Supplementary estimates of appropriations

Vote Health - Supplementary Estimates 2013/14

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

APPROPRIATION ADMINISTRATOR: Ministry of Health

RESPONSIBLE MINISTER FOR MINISTRY OF HEALTH: Minister of Health

Supplementary Estimates of Appropriations#

Details of Appropriations#

Annual and Permanent Appropriations

  2013/14
Titles and Scopes of Appropriations by Appropriation Type Estimates
Budget
$000
Supplementary
Estimates
Budget
$000
Total
Budget
$000

Departmental Output Expenses

     

Information and Payment Services MCOA (M36)

79,939 (7,996) 71,943
Health Sector Information Systems
This appropriation is limited to the provision of information technology services and the publication of data derived from these services to the health and disability system.
58,481 (6,858) 51,623
Payment Services
This output class is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.
21,458 (1,138) 20,320

Managing the Purchase of Services (M36)

This appropriation is limited to purchasing services for the public and health and disability sector on behalf of the Crown, for those services where the Ministry has responsibility for the purchasing function (i.e. funding is not devolved to another entity).
29,050 (409) 28,641

Policy Advice and Ministerial Servicing MCOA (M36)

15,806 4,768 20,574
Ministerial Servicing
This output class is limited to the provision of services to Ministers to enable them to discharge their portfolio responsibilities other than policy decision-making.
3,318 1,234 4,552
Policy Advice
This output class is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters.
12,488 3,534 16,022

Regulatory and Enforcement Services (M36)

This appropriation is limited to implementing, enforcing and administering health- and disability-related legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and support services for committees established under statute or appointed by the Minister pursuant to legislation.
26,107 (1,772) 24,335

Sector Planning and Performance (M36)

This appropriation is limited to advising on and co-ordinating health sector planning and performance improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities, and sector co-ordination.
40,325 6,147 46,472

Total Departmental Output Expenses

191,227 738 191,965

Departmental Capital Expenditure

     

Ministry of Health - Capital Expenditure PLA (M36)

This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989.
15,000 1,732 16,732

Total Departmental Capital Expenditure

15,000 1,732 16,732

Non-Departmental Output Expenses

     

Health and Disability Support Services - Auckland DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Auckland DHB.
1,068,598 13,258 1,081,856

Health and Disability Support Services - Bay of Plenty DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Bay of Plenty DHB.
593,556 698 594,254

Health and Disability Support Services - Canterbury DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Canterbury DHB.
1,218,559 34,207 1,252,766

Health and Disability Support Services - Capital and Coast DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Capital and Coast DHB.
661,037 11,645 672,682

Health and Disability Support Services - Counties-Manukau DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Counties-Manukau DHB.
1,203,381 5,218 1,208,599

Health and Disability Support Services - Hawkes Bay DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hawkes Bay DHB.
430,355 (2,384) 427,971

Health and Disability Support Services - Hutt DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hutt DHB.
346,019 4,058 350,077

Health and Disability Support Services - Lakes DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Lakes DHB.
272,759 467 273,226

Health and Disability Support Services - MidCentral DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from MidCentral DHB.
447,614 2,835 450,449

Health and Disability Support Services - Nelson-Marlborough DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Nelson-Marlborough DHB.
367,526 1,010 368,536

Health and Disability Support Services - Northland DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Northland DHB.
474,887 1,317 476,204

Health and Disability Support Services - South Canterbury DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from South Canterbury DHB.
160,922 259 161,181

Health and Disability Support Services - Southern DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Southern DHB.
758,005 1,113 759,118

Health and Disability Support Services - Tairawhiti DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Tairawhiti DHB.
141,224 316 141,540

Health and Disability Support Services - Taranaki DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Taranaki DHB.
296,026 1,703 297,729

Health and Disability Support Services - Waikato DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waikato DHB.
977,884 6,610 984,494

Health and Disability Support Services - Wairarapa DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Wairarapa DHB.
119,191 630 119,821

Health and Disability Support Services - Waitemata DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waitemata DHB.
1,252,792 6,171 1,258,963

Health and Disability Support Services - West Coast DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from West Coast DHB.
116,046 1,426 117,472

Health and Disability Support Services - Whanganui DHB (M36)

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Whanganui DHB.
197,978 492 198,470

Health Services Funding (M36)

Funding to respond to emerging health sector risks, provision for DHB structural deficit support, and contingency funding for Government priority health policy initiatives.
90,222 (88,222) 2,000

Health Workforce Training and Development (M36)

This appropriation is limited to provision of clinical training for doctors, nurses, dentists and other health professionals, and Voluntary Bonding Scheme claims.
173,495 (204) 173,291

Monitoring and Protecting Health and Disability Consumer Interests (M36)

Provision of services to monitor and protect health consumer interests by the Health and Disability Commissioner, District Mental Health Inspectors and Review Tribunals, and the Mental Health Commission.
26,596 400 26,996

National Advisory and Support Services (M36)

Provision of advisory and support services by independent service providers.
340 (80) 260

National Child Health Services (M36)

For the funding and purchase of child health services directly by the Crown.
80,482 (640) 79,842

National Contracted Services - Other (M36)

This appropriation is limited to the purchase of other services directly by the Crown to support the health and disability services sector, including the national management of pharmaceuticals, and health research.
28,846 (4,708) 24,138

National Disability Support Services (M36)

Delivery of disability support services provided through DHBs and third-party service providers.
1,103,234 (4,348) 1,098,886

National Elective Services (M36)

Funding for the purchase of additional elective surgery services.
277,406 14,570 291,976

National Emergency Services (M36)

For the funding and purchase of health emergency services directly by the Crown.
93,009 1,000 94,009

National Health Information Systems (M36)

This appropriation is limited to the provision of information technology services for the New Zealand health and social sectors.
- 9,481 9,481

National Maori Health Services (M36)

For the funding and purchase of Maori health services directly by the Crown.
7,635 (2,835) 4,800

National Maternity Services (M36)

For the funding and purchase of maternity services directly by the Crown.
144,212 - 144,212

National Mental Health Services (M36)

