Explaining differences on data of District Health Board

Thai Quoc Khanh made this Official Information request to Ministry of Health

The request was successful.

From: Thai Quoc Khanh

Dear Ministry of Health,

I very much appreciate Ministry of Health for variety of useful information on the operation of District Health Boards (DHBs). By investigating the financial data (Schedules), since no notes to the accounts provided, I have been encountered with difficulties in understanding the nature and components of data, such as:

1. Schedule 1
Could you please explain more details on the differences among Funder, Provider and Governance. Also, could you please give me your opinion on which net result should be used when measuring efficiency of hospital services that provided by DHB provider arm.

Besides, I found that most of the DHBs were in deficit over the period from 20013 to 2016. Especially, most of DHB providers underperformed the plan and made up the largest proportion in the total deficit. Could you please provide me brief causes for the pervasive deficits and wether Ministry of Health have any policies to subsidise or encourage DHBs to reduce their losses?

2. Schedule 2
By collating the Revenue of Provider arm in Schedule 2 and Schedule 3, I found that there exist differences. Take Auckland DHB (2016/17) for example, Revenue in Schedule 1 is 1,882,759; this figure in Schedule 3 is 1,430,735. Likewise, the revenue reported in the Auckland DHB Annual Report 2016/17 (page 39) is 2,079,133.
Please kindly explain the variance in the revenue figures of DHB provider.

3. Schedule 4
The Full Time Equivalent (FTEs) staff in the Schedule 4 are not similar to the FTEs reflected in the District Health Board clinical staffing numbers (https://www.health.govt.nz/our-work/heal...). Take Auckland DHB for example, the FTE at 20 Sep 2016 was 4,714 (including Health Assistant); the total FTEs is Schedule 4 at 30 June 2016 was 8,380. Again, please kindly disentangle this difference.

4. Schedule 6

The Balance sheet reflect the financial figures of each DHB, in which the non-current assets are clearly specified. However, I have no understanding on the scope of these assets. Although DHBs have a variety of functions, I thought the Balance sheet might only capture the assets used at DHB provider. Could you please explain more on this issue?

Thank you very much for your dedicated help,

Yours faithfully,

Thai Quoc Khanh

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Dear Thai Quoc Khanh

Thank you for your email dated 6 November 2018 requesting the following
information under the Official Information Act 1982:

I very much appreciate Ministry of Health for variety of useful
information on the operation of District Health Boards (DHBs). By
investigating the financial data (Schedules), since no notes to the
accounts provided, I have been encountered with difficulties in
understanding the nature and components of data, such as:

1. Schedule 1
Could you please explain more details on the differences among Funder,
Provider and Governance. Also, could you please give me your opinion on
which net result should be used when measuring efficiency of hospital
services that provided by DHB provider arm.

Besides, I found that most of the DHBs were in deficit over the period
from 20013 to 2016. Especially, most of DHB providers underperformed the
plan and made up the largest proportion in the total deficit. Could you
please provide me brief causes for the pervasive deficits and wether
Ministry of Health have any policies to subsidise or encourage DHBs to
reduce their losses?

2. Schedule 2
By collating the Revenue of Provider arm in Schedule 2 and Schedule 3, I
found that there exist differences. Take Auckland DHB (2016/17) for
example, Revenue in Schedule 1 is 1,882,759; this figure in Schedule 3 is
1,430,735. Likewise, the revenue reported in the Auckland DHB Annual
Report 2016/17 (page 39) is 2,079,133.
Please kindly explain the variance in the revenue figures of DHB provider.

3. Schedule 4
The Full Time Equivalent (FTEs) staff in the Schedule 4 are not similar to
the FTEs reflected in the District Health Board clinical staffing numbers
([1]https://www.health.govt.nz/our-work/heal...).
Take Auckland DHB for example, the FTE at 20 Sep 2016 was 4,714 (including
Health Assistant); the total FTEs is Schedule 4 at 30 June 2016 was 8,380.
Again, please kindly disentangle this difference.

