Information Supporting the Estimates is organised on the basis of sectors, with each Vote and its administering department allocated to one sector (with a small number of exceptions). The Information Supporting the Estimates comprises of sector overview information, together with statements of responsibility; performance information for appropriations in Votes covered by the sector; and statements of forecast service performance and forecast financial statements of departments included in the sector. Statements of Intent of departments included in the sector form part of the supporting information.
Formats and related files
Information Supporting the Estimates is organised on the basis of sectors, with each Vote and its administering department allocated to one sector (with a small number of exceptions). The Information Supporting the Estimates comprises of sector overview information, together with statements of responsibility; performance information for appropriations in Votes covered by the sector; and statements of forecast service performance and forecast financial statements of departments included in the sector. Statements of Intent of departments included in the sector form part of the supporting information.
Chapters of the Economic Development and Infrastructure Sector volume of the Information Supporting the Estimates 2009/10 are available in Adobe PDF and HTML formats.
Using PDF FilesCover, Contents#
Introduction#
- Purpose of Information Supporting the Estimates
- Votes and Departments in Each Sector
- Purpose and Nature of Appropriations
- Guide to Reading Information Supporting the Estimates
- Terms and Definitions
- Useful Links
Sector Overview#
- Ministerial Statements of Responsibility
- Chief Executive Statements of Responsibility
Performance Information for Appropriations in Each Vote#
- Vote Health
Statement of Forecast Service Performance of Departments#
Forecast Financial Statements of Departments#
- Statement of Common Accounting Policies
- Ministry of Health
Statements of Intent of Departments (separately produced but forming part of this volume)#
Health and Disability Support Services - Lakes DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 234,294 | 234,294 | 245,689 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($7.271 million), demographics ($1.554 million) and funding to advance Government priorities ($2.382 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 8,825 | 8,825 | 8,825 | 8,825 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 2,382 | 2,382 | 2,382 | 2,382 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - MidCentral DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 373,103 | 373,103 | 399,608 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($11.573 million), demographics ($10.919 million) and funding to advance Government priorities ($3.800 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 22,492 | 22,492 | 22,492 | 22,492 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 3,800 | 3,800 | 3,800 | 3,800 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Nelson-Marlborough DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 309,705 | 309,705 | 322,716 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($9.681 million), demographics ($31,000) and funding to advance Government priorities ($3.175 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 9,712 | 9,712 | 9,712 | 9,712 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 3,175 | 3,175 | 3,175 | 3,175 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Northland DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 389,731 | 389,731 | 417,725 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($12.191 million), demographics ($11.010 million) and funding to advance Government priorities ($3.990 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 23,201 | 23,201 | 23,201 | 23,201 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 3,990 | 3,990 | 3,990 | 3,990 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Otago DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 418,864 | 418,864 | 436,500 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($13.002 million), demographics ($109,000) and funding to advance Government priorities ($4.248 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 13,111 | 13,111 | 13,111 | 13,111 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 4,248 | 4,248 | 4,248 | 4,248 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - South Canterbury DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 137,842 | 137,842 | 143,662 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($4.283 million), demographics ($2,000) and funding to advance Government priorities ($1.406 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 4,285 | 4,285 | 4,285 | 4,285 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 1,406 | 1,406 | 1,406 | 1,406 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Southland DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 234,756 | 234,756 | 244,770 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($7.358 million), demographics ($9,000) and funding to advance Government priorities ($2.415 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 7,367 | 7,367 | 7,367 | 7,367 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 2,415 | 2,415 | 2,415 | 2,415 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Tairawhiti DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 115,426 | 115,426 | 123,786 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($3.614 million), demographics ($3.403 million) and funding to advance Government priorities ($1.186 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 7,017 | 7,017 | 7,017 | 7,017 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 1,186 | 1,186 | 1,186 | 1,186 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Taranaki DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 257,887 | 257,887 | 268,645 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($7.952 million), demographics ($21,000) and funding to advance Government priorities ($2.598 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 7,973 | 7,973 | 7,973 | 7,973 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 2,598 | 2,598 | 2,598 | 2,598 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Waikato DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 781,745 | 779,745 | 841,504 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($24.487 million), demographics ($22.944 million) and funding to advance Government priorities ($7.994 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 47,431 | 47,431 | 47,431 | 47,431 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 7,994 | 7,994 | 7,994 | 7,994 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Wairarapa DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 99,926 | 99,926 | 104,172 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($3.138 million), demographics ($4,000) and funding to advance Government priorities ($1.026 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 3,142 | 3,142 | 3,142 | 3,142 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 1,026 | 1,026 | 1,026 | 1,026 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Waitemata DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,013,278 | 1,013,278 | 1,065,771 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($31.856 million), demographics ($9.708 million) and funding to advance Government priorities ($10.362 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 41,564 | 41,564 | 41,564 | 41,564 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 10,362 | 10,362 | 10,362 | 10,362 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - West Coast DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 101,740 | 101,740 | 106,112 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($3.188 million), demographics ($7,000) and funding to advance Government priorities ($1.045 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 3,195 | 3,195 | 3,195 | 3,195 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 1,045 | 1,045 | 1,045 | 1,045 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Whanganui DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 172,777 | 172,777 | 181,245 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($5.361 million), demographics ($1.231 million) and funding to advance Government priorities ($1.745 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 6,592 | 6,592 | 6,592 | 6,592 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 1,745 | 1,745 | 1,745 | 1,745 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health Services Funding (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 174,869 | 147,869 | 239,738 |
Reasons for Change in Appropriation#
The nearly $65 million increase in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below), the transfer of Primary Health Care Policy Strategy funding to a new appropriation (refer Part 1.4 "Reconciliation of Changes in Appropriation Structure") and the transfer of costs and the transfer out of funding to other appropriations following the completion of policy development and implementation planning.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Manage sector risks within Vote Health | Achieved |
Achieved | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Ambulance Services | 2009/10 | - | (2,000) | (2,000) | (2,000) | (2,000) |
Sector Risk Management | 2008/09 | (27,023) | (51,226) | (47,181) | (36,375) | (18,437) |
Line-by-Line Review Savings | 2008/09 | (16,564) | (5,959) | (3,584) | (3,534) | (3,534) |
Voluntary Bonding Scheme | 2011/12 | - | - | - | 6,728 | 8,526 |
Training 800 Health Professionals to Support New Elective Surgery Theatres | 2009/10 | - | 10,000 | 20,000 | 20,000 | 20,000 |
GP/Lead Maternity Carer Optional Visit | 2009/10 | - | 1,408 | 2,816 | 2,816 | 2,816 |
Forecast Funding Track (FFT) and Demographics - Ministry of Health | 2009/10 | - | 85,841 | 83,841 | 83,841 | 83,841 |
Encouraging more training in rural and provincial areas | 2009/10 | - | 500 | 1,500 | 1,000 | 1,000 |
DHB Deficit Support | 2009/10 | - | 53,332 | 38,332 | 23,332 | 8,332 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 10,192 | 10,192 | 10,192 | 10,192 | 10,192 |
Sector risk management | 2008/09 | 18,198 | 16,116 | 27,252 | 520 | 520 |
Improving patient safety using bedside verification of drugs in DHB hospitals | 2008/09 | 2,300 | 3,200 | 3,200 | 3,200 | 3,200 |
Primary Health Care Strategy Implementation | 2008/09 | 19,490 | 19,490 | 19,490 | 19,490 | 19,490 |
Reorientation of Child and Adolescent Oral Health Services | 2008/09 | 14,000 | 15,000 | 20,000 | 30,000 | 30,000 |
Healthy Housing Programme | 2008/09 | 15,000 | 15,000 | - | - | - |
Support for Health Sector to build capability and innovate | 2008/09 | 7,000 | 7,000 | 7,000 | 7,000 | 7,000 |
Enhancing Surveillance and Control of Anti-microbial Resistance | 2008/09 | 1,000 | 1,000 | 1,000 | 1,000 | 1,000 |
Forecast Funding Track (FFT) | 2007/08 | 4,851 | 4,851 | 4,851 | 4,851 | 4,851 |
Demographics | 2007/08 | 2,687 | 2,687 | 2,687 | 2,687 | 2,687 |
Improve Patient Safety Using Bedside Verification of Drugs in DHB Hospitals | 2007/08 | 3,500 | 3,500 | 2,100 | 1,100 | 1,000 |
Transitional Funding For Primary Healthcare Initiatives | 2007/08 | 2,900 | 2,900 | - | - | - |
EnergyWise Home Grants Scheme | 2007/08 | 1,800 | 1,800 | 1,800 | - | - |
Sector Risk Management | 2007/08 | 81,000 | 81,000 | 81,000 | 81,000 | 81,000 |
Other Initiatives and Risk Management | 2005/06 | 202,936 | 203,047 | 209,929 | 209,929 | 209,929 |
Holidays Act | 2004/05 | 7,900 | 7,900 | 7,900 | 7,900 | 7,900 |
Other Initiatives and Risk Management | 2004/05 | 7,100 | 14,211 | 14,211 | 14,211 | 14,211 |
Disability Support Services and Health of Older People | 2005/06 | 33,745 | 33,745 | 33,745 | 33,745 | 33,745 |
Cataracts | 2005/06 | 8,711 | 6,756 | 6,756 | 6,756 | 6,756 |
Mental Health Blueprint | 2008/09 | - | 22,222 | 22,222 | 22,222 | 22,222 |
Orthopaedics | 2005/06 | 26,667 | 26,667 | 26,667 | 26,667 | 26,667 |
Primary Health Care Strategy | 2005/06 | 63,111 | 71,111 | 71,111 | 71,111 | 71,111 |
Additional Forecast Funding Track | 2005/06 | 736 | 736 | 736 | 736 | 736 |
Additional Funding for Demographic Changes | 2005/06 | 92 | 92 | 92 | 92 | 92 |
Demographics | 2004/05 | 4,000 | 4,000 | 4,000 | 4,000 | 4,000 |
Rollout of the Health Funding Package | 2006/07 | 488,889 | 488,889 | 488,889 | 488,889 | 488,889 |
Health Funding Package | 2005/06 | 475,556 | 475,556 | 475,556 | 475,556 | 475,556 |
Demographic change - to fund health services for changes in population numbers, age mix, ethnicity and deprivation | 2003/04 | 4,057 | 4,057 | 4,057 | 4,057 | 4,057 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Management of Residual Health Liabilities and District Health Board Term Debt (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,751 | 1,751 | 1,700 |
Reasons for Change in Appropriation#
The decrease in this appropriation arises from a fiscally neutral transfer to another appropriation.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
The quantity, quality and nature of the services provided as agreed between the Minister and the CHFA, and within the timeframes specified: | 100% | 100% | Revised standards shown below |
|
N/A | 100% | |
|
N/A | 100% | |
|
N/A | 100% | |
Quarterly reports provided to the Minister of Health, summarising delivery of services against specifications in its agreement with the Minister, identifying any significant variations, any corrective actions required to be taken, and any potential risks to delivery according to the agreed quality, quantity and price | 100% | 100% | Four |
The Statement of Intent and Annual Report of the CHFA tabled in Parliament in accordance with the Crown Entities Act 2004 | Achieved | Achieved | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2008/09 | 77 | 77 | 77 | 77 | 77 |
Forecast Funding Track (FFT) | 2007/08 | 52 | 52 | 52 | 52 | 52 |
Demographics | 2007/08 | 29 | 29 | 29 | 29 | 29 |
Additional Forecast Funding Track | 2005/06 | 16 | 16 | 16 | 16 | 16 |
Additional Funding for Demographic Changes | 2005/06 | 2 | 2 | 2 | 2 | 2 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Meningococcal Vaccine Programme (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 2,132 | 2,132 | 1,800 |
Reasons for Change in Appropriation#
The decrease in this appropriation arises from fiscally neutral expense transfers between the years.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Number of doses used of MeNZB held in stock | N/A | Under Development | 40,000 |
Analysis of MeNZB effectiveness and safety undertaken and reported on using statistical modelling and monitoring of patient safety | N/A | Under Development | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Meningococcal Vaccine Ongoing Delivery | 2006/07 | 6,765 | 6,632 | - | - | - |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Monitoring and Protecting Health and Disability Consumer Interests (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 14,659 | 14,659 | 14,484 |
Reasons for Change in Appropriation#
The decrease in this appropriation arises from fiscally neutral transfers to other appropriations.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Health and Disability Commissioner | |||
The performance measures are those contained in the Crown entity's 2009/10 Statement of Intent | |||
Mental Health Commission | |||
The performance measures are those contained in the Crown entity's 2009/10 Statement of Intent | |||
Mental Health reviews and inquiries | |||
34 District Inspectors provide monthly reports to the Director of Mental Health on their duties undertaken in accordance with the Mental Health (Compulsory Assessment and Treatment Act 1992) | 100% | 90% | 100% |
The Mental Health Review Tribunal will report annually to the Director of Mental Health on their duties in accordance with the reporting requirements of the Tribunal's contract with the Ministry | 100% | 100% | 1 report |
As and when required, inquiries into the mental health care and treatment of patients will be completed and reported within the agreed timeframes | Achieved | Achieved | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2008/09 | 633 | 633 | 633 | 633 | 633 |
Health and Disability Commissioner advocacy services | 2008/09 | 275 | 550 | 550 | 550 | 550 |
Forecast Funding Track (FFT) | 2007/08 | 400 | 400 | 400 | 400 | 400 |
Demographics | 2007/08 | 220 | 220 | 220 | 220 | 220 |
Health and Disability Commissioner - Expand Advocacy services | 2007/08 | 550 | 550 | 550 | 550 | 550 |
Additional Forecast Funding Track | 2005/06 | 117 | 117 | 117 | 117 | 117 |
Additional Funding for Demographic Changes | 2005/06 | 14 | 14 | 14 | 14 | 14 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
National Advisory and Support Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 340 | 340 | 340 |
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Monthly reports on the delivery of services provided to the Ministry of Health in accordance with the service specifications of their contract. | 100% | 100% | 4 reports received on time |
National Child Health Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 55,443 | 54,443 | 58,994 |
Reasons for Change in Appropriation#
The almost $3.500 million decrease in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below).
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Well Child/Tamariki Ora Framework | |||
Well Child/Tamariki Ora Framework services are delivered including seven core Well Child contacts for every enrolled child, and specified additional contacts for first time and high needs parents:
|
N/A | Under Development | Achieved |
Information and advisory services to support the Well Child/Tamariki Ora Framework are delivered:
|
N/A | Under Development | Achieved |
B4 Schools Check | |||
DHBs will provide four year olds with B4 School Checks, which is the 8th and final Well Child check and will provide the volumes of checks as specified in funding arrangements | N/A | Under Development | 100% |
Aim Hi | |||
Continue to fund school-based health services to schools with high need youth in Counties Manukau. School health services are provided to nine Counties Manukau schools, providing access to approximately 9,300 students | Revised measure | 100% for 2008/09 measure | 100% |
Youth Access to Health Services | |||
|
N/A | Under Development |
24 |
|
N/A | Under Development | 14 |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (500) | - | - | - | - |
Plunket Well Child | 2008/09 | 1,927 | 1,927 | 1,927 | 1,927 | 1,927 |
PlunketLine | 2008/09 | 1,750 | 3,500 | 3,500 | 3,500 | 3,500 |
B4 School Checks | 2008/09 | 9,900 | 9,410 | 9,410 | 9,410 | 9,410 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 1,700 | 1,700 | 1,700 | 1,700 | 1,700 |
AIMHI Healthy Community Schools - Nurse Component | 2008/09 | 560 | 1,130 | 1,130 | 1,130 | 1,130 |
Youth Access to Health Services | 2008/09 | 1,836 | 3,812 | 5,583 | 5,583 | 5,583 |
Forecast Funding Track (FFT) | 2007/08 | 1,111 | 1,111 | 1,111 | 1,111 | 1,111 |
Demographics | 2007/08 | 609 | 609 | 609 | 609 | 609 |
Plunket Well Child Contacts (Telephone Delivery) | 2007/08 | 1,500 | 1,500 | 1,500 | 1,500 | 1,500 |
AIMHI Health Community Schools - Nurse Component and Project Evaluation | 2007/08 | 1,010 | 1,010 | 1,010 | 1,010 | 1,010 |
Funding for FFT and Demographics provided in Budgets 2003, 2005 and 2006 is shown in the National Contracted Services - Other appropriation.
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
National Contracted Services - Other (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 123,302 | 118,402 | 172,018 |
Reasons for Change in Appropriation#
The almost $49 million increase in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below), devolution of funding to DHBs, fiscally neutral transfers to other appropriations and rephasing of the expenditure through expense transfers.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
PHARMAC | |||
The quantity, quality and nature of the services provided as agreed between the Minister and PHARMAC, and within the timeframes specified | N/A | Under Development | 100% |
Quarterly reports provided to the Minister of Health, summarising delivery of services against specifications in its agreement with the Minister, identifying any significant variations, any corrective actions required to be taken, and any potential risks to delivery according to the agreed quality, quantity and price | N/A | Under Development | Four reports |
The Statement of Intent and Annual Report of the PHARMAC tabled in Parliament in accordance with the Crown Entities Act 2004 | N/A | Under Development | Achieved |
Health Research Council | |||
The quantity, quality and nature of the services provided as agreed between the Minister and the Health Research Council, and within the timeframes specified | N/A | Under Development | 100% |
Quarterly reports provided to the Minister of Health, summarising delivery of services against specifications in its agreement with the Minister, identifying any significant variations, any corrective actions required to be taken, and any potential risks to delivery according to the agreed quality, quantity and price | N/A | Under Development | Four reports |
The Statement of Intent and Annual Report of the Health Research Council tabled in Parliament in accordance with the Crown Entities Act 2004 | N/A | Under Development | Achieved |
Nationally Purchased Personal Health | |||
National services which currently include: telephone triage and health advice services, sexual and reproductive health services, mobile surgical services, services associated with the implementation of the Oral Health and Cancer Control Strategies, and hospital chaplaincy services; are delivered:
|
N/A | Under Development | Achieved |
Improving performance in oral health by increasing oral health service utilisation for children and adolescents | N/A | Under Development | 10% enrolment increase over three years |
Reducing cancer waiting times: percentage of patients waiting less than 6 weeks between specialist assessment and the start of radiation oncology treatment (excluding category D) | N/A | Under Development | 100% |
National Implementation of InterRAI assessment tool Implementation of the InterRAI Home Care and Contact Assessments tools by nine DHBs for assessing the needs of older people to access long term support services in the community or residential care |
N/A | Under Development | 100% |
National Mortality Review
|
Achieved | Achieved | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (12,650) | (5,746) | (5,746) | (5,746) | (5,746) |
Boosting Hospice Care | 2009/10 | - | 15,000 | 15,000 | 15,000 | 15,000 |
Boost Funding for Subsidised Medicines | 2009/10 | - | 8,900 | 11,200 | 13,000 | 13,800 |
Innovations | 2008/09 | 4,500 | 7,000 | 7,000 | 7,000 | 7,000 |
Hepatitis C | 2008/09 | 4,000 | 4,000 | 4,000 | 4,000 | 4,000 |
Child/Adolescent Oral Health | 2008/09 | 6,598 | 14,153 | 18,087 | 19,568 | 19,569 |
Bedside Verification of Drugs | 2008/09 | 5,800 | 5,300 | 4,300 | 4,200 | 4,200 |
Child/Adolescent Health | 2008/09 | 335 | 801 | 1,104 | 827 | 827 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 5,958 | 5,958 | 5,958 | 5,958 | 5,958 |
Interim Funding Pool for People with Chronic Health Conditions | 2008/09 | 6,550 | 6,550 | 10,000 | 10,000 | 10,000 |
Financial incentives for DHBs to realise efficiencies & progress Health Targets | 2008/09 | 43,065 | 43,065 | 43,065 | 43,065 | 43,065 |
National Implementation of InterRAI assessment tool | 2008/09 | 1,509 | 1,509 | 3,000 | 4,000 | 4,000 |
Service Planning and New Health Intervention Assessment Framework (SPNIA) | 2008/09 | 1,340 | 1,340 | 1,460 | 1,580 | 1,580 |
Cancer Control Strategy | 2008/09 | 3,630 | 3,630 | 3,630 | 3,630 | 3,630 |
Quality Improvement Control Projects | 2007/08 | 3,009 | 2,019 | 2,019 | 2,019 | 2,019 |
Oral Health Business Case Development | 2007/08 | 702 | 683 | 634 | 634 | 634 |
Safe Staffing Support Unit | 2007/08 | 400 | 400 | 400 | 400 | 400 |
Extreme Complex Burns | 2007/08 | 3,400 | 3,400 | 3,400 | 3,400 | 3,400 |
Forecast Funding Track (FFT) | 2007/08 | 1,826 | 1,826 | 1,826 | 1,826 | 1,826 |
Demographics | 2007/08 | 1,002 | 1,002 | 1,002 | 1,002 | 1,002 |
Aged Residential Care | 2007/08 | 37,500 | 37,500 | 37,500 | 37,500 | 37,500 |
Pharmaceuticals Budget | 2007/08 | 20,000 | 20,000 | 20,000 | 20,000 | 20,000 |
Improve Terms and Conditions For Low-Paid DHB Workforce | 2007/08 | 10,000 | 10,000 | 10,000 | 10,000 | 10,000 |
Cancer Control Action Plan | 2007/08 | 6,500 | 6,500 | 6,500 | 6,500 | 6,500 |
Extend "Get Checked" Programme to Include Cardiovascular Disease | 2007/08 | 3,300 | 3,300 | 3,300 | 3,300 | 3,300 |
Breast Screening Age Extension | 2006/07 | 7,300 | 7,300 | 7,300 | 7,300 | 7,300 |
Additional Demographic Funding | 2006/07 | 4,336 | 4,336 | 4,336 | 4,336 | 4,336 |
Additional Forecast Funding Track Funding | 2006/07 | 54,882 | 54,882 | 54,882 | 54,882 | 54,882 |
Additional Forecast Funding Track | 2005/06 | 4,427 | 4,427 | 4,427 | 4,427 | 4,427 |
Additional Funding for Demographic Changes | 2005/06 | 545 | 545 | 545 | 545 | 545 |
Removal of Asset Testing | 2005/06 | 12,444 | 12,444 | 12,444 | 12,444 | 12,444 |
Family Income Assistance | 2004/05 | 1,244 | 1,244 | 1,244 | 1,244 | 1,244 |
ACC Primary Referred Pharmaceuticals and Laboratory Costs | 2003/04 | 9,156 | 9,156 | 9,156 | 9,156 | 9,156 |
Removal of Asset Testing | 2005/06 | 106,133 | 106,133 | 106,133 | 106,133 | 106,133 |
Demographic change - to fund health services for changes in population numbers, age mix, ethnicity and deprivation | 2004/05 | 2,082 | 2,082 | 2,082 | 2,082 | 2,082 |
Funding for FFT and Demographics provided in Budgets 2003, 2005 and 2006 is shown in the National Contracted Services - Other appropriation.
