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Vote Health
APPROPRIATION MINISTER(S): Minister of Health (M36)
APPROPRIATION ADMINISTRATOR: Ministry of Health
RESPONSIBLE MINISTER FOR MINISTRY OF HEALTH: Minister of Health
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 293
VOTE HEALTH
Details of Appropriations and Capital Injections
Annual and Permanent Appropriations
2016/17
Estimates
Budget
$000
Supplementary
Estimates
Budget
$000
Total
Budget
$000
Health Sector Information Systems (M36)
This appropriation is limited to the provision of information technology services and the
publication of data and information derived from these services to the health and disability system
52,128
2,150
54,278
Managing the Purchase of Services (M36)
This appropriation is limited to purchasing services for the public and health and disability sector
on behalf of the Crown, for those services where the Ministry has responsibility for the purchasing
function (i.e. funding is not devolved to another entity).
33,539
1,425
34,964
Payment Services (M36)
This appropriation is limited to the administration and audit of contracts and payments on behalf
of the Crown and Crown agencies.
17,646
272
17,918
Regulatory and Enforcement Services (M36)
This appropriation is limited to implementing, enforcing and administering health- and disabilityrelated legislation and regulations, and provision of regulatory advice to the sector and to
Ministers, and support services for committees established under statute or appointed by the
Minister pursuant to legislation.
23,377
(944)
22,433
Sector Planning and Performance (M36)
This appropriation is limited to advising on and co-ordinating health sector planning and
performance improvement; and funding, monitoring, and supporting the governance of, health
sector Crown entities, and sector co-ordination.
47,915
657
48,572
174,605
3,560
178,165
Ministry of Health - Capital Expenditure PLA (M36)
This appropriation is limited to the purchase or development of assets by and for the use of the
Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989.
15,010
2,000
17,010
Total Departmental Capital Expenditure
15,010
2,000
17,010
-
720
720
Health and Disability Support Services - Auckland DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Auckland DHB.
1,168,145
27,122
1,195,267
Health and Disability Support Services - Bay of Plenty DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Bay of Plenty DHB.
670,326
(5,436)
664,890
Health and Disability Support Services - Canterbury DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Canterbury DHB.
1,326,373
9,324
1,335,697
Health and Disability Support Services - Capital and Coast DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Capital and Coast DHB.
708,924
(6,269)
702,655
Titles and Scopes of Appropriations by Appropriation Type
Departmental Output Expenses
Total Departmental Output Expenses
Departmental Capital Expenditure
Non-Departmental Output Expenses
Auckland Health Projects Integrated Investment Plan (M36)
The appropriation is limited to expenses incurred in developing an Integrated Investment Plan for
Auckland Health projects.
294
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
2016/17
Estimates
Budget
$000
Supplementary
Estimates
Budget
$000
Total
Budget
$000
Health and Disability Support Services - Counties-Manukau DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Counties-Manukau DHB.
1,329,104
(7,369)
1,321,735
Health and Disability Support Services - Hawkes Bay DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Hawkes Bay DHB.
469,504
708
470,212
Health and Disability Support Services - Hutt DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Hutt DHB.
375,024
(2,069)
372,955
Health and Disability Support Services - Lakes DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Lakes DHB.
300,118
(1,584)
298,534
Health and Disability Support Services - MidCentral DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from MidCentral DHB.
484,891
(2,127)
482,764
Health and Disability Support Services - Nelson-Marlborough DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Nelson-Marlborough DHB.
405,579
(2,376)
403,203
Health and Disability Support Services - Northland DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Northland DHB.
539,583
(2,948)
536,635
Health and Disability Support Services - South Canterbury DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from South Canterbury DHB.
172,374
(879)
171,495
Health and Disability Support Services - Southern DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Southern DHB.
822,938
(4,349)
818,589
Health and Disability Support Services - Tairāwhiti DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Tairāwhiti DHB.
154,899
(867)
154,032
Health and Disability Support Services - Taranaki DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Taranaki DHB.
327,231
(2,507)
324,724
Health and Disability Support Services - Waikato DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Waikato DHB.
1,096,798
(7,998)
1,088,800
Health and Disability Support Services - Wairarapa DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Wairarapa DHB.
131,668
(722)
130,946
Health and Disability Support Services - Waitemata DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Waitemata DHB.
1,399,525
(7,850)
1,391,675
Health and Disability Support Services - West Coast DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from West Coast DHB.
125,017
(528)
124,489
Health and Disability Support Services - Whanganui DHB (M36)
This appropriation is limited to personal and public health services, and management outputs
from Whanganui DHB.
211,894
(1,343)
210,551
Titles and Scopes of Appropriations by Appropriation Type
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 295
VOTE HEALTH
2016/17
Estimates
Budget
$000
Supplementary
Estimates
Budget
$000
Total
Budget
$000
Health Sector Projects Operating Expenses (M36)
This appropriation is limited to operating expenses associated with the governance, planning and
development of health sector capital projects.
-
6,252
6,252
Health Workforce Training and Development (M36)
This appropriation is limited to the provision, purchase, and support of workforce development for
people working in the health and disability sector and of services that support those workforces to
be sustainable, flexible, and fit-for-purpose.
180,014
5,000
185,014
Monitoring and Protecting Health and Disability Consumer Interests (M36)
This appropriation is limited to the provision, purchase, and support of services that monitor and
protect health and disability consumer interests.
27,596
1,150
28,746
National Child Health Services (M36)
This appropriation is limited to the provision, purchase, and support of child health services.
85,001
(1,500)
83,501
National Contracted Services - Other (M36)
This appropriation is limited to the purchase of other services directly by the Crown to support the
health and disability services sector, including the national management of pharmaceuticals, and
health research.
37,155
(10,548)
26,607
National Disability Support Services (M36)
This appropriation is limited to the provision, purchase, and support of disability support services.
1,165,888
17,977
1,183,865
355,517
688
356,205
National Emergency Services (M36)
This appropriation is limited to the provision, purchase, and support of emergency services.
99,946
1,104
101,050
National Health Information Systems (M36)
This appropriation is limited to the provision of information technology services for the
New Zealand health and social sectors.
13,065
(7,647)
5,418
6,828
(3,000)
3,828
146,767
6,080
152,847
National Mental Health Services (M36)
This appropriation is limited to the provision, purchase, and support of mental health services.
