Health Services and Systems
Latest | Media coverage | Commentary | Academic Literature | Legislation | Reports and Government Documents
Covering developments in the provision, funding and organisation of health care services, including the recent restructuring of Aotearoa’s health system.
Latest
Media coverage
Fixing Health NZ an ‘exceptional burden on one individual’ – Treasury
An “exceptional burden on one individual” – that’s how Treasury officials describe health minister Shane Reti’s proposal to dissolve the board of Health NZ Te Whatu Ora and make board chair Lester Levy the commissioner.
Culturally intolerable’ for nurses not to speak English? Or ‘racist’ to insist?
From "emboldening racists" to being "disrespected and excluded" - it seems everyone had an opinion on what language nurses in New Zealand hospitals should be speaking. Read...
How did Health NZ go from $500 million of savings to a $1 billion hole?
A watchdog said Health New Zealand's financial reporting had improved significantly just weeks before a huge deficit came to light. Read more
Commentary
My View – Health NZ funding cuts a tipping point for our health system
The recent announcement of 1,120 potential redundancies—comprising 470 unfilled vacancies and over 650 staff positions—within Health New Zealand. Read...
Health’s ‘back office’ needs attention
The Government has made much of the need to keep frontline services fully functioning, even when costs might be trimmed in the so-called “back office”. Read...
Ethnicity is a useful shortcut for identifying need – without it, targeting public services will get harder
The government’s recent directive that public services should be prioritised “on the basis of need, not race” will make it harder and more time consuming to reach New Zealanders with higher needs. Read...
Academic Literature
Key elements and contextual factors that influence successful implementation of large-system transformation initiatives in the New Zealand health system: a realist evaluation
Despite three decades of policy initiatives to improve integration of health care, delivery of health care in New Zealand remains fragmented, and health inequities persist for Māori and other high priority populations. Read...
Managed competition in Aotearoa New Zealand: past experiences and future prospects
This paper considers whether and how managed competition arrangements could be introduced into the Aotearoa health and disability system. Read...
The cost of everything and the value of nothing: New Zealand’s under-investment in health
In July, Minister of Health Dr Shane Reti dismissed Health New Zealand – Te Whatu Ora’s Board, despite most positions already being vacant, and appointed a commissioner, Professor Lester Levy. Read...
Legislation and Parliament
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Reports and Government Documents
Quarterly Performance Report
This report summarises performance during quarter four (1 April – 30 June 2024) and is the last against expectations set out in the Interim New Zealand Health Plan | Te Pae Tata and the 2023/24 Statement of Performance Expectations. Read...
Annual Report: ACC supports 2 million new claims in 50th year
Our Annual Report shows we accepted 2.04 million new injury claims in 2023/24, supported injured people with over $4 billion of treatment and rehabilitation services, and paid almost $3 billion of compensation payments. Read...
Treasury advice on the financial performance of Health New Zealand – Information release
The Treasury has released Treasury advice regarding the financial performance of Health New Zealand.
Key issues
HEALTH SERVICES AND SYSTEMS
EQUITY
DRUGS, DEVICE AND DIAGNOSTICS
PUBLIC HEALTH
DIGITAL HEALTH
TE TIRITI