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
National Disability Support Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 889,671 | 889,671 | 895,386 |
Reasons for Change in Appropriation#
The increase of almost $6 million in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below), devolution of funding to DHBs and rephasing of the expenditure through expense transfers.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Accessible, understandable and reliable information about disability support services is available to people:
|
N/A | Under Development | Achieved |
Needs assessment and service co-ordination services are delivered:
|
N/A | Under Development | Achieved |
Disability Support Services are available:
|
N/A | Under Development | Achieved |
Compulsory care and rehabilitation services are provided for people who are subject to the Intellectual Disability (Compulsory Care and Rehabilitation Act (IDCC&R Act))
|
N/A | Under Development | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Intellectual Disability (Compulsory Care and Rehabilitation) | 2009/10 | - | 7,800 | 9,800 | 9,800 | 9,800 |
Huntington's Disease | 2008/09 | 225 | 1,200 | 1,200 | 1,200 | 1,200 |
Doubtless Bay | 2008/09 | 583 | 583 | 583 | 583 | 583 |
Wage Rates | 2008/09 | 6,170 | 6,170 | 6,170 | 6,170 | 6,170 |
Respite Care | 2008/09 | 1,500 | 3,000 | 3,000 | 3,000 | 3,000 |
Workforce Development | 2008/09 | 1,000 | 2,000 | 3,000 | 3,000 | 3,000 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 38,199 | 38,199 | 38,199 | 38,199 | 38,199 |
Autism Spectrum Disorder work programme | 2008/09 | 2,500 | 2,500 | 2,500 | 2,500 | 2,500 |
Environmental Disability Support Services (ESS) | 2008/09 | - | 990 | 1,500 | 1,500 | 1,500 |
Enhanced access to hearing aids for Super Gold Card holders | 2008/09 | 4,500 | 4,500 | 4,500 | 4,500 | 4,500 |
Forecast Funding Track (FFT) | 2007/08 | 23,338 | 23,338 | 23,338 | 23,338 | 23,338 |
Demographics | 2007/08 | 12,809 | 12,809 | 12,809 | 12,809 | 12,809 |
Home-Based Support Services for People Aged Over 65 and Implementation of InterRAI (residential Assessment) Tool | 2007/08 | 20,300 | 20,300 | 20,300 | 20,300 | 20,300 |
Environmental Support Services | 2007/08 | 14,000 | 11,000 | 11,000 | 11,000 | 11,000 |
Residential Services For Disabled People Aged Under 65 | 2007/08 | 11,000 | 11,000 | 11,000 | 11,000 | 11,000 |
Home-Based Disability Support Services for People Under 65 | 2007/08 | 8,000 | 8,000 | 8,000 | 8,000 | 8,000 |
Intellectual Disability (Compulsory Care and Rehabilitation) and High and Complex Needs | 2007/08 | 3,000 | 3,000 | 3,000 | 3,000 | 3,000 |
Autism Spectrum Disorder Work Programme | 2007/08 | 2,500 | 2,500 | 2,500 | 2,500 | 2,500 |
Cochlear Implant Services For Adults and Newborns | 2007/08 | 2,250 | 2,850 | 1,800 | 1,300 | 1,300 |
Provide Support For Family Caregivers | 2007/08 | 1,500 | 1,500 | 1,500 | 1,500 | 1,500 |
Setting NZ Superannuation and Veterans Pension Rates | 2006/07 | 1,500 | 1,500 | 1,500 | 1,500 | 1,500 |
Kimberley Deinstitutionalisation | 2005/06 | 3,132 | 3,132 | 3,132 | 3,132 | 3,132 |
Additional Forecast Funding Track | 2005/06 | 5,905 | 5,905 | 5,905 | 5,905 | 5,905 |
Additional Funding for Demographic Changes | 2005/06 | 734 | 734 | 734 | 734 | 734 |
Demographic change - to fund health services for changes in population numbers, age mix, ethnicity and deprivation | 2004/05 | 9,431 | 9,431 | 9,431 | 9,431 | 9,431 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
National Elective Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 195,198 | 185,198 | 189,898 |
Reasons for Change in Appropriation#
The just over $5 million decrease in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below).
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Services provided in accordance with funding agreements agreed with the Minister | 100% | 100% | Achieved for each DHB |
The quantity, quality and nature of the services provided, as agreed in individual DHB plans, are documented and timeframes specified in these funding agreements | 100% | 100% | Achieved for each DHB |
Reports on the delivery of services provided to the Ministry of Health by the providers in accordance with the provisions of their organisations' funding agreements | 100% | 100% | Achieved for each DHB |
DHBs maintain compliance in all Elective Services Patient Flow Indicators (ESPIs) | 100% | 100% | Achieved for each DHB |
DHB will set an agreed increase in the number of elective service discharges and will provide the level of service agreed | 100% | 100% | Achieved for each DHB |
OR: The performance measures are those contained in the 21 District Health Board 2009/10 Statements of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Cardiac Services | 2008/09 | 5,000 | 10,000 | 15,000 | 20,000 | 20,000 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 6,244 | 6,244 | 6,244 | 6,244 | 6,244 |
Electives Initiative - additional volumes | 2008/09 | 50,000 | 40,000 | 35,000 | 35,000 | 35,000 |
Forecast Funding Track (FFT) | 2007/08 | 4,104 | 4,104 | 4,104 | 4,104 | 4,104 |
Demographics | 2007/08 | 2,252 | 2,252 | 2,252 | 2,252 | 2,252 |
Additional Elective Surgical Volumes | 2007/08 | 59,000 | 59,000 | 59,000 | 59,000 | 59,000 |
Orthopaedics | 2004/05 | 35,111 | 35,111 | 35,111 | 35,111 | 35,111 |
Funding for FFT and Demographics provided in Budgets 2003, 2005 and 2006 is shown in the National Contracted Services - Other appropriation.
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
National Emergency Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 69,358 | 69,358 | 81,194 |
Reasons for Change in Appropriation#
The increase in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below).
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Emergency calls are triaged and services dispatched effectively and efficiently
|
N/A | Under Development | Achieved |
Ambulance services are provided in a safe and consistent way
|
N/A | Under Development | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Ambulance Services | 2008/09 | (7,000) | 2,000 | 2,000 | 2,000 | 2,000 |
Ambulance Services | 2009/10 | - | 10,000 | 10,000 | 10,000 | 10,000 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 2,736 | 2,736 | 2,736 | 2,736 | 2,736 |
Stabilisation of the ambulance sector | 2008/09 | 6,900 | 6,900 | 6,900 | 6,900 | 6,900 |
Forecast Funding Track (FFT) | 2007/08 | 1,924 | 1,924 | 1,924 | 1,924 | 1,924 |
Demographics | 2007/08 | 1,056 | 1,056 | 1,056 | 1,056 | 1,056 |
Suicide Guidelines for Accident and Emergency Departments | 2004/05 | 204 | 204 | 204 | 204 | 204 |
Funding for FFT and Demographics provided in Budgets 2003, 2005 and 2006 is shown in the National Contracted Services - Other appropriation.
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
National Maori Health Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 8,562 | 8,562 | 8,562 |
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
All National Maori Health Service contracts delivered | N/A | Under Development | 100% |
All National Maori Service contracts provided in accordance with Ministry of Health policies and business processes | N/A | Under Development | 100% |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2008/09 | 426 | 426 | 426 | 426 | 426 |
Forecast Funding Track (FFT) | 2007/08 | 267 | 267 | 267 | 267 | 267 |
Demographics | 2007/08 | 147 | 147 | 147 | 147 | 147 |
Funding for FFT and Demographics provided in Budgets 2003, 2005 and 2006 is shown in the National Contracted Services - Other appropriation.
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
National Maternity Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 137,333 | 133,333 | 137,483 |
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Lead maternity carers deliver quality maternity services in compliance with the Section 88 Primary Maternity Services Notice 2007:
|
N/A | Under Development | Achieved |
Recruitment and retention services for rural midwifery:
|
N/A | Under Development | Achieved |
Professional development and advice and information:
|
N/A | Under Development | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
National Maternity Services | 2008/09 | 10,000 | 10,000 | 10,000 | 10,000 | 10,000 |
Primary Maternity Care Services | 2008/09 | 17,000 | 17,000 | 17,000 | 17,000 | 17,000 |
Primary Maternal Fetal Medicine Centre | 2008/09 | 250 | 400 | 400 | 400 | 400 |
Maternity Action Plan | 2008/09 | 795 | - | - | - | - |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 4,759 | 4,759 | 4,759 | 4,759 | 4,759 |
Forecast Funding Track (FFT) | 2007/08 | 3,081 | 3,081 | 3,081 | 3,081 | 3,081 |
Demographics | 2007/08 | 1,691 | 1,691 | 1,691 | 1,691 | 1,691 |
Rural Support For Primary Maternity Care | 2007/08 | 2,000 | 2,000 | 2,000 | 2,000 | 2,000 |
Funding for FFT and Demographics provided in Budgets 2003, 2005 and 2006 is shown in the National Contracted Services - Other appropriation.
These new initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes have been made to some of these initiatives by way of Fiscally Neutral Transfers to other appropriations, devolvement to DHBs or rephasing of the expenditure through expense transfers.
National Mental Health Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 55,445 | 54,045 | 69,268 |
Reasons for Change in Appropriation#
The increase of nearly $14 million in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below), devolution of funding to DHBs and rephasing of the expenditure through expense transfers.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Mental Health and Addiction Services The number of Mental Health and Addiction Workforce Centres that have developed and delivered work programmes that align directly with Ministry annual directives and strategic priorities |
100% | 100% | 4 |
The number of District Health Boards would have been trained in key priority workforce areas | 100% | 100% | 21 |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (4,200) | (4,200) | (4,200) | (4,200) | (4,200) |
Mental Health Blueprint Implementation | 2009/10 | - | 20,000 | 20,000 | 20,000 | 20,000 |
Effective Interventions | 2008/09 | 7,921 | 7,941 | - | - | - |
Mental Health Blueprint Implementation | 2008/09 | 22,222 | 22,222 | 22,222 | 22,222 | 22,222 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 3,612 | 3,612 | 3,612 | 3,612 | 3,612 |
Suicide prevention and National Depression Awareness Initiative | 2008/09 | 2,225 | 2,825 | 3,025 | 3,025 | 3,025 |
Forecast Funding Track (FFT) | 2007/08 | 1,554 | 1,554 | 1,554 | 1,554 | 1,554 |
Demographics | 2007/08 | 853 | 853 | 853 | 853 | 853 |
Strengthen Primary Mental Healthcare Response to Mental Illness and Addiction | 2007/08 | 5,100 | 7,600 | 4,400 | 3,900 | 3,900 |
Suicide Prevention and National Depression Awareness | 2007/08 | 4,270 | 4,270 | 5,590 | 1,950 | 1,950 |
Alcohol and Drug Treatment Services Directory | 2005/06 | 16 | 16 | 16 | 16 | 16 |
Central Region - Alcohol and Other Drugs Youth Residential Treatment | 2004/05 | 949 | 949 | 949 | 949 | 949 |
Mental Health Blueprint Implementation | 2004/05 | 88,889 | 88,889 | 88,889 | 88,889 | 88,889 |
Drug and alcohol services (Christchurch) | 2003/04 | 551 | 551 | 551 | 551 | 551 |
Funding for FFT and Demographics provided in Budgets 2003, 2005 and 2006 is shown in the National Contracted Services - Other appropriation.
Mental Health Blueprint Implementation - Annual increases in funding of $22 million per annum beyond 2007/08 in order to make $289 million available in 2016/17 was approved in Budget 2004.
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Primary Health Care Strategy (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | - | - | 154,535 |
Reasons for Change in Appropriation#
Primary Health Care Strategy funding has been transfered from the Health Services Funding appropriation to this new appropriation to better report this strategy. Details of the funding changes are contained in Part 1.4 "Reconciliations of Changes in Appropriation Structure".
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Maintain current access to affordable primary health care services | |||
|
N/A | N/A | 80% |
|
N/A | N/A | 30% |
The percentage of indicators in the PHO Performance Programme that are achieved by PHOs nationally to improved health outcomes for New Zealanders | N/A | N/A | 70% |
Reducing amulatory sensitive (avoidable) admissions expressed as a percentage of hospital based activities | N/A | N/A | 5% reduction over a three year period |
Increase in the percentage of people with diagnosed diabetes who are: | |||
|
N/A | N/A | 55% |
|
N/A | N/A | 75% |
Reducing cardiovascular disease: | |||
|
N/A | N/A | 73% |
Problem Gambling Services (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 17,719 | 16,019 | 17,510 |
Reasons for Change in Appropriation#
This decrease reflects the expected expenditure profile on problem gambling services during the three-year programme (2007/08 to 2009/10) on which the present problem gambling levy has been assessed.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Services provided within appropriation in accordance with funding arrangements agreed with the Minister | 100% | 100% | 100% of contracts |
Services will be provided nationwide. Service will be delivered through both population approaches, and interventions to individuals and their significant others affected by gambling harm | N/A | Under Development | Achieved |
Memorandum Account#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Opening Balance at 1 July | 2,343 | 2,343 | 4,043 |
Revenue | 17,719 | 17,719 | 17,510 |
Expenses | 17,719 | 16,019 | 17,510 |
Transfers and Adjustments | - | - | - |
Closing Balance at 30 June | 2,343 | 4,043 | 4,043 |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Problem Gambling Levy | 2007/08 | 6,762 | 7,192 | 6,983 | - | - |
Problem Gambling Levy | 2004/05 | 10,527 | 10,527 | 10,527 | 10,527 | 10,527 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Public Health Service Purchasing (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 453,201 | 445,801 | 514,781 |
Reasons for Change in Appropriation#
The increase of nearly $62 million in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below), devolution of funding to DHBs and rephasing of the expenditure through expense transfers.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Screening services are provided safely and effectively in accordance with Policy and Quality Standards:
|
N/A | Under Development | Achieved |
Public health services: reports, including both financial and service delivery information, are provided to the Ministry of Health in a timely manner in accordance with the provisions of funding agreements | N/A | Under Development | Achieved |
Reduced the harm caused by tobacco: the increase in the proportion of 'never smokers' among Year 10 students (absolute increase) over 2009/10 | N/A | Under Development | by at least 3% |
Increased rates of breastfeeding up to three months: the proportion of infants exclusively and fully breastfed | N/A | Under Development | 74% at six weeks 57% at three months |
Increased levels of physical activity for adults (aged 15 years and over): increase the proportion of the New Zealand adult population who are regularly physically active by undertaking 30 minutes of moderate activity on five more days of the week | N/A | Under Development | 50% |
Drinking Water Assistance Programme and Sanitary Works Subsidy Scheme All drinking water and sanitary works applications that meet the Ministry of Health's criteria to improve and protect the population's health are forwarded to the Minister for approval |
N/A | Under Development | 100% |
Communicable Disease and Immunisation Fund surveillance, expert analysis and advice on the prevention and control of communicable diseases. Fund mass vaccination programmes of those vaccines on the national immunisation schedule |
N/A | Under Development | 87% of 2 year olds |
Funding agreements with providers specify the nature, level, range and volume of services, the location, access, monitoring arrangements, price, duration, scope for variation, and mechanisms for dispute resolution | N/A | Under Development | 100% |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line by Line Review Savings | 2008/09 | (15,775) | (10,075) | (8,595) | (7,317) | (7,317) |
Emergency Planning | 2008/09 | 2,728 | 2,728 | 2,728 | 2,728 | 2,728 |
Improving Control Of Antimicrobial Resistance | 2008/09 | 1,000 | 1,000 | 1,000 | 1,000 | 1,000 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 19,296 | 19,296 | 19,296 | 19,296 | 19,296 |
Improving the Quality of Antenatal Screening for Down Syndrome | 2008/09 | 689 | 5,203 | 8,032 | 9,417 | 9,417 |
National Drug Policy - Mass media and education campaign on illicit drugs | 2008/09 | 1,250 | 1,250 | 1,250 | 1,250 | 1,250 |
Pneumococcal vaccine in National Immunisation Schedule (NIS) | 2008/09 | 10,000 | 10,000 | 10,000 | 10,000 | 10,000 |
Sexual health education and reduction of sexually transmitted infections | 2008/09 | 1,100 | 1,100 | 1,100 | 1,100 | 1,100 |
Smoking cessation: new pharmaceutical and improved DHB services | 2008/09 | 8,000 | 8,000 | 8,000 | 8,000 | 8,000 |
Response to Health Select Committee Inquiry into Obesity and Type 2 Diabetes | 2008/09 | 11,674 | 11,794 | 11,794 | 11,824 | 11,824 |
Sanitary Works Subsidy Scheme (SWSS) for Sewerage | 2008/09 | 15,220 | 12,045 | 7,245 | 2,979 | 2,979 |
Migrant Health Initiative | 2008/09 | 1,917 | 1,900 | 1,900 | 2,000 | 2,000 |
Investing in medicines sector infrastructure | 2008/09 | 2,200 | 2,200 | 2,200 | 2,200 | 2,200 |
Treatment services for Victims of Sexual Abuse and Assault | 2008/09 | 1,000 | 2,000 | 2,000 | 2,000 | 2,000 |
HPV vaccine immunisation | 2008/09 | 43,517 | 45,627 | 39,644 | 25,512 | 13,500 |
Universal Newborn hearing Screening | 2007/08 | 3,350 | 3,500 | 3,400 | 3,050 | 3,050 |
Forecast Funding Track (FFT) | 2007/08 | 10,290 | 10,290 | 10,290 | 10,290 | 10,290 |
Demographics | 2007/08 | 5,647 | 5,647 | 5,647 | 5,647 | 5,647 |
Include Pneumococcal Vaccine In National Immunisation Register | 2007/08 | 17,000 | 17,000 | 17,000 | 17,000 | 17,000 |
Healthy Eating - Healthy Action Implementation Plan | 2007/08 | 12,450 | 12,750 | 12,750 | 12,750 | 12,750 |
Smoking Cessation Programmes | 2007/08 | 10,600 | 10,600 | 10,600 | 10,600 | 10,600 |
Antenatal Downs Syndrome Screening Programme | 2007/08 | 2,900 | 2,900 | 2,900 | 2,900 | 2,900 |
Programmes To Prevent Family Violence | 2007/08 | 2,640 | 2,640 | 2,640 | 2,640 | 2,640 |
Sexual Health Education and Reducing Sexually Transmitted Infection | 2007/08 | 2,500 | 3,900 | 3,400 | 3,400 | 2,500 |
Newborn Metabolic Screening Programme | 2007/08 | 500 | 500 | 500 | 500 | 500 |
National Drug Policy - Mass Media and Education Programme On Illicit Drugs | 2007/08 | 250 | 250 | 250 | 250 | 250 |
National Drug Policy - Online Drug Data and Information Systems | 2007/08 | 50 | 200 | 200 | 200 | 200 |
Healthy Eating, Healthy Action Plan | 2006/07 | 19,033 | 19,033 | 19,033 | 19,033 | 19,033 |
Primary Containment 3 Laboratory Capability | 2006/07 | 1,511 | 1,552 | 1,552 | 1,552 | 1,552 |
Additional Forecast Funding Track | 2005/06 | 2,367 | 2,367 | 2,367 | 2,367 | 2,367 |
Additional Funding for Demographic Changes | 2005/06 | 292 | 292 | 292 | 292 | 292 |
Drinking Water Assistance Programme | 2005/06 | 22,222 | 28,889 | 28,889 | 15,555 | 11,111 |
Rebranding of Rockquest | 2004/05 | 200 | 200 | 200 | 200 | 200 |
Community Action on Drugs | 2005/06 | 735 | 750 | 750 | 750 | 750 |
National Depression Awareness | 2005/06 | 2,203 | 2,083 | 2,083 | 2,083 | 2,083 |
National Drug Policy - Contestable Pool | 2004/05 | 855 | 855 | 855 | 855 | 855 |
One for One Needle and Syringe Exchange | 2004/05 | 889 | 889 | 889 | 889 | 889 |
Drug Foundation | 2004/05 | 252 | 252 | 252 | 252 | 252 |
Demographic change - to fund health services for changes in population numbers, age mix, ethnicity and deprivation | 2004/05 | 1,583 | 1,583 | 1,583 | 1,583 | 1,583 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Scientific Advice to Support Pest Management Strategies as They Affect Public Health (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 56 | 56 | 56 |
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
The Ministry of Health will enter into contracts with non-departmental service providers for the provision of science services as and when it becomes necessary | Achieved | Achieved | Achieved |
Quality measures for the provision of science services will be as agreed in these contracts between Ministry of Health and non-departmental service providers | Achieved | Achieved | Achieved |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2008/09 | 3 | 3 | 3 | 3 | 3 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Summary of Service Providers for Non-Departmental Outputs#
The following table summarises the resources to be allocated through Vote Health to non-departmental providers, along with an indication of the mechanism to be used for reporting actual performance and (where determined) the length of the funding commitment.
