Estimates of appropriations

Vote Health - Health Sector - Estimates 2016/2017

Publication type:
Estimates of appropriations
Status:
Superseded
Document (signed) date:
Issue date:
Part of:
Corporate author:
Government of New Zealand
Viewpoint:
Government
Publication category:
Budgets of the government
Copyright:
© Crown Copyright, Attribution 4.0 International (CC BY 4.0)
Fiscal year:
2016/17
Budget year:
2016
Budget vote:
Health

Formats and related files

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 ($16,142 million in 2016/17) 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:

  • $12,220 million (75.7% of the Vote) is provided to 20 district health boards (DHBs) 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, including those provided by Public Health Units
  • $2,659 million (16.5% 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 ($1,165 million or 7.2% of the Vote)
    • Public Health Service Purchasing ($401 million or 2.5% of the Vote)
    • National Elective Services ($356 million or 2.2% of the Vote)
    • Primary Health Care Strategy ($186 million or 1.2% of the Vote)
    • National Maternity Services ($147 million or 0.9% of the Vote)
    • National Personal Health Services ($99 million or 0.6% of the Vote)
    • National Emergency Services ($100 million or 0.6% of the Vote)
    • National Child Health Services ($85 million or 0.5% of the Vote)
    • National Mental Health Services ($59 million or 0.4% of the Vote)
    • Other national services ($61 million or 0.4% of the Vote)
  • $459 million (2.8% of the Vote) for the support, oversight, governance, and development of the health and disability sectors, comprising:
    • Ministry of Health operating costs ($195 million or 1.1% of the Vote) and capital investment ($15 million or 0.1% of the Vote)
    • Health Workforce Training and Development ($180 million or 1.1% of the Vote)
    • Monitoring and protecting health and disability consumer interests ($28 million or 0.2% of the Vote)
    • National Health Information Systems ($13 million or 0.1% of the Vote)
    • Other expenses ($28 million or 0.2% of the Vote)
  • $803 million (5.0% of the Vote) for capital investment, comprising: sector capital investment ($678 million or 4.2% of the Vote), technical expenditure ($75 million or 0.5% 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#

  2015/16 2016/17
Titles and Scopes of Appropriations by Appropriation Type Final
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		 50,661 50,661 52,128

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).		 32,626 32,626 33,539

Payment Services (M36)

This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.		 17,677 17,677 17,646

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.		 23,180 23,180 23,377

Sector Planning and Performance (M36)

This appropriation is limited to advising on and co-ordinating health sector planning and performance improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities, and sector co-ordination.		 47,541 47,541 47,915

Total Departmental Output Expenses

 171,685 171,685 174,605

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.		 16,291 16,291 15,010

Total Departmental Capital Expenditure

 16,291 16,291 15,010

Non-Departmental Output Expenses

      

Health and Disability Support Services - Auckland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.		 1,118,297 1,118,297 1,168,145

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.		 638,061 638,061 670,326

Health and Disability Support Services - Canterbury DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.		 1,317,045 1,317,045 1,326,373

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.		 690,915 690,915 708,924

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.		 1,274,349 1,274,349 1,329,104

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.		 461,348 461,348 469,504

Health and Disability Support Services - Hutt DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.		 365,331 365,331 375,024

Health and Disability Support Services - Lakes DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.		 284,778 284,778 300,118

Health and Disability Support Services - MidCentral DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.		 467,257 467,257 484,891

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.		 394,740 394,740 405,579

Health and Disability Support Services - Northland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Northland DHB.		 511,786 511,786 539,583

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.		 167,795 167,795 172,374

Health and Disability Support Services - Southern DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Southern DHB.		 791,730 791,730 822,938

Health and Disability Support Services - Tairawhiti DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.		 147,136 147,136 154,899

Health and Disability Support Services - Taranaki DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.		 318,644 318,644 327,231

Health and Disability Support Services - Waikato DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.		 1,042,741 1,042,741 1,096,798

Health and Disability Support Services - Wairarapa DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.		 128,179 128,179 131,668

Health and Disability Support Services - Waitemata DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.		 1,349,321 1,349,321 1,399,525

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.		 121,929 121,929 125,017

Health and Disability Support Services - Whanganui DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.		 206,465 206,465 211,894

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.		 175,302 175,302 180,014

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.		 27,596 27,596 27,596

National Child Health Services (M36)

This appropriation is limited to the provision, purchase, and support of child health services.		 85,249 85,249 85,001

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.		 27,170 25,670 37,155

National Disability Support Services (M36)

This appropriation is limited to the provision, purchase, and support of disability support services.		 1,167,018 1,167,018 1,165,888

National Elective Services (M36)

This appropriation is limited to the provision, purchase, and support of elective surgery services.		 324,367 323,367 355,517

National Emergency Services (M36)

This appropriation is limited to the provision, purchase, and support of emergency services.		 95,559 95,559 99,946

National Health Information Systems (M36)

This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.		 12,646 11,646 13,065

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.		 4,517 4,517 6,828

National Maternity Services (M36)

This appropriation is limited to the provision, purchase, and support of maternity services.		 144,657 144,657 146,767

National Mental Health Services (M36)

This appropriation is limited to the provision, purchase, and support of mental health services.		 53,482 53,482 58,962

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.		 107,428 104,428 98,694

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.		 179,974 179,974 186,019

Problem Gambling Services (M36)

This appropriation is limited to the provision, purchase, and support of services that minimise the harm from gambling, in accordance with the Gambling Act 2003.		 20,630 17,630 17,440

Public Health Service Purchasing (M36)

This appropriation is limited to the provision, purchase, and support of public health services.		 376,602 374,602 400,644

Total Non-Departmental Output Expenses

 14,600,044 14,588,544 15,099,451

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.		 1,650 1,650 2,030

Legal Expenses (M36)

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

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.		 22,975 22,975 25,414

Total Non-Departmental Other Expenses

 25,653 25,653 28,472

Non-Departmental Capital Expenditure

      

Deficit Support for DHBs (M36)

This appropriation is limited to equity injections to District Health Boards to address deficits.		 38,624 38,624 50,000

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.		 71,949 71,949 185,299

Health Sector Projects (M36)

This appropriation is limited to the provision or purchase of health sector assets.		 240,716 174,552 402,397

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.		 23,345 23,345 90,000

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.		 210,824 210,824 60,500

Residential Care Loans - Payments (M36)

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

Refinance of DHB Private Debt (M36)

This appropriation is limited to the provision of funding to DHBs to replace their current debts held by private banking institutions as they become due for refinancing.		 50,000 50,000 -

Total Non-Departmental Capital Expenditure

 650,458 584,294 803,196

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.		 20,768 20,768 21,072
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.		 4,620 4,620 4,720
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.		 16,148 16,148 16,352

Total Multi-Category Expenses and Capital Expenditure

 20,768 20,768 21,072

Total Annual and Permanent Appropriations

 15,484,899 15,407,235 16,141,806

Capital Injection Authorisations#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Ministry of Health - Capital Injection (M36) 315 315 -

Supporting Information#

Part 1 - Vote as a Whole#

1.1 - New Policy Initiatives

Policy Initiative Appropriation 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
District Health Boards - Additional Support

Health and Disability Support Services - DHBs

Non-departmental output expense		 - 400,000 400,000 400,000 400,000
Disability Support Services - Additional Support

National Disability Support Services

Non-departmental output expense		 - 42,296 42,296 42,296 42,296
More Publically Funded Medicines

Health and Disability Support Services - DHBs   

Non-departmental output expenses		 - 39,000 29,000  29,000 27,000
Elective Surgery - Government's Health Target

National Elective Services

Non-departmental output expense		 - 24,000 24,000 24,000 24,000
Primary Health Care - Additional Support

Primary Health Care Strategy

Non-departmental output expense		 - 14,329 14,329 14,329 14,329
Problem Gambling Services - Continued Support

Problem Gambling Services

Non-departmental output expense		 - 6,913 6,994 6,914 -
 

Managing the Purchase of Services

Departmental output expense		 - 260 293 293 -
Supporting Health Services in Canterbury

Health and Disability Support Services - Canterbury DHB

Non-departmental output expense		 1,370 5,480 5,480 5,480 -
 

National Mental Health Services

Non-departmental output expense		 - 1,000 1,000 1,000 -
Healthy Homes Initiative - Expansion

National Contracted Services - Other  

Non-departmental output expense		 - 4,500 4,500 4,500 4,500
National Bowel Screening Programme Establishment

Public Health Service Purchasing

Non-departmental output expense		 - 6,456 6,616 3,072 2,820
 

Managing the Purchase of Services

Departmental output expense		 -  2,945  2,645  2,415  2,340 
 

Health Sector Information Systems 

Departmental output expense		 - 2,500 2,500 2,500 2,500
Primary Care Services

Public Health Service Purchasing  

Non-departmental output expense		 1,952 3,904 3,904 3,904 3,904
Ambulance Services - Additional Support

National Emergency Services

Non-departmental output expense		 - 3,711 3,711 3,711 3,711
Intensive Alcohol and Drug Support for Pregnant Women - Extension of Services

Public Health Service Purchasing

Non-departmental output expense		 - 3,000 3,000  3,000  3,000 
Responding to Mental Health Concerns at an Earlier Stage

National Mental Health Services

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

Health Workforce Training and Development

Non-departmental output expense		 - 2,765 2,695 2,695 2,695
Public Health Services - Additional Support

Public Health Service Purchasing

Non-departmental output expense		 - 1,559  1,559  1,559  1,559 
Other Nationally Purchased Health Services - Additional Support

National Contracted Services - Other

Non-departmental output expense		 - 400 400 400  400 
School-Based Health Services - Additional Support

National Child Health Services

Non-departmental output expense		 - 70 70 70 70

Total new operating expenditure

  

3,322

568,088

557,992

554,138

538,124
Social Sector Trials - Beyond 30 June 2016

National Mental Health Services

Non-departmental output expense		   (197) - - -

Total reprioritised savings

  

 

(197)

-

-

-

Net total operating and capital

  

3,322

567,891

557,992

554,138

538,124

Summary of Financial Activity#

  2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20
  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 Expenses 13,206,512 13,564,860 14,002,497 14,297,234 14,771,729 14,760,229 174,605 15,099,451 15,274,056 15,200,599 15,181,071 15,162,513
Benefits or Related Expenses - - - - - - N/A - - - - -
Borrowing Expenses - - - - - - - - - - - -
Other Expenses 31,772 26,100 27,873 26,480 25,653 25,653 - 28,472 28,472 27,347 27,347 27,347
Capital Expenditure 296,900 259,582 336,432 689,136 666,749 600,585 15,010 803,196 818,206 502,464 319,221 319,221
Intelligence and Security Department Expenses and Capital Expenditure - - - - - - - N/A - - - -
Multi-Category Expenses and Capital Expenditure (MCA)                        
Output Expenses 14,065 15,750 20,036 20,878 20,768 20,768 21,072 - 21,072 21,072 21,072 21,072
Other Expenses - - - - - - - - - - - -
Capital Expenditure - - - - - - N/A - - - - -

Total Appropriations

 13,549,249 13,866,292 14,386,838 15,033,728 15,484,899 15,407,235 210,687 15,931,119 16,141,806 15,751,482 15,548,711 15,530,153

Crown Revenue and Capital Receipts

                        
Tax Revenue - - - - - - N/A - - - - -
Non-Tax Revenue 603,624 625,524 655,187 669,571 689,188 689,188 N/A 716,810 716,810 733,565 749,437 765,798
Capital Receipts 24,112 25,645 375,698 147,800 27,499 27,499 N/A 27,499 27,499 27,499 27,499 27,499

Total Crown Revenue and Capital Receipts

 627,736 651,169 1,030,885 817,371 716,687 716,687 N/A 744,309 744,309 761,064 776,936 793,297

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.

Total Vote: All Appropriations

Vote Health has grown from actual expenditure in 2011/12 of $13,549 million to budgeted expenditure in 2016/17 of $16,142 million, an increase of $2,593 million over five years (around 3.6 percent per annum). This has mainly been driven by increases to the Vote's operating expenses, which were $13,252 million in 2011/12 and are budgeted at $15,324 million in 2016/17 - an increase of $2,072 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 2016/17 are budgeted at $12,220 million, an increase of $1,721 million over the actual expenditure in 2011/12. Note: in addition to this expenditure, district health boards are typically contracted by the Ministry of Health for additional national services of around $1000 million per annum. In some cases, funding has also been devolved to district health boards, making them responsible for services previously administered nationally.

Also contributing to the growth in operating expenses 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 2016/17 appropriations for these national services are budgeted for $2,659 million, which is $299 million greater than the actual expenditure in 2011/12 (an increase of about 2.5 percent per annum). The main drivers of the increase are the Crown's ongoing investment in:

  • additional elective surgeries, which has increased by $90 million (almost 34 percent) since 2011/12
  • disability support services, which has increased by nearly $137 million (or 13 percent) since 2011/12.

Funding for the support, oversight, governance, and development of the health and disability sectors has also grown, from actual expenditure of $407 million in 2011/12 to budgeted expenditure in 2016/17 of $460 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 2016/17 are $678 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 $126 million of other capital expenditure appropriated in the 2016/17 budget, comprising provisions for deficit support and for the rollover of Crown loans to district health boards (the latter being technical expenditure).

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

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 50,661 50,661 52,128
Revenue from the Crown 50,661 50,661 52,128
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

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

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

 99% 99.5% 99%

The forecast number of active user logins to National Systems (see Note 2)

 10,000 15,500 15,000

The number of National Collection reports produced annually

 10 13 10

The percentage of data submitted by DHBs that is processed within two working days (see Note 3)

 97% 97% 97%

The forecast number of requests, for data and/or analysis, responded to in respect of information held within the national collections datasets

 2,900 2,900 2,900

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.

Note 2: An active user is either an individual user or an organisation. Each login by an active user is counted.

Note 3: This measure relates to the national minimum dataset and the national booking reporting systems only.

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
National Bowel Screening Programme Rollout 2016/17 - 2,500 2,500 2,500 2,500
Electronic oral health record 2014/15 740 340 340 340 340
Population Health Data Warehouse 2014/15 491 136 136 136 136
Whanau Ora IT System - transfer to departmental expenses 2014/15 350 350 - - -

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 32,626 32,626 33,539
Revenue from the Crown 32,626 32,626 33,539
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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Total number of contracts held by the Ministry for the purpose of purchasing goods and services on behalf of the Crown

 4,300 4,300 4,300

The Ministry procurement process is assessed and confirmed to be in line with government standards

 Achieved Achieved Achieved

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

 1:80 1:80 1:80

Social agencies are required to move contracts with NGOs to the streamlined contract framework as they are renewed. The Ministry will move the following numbers of contracts

 320 325 800 (Note 1)

The percentage of Ministry feedback to Crown Funding Agreement Variation (CFAV) monitoring reports that are supplied to DHBs within agreed timeframes (Note 2)

 90% 90% 95%

The percentage of complaints that receive a timely initial response from the Ministry

 95% 95% 95%

Note 1: Targets increased as follows; 2015/16 320; 2016/17 800; 2017/18 840; 2018/19 900.

