2013/14 DHB Planning Workshop Māori Health

1. 2013/14 DHB Planning WorkshopMāori Health 29 November 2012

2. Objectives • Why we have DHB Māori Health Plans? • Annual Plan Guidance Tool Kit • Regional Service Plan Guidelines • MHP requirements.

3. Rationale for MHPs How come? • New Zealand Public Health and Disability Act 2000 gives DHBs clear responsibilities for improving health outcomes for Māori (supported by the New Zealand Health Strategy, the Māori Health Strategy and the Operational Policy Framework). Where we are? • The Auditor-Generals report Results of the 2010/11 audits identified concern and gaps in relation to the effect of DHB initiatives on Māori health. For example: • 5.2 ‘…the combination of lack of information in the annual reports on Māori health needs and on targets to reduce disparities makes it hard to gauge DHBs’ progress’. • 5.31 “Where the disparity in health status for Māori is significant, we expect to see measures and targets for Māori, with trend data, in the annual report of the DHB”.

4. Annual Plan Guidance Tool Kit • In 2012/13 DHBs' are required to develop a separate MHP and report where the priority area is the same for the AP and the MHP using the usual reporting mechanisms. This approach has been continued for 2013/14. • Strategic Direction: the DHB Vision Section must make appropriate reference to the MHP (CSPC 8A rec: 21.5).

5. Annual Plan Guidance Tool Kit Cont… • DHBs directed to apply total population measures and targets to all ethnic groups. • Where the priority area is the same for the AP and the MHP, the DHB must refer to the intervention mechanisms, actions or plans listed in both documents. • DHB will need to ensure the intervention mechanisms, actions or plans (likely to be a mixture of universal and tailored activities) it uses will improve access to services and care for Māori to achieve the total population measures and targets.

6. Summary of Annual Plan • Māori Health Plan Linkages. • Whānau Ora. • Clinical Integration/Prime Ministers Priorities – explicit about Māori.

7. Regional Service Plan Guidelines • Each regional service priority needs to identify activities to improve Māori health. The activities must include performance measures that must be measurable in the accountability framework. • Performance measures for Māori need to be set at the total population with intervention mechanisms, actions or plans are a mixture of universal and tailored activities.

8. Māori Health Plan • Create a standalone MHP (see Appendix 3 OPF 2013/14). • National indicators set by the Ministry. • Can set your own local indicators (up to 3). • Ensure related Performance Measures in the MHP are not only measurable but are also consistent with those in the AP. • Refer to the intervention mechanisms, actions or plans listed in both the AP and MHP where the priority area is the same. • Health target figures shown in the Monitoring Performance Measures template must match those used in the MHP. • Provide for the needs of Māori as set out in section 4 of the NZPHD Act 2000.

9. Breakdown – AP, MHP, RSP

10. Confirm • Same AP timeframes. • Same place – use AP feedback processes, and same database. • Same AP reviewers.