Health and disability system reforms

Our health and disability system is being transformed to support all New Zealanders to live longer and have the best possible quality of life. 

In April 2021, the Government announced a major transformation of the health and disability system reforms in response to the Health and Disability System Review. 

Pae Ora (Healthy Futures) Act 

The Pae Ora (Healthy Futures) Act took effect on 1 July 2022, establishing four new entities: 

The Act recognises the role of Iwi–Māori Partnership Boards to act as a vehicle for Māori to exercise tino rangatiratanga and mana motuhake with respect to planning and decision-making for health services at the local level. 

The 20 district health boards were disestablished, and Health NZ now operates hospitals and health services. 

Public health units and Te Hiringa Hauora – Health Promotion Agency are part of the National Public Health Service (NPHS) within Health NZ. 

Around 60–80 localities will be established in communities around the country to provide advice on health services needed.

Disability support system transformation

Whaikaha – Ministry of Disabled People was created on 1 July 2022 to provide a wider lens on disability across Government, and to drive transformation of the disability support system.  

Disabled people will now have a dedicated agency that will support a whole-of-life approach to disability, rather than considering the community’s needs through a health lens alone. 

Visit the Whaikaha – Ministry of Disabled People website for more information.

In this section

  • In 2018, the Minister of Health announced a wide-ranging review designed to future-proof our health and disability services. The Review considered the overall function of the Health and Disability system to ensure the system is better balanced towards wellness, access, equity, and sustainability. The final recommendations were released in June 2020. Read more
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