RE Alma Consulting Ltd / contractors employed to find significant savings at CDHB.

• A list of actions recommended, and amount saved by each recommendation.
• A list of all actions that will be undertaken by the DHB to achieve savings in light of advice received.
• An estimated cost if any, associated with the actions required to achieve savings.

Tags AuditBudgetConsultantsFinancialPerformanceReviewSavings

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RE the original ALMA Consulting Contract: (Commenced 15 February 2021 for 3 months:)

• What was the outcome of their work?
• Did they find significant savings and if so, how much?
• How can the Board justify this cost ($33,000-$55,000).
• What other consultants have been hired since David Meates resigned and Peter started?
• At what cost?

Tags AuditBudgetConsultantsFinancialPerformanceReviewSavings

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• Please provide the gift registers held by the DHB about gifts/contributions/received items given to DHB employees (including medical professionals) for the following years: 2020, 2019, 2018, 2017, 2016.
• Please provide records held regarding of any flights provided, paid for or subsidised by pharmaceutical or medical equipment companies to employees of the DHB (including medical professionals) in the following years: 2020, 2019, 2018, 2017, 2016.
• Please provide any information the DHB holds regarding professional affiliations, board roles or advisory positions held by employees of the DHB (including medical professionals) in connection to pharmaceutical or medical equipment companies.
• If possible, break these affiliations down by the following years: 2020, 2019, 2018, 2017, 2016.

Tags BoardConflicts of interestEMTExpensesGiftsKohaTravel expenses

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CDHB purchase order terms and conditions for suppliers reference.

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A summary of the costs of hospital intensive care services provided to those not entitled to NZ free health care (ineligible patients). The cost summary should include reference to the number of days or hours in intensive care. Information to cover the last three years.

Tags Cost of healthcareDebtEligibilityICUIneligible patientsIntensive CareNon-residents

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Hospital pathology service contracts past and present.

Tags ContractsPathology

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CDHB Annual Plans: Would you please provide me with copies of those up to and including 2007/2008, either electronically or by hard copy mailed to my home address.

• The CDHB's Annual Plan for 2019/20 (the Annual Plan for 2020/21 is not yet publicly available) states on page 1 that the Annual Plan "has been prepared to meet the requirements of the New Zealand Public Health and Disability Act, Crown Entities Act, Public Finance Act, and the expectations of the Minister of Health."
• Please provide specific details of the sections and/or subsections of the three Acts which require DHBs to prepare Annual Plans.
• Please provide specific details which give the Minister of Health the right to state what his or her expectations are of the CDHB - what is the legislative basis for such expectations?

Tags Annual PlanAnnual Plans

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Can I please receive the names and roles of CDHB staff who were interviewed for this Kings Fund report (if any current staff were)?
https://features.kingsfund.org.uk/2021/02/covid-19-recovery-resilience-health-care/

Tags Kings FundPerformanceReview

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• Does your organisation have a policy or guidelines in relation to charging requestors for supplying information under the Official Information Act 1982?
• If yes, please supply a written copy of the policy/guideline, including grounds for seeking costs for supplying information, charges for photocopying, scanning or other copying of information and the hourly rate for staff time in compiling requests?
• If not, what does your organisation charge for photocopying, scanning or other copying of information and what is the hourly rate for staff time in compiling requests?
• In the 12 months from 01 January 2020 to December 31, 2020:
  • How many requests for information under the Official Information Act did your organisation receive?
  • Of these, in how many was the requestor advised that they would incur charges for copying and staff time, or any other reason?
  • In how many of these, did the requestor pay the required charge for supplying of information?
  • In total, how much did your organisation receive in payments for supplying information under the OIA?
  • What were the largest 10 amounts paid by requestors in charges for fulfilling OIA requests?

Tags Official InformationOIAOIA Policy

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Finance / Consultants: Peter Bramley mentioned at the Board Meeting he had appointed consultants to help the DHB identify savings. Can you let me know:
- the name of the consultants / - the term of the contract / - the budget for this work

Tags AuditBudgetConsultantsFinancialPerformanceReviewSavings

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Gifts given to children admitted to hospital.

Tags GiftsKoha

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I have been told that in 2020 the CDHB spent around $375,000 on an audit to find out why the organisation had gone over budget for the year.

