Page 60 - Statement of Intent 2015/16

national technical and strategic forums working on the development of funding and pricing as well as service and purchasing frameworks.
In order to live within the available funding whilst maintaining sustainable services it is essential to ensure that services are funded at appropriate levels and that value from health expenditure is maximised in terms of both health gain and the DHBs priorities. Additional focus in these areas will be required given the fiscal constraints and the need for DHBs to make decisions based on information and analysis.
Planning is an integral part of purchasing and providing healthcare services. Planning is undertaken in partnership with key stakeholders.
4.5 Reporting And Consultation
4.5.1 Consultation with the Minister and the Ministry of Health
When making decisions, we follow an appropriate planning and consultation processes to avoid adverse financial, resource and clinical impacts on the affected population(s) and avoid unnecessary service instability. A well-managed process provides the confidence that:
 A robust process is followed;
 There are sufficient controls in place to avoid unnecessary service instability;
 The change is clinically appropriate and public confidence is managed.
There are a range of matters that we must consult / notify the Minister of Health, the National Health Board and Ministry of Health. These matters are:
 Proposed service changes;
 Acquisition of shares or other interests;
 Entry into joint ventures and / or collaborative or cooperative agreements /
arrangements;
 Capital expenditure if required by policy and / or legislation;
 Otherwise as required by legislation, regulation or contract.
4.5.2 External Reporting
The Ministry of Health monitors our performance on behalf of the Minister. The mechanisms currently in place to achieve this are outlined in the following table.
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