Vote Health - Supplementary Estimates of Appropriations 2015/16 - Budget 2016

Vote Health - Supplementary Estimates of Appropriations 2015/16 - Budget 2016

Vote Health

Vote Health

Details of Appropriations and Capital Injections

Annual and Permanent Appropriations

2015/16
Titles and Scopes of Appropriations by Appropriation Type / Estimates
Budget
$000 / Supplementary
Estimates
Budget
$000 / Total
Budget
$000
Departmental Output Expenses
Health Sector Information Systems (M36)
This appropriation is limited to the provision of information technology services and the publication of data derived from these services to the health and disability system. / 50,201 / 460 / 50,661
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). / 30,807 / 1,819 / 32,626
Payment Services (M36)
This appropriation is limited to the administration and audit of contracts and payments on behalf of the Crown and Crown agencies. / 18,171 / (494) / 17,677
Regulatory and Enforcement Services (M36)
This appropriation is limited to implementing, enforcing and administering health- and disability-related legislation and regulations, and provision of regulatory advice to the sector and to Ministers, and support services for committees established under statute or appointed by the Minister pursuant to legislation. / 24,027 / (847) / 23,180
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. / 48,038 / (497) / 47,541
Total Departmental Output Expenses / 171,244 / 441 / 171,685
Departmental Capital Expenditure
Ministry of Health - Capital Expenditure PLA (M36)
This appropriation is limited to the purchase or development of assets by and for the use of the Ministry of Health, as authorised by section 24(1) of the Public Finance Act 1989. / 15,010 / 1,281 / 16,291
Total Departmental Capital Expenditure / 15,010 / 1,281 / 16,291
Non-Departmental Output Expenses
Health and Disability Support Services - Auckland DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Auckland DHB. / 1,115,555 / 2,742 / 1,118,297
Health and Disability Support Services - Bay of Plenty DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Bay of Plenty DHB. / 633,648 / 4,413 / 638,061
Health and Disability Support Services - Canterbury DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Canterbury DHB. / 1,281,426 / 35,619 / 1,317,045
Health and Disability Support Services - Capital and Coast DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Capital and Coast DHB. / 689,554 / 1,361 / 690,915
Health and Disability Support Services - Counties-Manukau DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Counties-Manukau DHB. / 1,268,476 / 5,873 / 1,274,349
Health and Disability Support Services - Hawkes Bay DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hawkes Bay DHB. / 457,128 / 4,220 / 461,348
Health and Disability Support Services - Hutt DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Hutt DHB. / 363,557 / 1,774 / 365,331
Health and Disability Support Services - Lakes DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Lakes DHB. / 283,482 / 1,296 / 284,778
Health and Disability Support Services - MidCentral DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from MidCentral DHB. / 465,870 / 1,387 / 467,257
Health and Disability Support Services - Nelson-Marlborough DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Nelson-Marlborough DHB. / 393,161 / 1,579 / 394,740
Health and Disability Support Services - Northland DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Northland DHB. / 509,308 / 2,478 / 511,786
Health and Disability Support Services - South Canterbury DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from South Canterbury DHB. / 167,378 / 417 / 167,795
Health and Disability Support Services - Southern DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Southern DHB. / 789,623 / 2,107 / 791,730
Health and Disability Support Services - Tairawhiti DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Tairawhiti DHB. / 146,813 / 323 / 147,136
Health and Disability Support Services - Taranaki DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Taranaki DHB. / 317,712 / 932 / 318,644
Health and Disability Support Services - Waikato DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waikato DHB. / 1,040,100 / 2,641 / 1,042,741
Health and Disability Support Services - Wairarapa DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Wairarapa DHB. / 127,817 / 362 / 128,179
Health and Disability Support Services - Waitemata DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Waitemata DHB. / 1,342,072 / 7,249 / 1,349,321
Health and Disability Support Services - West Coast DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from West Coast DHB. / 121,511 / 418 / 121,929
Non-Departmental Output Expenses - cont’d
Health and Disability Support Services - Whanganui DHB (M36)
Funding of personal and mental health services including services for the health of older people, provision of hospital and related services and management outputs from Whanganui DHB. / 205,636 / 829 / 206,465
Health Workforce Training and Development (M36)
