Ministry of Health
Output Plan
Health Report:
Period covered: / 20061273
1 July 2006 – 30 June 2007
Table of Contents
Table of Contents 2
1. Parties to the Plan 5
2. Purpose and scope 5
3. Overview of outputs to be delivered 5
4. Term of the Agreement 5
5. Procedures for amendment 5
6. Monitoring, reporting and assessment 5
7. Payment and charging arrangements 6
8. Signatures of the parties 7
Schedule 1: Cost of Outputs 8
Schedule 2: Priority areas within the 2006/07 Statement of Intent 9
Getting Ahead of the Chronic Disease Burden 10
Cancer Control 10
Colorectal Cancer Screening 10
Breast Cancer Screening 11
National Cancer Management Database (NCMD) 11
Cardiovascular Disease and Diabetes 11
National View of Diabetes and CVD Information 12
Healthy Eating – Healthy Action 12
Tobacco Control 12
Reducing Alcohol Use 13
Report on Chronic Medical Conditions Boundary Issues for Disability Services 13
Hepatitis C 14
Child and Youth Services 15
Universal Newborn Hearing Screening Programme 15
Newborn Metabolic Screening Programme 15
Phased Implementation of Universal Routine-offer Antenatal HIV Screening for Women in New Zealand 16
Antenatal Screening for Down syndrome 16
Well Child Services 17
Maternal and Newborn Information Systems 17
Strengthening Oral Health Services for Young People 18
Child and Adolescent Mental Health Services 18
Primary Health Care Strategy 19
Primary Health Care Strategy Implementation 19
Joint Work Programme (Ministry of Health and DHBs) 19
Policy Advice on Primary Health Care Strategy 19
Review the Capitation Based Funding Formula 20
Policy Advice on Low Cost Access for under sixes 20
Broaden the Range of Health Professionals Involved in the Continuum of Care 20
Focus on Prevention and Early Detection 21
Primary Health Care Strategy Monitoring Framework 21
Key Directions for Information Systems to Support the Primary Health Care Strategy 22
Family Violence Prevention 22
Health of Older People Strategy 23
Implementing the Health of Older People Information Strategic Plan 23
Assessment 23
Ageing in Place 24
Improving the Quality and Safety of Services for Older People 24
Income and Asset Testing Legislation - Implement the provision of the Social Security (Long-Term Residential Care) Amendment Act 2006 25
Sustainability of Services 25
Health Workforce 26
Developing innovative roles for health practitioners to ensure there is a sustainable health and disability support service workforce in New Zealand. 26
Coordination of Internal Activities relating to the Ministry of Health Workforce 26
Public Health Workforce Development Plan 26
Implementing a New Entry to Practice Programme for Nurses 27
Workforce Education and Training 27
Policy Framework for Longer Term Mental Health and Addiction Workforce Development 28
Development of a Core Competency Framework for the Mental Health Workforce 28
Mental Health Workforce Development 29
Health Infrastructure 30
National Systems Review 30
National Cervical Screening Programme Register – Replacement Register 30
Health workforce Information Programme 31
Development of a National Non-admitted Patients (Outpatient) Collection 31
Cost-effectiveness 31
Service Planning and New Health Interventions Assessment (SPNIA) 31
Government Expenditure and Administration (EXG) Review 32
PAM Steering Group 32
DHB Cost Effectiveness and Efficiency Reviews 33
Quality and Safety 33
Support for Statutory Committees 33
Systems Approach to Quality Improvement 34
Elective Services 34
Improving Elective Services Overall 34
The New Zealand Health Strategy 35
Development of the Public Health Bill 35
System Performance 35
System Performance Assessment 36
DHB and Crown Entity Ownership Advice 36
Service Planning and Purchasing 36
International 37
Human Tissue Bill 37
Organ Donation Register 38
Public Health Intelligence (PHI) 38
Service Planning and Purchasing / Funding 39
Radiation Protection Services 39
Regulation of Therapeutics 40
Regulation of Medicines and Medical Devices 40
Establishment of the Australia New Zealand Therapeutic Products Agency (ANZTPA) 41
Direct-to-consumer advertising of prescription medicines (DTCA) 41
Medicines Strategy 41
Pacific Health 42
Quarantine and Biosecurity 42
Progressing the New Zealand Disability Strategy 44
Improved Participation of Disabled People in the Planning for and Provision of Disability Support Services 44
Progressing the New Zealand Disability Strategy: Completing Kimberley De-institutionalisation programme 44
He Korowai Oranga: Māori Health Strategy 45
Developing the Next Māori Health Action Plan and Completion of the Māori Health Action Plan 45
Reducing Inequalities 46
Māori Provider Development Scheme (MPDS) 46
The Mental Health Strategy 47
Updated Framework for Services for Children’s and Young People’s Health and Alcohol and Other Drug Problems 47
Regulatory Framework for Compulsory Interventions in Alcohol and Drug Addiction Act 1966 47
Revised Forensic Framework and Implementation Plan 48
