Te Pae Tata Interim New Zealand Health Plan [PDF, 5.8 MB] sets out the first two years of action (2022-2024) that builds the foundations of a sustainable, affordable, and unified health system, which will better serve whānau.
The foundations of our new health system, outlined in the 2022 Pae Ora (Healthy Futures) legislation are:
What Te Aka Whai Ora will focus on is:
Te Aka Whai Ora will:
We acknowledge the past and those with the vision for change
In 2019, the failings of the health sector to implement Te Tiriti o Waitangi were outlined in the Hauora Report, from the Waitangi Tribunal findings of the Wai 2575 claim.
This first formal claim concerning the health sector's unjust treatment of Māori, was presented to the Tribunal by a coalition of Māori Primary Health Organisations in 2005.
The grievance pointed to inadequate funding and support of Māori providers by the Crown compared with non-Māori providers, a failure which breaches Treaty principles of active protection, partnership, tino rangatiratanga, and equity.
In particular, the claimants argued that Māori were not able to exercise tino rangatiratanga in the design and delivery of primary healthcare, and that the continued poor outcomes for Māori health points to systemic problems in the primary healthcare sector.
This was the spearhead for reforms
The Tribunal recommended a series of principles be applied across the entire health system, and the Hauora Report became a catalyst to reform the public healthcare system and improve health outcomes for Māori.
This resulted in new legislation, the Pae Ora Healthy Futures Act 2022, and established two new entities on 1 July 2022, Te Aka Whai Ora and Te Whatu Ora to replace, over a 2-year transition, the current 20 District Health Boards (DHBs). This generational reset will protect, promote, and improve the health of all New Zealanders. Significantly, Te Tiriti is embedded in the legislation to acknowlege te ao Māori, mana motuhake and reflect Māori aspirations.
The changes made through these reforms will mean Māori living longer and enjoying better health for longer.