2006/07 Ministry of Health Output Plan · 2006/07 Ministry of Health Output Plan Health Report:...

2006/07 Ministry of Health Output Plan

Health Report: Period covered:

20061273 1 July 2006 – 30 June 2007

2

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

3

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

4

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

5

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

6

Name of Departmental Output Expense

Responsible Deputy Director-General (Output Manager)

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.

7

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:

8

Schedule 1: Cost of Outputs

Summary of outputs purchased Price to the Crown for the 2005/06 financial year

Crown revenue

(GST exclusive)

$000

Revenue departments

$000

Revenue other $000

Total expenditure

(GST exclusive)

$000Clinical Services 12,175 120 137 12,432DHB Funding and Performance 16,520 230 - 16,750Disability Issues 9,754 152 - 9,906Information Services 49,616 362 299 50,277Management of National Screening Programmes

8,443 67 - 8,510

Māori Health 3,698 44 - 3,742Mental Health 6,302 53 - 6,355Ministerial Support Services 2,480 36 - 2,516Public Health 24,300 575 7,656 32,531Sector Policy 14,258 131 - 14,389Total 147,546 1770 8092 157,408

9

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.

10

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. Cancer Control Statement of Intent committed outputs: Continue the implementation of the Cancer Control Strategy and Support DHBs to establish regional cancer networks by 30 June 2007. Refer to the 2006 – 2009 Statement of Intent pp: 30. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 29-30. Responsibility of: Deputy Director-General, Clinical Services, Public Health. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• District Health Boards are developing their own Cancer Plans in line with District Annual Plan (DAP) requirements

• Regional cancer networks are established across New Zealand • Contracts with New Zealand Guidelines Group for prostrate cancer, melanoma, referral/access

guidance and protocol sharing are in place and deliverables are being met. Process Outputs: By when: Provide policy advice and sector leadership to ensure ongoing implementation of the Action Plan including: First phase of the cancer services capability and capacity project to determine future resource requirements for cancer services and the implementation of the cancer control strategy.

31 Oct 06

Convening a national workshop for Cancer Implementation Fund initiative contract holders to provide feedback on findings to sector

30 Nov 06

Guidance development including: • completion of updated consumer information on prostate cancer launched

• completion of updated consumer information on prostate cancer printed and

distributed. • implementation of web based cancer protocol sharing • commencement of consultation on draft melanoma guidelines in association

with Australia • completion of draft adapted referral/access guidance to cancer services • breast cancer guideline development underway

31 Aug 06 varied to 30 Jun 07 30 Sep 06 varied to 30 Jun 07 30 Sep 06 30 Jun 07 30 Jun 07 30 Jun 07

Facilitating regional cancer network establishment 30 Jun 07 Facilitating the work programme and meetings of the NZ Cancer Treatment Working Party and it’s subgroups to ensure alignment with the strategy, including adolescent service development, palliative care, workforce, radiation and medical oncology.

30 Jun 07

Colorectal Cancer Screening Statement of Intent committed outputs: Development of policy advice on whether a national colorectal cancer screening programme should be implemented in New Zealand by February 2007. Refer to the 2006 – 2009 Statement of Intent pp: 31. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 30-31. Responsibility of: Deputy Director-General, Public Health. Process Outputs: Draft policy report on colorectal cancer screening and consultation commenced with key stakeholders (in particular with the National Screening Advisory Committee and the Cancer Control Council).

By when: 30 Nov 06

11

Breast Cancer Screening Statement of Intent committed outputs: A national approach to recruitment and retention of medical radiation technologists and radiologists by June 2007. Refer to the 2006 – 2009 Statement of Intent pp: 31. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 31. Responsibility of: Deputy Director-General, Public Health. Process Outputs: By when: Development of a national approach to recruitment and retention of medical radiation technologists and radiologists working within the breast screening programme. The achievement of this Output will be through:

• Contracting with Geneva Health to recruit Medical Radiation Technologists and radiologists on behalf of Lead Providers.

• NSU radiology fellowships for radiologists offered. • Reimbursement of costs for completion of the Certificate in Proficiency in

Mammography for Medical Radiation Technologists.

30 Jun 07

National Cancer Management Database (NCMD) Statement of Intent committed outputs: A business case for a national Cancer Management Database by November 2006. Refer to the 2006 – 2009 Statement of Intent pp: 55. Process Rationale: Refer to the 2006-2009 Statement of Intent pp: 54-55. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include a compelling case made for an improved cancer management programme that is supported by robust evidence and has good buy-in from key sector stakeholders. Process Outputs: By when: A Strategic Analysis Report, defining the strategic/policy context for the business case, and the key directions for the NCMD.

31 Aug 06

An Options Analysis Report including detailed operational and technical analysis to confirm the feasibility and benefits of different options for implementing the NCMD, and detail on how implementation will be funded.

31 Oct 06

A Business Case developing a preferred option and including an implementation plan will be developed.

30 Nov 06

Cardiovascular Disease and Diabetes Statement of Intent committed outputs: See below and refer to the 2006-2009 Statement of Intent pp 31-33. Draft Quality Improvement Plan (Service Review), including initiatives across the cardiovascular disease/diabetes continuum, IT solutions, data analysis, prioritised service improvement initiatives and outcome measurement by 30 June 2007. Process Rationale: The Minister of Health has agreed to the Ministry of Health working with the sector to develop a quality improvement plan for cardiovascular disease and diabetes. This plan aligns with the focus of the primary health care strategy on the prevention and management of long term conditions and the implementation of the HEHA Strategy. Also refer to the 2006-2009 Statement of Intent pp: 31-33. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• Establishment of Diabetes/Cardiovascular Disease Expert Advisory Group, reporting to DHB CEO and CSD DDG co-sponsors

• Priorities decided for Diabetes/Cardiovascular Disease interventions in response to review of national/local outcomes

• Improved Get Checked reporting • MoH/DHB/NGO collaboration on implementation of Quality Improvement Plan

Process Outputs: By when: Governance arrangements and terms of reference agreed, and advisory group established. 31 Jul 06

Review of national and local Diabetes/Cardiovascular Disease outcomes. 31 Mar 07 Get Checked (the annual free check for people with diabetes) information technology functional upgrade completed. 30 Jun 07

12

National View of Diabetes and CVD Information Statement of Intent committed outputs: A business case for a National Data View for CVD and Diabetes by August 2006. Process Rationale: Refer to the 2006-2009 Statement of Intent pp: 31-33. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• A case is made for an improved national view of diabetes and CVD information that is supported by robust evidence and has good buy-in from key stakeholders.

Process Outputs: By when: Project charter, including consultation plan 31 Jul 06 A business case developed. Note: Further project planning and resource consideration has resulted in a revised date from August to December 2006. The further variation to the date was approved by the Minister in the February 2007 Variation Health Report.

31 Dec 06 varied to April 07

Healthy Eating – Healthy Action Statement of Intent committed outputs: Planning and initiation of HEHA interventions in seven key areas (Leadership; Actions in School Setting; Breastfeeding; Communication: HEHA in the community; Primary Care; and Monitoring, Research and Evaluation) will be completed by 30 June 2007. Refer to the 2006 – 2009 Statement of Intent pp: 35. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 33-35 Responsibility of: Deputy Director-General, Public Health. Process Outputs: By when: Leadership: Regional intersectoral co-ordination functions initiated. 31 Dec 06 School setting: Phase 3 Fruit in Schools rolled out. 31 Oct 06 School setting: Contract in place to support roll-out of Ministry of Education food and nutrition guidelines.

31 Dec 06 varied to 31 Mar 07

School setting: Framework to manage nutrition fund for schools developed. 31 Dec 06 Breastfeeding: Support provided to Baby Friendly Hospital Initiative. 31 Mar 07 Breastfeeding: Progress report in relation to the scoping of the national breastfeeding promotion campaign prioritising Māori and Pacific. Breastfeeding: Scoping national breastfeeding promotion campaign prioritising Māori and Pacific.

31 Dec 06 30 Jun 07

Communication: Public awareness campaign planned in conjunction with key stakeholders.

31 Mar 07

HEHA in the community: Expand existing activity (e.g., increasing coverage of existing programmes) in the food industry setting.

31 Jul 07

Primary Care: Fund further innovative DHB/PHO HEHA proposals. 31 Dec 06 Select Committee: Provide a government response to Health Select Committee Enquiry on obesity and type 2 diabetes recommendations.

31 Dec 06 varied to 30 Jun 07

Primary Care: Undertake scoping for development of national guidelines for treatment of overweight and obesity.

30 Jun 07

Monitoring, research and evaluation: Monitoring plan completed. 30 Jun 07 Monitoring, research and evaluation: Research strategy prepared for consultation. 31 Dec 06 Tobacco Control Statement of Intent committed outputs: The Ministry will provide advice to Government on an amendment to the Smoke-free Environments Regulations 1999, to meet New Zealand obligations as a party to the Framework Convention on Tobacco Control by 30 June 2007. Refer to the 2006 – 2009 Statement of Intent pp: 35. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 35. Responsibility of: Deputy Director-General, Public Health. Process Outputs By when: Provision of final policy advice for the Associate Minister O’Connor following consultation on new health warnings.

30 Nov 06

13

Regulations on health warnings promulgated (subject to approval by the Minister and Executive Council).

31 Mar 07

Contract in place for implementation manuals for industry. 30 Jun 07

Reducing Alcohol Use Statement of Intent committed outputs: The Ministry will manage the government-led review of the regulatory framework for alcohol advertising and provide secretariat and policy advice by 30 June 2007. Refer to the 2006 – 2009 Statement of Intent pp: 29-37. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 35-36. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Below are outputs and indicators that will be used to evaluate effectiveness and identify any need for improvement:

• Steering group meetings run efficiently – background papers supplied in time, regular meetings organised and minuted, action points followed up, papers supplied, and queries by steering group members handled.

• Communication with stakeholders and public – stakeholder reference groups organised, media queries, ministerials, PQs and OIAs handled on time. The September – November 2006 Variation Report reported the steering Group decided that establishment of a formal stakeholder reference group was not necessary or efficient. The Review process was delayed while the consultation document went to Cabinet for approval. Therefore this output is varied to: Stakeholder groups invited to submit as part of consultation process by 30 September 2006.

• Advice provided by Steering Group supplied to MCDP and Associate Minister.

Quarterly update. 30 Sep 06 31 Dec 06

Process Outputs: By when: Steering Group (charged with directing the review) established 31 Jul 06 Interim report prepared for Ministerial Committee on Drug Policy. The date was varied in the September – November 2006 Variation Health Report.

31 Oct 06 varied to 31 Mar 07

Completion of final report (The Ministry provides both a representative on the Steering Group as well as secretariat services. The Ministry also, with ALAC, make up a working group to provide the Steering Group with research and information, policy analysis, project planning and implementation). Completion of final report from the Steering Group for the Review of the Regulation of Alcohol Advertising.

Formerly: 31 Dec 06 Varied to: 31 Mar 07

Monitoring, research and evaluation: Research strategy prepared for consultation. 31 Dec 06

Report on Chronic Medical Conditions Boundary Issues for Disability Services Statement of Intent committed outputs: None committed to in the 2006-2009 Statement of Intent. Process Rationale: The Minister of Health has indicated that some funding may be available within Budget 2006 to address this issue. The Minister has emphasized, however, that no funding will be released until areas of responsibility have been determined and a plan for spending any funds during 2006/07 agreed. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: Solving this issue would improve access to services for people with disabling chronic conditions. It would also facilitate an ongoing continuum of care for people with ongoing but variable health and support service needs. Updates will be provided in the quarterly reports. Process Outputs: By when: Health report to the Minister 30 Sep 06

14

Hepatitis C Statement of Intent committed outputs: No commitments made in the 2006-2009 Statement of Intent. Process Rationale: In a step toward resolving the longstanding concerns of those infected with hepatitis C through the blood supply, the Government has committed to improve access and outcomes for all people with hepatitis C. A report in 2000 by ESR estimated that more than 30,000 New Zealanders were currently infected with hepatitis C and that the number developing life-threatening complications of hepatocellular carcinoma or chronic liver failure would increase exponentially over the next decade. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• Increase volumes of people accessing hepatitis C treatment • Improved health outcomes for people with hepatitis C • Over time, a reduction in the current projections of people requiring a liver transplant

Process Outputs: By when: Governance arrangements, terms of reference, and advisory group established to oversee work to identify priorities for funding

31 Aug 06

Priorities for funding identified 30 Nov 06 Funding disbursed 28 Feb 07

15

Child and Youth Services Child and youth services are a priority for the Government this term. The Ministry needs to expand, or introduce, many services, including targeting hearing tests for neonates, increasing the scope of Well Child services for preschoolers, improving child and adolescent mental health services, improving oral health services and working towards free primary care services for under-sixes. Universal Newborn Hearing Screening Programme Statement of Intent committed outputs: The National Screening Unit plans to provide further detailed policy on newborn hearing screening and an implementation plan by December 2006. Intervention services are the responsibility of both the health and education sectors and both sectors will be involved in decisions about the implementation of a Universal Newborn Hearing Programme and enhancing early intervention services. Refer to the 2006 – 2009 Statement of Intent pp: 39. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 38-39. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Development of an implementation plan in collaboration with the Ministry of Education, as both the health and education sectors are involved in decision making processes around newborn hearing screening. Process Outputs: By when: Detailed policy and implementation plan submitted to the Minister of Health. 31 Dec 06

Newborn Metabolic Screening Programme Statement of Intent committed outputs: In 2006/07 Ministry will undertake the following:

• Development of policy for expanded metabolic screening by June 2007 • Development of best practice guidelines for practitioners by June 2007 • Development of policy and potential legislative options on the storage, retention and use of

Guthrie Cards by June 2007 • Develop new consumer pamphlets, by June 2007.

