advice - yes (with riders if applicable) prepare information for noting for the Minister advice requires the Minister’s prior approval c. Proposed change is sent to the Minister with all the information required to inform the decision D. NHB communicates the advice and or the Minister’s decision on the proposed service change to the DHB in writing. Decision Table 4.2 Decision Tool for Triggering Service Change Protocols QA. Does this proposal meet the current If YES proceed to QB Service Coverage Schedule (SCS) If NO, the DHB(s) discuss with the and / or the mandatory components of Relationship Manager(s) before the Operational Policy Framework proceeding to secure Ministerial (OPF)? approval for SCS exceptions or approval for OPF mandatory component exceptions QB. Does this proposal trigger any of the If YES the DHB(s) discuss with the existing protocols that require Relationship Manager(s). The NHB will Ministerial approval (ie, significant use agreed criteria as to whether the service change, the capital approval Minister needs to be consulted using process, the public / private service the service change protocols protocols)? If NO, proceed to QC QC. Does this proposal: If YES, the DHB(s) discuss with the Relationship Manager(s) to facilitate the a. require public consultation under proposal as to whether the Minister the Planning Regulations (section needs to be consulted on the 92(1) of the NZPHD Amendment substance of the proposal Act 2010 or If NO, the DHBs can proceed with the b. is the proposal likely to result in change proposed, provided the change substantial public comment? is clinically appropriate, that a robust process is followed (as per the Minister’s expectations of DHBs) and public confidence is managed by the DHB Early engagement with the Relationship Manager(s) to discuss the DHB(s) proposed service change and their implications / progress is an important part of the success of the service change approval process. To assist this
advice - yes (with riders if applicable) prepare information for noting for the Minister advice requires the Minister’s prior approval c. Proposed change is sent to the Minister with all the information required to inform the decision Decision D. NHB communicates the advice and or the Minister’s decision on the proposed service change to the DHB in writing. Table 4.2 Decision Tool for Triggering Service Change Protocols QA. Does this proposal meet the current Service Coverage Schedule (SCS) and / or the mandatory components of the Operational Policy Framework (OPF)? If YES proceed to QB If NO, the DHB(s) discuss with the Relationship Manager(s) before proceeding to secure Ministerial approval for SCS exceptions or approval for OPF mandatory component exceptions QB. Does this proposal trigger any of the existing protocols that require Ministerial approval (ie, significant service change, the capital approval process, the public / private service protocols)? If YES the DHB(s) discuss with the Relationship Manager(s). The NHB will use agreed criteria as to whether the Minister needs to be consulted using the service change protocols If NO, proceed to QC QC. Does this proposal: a. require public consultation under the Planning Regulations (section 92(1) of the NZPHD Amendment Act 2010 or b. is the proposal likely to result in substantial public comment? If YES, the DHB(s) discuss with the Relationship Manager(s) to facilitate the proposal as to whether the Minister needs to be consulted on the substance of the proposal If NO, the DHBs can proceed with the change proposed, provided the change is clinically appropriate, that a robust process is followed (as per the Minister’s expectations of DHBs) and public confidence is managed by the DHB Early engagement with the Relationship Manager(s) to discuss the DHB(s) proposed service change and their implications / progress is an important part of the success of the service change approval process. To assist this