This appropriation is limited to provision of clinical training for doctors, nurses, dentists and other health professionals, and Voluntary Bonding Scheme claims. / 174,250 / 1,052 / 175,302
Monitoring and Protecting Health and Disability Consumer Interests (M36)
Provision of services to monitor and protect health consumer interests by the Health and Disability Commissioner, District Mental Health Inspectors and Review Tribunals, and the Mental Health Commission. / 27,096 / 500 / 27,596
National Advisory and Support Services (M36)
Provision of advisory and support services by independent service providers. / 260 / (260) / -
National Child Health Services (M36)
For the funding and purchase of child health services directly by the Crown. / 87,048 / (1,799) / 85,249
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. / 45,378 / (18,208) / 27,170
National Disability Support Services (M36)
Delivery of disability support services provided through DHBs and third-party service providers. / 1,158,113 / 8,905 / 1,167,018
National Elective Services (M36)
Funding for the purchase of additional elective surgery services. / 316,512 / 7,855 / 324,367
National Emergency Services (M36)
For the funding and purchase of health emergency services directly by the Crown. / 96,440 / (881) / 95,559
National Health Information Systems (M36)
This appropriation is limited to the provision of information technology services for the NewZealand health and social sectors. / 14,887 / (2,241) / 12,646
National Māori Health Services (M36)
For the funding and purchase of Māori health services directly by the Crown. / 7,308 / (2,791) / 4,517
National Maternity Services (M36)
For the funding and purchase of maternity services directly by the Crown. / 146,767 / (2,110) / 144,657
National Mental Health Services (M36)
For the funding and purchase of mental health services directly by the Crown. / 55,797 / (2,315) / 53,482
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. / 77,933 / 29,495 / 107,428
Primary Health Care Strategy (M36)
This appropriation is limited to services to implement and deliver the Primary Health Care Strategy. / 172,130 / 7,844 / 179,974
Problem Gambling Services (M36)
Funding to support the research and implementation of strategies to prevent and minimise the harm from gambling, and for the provision of treatment services to problem gamblers and assistance to their families and whānau in accordance with the Gambling Act 2003. / 17,130 / 3,500 / 20,630
Public Health Service Purchasing (M36)
Public Health Services funded by the Ministry of Health from DHBs and other public health service providers. / 427,491 / (50,889) / 376,602
Total Non-Departmental Output Expenses / 14,544,367 / 55,677 / 14,600,044
Non-Departmental Other Expenses
International Health Organisations (M36)
Funding for NewZealand's membership to the World Health Organisation (WHO), and the contribution to specific WHO projects. / 2,030 / (380) / 1,650
Legal Expenses (M36)
Funding for the defence and settlement of legal claims against the Crown. / 1,028 / - / 1,028
Provider Development (M36)
Funding support and provide assistance for the development of the third party health service workforce, in particular, Māori and Pacific people's providers. / 25,414 / (2,439) / 22,975
Total Non-Departmental Other Expenses / 28,472 / (2,819) / 25,653
Non-Departmental Capital Expenditure
Deficit Support for DHBs (M36)
This appropriation is limited to equity injections to District Health Boards to address deficits. / 55,000 / (16,376) / 38,624
Equity for Capital Projects for DHBs and Health Sector Crown Agencies (M36)
Capital contributions to District Health Boards and health sector Crown agencies to cover new investments and reconfiguration of their balance sheets. / 304,000 / (232,051) / 71,949
Health Sector Projects (M36)
Capital investment in specific health sector assets. / 390,000 / (149,284) / 240,716
Loans for Capital Projects (M36)
Provision of new loans to DHBs and health sector Crown agencies for the purpose of facilities redevelopment and other purposes agreed by the Crown including balance sheet reconfiguration. / 74,000 / (50,655) / 23,345
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. / 200,100 / 10,724 / 210,824
Refinance of DHB Private Debt (M36)
Provision of funding to DHBs to replace their current debts held by private banking institutions as they become due for refinancing. / 50,000 / - / 50,000
Residential Care Loans - Payments (M36)
Funding to provide interest-free loans to people entering into aged residential care facilities. / 15,000 / - / 15,000
Total Non-Departmental Capital Expenditure / 1,088,100 / (437,642) / 650,458
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. / 21,188 / (420) / 20,768
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. / 4,747 / (127) / 4,620
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. / 16,441 / (293) / 16,148
Total Multi-Category Expenses and Capital Expenditure / 21,188 / (420) / 20,768
Total Annual and Permanent Appropriations / 15,868,381 / (383,482) / 15,484,899

