PAGE 1 HEALTHCARE ? STRATEGIC PORTFOLIO MANAGEMENT Counties Manukau District Health Board prioritise to protect service quality Client background Counties Manukau District Health Board (CMDHB) is responsible for funding and delivering health and disability services, through a range of hospitals and specialist clinics, to more than 500,000 people in Auckland, New Zealand. Client challenge Given the economic climate, there has been pressure on the New Zealand public health sector to reduce capital expenditure and investment in facilities. CMDHB needed to find new ways to balance its budget while maintaining or improving the quality of services. They also needed to develop closer regional coordination to reduce service overlaps. At the start of 2010, CMD

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