Well Child Tamariki Ora Review Update: June 2019

The following letter was sent from the Deputy Director-General of Health, Population Health and Prevention, on 30 June 2019.

Tēnā koutou katoa, mālo e lelei, tālofa lava, kia orana, tāloha ni, fakalofa lahi atu, ni sa bula vinaka, namaste, ni hao, and warm greetings to you all.

Well Child Tamariki Ora Review engagement set to start in late July/August

I’m very pleased to invite you to give feedback about Well Child Tamariki Ora: what’s working well and what we need to change together. Read on to find out how you can have your say. We’re specifically interested in your ideas about designing solutions for the issues we have learned about from previous engagements, including the Child and Youth Wellbeing Strategy health sector hui held in late-2018, as well as sector engagements earlier this year.

In our last update, we shared the four phases of the Well Child Tamariki Ora Review. The Analysis Phase is under way, and options for possible improvements to the Well Child Tamariki Ora programme will be developed as a result of this analysis, and upcoming engagement.

What you’ve told us so far

Identifying the issues we need to fix is key to achieving the Review’s aims of a better, more equitable Well Child Tamariki Ora programme.

Some of the main issues we’ve heard include:

  1. inequality and inequity in outcomes, coverage, access, funding and resources
  2. lack of information on the outcomes, services and delivery wanted by parents/whānau
  3. need for alignment with new evidence and current Government direction
  4. need for greater alignment of Well Child Tamariki Ora outcomes, services and delivery between health services and other social services.

We’re analysing all the feedback we’ve heard, guided by these four key questions:

  • Why: what outcomes should a Well Child Tamariki Ora programme contribute to for tamariki and whānau?
  • What: what services should be delivered within the Well Child Tamariki Ora programme to support tamariki and whānau across the lifecourse?
  • How: how should the Well Child Tamariki Ora service offering be delivered to best support tamariki and whānau?
  • Programme supports needed: what are the critical enablers to deliver a high quality and sustainable Well Child Tamariki Ora programme, such as workforce and quality, funding and contracting, information systems?

During upcoming engagement, we will share our analysis with you and seek your insights for options to improve the Well Child Tamariki Ora programme.

Opportunities to tell us more

You can have your say about Well Child Tamariki Ora now using the online feedback tool:

We’re planning kanohi ki te kanohi (face to face) engagement for July/August. This engagement will focus on checking in with you that we have understood the issues that need to be addressed, and will seek your ideas on possible solutions. We’ll be using the four key Review questions to focus our kōrero, asking “why, what, how, and what programme supports are needed?” We’ll send out invitations and confirm the locations soon.

Please head to our website if you’d like to see our previous Well Child Tamariki Ora Review updates.

Working across Government

There are real opportunities for the health system to link-up services like maternity, Well Child Tamariki Ora, primary health care, oral health and immunisations, while building connections with other sectors such as education, to which families need easy access. As many of you have fed-back to us, the issues that affect the wellbeing of children and families don’t just sit in health: there’s income, housing and education, for instance. Services need to be integrated and seamless to support families.

We’ve held our first cross-Government hui with the Ministry of Education, Oranga Tamariki, Te Puni Kokiri, Ministry for Pacific Peoples, Ara Poutama (Department of Corrections), Police, ACC and the Office of the Children's Commissioner.

The Department of Prime Minister and Cabinet is bringing the knowledge and experience built while leading the development of the Child and Youth Wellbeing Strategy.

We will continue to work with these agencies during the Review and throughout the Implementation Phase. Some agencies will be closely involved with specific workstreams, for example the Ministry of Education during the schedule review workstream.

Palmerston North symposium success

Our Ministry team enjoyed meeting with many of you at the regional Well Child Tamariki Ora Symposium on 5 June in Palmerston North. The symposium was a great opportunity to kōrero and gather insights and feedback for the Review, further connecting us with Well Child Tamariki Ora colleagues.

In particular, the team was pleased to get together with stakeholders and workshop the Well Child Tamariki Ora programme and Review. It was also a chance to showcase some of the incredible work under way to make Aotearoa New Zealand the best place in the world to be a child, with a range of timely presentations including on oral health care, raising healthy children, and maternal mental health.

Changes to our email address

Ministry email addresses changed on 29 May from ‘firstname_lastname@moh.govt.nz’ to ‘firstname.lastname@health.govt.nz’. This means if you want to get in touch with the Well Child Tamariki Ora Review team, you’ll need to use the new email address: wcto@health.govt.nz.

On behalf of the Well Child Tamariki Ora Review team, thank you again for your ongoing support. We’ll continue to update you regularly about its status and opportunities for you to have your say.

Ngā mihi nui

Deborah Woodley
Deputy Director-General
Population Health and Prevention

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