Te Taura Ora IMPB Oral Submission
Deputy Chairperson Jenny Kaka-Scott presented the Te Taura Ora oral submission to Subcommittee A, chaired by Sam Uffindell, with members Dr Carlos Cheung, Cameron Luxton, Hūhana Lyndon, and Debbie Ngarewa-Packer.
Te Taura Ora IMPB Warns Pae Ora Bill Worsens Inequities Urges Abandonment
Te Taura Ora o Waiariki, the Iwi Māori Partnership Board (IMPB), will make a formal submission before Parliament’s Select Committee on Tuesday 2 September at 9:50am on the Pae Ora Bill. Deputy Chairperson Jenny Kaka-Scott will present to Subcommittee A, chaired by Sam Uffindell, with members Dr Carlos Cheung, Cameron Luxton, Hūhana Lyndon, and Debbie Ngarewa-Packer.
“This Bill undermines the principles of Te Tiriti o Waitangi by stripping away statutory protections that give Māori genuine influence in health service design and delivery decisions impacting our people,” Jenny Kaka-Scott said.
Te Taura Ora o Waiariki opposes the Healthy Futures (Pae Ora) Amendment Bill because it reduces Māori from being meaningful decision-makers to advisors to the Minister’s advisors, which represents a constitutional regression.
“The Pae Ora Act 2022 is one of the few modern health laws that truly embeds Te Tiriti into governance, service design, and monitoring, and the proposed amendments would weaken those protections nationwide.”
She said that IMPBs must be strengthened to maintain statutory authority to monitor the health sector independently, partner in local service design and delivery, and hold the power to appoint a majority of Hauora Māori Advisory Committee members who are accountable to iwi.
“This ensures real influence over our local health services, rather than tokenistic consultation. Weakening IMPBs also undermines Crown credibility, Tiriti compliance, and accountability in Māori health,” she said.
Kaka-Scott said the Bill also risks dismantling mechanisms that are already delivering positive outcomes for Māori. Te Taura is one of 15 IMPBs operating across Aotearoa, providing a vehicle for rangatiratanga in health. Removing their statutory functions would undermine these proven approaches and weaken local voices in health planning.
“In our Te Arawa rohe, Te Taura Ora o Waiariki has successfully partnered with Rotorua Hospital, local PHOs, Hauora Māori providers, Bay of Plenty Public Health, and community leaders to embed local priorities into Regional Health and Wellbeing Plans. Our partnerships demonstrate how IMPBs improve outcomes on the ground through genuine Te Tiriti-based engagement and co-design.”
These local successes highlight what is at stake, as the Bill’s proposed changes risk undermining the very mechanisms that are improving Māori health outcomes and addressing persistent inequities in Te Arawa.
“Evidence shows that Māori continue to experience shorter life expectancy and higher rates of preventable hospitalisations. By removing mandatory engagement, cultural responsiveness, and independent monitoring, the Bill would reduce culturally safe care, allow inequities to go unreported, and impose one-size-fits-all universalism solutions that fail to meet local Māori needs,” Kaka-Scott said.
Te Taura Ora o Waiariki is calling on Parliament to abandon the Bill or at worst, redraft it to retain and strengthen statutory Te Tiriti protections, IMPB powers, and co-design mechanisms. Until such changes are made, the Pae Ora Act 2022 remains in force, and Te Whatu Ora Health NZ must fully comply with its current statutory requirements.
Media Liaison: Sarah Sparks Email: Sarah.sparks@sparksconsulting.co.nz Mobile: 021318813
Proposed Pae Ora Bill Sparks Concern as Local Iwi Māori Partnership Board Warns of Silenced Māori Voices
Te Taura Ora o Waiariki, the Iwi Māori Partnership Board (IMPB) has just returned from a landmark national hui in New Plymouth, where 15 Iwi Māori Partnership Boards united to oppose government plans that threaten to silence Māori voices and weaken decades of hard-won health partnerships guaranteed under Te Tiriti o Waitangi.
