3443,3443,3443,344
District Health Board (DHB) Additional Funding for Pressures2015/1629,89329,89329,89329,89329,893
Improving Hospice Community Palliative Care Services2015/161,4621,4621,4621,4621,462
Reprioritising DHB Savings Delivered by PHARMAC2015/16(965)(965)(965)(965)(965)
DHB Demographics2014/1538,66138,66138,66138,66138,661
Contribution to DHB cost pressures2014/1510,40710,40710,40710,40710,407
Aged Residential Care - subsidy increase2014/151,0831,0831,0831,0831,083
DHB Demographics2013/1417,68917,68917,68917,68917,689
Contribution to DHB cost pressures2013/1410,94310,94310,94310,94310,943
Aged Care and Dementia2013/14888888888888888
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/14287287287287287

Reasons for Change in Appropriation

This appropriation increased by $59.133 million to $1,450.808 million for 2017/18 mainly due to:

  • $49.544 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $2.257 million for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation124,489124,489128,823

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-3,8963,8963,8963,896
Pharmaceuticals - More Publicly Funded Medicines2017/18-17717712453
DHB Efficiency Savings2017/18-(86)(86)(86)(86)
DHB capital charge rate change 8% to 6%2016/17(179)(235)(235)(235)(235)
Devolve Hospice Funding to DHBs2016/17190190190190190
District Health Boards - Additional Support2016/172,6082,6082,6082,6082,608
More Publically Funded Medicines2016/17355264264246246
In-between Travel - devolution2015/16242242242242242
District Health Board (DHB) Additional Funding for Pressures2015/162,0192,0192,0192,0192,019
Improving Hospice Community Palliative Care Services2015/16116116116116116
Reprioritising DHB Savings Delivered by PHARMAC2015/16(64)(64)(64)(64)(64)
DHB Demographics2014/151,8431,8431,8431,8431,843
Contribution to DHB cost pressures2014/15937937937937937
Aged Residential Care - subsidy increase2014/158787878787
Contribution to DHB cost pressures2013/141,0221,0221,0221,0221,022
DHB Demographics2013/14726726726726726
Aged Care and Dementia2013/147373737373

Reasons for Change in Appropriation

This appropriation increased by $4.334 million to $128.823 million for 2017/18 mainly due to:

  • $3.896 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $177,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation210,551210,551218,859

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve services provided by the DHB that align with: Government priorities; the strategic direction set for the health sector by the Ministry of Health; the needs of the district's population; and regional considerations.

How Performance will be Assessed and End of Year Reporting Requirements

Please refer to Health and Disability Support Services - Auckland DHB.

End of Year Performance Reporting

The DHB will report performance information in its Annual Report.

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
District Health Boards - Additional support2017/18-7,2677,2677,2677,267
Pharmaceuticals - More Publicly Funded Medicines2017/18-33133123299
DHB Efficiency Savings2017/18-(161)(161)(161)(161)
DHB capital charge rate change 8% to 6%2016/17(561)(745)(745)(745)(745)
Devolve Hospice Funding to DHBs2016/17383383383383383
District Health Boards - Additional Support2016/174,4164,4164,4164,4164,416
More Publically Funded Medicines2016/17651484484449449
In-between Travel - devolution2015/16627627627627627
District Health Board (DHB) Additional Funding for Pressures2015/163,4053,4053,4053,4053,405
Improving Hospice Community Palliative Care Services2015/16219219219219219
Reprioritising DHB Savings Delivered by PHARMAC2015/16(106)(106)(106)(106)(106)
DHB Demographics2014/151,7981,7981,7981,7981,798
Contribution to DHB cost pressures2014/151,6471,6471,6471,6471,647
Aged Residential Care - subsidy increase2014/15165165165165165
Contribution to DHB cost pressures2013/141,7431,7431,7431,7431,743
DHB Demographics2013/141,2161,2161,2161,2161,216
Aged Care and Dementia2013/14142142142142142
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes2013/145555555555

Reasons for Change in Appropriation

This appropriation increased by $8.308 million to $218.859 million for 2017/18 mainly due to:

