Our health system
is in crisis

This means: 

• Redesigning commissioning, funding and service delivery to actively eliminate inequities and achieve equitable health outcomes for Māori.
• Growing and sustaining kaupapa Māori providers through equitable, population-based and long-term funding that reflects the true cost of delivering whānau-centred care.
• Embedding Māori leadership across the health system, ensuring Māori have authority and influence in executive leadership, clinical leadership, governance and workforce planning.
• Success must be measured by equitable outcomes for Māori, with transparent reporting and real accountability mechanisms requiring health organisation to demonstrate measurable progress in reducing disparities in access, quality, experience and health outcomes.
• Recognising iwi, hapū and Māori communities as partners in health planning, prevention and service delivery, enabling locally determined solutions that reflect community aspirations.
• Ensuring every nurse is supported and accountable to practise in ways that uphold Te Tiriti o Waitangi, demonstrate cultural safety, address institutional racism, and work in partnership with whānau.
• Recognising that achieving health equity requires action beyond the health sector, with coordinated investment across housing, education, income, employment and environmental wellbeing to address the wider social determinants of health.

This means:

• Immediately implement pay parity to ensure nurses in primary health care and other sectors receive the same pay as Te Whatu Ora counterparts.
• Commitment to a sustainable funding model to build strong and stable primary care services.
• Commitment to growing and retaining the primary care workforce to meet the need in the community.
• Investing in prevention, health promotion and early intervention that strengthen whānau wellbeing across the life course, rather than focusing predominantly on acute hospital services.

This means: 

• Commitment from all political parties that government has the primary responsibility for ensuring universal access to high-quality public health care for all people when and where they need it.
• An end to further privatising public health services and a commitment to bringing some services back into public ownership. 

This means: 

• Health services must be responsive to the level of need to be met, rather than a cost to be capped in budget estimations.
• Immediate investment is needed to stabilise and expand our health workforce to meet demand.
• Guaranteed service availability across the motu, so all rural and regional communities have access to high-quality public health services.
• Workforce policy must specifically address growing the Māori and Pasifika nursing workforce to equitably meet the health needs of Māori and Pacific People.