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About primary and community health care
Primary and community health care is the entry point to the health system for most New Zealanders.
It plays a key role in delivering timely access to quality health care because it protects, promotes and improves people’s health.
The primary and community health care sector has been under pressure. New Zealand has a growing and ageing population, and people’s health needs are becoming more complex. Primary and community health care also faces workforce shortages, which are particularly significant in rural and provincial areas.
This means New Zealanders cannot always get the health care they need to stay well in their communities.
Communities and the health sector have shown widespread support for making changes to improve primary and community health care. This was highlighted through engagement for the Pae Ora (Healthy Futures) Strategies in 2023, which showed how important primary and community health care is for New Zealanders.
Working with Health New Zealand and other agencies, the Ministry of Health is leading a policy work programme to look at what is needed to achieve comprehensive and accessible care that will better prevent ill health and support the wellbeing of people in New Zealand.
Challenges faced by the sector
Previous engagement with the primary and community care workforce has identified a range of challenges:
- Workforce shortages are causing pressure across a broad range of health professions, with many health workers reporting they feel burnt out.
- Primary health care providers like GPs are doing more work, and it is more complex. Many practices have had to close their books to new patients.
- Current funding models do not work well for primary health care providers or their patients.
- Fragmented health care means there are not always good connections between different types of primary and community health care services.
- Primary and community health care providers do not always have the tools they need, including infrastructure and technology.
Challenges faced by New Zealanders
Most New Zealanders access the health system through local primary and community health care services.
For many people, the current health care system is working effectively. However, some groups, including Māori, Pacific peoples, women, disabled people, areas with higher socioeconomic deprivation, rural populations, and refugee, migrant and rainbow communities, have faced more challenges in accessing primary and community health care.
Some of the challenges people have faced include:
- cost, including patient co-payments and service charges
- lack of availability of services, including difficulties getting appointments or being able to enrol with a GP. Some GPs have closed their services to new patients
- difficulty accessing services, including after hours services, particularly for rural communities
- a focus on treating issues rather than prevention
- cultural safety: under-representation of Māori, Pacific peoples, and disabled people in the workforce, and inconsistent cultural and disability competency.
Setting the direction for primary and community health care
In 2024, the Ministry is providing advice to the Government on the changes needed to achieve comprehensive and accessible care to better prevent ill health and support the wellbeing of people in New Zealand. This policy work will include advice on the future operating model and funding models for primary and community health care.
We will be updating this page as we confirm next steps for the work programme.
Contact us
Email: [email protected]