For the funding and purchase of mental health services directly by the Crown.
59,927 (11,839) 48,088

National Personal Health Services (M36)

This appropriation is limited to personal healthcare and support services purchased directly by the Crown, including mobile surgical services, telephone and online advice services, hospice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies.
93,921 (5,916) 88,005

Primary Health Care Strategy (M36)

This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
178,936 (15,524) 163,412

Problem Gambling Services (M36)

Funding to support the research and implementation of strategies to prevent and minimise the harm from gambling, and for the provision of treatment services to problem gamblers and assistance to their families and whanau in accordance with the Gambling Act 2003.
17,739 1,730 19,469

Public Health Service Purchasing (M36)

Public Health Services funded by the Ministry of Health from DHBs and other public health service providers.
434,559 (29,319) 405,240

Total Non-Departmental Output Expenses

13,914,918 (45,405) 13,869,513

Non-Departmental Other Expenses

     

International Health Organisations (M36)

Funding for New Zealand's membership to the World Health Organization (WHO), and the contribution to specific WHO projects.
2,030 (400) 1,630

Legal Expenses (M36)

Funding for the defence and settlement of legal claims against the Crown.
1,028 - 1,028

Provider Development (M36)

Funding support and provide assistance for the development of the third party health service workforce, in particular, Maori and Pacific people's providers.
25,414 250 25,664

Total Non-Departmental Other Expenses

28,472 (150) 28,322

Non-Departmental Capital Expenditure

     

Deficit Support for DHBs (M36)

This appropriation is limited to equity injections to District Health Boards to address deficits.
- 27,950 27,950

Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)

Capital contributions to District Health Boards and health sector Crown agencies to cover new investments and reconfiguration of their balance sheets.
452,289 (322,663) 129,626

Health Sector Projects (M36)

Capital investment in specific health sector assets.
8,065 78,610 86,675

Loans for Capital Projects (M36)

Provision of new loans to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration.
30,000 155,850 185,850

Refinance of Crown Loans (M36)

This appropriation is limited to refinancing existing Crown loans made to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration.
- 143,400 143,400

Residential Care Loans - Payments (M36)

Funding to provide interest-free loans to people entering into aged residential care facilities.
15,000 - 15,000

Total Non-Departmental Capital Expenditure

505,354 83,147 588,501

Total Annual and Permanent Appropriations

14,654,971 40,062 14,695,033

Details of Projected Movements in Departmental Net Assets#

Ministry of Health

Details of Net Asset Schedule 2013/14
Main Estimates Projections
$000
2013/14
Supplementary Estimates Projections
$000
Explanation of Projected Movements in 2013/14
Opening Balance 34,080 35,838 Supplementary Estimates opening balance reflects the audited results as at 30 June 2013.
Capital Injections - -  
Capital Withdrawals - -  
Surplus to be Retained (Deficit Incurred) - -  
Other Movements - -  

Closing Balance

34,080 35,838  

Supporting Information#

Part 1 - Vote as a Whole#

1.2 - Trends in the Vote

Summary of Financial Activity

  2013/14
    Supplementary Estimates  
  Estimates
$000
Departmental
Transactions
$000
Non-Departmental
Transactions
$000
Total
Transactions
$000
Total
$000

Appropriations

         
Output Expenses 14,106,145 738 (45,405) (44,667) 14,061,478
Benefits and Other Unrequited Expenses - N/A - - -
Borrowing Expenses - - - - -
Other Expenses 28,472 - (150) (150) 28,322
Capital Expenditure 520,354 1,732 83,147 84,879 605,233
Intelligence and Security Department Expenses and Capital Expenditure - - N/A - -
Multi-Category Expenses and Capital Expenditure (MCA)          
Output Expenses
- - - - -
Other Expenses
- - - - -
Capital Expenditure
- N/A - - -

Total Appropriations

14,654,971 2,470 37,592 40,062 14,695,033

Crown Revenue and Capital Receipts

         
Tax Revenue - N/A - - -
Non-Tax Revenue 630,411 N/A 86,441 86,441 716,852
Capital Receipts 27,499 N/A 290,000 290,000 317,499

Total Crown Revenue and Capital Receipts

657,910 N/A 376,441 376,441 1,034,351

Mapping the Layout of the 2013/14 Supplementary Estimates to the Layout of the 2013/14 Estimates

Supplementary Estimates Structure 2013/14 Estimates Structure 2013/14
Part # Part Name Part # Part Name
2.1 Departmental Output Expenses 2.1 Departmental Output Expenses
2.2 Departmental Other Expenses 5.1 Departmental Other Expenses
2.3 Departmental Capital Expenditure and Capital Injections 6.1 Departmental Capital Expenditure
3.1 Non-Departmental Output Expenses 2.2 Non-Departmental Output Expenses
3.2 Non-Departmental Benefits and Other Unrequited Expenses 3.2 Non-Departmental Benefits and Other Unrequited Expenses
3.3 Non-Departmental Borrowing Expenses 4.2 Non-Departmental Borrowing Expenses
3.4 Non-Departmental Other Expenses 5.2 Non-Departmental Other Expenses
3.5 Non-Departmental Capital Expenditure 6.2 Non-Departmental Capital Expenditure
4 Multi-Category Expenses and Capital Expenditure N/A Did not exist in the Estimates

Part 2 - Details of Departmental Appropriations#

2.1 - Departmental Output Expenses

Information and Payment Services MCOA (M36)

Scope of Appropriation

Health Sector Information Systems

This appropriation is limited to the provision of information technology services and the publication of data derived from these services to the health and disability system.

Payment Services

This output class is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies.

Explanation for Use of Multi-Class Output Expense Appropriation

These two output expenses under this MCOA are grouped together as sector focused services. Both of these outputs form the basis of a shared service to support the health and disability system. A shared service approach supports a more unified approach that will lead to more efficient systems to reduce costs and maximise information sharing. This grouping provides a high level of transparency for these functions.

