Auckland District Health Board

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.[2] This district health board existed between 2001 and 2022 and was governed by a part-elected, part-appointed board.

Auckland District Health Board
Te Toka Tumai
PurposeDistrict health board
Chief Executive
Ailsa Claire [1]
Staff (2015)
10,000[2]
Websitewww.adhb.health.nz

History

The Auckland District Health Board, like most other district health boards, came into effect on 1 January 2001 established by the New Zealand Public Health and Disability Act 2000.[3]

On 1 July 2022 Te Whatu Ora – Health New Zealand and Te Aka Whai Ora – Māori Health Authority became Aotearoa’s new national health authorities and Auckland DHB as an entity was disestablished and became part of Health New Zealand. Auckland DHB became Te Whatu Ora Te Toka Tumai Auckland.[4]

Geographic area

The area covered by the Auckland 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. The area covered by the Auckland DHB was identical with that of the former Auckland City.[5] The area could have been adjusted through an Order in Council.[6]

Facilities

The DHB controlled and ran many facilities within the Auckland Region including, but not limited to:[7]

  • Auckland Hospital
  • Starship Children's Health
  • Greenlane Clinical Centre
  • Buchanan Rehabilitation Centre

Governance

The initial board was fully appointed. Since the 2001 local elections, the board had been partially elected (seven members) and in addition, up to four members get appointed by the Minister of Health. The minister also appoints the chairperson and deputy-chair from the pool of eleven board members.[8] Elections were held every three years as part of the country's local elections[lower-alpha 1] As defined in the New Zealand Public Health and Disability Act 2000, persons elected or appointed "come into office on the 58th day after polling day", which thus always falls into December.[9]

Chairpersons

Richard Waddel was the initial chairperson, appointed by Health Minister Annette King.[10] In December 2001, Waddel was succeeded by Wayne Brown, who had since January 2001 been chairing Northland DHB and was now taking on Auckland and Tairāwhiti DHBs, i.e. chairing two boards in parallel.[11] During the 2001–2004 local government term, Brown was forced to resign from Tairāwhiti DHB, where he had been elected, due to an administrative error by the Ministry of Health. The underlying legislation, the New Zealand Public Health and Disability Act 2000, did not allow a person elected to a district health board to also be a member of a second board, but this had been overlooked. Brown remained the appointed chair of the Auckland DHB.[12] Brown was reappointed by King for another term in October 2004,[13] but the new Health Minister, David Cunliffe, chose a new chair for Auckland from December 2007 when he appointed Patrick Snedden.[14] The next Health Minister, Tony Ryall, replaced Brown in December 2010 with Lester Levy, and Levy was also put in charge of Waitemata DHB.[15] Levy was reappointed in December 2013 by Ryall[16] and in December 2016, the then Health Minister Jonathan Coleman appointed Levy to the third board in the Auckland region – Counties Manukau DHB.[17] Levy had first been appointed to the Waitemata DHB as a member in June 2009 was to have reached the statutory limit of nine years in June 2018 and as it was his understanding that there should be one chairperson for all three DHBs in the Auckland region, he intended to resign his roles at that point. However, he had been appointed onto a Ministerial Advisory Group by Health Minister David Clark and to avoid the perception of a conflict of interest, he foreshadowed his resignation in December 2017 with effect in January 2018.[18] Clarke reappointed Snedden as Auckland DHB chairperson from 1 June 2018[19] and confirmed him in the December 2019 reappointment round.[20]

The following table gives a list of chairpersons of Auckland District Health Board:

Name Portrait Start End Source
Richard WaddelJanuary 2001December 2001[10]
Wayne BrownDecember 2001December 2007[11]
Patrick SneddenDecember 2007December 2010[14]
Lester LevyDecember 2010January 2018[15]
Patrick SneddenJune 2018present[19]

First elected board (December 2001 – 2004)

Seven board members were elected in the October 2001 local elections. The elections were held at a ward-level and the first-past-the-post voting system (FPP) was used. Five of the successful seven elected members had an affiliation to a ticket.[21][22] The Health Minister announced the appointment of the chairperson in mid-November 2001.[23] It took until late December before the remaining three appointments were announced; the minister's appointment for deputy chair was given to one of the elected members.[24]

