A health system that works for Māori

Te Aka Whai Ora - Māori Health Authority is an equal partner at the heart of our new health system.

Working together with Te Whatu Ora - Health New Zealand and Manatū Hauora - the Ministry of Health, for the first time in history we’re building an organisation that puts a Te Tiriti lens on the delivery of all health services for Māori.

An infographic depicting the waka hourua double-hulled waka metaphor for the way in which the Maori Health Authority and Health New Zealand work together

Our Establishment Plan sets out our initial structures in place from 1 July 2022 and demonstrates how, in partnership with Te Whatu Ora - Health New Zealand, we intend to give effect to the waka hourua approach to co-design and co-commissioning for the new health system.

Read the Establishment Plan here. [PDF, 3 MB]

Our role is to lead and monitor transformational change in the way the entire health system understands and responds to the health and wellbeing needs of whānau Māori.

An infographic showing the key system shifts that the health reforms aim to achieve

Watch this video outlining the five key system shifts:

E whanga mai ana ētahi panonitanga nui ki te pūnaha hauora o Aotearoa kia whai wāhi ai te katoa ki ngā whiwhinga hauora tika, i ngā wāhi me ngā wā e tika ana. He nui noa atu te hunga e kore nei e whakawhiwhia ana ki ēnei hua. Nā reira, hei tēnei Hūrae ka tīmata tātou kite i ētahi hurihuringa.  

Ko te tuatahi, he whakatū i ngā wāhi mahi hauora hou e rua – ko Hauora Aotearoa me Te Mana Hauora Māori. Ko tā Hauora Aotearoa he whakarite haere i ngā ratonga hauora huri noa i Aotearoa, mai i ngā rohe, ā, puta noa i te motu whānui. Ka mahi kōtui Te Mana Hauora Māori me Hauora Aotearoa ki te whakapai ake i ngā ratonga hauora nei kia whai hua ake ai ki a ngāi Māori.

Nā, he tīmatanga noa tēnei. Nāwai rā, ā, ka kitea ka pai kē atu ngā taunakitanga whakaora i te iwi.

E rima ngā wāhanga matua e tino whai hua ai ēnei momo panonitanga.

Tuatahi, ka whakamanatia Te Tiriti o Waitangi e te pūnaha hauora mā roto i tōna whai kia whakamanatia a ngāi Māori ki te waihanga ratonga hauora e hāngai pū ana ki ngā hiahia a ngāi Māori. He mahi nui tā ngā hapori Māori ki te whakahāngai ake i ngā ratonga hauora ki a ngāi Māori ake, me te huhua tāngata nō Aotearoa e torotoro mai nei ki ngā ratonga hauora Māori. Ka pai kē atu tēnei mō te katoa nō te mea mēnā ka ora a ngāi Māori i tēnei pūnaha hauora ka ora te katoa.

Tuarua, ka taea e te marea te toro ki ngā tautiakitanga hauora e pātata ana ki ō rātou kāinga. Ka tika mai te whakaatatia o ngā hiahia a te hapori ki ratonga hauora nei. Ka nui kē atu hoki te wāhanga ki ngā take tautoko i te whaioranga o te tangata, arā, mēnā rānei kei te mahana, kei te āhuru ngā kāinga.  

Tuatoru, ko te tuawhiti o ngā tautiakitanga whawhati tata, mātanga hoki ka wātea ki te hunga e whai wāhi atu ana. Ka mahi tahi tētahi kāhui tākuta, ētahi mātanga rongoā me ētahi ratonga ā-hapori ki te whakaako i te marea kia whai ora ai, ā, kia heke iho te nui o te hunga whai tautiakitanga.

Fourth, ka pai kē atu te whakamahinga o ngā hangarau matihiko mō te tuku ratonga ki ngā kāinga, ngā hapori me ngā rohe. Mā te hangarau hoki e mārama ake ai te tautoko a ngā kaimahi hauora i ā rātou tūroro.

Hei whakamutu ake, mō te āhua ki te hunga kaimahi hauora, ka whāia rawatia he mahere mō rātou, arā, ko te whakarato kaupapa whakangūngū hei whakawhanake ake i te hunga mahi o āpōpō kia whiwhi ai rātou i ngā pūkenga e tika ana i ngā wā katoa.  

