The Innovation: Tui Ora Rereketanga hou
The Tui Ora DVD showcases work undertaken as a result of the Te Ao Auahatanga Whānau Ora Model of Care project.
Consultation with our community gave us a clear message that whānau needed a more holistic approach that recognised the importance of cultural understanding and other factors.
This led to the appointment of a navigator/ kaiāwhina at our GP service, Tui Ora Family Health. Our kaiāwhina works alongside doctors and nurses, to enhance their service to patients with wider issues. This innovative service is immediate and practical, helping people navigate through what can be a complicated health and social service pathway. Early intervention and collaboration of key workers empowers whānau and provides a more supportive, responsive approach.
Another aspect of the innovation was the development of a cultural competency framework called Te Raukura. It signifies the core principles, aspirations, history and connection of Tui Ora to the people of Taranaki and beyond. Six core competencies provide a foundation from which kaimahi across all levels of the organisation can build, develop and implement cultural knowledge and practice into their work.
Tui Ora – Model of Care Project
E a taki runga, he a taki raro
E a taki te whakatutu, he a taki te whakaritorito
He a tauiwi a, e a tarawea, e a ta taonga
Kia uru mai tou aroha, kia au nei
Kia uru mai o koutou aroha…
Bridget Taylor, Te Ao Auahatanga Project Facilitator: The project was launched here at Owae marae in Waitara and I consulted alongside the project manager Ali Hamlin. We consulted with over one hundred fifty whanau, hapu, iwi, and service providers. Some of the challenges we heard from whanau were, being pushed from service to service because they didn’t meet criteria; transport issues; the disparity in services between the North and the South; and the lack of communication between government departments.
The project’s response to some of the challenges that whanau talked about were to put whanau at the centre of the model of care and service responses around this because services don’t live peoples’ lives, people live their lives.
Sheldon Ngatai, Te Ao Auahatanga Project Participant: My experience of the health industry, prior to this project was not a very good one, it was very poor. I was diagnosed with breast cancer back in 2008 and the whole system failed me, in that I didn’t have any support. Two examples of the feedback that come to mind that I gave to Bridget was empathy and prevention. Prevention being the services need to be more prevention-focused, and empathy is about seeing the person as a whole, not seeing the person as having a disease.
Airingi Matuku, Kaiawhina / Navigator, Tui Ora Family Health: I work for Tui Ora but I work specifically for Tui Ora Family Health, which is a GP practice. So my role as kaiawhina , is two years old, so the nurses and the doctors task me to see whanau. They come for medical and clinical reasons and there are other things happening in their lives that influence their wellbeing.
Dr Helena Haggie, GP, Tui Ora Family Health: My job at Tui Ora Family Health is a General Practitioner. I’m one of three GPs that we have here. This practice works different from the others that I’ve been at in terms of the support we have here. Most of the time the support is actually left to the doctors and nurses but we have Airingi Matuku who is our Whanau Ora navigator and other kaiawhina on site who can help with their social needs as well. I’m finding the difference here with the clients in having a more supportive team approach, we’re able to not only deal with their medical issues but also their social issues and as a result able to advance them in their health care management.
We’re Moving Forward
Hayden Wano, Tui Ora Chief Executive: Whanau gave us a very clear message on two fronts, one they wanted our staff to be more competent in terms of working with them in a kaupapa Maori sense, and to look at health in a much more holistic or broader way. So what we’re doing differently is, staff requested a framework to help them to develop their cultural competencies so that they could be more competent in working with whanau.
We think the project is going to make a difference in four areas: we have a focus on mothers and babies; people with long-term conditions; we focus on our youth, our rangatahi; and we have a focus on our kaumatua, our elders. So those are the areas where we want to make a difference.
We’ve got off to a great start because of this project, because of the fact that we engage with our whanau and with our staff. Iwi provide an oversight through the ownership but we also, from a service provision point of view, we have given a strong commitment to our whanau to back to them so that they can monitor our progress against what we said we would do from the very beginning.
About Tui Ora Limited
Tui Ora is a kaupapa Māori health and social services organisation working throughout Taranaki, covering all age groups and all populations. We operate from two main sites in New Plymouth and Hawera, with satellite clinics throughout the region. Many services are mobile, free and flexible, designed to support whānau to improve their health and wellbeing.
Our services are strengthened by alliances with health organisations such as the Taranaki District Health Board, Midland Health Network and other iwi providers. We are governed by a structure that represents the eight iwi in Taranaki, and aim to have our services accessible to a wide range of people to help address inequalities in health and wellbeing.
Tui Ora Limited
36 Maratahu Street
New Plymouth 4310
P O Box 8119
New Plymouth 4342
Phone/Fax: 06 759 4064 / 06 759 1799
Email: [email protected]
Disclaimer: This page and the innovation it accompanies do not represent the views of the Ministry of Health. The views represented are those of Tui Ora Limited and the innovation piloted.