45-771: MidCentral District Health Board ( MidCentral DHB or MCDHB ) was a district health board that provided healthcare in the Manawatū region of New Zealand. The DHB covers the Manawatū District , Palmerston North City , Tararua District , Horowhenua District , and the Ōtaki ward of the Kāpiti Coast District . In July 2022, the MidCentral DHB was merged into the national health service Te Whatu Ora . The MidCentral District Health Board, like most other district health boards, came into effect on 1 January 2001 established by
90-639: A Government "green and white paper" entitled Your Health and Public Health which proposed privatising public healthcare services in New Zealand. In 1993, the Area Health Boards were replaced by 23 Crown Health Enterprises (CHEs), which operated as state-owned enterprises and were responsible for providing health services. In addition, the Government established four Regional Health Authorities (RHAs) with purchasing responsibilities. The purchaser/provider split
135-745: A defined geographical area. They existed from 1 January 2001, when the act came into force, to 30 June 2022. Initially there were 21 DHBs, and this was reduced to 20 organisations in 2010: fifteen in the North Island and five in the South Island . DHBs received public funding from the Ministry of Health on behalf of the Crown , based on a formula that took into account the total number, gender, age, socio-economic status and ethnic mix of their population. DHBs were governed by boards, which were partially elected (as part of
180-517: A larger role in health purchasing. The department remained actively involved in policy (as opposed to purchasing). In 1947 the department assumed responsibility for the administration and operation of psychiatric hospitals after the Mental Hospitals Department was abolished and became the division of mental hygiene at the department. By the 1970s problems had appeared in the health system. The high growth rate in hospital expenditure
225-654: A parliamentary bill called the Pae Ora (Healthy Futures) Bill , which created the new public health entities and strengthened the Health Ministry's stewardship role. This bill passed into law on 7 June 2022. On 1 July, the Pae Ora (Health Futures) Act came into effect; with Health New Zealand, the MHA, and the Health Ministry's Public Health Agency assuming the district health boards' former provision of healthcare services. In March 2024,
270-725: A population of 174,993 at the 2018 New Zealand census , an increase of 12,429 people (7.6%) since the 2013 census , and an increase of 16,152 people (10.2%) since the 2006 census . There were 65,580 households. There were 85,575 males and 89,415 females, giving a sex ratio of 0.96 males per female. The median age was 38.8 years (compared with 37.4 years nationally), with 34,602 people (19.8%) aged under 15 years, 35,463 (20.3%) aged 15 to 29, 73,803 (42.2%) aged 30 to 64, and 31,122 (17.8%) aged 65 or older. Ethnicities were 80.1% European/Pākehā, 20.6% Māori, 4.4% Pacific peoples, 7.5% Asian, and 2.4% other ethnicities. People may identify with more than one ethnicity. The percentage of people born overseas
315-508: A public health agency to be called Te Whatu Ora (Health New Zealand), which will be modelled after the British National Health Service . In addition, a new Te Aka Whai Ora (Māori Health Authority) will be established to set up policies for Māori health and to decide and fund those who will deliver services. A Public Health Authority will also be established to centralise public health work. The transition will occur over
360-569: A set of objectives; they have a degree of autonomy in how they choose to achieve these. In contrast to their predecessors, the regional health authorities, the DHBs are non-profit providers. The DHB Funding and Performance Directorate of the Ministry of Health monitors the performance of individual DHBs. DHBs provided funding to primary health organisations (PHOs). DHB activities were governed by boards, which consisted of up to eleven members: seven elected by
405-461: A three-year period with an interim Health New Zealand organisation being set up in late 2021. Legislation establishing the new organisation is expected to occur in mid-2022. The second phase from late 2022 will be the expansion and development over a two-to-three year period. Epidemiologist Michael Baker described the establishment of the district health board system as driven by neoliberalism and characterised it as an "absurd system". He welcomed
450-633: Is defined in Schedule 1 of the New Zealand Public Health and Disability Act 2000 and based on territorial authority and ward boundaries as constituted as at 1 January 2001. The area can be adjusted through an Order in Council . Palmerston North Hospital is the DHB's main hospital, and serves as the major trauma centre for the DHB area. The initial board was fully appointed. Since the 2001 local elections ,
