Pae Ora (Healthy Futures) Act 2022

Preliminary provisions

7: Health sector principles

You could also call this:

"Important rules for healthcare to be fair and work well for everyone"

Illustration for Pae Ora (Healthy Futures) Act 2022

The health sector has some important principles to follow. You should know that the health sector should be fair to everyone, including Māori and other groups. This means they should get services that meet their health needs. The health sector should work with Māori and other groups to develop services that meet their needs. They should also give Māori a say in decisions that affect them. You can expect the health sector to provide good quality services that are safe and respectful of people's cultures. The health sector should try to keep people healthy and well. They should work with other organisations to address things that affect people's health, like climate change. When making decisions, the Minister, Ministry, and health entities must follow these principles as much as possible. The health sector should provide services that are tailored to a person's needs and preferences. They should also use new ideas and technology to improve services and health outcomes. The term 'lived experience' refers to what individuals have experienced directly.

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View the original legislation for this page at https://legislation.govt.nz/act/public/1986/0120/latest/link.aspx?id=LMS575484.

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6: Te Tiriti o Waitangi (the Treaty of Waitangi), or

"How the Treaty of Waitangi helps guide healthcare for Māori"


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8: Transitional, savings, and related provisions, or

"Rules to help change to the new Pae Ora law work smoothly"

Part 1Preliminary provisions

7Health sector principles

  1. For the purpose of this Act, the health sector principles are as follows:

  2. the health sector should be equitable, which includes ensuring Māori and other population groups—
    1. have access to services in proportion to their health needs; and
      1. receive equitable levels of service; and
        1. achieve equitable health outcomes:
        2. the health sector should engage with Māori, other population groups, and other people to develop and deliver services and programmes that reflect their needs and aspirations, for example, by engaging with Māori to develop, deliver, and monitor services and programmes designed to improve hauora Māori outcomes:
          1. the health sector should provide opportunities for Māori to exercise decision-making authority on matters of importance to Māori and for that purpose, have regard to both—
            1. the strength or nature of Māori interests in a matter; and
              1. the interests of other health consumers and the Crown in the matter:
              2. the health sector should provide choice of quality services to Māori and other population groups, including by—
                1. resourcing services to meet the needs and aspirations of iwi, hapū, and whānau, and Māori (for example, kaupapa Māori and whānau-centred services); and
                  1. providing services that are culturally safe and culturally responsive to people’s needs; and
                    1. developing and maintaining a health workforce that is representative of the community it serves; and
                      1. harnessing clinical leadership, innovation, technology, and lived experience to continuously improve services, access to services, and health outcomes; and
                        1. providing services that are tailored to a person’s mental and physical needs and their circumstances and preferences; and
                          1. providing services that reflect mātauranga Māori:
                          2. the health sector should protect and promote people’s health and wellbeing, including by—
                            1. adopting population health approaches that prevent, reduce, or delay the onset of health needs; and
                              1. undertaking promotional and preventative measures to protect and improve Māori health and wellbeing; and
                                1. working to improve mental and physical health and diagnose and treat mental and physical health problems equitably; and
                                  1. collaborating with agencies and organisations to address the wider determinants of health; and
                                    1. undertaking promotional and preventative measures to address the wider determinants of health, including climate change, that adversely affect people’s health.
                                    2. When performing a function or exercising a power or duty under this Act, the Minister, the Ministry, and each health entity must be guided by the health sector principles—

                                    3. as far as reasonably practicable, having regard to all the circumstances, including any resource constraints; and
                                      1. to the extent applicable to them.
                                        1. In subsection (1)(d), lived experience means the direct experience of individuals.