Vote Health - Supplementary Estimates 2013/14

Supplementary Estimates of Appropriations#

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Details of Appropriations#

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Annual and Permanent Appropriations

Details of Projected Movements in Departmental Net Assets#

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Ministry of Health

Supporting Information#

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Part 1 - Vote as a Whole#

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1.2 - Trends in the Vote

Summary of Financial Activity

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

Part 2 - Details of Departmental Appropriations#

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2.1 - Departmental Output Expenses

Information and Payment Services MCOA (M36)

Scope of Appropriation

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

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

Expenses and Revenue

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

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

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

Expenses and Revenue

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

Expenses and Revenue

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

Capital Expenditure

Capital Injections and Movements in Departmental Net Assets

Ministry of Health

Part 3 - Details of Non-Departmental Appropriations#

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3.1 - Non-Departmental Output Expenses

Health and Disability Support Services - Auckland DHB (M36)

Scope of Appropriation

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

How Performance will be Assessed and End of Year Reporting Requirements

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.

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Expenses

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

Capital Expenditure

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 Expenditure

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 Expenditure

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

Capital Expenditure

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

Capital Expenditure

How Performance will be Assessed and End of Year Reporting Requirements

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.