Refer to the 2006 – 2009 Statement of Intent pp: 40. Note: The reasoning behind the delays have been communicated to the Minister of Health in HR20062077 and in the September – November 2006 Variation Health Report 20062054. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 39-40. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Achievement of the above deliverables. Process Outputs: By when: Development of policy for expanded metabolic screening. 30 Jun 07

Development of educational resources for expanded screening 30 Nov 06 varied to 30 Jun 07

Set-up phase for tandem mass spectrometer (establishment of cut-offs, revising referral protocols)

31 Dec 06

National education to practitioners regarding expanded screening 31 Dec 06 varied to 30 Jun 07

Data Collection and Monitoring to commence and initial reporting on data (January to May 2007).

30 Jun 07

Peer review and guidelines developed 30 Jun 07

Best practice guidelines for practitioners 30 Jun 07

Development of draft guidelines 31 Dec 06 varied to 30 Jun 07

Consultation with key stakeholders to occur between January and March 2007. 31 Mar 07 varied to 31 Jul 07

16

Compilation of educational material for best practice guidelines 30 Jun 07 will be delayed

Development of policy and potential legislative options on the storage, retention and use of Guthrie Cards.

30 Jun 07 varied to 30 Jun 08

Cabinet approval for public consultation 31 Dec 06 varied to 30 Jun 08

Public consultation completed and analysis of results 30 Apr 07 varied to 30 Apr 08

Policy analysis and report and consideration of legislation options 30 Jun 07 varied to 30 Jun 08

Development of new consumer pamphlets. 30 Jun 07 varied to 30 Jun 08

Development of Interim pamphlet and distribution 31 Dec 06 varied to 30 Jun 07

Next revision of pamphlet (to include policy on storage and use) 30 Jun 07

Phased Implementation of Universal Routine-offer Antenatal HIV Screening for Women in New Zealand Statement of Intent committed outputs:

• Agreement sought with a further seven DHBs to implement the universal routine offer of antenatal HIV screening by June 2007.

• Development of Guidelines for health professionals by June 2007. • Development of programme standards and monitoring and evaluation requirements by June

2007. • Development of information resources for women by June 2007.

Refer to the 2006 – 2009 Statement of Intent pp: 40. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 40. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Achievement of the above deliverables. Process Outputs: By when:

• Agreement sought with a further seven DHBs to implement the universal routine offer of antenatal HIV screening

30 Jun 07

• Development of Guidelines for health professionals o Development of draft guidelines and commencement of

consultation

30 Jun 07 (Varied from 31 Oct 06)

• Development of programme standards and monitoring and evaluation requirements

o Development of draft standards and commencement of consultation

30 Jun 07 (will be delayed). 31 Mar 07 (Varied from 31 Oct 06)

• Development of information resources for women ° Resources developed for consultation with the sector

30 Jun 07 (Varied from 31 Dec 06)

Antenatal Screening for Down syndrome Statement of Intent committed outputs: As an interim measure the Ministry plans to develop and disseminate information resources for practitioners. The aim of this is to enhance the knowledge base of practitioners while other options are being assessed. The Ministry plans to undertake a comprehensive policy process, to assess the various options for antenatal Down syndrome screening and to determine whether a national screening programme for antenatal Down syndrome screening should be established. This work is planned for completion by the end of December 2006, with options presented to the Minister of Health by the end of January 2007. Refer to the 2006 – 2009 Statement of Intent pp: 41. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 41. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Achievement of the above deliverables. Process Outputs: By when:

17

The following activities are being undertaken as part of the policy development process by 30 December 2006:

30 Dec 06

• A literature review, consumer study, and workforce analysis are being contracted

30 Dec 06

• A study of inequalities and an economic evaluation are being carried out by the NSU

30 Dec 06

Policy advice provided to the Minister of Health on whether a national screening programme for antenatal Down syndrome should be established including options for the Minister of Health.

31 Jan 07

Well Child Services Statement of Intent committed outputs: A draft review of the Well Child framework by 30 June 2007. Refer to the 2006 – 2009 Statement of Intent pp: 42. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 41-42. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include an understanding of:

• whether the Well Child framework is reaching the right families and children and delivering value for money,

• how to link Well Child provision to PHOs and the interagency Early Intervention work being undertaken by the Ministries of Social Development and Education, and how to better integrate the Well Child provision with maternity care.

Process Outputs: By when: Draft project specification completed. 31 Jul 06 Well Child Framework review project and sector reference group established. 31 Oct 06 Issues and options consultation paper released for comment/submission. 30 Apr 07

variation requested for 30 Jun 07

A draft review of the Well Child framework completed. 30 Jun 07 internally extended to 31 Jul 07

Maternal and Newborn Information Systems Statement of Intent committed outputs: During 2006/07 the Ministry will report to the Minister on the feasibility, requirements, options, costs, benefits and change management implications of establishing and operating an enhanced Maternal and Newborn Information System by January 2007 and in the interim period, the Ministry will undertake a project to improve the quality of existing information available about the performance of the maternity system. Refer to the 2006 – 2009 Statement of Intent pp: 57. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 56-57. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include: Recommendations made around appropriate indicators, new and existing data sources and methods of collection, change management issues associated with the possible development of an enhanced Maternal and Newborn Information Systems, and the feasibility of developing linkages to other existing systems. Process Outputs: By when: Working group of clinical and information experts convened. 31 Aug 06 Report to the Minister on the feasibility, requirements, options, costs, benefits and change management implications of establishing and operating an enhanced Maternal and Newborn Information System

31 Jan 07

18

Strengthening Oral Health Services for Young People Statement of Intent committed outputs: By 30 June 2007, the Ministry will:

• Publish a strategic vision for oral health • Manage the initial funding roll-out to DHBs for oral health capital upgrades and new service

delivery design. • Establish a strategic leadership group to oversee implementation, group to include DHB CEO,

Funding and Planning, and Māori Health representatives (timing dependant on budget and consultation around strategic vision).

Refer to the 2006 – 2009 Statement of Intent pp: 44. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 42-44. Responsibility of: The Deputy Director General of the Clinical Services Directorate, Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• National Oral Health Steering Group operational • Technical Advisory Groups on early childhood programs, service models, health promotion

operational • First business cases submitted and funding allocated • New performance indicators allowing the Ministry to evaluate outputs of strengthened services

Process Outputs: By When: Provide policy advice and sector leadership including: Finalising and implementing the DHB business case approval process for accessing new funding.

31 Jul 06

Finalising business case guidelines, facility design guidelines. 31 Jul 06 Publishing a strategic vision for oral health. 31 Aug 06 Development of advice via technical advisory groups on specific oral health service issues.

30 Jun 06

Developing a monitoring framework to evaluate improvements. This variation to the date was approved by the Minister in the February 2007 Variation Health Report.

31 Dec 06 varied to 30 Jun 07.

Child and Adolescent Mental Health Services Statement of Intent committed outputs: The Ministry will produce an updated framework for services for children’s and young people’s mental health and alcohol and other drug issues, that will consider the spectrum of interventions including primary, secondary and tertiary health services by 30 June 2007. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 44-45. Refer to the 2006 – 2009 Statement of Intent pp: 45. Responsibility of: Deputy Director-General, Mental Health. Process Outputs: By when: The Ministry will produce an updated framework for services for children’s and young people’s mental health and alcohol and other drug issues, that will consider the spectrum of interventions including primary, secondary and tertiary health services.

30 Jun 07

Review of epidemiology literature completed by end of first quarter. 30 Sep 06 Draft document out for consultation by end of second quarter. 31 Dec 06 Updated framework completed end of fourth quarter. 30 Jun 06

19

Primary Health Care Strategy The Ministry of Health will continue the Primary Health Care Strategy roll-out, both to achieve reduced costs for more people and to continue the shift towards a population approach to primary health care. PHOs should continue to intensify their focus on prevention and early detection and should continue to broaden the range of health professionals involved in the management and co-ordination of the continuum of a person’s care. Primary Health Care Strategy Implementation Statement of Intent committed outputs: See below and refer to the 2006 – 2009 Statement of Intent pp: 47. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 45-46. Responsibility of: Deputy Director-General, Clinical Services. Process Outputs: By when: Complete an evaluation of the implementation and intermediate outcomes of the Primary Health Care Strategy.

30 Jun 07

Continue delivery against the Ministry of Health and DHB joint work programme (including projects on service development, funding and access, and systems and infrastructure).

30 Jun 07

Joint Work Programme (Ministry of Health and DHBs) Statement of Intent committed outputs: The work-streams for the joint work programme are currently being agreed. A steering group will be convened, and terms of reference agreed in the 2006/07 financial year. The outputs for the 2006/07 financial year will be drafted and consulted on once this group has been set up. Process Rationale: The work programme sees DHBs taking a greater role in the implementation of the primary health care strategy, underpinned by clarity of MoH and DHB roles and responsibilities and robust change management principles. The focus is now able to shift from establishment to concentrating more on achieving the delivery aims central to the Strategy – reducing health inequalities, engaging communities, and improving the prevention and management of chronic conditions. The joint work programme includes:

• New oversight arrangements • A view of where primary health care needs to be in 2010 to deliver on the vision • A detailed work programme covering key work areas to be established

Responsibility of: Deputy Director-General, Clinical Services and District Health Boards and report against quarterly. Process Review: Effectiveness & Improvement: Key Primary Health Care Strategy objectives are reflected in the joint work programme. Process Outputs: By when: Deliverables on Joint Work Programme developed. 30 Sep 06 Progress against work programme reported. Quarterly Policy Advice on Primary Health Care Strategy Statement of Intent committed outputs: Advice to the Minister on a series of policy issues relating to the Primary Health Care Strategy. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 46-47. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation would include:

• All advice and briefings will meet the standards set out in the Ministry’s Statement of Objectives Process Outputs: By when:

20

Policy Advice on Primary Health Care Strategy Provide policy advice and determine policy settings around key issues including:

• Review of the Capitation based funding formula (see following template) • Lost cost access for under sixes (see following template) • Pharmaceutical and laboratory services management • How to include diverse organisations and services such as maternity

services, Family Planning, family violence and sexual health services and Well Child services into the primary health care context.

• Advice on PHO governance arrangements • Annual report to cabinet on progress in implementing the PHCS • Ensuring that DHB annual accountability documents reflect the objectives of

the strategy and monitoring • DHB performance

Ongoing

Review the Capitation Based Funding Formula Statement of Intent committed outputs: By July 2007, a single formula will apply to all PHOs, with the difference between ‘access’ and ‘interim’ practices no longer relevant. We need to review the formula and it’s assumptions to ensure that it can continue to achieve the objectives of improving access and reducing disparities. Process Rationale: Most of the new government funding has gone to providing affordable access for New Zealanders. Also refer to the 2006 – 2009 Statement of Intent pp: 46-47. Responsibility of: Deputy Director-General, Clinical Services Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation would include: An understanding of where refinement could enhance the capitation based funding formula to better reflect health need. Process Outputs: By when: Review of Services to Improve Access (SIA) formula and report to Minister 31 Dec 06 Review of capitation based funding formula and report to Minister 31 Dec 06 Policy Advice on Low Cost Access for under sixes Statement of Intent committed outputs: By 30 June 2007, Provide policy advice and briefings relating to maintaining a low fees environment (including under sixes), the funding context, and strengthening the fees framework for the next two funding rollouts will be delivered to the Minister. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 45-47. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation would include: All advice and briefings will meet the standards set out in the Ministry’s Statement of Objectives. Process Outputs: By when: There are no further outputs to report on in 2006/07, except for the one committed on the Statement of Intent, which is listed above. N/A.

Broaden the Range of Health Professionals Involved in the Continuum of Care Statement of Intent committed outputs: The Ministry of Health will provide policy advice and briefings relating to the development of patient centred teams in practices will be delivered to the Minister via joint Ministry of Health and DHB work programme. Refer to the 2006 – 2009 Statement of Intent pp: 49. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 49-50. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include: Increased number of Nurse Practitioners working in the sector.

21

Broaden the Range of Health Professionals Involved in the Continuum of Care Process Outputs: By when: Nurse Practitioner Development Working Party convened and report to Minister produced. 31 Dec 06

Other advice via the Ministry and DHB joint work programme Ongoing. Focus on Prevention and Early Detection Statement of Intent committed outputs: By 30 June 2007, the Ministry will contribute towards the development of:

• PHO Performance Management Phase II indicators • Policy work on the Co-ordinated Care project • Documenting the Leading for Outcomes rationale through the Leading for Outcomes website.

Refer to the 2006 – 2009 Statement of Intent pp: 49. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 47-49. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• The PHO Performance Management Phase II indicators reflect two key high priority areas within the New Zealand Primary Health Care Strategy – cardiovascular disease and diabetes

• Sector support for the Coordinated Care policy • Increased number of hits on LfO website during 2006/07

PHO Performance Management Phase II Indicators Process Outputs: By when: 85% of PHOs participating in the Performance Management Programme 1 Jan 07 Indicators to be implemented on 1 July 2007 confirmed with the primary care sector 31 Mar 07 First annual report for PHOs participating in the Programme from 1 January 2006 developed, showing progress of PHOs against the indicators.

30 Apr 07

Policy Work on Coordinated Care Project Process Outputs: By when: Sector consultation/involvement on policy Jul 06-Jun 07 Policy application to existing programmes (Get Checked and Care Plus initially) Jul 06 -Jun 07 Policy implementation From May 07 Extended policy to other long term conditions From June 07 Documenting Leading for Outcomes (LfO) through the LfO Website Process Outputs: By when: Full presentation of Public Health Intelligence data on the Leading for Outcomes website on a DHB by DHB basis completed.