Provider | 2008/09 Budgeted $000 |
2008/09 Estimated Actual $000 |
2009/10 Budget $000 |
Reporting Mechanism |
Expiry of Funding Commitment |
---|---|---|---|---|---|
Crown Entities |
|||||
District Health Boards |
Provider's Annual Report | ||||
|
9,152,895 | 9,152,895 | 9,698,831 | ||
|
103,327 | 103,327 | Not yet known | ||
|
155,875 | 155,875 | Not yet known | ||
|
3,290 | 3,290 | Not yet known | ||
|
4,207 | 4,207 | Not yet known | ||
|
5,408 | 5,408 | Not yet known | ||
|
186 | 186 | Not yet known | ||
|
4,667 | 4,667 | Not yet known | ||
|
148,384 | 148,384 | Not yet known | ||
Mental Health Commission |
Provider's Annual Report | ||||
Monitoring and Protecting Health and Disability Consumer Interests | 2,697 | 2,697 | 2,962 | ||
Health Sponsorship Council |
Section 32A report | ||||
|
1,572 | 1,572 | Not yet known | ||
|
13,540 | 13,540 | Not yet known | ||
PHARMAC |
Provider's Annual Report | ||||
National Contracted Services - Other | 11,989 | 11,989 | 14,449 | ||
Health and Disability Commissioner |
Provider's Annual Report | ||||
Monitoring and Protecting Health and Disability Consumer Interests | 8,990 | 8,990 | 9,679 | ||
Crown Health Financing Agency |
Provider's Annual Report | ||||
Management of Residual Health Liabilities and District Health Board Term Debt | 1,751 | 1,751 | 1,700 |
The above table summarises funding to be allocated through Vote Health to non-departmental providers, along with an indication of the mechanism to be used for reporting actual performance and (where determined) the length of the funding commitment.
Part 5 - Details and Expected Results for Other Expenses#
Part 5.2 - Non-Departmental Other Expenses#
Intended Impacts, Outcomes and Objectives
Intended Impacts, Outcomes or Objectives of Appropriations | Appropriations |
---|---|
Funding is provided to the Australian and New Zealand Dialysis and Transplant Registry | Australian Kidney Foundation |
Funding is provided for New Zealand's membership to the World Health Organisation and grants of extra budgetary contributions are provided to specific World Health Organisation projects | International Health Organisations |
Funding is provided for costs associated with defence of legal claims and for the settlement of legal claims against the Crown | Legal Expenses |
Funding support and assistance is provided for the development of third-party health and service workforce that targets specific population groups | Provider Development |
International Health Organisations (M36)
Scope of Appropriation
Expenses
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 3,483 | 3,483 | 2,570 |
Reasons for Change in Appropriation
The change in this appropriation arises from Current and Past Policy Initiative funding changes (see table below).
Expected Results
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
|
Briefings provided to government on the performance of WHO as an organisation and on individual projects that it undertakes | Annual | Achieved | Annual |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
NZAID Water Quality Capacity Building | 2008/09 | - | 222 | - | - | - |
NZAID Projects | 2008/09 | 1,253 | 118 | - | - | - |
Legal Expenses (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,778 | 1,778 | 1,778 |
Reasons for Change in Appropriation#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
|
Funding made available | As required | As required |
Provider Development (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 19,289 | 19,289 | 19,289 |
Expected Results#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
|
Support the sustainability of viable Maori providers for improving access and quality of services | N/A | Under Development | 90% |
Increase and retain Maori health professional in the health workforce | N/A | Under Development | 85% |
Support the sustainability of viable Pacific providers for improving access and quality of services | N/A | Under Development | 90% |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Maori Nursing workforce development | 2008/09 | - | 3,000 | 3,000 | 3,000 | 3,000 |
Pacific Health Provider and Workforce Development | 2008/09 | - | 2,400 | 2,400 | 2,400 | 2,400 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Reporting Mechanisms#
Appropriation | Reporting Mechanism |
---|---|
Australian Kidney Foundation | Reporting of these non-departmental appropriations for expenditure incurred by the Crown will be undertaken under the provisions of section 32A of the Public Finance Act 1989. |
International Health Organisations | |
Legal Expenses | |
Provider Development |
The above table indicates the mechanisms to be used for reporting actual performance for each non-departmental other expenses appropriation.
The above table indicates the mechanisms to be used for reporting actual performance for each non-departmental other expenses appropriation.
Part 6 - Details and Expected Results for Capital Expenditure#
Part 6.1 - Departmental Capital Expenditure#
Intended Impacts, Outcomes and Objectives
Intended Impacts, Outcomes or Objectives of Appropriations | Appropriations |
---|---|
To purchase and develop assets by and for the use of the Ministry of Health | Ministry of Health - Capital Expenditure PLA |
Ministry of Health - Capital Expenditure PLA (M36)
Scope of Appropriation
Capital Expenditure
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Forests/Agricultural | - | - | - |
Land | - | - | - |
Property, Plant and Equipment | 9,705 | 9,705 | 10,410 |
Intangibles | 25,750 | 25,750 | 25,000 |
Other | - | - | - |
Total Appropriation |
35,455 | 35,455 | 35,410 |
Forests/Agricultural | - | - | - |
Land | - | - | - |
Property, Plant and Equipment | 9,705 | 9,705 | 10,410 |
Intangibles | 25,750 | 25,750 | 25,000 |
Other | - | - | - |
Total Appropriation |
35,455 | 35,455 | 35,410 |
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
|
To maintain and enhance the Ministry's infrastructure so it can support its own operations and those of the wider Health sector | 18,537 | 8,139 | 28,022 |
Reasons for Change in Appropriation
The appropriation is consistent with the previous year.
Part 6.2 - Non-Departmental Capital Expenditure#
Intended Impacts, Outcomes and Objectives#
Intended Impacts, Outcomes or Objectives of Appropriations | Appropriations |
---|---|
To maintain and improve Health sector assets, including hospitals and other infrastructure | Equity for Capital Projects for DHBs and the New Zealand Blood Service Loans for Capital Projects Health Sector Projects Response to Significant Health Emergencies |
To maintain the Government's equity interest in District Health Boards | Deficit Support for DHBs |
To enable District Health Boards to replace private sector debt with Crown debt | Refinance of DHB Private Debt |
To enable older people moving into residential care to access interest free loans rather than sell their homes if they're are above the asset thresholds | Residential Care Loans |
Equity for Capital Projects for DHBs and the New Zealand Blood Service (M36)#
Scope of Appropriation
Capital Expenditure
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 99,918 | 61,923 | 272,377 |
Reasons for Change in Appropriation
The $172 million increase in appropriation arises from Current and Past Policy initiative changes (see table below), fiscally neutral transfers to other appropriations and or rephasing of the expenditure through expense transfers.
Expected Results
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
|
Drawdown of equity for capital projects and the reconfiguration of balance sheets by District Health Boards and the New Zealand Blood Service | 99,918 | 61,923 | 272,377 |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Health Capital Envelope | 2009/10 | - | 50,377 | 50,000 | 70,000 | 75,000 |
Re-Appropriations | 2008/09 | 7,200 | - | 52,786 | ||
Child/Adolescent Oral Health | 2008/09 | - | - | 16,000 | ||
Government contribution to the Health Capital Envelope in Advance of Budget 2004 | 2006/07 | 38,000 | ||||
Government contribution to the Health Capital Envelope in Budget 2006 | 2006/07 | 28,000 | 65,000 | 23,000 | - | - |
Government contribution to the Health Capital Envelope in Budget 2007 | 2010/11 | 60,000 | ||||
Government contribution to the Health Capital Envelope in Budget 2008 | 2011/12 | - | - | - | - | 50,000 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Loans for Capital Projects (M36)#
Scope of Appropriation#
Capital Expenditure#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 89,923 | 70,000 | 24,900 |
Reasons for Change in Appropriation#
The funding for capital projects and balance sheet reconfiguration in the Health sector is generally appropriated in the first instance to the 'Equity for Capital Projects for DHBs and the New Zealand Blood Service' capital appropriation. Once the DHB's or the New Zealand Blood Service's preference for debt for particular requirements (in full or part) is established and approved, the necessary funds are transferred to this appropriation so they can be drawn down.
Expected Results#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Provision of new loans to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration | 89,923 | 70,000 | 24,900 |
Project details for non-departmental capital expenditure are not available at this time as the business cases have yet to be approved by Ministers.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Contribution from Government in advance of Budget 2004 | 2006/07 | 58,000 | - | - | - | - |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Residential Care Loans (M36)#
Scope of Appropriation#
Capital Expenditure#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 15,000 | 12,000 | 15,000 |
Expected Results#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Funding for residential care loans | 15,000 | 12,000 | 15,000 |
Reporting Mechanisms#
Appropriation | Reporting Mechanism |
---|---|
Equity for Capital Projects for DHBs and the New Zealand Blood Service | Annual reports of District Health Boards |
Loans for Capital Projects | Annual reports of District Health Boards |
Health Sector Projects | Annual reports of District Health Boards |
Response to Significant Health Emergencies | Annual reports of District Health Boards |
Deficit Support for DHBs | Annual reports of District Health Boards |
Refinance of DHB Private Debt | Annual reports of District Health Boards |
Residential Care Loans | Nil |
The above table indicates the mechanisms to be used for reporting actual results for each non-departmental capital expenditure appropriation.
Statement of Forecast Service Performance#
The Statement of Forecast Service Performance of the department included in the Health Sector comprises the service performance information for all departmental output expense appropriations that are proposed to be used by that department. In this context, service performance information comprises the scope, expenses and revenue, and output performance measures and standards for each class of outputs within those departmental appropriations, as set out in Part 2.1 of the Performance Information for appropriations in each Vote.
The following table identifies the classes of outputs incorporated in the Statement of Forecast Service Performance for the department in the Health Sector.
Department | Composition of Statement of Forecast Service Performance |
---|---|
Ministry of Health | The service performance information in Part 2.1 for the classes of outputs within all the departmental output expense appropriations in Vote Health. |
Forecast Financial Statements of Department#
Statement of Common Accounting Policies#
These accounting policies have been applied in the forecast financial statements of all departments and Offices of Parliament except as outlined in the statement of entity-specific accounting policies for individual departments or Offices of Parliament.
These forecast financial statements are prepared in accordance with section 41(1)(a)-(f) of the Public Finance Act 1989. The purpose of the forecast financial statements is to facilitate Parliament's consideration of appropriations for, and planned performance of departments and offices of Parliament. Use of this information for other purposes may not be appropriate. It is not intended that these forecast financial statements be updated subsequent to publication.
Statement of Compliance
These forecast financial statements for the year ended 30 June 2009 comply with FRS-42 Prospective Financial Statements.
Specific Accounting Policies#
The accounting policies set out below have been applied consistently to all periods presented in these statements. These statements have been prepared on a going-concern basis. The measurement base applied is historical cost modified by the revaluation of certain assets and liabilities as identified in this statement of accounting policies.
The accrual basis of accounting has been used unless otherwise stated. These financial statements are presented in New Zealand dollars, which is the entity's functional currency. All financial information presented has been rounded to the nearest thousand.
Judgements and Estimations#
The preparation of forecast financial statements in conformity with FRS-42 requires judgements, estimates and assumptions that affect the application of policies and reported amounts of assets and liabilities, income and expenses. The estimates and associated assumptions are based on historical experience and various other factors that are believed to be reasonable under the circumstances. Actual results may differ from these estimates and these variations may be material.
Revenue#
Revenue is derived through the provision of outputs to the Crown and from services to third parties. Revenue is recognised in the forecast statement of financial performance when earned.
Leases#
Operating Leases
Where substantially all of the risks and rewards of ownership are retained by the lessor, leases are classified as operating leases.
Lease payments under operating leases are recognised as an expense on a straight-line basis over the lease term.
Finance Leases
Leases which effectively transfer to the department substantially all the risks and rewards incidental to ownership of the leased items are classified as finance leases. These are capitalised at the lower of the fair value of the asset or the present value of the minimum lease payments. The leased assets and the corresponding lease liabilities are recognised in the statement of financial position. The leased assets are depreciated over the period the department is expected to benefit from their use. The interest expense component of finance lease payments is recognised in the statement of financial performance.
Borrowing Costs#
Borrowing costs are recognised as an expense when incurred.
Property, Plant and Equipment#
Property, plant and equipment, other than land and buildings, is stated at cost less accumulated depreciation and impairment losses. Land and buildings are stated at fair value as determined by an independent registered valuer. Fair value is determined using market-based evidence. Land and buildings are revalued with sufficient regularity to ensure that carrying value is not materially different from fair value at the end of the reporting period. Additions between revaluations are recorded at cost. Any capitalisation thresholds applied are set out in the statement of entity-specific accounting policies.
Depreciation#
Depreciation is provided on a straight-line basis so as to allocate the cost [or valuation] of an item of property, plant and equipment, less any estimated residual value, over its estimated useful life.
The estimated useful lives are set out in the statement of entity-specific accounting policies.
Leasehold improvements are capitalised and the cost is amortised over the unexpired period of the lease or the estimated useful life of the improvements, whichever is shorter.
Items under construction are not depreciated. The total cost of a capital project is transferred to the appropriate asset class on its completion and then depreciated.
Intangible Assets#
Intangible assets with finite useful lives (such as computer software) are recorded at cost less accumulated amortisation and impairment losses.
Any capitalisation thresholds applied are set out in the statement of entity-specific accounting policies.
Amortisation is charged to the statement of financial performance on a straight-line basis over the estimated useful life of the asset.
The estimated useful lives are set out in the statement of entity-specific accounting policies.
Intangible assets with indefinite useful lives are not amortised, but are tested at least annually for impairment.
Where there is an active market for an intangible asset, the asset is recorded at a revalued amount, being fair value less any subsequent accumulated amortisation and accumulated impairment losses.
Cash and Cash Equivalents#
Cash includes cash on hand and funds on deposit with banks with a maturity of 3 months or less from date of acquisition.
Debtors and Other Receivables#
Debtors and other receivables are initially measured at fair value and subsequently measured at amortised cost using the effective interest rate, less impairment charges. Allowances for estimated irrecoverable amounts are recognised when there is objective evidence that the asset is impaired.
Inventories#
Inventories held for sale or use in the production of goods and services on a commercial basis are recorded at the lower of cost and net realisable value. The cost of purchased inventory is determined using the weighted average cost method.
Inventories held for distribution for public benefit purposes are recorded at cost (calculated using the weighted average cost method) adjusted when applicable for any loss of service potential. Where inventories are acquired at no cost, or for nominal consideration, the cost is the current replacement cost at the date of acquisition.
Employee Entitlements#
Pension Liabilities
Obligations for contributions to defined contribution retirement plans are recognised in the statement of financial performance as they fall due.
Other Employee Entitlements
Employee entitlements to salaries and wages, annual leave, sick leave, long service leave, retiring leave and other similar benefits are recognised in the statement of financial performance when they accrue to employees. Employee entitlements to be settled within 12 months are reported at the amount expected to be paid. Long-term employee entitlements are reported at the present value of the estimated future cash outflows.
Termination Benefits
Termination benefits are recognised in the statement of financial performance only when there is a demonstrable commitment to either terminate employment prior to normal retirement date or to provide such benefits as a result of an offer to encourage voluntary redundancy. Termination benefits to be settled within 12 months are reported at the amount expected to be paid. Other termination benefits are reported at the present value of the estimated future cash outflows.
Onerous Contracts#
Where the benefits to be derived from a contract are lower than the unavoidable costs of meeting the obligation under the contract, a provision is recognised. The provision is stated at the present value of the future net cash outflows expected to be incurred in respect of the contract.
