Te Aka Whai Ora

Te Aka Whai Ora
Māori Health Authority
Formation1 July 2022
Websitehttps://www.teakawhaiora.nz/

Te Aka Whai Ora (English: Māori Health Authority (MHA)) is an independent New Zealand government statutory entity tasked with managing Māori health policies, services, and outcomes.[1][2] The agency is one of four national bodies that oversee New Zealand's health system since 2022, along with the Ministry of Health, the Public Health Agency, and Te Whatu Ora. They replaced a system in which a single Ministry funded services through 20 district health boards (DHBs).[3]

Riana Manuel was appointed to be the first Chief Executive, which has been a permanent agency since 1 July 2022.[4]

Mandate and responsibilities

Te Aka Whai Ora (the Māori Health Authority) is a statutory entity responsible for ensuring that the New Zealand health system meets the needs of Māori. It will work in partnership with the Ministry of Health and Health New Zealand to achieve the following stated goals:

  1. leading change in the way the entire health system understands and responds to Māori health needs
  2. developing strategy and policy which will improve Māori health outcomes
  3. commissioning Māori customary services and other services targeting Māori communities
  4. co-commissioning other services alongside Health New Zealand
  5. monitoring the overall performance of the system to reduce Māori health inequities.[5]

The MHA will work alongside Health New Zealand to create and develop kaupapa Māori services and policies.[3] 

History

Policy announcement

On 21 April 2021, Minister of Health Andrew Little announced plans to create the Māori Health Authority, which would be responsible for setting Māori health policies and overseeing the provision of Māori health services. In addition, Little announced that the government would create two other public health bodies: Health New Zealand, to replace the country's district health boards, and the Public Health Authority, to centralise public health work.[6][7]

The proposed Māori Health Authority was criticised by the opposition National Party health spokesperson Shane Reti, who claimed that it would create a "two-tier system" based on race.[8] Similar sentiments were echoed by National Party leader Judith Collins, who likened it to racial segregation and called for public consultation on the matter. Her remarks were described by Māori Party co-leader Debbie Ngarewa-Packer as "desperate racist politicking." Ngarewa-Packer also urged Collins to read National's own 2020 election review which advocated making Māori a "priority area". In addition, Associate Health Minister Ayesha Verrall stated that the proposed Māori Health Authority could ensure Māori input in funding and improving Māori health outcomes.[9]

Formation

In mid September 2021, the government announced the interim board members of the Māori Health Authority. The organisation will be headed by co-chairs Sharon Shea (chair of the Bay of Plenty District Health Board) and Tipa Mahuta (Deputy Chair of the Counties Manukau District Health Board). Other board members consist of medical specialist and University of Otago Professor Dr Sue Crengle, Dr Mataroria Lyndon, Lady Tureiti Moxon, Fiona Pimm, Awerangi Tamihere, and Dr Chris Tooley (Chief Executive of Te Puna Ora o Mataatua).[10] [11][12]

On 15 March 2022, the New Zealand Government allocated NZ$22 million from the 2021 New Zealand budget to the commissioning of the interim Māori Health Authority.[13][14]

On 19 May 2022, the government allocated a record sum of $13.2 billion from the 2022 New Zealand budget to facilitate the establishment of both the MHA and Health NZ over the next four years; with $11.1 billion being allocated to cover cost pressures from the previous DHB system and $2.1 billion to setting up the two new public health entities. In addition, the government allocated $188 million for the Māori Health Authority to commission services and develop partnerships with iwi (Māori tribes).[15][16]

In October 2021, the government introduced the Pae Ora (Healthy Futures) Bill to formally entrench its proposed health reforms. These reforms included formally establishing the Māori Health Authority as a new Crown entity. The bill passed its third reading on 7 June 2022.[17]

