2023/2024 - Mahitahi Hauora Annual ReportHe Aumihi Nā TeTumu WhakaraeMessage from our CEOOver the next fewyears, we hope to seeimportant changesbeing made in fundingfor primary care andimprovements in whānauhealth outcomes.We are now in the second year ofthe new health system structurebrought about by the Pae Ora(Healthy Futures) legislation andwe are seeing more stability acrossthe sector. The organisationalstructure changes within HealthNew Zealand | Te Whatu Ora ledto new opportunities for Te TaiTokerau. We have more visibilityof the initiatives and programmesin Auckland and a forum throughwhich to demonstrate the need fora fair and equitable proportion ofresources.Iwi Māori Partnership Boards(IMPBs) have been given greaterauthority to lead and shape theplanning and delivery of healthcarein our communities. I look forwardto continuing our already closeworking relationship with Te Kahuo Taonui on new initiatives thatrespond to the needs and wants ofwhānau in Tai Tokerau.As passionate advocates forequitable health outcomes forwhānau in Tai Tokerau, we havebeen working hard to reduce theequity gap in health outcomes forMāori. Although there have beensome positive movements acrosssome key clinical indicators in TheEquity for Whānau Agreement,we have not yet seen the resultswe hope for; equity differencebetween Māori and non-Māoripersists. As we move into the new昀椀nancial year, we will be reviewingThe Equity for Whānau Agreementand its goals to be even moreambitious.The annual capitation uplift of 4%is yet another in a line of missedopportunities to address thechronic underfunding of primarycare. Most of Mahitahi Hauora’spartner practices are Very LowCost Access (VCLA) practices andwill receive an uplift of 5.88%,however for the remaining few,the prospect of raising patientfees to reach the same increase isdisheartening. The future impact ofthis underfunding on rural practicesthat already face signi昀椀cant barriersin attracting and retaining clinicalworkforce is particularly worrying.However, we will continue toadvocate for our partner practicesand remain hopeful that futurecapitation increases will becomeavailable in the three-year budget.Earlier in the year we received visitsfrom Health New Zealand Chair,Dame Karen Poutasi and RegionalWay昀椀nder, Commissioning, DannyWu.These visits allowed us tochampion the mahi we aredoing through our immunisationprogramme, mental healthservices, the primary options acutedemand service, our extensivelong-term conditions programme,caring for the unenrolled, andsupporting general practicethrough the Clinical Hub. Theyalso provided an opportunity forus to demonstrate how increasedfunding would be used to bene昀椀twhānau. Some of our GeneralPractitioners gave a Tai Tokerauperspective on the issues beingfelt across the motu, such asworkforce shortages, pay disparity,inequitable funding, and afterhours care.I wish to thank our membergeneral practices for theirhard work and perseverancethroughout the challenges we areexperiencing, and the sincerityof their determination to make adifference to their patients.I would also like to thank theMahitahi Hauora staff and teams forthe dedication, effort and care theyshow every day in the importantmahi we do, championing theneeds of our communities andworking hard to support ourpractices.Finally, I thank the Mahitahi Boardfor their leadership, courage, andsupport of our goals, priorities, andaspirations.Ngā mihi,Jensen WebberChief Executive Of昀椀cer9.
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