58,962
10,707
69,669
National Personal Health Services (M36)
This appropriation is limited to personal healthcare and support services purchased directly by the
Crown, including mobile surgical services, telephone and online advice services, hospice
services, sexual and reproductive health services, and services associated with the
implementation of the Oral Health and Cancer Control Strategies.
98,694
(13,244)
85,450
186,019
(225)
185,794
17,440
2,425
19,865
400,644
(7,333)
393,311
15,099,451
(11,461)
15,087,990
Titles and Scopes of Appropriations by Appropriation Type
Non-Departmental Output Expenses - cont’d
National Elective Services (M36)
This appropriation is limited to the provision, purchase, and support of elective surgery services.
National Māori Health Services (M36)
This appropriation is limited to the provision, purchase, and support of health and disability
services that are either for Māori or by Māori.
National Maternity Services (M36)
This appropriation is limited to the provision, purchase, and support of maternity services.
Primary Health Care Strategy (M36)
This appropriation is limited to services to implement and deliver the Primary Health Care
Strategy.
Problem Gambling Services (M36)
This appropriation is limited to the provision, purchase, and support of services that minimise the
harm from gambling, in accordance with the Gambling Act 2003.
Public Health Service Purchasing (M36)
This appropriation is limited to the provision, purchase, and support of public health services.
Total Non-Departmental Output Expenses
296
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
2016/17
Estimates
Budget
$000
Supplementary
Estimates
Budget
$000
Total
Budget
$000
International Health Organisations (M36)
This appropriation is limited to the Crown funding New Zealand's World Health Organization
(WHO) membership and contributing to specific WHO projects.
2,030
-
2,030
Legal Expenses (M36)
This appropriation is limited to funding the defence and settlement of health-related or disabilityrelated legal claims against the Crown.
1,028
-
1,028
25,414
(980)
24,434
-
275,000
275,000
28,472
274,020
302,492
50,000
24,624
74,624
Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)
This appropriation is limited to providing capital contributions to health sector Crown entities or
agencies for new investments and reconfiguration of their balance sheets.
185,299
2,537,046
2,722,345
Health Sector Projects (M36)
This appropriation is limited to the provision or purchase of health sector assets.
402,397
(161,338)
241,059
Loans for Capital Projects (M36)
This appropriation is limited to the provision of loans to health sector Crown entities or agencies
for new investments and reconfiguration of their balance sheets.
90,000
(5,000)
85,000
Refinance of Crown Loans (M36)
This appropriation is limited to refinancing existing Crown loans made to DHBs for the purpose of
facilities redevelopment and other purposes agreed by the Crown including balance sheet
reconfiguration.
60,500
143,714
204,214
Residential Care Loans - Payments (M36)
This appropriation is limited to the provision of interest-free loans to people entering into aged
residential care facilities.
15,000
-
15,000
803,196
2,539,046
3,342,242
21,072
(363)
20,709
Ministerial Servicing
This category is limited to the provision of services to Ministers to enable them to discharge their
portfolio responsibilities other than policy decision-making.
4,720
(14)
4,706
Policy Advice
This category is limited to the provision of advice (including second opinion advice and
contributions to policy advice led by other agencies) to support decision-making by Ministers on
government policy matters.
16,352
(349)
16,003
Total Multi-Category Expenses and Capital Expenditure
21,072
(363)
20,709
16,141,806
2,806,802
18,948,608
Titles and Scopes of Appropriations by Appropriation Type
Non-Departmental Other Expenses
Provider Development (M36)
This appropriation is limited to supporting the development of health or disability service
providers, in particular, those supporting vulnerable populations, such as Māori and Pacific
peoples.
Repayment of District Health Board Loans (M36)
This appropriation is limited to expenses associated with the early repayment at fair value of
District Health Board Loans.
Total Non-Departmental Other Expenses
Non-Departmental Capital Expenditure
Deficit Support for DHBs (M36)
This appropriation is limited to equity injections to District Health Boards to address deficits.
Total Non-Departmental Capital Expenditure
Multi-Category Expenses and Capital Expenditure
Policy Advice and Ministerial Servicing MCA (M36)
The overarching purpose of this appropriation is to provide policy advice and other support to
Ministers in discharging their policy decision-making and other portfolio responsibilities.
Departmental Output Expenses
Total Annual and Permanent Appropriations
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 297
VOTE HEALTH
Capital Injection Authorisations
2016/17
Estimates Budget
$000
Supplementary
Estimates Budget
$000
Total Budget
$000
-
-
-
Ministry of Health - Capital Injection (M36)
298
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Supporting Information
Part 1 - Vote as a Whole
1.2 - Trends in the Vote
Summary of Financial Activity
2016/17
Supplementary Estimates
NonDepartmental Departmental
Total
Estimates Transactions Transactions Transactions
$000
$000
$000
$000
Total
$000
Appropriations
Output Expenses
15,274,056
3,560
(11,461)
(7,901)
15,266,155
Benefits or Related Expenses
-
N/A
-
-
-
Borrowing Expenses
-
-
-
-
-
28,472
-
274,020
274,020
302,492
818,206
2,000
2,539,046
2,541,046
3,359,252
-
-
N/A
-
-
21,072
(363)
-
(363)
20,709
Other Expenses
Capital Expenditure
Intelligence and Security Department Expenses and Capital
Expenditure
Multi-Category Expenses and Capital Expenditure (MCA)
Output Expenses
Other Expenses
-
-
-
-
-
Capital Expenditure
-
N/A
-
-
-
16,141,806
5,197
2,801,605
2,806,802
18,948,608
-
N/A
-
-
-
716,810
N/A
(57,172)
(57,172)
659,638
27,499
N/A
-
-
27,499
744,309
N/A
(57,172)
(57,172)
687,137
Total Appropriations
Crown Revenue and Capital Receipts
Tax Revenue
Non-Tax Revenue
Capital Receipts
Total Crown Revenue and Capital Receipts
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 299
VOTE HEALTH
Part 2 - Details of Departmental Appropriations
2.1 - Departmental Output Expenses
Health Sector Information Systems (M36)
Scope of Appropriation
This appropriation is limited to the provision of information technology services and the publication of
data and information derived from these services to the health and disability system
Expenses and Revenue
2016/17
Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation
52,128
2,150
54,278
Revenue from the Crown
52,128
2,150
54,278
-
-
-
Revenue from Others
Reasons for Change in Appropriation
This appropriation increased by $2.150 million to $54.278 million for 2016/17 due to:
 $2 million due to the departmental output class budget adjustment (see Note 1), and
 $276,000 was carried forward from 2015/16.
