After turning into “too complicated for a small nation”, Aotearoa’s well being system will likely be overhauled in simply a few weeks’ time, and the 20 district well being boards will likely be scrapped. So what’s truly altering come July 1?
The DHBs are gone. From July, the 21-year-old well being construction will likely be disestablished, and the capabilities of the district well being boards will merge into Well being New Zealand – which is able to lead the day-to-day working of the system for the entire nation.
Why? Effectively, officers say DHBs labored nicely for a few years, however have change into too complex and fragmented (the smallest, West Coast DHB serves 32,550 individuals, whereas Waitematā DHB’s inhabitants is 628,770) over time. Care typically got here down to postcode.
Beneath the brand new mannequin, Health NZ will handle all well being providers, together with hospital and specialist providers, and first and group care.
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A Māori Well being Authority will work alongside Well being NZ to enhance providers and obtain equitable well being outcomes for Māori – immediately commissioning tailor-made well being providers for Māori.
Whereas the 20 DHBs have been scrapped, the nation has been cut up into 4 areas:
- Northern: Northland, Waitematā, Auckland and Counties Manukau
- Te Manawa Taki: Waikato, Lakes, Bay of A lot, Tairāwhiti, Taranaki
- Central: MidCentral, Whanganui, Capital & Coast/Hutt Valley, Hawke’s Bay, Wairarapa
- Te Waipounamu: Canterbury/West Coast, Nelson Marlborough, Southern, South Canterbury
Major well being, wellbeing and community-based providers will be planned and purchased through these four new regional divisions.
Then, new locality networks will present recommendation to Well being NZ and the Māori Well being Authority on the well being wants, to be recognized by their communities.
However this gained’t all occur in a single day. Whereas July 1 is the road within the sand, the structural adjustments are sweeping, so will happen slowly over time – it’s not like flipping a swap.
The first nine networks will likely be in Ōtara/Papatoetoe, Hauraki, Taupō/Tūrangi, Wairoa, Whanganui, Porirua, West Coast, Japanese Bay of A lot and Horowhenua, with the precise geography to be determined by the group.
Individuals residing in these 9 areas will begin to see adjustments over the following few months. By July 2024, there will likely be between 60 and 80 localities up and running.
The Ministry of Well being will even stop to exist in its present type: as an alternative it will likely be targeted on coverage, technique and regulation.
Well being NZ will take over the ministry’s operational capabilities, corresponding to managing nationwide contracts.
The reforms gained’t change who your native GP is, or your potential to go to your native hospital or specialist.
What about workers? Frontline well being workers presently working for DHBs, Public Well being Items and shared service companies will transfer to work for Well being NZ from mid-2022.
Well being NZ will retain a spread of district places of work reflecting present DHB preparations, so DHB workers will be capable of proceed working the place they work immediately.
DHB staff will proceed to go to work as deliberate from July 1, and can have the identical supervisor they did the day earlier than.
There aren’t any adjustments presently being made to the best way non-public healthcare is supplied or funded in New Zealand; and the reforms don’t immediately have an effect on ACC or ACC entitlements.