Expenses and Revenue

  2013/14
  Estimates
$000
Supplementary
Estimates
$000
Total
$000

Total Appropriation

79,939 (7,996) 71,943
Health Sector Information Systems 58,481 (6,858) 51,623
Payment Services 21,458 (1,138) 20,320

Revenue from the Crown

78,376 (7,055) 71,321
Health Sector Information Systems 58,481 (6,858) 51,623
Payment Services 19,895 (197) 19,698

Revenue from Others

1,563 (941) 622
Health Sector Information Systems - - -
Payment Services 1,563 (941) 622

Reasons for Change in Appropriation

This appropriation will decrease by $7.996 million to $71.943 million in 2013/14. This decrease is due to:

  • Health Sector Information Services - $6.858 million
  • Payment Services - $1.138 million.

Note - See description below.

Health Sector Information Services
  • a transfer to 2013/14 of unspent funding in 2012/13 - increase - $524,000
  • output class budget adjustment - $7.382 million (see Note).

Note - In 2013 the Ministry of Health improved its expenditure model so that it provided a more accurate reflection of its structure, responsibilities, and outputs. The changes resulted in fiscally neutral changes across the overall total for the Ministry's departmental output expense appropriations.

Payment Services
  • a transfer to 2013/14 of unspent funding from 2012/13 - increase - $422,000
  • a revenue reforecast of Other revenue from Audit and Compliance - $941,000
  • output class budget adjustment - $619,000 (see Note).

Note - In 2013 the Ministry of Health improved its expenditure model so that it provided a more accurate reflection of its structure, responsibilities, and outputs. The changes resulted in fiscally neutral changes across the overall total for the Ministry's departmental output expense appropriations.

Managing the Purchase of Services (M36)

Scope of Appropriation

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

Expenses and Revenue

  2013/14
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 29,050 (409) 28,641
Revenue from the Crown 29,050 (409) 28,641
Revenue from Others - - -

Reasons for Change in Appropriation

This appropriation will decrease by $409,000 to $28.641 million in 2013/14. This decrease is due to:

  • a transfer to 2013/14 of unspent funding from 2012/13 - increase - $500,000
  • output class budget adjustment - $909,000 (see Note). 

Note - In 2013 the Ministry of Health improved its expenditure model so that it provided a more accurate reflection of its structure, responsibilities, and outputs. The changes resulted in fiscally neutral changes across the overall total for the Ministry's departmental output expense appropriations.

Policy Advice and Ministerial Servicing MCOA (M36)

Scope of Appropriation

Ministerial Servicing

This output class is limited to the provision of services to Ministers to enable them to discharge their portfolio responsibilities other than policy decision-making.

Policy Advice

This output class is limited to the provision of advice (including second opinion advice and contributions to policy advice led by other agencies) to support decision-making by Ministers on government policy matters.

Explanation for Use of Multi-Class Output Expense Appropriation

These output classes relate to the provision of policy advice and Ministerial servicing.

Expenses and Revenue

  2013/14
  Estimates
$000
Supplementary
Estimates
$000
Total
$000

Total Appropriation

15,806 4,768 20,574
Ministerial Servicing 3,318 1,234 4,552
Policy Advice 12,488 3,534 16,022

Revenue from the Crown

15,806 4,768 20,574
Ministerial Servicing 3,318 1,234 4,552
Policy Advice 12,488 3,534 16,022

Revenue from Others

- - -
Ministerial Servicing - - -
Policy Advice - - -

Reasons for Change in Appropriation

This appropriation will increase by $4.768 million in 2013/14 to $20.574 million. This increase is due to:

  • Ministerial Servicing (including the management of written questions and official information requests to the Minister) - $1.234 million
  • Policy Advice - $3.534 million.

Note - See details below.

Ministerial Servicing

  • output class budget adjustment - $1.234 million (see Note). 

Note - In 2013 the Ministry of Health improved its expenditure model so that it provided a more accurate reflection of its structure, responsibilities, and outputs. The changes resulted in fiscally neutral changes across the overall total for the Ministry's departmental output expense appropriations.

Policy Advice

  • output class budget adjustment - $3.534 million (see Note).

Note - In 2013 the Ministry of Health improved its expenditure model so that it provided a more accurate reflection of its structure, responsibilities, and outputs. The changes resulted in fiscally neutral changes across the overall total for the Ministry's departmental output expense appropriations.

Regulatory and Enforcement Services (M36)

Scope of Appropriation

This appropriation is limited to implementing, enforcing and administering health- and disability-related legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and support services for committees established under statute or appointed by the Minister pursuant to legislation.

Expenses and Revenue

  2013/14
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 26,107 (1,772) 24,335
Revenue from the Crown 12,280 (1,300) 10,980
Revenue from Others 13,827 (472) 13,355

Reasons for Change in Appropriation

This appropriation will decrease by $1.772 million to $24.335 million in 2013/14. This decrease is due to:

  • an output class budget adjustment - $1.800 million (see Note)
  • a revenue reforecast of Other revenue from the Psychoactive Substances Regulatory Authority - increase - $126,000
  • a revenue reforecast of Other revenue from Medsafe - increase - $919,000
  • a revenue reforecast of Other revenue from the Natural Health and Supplementary Products regulator - $1.517 million
  • a transfer to 2013/14 of unspent funding from 2012/13 - increase - $500,000.

Note - In 2013 the Ministry of Health improved its expenditure model so that it provided a more accurate reflection of its structure, responsibilities, and outputs. The changes resulted in fiscally neutral changes across the overall total for the Ministry's departmental output expense appropriations.

Sector Planning and Performance (M36)

Scope of Appropriation

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

Expenses and Revenue

  2013/14
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation 40,325 6,147 46,472
Revenue from the Crown 39,965 6,147 46,112
Revenue from Others 360 - 360

Reasons for Change in Appropriation

This appropriation will increase by $6.147 million to $46.472 million in 2013/14. This increase is due to:

  • a transfer to 2013/14 of unspent funding from 2012/13 - $205,000
  • output class budget adjustment - $5.942 million (see Note).

Note - In 2013 the Ministry of Health improved its expenditure model so that it provided a more accurate reflection of its structure, responsibilities, and outputs. The changes resulted in fiscally neutral changes across the overall total for the Ministry's departmental output expense appropriations.

