Ethnic communities in Te Pae Tata

What it is

All New Zealanders have the opportunity to achieve good health and wellbeing outcomes regardless of who they are or where they live.

Where it is

Health equity matters for everyone: Building our foundations, pp 15-16

What it says in Te Pae Tata

We aspire to service delivery that gives all New Zealanders the opportunity to achieve good health and wellbeing outcomes, regardless of who they are or where they live. Achieving equity treats people differently, acknowledging their different needs.

For too long and despite decades of effort to address inequities, our health system has continued to underserve a number of groups in Aotearoa, including ... ethnic communities.

Page 16

Where you live can have a direct impact on whether you can reasonably access a health service that can help you. We also know that the type of service available and how it works can also exclude some people.

This can be because you need to have a good understanding of the health system to access and complete treatment, or there may be financial, distance, cultural or digital barriers to that care working for you.

Page 16

We will develop ... services that reflect the needs of these communities to ensure they can access care in our communities.

We will also ensure that … refugee and migrant communities, and all our communities, have access to services that work for them.

Where it is

Page 20

What it says in Te Pae Tata

A population health approach:

• Recognises that our health and wellbeing is influenced by many factors outside the reach of the health system such as housing quality, employment and income and the environment
• Includes collaboration with communities to work together to plan design and deliver health services.

What it is

Simpler for all communities to engage with decision makers, both regionally and nationally.  

Where it is 

Valuing the voices of consumers and whānau: Section 1.1, page 24

What it says in Te Pae Tata

There will be simpler ways for all our communities, ... to engage with decision makers at national and regional levels.

Implement people and whānau-centred service design with inclusive framework to deliver benefits and improve equity of outcomes.

Support other agencies including the Health Quality and Safety Commission to easily and more consistently engage with diverse communities.

Ensure the voice of consumers and whānau are heard. Measure consumer and whānau experience using approaches that support the diversity of their voices, establishing a core dataset to make consumer voices accessible across entities.

Actions

• Build a platform with the Ministry for Ethnic Communities to include diverse ethnic voices in the design, delivery and performance of the health system.

What it is

Supporting a community-led approach for improved wellbeing through localities.

Where it is

Pae Ora | better health in our communities: Section 2.1, pp 33-35

What it says in Te Pae Tata

The National Public Health Service and Service Commissioning will work with locality provider networks and communities to support a whānau and community-led approach for improved wellbeing.

Our COVID-19 response demonstrated that communities have the strength and capability to improve health and intervene early to prevent illness. Over the next two years, we will build on these achievements.

For success, models of service delivery will vary around Aotearoa, responding to the needs, strengths and aspirations of local communities and localities.

Actions

• Implement healthy public policies locally and regionally, to reduce harm from alcohol and other drugs, tobacco, unhealthy foods and obesogenic environments for all communities, with a focus on groups with inequitable outcomes.

Where it is

Māuiuitanga taumaha | People living with chronic health conditions: Section 2.4, page 40-41

What it says in Te Pae Tata

One in four New Zealanders lives with multiple chronic health conditions that are often experienced by several generations in the same whānau, such as diabetes, heart disease and stroke.

Cardiovascular diseases and high blood-pressure affect more than one in five adults and one in two people aged over 40. For half of Māori, Pacific and South Asian people, death from heart disease is premature, occurs earlier than 75 years, and is avoidable.

Actions:

• Implement accessible and nationally consistent clinical pathways for diabetes, cardiovascular diseases, respiratory conditions, stroke and gout, supporting specialist teams to integrate with primary and community care providers to create seamless pathways for whānau.

What it is

Ensure nationally consistent access to mental health and addiction services.

Where it is

Oranga Hinengaro | People living with mental distress, illness and addictions: Section 2.5, pp 42-44

What it says in Te Pae Tata

Implement a National Mental Health System and Service Framework inclusive of Te Ao Māori solutions, with nationally consistent targets.

Actions:

• Implement a nationally consistent approach to the integration of specialist community mental health and addiction teams with NGOs, primary and community care.
• Develop solutions with communities ... to support people who are in mental distress or experiencing an acute mental health and addiction episode to access timely care and support.

What it is

Supporting a community-led approach for improved wellbeing through localities.

Where it is

Transition to transformation: Section 3.1, pp 48-50

What it says in Te Pae Tata

Actions:

• Implement the localities model across Aotearoa with locality partnership groups and provider networks to ensure all New Zealanders are part of a locality – Budget 22
• Establish a Localities Learning Collaborative to facilitate learning, including understanding whānau and community experiences.