Note 2: 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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
National Bowel Screening Programme Rollout 2016/17 - 2,945 2,645 2,415 2,340
Problem Gambling Services - Continued Support 2016/17  -  260  293  293  - 
Better Public Services seed funding: social bonds pilots 2014/15 360 360 - - -
Healthy Families NZ 2014/15 1,000 1,000 1,000 1,000 1,000
Problem Gambling 3-Year Service Plan 2013/14 304 - -    

Memorandum Account#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000

Problem Gambling

      
Opening Balance as at 1 July (516) (516) (530)
Revenue (funded by Problem Gambling Levy) 1,001 1,001 957
Expenses 1,001 1,015 957
Transfers and Adjustments - - -

Closing Balance at 30 June

(516)

(530)

(530)

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 17,677 17,677 17,646
Revenue from the Crown 17,677 17,677 17,424
Revenue from Others - - 222

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

The forecast number of claims processed per annum

 1.800 million 1.700 million 1.700 million

The percentage of claims paid on time

 95% 99% 95%

The percentage of claims processed accurately

 95% 99% 95%

The forecast number of agreements processed per annum

 9,400 9,200 9,400

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

 95% 80% 95%

The percentage of agreements prepared accurately (see Note 1)

 95% 95% 95%

The forecast number of contact centre calls per annum

 500,000 450,000 500,000

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

 80% 80% 90%

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

 less than 5% 3% less than 5%

The percentage of enquiries resolved in under 10 business working days

 95% 98% 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)

 70% 93% 80%

The percentage of Ministry prosecuted cases that contain adverse judicial comments

 less than 10% 0% less than 10%

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 $6,400 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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Free under 13s - Ministry payment system changes 2015/16 223 223 223 223 223

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 23,180 23,180 23,377
Revenue from the Crown 10,341 10,341 10,732
Revenue from Others 12,839 12,839 12,645

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

The number of quality audits of providers conducted or assessed:

      
  • HealthCert
 267 267 267
  • Medicines Control
 360 360 360

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 Protection Act 1965 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%

All statutory officers appointed by the Ministry meet the criteria set by the Director-General of Health and any statutory prerequisites for appointment

 Achieved Achieved Achieved

All recommendations for appointments meet the requirements of health legislation

 100% 100% 100%

The number of appointments to statutory committees and regulatory authorities

 107 171 55 (Note 1)

The percentage of recommendations for appointments where recommendations are presented to the Minister prior to expiration of term for the current appointee

 95% 100% 95%

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

 greater than 4 out of 5 4.1 (2014/15 actual) greater than 4 out of 5

Note 1: Expected appointments vary over a three-year cycle (55 - 2016/17; 42 - 2017/18; 103 - 2018/19).

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Regulation of Psychoactive Substances 2013/14 1,260 1,800 1,800 1,800 1,800

Conditions on Use of Appropriation#

Reference Conditions
Medicines Act 1981 and the Misuse of Drugs Act 1975 The Ministry conducts quality audits of pharmacies and premises regulated under these Acts.
Health and Disability Services (Safety) Act 2001 The Ministry reviews surveillance audits performed by Designated Auditing Agencies for providers certified under this Act.
Medicines Act 1981 The Ministry responds to incident notifications regarding the quality of medicines, medical devices and advertising.
All statutory officers appointed by the Ministry meet the criteria set by the Director-General of Health and any statutory prerequisites for appointment
  • Hazardous Substances and New Organisms (Act) 1996
  • Health Act 1956
  • Biosecurity Act 1993
  • Mental Health (Compulsory Assessment and Treatment) Act 1992
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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000

Office of Radiation Safety

      
Opening Balance as at 1 July 973 973 943
Revenue 925 895 925
Expenses 925 925 925
Transfers and Adjustments - - -

Closing Balance at 30 June

973

943

943

 

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000

Medsafe

      
Opening Balance as at 1 July 2,635 2,635 1,367
Revenue 9,305 7,637 9,305
Expenses 9,305 8,905 9,305
Transfers and Adjustments - - -

Closing Balance at 30 June

2,635

1,367

1,367

 

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000

Psychoactive Substances

      
Opening Balance as at 1 July - - -
Revenue 772 - -
Expenses 772 - -
Transfers and Adjustments - - -

Closing Balance at 30 June

-

-

-

 

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000

Natural Health and Supplementary Products

      
Opening Balance as at 1 July - - -
Revenue - - 800
Expenses - - 800
Transfers and Adjustments - - -

Closing Balance at 30 June

-

-

-

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 47,541 47,541 47,915
Revenue from the Crown 46,847 46,847 47,766
Revenue from Others 694 694 149

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

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

 Achieved Achieved Achieved

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

 Achieved Achieved Achieved

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

 90% 95% 100%

The percentage of all letters to DHBs with Health Target performance tables and supporting information, provided to the Minister within 5 working days of the date for publication

 100% 100% 100%

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

 100% 70% 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 to respond to national emergencies and emerging health threats within 2 hours

 100% 100% Achieved

Quarterly regional or national health sector emergency planner meetings held in each region

 Achieved Achieved 100%

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

 100% 100% 100%

The number of appointments to DHBs and other health Crown entity boards (see Note 2)

 15 15 137

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

Note 2: The number of appointments varies over a three year cycle. A Bill before Parliament, to exempt Southern DHB from holding an election, may reduce the 2016/17 number down to 131.

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Cancer: next phase of Faster Cancer Treatment 2014/15 293 330 330 - -

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

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Forests/Agricultural - - -
Land - - -
Property, Plant and Equipment 8,000 7,000 7,010
Intangibles 8,291 9,291 8,000
Other - - -

Total Appropriation

 16,291 16,291 15,010

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.

Capital Injections and Movements in Departmental Net Assets

Ministry of Health

Details of Net Asset Schedule 2015/16
Estimated Actual
$000		 2016/17
Projected
$000		 Explanation of Projected Movements in 2016/17
Opening Balance 35,294 35,219  
Capital Injections 315 -  
Capital Withdrawals - -  
Surplus to be Retained (Deficit Incurred) - -  
Other Movements (390) -  

Closing Balance

 35,219 35,219  

Part 3 - Details of Non-Departmental Appropriations#

3.1 - Non-Departmental Output Expenses#

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

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 1,118,297 1,118,297 1,168,145

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (874) (874) (874)
District Health Boards - Additional Support 2016/17 - 45,255 45,255 45,255 45,255
More Publically Funded Medicines 2016/17 - 3,650 2,714 2,714 2,527
In-between Travel - Devolution 2015/16 789 2,438 2,438 2,438 2,438
District Health Board (DHB) Additional Funding for Pressures 2015/16 36,417 36,417 36,417 36,417 36,417
Improving Hospice Community Palliative Care Services 2015/16 1,211 1,211 1,211 1,211 1,211
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (1,217) (1,217) (1,217) (1,217) (1,217)
DHB Demographics 2014/15 13,199 13,199 13,199 13,199 13,199
Contribution to DHB cost pressures 2014/15 8,745 8,745 8,745 8,745 8,745
Aged Residential Care - subsidy increase 2014/15 881 881 881 881 881
DHB Demographics 2013/14 12,068 12,068 12,068 12,068 12,068
Contribution to DHB cost pressures 2013/14 9,368 9,368 9,368 9,368 9,368
Aged Care and Dementia 2013/14 736 736 736 736 736
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 305 402 402 402 402
DHB Demographics 2012/13 17,070 17,070 17,070 17,070 17,070
Contribution to DHB cost pressures 2012/13 15,160 15,160 15,160 15,160 15,160
Aged care savings through changing the assessment level 2012/13 (1,292) (1,619) (1,619) (1,619) (1,619)
Pharmaceutical Co-Payment Increase to $5 2012/13 (3,700) (3,700) (3,700) (3,700) (3,700)

Reasons for Change in Appropriation

This appropriation increased by $49.848 million to $1,168.145 million for 2016/17 mainly due to:

  • $45.255 million of new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $3.650 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 638,061 638,061 670,326

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (524) (524) (524)
District Health Boards - Additional Support 2016/17 - 28,836 28,836 28,836 28,836
More Publically Funded Medicines 2016/17 - 2,188 1,627 1,627 1,515
In-between Travel - Devolution 2015/16 - 688 2,126 2,126 2,126
District Health Board (DHB) Additional Funding for Pressures 2015/16 19,107 19,107 19,107 19,107 19,107
Improving Hospice Community Palliative Care Services 2015/16 722 722 722 722 722
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (631) (631) (631) (631) (631)
DHB Demographics 2014/15 14,657 14,657 14,657 14,657 14,657
Contribution to DHB cost pressures 2014/15 4,985 4,985 4,985 4,985 4,985
Aged Residential Care - subsidy increase 2014/15 530 530 530 530 530
Contribution to DHB cost pressures 2013/14 5,199 5,199 5,199 5,199 5,199
DHB Demographics 2013/14 5,133 5,133 5,133 5,133 5,133
Aged Care and Dementia 2013/14 441 441 441 441 441
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 84 111 111 111 111
Contribution to DHB cost pressures 2012/13 8,441 8,441 8,441 8,441 8,441
DHB Demographics 2012/13 7,758 7,758 7,758 7,758 7,758
Aged care savings through changing the assessment level 2012/13 (769) (964) (964) (964) (964)
Pharmaceutical Co-Payment Increase to $5 2012/13 (2,204) (2,204) (2,204) (2,204) (2,204)

Reasons for Change in Appropriation#

This appropriation increased by $32.265 million to $670.326 million for 2016/17 mainly due to:

  • $28.836 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $2.188 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 1,317,045 1,317,045 1,326,373

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (1,055) (1,055) (1,055)
District Health Boards - Additional Support 2016/17 - 32,125 32,125 32,125 32,125
More Publically Funded Medicines 2016/17 - 4,232 3,147 3,147 2,930
In-between Travel - devolution 2015/16 1,152 3,558 3,558 3,558 3,558
Improving Hospice Community Palliative Care Services 2015/16 1,422 1,422 1,422 1,422 1,422
Supporting Health Services in Canterbury 2015/16 1,370 5,480 5,480 5,480 -
District Health Board (DHB) Additional Funding for Pressures 2015/16 21,533 21,533 21,533 21,533 21,533
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (670) (670) (670) (670) (670)
DHB Demographics 2014/15 18,889 18,889 18,889 18,889 18,889
Contribution to DHB cost pressures 2014/15 10,236 10,236 10,236 10,236 10,236
Aged Residential Care - subsidy increase 2014/15 1,067 1,067 1,067 1,067 1,067
DHB Demographics 2013/14 23,899 23,899 23,899 23,899 23,899
Contribution to DHB cost pressures 2013/14 10,579 10,579 10,579 10,579 10,579
Aged Care and Dementia 2013/14 886 886 886 886 886
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 147 194 194 194 194
Contribution to DHB cost pressures 2012/13 17,384 17,384 17,384 17,384 17,384
DHB Demographics 2012/13 344 344 344 344 344
Aged care savings through changing the assessment level 2012/13 (1,546) (1,937) (1,937) (1,937) (1,937)
Pharmaceutical Co-Payment Increase to $5 2012/13 (4,427) (4,427) (4,427) (4,427) (4,427)

Reasons for Change in Appropriation#

This appropriation increased by $9.328 million to $1,326.373 million for 2016/17 mainly due to:

  • $32.125 million due to new funding provided in the Budget 2016 initiative District Health Boards - Additional Support
  • $4.232 million due to the Budget 2016 initiative More Publically Funded Medicines
  • $4.110 million due to the Budget 2016 initiative 'Support Health Services in Canterbury', which included funding in 2015/16 of $1.370 million and in 2016/17 of $5.480 million.

This was partly offset by:

  • $16.376 million due to a transfer of revenue support from the Capital appropriation Deficit Support for DHBs, which was $16.376 million in 2015/16 and had no effect on 2016/17
  • $12.449 million due to Earthquake repairs funding, which increased 2015/16 by $12.449 million and had no impact on 2016/17.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 690,915 690,915 708,924

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (558) (558) (558)
District Health Boards - Additional Support 2016/17 - 15,060 15,060 15,060 15,060
More Publically Funded Medicines 2016/17 - 2,227 1,656 1,656 1,542
In-between Travel - devolution 2015/16 532 1,644 1,644 1,644 1,644
District Health Board (DHB) Additional Funding for Pressures 2015/16 11,547 11,547 11,547 11,547 11,547
Improving Hospice Community Palliative Care Services 2015/16 749 749 749 749 749
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (360) (360) (360) (360) (360)
DHB Demographics 2014/15 9,068 9,068 9,068 9,068 9,068
Contribution to DHB cost pressures 2014/15 5,531 5,531 5,531 5,531 5,531
Aged Residential Care - subsidy increase 2014/15 564 564 564 564 564
DHB Demographics 2013/14 7,649 7,649 7,649 7,649 7,649
Contribution to DHB cost pressures 2013/14 5,783 5,783 5,783 5,783 5,783
Aged Care and Dementia 2013/14 470 470 470 470 470
Contribution to DHB cost pressures 2012/13 9,307 9,307 9,307 9,307 9,307
DHB Demographics 2012/13 8,062 8,062 8,062 8,062 8,062
Aged care savings through changing the assessment level 2012/13 (820) (1,027) (1,027) (1,027) (1,027)
Pharmaceutical Co-Payment Increase to $5 2012/13 (2,350) (2,350) (2,350) (2,350) (2,350)

Reasons for Change in Appropriation#

This appropriation increased by $18.009 million to $708.924 million for 2016/17 mainly due to:

  • $15.060 million due to new funding provided in the Budget 2016 initiative District Health Boards - Additional Support
  • $2.227 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 1,274,349 1,274,349 1,329,104

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (1,044) (1,044) (1,044)
District Health Boards - Additional Support 2016/17 - 49,009 49,009 49,009 49,009
More Publically Funded Medicines 2016/17 - 4,271 3,176 3,176 2,957
In-between Travel - devolution 2015/16 899 2,776 2,776 2,776 2,776
District Health Board (DHB) Additional Funding for Pressures 2015/16 21,486 21,486 21,486 21,486 21,486
Improving Hospice Community Palliative Care Services 2015/16 1,405 1,405 1,405 1,405 1,405
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (669) (669) (669) (669) (669)
DHB Demographics 2014/15 26,485 26,485 26,485 26,485 26,485
Contribution to DHB cost pressures 2014/15 10,083 10,083 10,083 10,083 10,083
Aged Residential Care - subsidy increase 2014/15 1,055 1,055 1,055 1,055 1,055
DHB Demographics 2013/14 21,616 21,616 21,616 21,616 21,616
Contribution to DHB cost pressures 2013/14 10,461 10,461 10,461 10,461 10,461
Aged Care and Dementia 2013/14 874 874 874 874 874
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 131 172 172 172 172
DHB Demographics 2012/13 35,705 35,705 35,705 35,705 35,705
Contribution to DHB cost pressures 2012/13 16,683 16,683 16,683 16,683 16,683
Aged care savings through changing the assessment level 2012/13 (1,525) (1,911) (1,911) (1,911) (1,911)
Pharmaceutical Co-Payment Increase to $5 2012/13 (4,368) (4,368) (4,368) (4,368) (4,368)

Reasons for Change in Appropriation#

This appropriation increased by $54.755 million to $1,329.104 million for 2016/17 mainly due to:

  • $49.009 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $4.271 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 461,348 461,348 469,504

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (370) (370) (370)
District Health Boards - Additional Support 2016/17 - 10,842 10,842 10,842 10,842
More Publically Funded Medicines 2016/17 - 1,521 1,131 1,131 1,053
In-between Travel - devolution 2015/16 442 1,364 1,364 1,364 1,364
District Health Board (DHB) Additional Funding for Pressures 2015/16 17,053 17,053 17,053 17,053 17,053
Improving Hospice Community Palliative Care Services 2015/16 515 515 515 515 515
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (572) (572) (572) (572) (572)
DHB Demographics 2014/15 4,092 4,092 4,092 4,092 4,092
Contribution to DHB cost pressures 2014/15 3,590 3,590 3,590 3,590 3,590
Aged Residential Care - subsidy increase 2014/15 373 373 373 373 373
DHB Demographics 2013/14 4,142 4,142 4,142 4,142 4,142
Contribution to DHB cost pressures 2013/14 3,731 3,731 3,731 3,731 3,731
Aged Care and Dementia 2013/14 315 315 315 315 315
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 94 125 125 125 125
DHB Demographics 2012/13 6,199 6,199 6,199 6,199 6,199
Contribution to DHB cost pressures 2012/13 6,048 6,048 6,048 6,048 6,048
Aged care savings through changing the assessment level 2012/13 (549) (688) (688) (688) (688)
Pharmaceutical Co-Payment Increase to $5 2012/13 (1,571) (1,571) (1,571) (1,571) (1,571)

Reasons for Change in Appropriation#

This appropriation increased by $8.156 million to $469.504 million for 2016/17 mainly due to:

  • $10.842 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $1.521 million due to the Budget 2016 initiative More Publically Funded Medicines.

