Over the last two years, the Ministry of Health has developed the evidence-based Commissioning for Pae Ora framework, which is grounded in Te Tiriti o Waitangi. It is a key deliverable under Whakamaua: Māori Health Action Plan 2020–2025 and a response to:
- the Wai 2575 Health Services and Outcomes Kaupapa Inquiry
- Te Puni Kōkiri-led Te Piringa research on primary and community care
- the Health and Disability System Review recommendations
- insights from Whatua and Hui Whakaoranga.
Commissioning for Pae Ora seeks to bring the whānau ora vision into the health system, and builds on the insights from Enabling Good Lives, the nearest expression of whānau ora in the mainstream health system. It has drawn ideas from diverse literature on areas ranging from commissioning to innovation and human learning systems.
Commissioning for Pae Ora provides a strong evidence-base to build from, as well as backing up new ways of working, and benefits that come from a whānau-centred approach to commissioning. It complements other commissioning frameworks being used across the social sector.
The ideas in Commissioning for Pae Ora Healthy Futures have been tested and refined in workshops with social sector agencies, district health board commissioners, Māori and other providers, and mana whenua, with a focus on what is needed to enable effective commissioning and system change.
Work has also included developing a series of case studies to gain a deeper understanding of different parts of the commissioning process and its impact on outcomes. This document references these case studies where relevant. These case studies are available to read in the download section on the right.
The Ministry would like to acknowledge all those who have contributed to this work, both for their input and for their commitment to turning conventional commissioning on its head so it starts with ‘what matters to whānau’.