issuing a Government Policy Statement; and

determining the following health strategies:

approving the New Zealand Health Plan developed by Health New Zealand; and

approving a code of expectations for consumer and whānau engagement in the health sector; and

establishing committees under this Act; and

exercising intervention powers under sections 61 to 64.

apply to Health New Zealand as a Crown agent and to groups and individuals in Health New Zealand, including its employees, board members, the chief executive, and individuals working as contractors or secondees; and

make the board of Health New Zealand responsible for ensuring that Health New Zealand upholds the public service principles, including the principle of political neutrality, when carrying out its functions; and

empower the Public Service Commissioner to set minimum standards of integrity and conduct, including standards relating to the public service values or the public service principles (or both); and

require Health New Zealand, and the groups and individuals in it, to comply with the minimum standards set by the Public Service Commissioner that apply to it or them.

to design, arrange, and deliver appropriate, effective, and timely services to achieve the purpose of this Act; and

to encourage, support, and maintain community participation in health improvement and service planning; and

to promote health and prevent, reduce, and delay ill-health, including by collaborating with other agencies, organisations, and individuals (including, to avoid doubt, private healthcare providers) to address the determinants of health; and

to achieve the best possible health outcomes for all New Zealanders; and

to ensure that planning and service delivery respond to the aspirations and needs of the population; and

to provide and plan for quality, cost-effective, and financially sustainable infrastructure to deliver services to New Zealanders.

develop and implement a New Zealand Health Plan; and

own and operate services; and

provide or arrange for the provision of services at a national, regional, and local level; and

provide and plan for infrastructure to deliver services; and

develop and implement commissioning frameworks and models for the purpose of paragraph (c); and

set requirements and specifications for publicly funded services; and

develop and implement locality plans; and

undertake health workforce planning; and

collaborate with relevant entities to improve the capability and capacity of the health workforce; and

undertake and promote public health measures, including commissioning services to deliver public health programmes specified by the Public Health Agency; and

improve service delivery and outcomes for all people at all levels within the publicly funded health sector; and

collaborate with other agencies, organisations, and individuals (including, to avoid doubt, private healthcare providers) to improve health and wellbeing outcomes and to address the wider determinants of health outcomes; and

contribute to key health documents in subpart 6; and

engage with the Hauora Māori Advisory Committee; and

evaluate the delivery and performance of services provided or funded by Health New Zealand; and

provide accessible and understandable information to the public about services funded by Health New Zealand and the performance of the publicly funded health sector; and

undertake and support research relating to health; and

provide, or arrange for the provision of, services on behalf of the Crown or any Crown entity within the meaning of the Crown Entities Act 2004; and

perform or exercise the functions, duties, and powers conferred or imposed on it by this Act or any other enactment; and

perform any other functions relevant to its objectives that the responsible Minister directs in accordance with section 112 of the Crown Entities Act 2004.

take reasonable steps to support iwi-Māori partnership boards to achieve their purpose in section 29, including by providing—

acts in a manner consistent with the GPS and the New Zealand Health Plan; and

operates in a financially responsible manner and, for that purpose, endeavours to cover all its annual costs (including the cost of capital) from its net annual income; and

maintains systems and processes to ensure that Health New Zealand—

in addition to its duties in sections 49 to 52 of the Crown Entities Act 2004; and

collective duties owed to the Minister for the purposes of section 58 of the Crown Entities Act 2004.

include content specified by a notice (if any) made under subsection (3); and

be approved by the Minister before the delegation, amendment, or replacement comes into force.

the board of Health New Zealand; and

the infrastructure committee.

observe the meeting’s decisions and decision-making processes; and

assist those at the meeting in understanding the policies and wishes of the Government so that they can be appropriately reflected in decisions of the meeting; and

advise the Minister on any matter relating to Health New Zealand, its board, or its performance.

any board meeting or board committee meeting (including an infrastructure committee meeting); or

any executive-level meeting at a national or regional level.

engage with local Māori communities about their health needs, aspirations, and health outcomes; and

communicate the results and insights from that engagement to the Hauora Māori Advisory Committee.

