Appendix 1: Summary of actions

Summary of actions

People-powered | Mā te iwi hei kawe

  1. Inform people about public and personal health services so they can be ‘health smart’ and have greater control over their health and wellbeing.
  2. Make the health system more responsive to people.
  3. Engage the consumer voice by reporting progress against measures important to the public, building local responses and increasing participation of priority groups.
  4. Promote people-led service design, including for high-need priority populations.
  5. In selected high-need communities, build on, align, clarify and simplify multiple programmes of social investment.

Closer to home | Ka aro mai ki te kāinga

  1. Ensure the right services are delivered at the right location in an equitable and clinically and financially sustainable way.
  2. Enable all people working in the health system to add the greatest value by providing the right care at the earliest time, fully utilising their skills and training.
  3. Increase the effort on prevention, early intervention, rehabilitation and wellbeing for people with long-term conditions. This includes addressing common risk factors.
  4. Collaborate across government agencies, using social investment approaches, to improve the health outcomes and equity of health and social outcomes for children, young people, families and whānau, particularly those at risk.
  5. Involve health and other social services in developing shared care for older people with high and complex needs in residential care facilities or those needing support at home.
  6. Support clinicians and people in developing advance care plans and advance directives.
  7. Review adult palliative care services to ensure all those who would benefit from palliative care at the end of their life are able to access high-quality care and have a seamless experience.

Value and high performance | Te whāinga hua me te tika o ngā mahi

  1. Enable people to be partners in the search for value by developing measures of service user experience and improving public reporting of performance.
  2. Implement a framework focused on health outcomes to better reflect links between people, their needs and outcomes of services.
  3. Work with the system to develop a performance management approach with reporting that makes the whole system publicly transparent.
  4. Maintain the direction set by the Strategy through monitoring and evaluation, and advice from a Strategy Leadership Group.
  5. Align funding across the system to get the best value from health investment.
  6. Continue to develop the application of the social investment approach to health investment with DHBs. Consider using this approach to improve overall outcomes for high-need priority populations, while developing and spreading better practices.
  7. Continuously improve system quality and safety.

One team | Kotahi te tīma

  1. Improve governance and decision-making processes across the system in order to improve overall outcomes, by focusing on capability, innovation and best practice.
  2. Clarify roles, responsibilities and accountabilities across the system as part of the process of putting the Strategy into action.
  3. Create a ‘one-team’ approach to health in New Zealand through an annual forum for the whole system to share best practice and help build a culture of trust and partnership.
  4. Put in place a system leadership and talent management programme to enhance capacity, capability, diversity and succession planning throughout the sector.
  5. Put in place workforce development initiatives to enhance capacity, capability, diversity and succession planning and build workforce flexibility.

Smart system | He atamai te whakaraupapa

  1. Increase New Zealand’s national data quality and analytical capability to make the whole health system more transparent and provide useful information for designing and delivering effective services.
  2. Establish a national electronic health record that is accessed through certified systems including patient portals, health provider portals and mobile applications.
  3. Develop capability for effectively identifying, developing, prioritising, regulating and introducing knowledge and technologies.
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