People-powered

Mā te iwi hei kawe

The people-powered theme reflects the Government’s priority of delivering ‘better public services’ and the opportunity to achieve this through taking more people-centred approaches to providing health services. A people-powered system will involve people not only as users of health services but also as partners in health care. It will support and equip all New Zealanders to be informed about and involved in their own health.

New Zealand is home to a diverse range of cultures and ethnicities, and our health system has to cater for all of our people, at all points in their lifespan. The better we know people’s preferences and lifestyles, their health needs, their experiences of care and the outcomes they are seeking, the better we can design services that provide value for people. For example, many Pacific peoples have strong connections with churches, so it can make sense to use churches as convenient access points for health care advice or services, designed in partnership with these communities.

What do we want in five years?

  • People have access to reliable, clear information, including online, to find out about the choices they can make and how they can take greater responsibility for their own health.
  • People can easily provide feedback on their experiences of using services.
  • The design of the health and disability system reflects ‘person, need, outcome’ principles. The system measures what matters to people. People’s involvement improves the quality, safety and experience of services and is beginning to influence health outcomes and the equity of health outcomes.
  • Providers listen to service users to understand the needs and desired health outcomes for populations in their area, and how populations are segmented. Planners continuously improve services to better meet these needs and improve outcomes and the equity of outcomes.

The actions below are intended to be carried out within a five-year timeframe, with the first steps starting in 2016/17 and indicated with an asterisk (*).

Build health literacy and active two-way engagement

Action 1

Inform people about public and personal health services so they can be ‘health smart’ and have greater control over their health and wellbeing.

  1. Improve coordination and oversight and expand delivery of information to support self-management of health through a range of digital technologies.
    1. * Start with a stocktake of current provision and consider different innovation and information channels relevant to people’s needs when growing the network of available information.
    2. Use social media to support healthy living by providing:
      1. authoritative, clear information to support people to make healthy food and activity choices
      2. information on diabetes prevention and early stage management.
    3. Provide parents and caregivers of children with clear information (eg, via mobile apps) to support, for example, making healthy food choices, drinking water, brushing teeth and finding ways to be more active.
    4. Promote interactive computer game ideas to support good health and wellness for priority groups.
    5. * Continue to strengthen the National Telehealth Service by providing more support for people to manage their own health and conditions related to illness and injury.
    6. Create partnerships for better health services by giving everyone involved in a person’s care, including the person, access to the same information:
      1. * promote and increase use of health information accessible via a patient portal
      2. * double the number of early adopter DHBs that are using an integrated health record for pregnant women and children (as part of the Maternity Information System) from five to ten.
  2. Better connect immigrants with health services – work with the Office of Ethnic Communities and Immigration New Zealand to inform new immigrants about how the New Zealand health service works and direct them to appropriate services.

Action 2

Make the health system more responsive to people.

  1. Enable Māori to contribute to decision-making on health and disability services and participate in the delivery of those services.
  2. Strengthen capability to understand the full range of the needs and circumstances of people, how to reach them effectively and how to respond to those needs effectively.
  3. Build cultural competence in the system to reflect New Zealand’s cultural diversity.
  4. Foster genuine two-way communication between providers and health system users, so that providers have a good understanding of people’s needs and aspirations for wellbeing before taking a course of action.
  5. Increase engagement, especially by priority population groups and population groups that are hardest to reach.
  6. Run public e-forums on selected health and social issues.
  7. Implement collaborative processes in the health sector to better share understanding among agencies and communicate it to others.

Support the consumer movement

Action 3

Engage the consumer voice.

  1. Ask the public what dimensions of service delivery and wellbeing are most important to them and use this information to report on progress against the Health Strategy.
  2. Build local responses to issues raised during Health Strategy consultation that need to be dealt with at a local or regional level.
  3. Increase participation in the health system by priority groups.

Action 4

Promote people-led service design by collecting and sharing good examples of it from design laboratories and practices. Focus especially on those examples that effectively reach and understand high-need priority populations.

  1. Identify and showcase three high-quality, people-led service designs at the annual forum (links to action 22).
  2. Support clinician-led collaborations to engage with high-need priority populations on key health issues.
  3. Develop methods for involving priority groups in service design.
  4. Develop and implement an action plan to improve the health of people with learning/intellectual disabilities.

Action 5

In selected high-need communities, build on, align, clarify and simplify the multiple programmes currently focused on achieving the best results from social investment in those communities.

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