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What a District Health Board does

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MidCentral DHB employs over 2,500 people to carry out its business. Assets valued at around $200 million are employed, including buildings and equipment.

 

Who is a DHB Accountable to?

 

The Board of MidCentral DHB is accountable to the Minister of Health.
The NZ Public Health and Disability Act 2000 and the Crown Entities Act 2004 are the legislation which govern DHBs.
 
MidCentral DHB is categorised as a Crown Agent under section 7 of the Crown Entities Act 2004.
 

Key Accountability Documents & Arrangements

 

Crown Funding Agreement 
 
The Board is accountable to the Minister of Health
 
A “Crown Funding Agreement” is agreed on an annual basis between the District Health Board and the Minister.  This document outlines the money to be provided by the Crown in return for the provision, or arranging for the provision, of specific services.  The Crown Funding Agreement also contains the other two key accountability documents, being the Statement of Intent and the District Annual Plan.
 
Statement of Intent
 
This is a summary document specifying high level District Health Board objectives, outputs, obligations and performance measures (statement of service performance) and financial information for the year ahead, and a forecast for the following two years.  It is a summary of the District Health Board’s Strategic and Annual Plan.
 
Annual Plan
 
The Annual Plan sets out the outputs and associated performance expectations to be achieved across the three main aspects of the District Health Board’s role:
 
i. governance and management of hospital and health services
ii. funding health and disability services
iii. governance and management of the District Health Board
 
The Annual Plan is linked to the Regional Services Plan, so that the various outputs and performance expectations lead to the achievement of the District Health Board’s long term health outcomes. 
 
Annual Report
 
Each year, District Health Boards are required to publish an Annual Report, in accordance with the NZ Public Finance Act 1989.   This report includes a Statement of Financial Performance and a Statement of Service Performance.  These statements are audited by the Office of the Auditor-General, and reflect the service and financial measures contained in the Statement of Intent and the actual results for the year.
 
Regional Services Plan
 
District Health Boards are also required to develop a long term regional services plan.  This plan ensures sustainability of health services across the central region which comprises MidCentral, Capital & Coast, Hawke's Bay, Hutt Valley, Wairarapa and Whanganui DHBs.  It informs the development of the annual plan and statement of intent.
 
Strategic plans have a longer term focus, and require the Minister of Health’s endorsement so as to ensure they are aligned to the Government’s overall policies.

Minister of Health’s Expectations and National Health Targets


Each year, as part of the District Annual Planning process, the Minister of Health outlines his expectations of District Health Boards for the forthcoming year.  He also establishes National Health Targets of which there are six.  These expectations and targets are incorporated into the Board’s Annual Plan. Quarterly reporting against the National Health Targets occurs.
 
District Health Board planning is to be consistent with national health and disability strategies, including but not limited to:
 
  • The New Zealand Health Strategy
  • The New Zealand Disability Strategy
  • The Primary Care Strategy
  • He Korowai Oranga:  Maori Health Strategy
  • The Health of Older People Strategy, 2002
  • Te Tahuhu:  Improving Mental Health 2005-2015 (2005)