Capital Injection Authorisations

2015/16
Estimates Budget
$000 / Supplementary
Estimates Budget
$000 / Total Budget
$000
Ministry of Health - Capital Injection (M36) / 315 / - / 315

Supporting Information

Part 1 - Vote as a Whole

1.2 - Trends in the Vote

Summary of Financial Activity
2015/16
Supplementary Estimates
Estimates
$000 / Departmental
Transactions
$000 / Non-Departmental
Transactions
$000 / Total
Transactions
$000 / Total
$000
Appropriations
Output Expenses / 14,715,611 / 441 / 55,677 / 56,118 / 14,771,729
Benefits or Related Expenses / - / N/A / - / - / -
Borrowing Expenses / - / - / - / - / -
Other Expenses / 28,472 / - / (2,819) / (2,819) / 25,653
Capital Expenditure / 1,103,110 / 1,281 / (437,642) / (436,361) / 666,749
Intelligence and Security Department Expenses and Capital Expenditure / - / - / N/A / - / -
Multi-Category Expenses and Capital Expenditure (MCA)
Output Expenses / 21,188 / (420) / - / (420) / 20,768
Other Expenses / - / - / - / - / -
Capital Expenditure / - / N/A / - / - / -
Total Appropriations / 15,868,381 / 1,302 / (384,784) / (383,482) / 15,484,899
Crown Revenue and Capital Receipts
Tax Revenue / - / N/A / - / - / -
Non-Tax Revenue / 689,459 / N/A / (271) / (271) / 689,188
Capital Receipts / 27,499 / N/A / - / - / 27,499
Total Crown Revenue and Capital Receipts / 716,958 / N/A / (271) / (271) / 716,687

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 derived from these services to the health and disability system.

Expenses and Revenue
2015/16
Estimates
$000 / Supplementary
Estimates
$000 / Total
$000
Total Appropriation / 50,201 / 460 / 50,661
Revenue from the Crown / 50,201 / 460 / 50,661
Revenue from Others / - / - / -
Reasons for Change in Appropriation

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

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

This was partially offset by:

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

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

Managing the Purchase of Services (M36)
Scope of Appropriation

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
2015/16
Estimates
$000 / Supplementary
Estimates
$000 / Total
$000
Total Appropriation / 30,807 / 1,819 / 32,626
Revenue from the Crown / 30,807 / 1,819 / 32,626
Revenue from Others / - / - / -
Reasons for Change in Appropriation

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

$1 million due to a one-off transfer from 2014/15 to 2015/16 for the Social Bonds Pilot

$553,000 due to the departmental output class budget adjustment (see Note 1)

$435,000 due to additional funds provided for Social Bonds in 2015/16 only.

This was partially offset by:

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

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

Payment Services (M36)
Scope of Appropriation

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

Expenses and Revenue
2015/16
Estimates
$000 / Supplementary
Estimates
$000 / Total
$000
Total Appropriation / 18,171 / (494) / 17,677
Revenue from the Crown / 17,549 / 128 / 17,677
Revenue from Others / 622 / (622) / -
Reasons for Change in Appropriation

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

$400,000 due to a technical accounting change relating to the treatment of third party revenue

$125,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.

This was partially offset by:

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

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

Regulatory and Enforcement Services (M36)
Scope of Appropriation

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
2015/16
Estimates
$000 / Supplementary
Estimates
$000 / Total
$000
Total Appropriation / 24,027 / (847) / 23,180
Revenue from the Crown / 10,852 / (511) / 10,341
Revenue from Others / 13,175 / (336) / 12,839
Reasons for Change in Appropriation

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

$558,000 due to a reforecast of third party revenue from the regulation of psychoactive substances

$169,000 due to the departmental output class budget adjustment (see Note 1)

$120,000 due to the Ministry of Health's contribution to the Budget 2015 System Package.

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

Sector Planning and Performance (M36)
Scope of Appropriation

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
2015/16
Estimates
$000 / Supplementary
Estimates
$000 / Total
$000
Total Appropriation / 48,038 / (497) / 47,541
Revenue from the Crown / 47,678 / (831) / 46,847
Revenue from Others / 360 / 334 / 694
Reasons for Change in Appropriation

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

$789,000 due to the departmental output class budget adjustment (see Note 1)