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District health board

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33: 348: 236:, 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. 391:(STV, a proportional voting system) has been used. The use of appointed Board members aims to balance 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. 290:
will also be established to centralise public health work. The transition will occur over 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
398:. 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 the election (i.e. in early December) and the term of the previous board finished that day. 215:
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 the coalition governing arrangement,
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and were responsible for providing health services. In addition, the Government established four Regional Health Authorities (RHAs) with purchasing responsibilities. The purchaser/provider split was meant to ensure that public hospitals did not have privileged access to purchasing resources over
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The Ministry of Health gives district health boards 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
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with the goal of creating a free public health system in New Zealand. Due to disagreements between 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)
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On 1 July 2022, 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
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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
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services to populations within 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
1637: 156:. The Special Advisory Committee on Health Services Organisation (SACHSO) advocated establishing 14 "Area Health Boards" (AHBs), which combined the curative functions of the Hospital Boards with the preventative functions of the 183:
expanded 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
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Funding for the DHBs was allocated based on 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.
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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.
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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.
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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
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DHB activities were governed by boards, which consisted of up to eleven members: seven elected by the public every three years, and up to four appointed by the Government's
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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
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introduced legislation replacing the AHB board members with Government-appointed commissioners. These changes were part of a Government "green and white paper" entitled
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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
1973: 1499: 2865: 2518: 2434: 286:(Māori Health Authority) will be established to set up policies for Māori health and to decide and fund those who will deliver services. A 1864: 3507: 2835: 1322: 2002:"For the People, by the Minister: Ministerial Interventions in Subnational Elected Bodies and a Principled Approach to their Future Use" 1687: 1952: 3124: 2675: 192: 3104: 2311: 839: 252: 161: 2485: 2427: 2228: 1900: 601: 180: 440:
There were 20 DHBs, organised around geographical areas, of varying population sizes, though they were not coterminous with the
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regions. Due to the success of the pilot scheme, the Government passed legislation establishing Area Health Boards in 1983.
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benefits, which established a dual system of public and private healthcare services which would remain in place until 1983.
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announced that the system of district health boards was to be abolished and replaced by a single agency to be called
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launched an extensive revamp of New Zealand's healthcare system as part its of health election pledge. Under the
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During the 1970s, growing dissatisfaction with the quality and accessibility of the healthcare system led the
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established four new regional divisions to manage health services in the former 20 district health boards:
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which proposed a large-scale reform of the healthcare system. Labour subsequently lost the election to
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were organisations established by the New Zealand Public Health and Disability Act 2000 under the
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with the mandate of providing PHO resources and services, replacing the previous nine PHOs.
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Taranaki and Wairarapa District Health Boards maintained their own ambulance services, with
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announced that DHBs would be abolished and replaced by a public health agency to be called
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Ministry of Health monitors the performance of individual DHBs. DHBs provided funding to
103:(Māori Health Authority) was to be set up to regulate and provide health services to the 2163: 3205: 2895: 1894: 1178: 1174: 999: 942: 903: 899: 587: 528: 335:
Central: MidCentral, Whanganui, Capital & Coast/Hutt Valley, Hawke's Bay, Wairarapa
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Te Waipounamu: Canterbury/West Coast, Nelson Marlborough, Southern, South Canterbury.
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and characterised it as an "absurd system". He welcomed the abolition of DHBs.
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described the establishment of the district health board system as driven by
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Voting for public-elected DHB board members occurred at the same time as
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Te Manawa Taki: Waikato, Lakes, Bay of Plenty, Tairāwhiti, Taranaki
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be the expansion and development over a two-to-three year period.
