The NZ Rural Hospital Network wants to clearly understand each DHB's process for allocating, monitoring and reporting the annual DHB Rural Adjuster fund.
Marie Daly made this Official Information request to Counties Manukau District Health Board
The request was successful.
From: Marie Daly
Dear Counties Manukau District Health Board,
1. For each of the past three years ending June 2016, June 2017 and June 2018 what was the DHBs Rural Adjuster funding component of the PBFF funding pool?
2. Does the DHB fund and provide rural hospital services?
If Yes, continue to answer questions 2.1, 2.2 and 2.3. If no, go to question 3
2.1 Provide the following information about the rural hospitals in your DHB.
If there are none, please report this.
• Name or location of hospital
• List of services the hospital provides
• The business structure of the hospital eg DHB owned and operated / NGO or Iwi owned and operated
• Annual Budget
2.2 How is the annual budget for each of the rural hospitals listed in the table in 2.1 set?
2.3 How does the DHB apply the annual rural adjuster funding to the benefit of each of the rural hospitals listed in the table in question 2.1?
3. Does the DHB fund and provide rural community services?
If yes, continue to answer questions 3.1, 3.2 and 3.3. If no, go to question 3
3.1 Provide the following information about the rural community services in your DHB.
If there are none, please report this.
• Location of services
• List of Community services in each location
• The business structure of the service provider eg DHB owned and operated / NGO or Iwi owned and operated
• Annual Budget.
3.2 How is the annual budget for the community services listed in the table in 3.1 set?
3.3 How does the DHB apply the annual rural adjuster funding to the benefit of each of the rural community listed in the table in question 3.1?
4. For each of the past three years, under each of the components of the Rural Adjuster, quantify the allocation of Rural Adjuster funding through the DHBs contracts with its contracted providers or Service Level Alliance Teams.
• Small hospital facilities
• Community services
• Offshore Islands
• Travel and Accommodation
• Inter hospital transfers
• Governance
• Rural GP/PHO payments
5. i. Does the DHB include reporting requirements specific to the use of rural adjuster funding in its contracts with service providers whose contract includes rural adjuster funding.
ii. If yes, provide a list of the reporting requirements included in the DHB contracts with these providers.
Yours faithfully,
Marie Daly
On behalf of the NZ Rural Hospital Network Executive Committee
From: Communications (CMDHB)
Counties Manukau District Health Board

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From: Dinah Nicholas (CMDHB)
Counties Manukau District Health Board
Dear Marie
Thank you for your Official Information Act request, received today.
We are working on a response for you, which will be sent as soon as practical and within the 20 working day timeframe as per the Ombudsman's Guidance, by 27 March 2019. We will contact you if we have any queries with the request or need to extend the timeframe for your response. In those cases, we will advise why the extension is necessary, and indicate when the response will be ready.
Please note that, like all DHBs across New Zealand, Counties Manukau DHB has begun a process of proactive disclosure, which means OIA responses will be publicly available via our website around 10 days after they have been released. Our response will advise if we intend to publish the response, (with personal information removed) and related documents on the CMDHB website. If you advise us of special reasons why proactive disclosure should not apply to your response, we will consider this.
Kind regards
Dinah
Dinah Nicholas
Executive Assistant to Margie Apa - Chief Executive
Board Secretary
___________________________________________
T: +64 9 277 3401 I Ext:Â 53401 I M:Â 021 682 923Â
[email address]
Room 13, Poutasi Corridor, Middlemore Hospital, Otahuhu
Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640
www: [email address]
show quoted sections
From: Dinah Nicholas (CMDHB)
Counties Manukau District Health Board
Dear Marie
Please find attached our final response to your request for Information.
Kind regards,
Dinah
Dinah Nicholas
Executive Assistant to Margie Apa - Chief Executive
Board Secretary
___________________________________________
T: +64 9 277 3401 I Ext: 53401 I M: 021 682 923
[1][email address]
Room 13, Poutasi Corridor, Middlemore Hospital, Otahuhu
Middlemore Hospital, Private Bag 93311, Otahuhu, Auckland 1640
www: [2][email address]
[3]cid:image001.png@01D1964E.44331930
From: Karen Dady (CMDHB)
Sent: Thursday, 21 March 2019 5:34 p.m.
To: Dinah Nicholas (CMDHB)
Subject: FW: CMDHB Response: OIA 27022019 DALY (NZ Rural Hospital) - DHB
Rural Adjustor funding
Hi Dinah,
Attached is our final response to the OIA request to Marie Daly (NZ Rural
Hospital Executives], regarding their recent request related to the DHB
Rural Adjuster and funding. The response is due by 27 March, but ready now
I've sent a copy to Board Chair, MOH etc., so can you send this one when
convenient before due date.
Let me know any concerns.
Karen Dady
Official Information Act (OIA) Specialist – Communications Team
Strategy & Infrastructure
Counties Manukau Health
_____________________________________________
M: 021 975 890
E: [4][email address]
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show quoted sections
From: Marie Daly
Dear Dinah Nicholas (CMDHB),
Thanks so much for the information you have provided in your response as we do appreciate the time it takes to do so.
We will collate the responses from all of the DHBs - particularly around the services that are provided as we hope to map these across rural NZ to tell a positive story about what is actually available in rural communities.
Yours sincerely,
Marie Daly
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