“What we’ve learned is the public health system is actually not doing really well for our people, and we have known this for many years,” said Te Taura Ora Chair, Hingatu Thompson.
The first monitoring report released by Te Taura Ora o Waiariki IMPB revealed critical gaps in prevention and access for Māori in Te Arawa, highlighting low cancer screening rates and the country’s lowest child immunisation coverage, underscoring the urgent need for greater investment in Māori-led health solutions.
“What was encouraging with the original Pae Ora Act was that mana returned to Te Arawa to take control, to analyse data ourselves with our Whānau Voice surveying that gathers our own information from whānau our rohe to influence priorities.”
“However, now the government’s proposed changes in the Pae Ora Bill threaten to remove iwi’s meaningful participation and advice on the future of hauora for our people.”
Thompson said Te Arawa has maintained strong hauora partnerships across successive governments and will continue to do so. However, the proposed legislation risks sidelining iwi voices by channelling feedback primarily through the Minister-appointed Hauora Māori Advisory Committee (HMAC) which lacks representation from Waiariki, instead of empowering locally appointed Iwi Māori Partnership Boards to engage directly at regional and community levels, where real, meaningful change occurs.
“As Iwi Māori Partnership Boards, we have unique regional and local priorities and accountability to our whānau at home. We must work directly with Te Whatu Ora Health New Zealand at these levels to influence how services are delivered, who delivers them, and ultimately to achieve better outcomes for Māori in our rohe. The government’s talk of ‘streamlining’ feels like a convenient way to reduce Māori engagement,” Thompson said.
Te Taura Ora o Waiariki IMPB strongly supports:
- Retaining and clarifying the accountability of HMAC to iwi Māori through IMPBs.
- Strengthening IMPB roles to provide regional and local advice to Te Whatu Ora Health New Zealand.
- Developing new health strategies with specific actions to improve Māori health outcomes.
- Opposing any amendments to the Pae Ora Act that weaken or replace the principles of Te Tiriti o Waitangi.
“The government’s own analysis shows these changes will have minimal positive impact on Māori health outcomes, yet they risk diminishing Māori involvement. We firmly believe that continuing and enhancing the current partnership model will lead to genuine improvements and reduced inequities.”
“While that national hui is only the beginning of a national conversation, common themes are emerging, iwi and IMPBs do not support these proposed changes and question their necessity.”
“We are committed to working together nationally to form a single, strong voice, but improving life expectancy, child immunisation rates, accessibility to health delivery services locally and regionally is where we need to make the ultimate progress.”
Each IMPB, including Te Taura Ora o Waiariki, will submit their own detailed submission to the Health Committee on the proposed legislation by 18 August. Thompson intends to present in person to the select committee on behalf of whānau in Waiariki.
Media Liaison: Sarah Sparks
Email: Sarah.sparks@sparksconsulting.co.nz
Mobile: 021318813
See the photo gallery below for a snapshot of the conference.
Iwi Māori Partnership Boards concerned their role minimised under Pae Ora Act changes
This article was first published on RNZ.
Iwi Māori Partnership Boards are concerned changes to the Pae Ora Act minimises their role.
A national hui hosted by Te Punanga Ora in Taranaki brought all 15 Iwi Māori Partnership Boards (IMPBs) together for the first time since their establishment in 2022.
The gathering followed the first reading of the Pae Ora (Healthy Futures) Amendment Bill which is set to ‘rebuild the health system’.
There are four things within the proposed changes that Hingatu Thompson from Te Taura Ora o Waiariki IMPB wants the government to reconsider.
“One is we don’t agree that te Tiriti should be removed out of all legislation. The second thing is, there is a Hauora Māori Advisory Committee (HMAC), we support them having a national role, but we think they should be accountable to iwi and we can provide that channel.