2.3 - Departmental Capital Expenditure and Capital Injections

Ministry of Health - Capital Expenditure PLA (M36)

Scope of Appropriation

This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989.

Capital Expenditure

  2013/14
  Estimates
$000
Supplementary
Estimates
$000
Total
$000
Forests/Agricultural - - -
Land - - -
Property, Plant and Equipment 10,000 1,732 11,732
Intangibles 5,000 - 5,000
Other - - -

Total Appropriation

15,000 1,732 16,732

Capital Injections and Movements in Departmental Net Assets

Ministry of Health

Details of Net Asset Schedule 2013/14
Main Estimates Projections
$000
2013/14
Supplementary Estimates Projections
$000
Explanation of Projected Movements in 2013/14
Opening Balance 34,080 35,838 Supplementary Estimates opening balance reflects the audited results as at 30 June 2013.
Capital Injections - -  
Capital Withdrawals - -  
Surplus to be Retained (Deficit Incurred) - -  
Other Movements - -  

Closing Balance

34,080 35,838  

Part 3 - Details of Non-Departmental Appropriations#

3.1 - Non-Departmental Output Expenses

Health and Disability Support Services - Auckland DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Auckland DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 1,068,598 13,258 1,081,856

Reasons for Change in Appropriation

This appropriation will increase by $13.258 million to $1,081.856 million in 2013/14. This increase is due to:

  • a transfer for adolescents, young adults, and late effects assessment from National Personal Health Services - $443,000
  • a transfer for the devolution of eating disorders from National Mental Health Services - $4.789 million
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $2.481 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $99,000
  • realignment of DHB appropriations to adjust for population changes - $2.025 million
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - $2.897 million
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $524,000.

Health and Disability Support Services - Bay of Plenty DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Bay of Plenty DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 593,556 698 594,254

Reasons for Change in Appropriation

This appropriation will increase by $698,000 to $594.254 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $64,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $1.053 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $59,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $699,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - decrease - $90,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $311,000.

Health and Disability Support Services - Canterbury DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Canterbury DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 1,218,559 34,207 1,252,766

Reasons for Change in Appropriation

This appropriation will increase by $34.207 million to $1,252.766 million in 2013/14. This increase is due to:

  • a transfer for the forensics inpatient allocation to Capital and Coast DHB - decrease - $154,000
  • a transfer for adolescents, young adults, and late effects assessment from National Personal Health Services - $281,000
  • a transfer for the devolution of eating disorders from National Mental Health Services - $296,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $2.594 million
  • a transfer for deficit support from Deficit Support for DHBs - $25 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $580,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $466,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - $5.451 million
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $625,000.

Health and Disability Support Services - Capital and Coast DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Capital and Coast DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 661,037 11,645 672,682

Reasons for Change in Appropriation

This appropriation will increase by $11.645 million to $674.682 million in 2013/14. This increase is due to:

  • a transfer for the forensics inpatient allocation from other DHBs - $1.015 million
  • a transfer for adolescents, young adults, and late effects assessment from National Personal Health Services - $151,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $1.851 million
  • a transfer for deficit support from Deficit Support for DHBs - $8 million
  • a transfer for the 3 DHB project from reprioritised underspends - decrease - $2 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $63,000
  • realignment of DHB appropriations to adjust for population changes - $106,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - $127,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $332,000
  • a transfer to Health Services Funding of $2 million.

Health and Disability Support Services - Counties-Manukau DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Counties-Manukau DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 1,203,381 5,218 1,208,599

Reasons for Change in Appropriation

This appropriation will increase by $5.218 million to $1,208.599 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $259,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $2.564 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $117,000
  • realignment of DHB appropriations to adjust for population changes - $89,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - $1.572 million
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $617,000.

Health and Disability Support Services - Hawkes Bay DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hawkes Bay DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 430,355 (2,384) 427,971

Reasons for Change in Appropriation

This appropriation will decrease by $2.384 million to $427.971 million in 2013/14. This decrease is due to:

  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - increase - $913,000
  • a transfer for alcohol screening interventions from National Mental Health Services - increase - $42,000
  • realignment of DHB appropriations to adjust for population changes - increase - $439,000
  • an adjustment for Hawkes Bay DHB revenue banking - $4 million
  • a transfer for the PHARMAC medical devices project from Health Services Funding - increase - $222,000.

Health and Disability Support Services - Hutt DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hutt DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 346,019 4,058 350,077

Reasons for Change in Appropriation

This appropriation will increase by $4.058 million to $350.077 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $347,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $1.018 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $34,000
  • realignment of DHB appropriations to adjust for population changes - $123,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - $2.355 million
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $181,000.

Health and Disability Support Services - Lakes DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Lakes DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 272,759 467 273,226

Reasons for Change in Appropriation

This appropriation will increase by $467,000 to $273.226 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $34,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $581,000
  • a transfer for alcohol screening interventions from National Mental Health Services - $27,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $317,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $142,000.

Health and Disability Support Services - MidCentral DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from MidCentral DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 447,614 2,835 450,449

Reasons for Change in Appropriation

This appropriation will increase by $2.835 million to $450.449 million in 2013/14. This increase is due to:

  • a transfer for adolescents, young adults, and late effects assessment from National Personal Health Services - $61,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $799,000
  • a transfer to 2013/14 of unspent funding from 2011/12 for MidCentral DHB revenue banking - $2 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $44,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $276,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - decrease - $27,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $234,000.

Health and Disability Support Services - Nelson-Marlborough DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Nelson-Marlborough DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 367,526 1,010 368,536

Reasons for Change in Appropriation

This appropriation will increase by $1.010 million to $368.536 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $80,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $714,000
  • a transfer for alcohol screening interventions from National Mental Health Services - $36,000
  • realignment of DHB appropriations to adjust for population changes - $276,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - decrease - $285,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $189,000.

Health and Disability Support Services - Northland DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Northland DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 474,887 1,317 476,204

Reasons for Change in Appropriation

This appropriation will increase by $1.317 million to $476.204 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $129,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $1.245 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $46,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $315,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - decrease - $32,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $244,000.

