Vote Health - Supplementary Estimates 2015/16

Details of Appropriations and Capital Injections#

Print this section

Annual and Permanent Appropriations#

Print this section

Capital Injection Authorisations#

Print this section

Supporting Information#

Print this section

Part 1 - Vote as a Whole#

Print this section

1.2 - Trends in the Vote

Summary of Financial Activity

Part 2 - Details of Departmental Appropriations#

Print this section

2.1 - Departmental Output Expenses

Health Sector Information Systems (M36)

Scope of Appropriation

Expenses and Revenue

Reasons for Change in Appropriation

This appropriation increased by $460,000 to $50.661 million for 2015/16 due to:

• $678,000 due to the departmental output class budget adjustment (see Note 1).

This was partially offset by:

• $218,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.

Note 1 - In 2015/16 the Ministry transferred funding between its departmental output classes, so that the funding better reflected the outputs the Ministry expected to deliver during the year.  This transfer was fiscally neutral to the Vote and to the Crown.

Managing the Purchase of Services (M36)

Scope of Appropriation

Expenses and Revenue

Reasons for Change in Appropriation

This appropriation increased by $1.819 million to $32.626 million for 2015/16 due to:

• $1 million due to a one-off transfer from 2014/15 to 2015/16 for the Social Bonds Pilot
• $553,000 due to the departmental output class budget adjustment (see Note 1)
• $435,000 due to additional funds provided for Social Bonds in 2015/16 only.

This was partially offset by:

• $169,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.  

Note 1 - In 2015/16 the Ministry transferred funding between its departmental output classes, so that the funding better reflected the outputs the Ministry expected to deliver during the year. This transfer was fiscally neutral to the Vote and to the Crown.

Payment Services (M36)

Scope of Appropriation

Expenses and Revenue

Reasons for Change in Appropriation

This appropriation decreased by $494,000 to $17.677 million for 2015/16 due to:

• $400,000 due to a technical accounting change relating to the treatment of third party revenue
• $125,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.

This was partially offset by:

• $31,000 due to the departmental output class budget adjustment (see Note 1).

Note 1 - In 2015/16 the Ministry transferred funding between its departmental output classes, so that the funding better reflected the outputs the Ministry expected to deliver during the year. This transfer was fiscally neutral to the Vote and to the Crown.

Regulatory and Enforcement Services (M36)

Scope of Appropriation

Expenses and Revenue

 

Reasons for Change in Appropriation

This appropriation decreased by $847,000 to $23.180 million for 2015/16 due to:

• $558,000 due to a reforecast of third party revenue from the regulation of psychoactive substances
• $169,000 due to the departmental output class budget adjustment (see Note 1)
• $120,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.  

Note 1 - In 2015/16 the Ministry transferred funding between its departmental output classes, so that the funding better reflected the outputs the Ministry expected to deliver during the year. This transfer was fiscally neutral to the Vote and to the Crown.

Sector Planning and Performance (M36)

Scope of Appropriation

Expenses and Revenue

Reasons for Change in Appropriation

This appropriation decreased by $497,000 to $47.541 million for 2015/16 due to:

• $789,000 due to the departmental output class budget adjustment (see Note 1)
• $242,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.

This was partially offset by:

• $334,000 due to a reforecast of third party revenue from the sub-leasing of Ministry of Health offices
• $200,000 due to the transfer to the Ministry, following the disestablishment of the Canterbury Earthquake Recovery Authority (CERA), for ensuring psychosocial recovery and ensuring social and cultural outcomes.

Note 1 - In 2015/16 the Ministry transferred funding between its departmental output classes, so that the funding better reflected the outputs the Ministry expected to deliver during the year. This transfer was fiscally neutral to the Vote and to the Crown.

2.3 - Departmental Capital Expenditure and Capital Injections

Ministry of Health - Capital Expenditure PLA (M36)

Scope of Appropriation

Capital Expenditure

Reasons for Change in Appropriation

This appropriation increased by $1.281 million to $16.291 million for 2015/16 due to the reforecast of departmental capital expenditure.

Part 3 - Details of Non-Departmental Appropriations#

Print this section

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 increased by $2.742 million to $1,118.297 million for 2015/16 due to:

• $2.546 million due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $1.211 million for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $789,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $177,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $100,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only
• $79,000 for forensic services for young people was transferred from the National Mental Health Services appropriation.

This was partly offset by:

• $2.160 million of population-based funding was transferred to other DHBs, mainly reflecting the movement of resident populations between DHB districts.  

