4 April 2023
Sam Hadley-Jones
[FYI request #22019 email]
Tēnā koe Sam
Official information request HNZ00013055
Thank you for your email on 14 March 2023, asking for the following which has been
considered under the Of icial Information Act 1982 (the Act). You requested:
•
The total number of GP and nurse practitioner attended consultations, per year for
10 years, per PHO, per practice.
•
The total number enrolled, per year for 10 years, per PHO, per practice.
•
The public funding allocated to primary care, per year for 10 years, per PHO.
•
The public funding allocated to primary care of exclusive groups, per year for 10
years, per PHO.
•
The PHO reported maximum booking times, per year for 10 years.
Please see outlined below a response to each part of your request.
The total number of GP and nurse practitioner attended consultations, per year for
10 years, per PHO, per practice.
The information requested in this part of your request has been provided in the “Service Utilisation”
sheet in the attached Excel spreadsheet. We have provided data down to the Primary Health
Organisation (PHO) level. General practice level data is refused under section 18(f) of the Act as
the information requested cannot be made available without substantial collation or research.
Please note the following:
• The name of the PHO is the latest name. However, some PHOs have changed their name over
time.
• Service utilisation data has been provided manual y by PHOs at the time. The reliability of the
data has been quality checked to the extent possible.
• The service utilisation data is inclusive of both general practitioner (GP) and nurse practitioner
(NP) attended consultations.
• We do not hold data for other health-related GP or NP-attended consultations such as
maternity, Accident Compensation Corporation (ACC), immunisation, casual visits, all after-
hours consultations, etc. Provision of this data is therefore refused under section 18(e) of the
Act, as the information does not exist.
The total number enrolled, per year for 10 years, per PHO, per practice.
The information requested in this part of your request has been provided in the “Enrolments” sheet
in the attached Excel spreadsheet. We have provided data down to the PHO level. Practice-level
data is refused under section 18(f) of the Act as the information requested cannot be made
available without substantial collation or research.
Please note, the data provided is a snapshot of the enrolment data. Accordingly, PHOs that started
after 1 January wil show an enrolment roll of zero for the corresponding financial year.
The public funding allocated to primary care, per year for 10 years, per PHO.
The information is in the “Funding” sheet in the attached Excel spreadsheet. Please note:
• Al funding figures are GST-exclusive.
• The funding data provided is inclusive of the main primary care funding provided to PHOs and
general practices. Specifically, the funding data includes First Contact funding, Lower-Cost
Schemes (Very Low-Cost Access, Community Services Card, Zero-Fees for Under 6s/13s/14s)
and flexible funding streams (Care Plus, Health Promotion, Services to Improve Access, and
Management Fees).
• Due to a lack of national consistency for how primary healthcare services are funded across
Aotearoa New Zealand, the funding data provided is exclusive of other national and locally
arranged bespoke primary healthcare funding streams such as COVID-19 response funding,
etc.
• Provision of data for other national and locally arranged bespoke primary healthcare funding
streams is refused under section 18(f) of the Act as that information cannot be made available
without substantial collation or research.
The public funding allocated to primary care of exclusive groups, per year for 10
years, per PHO.
We have interpreted this part of your request as referring to information on what public funding
provided to PHOs and general practices have been directed towards targeted populations, per
year for 10 years, per PHO.
This part of your request is refused under section 18(f) of the Act as the information requested
cannot be made available without substantial collation or research. Please note there is no national
consistency for “exclusive groups”, and the wide range of targeted population funding that is
provided to or flows through PHOs from national and/or local funding can vary depending on a
range of factors such as the type of health service funded, geographic area, or health
priorities/directives of the time.
For example, the Very Low-Cost Access (VLCA) funding which enables patients enrolled at VLCA
practices to access cheaper standard GP/nurse visits, contains an ethnicity (Māori and Pacific
people) and deprivation component as part of its eligibility criteria. The Zero-Fees for Under
6s/13s/14s initiative provides additional funding to enable free standard GP/nurse visits for children
under 6, 13, or 14 who are enrolled at participating practices. Other national and local funding
streams such as Community Services Card initiative, COVID-19 Care in the Community funding,
Mental Health and Addiction, National Screening, Sexual and Reproductive health funding, etc., all
provide targeted funding for certain demographics based on national and local health priorities.
The PHO reported maximum booking times, per year for 10 years.
This part of your request is refused under section 18(e) of the Act, as the information requested
does not exist.
How to get in contact
If you have any questions, you can contact us at
[email address].
If you are not happy with this response, you have the right to make a complaint to the
Ombudsman. Information about how to do this is available at
www.ombudsman.parliament.nz or
by phoning 0800 802 602.
As this information may be of interest to other members of the public, Te Whatu Ora may
proactively release a copy of this response on its website. If published, all requester data, including
your name and contact details, wil be removed.
Nāku iti noa, nā
Adeline Cumings
Group Manager, Primary Health Care System Improvement and Innovation
National Commissioning