3327: 3295: 2613: 1632: 987: 965: 425: 124:(HFA) and Hospital and Health Services (1998–2001). In 1938, the 1817: 1724: 1697: 1692: 1453:"Timeline: The evolution of New Zealand's public health system" 1241: 926: 769: 694: 278:(Health New Zealand), which will be modelled after the British 555: 508: 476: 1866:
Choosing Electoral Systems in Local Government in New Zealand
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Northern: Northland, Waitematā, Auckland and Counties Manukau
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Royal Commission of Inquiry into COVID-19 Lessons Learned
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Map showing district health board boundaries since 2010
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Herenga ā Nuku Aotearoa, the Outdoor Access Commission
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New Zealand Ministry of Health: District health boards
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Medical and health organisations based in New Zealand
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COVID-19 Response (Vaccinations) Legislation Act 2021
1974:"Health Minister David Clark sacks Waikato DHB board" 1688:"Hopes and doubts as health system overhaul kicks in" 1408: 1406: 1372: 1370: 2697: 1477: 2009:
New Zealand Journal of Public and International Law
1587: 1585: 1403: 1367: 234:New Zealand Public Health and Disability Act 2000 3494: 1446: 1444: 1442: 2449: 2085:. Taranaki District Health Boards. 10 June 2019 1837:"Editorial: Elected boards an unhealthy hybrid" 1582: 1377:Manch, Thomas; Witton, Bridie (21 April 2021). 1318:List of chairpersons of district health boards 2683: 2435: 2179: 1439: 2660:indicates an entity which has been dissolved 2519:Energy Efficiency and Conservation Authority 351:The DHBs operate healthcare facilities. The 55:, responsible for ensuring the provision of 1376: 1323:Association of Salaried Medical Specialists 2690: 2676: 2465:public sector organisations in New Zealand 2442: 2428: 2186: 2172: 2049: 1658: 164:piloted a trial AHB health scheme in the 99:(Health New Zealand). In addition, a new 3105:COVID-19 Public Health Response Act 2020 1450: 346: 72:. DHBs received public funding from the 31: 3191:Samoan Assemblies of God in New Zealand 1872:. STV Taskforce. May 2002. p. 27. 211:, the governing National Party and its 14: 3495: 2543:Health Research Council of New Zealand 1756:"Health and disability system reforms" 831:, Ōtaki ward of Kāpiti Coast District 27:Defunct health provider in New Zealand 3513:2022 disestablishments in New Zealand 3503:District health boards in New Zealand 2671: 2423: 2167: 2052:"Waikato DHB Board sacking confirmed" 1925:from the original on 31 December 2005 1625: 1607:from the original on 8 September 2012 1412: 259:; reducing the number of DHBs to 20. 2589:New Zealand Qualifications Authority 1784: 230:Labour-Alliance coalition government 3201:The Freedoms & Rights Coalition 3115:COVID-19 Response Recognition Award 2581:New Zealand Fire Service Commission 1899:: CS1 maint: ignored ISBN errors ( 1500:"New Zealand Health System Reforms" 1451:Williams, Katarina (16 June 2020). 24: 3508:2001 establishments in New Zealand 2556:Kāinga Ora – Homes and Communities 2111:. Wairarapa District Health Boards 1659:Langstone, Michelle (1 May 2021). 1640:from the original on 21 April 2021 1593:"New Southern DHB roles announced" 1560:"Population-based funding formula" 1540:from the original on 22 April 2022 1143:excluding Waimarino-Waiouru ward. 412:covering the rest of the country. 