This was partly offset by:

  • $5 million due to a revenue banking arrangement, which increased 2015/16 by $5 million and had no impact on 2016/17.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 365,331 365,331 375,024

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (302) (302) (302)
District Health Boards - Additional Support 2016/17 - 7,980 7,980 7,980 7,980
More Publically Funded Medicines 2016/17 - 1,174 873 873 813
In-between Travel - devolution 2015/16 306 944 944 944 944
District Health Board (DHB) Additional Funding for Pressures 2015/16 6,138 6,138 6,138 6,138 6,138
Improving Hospice Community Palliative Care Services 2015/16 402 402 402 402 402
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (191) (191) (191) (191) (191)
DHB Demographics 2014/15 4,365 4,365 4,365 4,365 4,365
Contribution to DHB cost pressures 2014/15 2,922 2,922 2,922 2,922 2,922
Aged Residential Care - subsidy increase 2014/15 305 305 305 305 305
Contribution to DHB cost pressures 2013/14 3,044 3,044 3,044 3,044 3,044
DHB Demographics 2013/14 2,092 2,092 2,092 2,092 2,092
Aged Care and Dementia 2013/14 256 256 256 256 256
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 105 138 138 138 138
Contribution to DHB cost pressures 2012/13 4,956 4,956 4,956 4,956 4,956
DHB Demographics 2012/13 2,927 2,927 2,927 2,927 2,927
Aged care savings through changing the assessment level 2012/13 (447) (560) (560) (560) (560)
Pharmaceutical Co-Payment Increase to $5 2012/13 (1,278) (1,278) (1,278) (1,278) (1,278)

Reasons for Change in Appropriation#

This appropriation increased by $9.693 million to $375.024 million for 2016/17 mainly due to:

  • $7.980 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $1.174 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 284,778 284,778 300,118

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (236) (236) (236)
District Health Boards - Additional Support 2016/17 - 13,935 13,935 13,935 13,935
More Publically Funded Medicines 2016/17 - 983 731 731 680
In-between Travel - devolution 2015/16 252 777 777 777 777
District Health Board (DHB) Additional Funding for Pressures 2015/16 5,519 5,519 5,519 5,519 5,519
Improving Hospice Community Palliative Care Services 2015/16 322 322 322 322 322
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (162) (162) (162) (162) (162)
DHB Demographics 2014/15 2,411 2,411 2,411 2,411 2,411
Contribution to DHB cost pressures 2014/15 2,296 2,296 2,296 2,296 2,296
Aged Residential Care - subsidy increase 2014/15 238 238 238 238 238
DHB Demographics 2013/14 2,665 2,665 2,665 2,665 2,665
Contribution to DHB cost pressures 2013/14 2,375 2,375 2,375 2,375 2,375
Aged Care and Dementia 2013/14 202 202 202 202 202
Contribution to DHB cost pressures 2012/13 3,864 3,864 3,864 3,864 3,864
DHB Demographics 2012/13 3,772 3,772 3,772 3,772 3,772
Aged care savings through changing the assessment level 2012/13 (352) (441) (441) (441) (441)
Pharmaceutical Co-Payment Increase to $5 2012/13 (1,006) (1,006) (1,006) (1,006) (1,006)

Reasons for Change in Appropriation#

This appropriation increased by $15.340 million to $300.118 million for 2016/17 mainly due to:

  • $13.935 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $983,000 due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 467,257 467,257 484,891

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (389) (389) (389)
District Health Boards - Additional Support 2016/17 - 15,229 15,229 15,229 15,229
More Publically Funded Medicines 2016/17 - 1,587 1,180 1,180 1,099
In-between Travel - devolution 2015/16 495 1,530 1,530 1,530 1,530
District Health Board (DHB) Additional Funding for Pressures 2015/16 7,894 7,894 7,894 7,894 7,894
Improving Hospice Community Palliative Care Services 2015/16 526 526 526 526 526
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (245) (245) (245) (245) (245)
DHB Demographics 2014/15 5,282 5,282 5,282 5,282 5,282
Contribution to DHB cost pressures 2014/15 3,765 3,765 3,765 3,765 3,765
Aged Residential Care - subsidy increase 2014/15 393 393 393 393 393
Contribution to DHB cost pressures 2013/14 3,909 3,909 3,909 3,909 3,909
DHB Demographics 2013/14 2,653 2,653 2,653 2,653 2,653
Aged Care and Dementia 2013/14 331 331 331 331 331
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 42 55 55 55 55
DHB Demographics 2012/13 9,031 9,031 9,031 9,031 9,031
Contribution to DHB cost pressures 2012/13 6,316 6,316 6,316 6,316 6,316
Aged care savings through changing the assessment level 2012/13 (578) (725) (725) (725) (725)
Pharmaceutical Co-Payment Increase to $5 2012/13 (1,658) (1,658) (1,658) (1,658) (1,658)

Reasons for Change in Appropriation#

This appropriation increased by $17.634 million to $484.891 million for 2016/17 mainly due to:

  • $15.229 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $1.587 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 394,740 394,740 405,579

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (320) (320) (320)
District Health Boards - Additional Support 2016/17 - 8,783 8,783 8,783 8,783
More Publically Funded Medicines 2016/17 - 1,318 980 980 913
In-between Travel - devolution 2015/16 407 1,258 1,258 1,258 1,258
District Health Board (DHB) Additional Funding for Pressures 2015/16 15,315 15,315 15,315 15,315 15,315
Improving Hospice Community Palliative Care Services 2015/16 445 445 445 445 445
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (515) (515) (515) (515) (515)
DHB Demographics 2014/15 5,887 5,887 5,887 5,887 5,887
Contribution to DHB cost pressures 2014/15 3,093 3,093 3,093 3,093 3,093
Aged Residential Care - subsidy increase 2014/15 324 324 324 324 324
DHB Demographics 2013/14 6,474 6,474 6,474 6,474 6,474
Contribution to DHB cost pressures 2013/14 3,190 3,190 3,190 3,190 3,190
Aged Care and Dementia 2013/14 269 269 269 269 269
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 72 95 95 95 95
DHB Demographics 2012/13 7,112 7,112 7,112 7,112 7,112
Contribution to DHB cost pressures 2012/13 5,142 5,142 5,142 5,142 5,142
Aged care savings through changing the assessment level 2012/13 (468) (586) (586) (586) (586)
Pharmaceutical Co-Payment Increase to $5 2012/13 (1,342) (1,342) (1,342) (1,342) (1,342)

Reasons for Change in Appropriation#

This appropriation increased by $10.839 million to $405.579 million for 2016/17 mainly due to:

  • $8.783 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $1.318 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 511,786 511,786 539,583

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (409) (409) (409)
District Health Boards - Additional Support 2016/17 - 25,022 25,022 25,022 25,022
More Publically Funded Medicines 2016/17 - 1,790 1,331 1,331 1,239
In-between Travel - devolution 2015/16 526 1,625 1,625 1,625 1,625
District Health Board (DHB) Additional Funding for Pressures 2015/16 21,713 21,713 21,713 21,713 21,713
Improving Hospice Community Palliative Care Services 2015/16 584 584 584 584 584
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (734) (734) (734) (734) (734)
DHB Demographics 2014/15 6,203 6,203 6,203 6,203 6,203
Contribution to DHB cost pressures 2014/15 3,989 3,989 3,989 3,989 3,989
Aged Residential Care - subsidy increase 2014/15 414 414 414 414 414
DHB Demographics 2013/14 6,173 6,173 6,173 6,173 6,173
Contribution to DHB cost pressures 2013/14 4,113 4,113 4,113 4,113 4,113
Aged Care and Dementia 2013/14 346 346 346 346 346
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 194 255 255 255 255
DHB Demographics 2012/13 7,087 7,087 7,087 7,087 7,087
Contribution to DHB cost pressures 2012/13 6,662 6,662 6,662 6,662 6,662
Aged care savings through changing the assessment level 2012/13 (603) (756) (756) (756) (756)
Pharmaceutical Co-Payment Increase to $5 2012/13 (1,730) (1,730) (1,730) (1,730) (1,730)

Reasons for Change in Appropriation#

This appropriation increased by $27.797 million to $539.583 million for 2016/17 mainly due to:

  • $25.022 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $1.790 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 167,795 167,795 172,374

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (140) (140) (140)
District Health Boards - Additional Support 2016/17 - 3,695 3,695 3,695 3,695
More Publically Funded Medicines 2016/17 - 558 415 415 386
In-between Travel - devolution 2015/16 186 573 573 573 573
District Health Board (DHB) Additional Funding for Pressures 2015/16 2,836 2,836 2,836 2,836 2,836
Improving Hospice Community Palliative Care Services 2015/16 189 189 189 189 189
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (88) (88) (88) (88) (88)
DHB Demographics 2014/15 1,436 1,436 1,436 1,436 1,436
Contribution to DHB cost pressures 2014/15 1,356 1,356 1,356 1,356 1,356
Aged Residential Care - subsidy increase 2014/15 141 141 141 141 141
DHB Demographics 2013/14 3,768 3,768 3,768 3,768 3,768
Contribution to DHB cost pressures 2013/14 1,389 1,389 1,389 1,389 1,389
Aged Care and Dementia 2013/14 118 118 118 118 118
Contribution to DHB cost pressures 2012/13 2,271 2,271 2,271 2,271 2,271
DHB Demographics 2012/13 1,433 1,433 1,433 1,433 1,433
Aged care savings through changing the assessment level 2012/13 (205) (257) (257) (257) (257)
Pharmaceutical Co-Payment Increase to $5 2012/13 (589) (589) (589) (589) (589)

Reasons for Change in Appropriation#

This appropriation increased by $4.579 million to $172.374 million for 2016/17 mainly due to:

  • $3.695 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $558,000 due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 791,730 791,730 822,938

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (651) (651) (651)
District Health Boards - Additional Support 2016/17 - 27,256 27,256 27,256 27,256
More Publically Funded Medicines 2016/17 - 2,656 1,975 1,975 1,839
In-between Travel - devolution 2015/16 747 2,309 2,309 2,309 2,309
District Health Board (DHB) Additional Funding for Pressures 2015/16 13,329 13,329 13,329 13,329 13,329
Improving Hospice Community Palliative Care Services 2015/16 882 882 882 882 882
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (415) (415) (415) (415) (415)
DHB Demographics 2014/15 7,369 7,369 7,369 7,369 7,369
Contribution to DHB cost pressures 2014/15 6,363 6,363 6,363 6,363 6,363
Aged Residential Care - subsidy increase 2014/15 658 658 658 658 658
DHB Demographics 2013/14 8,641 8,641 8,641 8,641 8,641
Contribution to DHB cost pressures 2013/14 6,623 6,623 6,623 6,623 6,623
Aged Care and Dementia 2013/14 550 550 550 550 550
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 84 110 110 110 110
Contribution to DHB cost pressures 2012/13 10,750 10,750 10,750 10,750 10,750
DHB Demographics 2012/13 9,442 9,442 9,442 9,442 9,442
Aged care savings through changing the assessment level 2012/13 (961) (1,204) (1,204) (1,204) (1,204)
Pharmaceutical Co-Payment Increase to $5 2012/13 (2,753) (2,753) (2,753) (2,753) (2,753)

Reasons for Change in Appropriation#

This appropriation increased by $31.208 million to $822.938 million for 2016/17 mainly due to:

  • $27.256 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $2.656 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 147,136 147,136 154,899

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (120) (120) (120)
District Health Boards - Additional Support 2016/17 - 7,054 7,054 7,054 7,054
More Publically Funded Medicines 2016/17 - 503 374 374 348
In-between Travel - devolution 2015/16 119 367 367 367 367
District Health Board (DHB) Additional Funding for Pressures 2015/16 2,487 2,487 2,487 2,487 2,487
Improving Hospice Community Palliative Care Services 2015/16 164 164 164 164 164
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (77) (77) (77) (77) (77)
DHB Demographics 2014/15 1,221 1,221 1,221 1,221 1,221
Contribution to DHB cost pressures 2014/15 1,185 1,185 1,185 1,185 1,185
Aged Residential Care - subsidy increase 2014/15 121 121 121 121 121
DHB Demographics 2013/14 2,934 2,934 2,934 2,934 2,934
Contribution to DHB cost pressures 2013/14 1,214 1,214 1,214 1,214 1,214
Aged Care and Dementia 2013/14 102 102 102 102 102
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 37 48 48 48 48
Contribution to DHB cost pressures 2012/13 1,990 1,990 1,990 1,990 1,990
DHB Demographics 2012/13 885 885 885 885 885
Aged care savings through changing the assessment level 2012/13 (179) (224) (224) (224) (224)
Pharmaceutical Co-Payment Increase to $5 2012/13 (512) (512) (512) (512) (512)

Reasons for Change in Appropriation#

This appropriation increased by $7.763 million to $154.899 million for 2016/17 mainly due to:

  • $7.054 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $503,000 due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 318,644 318,644 327,231

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (258) (258) (258)
District Health Boards - Additional Support 2016/17 - 6,998 6,998 6,998 6,998
More Publically Funded Medicines 2016/17 - 1,041 774 774 721
In-between Travel - devolution 2015/16 308 952 952 952 952
District Health Board (DHB) Additional Funding for Pressures 2015/16 13,610 13,610 13,610 13,610 13,610
Improving Hospice Community Palliative Care Services 2015/16 362 362 362 362 362
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (460) (460) (460) (460) (460)
DHB Demographics 2014/15 3,208 3,208 3,208 3,208 3,208
Contribution to DHB cost pressures 2014/15 2,496 2,496 2,496 2,496 2,496
Aged Residential Care - subsidy increase 2014/15 261 261 261 261 261
DHB Demographics 2013/14 3,405 3,405 3,405 3,405 3,405
Contribution to DHB cost pressures 2013/14 2,596 2,596 2,596 2,596 2,596
Aged Care and Dementia 2013/14 219 219 219 219 219
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 53 69 69 69 69
DHB Demographics 2012/13 4,312 4,312 4,312 4,312 4,312
Contribution to DHB cost pressures 2012/13 4,202 4,202 4,202 4,202 4,202
Aged care savings through changing the assessment level 2012/13 (383) (480) (480) (480) (480)
Pharmaceutical Co-Payment Increase to $5 2012/13 (1,097) (1,097) (1,097) (1,097) (1,097)

Reasons for Change in Appropriation#

This appropriation increased by $8.587 million to $327.231 million for 2016/17 mainly due to:

  • $6.998 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $1.041 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 1,042,741 1,042,741 1,096,798

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (827) (827) (827)
District Health Boards - Additional Support 2016/17 - 49,121 49,121 49,121 49,121
More Publically Funded Medicines 2016/17 - 3,498 2,601 2,601 2,422
In-between Travel - devolution 2015/16 962 2,972 2,972 2,972 2,972
District Health Board (DHB) Additional Funding for Pressures 2015/16 43,957 43,957 43,957 43,957 43,957
Improving Hospice Community Palliative Care Services 2015/16 1,158 1,158 1,158 1,158 1,158
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (1,474) (1,474) (1,474) (1,474) (1,474)
DHB Demographics 2014/15 14,770 14,770 14,770 14,770 14,770
Contribution to DHB cost pressures 2014/15 8,096 8,096 8,096 8,096 8,096
Aged Residential Care - subsidy increase 2014/15 835 835 835 835 835
DHB Demographics 2013/14 17,670 17,670 17,670 17,670 17,670
Contribution to DHB cost pressures 2013/14 8,404 8,404 8,404 8,404 8,404
Aged Care and Dementia 2013/14 694 694 694 694 694
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 292 384 384 384 384
DHB Demographics 2012/13 13,599 13,599 13,599 13,599 13,599
Contribution to DHB cost pressures 2012/13 13,559 13,559 13,559 13,559 13,559
Aged care savings through changing the assessment level 2012/13 (1,212) (1,519) (1,519) (1,519) (1,519)
Pharmaceutical Co-Payment Increase to $5 2012/13 (3,472) (3,472) (3,472) (3,472) (3,472)