the boundaries of the area covered by the organisation (the area) do not overlap with the boundaries of any area covered by any iwi-Māori partnership board; and

the organisation has taken reasonable steps to engage with Māori communities and groups that—

the organisation’s constitutional and governance arrangements demonstrate that—

the area is consistent with the effective functioning of iwi-Māori partnership boards as a whole.

must be determined by the board after it has complied with subsection (1)(b) and the applicable requirements of its constitutional and governance arrangements; and

may be varied by the board in the same way.

it must notify the Director-General; and

the Director-General must, if satisfied that the criteria in subsection (1) have been met, advise the Minister accordingly; and

the Minister must recommend the making of an Order in Council under subsection (7)(a).

they must notify the Director-General; and

the Director-General must, if satisfied that the criteria in subsection (1) have been met, advise the Minister accordingly; and

the Minister must recommend the making of an Order in Council under subsection (7)(b).

the Director-General must advise the Minister accordingly; and

the Minister must recommend the making of an Order in Council under subsection (7)(c).

recognising an organisation as an iwi-Māori partnership board; or

giving effect to an agreement to a variation or merger referred to in subsection (5); or

removing an iwi-Māori partnership board from Schedule 4 pursuant to subsection (6) or at the request of that iwi-Māori partnership board; or

making any minor or consequential changes.

the Minister to issue a Government Policy Statement that sets out the Government’s priorities, objectives, and targets for the publicly funded health sector:

the Minister to determine the following strategies for improving the health status of New Zealanders:

Health New Zealand to develop, for the Minister’s approval, a New Zealand Health Plan based on population health needs:

Health New Zealand to develop locality plans for localities:

the Health Quality and Safety Commission to develop a code of expectations of consumer and whānau engagement in the health sector.

set priorities, objectives and targets for the publicly funded health sector; and

set clear parameters for the development of the New Zealand Health Plan.

must cover a period of at least 3 consecutive financial years; and

expires on the close of the third consecutive financial year to which it applies.

be satisfied that the GPS contributes to the purpose of this Act; and

consult Health New Zealand and have regard to its views; and

engage with organisations and individuals that the Minister considers appropriate.

the Government’s priorities and objectives for the publicly funded health sector:

targets (including the targets required by section 36A) that the Government expects the publicly funded health sector to meet:

how the Government expects health entities to meet the Government’s priorities and objectives for the publicly funded health sector:

the Government’s priorities for engaging with, and improving health outcomes for, Māori:

the Government’s priorities for improving health outcomes for Pacific peoples, disabled people, women, rural communities, and other populations:

requirements for health entities to monitor and report on progress towards meeting the targets referred to in subsection (1)(aa):

a framework for regular monitoring of progress and reporting requirements on other matters.

cancer management care:

the immunisation of children:

the admission to, and discharge and transfer of patients from, emergency departments:

specialist assessments:

elective treatment:

access to primary care.

contain an assessment of the current state of health outcomes and health sector performance; and

contain an assessment of the medium and long-term trends and risks that will affect health outcomes and health sector performance in the next 5 to 10 years; and

set out opportunities and priorities for improving the health sector over at least the next 5 to 10 years, including workforce development.

contain an assessment of the current state of Māori health outcomes and the performance of the health sector in relation to Māori; and

contain an assessment of medium to long-term trends that will affect hauora Māori and health sector performance; and

set out priorities for services and health sector improvements relating to hauora Māori, including workforce development.

contain an assessment of the current state of Pacific health outcomes and the performance of the health sector in relation to Pacific peoples; and

contain an assessment of the medium and long-term trends that will affect Pacific health and health sector performance; and

set out priorities for services and health sector improvements relating to Pacific health, including workforce development.

contain an assessment of the current state of health outcomes for disabled people and the performance of the health sector in relation to disabled people and their families and whānau; and

contain an assessment of the medium and long-term trends that will affect the health of disabled people and health sector performance; and

set out priorities for services and health sector improvements relating to the health of disabled people, including workforce development.

