Ngā hui me ngā āmiki
Te Kāhui Piringa members meet approximately once per quarter. Minutes from their meetings are available below.
Meeting minutes
Date: 16 November 2022
Time: 9:00am–12:00pm
Chair: Ria Earp
Members: Wi Keelan, Denis Grennell, Chas McCarthy, Matire Harwood
In attendance: Stephanie Turner, Hikitia Ropata, Jim Wiki, Doug Edwards, Dr Janice Wilson, Alana Emery
Guests: None
Apologies: Dr Fiona Cram, Marama Parore, Bernadette Jones
- New members were welcomed by the chief executive and provided an update the work being undertaken by the Commission.
- The hui was focused on whakawhanaungatanga for new members, and the new name for Te Rōpū; Te Kāhui Piringa, was launched.
- Members discussed the opportunity for Te Kāhui Piringa to work alongside the Commission board as a partnership board rather than an advisory group to the board.
- Ahuahu Kaunuku shared the whakapapa of their team for new members joining the rōpū.
The meeting closed at 12:00pm.
Date: 8 February 2023
Time: 9:00am–12:00pm
Chair: Ria Earp
Members: Denis Grennell, Chas McCarthy, Bernadette Jones, Dr Fiona Cram, Marama Parore
In attendance: Stephanie Turner, Hikitia Ropata, Jim Wiki, Huataki Whareaitu, Dr Janice Wilson, Alana Emery
Guests: Heidi Cannell
Apologies: Matire Harwood, Wi Keelan
- The members and chief executive gave updates about what has occurred since the last hui.
- Members discussed electing a deputy chair, Ria will contact members to request a deputy when needed.
- Members has a discussion about how they will work with the Commission in their new role as an elevated partnership board. A paper will be developed by Ahuahu Kaunuku to go to the next board hui outlining their status and new functions.
- Heidi Cannell provided an update about the Commissions plan to undertake a performance self-review to understand where the organisation is at and where opportunities are to improve. Members will be contacted by external reviewers for an interview to share their thoughts.
The meeting closed at 12:00pm.
Date: 28 June 2022
Time: 9:00am–12:45pm
Chair: Ria Earp and Frank Bristol
Members: Mary Schnackenberg, Russ Aiton, Jodie Bennett, Maine Mareko, Delphina Soti, Angie Smith Marama Parore, Wi Keelan
In attendance: Janice Wilson, Deon York, DJ Adams, Allison Anderson, Dez McCormack, Stephanie Turner, Hikitia Ropata, Jim Wiki, Alana Emery
Guests: None
Apologies: Muriel Tunoho, Dr Fiona Cram, Chris Walsh
- The chief executive gave an update about the Commission’s role in the evolving health sector. The Commission has four priorities: partnership with consumers and whānau, embedding and enabling partnerships with Māori using Te Tiriti and mana motuhake, focus on health equity for all, improving the health system to create quality services.
- Members were updated about new functions in the Commission, such as the knowledge sharing platform, as well as a Measures Library.
- An update was provided by He Hoa Tiaki on the consumer voice project. Three pieces of work have been delivered for the consumer voice framework which are the Centre of Excellence for Engagement, the code of expectations, and delivery of whānau and consumer voice infrastructure.
- Ahuahu Kaunuku provided an update on their whānau voice project. They have facilitated 12 hui with whānau to gather voice and plan to work with Te Aka Whai Ora to amplify this voice in the health system.
- Members of both groups discussed how to build a stronger relationship between Te Rōpū and the consumer advisory group. Annual hui have made it difficult to maintain a strong relationship so there is potential to increase frequency, or have a member on both groups.
The meeting closed at 12:45pm.
Date: 12 May 2022
Time: 10:00am–12:45pm
Chair: Ria Earp
Members: Marama Parore, Dr Fiona Cram
In attendance: Stephanie Turner, Hikitia Ropata, Dr Te Raina Gunn, Jim Wiki, Dr Janice Wilson, Alana Emery
Guests: None
Apologies: Muriel Tunoho, Wi Keelan
- The members and the chief executive gave an update about what has occurred since the last hui.
- Hingatu Thompson and Prof Denise Wilson have resigned as Te Rōpū members. Potential new members have been nominated by Commission staff and Ria will contact nominees.
- Members were advised there is to be a strategy meeting to discuss the role of the Commission in the new health environment.
- Members were updated regarding mental health and addictions services. The health reforms and the COVID-19 pandemic have impacted mental health and addictions services nationally, leading to a ride in seclusion. It is noted that nurses have been redeployed to address COVID cases. The Ombudsman has been informed of the overall declining rate of seclusion despite the current challenges.
- Four Māori Cultural frameworks have been developed to initiate a bicultural process and bring in Māori expertise to codesign services alongside consumers and whānau accessing mental health and addictions services.
- Ahuahu Kaunuku provided an update about the whānau, hapū and marae voices project. Ahuahu Kaunuku discussed how to highlight the importance of whānau instead of consumer.
- The Te Ao Māori framework has now been published on the Commission website. Feedback from Te Rōpū was positive and performance management is a good tool to ensure the health system is accountable when using the framework.
The meeting closed at 12:45pm.
Date: 17 February 2022
Time: 1:00–2:30pm
Chair: Hingatu Thompson (interim)
Members: Marama Parore, Dr Fiona Cram
In attendance: Hikitia Ropata, Bronwen Chesterfield, Heidi Cannell, Jim Wiki, Alexis Wevers (minute taker), Dr Janice Wilson
Guests: Victoria Evans, Jocasta Whittingham
Apologies: Ria Earp (Chair), Prof Denise Wilson, Huataki Whareaitu, Stephanie Turner, Dr Tania Riddell, Wi Keelan, Muriel Tunoho, Assoc. Prof Sue Crengle, Te Raina Gunn
- The minutes of the 2 September 2021 hui were accepted as a true and correct record. Reviewing the minutes was restarted as a standing item.
