New Zealand’s Health and Disability System Review, described as “a once in a generation opportunity for systemic reform,” aims to reduce the variability of health service delivery in New Zealand and to address health inequities, especially for Māori. In 2021 the NZSA wrote a submission in response to the Pae Ora (Healthy Futures) Bill supporting the key aims of the reforms and the creation of the two new entities to replace the DHBs – Health NZ, and the Māori Health Authority. We suggested amendments to the Bill, including a stronger clinical governance framework, mandated engagement with health professional associations as the reforms are planned and implemented, and the inclusion of climate change among the Bill’s health principles. We expressed concern at the lack of detail over the reforms and addressed gaps in the Bill. We will continue to monitor the reforms and to be engaged in shaping the new health system.
Climate Change and sustainable healthcare. We support lowering NZ’s carbon footprint to meet our obligations of the Paris Climate Accord and advocate on how the health sector is integral in lowering emissions to reach the Government’s 2030 zero carbon neutral goals. We have advocated that climate change mitigation and adaptation needs to be undertaken within the context of health, wellbeing, and equity.