31 Oct 06

Engage web development provider on a time and materials basis: • Design new website structure with a stronger implementation focus. • Develop templates for exemplars of best practice and institute an interactive

format for comparing experience.

31 Jul 06 31 Jul 06

Full upgrade of Leading for Outcomes website to both reflect current thinking and develop a more interactive mode for presenting exemplars of best practice.

31 Dec 06

Engage web development provider on a time and materials basis: • Design new website structure with a stronger implementation focus. • Develop templates for exemplars of best practice and institute an interactive

format for comparing experience.

31 Jul 06 31 Jul 06

Primary Health Care Strategy Monitoring Framework Statement of Intent committed outputs: The Ministry will develop:

• A monitoring framework reflecting the key components of the Primary Health Care Strategy by August 2006.

• A Gap analysis of our current monitoring, reporting and evaluation approaches including a performance monitoring report based on best fit data currently available by December 2006.

• A development pathway to support ongoing development of the monitoring framework, including an implementation plan by March 2007.

Refer to the 2006 – 2009 Statement of Intent pp: 62. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 61-63.

22

Responsibility of: Deputy Director General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• Better monitoring and reporting of results, so that primary health care performance can be assessed.

Process Outputs: By when: Development pathway to support Ongoing development of the monitoring framework, including an implementation plan completed. Note: Further project planning and resource consideration has resulted in a revised date from March to April 2007.

30 Apr 07

Key Directions for Information Systems to Support the Primary Health Care Strategy Statement of Intent committed outputs: The Ministry will develop:

• A public document outlining the Key Directions for Information Systems to support the achievement of the Primary Health Care Strategy will be developed by November 2006. The Key Directions strategy document is now scheduled to be publicly available in early April 2007. The delay was a result of work being done in parallel.

• An Implementation and Change Plan for the Key Directions for Information Systems project will be developed by June 2007.

Both documents will be completed to a standard that enables Capital Committee to make a decision on information systems to support the Primary Health Care Strategy. Refer to the 2006 – 2009 Statement of Intent pp: 56. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 55-57. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include: The sector support generated over the project period contributes to the delivery of the implementation and change plan. Process Outputs: By when: PHCS: Key Directions for Information Systems document completed. 31 May 07 Family Violence Prevention None for the 2006 – 2009 Statement of Intent. This is a new output. Process Rationale: The Taskforce for Action on Violence within Families (the Taskforce) was established in June 2005 to advise the Family Violence Ministerial Team on how to make improvements to the way family violence is addressed, and how to eliminate family violence in New Zealand. The Taskforce’s published its first report in July 2006. The report detailed a programme of actions. The development of a new process to understand why family violence deaths occur to help enable changes to systems and practices and prevent future deaths is one of these actions. A two-phased project (the Family Violence Death Review Project) has been established to assist the Taskforce with this action. The project is aimed at identifying and developing an ongoing process for reviewing family violence-related deaths. The phases are:

1. Research-based reviews of existing family violence death data to assist identify changes that could be made to current systems and processes, and inform the development of new family violence risk assessment tools.

2. Policy development and recommendations regarding the design and development of an ongoing system for reviewing family violence-related deaths.

Responsibility of: Deputy Director-General, Clinical Services. Process Outputs: By when: Identification of improvements to be addressed by government and non-government organisations from April 2007.

From Apr 07

A report making recommendations on the design of an ongoing process for reviewing all family violence-related deaths.

30 Jun 07

23

Health of Older People Strategy The health of older people remains a priority, as services develop to better reflect older people’s wish to live, and be supported, at home for longer. The continuum of care model must be further developed, to better support people moving between their homes, residential care, assessment treatment and rehabilitation services, and primary services. Implementing the Health of Older People Information Strategic Plan Statement of Intent committed outputs: Complete 2006/07 milestones for the implementation of the Health of Older People information Strategic Plan. Refer to the 2006 – 2009 Statement of Intent pp: 51. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 50-51. Responsibility of: Deputy Director-General, Sector Policy. Process Outputs: By when:

• Publish research commissioned by the Ministry in recent years on the Health of Older People website.

30 Sep 06

• Complete a business case and implementation plan for the National Health of Older People Information Collection.

• Publish a revised information booklet on residential care.

31 Dec 06 varied to 30 Jun 07

• Consult on the business case and implementation plan for the national health of older people information collection. This output will be delayed as indicated in the February 2007 Variation Health Report.

31 Mar 07 Will be delayed.

• Report to the Minster and Cabinet seeking approval to establish the national health of older people information collection. This output will be delayed as indicated in the February 2007 Variation Health Report.

• Publish information resources for older people with dementia and their families.

30 Jun 07 Will be delayed.

Assessment Statement of Intent committed outputs: Report to the Minister by 31 December 2006, the outcome of the InterRAI evaluation and advice on its use as a national assessment tool. Refer to the 2006 – 2009 Statement of Intent pp: 51. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 51. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: Reports from the evaluation will assist DHBs trialling the assessment tool to improve its implementation, as well as providing the basis for a decision on national rollout of the InterRAI. Process Outputs: By when: Scope a joint MoH/DHB project to implement the InterRAI assessment tool (subsequent milestones will be developed.

30 Sep 06

Report to the Minister on the training and cost aspects of the evaluation of the InterRAI assessment tool.

31 Dec 06

Report to the Minister on the full evaluation of the InterRAI assessment tool. Note: This date differs from the 31 Dec 06 deadline committed in the Statement of Intent as a new date has been re-negotiated with the contract provider. According to the re-negotiation, the contract provider will supply the InterRAI report to the Ministry at the end of the year, and therefore reporting to the Minister will take place in early 2007.

31 Mar 07

Report to the Minister and Cabinet on the implementation of the InterRAI assessment tool as part of the report back on the health of older people information collectionrt.

30 Jun 07

24

Ageing in Place Statement of Intent committed outputs: The Ministry will produce a progress report on implementation of ageing in place initiatives by DHBs, by 30 June 2007. Refer to the 2006 – 2009 Statement of Intent pp: 52. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 51. Process Review: Effectiveness & Improvement: The evaluation will provide information on the key elements that enable older people with complex needs to be assisted to stay living safely in the community. It will also provide information on cost both to the funder and the family. This information will assist DHBs and the Ministry to determine service coverage and service specifications for this group. Updates provided in Quarterly Report as appropriate. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: Implementation of ageing in place initiatives will enable older people with complex needs to be assisted to stay living safely in the community. Process Outputs: By when: Report to the Minister of Health on the evaluation of the ageing in place pilots (the ASPIRE evaluation)

30 Sep 06

• Consult with the sector on the implications of the ASPIRE evaluation • Report to the Minister of Health and Cabinet on the future direction of

support services for older people living in the community and the appropriate use of residential care

31 Dec 06

Develop a plan to implement the future direction of aged care services through the district health board accountability framework. Varied to defer until further notice.

31 Mar 07 Deferred.

• Develop the Nationwide Service Framework to give effect to the findings of the ASPIRE trial. Varied to defer until further notice.

• Report to the Minister of Health on DHB progress in implementing ageing in place initiatives

30 Jun 07 Deferred.

Improving the Quality and Safety of Services for Older People Statement of Intent committed outputs: By 30 June 2007 the Ministry will:

• Provide specialist health services for older people, home-based support services for older people and assessment services for older people service specifications are completed, in preparation for placement on the Nationwide Service Framework (NSF).

• Report progress on work with the sector to improve recruitment and retention of aged-care workers.

Refer to the 2006 – 2009 Statement of Intent pp: 52. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 52. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: Effectiveness: Effectiveness will be determined by the extent to which there is greater clarity about the services being purchased with a reduction in boundary disputes about source of funding or responsibility for delivering services. Improvement: Once the framework is in place specific service specifications within the framework will be progressively reviewed to reduce duplication, ambiguity and inconsistencies. Updates in Quarterly Report as appropriate. Process Outputs: By when:

• Convene a joint MoH/DHB working group to develop the service specifications. The February 2007 Variation Health Report indicates this output will be deferred until related projects are completed.

• Work with district health boards to determine the scope of DHB-led work with the sector to improve recruitment and retention of aged-care workers (subsequent milestones will be developed).

30 Sep 06 varied to ‘Deferred until related projects are completed’.

Complete the specialist services for older people service specification in preparation for placement of the NSF. The March 2007 Variation Health Report indicates this output will be deferred as the Ministry is awaiting developments in new community support and assessment services

31 Dec 06 varied to Deferred.

Placement of the specialist services for older people service specification on the NSF.

31 Mar 07

25

• Complete the home-based support services and assessment services service specifications in preparation for placement on the NSF. The February 2007 Variation Health Report indicates this output will be deferred until related projects like the InterRAI assessment tool are completed.

30 Jun 07 This output will be delayed.

Income and Asset Testing Legislation - Implement the provision of the Social Security (Long-Term Residential Care) Amendment Act 2006 Statement of Intent committed outputs: By 30 June 2007 the Ministry will: Implement in conjunction with the Ministry of Social Development and DHBs, legislative changes to income and asset testing. Refer to the 2006 – 2009 Statement of Intent pp: 53. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 52. Responsibility of: Deputy Director-General, Sector Policy. Process Outputs: By when:

• Deliver officials’ briefing on the Social Security Act (Long-term Residential Care Bill) to Select Committee Office.

• Provide advice to the Minister of Health and Cabinet on extending the 28-day back-dating of means-assessments for the residential care subsidy to 90 days.

• Complete analysis of submissions on the Bill

30 Sep 06

• Complete supplementary Order Paper on extending the back-dating of means assessments (subject to Cabinet approval).

• Prepare speech notes for second and third readings of the Bill. • Develop a communication strategy to inform New Zealanders of the

changes to the income and asset testing regime. This output was varied in the February Variation Health Report to ‘The information booklet printed and distributed by 31 March 2007.

31 Dec 06 31 Mar 07

• Complete a draft paper on the adequacy of existing consumer complaints and advocacy systems, and options for change, for people in residential care. The February Variation Health Report indicated that this output is cancelled as the Ministry is seeking not to proceed with the paper.

31 Mar 07 Output cancelled.

• Consult with the sector and intersectorally on the adequacy of existing consumer complaints and advocacy systems, and options for change, for people in residential care.

• Report to the Minister of Health of the adequacy of existing consumer complaints and advocacy systems, and recommendations for change, for people in residential care.

• Gazette the maximum contribution for 2007/8.

Formerly 30 Jun 07, now cancelled. Cancelled. 30 Jun 07

Sustainability of Services Statement of Intent committed outputs: The Ministry will report back to Cabinet in December 2006 with a further update on work on the long-term sustainability of Health of Older People and Disability Support Services. Refer to the 2006 – 2009 Statement of Intent pp: 53. Process Rationale: The Act will reinforce Government policy with respect to income and asset testing for older people requiring residential care that impacts on DHBs, NASCs, residential care providers and consumers Refer to the 2006 – 2009 Statement of Intent pp: 53. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: The Ministry of Health and Ministry of Social Development will ensure that the amendment is implemented as intended. Process Outputs: By when: Cabinet paper updating process 31 Dec 06 Updates in Quarterly Report As appropriate

26

Health Workforce From an infrastructure perspective the Health Information Strategy must be progressed this year significantly faster than has been the case in recent years. Similarly, various work streams on health workforce issues have concluded, or are about to, and we need to progress all useful findings. Developing innovative roles for health practitioners to ensure there is a sustainable health and disability support service workforce in New Zealand. Statement of Intent committed outputs: None committed in the 2002-2009 Statement of Intent. Process Rationale: Demand for workforce is projected to outstrip supply by 2011, with the shortages projected to be up to 42% of the 2001 workforce by 2021. To meet the future demand for services, there will need to be greater productivity and efficiency from the health workforce, which will involve a more flexible approach to roles and training. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: Request for analysis are delivered in a timely and useful form. Note: The outputs below are variations from the original outputs. The September – November 2006 Variation Health Report includes the details of these variations. Process Outputs: By when: Analysis of current DHB activity on innovative roles. 31 Dec 06 Support HWAC to develop advice to Minister on aged care and disability support workers.

31 Aug 06

Framework finalised. 31 Jul 07 Sector for input into designing draft Career Framework. 31 Nov 06 Draft discussion document approved by Cabinet and publicly released. 30 Apr 08 Coordination of Internal Activities relating to the Ministry of Health Workforce Statement of Intent committed outputs: None committed in the 2002-2009 Statement of Intent. Process Rationale: To ensure that the Ministry workforce activity is coordinated. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement:

• Meetings are held regularly and are well attended. • Evidence of input into cross directorate work programmes. • Toolkit is available for use.

Process Outputs: By when: Develop a toolkit for guiding the Ministry workforce development activity. This output was varied in the Workforce coordination across the Ministry and with DHBs is reviewed and a report to the Ministry Executive Team is completed identifying areas where coordinated approaches between directorates have been or should be used.

31 Dec 06

Public Health Workforce Development Plan Statement of Intent committed outputs: None committed in the 2002-2009 Statement of Intent. Process Rationale: The Public Health Workforce Development Plan has been in development since September 2003. The plan was completed in June 2006, following extensive discussion and sector feedback. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: A measurable increase in the proportion of workers in the public health workforce with recognised public health qualifications. An agreed set of common competencies are being used in workforce planning. Process Outputs: By when: Workforce Development Plan, implementation plan published. Evaluation plan commenced.

30 Sep 06 Varied to: 30 Nov 06

27

Evaluation and monitoring plan completed.

30 Sep 06 varied to

Profile of Māori Public Health workforce completed. 31 Dec 06 varied to 28 Feb 07; new proposed variation date: 30 Nov 07

Milestones of monitoring plan achieved. Māori Public Health workforce implementation plan agreed and commenced.

31 Mar 07

Core competencies framework completed. Milestones of monitoring plan achieved.