  • $7.267 million for the Budget 2017 initiative District Health Boards - Additional Support
  • $331,000 for the Budget 2017 initiative Pharmaceuticals - More Publicly Funded Medicines.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 10(2) (Crown funding agreements) provides that the Minister may, on behalf of the Crown, negotiate or enter into a Crown funding agreement with any person, containing any terms and conditions that may be agreed.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation185,014184,514186,745

What is Intended to be Achieved with this Appropriation

This appropriation is intended to achieve the following: the New Zealand health sector is supported to develop a sustainable, flexible, and fit-for-purpose workforce through the funding of clinical training and other initiatives.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Medicine Workforce

The number of first year general practitioner trainees supported by the Ministry of Health funding is equal to or greater than

--180

Percentage of vocationally registered general practitioners trained in New Zealand with support from Ministry of Health funding who are still practising in New Zealand after:

  • two years is equal to or greater than
--80%
  • five years is equal to or greater than
--80%

The number of training units for vocational registrars (excluding general practitioners) supported by Ministry of Health funding is equal to or greater than

--1,206

Percentage of vocationally registered specialist doctors (excluding general practitioners) trained in New Zealand with support from Ministry of Health funding who are still practising in New Zealand after:

  • two years is equal to or greater than
--70%
  • five years is equal to or greater than
--80%

The number of post-graduate year one trainees supported by Ministry of Health funding is equal to or greater than

--490

Percentage of post-graduate year one trainees trained in New Zealand with support from Ministry of Health funding who were still practising in New Zealand after:

  • two years is equal to or greater than
--90%
  • five years is equal to or greater than
--85%

Nursing workforce

The number of Nursing Entry to Practice (NETP) trainees supported by Ministry of Health funding is equal to or greater than

--1,135

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

--163

Midwifery Workforce

The number of midwifery first year of practice trainees supported by Ministry of Health funding is equal to or greater than

--161

Mental Health Workforce

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

--100%

Disability Support Workers

Percentage of disability support workers supported by the Ministry of Health development funding who achieved competency at NZQA qualification levels

--100%

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%

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

--100%

Voluntary Bonding Scheme (VBS)

People are being retained in the scheme: The percentage of registrants who applied for payment in the previous year who applied for payment in the current academic year, where this is allowable under the terms of the scheme

75%75%75%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs122,679122,679Not yet knownOngoing
Royal New Zealand College of General Practitioners21,67021,670Not yet knownOngoing
Te Pou Limited17,15117,151Not yet knownOngoing
New Zealand College of Midwives4,0234,023Not yet knownOngoing
Te Rau Matatini Limited3,5303,505Not yet knownOngoing
Auckland University3,0683,068Not yet knownOngoing
Auckland UniServices Limited2,2802,280Not yet knownOngoing
Otago University2,2472,247Not yet knownOngoing
Other NGO8,3667,391Not yet knownOngoing
Total185,014184,014186,745

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Health Workforce Training and Development - Additional support2017/18-1,9191,9191,9191,919
Health Workforce Training and Development - Additional Support2016/172,7652,6952,6952,6952,695
Workforce: Post-Graduate Education And Training of Doctors2014/155,3145,3147,6587,6587,658

Conditions on Use of Appropriation

ReferenceConditions
Health Practitioners Competence Assurance Act 2003Section 115 sets out conditions for designating health services as a health profession.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation28,74628,74628,746

What is Intended to be Achieved with this Appropriation

This appropriation is intended to protect the rights of people using health and disability services. This includes addressing the concerns of whanau and appropriately investigating alleged breaches of patients' rights.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Health and Disability Commissioner

The performance measures are those contained in the Crown entity's Statement of Performance Expectations

Health Quality and Safety Commission

The performance measures are those contained in the Crown entity's Statement of Performance Expectations

Mental health reviews and inquiries

The percentage of District Mental Health Inspectors' monthly reports, on their duties undertaken, sent to the Director of Mental Health within one month after completion

90%85%90%

The annual report by the Mental Health Review Tribunal, on their duties undertaken, to the Director of Mental Health by the due date (31 October)

