Health system reform roadmap

Overview

The system reform roadmap is a consolidated view of nationally led achievements across Health New Zealand, Ministry of Health and Te Aka Whai Ora, showing how activity is aligned to enable the health system to deliver on the intent of the reforms. The roadmap reflects achievements through a series of milestone markers that reflect where activity is completed, rather than planned and developed. It is a living document that will be updated each quarter and will continue to evolve as planning progresses and milestones are identified. The system reform roadmap is informed by detailed plans, legislation, strategies and Cabinet papers, most of which are publicly available and can be found by clicking on each of the roadmap markers, which also provide more context on that particular achievement.

The roadmap is divided into timeframes which represent the period from when foundations for reform are laid through to when the full benefits of a reformed health system are realised.

Horizon 1 – Financial year 2022-2024

This work occurs between 2022 – 2024 and focuses on redesigning the system model, establishing the entities and introducing strategies to ensure the system settings are in place to achieve the government’s objectives.

Horizon 2 – Financial year 2024-2027

From 2024-2027, the New Zealand public and the health workforce will start to experience benefits of the new health system through the introduction of national approaches for key services, increases in digital services and investment in primary and community care.

From 2027 onwards, the focus will be on continuous improvement to enable the health system to meet the future health needs of New Zealanders.

Health system roadmap

	Horizon 1 – 2022-2024	Horizon 2 – 2024-2027
Service delivery reform indicators
Hospital and specialist care	National clinical trials approach defined Wait lists for first specialist assessment & treatments reduced Acute patient flow improvement Achieved FY 2022-2023 Removal of patient flow barriers & actions to reduce waitlist agreed	Surgical capacity increased by implementation of improved clinical pathways and innovative service models (eg, cataract and bariatric)
Primary and community care	National strategic networks established to enhance universal service design across the lifespan, including living, ageing, mentally and starting well Review contracting arrangements to support new models of care and service National Rural Clinical Telehealth implemented All locality plans agreed Achieved FY 2022-2023 Review of Primary & Community Care settings and arrangements	Pacific networks established Primary options for acute care (POAC) in place
Hauora Māori care	Enhanced and contracted new Hauora Māori services in place Māori data sovereignty framework launched Kahu Taurima child wellbeing service enhanced Mātauranga Māori solutions identified Hauora Māori services redesigned Hauora Māori services improvement initiatives implemented
Public health care	National immunisation programme improvements implemented Multi agency pandemic preparedness measures implemented Public health intelligence operating model & system implemented National breast, cervical and bowel screening improvements implemented Emergency Management operating model implemented Achieved FY 2022-2023 National approaches to immunisation and prevention (screening) defined	National bowel screening settings for Māori and Pacific  implemented
Mental health care and addiction services	National mental health new models defined with some launched Roll out of National Mental Health and Addiction Programmes Mental Health & Addiction System Investment - ongoing rollout Problem Gambling Strategy Implementation: MoU Achieved FY 2022-2023 Oranga Hinengaro system and services framework agreed Mental Health policy and approach defined Every Life Matters (suicide prevention strategy) agreed   Mental Health & Addiction System Investment - completed rollout	New models to increase specialist mental health & addiction services implemented New Mental Health Act Every Life Matters - He Tapu te Oranga o ia tangata (suicide prevention strategy) action plan 2024-2029 Problem Gambling Strategy 2025-2028 developed
Key enablers
Workforce	Te Mauri o Rongo | NZ Health Charter implemented across health sector  Initial Workforce Taskforce initiatives are implemented effectively Health Workforce Plan & actions agreed for Horizon 2 Development of future workforce planning in line with transformation goals outlined in Te Pae Tata 2.0
Data and Digital	People have a consistent method for accessing health and wellbeing information Digital Workspace National data platform implemented Achieved FY 2022-2023 Data and Digital Strategy developed Whānau, Consumer and Clinician Digital Council established Data and Digital investment & transition plan completed	National finance, procurement and information systems implemented Health Sector Agreements and Payments System implemented
Infrastructure	Infrastructure operating model implemented Enhanced capital settings and delegations in place Enhanced management of infrastructure delivery (operating model) Achieved FY 2022-2023 Infrastructure investment plan for 2023-2024 completed National infrastructure operating model agreed National asset management plan and infrastructure investment plan in place
Direction and organisation
Organisation function and capabilities	Each entities final organisation structures and functions are defined Clinical governance arrangements in place Procurement and supply chain optimisation (initial) business case completed Monitoring and reporting on the performance of the health Crown entities Embedding operating models of Iwi-Māori partnership boards across the health sector Clinical networks established Each entities organisations, governance, leadership and functions are in place (Health New Zealand, Te Aka Whai Ora, Ministry of Health) Achieved FY 2022-2023 Regional integration teams established New health system entities established Permanent Hauora Māori Advisory Committee established	Formal recognition of fifteen Iwi-Māori partnership boards Each entities performance management, monitoring and reporting systems are fully established National commissioning operating model completed National provider networks established
Direction setting and funding	Government Policy Statement (GPS) and Budget 2024 Budget 2024 Joint Ministers Conditions regarding Te Pae Tata 2024-2027 completed Regional health service plans completed Three-year funding agreed from Budget 24 Achieved FY 2022-2023 Reform Health and Disability policy Pae Ora legislation, Interim Health Plan and Budget 2022 completed Settings agreed to enable the health workforce meet objectives of Pae Ora Primary and Community Care future directions and localities framework agreed Pae Ora Health Strategies approved Anti-racism framework Ao Mai Te Rā developed	Health of Disabled People strategy refreshed He Korowai Oranga: Māori Health Strategy refreshed Anti-racism framework Ao Mai Te Rā implemented