40-737: Auckland District Health Board ( ADHB ) was a district health board that provided healthcare in the Auckland Region in New Zealand, mainly on the Auckland isthmus . This district health board existed between 2001 and 2022 and was governed by a part-elected, part-appointed board. In 2022, its functions and responsibilities were subsumed by Te Whatu Ora (Health New Zealand) and Te Aka Whai Ora (Māori Health Authority). The Auckland District Health Board, like most other district health boards, came into effect on 1 January 2001 established by
80-599: 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
120-766: 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
160-487: A list of chairpersons of Auckland District Health Board: Seven board members were elected in the October 2001 local elections . The elections were held at a ward-level and the first-past-the-post voting system (FPP) was used. Five of the successful seven elected members had an affiliation to a ticket . The Health Minister announced the appointment of the chairperson in mid-November 2001. It took until late December before
200-529: A member of a second board, but this had been overlooked. Brown remained the appointed chair of the Auckland DHB. Brown was reappointed by King for another term in October 2004, but the new Health Minister, David Cunliffe , chose a new chair for Auckland from December 2007 when he appointed Patrick Snedden . The next Health Minister, Tony Ryall , replaced Brown in December 2010 with Lester Levy , and Levy
240-521: 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
280-578: 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
320-461: 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
360-565: The 2006 census . There were 159,009 households. There were 231,525 males and 236,076 females, giving a sex ratio of 0.98 males per female. The median age was 34.1 years (compared with 37.4 years nationally), with 78,504 people (16.8%) aged under 15 years, 120,780 (25.8%) aged 15 to 29, 214,935 (46.0%) aged 30 to 64, and 53,382 (11.4%) aged 65 or older. Ethnicities were 53.5% European/Pākehā, 8.2% Māori, 12.5% Pacific peoples, 32.1% Asian, and 4.1% other ethnicities. People may identify with more than one ethnicity. The percentage of people born overseas
400-817: 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
440-684: 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
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#1732772290099480-401: The New Zealand Public Health and Disability Act 2000 . On 1 July 2022, the Auckland DHB was disestablished and became part of Te Whatu Ora as part of a national overhaul of the district health board system. The Auckland DHB was revamped as Te Whatu Ora Te Toka Tumai Auckland. Te Whatu Ora Te Toka Tumai Auckland falls under the purview of Te Whatu Ora's Northern Division. The area covered by
520-535: The New Zealand Public Health and Disability Act 2000 . At that time, the 21 DHBs had their boards appointed by the Minister of Health , Annette King . Each board has up to eleven members and seven of those are elected in local elections. As defined in section 7 of the Local Electoral Act 2001, board members for DHBs are to be elected as part of the local elections. The 2001 local elections were thus
560-619: 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
600-510: The country's local elections As defined in the New Zealand Public Health and Disability Act 2000, persons elected or appointed "come into office on the 58th day after polling day", which thus always falls into December. Richard Waddel was the initial chairperson, appointed by Health Minister Annette King . In December 2001, Waddel was succeeded by Wayne Brown , who had since January 2001 been chairing Northland DHB and
640-529: 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
680-611: The Auckland District Health Board was defined in Schedule 1 of the New Zealand Public Health and Disability Act 2000 and based on territorial authority and ward boundaries as constituted on 1 January 2001. The area covered by the Auckland DHB was identical with that of the former Auckland City . The area could have been adjusted through an Order in Council . The DHB controlled and ran many facilities within
720-524: The Auckland Region including, but not limited to: The initial board was fully appointed. Since the 2001 local elections , the board had 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. Elections were held every three years as part of
760-569: The Auckland region, he intended to resign his roles at that point. However, he had been appointed onto a Ministerial Advisory Group by Health Minister David Clark and to avoid the perception of a conflict of interest, he foreshadowed his resignation in December 2017 with effect in January 2018. Clarke reappointed Snedden as Auckland DHB chairperson from 1 June 2018 and confirmed him in the December 2019 reappointment round. The following table gives
800-478: 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
840-649: 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
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#1732772290099880-614: 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,
920-509: 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
960-473: 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
1000-624: 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
1040-437: 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
1080-451: 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
1120-642: 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 : 2001 New Zealand local elections The 2001 New Zealand local elections were triennial elections to select local government officials. The elections are notable for being
1160-501: 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
1200-544: The inaugural elections for district health board members. The elections were held on Saturday, 13 October, as prescribed in the Local Electoral Act 2001. The Local Electoral Act 2001 received assent in May 2001. It stipulated under section 10 that "the next triennial general election of members of every local authority and community board is on 13 October 2001" and furthermore, that "a general election of members of every local authority, local board, or community board must be held on
1240-560: The inaugural elections for the country's then 21 DHBs. Elections were based on candidacies in local wards. Around 34 of the country's 74 mayoralties changed through the 2001 elections. The most notable contest happened in Auckland City , where John Banks ousted Christine Fletcher . Other cities that had their mayors unseated were Hamilton ( David Braithwaite defeated Russ Rimmington ) and Palmerston North ( Mark Bell-Booth defeated Jill White ). In Invercargill , Tim Shadbolt
Auckland District Health Board - Misplaced Pages Continue
1280-480: 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
1320-437: The remaining three appointments were announced; the minister's appointment for deputy chair was given to one of the elected members. The following members were elected or appointed to the board: The following members serve on the current board: Auckland DHB served a population of 467,604 at the 2018 New Zealand census , an increase of 31,260 people (7.2%) since the 2013 census , and an increase of 62,985 people (15.6%) since
1360-511: The second Saturday in October in every third year" thereafter. The 2001 local elections were the last occasion when first-past-the-post voting (FPP) was used exclusively. From the 2004 elections onwards, territorial authorities and regional councils could choose between FPP and the single transferable vote (STV) method. District health board elections had to use STV from 2004 and were changed to at-large elections. District health boards (DHBs) were established in January 2001 through
1400-455: 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
1440-553: Was 44.3, compared with 27.1% nationally. Although some people objected to giving their religion, 43.6% had no religion, 36.1% were Christian, 6.5% were Hindu, 3.3% were Muslim, 2.3% were Buddhist and 3.2% had other religions. Of those at least 15 years old, 149,832 (38.5%) people had a bachelor or higher degree, and 38,133 (9.8%) people had no formal qualifications. The median income was $ 36,500, compared with $ 31,800 nationally. 90,609 people (23.3%) earned over $ 70,000 compared to 17.2% nationally. The employment status of those at least 15
1480-586: Was also put in charge of Waitemata DHB . Levy was reappointed in December 2013 by Ryall and in December 2016, the then Health Minister Jonathan Coleman appointed Levy to the third board in the Auckland region – Counties Manukau DHB . Levy had first been appointed to the Waitemata DHB as a member in June 2009 was to have reached the statutory limit of nine years in June 2018 and as it was his understanding that there should be one chairperson for all three DHBs in
1520-730: 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
1560-420: Was now taking on Auckland and Tairāwhiti DHBs , i.e. chairing two boards in parallel. During the 2001–2004 local government term, Brown was forced to resign from Tairāwhiti DHB, where he had been elected, due to an administrative error by the Ministry of Health . The underlying legislation, the New Zealand Public Health and Disability Act 2000 , did not allow a person elected to a district health board to also be
1600-565: Was that 205,284 (52.8%) people were employed full-time, 55,251 (14.2%) were part-time, and 15,657 (4.0%) 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
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