This was partially offset by:
 $126,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%.
Note 1 - In 2016/17 funding was transferred between 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, and effected only the 2016/17 financial year.
Managing the Purchase of Services (M36)
Scope of Appropriation
This appropriation is limited to purchasing services for the public and health and disability sector on
behalf of the Crown, for those services where the Ministry has responsibility for the purchasing function
(i.e. funding is not devolved to another entity).
Expenses and Revenue
2016/17
Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation
33,539
1,425
34,964
Revenue from the Crown
33,539
1,425
34,964
-
-
-
Revenue from Others
300
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Reasons for Change in Appropriation
This appropriation increased by $1.425 million to $34.964 million for 2016/17 due to:
 $1.800 million was allocated, in 2016/17 only, for the rollout of the Enabling Good Lives programme
pilot
 $800,000 for the Social Bonds Pilot was carried forward from 2015/16
 $120,000 of Proceeds of Crime funding, in 2016/17 only, was allocated to reduce demand for
methamphetamine in Northland, and
 $18,000 was carried forward from 2015/16.
This was partially offset by a decrease in:
 $1.220 million due to the departmental output class budget adjustment (see Note 1), and
 $93,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%.
Note 1 - In 2016/17 funding was transferred between 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, and effected only the 2016/17 financial year.
Payment Services (M36)
Scope of Appropriation
This appropriation is limited to the administration and audit of contracts and payments on behalf of the
Crown and Crown agencies.
Expenses and Revenue
2016/17
Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation
17,646
272
17,918
Revenue from the Crown
17,424
494
17,918
222
(222)
-
Revenue from Others
How Performance will be Assessed and End of Year Reporting Requirements
2016/17
Performance Measures
Percentage of calls to contact centres answered within service
specifications for timeliness (20 seconds)
Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard
90%
(10%)
80%
To align with the international industry standard for contact centre timeliness being 80% of calls answered
within 20 seconds.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 301
VOTE HEALTH
Reasons for Change in Appropriation
This appropriation increased by $272,000 to $17.918 million for 2016/17 due to:
 $500,000 due to the departmental output class budget adjustment (see Note 1), and
 $60,000 was carried forward from 2015/16.
This was partially offset by:
 $222,000 due to a reforecast of third party revenue, and
 $66,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%.
Note 1 - In 2016/17 funding was transferred between 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, and effected only the 2016/17 financial year.
Regulatory and Enforcement Services (M36)
Scope of Appropriation
This appropriation is limited to implementing, enforcing and administering health- and disability-related
legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and
support services for committees established under statute or appointed by the Minister pursuant to
legislation.
Expenses and Revenue
2016/17
Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation
23,377
(944)
22,433
Revenue from the Crown
10,732
(1,540)
9,192
Revenue from Others
12,645
596
13,241
Reasons for Change in Appropriation
This appropriation decreased by $944,000 to $22.433 million for 2016/17 due to:
 $1.700 million due to the departmental output class budget adjustment (see Note 1), and
 $61,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%.
This was partially offset by:
 $374,000 for the administration of new regulations under the Radiation Safety Act
 $222,000 due to a reforecast of third party revenue, and
 $221,000 was carried forward from 2015/16.
Note 1 - In 2016/17 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, and effected only the 2016/17 financial year.
302
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Sector Planning and Performance (M36)
Scope of Appropriation
This appropriation is limited to advising on and co-ordinating health sector planning and performance
improvement; and funding, monitoring, and supporting the governance of, health sector Crown entities,
and sector co-ordination.
Expenses and Revenue
2016/17
Estimates
$000
Supplementary
Estimates
$000
Total
$000
Total Appropriation
47,915
657
48,572
Revenue from the Crown
47,766
657
48,423
149
-
149
Revenue from Others
Reasons for Change in Appropriation
This appropriation increased by $657,000 to $48.572 million for 2016/17 due to:
 $720,000 due to the departmental output class budget adjustment (see Note 1), and
 $71,000 was carried forward from 2015/16.
This was partially offset by:
 $134,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%.
Note 1 - In 2016/17 funding was transferred between 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, and effected only the 2016/17 financial year.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 303
VOTE HEALTH
2.3 - Departmental Capital Expenditure and Capital
Injections
Ministry of Health - Capital Expenditure PLA (M36)
Scope of Appropriation
This appropriation is limited to the purchase or development of assets by and for the use of the Ministry
of Health, as authorised by section 24(1) of the Public Finance Act 1989.
Capital Expenditure
2016/17
Estimates
$000
Supplementary
Estimates
$000
Total
$000
Forests/Agricultural
-
-
-
Land
-
-
-
Property, Plant and Equipment
7,010
2,376
9,386
Intangibles
8,000
(376)
7,624
-
-
-
15,010
2,000
17,010
Other
Total Appropriation
Reasons for Change in Appropriation
The appropriation increased by $2 million to $17.010 million for 2016/17 due to the reforecast of
departmental capital expenditure.
304
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Part 3 - Details of Non-Departmental
Appropriations
3.1 - Non-Departmental Output Expenses
Auckland Health Projects Integrated Investment Plan (M36)
Scope of Appropriation
The appropriation is limited to expenses incurred in developing an Integrated Investment Plan for
Auckland Health projects.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
-
720
720
What is Intended to be Achieved with this Appropriation
This appropriation is intended to establish the Auckland Health Investment Planning Group to assist the
Auckland metro DHBs to develop a comprehensive integrated investment plan to meet the significant
forecast population pressures.
How Performance will be Assessed and End of Year Reporting Requirements
An exemption was granted in 2016/17 under s15D(2)(b)(iii) of the PFA as the amount of the appropriation
is less than $5 million.
Reasons for Change in Appropriation
This is a newly established appropriation of $720,000 in 2016/17, comprising:
 $1.370 million, in 2016/17 only, was transferred from the Equity for Capital Projects for DHBs and
Health Crown Agencies appropriation to fund the development of a Health Sector projects integrated
investment plan for the Auckland metro DHBs.