“The third thing is there’s a Māori health strategy still within the Act, and we just want to endorse that. There’s no way New Zealand is going to achieve improvement in Māori health without having a plan.”
His fourth concern was the role of IMPBs. Thompson said if their roles were taken away, it would be harder for Māori health to improve.
“It’s about the Treaty relationship, te Tiriti o Waitangi, how Māori engage with the Crown to ensure Māori are well and to make sure there is a difference for all of the inequity that we see because Māori do die younger. We do have access to the same services, but the outcomes are worse.”
It was announced last week that life expectancy for Māori had increased more than any other ethnic group in New Zealand, but the 3.1 year increase still kept Māori at the bottom of the rung.
“It would be interesting to see where those statistics are generated from,” Te Pununga Ora deputy chair Mitchell Ritai said.
From heart conditions to gout, Ritai said certain medical conditions contributed to Māori dying earlier than non-Māori.
“These are all historical issues and we need a system that helps to ensure that these inequities that we’re experiencing as Māori are addressed in the correct way.”
He believed it should be up to local people in communities who should lead the way.
“Interventions, programmes, initiatives to help improve health statistics should be led locally. The change to the Pae Ora Act stops that and that’s one of our concerns is that our voice, and the voice of our whānau, may potentially be silenced with these amendments.”
It was through the Tino Rangatiratanga clause under article two of te Tiriti o Waitangi that got IMPBs off the ground, Ritai said, it was an ability for Māori to have a direct connection to decision makers at a local level around addressing health inequities for Māori.
Te Pāti Māori co-leader Debbie Ngarewa-Packer said the Pae Ora legislation was the last of the changes that the “government has made to strip out te Tiriti, to strip out equity approaches to Māori health”.
“It’s gutting for a lot of entities that have been around forever and tried the mainstream health way and seen how it’s failing Māori.
“The sadness is that we’re tangata whenua. We’re the indigenous peoples of Aotearoa. And the government doesn’t think that we’re worth protecting. It’s quite heartbreaking when you look at the level of commitment that iwi have given.”
With the backing of whakapapa and mana, IMPBs are iwi-led and iwi-appointed, therefore they hold aspirations within each of the regional iwi, Ngarewa-Packer said.
“What we’ve been trying to do is go out to create health services in a regional bespoke way that makes sure that you can either go out to marae or go to the kaumātua wānanga, be where rangatahi are and deal with it as best suits for those communities in a regional sense.
“And that’s what the Iwi Māori Partnership Boards are mandated to do… advise and determine where investment should be.”
Public submissions on the Healthy Futures (Pae Ora) Amendment Bill close Monday, 18 August.
By Emma Andrews of RNZ.
Original Article: https://www.teaonews.co.nz/2025/08/10/iwi-maori-partnership-boards-concerned-their-role-minimised-under-pae-ora-act-changes/
IMPBs uniting against Pae Ora amendments in bid to protect Māori voice
Leaders from all 15 iwi Māori partnership boards are in New Plymouth to present a united front against the Government’s proposed changes to the Pae Ora (Healthy Futures) Act 2022.
Speaking to media attending the hui this morning, Tūwharetoa IMPB chair Louisa Wall says the Government’s actions are “appalling”.
“We had a stunning relationship with our first minister, Peeni Henare, and then a stunning relationship with our second minister, Dr Shane Reti,” Ms Wall says.
“This minister hasn’t even met with us, so it’s appalling behaviour for our partners in the system who say they put patients first.”
But, given boards are now incorporated societies or charitable entities, she says they will continue pushing for system changes within their role regardless of any new legislation: “None of that will change, but it’s easier if we have a formal relationship.”
“This move silences our voices and severs a critical connection”
Proposed changes to act
The amendment bill, which will also change the act’s name to Healthy Futures (Pae Ora), takes away current board functions relating to business planning, service design and service monitoring, and replaces them with the single task of collecting the “whānau voice” on healthcare priorities.
