Pae t¥«, pae ora ¢â‚¬â€œ Pathways to pae ora Citation: Pae t¥«, pae ora ¢â‚¬â€œ Pathways to pae ora Published

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  • Pae tū, pae ora Pathways to pae ora

  • This work is licensed under the Creative Commons Attribution 4.0

    International licence. In essence, you are free to: share ie, copy and redistribute the material in any medium or format; adapt ie, remix, transform and build upon the material. You must give appropriate credit, provide a link to the licence and indicate if changes were made.

    Cover: Members of the Silverline team, left to right: Ryan Pilat, Maddi Mitchell, Arthur Hon and Haowei Yu. Credit Silverline

    Citation: Pae tū, pae ora – Pathways to pae ora

    Published in January 2020 by the Ministry of Health PO Box 5013, Wellington 6140, New Zealand

    ISBN 978-1-98-859738-6 (online) ISBN 978-1-98-859737-9 (print) HP 7167

    This document is available at www.health.govt.nz

    This work is licensed under the Creative Commons Attribution 4.0

    International licence. In essence, you are free to: share ie, copy and redistribute the material in any medium or format; adapt ie, remix, transform and build upon the material. You must give appropriate credit, provide a link to the licence and indicate if changes were made.

    Cover: Members of the Silverline team, left to right: Ryan Pilat, Maddi Mitchell, Arthur Hon and Haowei Yu. Credit Silverline

    Citation: Pae tū, pae ora – Pathways to pae ora

    Published in January 2020 by the Ministry of Health PO Box 5013, Wellington 6140, New Zealand

    ISBN 978-1-98-859738-6 (online) ISBN 978-1-98-859737-9 (print) HP 7167

    This document is available at www.health.govt.nz

    Delivering equity of health and wellbeing in Aotearoa Te tuku oranga hauora e orite ana i roto i Aotearoa

    http://www.health.govt.nz

  • Contents Pae tū, pae ora . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2

    We stand together along pathways to healthy futures . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

    Putting paid to hep C . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 6

    Catching cancer early . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 8

    Shining a light on mental health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10

    ‘Caring for our people’: encouraging Māori into health . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12

    Hapū Wānanga: for māmā and pēpi . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 14

    Realising a dream for Pacific peoples . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 16

    Pharmacy: at the heart of community health care . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18

    Nurse practitioners: the ‘no-hierarchy model’ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20

    Investing in infrastructure . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 22

    From garden to plate . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

    Taking takeaways out of sport . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

    The ripple effect: communities going fizz-free . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 28

    1737: supporting Kiwis 24/7 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 30

    Digital health: power to the people . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 32

    Digital hospitals . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

    Greening the health sector . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

    ‘Anything is possible’ . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 38

  • – 2 –

    Tēnā koutou, tēna koutou, tēna tātou katoa

    I’m delighted to introduce the stories of Pae tū, pae ora as snapshots of exciting activity happening in our public health sector.

    These stories are important because they highlight the leadership, innovation and local solutions being developed which together will help drive better health outcomes across Aotearoa New Zealand.

    This Government’s priority is to strengthen, improve and invest in our public health system. Clearly that’s a priority shared by the people across the sector who you’ll read about here.

    Recently, one of our district health boards received a letter from a patient’s family that it shared with me.

    ‘I wanted you to know how special you all are and also how much of an impact your care, professionalism, and your day to day interactions impact on those around you. Thank you for what you did for me and for my Mum.’

    The health and disability sector will always face challenges, but that patient story, and many others like it, reinforces the positive work described in Pae tū, pae ora.

    I know that like me, other New Zealanders will value and appreciate the commitment and hard work of the people highlighted in these stories.

    Hon Dr David Clark Minister of Health

    Pae tū, pae ora Pae tū, pae hinga We stand and fall together. We stand together along pathways to healthy futures.

  • – 2 –

    Kia ora koutou katoa

    As Director-General of Health, I recognise the importance of knowing about and understanding the work happening across the New Zealand health and disability sector.

    On behalf of the Ministry of Health, I wish to sincerely thank the participants who’ve spoken so enthusiastically about their work or experience for this publication.

    I believe the Ministry is in a strong position to provide active stewardship and leadership across the system. It’s also well placed to prioritise and deliver greater equity in health

    outcomes so everyone has fair access to, experience of and outcomes from health care.

    But whether it’s inside the Ministry, in the broader health and disability sector or in the community, we should all be part of telling the stories of health. Many good and exciting things are happening and we all have so much we can learn from each other.

    Nāu te rourou nāku te rourou, ka ora ai te iwi.

    With my basket and your basket, the people will live.

    Dr Ashley Bloomfield Director-General of Health

    – 3 –

  • – 4 –

  • We stand together along pathways to healthy futures The New Zealand health and disability system has a proud history of innovation and forward thinking, often in the face of resistance from the powers that be.

    During World War I, Ettie Rout was a pioneer in sexual health work among our troops. Around the same time, Sir Harold Gillies developed early plastic surgery techniques and his protégé Sir Archibald McIndoe refined that work further during World War II. In the post-war period, Sir Brian Barratt-Boyes led a revolution in heart surgery.

    In 2020, that proud streak of innovation continues.

    Right now, Wellington’s Malaghan Institute is conducting advanced research in pursuit of new cancer treatments, while Auckland University’s Professor Alan Barber has refined clot retrieval techniques which offer stroke victims a high chance of complete recovery.

    These are just two snapshots – this publication is a further celebration of a proud history, the workforces which make it happen and the pride with which we as a country can celebrate a world-leading public health and disability system.

    These pages contain stories of innovation and excellence up and down New Zealand. It is imperative that we continue to recognise those who push boundaries to improve the way in which we deliver health care for the public we serve.

    We acknowledge here both unity and diversity: the combined efforts of Professor Ed Gane, PHARMAC and the Ministry of Health around Maviret in the fight against hep C; the mahi of local communities and Healthy Families NZ driving outcomes for better health and wellbeing. We see in Hapū Wānanga the reclaiming of traditional Māori birthing practices unique to this country.

    Other examples are nurse p