30 Jun 07

Implementing a New Entry to Practice Programme for Nurses Statement of Intent committed outputs: During 2006/07 The Ministry will

• Develop an evaluation framework to ensure the new programme is as good as it can be will be established by 15 July 2006.

• Contract with the Nursing Council to accredit programmes to the new national standards by 15 July 2006.

• Contract with District Health Boards to subsidise the training as per the national specifications by 15 July 2006.

Refer to the 2006-2009 Statement of Intent pp.59. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 58-59. Responsibility of: Deputy Director-General, DHB Funding & Performance. Process Outputs: By when: Implementation of a new Entry to Practice programme for nurses will be implemented with an evaluation framework established.

30 Sep 06

Workforce Education and Training Statement of Intent committed outputs: The Ministry will develop, by December 2006, a process for engaging the education sector on strategies to meet the education and training needs of the health and disability sector workforce. Refer to the 2006 – 2009 Statement of Intent pp: 60. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 60. Responsibility of: Deputy Director-General, Sector Policy.

Process Review: Effectiveness & Improvement: Regular reports will show that the Ministry of health, DHBNZ, TEC and other key stakeholders are working together as a part of a joint working party to ensure health and disability educational programs planned and being delivered are meeting future workforce development needs.

30 Jun 07

Process Outputs: By when: The Ministry will lead the building of a relationship with TEC and facilitate a process to ensure that the health and disability sector needs can be articulated clearly to the education sector.

31 Dec 06

Establish an action-oriented committee which will report to the Minister on streamlining medical education and training.

30 Sep 06

Support HWAC to develop advice to the Minister of Health on Māori participation in school sciences.

31 Aug 06

28

Policy Framework for Longer Term Mental Health and Addiction Workforce Development Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The action plan for Te Tāhuhu calls for the development of the overarching policy framework to provide a consistent direction, i.e. person-centred, culturally capable and committed to quality service, across the various mental health workforce plans. Responsibility of: Deputy Director-General, Mental Health. Process Review: Effectiveness and Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include: all workforce plans are consistent with the overarching policy framework Process Outputs: By when:

• Policy scope agreed by Senior Management Team (SMT) • Consultation on draft policy framework • ‘Policy Framework finalised’ varied to ‘A report (detailing the linkages between

current mental health, addiction workforce planning, programmes and wider Ministry of Health / DHBNZ workforce activities’ delivered by 30 June 2007.

30 Sep 06 31 Dec 06 30 Jun 07

Development of a Core Competency Framework for the Mental Health Workforce Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The priority area links to the Ministry outcomes of direction of leadership and system capability. The development of a skilled and competent workforce is one of the leading challenges in Te Tāhuhu. A number of documents have identified long-term strategic issues around workforce development and quality of services that could be addressed in part by a redeveloped core competencies framework. This specific project is work that is identified in Tauawhitia te Wero – Embracing the Challenge – the Mental Health and Addiction Workforce Development Plan, MOH, 2006-2009. This plan identifies groundwork that needs to occur in 2006-2009 before the development of the next ten-year workforce plan. This work is linked to the development of a training plan, workforce redesign and development of career pathways. Responsibility of: Deputy Director-General, Mental Health. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered output has been effective resulted in movement towards the desired situation would include:

• The core competency framework will set out a clear definition of what a competency is, and how they are to be used in practice, as well as a discussion of the relationship of competencies to other terms (capability, standard) and relevant legislation.

• The competency framework will also include a multi-faceted implementation plan with responsibilities and timeframes clearly described, including initiatives to communicate the purpose and content of the new framework to all stakeholders in mental health workforce development.

Process Outputs: By when: To produce a core competencies framework for mental health that· (a) influences the education and training of all mental health and addiction workers· (b) informs workforce development planning at national, regional, and local levels· (c) links well to statutory and regulatory competence assurance requirements· (d) guides individual training, professional development and performance appraisal.

30 Jun 07

29

Mental Health Workforce Development Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The priority area links to the Ministry outcomes of direction of leadership and system capability. The ultimate goal of workforce development is to foster a culture amongst providers that supports recovery, is person centered, culturally capable, and delivers an on-going commitment to assure and improve the quality of services for people, as outlined in Tauawhitia Te Wero – Embracing the Challenge – the Mental Health and Addiction Workforce Development Plan, MOH 2006-2009. Responsibility of: Deputy Director-General, Mental Health. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered output has been effective resulted in movement towards the desired situation would include:

• Better use of current resources with regard to the needs of service users • Enhancing current resources so that the workforce is better able to respond to the diversity of

service users, including Māori, Pacific peoples and Asian peoples and people with addiction. • Implementation of innovative solutions in response to identified areas of service development

(eg; acute services) • Developing a culture of continuous quality improvement in which information and knowledge are

used to enhance recovery and service development. • Strengthening inter-agency collaboration. • Creating an environment that fosters leadership across the sector

Process Outputs: By when: • Review and evaluate the national workforce development infrastructure • Investigate linkages across workforce projects and the mental health R&D

programme • The development of Pacific workforce development initiatives • Investigate alternative options for the purchasing of Post Entry Clinical Training

programmes • Complete a stock-take of the NGO mental health workforce • Aligning planning cycles and contracts

30 Jun 07

30

Health Infrastructure National Systems Review Statement of Intent committed outputs: The implementation of the National Systems development Programme with key projects will be timetabled by 30 June 2007. Refer to the 2006 – 2009 Statement of Intent pp: 57. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 57. Responsibility of: Deputy Director-General, Corporate and Information. Process Review: Effectiveness & Improvement: The Ministry of Health’s response is to propose several years of systematic improvement for the national systems, comprised of several key projects managed within an overall programme called the National Systems Development Programme. These projects will be in the following areas:

• Agreement management and payments processing • Exchanging information electronically • Identity management • Data quality • Health networking • Collection development

The PMO will support the NSD Programme with its full suite of advisory/quality assurance, resourcing, software vendor liaison, project/programme management and portfolio analyst services. These will be evaluated in Quarter 3. Process Outputs: By when:

• Next Generation Health Network Architecture Design complete. • Enhancement of practitioner identity database completed. 31 Dec 06

• New recipient identity creation process designed and implemented. • Policy frameworks completed for Next Generation Health Network. • System infrastructure test suite designed and trialed. • Business Process Management options analysis completed (HealthPAC

systems). • National Collections governance framework design and consultation

completed.

31 Mar 07

• Provider identity data service system development completed. • System integration infrastructure workflow orchestration completed. 30 Jun 07

National Cervical Screening Programme Register – Replacement Register Statement of Intent committed outputs: The development of a new National Cervical Screening Programme - Register in place from 31 July 2007. Refer to the 2006 – 2009 Statement of Intent pp: 58. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 58. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Achievement of the above deliverable. Process Outputs: By when:

• New National Cervical Screening Programme- Register in place. • Agree contract with preferred solution development partner • Confirm solution delivery plan and schedule with preferred supplier (to cover

development schedule, system testing, user acceptance testing, data migration, etc).

31 Jul 07 31 Jul 06 31 Jul 06

31

Health workforce Information Programme Statement of Intent committed outputs: The Ministry actively supports the health workforce information programme being managed by District Health Boards New Zealand (DHBNZ). Ministry representatives from the Sector Policy Directorate, the New Zealand Health Information Service and the Clinical Training Agency are on the steering group for the project. Refer to the 2006 – 2009 Statement of Intent pp: 58. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 58. Responsibility of: Deputy Director-General, Sector Policy. Process Outputs: By when: The Ministry actively supports the health workforce information programme being managed by District Health Boards New Zealand (DHBNZ).

Quarterly updates provided.

Development of a National Non-admitted Patients (Outpatient) Collection Statement of Intent committed outputs:

• Collection of data for medical, surgical and emergency department events will commence on 1 July 2006.

• Analysis and research will be undertaken to develop a non-admitted information ‘roadmap.’ The roadmap can then be used to support detailed planning. The analysis will include a stock take and comparison of DHB information capability for procedural information. This will be completed by 15 January 2007.

Refer to the 2006 – 2009 Statement of Intent pp: 60. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 59-60. Responsibility of: Deputy Director-General, DHB Funding and Performance. Process Outputs: By when: First phase of the National Non-admitted Patient Collection (NNPAC) implemented (i.e., infrastructure at NZHIS ready to begin receiving data from (DHBs).

1 July 06

Deadline for DHBs submitting July core data set (medical, surgical and emergency department events) to NNPAC.

20 Aug 06

Report identifying sector information requirements with regard to non-admitted patient events.

31 Jan 07

Non-admitted patient information ‘roadmap’ completed – this will be a report identifying a set of practical strategies to expand NNPAC for implementation on 1 July 2008 as well as recommendation for future development of the collection. Note: Further project planning and resource consideration has resulted in a revised date.

30 Jun 07

Cost-effectiveness Service Planning and New Health Interventions Assessment (SPNIA) Statement of Intent committed outputs: The SPNIA framework will operate during 2006/07, with the annual decision-making round ending in February 2007 so that the 2007/08 district annual plan process in informed regarding service changes and new interventions. Refer to the 2006 – 2009 Statement of Intent pp: 64. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 63. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• The National Service and Technology Review (NSTR) subcommittee is fully operational. • The 2007/08 District Annual Plan process is informed regarding service changes and new

interventions. • The SPNIA Framework assists DHBs and the Ministry of Health with health service changes

(including the reconfiguration of a service or the introduction of new health interventions) that require a collective decision.

Process Outputs: By when: Convene the National Service and Technology Review sub-committee NSTR: Hold first meeting of NSTR

31 Aug 06

32

Service Planning and New Health Interventions Assessment (SPNIA) Establish SPNIA decision making cycle at the national level.

• The Ministry identifies service changes and new interventions to be forwarded to NSTR.

• NSTR considers proposals for change, determines what proposals to accept jurisdiction over and sets a work plan for the year.

• DDG-CEO Group agrees the NSTR annual work plan, which is then shared with local and regional forums.

30 Jun 06 30 Sep 06 31 Oct 06

Government Expenditure and Administration (EXG) Review Statement of Intent committed outputs: None committed in the 2006-2009 Statement of Intent. Process Rationale: In February 2006, Cabinet agreed that a programme of expenditure reviews occur in 2006 and that the Cabinet Committee on Government Expenditure and Administration (EXG) would oversee these reviews. The overall aim of the reviews is “to improve performance and value for money within and across votes.” The review will consider improvements to performance management systems and processes for setting priorities and making resource allocation decisions. In addition, there will be in-depth reviews of specific health interventions. This work is closely related to work on Performance Assessment and Management. Responsibility of: Deputy Director-General, Sector Policy. Process Outputs: By when: Submit an interim report to EXG Committee describing the current performance management programmes for DHBs and PHOs, the Ministry of Health role and preliminary options for changes.

30 Nov 06

Submit a final report to EXG Committee on ways of strengthening performance management programmes.

31 Mar 07

Submit a report to EXG Committee identifying key issues, priority areas, and preliminary options for service reconfiguration of well child care.

30 Nov 06

Propose principles for a series of reviews of major service areas 31 Aug 06

Propose a schedule of reviews of major service areas for the next three years. 31 Dec 06

Submit a report to EXG Committee describing the current methods for making resource allocation decisions locally, regionally, and nationally, the Ministry of Health role, and preliminary options for how these methods could be improved.

30 Nov 06

Submit a final report to EXG Committee on ways of improving resource allocation decision-making.

31 Mar 07

PAM Steering Group Statement of Intent committed outputs: None committed in the 2006-2009 Statement of Intent. Process Rationale: The Director-General’s Performance Assessment and Management Steering Group was formed in 2005 to discuss and agree enhancements to the performance assessment and management of the health and disability support sector in New Zealand. The purpose is to achieve a more complete understanding of the functioning and achievement of the sector and use this understanding to direct the actions and investments of the sector, working within current strategic directions. The group is composed of senior officials from the Ministry of Health, Treasury, SSC, DPMC and the DHB sector. Two particular areas of focus in 2006/2007 include: 1) the development of productivity indicators for service areas; and, 2) the development of a comprehensive performance management framework that includes identification of priority areas, national target setting, rewards and sanctions for DHBs, and assistance to DHBs and health providers who are not meeting targets. Responsibility of: Deputy Director-General, Sector Policy. Process Outputs: By when: Consider measures of DHB provider arm productivity recommended by the productivity working party.

31 Oct 06

Make recommendations to the Minister on DHB provider arm productivity. 31 Dec 06

Consider options for productivity measures in primary care and other service areas 28 Feb 07

Consider national targets in high priority areas. 31 Mar 07

Make recommendations to the Minister on changes to performance management systems.

31 Mar 07

33

Consider structural changes to performance management programmes to include national target setting, rewards/sanctions for DHB performance, and recommendations for ways to assist DHBs and PHOs achieve targets.

30 Jun 07

DHB Cost Effectiveness and Efficiency Reviews Statement of Intent committed outputs: The Ministry will use the 2006/07 DHB district annual plans and evidence from 2005/06 performance information to determine a schedule for undertaking – five reviews of individual DHBs. Performance against the plans derived from these reviews will be monitored quarterly. Any performance concerns will be managed through the Ministry/s standard performance management and escalation process. Refer to the 2006 – 2009 Statement of Intent pp: 64. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 64. Responsibility of: Deputy Director-General, DHB Funding and Performance. Process Review: Effectiveness & Improvement: Quarterly joint reviews of progress against agreed recommendations will be undertaken with the DHB under review. Process Outputs: By when: A review programme will be established. 30 Sep 06 The review programme will be reviewed in accordance with the Monitoring Intervention Framework to enable a flexible response to emerging problems.

Quarterly.