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

Scope of Appropriation

Expenses

 

Reasons for Change in Appropriation

This appropriation increased by $4.413 million to $638.061 million for 2015/16 due to:

• $2.694 million due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $722,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $688,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $145,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $105,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $59,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

Health and Disability Support Services - Canterbury DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $35.619 million to $1,317.045 million for 2015/16 due to:

• $16.376 million was transferred from the Deficit Support for DHBs capital appropriation to provide revenue support
• $8.299 million for Canterbury DHB earthquake repairs was transferred from 2014/15 to 2015/16 to allow the DHB to complete repairs currently underway. This work is covered by insurance receipts
• $4.150 million for Canterbury DHB earthquake repairs was transferred from the capital appropriation Equity for Capital Projects
• $1.931 million was provided for costs related to the DHB taking over responsibility for the Chatham Islands from Hawke's Bay DHB (this was a one-off transfer in 2015/16 only)
• $1.422 million for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $1.370 million to support health services in Canterbury was agreed by Cabinet
• $1.152 million to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $594,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $209,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $121,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation for 2015/16 only.

This was partially offset by:

• $5,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay.

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

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $1.361 million to $690.915 million for 2015/16 due to:

• $749,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $532,000 to pay home support workers for the time spent travelling between clients was devolved to the DHB, to enable it to cover costs related to the in-between travel settlement agreement
• $109,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $63,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

This was partly offset by:

• $92,000 of population-based funding was transferred to other DHBs, mainly reflecting the movement of resident populations between DHB districts.

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

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $5.873 million to $1,274.349 million for 2015/16 due to:

• $3.149 million due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $1.405 million for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $899,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $205,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $117,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only
• $98,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts.

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

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $4.220 million to $461.348 million for 2015/16 due to:

• $2.995 million due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $515,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $442,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $151,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $75,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $42,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

Health and Disability Support Services - Hutt DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $1.774 million to $365.331 million for 2015/16 due to:

• $923,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $402,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $306,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $59,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $49,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $35,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation for 2015/16 only.

Health and Disability Support Services - Lakes DHB (M36)

Scope of Appropriation

Expenses

 

Reasons for Change in Appropriation

This appropriation increased by $1.296 million to $284.778 million for 2015/16 due to:

• $724,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $322,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $252,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $47,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $27,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

This was partly offset by:

• $76,000 of population-based funding was transferred to other DHBs, mainly reflecting the movement of resident populations between DHB districts.

Health and Disability Support Services - MidCentral DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $1.387 million to $467.257 million for 2015/16 due to:

• $526,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $495,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $139,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $106,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $77,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $44,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

 

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

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $1.579 million to $394.740 million for 2015/16 due to:

• $499,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $445,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $407,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $127,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $65,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $36,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only. 

Health and Disability Support Services - Northland DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $2.478 million to $511.786 million for 2015/16 due to:

• $1.145 million due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $584,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $526,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $91,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $85,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $47,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only. 

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

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $417,000 to $167.795 million for 2015/16 due to:

• $189,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $186,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $28,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $16,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

This was partly offset by:

• $2,000 of population-based funding was transferred to other DHBs, mainly reflecting the movement of resident populations between DHB districts.

Health and Disability Support Services - Southern DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $2.107 million to $791.730 million for 2015/16 due to:

• $882,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $747,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $311,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $129,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $74,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

This was partly offset by:

• $36,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay.

Health and Disability Support Services - Tairawhiti DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $323,000 to $147.136 million for 2015/16 due to:

• $164,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $119,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $42,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $24,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $14,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

This was partly offset by:

• $40,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay.

Health and Disability Support Services - Taranaki DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $932,000 to $318.644 million for 2015/16 due to:

• $362,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $308,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $180,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $53,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $29,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

Health and Disability Support Services - Waikato DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $2.641 million to $1,042.741 million for 2015/16 due to:

• $1.158 million for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $962,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $258,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $169,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $94,000 for additional respite care for full-time carers of people with dementia was transferred to the National Contracted Services - Other appropriation, for 2015/16 only.  

Health and Disability Support Services - Wairarapa DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $362,000 to $128.179 million for 2015/16 due to:

• $145,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $136,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $48,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $21,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $12,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

Health and Disability Support Services - Waitemata DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $7.249 million to $1,349.321 million for 2015/16 due to:

• $4.340 million due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $1.462 million for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $1.083 million to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $214,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $119,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only
• $31,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts.

