Ngā Paerewa Health and Disability Services Standard

On 28 February 2022 the updated Ngā Paerewa Health and Disability Services Standard NZS 8134:2021 will come into effect.

Ngā Paerewa Health and Disability Services Standard

Director-General of Health, Dr Ashley Bloomfield, introduces Ngā Paerewa the 2021 Health and Disability Services Standard.

The Minister of Health has approved the updated Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021) (‘the 2021 Standard’) for use under the Health and Disability Services (Safety) Act 2001. On 28 February 2022 the 2021 Standard will come into effect. The Minister of Health approved the 2021 Standard for use under the Health and Disability Services (Safety) Act 2001 on 24 June 2021.

The 2021 Standard will replace the Health and Disability Services Standards NZS 8134:2008, the Fertility Services Standard NZS 8181:2007, the Home and Community Support Sector Standards NZS 8158:2021, and the Interim Standards for Abortion Services in New Zealand. There was significant duplication across the four standards and amalgamating them into one means a wide range of health and disability providers and settings will now have a consistent standard for providing safe and quality of care.

Providers of fertility services, primary maternity centres, hospices, overnight hospital inpatient services (public and private), age-related residential care, residential addiction, mental health, and disability services will be required to comply with the Ngā Paerewa Health and Disability Services Standard NZS 8134:2021. The 2021 Standard is also fit for use by home and community support services and abortion service providers in New Zealand Aotearoa.

The 2021 Standard defines the updates to the quality and safety requirements for the provision of included services in New Zealand. A copy of the standard is available on the Standards New Zealand website.

HealthCERT is providing a variety of workshops, education sessions, and printable resources to ensure the health and disability service providers, health professionals, designated auditing agencies, and the people and whānau who use these services are well supported in preparation for the 2021 Standard to come into effect. For more information about engagement opportunities, see Training and support.

About the 2021 standard

The 2021 standard reflects the shift towards more person- and whānau-centred health and disability services. People are empowered to make decisions about their own care and support in order to achieve their goals, with a stronger focus on outcomes for people receiving support.

The 2021 standard adopts a modular certification framework. This means that services are only audited against the sections, sub-sections and criteria relevant to those services. Each of the six sections is outcome focussed, which gives service providers flexibility in how they demonstrate they are achieving the requirements within the context of their service.

Each sections’ outcome statements have been updated to reflect the partnership between service providers and the people and whānau who use their services - and the service provider’s additional responsibilities under Te Tiriti to be responsive to the needs of Māori. To read more about how these were developed, see People statements.

Mapping analysis: Comparing the current standards to the 2021 Standard

HealthCERT completed an official mapping analysis of the Health and Disability Services Standards NZS 8134:2008, the Fertility Services Standard NZS 8181:2007, the Home and Community Support Sector Standards NZS 8158:2021, and the Interim Standards for Abortion Services in New Zealand to the updated Standard NZS 8134:2021. A high-level version of the mapping analysis is provided below. This high-level summary of the mapping analysis shows what percentage of the 2021 standard’s material is new and what percentage is similar or the same. The detailed mapping analysis demonstrates what key areas of the standard have changed and make it easier for providers to determine what they need to focus on as they prepare to implement the 2021 standard. HealthCERT’s training and support will be framed around the unmapped criteria.

The detailed mapping analysis can be viewed at Standards Mapping Analysis.

The mapping analysis is categorized into three elements:

  • Mapped: criteria are explicit or intended in the previous standards
  • Partially mapped: criteria are not explicit in the previous standards and/or have a new component added in the 2021 standard criteria)
  • Unmapped: criteria do not map to previous standards

Mapping the Health and Disability Services Standards NZS 8134:2008 to the 2021 standard indicates that:

  • 72% (148 of 204 criteria) directly map
  • 10% (20 of 204) partially map
  • 18% (36 of 204) do not map

The following table summarises the mapping analysis from the Health and Disability Services Standards NZS 8134:2008, the Fertility Services Standard NZS 8181:2007, the Home and Community Support Sector Standards NZS 8158:2021, and the Interim Standards for Abortion Services in New Zealand to the updated Standard NZS 8134:2021. It is categorized by service type.

Summary of mapping analysis
  Total not applicable criteria in 2021 standard (out of 221) Total applicable criteria in 2021 standard (out of 221) Total mapped criteria (%) Total partially mapped criteria (%) Total not mapped (%)
Aged residential care services 42 179 132 (74%) 20 (11%) 27 (15%)
Assisted reproductive technology services 49 172 93 (54%) 0 79 (46%)
Home and community support services 75 146 88 (60%) 0 58 (40%)
Residential disability services 34 187 137 (73%) 18 (10%) 32 (17%)
Residential mental health and addiction services 36 185 134 (72%) 19 (10%) 32 (17%)
Public and private overnight hospital inpatient services 22 199 144 (72%) 22 (11%) 33 (17%)
Birthing unit services 58 163 119 (73%) 20 (12%) 24 (15%)
Hospice services 39 182 132 (73%) 22 (12%) 28 (15%)
Abortion services 64 157 60 (38%) 0 97 (62%)
Mapping from NZS 8134: 2008 to NZS8134:2021 17 204 148 (72%) 20 (10%) 36 (18%)

Certification transition planning

HealthCERT is now working on developing the certification transition plan to support providers transitioning from the Health and Disability Services Standards NZS 8134:2008, the Fertility Services Standard NZS 8181:2007, the Home and Community Support Sector Standards NZS 8158:2021, and the Interim Standards for Abortion Services in New Zealand to the Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.

HealthCERT is adopting a transparent, non-punitive approach to implementing the 2021 standard. This will include an update to the Designated Auditing Agency Handbook and adopting a staged approach for unmapped and partially mapped criteria, where there are not immediate risks of harm to people and whānau using services. This website will be updated with the certification transition plan once developed.

 

A transition model for Ngā paerewa surveillance audits has been developed with Inclusion of all new Te Tiriti criteria to support providers implementation of cultural safety services, particularly for Māori. The surveillance audit criteria is to be used for a transition period of 18 months to 2 years from 28 February 2022.  The transition surveillance audit criteria is outlined in the following document.

In this section

  • HealthCERT is providing a variety of online seminars, education sessions, and printable resources to ensure health and disability service providers, health professionals, designated auditing agencies, and the people and whānau who use these services are well supported in preparation for the Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021) to come into effect. Read more
  • This guidance supports providers to meet the updated Ngā Paerewa Health and Disability Services Standard NZS 8134:2021. Read more
  • Te Apārangi: Māori Partnership Alliance was established to work in partnership with HealthCERT as part of the Standards review. Te Apārangi’s terms of reference has been extended to provide advice and guide the implementation of the 2021 Standard.  Read more
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