Canterbury District Health Board Explained

Canterbury District Health Board
Native Name:Te Poari Hauora ō Waitaha
Native Name Lang:mi
Map:Canterbury District Health Board map.svg
Abbreviation:CDHB
Successor:Te Whatu Ora (Health New Zealand)
Formation:[1]
Founder:The New Zealand Government
Vat Id:(for European organizations) -->
Status:Defunct
Purpose:DHB
Headquarters:32 Oxford Terrace, Christchurch
Location:Central City
Region:Canterbury, New Zealand
Services:Health and disability services
Owners:-->
Leader Title:Chairman
Leader Name:Sir John Hansen
Leader Title2:Chief executive
Leader Name2:Dr Peter Bramley
Leader Title3:Deputy chair
Leader Name3:Gabrielle Huria
Parent Organization:Ministry of Health
Subsidiaries:South Island Shared Service Agency Limited (47%) [2] [3]
Canterbury Linen Services Limited (100%) [4]
Brackenridge Estate Limited (100%) [5]
NZ Health Innovation Hub (25%)
Revenue:$1,980 million
Revenue Year:2019/20
Expenses:$2,223 million
Expenses Year:2019/20
Staff:11,352 [6]
Staff Year:2019/20

The Canterbury District Health Board (Canterbury DHB or CDHB) was a district health board with the focus on providing healthcare to the Canterbury region of New Zealand, north of the Rangitata River. It was responsible for roughly 579,000 residents, or 12% of New Zealand's population. The Canterbury District Health Board covered a territory of 26,881 square kilometers and was divided between six territorial local authorities.[7] In July 2022, the Canterbury DHB was merged into the national health service Te Whatu Ora (Health New Zealand).

History

The Canterbury District Health Board, like most other district health boards, came into effect on 1 January 2001.[8]

In 2001, after multiple union contracts fell through, more than 1100 staff members of The Princess Margaret Hospital went on strike to protest the uncertainty regarding their jobs at the hospital, and the full strike involved roughly 3000 people from hospitals throughout the region.[9]

In July 2005, The New Zealand Herald reported that the Canterbury District Health Board and Telecom NZ had signed a three-year telecommunications deal. The deal gave Telecom NZ the responsibility for providing all health board telecommunications. There was also a two-year right of renewal clause.[10]

In September 2005, the health board was accused of "virtually sweat shop conditions" by the National Union of Public Employees. The board denied all accusations against them.[11] Following the accusations, roughly 500 personnel from the district started a five-day strike for a 30% pay rise.[12]

In December 2016, approximately 3974 appointments were postponed due to a payment dispute with the Regional District Health Boards, including Canterbury, and members of the Association of Salaried Medical Specialists. It was estimated that the resident medical officers had forfeited roughly $1.1 million in lost wages.[13]

The district health board had been regarded as a successful accountable care system which has moderated the rate of growth in hospital use by investing in services in the community. GPs and consultants agreed health pathways for the diagnosis and treatment of patients with common medical conditions thereby breaking down barriers between clinicians.[14]

On 1 July 2022, the Canterbury DHB was merged into the national health service Health New Zealand as part of an overhaul of the country's district health board system.[15] The Canterbury DHB's functions and operations were assumed by Te Whatu Ora's Te Waipounamu division, which covers the entire South Island.[16]

Geographic area

The area covered by the Canterbury 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 as at 1 January 2001. The area could have been adjusted through an Order in Council.

Governance

The CDHB, like other district health boards, was governed by a group that is partially elected and partially appointed. Since the 2001 New Zealand local elections, the elected part of the board had been determined as part of the triennial local elections using the single transferable vote system. There were generally eleven board members, seven of whom are elected and the remaining appointed by the minister of health. The minister also appointed the chairperson and deputy chair from the pool of eleven members.

2010–2013

The following were elected in the 2010 local elections or appointed by the minister of health:[17] [18]

2013–2016

The following were elected in the 2013 local elections or appointed by the minister of health:[19] [20]

2019–2022

The following were elected in the 2019 local elections:[21]

The four members appointed by the Minister of Health are:[24]

Chairperson

At most district health boards, the previous Hospital and Health Service (HHS) board chair was appointed as the inaugural chair, but not so at the Canterbury District Health Board. When the acting chairperson of the HHS board Humphry Rolleston retired, Syd Bradley was appointed the inaugural CDHB chairperson by Health Minister Annette King starting 1 January 2001.[26]