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

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $418,000 to $121.929 million for 2015/16 due to:

• $201,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $116,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $78,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $17,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $10,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

This was partly offset by:

• $4,000 of population-based funding was transferred to other DHBs, mainly reflecting the movement of resident populations between DHB districts.

Health and Disability Support Services - Whanganui DHB (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $829,000 to $206.465 million for 2015/16 due to:

• $286,000 due to a technical adjustment of DHB funding following the revaluation of DHB assets. Note this is fiscally neutral to the DHB as the change in their revenue is offset by the change in the capital charge they pay
• $219,000 for the Budget 2015 Hospice Community Palliative Care initiative was transferred from the National Contracted Services - Other appropriation, devolving the funding to the DHB
• $203,000 to pay home support workers for the time spent travelling between clients was transferred from the National Disability Support Services appropriation, devolving the funding to the DHB to enable it to cover costs related to the in-between travel settlement agreement
• $70,000 of population-based funding was transferred from other DHBs, mainly reflecting the movement of resident populations between DHB districts
• $32,000 for youth primary mental health services was transferred from the National Mental Health Services appropriation, devolving the funding to the DHB. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $19,000 for additional respite care for full-time carers of people with dementia was transferred from the National Contracted Services - Other appropriation, for 2015/16 only.

Health Workforce Training and Development (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $1.052 million to $175.302 million for 2015/16 due to:

• $881,000 for additional places in the General Practice Education Programme was transferred from 2014/15 to 2015/16 as the expenditure follows the calendar year rather than the financial year
• $100,000 for the delivery of a post-graduate certificate qualification in youth forensics was transferred from the National Mental Health Services appropriation as this is the correct appropriation for the programme of work
• $71,000 of funding for training and development was transferred from the National Contracted Services - Other appropriation, as this is the correct appropriation for the programme of work.

Monitoring and Protecting Health and Disability Consumer Interests (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $500,000 to $27.596 million for 2015/16 due to a transfer from the National Maori Health Services appropriation for Severe Acute Maternal Morbidity Audits (SAMM) of all admissions to intensive care.

National Advisory and Support Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $260,000 to $0 for 2015/16 due to:

• $240,000 for NGO input into policy making and sector intelligence was transferred to the National Contracted Services - Other appropriation
• $20,000 to support attendance at health events was transferred to the National Maori Health Services appropriation.

Note - the National Advisory and Support Services appropriation is being disestablished from Budget 2016, with these services funded from the appropriations noted in the transactions above.

National Child Health Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $1.799 million to $85.249 million for 2015/16 due to:

• $1.299 million of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures
• $500,000 of one-off underspends, in 2015/16 only, was transferred to the Primary Health Care Strategy appropriation.

National Contracted Services - Other (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $18.208 million to $27.170 million for 2015/16 due to:

• $13 million agreed in Budget 2015 for the Hospice Community Palliative Care initiative was transferred to the 20 Health and Disability Support Services - DHB appropriations, devolving that funding to the DHBs
• $3.100 million for palliative care nurses was transferred to the National Personal Health Services appropriation, which is the correct appropriation for the programme of work
• $2.100 million of one-off underspends, in 2015/16 only, was transferred to the National Elective Services appropriation for additional elective procedures
• $1.078 million for additional respite care for full-time carers of people with dementia was transferred to the 20 DHBs (the transfer was for 2015/16 only)
• $1 million for organ donation services was transferred to the National Personal Health Services appropriation, which is the correct appropriation for the programme of work
• $130,000 of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures
• $71,000 of funding for training and development was transferred to the Health Workforce Training and Development appropriation, which is the correct appropriation for the programme of work.

This was partially offset by:

• $1 million of cardiovascular disease/diabetes funding was transferred from the National Personal Health Service appropriation as this is the correct appropriation for the programme of work
• $667,000 for the promotion of the Health Star Rating was provided, in 2015/16 only, from the Risk Pool for Emerging Health Sector Risks
• $364,000 was provided by the Crown for initiatives to (i) develop a standard for the remediation of properties with methamphetamine-related contamination and (ii) to strengthen education, intelligence and enforcement related to drugs in sport. These initiatives were agreed by the Prime Minister and funded through monies recovered under the Criminal Proceeds (Recovery) Act 2009
• $240,000 for NGO input into policy making and sector intelligence was transferred from the National Advisory and Support Services appropriation as that appropriation is being disestablished.  The funding will continue to be used for the same purpose.