Foreign Currency#
Foreign currency transactions are reported at the New Zealand dollar exchange rate at the date of the transaction.
Statement of Cash Flows#
The following are definitions of the terms used in the statement of cash flows:
- cash and cash equivalents include cash on hand, cash in transit, bank accounts and deposits with a maturity of no more than three months from date of acquisition
- investing activities are those activities relating to the acquisition and disposal of non-current assets
- financing activities comprise capital injections by, or repayment of capital to, the Crown, and
- operating activities include all transactions and other events that are not investing or financing activities.
Taxation#
Departments and Offices of Parliament are exempt from income tax as public authorities. Accordingly no charge for income tax has been provided for.
Goods and Services Tax#
These forecast financial statements are GST exclusive, except for receivables and payables in the statement of financial position, which are stated on a GST inclusive basis. Where GST is not recoverable as input tax, then it is recognised as part of the related asset or expense.
The net amount of GST owing to or from the Inland Revenue Department at balance date is included as part of receivables or payables (as appropriate) in the statement of financial position.
Commitments#
Future expenses and liabilities to be incurred on contracts that have been entered into at balance date are disclosed as commitments to the extent that there are equally unperformed obligations.
Contingent Liabilities and Contingent Assets#
Contingent liabilities are disclosed if the possibility that they will crystallise is not remote. Contingent assets are disclosed if it is probable that the benefits will be realised.
Changes in Accounting Policies#
Any changes in accounting policies since the date of the last audited financial statements prepared under New Zealand generally accepted accounting practice are described in the statement of entity-specific accounting policies. The last audited financial statements (30 June 2008) were prepared in accordance with NZ IFRS (New Zealand Equivalents to International Financial Reporting Standards) as appropriate for public benefit entities.
Forecast Financial Statements Ministry of Health#
Statement of Forecast Comprehensive Income for the year ending 30 June 2010#
2007/08 | 2008/09 | 2009/10 | |||
---|---|---|---|---|---|
Note | Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Income |
|||||
Crown | 199,077 | 213,162 | 201,504 | 200,968 | |
Department(s) | 2,799 | 1,897 | 1,897 | 1,897 | |
Other revenue | 1 | 15,749 | 12,396 | 14,593 | 14,384 |
Gains | 49 | - | - | - | |
Interest | - | - | - | - | |
Total Income | 217,674 | 227,455 | 217,994 | 217,249 | |
Expenses |
|||||
Personnel | 124,716 | 129,415 | 124,716 | 124,716 | |
Operating | 2 | 75,470 | 81,294 | 70,827 | 75,175 |
Depreciation and amortisation | 8,654 | 14,200 | 14,137 | 14,033 | |
Capital charge | 1,402 | 2,546 | 2,014 | 3,325 | |
Finance costs | - | - | - | - | |
Other | - | - | - | - | |
Total Expenses | 210,242 | 227,455 | 211,694 | 217,249 | |
Net Surplus / (Deficit) | - | - | 6,300 | - | |
Other comprehensive income | 1,350 | - | - | - | |
Total Comprehensive Income | 8,782 | - | 6,300 | - |
Statement of Forecast Changes in Taxpayers' Funds for the year ending 30 June 2010#
2007/08 | 2008/09 | 2009/10 | |||
---|---|---|---|---|---|
Note | Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Balance at 1 July |
|||||
General funds | 18,623 | 33,951 | 18,623 | 32,390 | |
Revaluation reserve | - | - | 1,350 | 1,350 | |
Other reserves | - | - | - | - | |
Taxpayers' Funds Opening Balance | 18,623 | 33,951 | 19,973 | 33,740 | |
Changes in Taxpayers' Funds |
|||||
Comprehensive income for the period | 8,782 | - | 6,300 | - | |
Repayment of surplus | (7,432) | - | (6,300) | - | |
Capital contribution | - | 24,578 | 13,767 | 10,594 | |
Capital withdrawal | - | - | - | - | |
Other | - | - | - | - | |
Total Changes in Taxpayers' Funds | 1,350 | 24,578 | 13,767 | 10,594 | |
Balance at 30 June |
|||||
General funds | 18,623 | 58,529 | 32,390 | 42,984 | |
Revaluation reserve | 1,350 | - | 1,350 | 1,350 | |
Other reserves | - | - | - | - | |
Taxpayers' Funds Closing Balance | 19,973 | 58,529 | 33,740 | 44,334 |
Forecast Statement of Financial Position as at 30 June 2010#
2007/08 | 2008/09 | 2009/10 | |||
---|---|---|---|---|---|
Note | Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Assets |
|||||
Current Assets |
|||||
Cash and cash equivalents | 9,537 | 8,395 | 16,141 | 16,158 | |
Debtors and other receivables | 3 | 15,792 | 13,439 | 20,605 | 3,605 |
Prepayments | 1,201 | 540 | 1,201 | 1,201 | |
Inventories | - | - | - | - | |
Other current assets | - | - | - | - | |
Total Current Assets | 26,530 | 22,374 | 37,947 | 20,964 | |
Non-current Assets |
|||||
Property, plant and equipment | 5 | 22,380 | 28,550 | 26,518 | 31,849 |
Intangible assets | 6 | 14,982 | 28,034 | 32,062 | 48,008 |
Other non-current assets | - | - | - | - | |
Total Non- current Assets | 37,362 | 56,584 | 58,580 | 79,857 | |
Total Assets | 63,892 | 78,958 | 96,527 | 100,821 | |
Liabilities |
|||||
Current Liabilities |
|||||
Creditors and other payables | 21,418 | 7,914 | 41,418 | 41,418 | |
Repayment of surplus | 7,432 | - | 6,300 | - | |
Employee entitlements | 7,837 | 5,783 | 7,837 | 7,837 | |
Other current liabilities | 5,676 | 5,000 | 5,676 | 5,676 | |
Total Current Liabilities | 42,363 | 18,697 | 61,231 | 54,931 | |
Non-current Liabilities |
|||||
Provisions | - | - | - | - | |
Employee entitlements | 1,556 | 1,732 | 1,556 | 1,556 | |
Other non-current liabilities | - | - | - | - | |
Total Non-current Liabilities | 1,556 | 1,732 | 1,556 | 1,556 | |
Total Liabilities | 43,919 | 20,429 | 62,787 | 56,487 | |
Taxpayers' Funds |
|||||
General funds | 18,623 | 58,529 | 32,390 | 42,984 | |
Revaluation reserve | 1,350 | - | 1,350 | 1,350 | |
Other reserves | - | - | - | - | |
Total Taxpayers' Funds | 19,973 | 58,529 | 33,740 | 44,334 | |
Total Liabilities and Taxpayers' Funds | 63,892 | 78,958 | 96,527 | 100,821 |
Statement of Forecast Cash Flows for the year ending 30 June 2010#
2007/08 | 2008/09 | 2009/10 | |||
---|---|---|---|---|---|
Note | Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Cash Flows from Operating Activities |
|||||
Receipts from: |
|||||
Crown | 198,726 | 221,162 | 192,340 | 205,968 | |
Department(s) | 2,799 | 1,897 | 1,897 | 1,897 | |
Other | 16,914 | 12,396 | 14,593 | 14,384 | |
Interest | - | - | - | - | |
Payments to: |
|||||
Suppliers | (67,593) | (111,294) | (46,990) | (63,689) | |
Employees | (131,255) | (129,415) | (124,202) | (124,202) | |
Capital charge | (1,402) | (2,546) | (2,014) | (3,325) | |
Goods and services tax (net) | 244 | - | - | - | |
Other operating activities | - | - | - | - | |
Net Cash from Operating Activities | 18,433 | (7,800) | 35,624 | 31,033 | |
Cash Flow from Investing Activities |
|||||
Receipts from: |
|||||
Sale of property, plant and equipment | 88 | 240 | 100 | 100 | |
Sale of intangible assets | - | - | - | - | |
Sale of other non-current assets | - | - | - | - | |
Purchase of: |
|||||
Property, plant and equipment | (10,204) | (8,145) | (9,705) | (10,410) | |
Intangible assets | - | - | (25,750) | (25,000) | |
Other non-current assets | - | - | - | - | |
Net Cash from Investing Activities | (10,116) | (7,905) | (35,355) | (35,310) | |
Cash Flow from Financing Activities |
|||||
Capital contribution | - | 24,578 | 13,767 | 10,594 | |
Other financing cash inflows | - | - | - | - | |
Repayment of surplus | (457) | (9,293) | (7,432) | (6,300) | |
Capital withdrawal | - | - | - | - | |
Other financing cash outflows | - | - | - | - | |
Net Cash from Financing Activities | (457) | 15,285 | 6,335 | 4,294 | |
Net Increase / (Decrease) in Cash | 7,860 | (420) | 6,604 | 17 | |
Cash at the beginning of the year | 1,677 | 8,815 | 9,537 | 16,141 | |
Cash at the end of the year | 9,537 | 8,395 | 16,141 | 16,158 |
Statement of Significant Assumptions#
These forecast financial statements have been compiled on the basis of existing government policies and Ministerial expectations at the time the statements were finalised.
The main assumptions are as follows:
- The Ministry's activities will remain substantially the same as for the previous year.
- Operating costs are based on historical experience. The general historical pattern is expected to continue.
- Estimated year end information for 2008/09 is used as the opening position for the 2008/09 forecasts.
These assumptions are adopted as at 24 April 2009.
Factors that could lead to material differences between the forecast financial statements and the 2008/09 actual financial statements include:
- Changes to the baseline budget through new initiatives, or technical adjustments.
Statement of Entity-Specific Accounting Policies#
Department - Specific Accounting Policies
The Ministry of Health has applied the accounting policies set out in Statement of Accounting Policies Standard included in this document, except as stated below.
Reporting Entity
These are the prospective financial statements of Ministry of Health, prepared in accordance with section 38 of the Public Finance Act 1989.
Ministry of Health is a Government Department as defined by section 2 of the Public Finance Act 1989. For the purposes of financial reporting Ministry of Health is a public benefit entity.
Statement of Entity Specific Accounting Policies
Depreciation
Depreciation is charged on a straight-line basis at rates calculated to allocate the cost or valuation of an item of property, plant and equipment, less any estimated residual value, over its estimated useful life. Typically, the estimated useful lives of different classes of property, plant and equipment.
Useful life | Depreciation rate | |
---|---|---|
Buildings | 40 years | 2.5% |
Motor vehicles | 5 years | 20% |
Furniture and fittings | 5-10 years | 10-20% |
Machinery | 5 years | 20% |
Leasehold improvements | 5-10 years | 10-20% |
IT equipment | 3-5 years | 20-33.3% |
Scientific equipment | 5-10 years | 10-20% |
Intangible assets
Intangible assets with finite lives are subsequently recorded at cost less any amortization and impairment losses. Amortisation is charged to the Statement of Financial Performance on a straightline basis over the useful life of the asset. Typically, the estimated useful lives of these assets are as follows:
Useful life | Amortisation rate | |
---|---|---|
Software - internally generated | 3-5 years | 20-33.3% |
Software - other | 3-5 years | 20-33.3% |
Cost allocation
Direct costs are those costs directly attributed to an output. Indirect costs are those costs that cannot be identified in an economically feasible manner with any one specific output.
Direct costs are charged directly to outputs while indirect costs are charged to outputs based on the level of activity associated with relevant cost drivers.
Depreciation is charged to Business Units on the basis of asset utilisation with the balance being charged as indirect costs. Direct personnel costs are allocated to the output expenses with the balance being charged as indirect costs.
Notes to the Financial Statements#
Note 1 - Other Revenue
2007/08 | 2008/09 | 2009/10 | ||
---|---|---|---|---|
Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Medicines registration | 9.297 | 9,000 | 9,000 | 9,000 |
Service fees | 4,064 | 3,500 | 3,500 | 3,291 |
Annual licence and registration fees | 1,721 | 1,700 | 1,700 | 1,700 |
State Sector Retirement Saving Scheme recovery | 2,025 | 1,897 | 1,897 | 1,897 |
Other departmental revenue | 774 | - | - | - |
Other | 668 | 393 | 393 | 393 |
Total |
18,549 | 16,490 | 16,490 | 16,281 |
Note 2 - Operating Expenses#
2007/08 | 2008/09 | 2009/10 | ||
---|---|---|---|---|
Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Operating expenses include: |
||||
Consulting expenses | 8,909 | 8,909 | 8,909 | 8,909 |
Overseas Travel | 1,160 | 1,195 | 1,195 | 1,195 |
Domestic travel | 7,673 | 7,645 | 7,645 | 7,645 |
Other | 57,729 | 41,892 | 53,592 | 57,940 |
Total |
75,471 | 59,641 | 71,341 | 75,689 |
Note 3 - Debtors and Other Receivables#
2007/08 | 2008/09 | 2009/10 | ||
---|---|---|---|---|
Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Debtor - Crown | 14,187 | 19,000 | 19,000 | 2,000 |
Debtors - Other | 1,605 | 1,605 | 1,605 | 1605 |
Total |
15,792 | 20,605 | 20,605 | 20,605 |
Note 4 - Reconciliation of Net Surplus to Net Cash Flows from Operating Activities for the year ending 30 June 2010#
2007/08 | 2008/09 | 2009/10 | ||
---|---|---|---|---|
Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Net surplus/(deficit) | 7,432 | 18,000 | 6,300 | - |
Add/(less) non-cash items: |
||||
Depreciation and amortisation expense | 8,654 | 14,137 | 14,137 | 14,033 |
Add/(less) items classified as investing or financing activities: |
||||
(Gains)/losses on disposal of property, plant and equipment | (49) | - | - | - |
Add/(less) movements in working capital items: |
||||
(Inc)/dec in debtors and receivables | (165) | - | - | 5,000 |
(Inc)/dec in debtor Crown | (351) | - | - | 17,000 |
(Inc) dec in prepayments | (661) | - | - | - |
Inc/(dec) in creditors and payables | 1,550 | (4,813) | 15,187 | (5,000) |
Inc/(dec) in provIsions | 1,319 | - | - | - |
Inc/(dec) in employee entitlements | 704 | - | - | - |
Net Movements in working capital items | 2,396 | (4,813) | 15,187 | 17,000 |
Net Cash from operating activities | 18,433 | 27,324 | 35,624 | 31,033 |
Note 5 - Property, Plant and Equipment#
Land $000 |
Buildings $000 |
Leasehold improvements $000 |
Furniture/office equipment $000 |
Other $000 |
Total $000 |
|
---|---|---|---|---|---|---|
Cost or revaluation |
||||||
Balance as at 1 July 2009 | 5,350 | 7,840 | - | 9,771 | 49,751 | 72,712 |
Additions by purchase | - | 900 | - | 810 | 8,700 | 10,410 |
Additions internally developed | - | - | - | - | - | - |
Revaluation increase | - | - | - | - | - | - |
Transfers between classes | - | - | - | - | - | - |
Disposals | - | - | - | (30) | (70) | (100) |
Balance as at 30 June 2010 |
5,350 | 8,740 | - | 10.551 | 58,381 | 83,022 |
Accumulated depreciation and impairment losses |
||||||
Balance as at 1 July 2009 | - | 4,273 | - | 5,674 | 36,247 | 46,194 |
Depreciation expense | - | 578 | - | 931 | 3,470 | 4.979 |
Eliminate on disposal | - | - | - | - | - | - |
Eliminate on revaluation | - | - | - | - | - | - |
Transfers between classes | - | - | - | - | - | - |
Impairment losses | - | - | - | - | - | |
Balance as at 30 June 2010 |
- | 4,851 | - | 6,605 | 39,717 | 51,173 |
Carrying amount as at 30 June 2010 |
5,350 | 3,889 | - | 3,946 | 18,664 | 31,849 |
Note 6 - Intangible Assets#
2007/08 | 2008/09 | 2009/10 | ||
---|---|---|---|---|
Actual $000 |
In 2008 Budget $000 |
Estimated Actual $000 |
Budgeted $000 |
|
Opening balance | 10,558 | 14,982 | 14,982 | 32,062 |
Additions | 7,982 | 25,750 | 25,750 | 25,000 |
Amortisation | (3,558) | (8,670) | (8,670) | (9,054) |
Total |
14,982 | 32,062 | 32,062 | 48,008 |
Purpose of Information Supporting the Estimates#
The Information Supporting the Estimates provides members of Parliament with information on expected performance to:
- support their examination of the appropriations and other authorities requested by the Government in the first Appropriation Bill for the forthcoming financial year, and
- provide a base against which they can later assess the actual performance of each individual department and Office of Parliament over that financial year.
The Information Supporting the Estimates is organised into 10 volumes 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, where 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 is set in consultation with the Finance and Expenditure Committee. The 10 sectors are:
- Economic Development and Infrastructure Sector
- Education and Science Sector
- Environment Sector
- External Sector
- Finance and Government Administration Sector
- Health Sector
- Justice Sector
- Māori, Other Populations and Cultural Sector
- Primary Sector
- Social Development and Housing Sector.
Votes and Departments in Each Sector#
Votes by Sector | Departments by Sector |
---|---|
Economic Development and Infrastructure Sector - B.5A Vol.1 | |
Vote Economic Development Vote Commerce Vote Communications Vote Consumer Affairs Vote Energy Vote Tourism |
Ministry of Economic Development |
Vote Transport | Ministry of Transport |
Vote Labour Vote ACC Vote Employment Vote Immigration |
Department of Labour |
Education and Science Sector - B.5A Vol.2 | |
Vote Education | Ministry of Education |
Vote Crown Research Institutes (this Vote is administered by the Treasury, which is in the Finance and Government Administration Sector.) | |
Vote Education Review Office | Education Review Office |
Vote Research, Science and Technology | Ministry of Research, Science and Technology |
Environment Sector - B.5A Vol.3 | |
Vote Environment Vote Climate Change |
Ministry for the Environment |
Vote Conservation | Department of Conservation |
Vote Local Government (this Vote is administered by the Department of Internal Affairs, which is in the National Identity Sector) | |
Vote Parliamentary Commissioner for the Environment | Parliamentary Commissioner for the Environment |
External Sector - B.5A Vol.4 | |
Vote Foreign Affairs and Trade Vote Official Development Assistance |
Ministry of Foreign Affairs and Trade |
Vote Defence | Ministry of Defence |
Vote Defence Force Vote Veterans' Affairs - Defence Force |
New Zealand Defence Force |
Vote Customs | New Zealand Customs Service |
Finance and Government Administration Sector - B.5A 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 Vote State-Owned Enterprises |
The Treasury |
Vote Revenue | Inland Revenue Department |
Vote Ministerial Services (this Vote is administered by the Department of Internal Affairs, which is in the National Identity Sector) | |
Vote Office of the Clerk | Office of the Clerk of the House of Representatives |
Vote Ombudsmen | Office of the Ombudsmen |
Vote Parliamentary Service | Parliamentary Service |
Vote Audit | Office of the Auditor-General |
Health Sector - B.5A Vol.6 | |
Vote Health | Ministry of Health |
Justice Sector - B.5A Vol.7 | |
Vote Justice Vote Courts |
Ministry of Justice |
Vote Corrections | Department of Corrections |
Vote Police | New Zealand Police |
Vote Serious Fraud | Serious Fraud Office |
Vote Attorney-General | Crown Law Office |
Vote Parliamentary Counsel | Parliamentary Counsel Office |
Māori, Other Populations and Cultural Sector - B.5A Vol.8 | |
Vote Arts, Culture and Heritage Vote Sport and Recreation |
Ministry for Culture and Heritage |
Vote Statistics | Statistics New Zealand |
Vote National Archives | Archives New Zealand |
Vote National Library | National Library of New Zealand |
Vote Māori Affairs | Te Puni Kōkiri |
Vote Treaty Negotiations (this Vote is administered by the Ministry of Justice, which is in the Justice Sector) | |
Vote Pacific Island Affairs | Ministry of Pacific Island Affairs |
Vote Women's Affairs | Ministry of Women's Affairs |
Vote Internal Affairs Vote Community and Voluntary Sector Vote Emergency Management Vote Racing |
Department of Internal Affairs |
Primary Sector - B.5A Vol.9 | |
Vote Agriculture and Forestry Vote Biosecurity |
Ministry of Agriculture and Forestry |
Vote Fisheries | Ministry of Fisheries |
Vote Food Safety | New Zealand Food Safety Authority |
Vote Lands | Land Information New Zealand |
Social Development and Housing Sector - B.5A Vol.10 | |
Vote Social Development Vote Senior Citizens Vote Veterans' Affairs - Social Development Vote Youth Development |
Ministry of Social Development |
Vote Housing | Department of Building and Housing |
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 six 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.