contain an assessment of the current state of health outcomes for women and the performance of the health sector in relation to women; and

contain an assessment of the medium and long-term trends that will affect the health of women and health sector performance; and

set out priorities for services and health sector improvements relating to the health of women, including workforce development.

contain an assessment of the current state of health outcomes of people in rural areas and the performance of the health sector in relation to rural communities; and

contain an assessment of the medium and long-term trends that will affect the health of rural communities and health sector performance; and

set out priorities for services and health sector improvements relating to the health of rural communities, including workforce development.

contain an assessment of the current state of, and the performance of the health sector in relation to, mental health and wellbeing outcomes; and

contain an assessment of the medium- and long-term trends that will affect mental health and wellbeing outcomes; and

set out priorities for mental health and addiction services and health sector improvements relating to mental health and wellbeing, including workforce development.

have regard to any advice from the Hauora Māori Advisory Committee; and

give effect to the relevant targets in the GPS; and

when making a new health strategy, have regard to current strategies; and

consult health entities, individuals, and organisations that the Minister considers are reasonably likely to be affected by the health strategy.

regularly monitor and review all health strategies; and

assess how the health sector has performed against the health strategies.

when exercising its powers or performing its functions or duties; and

to the extent that each health strategy is relevant to those powers, functions, or duties.

the functions and services of other health entities and government agencies that contribute to improving health outcomes; and

the roles of the Cancer Control Agency, the Health and Disability Commissioner, the Health Research Council, the Mental Health and Wellbeing Commission, and the Ministry (including the Public Health Agency); and

the functions and services of non-government agencies; and

the preferences and priorities specified in locality plans.

contain an assessment of population health needs; and

identify—

specify, where appropriate, measurable outcomes for those priorities, including outcomes that are culturally specific; and

describe how health entities will deliver service and investment changes to achieve the desired improvements, including—

describe how the matters referred to in section 50(4) have been taken into account; and

describe how government agencies, non-government agencies, organisations, and individuals will contribute to achieving the desired improvements; and

set out—

set out a statement of Health New Zealand’s anticipated revenue and expenditure for the period covered by the plan; and

set out how Health New Zealand—

set out any other matters the Minister directs.

provide an assessment of the performance of Health New Zealand against outcomes specified in the New Zealand Health Plan; and

include in the assessment an evaluation—

be presented to the House of Representatives; and

be made publicly available.

the Ministry; and

other health entities; and

individuals and organisations that Health New Zealand considers appropriate.

be presented to the House of Representatives; and

be made publicly available.

all of New Zealand is covered by a locality; and

the boundary of a locality is, subject to subsection (4), consistent with any regional arrangement specified in regulations made under section 102; and

a list of all localities (including their geographical areas) is made publicly available.

set out the priority outcomes and services for the locality; and

state the plan’s duration, which must, as a minimum, be 3 consecutive financial years; and

give effect to the relevant requirements of the New Zealand Health Plan; and

include a statement of progress against the priority outcomes set out in the previous locality plan, unless it is the first locality plan for that locality.

consult consumers and communities within the locality; and

consult local authorities affected by the locality plan; and

consult social sector agencies and other entities that contribute to relevant population outcomes within the locality; and

consult any other individual or group that Health New Zealand considers appropriate.

be presented to the House of Representatives; and

be made publicly available.

appoint 1 or more persons to be a Crown observer of Health New Zealand; and

require the Crown observer to attend—

permit the Crown observer to attend; and

before the meeting, provide the Crown observer with copies of all notices, documents, and other information that are provided to those attending the meeting.

observe the meeting’s decisions and decision-making processes; and

assist those at the meeting in understanding the policies and wishes of the Government so that they can be appropriately reflected in decisions of the meeting; and

advise the Minister on any matter relating to the health entity or the board, or its performance.

gives Health New Zealand written notice (with reasons) of the Minister’s intention to appoint a Crown manager; and

allows Health New Zealand reasonable time (as specified in the notice) to respond to the notice; and

considers any written submissions received within the specified time from Health New Zealand.

the name of the Crown manager and the day on which their appointment takes effect; and

the functions of Health New Zealand that are to be performed by the Crown manager; and

any conditions subject to which the Crown manager must perform those functions; and

any matters about which the Crown manager must advise Health New Zealand.

