1. Presentation Te Tumu Whakarae Wellington March 2009

2. Todays Session  Maori Health Workforce Development Programme  Maori Provider Development Scheme  Hauora Maori Scholarships

3. Maori Health Workforce Development Programme and spend 08/09 1.Maori Nursing and Mid-wifery WDP $660k 2.Regional Well Child Training$130k 3Post Grad Cert/ Well Child Training$134 4Recruitment Retention Programme (National Co-ord Centre/ Regional co-ord sites)$1,350k 5University of Otago (Sth Is recruitment Programme) ?$450k 6.Pre-Entry Nursing, South Auckland$150k 7.Pre-Entry Nursing, Bay of Plenty$126k $ 3,000,000

4. Career in Health Pathway: Interventions Year 1 - 9Year 10 - 11Year 12 - 13 Level 1 - 3 Level 4 - 5Level 6 - 8 TransitionalVocational Level 9 - 10 Support Worker, Assistants and Aides Prevention, Rehabilitation, Recovery, Complimentary & Alternative Senior Practitioner, Technical, Clinical, Specialist & Managerial Non-Regulated WorkforceRegulated Workforce Pre-SecondarySecondary Tertiary Entry points to workforce Ongoing Professional Development Secondary Schools Programme Otago University Transitional Otago University Te Kupenga o Hoturoa PHO Nga Matapuna Oranga PHO Nursing Post Grad Nursing leadership Program Huarahi Whakatu Dual Competency Marketing of Maori Nurse/midwives Post Grad Cert Well Child Regional Well Child Training Professional Development Program Health as a Career Promotiong/ Marketing// Co-ordinating/ Innovating National Centre Regional Hubs

5. What is MPDS’s contribution to a Health Career Year 1 - 9Year 10 - 11Year 12 - 13 Level 1 - 3 Level 4 - 5Level 6 - 8 TransitionalVocational Level 9 - 10 Support Worker, Assistants and Aides Prevention, Rehabilitation, Recovery, Complimentary & Alternative Senior Practitioner, Technical, Clinical, Specialist & Managerial Non-Regulated WorkforceRegulated Workforce Pre-SecondarySecondary Tertiary Entry points to workforce Ongoing Professional Development Hauora Maori Scholarships 1.2m 512 Students Maori Provider Development Scheme Workforce 1.161m ?

6. Total Maori Health Workforce Spend SCI Directorate  Maori health workforce Initiatives 3m  Maori provider development scheme 1.161m  Hauora Maori Scholarships 1.2m Total5.361m p.a

7. What was Regional MPDS Spend 08/09  Workforce Development$1.162 m  Infrastructure $2.643m  Accreditation/ Best Practise $1.063m  Service Integration$297,373  Contingency$500,000 Total5,690,000.0

8. MPDS Next Round  Applications open 8 April and close 22 May 2009  Copy of all applications from your region downloaded on CD to each DHB by end of May 2009  Joint assessment in early June 2009 MoH and DHB  Meet with providers, DHBs and MAPOs (where relevant) during July 2009 and begin contract discussion

9. Prioritising for MPDS 09/10  Infrastructure  Accreditation  Service Integration  Best Practise  Workforce Development

10. Change to Contingency Fund 09/10  Amount reduced to $250,000  DHB regional allocations increased  The fund is contestable

11. Change to eligibility criteria to include PHOs and recognise Maori health providers in a PHO An existing Maori health provider that has contracts with the Ministry of Health and/ or District Health Board and/ or a Primary Health Organisation An existing Maori health provider that is in the process of negotiating a contract with the DHB and/ or the Ministry of Health and/ or a Primary Health Organisation The Ministry of Health have defined a Maori health provider as a provider that is owned and governed by Maori and is providing health and disability services primarily but not exclusively to Maori.

12. Old Eligibility Criteria  An existing Maori health provider or Maori organisation which has contracts with the Ministry of Health and/or District Health Boards  An existing Maori health provider or Maori organisation that is in process of negotiating a contract with the Ministry of Health and or District Health Board  Be part of a joint venture with a Maori health provider Ministry of Health’s Definition of a Maori health provider is: Providers that are contracted to deliver health and disability services that target Maori clients or communities, are led by a Maori governance and Management structure and express Maori kaupapa and consider the Wider issues of Maori development and how it might apply to their own organisation.

13. Getting Reporting of MPDS Spend back into an yearly cycle  06/07 MPDS reporting (900k was outstanding)  Working on 07/08 reporting ( 50% reporting rate)  Streamlining system for 09/10: Faster decision making to finalise negotiations earlier MoH will not contract with providers in Breach of MPDS reporting requirements All under spends returned to MoH. We will work with providers to spend or release fund to other projects

14. Evaluation of MPDS  Evaluation Report not yet finalised  Cabinet paper and recommendations for MPDS future almost completed (will report at a future TTW meeting once completed).  Administration of MPDS: Opinion of DHB Maori GMs unclear in Draft Evaluation Report?

15. Hauora Maori Scholarships 09/10  Applications Released on-line 25 Feb 2009 (700 plus after 3 wks)  Applications close 10 April 2009  Final assessments/ notification15 May 2009  Money in students bank accts30 June 2009  Dr John McLeod and Te Apa Mareikura Awards Presentation20 Nov 2009