17 September 2019
E-mail: [FYI request #11122 email]
Dear Mr Andrews Official Information Act (1982) Request
I write in response to your Official Information Act request, received by us on 03 September. You
identified the following details and requested information to explain our annual report: In the financial report for 2018 - at the link:
page 55: shows that Counties Manukau DHB spent about $461,481 on Non-Health Board provider
• Could you please explain who these Non-Health Board providers are?
• How would you describe them?
• Are these private health care providers - Primary or secondary?
• If possible, please name all these providers, based on 2018 year.
The New Zealand Health and Disability Act (2000), requires that all District Health Boards work to:
“Ensure the provision of services for its resident population and for other people as specified
in its crown funding agreement
(b) Actively investigate, facilitate, sponsor and develop co-operative and collaborative
arrangements with persons in the health and disability sector or in any sector to improve,
promote and protect the health of people and to promote the inclusion and participation in
society and independence of people with disabilities
Counties Manukau District Health Board, in addition to provision of hospital services, contracts with
approximately 400 other providers. The largest proportion of these funds are for Primary Health
Organisations (PHO), that deliver General Practice services, Non-Government Organisations (NGO),
and business entities (such as Residential Care providers and Pharmacists). This enables the effective
delivery of a range of health services to our population in our communities.
Summary details of the types and numbers of DHB contracted (non-health board) providers receiving
Counties Manukau DHB funding in FY 2017/18 are below (Table 1
). These providers all deliver direct
primary (Community-based) health services. CM Health also directly provides some community
based and ambulatory services, especially for mental health, child and youth and community nursing.
Counties Manukau District Health Board
Private Bag 93311, Otahuhu, Auckland
T: 09 276 0000 | cmdhb.org.nz
Non-DHB Health Service providers
– Contracted via five PHOs
Subsided primary health services - to enrolled population
Age-Related Residential Care / Home & Community Care services
Residential Care Facilities and Community Support services
Subsidised pharmaceuticals and Pharmacy Services
Community-based Mental Health providers
Facilities and community-based Mental health services
Regional Laboratory Provider
Community Laboratory Services
Oral Health services
Long-term conditions programme - contracted via PHOs
Long-term support services contracts - for a range of chronic health
Child and Youth services and programme contracts
Other services / contracts - directed at vulnerable populations
Information on the range of providers is publicly available. A listing of Community Health and Social
Service providers in the Counites Manukau region, including details of General Practices, Pharmacy’s
and other support services is publicly available on our website.
It would be difficult for us to comprehensive list all contract holders in 2018. Please advise us if there
are services you are interested in having more details on.
Outsourced services to supplement DHB-provided Hospital (secondary services) service provision
(e.g. for elective surgical procedures and diagnostics) are not included in the Non-health board
providers expenses reporting component of the Annual Report. These arrangements are managed
within operational budgets in the DHB hospital services.
In addition, there are a significant number of entities and individuals who hold “Section-88
Agreements” with DHBs to provide community health services on a regular or intermittent basis,
including primarily Lead Maternity Carers, but also some optometry funding.
I trust this information satisfactorily answers your query. If you are not satisfied with this response
you are entitled to seek a review of the response by the Ombudsman under section 28(3) of the
Official Information Act.
Please note that this response or an edited version of this may be published on the Counties Manukau
Fepulea’i Margie Apa
Chief Executive Officer Counties Manukau Health