Bradley was succeeded in November 2007 by Alister James, who was appointed chairperson by Health Minister David Cunliffe. After serving as a Christchurch City Councillor until 2004, James successfully stood for the CDHB in October 2004 instead. In the 2007 local elections, James was defeated, but Cunliffe made him the government-appointed chair.[27]

Health Minister Tony Ryall appointed Bruce Matheson in November 2010 to replace James.[28] In 2013, Ryall appointed Murray Cleverley, concurrently with the chairpersonship for the South Canterbury District Health Board (where he had been chair since January 2010).[29] [30] In February 2017, Cleverley resigned from the district health board positions over alleged fraudulent activity carried out by staff reporting to him at the Canterbury Earthquake Recovery Authority (CERA).[31] [32] [33] Sir Mark Solomon, who had been appointed by Health Minister Jonathan Coleman in November 2016 as deputy chair, took over as acting chair from Cleverly.[34] [35]

In August 2017, former diplomat and current university chancellor John Wood was appointed by Coleman as the new chair, with Solomon returning to the role of deputy chair. In December 2019, retired judge Sir John Hansen was appointed by Health Minister David Clark to succeed Wood.

Demographics

Canterbury DHB served a population of 539,631 at the 2018 New Zealand census, an increase of 56,853 people (11.8%) since the 2013 census, and an increase of 72,615 people (15.5%) since the 2006 census. There were 200,694 households. There were 269,550 males and 270,081 females, giving a sex ratio of 1.0 males per female. The median age was 38.2 years (compared with 37.4 years nationally), with 98,541 people (18.3%) aged under 15 years, 111,957 (20.7%) aged 15 to 29, 246,159 (45.6%) aged 30 to 64, and 82,968 (15.4%) aged 65 or older.

Ethnicities were 81.6% European/Pākehā, 9.5% Māori, 3.3% Pacific peoples, 11.8% Asian, and 2.7% other ethnicities. People may identify with more than one ethnicity.

The percentage of people born overseas was 24.1, compared with 27.1% nationally.

Although some people objected to giving their religion, 51.3% had no religion, 36.7% were Christian, 1.4% were Hindu, 0.8% were Muslim, 0.8% were Buddhist and 2.6% had other religions.

Of those at least 15 years old, 98,127 (22.2%) people had a bachelor or higher degree, and 75,732 (17.2%) people had no formal qualifications. The median income was $34,200, compared with $31,800 nationally. 76,491 people (17.3%) earned over $70,000 compared to 17.2% nationally. The employment status of those at least 15 was that 226,362 (51.3%) people were employed full-time, 68,367 (15.5%) were part-time, and 14,703 (3.3%) were unemployed.

