Waikato District Health Board financials

Waikato District Health Board is one of the country's largest state owned enterprises employing more than 6000 people and with an annual turnover of $1.1 billion. The links to the right give you a greater understanding of the DHB's strategic and financial direction. To assist in understanding the financial environment this page gives a brief description of the Government funding process for the current year, the general levels of funding, along with any other significant funding sources The Government makes an appropriation to each of its Ministerial areas. “Vote Health” for the financial year 2010-2011 is $13.5 billion. The funding is then allocated as $10 billion to the 20 DHBs, $3.5 billion remains with the Ministry of Health to centrally manage Disability Support Services (Under 65), Public Health, National Screening Unit, national maternity services, Clinical Training Agency, elective services and a wide variety of smaller services. Part of the $13.5 billion includes a $400 million transfer from the Accident Compensation Corporation to Vote Health called the Public Health Acute Services Levy. This is to provide for the acute care/services for people who have had an accident and require acute care, primarily via emergency departments and accident and emergency clinics.

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The funding to the 20 DHBs is firstly top sliced for adjusters for rural, inefficiencies and bottlenecks and tertiary care. The balance is allocated based on a population-based funding formula (PBFF) which is determined by population, unmet need and deprivation, rurality, gender, ethnicity and age. This is adjusted annually for demographic growth and cost pressures. Vote Health does not provide funding for non eligible or non resident people. The total funding for the Waikato DHB in 2010-11 year is $1,107 million from allocations and expected revenue from Government and non government sources. The Waikato DHB Planning and Funding arm receives $916 million from the Crown Funding Agreement (CFA) and a further $104 million from Inter District Flows (IDF). The CFA is the signed agreement between Waikato DHB and the Minister for the provision of personal health services, Mental Health and Aged Care services that have been devolved to DHBs. The IDF is funding to cover people who move between DHBs for services outside where they live.

Maureen Chrystall Chief Financial Officer

Planning and Funding internally contracts Waikato DHB's provider arm, Health Waikato, via a series of Service Level Agreements (SLAs) for hospital and community based services, worth $585 million.

The provider arm earns externally another $87 million from other sources.

• $44 million MoH non devolved contracts such as the Clinical Training Agency (CTA) and Public Health.
• $14 million from ACC, Lab. and Rad. Services
• $27 million non Govt, cafe, facility fees, parking patient co payments, rental, interest as the more significant elements.
• $2 million other DHBs

Planning and Funding also contracts with external parties, Non Government Organisations (NGOs), spending $413 million.

• $92 million drugs in the community
• $70 million primary care, PHO GMS etc
• $60 million aged residential care
• $45 million Mental Health services
• $42 million for IDF, out flows
• $14 million home support

Another $5 million goes on governance.

 

Media releases

• Catalyst for Productive Services
  
• Wise use of taxpayers' money advocated by accountant