Uffindell Sam; Leary Ingrid; Reti ShaneSAM UFFINDELL (National—Tauranga): Thank you Mr Chair. I had a couple of questions for the Minister and one was around the growing waitlist for first specialist assessments and how can he explain that. And secondly around immunisation rates is the Minister happy with the immunisation rates over the past financial year or does he think there is room for improvement?INGRID LEARY (Labour—Taieri): When we were in the select committee there was a great deal of interest in the mental health space around procurement and ensuring good clinical standards open and transparent procurement processes because we do know that there is a significant mental health challenge out there. There needs to be a response but we need to make sure that the response is safe and that there is transparency around how money is allocated.I did ask some questions of Te Whatu Ora about the Gumboot Friday contracts and I was directed to the Ministry of Health. They couldn't really shed any light on that contract. So my questions to the Minister really are what procurement process took place? What are the clinical standards assurances of the Gumboot Friday programme? What monitoring and evaluation system is in place? And how can we know that there has been a competitive open and transparent procurement of Gumboot Friday so that other providers in the market feel assured but also so that we can be sure of the clinical standards that are applied and that the people that are accessing these services do so in a safe way are triaged appropriately and are getting an adequate response to their mental health needs?Hon Dr SHANE RETI (Minister of Health): Thank you Mr Chair. To address that question I will anticipate clustering a few of the themes and then I'll pass them all in one to the appropriate delegated Associate Minister. Who to address that question will look as to whether the period is in scope what the Gumboot Friday initiative was how that sat if at all in that period of scope and then will answer your procurement and monitoring questions. I just want to say I won't specifically answer them but I will pass them to my associate in due course.I wanted to come back to Te Aka Whai Ora around the question she was asking around patient voice particularly Māori voice in the system and make a couple of comments. The Te Aka Whai Ora transfer retains the functions to inform Māori priorities and voice. Iwi-Māori Partnership Boards (IMPBs) are evolving to provide whānau voice. The Māori workforce Te Rau Ora 726 have been supported by health workforce scholarships and placements and there's a number of other placements into midwifery nursing and allied health.In the very general sense what I would say to the member to provide some context I think to the question she's asking is to look at how the recommendations from the inquiry into Te Aka Whai Ora how they've been addressed because I think that answers some of the questions. And that was the Hauora Māori Advisory Committee inquiry—the investigation they launched and there were 31 recommendations that come from this. I think it would be onerous for me to go over it in detail. Happy to provide that to the member. But in this report it does talk about how there are a number of things that are being completed that was raised in the report around the processes that the Māori Health Authority was implementing. A number of them have been completed with the response and recommendation. Issues such as co-design; tripartite agreements; clear roadmaps; bringing together engaging and supporting IMPBs across the motu; building resource and capability which talks to my colleague over here; engaging with Audit New Zealand; developing a comprehensive and robust year two implementation plan; early development and approval of clear commissioning; formal governance review—there's 31 steps in here which are a wider context to what the Māori Health Authority was addressing in this review period subsequent to that inquiry. And I think a number of the answers to this which I believe is publicly available will answer some of the substantive questions the member was posing. But happy to dive into more detail if she has more questions.