This was partially offset by:
 $650,000 for the development of a Health Sector projects integrated investment plan for the Auckland
metro DHBs was transferred to 2017/18 due to the project starting later than expected.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 305
VOTE HEALTH
Health and Disability Support Services - Auckland DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Auckland DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
1,168,145
27,122
1,195,267
Reasons for Change in Appropriation
This appropriation increased by $27.122 million to $1,195.267 million for 2016/17 due to:
 $30.408 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB, which provides these as a national service
 $5.643 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
 $3.190 million due to a technical fiscally neutral transfer from outyears to 2016/17 to enable the DHB
to close-out an interest hedging contract because its Crown debt has been converted to equity
 $608,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB
 $440,000 of population-based funding was transferred from other DHBs, in 2016/17 only, mainly
reflecting movement of resident populations between DHB districts, and
 $273,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric
and adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $9.096 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%, and
 $4.344 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity.
306
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Health and Disability Support Services - Bay of Plenty DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Bay
of Plenty DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
670,326
(5,436)
664,890
Reasons for Change in Appropriation
This appropriation decreased by $5.436 million to $664.890 million for 2016/17 due to:
 $2.255 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $1.865 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $1.736 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $75,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $16,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $511,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Canterbury DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Canterbury DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
1,326,373
9,324
1,335,697
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 307
VOTE HEALTH
Reasons for Change in Appropriation
This appropriation increased by $9.324 million to $1,335.697 million for 2016/17 due to:
 $13 million, in 2016/17 only, for Canterbury DHB earthquake repairs was transferred from funding held
for this purpose in the capital appropriation Equity for Capital Projects for DHBs and Health Sector
Crown Agencies
 $7.340 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
 $1.719 million for Canterbury DHB earthquake repairs was carried forward from 2015/16 to allow the
DHB to complete repairs currently underway. This work is covered by insurance receipts
 $937,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB
 $845,000 was provided, in 2016/17 only, to provide a community based psychosocial recovery
response following the Kaikōura and Marlborough Earthquake
 $799,000 for Canterbury mental health services was transferred from 2014/15 to 2015/16 to continue
support of this service, and
 $296,000 of population-based funding was transferred, for 2016/17 only, from other DHBs, mainly
reflecting movement of resident populations between DHB districts.
This was partially offset by:
 $5.480 million of funding for the Canterbury Mental Health 'All Right Campaign' transferred to National
Mental Health Services appropriation, which holds the balance of the funding
 $3.661 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $3.506 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $2.776 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $156,000 due to the transfer of funding for the Downie Stewart Foundation to the National Mental
Health Services appropriation, and
 $33,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
308
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Health and Disability Support Services - Capital and Coast DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Capital and Coast DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
708,924
(6,269)
702,655
Reasons for Change in Appropriation
This appropriation decreased by $6.269 million to $702.655 million for 2016/17 due to:
 $4.972 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $1.929 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $1.333 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%, and
 $18,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $1.909 million of the Budget 2015 Hospice Community Palliative Care initiative was transferred from
the National Personal Health Services appropriation, devolving the funding to the DHB, and
 $74,000 of population-based funding was transferred from other DHBs, in 2016/17 only, mainly
reflecting movement of resident populations between DHB districts.
Health and Disability Support Services - Counties-Manukau DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Counties-Manukau DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
1,329,104
(7,369)
1,321,735
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 309
VOTE HEALTH
Reasons for Change in Appropriation
This appropriation decreased by $7.369 million to $1,321.735 million for 2016/17 due to:
 $4.612 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $4.201 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $3.630 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $144,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly
reflecting movement of resident populations between DHB districts, and
 $33,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $3.701 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, and
 $1.550 million of the Budget 2015 Hospice Community Palliative Care initiative was transferred from
the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Hawkes Bay DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Hawkes Bay DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
469,504
708
470,212
Reasons for Change in Appropriation
This appropriation increased by $708,000 to $470.212 million for 2016/17 due to:
 $4.200 million transferred from 2015/16 to fund the completion of a new model of care for mental
health services, and
 $168,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
310
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
This was partially offset by:
 $1.364 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $1.326 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $762,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $144,000 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
 $52,000 of population-based funding was transferred to other DHBs, for 2016/17 only, mainly
reflecting movement of resident populations between DHB districts, and
 $12,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
Health and Disability Support Services - Hutt DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from Hutt
DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
375,024
(2,069)
372,955
Reasons for Change in Appropriation
This appropriation decreased by $2.069 million to $372.955 million for 2016/17 due to:
 $1.359 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $1.312 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $1.034 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $39,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $9,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 311
VOTE HEALTH
This was partially offset by:
 $1.684 million of the Budget 2015 Hospice Community Palliative Care initiative was transferred from
the National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Lakes DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Lakes DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
300,118
(1,584)
298,534
Reasons for Change in Appropriation
This appropriation decreased by $1.584 million to $298.534 million for 2016/17 due to:
 $1.217 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $834,000 due to DHBs agreeing to transfer their funding for paediatric cardiac services to Auckland
DHB who provide these as a national service
 $612,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $33,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $7,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $838,000 due to a technical fiscally neutral transfer from outyears to 2016/17 to enable the DHB to
close-out an interest hedging contract because its Crown debt has been converted to equity, and
 $281,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
312
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Health and Disability Support Services - MidCentral DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
MidCentral DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
484,891
(2,127)
482,764
Reasons for Change in Appropriation
This appropriation decreased by $2.127 million to $482.764 million for 2016/17 due to:
 $2.110 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $1.359 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $947,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity, and
 $12,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $2 million transferred, one-off, from 2018/19 to 2016/17 reflecting funding required for capital projects
earlier than expected
 $293,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB, and
 $8,000 of population-based funding was transferred from other DHBs, in 2016/17 only, mainly
reflecting movement of resident populations between DHB districts.
