Canterbury District Health Board

Canterbury District Health Board

Te Poari Hauora ō Waitaha
Location of the Canterbury DHB (green) in New Zealand
Abbreviation	CDHB
Successor	Te Whatu Ora (Health New Zealand)
Formation	14 December 2000;22 years ago (2000-12-14) [1]
Founder	The New Zealand Government
Dissolved	1 July 2022;13 months ago (2022-07-01)
Legal status	Defunct
Purpose	DHB
Headquarters	32 Oxford Terrace, Christchurch
Location	Central City
Region	Canterbury, New Zealand
Services	Health and disability services
Chairman	Sir John Hansen
Chief executive	Dr Peter Bramley
Deputy chair	Gabrielle Huria
Parent organization	Ministry of Health
Subsidiaries	South Island Shared Service Agency Limited (47%) [2] [3] Canterbury Linen Services Limited (100%) [4] [2] Brackenridge Estate Limited (100%) [2] [5] NZ Health Innovation Hub (25%) [2]
Revenue (2019/20)	$1,980 million [6]
Expenses (2019/20)	$2,223 million [6]
Staff (2019/20)	11,352 [6]
Website	www.cdhb.health.nz

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. ^[17] The area could have been adjusted through an Order in Council. ^[18]

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: ^{[19] [20]}

• Bruce Matheson (chair; appointed)
• Peter Ballantyne (deputy chair; appointed)
• Anna Crighton (elected)
• Elizabeth Cunningham (appointed)
• Andrew Dickerson (elected)
• Wendy Gilchrist (elected)
• Aaron Keown (elected)
• Chris Mene (elected)
• David Morrell (elected)
• Susan Wallace (appointed)
• Olive Webb (elected)

2013–2016

The following were elected in the 2013 local elections or appointed by the minister of health: ^{[21] [22]}

• Murray Cleverley (chair; appointed)
• Steve Wakefield (deputy chair; appointed)
• Sally Buck (elected)
• Anna Crighton (elected)
• Andrew Dickerson (elected)
• Jo Kane (elected)
• Aaron Keown (elected)
• Chris Mene (elected)
• Edie Moke (appointed)
• David Morrell (elected)
• Susan Wallace (appointed)

2019–2022

The following were elected in the 2019 local elections: ^[23]

• Sally Buck (resigned July 2020; died 9 September 2020 ^{[24] [25]} )
• James Gough
• Jo Kane
• Naomi Marshall
• Aaron Keown
• Catherine Chu
• Andrew Dickerson

The four members appointed by the Minister of Health are: ^[26]

• Sir John Hansen (chair) ^[27]
• Gabrielle Huria (deputy chair)
• Barry Bragg
• Ingrid Taylor

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. ^[28]

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. ^[29]

Health Minister Tony Ryall appointed Bruce Matheson in November 2010 to replace James. ^[30] 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). ^{[31] [32]} 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). ^{[33] [34] [35]} 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. ^{[36] [37]}

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. ^[37] In December 2019, retired judge Sir John Hansen was appointed by Health Minister David Clark to succeed Wood. ^[27]

Demographics

Historical population

Year	Pop.	±% p.a.
2006	467,016	—
2013	482,778	+0.48%
2018	539,631	+2.25%
Source: [38]

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. ^[38]

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. ^[38]

The percentage of people born overseas was 24.1, compared with 27.1% nationally. ^[38]

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. ^[38]

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. ^[38]

Hospitals

Christchurch public hospitals

• Christchurch Hospital ( 43°32′04″S172°37′24″E / 43.5343563°S 172.623398°E / -43.5343563; 172.623398 ) in Christchurch Central, Christchurch has 833 beds and provides medical, surgical, maternity and children's health services. ^[39] The hospital is the major trauma centre for the Canterbury DHB area, and the tertiary major trauma centre for the Canterbury and West Coast regions. ^[40]
• Burwood Hospital ( 43°28′49″S172°40′55″E / 43.4803896°S 172.6819432°E / -43.4803896; 172.6819432 ) in Burwood, Christchurch has 229 beds and provides surgical, mental health, geriatric and medical services. ^[41]
• Hillmorton Hospital ( 43°32′53″S172°35′19″E / 43.5481211°S 172.5887335°E / -43.5481211; 172.5887335 ) in Spreydon, Christchurch has 195 beds and provides mental health services. ^[42]
• Princess Margaret Hospital ( 43°34′14″S172°37′08″E / 43.570538°S 172.61885°E / -43.570538; 172.61885 ) in Cashmere, Christchurch has 53 beds and provides psychogeriatric, medical and mental health services. ^[43]

