ABSTRACT
Priority setting in New Zealand relies mainly on the development of practice guidelines. The Core Services Committee (CSC) started with the premise that existing services were suitable, representing the values of past generations of New Zealanders, but that changes might be made in the way resources were allocated. The CSC is an advisory body, and action depends on the decisions taken by the Minister of Health, on advice from the Ministry and regional health authorities (RHAs). With regard to children's health, more specific instructions have been given and RHAs have taken some action, particularly in raising the rate of child immunization from a low level. The CSC recognized that no precise method could be devised; judgements would have to be made, and to facilitate those only a philosophical framework could be prepared. Where services are backed by offer to legislation, as is the case with mental health, implementation may be easier.