Health and Disability Support Services - Nelson-Marlborough DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Nelson-Marlborough DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
405,579
(2,376)
403,203
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 313
VOTE HEALTH
Reasons for Change in Appropriation
This appropriation decreased by $2.376 million to $403.203 million for 2016/17 due to:
 $1.479 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $1.146 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $960,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $48,000 due to the transfer of funding for the Downie Stewart Foundation to National Mental Health
Services appropriation
 $42,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $11,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $915,000 was provided, in 2016/17 only, for a community based psychosocial recovery response
following the Kaikōura and Marlborough Earthquake, and
 $395,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Northland DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Northland DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
539,583
(2,948)
536,635
Reasons for Change in Appropriation
This appropriation decreased by $2.948 million to $536.635 million for 2016/17 due to:
 $1.864 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $1.513 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
314
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
 $293,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $57,000 of population-based funding was transferred to other DHBs, for 2016/17 only, mainly
reflecting movement of resident populations between DHB districts, and
 $13,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $673,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB, and
 $119,000 was provided, in 2016/17 only, for a Better Public Health Services initiative to collaborate
and better align Northland health services.
Health and Disability Support Services - South Canterbury DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
South Canterbury DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
172,374
(879)
171,495
Reasons for Change in Appropriation
This appropriation decreased by $879,000 to $171.495 million for 2016/17 due to:
 $487,000 due to DHBs agreeing to transfer their funding for paediatric cardiac services to Auckland
DHB who provide these as a national service
 $407,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%
 $153,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $21,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts
 $20,000 due to the transfer of funding for the Downie Stewart Foundation to National Mental Health
Services appropriation, and
 $4,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 315
VOTE HEALTH
This was partially offset by:
 $116,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB, and
 $97,000 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 - Southern DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Southern DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
822,938
(4,349)
818,589
Reasons for Change in Appropriation
This appropriation decreased by $4.349 million to $818.589 million for 2016/17 due to:
 $2.277 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $1.646 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $1.186 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $98,000 due to the transfer of funding for the Downie Stewart Foundation to the National Mental
Health Services appropriation
 $49,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts
 $20,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service, and
 $8,000 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.
This was partially offset by:
 $935,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
316
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Health and Disability Support Services - Tairāwhiti DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Tairāwhiti DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
154,899
(867)
154,032
Reasons for Change in Appropriation
This appropriation decreased by $867,000 to $154.032 million for 2016/17 due to:
 $425,000 due to DHBs agreeing to transfer their funding for paediatric cardiac services to Auckland
DHB who provide these as a national service
 $392,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%
 $202,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $16,000 of population-based funding was transferred to other DHBs, in 201617 only, mainly reflecting
movement of resident populations between DHB districts, and
 $4,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $172,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Taranaki DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Taranaki DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
327,231
(2,507)
324,724
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 317
VOTE HEALTH
Reasons for Change in Appropriation
This appropriation decreased by $2.507 million to $324.724 million for 2016/17 due to:
 $1.003 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $929,000 due to DHBs agreeing to transfer their funding for paediatric cardiac services to Auckland
DHB who provide these as a national service
 $864,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $35,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $9,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $333,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Waikato DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Waikato DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
1,096,798
(7,998)
1,088,800
Reasons for Change in Appropriation
This appropriation decreased by $7.998 million to $1,088.800 million for 2016/17 due to:
 $3.508 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $2.989 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $2.970 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
318
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
 $56,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $27,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $1.178 million of the Budget 2015 Hospice Community Palliative Care initiative was transferred from
the National Personal Health Services appropriation, devolving the funding to the DHB
 $251,000 was a technical adjustment, in 2016/17 only, to this and Equity for Capital Projects for DHBs
and Health Sector Crown Agencies appropriations for Revenue Banking, and
 $123,000 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 - Wairarapa DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Wairarapa DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
131,668
(722)
130,946
Reasons for Change in Appropriation
This appropriation decreased by $722,000 to $130.946 million for 2016/17 due to:
 $373,000 due to DHBs agreeing to transfer their funding for paediatric cardiac services to Auckland
DHB who provide these as a national service
 $326,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $100,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%
 $12,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $4,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $93,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 319
VOTE HEALTH
Health and Disability Support Services - Waitemata DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Waitemata DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
1,399,525
(7,850)
1,391,675
Reasons for Change in Appropriation
This appropriation decreased by $7.850 million to $1,391.675 million for 2016/17 due to:
 $5.020 million due to a technical change following the reduction in the Capital Charge rate from 8% to
6%
 $3.861 million due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $3.767 million due to DHBs agreeing to transfer their funding for paediatric cardiac services to
Auckland DHB who provide these as a national service
 $150,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly
reflecting movement of resident populations between DHB districts, and
 $33,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $2.635 million of the Budget 2015 Hospice Community Palliative Care initiative was transferred from
the National Personal Health Services appropriation, devolving the funding to the DHB, and
 $2.346 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.
320
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Health and Disability Support Services - West Coast DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
West Coast DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
125,017
(528)
124,489
Reasons for Change in Appropriation
This appropriation decreased by $528,000 to $124.489 million for 2016/17 due to:
 $299,000 due to DHBs agreeing to transfer their funding for paediatric cardiac services to Auckland
DHB who provide these as a national service
 $212,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $179,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%
 $13,000 due to the transfer of funding for the Downie Stewart Foundation to National Mental Health
Services appropriation
 $12,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $3,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $190,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
Health and Disability Support Services - Whanganui DHB (M36)
Scope of Appropriation
This appropriation is limited to personal and public health services, and management outputs from
Whanganui DHB.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
211,894
(1,343)
210,551
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 321
VOTE HEALTH
Reasons for Change in Appropriation
This appropriation decreased by $1.343 million to $210.551 million for 2016/17 due to:
 $570,000 due to a technical change reducing Capital Charge costs for 2016/17 due to Cabinet
agreeing that existing DHB Crown debt be converted to equity
 $565,000 due to DHBs agreeing to transfer their funding for paediatric cardiac services to Auckland
DHB who provide these as a national service
 $561,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%
 $25,000 of population-based funding was transferred to other DHBs, in 2016/17 only, mainly reflecting
movement of resident populations between DHB districts, and
 $5,000 due to DHBs agreeing to transfer their funding for paediatric rheumatology and paediatric and
adult metabolic services to Auckland DHB who provide these as a national service.
This was partially offset by:
 $383,000 of the Budget 2015 Hospice Community Palliative Care initiative was transferred from the
National Personal Health Services appropriation, devolving the funding to the DHB.