On 1 July 2022, the MHA formally came into existence as a new entity.[18] The MHA's interim chief executive Riana Manuel stated that the new organisation would work alongside Health NZ. While it would have its own commissioning powers and work with Māori health providers, Manuel clarified that the MHA would also have oversight over the entire health system to ensure equity for Māori. Māori health practitioners Danny De Lore and Reweti Ropiha expressed hope that the new entity would improve Māori health outcomes and combat inequity within the health system.[19]

Notes and references

  1. ↑ "New Zealand's central government organisations". Public Service Commission. Archived from the original on 12 July 2022. Retrieved 12 July 2022.
  2. ↑ "Home/Kainga". Maori Health Authority. Retrieved 28 June 2022.
  3. 1 2 "The new health system". Department of the Prime Minister and Cabinet. Archived from the original on 6 October 2021. Retrieved 15 November 2021.
  4. ↑ "Chief executives of interim Health New Zealand and interim Māori Health Authority named". RNZ. Archived from the original on 20 December 2021. Retrieved 20 December 2021.
  5. ↑ "Māori Health Authority / Te Mana Hauora Māori". Future of Health. New Zealand Government. Archived from the original on 15 November 2021. Retrieved 15 November 2021.
  6. ↑ Manch, Thomas; Witton, Bridie (21 April 2021). "Government announces radical plan to centralise healthcare, will abolish DHBs". Stuff. Archived from the original on 20 April 2021. Retrieved 16 November 2021.
  7. ↑ Quinn, Rowan (21 April 2021). "Major health sector shake-up: DHBs scrapped and new Māori Health Authority announced". Radio New Zealand. Archived from the original on 21 April 2021. Retrieved 16 November 2021.
  8. ↑ Walls, Jason (21 April 2021). "'Reckless' health shake-up could create two-tier health system – says the National Party". The New Zealand Herald. Archived from the original on 28 April 2021. Retrieved 16 November 2021.
  9. ↑ Neilson, Michael (28 April 2021). "Judith Collins calls Māori Health Authority 'segregation' from last century". The New Zealand Herald. Archived from the original on 19 October 2021. Retrieved 16 November 2021.
  10. ↑ "Boards announced for interim Māori Health Authority and Health New Zealand". Department of the Prime Minister and Cabinet. 23 September 2021. Archived from the original on 31 October 2021. Retrieved 15 November 2021.
  11. ↑ "Government announces team leading new Health NZ and Māori Health Authority". Radio New Zealand. 23 September 2021. Archived from the original on 23 September 2021. Retrieved 25 September 2021.
  12. ↑ Witton, Bridie (23 September 2021). "Health New Zealand and Māori Health Authority board members announced". Stuff. Archived from the original on 23 September 2021. Retrieved 25 September 2021.
  13. ↑ "Māori Health Authority to begin funding services". Radio New Zealand. 15 March 2022. Archived from the original on 15 March 2022. Retrieved 27 March 2022.
  14. ↑ Neilson, Michael (15 March 2022). "Government announces how initial $22m funding for Māori Health Authority will be spent". The New Zealand Herald. Archived from the original on 25 March 2022. Retrieved 27 March 2022.
  15. ↑ Worthington, Samantha (19 May 2022). "$188m Māori Health Authority boost 'not enough' – experts". 1 News. TVNZ. Archived from the original on 19 May 2022. Retrieved 5 June 2022.
  16. ↑ Palmer, Russell (19 May 2022). "Budget 2022 at a glance: What you need to know". Radio New Zealand. Archived from the original on 19 May 2022. Retrieved 5 June 2022.
  17. ↑ "New Health System Act passes third reading in Parliament". 1 News. TVNZ. 8 June 2022. Archived from the original on 7 June 2022. Retrieved 10 June 2022.
  18. ↑ "Health and disability system reforms". Ministry of Health. 5 July 2022. Archived from the original on 3 July 2022. Retrieved 27 July 2022.
  19. ↑ Tahana, Jamie (1 July 2022). "Māori Health Authority launch: CEO 'planning for big transformation'". Radio New Zealand. Archived from the original on 30 June 2022. Retrieved 26 July 2022.
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