495-513: Is the public service department of New Zealand responsible for healthcare in New Zealand . It came into existence in its current form in 1993. The organisation was founded in 1901 as the Department of Public Health in 1901, and was renamed to Department of Health in 1922. The Ministry of Health's origins can be traced back to the Department of Public Health, which was first established in 1901 at
SECTION 10
#1732845388022540-531: The 1999 election . In December 1999, the separate government health service purchasing entity, the Health Funding Authority , was merged with the Ministry of Health. Critics were anxious as to how the Ministry would perform as a funder, as they commented that the Ministry had in the past only performed as a policy organisation. However, supporters of this move stated that they believed this would make these agencies more accountable. In February 2001,
585-711: The Māori community . The district health board (DHB) system had three predecessors: the Area Health Boards (1983–1989), the Regional Health Authorities and Crown Health Enterprises (1993–1997), and the Health Funding Authority (HFA) and Hospital and Health Services (1998–2001). In 1938, the First Labour Government introduced the Social Security Act 1938 with the goal of creating a free public health system in New Zealand. Due to disagreements between
630-594: The New Zealand Public Health and Disability Act 2000 , the Labour-led Government replaced the Hospital and Health Services system with 21 district health boards, which came into force in 2001. These DHBs operated as subsidiary organisations of the Health Ministry and were responsible for providing and funding health services within a defined geographical area. Funding for the DHBs was allocated based on
675-484: The New Zealand Public Health and Disability Act 2000 . On 1 July 2022, the MidCentral DHB and the other district health boards were disestablished, with Te Whatu Ora (Health New Zealand) assuming their former functions and operations including hospitals and health services. The MidCentral DHB was brought under Te Whatu Ora's Central division. The area covered by the MidCentral District Health Board
720-587: The New Zealand government response to the COVID-19 pandemic . In April 2021, the Sixth Labour Government announced that DHB system would be abolished and replaced by three new entities: a centralised agency called Health New Zealand , a Māori Health Authority (MHA) to fund Māori health services, and a Public Health Agency to centralise public health work. In October 2021, the government introduced
765-596: The Wellington Free Ambulance covering the rest of the country. On 1 May 2010 the Otago DHB and the Southland DHB merged to form a new Southern DHB, with elected members coming from two constituencies – Otago and Southland – and the remainder appointed by the Ministry of Health, with the change taking effect from the 2010 local-body elections . From 1 July 2010, a unified primary health organisation has covered
810-518: The Area Health Board system. Between 1985 and 1989, the 27 existing hospital boards were restructured as AHBs. These entities were led by board members who were elected for three year terms concurrent with the local council bodies . In 1991, the incoming Fourth National Government introduced legislation replacing the AHB board members with Government-appointed commissioners. These changes were part of
855-473: The Department of Public Health. Under the Health Act 1920, major organisational changes were mandated. Seven separate divisions were created within the department, each headed by its own director. The department was renamed the Department of Health in 1922, dropping the word public. The structure remained relatively static even when the Social Security Act 1938 was passed where the New Zealand government took
900-618: The Fifth Labour Government also launched the "New Zealand Primary Health Care Strategy" (PHCS) with the goal of improving public access to primary health care and reducing health inequalities. By 2008, the Primary Health Care Strategy had succeeded in reducing fees for doctors' and nurses' visits in "higher need areas" and for patients aged over 65 years. In addition, consultation rates increased across all age, socio-economic, and ethnic groups in New Zealand. As part of
945-483: The Fifth Labour Government established District health board (DHBs) in 2001 as subsidiary organisations of the Health Ministry. They were responsible for providing and funding health services within a defined geographical area. At the time of their dissolution in July 2022, there were twenty DHBs. They were also responsible for running hospitals and funding some health provisions in their respective areas. Funding for these DHBs
SECTION 20
#1732845388022990-468: The Government and medical professionals, this vision was not realised. In 1941, the Government and medical providers concluded a series of arrangements known as the General Medical Service (GMS) benefits, which established a dual system of public and private healthcare services which would remain in place until 1983. During the 1970s, growing dissatisfaction with the quality and accessibility of