Health and Disability Support Services - South Canterbury DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from South Canterbury DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 160,922 259 161,181

Reasons for Change in Appropriation

This appropriation will increase by $259,000 to $161.181 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $31,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $295,000
  • a transfer for alcohol screening interventions from National Mental Health Services - $16,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $166,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $83,000.

Health and Disability Support Services - Southern DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Southern DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 758,005 1,113 759,118

Reasons for Change in Appropriation

This appropriation will increase by $1.113 million to $759.118 million in 2013/14. This increase is due to:

  • a transfer for the forensics inpatient allocation to Capital and Coast DHB - decrease - $60,000
  • a transfer for adolescents, young adults, and late effects assessment from National Personal Health Services - $43,000
  • a transfer for the devolution of eating disorders from National Mental Health Services - $178,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $1.484 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $73,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $926,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - decrease - $68,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $389,000.

Health and Disability Support Services - Tairawhiti DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Tairawhiti DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 141,224 316 141,540

Reasons for Change in Appropriation

This appropriation will increase by $316,000 to $141.540 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $18,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $358,000
  • a transfer for alcohol screening interventions from National Mental Health Services - $14,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $146,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $72,000.

Health and Disability Support Services - Taranaki DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Taranaki DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 296,026 1,703 297,729

Reasons for Change in Appropriation

This appropriation will increase by $1.703 million to $297.729 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $31,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $550,000
  • a transfer for alcohol screening interventions from National Mental Health Services - $29,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $306,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - $1.244 million
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $155,000.

Health and Disability Support Services - Waikato DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waikato DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 977,884 6,610 984,494

Reasons for Change in Appropriation

This appropriation will increase by $6.610 million to $984.494 million in 2013/14. This increase is due to:

  • a transfer for youth forensics from National Mental Health Services - $339,000
  • a transfer for a forensics inpatient allocation to other DHBs - decrease - $245,000
  • a transfer for adolescents, young adults, and late effects assessment from National Personal Health Services - $61,000
  • a transfer for the devolution of eating disorders from National Mental Health Services - $111,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $1.912 million
  • a transfer to 2013/14 of unspent Waikato DHB revenue banking funding from 2012/13 - $5 million
  • a transfer for Waikato DHB revenue banking to Equity for Capital Projects for DHBs - decrease - $361,000
  • a transfer for alcohol screening interventions from National Mental Health Services - $93,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $790,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $490,000.

Health and Disability Support Services - Wairarapa DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Wairarapa DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 119,191 630 119,821

Reasons for Change in Appropriation

This appropriation will increase by $630,000 to $119.821 million in 2013/14. This increase is due to:

  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $240,000
  • a transfer for alcohol screening interventions from National Mental Health Services - $12,000
  • realignment of DHB appropriations to adjust for population changes - $44,000
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - $272,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $62,000.

Health and Disability Support Services - Waitemata DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waitemata DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 1,252,792 6,171 1,258,963

Reasons for Change in Appropriation

This appropriation will increase by $6.171 million to $1,258.963 million in 2013/14. This increase is due to:

  • a transfer for a forensics inpatient allocation to Capital and Coast DHB - decrease - $487,000
  • a transfer for the devolution of eating disorders from National Mental Health Services - $258,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $2.432 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $119,000
  • realignment of DHB appropriations to adjust for population changes - $1.288 million
  • a change in funding for the capital charge payable by DHBs arising from the revaluation of DHB assets - $1.934 million
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $627,000.

Health and Disability Support Services - West Coast DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from West Coast DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 116,046 1,426 117,472

Reasons for Change in Appropriation

This appropriation will increase by $1.426 million to $117.472 million in 2013/14. This increase is due to:

  • a transfer for the devolution of eating disorders from National Mental Health Services - $22,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $294,000
  • a transfer for deficit support from Health Services Funding - $1 million
  • a transfer for alcohol screening interventions from National Mental Health Services - $10,000
  • realignment of DHB appropriations to adjust for population changes - $49,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $51,000.

Health and Disability Support Services - Whanganui DHB (M36)

Scope of Appropriation

Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Whanganui DHB.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 197,978 492 198,470

Reasons for Change in Appropriation

This appropriation will increase by $492,000 to $198.470 million in 2013/14. This increase is due to:

  • a transfer for a forensics inpatient allocation to Capital and Coast DHB - decrease - $69,000
  • a transfer for the devolution of primary mental health funding from Primary Health Care Strategy - $385,000
  • a transfer for alcohol screening interventions from National Mental Health Services - $108,000
  • realignment of DHB appropriations to adjust for population changes - decrease - $32,000
  • a transfer for the PHARMAC medical devices project from Health Services Funding - $100,000.

Health Services Funding (M36)

Scope of Appropriation

Funding to respond to emerging health sector risks, provision for DHB structural deficit support, and contingency funding for Government priority health policy initiatives.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 90,222 (88,222) 2,000

Reasons for Change in Appropriation

This appropriation will decrease by $88.222 million to $2 million in 2013/14. This decrease is due to:

  • a transfer for the NZ Refugee Resettlement Strategy to National Contracted Services - Other - $120,000
  • a transfer for rheumatic fever expansion to Public Health Service Purchasing - $275,000
  • a transfer for Very Low Cost Access Practice Sustainability to Primary Health Care Strategy - $4 million
  • a transfer for a Very Low Cost Access rate change to Primary Health Care Strategy - $2 million
  • a transfer for deficit support to West Coast DHB - $1 million
  • a transfer for deficit support to Deficit Support for DHBs, Canterbury DHB and Capital and Coast DHB - $33 million
  • a transfer to 2013/14 of unspent Health Services Funding funding from 2012/13 - increase - $7.911 million
  • a transfer for the rephasing of the Children's Action Plan to National Child Health Services - $500,000
  • a transfer for the Suicide Action Plan to National Mental Health Services - $2 million
  • a transfer of 2013 4-Year Plan reprioritised funding from Public Health Services Purchasing - increase - $800,000
  • a transfer of 2013 4-Year Plan reprioritised funding from National Contracted Services - Other - increase - $1.472 million
  • a transfer of 2013 4-Year Plan reprioritised funding due to reduced demand from National Disability Support Services - increase - $16 million
  • a transfer of 2013 4-Year Plan reprioritised funding from National Advisory and Support Services - increase - $80,000
  • a transfer of 2013 4-Year Plan reprioritised funding for national Maori health service development from National Maori Health Services - increase - $327,000
  • a transfer for elective workforce productivity funding to National Elective Services - $1.620 million
  • a transfer for the PHARMAC medical devices project to DHBs - $5.650 million
  • Budget 2014 - Four-Year Plan reprioritisation - $18,769
  • Budget 2014 - Providing for the additional cost of the 3 DHBs project - increase - $2 million
  • Budget 2014 - Transfer of unutilised Health Services appropriation funding for 2013/14 to outyears - $47.968 million.