25: 3534: 3313:Millennium & Copthorne Hotels 2624:Social Workers Registration Board 2476:Accident Compensation Corporation 2152: 1915:"District Health Board Elections" 1510:from the original on 18 June 2022 1465:from the original on 9 April 2022 142:A health service for New Zealand, 84:) and partially appointed by the 3140:New Zealand Microbiology Network 2699:COVID-19 pandemic in New Zealand 2614:Pharmaceutical Management Agency 2604:New Zealand Trade and Enterprise 1799:from the original on 1 July 2022 1766:from the original on 3 July 2022 1736:from the original on 7 June 2022 1329:List of hospitals in New Zealand 160:'s district health offices. The 2594:NZ Transport Agency Waka Kotahi 2571:New Zealand Antarctic Institute 2352:Southland District Health Board 2123: 2097: 2071: 2050:Macpherson, Dave (7 May 2019). 2043: 2015: 1994: 1966: 1937: 1907: 1857: 1829: 1811: 1778: 1748: 1712: 1680: 1652: 342: 115: 2524:Fire and Emergency New Zealand 1619: 1552: 1522: 1413:Quinn, Rowan (21 April 2021). 1341: 525:Western Bay of Plenty District 311:Pae Ora (Healthy Futures) Bill 262: 257:Southern District Health Board 140:to issue a white paper called 13: 1: 2642:Tertiary Education Commission 2496:Crown Health Financing Agency 1626:Small, Zane (21 April 2021). 1334: 379:held on 13 October using the 197:Your Health and Public Health 1953:Parliamentary Counsel Office 1299:, Waimarino-Waiouru ward of 717:Central Hawke's Bay District 435: 366:primary health organisations 219: 7: 3333:SkyCity Entertainment Group 2347:Otago District Health Board 2105:"After Hours and Emergency" 1818:DHB Funding and Performance 1311: 446: 10: 3539: 3518:Health care in New Zealand 3211:The Disinformation Project 2548:Health Sponsorship Council 2535:Health Promotion Authority 1785:Brew, Andy (1 July 2022). 1117:Thames Coromandel District 381:first-past-the-post voting 193:Fourth National Government 110: 3462: 3426: 3396: 3366: 3226: 3219: 3178: 3090: 3015: 2914: 2828: 2758: 2712: 2705: 2655: 2599:New Zealand Tourism Board 2576:New Zealand Blood Service 2490:Aviation Security Service 2471: 2461: 2408: 2360: 2339: 2297: 2209: 2202: 984:Queenstown Lakes District 418:2010 local-body elections 410:Wellington Free Ambulance 385:2004 local-body elections 377:2001 local-body elections 253:Fifth National Government 162:Third National Government 2486:Civil Aviation Authority 1823:31 December 2005 at the 1530:"District health boards" 1349:"District health boards" 1183:South Wairarapa District 389:single transferable vote 383:system (FPP). Since the 317:while strengthening the 251:were amalgamated by the 181:Fourth Labour Government 130:Social Security Act 1938 122:Health Funding Authority 3409:2022 Wellington protest 1949:www.legislation.govt.nz 1113:Matamata Piako District 1074:South Taranaki District 307:Sixth Labour Government 288:Public Health Authority 280:National Health Service 201:state-owned enterprises 138:Third Labour Government 126:First Labour Government 53:Fifth Labour Government 3380:Papatoetoe High School 3120:District health boards 2501:District health boards 2195:District health boards 1842:The New Zealand Herald 1601:New Zealand Government 1504:New Zealand Parliament 1129:South Waikato District 980:Central Otago District 442:Regions of New Zealand 360: 191:In 1991, the incoming 41:District health boards 37: 2962:Helen Petousis-Harris 2619:Real Estate Authority 2561:Legal Services Agency 2514:Electricity Authority 2509:Earthquake Commission 2488:(Constituent agency: 1066:New Plymouth District 821:Palmerston North City 631:Kāpiti Coast District 357:Christchurch Hospital 350: 305:In October 2021, the 282:. In addition, a new 35: 18:District Health Board 3155:Traffic light system 2647:WorkSafe New Zealand 2566:Maritime New Zealand 2531:(Health New Zealand) 2411:List of chairpersons 2109:wairarapa.dhb.org.nz 869:Marlborough District 580:Waimakariri District 396:local-body elections 315:Public Health Agency 186:local council bodies 158:Department of Health 3256:Bank of New Zealand 2634:Transit New Zealand 2481:Careers New Zealand 2079:"Ambulance Service" 1297:Rangitikei District 1133:Otorohanga District 829:Horowhenua District 243:On 1 May 2010, the 204:private hospitals. 