Implementation of review programme will commence. 30 Sep 06

Quality and Safety

Support for Statutory Committees Statement of Intent committed outputs: Delegated statutory duties (certification) and policy development, analytical and secretariat support to statutory committees. Refer to the 2006 – 2009 Statement of Intent pp: 66. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 65-66. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• Health Reports regarding appointments • Minutes of the meetings • Draft/Completed Annual and ad-hoc (as requested) reports to Minister • Deliverables as stated in the committees’ Annual Work Plans’

Process Outputs: By when: All current vacancies on committees filled, Chair of EpiQual appointed, any new vacancies arising from resignations or completion of terms filled.

31 May 07

Committees supported to complete their 2006/07 work-plans. 30 Jun 07 Children and Youth Mortality Review Committee (CYMRC) Annual Report for 2006 (calendar year) presented to Minister.

30 Jun 07

Perinatal and Maternal Mortality Review Committee (PMMRC) Annual Report for 2006 commenced (for completion in August 2007).

30 Jun 07

EpiQual Annual Report for 2006 commenced (for completion October 2007). 28 Feb 07 Support given to PMMRC to establish Perinatal and Maternal Mortality database and regional review system commenced.

31 Jan 07

Consultation on and Adult Mortality Review system completed. 30 Jun 07

34

Systems Approach to Quality Improvement Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: To support the Minster of Health to meet his obligations in New Zealand Public Health and Disability Act 2000 Part 2s 9. Responsibility of: Deputy Director-General, Clinical Services. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include the improvement and completion of the Quality Action Plan. Process Outputs: By when: Publication of the updated three-yearly Improving Quality Action Plan 31 Mar 07

Elective Services Improving Elective Services Overall Statement of Intent committed outputs: During 2006/07 the Ministry will contribute towards:

• DHB specific targets and deliverables will be agreed and included in each DHB’s 2006/07 district annual plan.

• Monthly reports on DHBs’ performance will be published on the Elective Services website • Each DHB’s Elective Services Plans, ESPI performance and Elective Services delivery in

general will be reviewed quarterly and performance concerns managed through the Ministry’s standard performance management and escalation process.

Refer to the 2006 – 2009 Statement of Intent pp: 67. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 66-67. Responsibility of: Deputy Director-General, DHB Funding and Performance. Process Review: Effectiveness & Improvement: Review of previous year’s activities against last year’s plan. Process Outputs: By when:

• DHB specific targets and deliverables will be agreed and included in DHBs 2006/2007 District Annual Plans.

• Monthly reports on DHBs performance will be published on the Elective Services website.

• Each DHBs’ Elective Services Plans, ESPI performance and Elective Services delivery in general will be reviewed quarterly and performance concerns managed through the Ministry’s standard performance management and escalation processes.

30 Sep 06

Outcomes and accountabilities will be agreed with DHBs to achieve a 75 percent increase in 2006/2007 in additional major joint volumes above the baseline year (2002/2003) volumes.

31 Dec 06

Delivery of agreed volumes will be monitored on a monthly basis. In the event of a slippage against these agreed plans, a recovery plan will be agreed and delivery against the revised plan monitored. Performance concerns will be managed through the Ministry’s standard performance management and escalation processes.

Monthly

Outcomes and accountabilities for the delivery of an additional 2500 cataract operations will be agreed with DHBs through their 2006/2007 District Annual Plans.

31 Jul 06

The delivery of agreed plans will be monitored on a monthly basis. In the event of a slippage against these agreed plans, a recovery plan will be agreed and delivery against the revised plan monitored. Performance concerns will be managed through the Ministry’s standard performance management and escalation processes.

Monthly

35

The New Zealand Health Strategy The New Zealand Health Strategy was launched in December 2000 and emphasises improving population health outcomes and reducing disparities in health between all New Zealanders. The Strategy focuses on good health and wellbeing for all New Zealanders throughout their lives, and an improvement in the health status of those currently disadvantaged. The following initiatives continue the progressing the wider New Zealand Health Strategy. Development of the Public Health Bill Statement of Intent committed outputs: To replace the Health Act 1956 with legislation that better reflects and addresses the public health challenges of modern and future society. Advice will be provided (subject to parliamentary timeframes) to the Minister of Health to support:

• the preparation of a draft Cabinet paper to outline key policy proposals • the finalisation of a draft Bill that gives effect to Cabinet decisions • the preparation of a draft Cabinet paper that proposes introduction of the draft Bill • the passage of the Public Health Bill including the Select Committee processes • the initiation of a review of current regulations associated with the Health Act • Activities as otherwise agreed between the Minister and Ministry in 2006/07.

Refer to the 2006 – 2009 Statement of Intent pp: 133. Process Rationale: The proposed Public Health Bill will provide legislative framework intended to manage risks across a wide spectrum of Health determinants. Refer to the 2006 – 2009 Statement of Intent pp: 133. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: The internal Ministry of Health quality control processes and the requirements of the Cabinet Office Manual are followed in the preparation of an SDC paper that reflects policy proposals that are acceptable to other government departments and the Minister. Furthermore, that the Bill is drafted so as to support effective public health action and in a manner that is timely and gives effect to the Minister’s requirements. Process Outputs: By when: Advice will be provided to the Minister of Health to support:

• The preparation of a draft Cabinet paper to outline key policy proposals. Note: Further project planning and resource consideration has resulted in a revised date.

• The finalisation of a draft Bill that gives effect to Cabinet decisions. This output was varied in the March 2007 Variation Health Report to read ‘no later than 30 June 2007’.

• The preparation of a draft Cabinet paper that proposes introduction of the draft Bill. This output was varied in the March 2007 Variation Health Report to read ‘no later than 31 August 2007’.

31 Aug 06 varied to 31 Jul 07 30 Apr 07 varied to 30 Jun 07 31 May 07 varied to 31 Aug 07

System Performance Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: These activities, through making information available to Ministers and the public, support trust and confidence in the system through improved understanding. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: Feedback to identify success factors and areas of improvement will be obtained from:

• Director-General’s Steering Group on Performance Assessment and Management on the processes undertaken, and the results achieved, in developing the performance assessment framework and associated indicators

• Minister of Health on the report on Implementing the New Zealand Health Strategy • Director-General on the merged report.

Quarterly updates provided.

36

Process Outputs: By when: Completion of a merged Health and Independence Report and Annual Report of the Ministry of Health.

As required by Public Finance Act 1989. Completed Oct 06

Completion of the Minister of Health’s report on Implementing the New Zealand Health Strategy 2006.

31 Dec 06

System Performance Assessment Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: By making evaluations of major programmes available, planners and managers can make better decisions on improving the system and people can better influence those decisions. These changes and improvements will be designed to better attain the end outcomes of better health, reduced inequalities, and better participation and independence. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: These are formative evaluations, designed to inform ongoing improvements to the performance of key components of the health system. Application of findings (as they emerge) are the responsibility of planners and decision-makers across different arms and levels of the health system. Process Outputs: By when: Reports received for evaluation of the 2001 Health Reforms. 30 Sep 06 varied

to March 2007. DHB and Crown Entity Ownership Advice Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The Ministry monitors the performance of DHBs and other Crown Entities in the sector against the objectives agreed with government. Responsibility of: Deputy Director-General, DHB Funding and Performance Process review: Effectiveness and Improvement:

• Workshops with District Health Boards • Post project reviews

Process Outputs: By when: Advice on 21 District Annual Plans, Statements of Intent, Crown Funding Agreements, performance agreements and annual reports will be prepared for 2007/08.

30 Jun 07

Advice on 8 Crown Entity Statements of Intent will be prepared for 2007/2008. 30 Jun 07 Advice on 21 District Strategic Plans will be provided. 30 Jun 07 Planning advice will be provided to support DHB preparation of district annual plans, statements of intent, crown funding agreements, performance agreements and annual reports for 2007/08.

31 Dec 06

Service Planning and Purchasing Statement of Intent committed outputs and Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 111. Responsibility of: Deputy Director-General, DHB Funding and Performance. Process Outputs: By when: A quarterly report will be provided to the Minister on the Ministry’s performance as a funder.

Quarterly.

The Ministry will undertake 8 routine service compliance audits on selected contracts as detailed in Directorates audit compliance plan.

30 Jun 07

Outcomes and accountabilities for the delivery of an additional 2500 cataract operations a 75% increase in additional major joint volumes above the baseline (2002/2003) volumes will be agreed with DHBs through their 2006/2007 District Annual Plan.

31 Jul 06

The completion of a review of the Section 88 Maternity Notice. 30 Jun 07

Review of strategic intentions programme for Clinical Training Agency expenditure. 31 Jul 06

37

Review of General Practitioners training requirements. 30 Jun 07

Review of Nurse Training strategy. 30 Jun 07

Policy work on ambulance services. 30 Jun 07

International Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: To undertake all planning and preparation work in 2006/07 for the WHO Western Pacific Regional Committee Meeting, to be hosted in New Zealand, 18-22 September 2006 in Auckland, to support New Zealand’s hosting responsibilities. Responsibility of: Deputy Director-General, Sector Policy Process Review: Effectiveness & Improvement:

• All arrangements will be monitored for compliance with the hosting agreement between the Ministry of Health and the World Health Organization, and any other expectations specified by WHO-Manila and the NZ project advisory group.

• Financial allocations are made in line with Ministry of Health contracts policy and financial management systems.

• Advice provided as agreed with the Minister. • All deliverables required for 18 – 22 September are completed on time and by due dates

specified in project plans. These are progressive to September 2006. Process Outputs: By when: Venue, accommodation, equipment, protocol, cultural and other programme requirements will be confirmed, as agreed with WHO-Manila and the NZ project advisory group. All arrangements will be in place for the successful staging of this event.

30 Sep 06

Provided policy and logistical briefings to the Minister of Health, to support him as Chair of the RCM 2006.

30 Sep 06

RCM 2006, a five-day meeting for 250 delegates from the 37 member countries of the WHO Western Pacific Region, including Ministers, senior officials, and NGO representatives, will discuss national and regional action on health issues relevant to the region, including avian influenza and pandemic preparedness, HIV/AIDS, intellectual property rights, trade and health, diet and alcohol consumption.

30 Sep 06

Human Tissue Bill Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The implementation of a new statute will ensure that appropriate controls are in place to protect human rights and safety while allowing the use of human tissue in ways that are likely to lead to improved health outcomes, and the flexibility to deal with unpredicted technological advances. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement:

• Successful passage of legislation governing human tissue • Successful implementation of the legislation • Legislation and associated guidance well understood and accepted in the sector.

(Report 6 moths after enactment). Process Outputs: By when: Support for the Minister, Health Select Committee and House in introduction and consideration of the Bill.

When required

Development of a draft implementation plan for the Bill. Prior to passage Implementation of the new legislation and any related guidelines. Following enactment

38

Organ Donation Register Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The implementation of a consent register will increase clarity about, and the availability of organs for donation, leading to better health and independence outcomes, while ensuring individual rights are respected. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement:

• Successful passage of legislative amendments governing organ donation • Successful implementation of a consent register • Increase in organ transplant procedures in future years.

Process Outputs: By when: Completion of a minimum cost model for development of a register, population of the register, and implementation. In the January 2007 variation report, it was decided not to complete a business plan until the Health Select Committee has considered the requirements for a register in its consideration of the Human Tissue Bill.

30 Sep 06

IT development for register completed. In the January 2007 variation report, it was decided the register wil be finalised following the Health Select Committee’s report back to the Parliament on the Bill.

31 Mar 07 Now deferred.

Register goes live. 30 Jun 07

Public Health Intelligence (PHI) Statement of Intent committed outputs: An annual monitoring report on a set of health indicators will be produced by June 2007. PHI also publishes issues specific monitoring reports and occasional bulletins which provide data for the annual monitoring report. Refer to the 2006 – 2009 Statement of Intent pp: 135. Process Rationale: The proposed Public Health Bill will provide legislative framework intended to manage risks across a wide spectrum of Health determinants. Refer to the 2006 – 2009 Statement of Intent pp: 135. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement:

• National and international peer review of published documents • Publication of occasional bulletins and monitoring reports, and papers in peer reviewed journals.

Process Outputs: By when: National and international peer review of published documents 30 Jun 07 Publication of Occasional Bulletins and Monitoring reports, and papers in peer reviewed journals.

30 Jun 07

2006 New Zealand Tobacco Use Survey Complete analysis of first wave 31 Dec 06 Evaluation of first wave 30 Sep 06 Complete report on first wave 28 Mar 07 New Zealand Sexual Health Survey Complete evaluation of the pilot 31 Dec 06 Decision on whether to proceed to a full survey 28 Mar 07 2006/07 New Zealand Health Survey Commence data collection 30 Sep 06 First interim dataset received 31 Dec 06 Second interim dataset received 30 Jun 07 New Zealand Adult Nutrition Survey Request for Proposals issued 31 Dec 06 Provider selected 31 Mar 07 Dress rehearsal completed 30 Jun 07

39

Service Planning and Purchasing / Funding Statement of Intent committed outputs:

• Performance against an estimated 574 service agreements will be monitored against the Ministry’s contract monitoring standards.

• A quarterly report will be provided to the Minister on the Ministry’s performance as a funder. Refer to the 2006 – 2009 Statement of Intent pp: 135. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 135. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Contract Monitoring process (Standard Operating Procedures) Provider audits Review of service plans Feedback mechanisms for DHBs and service delivery providers through:

• Regional alignment group • Service planning groups • Sector forum

Process Outputs: By when: Public Health Operations – Service Planning and Funding for $180.4M in the NDE Services Budget that covers 493 contracts with 249 service providers.

Quarterly update.

Public Health Operations - Up to twelve Regional planning and alignment groups operate monthly to ensure collaboration between health funders and planners.

Quarterly Update.

National Screening Unit – Service Planning and Funding for $70M in the NDE Services Budget that covers 81 contracts with 48 providers.