Member(s) Ward / appointed Affiliation (notes)
Wayne Brown (chair)appointedn/a
Margaret Horsburgh (deputy chair)Northeast
John Retimanaappointedn/a
Vicki Salmonappointedn/a
Rees Tapsellappointedn/a
Crystal BeavisSouthCitizens & Ratepayers Now
Susan DevoySouthCitizens & Ratepayers Now
Charles LowndesNortheastCitizens & Ratepayers Now
Di NashNorthwest and Gulf
Ian ScottSouthPeoples Health First
Patrick SneddenNorthwest and GulfPeoples Health First

Fifth board (2013–2016)

The following members were elected or appointed to the board:[25][26]

Member(s) Elected / appointed
Lester Levyappointed
Jo Agnewelected
Peter Aitkenelected
Douglas Armstrongelected
Judith Bassettelected
Chris Chamberselected
Lee Mathiasappointed
Robyn Northeyelected
Morris Pitaappointed
Gwen Tepania‐Palmerappointed
Ian Wardappointed

Final board (2019–2022)

The following members serve on the current board:[1]

Member(s) Elected / appointed Affiliation (if any)
Patrick Snedden (chair) appointed n/a
Gwen Tepania-Palmer (deputy chair) appointed n/a
Sharon Shea appointed n/a
Jo Agnew elected City Vision Health
Peter Davis elected City Vision Health
Michelle Atkinson elected City Vision Health
Zoe Brownlie elected Independent
Douglas Armstrong elected World Class Health Auckland
Fiona Lai elected C&R
Troy Elliot elected C&R

Demographics

Historical population
YearPop.±% p.a.
2006404,619    
2013436,344+1.08%
2018467,604+1.39%
Source: [27]

Auckland DHB served a population of 467,604 at the 2018 New Zealand census, an increase of 31,260 people (7.2%) since the 2013 census, and an increase of 62,985 people (15.6%) since the 2006 census. There were 159,009 households. There were 231,525 males and 236,076 females, giving a sex ratio of 0.98 males per female. The median age was 34.1 years (compared with 37.4 years nationally), with 78,504 people (16.8%) aged under 15 years, 120,780 (25.8%) aged 15 to 29, 214,935 (46.0%) aged 30 to 64, and 53,382 (11.4%) aged 65 or older.[27]

Ethnicities were 53.5% European/Pākehā, 8.2% Māori, 12.5% Pacific peoples, 32.1% Asian, and 4.1% other ethnicities. People may identify with more than one ethnicity.[27]

The percentage of people born overseas was 44.3, compared with 27.1% nationally.[27]

Although some people objected to giving their religion, 43.6% had no religion, 36.1% were Christian, 6.5% were Hindu, 3.3% were Muslim, 2.3% were Buddhist and 3.2% had other religions.[27]

Of those at least 15 years old, 149,832 (38.5%) people had a bachelor or higher degree, and 38,133 (9.8%) people had no formal qualifications. The median income was $36,500, compared with $31,800 nationally. 90,609 people (23.3%) earned over $70,000 compared to 17.2% nationally. The employment status of those at least 15 was that 205,284 (52.8%) people were employed full-time, 55,251 (14.2%) were part-time, and 15,657 (4.0%) were unemployed.[27]

Hospitals

Grafton

  • Auckland City Hospital and Starship Hospital (36.8595518°S 174.7681969°E / -36.8595518; 174.7681969) in Grafton are public hospitals, with 1124 beds, which provides children's health, maternity, surgical, medical services.[28]
  • The Auckland DHB Mental Health Unit, also headquartered in Grafton (36.8597908°S 174.7563999°E / -36.8597908; 174.7563999), has 96 beds, which provides mental health services.[29]

Epsom

Remuera

Pt Chevelier

Other

Footnotes

  1. As per the Local Electoral Act 2001, elections must be held on the "second Saturday in October in every third year" from the date the Act came into effect in 2001.

