Corporate Services
2 April 2019
Marie Daly
NZ Rural Hospital Network
Email:
[FYI request #9688 email]
Dear Ms Daly
YOUR OFFICIAL INFORMATION ACT (1982) REQUEST HBDHB REF: OIA2019031
I refer to your Official Information Act request dated 27 February 2019 where you requested
information from Hawke’s Bay District Health Board (HBDHB). Your questions and HBDHB’s response is
provided below:
The NZ Rural Hospital Network wants to clearly understand each DHB's process for allocating,
monitoring and reporting the annual DHB Rural Adjuster fund.
1.
For each of the past three years ending June 2016, June 2017 and June 2018 what was the DHBs
Rural Adjuster funding component of the PBFF funding pool?
2.
Does the DHB fund and provide rural hospital services? If Yes, continue to answer questions 2.1,
2.2 and 2.3. If no, go to question 3
2.1 Provide the following information about the rural hospitals in your DHB.
If there are none, please report this.
•
Name or location of hospital
•
List of services the hospital provides
•
The business structure of the hospital eg DHB owned and operated / NGO or Iwi
owned and operated
•
Annual Budget
2.2 How is the annual budget for each of the rural hospitals listed in the table in 2.1 set?
2.3
How does the DHB apply the annual rural adjuster funding to the benefit of each of the
rural hospitals listed in the table in question 2.1?
3.
Does the DHB fund and provide rural community services? If yes, continue to answer questions
3.1, 3.2 and 3.3. If no, go to question 3
3.1 Provide the following information about the rural community services in your DHB.
If there are none, please report this.
•
Location of services
•
List of Community services in each location
•
The business structure of the service provider eg DHB owned and operated / NGO or
Iwi owned and operated
•
Annual Budget.
3.2 How is the annual budget for the community services listed in the table in 3.1 set?
3.3
How does the DHB apply the annual rural adjuster funding to the benefit of each of the
rural community listed in the table in question 3.1?
4.
For each of the past three years, under each of the components of the Rural Adjuster, quantify
the allocation of Rural Adjuster funding through the DHBs contracts with its contracted providers
or Service Level Alliance Teams.
C H I E F E X E C U T I V E ’ S O F F I C E
Hawke’s Bay District Health Board
Telephone 06 878 8109 Fax 06 878 1648 Email:
[email address]; www.hawkesbay.health.nz
Corporate Office, Cnr Omahu Road and McLeod Street, Private Bag 9014, Hastings 4156, New Zealand
•
Small hospital facilities
•
Community services
•
Offshore Islands
•
Travel and Accommodation
•
Inter hospital transfers
•
Governance
•
Rural GP/PHO payments
5.
i.
Does the DHB include reporting requirements specific to the use of rural adjuster funding in
its contracts with service providers whose contract includes rural adjuster funding.
ii.
If yes, provide a list of the reporting requirements included in the DHB contracts with these
providers.
In response to your questions 1, 2.3, 3.3, 4 and 5, the Ministry of Health no longer separately identifies
Rural Adjustor funding as part of its Population Based Funding Formula (PBFF) therefore HBDHB is not
able to provide this information and your request is declined under Section 18 (e), on the basis that
the information does not exist.
In response to question 2 and 2.1, yes HBDHB provide rural services, refer details below:
Name of Hospital
List of Services Provided /
2019 Annual
Business Structure of the Hospital
Budget
Wairoa Health
Wairoa Health is HBDHB owned and operated. The centre provides a
$3,731,739
range of services for the Wairoa district community including hospital-
based services:
Note: excludes the
a nine bed acute ward,
DHB-owned GP
a two bed Level 2 Emergency Department,
Practice.
a three bay maternity unit,
Laboratory and Radiology services and
a range of specialist outpatient clinics. Outpatient specialties
include but are not limited to, Gynaecology/Obstetrics, New
Born Screening, Paediatrics, Retinal Screening, Podiatry, Ear
Nurse Services, Cardiology, Dietetics, Diabetic specialties,
Urology, Audiology, Vascular, Respiratory, Child Development
and Osteopathy.
A suite of Mental Health and Addiction services are provided including:
Drug and Alcohol counselling, group-based work and community
connections, community mental health including acute services, Child
and Family Services, visiting psychiatric, psychologist and kaiawhina
support.
The centre also provides a wide range of community health services
that include District Nursing, Public Health Nursing, Occupational
Therapy, meals on wheels and hosts the mobile surgical bus.
The DHB-owned general practice service is on site as is a co-located GP-
owned general practice. The DHB also runs a youth dental service.
Health promotion and smoking cessation support are a feature of
Wairoa Heath along with Te Maioha, the mirimiri (massage) service.
Central Hawke’s
Central Hawke’s Bay (CHB) Health Centre consists of a mix of publically-
$2,285,249
Bay Health
funded and private health services leasing space within the building.
Centre
Private services include a general practice with four permanent GPs,
Plus Rehab Physiotherapy who provide community and inpatient ward
physiotherapy services. Private clinic leases are held with Triton Hearing
and Bay Audiology.
HBDHB services include a six bed sub-acute inpatient unit, Radiology,
Laboratory, Public Health nurses, District Nurses, Social Work,
Occupational Therapy, Mental Health and Addictions and Child,
Adolescent and Family service. The Centre also hosts and provides staff
to the Mobile Surgical Services Bus throughout the year providing
Endoscopy, paediatric dental and minor surgery.
2
In response to question 2.2; annual budgets for all DHB services are set each year based on the
existing budget with consideration given to changes in service, cost pressures and reductions, the
annual funding envelope and Board, Community and Ministerial expectations.
With regard to questions 3.1 and 3.2 HBDHB advises it does not contractually separate out Rural
Community Services from all other Community Services. For CHB and other rural areas a significant
proportion of services are provided by urban providers outreaching into rural areas. Therefore HBDHB
is not able to respond to your request, which is declined under Section 18 (e), on the basis that the
information does not exist.
I trust this information meets your needs. If you would like any further information or clarification
please phone me. If you are not satisfied with this response you may contact the Office of the
Ombudsmen, phone 0800 802 602.
Yours sincerely
Carriann Hall
Executive Director Financial Services
cc:
Ministry of Health via email: [email address]
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