(AGENPARL) – WELLINGTON (NEW ZEALAND) gio 30 giugno 2022

·       New nationwide public health system

·       20 district health boards disestablished and deficits wiped

·       82,000 health employees directly employed by Health New Zealand

·       $24 billion health budget this year – up 43% since Labour took office in 2017 – in addition to separate funding for the new Ministry for Disabled People

The Government has today delivered a nationwide health system that will ensure better outcomes for all New Zealanders with the establishment of Te Whatu Ora – Health New Zealand, and Te Aka Whai Ora – the M?ori Health Authority.

“Our health system had become complex and fragmented. 20 different district health boards meant the healthcare you got depended on where you lived. It was a postcode lottery and a true nationwide health service will change that,” Health Minister Andrew Little said.

“Ultimately this is about improving access to healthcare on the basis of need for all New Zealanders, no matter who they are, their ethnicity or gender, or whether they’re urban or rural.

“The launch of the new health system is the start of Pae Ora (healthy futures) and means we will have fewer people getting so sick they need to go to hospital. We will be able to better support our health workforce and take advantage of new technologies.

“Today is just the start. The next step is to develop the healthcare plan that will guide and determine service delivery across the country and the health charter for our health workforce.

“We’re leading the change needed so kiwis have a health system we can be proud of today, and for generations to come,” Andrew Little said.

“Today is another step in a remarkable journey towards a better future for M?ori Health. I am proud of the work we have done as a government to establishment the M?ori Health Authority, but today would not have been possible without the many M?ori leaders who have navigated this waka for decades,” Associate Health Minister (M?ori) Peeni Henare said.

“It is now time for the M?ori Health Authority to guide our waka, and to carve a new future direction for all M?ori. M?ori will work in partnership with Health NZ to deliver a future where we are healthier, live longer and have access to services that meet our needs,” Peeni Henare said.

Under the new health system the permanent entities and their boards replace the fragmented 20-DHB system, the new public health agency is formally established within the Ministry of Health, and the Ministry’s stewardship role is strengthened.

Since the health system overhaul announcement April 2021 milestones include:

·       Budget 2022 creating new multi-year budgets and record ongoing annual funding boosts,

·       the Pae Ora (Healthy Futures) Act being passed

·       Launching locality pilots,  

·       early commissioning work by the interim M?ori Health Authority,

·       the announcement of multi-disciplinary taskforces to address urgent national issues, including planned care.

The names of the organisations Te Whatu Ora – Health New Zealand and Te Aka Whai Ora – the M?ori Health Authority – reflect the M?ori Crown partnership and intent to deliver for all New Zealanders, including M?ori, with the focus on a health system grounded in Te Tiriti o Waitangi.

“Following this morning’s ceremony in Waitangi we can now formally use these names. I have every confidence the entities will work to uphold the mana carried not only in these names but in their purpose to deliver pae ora across Aotearoa,” Peeni Henare said.

Te Aka Whai Ora – the M?ori Health Authority is an equal partner at the heart of the new health system. It is able to co-commission and plan services across the system with Te Whatu Ora – Health New Zealand as well as commission its own kaupapa M?ori services. Iwi M?ori Partnership Boards will ensure wh?nau have a real voice in developing of services can be tailored to better reflect those who need and use them.

ENDS

Editor’s notes:

Te Whatu Ora is ‘the weaving of wellness’, although there are other conceptual meanings to the name, with references to the vision required of the new health system, and the ability to look clearly at our past and see clearly into our future. 

Aka Whai Ora has a strong wairua (spiritual) foundation in the p?r?kau (ancient legend) of T?whaki’s search for ancestral knowledge, with ‘whai ora’ being the pursuit of health and wellbeing. In this regard, Te Aka Whai Ora is a nod to the ancestral world and the firm vision of a healthy future for all.  

Board Members:

Te Whatu Ora  – Health New Zealand Board: Rob Campbell (Chair), Dame Karen Poutasi, Hon Amy Adams, Vanessa Stoddart, Dr Curtis Walker, Tipa Mahuta (as M?ori Health Authority Chair). Two members are yet to be appointed.

Te Aka Whai Ora – M?ori Health Authority: Tipa Mahuta (Chair), Sharon Shea, Prof Sue Crengle, Fiona Pimm, Dr Mataroria Lyndon, Awerangi Tamihere. Two members are yet to be appointed. 

The interim Hauora M?ori Advisory Committee provided the Government with advice on the future requirements for the board of the M?ori Health Authority, its membership, and its chair-person arrangements, based on the M?ori Health Authority’s role in the future system, the functions it will discharge and the relationships and accountability arrangements it will have. This advice was accepted by the Government in full.