Annual Report of the Office of Director of Mental Health 48
Key Performance Indicator Framework 49
Review Te Puāwaitanga: Māori Mental Health National Strategic Framework 2002-2007 49
Mental Health Research and Development 50
Pricing Project 50
Developing our Capacity and Capability 51
Heath Sector Payments and Administration 51
Ministerial Support Services - Capacity and Capability 51
Corporate Planning and Reporting 52
Human Resources 52
Targeted Recruitment and Retention Strategies 52
Working Environment 53
Employment and Pay Equity Review 53
Work Experience Database 53
‘Career in Health’ Publication 53
Flexibility in the Workplace: Policy and Guide for Mangers 53
Management Capability 54
Review of Management Delegations 54
Support for First-line Managers 54
Team Performance and Rewards 54
Organisational / People Capability around Core Business 54
Contract Support 55
Human Resource Information Systems 55
Contract Management 55
Programme Management 55
Schedule 3: Statement of Objectives 57
2006/07 Identified Publications and Reports 58
1. Parties to the Plan
The Output Plan is between the Minister of Health and Director-General of Health (Chief Executive of the Ministry of Health).
2. Purpose and scope
This Output Plan sets out the outputs the Minister of Health has agreed to purchase, their performance attributes and costs, and the terms and conditions surrounding the agreement.
The Output Plan allows the Minister of Health to:
· record agreed cost, quantity and quality standards for desired outputs
· assess the risks and obligations associated with delivery
· record and change decisions
· subsequently verify that the output has been delivered
· hold the provider accountable for delivery of the specified output.
Schedule 1 of this plan provides information on the Ministry of Health’s outcome framework and linkages between societal, intermediate and Ministry outcomes, the Minister of Health’s key priorities, and the key Government goals.
3. Overview of outputs to be delivered
The output mix can be changed with the approval of the Minister of Health.
Director-General of Health is accountable to the Minister of Health for the delivery of the outputs listed in this plan to the quality, quantity and cost specified. The Director-General of Health remains accountable for the delivery of any part of an output class or output that has been subcontracted to a third party.
Schedule 1: This outlines the cost of all output classes.
Schedule 2: This section details how the Ministry intends to progress priority areas for 2006/07 as detailed in the Statement of Intent. The outputs in this plan are in addition to those performance measures detailed within the Statement of Forecast Service Performance section (Pages 104 to 142)
Schedule 3: This outlines the generic quality standards for briefings and policy advice.
4. Term of the Agreement
The Output Plan is for the 12 months commencing on 1 July 2006 and ending on 30 June 2007.
5. Procedures for amendment
This Output Plan is intended to be a living document, the plan may be amended by agreement of the parties if, at any time during its term, the work or environment of the Ministry is so altered (for example, as a result of Government or management decision) that the contents of the agreement are no longer appropriate.
Any changes shall be recorded in writing by Director-General of Health, signed by the Minister of Health and attached to the agreement. Both parties to the plan will hold copies of the original and amended plans.
6. Monitoring, reporting and assessment
The responsible Output Manager (detailed in the table below) will monitor and report to Director-General on delivery of the outputs specified in this Output Agreement and those contained in the 2006/07 Statement of Intent.
Name of Departmental Output Expense / Responsible Deputy Director-General(Output Manager) /
Clinical Services / Deputy Director-General, Clinical Services Directorate
DHB Funding and Performance / Deputy Director-General, DHB Funding and Performance
Disability Issues / Deputy Director-General, Disability Services Directorate
Information Services / Deputy Director-General, Corporate and Information Directorate
Management of National Screening Programmes / Deputy Director-General, Public Health Directorate
Māori Health / Deputy Director-General, Māori Health Directorate
Mental Health / Deputy Director-General, Mental Health Directorate
Ministerial Support Services / Deputy Director-General, Corporate and Information Directorate
Public Health / Deputy Director-General, Public Health Directorate
Sector Policy / Deputy Director-General, Sector Policy Directorate
Director-General will negotiate a Performance Agreement with each Output Manager and will formally review his or her performance on an annual basis. Each responsible Output Manager will negotiate a Performance Agreement with his or her direct reports.
