Former PM Bill English on fixing the health system, Auckland iwi Ngāti Whātua Ōrākei leading way

Image of Bill English in parliament

28 Mar 2025

NZ Herald

Where to begin with the health system?

The Government spent 7.3% of GDP on health in the year to June 2024, more than any year in history bar one, 2022, when temporary Covid measures pushed us to 7.6%.

When the Key-English Government left office, health spending was 5.9%, slightly lower than when it took office, when spending was 6% (spending rose, then fell as a proportion of GDP in the intervening 9 years).

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Academic LiteratureTe Tiriti
Alter Native title capitalised with a green koru in the background with two korus intertwined in the middle coming from the sides, the left one is white turned up and the right one is less opaque turned down
Decolonising outcome measurement: a systematic review of health and wellbeing measures for Māori

Decolonising outcome measurement: a systematic review of health and wellbeing measures for Māori

The objective of the study is to conduct a systematic review and methodological quality appraisal on studies reporting the development of health and wellbeing outcome measures for Māori (Indigenous people of New Zealand), identify common features and processes, and critically appraise the measures using the COnsensus-based Standards for the selection of health Measurement INstruments (COSMIN).

Key issues

HEALTH SERVICES AND SYSTEMS

Covering developments in the provision, funding and organisation of health care services.

EQUITY

Exploring the impacts of the health system on minorities within the population, notably including Māori, Pacifica, Asians and LGBTQI.

DRUGS, DEVICE AND DIAGNOSTICS

Covering prescription medicines and medical devices.

PUBLIC HEALTH

Focusing on efforts to promote health and prevent disease through social and economic interventions.

DIGITAL HEALTH

Exploring the potential digital transformation to provide a more connected and accessible health system.

TE TIRITI

Monitoring how the health reforms and the performance of the health sector uphold Te Tiriti obligations.