4. Schedule 6

The Balance sheet reflect the financial figures of each DHB, in which the
non-current assets are clearly specified. However, I have no understanding
on the scope of these assets. Although DHBs have a variety of functions, I
thought the Balance sheet might only capture the assets used at DHB
provider. Could you please explain more on this issue?

The Ministry's reference number for your request is: H201807449.

As required under the Act we will endeavour to respond to your request no
later than 4 December 2018, being 20 working days after the day your
request was received.  

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If you have any queries related to this request, please do not hesitate to
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Yours sincerely,

Jan Torres
Advisor
Ministerial Services (OIA)
[Ministry of Health request email]
Ministerial Services  l  Government Services  l  Office of the Director
General

[2]http://www.health.govt.nz
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Dear Thai Quoc Khanh

Please find attached response to your official information request.

Sincerely

Margee Do
Senior Advisor, OIA Services

Ministerial Services (OIA)
[Ministry of Health request email]  

Government Services
Office of the Director-General
Ministry of Health
[1]www.health.govt.nz

From:        Thai Quoc Khanh
<[FOI #9012 email]>
To:        OIA/LGOIMA requests at Ministry of Health <[Ministry of Health request email]>,
Date:        06/11/2018 06:02 p.m.
Subject:        Official Information request - Explaining differences on
data of District Health Board

--------------------------------------------------------------------------

Dear Ministry of Health,

I very much appreciate Ministry of Health for variety of useful
information on the operation of District Health Boards (DHBs). By
investigating the financial data (Schedules), since no notes to the
accounts provided, I have been encountered with difficulties in
understanding the nature and components of data, such as:

1. Schedule 1
Could you please explain more details on the differences among Funder,
Provider and Governance. Also, could you please give me your opinion on
which net result should be used when measuring efficiency of hospital
services that provided by DHB provider arm.

Besides, I found that most of the DHBs were in deficit over the period
from 20013 to 2016. Especially, most of DHB providers underperformed the
plan and made up the largest proportion in the total deficit. Could you
please provide me brief causes for the pervasive deficits and wether
Ministry of Health have any policies to subsidise or encourage DHBs to
reduce their losses?

2. Schedule 2
By collating the Revenue of Provider arm in Schedule 2 and Schedule 3, I
found that there exist differences. Take Auckland DHB (2016/17) for
example, Revenue in Schedule 1 is 1,882,759; this figure in Schedule 3 is
1,430,735. Likewise, the revenue reported in the Auckland DHB Annual
Report 2016/17 (page 39) is 2,079,133.
Please kindly explain the variance in the revenue figures of DHB provider.

3. Schedule 4
The Full Time Equivalent (FTEs) staff in the Schedule 4 are not similar to
the FTEs reflected in the District Health Board clinical staffing numbers
([2]https://www.health.govt.nz/our-work/heal...).
Take Auckland DHB for example, the FTE at 20 Sep 2016 was 4,714 (including
Health Assistant); the total FTEs is Schedule 4 at 30 June 2016 was 8,380.
Again, please kindly disentangle this difference.

4. Schedule 6

The Balance sheet reflect the financial figures of each DHB, in which the
non-current assets are clearly specified. However, I have no understanding
on the scope of these assets. Although DHBs have a variety of functions, I
thought the Balance sheet might only capture the assets used at DHB
provider. Could you please explain more on this issue?

Thank you very much for your dedicated help,

Yours faithfully,

Thai Quoc Khanh

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****************************************************************************
Statement of confidentiality: This e-mail message and any accompanying
attachments may contain information that is IN-CONFIDENCE and subject to
legal privilege.
If you are not the intended recipient, do not read, use, disseminate,
distribute or copy this message or attachments.
If you have received this message in error, please notify the sender
immediately and delete this message.
****************************************************************************

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This e-mail message has been scanned for Viruses and Content and cleared
by the Ministry of Health's Content and Virus Filtering Gateway

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