91:In April 2021, the 3206:Voices for Freedom 3196:Te Pūnaha Matatini 3130:Ministry of Health 2896:Sarah Stuart-Black 2312:Nelson Marlborough 2135:Ministry of Health 1919:Ministry of Health 1760:Ministry of Health 1564:Ministry of Health 1534:Ministry of Health 1355:. 12 February 2020 1353:Ministry of Health 1179:Carterton District 1175:Masterton District 1070:Stratford District 1018:Hauora Tairāwhiti 1000:Southland District 943:Mackenzie District 904:Whangarei District 900:Far North District 840:Nelson Marlborough 588:Ashburton District 529:Whakatane District 373:Minister of Health 361: 319:Ministry of Health 269:Minister of Health 267:On 21 April 2021, 86:minister of Health 74:Ministry of Health 38: 3490: 3489: 3463:Associated states 3422: 3421: 3318:Ngāi Tahu Tourism 3276:Fletcher Building 3261:Bauer Media Group 3186:Counterspin Media 3125:Managed isolation 3086: 3085: 2987:Collin Tukuitonga 2841:Ashley Bloomfield 2820:Michael Woodhouse 2810:Fletcher Tabuteau 2760:Epidemic Response 2665: 2664: 2629:Sport New Zealand 2417: 2416: 2335: 2334: 2229:Capital and Coast 1603:. 31 March 2010. 1506:. 29 April 2009. 1420:Radio New Zealand 1309: 1308: 1293:Wanganui District 1262:Westland District 1213:Pre-amalgamation 1035:Gisborne District 1025:.hauoratairawhiti 1004:Invercargill City 817:Manawatū District 709:Hastings District 676:Franklin District 672:Papakura District 666:Pre-amalgamation 602:Capital and Coast 572:Kaikoura District 568:Christchurch City 213:New Zealand First 93:Labour government 16:(Redirected from 3530: 3465:and dependencies 3367:Disease clusters 3353:Virgin Australia 3343:Steel & Tube 3271:Dunedin Railways 3224: 3223: 3150:NZ Pass Verifier 2871:Caroline McElnay 2710: 2709: 2692: 2685: 2678: 2669: 2668: 2444: 2437: 2430: 2421: 2420: 2317:South Canterbury 2234:Counties Manukau 2207: 2206: 2188: 2181: 2174: 2165: 2164: 2146: 2145: 2143: 2141: 2127: 2121: 2120: 2118: 2116: 2101: 2095: 2094: 2092: 2090: 2075: 2069: 2068: 2066: 2064: 2047: 2041: 2040: 2038: 2036: 2019: 2013: 2012: 2011:. 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3165:Zero-COVID 3092:Government 2915:Scientists 2866:Megan Main 2800:Shane Reti 2790:Ruth Dyson 2775:Kiri Allan 2327:West Coast 2307:Canterbury 2264:Tairawhiti 2254:MidCentral 1335:References 1233:West Coast 1163:.wairarapa 1014:Tairāwhiti 796:MidCentral 650:CM Health 547:Canterbury 166:Wellington 61:disability 3063:Paul Reid 3023:Suzy Cato 2861:Rose King 2846:Mike Bush 2836:Jim Bliss 2829:Officials 2762:Committee 2362:Elections 2289:Whanganui 2284:Waitemata 2279:Wairarapa 2259:Northland 1895:cite book 1849:8 January 1704:15 August 1272:Whanganui 1193:Waitematā 1152:Wairarapa 879:Northland 772:.lakesdhb 695:hawkesbay 436:Locations 422:Alexandra 355:operates 220:Formation 170:Northland 78:the Crown 3427:Timeline 3404:Protests 3266:Bunnings 3251:ASB Bank 3236:2degrees 3038:Sue Grey 3033:Rob Fyfe 2901:Ian Town 2322:Southern 2269:Taranaki 2219:Auckland 2203:Existing 1929:20 April 1923:Archived 1821:Archived 1797:Archived 1764:Archived 1734:Archived 1644:21 April 1638:Archived 1611:20 April 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Index

District Health Board

New Zealand
Fifth Labour Government
health
disability
North Island
South Island
Ministry of Health
the Crown
local elections
minister of Health
Labour government
Te Whatu Ora
Te Aka Whai Ora
Māori community
Health Funding Authority
First Labour Government
Social Security Act 1938
Third Labour Government
Robert Muldoon
National Party
1975 election
Department of Health
Third National Government
Wellington
Northland
1984 election
Fourth Labour Government
local council bodies

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