National Disability Support Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $8.905 million to $1,167.018 million for 2015/16 due to:

• $19.348 million for cost pressures, in 2015/16 only, was transferred from one-off underspends from various other appropriations
• $840,000 of new funding was provided by the Crown to account for the impact of the 2015 annual general adjustment on the income thresholds for the disability allowance and the Community Services Card.

This was partially offset by:

• $10.310 million to pay home support workers for the time spent travelling between clients was devolved to the 20 DHBs, to enable them to cover costs related to the in-between travel settlement agreement.  Note: this funding was being held in this appropriation while negotiations were undertaken - no reduction in services will result from the devolution.
• $973,000 for the Enabling Good Lives demonstration in the Waikato was transferred to Vote Social Development, as agreed with the Ministry of Social Development.

National Elective Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $7.855 million to $324.367 million for 2015/16 due to:

• $8 million for one-off additional electives in 2015/16 was transferred from the National Maternity Services, National Contracted Services - Other, Public Health Service Purchasing, and Provider Development appropriations
• $205,000 for the Elective Surgical Productivity Workforce Programme was transferred from 2014/15 to 2015/16 so that the evaluation of the programme can be completed.

This was partly offset by:

• $350,000 for National Intestinal Failure Services was transferred to the National Personal Health Services appropriation, which is the correct appropriation for the programme of work.

National Emergency Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $881,000 to $95.559 million for 2015/16 due to the transfer of one-off underspends, in 2015/16 only, to the National Disability Support Services appropriation for cost pressures.

National Health Information Systems (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $2.241 million to $12.646 million for 2015/16 due to:

• $2.600 million for the Whanau Ora IT solution was transferred from 2015/16 to 2016/17 to align the funding with contractual commitments
• $100,000 of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures.

This was partially offset by:

• $224,000 for the Whanau Ora IT solution was transferred from 2014/15 to 2015/16 due to delays with parts of the contract
• $125,000 for the implementation of the patient portal system was transferred from 2014/15 to 2015/16, so that the final stages of the system rollout can be completed
• $110,000 to implement the National Maternity Information System was transferred from the National Maternity Services appropriation (this was one-off funding in 2015/16 only).

National Maori Health Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $2.791 million to $4.517 million for 2015/16 due to:

• $2.311 million of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures
• $500,000 of unallocated funding was transferred to the Monitoring and Protecting Health & Disability Consumer Interests appropriation to fund Severe Acute Maternal Morbidity Audits (SAMM).

This was partially offset by:

• $20,000 for assistance to attend health events was transferred from the National Advisory and Support Services appropriation as that appropriation is being disestablished.  This funding will continue to be used for the same purpose.

National Maternity Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $2.110 million to $144.657 million for 2015/16 due to:

• $1 million of one-off underspends, in 2015/16 only, was transferred to the National Elective Services appropriation for additional elective procedures
• $1 million of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures
• $110,000 to implement the National Maternity Information System was transferred from this appropriation to the National Health Information Services appropriation (this was one-off funding in 2015/16 only).

National Mental Health Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $2.315 million to $53.482 million for 2015/16 due to:

• $2.801 million for a youth forensic inpatient unit was transferred from 2015/16 to 2016/17 for establishment costs
• $1.900 million for youth primary mental health services was transferred to the Health and Disability Support Services - DHB appropriations, devolving that funding to the DHBs. This was done as part of implementing the Prime Minister's Youth Mental Health Project to extend primary mental health services to all young persons aged 12-19 years and their families
• $1.806 million for telephone helplines was consolidated in the National Personal Health Services appropriation with the establishment of the National Telehealth Service
• $720,000 of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures
• $500,000 of one-off underspends, in 2015/16 only, was transferred to the Primary Health Care Strategy appropriation
• $170,000 of funding for the Suicide Prevention Action Plan was transferred to the Public Health Service Purchasing appropriation, which is the correct appropriation for the programme of work
• $150,000 for an alcohol brief intervention tool kit for youth was transferred from 2015/16 to 2016/17, so that the development of the kits can be completed
• $100,000 for the delivery of a post-graduate certificate qualification in youth forensics was transferred to the Health Workforce Training and Development appropriation, which is the correct appropriation for the programme of work
• $79,000 for forensic services for young people was transferred to the Health and Disability Support Services - Auckland DHB appropriation.