This feedback will then be passed to the Hauora Māori Advisory Committee which will inform the new board of Health New Zealand Te Whatu Ora.
The amendments are also likely to include the creation of new IMPBs for Tūhoe and the Chatham Islands.
Critical connection severed
In a media release, Hiria Te Paki, chair of hosting Taranaki IMPB, Te Punanga Ora, says the amendments reduce boards from active partners to passive recipients and undermine long-standing partnerships: “Telling us after the fact is not consistent with Te Tiriti o Waitangi.
“This move silences our voices and severs a critical connection between Māori communities and the health system,” says Mr Te Paki.
“Māori are still dying, on average, seven years younger than non-Māori. Diluting our leadership and input will only deepen these inequities.”
Ms Wall, a former Labour Party MP, says the dilution of the IMPB role undermines the health system and shows achieving equity is no longer a priority: “(The Government), I guess, will put (the health system) back to first come, first serve. Whoever knows the system is going to be able to access the services…”
Parliamentary debate kicks off
The amendment bill was presented to Parliament for its first reading by health minister Simeon Brown on 22 July.
In the Hansard report of the debate Mr Brown, when presenting the bill, says the changes bring “greater focus” to the role of IMPBs, while HMAC, which is made up of members appointed by the minister who work part-time and meet monthly, will have “a clear statutory function”.
In response, Labour Party health spokesperson Ayesha Verrall says the changes are ideological and will cause “a terrible loss of Māori voice, and our health system will be worse for it”.
Te Pāti Māori co-leader Debbie Ngarewa-Packer stood “in fierce opposition to this ridiculous bill” which she says goes against the advice of healthcare experts.
“I can’t wait to get the opportunity in government in 2026 to repeal this bill fast as we can.”
National MPs defend bill
After National Party MP and health select committee chair Sam Uffindell called Ms Ngarewa-Packer’s speech “the worst I’ve ever heard in the House” his colleague, specialist GP Vanessa Weenink, attacked the previous Labour Government’s reforms as an “omnishambles” that disrupted decision-making and communication: “No one has had either the authority, or, frankly, temerity to make any decisions, and the responsibility for the consequences of that have been opaque as well.”
The bill has been sent to Parliament’s health committee for public submissions and is scheduled to be reported back to the house by 24 November.
The National Iwi Māori Partnership Board Hui Tahi is being held in New Plymouth’s Devon Hotel from 7 –8 August.
Article by: Alan Perrott
Original Source: https://www.nzdoctor.co.nz/article/news/impbs-uniting-against-pae-ora-amendments-bid-protect-maori-voice?check_logged_in=1
Iwi leaders unified in opposition against Pae Ora (Healthy Futures) Bill changes
Māori leaders have come together in Taranaki to oppose proposed changes to the Pae Ora (Healthy Futures) Bill, which they say will undermine their role in the health system and threaten hard-won gains in Māori health equity. Lineni Tuitupou was there.
Original Source: https://www.facebook.com/watch/?mibextid=wwXIfr&v=1926571778183675&rdid=5UCyfaiXo9YTCpqD
Milestone for Iwi Māori Partnership Boards
Health Minister Dr Shane Reti says Iwi Māori Partnership Boards have taken a major step as part of the Government’s commitment to the health of Māori communities.
Minister Reti has now received 15 IMPB community health plans, representing the vision and plans of the boards for health and wellbeing in communities throughout New Zealand.
“Receiving these plans is a hugely significant milestone in implementing my long-term vision for Māori health,” says Dr Reti.
“Having all 15 recognised IMPBs on board with their planning marks a pivotal step in ensuring health services identify and act on the actual needs and priorities of Māori communities.
“Development of the plans not only underscores the professionalism of the IMPBs in delivering them, but the content will also align and inform around key Government health targets, and in ensuring a Māori voice is heard in health.