Timeline:

·       This Government commissioned the landmark 2018 Health and Disability System Review. It found we had 20 disconnected health systems that didn’t put patients at the heart of healthcare

·       April 2021 health reforms announcement

·       The establishment of locality pilots

·       The enactment of the Pae Ora (Healthy Futures) Act

·       Budget 2022 investment (Min Little post budget Speech)

o   Landmark reform: new multi-year budgets for better planning and more consistent health services

o   Record ongoing annual funding boost for Health NZ to meet cost pressures and start with a clean slate as it replaces fragmented DHB system ($1.8 billion year one, as well as additional $1.3 billion in year two)

·       The standing-up of multi-disciplinary taskforces addressing urgent national issues, including planned care (Min Little: Speech), immunisation and workforce

·       The Interim Government Policy Statement has been released today.

He w? hou m? te hauoranga ki roto o Aotearoa

• He p?naha hauora t?matanui hou
• E 20 ng? poari hauora ?-rohe kua turakina, ko ng? ngoikoretanga kua whakakorea
• E 82,000 ng? kaimahi hauora kua whiwhi mahi m? Te Whatu Ora
• He $24-piriona te tahua putea Hauora 2022 – he kakenga putea he 43-?rau te nui ake i te tau 2017, tera i whakat? ko Reipa te Kawanatanga. I whakawatea hoki he putea motuhake mo te Manat? Tangata Whaikaha.

N? te r? nei whakarewangia ai te p?naha hauora ?-motu e pai ake ai ng? putanga hua m? ng?i Aotearoa m? roto i te whakap?mautanga mai o Te Whatu Ora me Te Aka Whai Ora (i mua ko Hauora Aotearoa, ko Te Mana Hauora M?ori).

“I tino uaua, i noho wehewehe t? t?tou p?naha hauora. Ko ng? tautiakitanga i whakawhiwhia ki a koe N? ng? poari hauora ?-rohe rerek? e 20 i tau ai ng? tautiakitanga i runga i te w?hi e noho n? koe. He whakawhiwhinga ?-rohe, ?, t?turu m? te ratonga hauora ?-motu nei ka rerek? ai,” te k?rero a te Minita m? ng? Take Hauora, a Andrew Little.

“I te otinga atu, ko te tino kaupapa he whakapai ake i ng? torotoronga ki ng? tautiakitanga hauora i runga i ng? hiahia a ng?i Aotearoa katoa, ahakoa ko wai, ahakoa n? t?hea iwi, ahakoa te ira, m?n? r?nei e noho taone ana, e noho tuawhenua ana hoki.”

“Ko te whakam?nutanga o te p?naha hauora te t?matanga o Pae Ora, ?, t?na tikanga ka heke te tokomaha o te hunga m?uiui ki ng? hohipera. Ka pai ake te tuku tautoko ki ng? kaimahi hauora, me te whakam?tau hoki i ng? hangarau hou.”

“He t?matanga noa t?nei r?. Ko te mahi e whai nei ko te waihanga i te mahere tautiaki hei ?rahi, hei whakatau hoki i ng? tutukitanga ratonga puta noa i te motu, tae noa ki te t?tohinga hauora m? ng? kaimahi hauora.”

“Ko m?tou kei te arataki i ng? hurihuringa e whakah? ai a Aotearoa i t?nei p?naha hauora, ?, m? ng? whakareanga e whai mai ana,” te k?rero a Andrew Little.

“He h?koitanga whakahirahira t?nei r? m? te anamata o te hauora o ng?i M?ori. E tino whakah? ana au i ng? mahi kua tutuki i a m?tou ki te whakap?mau i Te Aka Whai Ora, heoi, e kore t?nei r? e ?rikarika i te korenga o ng? kaihaut? M?ori katoa n? r?tou t?nei waka i urungi i roto i ng? tau maha,” te k?rero a te Minita Tuarua m? ng? Take Hauora (M?ori), a Peeni Henare.

“Kua tae te w? kia aratakina t?nei waka e Te Aka Whai Ora, me te whakairo ake hoki i t?tahi ahunga roa hou m? ng?i M?ori. Ka mahi k?tui atu a ng?i M?ori me Te Whatu Ora ki te whakatutuki i te anamata whai hauora, in? r?, e ora rawa ai, ?, e whai w?hi ai hoki ki ng? ratonga e tutuki ai ? t?tou hiahia,” te k?rero a Peeni Henare.

I raro i te p?naha hauora hou, m? ng? hinonga t?turu nei me ng? poari e whakakapi i te p?naha poari hauora ?-rohe noho t?wehe; ka ?kawatia te whakap?mautanga o te tari hauora t?matanui hou i roto i te Manat? Hauora, ?, m? konei kaha ake ai ng? mahi kaitiakitanga a te Manat?.