This was partially offset by:

• $3.035 million for primary mental health services was transferred from the Primary Health Care Strategy and Public Health Services Purchasing appropriations as this is the correct appropriation for the programme of work
• $2.726 million for the extension of the social sector trials was provided, in 2015/16 only, from the Risk Pool for Emerging Health Sector Risks (this offset the transfer of funding to Vote Social Development in Budget 2015 for social sector trials)
• $150,000 of new funding was provided by the Crown for the development of a youth appropriate alcohol brief intervention tool kit. The initiative was agreed by the Prime Minister and funded through monies recovered under the Criminal Proceeds (Recovery) Act 2009.

National Personal Health Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $29.495 million to $107.428 million for 2015/16 due to:

• $8.167 million for telephone helplines from the National Mental Health Services and Public Health Services Purchasing appropriations was consolidated in this appropriation with the establishment of the National Telehealth Service
• $6.960 million for services related to cardiovascular disease and diabetes was transferred from the Public Health Services Purchasing appropriation as this is the correct appropriation for the programme of work
• $4.500 million for InterRai Assessments was provided, in 2015/16 only, from the Risk Pool for Emerging Health Sector Risks
• $4 million for additional colonoscopy capacity was transferred from the Public Health Services Purchasing appropriation, in line with the Minister's decision in June 2015 to investment additional funding in order to reduce the colonoscopy waiting list to an acceptable level
• $3.400 million to extend the Bowel Cancer Screening Pilot was transferred from the Public Health Services Purchasing appropriation as this is the correct appropriation for the programme of work
• $3.100 million for Palliative care nurses was transferred from the National Contracted Services Other appropriation as this is the correct appropriation for the programme of work
• $2 million for Sexual Assault/Abuse Assessment and Treatment Services was transferred from the Public Health Service Purchasing appropriation as this is the correct appropriation for the programme of work
• $1 million for organ donation services was transferred from the National Contracted Services Other appropriation as this is the correct appropriation for the programme of work
• $350,000 for national intestinal failure services was transferred from the National Elective Services appropriation as this is the correct appropriation for the programme of work.

This was partially offset by:

• $2.982 million of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures
• $1 million of cardiovascular disease/diabetes funding was transferred from the National Contracted Services - Other appropriation, as this is the correct appropriation for the programme of work.

Primary Health Care Strategy (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $7.844 million to $179.974 million for 2015/16 due to:

• $7.400 million for volume pressures on the Under 13s - Free Prescriptions & GP Visits initiative was provided, in 2015/16 only, from the Risk Pool for Emerging Health Sector Risks
• $1 million for Care Plus pressures was transferred from the National Child Health and National Mental Health appropriations, in 2015/16 only.

This was partially offset by:

• $556,000 for primary mental health services was transferred to the National Mental Health Services appropriation, which is the correct appropriation for the programme of work.

Problem Gambling Services (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation increased by $3.500 million to $20.630 million for 2015/16 due to funding transferred from 2014/15 to 2015/16, so that elements of the three year plan for problem gambling could be completed.

Public Health Service Purchasing (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $50.889 million to $376.602 million for 2015/16 due to:

• $19.197 million for the Sanitary Works Subsidy Scheme was transferred from 2015/16 to 2016/17, matching the expected payment profile for the final funding round
• $9.006 million of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures
• $6.960 million for services related to cardiovascular disease and diabetes was transferred to the National Personal Health Services appropriation, which is the correct appropriation for the programme of work
• $6.361 million for telephone helplines was consolidated in the National Personal Health Services appropriation with the establishment of the National Telehealth Service
• $4 million of unallocated 2015/16 funding was transferred to the National Personal Health Services appropriation for additional colonoscopy capacity, in line with the Minister's decision in June 2015 to invest additional funding to reduce the colonoscopy waiting list to an acceptable level
• $3.400 million to extend the Bowel Cancer Screening Pilot was transferred to the National Personal Health Services appropriation, which is the correct appropriation for the programme of work
• $3 million of one-off underspends, in 2015/16 only, was transferred to the National Elective Services appropriation for additional elective procedures
• $2.479 million for primary mental health services was transferred to the National Mental Health Services appropriation, which is the correct appropriation for the programme of work
• $2 million for Sexual Assault/Abuse Assessment and Treatment Services was transferred to the National Personal Health Services appropriation, which is the correct appropriation for the programme of work
• $1.931 million of unallocated funding was reprioritised to the Health and Disability Support Services - Canterbury DHB appropriation, for costs related to the DHB taking over responsibility for the Chatham Islands from Hawke's Bay DHB (this was a one-off transfer in 2015/16 only)
• $1.300 million for the drinking water subsidy programme was transferred between years to match the funding with the expected payment profile
• $150,000 for the development of training tools for the Fetal Alcohol Spectrum Disorder (FASD) programme was transferred from 2015/16 to 2016/17 so the development can be completed.