Health Sector Projects Operating Expenses (M36)
Scope of Appropriation
This appropriation is limited to operating expenses associated with the governance, planning and
development of health sector capital projects.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
-
6,252
6,252
What is Intended to be Achieved with this Appropriation
This appropriation is intended to enable the planning for major DHB capital projects.
How Performance will be Assessed and End of Year Reporting Requirements
2016/17
Performance Measures
The key project milestones for the Southern Partnership Group
are delivered within one month of scheduled time frames
322
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard
-
Achieved
Achieved
VOTE HEALTH
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected NonDepartmental Appropriations.
Reasons for Change in Appropriation
This is a newly established appropriation in 2016/17 of $6.252 million, comprising:
 $5.902 million transferred, in 2016/17 only, from the Equity for Capital Projects for DHBs and Health
Sector Crown Agencies appropriation to fund the operating costs of the Southern Partnership Group,
and
 $350,000 transferred, in 2016/17 only, from the Equity for Capital Projects for DHBs and Health Sector
Crown Agencies appropriation to fund the operating costs of the Buller Integrated Family Health
Centre Project.
End of Year Performance Reporting
Performance information will be reported in the Minister's Vote Health Report in Relation to Selected NonDepartmental Appropriations.
Health Workforce Training and Development (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of workforce development for
people working in the health and disability sector and of services that support those workforces to be
sustainable, flexible, and fit-for-purpose.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
180,014
5,000
185,014
Reasons for Change in Appropriation
This appropriation increased by $5 million to $185.014 million for 2016/17 due to:
 $4 million, in 2016/17 only, was transferred from the National Health Information System appropriation
for vocational training places and the Voluntary Bonding Scheme, and
 $1 million, in 2016/17 only, was transferred from the National Contracted Services - Other
appropriation for the Voluntary Bonding Scheme.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
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VOTE HEALTH
Monitoring and Protecting Health and Disability Consumer Interests (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of services that monitor and protect
health and disability consumer interests.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
27,596
1,150
28,746
Reasons for Change in Appropriation
This appropriation increased by $1.150 million to $28.746 million because of funding transferred from the
National Contracted Services - Other appropriation for the Health and Disability Commissioner, following
a review of their funding.
National Child Health Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of child health services.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
85,001
(1,500)
83,501
Reasons for Change in Appropriation
This appropriation decreased by $1.500 million to $83.501 million due to:
 $800,000, in 2016/17 only, was transferred to the National Maternity Services appropriation for
pressures on maternity services, and
 $700,000, in 2016/17 only, was transferred to the National Maternity Services appropriation for the
Maternity Clinical Information System.
324
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
National Contracted Services - Other (M36)
Scope of Appropriation
This appropriation is limited to the purchase of other services directly by the Crown to support the
health and disability services sector, including the national management of pharmaceuticals, and health
research.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
37,155
(10,548)
26,607
Reasons for Change in Appropriation
This appropriation decreased by $10.548 million to $26.607 million for 2016/17 due to:
 $4.500 million of Healthy Homes initiative funding was transferred to the Public Health Service
Purchasing appropriation, as it is the correct appropriation for the initiative
 $3.900 million of palliative care nurses funding was transferred to National Personal Health Services
appropriation, as it is the correct appropriation for the service
 $1.300 million, in 2016/17 only, was transferred to the National Maternity Services appropriation for
pressures on maternity services
 $1.150 million was transferred to the Monitoring and Protecting Health and Disability Consumer
Interests appropriation to fund the Health and Disability Commissioner, and
 $1 million of one-off funding, in 2016/17 only, was transferred to the Health Workforce Training and
Development appropriation for the Voluntary Bonding Scheme.
This was partially offset by:
 $1.302 million was carried forward to 2016/17 for the National Dementia initiative.
National Disability Support Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of disability support services.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
1,165,888
17,977
1,183,865
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 325
VOTE HEALTH
How Performance will be Assessed and End of Year Reporting Requirements
2016/17
Performance Measures
The number of individualised funding arrangements to improve
client and family choice and control
Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard
2,400
1,300
3,700
The Budget Standard has been increased from 2,400 to 3,700 to reflect the improved disability operating
model for the 2016/17 reporting period.
Reasons for Change in Appropriation
This appropriation increased by $17.997 million to $1,183.865 million for 2016/17 due to:
 $16.700 million was provided for cost pressures, in 2016/17 only, from the Risk Pool for Emerging
Health Sector Risks, and
 $1.277 million was transferred from Vote Social Development, in 2016/17 only, for the Enabling Good
Lives pilot.
National Elective Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of elective surgery services.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
355,517
688
356,205
Reasons for Change in Appropriation
This appropriation increased by $688,000 to $356.205 million for 2016/17 due to:
 $888,000 was transferred from 2015/16 due to the timing of the National Electives Mobility Action
programme.
This was partially offset by:
 $200,000, in 2016/17 only, was transferred to the Public Health Service Purchasing appropriations for
pressures on immunisation services.
326
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
National Emergency Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of emergency services.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
99,946
1,104
101,050
Reasons for Change in Appropriation
This appropriation increased by $1.104 million to $101.050 million for 2016/17 due to:
 $879,000 was transferred from the Health Sector Projects appropriation for the Whole of Government
Radio Network, to fund the operating costs of the network, and
 $225,000 of Urgent Community Care Service funding was transferred from the Primary Health Care
Strategy appropriation, as this is the correct appropriation for the service.
National Health Information Systems (M36)
Scope of Appropriation
This appropriation is limited to the provision of information technology services for the New Zealand
health and social sectors.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
13,065
(7,647)
5,418
Reasons for Change in Appropriation
This appropriation decreased by $7.647 million to $5.418 million for 2016/17 due to:
 $4 million, in 2016/17 only, was transferred to the Health Workforce Training and Development
appropriation, and
 $3.647 million was the net effect of $1.500 million for the Whanau Ora IT Solutions being carried
forward from 2015/16, and the $5.147 million of funding for this function then being transferred to the
Ministry for Vulnerable Children.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 327
VOTE HEALTH
National Māori Health Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of health and disability services that
are either for Māori or by Māori.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
6,828
(3,000)
3,828
Reasons for Change in Appropriation
This appropriation decreased by $3 million to $3.828 million for 2016/17 due to a transfer to the Public
Health Service Purchasing appropriations, in 2016/17 only, of funding for immunisation services.