“These are localised rather than bureaucratised plans, providing crucial insights into health priorities for actual populations. From here, they will also ensure local voices are heard and integrated into our broader health strategy
“These plans are not just documents. they are living frameworks to guide our efforts to better address specific health challenges faced by Māori communities.
“Their prioritisation of local needs means agencies can take meaningful steps towards reducing actual health inequities. Through engagement with local whānau, IMPBs have been able to identify specific priorities and actions in addition to the Government’s overarching health targets.
“Examples of these priorities include access to oral health care, suicide prevention and growing the Māori health workforce.
“The Ministry of Health – Manatū Hauora, Health New Zealand – Te Whatu Ora and Iwi Māori Partnership Boards will now work cohesively to finalise the plans, support the relevant IMPBs, and begin implementation over the next three to five years.
“The plans will become the base for IMPBs being able to act on their strategic commissioning role, however it remains important to recognise that each IMPB is currently at a different level of capacity for delivery.
“This year’s 2024/25 budget increase of an additional $40 million per annum through Health NZ will contribute to addressing hauora Māori provider inflation pressures and continued service provision to Māori communities.
“I look forward to the positive impact these plans will have on the health priorities of Māori communities and the ongoing collaboration with all stakeholders to achieve our shared goals,” Dr Reti says.
Once finalised, the Community Health Plans will be published on the IMPB and Health New Zealand websites.
Original Article posted on the Beehive Website: https://www.beehive.govt.nz/release/milestone-iwi-m%C4%81ori-partnership-boards
Iwi Māori Partnership Boards Unite in Whakatāne to Lead Regional Health Planning
Iwi Māori Partnership Boards Unite in Whakatāne to Lead Regional Health Planning: Unveiling Community Health Plans & Hauora Māori Priorities
A third of the Iwi Māori Partnership Boards including five from the Te Manawa Taki region have united in Whakatāne to present their Community Health Plans to government officials, fulfilling their legislated function on behalf of Iwi, hapū, and whānau.
As part of the reset of Te Whatu Ora Health New Zealand, Newly appointed Deputy CE and Regional Director, Catherine Cronin received the Community Health Plans and Hauora Māori Priority Reports highlighting Whānau Voices.
This information was gathered from whānau, hapū and hapori to shape individual IMPB priorities and consolidated into regional priorities to tackle the ‘grim picture’[1] of the state of Māori-health.
“The purpose of our collective is to mahi tahi – to work together- to achieve the health and wellness aspirations of our whānau,” said Kataraina Hodge, Co-Chair of Te Tiratū IMPB.
Collectively, the 6 boards serve a combined Māori population of 285,560.
“Our role is not only integral, but fundamental to the success of Te Whatu Ora Health New Zealand and the system’s responsiveness to Māori health needs,” said Louisa Wall, Chair of Tūwharetoa IMPB.
The IMPB are responsible for assessing, monitoring, planning and represent local Māori perspectives on the design and delivery of services and public health interventions within localities.[2]
Their shared priorities focus on public and population health, primary and community care, hospital and specialist services and priorities, workforce, data and funding appropriation for a redesigned delivery model.
“We are all experiencing the same levels of high health need for our whānau so the strategic emphasis into the prevention and health promotion space is essential to make meaningful progress,” Hodge said.
Each IMPB collected the voices of whānau through workshops and surveys, blending these insights with data from Te Whatu Ora and Primary Health Organisations to develop comprehensive, evidenced-based reports for each rohe.
This effort upholds the IMPB’s statutory responsibility in their relevant localities.
The Boards have aligned around regional strategies and delivered all key documents within Minister Reti’s expected timelines—most significantly, meeting the 30 September deadline to be ready for co-commissioning opportunities from 1 January 2025.
“Today is another important milestone in achieving our moemoeā (vision) for our whānau. We are actively participating in shaping regional health priorities that we expect will influence funding based on need ahead of the 2025 Budget,” said Aroha Morgan, Co-Chair of Te Taura Ora o Waiariki IMPB.
