Te Tiriti as the founding document of Aotearoa is missing The whole person is missing from this direction The whanau is missing from the direction and from the document Life Course approach is needed so that all of the attention is not on older people with little flow of resources to young people and prevention. A set of principles is proposed to guide the New Zealand health system. These principles are listed on page 9 of I. Future Direction and page 31 of II. Roadmap of Actions. 3 Do you think that these are the right principles for the New Zealand health system? Will these be helpful to guide us to implement the Strategy? On reading the updated version of the strategy, we notice that the Tiriti principle has dropped from first to nearly last in the list of principles. This strongly signals a reduced priority that the Ministry of Health has for Te Tiriti and its special relationship with tangata whenua. In order to provide a more balanced document with adequate priority and meaningful engagement with Te Tiriti and tangata whenua we recommend: Return the principle for Te Tiriti to its position as the first principle of the Strategy as it was in its predecessor. Change the wording of the principle referring to Te Tiriti to: Acknowledge and action the special relationship between tangata whenua and the Crown under Te Tiriti o Waitangi Five strategic themes The Strategy proposes five strategic themes to focus action – people-powered, closer to home, value and high performance, one team and smart system (I. Future Direction, from page 10). 4 Do five themes provide the right focus for action? Do the sections ‘What great might look like in 10 years’ provide enough clarity and stretch to guide us? Add one more Strategic theme called Actioning Te Tiriti in the New Zealand Health Sector. Roadmap of Actions II. Roadmap of Actions has 20 areas for action over the next five years.
Understanding the responsibilities at the different levels in health and social services i.e, Ministries (across) – DHB (across) – PHO – Iwi/NGOs. This will in turn enable effective communication at all levels so that queries, information and discussion may occur in a timely fashion. This will clarify how providers can better achieve Health & Social outcomes. Smart systems Recommendation: Consolidation of data and information with the ability to better follow whānau. One Story / One whānau / a single file - Ministry databases that ‘talk to each other’ access to which is administered and monitored at a DHB level Transience remains an issue (refer to housing issues and gentrification of suburbs – as this is one of the biggest impacts on whānau transience) Consideration for the urgency of integrated contracting - this will enable transparent accountability of all Ministry objectives and allow providers to better tailor their services. Whānau Ora approaches will be further enabled. Multi-disciplinary approaches Information technology and systems need to be usable across devices - What collaboration is occurring between Ministries to improve internet connectivity and affordability Patient Portal – Success lies in the trust relationship between the GP and Patient. We have had success with Telehealth, Matakana Island. Initially, the initial uptake was very low for over a year and we are now at 50% uptake. We invested further resources into this project, both technological and human Value and Performance Recommendation: Consider the growing population of other ethnic groups and how this is impacting on Māori who are being ‘shifted’ to the outer and at times more rural suburbs. This will create a problem for the ‘Closer to Home’ and ‘One Team’ themes, as the demand for service will outweigh the capacity within communities. Nga mihi, [redacted] 414 Submitter name Alan Shirley Submitter organisation Individual submission was processed and analysed, but was incompatible with transfer into this format.