How health reforms will impact New Zealand Health Group

About the health reforms
Mō ngā whakahounga hauora

As of the 1st of July 2022 the 20 existing DHBs will no longer exist as they do now. The reforms will disestablish the 20 existing DHBs and merge their functions into Health NZ, which will lead the day-to-day running of the system for the whole country.

Health NZ will also take over the operational functions of the Ministry of Health, such as managing national contracts. Health NZ will manage all health services, including hospital and specialist services, and primary and community care. 

Health NZ will be responsible for improving services and outcomes across the health system. Working in partnership with the Māori Health Authority, Health NZ will develop a New Zealand Health Plan – a blueprint for what the health system will deliver over years to come. 

The new system will be based on Localities to ensure a system that delivers quality of care at a national level while still being able to tailor our approach to specific needs of specfic regions and communities. Currently 9 prototype localities have been announced.

Click on the button below for more information on Localities 

Transforming the health system will create a more equitable, accessible, cohesive and people-centred system that will improve the health and wellbeing of all New Zealanders.

  • People-centred: a system that brings together the voice of all communities 
  • Equitable: a system that focuses on working in partnership with Māori and honouring Te Tiriti o Waitangi 
  • Accessible: a system that offers more equitable, convenient and integrated access to services for all New Zealanders 
  • Cohesive: a national health system that delivers locally, supported by co-ordinated planning and oversight 

Why are health reforms happening?
He aha ai?

Who you are or where you live should not determine the range and quality of services you receive. The reforms will give people access to consistent quality care when they need it, to help people live longer in good health and have the best quality of life. 

Primary and community care will be better tailored to the needs of communities, and people will have more opportunities for their voice to be heard on services and how they’re delivered.  

Being a health provider in Aotearoa – New Zealand Health Group is required to align itself with this reform to ensure we are in the best possible position to provide the best possible care and services for community we serve. 

What this will mean for New Zealand Health Group staff

Rest assure that there is nothing to worry about regarding your role here with New Zealand Health Group, it will be business as usual for us. We want to make sure that there is no disruption to the delivery of services or care for our clients.

We will be working closely across the board to ensure that New Zealand Health Group is in the best possible position to provide the best possible care and services for community we serve.  

We want to ensure a greater focus on: People-centred, Equitable, Accessible, Cohesive is reflected and continues to be reflected in the work we do and services we provide for our communities and whānau that we serve.  

We will also be working more collaboratively and in active partnerships with other organisations to increase the opportunities available for our clients and be able to offer a more Population Health Approach to improve the wellbeing of whānau.  

This is also an exciting shift in the health system meaning there may be new opportunities available in the future and we want to make sure you are part of this journey. 

With them implementation of the Pae Ora Bill there will be a transfer of provision, i.e. with reference to current community service contract holders these contracts will automatically transfer over to Health New Zealand. Furthermore, ACC is not part of the health reforms, meaning business as usual for us with our current contracts.

We want to hear from you!

It is important to uphold the mana of our valuable kaimahi so we would love to get your input on the reform, what you would like to see going forward for us as an organisation, any opportunities you can see, any concerns you may have and any questions. Please click on the link below to fill in the survey. 

References - Useful links

Click on the links below for more information about the Health Reform in New Zealand.

If you are interested in receiving regular updates directly from Health NZ we would recommend going to Home | Health New Zealand ( and signing up to their Health Workforce Newsletter to be kept up to date.