Implementing a strategy involves doing new things, doing some things differently and stopping other things.
At the level of the health system, there will undoubtedly be challenges in putting this roadmap into action. It is ambitious and will involve change. To achieve the future we want, each of us will need to do things differently.
The actions in this roadmap are expected to contribute to the direction of the Strategy and its five themes. They also reflect New Zealand and international experience and research about what enables health systems to change and how these enablers can be used in implementation.
These enablers include the use of existing good practice as a springboard, leadership that supports change and the effective use of data about the impact of actions to inform further adjustments.
Implementation will also need to recognise that it can take time and effort to build trust and work in new ways. We will need to treat it as a learning process – there will be things that work well and things that don’t. We need to work together as a team and freely share what we learn.
Creating the roadmap together
This Roadmap of actions will be a living document, updated every year as new developments and results emerge, but remaining within the context of the overall Strategy. The Ministry of Health will lead an annual forum that will provide a place to share practice, develop a system overview and inform the roadmap and the annual actions (action 22). We also intend to give others in the health system an important role in monitoring and advising on progress by creating a Strategy Leadership Group (action 16c) that is responsible for advising the Director-General of Health.
The Strategy, including this roadmap, provides guidance for the annual planning cycle of DHBs and other agencies working in the health system, including the Ministry of Health.
The New Zealand Public Health and Disability Act 2000 requires DHBs’ annual plans to reflect the direction set out in the Health Strategy. In addition, the Crown Entities Act 2004 allows the Minister of Health to direct statutory Crown agents for whom the Minister of Health is responsible to give effect to government policy that relates to the entity’s functions and objectives.1
Role of the Ministry
In partnership with the Strategy Leadership Group, the Ministry of Health will:
- keep an overview of the changes put into action through the Strategy and this roadmap
- advise the Minister of Health on the changes to policy or regulation that are needed to make the Strategy happen
- monitor the agencies involved in putting the Strategy into action.
The Ministry is also responsible for implementing or supporting others to implement many of the actions in the Strategy.
Further information and updates on the roadmap will be made available through the Health Strategy page on the Ministry of Health’s website.
1. Crown agents under the responsibility of the Minister of Health are district health boards, the Health Promotion Agency, the Health Quality and Safety Commission New Zealand, the Health Research Council, the New Zealand Blood Service and PHARMAC.