1035-695: The Health Ministry proposed slashing 180 jobs following a cost-saving directive from the National-led coalition government . In early April 2024, the Public Service Association expressed concerns that proposed job cuts at the Health Ministry would lead to the closure of the Suicide Prevention Office and other specialist roles. The PSA's statement was disputed by the Minister for Mental Health Matt Doocey , who said he had not been briefed about
1080-631: The Health Ministry's population-based funding formula. In addition, the HFA was disestablished and its health funding functions were transferred to the Health Ministry. On 1 May 2010, the Otago and Southland DHBs were amalgamated by the Fifth National Government to form the new Southern District Health Board ; reducing the number of DHBs to 20. On 21 April 2021, Minister of Health Andrew Little announced that DHBs would be abolished and replaced by
1125-464: The PHCS programme, the government encouraged the development of Primary Health Organisations (PHOs) to provide some primary health care services at the local level and to transition health care services from fee-for-service arrangements to capitation funding for health professionals who are members of these organisations. By early April 2003, 34 PHOs had been established throughout New Zealand. In addition,
1170-478: The abolition of DHBs. In October 2021, the Sixth Labour Government introduced the Pae Ora (Healthy Futures) Bill to replace the country's district health boards with the new Te Whatu Ora. The legislation would also establish the Te Aka Whai Ora and a new Public Health Agency while strengthening the Ministry of Health 's stewardship role. The bill passed its third reading on 7 June 2022. On 1 July 2022,
1215-535: The advice of the Central Board of Health. The Department of Public Health assumed responsibility for the provision of Māori health services between 1906 and 1909, when Māori medical health services were returned to the-then Department of Native Affairs . In 1910, the Public Health Department resumed responsibility for the control of Māori health. In 1911, a Māori Nursing Service was established as part of
1260-481: The board has been partially elected (seven members) and in addition, up to four members get appointed by the Minister of Health. The minister also appoints the chairperson and deputy-chair from the pool of eleven board members. The current board was sworn in on 9 December 2019, following the 2019 local elections . Brendan Duffy, a former mayor of the Horowhenua District, chairs the board. MidCentral DHB served
1305-559: The boards' expertise as deemed necessary. As part of the appointment process, the Minister of Health appoints a chairperson and a deputy-chair; either from the appointed members or from elected members. Voting for public-elected DHB board members occurred at the same time as local-body elections . Local-body elections take every three years on the second Saturday in October. As defined in the legislation, elected and appointed (if they get appointed in time) members started their term 58 days after
1350-621: The closure of the Suicide Prevention Office. Doocey said he had spoken with the Director-General of Health to ensure the Office would remain open. Doocey reiterated that mental health and suicide prefention remained a priority for the New Zealand Government. The directorates and business units of the Ministry include: Medsafe carries out medical regulatory functions within the Ministry. The former National Health Board (NHB), which
1395-470: The coalition governing arrangement, there was more emphasis on collaboration between health purchasers and providers while the HHS were reoriented to be less commercially focused with greater community input on hospital boards. Following the 1999 election , the incoming Labour-Alliance coalition government launched an extensive revamp of New Zealand's healthcare system as part its of health election pledge. Under
MidCentral District Health Board - Misplaced Pages Continue
1440-553: The curative functions of the Hospital Boards with the preventative functions of the Department of Health 's district health offices. The Third National Government piloted a trial AHB health scheme in the Wellington and Northland regions. Due to the success of the pilot scheme, the Government passed legislation establishing Area Health Boards in 1983. Following the 1984 election , the incoming Fourth Labour Government expanded
1485-437: The district health boards were formally disestablished, with Health New Zealand assuming control of all hospitals and health services. The DHB system's functions and operations were assumed by Te Whatu Ora, Te Aka Whai Ora, and the Health Ministry. In addition, Te Whatu Ora established four new regional divisions to manage health services in the former 20 district health boards: The Ministry of Health gives district health boards
1530-447: The election (i.e. in early December) and the term of the previous board finished that day. Health Boards were replaced by unelected commissioners in Hawke's Bay in 2009, Southern in 2015 and Waikato in 2019. The basis on which ministers have made such decisions have been questioned. Taranaki and Wairarapa District Health Boards maintained their own ambulance services, with St John and
