System Reform Integration Office

As chief steward of New Zealand’s health system and the lead advisor to government on health, Manatū Hauora has established the System Reform Integration Office (SRIO).

The SRIO provides assurance and advice to the Director-General of Health, health system leaders and the Minister of Health that at a system level, the health reforms are progressing in line with the requirements of the Pae Ora (Healthy Futures) Act 2022 and government’s intentions.

System Reform Governance

Te Whatu Ora, Te Aka Whai Ora, and Manatū Hauora have their own programme structures, including governance and coordination functions for ensuring effective implementation of the reform.

A formal Joint Leaders Group provides the collective leadership of the reform and identifies and manages risks to ensure delivery of reform outcomes.

The Joint Leaders Group comprises of Director-General of Health – Manatū Hauora, Chief Executive – Te Whatu Ora, Chief Executive – Whaikaha and Chief Executive – Te Aka Whai Ora.

The Joint Leaders Group is supported by a Reform Working Group

The SRIO supports the Joint Leaders Group and the Reforms Working Group in the execution of their responsibilities. 


The SRIO sits in the Office of the Director-General and consists of the Director and a small team of advisory, assurance and planning specialists.

SRIO Focus Areas

The SRIO works in partnership with the reform implementation, performance and assurance functions across the health entities to deliver on the SRIO focus areas, which are:

  1. Integrated Reform Planning – ensuring that there is an up-to-date System Reform Roadmap of activities that will deliver on reform intent, legislation, and performance expectations.
  2. Communications – supporting entities with the development of communications and messages relating to the implementation of system level reform.
  3. Reporting – the generation of regular progress reports and other reports as required to support effective oversight by system leaders.
  4. Risk Management – the identification of system level, strategic reform risks ensuring that there are management plans in place to mitigate.
  5. Advisory – the provision of advice to the Director-General and system leaders on the implementation of the reforms and best practices in transformation/change to support delivery as required.
  6. Assurance Coordination – engaging with and supporting other assurance arrangements, to ensure that there is a cohesive approach to reform assurance.  
  7. Governance Support – providing secretariat services for key system reform groups such as the Joint Leaders Group and others as required.

Reform assurance

Alongside the health system entities, the SRIO also works with the Ministerial Advisory Committee and the Hauora Māori Advisory Committee to provide advice and assurance on the progress of the health system reform.

Ministerial Advisory Committee

Hauora Māori Advisory Committee

The Hauora Māori Advisory Committee advises the Minister of Health on matters relating to the performance of Te Aka Whai Ora. The role of the committee is also to ensure that the voices of Māori are heard at all levels of decision-making in the new health system, and by doing so, supporting the delivery of equitable health outcomes for Māori.


The Minister of Health will report back to Cabinet on reform progress each quarter. These reports are proactively released:

System reform related documents

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