One critical task ahead is addressing the status of legacy contracts for Māori Providers – to maintain continuity and capacity in the system – which have been extended until 30 June next year.
“We strongly advocate for evergreen contracts for our providers, given the urgent state of our health needs. At every opportunity, we’ve made it clear to politicians and officials: contracts for Māori health providers must be extended and prioritised,” said Rutu Maxwell-Swinton, Co-Chair of Te Moana a Toi IMPB.
The hui was hosted at Te Whare Wānanga o Awanuiārangi, a Ngāti Awa-founded tertiary provider known for its essential role in training and developing the Hauora Māori workforce. The Boards expressed deep appreciation to the Wānanga for providing the venue for this important briefing.
“Since our establishment, we’ve been following our statutory responsibilities to ensure that we have robust governance structures and operational capability,” one Board member explained.
“We’ve had to set up charitable trusts and ensure that trustees represent iwi and mātāwaka organisations from each rohe, which is no small task.”
The IMPBs have collaborated with Te Whatu Ora and Manatū Hauora navigating changes in legislation, leadership, and planning approaches during the transition to a new coalition government.
“We’ve seen a shift from Locality Plans to Community Health Plans. It wasn’t until July this year that we had clarity on the new Minister’s expectations—before that, we were operating under Labour’s directives,” said Hone Te Rire, incoming Co-Chair of Te Moana a Toi IMPB.
The independent analysis aligns with key government priorities, reflecting a shared commitment to achieving mutual goals.
“It’s a great day for us but it’s got to be taken seriously, I was here 35 years ago and not a lot has changed in Māori health,” said Te Pahunga Davis Chair of Te Punangaora IMPB.
“I live in hope that we can make a difference that we can measure. With that I support our pukapuka being placed into the kete but we’ll be watching you, or we aren’t doing our job.”
The rōpū has heard “loud and clear” the consistent message from whānau about Hauora Māori that mirrors what’s been happening over the last 40 years societally that has led to more highly, complex comorbidities.
“Nothing’s really changed. Now we’re living in a climate of household stress, whether that be income, unhealthy homes, violence, lack of job security – all those determinants of health have doubled down on our people over this last decade especially,” said Davis.
Beyond forming the Iwi Māori Partnership Boards and underpinning flax-roots efforts, there is a shared belief that true solutions lie in our vibrant young Māori demographic, now 978,246 strong according to the 2023 Census.[3]
“Our emerging next generation bring an inspiring energy and a sense of hopefulness for the future. For us ultimately that’s going to play a pivotal part in the shift for addressing health inequities.”
[1] Refer: Pg 53 & 54 Waitangi Tribunal Hauora Report 2019 – like the gap in life expectancy at birth between Māori and non-Māori is 7.3 years for males and 6.8 years for females.
[2] Refer: Section 29 Pae Ora Act 2022 https://www.legislation.govt.nz/act/public/2022/0030/latest/LMS659229.html
[3] Refer: https://www.stats.govt.nz/information-releases/2023-census-population-counts-by-ethnic-group-age-and-maori-descent-and-dwelling-counts/#:~:text=In%20the%202023%20Census%3A,from%2018.5%20percent%20in%202018
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Media Liaison: Sarah Sparks Email: Sarah.sparks@sparksconsulting.co.nz Mobile: 021318813
Background:
The collective of Iwi Māori Partnership Boards that in the Te Manawa Taki region are:
- Te Taura Ora o Waiariki IMPB (Te Arawa)
- Te Tiratū IMPB (Tainui Waka, Ngāti Haua & Mātāwaka)
- Te Moana a Toi IMPB (Bay of Plenty)
- Tūwharetoa IMPB
- Te Pūnanga Ora IMPB (Taranaki)
- Toitu Tairawhiti IMPB (Tairawhiti)
GALLERY OF THE HUI