Health Workforce Training and Development (M36)

Scope of Appropriation

This appropriation is limited to provision of clinical training for doctors, nurses, dentists and other health professionals, and Voluntary Bonding Scheme claims.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 173,495 (204) 173,291

Reasons for Change in Appropriation

This appropriation will decrease by $204,000 to $173.291 million in 2013/14. This decrease is due to:

  • a transfer to 2013/14 of unspent funding from 2012/13 for the Voluntary Bonding Scheme - increase - $5 million
  • a transfer for the reprioritisation of underspends to other appropriations - $5 million
  • a transfer for the Nurse Entry to Practice Programme from the reprioritisation of underspends from other appropriations - increase - $1.296 million
  • a transfer for the reprioritisation of underspends on the Voluntary Bonding Scheme to other appropriations - $1.500 million.

Monitoring and Protecting Health and Disability Consumer Interests (M36)

Scope of Appropriation

Provision of services to monitor and protect health consumer interests by the Health and Disability Commissioner, District Mental Health Inspectors and Review Tribunals, and the Mental Health Commission.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 26,596 400 26,996

Reasons for Change in Appropriation

This appropriation will increase by $400,000 to $26.996 million in 2013/14. This increase is due to a transfer for mental health inspectors from the reprioritisation of underspends from other appropriations.

National Advisory and Support Services (M36)

Scope of Appropriation

Provision of advisory and support services by independent service providers.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 340 (80) 260

Reasons for Change in Appropriation

This appropriation will decrease by $80,000 to $260,000 in 2013/14. This decrease is due to a transfer for the reprioritisation of underspends on national Maori health service development to Health Services Funding.

National Child Health Services (M36)

Scope of Appropriation

For the funding and purchase of child health services directly by the Crown.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 80,482 (640) 79,842

Reasons for Change in Appropriation

This appropriation will decrease by $640,000 to $79.842 million in 2013/14. This decrease is due to:

  • a transfer for rephasing of the Children's Action Plan from Health Services Funding - increase - $500,000
  • a transfer to National Health Information Systems - $650,000
  • a transfer to the Ministry of Social Development - $490,000.

National Contracted Services - Other (M36)

Scope of Appropriation

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

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 28,846 (4,708) 24,138

Reasons for Change in Appropriation

This appropriation will decrease by $4.708 million to $24.138 million in 2013/14. This decrease is due to:

  • a transfer for the NZ Refugee Resettlement Strategy from Health Services Funding - increase - $120,000
  • a transfer for diagnostic system change to National Health Information Systems - $2 million
  • a transfer to 2013/14 of unspent funding from 2012/13 for rheumatic fever - increase - $237,000
  • a transfer to 2013/14 of unspent funding from 2012/13 - increase - $11.147 million
  • a transfer for rheumatic fever to Public Health Service Purchasing - $237,000
  • a transfer for e-medicines to National Health information Systems - $1.666 million
  • a transfer for the reprioritisation of underspends to various appropriations - $4.481 million
  • a transfer for the reprioritisation of underspends to Health Services Funding - $1.472 million
  • a transfer for diagnostic system change to National Personal Health Services - $4 million
  • a transfer for InterRAI software to National Health Information Systems - $1.356 million
  • a transfer for electronic patient reporting for ambulance services to National Emergency Services - $1 million.

National Disability Support Services (M36)

Scope of Appropriation

Delivery of disability support services provided through DHBs and third-party service providers.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 1,103,234 (4,348) 1,098,886

Reasons for Change in Appropriation

This appropriation will decrease by $4.348 million to $1,098.886 million in 2013/14. This decrease is due to:

  • new additional funding in Budget 2014 for cochlear implants - increase - $1.100 million
  • a transfer from other Votes for Enabling Good Lives - increase -  $30,000
  • a transfer to 2013/14 of unspent funding from 2012/13 - increase - $18.466 million
  • a transfer for reprioritisation of underspends to various appropriations - $7.944 million
  • a transfer for reprioritisation of savings due to reduced demand to Health Services Funding - $16 million.

National Elective Services (M36)

Scope of Appropriation

Funding for the purchase of additional elective surgery services.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 277,406 14,570 291,976

Reasons for Change in Appropriation

This appropriation will increase by $14.570 million to $291.976 million in 2013/14. This increase is due to:

  • new money in Budget 2014 for additional discharges - $2.500 million
  • a transfer for additional electives from reprioritised underspends from other appropriations - $10.450 million
  • a transfer for elective workforce productivity from Health Services Funding - $1.620 million.

National Emergency Services (M36)

Scope of Appropriation

For the funding and purchase of health emergency services directly by the Crown.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 93,009 1,000 94,009

Reasons for Change in Appropriation

This appropriation will increase by $1 million to $94.009 million in 2013/14. This increase is due to a transfer for electronic patient reporting for ambulance services from National Contracted Services - Other - $1 million.

