Wellbeing Budget 2020

Annex — Budget Initiatives

Health

Building Capability in Health Research and Innovation - Contingency

This initiative funds innovative clinical research of benefit to the health sector.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
N/A Not yet appropriated - 4.000 - - - -

Cancer Control Agency

This initiative provides funding for the Cancer Control Agency (The Agency) to strengthen national governance and leadership and provide oversight for cancer control in New Zealand. The Agency will take a whole of systems focus on preventing and managing cancer and will oversee system-wide prioritisation and coordination of cancer care in New Zealand.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 7.669 7.669 7.669 7.669 -

Continuing Section 88 Primary Maternity Funding to Enable Ongoing Access to Free Maternity Services for New Zealand Women

This initiative provides funding to address cost and volume pressures for primary community maternity services and other services funded through the Section 88 Notice to continue business as usual activities. This funding will help attract, retain and engage the primary community maternity workforce while further work is undertaken in relation to the Ministry of Health/College of Midwives' settlement (December 2018).

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 16.500 13.500 13.500 13.500 -

District Health Boards - Additional Support

This initiative improves, promotes and protects the health of New Zealanders by providing funding to maintain DHB services, such as hospital care, mental health support, primary health care and support for older people. This funding will enable DHBs to continue providing health services for New Zealand's growing and changing population in the face of price and wage inflation.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 980.000 980.000 980.000 980.000 -

District Health Boards - Capital Investment

This initiative provides a pool of funding that will be used for priority capital projects within the health sector. The funding will support the delivery of safe and appropriate healthcare by providing facilities, infrastructure and technology that can appropriately meet current and future demand.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - - - - - 750.000

Emergency Road Ambulance Services - Maintaining Viable Services

This initiative provides funding for changes to New Zealand's 24/7 emergency road ambulance services to ensure the viability of these services. The funding will be used to implement additional roles to support services to respond to immediately life-threatening incidents.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 2.801 5.117 5.376 5.648 -
Vol.2 Labour Market - 1.717 3.137 3.296 3.463 -

Enhancing the Ministry of Health's Capacity and Capability to Lead and Support the Health and Disability System

This initiative provides funding to support the Ministry of Health to have the right resources (tools, systems and people) to fulfil its roles and responsibilities as kaitiaki and steward of the health and disability system.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health 10.000 18.000 18.000 18.000 18.000 -

Funding the Impact of Expected Minimum Wage Increases for the Cost of In-Between Travel

This initiative meets obligations under the Home and Community Support (Payment for Travel Between Clients) Settlement Act 2016 to ensure care and support workers are fairly recompensed for the travel time involved in completing their roles. This funding will enable travel time for home and community support workers to be paid at the new minimum wage.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 5.666 5.666 5.666 5.666 -

Investment to Increase Access to Medicines

This initiative provides funding to increase the Combined Pharmaceutical Budget in 2019/20 and 2020/21. This funding was announced in September 2019 and will give PHARMAC additional scope to invest in more new medicines and improve the health outcomes of New Zealanders.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 30.000 - - - -

Maintaining Access to Breast Screening for Women Aged 45 to 69

This initiative will address price and volume pressures faced by the National Breast Screening Programme, enabling additional women aged 45 to 69 to access breast screening services and to be screened on time. This will increase the number of women who have their breast cancer detected at an early stage when it can be more easily treated.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 2.022 2.022 2.022 2.022 -

Maintaining and Increasing the Combined Pharmaceutical Budget

This initiative provides funding for more medicines through an increase to the Combined Pharmaceutical Budget, which is the DHBs' medicines budget managed by PHARMAC. This initiative maintains the budget by extending the existing agreed 2020/21 funding level into the future and further increases the budget to increase the amount of publicly funded medicines available. This will improve patients' access to well-evidenced medicinal treatments and improve health outcomes.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 10.000 50.000 50.000 50.000 -

Maternity Action Plan - Tagged Contingency

This initiative provides funding to begin the implementation of the Maternity Action Plan. The funding will allow work on quality, safety and equity initiatives, as well as an ongoing contribution to business costs for community midwives. These actions will contribute to improved health outcomes for whānau, better equity of access to responsive services and a stabilised system-wide maternity workforce.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
N/A Not yet appropriated - 30.000 30.000 30.000 30.000 -

National Storage Facilities - Replacement and Relocation

This initiative provides funding for the replacement of the current National Storage facilities so materials can be held safely and securely.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 0.686 0.390 0.390 0.390 5.050

Planned Care - Maintaining Services for New Zealanders at Increased Pricing Levels

This initiative provides funding to maintain Planned Care Interventions delivered by District Health Boards at increased pricing levels for 2020/21. Planned Care surgical interventions from inpatient, outpatient and community settings can help address a range of conditions, from cancer and heart failure, through to loss of sight or functional movement.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 15.350 15.350 15.350 15.350 -

Planned Care Interventions - Improving access

This initiative provides funding to support the delivery of additional Planned Care Interventions to improve access to Planned Care in line with population growth and ageing.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 16.000 16.000 16.000 16.000 -

Primary Care - Maintaining Access to Primary Health Services for New Zealanders

This initiative provides funding for the estimated growth in the number of people enrolled in Primary Health Organisations, including increased growth in targeted primary care programmes that provide affordable access for low-income New Zealanders (for example, Zero Fees for Under 14s and the Very Low Cost Access scheme). This will contribute to addressing inequitable access to primary care by retaining reduced patient co-payments for high-needs populations.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 23.910 23.910 23.910 23.910 -

Strengthening the Immunisation System and Funding the Response to the Measles Outbreak

This initiative provides funding for the additional costs of the response to the measles outbreak and funds the delivery of a measles immunisation campaign to increase immunisation rates and change the National Immunisation Schedule to bring forward the age of initial vaccination.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health 20.000 20.000 - - - -

Supporting Disabled New Zealanders to Live Good Lives

This initiative will maintain services for people with long-term physical, intellectual and/or sensory impairment who require ongoing support, by funding price and volume pressures in response to increased demand on Disability Support Services (DSS).These services help disabled people live with the same dignity expected to be available to all New Zealanders.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health 104.000 182.200 182.200 182.200 182.200 -

Supporting the Continued Delivery of Emergency Ambulance Services

This initiative provides funding for price and volume pressures in emergency ambulance services (road ambulance and ambulance communications centres). This will support emergency ambulance services to maintain their existing capacity and performance levels.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 3.952 3.952 3.952 3.952 -

Sustaining Access to Hospice Specialist Palliative Care

This initiative provides funding to support sustainable access to Hospice Specialist Palliative Care in response to increasing price and volume pressures.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 5.000 5.000 5.000 5.000 -

Transforming the Cross-Government Disability Support System

This initiative provides funding to continue three trials of a transformed disability support system that are under way in New Zealand. Evaluation of these trials and the evidence gained from them will allow Cabinet to make informed decisions on the future direction of the disability support system.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health - 12.070 - - - -

Well Child Tamariki Ora - Maintaining Universal Health Service for Children and their Families From Birth to Five Years

This initiative provides funding to meet price and volume pressures facing providers of the Well Child Tamariki Ora (WCTO) programme, including Plunket, District Health Boards and B4 School Check providers. This will support providers to deliver sustainable and equitable services to improve child wellbeing.

Estimates Vote 2019/20 2020/21 2021/22 2022/23 2023/24 Capital
Vol.6 Health 4.000 16.790 16.790 16.790 16.790 -
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