Davidson Marama; Tolley AnneMARAMA DAVIDSON (Co-Leader—Green): Thank you Madam Deputy Speaker. I rise to confirm that the Green Party supports the intentions that have been put forward in this member's bill but not the pathway that this piece of legislation is taking. So after the submissions have been made and the work of the Health Committee has been done we will not be supporting this member's bill.Again we absolutely support the intentions and indeed better social and health outcomes for all tamariki and all babies. We are very clear after hearing the ministry's intentions at the select committee hearings and after hearing the submissions that there is already work and planning in place that's going to ensure that we are working towards improving social and health outcomes.So there were a couple of issues that I wanted to pick up in this second reading given the submissions that have been made. However in addition to those intentions I will just quickly put on record for the Green Party that we acknowledge the signalling from the Ministry of Health about their intentions and why therefore we have confidence that we are working through a far more efficient and effective way to ensure that we get families babies and communities properly connected to healthcare. So I wanted to put on record that with the National Enrolment Service the Ministry of Health is moving from the current retrospective reporting of enrolments each quarter to using information from the National Enrolment Service.I acknowledge that the preliminary newborn enrolment with general practice is going to ensure that the ministry is asking primary health organisations (PHOs) to focus on getting general practices to action National Immunisation Register requests—that is to accept or decline them. I acknowledge that with the DHB accountability framework the ministry has advised us that it intends to introduce performance measures also as part of the DHB annual plan process in 2018-19. It is important that we note here tonight that those performance measures include that 55 percent of newborns will be enrolled with a general practice by six weeks of age and 85 percent of newborns will be enrolled with a general practice by three months of age.I acknowledged the many signals and steps in the first reading and when this bill appeared in the previous Government we signalled that we would support this to select committee. With the current Government we went through the select committee processes we went through the submissions we heard from the submitters and from the responsible ministry and we are satisfied that there is a better way of upholding the intentions that are evident in this bill.My contribution tonight is a short call but I did actually want to pick up on a couple of issues. There were some references made by some of the submitters in terms of the sanctions that might be involved if parents simply did not follow this law and enrol newborns with a practice—with working with lead practitioners. That led me to want to mention tonight with this bill that while I understand this bill is not supposed to pick up on a whole lot of other issues that are aligned with improving social and health outcomes for tamariki I think it's important that if we are talking about any sort of mandatory enrolment and data collection we cannot do that without acknowledging what that can also mean in terms of sanctions for those families who for so many different reasons may not enrol their children and we have to acknowledge the issues of why some families may not. A big glaring one—there should be absolutely no member in this House here tonight no representative of this House at all ever who should not be aware of the glaring cultural inequities that currently exist in our health system particularly for babies.So if we are going to talk about mandatory enrolments then we'd better be very clear about the incredible health inequities that need to be sorted out as well alongside mandatory enrolments. Pushing ahead immediately with a legislative and a sanction approach to enrolments cannot ignore the lack of culturally appropriate service that is currently a situation that we really have had to do some work on for a long long time or ignore asking why it is that some families will be finding it difficult to align and enrol with a PHO or with a healthcare provider. So you know I did want to focus on that in my contribution tonight as one of the things that the Greens are certainly wanting to keep in consideration when taking a legislative approach to collecting data—when taking a legislative approach to trying to address social issues in terms of enrolment and data collection without mention or acknowledgment of all of the other access barriers and challenges that sit alongside poor social and health outcomes. So that was the main point that I wanted to add to the many valid points that have been covered by our Government partners in the House tonight and that I wanted to have a particular voice alongside social and health issues that also need to be considered. We again—to sum up—do acknowledge the positive intentions of this legislation. We look forward to ensuring that the ministry is working through a far more efficient way of making sure that tamariki are getting the healthcare and whānau are getting the healthcare that is appropriate and effective. We will absolutely play our part in holding the ministry to account on those outcomes as well and look forward to an update from the ministry on how those intentions are rolling out. Thank you Madam Deputy Speaker.DEPUTY SPEAKER: The next call is a split call.