National Health Information Systems (M36)

Scope of Appropriation

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

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation - 9,481 9,481

How Performance will be Assessed and End of Year Reporting Requirements

  2013/14
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard
E-prescription Tool      
E-prescription Tool implemented over three years New New Achieved
Whanau Ora Information System      
Whanau Ora information system implementation, starting from 1 July 2014 New New Achieved
National Implementation of InterRAI Assessment Tool
(see Note 1)
     
DHBs implement the InterRAI Home Care and Contact Assessments tools for assessing the needs of older people to access long-term support services in the community or residential care 20 DHBs 20 DHBs  20 DHBs

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

Note - This is a new appropriation, established late in 2013/14.

End of Year Performance Reporting

The Service Providers table (below) shows how performance information for this appropriation is reported.

  2013/14    
Provider Estimates
$000
Supplementary
Estimates
$000
Total
$000
Reporting to the
House
Expiry of
Resourcing
Commitment
Non-government Organisations - 5,505 5,505 Minister's report on third-party NDE performance (formerly known as the 32a report) Various
Total - 9,481 9,481    

Note - This is a new appropriation, established in late 2013/14.

Reasons for Change in Appropriation

This appropriation will increase by $9.481 million to $9.481 million in 2013/14. This increase is due to:

  • a transfer for Whanau Ora IT services from Te Puni Kokiri - $10 million
  • a transfer for the NZ Medicines Formulary from Public Health Service Purchasing - $2.200 million 
  • a transfer for the National Immunisation Register from Public Health Service Purchasing - $486,000
  • a transfer for a diagnostic system change from National Contracted Services - Other - $2 million
  • a transfer for E-Medicines from National Contracted Services - Other - $1.666 million
  • a transfer for Whanau Ora IT services from 2013/14 to 2014/15, 2015/16 and 2016/17 - decrease - $9.377 million
  • a transfer of funding for InterRAI software from National Contracted Services - Other - $1.356 million
  • a transfer from National Child health Services - $650,000
  • a transfer for E- Medicine Reconciliation Software from the reprioritisation of underspends - $500,000.

National Maori Health Services (M36)

Scope of Appropriation

For the funding and purchase of Maori health services directly by the Crown.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 7,635 (2,835) 4,800

Reasons for Change in Appropriation

This appropriation will decrease by $2.835 million to $4.800 million in 2013/14. This decrease is due to:

  • a transfer to 2013/14 of unspent funding from 2012/13 - increase - $375,000
  • a transfer of reprioritised unspent funding to other appropriations - $2.883 million
  • a transfer of funding for national Maori health service development to Health Services Funding - $327,000.

National Mental Health Services (M36)

Scope of Appropriation

For the funding and purchase of mental health services directly by the Crown.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 59,927 (11,839) 48,088

Reasons for Change in Appropriation

This appropriation will decrease by $11.839 million to $48.088 million in 2013/14. This decrease is due to:

  • a transfer for youth forensics to Waikato DHB - $339,000
  • a transfer for the devolution of eating disorders funding to DHBs - $6.647 million
  • a transfer to 2013/14 of unspent funding from 2012/13 for the Youth Forensic Programme - increase - $2 million
  • a transfer for youth forensic funding to Equity for Capital Projects for DHBs - $5.100 million
  • a transfer for the Suicide Action Plan from Health Services Funding - increase - $2 million
  • a transfer of funding for the Youth Forensic Inpatient Unit from 2013/14 to 2015/16 - $2.200 million
  • a transfer for alcohol screening interventions to DHBs - $1.621 million
  • new funding for the allocation of criminal proceeds - increase - $68,000.

National Personal Health Services (M36)

Scope of Appropriation

This appropriation is limited to personal healthcare and support services purchased directly by the Crown, including mobile surgical services, telephone and online advice services, hospice services, sexual and reproductive health services, and services associated with the implementation of the Oral Health and Cancer Control Strategies.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 93,921 (5,916) 88,005

Reasons for Change in Appropriation

This appropriation will decrease by $5.916 million to $88.005 million in 2013/14. This decrease is due to:

  • a transfer for sexual health to Public Health Service Purchasing - $228,000
  • a transfer for rheumatic fever to Public Health Service Purchasing - $7.875 million
  • a transfer for Healthlink phone-based advice from Public Health Service Purchasing - increase - $138,000
  • a transfer for Plunketline phone-based advice from Public Health Service Purchasing - increase - $39,000
  • a transfer for adolescents, young adults and late effects assessments to DHBs - $1.040 million
  • a transfer for diagnostic system change from various appropriations - increase - $4 million
  • a transfer of prostate cancer and quality programme funding from 2013/14 to 2014/15 - $950,000.

Primary Health Care Strategy (M36)

Scope of Appropriation

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

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 178,936 (15,524) 163,412

Reasons for Change in Appropriation

This appropriation will decrease by $15.524 million to $163.412 million in 2013/14. This decrease is due to:

  • a Budget 2013 adjustment for a cardio-vascular disease health target - increase - $1 million
  • a transfer for Very Low Cost Access Practice Sustainability from Health Services Funding - increase - $4 million
  • a transfer for a Very Low Cost Access rate change from Health Services Funding - increase - $2 million
  • a transfer to 2013/14 of unspent funding from 2012/13 for a youth mental health project - increase - $2 million
  • a transfer for the devolution of primary mental health funding to DHBs - $23.763 million
  • a transfer for adolescent e-therapy from 2013/14 to 2014/15 - $761,000.

Problem Gambling Services (M36)

Scope of Appropriation

Funding to support the research and implementation of strategies to prevent and minimise the harm from gambling, and for the provision of treatment services to problem gamblers and assistance to their families and whanau in accordance with the Gambling Act 2003.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 17,739 1,730 19,469

Reasons for Change in Appropriation

This appropriation will increase by $1.730 million to $19.469 million in 2013/14. This increase is due to a transfer to 2013/14 of unspent funding from 2012/13.