Reasons for Change in Appropriation#

This appropriation increased by $54.057 million to $1,096.798 million for 2016/17 mainly due to:

  • $49.121 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $3.498 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 128,179 128,179 131,668

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (104) (104) (104)
District Health Boards - Additional Support 2016/17 - 2,826 2,826 2,826 2,826
More Publically Funded Medicines 2016/17 - 425 316 316 294
In-between Travel - devolution 2015/16 136 419 419 419 419
District Health Board (DHB) Additional Funding for Pressures 2015/16 5,462 5,462 5,462 5,462 5,462
Improving Hospice Community Palliative Care Services 2015/16 145 145 145 145 145
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (185) (185) (185) (185) (185)
DHB Demographics 2014/15 1,431 1,431 1,431 1,431 1,431
Contribution to DHB cost pressures 2014/15 1,003 1,003 1,003 1,003 1,003
Aged Residential Care - subsidy increase 2014/15 105 105 105 105 105
DHB Demographics 2013/14 2,670 2,670 2,670 2,670 2,670
Contribution to DHB cost pressures 2013/14 1,031 1,031 1,031 1,031 1,031
Aged Care and Dementia 2013/14 88 88 88 88 88
DHB Demographics 2012/13 1,948 1,948 1,948 1,948 1,948
Contribution to DHB cost pressures 2012/13 1,676 1,676 1,676 1,676 1,676
Aged care savings through changing the assessment level 2012/13 (152) (191) (191) (191) (191)
Pharmaceutical Co-Payment Increase to $5 2012/13 (435) (435) (435) (435) (435)

Reasons for Change in Appropriation#

This appropriation increased by $3.489 million to $131.668 million for 2016/17 mainly due to:

  • $2.826 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $425,000 due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 1,349,321 1,349,321 1,399,525

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (1,072) (1,072) (1,072)
District Health Boards - Additional Support 2016/17 - 43,950 43,950 43,950 43,950
More Publically Funded Medicines 2016/17 - 4,372 3,251 3,251 3,027
In-between Travel - devolution 2015/16 1,083 3,344 3,344 3,344 3,344
District Health Board (DHB) Additional Funding for Pressures 2015/16 29,893 29,893 29,893 29,893 29,893
Improving Hospice Community Palliative Care Services 2015/16 1,462 1,462 1,462 1,462 1,462
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (965) (965) (965) (965) (965)
DHB Demographics 2014/15 38,661 38,661 38,661 38,661 38,661
Contribution to DHB cost pressures 2014/15 10,407 10,407 10,407 10,407 10,407
Aged Residential Care - subsidy increase 2014/15 1,083 1,083 1,083 1,083 1,083
DHB Demographics 2013/14 17,689 17,689 17,689 17,689 17,689
Contribution to DHB cost pressures 2013/14 10,943 10,943 10,943 10,943 10,943
Aged Care and Dementia 2013/14 888 888 888 888 888
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 218 287 287 287 287
DHB Demographics 2012/13 25,201 25,201 25,201 25,201 25,201
Contribution to DHB cost pressures 2012/13 17,453 17,453 17,453 17,453 17,453
Aged care savings through changing the assessment level 2012/13 (1,549) (1,941) (1,941) (1,941) (1,941)
Pharmaceutical Co-Payment Increase to $5 2012/13 (4,436) (4,436) (4,436) (4,436) (4,436)

Reasons for Change in Appropriation#

This appropriation increased by $50.204 million to $1399.525 million for 2016/17 mainly due to:

  • $43.950 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $4.372 million due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 121,929 121,929 125,017

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (86) (86) (86)
District Health Boards - Additional Support 2016/17 - 2,608 2,608 2,608 2,608
More Publically Funded Medicines 2016/17 - 355 264 264 246
In-between Travel - devolution 2015/16 78 242 242 242 242
District Health Board (DHB) Additional Funding for Pressures 2015/16 2,019 2,019 2,019 2,019 2,019
Improving Hospice Community Palliative Care Services 2015/16 116 116 116 116 116
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (64) (64) (64) (64) (64)
DHB Demographics 2014/15 1,843 1,843 1,843 1,843 1,843
Contribution to DHB cost pressures 2014/15 937 937 937 937 937
Aged Residential Care - subsidy increase 2014/15 87 87 87 87 87
Contribution to DHB cost pressures 2013/14 1,022 1,022 1,022 1,022 1,022
DHB Demographics 2013/14 726 726 726 726 726
Aged Care and Dementia 2013/14 73 73 73 73 73
Contribution to DHB cost pressures 2012/13 1,681 1,681 1,681 1,681 1,681
DHB Demographics 2012/13 8 8 8 8 8
Aged care savings through changing the assessment level 2012/13 (127) (159) (159) (159) (159)
Pharmaceutical Co-Payment Increase to $5 2012/13 (365) (365) (365) (365) (365)

Reasons for Change in Appropriation#

This appropriation increased by $3.088 million to $125.017 million for 2016/17 mainly due to:

  • $2.608 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $355,000 due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 206,465 206,465 211,894

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
DHB Efficiency Savings 2017/18 - - (161) (161) (161)
District Health Boards - Additional Support 2016/17 - 4,416 4,416 4,416 4,416
More Publically Funded Medicines 2016/17 - 651 484 484 449
In-between Travel - devolution 2015/16 203 627 627 627 627
District Health Board (DHB) Additional Funding for Pressures 2015/16 3,405 3,405 3,405 3,405 3,405
Improving Hospice Community Palliative Care Services 2015/16 219 219 219 219 219
Reprioritising DHB Savings Delivered by PHARMAC 2015/16 (106) (106) (106) (106) (106)
DHB Demographics 2014/15 1,798 1,798 1,798 1,798 1,798
Contribution to DHB cost pressures 2014/15 1,647 1,647 1,647 1,647 1,647
Aged Residential Care - subsidy increase 2014/15 165 165 165 165 165
Contribution to DHB cost pressures 2013/14 1,743 1,743 1,743 1,743 1,743
DHB Demographics 2013/14 1,216 1,216 1,216 1,216 1,216
Aged Care and Dementia 2013/14 142 142 142 142 142
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 42 55 55 55 55
Contribution to DHB cost pressures 2012/13 2,844 2,844 2,844 2,844 2,844
DHB Demographics 2012/13 1,716 1,716 1,716 1,716 1,716
Aged care savings through changing the assessment level 2012/13 (247) (311) (311) (311) (311)
Pharmaceutical Co-Payment Increase to $5 2012/13 (707) (707) (707) (707) (707)

Reasons for Change in Appropriation#

This appropriation increased by $5.429 million to $211.894 million for 2016/17 mainly due to:

  • $4.416 million due to new funding in the Budget 2016 initiative District Health Boards - Additional Support
  • $651,000 due to the Budget 2016 initiative More Publically Funded Medicines.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Pubic Health and Disability Act 2004 Part 3 establishes DHBs, including (section 23 (1)(l)) to provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 175,302 175,302 180,014

 

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Workforce Investment Programmes

      

The number of funded trainees:

      

Medical workforce

 2,204 2,169 2,204

Sufficient numbers: the percentage of uptake nationally compared to contract volumes

 New 100% 100%

Nursing workforce

 3,064 3,064 3,064

Sufficient numbers: the percentage of uptake nationally compared to contract volumes

 New 100% 100%

Allied health workforce

 362 387 362

Sufficient numbers: the percentage of uptake nationally compared to contract volumes

 New 100% 100%

Midwifery workforce

 170 170 170

Sufficient numbers: the percentage of uptake nationally compared to contract volumes

 New 100% 100%

Kaiawhina workforce

 706 836 706

Sufficient numbers: the percentage of uptake nationally compared to contract volumes

 New 100% 100%

Multi-disciplinary workforce

 300 300 300

Sufficient numbers: the percentage of uptake nationally compared to contract volumes

 New 100% 100%

Voluntary Bonding Scheme (VBS)

      
  • New graduates are successfully being brought into the scheme: The total number of enrolees per annum
 New 350 350
  • 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
 New 75% 75%
  • Ministry is actively managing the scheme: The number of bulk contacts with Voluntary Bonding Scheme participants
 New (Note 1) 3 3

Note 1: There are 3 mandatory points of contact as follows: confirmation of registration, 18 month check and payment reminder.

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
DHBs 113,578 113,578 Net yet known See above Ongoing
Royal New Zealand College of General Practitioners 21,398 21,398 Net yet known See above Ongoing
Te Pou Limited 18,311 18,311 Net yet known See above Ongoing
New Zealand College of Midwives 4,023 4,023 Net yet known See above Ongoing
Te Rau Matatini Limited 3,530 3,530 Net yet known See above Ongoing
Auckland University 3,068 3,068 Net yet known See above Ongoing
Auckland UniServices Limited 2,280 2,280 Net yet known See above Ongoing
Otago University 2,247 2,247 Net yet known See above Ongoing
Other NGO 6,866 6,866 Net yet known See above Ongoing

Total

175,302

175,302

180,014

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Health Workforce Training and Development - Additional Support 2016/17 - 2,765 2,695 2,695 2,695
Workforce: Post-Graduate Education And Training of Doctors 2014/15 3,105 5,314 7,658 7,658 7,658
Train 18 More GPs 2012/13 1,764 1,764 1,764 1,764 1,764
Expand Voluntary Bonding Scheme 2012/13 1,000 1,000 1,000 1,000 1,000

Conditions on Use of Appropriation#

Reference Conditions
Health Practitioners Competence Assurance Act 2003 Section 4 (6)(b)(v) Part 6, sets out the functions of health professions for setting programmes to ensure the ongoing competence of health practitioners. Section 118 (k) the functions of each authority appointed in the health profession includes promoting education and training in the profession. The quality of the services provided is shown by the accreditation process.

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 27,596 27,596 27,596

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#

  2015/16 2016/17
Assessment of Performance Final 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% 70% 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 Oct 2015 11 Sep 2015 31 Oct 2016

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

      
  • report one
 20 Nov 2015 Achieved 20 Nov 2016
  • report two
 20 May 2016 Not yet due 20 May 2017

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

 75% 70% 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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
Quality & Safety Commission 13,301 13,301 Net yet known See above Ongoing
Health & Disability Commissioner 10,920 10,920 Net yet known See above Ongoing
Mental Health District Inspectors 3,375 3,375 Net yet known See above Ongoing

Total

 27,596 27,596 27,596

 

  

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
District Health Inspectors - cost pressures 2014/15 500 500 500 500 500
Health Quality and Safety Commission funding (technical change) 2013/14 12,976 12,976 12,976 12,976 12,976
Health and Disability Commission services 2013/14 750 750 750 750 750
Disestablish Mental Health Commission 2012/13 (1,116) (1,116) (1,116) (1,116) (1,116)

Conditions on Use of Appropriation#

Reference Conditions
Health and Disability Commissioner Act 1994 Section 8 provides for the appointment of a Health and Disability Commissioner
New Zealand Public Health and Disability Act 2000 The Health Quality and Safety Commission (HQSC) is established under Part 4 (section 59A) of the Act
Mental Health (Compulsory Assessment and Treatment) Act 1992 Section 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 1992 Section 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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 85,249 85,249 85,001

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#

  2015/16 2016/17
Assessment of Performance Final 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% 85% 85%

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

      
  • Phone line service is available 24/7
 99% 100% 99%
  • Call abandonment rate (percentage less than)
 less than 10% 10% less than 10%

B4 School Checks

      

Percentage of the population delivered B4SCs

 90% 89.1% 90%

Percentage of the high deprivation population delivered B4SCs

 90% 90.2% 90%

DHBs that provide the volumes of checks as specified in funding arrangements

 20 19 20

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
Royal New Zealand Plunket Society 53,598 53,598 Net yet known See above Ongoing
DHBs 26,060 27,610 Net yet known See above Ongoing
Other NGOs (301) 5,591 4,041 Net yet known See above Ongoing

Total

85,249

85,249

85,001

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
School-Based Health Services - Additional Support 2016/17 - 70 70 70 70
National Child Health Services - Pressure 2015/16 2,961 2,961 2,961 2,961 2,961
Demographic and cost pressures 2014/15 1,645 1,645 1,645 1,645 1,645
B4 School Checks - increase target coverage 2013/14 1,748 1,748 1,748 1,748 1,748
Children's Action Plan 2013/14 700 700 700 700 700
Well Child 2013/14 30 30 30 30 30
PlunketLine and Well Child Services 2012/13 1,723 1,723 1,723 1,723 1,723

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 3 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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 27,170 25,670 37,155

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#

  2015/16 2016/17
Assessment of Performance Final 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

      

Pacific Innovation Fund

      

All Pacific Innovation contracts deliver an evaluation of their project to the Ministry

 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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
PHARMAC 21,988 21,988 Net yet known See above Ongoing
Health Research Council 3,347  3,347  Net yet known See above Ongoing
Other Crown Entities 4,364 4,364 Net yet known See above Ongoing
NGOs 818 818 Net yet known See above Ongoing

Total

27,170

27,170

37,155

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Healthy Homes Initiative - Expansion 2016/17 - 4,500 4,500 4,500 4,500
Other Nationally Purchased Health Services - Additional Support 2016/17 - 400 400 400 400
Palliative Care Community Service Support Roles 2015/16 3,100 7,000 7,000 7,000 7,000
Pressures funding for contract lens and chaplaincy services 2014/15 22 22 22 22 22
Establish National Health Information System appropriation (technical change) 2013/14 (7,023) (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 appropriation 2013/14 (77,760) (74,710) (74,710) (74,710) (74,710)
Access to diagnostics to support cancer, cardiac, and elective services 2012/13 4,000 4,000 4,000 4,000 4,000
Pacific Innovation Fund 2012/13 1,500 1,500 1,500 1,500 1,500
National cardiac surgical, acute coronary syndrome, and interventional cardiology registers 2012/13 750 750 750 750 750

Reasons for Change in Appropriation#

This appropriation increased by $9.985 million to $37.155 million for 2016/17 mainly due to:

  • $4.500 million due to funding agreed in the Budget 2016 initiative Healthy Homes Initiative - Expansion
  • $3.900 million due to the Budget 2015 Palliative Care Nurses initiative, which was $3.100 million in 2015/16 and $7 million in 2016/17
  • $3.050 million due to the Budget 2013 initiative to establish the National Personal Health Services appropriation, which transferred $90.736 million to the new appropriation in 2015/16 and $87.686 million in 2016/17
  • $2.100 million due to a one-off transfer to the National Elective Services appropriation for additional elective procedures, which reduced 2015/16 by $2.100 million and had no impact of 2016/17.

