Wellbeing Budget 2021

Securing
Our Recovery

Health

Accelerating Progress Towards Smokefree 2025

This initiative supports the delivery of a Smokefree Aotearoa 2025 Action Plan by providing additional funding to scale up intensive stop smoking programmes for priority populations (Māori, Pacific and pregnant women) and increasing investment in health promotion and social marketing campaigns.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 5.500 10.375 10.375 10.375 36.625 -

Assisted Dying Services/End of Life Choice Act 2019 Implementation

The End of Life Choice Act received majority support at the public referendum on 6 November 2020 and will come into force on 7 November 2021. This initiative provides funding to implement assisted dying services by 7 November 2021 and deliver the services from this date until 30 June 2022.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 11.860 - - - 11.860 -

BreastScreen Aotearoa Critical Infrastructure Replacement - Implementation Business Case

This initiative provides funding for the development of an implementation business case to replace vital components of the information and communication technology infrastructure supporting the national breast screening programme.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 2.188 - - - 2.188 3.165
Tagged contingency                       ← n/a → 27.682 22.565

Cochlear Implants - Increasing Availability

This initiative provides funding to increase the number of publicly funded cochlear implants from 86 per year to 166 per year. This will enable more New Zealanders with severe to profound hearing loss to receive implants and associated services. These give the person a sense of sound and support the development or maintenance of verbal language, as well as improved educational and employment opportunities.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 7.080 7.080 7.080 7.080 28.320 -

Continuing Section 88 Primary Maternity Funding to Enable Ongoing Access to Free Maternity Services

This funding will address cost and volume pressures for primary maternity services and other services funded through the Primary Maternity Services Notice 2007 pursuant to Section 88 of the New Zealand Public Health and Disability Act 2000. It will provide for the estimated growth in primary maternity services claims, increased service delivery costs, and an additional contribution to workforce pressures. This funding is intended to attract, retain and engage Lead Maternity Carers, maintain safety and quality of the services, and enable equity of access and continuity of care.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 8.056 3.056 3.056 3.056 17.224 -

Data and Digital Infrastructure and Capability - Enabling Health System Transformation

This contingency will enable investment in data and digital infrastructure and capability (including Hira, the national health information platform) that is needed to implement health system reforms and improve health system performance.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Tagged contingency 45.000 60.000 75.000 50.000 230.000 170.000

Disability Support Services - Cost and Volume Pressures

This initiative will maintain services to 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 for Disability Support Services. These services help disabled people to live, with dignity, the sorts of lives that are expected to be available to all New Zealanders.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 99.800 99.800 99.800 99.800 399.200 -

District Health Boards' Capital Investment

This initiative provides funding 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.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health - - - - - 700.000

District Health Boards - Cost and Volume Pressures

This initiative will support improved overall health for all New Zealanders through the health and disability services provided by District Health Boards (DHBs). This funding will enable DHBs to continue providing health services for Aotearoa New Zealand's growing and changing population in the face of inflation and other price and volume pressures.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 675.000 675.000 675.000 675.000 2700.000 -

Emergency Air Ambulance Services - Cost and Volume Pressures

This initiative provides funding for price, volume and personnel pressures in emergency air ambulance (rotary) services. It will ensure that service levels meet the demand, services remain equitable across the regions and contracted performance levels are maintained.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 4.259 4.335 4.335 4.335 17.264 -

Emergency Road Ambulance Services - Cost and Volume Pressures

This initiative provides funding for price and volume pressures in emergency ambulance services to support existing capacity and performance of essential emergency road ambulance services (ERAS) for Aotearoa New Zealand communities. This funding will support safe and effective road ambulance and communications services for all New Zealanders.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 12.901 12.901 12.901 12.901 51.604 -
Labour Market 7.857 7.857 7.857 7.857 31.428 -

Establishing an Aged Care Commissioner

This initiative is for the establishment of an Aged Care Commissioner. This will provide a higher profile and focal point for monitoring and addressing quality and safety issues in the aged care sector. It will also provide greater influence and leadership to the aged care sector in prioritising and driving systemic quality improvement. This initiative also increases the resources available to HealthCERT, a business group in the Ministry of Health, to handle additional complaint referrals.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 1.150 2.320 2.320 2.320 8.110 -