• Any information about an audit/investigation/review or any other process undertaken last year around the budget and why spending was over.
• This should include but not be restricted to any reports into this or similar documents or final feedback/decisions/findings.
• Details of the cost of this process including a final cost, breakdown of that total, who it was paid to?

Tags AuditBudgetErnst & YoungEYFinancialPerformanceReview

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Please can you advise on the total spent on temporary casual / bank and agency workers by the District in the periods Financial Year 18/19 and 19/20. Your response should be broken down by professional group and financial year.

• Nursing
• Allied Health Professionals
• Medical:  Medical Agency spend also includes spend on Locum Doctors.

Tags Agency workersCasual workersConsultantsLocumsSalaryStaffTemporary staffTemps

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Information regarding being a "Living Wage Employer":

1. Is your DHB currently a registered living wage employer?
2. If yes what factors influenced that decision?
3. Are your contractors/sub-contractors currently living wage employers?
4. Do you require them to be?
5. Does your DHB currently have plans to become a living wage employer?
6. If so can you describe how far you have progressed?
7. What do you see as the obstacles to becoming a living wage employer?

Tags Living wagePayPay rateSalaryStaff

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Information pertaining to the amount of funds paid by your Agency/ Organisation / Department / Ministry directly to victims of the March 15 2019 terror attacks on the two Christchurch Mosques.

Tags Christchurch mosque attacksChristchurch terror attackFundingMosque attacks

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Corporate Office - salaries, consultants employed in past year, amount spent on IT projects.

Tags ConsultantsSalaryStaff

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• With reference to OIA CDHB 10459 and CDHB 10397: When will the CDHB’s Annual Plan 2020/2021 be made available on the CDHB website?
• What is the current status of the Annual Plan 2020/2021?
• What is the current status of the CDHB’s Annual Report, including audited financial statements, for the year ended 30 June 2020 and when will this also be made available on the CDHB website?

Tags Annual PlanAnnual Report

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Funding if any provided to PIPS (Pregnancy Infancy Parenting Support). Criteria for allowing members of pregnancy support groups to provide counselling or advice to DHB patients.

Tags CounsellingMaternityPregnancy Infancy Parenting Support

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Correspondence between Norma Campbell and CoM, EMT & Sir John Hansen on primary birthing unit & endoscopy site since June 2019.

Tags EndoscopyMaternityPrimary birthing suiteRFPSir John Hansen

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Number and cost of ACC claims for Specialist Mental Health Services (SMHS) staff as result of physical assault, and staff leave taken.

Tags ACCAssaultsInjuryMental HealthSecurityStaff

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All the responses to the RFP for Endoscopy and / or primary birthing unit. All correspondence between any staff regarding the RFP this year.

Tags EndoscopyPrimary birthing suiteRFP

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Total patient care revenue actual vs budget as reported in the Statement of Comprehensive Revenue and Expense.

Please provide the breakdown of the budget totals for Patient Care Revenue as reported in the financial statements for the following years: 2015, 2016, 2017, 2018, 2019, 2020, 2021.

Tags BudgetFinancialPatient Care RevenuePerformance

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A copy of the Ernst Young Report costing $240,000 and examining the drivers of the Canterbury DHB deficit.

Tags Deloitte reportsEYFinancialPerformanceReview

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Follow up to response to 10432. Request for EY and Deloitte reports.

Tags Deloitte reportsEYFinancialPerformanceReview

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• Sensitive expenditure: Gifts, Koha, Tips/gratuity, Hospitality/entertainment, Alcohol, Air travel / domestic and international, Accommodation / international and domestic, Taxis/corporate vehicles, Rental cars, Moving expenses, Parking/traffic offences, Christmas functions, Social clubs.
• All correspondence for 2018, 2019 and 2020, both internal and external, including emails, letters, text messages, reports, advice etc, relating to concerns around sensitive expenditure. This should include all correspondence involving your relevant government department or agency and the Office of the Auditor General.

Tags CEO expensesChristmas partyExpensesGiftsKohaTravel expenses

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1. Non-resident/foreign debt last five years?
2. How much paid and how much left owing?
3. How much written off in each of those years?
4. Largest bill and what was it for?
5. What was largest unpaid bill in that period and what was it for?
6. Can you break down costs by type of treatment?