--Achieved

The six monthly reports, administered by the Tribunal's secretariat, to the Director of Mental Health by the due dates:

  • report one
--Achieved
  • report two
--Achieved

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

75%55%75%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
Quality & Safety Commission13,47613,476Not yet knownOngoing
Health & Disabilities Commissioner12,07010,920Not yet knownOngoing
Mental Health District Inspectors3,2003,200Not yet knownOngoing
Total28,74628,74628,746

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Severe Acute Maternal Morbidity (SAMM) audit2015/16500500500500500
District Health Inspectors - cost pressures2014/15500500500500500
Health Quality and Safety Commission funding (technical change)2013/1412,97612,97612,97612,97612,976
Health and Disability Commission services2013/14750750750750750

Conditions on Use of Appropriation

ReferenceConditions
Health and Disability Commissioner Act 1994Sections 8-10 provide for the appointment of Commissioners.
New Zealand Public Health and Disability Act 2000The Health Quality and Safety Commission (HQSC) is established under Part 4 (section 59A) of the Act.
Mental Health (Compulsory Assessment and Treatment) Act 1992Section 102, the Mental Health Review Tribunal's primary function is to consider whether patients subject to compulsory treatment orders are mentally disordered as defined by the Act.
Mental Health (Compulsory Assessment and Treatment) Act 1992Section 94, District Inspectors are barristers and solicitors appointed by the Minister of Health to uphold the rights of patients as set out in the Act and under s 98A they report monthly to the Director of Mental Health.

National Child Health Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of child health services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation83,50183,40185,001

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide services that support the development of New Zealand children and establish a foundation for those children to live longer, healthier, and more independent lives.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Infants receive their full Well Child/Tamariki Ora (WCTO) Entitlement

Percent of enrolled infants (0-12 months) who receive all core WCTO contacts (see Note 1)

85%77%85%

Telephone information and advisory services to support the Well Child/Tamaki Ora Framework are delivered (PlunketLine):

  • The percentage of time the phone line service is available 24/7 is greater than or equal to
99%100%99%

B4 School Checks

Percentage of the population delivered B4SCs

90%90%90%

Percentage of the high deprivation population delivered B4SCs

90%90%90%

Note 1: Enrolling with a WCTO provider at birth or as soon as possible thereafter allows sufficient time for WCTO providers to deliver the first core contact on time at around 6 weeks and therefore meet the quality indicator of delivering the full entitlement to children in the first year of life (if core 1 is missed, they are unable to meet the full entitlement measure).

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs26,87227,610Not yet knownOngoing
Royal New Zealand Plunket Society53,59053,590Not yet knownOngoing
Other NGOs3,0392,201Not yet knownOngoing
Total83,50183,40185,001

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
School-Based Health Services - Additional Support2016/177070707070
National Child Health Services - Pressure2015/162,9612,9612,9612,9612,961
Demographic and cost pressures2014/151,6451,6451,6451,6451,645
B4 School Checks - increase target coverage2013/141,7481,7481,7481,7481,748
Children's Action Plan2013/14700700700700700
Well Child2013/143030303030

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Public Health and Disability Act 2000Section 3 of the Act provides for the provision of health and disability services including child health services.

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.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation26,60726,60728,720

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide health-related services that align with Government priorities or the strategic direction for health services (see the Ministry of Health's Statement of Intent) but are out of scope for other national services appropriations in Vote Health. Examples include: funding for the basic operating costs of PHARMAC and the Health Research Council.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

PHARMAC

The performance measures are those contained in the Crown entity's Statement of Performance Expectations

Health Research Council

The performance measures are those contained in the Crown entity's Statement of Performance Expectations

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
PHARMAC21,98821,988Not yet knownOngoing
Other Crown Entities306306Not yet knownOngoing
NGOs4,3133,813Not yet knownOngoing
Total26,60726,10728,720