In most cases 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.
As generally accepted accounting practice does not normally treat GST as an expense, appropriation amounts also generally exclude GST. Prior to 2005/06, however, appropriations included applicable GST. All prior-year appropriation data, such as in the Summary of Trends table in the Estimates and the Summary of Financial Activity Table for each Vote in Information Supporting the Estimates - have been adjusted to exclude GST to allow appropriate comparison.
Responsibility for Appropriations#
Each appropriation is the responsibility of a designated Minister, who controls the right to use that appropriation within the limits authorised by Parliament. A department is also assigned to administer that appropriation in accordance with the Minister's wishes concerning its use.
A Vote is a group of appropriations (and can be a single appropriation) administered by a single department. Different appropriations within a Vote may be the responsibility of different Ministers.
Types of Appropriation#
The PFA provides for six types of appropriation. Four appropriation types authorise the incurring of expenses; one type authorises the incurring of capital expenditure; and the remaining type authorises 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 and Other Unrequited 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 the Unemployment 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 mean that these are likely to be incurred only by Offices of Parliament. |
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 and unrequited 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. |
Types of Output Expense Appropriations#
A number of variations are possible for output expense appropriations. In particular, the constraint on the amount of expense that can be incurred is not always a fixed amount; and an output expense appropriation can cover more than one class of outputs.
Output Expense Appropriation Type and Authority | Description, Constraints on Form and Typical Application |
---|---|
Standard Output Expense Appropriations (section 7(1), Public Finance Act 1989) |
Departmental or non-departmental: Authorise a department or an Office of Parliament to incur expenses in supplying a specified class of outputs (goods and services), or the Crown (excluding departments) to incur expenses to purchase a specified class of outputs. Annual or multi-year: The authority lapses at the end of the financial year or multi-year period specified. Single output class only: The scope is limited to a single class of outputs (defined as a grouping of similar outputs). Amount limited by Appropriation Act: The amount of a standard output expense appropriation is limited to a set amount of NZ 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 the other types of output expense appropriation is not required. |
Multi-Class Output Expense Appropriations (MCOA) (section 7(3)(b), Public Finance Act 1989) |
Departmental or non-departmental: Authorise a department or an Office of Parliament to incur expenses in supplying more than one specified class of outputs (goods and services), or the Crown (excluding departments) to incur expenses to purchase more than one specified class of outputs. A proposed MCOA must be approved by the Minister of Finance before it is presented in the Estimates. The information supporting the Estimates must explain why the Minister has allowed those classes of outputs to be grouped in one appropriation. Annual or multi-year: The authority lapses at the end of the financial year or multi-year period specified. Multiple output classes: The scope of an MCOA is determined by the combined scope of each of the output classes included in that appropriation. Amount limited by Appropriation Act: The amount of an MCOA is limited to a set amount of NZ dollars specified in an Appropriation Act. The amount of expense that can be incurred in relation to each component output class is flexible within the total amount of the MCOA, although expenses must be separately forecast and reported for each individual class in the Estimates, Information Supporting the Estimates, Supplementary Estimates and the department's annual report. Typical application: An MCOA is used where it is appropriate to give the responsible Minister or department ongoing discretion over the output mix across two or more classes of outputs. Such discretion will most commonly be sought where the output classes contribute to a common outcome, or use a common or closely related set of inputs or processes, and the circumstances that determine the appropriate output choice or mix are likely to vary during the appropriation period. |
Revenue-Dependent Appropriations (RDA) (section 21(1), Public Finance Act 1989) |
Departmental only: Authorise a department or an Office of Parliament to incur expenses in supplying a specified a class 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 class 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 output class only: The scope of an RDA is limited to a single class of outputs (defined as a grouping of similar 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 class of outputs, where the full cost of the outputs is met by external parties and not the Crown. |
Department-to-Department Appropriation (DDA) (section 20(2), Public Finance Act 1989) |
Departmental only: Authorise a department or an Office of Parliament to incur expenses in supplying specified outputs (goods and services) paid for by another department. Creation of a DDA requires an agreement between two departments. Implicitly it also requires the approval of the Minister who will become responsible for the appropriation - namely, the Minister responsible for the supplying department - as the agreement has implications for the scope and risk of that department's operations. Annual or multi-year: The period of a DDA will depend on the negotiated terms of the agreement. Single or multiple output class(es): The scope of a DDA (and hence whether it covers one or more classes of outputs) will depend on the way in which the agreement defines what is to be delivered. In most cases, an agreement that provides for a range of different outputs is better treated as creating several single-class DDAs. Amount limited by departmental agreement: The amount of a DDA is limited to either the amount of revenue earned from the commissioning department, or the cost incurred by the supplying department in providing those outputs (if that cost is less than the amount of revenue earned under the agreement). Typical application: DDAs are intended to make collaboration between departments easier by reducing the time and effort required to obtain / adjust the relevant appropriations while also allowing a commissioning department to retain full control over the resources it provides. The use of a DDA is not confined to bilateral agreements. A set of related DDAs could be used to enable one department to co-ordinate and manage the work of several departments that must work together to contribute to providing an integrated service to third parties, or to pool contributions from several departments to enable another department to provide a specific service to or on behalf of those departments. |
Appropriation Period#
The length of the appropriation period affects how appropriations are presented in the Estimates and Supplementary Estimates. 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 listed in the Estimates and Supplementary Estimates allow expenses or capital expenditure to be incurred only during a particular financial year. The annual amounts, for which parliamentary authority is normally sought, are shown in bold type in Details of Annual and Permanent Appropriations in the Estimates and Supplementary Estimates for each Vote. The amounts for RDAs and annual DDAs are forecasts only, and so are not shown in bold type.
- 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. The details of each MYA, including its commencement date and expiry date, are specified in Details of Multi-Year Appropriations in the Estimates and Supplementary Estimates for relevant Votes.
- 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 that 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 or capital expenditure to be incurred for the purpose specified in the legislation “without further appropriation than this section”. Details of permanent appropriations are included in Details of Annual and Permanent Appropriations in the Estimates and Supplementary Estimates for each Vote for completeness, though the amount specified is a forecast rather than a limit. The amounts of permanent appropriations are therefore not shown in bold type. The scope of a permanent appropriation will reference the relevant section of the authorising legislation.
Guide to Reading Information Supporting the Estimates#
The Information Supporting the Estimates for each of the 10 sectors comprises five components, each of which is briefly described, below.
1 Sector Overview Information#
The first component of the Information Supporting the Estimates may include a statement, agreed by all Ministers responsible for appropriations in each Vote included in the sector, that presents an overview of the sector and a high-level summary of the government's expectations and priorities. The Overview also includes Ministerial and Chief Executive Statements of Responsibility for the information provided in the Information Supporting the Estimates.
2 Performance Information Relating to Appropriations in Each Vote#
The second component of the Information Supporting the Estimates presents performance information relating to each appropriation.
The title pages for each Vote specify the Minister(s) responsible for existing and proposed appropriations in the Vote, and the Responsible Minister for the department. The performance information meets the requirements of sections 15 and 41(1)(e) of the PFA and contains up to six parts. If particular information is not applicable to the Vote or a specific appropriation or type, or is otherwise unavailable, the relevant heading is not included.
Part 1 - Summary of the Vote#
The Summary of the Vote comprises:
- Part 1.1 Overview of the Vote - A plain-language summary of the focus of the appropriations through a brief explanation of the Vote. The Overview also appears at the start of the Vote in the Estimates.
- Part 1.2 High-Level Objectives of the Vote - The objectives for the Vote presented through links and relationships and high-level priorities and outcomes to which they contribute. Where applicable, priorities and outcomes are drawn from the priorities and desired outcomes and published strategy documents. Links are also made to specific government strategies. Links may also be made to specific Government objectives.
- Part 1.3 Trends in the Vote - A presentation of the actual and estimated trends in the Vote, comprising:
- Summary of Financial Activity - A table showing financial information over the preceding five years (actual, budgeted or estimated actual), the current year (Budget) and the following three years (estimated) for the type of appropriations and Crown revenue and capital receipts.
- New Policy Initiatives - A table showing how new initiatives (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.
- 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 made in the Budget year. These changes are restated for the previous financial year to facilitate comparison.
Part 2 - Details and Expected Performance for Output Expenses#
This Part provides further detail about appropriations and expected performance for output expenses.
- Part 2.1 Departmental Output Expenses - Intended impacts, outcomes and objectives are presented for departmental output expense appropriations in the Vote. This is followed by information on each appropriation, including its scope, a table showing expenses and revenue (distinguishing the revenue sources between the Crown and others), a statement of reasons for change in the appropriation (if material), and tables detailing performance measures and standards for significant aspects of expected output performance, any conditions on use of appropriation, any memorandum accounts (which record accumulated surpluses and deficits incurred in the provision of outputs on a full cost-recovery basis), and any current and past policy initiatives affecting the appropriation.
- Information on impacts and outcomes or objectives to which the outputs contribute is provided. Further information on the relationships between outputs, impacts, and outcomes or objectives is outlined in Part 1.2 and the Statement of Intent. Conditions on use include administrative criteria and processes contained in legislation, regulation and Government decisions, which may be reference in scope statement or performance measures. 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.
- For MCOA, an explanation is provided as to why the classes of outputs have been grouped under a single appropriation, and the scope statement, expenses and revenue, and performance information is presented for each output class.
- Information provided for MYAs enables the original appropriation to be reconciled to the adjusted level if changes have been approved or are proposed, and the balance remaining to be derived taking account of actual or estimated expenses incurred to date.
- The appropriation scope, expenses and revenue, and output performance measures and standards match information required to be included in a department's Statement of Forecast Service Performance with respect to departmental output expense appropriations used by the department.
- Part 2.2 Non-Departmental Output Expenses - This sub-part contains comparable information to that presented in Part 2.1 on departmental output expense appropriations. The main differences are that details of third parties’ other revenue is not relevant and a summary of service providers is included.
- The service providers table shows Crown entities and non-governmental organisations providing outputs funded through the Vote, and (where applicable) the mechanism for reporting actual performance to Parliament and the expiry of the Government's resource commitment. The reporting mechanisms are typically an entity's annual report or a report by the responsible Minister required by section 32A of the PFA. Where the provider is a Crown entity that is required to produce a Statement of Intent, its annual report may contain more detailed performance information at the output class or output level. ‘Section 32A' reports include a statement of service performance in relation to the appropriation.
Part 3 - Details for Benefits and Other Unrequited Expenses#
Part 3 provides performance information about appropriations for benefits and other unrequited expenses incurred by the Crown. No departmental transactions arise under this appropriation type.
- Part 3.2 Non-Departmental Benefits and Other Expenses - Information on each appropriation includes impacts and outcomes intended to be achieved, a scope statement, expense components, reasons for material changes, any conditions of use, and details of any current and past policy initiatives over the five years up to and including the Budget year.
Part 4 - Details for Borrowing Expenses#
This Part provides detail about appropriations for borrowing expenses. No departmental borrowing expense appropriations exist at present.
- Part 4.2 Non-Departmental Borrowing Expenses - The set of performance information is the same as that for non-departmental benefits and other expenses, except that conditions on use are no specified.
Part 5 - Details and Expected Results for Other Expenses#
Part 5 provides detail about appropriations for:
- Part 5.1 Departmental Other Expenses - It is uncommon for this category of appropriation to be utilised. In the few cases where it occurs, the performance information is the same as that for non-departmental other expense appropriations except for a summary of reporting mechanisms.
- Part 5.2 Non-Departmental Other Expenses- Information on other expenses incurred by the Crown covers intended impacts and outcomes, appropriation scope, expenses analysed by component, reasons for material changes in the appropriation, expected results and standards, any conditions on use, any current and past policy initiatives, and a summary of mechanisms for reporting actual performance to Parliament.
Part 6 - Details and Expectations of Capital Expenditure#
This Part provides further details about appropriations for capital expenditure.
- Part 6.1 Departmental Capital Expenditure - The purchase or development of assets by a department is made under a permanent appropriation authorised by section 24(1) of the PFA. Capital expenditure is defined in section 2 as the cost of assets acquired or developed, including tangible, intangible or financial assets, and any ownership interest in entities, but excluding inventories. The appropriation appears in the Vote that contains appropriations belonging to the department's Responsible Minister.
- Information is provided on intended impacts and outcomes of the appropriation, its scope, expenditure analysed by standard asset categories, reasons for material changes in the appropriation, and expected results. The scope statement is in a standard form for all departments. The performance information relates to the department as a whole and is not limited to any specific capital injection.
- Part 6.2 Non-Departmental Capital Expenditure - Performance information for capital expenditure incurred by the Crown is the same as that for departmental capital expenditure except for not detailing asset categories and the addition of any conditions on use of the appropriation, any current and past policy initiatives, and a summary of the mechanism for reporting to Parliament.
- The scope statement indicates the form of interest or asset acquired by the Crown, such as a capital injection (equity), loan or shares.
The following table summarises the performance information that is required for a ‘standard' appropriation in each sub-part.
Standard Appropriations | Part 2.1 | Part 2.2 | Part 3.1 | Part 3.2 | Part 4.1 | Part 4.2 | Part 5.1 | Part 5.2 | Part 6.1 | Part 6.2 |
---|---|---|---|---|---|---|---|---|---|---|
For each sub-part: | ||||||||||
Intended impacts, outcomes or objectives | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ |
For each appropriation: | ||||||||||
Scope of appropriation | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ |
Expenses and revenue | √ | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Expenses | N/A | √ | √ | √ | √ | √ | √ | √ | N/A | N/A |
Capital expenditure | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | √ | √ |
Reasons for change in appropriation | √ | √ | √ | √ | √ | √ | √ | √ | √ | √ |
Output performance measures and standards | √ | √ | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Expected results | N/A | N/A | N/A | N/A | N/A | N/A | √ | √ | √ | √ |
Conditions on use of appropriation | √ | √ | √ | √ | N/A | N/A | √ | √ | N/A | √ |
Memorandum account | √ | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Current and past policy initiatives | √ | √ | √ | √ | √ | √ | √ | √ | N/A | √ |
Summary of service providers | N/A | √ | N/A | N/A | N/A | N/A | N/A | N/A | N/A | N/A |
Reporting mechanism | N/A | √ | N/A | N/A | N/A | N/A | N/A | √ | N/A | √ |
Information on reasons for change, conditions on use, current and past policy initiatives, and reporting mechanisms appears where applicable or material. Memorandum accounts are relevant only in Part 2. Some variations exist for non-standard appropriations, including MCOAs in Parts 2.1 and 2.2 and MYAs in Parts 2.2, 5.2 and 6.2. Furthermore performance information may not be available for some appropriations.
3 Statement of Forecast Service Performance of Departments#
The third component of the Information Supporting the Estimates of Appropriations comprises the Statement of Forecast Service Performance for each department included in the sector, by reference to material already set out in Part 2.1 of Votes containing appropriations proposed to be used by the department.
4 Forecast Financial Statements of Departments#
The fourth component of the Information Supporting the Estimates begins with a Statement of Common Accounting Policies applicable to all departments. The forecast financial statements for the forthcoming financial year for each department covered by the sector includes a:
- Statement of Forecast Comprehensive Income
- Statement of Forecast Changes in Taxpayers' Funds
- Forecast Statement of Financial Position
- Statement of Forecast Cash Flows
- Statement of Significant Assumptions.
Each department will include a Statement of Entity- Specific Accounting Policies detailing policies for any matters not addressed by the Statement of Common Accounting Policies (such as a “going concern” statement) or where its policies are more specific than the common policies (such as capitalisation thresholds and estimated useful lives of individual classes of assets). Notes to the Financial Statements provide additional details to assist interpretation of the accounts and to meet disclosure requirements outlined in legislation and accounting standards.
5 Statements of Intent of Departments#
The final component of the Information Supporting the Estimates presents the Statements of Intent of the departments covered by each sector. These statements contain the information required by section 40 of the PFA. They focus on the medium term and generally cover:
- Nature and scope of the department's functions - A brief high-level description of the department's functions, addressing its role(s) and purpose and how it intends fulfilling them.
- Strategic direction - impacts and outcomes - A brief high-level overview of the department's strategic direction covering both the impacts and outcomes the department is seeking to achieve (or contribute to) and the strategic environment in which the department operates through, in particular, its responses to the government's priorities.
- Operating intentions - Information that describes how the department intends to achieve (or contribute to) those desired impacts and outcomes through its operations. This section should also include the main measures and standards the department will use to assess and demonstrate what it has achieved, including measures of outcome achievement, impact and cost effectiveness.
- Managing in a changeable operating environment - Information on the risks to achievement of the desired outcomes and priorities, and the department's mitigation strategies.
- Assessing organisational health and capability - The department's intentions for building and strengthening its internal capability, including its responses to the development goals for the State Services and its strategic approach to managing its asset base and forecast capital expenditure in the medium term. If capital expenditure is significant, it is in a separate section.
- Additionalinformationand statutory reporting requirements - As required either by the responsible Minister or Minister of Finance, or by specific legislation.
Terms and Definitions#
The table below contains terms that are used in the Supplementary Estimates and the Information Supporting the Supplementary Estimates.
Appropriation | An appropriation is a parliamentary authorisation for the Crown or an Office of Parliament to incur expenses or capital expenditure. |
---|---|
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. |
Crown revenue and capital receipts | Flows accounted for as revenue and capital receipts on behalf of the Crown rather than as departmental revenue. |
DDA | Department-to-department appropriation - as authorised by section 20(2) of the PFA. |
Department | Generally references to Departments also include an Office of Parliament as provided in section 26E(4) of the PFA. |
Expenses | Amounts consumed or losses of service potential or future economic benefits, other than those relating to capital withdrawals, in a financial year. Expenses are an accrual concept measured in accordance with generally accepted accounting practice. |
GST | Goods and services tax. Appropriations are stated GST- exclusive. |
MCOA | Multi-class output expense appropriation. |
MYA | Multi-year appropriation. |
N/A | Not applicable. |
Outcomes | States or conditions of society, the economy or the environment, including changes in those states or conditions. |
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 - a traditional term for a permanent appropriation, ie, one that is authorised for an indefinite period by legislation other than an Appropriation Act. |
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. |
RDA | Revenue-dependent appropriation - as 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 the one department. |
Useful Links#
The suite of Budget 2009 documents can be accessed in the Budgets section of the website: www.treasury.govt.nz/budget/2009. Documents providing guidance on the PFA and the public sector financial management system can be accessed in the Public Finance Overviews section of the Treasury's website: www.treasury.govt.nz/publications/guidance/publicfinance.
Sector Overview#
Ministerial Statement of Responsibility#
I am satisfied that the information on future operating intentions provided by my department and included in the Information Supporting the Estimates for the Health Sector is in accordance with sections 38 and 41 of the Public Finance Act 1989 and is consistent with the policies and performance expectations of the government.
Hon Tony Ryall
Responsible Minister for the Ministry of Health
22 April 2009
Chief Executive Statement of Responsibility#
Ministry of Health#
In signing this statement, I acknowledge that I am responsible for the information contained in the Information Supporting the Estimates for the Health Sector relating to the Ministry of Health and for the Vote for which the Ministry of Health is the administering department. Specifically, this information is contained in the Ministry of Health's statement of forecast service performance, forecast financial statements and statement of intent.
