Health New Zealand - NZ health system reforms

The Health System reforms will come into effect on 1 July 2022 when Taranaki District Health Board, along with all other DHBs, will be disestablished and we will become Health New Zealand.

This is an exciting reform where there will be true partnership between Health New Zealand and the Māori Health Authority.

As we countdown the weeks to July 1, we will be providing updates on the reform starting with a reminder of why the need for the reform.

In 2018, the Government commissioned an independent review into our health system.

The Review was based on widespread consultation with the health and disability sectors and interested parties over an 18-month period.

The Review was the starting point for reform. It found the public health system performs well overall by some measures, yet it was a fragmented health system that has significant and persistent issues in delivering equity and consistency for all.

What was clearly needed was a health system for the 21st century
Transforming the health system will create a more equitable, accessible, cohesive and people-centred system that will improve the health and wellbeing of all New Zealanders.

  • People-centred: a system that brings together the voice of all communities
  • Equitable: a system that focuses on working in partnership with Māori and honouring Te Tiriti o Waitangi
  • Accessible: a system that offers more equitable, convenient and integrated access to services for all New Zealanders
  • Cohesive: a national health system that delivers locally, supported by co-ordinated planning and oversight

There will be more structure around a national network of hospitals and a greater emphasis on locality-based commissioning.  The reforms will take time to bed in and once completed, will provide a real opportunity to balance consistency in planning of services across the nation, along with nimbleness to respond to unique locality-based leadership.

All existing employees and contractors of District Health Boards, with the exception of the chief executives, will automatically transfer to Health New Zealand on 1 July 2022. Everyone will carry on in their roles and being paid as they do now.

The chief executives (CE), including Taranaki DHB’s CE, Rosemary Clements, have all been offered a three-month fixed term contract from 1 July 2022 to 30 September, with a further three months by mutual agreement out to the end of December 2022.  Rosemary will be taking up this option to help steer us through the reforms to the new model.

What is also being disestablished is the DHB boards and ours meet for the last time on 20 May.

The next significant step will be the passing of The Pae Ora (Healthy Futures) Bill this month. 

We will start to roll out more updates on the transition as they come to hand leading up to July 1.

In the interim, here are some helpful links if you want to find out a bit more yourself:

Health NZ
Home | Health New Zealand (

The Future of Health
Home / Kāinga | Future of health



Last updated: Monday, August 15, 2022

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