Each quarter a report on progress in each output class will be prepared for the Executive Management Team of the Ministry of Health and the Minister of Health. In the absence of an approved Output Plan, the Quarterly Report will be measured against the Statement of Intent for the financial year.
Monitoring of performance in each output class will identify any outputs, which cannot be delivered within the performance measures set out in this plan. Details of these outputs will be brought to the attention of the Minister of Health prior to the due date and the Minister will be invited to agree to an extension.
Director-General of Health will provide the Minister of Health with three quarterly reports on progress for each output class compared to the quantity, quality and timeliness performance measures in the schedules to the Output Plan, and an annual report to Parliament. The annual report to Parliament will be a report against the Statement of Intent in accordance with the Public Finance Act (1989)
The quarterly reports will be produced within six weeks of the end of each quarter.
The quarterly report to the Minister of Health will be exception based and will include:
· Director-General’s overview
· highlights of activities and events over the quarter for each strategy, priorities and initiatives listed within the Statement of Intent
· performance not achieved against the relevant measures for the quarter
· all amendments to the schedules agreed during the period
· an explanation of any failure to reach any agreed performance specifications for the quarter and proposed corrective action.
The quarterly report will also include a report on the Ministry’s capability and capacity and on any risks that should be bought to the Minister’s attention and proposed strategies for managing these.
The Minister of Health will be asked quarterly to comment on his satisfaction with progress on the delivery of policy advice and performance of the Ministry.
Audit New Zealand will conduct an audit and report on the Ministry’s annual performance in accordance with the Public Finance Act (1989).
7. Payment and charging arrangements
The amount paid by the Crown shall be the agreed cost of an output for the full year but shall be paid in instalments during the year based on the cash-payment schedules agreed with the Treasury.
Output costs are exclusive of GST.
8. Signatures of the parties
The contents of this plan have been discussed and agreed with the Minister of Health.
Debbie Chin Hon Pete Hodgson
Acting Director-General of Health Minister of Health
Date: Date:
Schedule 1: Cost of Outputs
Summary of outputs purchasedPrice to the Crown for the 2005/06 financial year / Crown revenue (GST exclusive)
$000 / Revenue departments
$000 / Revenue
other
$000 / Total expenditure
(GST exclusive)
$000
Clinical Services / 12,175 / 120 / 137 / 12,432
DHB Funding and Performance / 16,520 / 230 / - / 16,750
Disability Issues / 9,754 / 152 / - / 9,906
Information Services / 49,616 / 362 / 299 / 50,277
Management of National Screening Programmes / 8,443 / 67 / - / 8,510
Māori Health / 3,698 / 44 / - / 3,742
Mental Health / 6,302 / 53 / - / 6,355
Ministerial Support Services / 2,480 / 36 / - / 2,516
Public Health / 24,300 / 575 / 7,656 / 32,531
Sector Policy / 14,258 / 131 / - / 14,389
Total / 147,546 / 1770 / 8092 / 157,408
Schedule 2: Priority areas within the 2006/07 Statement of Intent
This section details how the Ministry intends to deliver on outputs described within pages 30-47 of the 2006/07 Statement of Intent and includes Ministry initiatives that fall under the realm of the New Zealand Health Strategy and the New Zealand Disability Strategy that are not necessarily described in detail within the document.
The Ministry’s priorities for 2006/07 focus on the following areas:
· getting ahead of the chronic disease burden
· child and youth services
· primary health care
· health of older people
· health infrastructure and workforce
· cost-effectiveness
· quality and safety
· elective services.
The New Zealand Health Strategy and the New Zealand Disability Strategy provide the overarching framework for action in the health and disability sector, they do not identify how specific priority objectives or services will be addressed. Population-, service- and disease-based strategies sit underneath the umbrella of these overarching strategies and provide more detailed guidance for the health and disability sector, especially DHBs, on how to achieve the broader goals.
These strategies include:
· He Korowai Oranga: Māori Health Strategy
· the Primary Health Care Strategy
· the Health of Older People Strategy
· the Mental Health Strategy.
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Getting Ahead of the Chronic Disease Burden
Getting ahead of the curve of the chronic disease burden through maintaining and improving an integrated continuum of prevention and intervention services is key to a cost-effective health service. This includes another year’s assertive progress in implementing the Healthy Eating–Healthy Action Strategic Framework as well as the Cancer Control Strategy and an ongoing focus on tobacco control.