This information has been prepared in accordance with the Public Finance Act 1989. It is also consistent with the proposed appropriations set out in the Appropriation (2009/10 Estimates) Bill, as presented to the House of Representatives in accordance with section 13 of the Public Finance Act 1989, and with existing appropriations and financial authorities.
Stephen McKernan
Director-General of Health
Ministry of Health
22 April 2009
Richard Morris
Chief Financial Officer
Ministry of Health
22 April 2009
Counter-signed
Performance Information for Appropriations Vote Health#
MINISTER(S) RESPONSIBLE FOR APPROPRIATIONS: Minister of Health (M36)
ADMINISTERING DEPARTMENT: Ministry of Health
MINISTER RESPONSIBLE FOR MINISTRY OF HEALTH: Minister of Health
Part 1 - Summary of the Vote#
Part 1.1 - Overview of the Vote
The Minister of Health is responsible for appropriations in the Vote for the 2009/10 financial year totalling just under $12,978 million, an increase of $899 million or 7.4% from 2008/09 (Supplementary Estimates) and covering the following:
Departmental Operating Appropriations
A total of just over $217 million (1.7% of the Vote) relates to the functions of the Ministry of Health for: policy advice, administering the purchasing of national health services, performance monitoring of the funders and providers of health and disability services, developing and administering legislation and regulations related to health service facilities, providers and public safety, ministerial servicing, and information services.
Non-Departmental Operating Appropriations
A total of nearly $12,406 million (95.6% of the Vote) is for operating expenses to be incurred on behalf of the Crown and is intended to be spent as follows:
Output Expenses
These total just over $12,382 million (95.5% of the Vote) and are to fund the purchases of health services as follows:
- Nearly $9,700 million (74.8% of the Vote) to fund health services from DHBs through the DHB appropriations.
- Just over $895 million (6.9% of the Vote) to purchase national disability support services.
- Nearly $515 million (4.0% of the Vote) to purchase public health services.
- Almost $841 million (6.5% of the Vote) to purchase national health services and provide clinical training for health professionals.
- Nearly $242 million (1.9% of the Vote) to manage health sector risks.
- Just over $154 million (1.2% of the Vote) to purchase primary health care services.
- Nearly $36 million (0.3% of the Vote) to fund other health and disability services.
Other Expenses Incurred by the Crown
A total of nearly $24 million (0.2% of the Vote) is for other expenses to fund provider development, legal expenses and international health obligations including World Health Organisation (WHO) membership.
Capital Expenditure
A total of nearly $355 million (2.7% of the Vote) is to provide capital funding and will be spent as follows:
- Just over $304 million (2.3 % of the Vote) is to provide debt or equity for District Health Boards (DHBs) or the New Zealand Blood Service to cover new investments or for other purposes agreed by the Crown including balance sheet restructuring, or to invest in specific health sector assets.
- $15 million (0.1% of the Vote) is to provide interest-free loans to assist people in long term care.
- Just over $35 million (0.3% of the Vote) is to purchase or develop assets for use by the Ministry of Health.
In 2009/10 the appropriations in Vote Health have been changed by creating an appropriation for Primary Care Services funding for which was previously held in Health Services Funding.
Details of these appropriations are set out in Parts 2-6 below.
Part 1.2 - High-Level Objectives of the Vote#
The Government's objective for Vote Health is to provide a 'Better, Sooner, More Convenient' health system to the New Zealand public. Over the next three years, the Government intends to make the health and disability system more adaptive, innovative and forward looking. It will be looking to improve services today while building the resilience to meet tomorrow's challenges.
Government Priorities and Outcomes - Links to Appropriations
Vote Health appropriations contribute to the Government's outcomes, impacts and objectives as described in the Statement of Intent.
Government Priorities | Government Outcomes | Appropriations |
---|---|---|
All New Zealanders lead longer, healthier and more independent lives
|
More services delivered locally in the community and in primary care centres Faster access to high quality hospital services Every dollar is spent in the best way to improve health and disability outcomes Systems and services are designed around those who need care The right mix of health workers with the right skills in the right places Leadership and planning are clear, effective and coordinated |
All Appropriations |
Part 1.3 - Trends in the Vote#
Summary of Financial Activity#
2004/05 | 2005/06 | 2006/07 | 2007/08 | 2008/09 | 2009/10 | 2010/11 | 2011/12 | 2012/13 | ||||
---|---|---|---|---|---|---|---|---|---|---|---|---|
Actual $000 |
Actual $000 |
Actual $000 |
Actual $000 |
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 | 9,349,649 | 9,051,315 | 9,838,251 | 10,750,223 | 11,695,199 | 11,622,499 | 217,249 | 12,382,270 | 12,599,519 | 12,540,306 | 12,501,081 | 12,486,457 |
Benefits and Other Unrequited Expenses | - | - | - | - | - | - | N/A | - | - | - | - | - |
Borrowing Expenses | - | - | - | - | - | - | - | - | - | - | - | - |
Other Expenses | 16,699 | 48,288 | 19,347 | 22,113 | 24,550 | 24,550 | - | 23,637 | 23,637 | 23,297 | 23,297 | 23,297 |
Capital Expenditure | 224,925 | 492,211 | 318,188 | 268,969 | 358,861 | 272,943 | 35,410 | 319,149 | 354,559 | 367,506 | 166,739 | 114,343 |
Intelligence and Security Department Expenses and Capital Expenditure | - | - | - | - | - | - | - | N/A | - | - | - | - |
Total Appropriations |
9,591,273 | 9,591,814 | 10,175,786 | 11,041,305 | 12,078,610 | 11,919,992 | 252,659 | 12,725,056 | 12,977,715 | 12,931,109 | 12,691,117 | 12,624,097 |
Crown Revenue and Capital Receipts |
||||||||||||
Tax Revenue | - | - | - | - | - | - | N/A | - | - | - | - | - |
Non-Tax Revenue | 393,926 | 401,958 | 471,150 | 539,480 | 490,462 | 490,462 | N/A | 628,500 | 628,500 | 657,859 | 689,826 | 724,716 |
Capital Receipts | 26,070 | 36,825 | 61,779 | 24,477 | 36,499 | 36,499 | N/A | 36,499 | 36,499 | 51,299 | 36,499 | 36,499 |
Total Crown Revenue and Capital Receipts |
419,996 | 438,783 | 532,929 | 563,957 | 526,961 | 526,961 | N/A | 664,999 | 664,999 | 709,158 | 726,325 | 761,215 |
New Policy Initiatives#
Policy Initiative | Appropriation | 2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | DHB appropriations (M36) Non-Departmental Output Expenses |
- | 439,525 | 439,525 | 439,525 | 439,525 |
Health Services Funding (M36) Non-Departmental Output Expense |
- | 85,841 | 83,841 | 83,841 | 83,841 | |
DHB Deficit Support | Health Services Funding (M36) Non-Departmental Output Expense |
- | 53,332 | 38,332 | 23,332 | 8,332 |
Mental Health Blueprint Service Development | National Mental Health Services (M36) Non-Departmental Output Expense |
- | 20,000 | 20,000 | 20,000 | 20,000 |
Maternity (Birth Rates) | National Maternity Services (M36) Non-Departmental Output Expense |
10,000 | 10,000 | 10,000 | 10,000 | 10,000 |
Health Services Funding (M36) Non-Departmental Output Expense |
(10,000) | - | - | - | - | |
Intellectual Disability (Compulsory Care and Rehabilitation) | National Disability Support Services (M36) Non-Departmental Output Expense |
- | 7,800 | 9,800 | 9,800 | 9,800 |
Boost Funding for Subsidised Medicines | National Contracted Services - Other (M36) Non-Departmental Output Expense |
- | 8,900 | 11,200 | 13,000 | 13,800 |
Funding PlunketLine | National Child Health Services (M36) Non-Departmental Output Expense |
1,750 | 3,500 | 3,500 | 3,500 | 3,500 |
Voluntary Bonding Scheme | Health Services Funding (M36) Non-Departmental Output Expense |
- | - | - | 6,728 | 8,526 |
Supplementary Funding For Price Pressures and Government Commitments | DHB appropriations (M36) Non-Departmental Output Expenses |
- | 93,310 | 93,310 | 93,310 | 93,310 |
Boosting GP Training | Clinical Training Agency (M36) Non-Departmental Output Expense |
- | 2,500 | 5,000 | 5,000 | 5,000 |
GP Training and Upskilling In Primary Maternity Care | Clinical Training Agency (M36) Non-Departmental Output Expense |
- | 150 | 300 | 300 | 300 |
Boost Hospice Care | National Contracted Services - Other (M36) Non-Departmental Output Expense |
- | 15,000 | 15,000 | 15,000 | 15,000 |
Training 800 Health Professionals To Support New Elective Surgery Theatres | Health Services Funding (M36) Non-Departmental Output Expense |
- | 10,000 | 20,000 | 20,000 | 20,000 |
GP/Lead Maternity Carer Optional Visit | Health Services Funding (M36) Non-Departmental Output Expense |
- | 1,408 | 2,816 | 2,816 | 2,816 |
Encouraging More Training In Rural and Provincial Areas | Health Services Funding (M36) Non-Departmental Output Expense |
- | 500 | 1,500 | 1,000 | 1,000 |
Total Operating New Initiatives | 1,750 | 751,766 | 754,124 | 747,152 | 734,750 | |
Funding To Address Specific Government Priorities - Departmental Line by Line Review Savings | Administration of Legislation and Regulations National (M36) Departmental Output Expense |
(2,368) | (1,260) | (274) | (224) | (224) |
Funding and Performance of Crown Entities (M36) Departmental Output Expense |
(1,173) | (467) | (101) | (83) | (83) | |
Administration of Funding and Purchasing of Health and Disability Support Services (M36) Departmental Output Expense |
- | (1,041) | (226) | (185) | (185) | |
Information Services (M36) Departmental Output Expense |
(9,758) | (2,605) | (565) | (464) | (464) | |
Payment Services (M36) Departmental Output Expense |
(930) | (756) | (164) | (135) | (135) | |
Servicing of Ministers and Ministerial Committees (M36) Departmental Output Expense |
(587) | (457) | (99) | (81) | (81) | |
Strategy, Policy and System Performance (M36) Departmental Output Expense |
(3,942) | (1,885) | (409) | (336) | (336) | |
Total Departmental Line-by-Line Savings | (18,758) | (8,471) | (1,838) | (1,508) | (1,508) | |
Funding To Address Specific Government Priorities - Non- Departmental Line by Line Review Savings | Health Services Funding (M36) Non-Departmental Output Expense |
(16,564) | (7,959) | (5,584) | (5,534) | (5,534) |
National Child Health Services (M36) Non-Departmental Output Expense |
(500) | - | - | - | - | |
National Contracted Services - Other (M36) Non-Departmental Output Expense |
(12,650) | (5,746) | (5,746) | (5,746) | (5,746) | |
National Emergency Services (M36) Non-Departmental Output Expense |
(7,000) | 2,000 | 2,000 | 2,000 | 2,000 | |
National Maternity Services (M36) Non-Departmental Output Expense |
(795) | * | * | * | * | |
National Mental Health Services (M36) Non-Departmental Output Expense |
(4,200) | (4,200) | (4,200) | (4,200) | (4,200) | |
Public Health Service Purchasing (M36) Non-Departmental Output Expense |
(15,775) | (10,075) | (8,595) | (7,317) | (7,317) | |
Sector Risk Management | Health Services Funding (M36) Non-Departmental Output Expense |
(27,023) | (51,226) | (47,181) | (36,375) | (18,437) |
Total Non-Departmental Operating Line-by-Line Savings and Risk Pool Reduction | (84,507) | (77,206) | (69,306) | (57,172) | (39,234) | |
Health Capital Envelope | Equity for Capital Projects for DHBs and the New Zealand Blood Service M36) Capital Expenditure to be incurred by the Crown |
- | 57,249 | 50,000 | 70,000 | 68,128 |
Total Operating Initiatives | (101,515) | 666,089 | 682,980 | 688,472 | 694,008 | |
Total Capital Initiatives | - | 57,249 | 50,000 | 70,000 | 68,128 | |
Total Initiatives | (101,515) | 723.338 | 732,980 | 758,472 | 762,136 |
$750 Million Allocation#
The Budget 2009 health package has been based on allocation parameters of $750 million per annum. The package includes new funding for several votes as some outputs to advance the Government's health priorities are most appropriately purchased through votes other than Vote Health. Some of the $750 million allocation has been appropriated as capital and phased across years according to the anticipated spending profile. The health package consists of $3 billion of new spending over the forecast period, as shown below:
$(000) - increase/(decrease) | |||||
---|---|---|---|---|---|
2008/09 | 2009/10 | 2010/11 | 2011/2012 | 2012/13 & Outyears | |
Operating |
|||||
Vote Health | (101,515) | 666,089 | 682,980 | 688,472 | 694,008 |
Vote Education | - | 1,040 | 3,089 | 5,252 | 7,525 |
Vote Social Development | - | 248 | 647 | 1,019 | 1,401 |
Vote Revenue | - | - | (17) | (6) | (128) |
Vote Energy | - | 25,000 | 25,000 | 25,000 | 25,000 |
Total Operating | (101,515) | 692,377 | 711,699 | 719,683 | 727,806 |
Capital |
|||||
Vote Health Capital Envelope | - | 57,249 | 50,000 | 70,000 | 68,128 |
Vote Revenue | - | - | (2) | (72) | (159) |
Vote Social Development | - | 374 | 92 | 1,478 | 2,052 |
Total Capital | - | 57,623 | 50,900 | 71,406 | 70,021 |
Total Health Package | (101,515) | 750,000 | 762,599 | 791,089 | 797,827 |
Four Year Total | 3,000,000 |
Analysis of Significant Trends#
Total Vote: All Appropriations
Trends in comparative voted and actual total expenses (including capital) for Vote Health are shown in Figure 1 below.
A significant proportion of the new allocations are used to maintain existing services by enabling the sector to manage the impact of price pressures as well as demographic and technological change. This funding, known as the forecast funding track (FFT) and demographics, amounts to some $525 million of the $709 million allocation in Budget 2009, with the balance of the funding used for various new initiatives.
The demographic funding is allocated to DHBs based on their population shares and Department of Statistic's population projections.
Departmental Output Expenses
The impacts of Budget policy initiatives from earlier Budgets on individual departmental output expense appropriations are detailed in Part 2.1.
Non-Departmental Output Expenses
The increase in non-departmental output expenses in 2009/10 is due to additional funding provided for new initiatives in Budget 2008 as shown in the Budget Policy Initiatives table above, and the rephasing of expenditure for various programmes between years.
The impacts of Budget policy initiatives from earlier Budgets on individual departmental output expense appropriations are detailed in Part 2.2.
Non-Departmental Other Expenses
The non-departmental other expenses comprise around 0.2% of Vote Health and provide funding for provider development, to defend the Crown in legal claims, fund legal settlements and contribute to various international health organisations eg, the World Health Organisation.
The impact of Budget policy initiatives from earlier Budgets on individual departmental other expense appropriations are detailed in Part 5.
Departmental Capital
Further details are provided in Part 6.1.
Non-Departmental Capital
In 2009/10, these appropriations are largely being used to provide equity and debt for District Health Boards to develop or purchase capital assets.
Significant appropriations existed up until 2007/08 to rollover existing Crown loans held by DHBs (ie, on the basis these loans were repaid then redrawn) or refinance private sector loans held by DHBs with Crown debt.
A decision in July 2007 to extend the criteria whereby existing Crown debt could be renewed for longer terms meant appropriations are no longer required to rollover loans in 2007/08 or 2008/09 (the $392 million initially provided for this purpose in 2007/08 was returned to the Crown).
The following table details the funding for capital projects, the refinancing and rollover of existing loans held by DHBs and other capital funding requirements since 2004/05:
Actual and estimated capital expenditure by funding stream
Actual and Estimated Capital Expenditure $(millions) | 2004/05 Actual | 2005/06 Actual | 2006/07 Actual | 2007/08 Actual | 2008/09 Estimated | 2009/10 Estimated |
---|---|---|---|---|---|---|
Capital Projects | 67 | 136 | 200 | 158 | 208 | 297 |
Debt Rollover or Refinancing | 68 | 288 | 92 | 70 | - | - |
Equity Injections and Deficit Support | 59 | 41 | 2 | 30 | 100 | - |
Residential Care Loans | 21 | 14 | 10 | 11 | 15 | 15 |
Total Capital Expenditure | 214 | 479 | 304 | 269 | 323 | 312 |
Part 1.4 - Reconciliation of Changes in Appropriation Structure#
2008/09 Structure - Appropriations that have been Changed |
2008/09 (Current) $000 |
Appropriations to which Expenses (or Capital Expenditure) have been Transferred |
Amount Moved $000 |
2009/10 Structure - Appropriations affected by the Changes in Appropriation Structure |
2008/09 (Restated) $000 |
2009/10 $000 |
---|---|---|---|---|---|---|
Heath Services Funding | 175,204 | Transferred to Primary Health Care Strategy | (154,535) | Health Services Funding | 20,669 | 242,539 |
Transferred from Health Services Funding | 154,535 | Primary Health Care Strategy | 154,535 | 154,535 | ||
Total | 175,204 | - | 175,204 | 397,074 |
Explanations of the reasons for changing the appropriation structure are noted in the details of each appropriation in Parts 2-6.
Part 2 - Details and Expected Performance for Output Expenses#
Part 2.1 - Departmental Output Expenses#
Intended Impacts, Outcomes and Objectives
Intended Impacts, Outcomes or Objectives of Appropriations | Appropriations |
---|---|
Impacts: Contribute to system outcomes by funding and purchasing health and disability support services on behalf of the Crown. The services funded and purchased will include some disability support services, public health services, specified screening services, mental health services, national personal health services, Maori health services and post graduate clinical education and training. Objectives: This departmental output expense enables the Ministry to provide:
|
Administration of Funding and Purchasing of Health and Disability Support Services on behalf of the Crown |
Impacts: Contribute to system outcomes by administering legislation and regulations and meeting legislative requirements. This is required to administer and enforce statutory obligations, and meet health-specific legislative requirements. Objectives: This departmental output expense enables the Ministry to:
|
Administration of Legislation and Regulations |
Impacts: Contribute to system and societal outcomes by providing advice and sector-wide leadership on the ownership and performance of Crown Entities. Objectives: This departmental output expense enables the Ministry to provide: (a) DHB and Crown entity ownership advice
|
Funding and Performance of Crown Entities |
Impacts: Contribute to system and societal outcomes by collecting and analysing health information services. Objectives: This departmental output expense enables the Ministry to:
|
Information Services |
Impacts: Contribute to system and societal outcomes by administering and monitoring service agreements and payments for health benefits and service agreements. Objectives: This departmental output expense enables the Ministry to provide:
|
Payment Services |
Impacts: Contribute to system and societal outcomes by providing servicing of the Minister of Health, Associate Ministers of Health and Parliament. Objectives: These services allow the Ministry to provide:
|
Servicing of Ministers and Ministerial Committees |
Impacts: Contribute to system and societal outcomes by progressing identified areas of focus. Objectives: This departmental output expense enables the Ministry to deliver initiatives that progress the Minister's priorities of:
|
Strategy, Policy and System Performance |
Administration of Funding and Purchasing of Health and Disability Support Services (M36)
Scope of Appropriation
Expenses and Revenue
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 28,822 | 27,822 | 23,614 |
Revenue from Crown | 28,541 | 28,541 | 23,593 |
Revenue from Other | 281 | 281 | 21 |
Reasons for Change in Appropriation
The increase in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below).
