Health and Disability System Review

Closed 31 May 2019

Opened 1 Jan 2019


Kia ora, Talofa Lava, Kia Orana, Malo e lelei, Ni sa bula vinaka, Fakaalofa lahi atu, Malo ni, Tena koutou katoa, Greetings.

The New Zealand Health and Disability System has many strengths and overall our people are living longer and healthier lives. 

Following an extensive programme of consultation led by the Ministry of Health, we have a clear and relevant vision for the system.  This was expressed in the refreshed New Zealand Health Strategy (2016):

“All New Zealanders live well, stay well, get well

and also in the New Zealand Disability Strategy (2016):

“New Zealand is a non-disabling society – a place where disabled people have an equal opportunity to achieve their goals and aspirations, and all New Zealand works together to make this happen”.

However, the way things operate currently means that there are wide disparities in health outcomes across our society.  Many people, particularly those on low incomes, do not access care until they are very unwell, rather than receiving services they need to stay well in the first place.  Health outcomes for Māori are significantly worse than for the rest of the population and Pacific peoples also suffer from much lower than average health outcomes.

The system is also facing significant and rapid global, societal and technological change.  It will need to operate differently in the future if it is to continue to deliver well for New Zealanders.

The Health and Disability System Review Panel has been established to identify opportunities to improve the performance, structure and sustainability of the system in the future, with a key focus on equity.  We have a clear direction that focuses on improving health and wellness outcomes for all New Zealanders and addressing the inequities, particularly for Māori, Pacific peoples and low income communities.

We welcome your views on how we can best improve the health and disability system to achieve these goals.

How can you contribute to the Review?

We are keen to hear your thoughts on what system level changes could improve the performance of our health and disability. Our focus is on changes that will have their full impact in 5 to 10 years time and have wide benefits across the system and for communities.

This is the first of two opportunities to submit your views through this on-line process:

  • Phase One  (January - May 2019) 

    We are seeking your input to ensure the Panel has a good understanding of how the system is working currently and to identify the issues most critical to improving the effectiveness and equity of the system. We are interested in your views on the system level changes which would have the most impact on improving equity of outcomes in the future.

  • Phase Two (August - November 2019)  

    We will be seeking your feedback on the Interim Report which is due to be completed in August 2019.

Phase One

This online process is one mechanism for you to provide input to the Panel. Members of the panel will also continue to meet with representative and peak bodies of a wide range of provider, consumer and other groups throughout the period of the review to ensure we understand the issues from all perspectives. During 2019, we will be sponsoring a range of workshops on issues to encourage people with different perspectives to work together to address the complexities of the issues.

Reference materials

As you think about preparing your response, you may want to refer to some of the follow materials: 

System Review Terms of Reference 

New Zealand Health Strategy (2016)

New Zealand Disability Strategy (2016)

Achieving Equity (2018)

If you have any questions regarding the online survey you are welcome to email us at

Available from early February:    

Let us know what you think in