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Healthy Homes Initiative - Expansion2016/174,5004,5004,5004,5004,500
Other Nationally Purchased Health Services - Additional Support2016/17400400400400400
Palliative Care Community Service Support Roles2015/167,0007,0007,0007,0007,000
Pressures funding for contract lens and chaplaincy services2014/152222222222
Establish National Health Information System appropriation (technical change)2013/14(5,356)(5,356)(5,356)(5,356)(5,356)
Health Quality and Safety Commission (technical change)2013/14(12,976)(12,976)(12,976)(12,976)(12,976)
Establish National Personal Health Services appropriation2013/14(74,710)(74,710)(74,710)(74,710)(74,710)

Reasons for Change in Appropriation

This appropriation increased by $2.113 million to $28.720 million for 2017/18 mainly due to:

  • $1.300 million was transferred to the National Maternity Services appropriation in 2016/17 for pressures on maternity services, with no impact on 2017/18
  • $1.115 million due to the one-off transfer of uncommitted funding from the system integration programme to the Health Services Fund appropriation as part of Budget 2014 4 Year Plan Reprioritisation
  • $1 million was transferred to the Health Workforce Training and Development appropriation for the Voluntary Bonding Scheme in 2016/17, with no impact on 2017/18.

This was partly offset by:

  • $1.302 million was carried forward into 2016/17 for the National Dementia initiative, with no impact on 2017/18.

Conditions on Use of Appropriation

ReferenceConditions
New Zealand Pubic Health and Disability Act 2000The Pharmaceutical Management Agency (PHARMAC) is established under Part 4 (sections 46-52) of the Act.

National Disability Support Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of disability support services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation1,183,8651,183,3651,208,374

Components of the Appropriation

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Residential Care526,920528,642Not yet known
Community Care275,690282,112Not yet known
Environmental Support132,845139,315Not yet known
Funded Family Care6,8658,797Not yet known
Other disability support services241,545224,499Not yet known
Total1,183,8651,183,3651,208,374

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide support for disabled people and their families/whanau to enable them to live good lives.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Needs Assessment and Service Co-ordination

All new eligible Disability Support Services clients are assessed within 20 days of referral is equal to or greater than

80%86%80%

All new clients assessed as being eligible for Ministry-funded support are provided with their support options within 20 days of assessment is equal to or greater than

80%88%85%

Community Support Services

The percentage of self-directed funding arrangements to improve the person's choice, control and flexibility, (eg, Choices in Community Living, Individualised Funding, Enhanced Individualised Funding, Flexible Disability Supports, Personal Budgets and Enabling Good Lives) within the total client population is greater than or equal to

--10%

The percentage of people engaged in early intervention by completing Behaviour Support Treatment Programme to prevent inappropriate behaviour from becoming permanent is greater than or equal to

--75%

Residential to Community Support Services

Percentage of Disability Support Service clients moving from mainstream residential service to community support services increases over time so that the percentage receiving community support services is greater than or equal to

--77%

Environmental Support

The percentage of equipment available and supplied from the Ministry of Health's standardised equipment list to ensure value for money is greater than or equal to

75%78%75%

Quality

The percentage of requirements identified in Disability Support Services purchased audits and evaluations that are actively monitored by the Ministry of Health so that they are implemented by the providers in a timely manner is greater than or equal to

--90%

Stakeholder Engagement

Percentage of stakeholders surveyed assess the engagement and content of the DSS external forums (eg Consumer Consortium, Provider Forums etc.) as meeting expectations or above

--80%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
IDEA Services Limited226,380227,171Not yet knownOngoing
DHBs109,249119,450Not yet knownOngoing
Enable New Zealand (an operating division of MidCentral DHB)68,36480,388Not yet knownOngoing
NZ Care Group61,17565,284Not yet knownOngoing
Manawanui in Charge Ltd49,81053,283Not yet knownOngoing
Spectrum Care Trust44,18650,953Not yet knownOngoing
Geneva Healthcare Limited26,11726,721Not yet knownOngoing
Te Roopu Taurima O Manukau Trust25,58228,727Not yet knownOngoing
Hohepa Services Limited23,16223,914Not yet knownOngoing
Environmental Health Management Services Limited23,03524,739Not yet knownOngoing
Healthcare Of New Zealand22,80424,981Not yet knownOngoing
Community Living Limited20,78020,360Not yet knownOngoing
Other NGOs483,222437,392Not yet knownOngoing
Total1,183,8651,183,3651,208,374