Family Planning - Improving Equitable Access to Sexual and Reproductive Health Services

This initiative provides funding for price and volume pressures on Family Planning, Aotearoa New Zealand's only national provider of sexual and reproductive health services for primary health and sexual health promotion. This will ensure sexual and reproductive health services contracted through Family Planning can respond to changing national, regional and local needs and continue to prioritise health equity for those most affected by poor sexual and reproductive health outcomes.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 0.941 0.941 0.941 0.941 3.764 -

Health and Disability Commissioner - Sustainability and Expansion of Scope Due to New Legislation

This initiative will ensure the Health and Disability Commissioner is appropriately funded to undertake its statutory functions in the face of increasing complaint volumes and complexity, and to expand its scope when the End of Life Choice Act 2019 is implemented.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 2.900 2.900 2.900 - 8.700 -

Health and Disability System Reform - Locality Health and Wellbeing Networks and Hauora Māori

This initiative provides funding to prototype Locality Health and Wellbeing Networks and an initial commissioning budget for a Māori Health Authority to invest in hauora Māori.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 25.442 49.217 49.296 48.826 172.781 -

Health Infrastructure Unit - Accelerating Work Programme

This contingency provides funding to deliver the National Asset Management Programme and provide additional operating capacity to the Health Infrastructure Unit.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Tagged contingency 8.320 3.820 2.710 2.110 16.960 -

Health Quality & Safety Commission - Additional Resourcing

This initiative provides time-limited funding for the Health Quality & Safety Commission New Zealand to maintain national quality, safety and equity improvement work alongside oversight of sector quality risks.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 1.400 1.400 1.400 - 4.200 -

Health Sector Agreements and Payments Programme

This initiative provides funding for the initial costs for the transformation of the Health Sector Agreements and Payments systems, which enable the management of agreements, and distribution of payments on behalf of the Crown and District Health Boards, to mitigate systems failure risk and support the Health and Disability System Reforms.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 1.295 - - - 1.295 -
Tagged contingency 5.777 12.268 14.729 22.642 55.416 59.933

Healthy Homes Initiative - Expanding Reach and Impact

This initiative provides funding to expand the reach and impact of the Healthy Homes Initiative, which supports low-income whānau to live in warm, dry and healthy homes. This funding will maximise the effectiveness of the existing programme in 11 District Health Board (DHB) regions by increasing the current per whānau funding to ensure a comprehensive and accurately resourced service, and enabling providers more flexibility around building the supply of housing-related interventions. This funding will also roll out the programme to the nine other DHB regions so that the benefits of the programme become available nationally.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 3.000 9.000 9.000 9.000 30.000 -

Human Papillomavirus Primary Screening for the National Cervical Screening Programme - Implementation Business Case

The initiative provides funding for the development of an implementation business case for human papillomavirus (HPV) primary screening with the option of self-testing, which will reduce barriers to screening and increase equitable participation for 1.4 million eligible Aotearoa New Zealand women (aged 25-69 years). Implementing HPV primary screening will ensure the sustainability of the National Cervical Screening Programme and legislative compliance by mitigating significant existing programme risk.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 3.683 - - - 3.683 0.994
Tagged contingency                       ← n/a → 37.287 11.028

In-Between Travel Settlement - Implementation

This initiative provides funding to deliver the proposals outlined in the In-Between Travel Settlement for home and community support workers. This funding will ensure that support workers are paid their ordinary wage rates while travelling between clients and receive paid rest breaks.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 23.067 19.585 19.585 19.585 81.822 -

Increase in the Combined Pharmaceutical Budget

This initiative provides funding to ensure more medicines are available to more New Zealanders through an increase to the Combined Pharmaceutical Budget, which is the District Health Boards' medicines budget managed by PHARMAC. This will improve patients' access to well-evidenced medicinal treatments and improve health outcomes.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 40.000 45.000 55.000 60.000 200.000 -

Mana Ake - Stronger for Tomorrow

This funding enables the continuation of the existing Mana Ake initiative in 2021/22 to make mental health support available to all primary and intermediate school-age students in Canterbury and Kaikōura. This funding also enables the co-design of mental wellbeing supports in primary and intermediate schools (utilising the learnings from Canterbury and Kaikōura) in five new DHB areas, including Northland, Counties Manukau, Lakes, Bay of Plenty and the West Coast.