National Maternity Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of maternity services.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
146,767
6,080
152,847
Reasons for Change in Appropriation
This appropriation increased by $6.080 million to $152.847 million for 2016/17 due to:
 $3.080 million for maternity pressures, in 2016/17 only, was transferred from the National Child Health
Services, Provider Development, and National Contracted Services - Other appropriations
 $2.300 million was provided for cost pressures, in 2016/17 only, from the Risk Pool for Emerging
Health Sector Risks, and
 $700,000 for the Maternity Clinical Information System, in 2016/17 only, was transferred to this
appropriation from the National Child Health Services appropriation.
328
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
National Mental Health Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of mental health services.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
58,962
10,707
69,669
How Performance will be Assessed and End of Year Reporting Requirements
2016/17
Performance Measures
Triple P Parenting Programme: the number of families receiving
an intervention
Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard
800
1,000
1,800
The number of families who are receiving an intervention has been increased from 800 to 1,800 as the
initial figure was set for a pilot service.
Reasons for Change in Appropriation
This appropriation increased by $10.707 million to $69.699 million for 2016/17 due to:
 $5.480 million for the Canterbury Mental Health 'All Right Campaign' was transferred from the Health
and Disability Support Services - Canterbury DHB appropriation, as the balance of the funding for the
campaign is held in this appropriation
 $5.092 million of Proceeds of Crime funding was allocated, for 2016/17 only, to expand alcohol and
drug treatment and reduce demand for methamphetamine in Northland, and
 $335,000 due to the transfer of funding for the Downie Stewart Foundation to National Mental Health
Services appropriation from South Island DHBs.
This was partially offset by:
 $200,000, in 2016/17 only, was transferred to the Public Health Service Purchasing appropriations for
pressures on immunisation services.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 329
VOTE HEALTH
National Personal Health Services (M36)
Scope of Appropriation
This appropriation is limited to personal healthcare and support services purchased directly by the
Crown, including mobile surgical services, telephone and online advice services, hospice services,
sexual and reproductive health services, and services associated with the implementation of the Oral
Health and Cancer Control Strategies.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
98,694
(13,244)
85,450
Reasons for Change in Appropriation
This appropriation decreased by $13.244 million to $85.450 million for 2016/17 due to:
 $15.044 million of the Budget 2015 Hospice Community Palliative Care initiative was devolved to
DHBs, and
 $2.100 million, in 2016/17 only, was transferred to the Public Health Service Purchasing
appropriations for pressures on immunisation services.
This was partially offset by:
 $3.900 million of palliative care nurses funding was transferred from the National Contracted Services
- Other appropriation, as this is the correct appropriation for the service.
Primary Health Care Strategy (M36)
Scope of Appropriation
This appropriation is limited to services to implement and deliver the Primary Health Care Strategy.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
186,019
(225)
185,794
Reasons for Change in Appropriation
This appropriation decreased by $225,000 to $185.794 million for 2016/17 because funding for the Urgent
Community Care Service was transferred to the National Emergency Services appropriations, as it is the
correct appropriation for the service.
330
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Problem Gambling Services (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of services that minimise the harm
from gambling, in accordance with the Gambling Act 2003.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
17,440
2,425
19,865
Reasons for Change in Appropriation
This appropriation increased by $2.425 million to $19.865 million for 2016/17 as 2015/16 funding was
carried forward for activities under the Strategy to Prevent and Minimise Gambling Harm 2016/17 to
2018/19.
Public Health Service Purchasing (M36)
Scope of Appropriation
This appropriation is limited to the provision, purchase, and support of public health services.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
400,644
(7,333)
393,311
How Performance will be Assessed and End of Year Reporting Requirements
2016/17
Estimates
Standard
Supplementary
Estimates
Standard
Total
Standard
Number of people are vaccinated annually
-
Over 1 million
Over 1 million
Percentage of over 65 year-olds immunised
-
75%
75%
Performance Measures
The original measure has been split into two separate measures to allow tracking of the two individual
targets separately.
Reasons for Change in Appropriation
This appropriation decreased by $7.333 million to $393.311 million for 2016/17 due to:
 $19.197 million for the Sanitary Works Subsidy Scheme was transferred from 2016/17 to 2017/18,
matching the expected payment profile.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 331
VOTE HEALTH
This was partially offset by:
 $5.500 million of one-off funding for immunisation services was transferred from the National Elective
Services, National Mental Health Services, National Personal Health Services, and National Māori
Health Services appropriations
 $4.500 million for the Healthy Homes Initiative was transferred from the National Contracted Services Other appropriation, as this is the correct appropriation for that initiative
 $1.700 million was carried forward from 2015/16 to continue work on the Rheumatic Fever Prevention
programme, and
 $164,000 was provided to fund the continued rollout of the National Bowel Screening Programme.
3.4 - Non-Departmental Other Expenses
Provider Development (M36)
Scope of Appropriation
This appropriation is limited to supporting the development of health or disability service providers, in
particular, those supporting vulnerable populations, such as Māori and Pacific peoples.
Expenses
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
25,414
(980)
24,434
Reasons for Change in Appropriation
This appropriation decreased by $980,000 to $24.434 million for 2016/17 due to a one-off transfer, in
2016/17 only, to the National Maternity Services appropriation.
Repayment of District Health Board Loans (M36)
Scope of Appropriation
This appropriation is limited to expenses associated with the early repayment at fair value of District
Health Board Loans.
Expenses
2016/17
Total Appropriation
332
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
Estimates
$000
Supplementary
Estimates
$000
Total
$000
-
275,000
275,000
VOTE HEALTH
What is Intended to be Achieved with this Appropriation
This appropriation is intended to enable the early termination of DHB Crown loans.
How Performance will be Assessed and End of Year Reporting Requirements
An exemption was granted in 2016/17 under s15D(2)(b)(ii) of the PFA as the end-of-year performance
information for the appropriation is not likely to be informative in the light of the nature of the transaction
being a one-off repayment of the DHB's Crown loans.
Reasons for Change in Appropriation
This is a newly established appropriation in 2016/17 of $275 million for the estimated financial cost to
Treasury's Debt Management Office of the early repayment of the DHB's Crown loans (Note: this is a
technical financial matter).