Quarterly Update.

Radiation Protection Services Statement of Intent committed outputs:

• An estimated 3000 licensing applications will be processed. • License renewals: 95 percent will be completed within 20 working days of receipt of the

application. • New Licenses: 95 percent will have a licensing process commenced within three working days

and completed within 30 working days of receipt of the application. Refer to the 2006 – 2009 Statement of Intent pp: 135. Process Rationale: The process is managed through licensing the users of ionising radiation, control of the import, export and sale of radioactive materials, emergency response service 24/7, provision of advice, monitoring of radioactivity in the environment, and provision of radiation safety services. Refer to the 2006 – 2009 Statement of Intent pp: 135. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: The National Radiation Laboratory reports regularly to its Advisory Board on progress towards achievement of its planned outputs. Process Outputs: By when: Licensing of approximately 3,000 users of ionising radiations As required Monitoring at least 300 radiation users for compliance with licence conditions at frequencies based on risk

30 Jun 07

Report on monitoring for radioactive fallout in the environment for 2006 30 Jun 07 Maintain an emergency response capability that is available 24/7 As required

40

Regulation of Therapeutics Statement of Intent committed outputs:

• An estimated 300 new medicine applications and 1500 changed medicine notifications will be processed.

• An estimated 2500 applications for licences for activities under the Medicines Act 1981 and Misuse of Drugs Act 1975 will be processed.

• Legislative timeframes for approvals and licences will be met. • The requirements under the Medicines Act 1981 and Misuse of Drugs Act 1975 and regulatory

guidelines will be met. Refer to the 2006 – 2009 Statement of Intent pp: 135. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 135. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Utilisation of established peer review procedures and advice from expert committees to ensure consistency, quality and technically sound regulatory decisions. Process Outputs: By when: Evaluation of applications under the Medicines Act 1981 to market new and changed medicines

• Approximately 300 new medicine applications and 1500 changed medicine notifications will be processed.

Quarterly update

Monitoring compliance and investigations of complaints about medicines and medical devices

• Approximately 600 medicines and medical device compliant investigations will be undertaken

Quarterly update

Issuing licences under the Medicines Act 1981 and the Misuse of Drugs Act 1975 Approximately 2500 applications for licences will be processed annually

Quarterly update

Collecting and analysis of reports of adverse reactions to medicines • Adverse reactions reports will be produced quarterly for the Medicines

Adverse Reactions Committee

Quarterly update

Regulation of Medicines and Medical Devices Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: Administration of the Medicines Act 1981, parts of the Misuse of Drugs Act 1975 and their accompanying regulations. Processes ensure compliance with the Medicines Act and Misuse of Drugs Act. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: Utilisation of established peer review procedures and advice from expert committees to ensure consistency, quality and technically sound regulatory decisions. Process Outputs: By when: Evaluation of applications under the Medicines Act 1981 to market new and changed medicines. Approximately 260 new medicine applications and 1,500 changed medicine notifications will be processed

30 Jun 07

Monitoring compliance and investigations of complaints about medicines and medical devices. Approximately 600 medicines and medical device compliant investigations will be undertaken

30 Jun 07

Issuing licences under the Medicines Act 1981 and Misuse of Drugs Act 1975. Approximately 2500 applications for licences will be processed annually.

30 Jun 07

Collecting and analysis of adverse reactions to medicines. Adverse reactions reports will be produced quarterly for the Medicines Adverse Reactions Committee.

30 Jun 07

41

Establishment of the Australia New Zealand Therapeutic Products Agency (ANZTPA) Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The primary objective of the scheme is to provide new risk-based regulation and a sustainable regulatory capacity for regulatory capacity for therapeutic products (medicines, medical devices, tissues and cellular therapies, blood and blood products) in order to protect public health and safety. The secondary objective is to further Closer Economic Relations between New Zealand and Australia. Responsibility of: Deputy Director-General, Public Health. Process Review: Effectiveness & Improvement: A more effective and efficient therapeutics regulator is established which can make best use of scarce technical resources in both countries and can deliver a world class fully cost recovered regulatory scheme. An evaluation of the scheme no later than five years after commencement shows that it is operating as an effective regulator and delivering timely decisions. Process Outputs: By when: Consistent with Ministerial and Government decisions, provide completed implementing legislation for introduction to Parliament.

30 Sep 06

To provide regulatory practice support for the passage of legislation through Parliament.

Dependent on Parliamentary timelines

To provide advice on the development of Ministerial Council Rules and Managing Director’s Orders to the Minister of State Services in her role as a member of the interim Ministerial Council.

Ongoing.

Direct-to-consumer advertising of prescription medicines (DTCA) Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The introduction of a new legislative framework for DTCA in New Zealand (the Therapeutic Products Bill) provides a timely opportunity to undertake a review of the regulation of DTCA, prior to legislation being introduced. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: To have a policy position on DTCA determined and reflected in the Therapeutic Products Bill if appropriate. Quarterly updates provided. Process Outputs: By when: Publication of results of consultation. Early – mid

Aug 06 Policy advice to Cabinet. 31 Jul 06

Medicines Strategy Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: This work is a key part of the confidence and supply agreement between the Labour-led Government and the United Future Party. Responsibility of: Deputy Director-General, Sector Policy. Process Review: Effectiveness & Improvement: The systems within the health sector support New Zealanders access to, and use of, medicines that are safe and of high quality within the resource available. Process Outputs: By when: Draft strategy prepared for submission to Cabinet for agreement to consult. 30 Nov 06 Consultation on strategy document complete. Early 2007

42

Pacific Health Statement of Intent committed outputs: This involves:

• providing policy advice on strategic frameworks and services to improve the health status of Pacific peoples in New Zealand

• implementation of the Pacific Health and Disability Workforce Development Plan • administration of the Pacific Provider Development Fund to promote Pacific provider and

workforce development • Liaison with the Pacific health sector

Refer to the 2006 – 2009 SOI pp: 136. Process Rationale:

• Pacific health and Disability Action Plan 2002 • Pacific Health and Disability Workforce Development Plan 2004 • Pacific Provider Development Framework Cab Min (01) 31/6B, Pacific Provider Development

Fund Purchasing Strategy • Pacific Health Disability Action Plan 2002

Refer to the 2006 – 2009 SOI pp: 136. Responsibility of: Deputy Director-General, Public Health Process Review: Effectiveness & Improvement: Funding is allocated on time and in accordance with correct procurement processes and contracts are monitored in accordance with correct processes. Process Outputs: By when: Pacific Health Policy advice to be provided on an ongoing basis throughout the year: Review of the Pacific Health and Disability Action Plan

30 Sep 06

Input into the monitoring of DHB performance for Pacific peoples through the DAPs process

30 Jun 07

Implementation of the Pacific Health and Disability Workforce Development Plan (PHDWDP). Six monthly updates on the implementation of the PHDWDP (Two reports – two dates).

Ongoing. 30 Jun 07

Administration of the Pacific Provider Development Fund to promote Pacific provider and workforce development:

• All funding allocated and contracted by • Contract monitoring reports received and responded to • Evaluation of Pacific Provider Development Fund to be completed during

2007.

30 Jun 07 31 Dec 06 31 Dec 07

Quarantine and Biosecurity Statement of Intent committed outputs: By 30 June 2007, the Ministry will:

• Provide advice on border health protection and the implementation of Health Act 1956, Biosecurity Act 1993, and International Health Regulations in monthly circular letters to District Health Board public health units as required.

• Participate in international and intersectoral initiatives to maximise progress in biosecurity policy and effective management of biosecurity risks.

• Draft New Zealand guidelines for the implementation of the International Health Regulations based on WHO standard operating procedures.

• Disease and vector surveillance and contributing to intersectoral collaboration: Provide advice and support to support public health services staff responding to interceptions of exotic mosquitoes of public health significance.

• Manage the national saltmarsh mosquito surveillance programme within budget and ensure it achieves contractual outputs.

• Training event for designated officers on border health protection including emergency response Refer to the 2006 – 2009 SOI pp: 141-142. Process Rationale: See below and refer to the 2006-2009 Statement of Intent pp: 141-142. Responsibility of: Deputy Director-General, Public Health Process Review: Effectiveness & Improvement: Evidence gathered to suggest that the delivered outputs have resulted in movement towards the desired situation. Improvement: Barriers and success factors to maximise the effectiveness of the outputs in creating movement towards the desired situation are identified.

Updates provided in Quarterly Reports

43

Process Outputs: By when: Provide advice on border health protection and the implementation of Health Act 1956, Biosecurity Act 1993, and International Health Regulations in monthly circular letters to District Health Board public health units as required.

30 Jun 07

Participate in international and intersectoral initiatives to maximise progress in biosecurity policy and effective management of biosecurity risks.

30 Jun 07

Review WHO standard operating procedures for the implementation of the International Health Regulations for applicability Draft New Zealand guidelines for the implementation of the International Health Regulations based on WHO standard operating procedures.

30 Apr 07 30 Jun 07

Disease and vector surveillance and contributing to intersectoral collaboration: Provide advice and support to support public health services staff responding to interceptions of exotic mosquitoes of public health significance

30 Jun 07

Manage the national saltmarsh mosquito surveillance programme within budget and ensure it achieves contractual outputs.

30 Jun 07

Training event for designated officers on border health protection including emergency response

31 Mar 07

44

Progressing the New Zealand Disability Strategy The New Zealand Disability Strategy works towards ensuring the rights of disabled people are upheld specially in the areas of education, employment and lifestyle choices. The strategy also works towards reducing inequalities amongst the disabled elderly, children, women, Māori and Pacific peoples promoting quality living and fully active lives. Improved Participation of Disabled People in the Planning for and Provision of Disability Support Services Statement of Intent committed outputs:

• Two consumer consortiums are held by 30 June 2007. • A series of consumer forums are held throughout New Zealand by 30 June 2007. • Disability Support Services information on the Ministry website will be updated by 30 September

2006. Refer to the 2006 – 2009 Statement of Intent pp: 114-115. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 114-115.

Responsibility of: Deputy Director-General, Disability Services Directorate Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include: Increased awareness by disabled people on the availability and eligibility of disability support services and increased participation in the planning and development of DSD activities. As evidenced by feedback from Consumer Consortium members and forum participants. Process Outputs: By when: DSD information on the Ministry of Health website will be updated. 30 Sep 06 First of the bi - annual Consumer Consortium meetings held. 31 Dec 06 Second of the bi – annual Consumer Consortium meetings held. 30 Jun 07 A series of consumer forums held throughout New Zealand. 30 Jun 07

Progressing the New Zealand Disability Strategy: Completing Kimberley De-institutionalisation programme Statement of Intent committed outputs:

• A report is completed that outlines how the local needs assessment and service co-ordination organizations have enacted their service co-ordination responsibilities for ex Kimberley residents by 31 December 2006.

• 20% of residential homes established for ex Kimberley residents have been audited, by 31 March 2007.

• By February 2008, The Donald Beasley Institute is to conduct an independent research examining the outcomes of the resettlement of residents from Kimberley Centre. The research focuses on a sample of 50 residents, their family/whānau and Kimberley staff. The original date was June 2007, but this date was varied in the January 2007 Variation Health Report

Refer to the 2006 – 2009 Statement of Intent pp: 114-115. Process Rationale: The closure of the Kimberley Centre will result in people discharged receiving quality community based services and having an improved lifestyle. Refer to the 2006 – 2009 Statement of Intent pp: 114-115. Responsibility of: Deputy Director-General, Disability Services Directorate Process Review: Effectiveness & Improvement:

• Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• Kimberley residents are successfully located into the community. Process Outputs: By when: A report is completed that outlines how local needs assessment and service co-ordination organisations have enacted their service co-ordination responsibilities for ex- Kimberley residents by December 2006

31 Dec 06

20% of residential homes established for ex Kimberley residents will have been audited by March 2007

31 Mar 06

The Kimberley Research Project, conducted by Donald Beasley Institute is completed. This variation to the date was approved by the Minister in the January 2007 Variation Health Report.

30 Jun 07 varied to 29 Feb 08

45

He Korowai Oranga: Māori Health Strategy Developing the Next Māori Health Action Plan and Completion of the Māori Health Action Plan Statement of Intent committed outputs: Public sector wide consultation on the second Māori Health Action Plan, Whakatātaka 2006-2011 is planned. The second Māori Health Action Plan, Whakatātaka 2006-2011 is to be launched to the health and disability sector by December 2006. Refer to the 2006 – 2009 Statement of Intent pp: 22-23. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 21-24. Responsibility of: Deputy Director-General, Māori Health. Process Review: Effectiveness and Improvement: Quarterly progress reports to the Minister on the implementation of He Korowai Oranga (Whakatātaka l and ll, the action plan).

By when: Quarters 1-4

Process Outputs: • Consultation advertised and completed • Submission process analysed and action plan ready for Cabinet • Public sector wide consultation on the second Māori Health Action Plan,

Whakatātaka 2006-2011 is planned. The second Māori Health Action Plan, Whakatātaka 2006-2011 is to be launched to the health and disability sector by December 2006.

By when: 31 Aug 06 31 Oct 06 31 Dec 06

Strategic Research Agenda for He Korowai Oranga Statement of Intent committed Outputs By when: Key pieces of research and evaluation to provide the evidence base that tells us what works for Māori are being undertaken across the Ministry. These are listed below. (Refer to page 23-24 of the 2006-2009 Statement of Intent).

Quarters 1-4

Māori Consumer Use and Experience of Health and Disability and ACC services research. This research is funded by the HRC, Ministry of Health and the Accident Compensation Corporation. Māori health inequalities relate, in part, to poor access to existing health services. This research will report on usage patterns and the barriers to use for Māori consumers of health disability and injury treatment (ACC) services through analysing existing information on health service use and surveying Māori consumers.