Tags Cost of healthcareDebtEligibilityForeign patientsIneligible patientsNon-residents

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• Average annual remuneration paid to the 20 highest-paid clinicians, broken down by gender (into number of men and women in this set of 20, and the average salary paid to each gender).
• Average annual remuneration paid to the clinical heads of department, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to full-time surgeons , broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to part-time surgeons, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to full-time Senior Medical Officers, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to full-time Resident Medical Officers, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The average annual remuneration paid to full-time ED nurses, broken down by gender (into number of men and women in this set, and the average salary paid to each gender).
• The number of sexual harassment, gender discrimination or bullying complaints each year for the last five years (Jan to Dec, including 2020 YTD), with a brief outline of each compliant and a breakdown by gender.
• Any reports, documents, correspondence, legal advice or emails (both internal and external) regarding: gender pay gap, gender bias, and/or sexual harassment and gender discrimination between January 2015 to September 2020.

Tags RemunerationSalarySalary bandsStaff

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How many external reviews/reports that relate to the financial management of the CDHB have been commissioned in the last three years, and what was the cost of each review/report?

Tags FinancialPerformanceReview

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The Minutes relating to Quality, Finance, Audit, and Risk Committee (QFARC) meeting 29/9/2020. Items. 4 - 9.

Tags QFARC

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Please provide Total Recordable Injury Frequency Rate (TRIFR) data reported by DHB from 2013 to Nov 2020 by month and year.

Tags Total Recordable Injury Frequency RateTRIFR

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How many foreign nationals (non-resident) have been charged by public health system between 1/4/2019 and 31/3/2020.

Tags Cost of healthcareEligibilityForeign patientsNon-residents

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Average Registered Nurse salary 2005-2020.

Tags Registered nurseSalarySalary bandsStaff

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• All board reports relating to the DHB deficit since 1 January 2019.
• All correspondence with the Ministry of Health since 1 January 2020.
• All correspondence with the Treasury since 1 January 2020.
• All reports and briefings, including drafts, relating to reducing the Canterbury DHB deficit.
• All reports and briefings, including drafts, relating to the Government’s potential equity injection.

Tags Board MeetingCDHB BoardEMTMinistry of HealthTreasury

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The full agendas and minutes of the Canterbury DHB Quality, Finance, Audit, and Risk Committee (QFARC) meetings held in August and September 2020.

Tags QFARC

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Review of Canterbury DHB 10 Year Plan assumptions undertaken by PWC and sent to Justine White in November 2017.

Tags 10 Year PlanJustine WhitePWC

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• Copies of correspondence between Mr Meates and the DHB board chairs (Dr John Wood and then Sir John Hansen) between 1 January 2019 and 5 August 2020.
• Copies of correspondence between Mr Meates and crown monitor Lester Levy between 14 June 2019 and 5 August 2020.
• Copies of correspondence between Mr Meates and the Ministry of Health between 1 January 2019 and 5 August 2020.
  
  

Tags David MeatesLester LevyMinistry of HealthSir John Hansen

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A copy of the final EY report tabled / presented to the Board and/ or QFARC between June - September 2020.

A copy of the Executive Management Team (EMT) response to the EY report tabled / presented to the Board and / or QFARC between June - September 2020

Tags EYFinancialPerformanceReview

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DHB spend on locums for medical specialists every year for the past five years. i.e. General surgery, Orthopaedics, Enterology, Gynaecology, Ophthalmology, Urology, Cardiology.

Total locum spend year by year over this period, as well as the total internal staff spent on specialists for the same periods?

What is the size of the population the DHB serves and what is its annual operating budget? It would also be helpful to have explanations for higher (or lower) than usual locum costs for particular periods and whether or not the DHB offers limited services in respective departments.

Tags CardiologyEnterologyGynaecologyLocumsOphthalmologyOrthopaedicsShort-staffingSMOsSpecialistsStaffingSurgeryUrology

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Maternity - What are the additional costs associated with increasing cot capacity above budget? Cost of sending a woman away to give birth, including flights - over last five years. Comparing cost of sending a woman away to give birth and cost of increasing capacity, which one is cheapest?

Tags BirthsCapacityMaternity

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