Public Health Service Purchasing (M36)

Scope of Appropriation

Public Health Services funded by the Ministry of Health from DHBs and other public health service providers.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 434,559 (29,319) 405,240

Reasons for Change in Appropriation

This appropriation will decrease by $29.319 million to $405.240 million in 2013/14. This decrease is due to:

  • new money in Budget 2014 for Rheumatic fever promotion - increase - $2 million 
  • a transfer for sexual health to from National Personal Health Services - increase - $228,000
  • a transfer for rheumatic fever from National Personal Health Services - increase - $7.875 million
  • a transfer for rheumatic fever expansion from Health Services Funding - increase - $275,000
  • a transfer for Healthlink phone-based advice to National Personal Health Services - $138,000
  • a transfer for Plunketline - phone-based advice to National Personal Health Services - $39,000
  • a transfer for SmokeFree 2025 to Provider Development - $250,000
  • a transfer for the National Immunisation Register to National Health Information Systems - $486,000
  • a transfer for the NZ Medicines Formulary to National Health Information Systems - $2.200 million
  • a transfer to 2013/14 of unspent funding in 2012/13 for the Drinking Water Capital Assistance Programme - increase - $10.017 million
  • a transfer for rheumatic fever from National Contracted Services - Other - increase - $237,000
  • a transfer for a vaccine write-off from reprioritised funding from other appropriations - increase - $7.562 million
  • a transfer of funding for rheumatic fever from 2013/14 to 2014/15 - $1.600 million
  • a transfer of funding for the Drinking Water Capital Assistance Programme from 2013/14 to 2014/15 and 2015/16 - $32 million
  • a transfer of funding for the Sanitary Works Subsidy Scheme from 2013/14 to 2014/15 - $20 million
  • a transfer of Budget 2014 4-Year Plan reprioritised funding to Health Services Funding - $800,000.

3.4 - Non-Departmental Other Expenses

International Health Organisations (M36)

Scope of Appropriation

Funding for New Zealand's membership to the World Health Organization (WHO), and the contribution to specific WHO projects.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 2,030 (400) 1,630

Reasons for Change in Appropriation

This appropriation will decrease by $400,000 to $1.630 million in 2013/14. This decrease is due to a transfer of reprioritised funding to Health Services Funding as a result of an exchange gain.

Provider Development (M36)

Scope of Appropriation

Funding support and provide assistance for the development of the third party health service workforce, in particular, Maori and Pacific people's providers.

Expenses

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 25,414 250 25,664

Reasons for Change in Appropriation

This appropriation will increase by $250,000 to $25.664 million in 2013/14. This increase is due to a transfer for SmokeFree 2025 from Public Health Service Purchasing.

3.5 - Non-Departmental Capital Expenditure

Deficit Support for DHBs (M36)

Scope of Appropriation

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

Capital Expenditure

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation - 27,950 27,950

Reasons for Change in Appropriation

This appropriation will increase by $27.950 million to $27.950 million in 2013/14. This increase is due to:

  • a transfer to 2013/14 of unspent funding from 2012/13 - $27.950 million

Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)

Scope of Appropriation

Capital contributions to District Health Boards and health sector Crown agencies to cover new investments and reconfiguration of their balance sheets.

Capital Expenditure

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 452,289 (322,663) 129,626

Reasons for Change in Appropriation

This appropriation will decrease by $322.663 million to $129.626 million in 2013/14. This decrease is due to:

  • a transfer to 2013/14 of unspent funding from 2012/13 - increase - $59.237 million
  • a transfer for an equity to debt swap for Canterbury and West Coast DHBs to Loans for Capital Projects - $18.751 million
  • a transfer for the redevelopment of Grey Base and Buller Hospitals to Health Sector Projects - $610,000
  • a transfer for youth forensic services from National Mental Health Services - increase - $5.100 million
  • a transfer for Waikato DHB Revenue Banking from Waikato DHB - increase - $361,000
  • new funding for Canterbury Earthquake Repairs arising from the receipt of insurance proceeds - increase - $207.100 million
  • a transfer for the Burwood Hospital construction contract to Health Sector Projects - $25 million
  • a transfer of 2013/14 funding to 2014/15, 2015/16 and 2016/17 - $550.100 million.

Health Sector Projects (M36)

Scope of Appropriation

Capital investment in specific health sector assets.

Capital Expenditure

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 8,065 78,610 86,675

Reasons for Change in Appropriation

This appropriation will increase by $78.610 million to $86.675 million in 2013/14. This increase is due to:

  • a transfer to 2013/14 of unspent funding from 2012/13 - increase - $68 million
  • a transfer for the redevelopment of Grey Base and Buller Hospitals from Equity for Capital Projects for DHBs - increase - $610,000
  • a transfer of funding for the Canterbury Hospital redevelopment from Canterbury DHB - increase - $60 million
  • a transfer of funding for the Burwood Hospital construction contract from Equity for Capital Projects for DHBs - increase - $25 million
  • a transfer of funding from 2013/14 to 2014/15 - decrease - $75 million.

Loans for Capital Projects (M36)

Scope of Appropriation

Provision of new loans to DHBs for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration.

Capital Expenditure

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation 30,000 155,850 185,850

Reasons for Change in Appropriation

This appropriation will increase by $155.850 million to $185.850 million in 2013/14. This increase is due to:

  • a transfer to 2013/14 of unspent funding from 2012/13 - $137.099 million
  • a transfer for a equity/debt swap for Canterbury and West Coast DHBs from Equity for Capital Projects for DHBs - $18.751 million.

Refinance of Crown Loans (M36)

Scope of Appropriation

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

Capital Expenditure

  2013/14
  Estimates
$000
Supplementary Estimates
$000
Total
$000
Total Appropriation - 143,400 143,400

How Performance will be Assessed and End of Year Reporting Requirements

  2013/14
Performance Measures Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard
Crown Loans are refinanced on or before their expiry date New   100% 100%

End of Year Performance Reporting

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

Reasons for Change in Appropriation

The increase of $143.400 million is due to this being is a new appropriation, established with effect from the 2013/14 financial year onwards. The annual appropriation will vary depending on when Crown loans to DHBs come due and whether the DHB intends to refinance them.

Conditions on Use of Appropriation

The conditions of use are contained in the Health Act 1956, the New Zealand Public Health and Disability Act 2000, the Health and Disability Services (Safety) Act 2001, and other pieces of legislation, as listed in the Ministry of Health's Statement of Intent.