Christchurch private hospitals

• St George's Hospital ( 43°30′38″S172°37′00″E / 43.5105583°S 172.6167017°E / -43.5105583; 172.6167017 ) in Strowan, Christchurch has 93 beds and provides maternity and surgical services. ^[44] In April 2023, the hospital announced its maternity unit would close in June 2023, citing staffing shortages. ^[45]
• Southern Cross Hospital Christchurch ( 43°31′13″S172°37′59″E / 43.5202485°S 172.6329178°E / -43.5202485; 172.6329178 ) in Christchurch Central, Christchurch has 86 beds and provides surgical and medical services. ^[46]
• Forte Health Hospital ( 43°31′34″S172°38′09″E / 43.5260886°S 172.6359329°E / -43.5260886; 172.6359329 ) in Christchurch Central, Christchurch has 30 beds and provides surgical services. ^[47]
• Nurse Maude Hospice ( 43°32′02″S172°33′44″E / 43.5338727°S 172.5623288°E / -43.5338727; 172.5623288 ) in St Albans, Christchurch has 11 beds and provides medical services. ^[48]

Ashburton public hospitals

• Ashburton Hospital ( 43°53′39″S171°44′39″E / 43.8940722°S 171.7441741°E / -43.8940722; 171.7441741 ) in Allenton, Ashburton, Ashburton District has 54 beds and provides maternity, medical and surgical services. ^[49]
• Tuarangi Home ( 43°54′22″S171°45′04″E / 43.9061441°S 171.7511082°E / -43.9061441; 171.7511082 ) in Ashburton East, Ashburton, Ashburton District has 37 beds and provides geriatric, psychogeriatric, rest home care, dementia care and medical services. ^[50]

Selwyn public hospitals

• Ellesmere Hospital ( 43°45′27″S172°18′01″E / 43.7575903°S 172.3001511°E / -43.7575903; 172.3001511 ) in Leeston, Selwyn District has 10 beds and provides medical and geriatric services. ^[51]
• Lincoln Maternity Hospital ( 43°38′07″S172°29′13″E / 43.6352162°S 172.4869435°E / -43.6352162; 172.4869435 ) in Lincoln, Selwyn District has seven beds and provides maternity services. ^[52]
• Darfield Hospital ( 43°29′14″S172°06′55″E / 43.4872853°S 172.1152776°E / -43.4872853; 172.1152776 ) in Darfield, Selwyn has nine beds and provides maternity, geriatric and medical services. ^[53]

Other public hospitals

• Kaikoura Hospital/Te Hā o Te Ora ( 42°24′17″S173°40′46″E / 42.4046628°S 173.6793146°E / -42.4046628; 173.6793146 ) in Kaikōura, Kaikoura District has 21 beds and provides geriatric, medical and maternity services. ^[54]
• Rangiora Hospital ( 43°17′21″S172°35′21″E / 43.2891387°S 172.5891225°E / -43.2891387; 172.5891225 ) in Rangiora, Waimakariri has 16 beds and provides medical and maternity services. ^[55]
• Oxford Hospital ( 43°18′10″S172°11′23″E / 43.3028112°S 172.1897368°E / -43.3028112; 172.1897368 ) in Oxford, Waimakariri District has 15 beds and provides medical and geriatric services. ^[56]
• Waikari Hospital ( 42°58′01″S172°41′05″E / 42.9669839°S 172.6846052°E / -42.9669839; 172.6846052 ) in Waikari, Hurunui District has 10 beds and provides geriatric, medical and maternity services. ^[57]
• Chatham Island Health Centre ( 43°57′16″S176°33′37″W / 43.95451°S 176.560393°W / -43.95451; -176.560393 ) in Waitangi, Chatham Islands has three beds and provides medical services. ^[58]

