The Health Sector Relationship Agreement (HSRA) Steering Group is a tripartite forum consisting of representatives from district health boards (DHBs), the Council of Trade Unions (CTU) and affiliated unions and the Crown represented by senior Ministry of Health officials. 

In late 2016 the HSRA Steering Group made a decision to sponsor High Performance High Engagement (HPHE) as a priority for the HSRA work programme in 2017.