1575-542: The entire new Southern DHB region, with PHO centres in Alexandra , Dunedin and Invercargill with the mandate of providing PHO resources and services, replacing the previous nine PHOs. There were 20 DHBs, organised around geographical areas, of varying population sizes, though they were not coterminous with the Regions of New Zealand : Ministry of Health (New Zealand) The Ministry of Health ( Māori : Manatū Hauora )
1620-421: The establishment of a Suicide Prevention Office within the Health Ministry to address the country's suicide rate. Key changes include shifting from a mental health service model to a community-based one and supporting people bereaved by suicide. There were also plans to later establish the Suicide Prevention Office as a separate standalone government service. The Ministry of Health was the agency responsible for
1665-491: The healthcare system led the Third Labour Government to issue a white paper called A health service for New Zealand, which proposed a large-scale reform of the healthcare system. Labour subsequently lost the election to Robert Muldoon 's National Party in the 1975 election . The Special Advisory Committee on Health Services Organisation (SACHSO) advocated establishing 14 "Area Health Boards" (AHBs), which combined
1710-480: The public every three years, and up to four appointed by the Government's Minister of Health . From 1 January 2001 the boards comprised appointed members only. The first elected members were chosen in the 2001 local-body elections held on 13 October using the first-past-the-post voting system (FPP). Since the 2004 local-body elections , the single transferable vote (STV, a proportional voting system) has been used. The use of appointed Board members aims to balance
1755-430: The purchasing of health services while general practitioners, specialists, and hospitals were tasked with delivering health services. Public services were also turned into quasi-commercial Crown health enterprises (CHEs). In 1993, the Department was renamed as the Ministry of Health . The Labour – Alliance coalition government redefined the role of the Ministry of Health as part of Labour's election promises in
1800-451: The triennial local elections ) and partially appointed by the minister of Health . In April 2021, the Labour government announced that the system of district health boards was to be abolished and replaced by a single agency to be called Te Whatu Ora (Health New Zealand). In addition, a new Te Aka Whai Ora (Māori Health Authority) was to be set up to regulate and provide health services to
1845-553: Was 16.0, compared with 27.1% nationally. Although some people objected to giving their religion, 50.5% had no religion, 35.9% were Christian, 1.1% were Hindu, 0.8% were Muslim, 0.7% were Buddhist and 3.2% had other religions. Of those at least 15 years old, 24,855 (17.7%) people had a bachelor or higher degree, and 30,177 (21.5%) people had no formal qualifications. The median income was $ 28,200, compared with $ 31,800 nationally. 18,015 people (12.8%) earned over $ 70,000 compared to 17.2% nationally. The employment status of those at least 15
MidCentral District Health Board - Misplaced Pages Continue
1890-467: Was allocated according to the Ministry's population-based funding formula. In 2018, the government launched the He Ara Oranga inquiry into mental health and addiction. In 2021, this resulted in the creation of Te Hiringa Mahara , an independent Crown entity that promotes mental health and wellbeing. On 10 September 2019, Prime Minister Jacinda Ardern and Health Minister David Clark announced
1935-702: Was meant to ensure that public hospitals did not have privileged access to purchasing resources over private hospitals. Following the 1996 election , the governing National Party and its New Zealand First coalition partner merged the RHAs in 1997 into a national purchasing agency, the Health Funding Authority. Under the Health and Disability Services Amendment Act 1998, the Crown Health Enterprises were revamped as Hospital and Health Services (HHS). As part of
1980-546: Was occurring at a time when the economy was slowing down. Thus, the government was unable to sustain funding this growth. This led the health system to undergo a series of changes over a 20-year period from the 1980s. During the 1990s the Fourth National Government attempted to stream-line the system in a series of reforms such as separating the government purchasing and provision of health care services. Four regional health authorities (RHAs) were created to oversee
2025-494: Was that 65,634 (46.8%) people were employed full-time, 20,370 (14.5%) were part-time, and 6,120 (4.4%) were unemployed. District health board District health boards ( DHBs ) in New Zealand were organisations established by the New Zealand Public Health and Disability Act 2000 under the Fifth Labour Government , responsible for ensuring the provision of health and disability services to populations within
#21978