3.5 - Non-Departmental Capital Expenditure
Deficit Support for DHBs (M36)
Scope of Appropriation
This appropriation is limited to equity injections to District Health Boards to address deficits.
Capital Expenditure
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
50,000
24,624
74,624
Reasons for Change in Appropriation
This appropriation increased by $24.624 million to $74.624 million for 2016/17 as funding was carried
forward from 2015/16 to provide balance sheet support for DHBs incurring deficits.
Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)
Scope of Appropriation
This appropriation is limited to providing capital contributions to health sector Crown entities or
agencies for new investments and reconfiguration of their balance sheets.
Capital Expenditure
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
185,299
2,537,046
2,722,345
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 333
VOTE HEALTH
Reasons for Change in Appropriation
This appropriation increased by $2,537.046 million to $2,722.345 million for 2016/17 due to:
 $2,415 million was provided so that DHB debt funding can be converted to equity. Note that this is
fiscally neutral to the Crown
 $130 million being the equity portion of the transfer of the new Burwood Hospital to Canterbury DHB.
Note $85 million of loan funding was also provided to the DHB to bring the total cost to $215 million,
and
 $30.919 million was carried forward from 2015/16 to fund future DHB capital projects.
This was partially offset by:
 $18 million for Christchurch Hospital wards and a bridge link was transferred to the Health Sector
Projects appropriation
 $13 million for Canterbury DHB earthquake repairs was transferred to the Health and Disability
Support Services - Canterbury DHB appropriation to fund earthquake repairs
 $5.902 million transferred, in 2016/17 only, to Health Sector Projects Operating Expenses
appropriation to fund the Southern Partnership Group's operating costs
 $1.370 million was transferred to Auckland Health Projects Integrated Investment Plan appropriation to
fund the development of a Health Sector projects integrated investment plan for the Auckland metro
DHBs
 $350,000 was transferred, in 2016/17 only, to Health Sector Projects Operating Expenses
appropriation for the operating costs of the Buller Integrated Family Health Centre Project, and
 $251,000 was a technical adjustment, in 2016/17 only, to this and the Health and Disability Support
Services - Waikato DHB appropriations for Revenue Banking.
Health Sector Projects (M36)
Scope of Appropriation
This appropriation is limited to the provision or purchase of health sector assets.
Capital Expenditure
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
402,397
(161,338)
241,059
Reasons for Change in Appropriation
This appropriation decreased by $161.338 million to $241.059 million for 2016/17 due to:
 $252.917 million was transferred to 2017/18 to continue funding the development of the Canterbury
and West Coast hospitals, and
334
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
 $2.779 million for the Whole of Government Radio Network was transferred, $879,000 to operating
funding to National Emergency Services appropriation and the balance to Vote Police as a
contribution to the capital cost of the network.
This was partially offset by:
 $76.358 million was transferred from 2015/16 to fund the Canterbury and West Coast hospital
development, and
 $18 million was transferred from the Equity for Capital Projects for DHBs and Health Sector Crown
Agencies for Christchurch Hospital wards and a bridge link.
Loans for Capital Projects (M36)
Scope of Appropriation
This appropriation is limited to the provision of loans to health sector Crown entities or agencies for new
investments and reconfiguration of their balance sheets.
Capital Expenditure
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
90,000
(5,000)
85,000
This appropriation decreased by $5 million to $85 million for 2016/17 due to:
 $90 million transferring the balance of this appropriation to the Equity for Capital Projects for DHBs
and Health Sector Crown Agencies appropriation following the conversion of DHB debt funding to
equity.
This was partially offset by:
 $85 million being the debt portion of the transfer of the new Burwood Hospital to Canterbury DHB.
Note $130 million of capital funding was also provided to the DHB to bring the total cost to
$215 million.
Refinance of Crown Loans (M36)
Scope of Appropriation
This appropriation is limited to refinancing existing Crown loans made to DHBs for the purpose of
facilities redevelopment and other purposes agreed by the Crown including balance sheet
reconfiguration.
Capital Expenditure
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
60,500
143,714
204,214
Reasons for Change in Appropriation
This appropriation increased by $143.714 million to $204.214 million due to a reforecast of DHB Debt to
Equity. Note - This is technical expenditure only.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
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VOTE HEALTH
P a r t 4 - D e t a i l s o f M u l t i - C a t e g o ry E x p e n s e s a n d
Capital Expenditure
Multi-Category Expenses and Capital Expenditure
Policy Advice and Ministerial Servicing (M36)
Overarching Purpose Statement
The overarching purpose of this appropriation is to provide policy advice and other support to Ministers
in discharging their policy decision-making and other portfolio responsibilities.
Scope of Appropriation
Departmental Output Expenses
Ministerial Servicing
This category is limited to the provision of services to Ministers to enable them to discharge their
portfolio responsibilities other than policy decision-making.
Policy Advice
This category is limited to the provision of advice (including second opinion advice and contributions to
policy advice led by other agencies) to support decision-making by Ministers on government policy
matters.
Expenses, Revenue and Capital Expenditure
2016/17
Total Appropriation
Estimates
$000
Supplementary
Estimates
$000
Total
$000
21,072
(363)
20,709
4,720
(14)
4,706
16,352
(349)
16,003
21,072
(363)
20,709
4,720
(14)
4,706
16,352
(349)
16,003
Departmental Output Expenses
Ministerial Servicing
Policy Advice
Funding for Departmental Output Expenses
Revenue from the Crown
Ministerial Servicing
Policy Advice
336
 THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
VOTE HEALTH
Reasons for Change in Appropriation
The Ministerial Servicing category decreased by $14,000 to $4.706 million for 2016/17 due to a technical
change following the reduction in the Capital Charge rate from 8% to 6%.
The Policy Advice category decreased by $349,000 to $16.003 million for 2016/17 due to:
 $300,000 due to the department output class budget adjustment (see Note 1), and
 $49,000 due to a technical change following the reduction in the Capital Charge rate from 8% to 6%.
Note 1 - In 2016/17 funding was transferred between 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, and effected only the 2016/17 financial year.
THE SUPPLEMENTARY ESTIMATES OF APPROPRIATIONS 2016/17 B.7
 337