District Annual Plan 2006—2007

MINISTERIAL LETTER OF APPROVAL

EXECUTIVE SUMMARY

1. INTRODUCTION

 

1.1 About the District Annual Plan

1

1.2 Wairarapa District Health Board

1

1.3 Priorities for 2006/07

7

1.4 Prioritisation and Decision Making Principles

8

1.5 Geography and Population

9

1.6 Wairarapa Health Status and Needs

10

1.7 Monitoring and Reporting Performance

12

1.8 Consulting with the Wairarapa Community

13

1.9 Collaborative Arrangements

15

1.10 Achieving Service Coverage and National Consistency

15

1.11 Service Provided by Other District Health Boards

15

 

 

2. ISSUES, ASSUMPTIONS AND RISKS

 

2.1. Key Issues Impacting on this Plan for 2006/07

17

2.2. Key Assumptions

20

2.3 Key Risks and Mitigation

21

2.4 Funding Envelope for 2006/07

26

2.5 Key Pressures on Expenditure

26

2.6 Allocation of Funds

28

2.7 Achieving Efficiencies, Productivity and Value for Money

29

2.8 Service Changes Expected in 2006/07

30

2.9 Implementing Wairarapa DHB Strategic Approach

31

2.10 Healthy Eating Healthy Action

33

2.11 Reducing Inequalities

35

 

 

3. ADVANCING WAIRARAPA DHB STRATEGIC PRIORITIES

 

3.1 Maori Health

36

3.2 People in Low Socio-economic Groups

41

3.3 Older People

44

3.4 Children and Young People

47

3.5 Chronic Conditions

51

3.6 Mental Illness and Addictions

55

3.7 Cancer

62

 

 

4. ADVANCING OTHER GOVERNMENT PRIORITIES

 

4.1 The New Zealand Disability Strategy

65

4.2 The New Zealand Health Strategy

67

4.3 The Primary Health Care Strategy

68

4.4 The Health Information Strategy

72

4.5 The Future Workforce

75

4.6 Interagency Collaboration to Reduce Family Violence

82

4.7 Continuing to Improve Quality and Safety of all Services

83

4.8 Elective Services

87

4.9 Pandemic Preparedness

93

 

 

5. FORECAST SERVICE PERFORMANCE: OUTPUT OBJECTIVES, MEASURES AND TARGETS

94

5.1  Planning and Funding: District Strategic Plan Health Gain Priorities

96

5.2  Provider: Hospital and Specialist Services

102

5.3  Governance and Administration

105

 

 

6. MANAGING FINANCIAL RESOURCES

 

6.1 Managing within Budget

107

6.2 Efficiency Gains

107

6.3 Overall Financial Projections

107

6.4 Assumptions

08

6.5 Key Risks and Sensitivity Analysis

109

6.6 Asset Planning and Investment

110

6.7 Debt and Equity

111

6.8 Projected Financial Statements

112

 

 

7. APPENDICES

 

7.1 IDPs and DHB Measures of Progress

118

7.2 WDHB Alliances with Neighbouring DHBs and Others

126

7.3 DHB Advisory Group and Committee Meeting Schedule

129

7.4 Mental Health & Addictions Workforce Development Plan

131

 

 

8.REFERENCES AND ATTACHMENTS

135