This was partly offset by:

  • $3 million due to the Budget 2012 Rheumatic Fever initiative, funding for which ended in 2015/16.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Pubic Health and Disability Act 2000 The 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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 1,167,018 1,167,018 1,165,888

Components of the Appropriation#

  2015/16 2016/17
  Final Budgeted
test $000		 Estimated Actual
$000		 Budget
$000
Residential Care 507,563 513,564 Not yet known
Community Care 250,843 264,277 Not yet known
Environmental Support 126,850 134,496 Not yet known
Funded Family Care 5,819 6,229 Not yet known
Other disability support services 275,943 252,273 Not yet known

Total

1,167,018

1,167,018

1,165,888

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#

  2015/16 2016/17
Assessment of Performance Final 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

 80% 89.1% 80%

All new clients assessed as being eligible for Ministry-funded support are provided with their support options within 20 days of assessment

 80% 90.2% 80%

Home and Community Services

      

Percentage of disability support service clients receiving community support

 65% 67.1% 65%

The number of individualised funding arrangements to improve client and family choice and control

 2,400 2,565 2,400

Enabling Good Lives - Hamilton demonstration increase in number of participants to at least 155 by 30 June 2017

 155-245 69 155-245

Residential Care

      

Residential services support people to have an everyday life: the percentage of clients and families satisfied with the service, as demonstrated through the developmental evaluations

 80% 95% 80%

The number of clients in very high cost services (High and Complex Services) will be maintained at a sustainable level

 Under 500 241 Under 500

Environmental Support

      

The percentage of equipment supplied from the Ministry of Health equipment list is greater than

 75% 84% 75%

The percentage of equipment items supplied that are refurbished and reissued is greater than

 45% 37.7% 45%

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
IDEA 211,832 221,092 Net yet known See above Ongoing
DHBs 178,008 178,854 Net yet known See above Ongoing
NZ Care Group 57,517 57,063 Net yet known See above Ongoing
Enable New Zealand (an operating division of MidCentral DHB) 50,639 56,865 Net yet known See above Ongoing
Spectrum Care Trust 42,247 44,586 Net yet known See above Ongoing
Manawanui in Charge 41,279 49,829 Net yet known See above Ongoing
Environmental Health Management Services Limited 41,037 42,800 Net yet known See above Ongoing
Te Roopu Taurima O Manukau Trust 23,177 17,017 Net yet known See above Ongoing
Community Living Limited 21,848 19,968 Net yet known See above Ongoing
Hohepa Services Limited 20,165 20,665 Net yet known See above Ongoing
Healthcare Of New Zealand 18,315 27,232 Net yet known See above Ongoing
Other NGOs 460,953 431,047 Net yet known See above Ongoing

Total

1,167,018

1,167,018

1,165,888

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Disability Support Services - Additional Support 2016/17 - 42,296 42,296 42,296 42,296
In-Between Travel - Devolution to DHBs 2015/16 (10,310) (31,845) (31,845) (31,845) (31,845)
In-Between Travel 2015/16 14,000 14,000 14,000 14,000 14,000
Home based support (In-Between Travel) 2014/15  24,000  24,000  24,000  24,000  24,000 
Disability Support: Community Residential Services - Pressure 2015/16 12,307 12,307 12,307 12,307 12,307
Disability Support Services - Pressures 2015/16 9,800 9,800 9,800 9,800 9,800
Disability Support: Home and Community Support Services - Pressure 2015/16 6,090 6,090 6,090 6,090 6,090
Disability Support: Environmental Support Services - Pressure 2015/16 2,241 2,241 2,241 2,241 2,241
Disability Support: Other Services and Minimum Wage Increase - Pressure 2015/16 1,933 5,683 5,683 5,683 5,683
Disability Support: High and Complex Services Cost Pressure 2015/16 510 510 510 510 510
Enabling Good Lives - Transfer to Vote Social Development  2015/16  (973)  (4,500)  -  -  - 
Demographic and cost pressures 2014/15 24,812 24,812 24,812 24,812 24,812
Vocational services for school leavers with disabilities and very high needs 2014/15 1,500 1,500 1,500 1,500 1,500
Enabling Good Lives - Hamilton demonstration 2014/15 1,360 1,360 - - -
Aged Residential Care - subsidy increase 2014/15 400 400 400 400 400
Family Caregivers 2013/14 23,000 23,000 23,000 23,000 23,000
Residential Services - demographics 2013/14 10,155 10,155 10,155 10,155 10,155
Sleepovers 2013/14 10,000 10,000 10,000 10,000 10,000
Environmental/community services - demographics 2013/14 4,430 4,430 4,430 4,430 4,430
Enabling Good Lives 2013/14 300 300 300 300 300
Residential care community 2012/13 15,185 15,185 15,185 15,185 15,185
Community care services 2012/13 14,951 14,951 14,951 14,951 14,951
Environmental support - mobility and sensory 2012/13 5,490 5,490 5,490 5,490 5,490
Expanding demonstration of New Model of Care 2012/13 1,955 1,955 1,955 1,955 1,955

Reasons for Change in Appropriation#

This appropriation decreased by $1.130 million to $1,165.888 million for 2016/17, which was mainly due to:

  • $21.535 million due to In-between travel settlement funding devolved to the 20 DHBs, which was $10.310 million in 2015/16 and $31.845 million in 2016/17.  Note: this funding was being held in this appropriation while negotiations were undertaken - no reduction in services will result from the devolution
  • $19.348 million due to the transfer of additional funding for pressures, in 2015/16 only, funded from reprioritised unallocated funding from other national services appropriations
  • $3.527 million due to a one-off transfer to Vote Social Development for the Enabling Good Lives pilot, which was $973,000 in 2015/16 and $4.5000 million in 2016/17.

This was partly offset by:

  • $42.296 million of additional funding provided in the Budget 2016 initiative Disability Support Services - Additional Support.

Conditions on Use of Appropriation#

Reference Conditions
Health and Disability Services (Safety) Act 2001 The 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 2000 Part 3 establishes DHBs
New Zealand Public Health and Disability Act 2000 Part 4A section 70A keeps the funding of support services provided by persons to their family members within sustainable limits
Disabled Persons Community Welfare Act 1975 Part 2A, A right of review exists 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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 324,367 323,367 355,517

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.

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Electives and Ambulatory Initiative

 New Measure   (Note 1)

Auckland DHB

 4,848 5,048 5,298

Bay of Plenty DHB

 1,338 1,629 1,994

Canterbury DHB

 5,317 5,513 5,605

Capital and Coast DHB

 2,440 2,550 2,623

Counties Manukau DHB

 3,758 3,897 3,986

Hawkes Bay DHB

 1,373 1,504 1,588

Hutt Valley DHB

 1,048 1,179 1,192

Lakes DHB

 961 894 966

MidCentral DHB

 1,642 1,711 1,812

Nelson Marlborough DHB

 1,335 1,335 1,335

Northland DHB

 1,725 1,725 1,796

South Canterbury DHB

 449 449 449

Southern DHB

 2,504 2,452 2,591

Tairawhiti DHB

 349 349 349

Taranaki DHB

 1,067 1,067 1,067

Waikato DHB

 3,488 3,692 4,076

Wairarapa DHB

 374 374 374

Waitemata DHB

 5,184 5,503 5,770

West Coast DHB

 255 255 255

Whanganui DHB

 559 559 559

Total Electives and Ambulatory Initiative

 40,014 41,685 43,685

Bariatric Initiative

      

All 20 DHBs Total Bariatric Initiative

 126 126 126

Quality Initiative

      

All 20 DHBs

 20 20 20

Mobile Surgical Services

      

The elective day surgery target of case-weights(approximately 1,500 operations per annum)

 650 on track 650

Rural health professional development and remote collaboration services volume targets met

 100% on track 100%

Note 1: the 2016/17 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 2016.

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
DHBs 307,878 307,878 Net yet known See above Ongoing
NGOs 16,489 15,489 Net yet known See above Ongoing

Total

324,367

323,367

355,517

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Elective Surgery - Government's Health Target 2016/17 - 24,000 24,000 24,000 24,000
Additional 2000 Elective Procedures 2015/16 12,000 12,000 12,000 12,000 12,000
More Elective Surgery, Reducing Pain, and Increasing Prevention 2015/16 11,000 27,000 12,000 - -
Electives Health Target - increased discharges 2014/15 25,000 25,000 25,000 25,000 25,000
Electives - bariatric surgery 2014/15 2,500 2,500 2,500 - -
National Intestinal Failure Services 2014/15 350 300 300 300 300
Electives - additional 2000 discharges per annum 2013/14 12,000 12,000 12,000 12,000 12,000
Electives - maintain existing volumes 2013/14 10,000 10,000 10,000 10,000 10,000
Electives - additional 2000 discharges per annum 2012/13 12,000 12,000 12,000 12,000 12,000

Reasons for Change in Appropriation#

This appropriation increased by $31.150 million to $355.517 million for 2016/17 mainly due to:

  • $24 million due to funding agreed in the Budget 2016 initiative Elective Surgery - Government's Health Target
  • $16 million due to the Budget 2015 'More Elective Surgery, Reducing Pain, And Increasing Prevention' initiative, which was $11 million in 2015/16 and $27 million in 2016/17.

This was partly offset by:

  • $8 million due to one-off funding to increase the number of elective procedures delivered in 2015/16 only.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Part 3 establishes DHBs

National Emergency Services (M36)#

Scope of Appropriation#

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

Expenses#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 95,559 95,559 99,946

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Emergency calls are triaged and services dispatched effectively and efficiently

 New Measure Note 1 Expired Measure
  • Call response times - percentage of calls answered in 15 seconds
 95% 91.8% 95%
  • Calls reach compliance with the medical priority dispatch system performance indicators
 100% 66% 100%

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

      
  • Urban reached in 8 minutes
 50% 82.8% 50%
  • Urban reached in 20 minutes
 95% 99% 95%
  • Rural reached in 12 minutes
 50% 73.2% 50%
  • Rural reached in 30 minutes
 95% 98.5% 95%

Percentage of air ambulance activations that are within the target times

 50% 64% 50%

Percentage of Reportable Events that providers manage in accordance with the HQSC guidelines

 100% 100% 100%

Note 1: Estimated Actual Standards are based on July - October 2015 results.

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
Order of St John's 63,695 63,738 Net yet known See above Ongoing
Air Ambulance Providers 8,000 9,458 Net yet known See above  Ongoing
Wellington Free Ambulance Service 7,237 7,237 Net yet known See above Ongoing
Central Emergency Communications Ltd 4,794 4,794 Net yet known See above Ongoing
Other 11,833 10,332 Net yet known See above Ongoing

Total

95,559

95,559

99,946

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Ambulance Services - Additional Support 2016/17 - 3,711 3,711 3,711 3,711
Ambulance Services - Pressure 2015/16 3,350 3,350 3,350 3,350 3,350
Air and road ambulance - demographics and cost pressures 2014/15 2,136 2,136 2,136 2,136 2,136
Air ambulances 2013/14 1,873 1,873 1,873 1,873 1,873
Whole of Government Radio Network 2013/14 636 636 636 636 636
Ambulance Services 2012/13 1,850 1,850 1,850 1,850 1,850

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 8, to improve and facilitate access to emergency services as part of the overall delivery of health and disability services

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 12,646 11,646 13,065

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

E-prescription Tool

      

E-prescription Tool implemented over three years

 Achieved Achieved Achieved

Whanau Ora Information System

      

Whanau Ora system implementation into collectives' trial sites (38 providers) by December 2016

 Achieved Achieved Achieved

National Implementation of InterRAI Assessment Tool (Note 1)

      

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

 20 DHBs 20 DHBs 20 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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
SimplHealth Solutions Limited 2,900 2,900 Net yet known See above Ongoing
DHBs 518  2,494 Net yet known See above Ongoing
New Zealand Medicines Formulary Limited Partnership 1,714 1,714 Net yet known See above Ongoing
iSoft (New Zealand & Pacific Islands) Limited 1,530 1,530 Net yet known See above Ongoing
IBM New Zealand Limited 1,430 1,430 Net yet known See above Ongoing
NGOs 4,555 1,578 Net yet known See above Ongoing

Total

12,646

11,646

13,065

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Establish National Health Information Systems - diagnostic system changes 2013/14 4,000 4,000 4,000 4,000 4,000
Whanau Ora IT Solutions 2013/14 3,800 1,877 - - -
Establish National Health Information Systems - New Zealand Medicines Formulary 2013/14 2,200 2,200 2,200 2,200 2,200
Establish National Health Information Systems -
E-Medicines		 2013/14 1,667 - - - -
Establish National Health Information Systems - InterRAI software implementation 2013/14 1,356 1,356 1,356 1,356 1,356
Establish National Health Information Systems - National Immunisation Register (NIR) 2013/14 486 486 486 486 486

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 4,517 4,517 6,828

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#

  2015/16 2016/17
Assessment of Performance Final 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 number of Rongoa providers delivering between 425 and 1,500 client contacts

 19 19 19

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
NGOs 4,517 4,517 Net yet known See above Ongoing

Total

4,517

4,517

6,828

    

Reasons for Change in Appropriation#

This appropriation increased by $2.311 million to $6.828 million for 2016/17 due to the reprioritisation of unallocated funding to meet pressures on the National Disability Support Services appropriation in 2015/16 only.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 4, to recognise and respect the principles of the Treaty of Waitangi, and with a view to improving health outcomes for Maori in health services.

National Maternity Services (M36)#

Scope of Appropriation#

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

Expenses#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 144,657 144,657 146,767

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#

  2015/16 2016/17
Assessment of Performance Final 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
 70% 76% 70%
  • Number of women based on birth data for the year
 40,069 to 30 Dec 2014 76% (44,504 women) 40,069 to 30 Dec 2014

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
Midwives 139,156  140,552 Net yet known See above  Ongoing 
DHBs 3,681 2,285 Net yet known See above Ongoing
NGOs 1,820 1,820 Net yet known See above Ongoing

Total

144,657

144,657

146,767

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Community midwives - cost and volume pressures 2015/16 4,882 4,882 4,882 4,882 4,882
Funding for cost pressures 2012/13 3,587 3,587 3,587 3,587 3,587

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 88 of the Act (the Notice) sets out the terms and conditions for authorised health professionals to provide and claim for primary maternity services. Lead maternity carers deliver quality maternity services in compliance with the section 88 Primary Maternity Services Notice 2007

National Mental Health Services (M36)#

Scope of Appropriation#

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

Expenses#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 53,482 53,482 58,962

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Mental Health Programmes

      

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

 95% 80% 95%

Mental Health Services

      

Mother/Baby unit: percentage of occupied day beds

 95% - 80%

Addictions

      

Deliver on the Tackling Methamphetamine Action Plan:

      
  • The number of people receiving residential treatment
 200 150 150

Deliver on the Drivers of Crime Action Plan:

      

Drug Court: the number of participants

 100 89 participants and 75 graduates 100

Alcohol Brief Intervention & Screening: the percentage of people older than 12 years of age who receive Primary Mental Health (PMHI) who are screened

 50% not yet available 50%

Triple P Parenting Programme: the number of practitioners trained

 60 468 as at Dec 2015 800

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

 800 429 as at Dec 2015 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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
DHBs 14,685 19,524 Net yet known See above Ongoing
Health Promotion Agency 5,309 5,309 Net yet known See above Ongoing
Ashburn Hall Charitable Trust 5,125 5,125 Net yet known See above Ongoing
Odyssey House Trust 3,517 3,517 Net yet known See above Ongoing
The Salvation Army New Zealand Trust 2,956 2,956 Net yet known See above Ongoing
Te Rau Matatini Limited 2,000 2,000 Net yet known See above Ongoing
ESR 1,008 1,008  Net yet known  See above  Ongoing 
Other NGOs (41) 18,883 14,044 Net yet known See above Ongoing

Total

53,482

53,482

58,962

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Responding to Mental Health Concerns at an Earlier Stage 2016/17 - 3,000 3,000 3,000 3,000
Supporting Health Services in Canterbury 2016/17 - 1,000 1,000 1,000 - 
Social Sector Trials - Extension To June 2016 2015/16 (2,726) - - - -
Specialist Sexual Violence Sector 2014/15 5,200 - - - -
Mother and baby care 2013/14 5,200 5,200 5,200 5,200 5,200
Youth mental health services 2013/14 4,040 4,040 4,040 4,040 4,040
Pre-employment Drug Testing 2013/14 1,398 1,398 1,398 1,398 1,398
Drivers of Crime: alcohol & other drug assessments and interventions 2012/13 9,840 9,840 9,840 9,840 9,840
Strengthening communities to prevent suicide 2012/13 2,000 2,000 2,000 2,000 2,000
Compulsory alcohol and drug treatment 2012/13 775 775 775 775 775