Notes

  1. "Board and committees – Auckland District Health Board". www.adhb.health.nz.
  2. "Who we are – Auckland District Health Board". www.adhb.health.nz.
  3. Rudman, Brian (13 February 2012). "Brian Rudman: Three health boards must marry and economise". The New Zealand Herald. Retrieved 3 May 2020.
  4. "Te Whatu Ora Te Toka Tumai Auckland | te Whatu Ora".
  5. Public Health and Disability Act 2000, Schedule 1.
  6. Public Health and Disability Act 2000, Section 19.
  7. "Hospitals & clinics – Auckland District Health Board". www.adhb.health.nz.
  8. "District health boards". Ministry of Health. 12 February 2020. Retrieved 3 May 2020.
  9. Public Health and Disability Act 2000, Sections 14, 16.
  10. "Minister announces DHB chairs and deputies – List" (Press release). Wellington: New Zealand Government. 21 December 2000. Retrieved 4 May 2020.
  11. "Minister Names District Health Board Chairs" (Press release). Wellington: New Zealand Government. 13 November 2001. Retrieved 4 May 2020.
  12. "Wayne Brown resigns from Tairawhiti District Health Board" (Press release). Wellington: New Zealand Government. 27 August 2002. Retrieved 4 May 2020.
  13. "King announces District Health Board chairs" (Press release). Wellington: New Zealand Government. 14 October 2004. Retrieved 14 April 2020.
  14. "Hon David Cunliffe: New Board Chairs" (Press release). Wellington: New Zealand Government. Scoop. 14 November 2007. Retrieved 4 May 2020.
  15. "New chairs confirmed in DHB appointments" (Press release). Wellington: New Zealand Government. Scoop. 22 November 2010. Retrieved 4 May 2020.
  16. "Health board chairs and deputies appointed" (Press release). Wellington: New Zealand Government. Scoop. 29 November 2013. Retrieved 4 May 2020.
  17. "Minister announces DHB Board appointments" (Press release). Wellington: New Zealand Government. Scoop. 1 December 2016. Retrieved 4 May 2020.
  18. Martin, Hannah (15 December 2017). "Lester Levy resigns as chair of all three Auckland district health boards". Stuff. Retrieved 4 May 2020.
  19. "New Auckland DHB chairs announced" (Press release). Wellington: New Zealand Government. Scoop. 29 April 2018. Retrieved 4 May 2020.
  20. "DHB leadership renewed and strengthened" (Press release). Wellington: New Zealand Government. Scoop. 7 December 2019. Retrieved 4 May 2020.
  21. "DHB Candidates – Auckland". The New Zealand Herald. 20 September 2001. Retrieved 10 May 2020.
  22. "Election winners". The New Zealand Herald. 15 October 2001. Retrieved 10 May 2020.
  23. "Minister Names District Health Board Chairs" (Press release). Wellington: New Zealand Government. Scoop. 13 November 2001. Retrieved 10 May 2020.
  24. "Health Minister announces DHB deputy chairs" (Press release). Wellington: New Zealand Government. Scoop. 13 November 2001. Retrieved 21 December 2001.
  25. "Agenda : Meeting of the Board" (PDF). Auckland District Health Board. 11 December 2013. Retrieved 15 February 2022.
  26. "Appointments/reappointments to District Health Boards". New Zealand Gazette. 5 December 2013. Retrieved 15 February 2022.
  27. "Statistical area 1 dataset for 2018 Census". Statistics New Zealand. March 2020. Auckland (DHB 03).
  28. "Auckland City Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  29. "Auckland DHB X 3 Units- Mental Health - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  30. "Greenlane Clinical Centre - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  31. "Mercy Integrated Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  32. "Southern Cross Hospital Brightside - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  33. "Gillies Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  34. "Endoscopy Auckland - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  35. "Ascot Integrated Hospital - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  36. "Auckland Surgical Centre - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  37. "St Marks Road Surgical Centre - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  38. "Remuera Surgical Care - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  39. "Mason Clinic - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  40. "Buchanan Rehabilitation Centre - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  41. "Pitman House - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  42. "Birthcare Auckland - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  43. "Mercy Hospice - Ministry of Health Profile". health.govt.nz. Ministry of Health.
  44. "Quay Park Surgical - Ministry of Health Profile". health.govt.nz. Ministry of Health.

References

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