28 Feb 07 variation requested for 30 Jun 07

Participation and Retention issues in the Māori Health and Disability Workforce research will identity what attracts and discourages Māori from entering into the health science professions and to explore retention issues facing the Māori Health and Disability Workforce.

28 Feb 07 variation requested for 30 Jun 07

Evaluation of the Māori Health Scholarship Programme will identify the strengths and weaknesses of the Programme in achieving greater participation of Māori in the health and disability workforce.

28 Feb 07

Options for measuring Māori-based collectives, namely whānau research. We will identify options for developing quantitative tools to measure Māori-based collectives ‘whānau’. The results will guide as on the feasibility of monitoring outcomes for whānau.

30 Jun 07 Varied to 30 Sep 08

The Māori Health Research Priorities research will identify Māori health research priorities for the next five years to ten years. This is a 12-month project to identify key Māori health research priorities and strategic areas for Māori health research development. The research will commence by:

Ongoing. May 08

Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 21-24. Responsibility of: Deputy Director-General, Māori Health Process Review Effectiveness & Improvement: Quarterly progress reports to the Minister on the implementation of He Korowai Oranga (Whakatātaka l and ll, the action plan). Process Outputs: By when: A Health Report on the research projects will be provided to the Minister. As required.

46

Reducing Inequalities Statement of Intent committed outputs: No direct outputs listed in the 2006 – 2009 Statement of Intent with regards to Reducing Inequalities but it is a responsibility of all Directorates to Reduce Inequalities. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 21-24. Responsibility of: Deputy Director-General, Māori Health. Process Review: Effectiveness & Improvement: Annual report to the Reducing Inequalities Officials Committee as requested. Process Outputs: By when: Annual report to the Reducing Inequalities Officials will be delivered on time as agreed to by the Reducing Inequalities Officials Committee.

Ongoing.

Other advice and reports will be delivered to Ministers within the timeframes negotiated.

As required.

Māori Provider Development Scheme (MPDS) Statement of Intent committed outputs: The allocation of funds from the Māori Provider Development Scheme to increase the capacity and capability (including workforce) of Māori health providers to deliver effective health services. Refer to the 2006 – 2009 Statement of Intent pp: 21-24. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 21-24. Responsibility of: Deputy Director-General, Māori Health. Process Outputs: Decisions on the allocation of funds will be in line with guidelines of the Māori Provider Development Scheme. The relevant DHB will be involved in decisions where appropriate.

31 Dec 06

Funds will be allocated to successful applicants across four categories. 31 Mar 07 Requests for applications, assessments, advice and payment of funds will meet the timeframes stated for the 2006/07 funding round.

30 Jun 07

47

The Mental Health Strategy The Ministry works towards developing the improvement of mental health in New Zealand by targeting the ten leading challenges that Government expects to be the future focus of mental health and addiction policy and service provision. These are promotion and prevention, building mental health services, responsiveness, workforce and culture for recovery, Māori mental health, primary health care, addiction, funding mechanisms for recovery, transparency and trust and working together. Updated Framework for Services for Children’s and Young People’s Health and Alcohol and Other Drug Problems Statement of Intent committed outputs: By 30 June 2007, the Ministry will have: Produced an updated framework for services for children’s and young people’s mental health and alcohol and other drug problems. Refer to the 2006 – 2009 Statement of Intent pp: 45. Process Rationale: Approved in 2005 by Cabinet as one initiative to ensure increased access and improved services for children and young people with mental health and alcohol and other drug problems, and their families and whānau. Refer to the 2006 – 2009 Statement of Intent pp: 44-45. Responsibility of: Deputy Director-General, Mental Health. Process review: Effectiveness and Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include, increased access to recovery based services and consistency across the country. Process Outputs: By when: Review of epidemiology literature completed by end of first quarter. 30 Sep 06 Draft document out for consultation by end of second quarter. 31 Dec 06

varied to 30 Jun 07

Regulatory Framework for Compulsory Interventions in Alcohol and Drug Addiction Act 1966 Statement of Intent committed outputs: By 30 June 2007, the Ministry will have: Produced advice on policy options for repeal or amendment of the Alcoholism and Drug Addiction Act 1966, for Government consideration. Refer to the 2006 – 2009 Statement of Intent pp: 25. Process Rationale: An improved regulatory framework for addiction services will improve coherence and understanding of the system in which addiction services are accessed and provided and meet modern standards of human rights and protections. Refer to the 2006 – 2009 Statement of Intent pp: 24 – 25. Responsibility of: Deputy Director-General, Mental Health. Process review: Effectiveness and Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation would include:

• provide better advice to Government on the current situation of the ADA Act and recommendations of improvements to law

• greater coherence and understanding of systems for accessing addiction services • alignment with standards of human rights and protection

Process Outputs: By when: Policy paper addressing issues with the current regulatory framework and identifying future options:

• Draft Review completed • Final Review completed

30 Nov 06 30 Jun 07

48

Revised Forensic Framework and Implementation Plan Statement of Intent committed outputs: By 30 June 2007, the Ministry will have: Completed the development of a revised forensic framework and an implementation plan for the framework. Refer to the 2006 – 2009 Statement of Intent pp: 25. Process Rationale: An updated forensic framework will address service gaps, the provision of forensic services in inpatient settings, future capacity and capability needs and issues relating to the increasing numbers in the criminal justice system. Refer to the 2006 – 2009 Statement of Intent pp: 24 – 25. Responsibility of: Deputy Director-General, Mental Health. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation would include:

• Increased provision of forensic mental health services to meet the current service gaps • Better integration of forensic mental health services across Health, Corrections and the Justice

system. Process Outputs: By when: Report on assessment of current gaps in service and funding configuration completed. 30 Nov 06 Final report on the proposed project framework and implementation plan will be completed.

30 Jun 07

Annual Report of the Office of Director of Mental Health Statement of Intent committed outputs: By 30 June 2007 the Ministry will produce an annual report from the Office of Director of Mental Health. This is a key means of making the statutory functions more transparent, enhancing the administration of the Act throughout the sector and contextualising the statutory functions within other mental health policy work of the Ministry. Refer to the 2006 – 2009 Statement of Intent pp: 25. Process Rationale: Refer to the 2006 – 2009 Statement of Intent pp: 24 – 25. Responsibility of: Deputy Director-General, Mental Health. Process Review: Effectiveness and Improvement: Evidence that would suggest that the delivered output has been effective and resulted in movement towards the desired situation would include: Timely and effective response to enquiries regarding legislation administered by Mental Health and the Ministry of Health. Mental Health and Addiction Services acting in accordance with the legislation and in the best interest of consumers. Process Outputs: The outputs below are representative examples for some of the above acts. Victims’ Rights Act: D-G of Health is responsible for certain victim notification requirements in this Act. The Manager of the Rights and Protection section of the Mental Health Directorate is the relationship manager for Operational Protocol (MOU) that mandates exchange of victim details with Corrections and other agencies. Outputs include communications, notifications, and advice to mental health services, NZ Immigration Service, other operational agencies.

• Misuse of Drugs Act 1975, section 24: The Gazetting of medical practitioners and institutions to prescribe, administer, or supply controlled drugs for the purpose of treating drug dependence.

• Mental Health (CAT) Act 1992, sections 50 and 77: Reports to the Minister on leave applications and requests for changes of legal status for special patients.

• Mental Health (CAT) Act 1992, section 94: appointment and re-appointment of District Inspectors and Deputy District Inspectors

• Mental Health (CAT) Act 1992, sections 101 and 105: appointment of the Mental Health Review Tribunal

• Land Transport Act 1998, sections 65 and 100: approvals for centres and individuals to conduct drug and alcohol assessments.

• An Annual Report

By when: As required 30 Jun 07

49

Key Performance Indicator Framework Statement of Intent committed outputs: By 30 June 2007, the Ministry will have:

• A final report along with the completed the proposed KPI framework. • Completed the development of a proposed national key performance indicator (the KPI

Framework) framework for use in mental health services in New Zealand. Refer to the 2006 – 2009 Statement of Intent pp: 25. Process Rationale: For people to be confident in the health system there needs to be open accountability and monitoring of services. The proposed KPI framework will be able to be used for system level accountability purposes to track progress against national priorities as well as providing a tool for driving service quality improvement at the local level. Refer to the 2006 – 2009 Statement of Intent pp: 24 – 25. Responsibility of: Deputy Director-General, Mental Health. Process review: Effectiveness and Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation would include:

• The establishment of a national benchmarking forum focused on using the information provided by the framework

• Greater understanding of overall system performance using a broad range of information • Increased use of service evaluation, service redesign and workforce development initiatives to

address poor performance identified by the framework. Process Outputs: By when: The draft report with the proposed KPI framework will be completed. 31 Mar 07 Review Te Puāwaitanga: Māori Mental Health National Strategic Framework 2002-2007 Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: The draft action plan for Te Tāhuhu, Te Kōkiri, signals a review and up-date of Te Puäwaitanga. The review will focus on strengths, progress and innovations developed from the implementation of the strategic framework among DHBs. The review will also provide direction for building on gains and identify barriers to implementation over the last five years. A review of evidence will also set the scene for new and up-dated information to inform the revised policy document. Responsibility of: Deputy Director-Generals, Mental Health and Māori Health. Process Review: Effectiveness and Improvement: Evidence to suggest outputs have resulted in movement towards desired situation include:

• Improved understanding of barriers to implementation and strengths that will inform updating Te Puāwaitanga

• New and improved policy framework. Process Outputs: By when: Phase one – establish a key stakeholder reference group to assist in Review and Update of Te Puāwaitanga

31 Oct 06 varied to 28 Feb 07

Phase two - a document provided that reports on strengths and weaknesses in implementation of Te Puāwaitanga.

30 Jun 07

50

Mental Health Research and Development Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: To improve the health status of New Zealanders and to enhance the quality of mental health decision making by providing up-to-date knowledge based on research information. Responsibility of: Deputy Director-General, Mental Health. Process Review: Effectiveness & Improvement: Evidence that would suggest that the delivered output has been effective resulted in movement towards the desired situation would include: • An increase in the uptake of evidence based practice by the workforce • Services are designed and delivered on the basis of the best available evidence • Increased research/evaluation activity is undertaken at the service provider level Process Outputs: By when: • Launch of the national mental health epidemiological survey. • Publication of a national mental health research and development strategy for New

Zealand • Further development of outcome measurement/management under MH-SMART • Scope a mechanism for the coordination and dissemination of evidence based

practice

30 Jun 07

Pricing Project Statement of Intent committed outputs: None specified in the 2006-2009 Statement of Intent. Process Rationale: Te Tāhuhu, the second New Zealand Mental Health and Addiction Plan, identifies a need to develop funding approaches and contracting processes that are efficient, effective and equitable between providers and across the country. Pricing of services is critical to ensuring such equity. Responsibility of: Deputy Director-General, Mental Health. Process Review: Effectiveness and Improvement: Evidence that would suggest that the delivered outputs have resulted in movement towards the desired situation will include:

• informed pricing Process Outputs:

• Phase one, a schedule of average prices • Phase two, the bottom-up cost of a number (or all) NSF purchase units: • Phase three, impact analysis and advice to government if required

By when: 31 Mar 07 31 Mar 07 To be decided after completion of phases 1 and 2

51

Developing our Capacity and Capability Projects and initiatives that geared towards developing our capacity and capability as an organisation are as follows:

Heath Sector Payments and Administration 2004/05 Actual 2006/07 Estimate

Claims and invoices processed and paid 67,973,955 75,000,000 Agreements produced and processed. 9,424 12,000 Monitoring reports loaded into the contract management system.

15,070 16,000

Qua

lity

Applications for eligibility processed 237,661 280,000 Percentage of applications for eligibility processed within agreed timeframes.

100% 100%

Percentage of correct claims and invoices will be paid within agreed timeframes.

100% 100%

Percentage of client calls answered successfully (measured as an abandonment rate of no greater than 5 percent) by the call centre

97% 95%

Tim

elin

ess

Percentage of approved agreements issued to providers within five working day of approval.

98.4% 99%

An audit programme will be conducted as specified in the Ministry of Health – District Health Boards’ Memoranda of Understanding and monitored by the Information Liaison Group. A Memorandum of Understanding with the DHBs will be undertaken. Agreements will be peer reviewed prior to issuing to providers.

Qua

lity

Payments of claims and invoices will be according to business rules within agreements.

Ministerial Support Services - Capacity and Capability Statement of Intent committed outputs: See below. Process Rationale: The provision of these support services to the Minister is a core function of the Ministry of Health and all government departments. Responsibility of: Deputy Director-General, Corporate and information. Process Review: Effectiveness & Improvement: The provision of support services to Ministers is a core and required function of government departments. Process Outputs:

• Provision of an estimated 5,500 to 6,000 draft replies to ministerial correspondence with an estimated 30% of correspondence received categorised as urgent.

• 90% of urgent correspondence to be completed within ten working days of receipt by the Ministry of Health.

• 90% of other correspondence to be completed within 25 working days of receipt by the Ministry of Health.

• 100% of replies to be factually correct and peer reviewed (Note that directorate peer reviewers are responsible for the factual accuracy of the replies).

• 100% of replies signed out in accordance with delegated authority.

By when: 30 Jun 07

• Provision of an estimated 1,500 draft replies to Written Parliamentary Questions within the required timeframe, all replies to be factually correct and peer reviewed and signed out in accordance with delegated authority. (Note that directorate peer reviewers are responsible for the factual accuracy of the replies)

30 Jun 07

52

• Provision of an estimated 250 draft replies to requests for briefing papers and speech notes (out of an estimated 550 received by the Ministry) within the required timeframe, all replies prepared by Government and Sector Relations to be factually correct, peer reviewed by directorate subject matter experts and signed out in accordance with delegated authority. (Note that directorate peer reviewers are responsible for the factual accuracy of the replies)

30 Jun 07

• Logging and tracking an estimated 700 requests for official information. This output also involves the provision of advice by Government and Sector Relations to Ministry staff on the application and interpretation of the Official Information Act 1982 and Ministry administrative processes.