Hospitals

Christchurch public hospitals

Christchurch private hospitals

Ashburton public hospitals

Selwyn public hospitals

Other public hospitals

Notes and References

  1. Web site: District health boards. health.govt.nz. 3 January 2017.
  2. Canterbury DHB Annual Report 2015. 30 June 2015. 2015. 89. 3 January 2017.
  3. Web site: Shareholding – South Island Shared Service Agency Limited. companiesoffice.govt.nz. 3 January 2017.
  4. Web site: Shareholding – Canterbury Linen Services Limited. companiesoffice.govt.nz. 3 January 2017.
  5. Web site: Shareholding – Brackenridge Estate Limited. companiesoffice.got.nz. 3 January 2017.
  6. Canterbury DHB Annual Report 2019/20. 30 June 2019. 2019. 38. 16 March 2021.
  7. Web site: Our Region . www.cdhb.health.nz . 29 July 2016.
  8. News: Rudman . Brian . Brian Rudman . Brian Rudman: Three health boards must marry and economise . 3 May 2020 . . 13 February 2012.
  9. News: 3000 Canterbury hospital staff to strike. 3 January 2017. The New Zealand Herald. 16 November 2001.
  10. News: Canterbury DHB inks Telecom deal. 3 January 2017. New Zealand Herald. 4 July 2005.
  11. News: 'Sweat shop' worker conditions, says union. 3 January 2017. New Zealand Herald. 5 September 2005.
  12. News: Health workers begin five day strike. 3 January 2017. New Zealand Herald. 12 September 2005.
  13. News: Johnston. Martin. Doctors' strike delayed thousands of health care appointments. 3 January 2017. New Zealand Herald. 17 December 2016.
  14. News: Accountable care organisations (ACOs) explained. 13 July 2017. Kings Fund. 14 June 2017.
  15. Web site: Health and disability system reforms . . 12 February 2023 . https://web.archive.org/web/20220703023519/https://www.health.govt.nz/new-zealand-health-system/overview-health-system/health-and-disability-system-reforms . 3 July 2022 . 5 July 2022 . live.
  16. News: Brew . Andy . Dissolution Has Begun: DHB member fears 'loss of localism' with Health NZ . 12 February 2023 . . 1 July 2022 . https://web.archive.org/web/20220701223740/https://www.stuff.co.nz/national/health/300625743/dissolution-has-begun-dhb-member-fears-loss-of-localism-with-health-nz . 1 July 2022. live.
  17. Web site: Canterbury District Health Board: Report for the year ended 30 June 2011 . CDHB . 8 November 2021 . 28 September 2011.
  18. News: Mathewson . Nicole . Health board member misses most meetings . 8 November 2021 . . 19 November 2012.
  19. Web site: Canterbury District Health Board: 2013 Triennial Elections – declaration of results . CDHB . 8 November 2021 . 17 October 2013.
  20. Web site: CDHB Annual Report for the year ended 30 June 2014 . CDHB . 8 November 2021 . 3.
  21. Web site: Morton . Anthony . Canterbury District Health Board 2019 Triennial Elections : Declaration of results . CDHB . 29 March 2020 . 17 October 2019.
  22. News: Law . Tina . Tributes flow for long-time Christchurch community advocate Sally Buck . 22 September 2020 . . 14 September 2020.
  23. Web site: Sally-Anne Buck . Legacy.com . 22 September 2020.
  24. Web site: Canterbury District Health Board meeting . CDHB . 30 March 2020 . 17 December 2019.
  25. News: Health Minister appoints 13 new DHB chairs in 'changing of the guard' . 30 March 2020 . . 7 December 2019.
  26. . Most board chairs will remain to lead DHBs . Wellington . New Zealand Government . 9 October 2000 . 30 March 2020.
  27. Web site: New Board Chairs . New Zealand Government . 30 March 2020 . 14 November 2007.
  28. . Bruce Matheson appointed chair of the Canterbury DHB . Christchurch . Canterbury District Health Board . . 22 November 2010 . 30 March 2020.
  29. News: Butterfield stepping down . 18 April 2020 . . 18 November 2009.
  30. News: Stylianou . Georgina . Big workload for new board chief . 30 March 2020 . . 21 February 2014.
  31. News: van Beynen . Martin . Martin van Beynen . Cera staff committed 'serious and sustained' breaches, investigation finds . 30 March 2020 . . 11 April 2017.
  32. News: Aulakh . Ben . Cleverley resignation a matter for minister says SCDHB acting chair . 30 March 2020 . . 12 April 2017.
  33. News: Cleverley says decision to resign as SCDHB chair made with 'heavy heart' . 18 April 2020 . . 28 April 2017.
  34. News: Broughton . Cate . Sir Mark Solomon appointed to Canterbury District Health Board . 30 March 2020 . . 1 December 2016.
  35. News: Small . Jamie . Broughton . Cate . Canterbury District Health Board member 'dumbfounded' by new chairman appointment . 30 March 2020 . . 4 August 2017.
  36. Web site: Christchurch Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  37. Web site: February 2017. New Zealand Out-of-Hospital Major Trauma Destination Policy – South Island Area. live. https://web.archive.org/web/20210120173704/https://www.majortrauma.nz/assets/Publication-Resources/Out-of-hospital-triage/3.-Major-trauma-destination-policy-South-Island-Feb-2017.pdf . 20 January 2021 . National Trauma Network/Te Hononga Whētuki ā-Motu.
  38. Web site: Burwood Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  39. Web site: Hillmorton Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  40. Web site: – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  41. Web site: St George's Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  42. News: Christchurch's St George's Hospital maternity unit to close after contract talks fall through . 25 April 2023 . . 24 April 2023 . https://web.archive.org/web/20230424184739/https://www.rnz.co.nz/news/national/488592/christchurch-s-st-george-s-hospital-maternity-unit-to-close-after-contract-talks-fall-through . 24 April 2023. live.
  43. Web site: Southern Cross Hospital Christchurch – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  44. Web site: Forte Health Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  45. Web site: Nurse Maude Hospice – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  46. Web site: Ashburton Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  47. Web site: Tuarangi Home – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  48. Web site: Ellesmere Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  49. Web site: Lincoln Maternity Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  50. Web site: Darfield Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  51. Web site: Kaikoura Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  52. Web site: Rangiora Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  53. Web site: Oxford Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  54. Web site: Waikari Hospital – Ministry of Health Profile . health.govt.nz . Ministry of Health.
  55. Web site: Chatham Island Health Centre – Ministry of Health Profile . health.govt.nz . Ministry of Health.

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