1. 16-17 Annual Planning Workshop Live well, stay well, get well Cathy O’Malley SCI

2. What we’ve heard you say about the future of health in NZ So that all New Zealanders live well, stay well, get well, we will be people-powered, providing services closer to home, designed for value and high performance, working as one team in a smart system. 1

3. And keep partnering and working across boundaries 2

4. Five strategic themes to guide us forward 3

5. Value and high performance Outcomes focused Transparent Culture of improvement Striving for equity Integrated model Investment approaches 4

6. High Performance and Value (IPIF) We all need to know what is being achieved Quality Improvement approach preferred Suggestions on useful metrics needed We will try to reduce reporting burden Need to be able to get meaningful data when required to answer value questions Outcome measures being discussed with Clinical group and Minister…will cross several areas not just PHO Agreement PSAAP on 24 th November and February Expect an update pre Xmas 5

7. Shifting Services High priority policy Needs better progress…may include financial sanctions Guidance from last year still valid Model of Care shift most impt…joint stakeholder planning Pharmacy, LTC, HOP and Child Health good places to start 6

8. VLCA and Primary Care Funding in general Primary care Working group reports to Minister shortly Ministry advice to Minister at end on November Possible change during 2016 Calendar year Need better targeting 7

9. Faster Cancer Treatment Whole pathway needs to be attended to Effective leadership and planning High priority area Andy Simpson and Clare Possenniskie available to assist 8

10. What is ‘equity’? The World Health Organization defines equity as:..the absence of avoidable or remediable differences among populations or groups defined socially, economically, demographically or geographically. Equity is not a single component, but rather a cross- cutting dimension across all elements of quality. Focus is on reducing gaps in health outcomes between different groups based on ethnicity, deprivation, age, gender, disability and location. Strong planning and collaboration is critical to achieving health equity for all New Zealanders.

11. Annual planning – a focus on ‘equity’ The Ministry expects that achieving health equity is a focus for all DHB and regional activity. DHB planning should involve input from Māori and Pacific health providers, NGOs etc. The Ministry has recently updated the DHB Māori Health Profiles which present a snapshot of Māori health compared with non-Māori across a range of health and disability related indicators for each of the 20 district health boards. See www.health.govt.nz/publication/dhb-maori-health-profiles www.health.govt.nz/publication/dhb-maori-health-profiles In addition, the Ministry has also recently reported their first 6-monthly report on ‘Ala Mo’ui for Pacific peoples. See: http://www.health.govt.nz/publication/ala- moui-progress-report-june-2015http://www.health.govt.nz/publication/ala- moui-progress-report-june-2015 The specific actions aiming to improve equity will vary between regions and priority areas depending on their various needs and can range from enabling collection of ethnicity data to targeting services. DHBs are required to demonstrate that their Annual Plan and Māori Health Plan is developed jointly with the PHO(s) as outlined in the PHO Services Agreement.

12. Useful Tools DHBs should use their health needs assessments and DHB Maori Health Profiles 2015 as well the 6-monthly ‘Ala Mo’ui reports for Pacific peoples to identify equity gaps, and then use the following tools, or others at their disposal, to help them identify appropriate activities to address these: Equity of Health Care for Māori: A FrameworkEquity of Health Care for Māori: A Framework. Whānau Ora Health Impact Assessment 2007Whānau Ora Health Impact Assessment 2007. The Health Equity Assessment Tool: A User's Guide 2008The Health Equity Assessment Tool: A User's Guide 2008.