Reasons for Change in Appropriation#

This appropriation increased by $5.480 million to $58.962 million for 2015/16 mainly due to:

  • $3 million due to funding agreed in Budget 2016 initiative Responding to Mental Health Concerns at an Earlier Stage
  • $2.207 million due to $1.900 million of new funding for Youth Forensic Services from 2016/17 and transfers between years of funding for the Youth Forensic Unit at Capital and Coast DHB
  • $1 million due to funding agreed in Budget 2016's Supporting Health Services in Canterbury initiative.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 8 To improve the health and disability outcomes of people and communities including mental health and mental health services
New Zealand Public Health and Disability Act 2000 The Health Promotion Agency (HPA) is established under Part 4 (sections 57-59) of the Act
Alcoholism and Drug Addiction Act 1966 Mental Health and Addiction Workforce
The Substance Addiction (Compulsory Assessment and Treatment) Bill will replace the Alcoholism and Drug Addiction Act 1966. The Bill provides for the compulsory assessment and treatment of individuals who are considered to have a severe substance addiction as it is defined in the Bill, and who do not have the capacity to participate in treatment
Mental Health (Compulsory Assessment and Treatment) Act 1992 An Act to redefine the circumstances in which and the conditions under which persons may be subjected to compulsory psychiatric assessment and treatment, to define the rights of such persons and to provide better protection for those rights, and the assessment and treatment of persons suffering from mental disorder

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 107,428 104,428 98,694

Components of the Appropriation#

  2015/16 2016/17
  Final Budgeted
test $000		 Estimated Actual
$000		 Budget
$000
Cancer Control 31,910 30,810 Not yet known
Helplines 23,405 37,213  Not yet known 
Hospice & Palliative Care 13,000 13,000 Not yet known
Other 39,113 37,213 Not yet known

Total

107,428

104,428

98,694

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#

  2015/16 2016/17
Assessment of Performance Final 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)

 less than 10% 8% less than 10%

Percentage of calls answered within 20 seconds

 80% 67% >80%

Percentage of surveyed callers satisfied or very satisfied with the Healthline service

 95% Last biannual survey available June 2015 >95%

Cancer Services

      

Six-monthly progress reports on regional implementation of national priorities are received from the four Regional Cancer Networks (RCNs)

 4 RCNs 4 RCNs 4 RCNs

Boost Hospice Funding passed on to all hospices

 100% 100% 100%

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

 100% TBC 100%

DHBs maintain performance against the Shorter waits for cancer treatment health target - radiotherapy and chemotherapy

 85% 100% 85%

Colonoscopy Wait Times

      

Monthly monitoring of colonoscopy waiting times

 100% 100% 100%

High Cost Treatment Pool

      

The percentage of completed applications managed within three weeks

 100% 100% 100%

Cardiac Services

      

The number of DHBs with cardiac facilities using the Licensing and Development of Cardiac Surgery Registry

 Up to 5 DHBs 5 DHBs Up to 5 DHBs

The number of DHBs using the Acute Coronary Syndrome Registry

 20 20 20

Additional Organ Donations

      

Deceased Organ Donors

      

Quarterly and annual reports about deceased organ donors

 Reports received Reports received Reports received

Live Organ Donations

      

Quarterly and annual reports about live organ donations

 Reports received Reports received Reports received

Diabetes

      

DHBs report quarterly on implementation of Diabetes care improvement packages

 100% 100% 100%

Long Term Conditions

      

Implementation of programme

 New New Achieved

Stroke Services Improvement

      

Percentage of DHBs that report quarterly on implementation of stroke services improvement

 4 on track 100%

Oral Health

      

Oral health promotion campaign

 New New Achieved

Electronic Oral Health Register

 New New Achieved

End of Year Performance Reporting#

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

Service Providers#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
DHBs 36,759 41,367 Net yet known See above Ongoing
Homecare Medical (NZ) Limited Partnership 22,429 22,429 Net yet known See above Ongoing
Solora Limited 4,783 4,783 Net yet known See above Ongoing
Royal Children's Hospital 2,754 2,754 Net yet known See above Ongoing
Interchurch Council for Hospital Chaplaincy 2,684 2,684 Net yet known See above Ongoing
ACC (Accident Compensation Corporation) 2,000  2,000  Net yet known  See above  Ongoing 
Health Research Council of New Zealand 1,000 1,000 Net yet known See above Ongoing
Other NGOs (51) 35,020 27,411 Net yet known See above Ongoing

Total

107,428

104,428

98,694

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Cancer: Faster Cancer Treatment 2014/15 6,096 5,690 5,350 5,350 5,350
Oral Health: Better Oral Health Promotion 2014/15 2,500 2,500 2,500 2,500 2,500
Organ donation - more renal transplants performed 2014/15 1,000 1,000 1,000 1,000 1,000
Establish appropriation - Healthline 2013/14 15,238 15,238 15,238 15,238 15,238
Establish appropriation - hospices 2013/14 15,000 15,000 15,000 15,000 15,000
Establish appropriation - cancer control 2013/14 14,471 14,471 14,471 14,471 14,471
Establish appropriation - CVD/Diabetes 2013/14 5,784 5,784 5,784 5,784 5,784
Establish appropriation - Mobile Surgical Services 2013/14 5,661 5,661 5,661 5,661 5,661
Long Term Conditions - Cardiovascular Disease (CVD)/Diabetes 2013/14 5,300 4,300 3,100 3,100 3,100
Establish appropriation - oral health 2013/14 3,081 3,081 3,081 3,081 3,081
Establish appropriation - Rheumatic fever 2013/14 3,000 - - - -
Establish appropriation - hospital chaplaincy 2013/14 2,857 2,857 2,857 2,857 2,857
Establish appropriation - other 2013/14 2,746 2,696 2,696 2,696 2,696
Establish appropriation - InterRAI 2013/14 2,644 2,644 2,644 2,644 2,644
Prostate Awareness and Quality Improvement Programme 2013/14 1,050 1,050 1,050 1,050 1,050
Aged Care and Dementia 2013/14 700 - - - -
Familial gastrointestinal cancer registry and hospices 2013/14 500 500 500 500 500
Sexual Health 2013/14 228 228 228 228 228
Cancer Control - patient pathway co-ordination and other services 2012/13 6,000 6,000 6,000 6,000 6,000
Boost Telephone Advice - new line services 2012/13 1,500 1,500 1,500 1,500 1,500
Organ donation 2012/13 1,000 1,000 1,000 1,000 1,000

Reasons for Change in Appropriation#

This appropriation decreased by $8.734 million to $98.694 million for 2016/17 mainly due to the Budget 2013 initiative to establish the National Personal Health Services appropriation, which was $70.482 million in 2015/16 and $64.582 million in 2016/17. 

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 8 For the provision Mental health services as part of the overall New Zealand Health Strategy
New Zealand Public Health and Disability Act 2000 The Health Promotion Agency (HPA) is established under Part 4 (sections 57-69) of the Act
Alcoholism and Drug Addiction Act 1966 Mental Health and Addiction Workforce
The Substance Addiction (Compulsory Assessment and Treatment) Bill will replace the Alcoholism and Drug Addiction Act 1966. The Bill provides for the compulsory assessment and treatment of individuals who are considered to have a severe substance addiction as it is defined in the Bill, and who do not have the capacity to participate in treatment
Mental Health (Compulsory Assessment and Treatment) Act 1992 Mental health services Part 1 For the compulsory assessment of patients and the provision of appropriate treatment

Primary Health Care Strategy (M36)#

Scope of Appropriation#

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

Expenses#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 179,974 179,974 186,019

Components of the Appropriation#

  2015/16 2016/17
  Final Budgeted
test $000		 Estimated Actual
$000		 Budget
$000
VLCA 58,779 62,088 Not yet known
Care Plus 59,329 61,400 Not yet known
Free Under 13s 32,927 32,900 Not yet known
IPIF 22,416 22,300 Not yet known
Other 6,523 1,286 Not yet known

Total

179,974

179,974

186,019

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Access to affordable primary health care services

      

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

 1,300,000 774,000 774,000

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

 80% 98% 80%

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

 140,000 140,000 140,000

Rural retention and locum support

 New New Achieved

End of Year Performance Reporting#

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

Service Providers#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
DHBs 159,629 167,041 Net yet known See above Ongoing
The New Zealand Rural General Practice Network Incorporated 1,839 1,839 Net yet known See above Ongoing
Patients First Limited 1,122 1,122 Net yet known See above Ongoing
Other NGOs 17,384 9,972 Net yet known See above Ongoing

Total

179,974

179,974

186,019

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Primary Health Care - Additional Support 2016/17 - 14,329 14,329 14,329 14,329
Under 13s - Free Prescriptions & GP Visits 2015/16 30,000 30,000 30,000 30,000 30,000
Primary Health Care - Pressure 2015/16 3,631 3,753 3,779 3,805 3,805
Primary care - demographics and contribution to cost pressures 2014/15 3,325 3,325 3,325 3,325 3,325
Rural General Practice - flexible funding 2014/15 2,291 2,000 2,000 2,000 2,000
Care Plus volume increase and performance incentives 2013/14 6,200 6,200 6,200 6,200 6,200

Reasons for Change in Appropriation#

This appropriation increased by $6.045 million to $186.019 million for 2016/17 mainly due to:

  • $14.329 million due to additional funding provided in Budget 2016 towards demographic and cost pressures on the Free Under 13s initiative and the Care Plus portion of the Flexible Funding Pool.

This was partly offset by:

  • $7.400 million due to one-off funding in 2015/16 only for volume pressures on the Under 13s - Free Prescriptions & GP Visits initiative
  • $1 million due to one-off funding in 2015/16 only for Care Plus pressures.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 8 The Minister must determine the New Zealand Health Strategy to provide the framework for the Government's overall direction in improving health outcomes.

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 20,630 17,630 17,440

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

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

      

The number of innovative service delivery pilots procured

 New New 2

The number of people seeking support from problem gambling services

 6,750 6,300 6,750

The number of brief only interventions delivered

 New New 6,000

Percentage of treatment service users experience an improvement in their condition

 90% 90% 90%

Independent scientific research identifies incidence of moderate risk and problem gambling annually

 New New TBC

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
The Salvation Army New Zealand Trust 7,457 7,457 Net yet known See above Ongoing
Problem Gambling Foundation of New Zealand 4,838 4,838 Net yet known See above Ongoing
Raukura Hauora O Tainui Trust 2,358 2,358 Net yet known See above Ongoing
Health Promotion Agency 1,260  1,680  Net yet known  See above Ongoing 
Te Rangihaeata Oranga Trust 1,207 1,207 Net yet known See above Ongoing
Other NGOs 3,510 90 Net yet known See above Ongoing

Total

20,630

17,630

17,440

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Problem Gambling Services - Continued Support 2016/17 - 6,913 6,994 6,914 -
Problem Gambling 3-Year Service Plan 2013/14 6,603 - - - -

Reasons for Change in Appropriation#

This appropriation decreased by $3.190 million to $17.440 million for 2016/17 mainly due to a one-off transfer for Problem Gambling services, which increased 2015/16 and had no effect on 2016/17.
 

Conditions on Use of Appropriation#

Reference Conditions
Gambling Act 2003 Administered by Department of Internal Affairs. Section 317 Integrated problem gambling strategy must be allocated to a Department and is focussed on promoting public health, services to assist, treating problem gambling, independent scientific services associated with gambling and evaluation.

Public Health Service Purchasing (M36)#

Scope of Appropriation#

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

Expenses#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 376,602 374,602 400,644

Components of the Appropriation#

  2015/16 2016/17
  Final Budgeted
test $000		 Estimated Actual
$000		 Budget
$000
National Screening Services 107,154 104,651 Not yet known
Nutrition & Physical Activity 33,746 33,558 Not yet known
Tobacco 37,060 31,646 Not yet known
Communicable Diseases 28,575 28,117 Not yet known
Sexual Health 21,064 21,187 Not yet known
Rheumatic Fever 17,110 15,110 Not yet known
Science Purchasing 14,903 14,903 Not yet known
Safe Water Subsidy Scheme 14,723 14,723 Not yet known
Alcohol & Drug 12,183 12,096 Not yet known
Public Health Infrastructure 11,970 10,498 Not yet known
Other Services 78,114 88,111 Not yet known

Total

376,602

374,602

400,644

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#

  2015/16 2016/17
Assessment of Performance Final 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% 76.5% as at 31 Jan 2016 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% 63.7% as at 31 Jan 2016 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% 74.6% as at 31 Jan 2016 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% 64.3% as at 31 Jan 2016 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)

 72% 70.7% as at 31 Jan 2016 70%

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

 70% 64.1% as at 31 Jan 2016 70%

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

 73% 71.7% as at 31 Jan 2016 70%

Bowel Cancer

      

Implement bowel cancer screening programme

 New 100% 100%

Tobacco-Control Programme

      

Better Help for Smokers to Quit Health Target

      

Hospital indicator

 95% 95% 95%

Primary Care indicator

 90% 85% 90%

Pregnancy indicator

 90% 90% 90%

Smokefree New Zealand 2025 Innovation Fund

      

The number of projects funded across New Zealand will be between

 24 24 24

The percentage of project reports due that are received for assessment will be no less than

 90% 100% 90%

The percentage of project reports received that have been reviewed and assessed will be no less than

 100% 100% 100%

Tobacco

      

Quit Group will achieve up to 65,000 quit attempts

      
  • Percentage of attempts
 70% 59% 70%
  • Number of attempts
 65,000 38,154 35,000

Quit Group will maintain an annual average abandonment rate of no more than

 10% 10% 10%

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% 95% 95%

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

 15 15 15

Services for Children

      

The proportion of infants exclusively and fully breastfeeding at:

      
  • Six weeks
 75% 70% 75%
  • Three months
 57% 55% 57%

Other Child and Youth - Violence Intervention Programme

      

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

 90% 95% 90%

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

 90% 91% 90%

Rheumatic Fever

      

Providers of rheumatic fever prevention services with contracts over $500,000 per annum, deliver milestones in accordance with contract deliverables

 95% 95% 95%

Communicable Diseases

      

Written responses are provided within ten working days of receipt of the monthly contract reports from providers of scientific advice, outbreak response and surveillance with contracts over $500,000 per annum

 95% 100% 95%

Immunisation

      

Annual Influenza Immunisation Programme: Over 1 million people are vaccinated annually and 75% of over 65-year-olds are immunised

 75% 67% 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

 Achieved Achieved Achieved

New Zealand Family Planning Association

      

The number of general consultations across the 17 DHB regions contracted to deliver services

 159,309 162,410 159,309

The number of school linked and outreach consultations across the 17 DHB regions contracted to deliver services

 12,600 8,300 12,600

The number of pregnancy/maternity single episode consultations across the 17 DHB regions contracted to deliver services

 12,250 8,500 12,250

Emergency Preparedness

      

Maintain National Reserve Pandemic stocks

 Achieved Achieved Achieved

Maintain emergency management capability and capacity in DHBs

 New Achieved Achieved

Maintain emergency management capability and capacity in road ambulance services

 Achieved On track Achieved

Community Postvention Response

      

The forecast number of completed assessments to identify possible emerging clusters per annum

 50 40 50

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

 3 2 3

Bereavement Support Service

      

The number of number of family/whanau members bereaved by suicide, provided with support

 4,000 2,400 4,000

MH101 - Mental Health Literacy

      

The forecast number of number of family/whanau members bereaved by suicide, provided with support

 40 41 40

Applied Suicide Intervention Skills Training

      

The number of partially subsidised places at ASIST trainings delivered

 250 260 250

Travellers school based education programme for at risk youth - the number of new schools recruited to the Travellers programme

