Prime Willow-Jean; Salesa JennyWILLOW-JEAN PRIME (Labour—Northland): E te Māngai o te Whare talofa lava. Shanan Halbert: Talofa.WILLOW-JEAN PRIME: Talofa. Tuatahi māku ka tīmata taku kōrero ki te mihi atu ki a rātou kua mate i tēnei mate pukupuku momo mate pukupuku kua pāngia hoki i tēnei mate pukupuku. Tuatahi ki a Talei Morrison. Ko ia tētahi o ngā wahine toa e hāere puta noa i te motu ki te kōrero ki ngā kapa ki ngā whānau ki ngā wāhine ki ngā hapori katoa e pā ana ki tēnei mate pukupuku. Me te whakahau ki ngā tāngata kia hāere ki te rapa ki te Smear i ō Mea. Tuarua e tuku mihi ana au ki tōku hoa mahi arā te Hōnore Kiritapu Allan. Kua pāngia e tēnei mate. Engari kei roto ia i te hohipera. Ko tēnei te wiki tuaiwa o te whiwhi rongoā mō tēnei nō reira e mihi ana ki tōku hoa ki te Whare i tēnei pō. Ka huri au ki tēnei pire. [Firstly I would like to begin my speech by acknowledging those who have died of this particular cancer and those who have been afflicted with this cancer. Secondly I acknowledge Talei Morrison. She was one of the warrior women that travelled the country to talk with kapa haka with families with women and with communities about this type of cancer. She encouraged people to Smear Your Mea". Secondly I would like to acknowledge my colleague the Hon Kiritapu Allan who has been afflicted with this disease. She is in the hospital. This is her ninth week receiving treatment so I would like to acknowledge my friend and the House this evening. I turn to the bill.] Every year about 160 women develop cervical cancer and about 50 die from it. This is a tragedy because in almost all cases it is preventable or it can be treated if it is found early. That is one of the real issues that we have and that this bill is trying to address by introducing new systems and processes that may make this screening more accessible to more women so that it can be identified early and hopefully treated and therefore the deaths are preventable. In my short mihi in beginning this contribution tonight I acknowledged wahine toa Talei Morrison who unfortunately was taken by this disease but in her journey she shared with so many people the message about how important it is to Smear Your Mea and really encouraged kapa haka groups across the motu communities across the motu wāhine and whānau to take up that challenge to make sure that we look after te whare tangata and that we smear our mea. I also acknowledged—of course known to everybody here in the House tonight—the Hon Kiritapu Allan who is currently undergoing treatment and today she reported being in week nine of that treatment and giving us all a message of hope and saying kia kaha and aroha to everybody.So it is really important therefore that this bill goes through the House and passes because it will enable a more modernised system which should make the opportunity for screening more readily available to people and hopefully more user-friendly. But it does require legislative change in order to achieve that. I thank the member from the ACT Party Brooke van Velden for her contribution just prior to me speaking. One of the issues for anybody listening tonight is that the current legislation requires the transfer of information to happen by facsimile and I was just thinking then "When was the last time I ever used a fax?" Now I think my doctor says "I'll fax that across to the pharmacy and then you can go and pick it up and you'll get a text message to tell you that it's there." I'm not sure that they are still faxing that information but anyway that's what they say. But when I thought about it the last time I received a fax was when I was 16 years old and I was in Australia on a basketball tour and my parents sent me a fax to Australia—I'm 38 years old now and I haven't received a fax since then. I think that we all agree in the House that the fax is something that is quite outdated. We need to modernise the technology that we can use so that we can be more responsive; we can do it in a much quicker manner.This Government in the latest 2021 wellbeing Budget committed $53 million to improve our cervical- and breast-screening programmes. As part of that funding there is an allocation there to upgrade our IT system and also to introduce the HPV testing. The legislation includes the HPV test which is important because we are going to be funding that and phasing that in and phasing the other one out by 2023 and also funding for a new IT system. So it is important that this legislation is actually in place so that that funding that has been allocated will be effective.I wasn't on the Health Committee but I did read their select committee report and I did want to talk particularly to the issues raised around the kaitiaki regulations. I want to acknowledge Minister Dr Ayesha Verrall who approached us as the Māori caucus to talk about the challenge that she had in terms of the advice that she was given about potentially how unworkable the current proposed clause 6A would be in the legislation and how we could work through and get a balance of what the concerns were that were raised by the kaitiaki group and submitters who were submitting on that as well as those of all of us who I am sure are very keen to see more Māori women who unfortunately are overrepresented in the statistics get access to cervical screening. I thank the Minister for coming to us and talking about quite a sensitive issue and how we get the balance right. I read the select committee's report and heard what their concerns are. I have also read the Supplementary Order Paper (SOP) and listened to the Minister's contribution and am thankful for the process that she followed with us in terms of it. I'm satisfied that the new clause 6A will retain the Health Committee's clear intent that the screening programme—employees must gain kaitiaki's approval to use screening programme information where that is captured by legislation but only when the information is intended for application. As she mentioned that would include information that is used for annual reports monitoring reports cancer case reviews Parliamentary Review Committee reports any public-facing component of a new electronic application any publication of information captured by the legislation and external requests for information captured by the legislation. However the new clause 6A would also ensure that the kaitiaki group's approval wouldn't be required for the programme's internal processes that are not intended to result in publication. The real practical effect of that is that as it was they would potentially have to go and seek approval every single time they were wanting to use that information which would make it clunky and slow the process down. I don't think that was what was actually intended by those kaitiaki regulations. If we look at why the kaitiaki regulations exist as Dr Kerekere mentioned in her earlier contribution they "must have regard to the … sanctity of Te Whare Tangata; the need for culturally appropriate protection for the taonga of the information covered by the regulations; [and] the need to ensure that the information is used for the benefit of Māori women." So I believe that the SOP proposed by the Minister gets that balance right. It allows those using the information on the day-to-day practical side of arranging and referring for screening to be able to do that without having to go and seek permission. However if any of the information were to be used for any publication and specifically those that the Minister mentioned then the kaitiaki group does still have its role there and that is carried over not only into this legislation but to the legislation that empowers those particular regulations.I have almost run out of time. I just want to thank the Health Committee for the work that they did on this. I heard Dr Shane Reti's contribution earlier. So for those members who were on that committee thank you very much for the process that you went through for your consideration of that balancing that was required for the kaitiaki regulations the protection of sensitive information te whare tangata. I am pleased that there is cross-party support tonight for this very important bill and for the programme to be as effective as it can be for our wāhine Māori and those with a whare tangata. Nō reira tēnā tātou katoa.ASSISTANT SPEAKER (Hon Jenny Salesa): Kia ora. I call Erica Stanford. This is a split call."