Dear Lakes District Health Board,

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.
• 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.
Yours faithfully,

Marie Daly
On behalf of the NZ Rural Hospital Network Executive Committee

Dear Shan Tapsell,
Thanks so much for the information you have provided in your response as we do appreciate the time it takes to do so.
We will collate the responses from all of the DHBs - particularly around the services that are provided as we hope to map these across rural NZ to tell a positive story about what is actually available in rural communities.
Yours sincerely,

Marie Daly