 10 30 10

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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
DHBs 126,630 168,839 Net yet known See above Ongoing
ESR 15,161 15,161 Net yet known See above Ongoing
New Zealand Family Planning Association Incorporated 11,854 11,854 Net yet known See above Ongoing
Health Promotion Agency 10,865 10,865 Net yet known See above Ongoing
BreastScreen South Ltd 9,192 9,192 Net yet known See above Ongoing
United Fresh New Zealand Incorporated 6,617 6,617 Net yet known See above Ongoing
New Zealand Post Limited 5,385 5,385 Net yet known See above Ongoing
University of Auckland 5,282 5,282 Net yet known See above Ongoing
BreastScreen Auckland Limited 4,758 4,758 Net yet known See above Ongoing
National Heart Foundation of NZ - Auckland 4,597 4,597 Net yet known See above Ongoing
Auckland Council 4,447 4,447 Net yet known See above Ongoing
New Zealand AIDS Foundation Charitable Trust 4,230 4,230 Net yet known See above Ongoing
Other Crown Entities 21,987 21,987 Net yet known See above Ongoing
CBG Health Research Limited 3,682 3,682 Net yet known See above Ongoing
Pacific Radiology Group Limited 3,653 3,653 Net yet known See above Ongoing
National Maori PHO Coalition Incorporated 3,434 3,434 Net yet known See above Ongoing
The Quit Group 3,141 3,141 Net yet known See above Ongoing
Other NGOs (290) 131,686 87,476 Net yet known See above Ongoing

Total

376,602

374,602

400,644

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Primary Care Services 2015/16 1,952 3,904 3,904 3,904 3,904
Intensive Alcohol and Drug Support for Pregnant Women - Extension of Services 2016/17 - 3,000 3,000 3,000 3,000
Public Health Services - Additional Support 2016/17 - 1,559 1,559 1,559 1,559
National Bowel Screening Programme Establishment 2016/17 - 6,456 6,616 3,072 2,820
Bowel Cancer Screening Pilot Extension 2015/16 3,400 6,000 3,000 - -
Public Health - Pressure 2015/16 2,140 4,218 4,218 4,218 4,218
Healthy Families New Zealand 2014/15 9,000 9,000 9,000 9,000 9,000
Public health demographic and cost pressures 2014/15 3,693 3,925 3,925 3,925 3,925
NZ Health Survey - biomedical testing 2014/15 376 289 289 289 289
Rheumatic Fever 2013/14 10,000 10,000 5,000 5,000 5,000
Screening services - volume increases 2013/14 6,283 6,283 6,283 6,283 6,283
Immunisation 2013/14 3,035 3,035 3,035 3,035 3,035
Public Health Units - volumes and infrastructure 2013/14 1,150 1,150 1,150 1,150 1,150
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)
Pathway to Smokefree 2025 - an innovations fund 2012/13 5,000 5,000 5,000 5,000 5,000
Rheumatic Fever 2012/13 3,000 - - - -
Breast and Cervical Cancer Screening 2012/13 2,166 2,166 2,166 2,166 2,166
Antenatal Downs and other conditions screening 2012/13 1,676 1,676 1,676 1,676 1,676
Universal Newborn Hearing Screening 2012/13 123 123 123 123 123
Newborn Metabolic Screening 2012/13 49 49 49 49 49
Antenatal HIV Screening 2012/13 30 30 30 30 30

Reasons for Change in Appropriation#

This appropriation increased by $24.042 million to $400.644 million for 2016/17 mainly due to:

  • $19.538 million due to transfers between years of funding for the Sanitary Works Subsidy Scheme
  • $9.006 million due to the reprioritisation of unallocated funding to meet pressures on the National Disability Support Services appropriation in 2015/16 only
  • $6.456 million due to the Budget 2016 National Bowel Screening Programme Establishment initiative
  • $3 million due to the Budget 2016 Intensive Alcohol and Drug Support for Pregnant Women - Extension of Services initiative
  • $3 million of one-off underspends, in 2015/16 only, was transferred to the National Elective Services appropriation for additional elective procedures
  • $1.952 million due to the Budget 2016 Primary Care Services initiative
  • $1.559 million due to the Budget 2016 Public Health Services - Additional Support initiative.

This was partly offset by:

  • $10.678 million due to transfers between years of funding for the Drinking Water Subsidy Scheme
  • $6.086 million for additional colonoscopies and a package of initiatives towards reducing childhood obesity was provided in 2015/16, with no effect on 2016/17
  • $3.700 million due to time limited funding for rheumatic fever prevention ending in 2015/16.

Conditions on Use of Appropriation#

Reference Conditions
New Zealand Public Health and Disability Act 2000 Section 3 (1)(a) the purpose of this Act is to achieve for New Zealanders the improvement, promotion and protection of their health, inclusion of people in society and provide the best care or support for people in services.
Section 88 of the Act (the Notice) sets out the terms and conditions for authorised health professionals to provide and claim for primary maternity services. Lead maternity carers deliver quality maternity services in compliance with the section 88 Primary Maternity Services Notice 2007.
Health and Disability Services (Safety) Act 2001 Includes services intended to prevent, or lessen the prevalence or severity of, illness or injury; and includes any services within the meaning of the New Zealand Public Health and Disability Act 2000.
Health (Infectious and Notifiable Diseases) Regulations 1966 Part 3 Environmental Health Officer charged with the investigation and control of infectious diseases to observe and comply with the directions and requirements in section 7.
Smoke-free Environments Act 1990 Section 14, All DHB-owned PHUs are funded to employ officers who are designated under the Act to enforce the provisions of the Act.
Health Act 1956 Section 22, The Ministry has policy and primary implementation responsibility and the Director-General of Health appoints statutory officers to ensure regulatory obligations are met.
Health (National Cervical Screening Programme) Amendment Act (2004).
Tuberculosis Act 1948 Section 7 The Ministry has policy and primary implementation responsibilities that are designated to Medical Officers of Health and Health Protection Officers. The Director-General of Health appoints statutory officers to ensure regulatory obligations are met.
Misuse of Drugs Act 1975 The Ministry has policy and primary implementation responsibility that are designated to Medical Officers of Health and Health Protection Officers.
Burial and Cremation Act 1964 The Ministry has policy and primary implementation responsibility and the Director-General of Health appoints statutory officers to ensure regulatory obligations are met.
Hazardous Substances and New Organisms Act 1997 The Ministry of Health is required to ensure the provisions of the HSNO Act are enforced to protect public health and the Director-General of Health appoints public health HSNO enforcement officers to meet this obligation.
Radiation Protection Act 1965 The Radiation Safety Act 2016, which comes into force on 7 March 2016 repeals and replaces the Radiation Protection Act 1965. The Act establishes a legislative framework that provides for the safe and beneficial use of ionising radiation while protecting the environment and people from the harmful effects of ionising radiation. The Act provides a means for New Zealand to meet its international obligations relating to radiation protection, radiation safety and security, and nuclear non-proliferation.
Epidemic Preparedness Act 2006 Section 5 Prime Minister may enable use special powers if satisfied the outbreak of quarantinable disease is likely to disrupt or continue to disrupt essential government or business activity significantly.
Sale and Supply of Alcohol Act 2012 The law relating to the sale, supply and consumption of alcohol.
The law extended the role of the Medical Officer of Health to have a duty to enquire into and comment on licensing (and re-licensing) of premises with On Licences or Club Licences.
Biosecurity Act 1993 The Director-General of Health has been recognised by the Minister for Biosecurity as having responsibilities for human health that could be adversely affected by an organism; has appointed a Chief Technical Officer (Health) and the Chief Technical Officer (Health) appoints authorised and accredited persons to meet these responsibilities.
Civil Defence Emergency Management Act 2002 Section 20 provides for the appointment and functions of Civil Defence Emergency Management Co-ordinating Executive groups.
Psychoactive Substances Act 2013 Section 76 provides the Authority to appoint enforcement officer to enforce the relevant provisions of the Act.
Human Assisted Reproductive Technology Act 2004 Section 32 provides for the establishment of an Advisory Committee on Assisted Reproductive Procedures and Human Reproductive Research. The Committee carries out its functions under s 35 of the Act which includes issuing guidelines and advice on a range of matters.

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

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 1,650 1,650 2,030

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

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
World Health Organization (WHO)       Exempt (see above) Ongoing

Reasons for Change in Appropriation

This appropriation increased by $380,000 to $2.030 million for 2016/17 mainly due to favourable exchange rates leading to an underspend, in 2015/16 only, which was reprioritised to meet pressures on the National Disability Support Services appropriation.

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 1,028 1,028 1,028

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 22,975 22,975 25,414

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

To support the sustainability of viable Maori providers for improving access to, and the quality of services

      

The number of Maori providers receiving funding

 115 115 115

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

      

The number of students funded by Hauora Maori Scholarships

 520 Not yet available 520

Maori Innovation Funds

      

Percentage of programmes monitored and identified with successful models of innovation

 100% 100% 100%

Percentage of six-monthly reports reviewed against contracted deliverables

 100% 100% 100%

Pacific Provider Development

      

Pacific providers are supported to improve access and service delivery to the Pacific Communities they serve:

      

All Pacific Collectives have networks of providers who input into models of care appropriate for Pacific people

 100% 100% 100%

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

      

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

 130 168 140

The percentage course completion for the Master of Nursing Health Programme

 80% 80% 80%

The percentage of Pacific Foundations Programme students applying for and accepted into first year health science at the University of Otago

 100% 80% 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#

Provider 2015/16
Final Budgeted
$000		 2015/16
Estimated Actual
$000		 2016/17
Budget
$000		 Expiry of
Resourcing
Commitment
DHBs 1,855 2,473 Net yet known See above Ongoing
Pacific Perspectives Limited 1,193 1,193 Net yet known See above Ongoing
Alliance Health Plus Trust 1,190 1,190 Net yet known See above Ongoing
Pacific Health and Social Services Development Trust 1,110 1,110 Net yet known See above Ongoing
Pacific Trust Canterbury 1,084 1,084 Net yet known See above Ongoing
NGOs 16,544 15,925 Net yet known See above Ongoing

Total

22,975

22,975

25,414

    

Current and Past Policy Initiatives#

Policy Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Pacific Provider 2013/14 1,125 1,125 - - -

Reasons for Change in Appropriation#

This appropriation increased by $2.439 million to $25.414 million for 2016/17 mainly due to a one-off transfer of funding of $1.900 million, in 2015/16 only, to the National Elective Services appropriation for additional elective procedures.

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

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 38,624 38,624 50,000

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 increased by $11.376 million to $50 million for 2016/17 due to:

  • $16.376 million due to a one-off transfer of revenue support to the operating appropriation Health & Disability Support Services - Canterbury DHB, in 2015/16 only.

This was partly offset by

  • $5 million due to the restructure of the Health Services Fund appropriation in Budget 2015.

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 71,949 71,949 185,299

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#

  2015/16 2016/17
Assessment of Performance Final 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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Canterbury Hospital Rebuild (to Health Sector Projects) 2014/15 (100,000) (186,000) - - -
Transfer to align with forecast expenditure 2013/14 135,000 221,000 - - -

Reasons for Change in Appropriation#

This appropriation increased by $113.350 million to $185.299 million for 2016/17 mainly due to:

  • $208.910 million due to transfers between years for capital projects.

This was partly offset by:

  • $86 million due to the profile of a Budget 2014 transfer to the capital appropriation Health Sector Projects, related to the Canterbury Earthquake
  • $12.406 million due to the profile of a transfer for the Christchurch DHBs outpatient facility to the capital appropriation Health Sector Projects.

Health Sector Projects (M36)#

Scope of Appropriation#

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

Capital Expenditure#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 240,716 174,552 402,397

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Grey Base 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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Canterbury Hospital Rebuild (to Health Sector Projects) 2014/15 100,000 186,000 - - -

Reasons for Change in Appropriation#

This appropriation increased by $161.681 million to $402.397 million for 2016/17 due to:

  • $86 million due to the profile of a Budget 2014 transfer of Canterbury Earthquake funding from the capital appropriation Equity for Capital Projects to DHBs and Health Sector Crown Agencies
  • $63.275 million due to transfers between years for capital projects
  • $12.406 million due to the profile of a transfer for the Christchurch DHBs outpatient facility from the capital appropriation Equity for Capital Projects to DHBs and Health Sector Crown Agencies.

Loans for Capital Projects (M36)#

Scope of Appropriation#

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.

Capital Expenditure#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 23,345 23,345 90,000

What is Intended to be Achieved with this Appropriation#

This appropriation is intended to provide debt funding 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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

DHB seeking debt 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.

Reasons for Change in Appropriation#

This appropriation increased by $66.655 million to $90 million for 2016/17 due to transfers between years for capital projects.

Refinance of Crown Loans (M36)#

Scope of Appropriation#

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.

Capital Expenditure#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 210,824 210,824 60,500

What is Intended to be Achieved with this Appropriation#

Under the Public Finance Act 1989, an appropriation is required in order for expenditure to be undertaken so that DHBs can refinance capital expenditure loans with the Crown. This expenditure is a technical financial matter, and is not reflected by any actual change in the DHBs' or Crown's assets or liabilities.

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

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Crown Loans are refinanced on or before their expiry date

 100% 100% 100%

End of Year Performance Reporting#

This non-departmental 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.

Reasons for Change in Appropriation#

This appropriation decreased by $150.324 million to $60.500 million for 2016/17 due to the timing of loans (ie, the terms of loans and when they come due for refinancing).

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#

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Total Appropriation 15,000 15,000 15,000

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#

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

Funding for increases in levels of residential care loans

 Increases in levels of loans funded as required Increases in levels of loans funded as required Increases in levels of loans funded as required

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

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000

Total Appropriation

 20,768 20,768 21,072

Departmental Output Expenses

      
Ministerial Servicing 4,620 4,620 4,720
Policy Advice 16,148 16,148 16,352

Funding for Departmental Output Expenses

      

Revenue from the Crown

 20,768 20,768 21,072
Ministerial Servicing 4,620 4,620 4,720
Policy Advice 16,148 16,148 16,352

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

  2015/16 2016/17
Assessment of Performance Final Budgeted
Standard		 Estimated
Actual		 Budget
Standard

How performance will be assessed for the MCA as a whole

      

The average score for Minister's overall satisfaction with written and verbal advice (as assessed on an four-monthly annual basis)

 80% 80% 80%

 

  2015/16 2016/17
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% 96% 96%

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

 96% 96% 96%

The percentage of Ministerial letters that required no revision

 98% 97% 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% 92% 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 10 7.43 (2014/15 actual) greater than 7 out of 10

Total policy function cost per output hour

 $165 to $175 $166.61 $165 to $175

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 Initiative Year of
First
Impact		 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
Standardisation of Policy Appropriations 2012/13 14,746 14,746 14,746 14,746 14,746

Published 26 May 2016
Page updated 27 Apr 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 on the basis of 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 2016/17.

See also the Summary Tables for the Estimates of Appropriations 2016/17.

Contents#

Browse section/chapter Download/Page range

Cover, Contents

 est16-v6-contents.pdf (150 KB) pp. i -ii

Introduction

 est16-v6-intro.pdf (138 KB) pp. iii - xvi

Social Sector Overview - Health Sector

 est16-v6-overview.pdf (50 KB) pp. 1 - 4

Votes

  
est16-v6-health.pdf (1001 KB) pp. 5 - 106

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 are 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 reduced from 45 for 2015/16 to 44 for 2016/17 as:

  • Vote Canterbury Earthquake Recovery has ceased to exist with its remaining appropriations transferred to Vote Building and Housing; Vote Business, Science and Innovation; Vote Finance; Vote Health; Vote Lands; and Vote Prime Minister and Cabinet.