the Crown manager may perform any of the functions stated in the notice, and,—

Health New Zealand—

no later than 12 months after it was made; or

no later than 12 months after the Minister last considered whether they still apply.

identify any areas within the functions of the health entity that require improvement; and

explain why the Minister believes those areas require improvement; and

require the health entity to prepare an improvement plan for the Minister’s approval.

provide economic or financial forecasts or other economic or financial information relating to the health entity or any or all of its subsidiaries specified in the notice; and

provide that information to the Minister or any person or class of person specified in the notice.

consult the Public Service Commissioner before it appoints specified officers or employees, or specified classes of officers or employees:

when bargaining for a collective agreement, consult or otherwise engage with the Public Service Commissioner in relation to—

obtain the approval of the Public Service Commissioner in relation to specific elements of the collective bargaining process:

allow the Public Service Commissioner to participate in the collective bargaining process by—

Health New Zealand must give effect to the direction in accordance with section 114 of that Act; and

sections 114 to 115A of that Act apply to the direction.

1 or more specified collective agreements; or

all collective agreements.

require Pharmac to purchase a pharmaceutical from a particular source or at a particular price; or

provide any pharmaceutical or pharmaceutical subsidy or other benefit to a named individual.

NZBOS’s role in providing oversight and clinical governance of the organ donation system and in providing support to the transplantation system; or

protecting the gift status, donation, collection, processing, and supply of blood or controlled human substances (as defined in section 55 of the Human Tissue Act 2008); or

withdrawal of contaminated blood or contaminated controlled human substances from supply.

to secure for eligible people in need of pharmaceuticals, the best health outcomes that are reasonably achievable from pharmaceutical treatment and from within the amount of funding provided; and

any other objectives it is given by or under any enactment, or authorised to perform by the Minister by written notice to the board of Pharmac after consultation with it.

to maintain and manage a pharmaceutical schedule that applies consistently throughout New Zealand, including determining eligibility and criteria for the provision of subsidies; and

to manage incidental matters arising out of paragraph (a), including in exceptional circumstances providing for subsidies for the supply of pharmaceuticals not on the pharmaceutical schedule; and

to engage as it sees fit, but within its operational budget, in research to meet the objectives set out in section 68(1)(a); and

to promote the responsible use of pharmaceuticals; and

to perform any other functions it is for the time being given under any enactment, or authorised to perform by the Minister by written notice to the board of Pharmac after consultation with it.

consult on matters that relate to the management of pharmaceutical expenditure with any sections of the public, groups, or individuals that, in the view of Pharmac, may be affected by decisions on those matters; and

take measures to inform the public, groups, and individuals of Pharmac’s decisions concerning the pharmaceutical schedule.

a pharmacology and therapeutics advisory committee to provide objective advice to Pharmac on pharmaceuticals and their benefits:

a consumer advisory committee to provide input from a consumer or patient point of view.

any agreement to which Pharmac is a party and that relates to pharmaceuticals for which full or part-payments may be made from money appropriated under the Public Finance Act 1989; or

any act, matter, or thing done by any person for the purposes of entering into such an agreement; or

any act, matter, or thing done by any person to give effect to such an agreement.

to manage the donation, collection, processing, and supply of blood, controlled human substances, and related or incidental matters; and

to provide oversight and clinical governance of the organ donation system, to provide support to the transplantation system, and manage any related or incidental matters; and

if it is an appointed entity, to perform the functions for which it is for the time being responsible under section 63 of the Human Tissue Act 2008; and

to perform any other functions it is for the time being given by or under any enactment, or authorised to perform by the Minister by written notice to the board of NZBOS after consultation with it.

monitoring and improving the quality and safety of services; and

helping providers to improve the quality and safety of services.

to advise the Minister on how quality and safety in services may be improved; and

to advise the Minister on any matter relating to—

to determine quality and safety indicators (such as serious and sentinel events) for use in measuring the quality and safety of services; and

to provide public reports on the quality and safety of services as measured against—