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Disability Support Services - Additional support2017/18-44,56244,56244,56244,562
Funding Emerging Health Sector Risks from Contingency2016/1716,700----
Enabling Good Lives Christchurch And Waikato2016/171,277----
Disability Support Services - Additional Support2016/1742,29642,29642,29642,29642,296
In-Between Travel - Devolution to DHBs2015/16(31,845)(31,845)(31,845)(31,845)(31,845)
In-Between Travel2015/1614,00014,00014,00014,00014,000
Home based support (In-Between Travel)2014/1524,00024,00024,00024,00024,000
Disability Support: Community Residential Services - Pressure2015/1612,30712,30712,30712,30712,307
Disability Support Services - Pressures2015/169,8009,8009,8009,8009,800
Disability Support: Home and Community Support Services - Pressure2015/166,0906,0906,0906,0906,090
Disability Support: Environmental Support Services - Pressure2015/162,2412,2412,2412,2412,241
Disability Support: Other Services and Minimum Wage Increase - Pressure2015/165,6835,6835,6835,6835,683
Disability Support: High and Complex Services Cost Pressure2015/16510510510510510
Enabling Good Lives - Transfer to Vote Social Development2015/16(4,500)----
Demographic and cost pressures2014/1524,81224,81224,81224,81224,812
Vocational services for school leavers with disabilities and very high needs2014/151,5001,5001,5001,5001,500
Enabling Good Lives - Hamilton demonstration2014/151,360----
Aged Residential Care - subsidy increase2014/15400400400400400
Family Caregivers2013/1423,00023,00023,00023,00023,000
Residential Services - demographics2013/1410,15510,15510,15510,15510,155
Sleepovers2013/1410,00010,00010,00010,00010,000
Environmental/community services - demographics2013/144,4304,4304,4304,4304,430
Enabling Good Lives2013/14300300300300300

Reasons for Change in Appropriation

This appropriation increased by $24.509 million to $1,208.374 million for 2017/18 mainly due to:

  • $44.562 million of new funding in the Budget 2017 initiative Disability Support Services - Additional support.

This was partly offset by:

  • $16.700 million was provided for cost pressures, in 2016/17 only, from the Risk Pool for Emerging Health Sector Risks
  • $1.277 million was transferred from Vote Social Development for the Enabling Good Lives pilot in 2016/17.

Conditions on Use of Appropriation

ReferenceConditions
Health and Disability Services (Safety) Act 2001The provision of health and disability services, including rehabilitation services, physiotherapy services; services provided to people with disabilities or people who are frail (whether because of their age or for some other reason), for their care or support or to promote their independence; and rest home care services that are residential care provided for the care or support of, or to promote the independence of, people who are frail.
New Zealand Public Health and Disability Act 2000Sections 70A - 70E provide that the Ministry may pay family members for providing support care to their disabled children only where expressly permitted under an applicable family care policy (or otherwise expressly authorised by law). Section 70E in particular bars complaints of discrimination based on such policies to the Human Rights Commission/courts/tribunals (subject to certain conditions).
Disabled Persons Community Welfare Act 1975Section 25A sets out the right of review for persons in residential care to assess the adequacy of the disability services or whether or not the person's needs are appropriately met.

National Elective Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of elective surgery services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation356,205347,205346,517

What is Intended to be Achieved with this Appropriation

This appropriation is intended to improve access to elective procedures by funding more procedures and improvements to how elective procedures are provided or supported.

How Performance will be Assessed and End of Year Reporting Requirements

The Electives initiative supports agreed levels of delivery of surgical discharges. The Ambulatory initiative supports agreed levels of surgical and medical first specialist assessments, community referred test and some non-admitted procedures. All of these are used to support the delivery of the Health Target. The output is the agreed Health Target discharges, above the base funding for each DHB, which are funded through non-departmental expenditure funding only. This is only a proportion of each DHB's total health target expectation. The Bariatric initiative supports agreed levels of bariatric surgery discharges above DHB base levels. The Quality initiative is targeted funding to support DHBs in maintaining timely access, implementing system change or new models of care to create capacity to elective surgery.