The table below shows the Votes in each sector and which department 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  
Vote Tertiary Education Ministry of 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

Maori, Other Populations and Cultural Sector - B.5 Vol.8

  
Vote Maori Development Te Puni Kokiri
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 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 2015/16 Final Budgeted column shows the amount in the 2015/16 Estimates varied by any change in the 2015/16 Supplementary Estimates.
  • The 2015/16 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 2015/16 financial year.
  • In the 2016/17 Budget column, the annual amounts for which parliamentary authority is sought in the Appropriation (2016/17 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 2015/16 Final Budgeted column shows the amount in the 2015/16 Estimates varied by any change in the 2015/16 Supplementary Estimates
  • The 2015/16 Estimated Actual amount is the estimated amount of capital injection that will have been made to the department/Office by the end of the 2015/16 financial year.
  • The 2016/17 Budget amount is the amount for which parliamentary authority is sought in the Appropriation (2016/17 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 amount 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.

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/2016

An electronic archive of Budgets of the Government of New Zealand from 1997 to 2015 can be accessed here: www.treasury.govt.nz/budget/archive

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 2015/16, Budget totals proposed for 2016/17 and estimated totals for the three financial years to 2019/20 with respect to each type of appropriation and of Crown revenue and capital receipts
  • each appropriation type and total appropriations - showing final budgeted and estimated actual totals for 2015/16 and totals proposed for 2016/17 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 2016/17, and
  • types of Crown revenue and Crown capital receipts for 2015/16 and 2016/17 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/2016/summarytables/estimates

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 reportmust 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 or PFA 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.]
Final budgeted The amount in the Estimates for the previous financial year as varied by any change in the Supplementary Estimates for that financial year.
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.

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 Maori Development and Vote Pacific Peoples (both in volume 8) and Vote Building and Housing and Vote Social Development (both in volume 10).

Government Priorities for the Social Sector

Agencies within the social sector deal with some of the most complex issues facing New Zealand today. In order to respond, agencies deliver a wide range of services to New Zealanders including universal services and services targeted at individuals, families and communities with complex needs that are met by a number of agencies.

The Social Sector delivers improved social outcomes for New Zealanders through the delivery of better public services.  There are two main mechanisms through which the delivery of better public services is being driven:

  • Better Public Services Results, and
  • a Social Sector Investment Approach.

In order to prioritise resources and outcomes, four focus areas for the sector have been agreed:

  • focus on the small proportion of New Zealanders for whom joint action is required
  • develop and implement the Social Sector Investment Framework – including data and analytics
  • assess progress against government targets and take joint action where necessary
  • advise on structural arrangements to support collective social sector action.

How we will Deliver on Government Priorities

To work towards the focus areas Social Sector agencies will develop joint activities and interventions as required. These will focus on delivering sustainable results focused on vulnerable and/or high risk New Zealanders. Examples of existing cross agency work include the Social Sector Trials, Children’s Teams/the Children’s Action Plan, Whanau Ora and cross government streamlined contracts.

The Social Sector also aims to bring together the extended views of agencies within the sector, for example Education brings together the views of the tertiary, primary and pre-school sectors. This helps ensure there is a high level of collaboration amongst sector agencies, focusing on interdependencies, linkages, results and identifying efficiencies.

Social Sector agencies are also working together in the Social Investment Unit (SIU). The SIU is working towards creating a social investment system that takes a population-centred approach to investment. Using data and analytics, the system will provide a common basis for social sector agencies to identify shared populations of interest, set clear outcomes for those populations and measure how effective the services are that they receive.

The Social Sector is continuing to support the building of the tools and infrastructure required to deliver results focused on vulnerable and high risk populations. This includes the development of the data infrastructure, investment tools, and evaluation methods needed; as well as the necessary support for effective implementation.

The Social Sector has an on-going focus on delivery of the Government’s priorities for better public services. This includes joint accountability for achieving Better Public Services Result Areas 1–4: Long-term welfare dependence; early childhood education participation; infant immunisation and rheumatic fever; assaults on children.  

How we will Measure Performance

The Government has challenged the Social Sector to achieve better results. To deliver on expectations, agencies have a clear focus on priorities across the sector. In addition to delivering against the Better Public Service targets, the following priority areas have been identified by the sector to support the work of agencies and support collaboration and collective impact:

  • data integration and analytics
  • service and planning integration and the use of local decision making
  • a continued focus on a shared set of results
  • exploring making investment decisions as a sector.

In addition to formal collective responsibilities for the Better Public Service target areas, social sector agencies are continuing to change the way they work together. They aim to provide joined-up responses and co-ordinated services to get better results for individuals, families and communities.

 

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 ($16,142 million in 2016/17) 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:

  • $12,220 million (75.7% of the Vote) is provided to 20 district health boards (DHBs) 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, including those provided by Public Health Units
  • $2,659 million (16.5% 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 ($1,165 million or 7.2% of the Vote)
    • Public Health Service Purchasing ($401 million or 2.5% of the Vote)
    • National Elective Services ($356 million or 2.2% of the Vote)
    • Primary Health Care Strategy ($186 million or 1.2% of the Vote)
    • National Maternity Services ($147 million or 0.9% of the Vote)
    • National Personal Health Services ($99 million or 0.6% of the Vote)
    • National Emergency Services ($100 million or 0.6% of the Vote)
    • National Child Health Services ($85 million or 0.5% of the Vote)
    • National Mental Health Services ($59 million or 0.4% of the Vote)
    • Other national services ($61 million or 0.4% of the Vote)
  • $459 million (2.8% of the Vote) for the support, oversight, governance, and development of the health and disability sectors, comprising:
    • Ministry of Health operating costs ($195 million or 1.1% of the Vote) and capital investment ($15 million or 0.1% of the Vote)
    • Health Workforce Training and Development ($180 million or 1.1% of the Vote)
    • Monitoring and protecting health and disability consumer interests ($28 million or 0.2% of the Vote)
    • National Health Information Systems ($13 million or 0.1% of the Vote)
    • Other expenses ($28 million or 0.2% of the Vote)
  • $803 million (5.0% of the Vote) for capital investment, comprising: sector capital investment ($678 million or 4.2% of the Vote), technical expenditure ($75 million or 0.5% 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

  2015/16 2016/17
Titles and Scopes of Appropriations by Appropriation Type Final
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		 50,661 50,661 52,128

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).		 32,626 32,626 33,539

Payment Services (M36)

This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.		 17,677 17,677 17,646

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.		 23,180 23,180 23,377

Sector Planning and Performance (M36)

This appropriation is limited to advising on and co-ordinating health sector planning and performance improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities, and sector co-ordination.		 47,541 47,541 47,915

Total Departmental Output Expenses

 171,685 171,685 174,605

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.		 16,291 16,291 15,010

Total Departmental Capital Expenditure

 16,291 16,291 15,010

Non-Departmental Output Expenses

      

Health and Disability Support Services - Auckland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Auckland DHB.		 1,118,297 1,118,297 1,168,145

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.		 638,061 638,061 670,326

Health and Disability Support Services - Canterbury DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Canterbury DHB.		 1,317,045 1,317,045 1,326,373

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.		 690,915 690,915 708,924

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.		 1,274,349 1,274,349 1,329,104

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.		 461,348 461,348 469,504

Health and Disability Support Services - Hutt DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Hutt DHB.		 365,331 365,331 375,024

Health and Disability Support Services - Lakes DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Lakes DHB.		 284,778 284,778 300,118

Health and Disability Support Services - MidCentral DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from MidCentral DHB.		 467,257 467,257 484,891

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.		 394,740 394,740 405,579

Health and Disability Support Services - Northland DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Northland DHB.		 511,786 511,786 539,583

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.		 167,795 167,795 172,374

Health and Disability Support Services - Southern DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Southern DHB.		 791,730 791,730 822,938

Health and Disability Support Services - Tairawhiti DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Tairawhiti DHB.		 147,136 147,136 154,899

Health and Disability Support Services - Taranaki DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Taranaki DHB.		 318,644 318,644 327,231

Health and Disability Support Services - Waikato DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waikato DHB.		 1,042,741 1,042,741 1,096,798

Health and Disability Support Services - Wairarapa DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Wairarapa DHB.		 128,179 128,179 131,668

Health and Disability Support Services - Waitemata DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Waitemata DHB.		 1,349,321 1,349,321 1,399,525

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.		 121,929 121,929 125,017

Health and Disability Support Services - Whanganui DHB (M36)

This appropriation is limited to personal and public health services, and management outputs from Whanganui DHB.		 206,465 206,465 211,894

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.		 175,302 175,302 180,014

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.		 27,596 27,596 27,596

National Child Health Services (M36)

This appropriation is limited to the provision, purchase, and support of child health services.		 85,249 85,249 85,001

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.		 27,170 25,670 37,155

National Disability Support Services (M36)

This appropriation is limited to the provision, purchase, and support of disability support services.		 1,167,018 1,167,018 1,165,888

National Elective Services (M36)

This appropriation is limited to the provision, purchase, and support of elective surgery services.		 324,367 323,367 355,517

National Emergency Services (M36)

This appropriation is limited to the provision, purchase, and support of emergency services.		 95,559 95,559 99,946

National Health Information Systems (M36)

This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.		 12,646 11,646 13,065

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.		 4,517 4,517 6,828

National Maternity Services (M36)

This appropriation is limited to the provision, purchase, and support of maternity services.		 144,657 144,657 146,767

National Mental Health Services (M36)

This appropriation is limited to the provision, purchase, and support of mental health services.		 53,482 53,482 58,962

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.		 107,428 104,428 98,694

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.		 179,974 179,974 186,019

Problem Gambling Services (M36)

This appropriation is limited to the provision, purchase, and support of services that minimise the harm from gambling, in accordance with the Gambling Act 2003.		 20,630 17,630 17,440

Public Health Service Purchasing (M36)

This appropriation is limited to the provision, purchase, and support of public health services.		 376,602 374,602 400,644

Total Non-Departmental Output Expenses

 14,600,044 14,588,544 15,099,451

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.		 1,650 1,650 2,030

Legal Expenses (M36)

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

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.		 22,975 22,975 25,414

Total Non-Departmental Other Expenses

 25,653 25,653 28,472

Non-Departmental Capital Expenditure

      

Deficit Support for DHBs (M36)

This appropriation is limited to equity injections to District Health Boards to address deficits.		 38,624 38,624 50,000

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.		 71,949 71,949 185,299

Health Sector Projects (M36)

This appropriation is limited to the provision or purchase of health sector assets.		 240,716 174,552 402,397

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.		 23,345 23,345 90,000

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.		 210,824 210,824 60,500

Residential Care Loans - Payments (M36)

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

Refinance of DHB Private Debt (M36)

This appropriation is limited to the provision of funding to DHBs to replace their current debts held by private banking institutions as they become due for refinancing.		 50,000 50,000 -

Total Non-Departmental Capital Expenditure

 650,458 584,294 803,196

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.		 20,768 20,768 21,072
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.		 4,620 4,620 4,720
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.		 16,148 16,148 16,352

Total Multi-Category Expenses and Capital Expenditure

 20,768 20,768 21,072

Total Annual and Permanent Appropriations

 15,484,899 15,407,235 16,141,806

Capital Injection Authorisations

  2015/16 2016/17
  Final Budgeted
$000		 Estimated Actual
$000		 Budget
$000
Ministry of Health - Capital Injection (M36) 315 315 -

Supporting Information#

Part 1 - Vote as a Whole

1.1 - New Policy Initiatives

Policy Initiative Appropriation 2015/16
Final Budgeted
$000		 2016/17
Budget
$000		 2017/18
Estimated
$000		 2018/19
Estimated
$000		 2019/20
Estimated
$000
District Health Boards - Additional Support

Health and Disability Support Services - DHBs

Non-departmental output expense		 - 400,000 400,000 400,000 400,000
Disability Support Services - Additional Support

National Disability Support Services

Non-departmental output expense		 - 42,296 42,296 42,296 42,296
More Publically Funded Medicines

Health and Disability Support Services - DHBs   

Non-departmental output expenses		 - 39,000 29,000  29,000 27,000
Elective Surgery - Government's Health Target

National Elective Services

Non-departmental output expense		 - 24,000 24,000 24,000 24,000
Primary Health Care - Additional Support

Primary Health Care Strategy

Non-departmental output expense		 - 14,329 14,329 14,329 14,329
Problem Gambling Services - Continued Support

Problem Gambling Services

Non-departmental output expense		 - 6,913 6,994 6,914 -
 

Managing the Purchase of Services

Departmental output expense		 - 260 293 293 -
Supporting Health Services in Canterbury

Health and Disability Support Services - Canterbury DHB

Non-departmental output expense		 1,370 5,480 5,480 5,480 -
 

National Mental Health Services

Non-departmental output expense		 - 1,000 1,000 1,000 -
Healthy Homes Initiative - Expansion

National Contracted Services - Other  

Non-departmental output expense		 - 4,500 4,500 4,500 4,500
National Bowel Screening Programme Establishment

Public Health Service Purchasing

Non-departmental output expense		 - 6,456 6,616 3,072 2,820
 

Managing the Purchase of Services

Departmental output expense		 -  2,945  2,645  2,415  2,340 
 

Health Sector Information Systems 

Departmental output expense		 - 2,500 2,500 2,500 2,500
Primary Care Services

Public Health Service Purchasing  

Non-departmental output expense		 1,952 3,904 3,904 3,904 3,904
Ambulance Services - Additional Support

National Emergency Services

Non-departmental output expense		 - 3,711 3,711 3,711 3,711
Intensive Alcohol and Drug Support for Pregnant Women - Extension of Services

Public Health Service Purchasing

Non-departmental output expense		 - 3,000 3,000  3,000  3,000 
Responding to Mental Health Concerns at an Earlier Stage

National Mental Health Services

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

Health Workforce Training and Development

Non-departmental output expense		 - 2,765 2,695 2,695 2,695
Public Health Services - Additional Support

Public Health Service Purchasing

Non-departmental output expense		 - 1,559  1,559  1,559  1,559 
Other Nationally Purchased Health Services - Additional Support

National Contracted Services - Other

Non-departmental output expense		 - 400 400 400  400 
School-Based Health Services - Additional Support

National Child Health Services

Non-departmental output expense		 - 70 70 70 70

Total new operating expenditure

  

3,322

568,088

557,992

554,138

538,124
Social Sector Trials - Beyond 30 June 2016

National Mental Health Services

Non-departmental output expense		   (197) - - -

Total reprioritised savings

  

 

(197)

-

-

-

Net total operating and capital

  

3,322

567,891

557,992

554,138

538,124

Summary of Financial Activity

  2011/12 2012/13 2013/14 2014/15 2015/16 2016/17 2017/18 2018/19 2019/20
  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 Expenses 13,206,512 13,564,860 14,002,497 14,297,234 14,771,729 14,760,229 174,605 15,099,451 15,274,056 15,200,599 15,181,071 15,162,513
Benefits or Related Expenses - - - - - - N/A - - - - -
Borrowing Expenses - - - - - - - - - - - -
Other Expenses 31,772 26,100 27,873 26,480 25,653 25,653 - 28,472 28,472 27,347 27,347 27,347
Capital Expenditure 296,900 259,582 336,432 689,136 666,749 600,585 15,010 803,196 818,206 502,464 319,221 319,221
Intelligence and Security Department Expenses and Capital Expenditure - - - - - - - N/A - - - -
Multi-Category Expenses and Capital Expenditure (MCA)                        
Output Expenses 14,065 15,750 20,036 20,878 20,768 20,768 21,072 - 21,072 21,072 21,072 21,072
Other Expenses - - - - - - - - - - - -
Capital Expenditure - - - - - - N/A - - - - -

Total Appropriations

 13,549,249 13,866,292 14,386,838 15,033,728 15,484,899 15,407,235 210,687 15,931,119 16,141,806 15,751,482 15,548,711 15,530,153

Crown Revenue and Capital Receipts

                        
Tax Revenue - - - - - - N/A - - - - -
Non-Tax Revenue 603,624 625,524 655,187 669,571 689,188 689,188 N/A 716,810 716,810 733,565 749,437 765,798
Capital Receipts 24,112 25,645 375,698 147,800 27,499 27,499 N/A 27,499