Vote 2020/21 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health (10.000) 12.000 - - - 2.000 -
Education (2.000) - - - - (2.000) -

National Bowel Screening Programme Implementation Phase 4

This initiative provides funding to roll out National Bowel Screening Programme to the final six DHBs, and increase access for Māori and Pacific peoples.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 3.360 3.360 3.360 3.360 13.440 -
Tagged contingency                       ← n/a → 50.574 -

National Breast Screening Programme - Price, Volume and COVID-19 Catch Up Pressures

This initiative provides funding to address price and volume pressures faced by the National Breast Screening Programme. It also provides funding for an additional 20,000 breast screens to be undertaken to address delayed screening due to COVID-19 and enable a transfer of providers. This funding will enable women aged 45 to 69 years to continue to access breast screening services and to be screened on time, reducing the risk of mortality. It will also ensure Māori and Pacific women continue to receive appropriate support to access breast screening services.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 4.843 1.721 1.721 1.721 10.006 -

National Cervical Screening Programme Sustainability

This initiative provides funding to ensure the sustainability of the National Cervical Screening Programme by aligning contract funding to the cost of delivering operational diagnostic and treatment services, and enabling providers to meet current contractual obligations.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 7.055 7.055 7.055 7.055 28.220 -

National Immunisation Programme - Providing Sustainable Funding

This initiative provides funding to support the delivery of immunisation programmes to minimise the risk of outbreaks of preventable diseases. The initiative also provides ongoing funding for an additional Measles Mumps and Rubella (MMR) immunisation event at 12 months of age to protect tamariki at an earlier age.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 7.045 5.995 5.995 5.995 25.030 -

Non-Governmental Organisations - Population Health and Prevention Service Delivery

The initiative provides funding to address price and volume pressures faced by a group of non-governmental organisations delivering population health and prevention services, supporting their sustainability and service viability.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 0.844 0.844 0.844 0.844 3.376 -

Ola Manuia: Pacific Health and Well-being Action Plan 2020-2025 - Implementation

The initiative provides funding for the implementation of Ola Manuia: Pacific Health and Well-being Action Plan 2020-2025 (Ola Manuia). The activities funded include support to Pacific health providers to implement Ola Manuia, investment into Pacific models of care, and development of Pacific community hubs.

Funded from the COVID-19 Response and Recovery Fund.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 2.500 4.500 4.500 4.500 16.000 -

Planned Care Initiative - Cost Pressure

The initiative provides funding to maintain the existing volume of planned inpatient surgical discharges and minor procedures delivered by District Health Boards at the increased pricing levels.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 48.620 48.620 48.620 48.620 194.480 -

Primary Care - Cost and Volume Pressures

This initiative provides funding to maintain access to primary healthcare services for priority populations. This funding contributes to improving health equity through supporting programmes that provide affordable access to primary care for low-income New Zealanders (for example, Zero Fees for Under 14s and the Very Low Cost Access scheme).

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 46.652 46.652 46.652 46.652 186.608 -

Public Health Units - Providing Sustainable Funding

This initiative will enable Public Health Units to address ongoing funding pressures and build critical mass and infrastructure to provide for an effective public health system. It will also provide funding for additional public health medicine registrar trainees to build capacity and capability within the public health system.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 10.315 12.715 15.115 15.115 53.260 -

Transforming the Cross-Government Disability Support System

This initiative provides ongoing funding for the three Enabling Good Lives pilot regions in Christchurch, Waikato and Mid-Central to ensure continuity of support for disabled people, and certainty for the essential workforce in these regions. It also provides additional funding to undertake detailed design, service development and workforce capability building for a national implementation.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 19.285 18.335 16.935 18.235 72.790 -

Well Child Tamariki Ora Programme - Maintaining Universal Health Services for Children and their Families from Birth to Five Years

This funding will address significant volume pressures accumulated from increases in new baby enrolments for Well Child Tamariki Ora (WCTO) providers contracted via District Health Boards. It will also support sustainable delivery of the programme through other WCTO providers, including Plunket and B4 School Check providers, while the programme transformation as recommended in the WCTO Review occurs.

Vote 2021/22 2022/23 2023/24 2024/25 Operating
Total
Capital
Total
Health 4.200 4.200 4.200 4.200 16.800 -
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