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District health boards (DHBs) in New Zealand were organisations established by the New Zealand Public Health and Disability Act 2000 under the Fifth Labour Government, responsible for ensuring the provision of health and disability services to populations within a defined geographical area. They existed from 1 January 2001, when the Act came into force, to 30 June 2022. Initially there were 21 DHBs, and this was reduced to 20 organisations in 2010: fifteen in the North Island and five in the South Island. DHBs received public funding from the Ministry of Health on behalf of the Crown, based on a formula that took into account the total number, age, socio-economic status and ethnic mix of their population. DHBs were governed by boards, which were partially elected and partially appointed by the minister of Health.
The healthcare system of New Zealand has undergone significant changes throughout the past several decades. From an essentially fully public system based on the Social Security Act 1938, reforms have introduced market and health insurance elements primarily since the 1980s, creating a mixed public-private system for delivering healthcare.
The Whanganui District Health Board was a district health board that provided healthcare to the Wanganui, Rangitikei, and parts of the Ruapehu districts of New Zealand. In July 2022, it was merged into the national health service Te Whatu Ora.
Auckland District Health Board (ADHB) was a district health board that provided healthcare in the Auckland Region in New Zealand, mainly on the Auckland isthmus. This district health board existed between 2001 and 2022 and was governed by a part-elected, part-appointed board. In 2022, its functions and responsibilities were subsumed by Te Whatu Ora and Te Aka Whai Ora.
The Counties Manukau District Health Board was a district health board which focused on providing healthcare to the Counties Manukau area in southern Auckland, New Zealand. As of 2016, it ws responsible for 534,750 residents; or 11% of New Zealand's population. In July 2022, CM Health was merged into the national health service Te Whatu Ora.
The South Canterbury District Health Board was a district health board with the focus on providing healthcare to the Timaru, Mackenzie, Waimate districts in New Zealand. In July 2022, it was merged into the national health service Te Whatu Ora.
The Capital and Coast District Health Board (CCDHB) was a district health board with the focus on providing healthcare to Wellington City, Porirua City and the Kapiti Coast in New Zealand. The CCDHB employed about 6000 people across the Wellington Region. It was disestablished on 1 July 2022, with its functions and responsibilities being taken over by the national health service Te Whatu Ora.
MidCentral District Health Board was a district health board that provided healthcare in the Manawatū region of New Zealand. The DHB covers the Manawatu District, Palmerston North City, Tararua District, Horowhenua District, and the Ōtaki ward of the Kapiti Coast District. In July 2022, the MidCentral DHB was merged into the national health service Te Whatu Ora.
The Bay of Plenty District Health Board was a district health board with the focus on providing healthcare to the Bay of Plenty area of New Zealand. In 2022, the Bay of Plenty DHB was dissolved as part of a national overhaul of the district health board system. Its former functions and responsibilities were assumed by Te Whatu Ora.
The Hawke's Bay District Health Board was a district health board with the focus on providing healthcare to Hawke's Bay, New Zealand. In July 2022, it was merged into the national health service Te Whatu Ora.
The Hutt Valley District Health Board was a district health board that provided healthcare to the cities of Lower Hutt and Upper Hutt in New Zealand. In July 2022, the Hutt Valley DHB was merged into the national health service Te Whatu Ora.
The Lakes District Health Board was a district health board that provided healthcare to the area covered by Taupō and Rotorua districts in New Zealand. In July 2022, the Lakes DHB was merged into the national health service Te Whatu Ora.
The Nelson Marlborough District Health Board was a district health board with the focus on providing healthcare to the Nelson, Tasman and Marlborough districts of New Zealand. In July 2022, it was merged into the national health service Te Whatu Ora.
The Tairāwhiti District Health Board, branded as Hauora Tairāwhiti since 2015, was a district health board with the focus on providing healthcare to the Gisborne District of New Zealand. In July 2022, the Tairāwhiti DHB was merged into the national health service Te Whatu Ora.
The Taranaki District Health Board was a district health board which provided healthcare to the Taranaki region of New Zealand. In July 2022, the Taranaki DHB was merged into the national health service Te Whatu Ora.
The Wairarapa District Health Board was a district health board that provided healthcare to the Masterton, Carterton, and South Wairarapa districts of New Zealand. In July 2022, the Wairarapa DHB was merged into the national health service Te Whatu Ora.
The West Coast District Health Board was a district health board with the focus on providing healthcare to the West Coast region of New Zealand. In July 2022, the West Coast DHB's functions and responsibilities were taken over by the national health service Te Whatu Ora.
Te Whatu Ora Health New Zealand is a public health agency established by the New Zealand Government to replace the country's 20 district health boards (DHBs) on 1 July 2022. Te Whatu Ora is charged with working alongside the Public Health Agency and Te Aka Whai Ora to manage the provision of healthcare services in New Zealand. Margie Apa was appointed chief executive of Te Whatu Ora in December 2021.
Te Aka Whai Ora is an independent New Zealand government statutory entity tasked with managing Māori health policies, services, and outcomes. The agency is one of four national bodies that oversee New Zealand's health system since 2022, along with the Ministry of Health, the Public Health Agency, and Te Whatu Ora. They replaced a system in which a single Ministry funded services through 20 district health boards (DHBs).
The Public Health Agency (PHA) is a directorate within the New Zealand Ministry of Health responsible for managing population and public health. It was established on 1 July 2022 as part of a large scale reform of public health services in New Zealand.
References
- 1 2 3 4 5 6 Thomas, Rachel (12 March 2022). "Resources will follow need under Health NZ, says new boss". Stuff. Retrieved 12 March 2022.
- 1 2 3 Husband, Dale (13 March 2022). "Margie Apa: Our new health boss". E-Tangata. Retrieved 12 March 2022.
- 1 2 Ford, Emily (24 July 2018). "Margie Apa appointed as new chief executive for Counties Manukau DHB". Stuff. Retrieved 12 March 2022.
- 1 2 "Fepulea'i Margie Apa" (PDF). Health Research Council. Retrieved 13 March 2022.
- ↑ Quinn, Rowan (21 April 2021). "Major health sector shake-up: DHBs scrapped and new Māori Health Authority announced". RNZ. Retrieved 13 March 2022.
- ↑ "Chief executives of interim Health New Zealand and interim Māori Health Authority named". RNZ. 20 December 2021. Retrieved 13 March 2022.
- ↑ "Ms Margie Apa. World Vision International". www.wvi.org. Retrieved 13 March 2022.
- ↑ "Ms Margie Apa". Presbyterian Support Northern. Retrieved 13 March 2022.