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National Services Funding Review Process

Services being managed under the National Services programme, including those funded through top slice, may face situations where there may be an impact on clinical performance or quality caused by an increase in demand for the service, or the cost of providing the service. 

The key elements of the process to review a National Service’s funding are that there is a:

  • known timetable for consideration of funding requests, where these can be considered and prioritised in association with other local priorities
  • transparent and clear expectation of the information required to support a review of funding.

Existing endorsed National Services are within scope for this Funding Review Process.  Further information is available in the Service and Funding Review Process for 2018/19 (docx, 2.15 MB) document.

Process

The request to review a National Service’s funding is initiated by submission of a completed Funding Review Initiation template to the Ministry of Health.  A Funding Review may be initiated either by a host DHB, or any DHBs referring patients to the service, particularly where there are changes in technology or models of care that impact on how and where services are provided.

Funding Review Initiation templates will be reviewed by the National Services Governance Group.  If the request is supported, a business case will be required.

Business cases will be reviewed initially by the National Services Governance Group.  If supported, the business case will be considered by DHB General Managers Planning and Funding.

Key Dates for Funding adjustments in 2018/19

National Service Governance Group Meetings, where any business cases will be considered.

  • 5 July 2017
  • 18 October 2017

For a business case requesting a review of a National Service’s funding to be tabled at a Governance Group meeting, it must be received by the National Services team no later than:

  • funding review initiation - 9 June 2017
  • initial draft business case - 1 September 2017
  • final draft business case - 29 September 2017

If further information is sought, the date for submission of amended business cases for final consideration of funding in 2018/19 is 12 January 2018.

Templates

The templates required to progress a funding review are available below.