This was partly offset by:

• $6.086 million for additional colonoscopies and the childhood obesity package was provided, in 2015/16 only, from the Risk Pool for Emerging Health Sector Risks
• $2.224 million for public health services in primary care was provided by the Crown
• $415,000 of new funding was provided by the Crown for initiatives to (i) develop a first steps package for preventing, identifying, and responding effectively to fetal alcohol spectrum disorders and (ii) purchase psychoactive substance reference samples to support prosecutions. These initiatives were agreed by the Prime Minister and funded through monies recovered under the Criminal Proceeds (Recovery) Act 2009
• $170,000 of funding for the Suicide Prevention Action Plan was transferred from the National Mental Health Services appropriation, as this is the correct appropriation for the programme of work.

3.4 - Non-Departmental Other Expenses

International Health Organisations (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $380,000 to $1.650 million for 2015/16 due to the transfer of one-off underspends, in 2015/16 only, to the National Disability Support Services appropriation for cost pressures.

Provider Development (M36)

Scope of Appropriation

Expenses

Reasons for Change in Appropriation

This appropriation decreased by $2.439 million to $22.975 million for 2015/16 due to:

• $1.900 million of one-off underspends, in 2015/16 only, was transferred to the National Elective Services appropriation for additional elective procedures
• $539,000 of one-off underspends, in 2015/16 only, was transferred to the National Disability Support Services appropriation for cost pressures.

3.5 - Non-Departmental Capital Expenditure

Deficit Support for DHBs (M36)

Scope of Appropriation

Capital Expenditure

Reasons for Change in Appropriation

This appropriation decreased by $16.376 million to $38.624 million for 2015/16 due to a transfer of one-off revenue support, in 2015/16 only, to the operating appropriation Health and Disability Support Services - Canterbury DHB.

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

Scope of Appropriation

Capital Expenditure

Reasons for Change in Appropriation

This appropriation decreased by $232.051 million to $71.949 million for 2015/16 due to:

• $223.910 million due to transfers between financial years for current and future projects
• $3.991 million towards a Christchurch outpatients facility was transferred to the Health Sector Projects appropriation
• $4.150 million was transferred to the Health and Disability Support Services - Canterbury DHB appropriation towards the cost of earthquake repairs.

Health Sector Projects (M36)

Scope of Appropriation

Capital Expenditure

Reasons for Change in Appropriation

This appropriation decreased by $149.284 million to $240.716 million for 2015/16 due to: 

• $153.275 million due to transfers between financial years for current and future projects.

This was partly offset by: 

• $3.991 million towards a Christchurch outpatients facility was transferred from the Equity for Capital Projects for DHBs and Other Health Sector Crown Agencies appropriation.

Loans for Capital Projects (M36)

Scope of Appropriation

Capital Expenditure

Reasons for Change in Appropriation

This appropriation decreased by $50.655 million to $23.345 million for 2015/16 due to due to transfers between financial years for current and future projects. 

Refinance of Crown Loans (M36)

Scope of Appropriation

Capital Expenditure

Reasons for Change in Appropriation

This appropriation increased by $10.724 million to $210.824 million for 2015/16 due to additional appropriation provided for the refinance of Crown loans to district health boards, in 2015/16 only, based on a reforecast of the funding required. Note: this is technical expenditure only.

Part 4 - Details of Multi-Category Expenses and Capital Expenditure#

Print this section

Multi-Category Expenses and Capital Expenditure

Policy Advice and Ministerial Servicing (M36)

Overarching Purpose Statement

Scope of Appropriation

Expenses, Revenue and Capital Expenditure

Reasons for Change in Appropriation

The Ministerial Servicing category decreased by $127,000 to $4.620 million for 2015/16 due to: 

• $100,000 due to the departmental output class budget adjustment (see Note 1)
• $27,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.  

This Policy Advice category decreased by $293,000 to $16.148 million for 2015/16 due to:

• $204,000 due to the departmental output class budget adjustment (see Note 1)
• $89,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.

Note 1 - In 2015/16 the Ministry transferred funding between its departmental output classes, so that the funding better reflected the outputs the Ministry expected to deliver during the year. This transfer was fiscally neutral to the Vote and to the Crown.