30 Jun 07

• Coordination of directorate replies to an estimated 350 written questions from the Health Select Committee within the required timeframe, all replies to be factually correct and peer reviewed and signed out in accordance with delegated authority.

30 Jun 07

• An estimated 120 appointments statutory bodies and committees 30 Jun 07

• Liaison between Ministerial offices and the Ministry of Health 30 Jun 07

• Staffing of Ministerial offices (secondments from Ministry) 30 Jun 07

Corporate Planning and Reporting Statement of Intent committed outputs and process rationale None specified in the 2006-2009 Statement of Intent. Responsibility of: Deputy Director-General, Corporate and Information. Process Review: Effectiveness & Improvement: Outputs in accordance with guidance and instructions issued by central agencies and Audit NZ. Process Outputs: By when:

• Production of the 2007/08 Statement of Intent. • Production of the 2005/06 Annual Report • Production of the 2007/08 Output Plan • Quarterly Reports Against the 2006/07 Output Plan • Develop process for quantification of cost effectiveness of SOI interventions • Development of Balanced Score Card for Corporate & Information

Directorate. Agreement was sought by the Minister to delete this work from the Output Plan in the January 2007 Variation Health Report.

1 May 07 30 Sep06 30 Jun 07 Quarterly 1 Feb 07 31 Aug 06 Varied - deleted.

Human Resources

Targeted Recruitment and Retention Strategies Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 68-69. Responsibility of: Deputy Director-General, Corporate and Information. Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process. Process Outputs: Development and implementation of targeted strategies, likely to include, revised advertising formats, targeted recruitment material, simplified recruitment and selection administration, continued and improved management training, a specialised in-house recruitment resource, improved performance management of and interaction with existing employees to assist retention, including induction and surveys of new (3-6 month) employees to gauge satisfaction levels. Analysis of critical recruitment and retention areas within the Ministry

By when: 30 Jun 07 31 Dec 06

53

Working Environment Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 69. Responsibility of: Deputy Director-General, Corporate and information Process Outputs: Working towards improving the work environment. This links to the “Flexibility in the Workplace” (policy and guide) work to be undertaken and to on-going improvement to the Ministry’s health and safety processes and practices. In consultation with managers, staff and their representatives we will develop an umbrella “Wellness” strategy for the Ministry, incorporating health and safety and wider employee wellness information and tools.

By when: 30 Jun 07

Employment and Pay Equity Review Statement of Intent committed outputs and process rationale The review will identify equity gap and improve transparency. Refer to the 2006-2009 Statement of Intent pp: 69. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process. Accountability for completion with State Services Commission and the Department of Labour. Process Outputs:

• Audit commenced October 2005 and completed to specification. • Complete an Employment and Pay Equity Review

By when: 30 Jun 06 31 Aug 06

Work Experience Database Statement of Intent committed outputs and process rationale The database will contribute towards an enhanced use of rotation and secondment opportunities within the Ministry. Refer to the 2006-2009 Statement of Intent pp: 69. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process. Process Outputs: Commence development of an internet database (and protocols).

By when: 30 Apr 07

‘Career in Health’ Publication Statement of Intent committed outputs and process rationale The purpose of the booklet is to Support, Improved recruitment and retention, reduced employee turnover, and enhanced labour market competitiveness. Refer to the 2006-2009 Statement of Intent pp: 69. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process Process Outputs: Develop the ‘Career in Health’ booklet. This variation to the date was approved by the Minister in the February 2007 Variation Health Report.

By when: 15 Jul 06 varied to 30 Dec 06.

Flexibility in the Workplace: Policy and Guide for Mangers Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 69-70. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process. Process Outputs: Develop a flexible working practices policy.

By when: 30 Jun 07

54

Management Capability Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 70. Responsibility of: Deputy Director-General, Corporate and Information Process Outputs:

• A management development programme for first line managers and potential managers will be developed

Pathing resource completed to assist tailored development of decisions. This variation to the date was approved by the Minister in the February 2007 Variation Health Report.

By when: 1 Mar 07 1 Sep 06 extended to 31 Jan 07. Further varied to: 30 Jun 07

Review of Management Delegations Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 70. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process Process Outputs:

• Review of management delegations This variation to the date was approved by the Minister in the January 2007 Variation Health Report.

• Design pilot

By when: 31 Jan 06 varied to 30 Jun 07 31 Aug 07

Support for First-line Managers Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent page 70. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process Process Outputs:

• Develop, a tool (mechanism) for managers • Develop a training course.

By when: 30 Jun 07 1 Apr 07

Team Performance and Rewards Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 71. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process Process Outputs:

• Pilot project to be completed • Guide for managers on team measures developed

By when: 1 May 07 31 Aug 07

Organisational / People Capability around Core Business Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 71. Responsibility of: Deputy Director-General, Corporate and information. Process Outputs 2007/08 Priority Projects, in particular continuance of the Capability Development Strategy, 2007 – 2010, which includes; recruitment and retention strategies, flexibility in the workplace and wellness strategies, review of management delegations, support for first line managers, on-going delivery of the “Managing in the Ministry programme” and the internal training programme, refinement of the Ministry remuneration policy.

By when: On-going through to Jun 07

55

Contract Support Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 71. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: The PMO is not responsible for the monitoring of the effectiveness of its interventions. Monitoring of improved performance from staff involved in the contracting function will be conducted by internal and external audit. Once the interventions are in place, the compliance of the Buying Goods of Services Policy will become mainly a performance matter between staff and their managers. Process Outputs: By when: Development and technical implementation of an electronic contract management system for departmental expenditure

31 Dec 06

All contract staff trained in how to use the electronic contract management system for departmental expenditure

31 Jul 07

Updating and creating guidelines and templates to support the Buying Goods or Services Policy

30 Sep 06

Developing and implementing a training programme for the procurement lifecycle within the Ministry

31 Jul 07

Human Resource Information Systems Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 71-72. Responsibility of: Deputy Director-General, Corporate and information. Process Review: Effectiveness & Improvement: Monthly progress monitoring via HRM Group Project monitoring process. Process Outputs: By when: Investigation of the HRIS. 1 Dec 07

Contract Management Statement of Intent committed outputs and process rationale Refer to the 2006-2009 Statement of Intent pp: 74. Responsibility of: Deputy Director-General, Corporate and information Process Outputs: By when: Implementation of a new contract management system. This variation to the date was approved by the Minister in the January 2007 Variation Health Report. Further Variation requested in April 2007 for 31 December 2007.

31 Dec 06 varied to 31 Jun 07 31 Dec 07

Programme Management Statement of Intent committed outputs and process rationale : Refer to the 2006-2009 Statement of Intent pp: 75. Responsibility of: Deputy Director-General, Corporate and information Process Review: Effectiveness & Improvement: An 80% satisfaction rating for PMO services, as measured by annual survey. Process Outputs: By when: A reviewed and altered information systems (IS) programme and project execution plan template

30 Sep 06

A reviewed and altered IS programme and project scope template and tool 31 Dec 06 A reviewed and altered governance framework for IS programmes and projects. This variation to the date was approved by the Minister in the January 2007 Variation Health Report.

30 Sep 06 varied to 31 Mar 07

By the end of quarter two, a company on a retainer contract for providing independent quality assurance services to the Ministry of Health’s IS programmes and projects

31 Dec 06 extended to 31 Mar 07

56

10 newsletters issued to the sector profiling and updating the sector on Ministry-led IS programmes and projects, including NSD. The deliverables of quarter one will be profiled in one newsletter. First report Last nine reports

Quarter 1 Quarter 2-4

A web-site in place for the sector to access more detailed information about Ministry-led IS programmes and projects, including NSD. This variation to the date was approved by the Minister in the January 2007 Variation Health Report.

31 Dec 06 varied to 31 Jan 07

All NSD resources appropriately tendered for and contracted (where not employed). NB – until the programme plan is completed, it is unknown exactly how many people will be required to be contracted for the NSD programme.

30 Jun 07

57

Schedule 3: Statement of Objectives Generic quantity, quality and timelines performance measures for all policy advice and briefings supplied by the Ministry of Health follow (As depicted in the 2006/07 Statement of Intent pg 104). Quantity Policy advice and briefings will be supplied on the basis agreed between the Minister of Health and the Director-General of Health. Unanticipated briefing requests will be supplied to the minister as requested. Quantity All policy advice will comply with the Ministry of Health’s standards for policy advice. Briefings and advice will: • be clear, concise and logical • be factually accurate, practical and complete • have a clear statement of purpose • be presented in the correct format • consider options and implications • consider legal, financial and health service implications • meet Cabinet Office requirements where relevant • comment on intersectoral implications • be peer reviewed • follow quality processes for briefings, recorded through the use of audit trails. These ranges of quality assurance procedures followed for ad hoc ministerial advice will depend on the type of advice and the timeframe in which it is requested. All advice will be signed out in accordance with delegated authority. The quality of policy advice and briefings is assessed by: • a formal request to the Minister each quarter to indicate his level of satisfaction with the

quality of policy advice provided. This will request assessment of: the coverage of relevant issues; a clear statement of the purpose of the advice; logical argument; accuracy; the presentation of an adequate range of well-assessed policy options; evidence of adequate consultation; practicality; and presentation

• 90 percent of the above measures being rated as satisfactory or above by the Minister • regular meetings between the Minister and senior staff, and quarterly reports to the

Minister on the Ministry’s progress against project outputs. Timeliness Timeframes for policy projects will be met as agreed between the Minister of Health and the Ministry, unless modified with the Minister’s agreement. Short-term and ad hoc ministerial requests will be supplied within the required timeframes. The Ministry manager is responsible for preparing the request will monitor timeliness. Cost The out-turn for the year is within budget, in accordance with the Financial Statement of Objectives.

58

2006/07 Identified Publications and Reports This list is contains intended publication for the 2006/07 financial year. This list was also provided to the Select Committee in June 2006 as part of the 2006/07 Estimates of Appropriation Review.

• Evaluation of the Implementation and Intermediate outcomes of the Primary Health Care Strategy – no new research is planned on this topic, the current evaluation has been extended to September 2008

• Evaluation of the Primary Mental Health Care initiatives – the evaluation is due to provide

an interim report by the end of December 2006 and a final report by 28 February 2007. The timing of additional reports arising from the extension are matters under negotiation.

• A Report on the Submissions in the consultation on Whakatataka Tuarua; the Second

Maori Health Strategy

• Reprint of “unequal Impact; Maori and Non-Maori Statistics 1996-2000” with updated statistics

• Maori Consumer use and experience of Health and Disability services

• Participation and retention issues in the Maori Health Workforce

• Evaluation of Maori Health Scholarship Programme

• An independent evaluation of a nominated DHB. This is the same as last year.

• The development of a key performance indicator framework for mental health services in

New Zealand (new activity)

• The Problem Gambling National Service User Data 2005 – This is an annual publication, and was commissioned last year. No other reports were commissioned.

• Ministry of Health 2005/06 Annual Report including the Health and Independence Report • Ministry report based on the results of the ASPIRE trials

• Ministry report based on the evaluation of the InterRAI assessment tool

• SNZ HB 8134.6 Best Practice Guidance for Community Services for People with Dementia

and Proposed Audit Workbook. (A Standard published by Standards NZ and endorsed by the Ministry of Health).

• Care and Support in Community Settings

• Encouraging Maori and Pacific participation in the health workforce.

• Suicide Prevention Action Plan

• Annual Review of Drinking-Water Quality in New Zealand 2006

• Register of Community Drinking-Water Supplies in New Zealand 2007

• Drinking-Water Assistance Programme: Criteria for capital assistance for small drinking-

water supplies

• Towards an Environmental Health Action Plan for the New Zealand Health Sector: Discussion Document

59

• Environmental Health Action Plan for the New Zealand Health Sector

• Towards Guidelines for the Management of Clandestine Laboratories: Discussion Document

• The Management of Clandestine Laboratories: Guidelines for Public Health Services • Revision of the Asbestos, Lead and Spraydrift guidelines

• An overview report of the initial roll out of the Meningococcal B immunisation programme in

South Auckland.

• Case studies of the implementation of the meningococcal immunisation programme in two District Health Boards

• A report on lessons learned from the implementation of outreach and community clinic

initiatives for the meningococcal immunisation programme (in Auckland and Northland DHB’s)

• Progress report on the evaluation of the national meningococcal immunisation programme • Final evaluation of the meningococcal immunisation programme

• Suicide Trends: New Zealand 1983-200

• Problem Gambling in New Zealand: Analysis of the 2002/03 New Zealand Health Survey • Food & nutrition monitoring report 2006 - approx August 2006.

• Probable: Urban/rural health profile

• "A comparison of the 1996/97 and 2002/03 New Zealand Health Surveys"

• 2003 New Zealand Health Behaviour Survey - Drug Use and 2004 New Zealand Health

Behaviour Survey - Alcohol Use.

• Asian Health Chart Book 2006:

• Older Person's Chart Book 2006:

• Prisoner Health Survey

• Stroke Policy Model (update) - occasional bulletin

• Salt and health (update) - occasional bulletin

• Socioeconomic gradients in BMI and waist circumference - occasional bulletin

• Diabetes Policy Model (update) - occasional bulletin

• WHO health survey instrument - occasional bulletin

Date post:	25-Apr-2020
Category:	Documents
Upload:	others
View:	1 times
Download:	0 times

2006/07 Ministry of Health Output Plan · 2006/07 Ministry of Health Output Plan Health Report:...

Documents