Mai i te p?nuitanga o te whakahoutanga o te p?naha hauora i te marama o Aperira, 2021, e whai ake nei ko ng? tutukitanga:

• N? te Tahua 2022 i hangaia mai ai ng? tahua tau maha, me te t?tinatanga o ng? tahua p?tea ?-tau
• Te whakamanatanga o Te Pire Pae Ora
• Te whakarewatanga o ng? paerata ?-rohe  
• Ng? kawenga mahi o mua, he mea k?kiri n? Te Aka Whai Ora n? mua
• Te p?nuitanga o ng? ohumahi p?kenga-rau hei whakat?taki i ng? take ?-motu, tae noa ki ng? taunakitanga kua maheretia.

Ka whakaata ng? ingoa o ng? w?hi mahi – Te Whatu Ora me Te Aka Whai Ora – i te k?tuitanga a ng?i M?ori me te Karauna, me ?na hiahia m? ng?i Aotearoa katoa, tae noa ki a ng?i M?ori, i runga i te aro ki t?nei p?naha hauora e noho p?mau ana ki Te Tiriti o Waitangi.

“Whai muri mai i ng? mahi whakanui ki Waitangi i t?nei ata, ka ?kawatia te whakamahinga o ?nei ingoa. E whakapono nui ana au ka whai mana ng? ingoa nei e ?nei hinonga, ka manawanui hoki ki te tino iho kia tutuki pai ai a pae ora puta noa i Aotearoa,” te k?rero a Peeni Henare.

He k?tuinga toharite a Te Aka Whai Ora kei te iho tonu o te p?naha hauora hou. Ka ?hei te whakarite i ng? kawenga mahi me ng? maheretanga ratonga puta noa i te p?naha i te taha o Te Whatu Ora, me te whakarite hoki i ?na ake ratonga M?ori. M? ng? Poari K?tuitanga ?-Iwi ka whai reo ai ng? wh?nau ki te waihanga ratonga e h?ngai p? ana ki ? r?tou ake hiahia, tae noa ki te whakatutukitanga hoki.

KUA MUTU

Ng? pitopito k?rero ki te Etita:

Ko te whatunga o te oranga a Te Whatu Ora, ?, ahakoa he maha ng? whakam?oritanga m? t?nei ingoa, in? hoki, ko ng? k?rero h?ngai ake ki te whakakitenga nui e tika ana m? te p?naha hauora hou, me te m?rama hoki o te titiro whakamuri kia m?rama ai te titiro whakamua.

He wairua kaha t? Te Aka Whai Ora i t?na h?ngai ki te p?r?kau m? T?whaki, i t?na rapu i te m?tauranga. Ko te ‘whai ora’, ko te rapunga o te oranga me te hauora hoki. N? konei ka whakanui Te Aka Whai Ora i te ao o ng? t?puna, me te p?mau hoki ki te whakakitenga kia hauoranga ai hei ng? r? ki tua.

Ng? Mema Poari:

Te Whatu Ora  – Health New Zealand Board: Rob Campbell (Toihau), Kahurangi Karen Poutasi, H?nore Amy Adams, Vanessa Stoddart, Dr Curtis Walker, Tipa Mahuta (e noho ana hei Toihau m? Te Aka Whai Ora). Tokorua ng? mema k?ore an? kia kopoua.

Te Aka Whai Ora – M?ori Health Authority: Tipa Mahuta (Toihau), Sharon Shea, Ahorangi Sue Crengle, Fiona Pimm, T?kuta Mataroria Lyndon, Awerangi Tamihere. Tokorua ng? mema k?ore an? kia kopoua.

N? te Komiti Whiriwhiri Hauora M?ori m? t?nei w? i tohutohu ki te k?wanatanga m? ng? hiahia a te poari m? Te Aka Whai Ora hei ? muri ake nei, ng? mema me ng? whakaritenga a te toihau, i runga i ng? mahi a Te Aka Whai Ora ki t?nei p?naha; ng? kawenga mahi ka wh?ia, ng? t?honotanga me ?na whakaritenga takohanga. I whakaaetia katoatia ?nei tohutohu e te k?wanatanga.

Angaw?:  

• Ng? whakahoutanga Landmark: ng? tahua tau maha hou kia pai ake ng? mahi mahere m? ng? ratonga hauora
• Ng? tauhua whakapiki p?tea o runga rawa kia kauparetia e Te Whatu Ora ng? t?mitanga utu, m?na e whakakapi nei i te p?naha poari hauora ?-rohe noho t?wehe ($1.8 piriona m? te tau tuatahi, ?, $1.3 piriona hei ?pititanga i te tau tuarua)

• Te t?nga o ng? ohumahi p?kenga-rau hei whakat?taki i ng? take ?-motu, ar?, ko ng? taunakitanga ka whakamaheretia (Minita Little: Kauhau), ?rainga mate, ahumahi hoki.
• N? t?nei r? hoki whakarewangia ai te P?rongo Kaupapahere Taupua a te K?wanatanga, ? kua t?pirihia atu ki t?nei p?nui.

Fonte/Source: https://www.beehive.govt.nz/release/new-era-better-health-aotearoa-new-zealand