Work related to the health system reforms

Pae Ora Strategies

The Pae Ora | Healthy Futures Strategies set the direction for a health system that is equitable, accessible, cohesive and people-centred. Manatū Hauora worked with Te Aka Whai Ora, Te Whatu Ora, Ministry for Ethnic Communities and Whaikaha – Ministry of Disabled People to develop six strategies.

Achieving pae ora through primary and community healthcare

Primary and community healthcare is a critical part of pae ora, as it plays a key role in preventing illness, treating disease early, and reducing the impact of long-term conditions. These services are critical to ensuring people stay well in our communities, reducing pressure on hospitals and other health services.

Ao Mai te Rā

Not all New Zealanders have fair access to the systems and services that lead to good health and wellbeing. Racism is recognised as a one factor that contributes to avoidable and unfair differences in health outcomes across different races and ethnicities. Evidence and research suggest that racism within the New Zealand health system impacts on health outcomes. Ao Mai te Rā has been developed as a framework to support the way the health system understands, reacts and responds to racism in health, this includes identifying and shifting the conditions that hold unfair and unjust health outcomes in place.

Iwi-Māori partnership boards

Iwi-Māori partnership boards (IMPBs) are an essential feature in the new health reforms, with decision making roles at a local level, and jointly agreed local priorities and delivery with Te Whatu Ora.

Te Pae Tata, the New Zealand health plan

The interim NZ Health Plan sets out the first two years of health system transformation to improve the health & wellbeing of all New Zealanders. Te Pae Tata provides a costed plan for the delivery of publicly funded services by Te Aka Whai Ora and Te Whatu Ora. Te Whatu Ora is leading the development of Te Pae Tata for 2024–2027, which will give effect to the Pae Ora strategies and the Government Policy Statement.

Oranga Hinengaro

The health system reform has made it much easier to achieve the transformation needed in mental health services.  With Te Whatu Ora now coordinating and commissioning services at a national level working in partnership with Te Aka Whai Ora. The Oranga Hinengaro System and Service Framework was launched in April 2023. It identifies the core components of a contemporary mental health and addiction system with a 10-year view and provides guidance for those responsible for publicly funded health system policy, design, service commissioning, and delivery.

Te Mauri o Rongo

In addition to increasing frontline staff, establishing new structures and changing the way we organise healthcare, achieving the goals of the reform requires a change in how we work. Our workforce needs safe workplaces in order to be able to meet the needs of the people, whānau and communities they serve. The need for Te Mauri o Rongo | The NZ Health Charter was recognised early in the reforms, and developing the charter is a requirement of the Pae Ora (Healthy Futures) Act 2022. The Charter, developed through extensive consultation with workers and unions, sets clear expectations on how health workers must be treated while at work

Government Policy Statement

The Government Policy Statement (GPS) outlines what the Government expects the health system to deliver and achieve, what funding and supports are available and how success will be measured, monitored, and reported. The current interim GPS covers the period July 2022 to June 2024 and Manatū Hauora is leading the development of the next GPS, which will cover the period 2024–2027. 

Budget 2024

Vote Health is the main source of funding for New Zealand’s health and disability system, while ACC is the other major source of public funding. The funding provided through Vote Health directly supports the day-to-day operation of strong and equitable public health services delivered by the skilled workforce in our communities, hospitals and other care settings.

The approach to Budget 2024 will be driven by the development of the 2024–2027 Government Policy Statement, which will guide Manatū Hauora’s advice on investment. The intention is to implement a multi-year funding arrangement for Vote Health at Budget 2024.

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