Output Performance Measures and Standards
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Planning |
|||
An annual service plan by NDE output expense | N/A | Not achieved | Quantity: One per year (with constituent parts for each NDE class or sub-class) Quality: The relevant sectors have been involved in developing the plan Timeliness: Plan completed for the forthcoming financial year by 30 June |
Service Development |
|||
An annual programme of activity to improve the outcomes of the services that are purchased | Quantity: One programme of activity with all services being purchased clearly described and with a purchase plan Quality:
|
Achieved | Quantity: One programme of activity with all services being purchased clearly described and with a purchase plan Quality:
|
Purchase Management |
|||
Services are purchased (repurchased) according to the relevant purchase plan | Quantity: All funded services as they come up for contract renewal and all new services Quality: Sound contracts awarded through a transparent process that conforms to Ministry standards, and includes the involvement of the relevant users or their representatives and the relevant sector representatives Timeliness: Services are contracted for according to the timeframes within the relevant purchase plan |
Achieved | Quantity: All funded services as they come up for contract renewal and all new services Quality: Sound contracts awarded through a transparent process that conforms to Ministry standards, and includes the involvement of the relevant users or their representatives and the relevant sector representatives Timeliness: Services are contracted for according to the timeframes within the relevant purchase plan |
Performance Management |
|||
For each contract and provider; contract is managed, relationship is managed, issues are managed | Quantity: 100% of contracts Quality: All contracts are monitored; all complaints acted on, active management of relationships with all providers, management of issues as they arise Timeliness: Ongoing through the life of the contract |
Achieved | Quantity: 100% of contracts Quality: All contracts are monitored; all complaints acted on, active management of relationships with all providers, management of issues as they arise Timeliness: Ongoing through the life of the contract |
Meeting the needs of disadvantaged groups |
|||
The incorporation of improved outcomes for disadvantaged groups into the delivery of services | Quantity: The service plan, service descriptions and purchase plans all identify outcomes and measures for disadvantaged groups Quality: Strategic inequality outcomes and targets are agreed |
Achieved | Quantity: The service plan, service descriptions and purchase plans all identify outcomes and measures for disadvantaged groups Quality: Strategic inequality outcomes and targets are agreed |
Memorandum Account
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Problem Gambling | |||
Opening Balance at 1 July | 1,108 | 1,108 | 1,108 |
Revenue | 1,378 | 1,378 | 1,378 |
Expenses | 1,378 | 1,378 | 1,378 |
Transfers and Adjustments | - | - | - |
Closing Balance at 30 June | 1,108 | 1,108 | 1,108 |
The Crown cost of these appropriations are offset by levies collected by IRD from the gambling industry.
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Savings | 2009/10 | - | (1,041) | (226) | (185) | (185) |
Autism Spectrum Disorder Work Programme | 2008/09 | - | 45 | 45 | 45 | 45 |
Improving the Quality of Antenatal Screening for Down's Syndrome | 2008/09 | - | 43 | 262 | - | - |
National Drug Policy - Mass media and education campaign on illicit drugs | 2008/09 | - | 25 | 25 | 25 | 25 |
Suicide prevention and National Depression Initiative | 2008/09 | - | 75 | 75 | 75 | 75 |
Primary Health Care Strategy Implementation | 2008/09 | - | 510 | 510 | 510 | 510 |
Response to Health Select Committee Inquiry into Obesity and Type 2 Diabetes | 2008/09 | - | 1,326 | 1,206 | 1,206 | 1,176 |
Youth access to health services | 2008/09 | - | 180 | 80 | 80 | 80 |
Migrant Health Initiative | 2008/09 | - | 83 | 100 | 100 | - |
HPV vaccine and immunisation social marketing campaign | 2008/09 | 2,417 | 4,137 | 927 | 927 | 927 |
Pacific Health Provider and Workforce Development | 2008/09 | - | 200 | 200 | 200 | 200 |
Sanitary Works Subsidy Scheme (SWSS) for Sewerage | 2008/09 | - | 280 | 280 | 280 | 280 * |
Additional Elective Surgical Volumes | 2007/08 | 500 | 500 | 500 | 500 | 500 |
Environmental Support Services | 2007/08 | 370 | 290 | 330 | 330 | 330 |
Smoking Cessation Programmes | 2007/08 | 300 | 300 | 300 | 300 | 300 |
Support for Complementary Medicines and Medical Devices Sectors During Transition to the Australia-New Zealand Therapeutic Products Authority | 2007/08 | 7,980 | 10,390 | 10,440 | 8,460 | 8,530 |
Problem Gambling Levy | 2007/08 | 253 | 681 | 311 | - | - |
Antenatal Down's Syndrome Screening Programme | 2007/08 | 2,100 | 2,100 | 2,100 | 2,100 | 2,100 |
Suicide Prevention and National Depression | 2007/08 | 310 | 310 | 210 | 210 | 210 |
Develop the Australia-New Zealand Therapeutics Products Authority | 2007/08 | 4,500 | - | - | - | - |
Transitional Funding For Primary Healthcare Initiatives | 2007/08 | 100 | 100 | - | - | - |
Programmes To Prevent Family Violence | 2007/08 | 160 | 160 | 160 | 160 | 160 |
Autism Spectrum Disorder Work Programme | 2007/08 | 120 | 135 | 135 | 135 | 135 |
Cochlear Implant Services For Adults and Newborns | 2007/08 | 60 | 80 | 50 | 30 | 30 |
Provide Support For Family Caregivers | 2007/08 | 100 | 100 | 100 | 100 | 100 |
AIMHI Health Community Schools - Nurse Component and Project Evaluation | 2007/08 | 175 | 100 | 100 | 40 | 40 |
National Drug Policy - Mass Media and Education Programme On Illicit Drugs | 2007/08 | 25 | 25 | 25 | 25 | 25 |
Review of Emergent Screening Technology | 2007/08 | 100 | 100 | 100 | 100 | 100 |
Meningococcal Vaccine Ongoing Delivery | 2006/07 | 228 | 250 | - | - | - |
Drinking Water Assistance Programme | 2005/06 | 356 | 356 | 356 | 356 | 356 |
Community Action on Drugs | 2005/06 | 53 | 53 | 53 | 53 | 53 |
National Depression Awareness | 2005/06 | 133 | 133 | 133 | 133 | 133 |
Orthopaedics | 2004/05 | 444 | 444 | 444 | 444 | 444 |
Suicide Guidelines for Accident and Emergency Departments | 2004/05 | 18 | 18 | 18 | 18 | 18 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Administration of Legislation and Regulations (M36)#
Scope of Appropriation#
Expenses and Revenue#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 34,879 | 34,579 | 36,724 |
Revenue from Crown | 20,221 | 20,221 | 21,317 |
Revenue from Other | 14,658 | 14,658 | 15,407 |
Reasons for Change in Appropriation#
The change in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below).
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Administration of New Zealand's international and WHO obligations | |||
Maintain relationship between the Ministry and OECD, UN, WHO, APEC, Commonwealth Secretariat, the Australian Health Ministers' Conference, the Australian Health Ministers Advisory Council (officials), and the Commonwealth Fund | Quality:
|
Achieved | Quality:
|
Administration of the Medicines Act 1981 and accompanying regulations | |||
Administration of the Medicines Act 1981 to assure safety, quality, efficacy or performance of therapeutic products. | N/A | Achieved | Quantity: Medsafe will complete an evaluation of approximately (demand driven) 290 new medicine applications (NMAs) in the 12 month period. Approximately (demand driven) 1,500 changed medicine notifications (CMNS) will be evaluated Quality: Completed evaluations are reviewed against Medsafe's guidelines, policies and procedures in accordance with Medsafe's quality system. Timeliness:
|
An effective legislative and policy environment for improving, promoting and protecting public health | |||
Provide leadership to designated officers in DHBs/Public Health Units (PHUs), and strengthen networks/collaboration with other sectors | Quantity:
|
Achieved | Quantity:
|
Critical national communications and reserve supplies | |||
Develop and maintain systems for communications with and amongst DHBs, and with other government agencies in major regional and national emergencies | N/A | Achieved | Quantity: Maintain WebEOC and satellite phone networks on a 24/7 basis for emergency communications Quality: Exercise WebEOC and satellite phone networks locally and nationally in real time a minimum of ten times, and modify procedures as required |
Exercise responses to critical emergencies at national and local levels | |||
Implement and evaluate health emergency exercise programme | N/A | Under development | Quantity: Implement and/or participate in a minimum of ten emergency exercises involving DHBs, ambulance providers and/or government agencies Quality: Lessons learned from exercises are analysed and supplied to participating agencies in order to inform better planning |
HealthCert | |||
Management of enforcement/complaints made under Health and Disability Services (Safety) Act 2001 | Quantity: An estimated 135 responses (demand driven) Quality:
|
Achieved | Quantity: An estimated 135 responses (demand driven) Quality:
|
Intersectoral emergency planning and response | |||
Initiate and engage with other government agencies in workshops and advisory groups to enhance all of government responses to emergencies | N/A | Achieved | Quantity:
|
Lead health sector response to emergencies | |||
Lead health emergency planning and response to meet statutory obligations | N/A | Achieved | Quantity: A minimum of three regional meetings per annum are maintained in each of the Auckland, Midland, Central and Southern regions Quality: Evaluation of outcomes of meetings by participants |
Legislation and policy | |||
Administration of the Intellectual Disability Compulsory Care and Rehabilitation Act 2003 and Part 4A of the NCSP Register | Quantity: Service capacity is maintained so that services are available for persons subject to compulsory care orders under the Acts Quality: Legislative requirements met Timeliness: Ongoing as required by orders of the court |
Achieved | Quantity: Service capacity is maintained so that services are available for persons subject to compulsory care orders under the Acts Quality: Legislative requirements met Timeliness: As required by orders of the court |
Radiation protection services and emergency management | |||
Radiation Protection Act 1965: Licensing of persons to use irradiating apparatus and/or radioactive material | Quantity: An estimated 3,300 licences per year Quality: 95% to be completed within 10 days of receipt of all required information |
Achieved | Quantity: An estimated 3,300 licences per year Quality: 95% to be completed within 10 days of receipt of all required information |
Memorandum Account#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
National Radiation Laboratory: Licensing fees account |
|||
Opening Balance at 1 July | 591 | 305 | 336 |
Revenue | 757 | 747 | 747 |
Expenses | 737 | 659 | 654 |
Transfers and Adjustments | - | (57) | (57) |
Closing Balance at 30 June | 611 | 336 | 372 |
Medsafe fees |
|||
Opening Balance at 1 July | 1,096 | 1,147 | 2,097 |
Revenue | 8,869 | 9,336 | 7,469 |
Expenses | 8,221 | 8,386 | 9,386 |
Transfers and Adjustments | - | - | - |
Closing Balance at 30 June | 1,744 | 2,097 | 1,180 |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (2,386) | (1,260) | (274) | (224) | (224) |
Increase fraud and investigations capacity | 2008/09 | - | 1,000 | 1,000 | - | - |
Problem Gambling | 2003/04 | 698 | 698 | 698 | 698 | 698 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Funding and Performance of Crown Entities (M36)#
Scope of Appropriation#
Expenses and Revenue#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 8,548 | 8,548 | 9,109 |
Revenue from Crown | 8,433 | 8,433 | 9,099 |
Revenue from Other | 115 | 115 | 10 |
Reasons for Change in Appropriation#
The increase in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below) and the reallocation of costs between appropriations.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
DHB and Crown entity ownership advice |
|||
Developing advice to DHBs and other Crown Health entities on funding and planning | Quantity: Funding package distributed and advice on all DAPs and SOIs provided Quality: Robust and timely advice Timeliness: 30/06/09 |
Achieved | Quantity: Funding package distributed and advice on all DAPs and SOIs provided Quality: Robust and timely advice Timeliness: Annually |
Monitoring, influencing and advising on employment relations in the health sector | N/A | Achieved | Quantity: Health Reports and verbal briefings as required Quality: Robust and timely advice Timeliness: As required |
Advice on ministerial appointments to the governing bodies of DHBs and other Crown entity and on the expectations of board members | Quantity: Health Reports and verbal briefings as required Quality: Robust and timely advice Timeliness: As required |
Achieved | Quantity: Health Reports and verbal briefings as required Quality: Robust and timely advice Timeliness: As required |
Managing DHBs' Crown Funding Agreements | Quantity:
|
Achieved | Quantity:
|
Provide non-financial monitoring of DHBs including: Ministry assessment, feedback, re-assessment, performance advice to the Minister, snapshot reports, reports to Treasury and production reports | N/A | Achieved | Quantity: As relevant, four quarterly reports produced for the Minister, ad hoc reports as required and other reports to agreed frequency Timeliness: Quarterly |
DHB and Crown entity performance |
|||
Administer the MIF committee in its assessment and evaluation of DHB performance against the Monitoring and Intervention Framework (MIF), and in its response to material changes in DHB performance | Quantity: Ten meetings per year Quality: MIF meetings are held on programme and recommendations dealt with in a timely manner Timeliness: Regularly |
Achieved | Quantity: Ten meetings per year Quality: MIF meetings are held on programme and recommendations dealt with in a timely manner Timeliness: Responses are sent within eight weeks of confirmed material deterioration of DHB performance |
Improving elective services |
|||
Central purchasing and monitoring of additional elective surgery, assessments and procedures | N/A | Under development | Quantity: A 20% increase above DHB base levels representing an average of 4000 extra discharges from the total Elective Discharges |
Monitoring of elective services patient flow and improvement of the integrity of the national booking system | N/A | Achieved | Quantity: Monthly Reports provided, including monitoring of variations in categories of planned and staged, and active review |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (1,173) | (467) | (101) | (83) | (83) |
Information Services (M36)#
Scope of Appropriation#
Expenses and Revenue#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 61,921 | 59,921 | 62,859 |
Revenue from Crown | 61,220 | 61,220 | 62,451 |
Revenue from Other | 701 | 701 | 408 |
Reasons for Change in Appropriation#
The increase in this appropriation is caused mainly by funding changes from current and past policy initiatives (almost $11 million) see below. This increase is partly offset by a reallocation of costs between departmental output appropriations.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Health Information Architecture and Investment Framework |
|||
A blueprint for a sustainable and effective health and disability information management and technology environment, providing improved ability to target IT investments. | N/A | Under development | Quantity:
|
Monitoring the health of New Zealand population |
|||
The New Zealand Health Monitor National Population Health Survey Programme | Quantity: Main survey and data collection commences for New Zealand adult nutrition, tobacco use and oral health surveys Quality: Milestones and reports delivered within agreed timeframe and budget |
Achieved | Quantity: Main survey and data collection commences for New Zealand adult nutrition, tobacco use and oral health surveys Quality: Milestones and reports delivered within agreed timeframe and budget |
National Collections and Reporting to support Patient Safety and Quality of Care |
|||
Provision of information from national collections to the Health and Disability System and to the public to better inform their decision making | N/A | Achieved | Quality:
|
National Health and Disability Information Infrastructure |
|||
Provide foundations of national health and disability information infrastructure to support the sharing of information, the establishment and effective functioning of clinical networks, planning, funding and delivery of healthcare in New Zealand | N/A | Achieved | Quantity: Delivery of: secure portal; data centre hosting and transition; information collection and analysis stage 1 business case; self service agreements management; connected health directory, recipient identity and business fields data service; provider identity, roles and relationships Quality:
|
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (9,758) | (2,605) | (565) | (464) | (464) |
Key Directions | 2008/09 | 7,100 | 3,800 | 900 | 900 | 900 |
Connected Health Information System | 2008/09 | - | 10,000 | 10,000 | 10,000 | 10,000 |
Develop Integrated Data Management Systems - Tranche One | 2007/08 | 17,700 | 14,700 | 14,700 | 14,700 | 14,700 |
National Drug Policy - Online Drug Data and Information Systems | 2007/08 | 100 | 100 | 100 | - | - |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Payment Services (M36)#
Scope of Appropriation#
Expenses and Revenue#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 20,042 | 19,542 | 19,937 |
Revenue from Crown | 19,897 | 19,897 | 19,932 |
Revenue from Other | 145 | 145 | 5 |
Reasons for Change in Appropriation#
The decrease in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below) and cost allocations between appropriations.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Health Agreements |
|||
A national shared service for processing all DHBs and national services agreements (demand driven) | N/A | Achieved | Quantity: All appropriately completed agreements will be processed (expected maximum volume of 11,000 agreements) Quality: All appropriately completed agreements will be processed with error rates within agreed limits Timeliness: All appropriately completed agreements will be processed within agreed timeframes (up to a volume of 11,000 agreements) |
Health Payments |
|||
A national shared service for processing all DHBs and national services payments (demand driven) | N/A | Achieved | Quantity: All appropriately completed payments will be processed (expected maximum volume of 90 million) Quality: All appropriately completed payments will be processed with error rates within agreed limits Timeliness: All appropriately completed payments will be processed within agreed timeframes (up to a volume of 90 million transactions) |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (930) | (756) | (164) | (135) | (756) |
Servicing of Ministers and Ministerial Committees (M36)#
Scope of Appropriation#
Expenses and Revenue#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 15,629 | 15,129 | 15,431 |
Revenue from Crown | 15,515 | 15,515 | 15,402 |
Revenue from Other | 114 | 114 | 29 |
Reasons for Change in Appropriation#
The decrease in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below) and through the reallocation of costs between appropriations.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Policy Advice |
|||
Policy advice to Ministers | Reconfigured measure | Achieved for 2008/09 policy measures | Quantity: All advice and briefings provided as agreed between the Minister and the Ministry Quality: in accordance with the Statement of Objectives Timeliness: Completed within the requested timeframes |
Servicing of Ministers, Ministerial Committees and Parliament |
|||
Draft replies to Parliamentary questions | Quality: All draft replies peer reviewed and signed out in accordance with delegated authority Timeliness: 95% of draft replies completed within required timeframe |
Achieved | Quality: All draft replies peer reviewed and signed out in accordance with delegated authority Timeliness: 95% of draft replies to parliamentary questions completed within required timeframe |
Draft responses to Ministerial correspondence | Quality: All draft replies peer reviewed and signed out in accordance with delegated authority; and 93% of replies signed off at first draft Timeliness: 90% of draft replies to Parliamentary questions completed within the required time frame |
Achieved | Quality:
|
Make appointments to Ministerial committees and statutory bodies and committees, and support Ministerial Advisory Committees | Quality: All appointments made in accordance with the New Zealand Public Health and Disability Act 2000, DPMC and SSC requirements Timeliness: 30/06/09 |
Achieved | Quality: All appointments made in accordance with the New Zealand Public Health and Disability Act 2000, DPMC and SSC requirements |
Provide Ministers with briefing papers and speeches | Quality:
|
Achieved | Quality:
|
Provide responses to requests for official information | Quality:
|
Not achieved | Quality:
|
Provide responses to written questions from Select Committee | Quality: All draft replies peer reviewed and signed out in accordance with delegated authority Timeliness: 100% of written responses provided within the time frame requested by the Minister of Health and the Health Committee |
Achieved | Quality: All draft replies peer reviewed and signed out in accordance with delegated authority Timeliness: 100% of written responses provided within the time frame requested by the Minister of Health and the Health Committee |
Statutory and Ministerial Advisory Committee Support |
|||
Support the work of statutory and Ministerial advisory committees | Reconfigured measure | Achieved | Quantity: Provide support as required |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (587) | (457) | (99) | (81) | (81) |
National Health Epidemiology and Quality Assurance Committee | 2007/08 | 500 | 500 | 500 | 500 | 500 |
National Drug Secretariat | 2004/05 | 124 | 124 | 124 | 124 | 124 |
National Drug Intelligence | 2003/04 | 133 | 133 | 133 | 133 | 133 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Strategy, Policy and System Performance (M36)#
Scope of Appropriation#
Expenses and Revenue#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 48,153 | 46,153 | 49,575 |
Revenue from Crown | 47,677 | 47,677 | 49,174 |
Revenue from Other | 476 | 476 | 401 |
Reasons for Change in Appropriation#
The increase in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below) and through the reallocation of costs between appropriations.
