Resource Summary

Core Businesses 2006/07 Restated Estimates 1 2007/08 Estimates 2008/09 Plan 2009/10 Plan
Operating Expenses ($000)
Services Delivered by Partners        
  Regional Health Sector Funding 7,562,953 8,047,121 8,215,307 8,442,016
  Medical Services Plan 2,903,342 3,057,216 3,166,929 3,282,494
  PharmaCare 951,270 1,021,300 1,059,085 1,098,309
  Debt Service Costs 162,200 174,000 192,100 214,900
  Amortization of Prepaid
 Capital Advances		 173,100 200,000 231,000 246,000
  Health Benefit Operations 28,448 28,910 29,518 29,752
    Sub-total 11,781,313 12,528,547 12,893,939 13,313,471
Services Delivered by Ministry        
Emergency Health Services 267,244 283,483 302,895 319,158
Vital Statistics 7,552 7,812 8,061 8,289
    Sub-total 274,796 291,295 310,956 327,447
Recoveries from Health Special Account        
Recoveries from Health Special Account (147,250) (147,250) (147,250) (147,250)
Health Special Account 147,250 147,250 147,250 147,250
    Sub-total 0 0 0 0
Executive and Support Services        
Minister's Office 619 732 747 762
Stewardship and Corporate Management 125,304 146,346 151,912 155,933
    Sub-total 125,923 147,078 152,659 156,695
    Total 12,182,032 12,966,920 13,357,554 13,797,613
Full-Time Equivalents (Direct FTEs)
Direct FTEs 2 3,538 3,696 3,784 3,887
    Total 3,538 3,696 3,784 3,887
CRF Capital Categories 2006/07 Restated Estimates 1 2007/08 Estimates 2008/09 Plan 2009/10 Plan
Ministry Capital Expenditures (Consolidated Revenue Fund ($000)
Information Systems 59,238 40,549 9,199 9,199
Vehicles, Medical/Specialized
 Equipment,
  Furniture/Equipment,
  Telecommunications,
  Tenant Improvements		 12,639 8,152 8,025 8,025
    Total 71,877 48,701 17,224 17,224
Prepaid Capital Advances 2006/07 Restated Estimates1 2007/08 Estimates 2008/09 Plan 2009/10 Plan
Capital Plan ($000)
Health Care Facilities 333,000 401,000 380,000 380,000
    Total 333,000 401,000 380,000 380,000
1  These amounts have been restated for comparative purposes only, to be consistent with the Schedule A of the 2007/08 Estimates.
2  FTE Restatement – Correcting BCAS FTE calculation to include standby hours worked and 2,191 hours worked annually.

Health Authorities Included in the Provincial
Reporting Entity

As required under the Budget Transparency and Accountability Act, British Columbia's six health authorities are included in the government reporting entity. The health authorities have been primary service delivery organizations for the public health sector for several years and many of the performance measures and targets included in the Ministry's service plan are related to services delivered by the health authorities. The majority of the health authorities' revenues and a substantial portion of the funding for capital acquisitions are provided by the Province in the form of grants from ministry budgets.

Description 2006/07
Forecast		 2007/08
Plan		 2008/09
Plan		 2009/10
Plan
Health Authorities and Hospital Societies — Combined Income Statement ($ millions)
Total Revenue1 8,795 9,226 9,396 9,600
Total Expense2 8,833 9,345 9,396 9,600
   Net Results 3,4 ,5 (38) (119) 0 0
1  Revenue: Includes Provincial revenue from the Ministry of Health, plus revenues from the federal government, co-payments (which are client contributions for accommodation in care facilities), fees and licenses and other revenues.
2  Expenses: Provides for a range of health care services, including primary care and public health programs, acute care and tertiary services, mental health services, home care and home support, and assisted living and residential care.
3  2006/07 Net Results: The forecast deficit of $38 million is made up of $40 million deficit from Vancouver Coastal Health Authority offset by small surpluses in other health authorities/hospital societies.
4  2007/08 Net Results: Two health authorities have also projected deficits for 2007/08 totaling $119 million (Vancouver Coastal Health Authority $54 million; Fraser Health Authority $65 million). As both of these health authorities have recently had new Board Chairs appointed, their boards did not have sufficient time to review the earlier forecasts in detail prior to the Budget. The boards of the Vancouver Coastal and Fraser Health Authorities are currently reviewing the authorities’ financial plans and are expected to submit revised financial plans in early 2007/08.
5  The 2008/09 – 2009/10 health authorities plan is based on the health authorities budget for 2007/08. Additional Provincial funding to cover negotiating framework costs has been added in 2008/09 and 2009/10.

Major Capital Projects

Capital investments in the health system ensure the infrastructure needed to support the continuum of care is sustained and expanded to support increases and changes in service demands as the province's population grows and health needs and health services change.

The health sector invests in health facilities, such as hospitals, clinics and residential and complex care settings; medical equipment, including CT scanners, MRIs, laboratory systems and surgical equipment; and information technology and information management to improve service quality and efficiency, and increase access to services, particularly in rural areas.

The province's six health authorities and the Ministry collaborate on financial and infrastructure planning to ensure capital investments in the health system are strategic and cost-effective. Recognizing the significant cost and long lifespan of most capital investments — both in acquisition and use — the Ministry and health authorities prepare three year capital plans annually, aligned with other health sector planning. This planning horizon enables the Ministry to better anticipate future demand for health services, resulting from a growing and aging population and medical and technological innovations, and plan and prioritize long-term capital investments.

Health sector projects include establishing 5,000 net new residential care, assisted living and supportive housing beds throughout the province, hospital expansions in Surrey, Salmon Arm, Kelowna, Vernon, Victoria and Maple Ridge and completing the new Abbotsford Regional Hospital and Cancer Centre, expanding B.C.'s medical school, and continuing to invest in high tech medical equipment such as MRIs and CT Scanners, as well as in information management technology to support health service delivery and B.C.'s eHealth strategy.

Major capital projects currently underway include:

  • Replacing the Matsqui-Sumas-Abbotsford hospital with a new, 300-bed Abbotsford Regional Hospital and Cancer Centre to serve the Fraser Valley. The new hospital will provide enhanced programs and services, including a new cancer centre, to meet the health needs of Fraser Valley residents over the next 30 years. The $355 million project will be finished in 2008.
  • A new Outpatient Facility in Surrey. In order to make room for expansion of inpatient services at Surrey Memorial Hospital, a new Outpatient Facility must be constructed to relocate existing Surrey Memorial Hospital outpatient services. This facility will provide additional space for the expected future volume of outpatient, diagnostic and treatment services, and include a primary care clinic. The estimated $151 million project is planned to complete in December 2009.
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