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

General Surgery and Orthopaedics Initiative

DHBs achieve contracted Orthopaedic and General Surgery Initiative volumes

--100%

Mobility Action Programme

Programmes achieve targeted outcomes

--100%

Electives Initiative Discharges (see Note 1)

Auckland DHB

5,2985,2715,271

Bay of Plenty DHB

1,9942,1052,105

Canterbury DHB

5,6055,8525,852

Capital and Coast DHB

2,6232,7062,706

Counties Manukau DHB

3,9864,4094,409

Hawkes Bay DHB

1,5881,6601,660

Hutt Valley DHB

1,1921,3541,354

Lakes DHB

966987987

MidCentral DHB

1,8121,8961,896

Nelson Marlborough DHB

1,3351,4071,407

Northland DHB

1,7961,9171,917

South Canterbury DHB

449479479

Southern DHB

2,5912,7332,733

Tairawhiti DHB

349371371

Taranaki DHB

1,0671,1221,122

Waikato DHB

4,0764,1954,195

Wairarapa DHB

374396396

Waitemata DHB

5,7705,9765,976

West Coast DHB

255272272

Whanganui DHB

559592592

Total Electives Initiative Discharges

43,68545,70045,700

Bariatric Initiative

All 20 DHBs deliver the total volume of bariatric surgery procedures required

--20 DHBs

Quality Initiative

All 20 DHBs deliver quality initiatives that support improved access and timeliness of elective services

--100%

Mobile Surgical Services

Mobile Surgical Services achieved contracted volumes

--100%

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

100%100%100%

Note 1: the 2017/18 targets for the Electives and Ambulatory initiative are indicative. Following the Budget announcements, the Ministry of Health will negotiate the actual targets with the district health boards, to reflect the additional funding made available in Budget 2017.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs345,643345,143Not yet knownOngoing
NGOs10,5622,062Not yet knownOngoing
Total356,205347,205346,517

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Elective Surgery - Government's Health Target2017/18-6,0006,0006,0006,000
Elective Surgery - Government's Health Target2016/1724,00024,00024,00024,00024,000
Additional 2000 Elective Procedures2015/1612,00012,00012,00012,00012,000
More Elective Surgery, Reducing Pain, and Increasing Prevention2015/1627,00012,000---
Electives Health Target - increased discharges2014/1525,00025,00025,00025,00025,000
Electives - bariatric surgery2014/152,5002,500---
National Intestinal Failure Services2014/15300300300300300
Electives - additional 2000 discharges per annum2013/1412,00012,00012,00012,00012,000
Electives - maintain existing volumes2013/1410,00010,00010,00010,00010,000

Reasons for Change in Appropriation

This appropriation decreased by $9.688 million to $346.517 million for 2017/18 mainly due to:

  • $15 million was due to the profile of the Budget 2015 initiative More Elective Surgery, Reducing Pain, And Increasing Prevention, which was $27 million in 2016/17 and $12 million in 2017/18.

This was partly offset by:

  • $6 million for the Budget 2017 initiative Elective Surgery - Government's Health Target.

National Emergency Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of emergency services.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation101,050100,550109,958

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide emergency services to assist people who require urgent acute health care (for example, air and road ambulances) are provided in a timely fashion.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

Emergency calls are triaged and services dispatched effectively and efficiently:

  • Call response times - percentage of calls answered in 15 seconds
95%95%95%

Ambulance response times - for immediately life-threatening incidents an ambulance reaches the scene within:

  • Urban reached in 8 minutes
50%54%50%
  • Urban reached in 20 minutes
95%96%95%
  • Rural reached in 12 minutes
50%51%50%
  • Rural reached in 30 minutes
95%93%95%

Percentage of air ambulance activations that are within the target times:

  • Day response in 10 minutes
--50%
  • Night response in 20 minutes
--50%

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
Order of St John's63,69563,738Not yet knownOngoing
Wellington Free Ambulance Service7,2377,237Not yet knownOngoing
Central Emergency Communications Ltd4,7944,794Not yet knownOngoing
Air Ambulance Providers8,0009,458Not yet knownOngoing
Other17,32415,323Not yet knownOngoing
Total101,050100,550109,958

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Emergency Ambulance Services - additional support2017/18-8,57111,57114,57117,571
Ambulance Services - Additional Support2016/173,7113,7113,7113,7113,711
Ambulance Services - Pressure2015/163,3503,3503,3503,3503,350
Air and road ambulance - demographics and cost pressures2014/152,1362,1362,1362,1362,136
Air ambulances2013/141,8731,8731,8731,8731,873
Whole of Government Radio Network2013/14636636636636636
Ambulance Services2012/131,8501,8501,8501,8501,850

Reasons for Change in Appropriation

This appropriation increased by $8.908 million to $109.958 million for 2017/18 mainly due to $8.571 million of new funding in the Budget 2017 initiative Emergency Ambulance Services - Additional support.

National Health Information Systems (M36)

Scope of Appropriation

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

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation5,4185,4188,236

What is Intended to be Achieved with this Appropriation

This appropriation is intended to fund or purchase health information systems on behalf of the health and social sectors, making that procurement more efficient and effective.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard
Estimated
Actual
Budget
Standard

The percentage of scheduled updates to the New Zealand Formulary, a key sector independent resource, providing healthcare professionals with the clinically validated medicines for patients, delivered in line with contractual requirements

--100%

DHBs implement the InterRAI Home Care and Contact Assessments tools for assessing the needs of older people to access long-term support services in the community or residential care (see Note 1)

20 DHBs20 DHBs20 DHBs

Note 1: InterRAI is a collaborative network of researchers in over 30 countries committed to improving health care for persons who are elderly, frail, or disabled.

End of Year Performance Reporting

Performance information will be reported in the Minister's Vote Health Report in Relation to Selected Non-Departmental Appropriations.

Service Providers

Provider2016/17
Final Budgeted
$000
2016/17
Estimated Actual
$000
2017/18
Budget
$000
Expiry of
Resourcing
Commitment
DHBs518518Not yet knownOngoing
New Zealand Medicines Formulary Limited Partnership1,7131,713Not yet knownOngoing
Other NGOs3,1873,187Not yet knownOngoing
Total5,4185,4188,236

Current and Past Policy Initiatives

Policy InitiativeYear of
First
Impact
2016/17
Final Budgeted
$000
2017/18
Budget
$000
2018/19
Estimated
$000
2019/20
Estimated
$000
2020/21
Estimated
$000
Establish National Health Information Systems - diagnostic system changes2013/144,0004,0004,0004,0004,000
Whanau Ora IT Solutions2013/141,877----
Establish National Health Information Systems - New Zealand Medicines Formulary2013/142,2002,2002,2002,2002,200
Establish National Health Information Systems - InterRAI software implementation2013/141,3561,3561,3561,3561,356
Establish National Health Information Systems - National Immunisation Register (NIR)2013/14486486486486486

Reasons for Change in Appropriation

This appropriation increased by $2.818 million to $8.236 million for 2017/18 mainly due to:

  • $4 million was transferred to the Health Workforce Training and Development appropriation in 2016/17, with no impact on 2017/18.

This was partly offset by:

  • $702,000 was due to the transfer between years for the Electronic Oral Health Records (EOHR), to reflect the expected expenditure profile.

National Maori Health Services (M36)

Scope of Appropriation

This appropriation is limited to the provision, purchase, and support of health and disability services that are either for Maori or by Maori.

Expenses

2016/172017/18
Final Budgeted
$000
Estimated Actual
$000
Budget
$000
Total Appropriation3,8283,3286,828

What is Intended to be Achieved with this Appropriation

This appropriation is intended to provide support and encouragement for (i) health services provided by Maori, and (ii) for health services for Maori.

How Performance will be Assessed and End of Year Reporting Requirements

2016/172017/18
Assessment of PerformanceFinal Budgeted
Standard