1952 NEW ZEALAND GAZETTE

No. 103

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

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

The Crown’s objectives in relation to public health, for the financial year to 30 June 1994 are, within available funding:

Continuity of Service Provision

(a) To continue to purchase the public health services that were provided to the people of New Zealand by Crown Vote: Health in 1992/1993, in the following areas:

• environmental health;
• nutrition and food;
• prevention and control of communicable diseases;
• prevention and control of other major public health problems; and
• public health needs of special groups;

Links with Regional Health Authorities

(b) To establish appropriate linkages with the regional health authorities to ensure the purchase of personal health services to meet specific health goals;

Public Health Goals

(c) To give priority in the transitional year to the following public health goals:

• cervical screening: to reduce the expected incidence of invasive cervical cancer and the cervical cancer death rate;
• immunisation: to protect children from preventable infectious diseases by improving immunisation;
• melanoma: to reduce the melanoma incidence and death rate;
• tobacco smoking in pregnancy: to reduce smoking in pregnancy;
• sudden infant death syndrome: to continue the reduction in cot death rates; and
• hearing loss in children: to reduce hearing loss in children in the under five age group;

Policy Advice

(d) To develop policy advice on priorities for improvements in health status;

Consolidating Existing Policy Development Work

(e) To maintain progress in areas such as food and nutrition, and environmental health, where substantial policy development work has already been completed; and

Annual Report

(f) To produce an annual report on the state of the public health as well as reports on specific public health issues.

Part IV: Meaning of Terms Used in This Notice

Terms defined in the Health and Disability Services Act 1993, and used in this Notice, shall have the same meaning in this Notice unless the context otherwise requires.

Dated at Wellington this 25th day of June 1993.

W. F. BIRCH,
Minister of Health.
95537

Notice to the Midland 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 Midland Regional Health Authority of the Crown’s objectives in relation to the following matters:

(a) The health status of the communities served by the Midland Regional Health Authority;

(b) The health services or disability services, or both, to be purchased by the Midland 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 guide 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:

(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;