Canterbury District Health Board


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

Canterbury District Health Board
Te Poari Hauora ō Waitaha
Location of the Canterbury DHB (green) in New Zealand
AbbreviationCDHB
Formation14 December 2000; 20 years ago (2000-12-14)[1]
FounderThe New Zealand Government
Legal statusActive
PurposeDHB
Headquarters32 Oxford Terrace, Christchurch
Location
  • Central City
ServicesHealth and disability services
Chairman
Sir John Hansen
Chief executive
Dr Peter Bramley
Deputy chair
Gabrielle Huria
Parent organization
Ministry of Health
SubsidiariesSouth 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]
Websitewww.cdhb.health.nz

History


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

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.[9]

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.[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 has 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]

Geographic area


The area covered by the Canterbury District Health Board is 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.[15] The area can be adjusted through an Order in Council.[16]

Governance


The CDHB, like other district health boards, is governed by a group that is partially elected and partially appointed. Since the 2001 New Zealand local elections, the elected part of the board has been determined as part of the triennial local elections using the single transferable vote system. There are currently eleven board members, seven of whom are elected. The following were elected in the 2019 local elections:[17]

  • Sally Buck (resigned July 2020; died 9 September 2020[18][19])
  • James Gough
  • Jo Kane
  • Naomi Marshall
  • Aaron Keown
  • Catherine Chu
  • Andrew Dickerson

The four members appointed by the Minister of Health are:[20]

  • Sir John Hansen (Chair)[21]
  • 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.[22]

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.[23]

Health Minister Tony Ryall appointed Bruce Matheson in November 2010 to replace James.[24] 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).[25][26] 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).[27][28][29] 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.[30][31]

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.[31] In December 2019, retired judge Sir John Hansen was appointed by Health Minister David Clark to succeed Wood.[21]

Demographics


Historical population
YearPop.±% p.a.
2006467,016    
2013482,778+0.48%
2018539,631+2.25%
Source: [32]

Canterbury DHB served a population of 539,631 at the time of the 2018 New Zealand census. This is 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. Of the total population, 98,541 people (18.3%) were aged up to 15 years, 111,957 (20.7%) were 15 to 29, 246,159 (45.6%) were 30 to 64, and 82,968 (15.4%) were 65 or older. Figures may not add up to the total due to rounding.[citation needed]

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.[citation needed]

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

Although some people objected to giving their religion, 51.3% had no religion, 36.7% were Christian, and 5.6% had other religions.[citation needed]

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. The employment status of those at least 15 was as follows:

  • 226,362 (51.3%) were employed full-time
  • 68,367 (15.5%) were part-time
  • 14,703 (3.3%) were unemployed.[32]

Hospitals


Christchurch public hospitals

Christchurch private hospitals

Ashburton public hospitals

Selwyn public hospitals

Other public hospitals

Notes


  1. "District health boards". health.govt.nz. Retrieved 3 January 2017.
  2. "Canterbury DHB Annual Report 2015" (PDF) (2015). 30 June 2015: 89. Retrieved 3 January 2017. Cite journal requires |journal= (help)
  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) (2019). 30 June 2019: 38. Retrieved 16 March 2021. Cite journal requires |journal= (help)
  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. "Canterbury DHB inks Telecom deal". New Zealand Herald. 4 July 2005. Retrieved 3 January 2017.
  10. "3000 Canterbury hospital staff to strike". The New Zealand Herald. 16 November 2001. 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. Public Health and Disability Act 2000, Schedule 1.
  16. Public Health and Disability Act 2000, Section 19.
  17. Morton, Anthony (17 October 2019). "Canterbury District Health Board 2019 Triennial Elections : Declaration of results" (PDF). CDHB. Retrieved 29 March 2020.
  18. Law, Tina (14 September 2020). "Tributes flow for long-time Christchurch community advocate Sally Buck". Stuff. Retrieved 22 September 2020.
  19. "Sally-Anne Buck". Legacy.com. Retrieved 22 September 2020.
  20. "Canterbury District Health Board meeting" (PDF). CDHB. 17 December 2019. Retrieved 30 March 2020.
  21. "Health Minister appoints 13 new DHB chairs in 'changing of the guard'". Radio New Zealand. 7 December 2019. Retrieved 30 March 2020.
  22. "Most board chairs will remain to lead DHBs" (Press release). Wellington: New Zealand Government. 9 October 2000. Retrieved 30 March 2020.
  23. "New Board Chairs". New Zealand Government. 14 November 2007. Retrieved 30 March 2020.
  24. "Bruce Matheson appointed chair of the Canterbury DHB" (Press release). Christchurch: Canterbury District Health Board. Scoop. 22 November 2010. Retrieved 30 March 2020.
  25. "Butterfield stepping down". Otago Daily Times. 18 November 2009. Retrieved 18 April 2020.
  26. Stylianou, Georgina (21 February 2014). "Big workload for new board chief". The Press. Retrieved 30 March 2020.
  27. van Beynen, Martin (11 April 2017). "Cera staff committed 'serious and sustained' breaches, investigation finds". Stuff. Retrieved 30 March 2020.
  28. Aulakh, Ben (12 April 2017). "Cleverley resignation a matter for minister says SCDHB acting chair". Stuff. Retrieved 30 March 2020.
  29. "Cleverley says decision to resign as SCDHB chair made with 'heavy heart'". Stuff. 28 April 2017. Retrieved 18 April 2020.
  30. Broughton, Cate (1 December 2016). "Sir Mark Solomon appointed to Canterbury District Health Board". Stuff. Retrieved 30 March 2020.
  31. Small, Jamie; Broughton, Cate (4 August 2017). "Canterbury District Health Board member 'dumbfounded' by new chairman appointment". Stuff. Retrieved 30 March 2020.
  32. "Statistical area 1 dataset for 2018 Census". Statistics New Zealand. March 2020. Canterbury DHB (18).
  33. "Christchurch Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  34. "New Zealand Out-of-Hospital Major Trauma Destination Policy -- South Island Area" (PDF). National Trauma Network/Te Hononga Whētuki ā-Motu. February 2017.
  35. "Burwood Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  36. "Hillmorton Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  37. "- Ministry of Health Profile". health.govt.nz. Ministry of Health.
  38. "St George's Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  39. "Southern Cross Hospital Christchurch - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  40. "Forte Health Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  41. "Nurse Maude Hospice - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  42. "Ashburton Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  43. "Tuarangi Home - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  44. "Ellesmere Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  45. "Lincoln Maternity Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  46. "Darfield Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  47. "Kaikoura Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  48. "Rangiora Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  49. "Oxford Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  50. "Waikari Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  51. "Chatham Island Health Centre - Ministry of Health Profile". health.govt.nz. Ministry of Health.

References