8 JULY
NEW ZEALAND GAZETTE
1949

country or territory from time to time specified by the Minister by notice in the Gazette, being a country or territory where in the opinion of the Minister persons ordinarily resident in New Zealand are or will be, while in that country or territory, eligible for services that substantially correspond to services that a regional health authority is obliged by its funding agreement to purchase in respect of those persons; and

(b) who is not of a class of persons specified by the Minister in that notice as being persons who may not receive services purchased by a regional health authority; or

8. A citizen of New Zealand (which includes any citizen of the Cook Islands, Niue, or Tokelau) if so specified from time to time by the Minister by notice in the Gazette; or a visitor to New Zealand, or a person of a class of such citizens or visitors, from time to time specified by the Minister by notice in the Gazette; or

9. A person recognised by the Government of the United Kingdom as a national (and the service must be required to be provided for that person while in New Zealand by the agreement set out in the Schedule to the Health Benefits (Reciprocity with the United Kingdom) Act 1982); or

10. A person who is a resident of Australia (and the service must be required to be provided for that person while in New Zealand by the agreement set out in the Schedule to the Health Benefits (Reciprocity with Australia) Act 1986); or

11. A visitor to New Zealand who has suffered personal injury occurring in New Zealand which is a work related injury or motor vehicle injury (and the service must be necessitated by or directly arising from that injury).

Dated at Wellington this 25th day of June 1993.

W. F. BIRCH, Minister of Health.

go5535

Notice to the Northern Regional Health Authority Under Section 8 (1) of the Health and Disability Services Act 1993 of the Crown’s Objectives in Relation to Health and Disability Services and Other Matters

Pursuant to section 8 (1) of the Health and Disability Services Act 1993, the Minister of Health hereby gives written notice to the Northern Regional Health Authority of the Crown’s objectives in relation to the following matters:

(a) The health status of the communities served by the Northern Regional Health Authority:

(b) The health services or disability services, or both, to be purchased by the Northern Regional Health Authority:

(c) The terms of access to those services; and the assessment and review procedures to be used in determining access to those services or such of those services as are specified in this notice:

(d) The standard of those services:

(e) The special needs of Maori and other particular communities or people for those services.

Part I: Medium Term Objectives

(i) The Crown has developed a set of medium term objectives for health and disability services which will help the Government and all those working in the health sector to keep New Zealanders healthy, independent, or supported to maintain their independence, and in doing this, to use resources to their best advantage.

(ii) The Crown’s medium term objectives are to:

(a) Improve the access of New Zealanders to health and disability services and to provide affordable access to health and disability services;

(b) Improve the quality and effectiveness of health and disability services;

(c) Encourage efficiency, flexibility, and innovation in the delivery of health and disability services;

(d) Break down barriers between public and private providers of health and disability services, including voluntary and charitable organisations;

(e) Break down barriers between primary and secondary health services;

(f) Seek to improve the health status of Maori, so that in future Maori will have the opportunity to enjoy the same level of health as non-Maori;

(g) Direct Government assistance to those who are least able to make provision for themselves;

(h) Recognise the importance of public health initiatives in preventing illness and injury;

(i) Recognise the needs and importance of family and non-professional care-givers and voluntary agencies;

(j) Widen the choice of health and disability services, and providers of such services, available to consumers;

(k) Increase the sensitivity of the health and disability support systems to the changing needs of people in New Zealand;

(l) Provide incentives to promote rehabilitation;

(m) Ensure changes are implemented in a way that minimises disruption to the lives of people with health problems or disabilities, and their care-givers; and

(n) Achieve the above objectives within available funding and without exposing taxpayers to greater burdens in the future.

(iii) To assist meeting these medium term objectives, the Crown intends to:

(a) Ensure fair funding of regional health authorities (“RHAs”) relative to their populations by moving to equitable funding for personal health services between 1994/1995 and 1996/1997;

(b) Integrate funding for primary and secondary health services;

(c) Encourage the development of better specifications of the health and disability services purchased and provided;

(d) Recognise the importance of public health initiatives; and

(e) Encourage co-operation between the Public Health Commission and the RHAs in the purchase of services promoting the public health, particularly in relation to immunisation and the prevention of

• cot death;
• melanoma;
• child hearing loss;
• tobacco smoking in pregnancy; and
• cervical cancer.

Part II: Objectives for the Financial Year to 30 June 1994

(i) The Crown’s objectives for the financial year to 30 June 1994 (the “Funding Period”) have been developed across areas that deal with the health status of people who are eligible for health and disability services purchased, or to be purchased, by the Northern Regional Health Authority (“Eligible People”), the health and disability services purchased or to be purchased, the terms of access by Eligible People to those services, the standards of those services, and the special needs of Maori and other communities or people in the region for which the Northern Regional Health Authority is responsible.

(ii) The Crown’s objectives for the Funding Period are: