In the coming years, the most significant changes you’ll see, are:
In Aotearoa New Zealand, people currently have different levels of health that are unfair, unjust – and avoidable. The Government has recognised that this needs to change.
The system has failed to look after Māori.
The Waitangi Tribunal investigated claims (Wai 1315 and Wai 2687) dating back to 2005 around longstanding inequity, institutionalised racism in the health system and worsening Māori health statistics. Its Wai 2575 Health Services and Outcomes Kaupapa Inquiry Stage One Report, released in 2019, revealed that our primary healthcare legislation and policy breaches Te Tiriti o Waitangi and fails to care for Māori health and wellbeing.
A full Health and Disability System Review in 2019-2020, which included DHBs, health providers, communities and stakeholders, reinforced the Waitangi Tribunal’s findings and set the scene for the major changes needed.
The review confirmed that Aotearoa has:
To make positive change, the review recommended that we:
This is the basis for the health reforms and the exciting new health system we have ahead of us.
On 21 April 2021 the Minister of Health announced our new health reforms. Legislation has now passed and from 1 July 2022:
Te Whatu Ora | Health New Zealand is the operational leader of our health system, with the functions and assets of the previous 20 district health boards.
It is responsible for funding and commissioning health services and owns and operates our public hospitals
Te Whatu Ora represents our new national approach that will create efficiency and enable us to make better use of our health resources and workforce.
We are currently exploring and defining our partnership, which will be close and in the spirit of Te Tiriti. We know that working together to bring about pae ora is central to both organisations’ success.
Te Aka Whai Ora works across all levels of Te Whatu Ora health services – from strategy and planning through to commissioning and delivery of community and hospital healthcare in all regions.
We will share more information about our collaboration as plans are confirmed.
Te Aka Whai Ora | Māori Health Authority is a legal entity and an equal partner at the heart of our new health system.
We have a range of tools to hold the system accountable for the way it plans, strategises, funds, commissions and procures health services. We can apply consequences and impose penalties for non-performance or non-delivery.
The Ministry of Health plays a kaitiaki role, in that it oversees the policy and direction of our health system.