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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.7 323 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.7 335 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