Notes

1. "District health boards". health.govt.nz. Retrieved 3 January 2017.
2. Canterbury DHB Annual Report 2015 (PDF) (Report). 30 June 2015. p. 89. Retrieved 3 January 2017.
3. "Shareholding – South Island Shared Service Agency Limited". companiesoffice.govt.nz. Retrieved 3 January 2017.
4. "Shareholding – Canterbury Linen Services Limited". companiesoffice.govt.nz. Retrieved 3 January 2017.
5. "Shareholding – Brackenridge Estate Limited". companiesoffice.got.nz. Retrieved 3 January 2017.
6. Canterbury DHB Annual Report 2019/20 (PDF) (Report). 30 June 2019. p. 38. Retrieved 16 March 2021.
7. "Our Region". www.cdhb.health.nz. Retrieved 29 July 2016.
8. Rudman, Brian (13 February 2012). "Brian Rudman: Three health boards must marry and economise". The New Zealand Herald . Retrieved 3 May 2020.
9. "3000 Canterbury hospital staff to strike". The New Zealand Herald . 16 November 2001. Retrieved 3 January 2017.
10. "Canterbury DHB inks Telecom deal". New Zealand Herald. 4 July 2005. Retrieved 3 January 2017.
11. "'Sweat shop' worker conditions, says union". New Zealand Herald. 5 September 2005. Retrieved 3 January 2017.
12. "Health workers begin five day strike". New Zealand Herald. 12 September 2005. Retrieved 3 January 2017.
13. Johnston, Martin (17 December 2016). "Doctors' strike delayed thousands of health care appointments". New Zealand Herald. Retrieved 3 January 2017.
14. "Accountable care organisations (ACOs) explained". Kings Fund. 14 June 2017. Retrieved 13 July 2017.
15. "Health and disability system reforms". Ministry of Health. 5 July 2022. Archived from the original on 3 July 2022. Retrieved 12 February 2023.
16. Brew, Andy (1 July 2022). "Dissolution Has Begun: DHB member fears 'loss of localism' with Health NZ". Stuff . Archived from the original on 1 July 2022. Retrieved 12 February 2023.
17. Public Health and Disability Act 2000, Schedule 1.
18. Public Health and Disability Act 2000, Section 19.
19. "Canterbury District Health Board: Report for the year ended 30 June 2011" (PDF). CDHB. 28 September 2011. Retrieved 8 November 2021.
20. Mathewson, Nicole (19 November 2012). "Health board member misses most meetings". The Press . Retrieved 8 November 2021.
21. "Canterbury District Health Board: 2013 Triennial Elections – declaration of results" (PDF). CDHB. 17 October 2013. Retrieved 8 November 2021.
22. "CDHB Annual Report for the year ended 30 June 2014" (PDF). CDHB. p. 3. Retrieved 8 November 2021.
23. Morton, Anthony (17 October 2019). "Canterbury District Health Board 2019 Triennial Elections : Declaration of results" (PDF). CDHB. Retrieved 29 March 2020.
24. Law, Tina (14 September 2020). "Tributes flow for long-time Christchurch community advocate Sally Buck". Stuff . Retrieved 22 September 2020.
25. "Sally-Anne Buck". Legacy.com. Retrieved 22 September 2020.
26. "Canterbury District Health Board meeting" (PDF). CDHB. 17 December 2019. Retrieved 30 March 2020.
27. "Health Minister appoints 13 new DHB chairs in 'changing of the guard'". Radio New Zealand . 7 December 2019. Retrieved 30 March 2020.
28. "Most board chairs will remain to lead DHBs" (Press release). Wellington: New Zealand Government. 9 October 2000. Retrieved 30 March 2020.
29. "New Board Chairs". New Zealand Government. 14 November 2007. Retrieved 30 March 2020.
30. "Bruce Matheson appointed chair of the Canterbury DHB" (Press release). Christchurch: Canterbury District Health Board. Scoop. 22 November 2010. Retrieved 30 March 2020.
31. "Butterfield stepping down". Otago Daily Times . 18 November 2009. Retrieved 18 April 2020.
32. Stylianou, Georgina (21 February 2014). "Big workload for new board chief". The Press . Retrieved 30 March 2020.
33. van Beynen, Martin (11 April 2017). "Cera staff committed 'serious and sustained' breaches, investigation finds". Stuff . Retrieved 30 March 2020.
34. Aulakh, Ben (12 April 2017). "Cleverley resignation a matter for minister says SCDHB acting chair". Stuff . Retrieved 30 March 2020.
35. "Cleverley says decision to resign as SCDHB chair made with 'heavy heart'". Stuff . 28 April 2017. Retrieved 18 April 2020.
36. Broughton, Cate (1 December 2016). "Sir Mark Solomon appointed to Canterbury District Health Board". Stuff . Retrieved 30 March 2020.
37. Small, Jamie; Broughton, Cate (4 August 2017). "Canterbury District Health Board member 'dumbfounded' by new chairman appointment". Stuff . Retrieved 30 March 2020.
38. "Statistical area 1 dataset for 2018 Census". Statistics New Zealand. March 2020. Canterbury (DHB 18).
39. "Christchurch Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
40. "New Zealand Out-of-Hospital Major Trauma Destination Policy – South Island Area" (PDF). National Trauma Network/Te Hononga Whētuki ā-Motu. February 2017. Archived (PDF) from the original on 20 January 2021.
41. "Burwood Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
42. "Hillmorton Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
43. "– Ministry of Health Profile". health.govt.nz. Ministry of Health.
44. "St George's Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
45. "Christchurch's St George's Hospital maternity unit to close after contract talks fall through". Radio New Zealand . 24 April 2023. Archived from the original on 24 April 2023. Retrieved 25 April 2023.
46. "Southern Cross Hospital Christchurch – Ministry of Health Profile". health.govt.nz. Ministry of Health.
47. "Forte Health Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
48. "Nurse Maude Hospice – Ministry of Health Profile". health.govt.nz. Ministry of Health.
49. "Ashburton Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
50. "Tuarangi Home – Ministry of Health Profile". health.govt.nz. Ministry of Health.
51. "Ellesmere Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
52. "Lincoln Maternity Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
53. "Darfield Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
54. "Kaikoura Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
55. "Rangiora Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
56. "Oxford Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
57. "Waikari Hospital – Ministry of Health Profile". health.govt.nz. Ministry of Health.
58. "Chatham Island Health Centre – Ministry of Health Profile". health.govt.nz. Ministry of Health.

References

• New Zealand Public Health and Disability Act 2000, Parliamentary Counsel Office, 2000, retrieved 3 May 2020