Ehara i te mea ka māmā noa te whakatutuki i te whakakitenga mō te hauora o Aotearoa hei ngā rā ki tua; mā te wā tonu e whakatau. Heoi, he anamata tēnei ka tino whai hua.

Mō ētahi atu pārongo e pā ana ki ngā panonitanga me ngā nekenga ake, tirohia te pae tukutuku: futureofhealth.govt.nz.

Some big changes are being made to New Zealand’s health system, so everyone gets the right healthcare, where and when they need it. Right now, that doesn’t happen for a lot of people. So, this year, things are starting to change.

The first step is two new health organisations to work alongside the Ministry of Health, the steward of the health system. Health New Zealand will coordinate health services across New Zealand, from local right through to national. The Māori Health Authority and Health New Zealand will work in partnership to make health services work better for Māori.

And this is just the start. Over time, the way people are supported to stay healthy is going to get a lot better.

There are five key areas where change will make the biggest difference. 

First, the health system will ensure that Māori have a greater role in designing health services that better meet the needs of Māori. Māori communities will also play an important role in making sure our health services work for Māori, and the many New Zealanders accessing kaupapa Māori health services. And that will be better for everyone, because a health system that does better for Māori, does better for all.

Second, people will be able to get the healthcare they need closer to  home. Health services will better reflect  community needs and preferences. There will be a strong emphasis on preventing illnesses and other factors that support healthy lives, like whether they live in a warm, dry home.

Third, high quality emergency or specialist care will be available when people need it. Networks of doctors and other medical professionals will work together with community services to educate and keep people well, so fewer people need healthcare in the first place.

Fourth, digital technology will be used in more and better ways, to provide people with services in their homes, hapori and local communities. Technology will also help healthcare workers to better understand and support their patients.

And finally, we will plan for our future health workforce requirements, and provide for the training and development needs of New Zealand’s contemporary workforce of tomorrow,  so our healthcare workers  will always have the skills they need.

Achieving the vision for the future of health in Aotearoa New Zealand will not be easy, and it will take time. But it’s a future worth getting right.

Visit futureofhealth.govt.nz for more information on the changes and the progress we’ve made so far.

We are not creating a separate system for Māori. We are strengthening our overall health system to ensure that Māori voices are heard in decision-making that affects Māori. This should have always happened, but it hasn’t, and Māori have been disadvantaged for decades as a result.

Te Aka Whai Ora will work with Iwi-Māori Partnership Boards, Māori health providers and professionals, iwi, hapū and Māori communities to understand Māori health needs and aspirations across New Zealand, and then ensure these are reflected in the priorities and plans of the health system, and how services are designed and delivered to meet those needs, including through the use of kaupapa Māori models and the application of mātauranga Māori in the system.

Iwi Māori Partnership Boards enable iwi, hapū and whānau to exercise rangatiratanga in their rohe. They ensure tangata whenua voices are heard and local health services reflect those who need and use them. Visit this page for more information: Iwi-Māori Partnership Boards

This will help build a stronger Māori workforce, support the growth in capability and capacity of hauora Māori healthcare providers, and encourage more innovation in services that deliver better outcomes for Māori.

An infographic describing the future operating model for the new health system

In each local community, partnerships between Iwi-Māori Partnership Boards, Te Whatu Ora regional and district teams, and the wider community will ensure Māori voices are heard, embedded in plans and services, and that health equity for Māori is non-negotiable.

The partnership between Te Aka Whai Ora and Te Whatu Ora will invest in services grounded in te ao Māori and ensure the wider health system better recognises and is more responsive to Māori needs, alongside that of the wider population.

When new services are commissioned or existing services are reviewed, Te Aka Whai Ora will partner with Te Whatu Ora to make sure service design and priorities reflect the diverse needs of the community, including for Māori.

When services are not performing for Māori, Te Aka Whai Ora and Te Whatu Ora will ensure the issues are quickly identified, and drive service and system improvement.

Te Aka Whai Ora will work with the Ministry of Health on strategy and policy issues of particular relevance to Māori, providing direction for the health system, ensuring that our commitment to Te Tiriti o Waitangi continues to underpin approaches to hauora.

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