Output Performance Measures and Standards#
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Bowel Cancer Programme |
|||
Complete the development of the bowel cancer screening pathway and development of interim bowel cancer screening programme quality standards | N/A | Under development | Quantity: All parts of the screening pathway have been informed by stakeholder engagement and detailed policy work Quality: The agreed pathway is consistent with international best practice and is supported by key stakeholders |
Better primary and community services that meet people's needs |
|||
Cabinet paper detailing primary health care strategy achievements in 2009 | N/A | Achieved | Quantity: Annual Cabinet paper |
Clinical Services Development |
|||
Implementation of an action plan to support DHBs to make improvements against the national ED length of stay | N/A | Under development | Quantity: Data is collected to monitor the national ED length of stay for people who present to emergency departments transfer, discharge or admitted within six hours Quality: Priority activities in DHB plans are identified and implementation started |
Establish strategic frameworks for health workforce |
|||
Work with sector to boost the number of funded GP registrar training places. | N/A | Under development | Quantity: Boost the number of funded GP registrar training places by 50 places |
Work with Universities and training colleges to boost the number of funded medical student places. | N/A | Under development | Quantity: The number of funded medical student places increased by 60 places |
Healthy Eating - Healthy Action (HEHA) |
|||
Implementation of a revised work programme to increase physical activity and reduce obesity | N/A | Under development | Quantity: A revised work programme is developed to reflect the Government's priority areas of work Quality: DHBs are adequately supported in implementing the Government's priorities for increasing physical activity and reducing obesity |
Improve prioritisation of additional funding to Vote Health |
|||
Budget process input includes prioritisation process for new initiatives | Quantity: Vote Health prioritisation process Quality: New initiatives prioritised considering government and Minister's priorities and Health Targets |
Achieved | Quantity: Vote Health prioritisation process Quality: New initiatives prioritised considering government and Minister's priorities and Health Targets |
Improve the position of the medicines sector to deliver excellent health and disability support outcomes. |
|||
Strategic implementation of Actioning Medicines New Zealand | Quantity: Examine the process for setting the community pharmaceutical budget | Not achieved | Quantity: Implement Actioning Medicines New Zealand |
Improving interface of addiction treatment services with Justice sector |
|||
The Ministry will work with the Justice sector (Ministry of Justice, Police, and Corrections) to reduce offending by improving the interface with addiction treatment services in the community | N/A | Under development | Quantity: Assist all DHBs and the relevant government agencies Quality: Consultation undertaken with key stakeholders |
Long Term Health Services Planning |
|||
Finalise options for a coherent policy framework to guide comprehensive long term service planning at regional and national levels, aligned with Government's priorities | N/A | Under development | Quantity: Service planning policy framework, guidelines and tolls and methods developed |
Managing the Ministry's responsibilities under the Gambling Act 2003 |
|||
The Ministry will develop, consult on and obtain Cabinet approval for a revised integrated strategy for the prevention and minimisation of gambling harm | N/A | Achieved | Quantity:
|
Maori Innovations |
|||
Continued implementation of the Maori Provider Development Scheme | N/A | Achieved | Quantity: All DHBs will be involved in the assessment of their regional provider applications Quality: MPDS supports provider growth |
Meeting the needs of particular at risk groups |
|||
Monitoring how effectively the Ministry of Health work programme is improving Maori health | N/A | Achieved | Quantity: Monitoring report completed |
National Alcohol Action Plan |
|||
Development of interagency action plans to guide Government responses to reducing alcohol related harm | Quantity: Two action plans produced Quality: Develop a draft action plan and undertake public consultation prior to seeking Cabinet agreement |
Achieved | Quantity:
|
National Cancer Programme |
|||
Implementation of work plan for reducing cancer wait times | N/A | Achieved | Quantity: Wait time indicators for medical oncology and surgery are developed, medical oncology and radiation wait time measures are monitored and future sector capacity requirements to reduce wait times are identified Quality: All relevant DHBs are supported to collect and report data reliably |
National Immunisation Programme |
|||
a) Deliver the National Immunisation Programme b) Review the design of the National Immunisation Register c) Simplify and streamline contracts for immunisation services |
N/A | Achieved | Quantity: 87% of 2-year olds fully immunised by July 2010 (95% by July 2012) Quality: Ministry and DHBs agree to a set of functions needed and the division between national and district functions Timeliness: c) Agreed set of functions by 30/12/2009, new contracts in place by 30/06/2010 |
Nursing Innovations |
|||
Commence implementation of an agreed nursing workforce plan | N/A | Under development | Quantity: The development of a nursing workforce plan Quality: Forecast and data collection to monitor changes to the nursing workforce |
Oral Health |
|||
Continued implementation of a work programme for improving child and youth oral health | N/A | To be reforecast | Quantity: Quarterly monitoring and feedback to 21 DHBs on the progress of their business case implementation Quality: DHBs' business case implementation progressing in accordance with agreed plans and service models |
Pacific Innovations |
|||
Implementation of the new PPDF Purchasing plan for 2009/10 to 2010/11 | N/A | Achieved | Quantity: Collection of Pacific providers' workforce baseline data from 100% (all) of the clinical Pacific health service providers Quality: Priority is given to the 3 DHBs with the largest Pacific populations (Auckland DHBs) |
Primary Health Care |
|||
Continued implementation of a work programme to reduce ambulatory sensitive (avoidable) admissions | N/A | To be reforecast | Quantity: There will be a decline in admissions to hospital that are avoidable or preventable by primary health care across all population groups Quality: Services are shifted from secondary care to primary health care inline with DHBs' 2009/10 District Annual Plans and policy development to support the establishment of Integrated Family Health Centres is completed |
Primary Mental Health Care Service Delivery |
|||
A guidance document for the sector on primary mental health care service delivery | N/A | Under development | Quality: Document approved by Minister |
Quality Improvement |
|||
Implementation of a work programme that supports quality improvement and innovations in DHBs with a focus on improving stroke services | N/A | Under development | Quantity: The development of agreed quality improvement initiatives and a stroke service improvement plan Quality: DHBs are adequately supported in implementing quality improvement and a stroke service plan |
Tobacco |
|||
Continued implementation of a work programme to reduce harm caused by tobacco with a focus on increasing cessation | N/A | To be reforecast | Quantity: Active clinical leadership across all DHBs, majority of health workforce trained in ABC, support in implementation for DHBs to meet cessation health target, and preparation to support transfer of local funding for tobacco control to DHBs completed Quality: Success indicators for ABC are trending up towards targets |
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Line-by-Line Review | 2008/09 | (3,942) | (1,885) | (409) | (336) | (336) |
Assisted Human Reproduction | 2005/06 | 444 | 444 | 444 | 444 | 444 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Part 2.2 - Non-Departmental Output Expenses#
Intended Impacts, Outcomes and Objectives#
Intended Impacts, Outcomes or Objectives of Appropriations | Appropriations |
---|---|
Outcome: Develop an appropriately skilled workforce to meet the workforce's needs of health and disability services to New Zealanders. Impact/Objectives: Post-entry clinical training for the health and disabilities profession, including medical specialists, GPs, public health doctors, nurses, Maori health professionals, and midwives is delivered. Training delivered contributes to the workforce's needs within the health and disability sector. |
Clinical Training Agency |
Outcome: Manage fiscal risks in the Sector. Impact/Objectives: Enable Sector risks to be met within Vote Health. |
Health Services Fund |
Outcome: DHBs are responsible for both the provision of health care services to geographically defined populations and the running of hospital services. Impact/Objectives: Enable DHBs to provide Health and Disability Service in New Zealand. |
Health and Disability Support Services - DHBs |
Outcome: Through the Crown Health Financing Agency, DHBs have an efficient and effective debt provisioning facility and the Crown's residual health sector liability is managed effectively and efficiently. Impact/Objectives:
|
Management of Residual Health Liabilities and District Health Board Term Debt |
Outcome: Reduction of meningococcal in children. Impact/Objectives: To immunise newborns alongside the Child Immunisation Schedule, with opportunistic vaccination offered to the eligible population who have not completed the full schedule of vaccine. |
Meningococcal Vaccine Programme |
Outcome: Health and Disability Service provision in New Zealand is safe and of high quality, including those services used by people with mental illness, their families and caregivers. Impact/Objectives:
|
Monitoring and Protecting Health and Disability Consumer Interests |
Outcome: Gathering of evidence-based information to inform policy development and implementation. Impact/Objectives: To obtain sector intelligence, enhancing links to the sector and dissemination of information. |
National Advisory and Support Services |
Outcome: To assist families and whanau to improve and protect their children's health. Impact/Objectives:
|
National Child Health Services |
a) PHARMAC and Health Research Council Outcome: To fund a number of national and regional personal health services such as complex burns, mobile surgical services, telephone advice services and sexual and reproductive health services. PHARMAC Impact/Objectives: New Zealanders in need of pharmaceuticals receive the best health outcomes that are reasonably achievable from pharmaceutical treatment, and from within the amount of funding provided. Health Research Council Impact/Objectives:
Outcome: Personal health gain through nationally purchased health services (as determined by Government). Impact/Objectives: Telephone triage and health advice services, sexual and reproductive health services, mobile surgical services, services associated with the implementation of the Oral Health and Cancer Control Strategies, and hospital chaplaincy services; are delivered. |
National Contracted Services - Other |
Outcome: Eligible clients are supported to live and participate in their home and community in the same way other New Zealanders do. Delivery of disability support services includes: service provision; service development; evaluations and audits required to support the provision of quality services; services as required by the Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003 (IDCC&R). Eligible clients are those who have a long-term physical, intellectual or sensory disability (or a combination of these), which is likely to continue for a minimum of six months and make the person less independent and in need of ongoing support. Impact/Objectives:
|
National Disability Support Services |
Outcome: To purchase a number of national elective surgical services under the orthopaedic, cataract and new elective services initiatives. Impact/Objectives: To purchase additional elective surgery services. |
National Elective Services |
Outcome: Community-based medical emergencies services are provided in a consistent and reliable way. Impact/Objectives:
|
National Emergency Services |
Outcome: To purchase a number of national Maori health services. These services will be funded on behalf of Maori spanning across DHBs. Impact/Objectives: To fund the purchase of Maori health services directly by the Crown. |
National Maori Health Services |
Outcome: Quality primary maternity services that are accessible, available and safe Impact/Objectives:
|
National Maternity Services |
Outcome: National provision of Mental Health Services. Impact/Objectives: Contract with NGO providers and District Health Boards for the provision of mental health and addiction services including the development of mental health and addiction workforce initiatives. |
National Mental Health Services |
Outcome: To provide better, sooner, more convenient primary health care services. Impact/Objectives: To provide a high quality, person centred primary health care system that contributes to better management of long term conditions, more continuity of care, greater accessibility and early intervention. |
Primary Health Care Strategy |
Outcome: Prevention and minimisation of harm from problem gambling. Impact/Objectives: To fund and coordinate a range of services and activities for individuals and across populations, that prevents and minimise the harm caused by problem gambling. |
Problem Gambling Strategy |
Outcome: Improved health of all New Zealanders by supporting communities, whanau and individuals to:
Public health services are provided (within scope) and based on the best available evidence of effectiveness. The services clearly identify the needs of priority populations and demonstrate strategies to address barriers to accessibility and acceptability for target populations. Screening services are provided safely and effectively in accordance with Policy and Quality Standards. Access to services for the prevention of, and protection from health threats, for all New Zealanders, in particular vulnerable or at risk groups and communities. Funding of services and activities for communicable disease, immunisation, and to maintain healthy environments (including water supplies and sewerage). |
Public Health Service Purchasing |
Outcome: Surveillance programmes for exotic mosquitoes of health significance. Impact/Objectives: Scientific analysis and advice to support the Ministry's policy advice to the Minister of Health; including the purchase of services for identification of mosquitoes and science services to support surveillance programmes and responses to incursions and interceptions of exotic mosquitoes of health significance. |
Scientific Advice to Support Pest Management Strategies as They Affect Public Health |
Clinical Training Agency (M36)#
Scope of Appropriation
Expenses
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 122,271 | 115,271 | 125,692 |
Reasons for Change in Appropriation
The slightly more than $3 million increase in this appropriation arises from Current and Past Policy Initiative funding changes (see Current and Past Policy Initiatives table below).
Output Performance Measures and Standards
2008/09 | 2009/10 | ||
---|---|---|---|
Performance Measures | Budgeted Standard |
Estimated Actual Standard |
Budget Standard |
Post-entry clinical training for the health and disabilities profession, including medical specialists, GPs, public health doctors, nurses, Maori health professionals, and midwives is delivered
|
N/A | Under Development | Achieved |
Training delivered contributes to the workforce's needs within the health and disability sector
|
N/A | Under Development | Achieved |
Current and Past Policy Initiatives
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
GP Training & Upskilling in Primary Maternity Care | 2009/10 | - | 150 | 300 | 300 | 300 |
Boost GP Training | 2009/10 | - | 2,500 | 5,000 | 5,000 | 5,000 |
Palliative Medicine Registrar Training | 2008/09 | 150 | 300 | 300 | 300 | 300 |
Medical Physics Training | 2008/09 | 53 | 105 | 105 | 105 | 105 |
Maternity Action Plan | 2008/09 | 1,125 | 1,775 | 1,775 | 1,775 | 1,775 |
New Medical Registrations | 2008/09 | 724 | 1,242 | 2,062 | 3,404 | 4,584 |
Forecast Funding Track (FFT) and Demographics | 2008/09 | 4,957 | 4,957 | 4,957 | 4,957 | 4,957 |
Workforce development | 2008/09 | 7,610 | 7,610 | 10,000 | 10,000 | 10,000 |
Forecast Funding Track (FFT) | 2007/08 | 2,993 | 2,993 | 2,993 | 2,993 | 2,993 |
Demographics | 2007/08 | 1,643 | 1,643 | 1,643 | 1,643 | 1,643 |
These policy initiatives have been shown against their original appropriation, or the current equivalent. Subsequent changes may have been made to some of these initiatives by way of fiscally neutral transfers to other appropriations, devolution of funding to DHBs or rephasing of the expenditure through expense transfers.
Health and Disability Support Services - Auckland DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 881,337 | 881,337 | 941,884 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($27.116 million), demographics ($24.633 million) and funding to advance Government priorities ($8.729 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Supplementary Funding for Price Pressures and Government Commitments (Auckland DHB) | 2009/10 | - | 8,729 | 8,729 | 8,729 | 8,729 |
Forecast Funding Track (FFT) and Demographics (Auckland DHB) | 2009/10 | - | 51,749 | 51,749 | 51,749 | 81,749 |
Forecast Funding Track (FFT) (All DHBs) | 2008/09 | 250,401 | 250,401 | 250,401 | 250,401 | 250,401 |
Demographics (All DBs) | 2007/08 | 137,428 | 137,428 | 137,428 | 137,428 | 137,428 |
Financial Reporting Standard 3 (FRS3) Revaluations (All DHBs) | 2006/07 | 64,423 | 64,423 | 64,423 | 64,423 | 64,423 |
Industrial Negotiations (All DHBs) | 2006/07 | 15,000 | 15,000 | 15,000 | 15,000 | 15,000 |
Industrial Settlements (All DBS) | 2004/05 | 149,169 | 149,169 | 149,169 | 149,169 | 149,169 |
Holidays Act (All DHBs) | 2004/05 | 44,720 | 44,720 | 44,720 | 44,720 | 44,720 |
Disability Support for Older People (All DHBs) | 2004/05 | 32,518 | 32,518 | 32,518 | 32,518 | 32,518 |
Additional Forecast Funding Track (All DHBs) | 2005/06 | 64,798 | 64,798 | 64,798 | 64,798 | 64,798 |
Additional Funding for Demographic Changes (All DHBs) | 2005/06 | 8,016 | 8,016 | 8,016 | 8,016 | 8,016 |
Demographics (All DHBs) | 2004/05 | 16,800 | 16,800 | 16,800 | 16,800 | 16,800 |
Demographic change - to fund health services for changes in population numbers, age mix, ethnicity and deprivation (All DHBs) | 2004/05 | 36,578 | 36,578 | 36,578 | 36,578 | 36,578 |
Financial Reporting Standards No. 3 (All DHBs) | 2003/04 | 97,911 | 97,911 | 97,911 | 97,911 | 97,911 |
Funding for DHBs to recognise increased accident costs (All DHBs) | 2003/04 | 20,199 | 20,199 | 20,199 | 20,199 | 20,199 |
Note - As Indicated above, in prior years the table above related to current and past policy initiatives for all 21 appropriations for District Health Boards, and not only the Auckland DHB. However, as indicated in last year's Estimates, the current policy initiatives for each DHB have been separately reported in each DHB's appropriation.
Funding for FFT and Demographics provided in Budgets 2003, 2005 and 2006 is shown in the National Contracted Services - Other appropriation.
Health and Disability Support Services - Bay of Plenty DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 491,430 | 491,430 | 522,467 |
Reasons for Change in Appropriation#
The increase in this appropriation largely arises from new funding in the 2009 Budget for Forecast Funding Track ($15.370 million), demographics ($10.291 million) and funding to advance Government priorities ($5.048 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 25,661 | 25,661 | 25,661 | 25,661 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 5,048 | 5,048 | 5,048 | 5,048 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Canterbury DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 1,027,024 | 1,027,024 | 1,078,053 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($32.028 million), demographics ($8.140 million) and funding to advance Government priorities ($10.485 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 40,168 | 40,168 | 40,168 | 40,168 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 10,485 | 10,485 | 10,485 | 10,485 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Capital and Coast DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 536,775 | 536,775 | 569,843 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($16.723 million), demographics ($10.451 million) and funding to advance Government priorities ($5.459 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 27,174 | 27,174 | 27,174 | 27,174 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 5,459 | 5,459 | 5,459 | 5,459 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Counties-Manukau DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 932,041 | 932,041 | 999,265 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($29.314 million), demographics ($27.608 million) and funding to advance Government priorities ($9.583 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 56,922 | 56,922 | 56,922 | 56,922 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 9,583 | 9,583 | 9,583 | 9,583 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Hawkes Bay DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 358,708 | 358,708 | 377,914 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($11.198 million), demographics ($4.004 million) and funding to advance Government priorities ($3.674 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 15,202 | 15,202 | 15,202 | 15,202 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 3,674 | 3,674 | 3,674 | 3,674 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.
Health and Disability Support Services - Hutt DHB (M36)#
Scope of Appropriation#
Expenses#
2008/09 | 2009/10 | ||
---|---|---|---|
Budgeted $000 |
Estimated Actual $000 |
Budget $000 |
|
Total Appropriation | 287,506 | 287,506 | 307,500 |
Reasons for Change in Appropriation#
The increase in this appropriation mainly arises from new funding in the 2009 Budget for Forecast Funding Track ($9.021 million), demographics ($7.721 million) and funding to advance Government priorities ($2.960 million).
Output Performance Measures and Standards#
The performance measures are those contained in the Crown entity's Statement of Intent.
Current and Past Policy Initiatives#
Policy Initiative | Year of First Impact |
2008/09 Budgeted $000 |
2009/10 Budget $000 |
2010/11 Estimated $000 |
2011/12 Estimated $000 |
2012/13 Estimated $000 |
---|---|---|---|---|---|---|
Forecast Funding Track (FFT) and Demographics | 2009/10 | - | 16,742 | 16,742 | 16,742 | 16,742 |
Supplementary Funding For Price Pressures and Government Commitments - New Initiative | 2009/10 | - | 2,960 | 2,960 | 2,960 | 2,960 |
Note - The past policy initiatives for all 21 appropriations for District Health Boards were reported in total in Auckland DHB's appropriation. However, as indicated in last year's Estimates, the current policy initiatives for each DHB would be separately reported in each DHB's appropriation.