- The members and the CEO gave updates about what has occurred since the last hui.
- An update was provided on the branding refresh of the Commission and Te Rōpū Māori’s advice sought. Te Rōpū acknowledged that Health NZ has made a blanket statement about limiting rebranding and associated costs in the changing health sector, however, the group felt that the concept and design process pre-dated the sector changes and should proceed. Members also suggested different wording instead of using the words ‘refreshing branding’: “Ko wai matou?” (“Who are we?”).
- Te Rōpū endorse and support changing the Māori name for the Commission to Te Tāhū Hauora, and also support the design concepts behind the image. Te Rōpu recommend reframing the description of the image and brand by describing the Te Ao Maori foundations for the design first, and then describing how the Health Quality & Safety Commission will align with the kaupapa.
- The Commission updated the members in relation to the ongoing engagement with the Transition Unit. The Commission has been working on defining a quality system using the Wai 2575 principles as a framework, with the addition of wairuatanga, and the quadruple aim. They submitted this paper to the Minister.
- The Commission also updated members about the health reforms. The Commission met with the Boards of the Māori Health Authority and Health NZ to discuss the consumer/whānau code of expectations. Members agreed that the implementation guidance would be very important and would like the Commission to highlight examples of good practice.
- Ahuahu Kaunuku provided an update on the whanau engagement programme which is ongoing and successful so far. Ahuahu Kaunuku will present back case studies to Te Rōpū Māori. Marama Parore will facilitate introductions with some people for Ahuahu Kaunuku to contact as part of the programme.
- The Commission will set up an extra Te Rōpū Māori before the next scheduled hui to discuss the Te Ao Māori framework ahead of finalising the statement of performance expectations.
The meeting closed at 2.30pm.
Date: 2 September 2021
Time: 1:00pm- 3:30pm
Chair: Ria Earp
Members: Muriel Tunoho, Marama Parore, Prof Denise Wilson, Dr Fiona Cram
In attendance: Stephanie Turner, Hikitia Ropata, Bronwen Chesterfield, Dr Tania Riddell, Jim Wiki, Maddi Mitchell, Alexis Wevers (minute taker), Dr Janice Wilson
Guests: Kere Pomare, Heidi Cannell, Chris Walsh
Apologies: Huataki Whareaitu, Wi Keelan, Hingatu Thompson, Prof Sue Crengle, Te Raina Gunn
- The CEO updated the members in relation to the commissioning role of the Commission and the ongoing engagement with the Transition Unit. The Commission is advising to prioritise integrating Te Tiriti o Waitangi and equity, quality and safety, and consumer engagement. The Commission is also preparing advice to the Minister about its future role.
- The chair and Ahuahu Kaunuku shared their experiences and challenges following since the June 2021 hui. Ahuahu Kaunuku is more involved with the commissioning work focusing on Te Tiriti o Waitangi, consumer engagement and clinical governance.
- An update was provided on the review of the national mortality review function. The secretariat are finalising talks with a provider to conduct the review. The review will be conducted from first principles and will focus heavily on Te Tiriti o Waitangi and Māori data sovereignty in particular. While the review is being run, the secretariat will complete only essential functioning to support the committees.
- Te Rōpū members discussed the proposed Terms of Reference (ToR) update. The members discussed whether Te Tiriti o Waitangi should be explicitly stated in the ToR, and whether the Ministry of Health’s Māori Health Action Plan: Whakamaua should also be explicitly referenced in the document. The members also discussed how Te Rōpū Māori will fit under the proposed changes to the Commission’s accountability and role. Finally, members discussed the extent of their function and role, and whether this should be strengthened. Ahuahu Kaunuku will make some suggested changes based on the feedback and return to the members of Te Rōpū Māori outside of hui.
- An update was provided to Te Rōpū about the draft code of expectations for consumer and whānau engagement. The members provided feedback about the draft document with a particular focus on the entrenchment of whānau-centred care, in preference to patient-centred care. It was suggested to change the tone of the code to be more active, for example, replacing ‘values’ with ‘actions’. The Commission will return to Te Rōpū Māori after further engagement and feedback has been provided.
- The members discussed the development of the Māori Health Authority, and the relationship of the Māori Health Authority with the Commission. Iwi partnerships in particular were discussed. It was agreed that this would be a regular agenda item.
- An update was provided on the successful launch of the advance care planning resource ‘Whenua ki te whenua’.
- The minutes of the 10 June 2021 hui were accepted as a true and correct record by email after the meeting.
The meeting closed at 3.30pm.
Date: 10 June 2021
Time: 1:00pm- 3:30pm
Chair: Ria Earp
Members: Muriel Tunoho, Hingatu Thompson, Prof Sue Crengle, Marama Parore, Prof Denise Wilson, Dr Fiona Cram
In attendance: Stephanie Turner, Hikitia Ropata, Heidi Cannell, Bronwen Chesterfield, Dr Tania Riddell, Jim Wiki, Wi Keelan, Maddi Mitchell, Alexis Wevers (minute taker), Dr Janice Wilson
Guests: Marsha Wyllie
Apologies: Huataki Whareaitu, Te Raina Gunn
- Te Rōpū shared a meeting with the Commission’s consumer advisory group (CAG) in the morning. Presentations were given about the Commissions’s response to the increased responsibility in the Minister’s expectations. An update was also provided on the Te Ao Māori framework and the partnership between Ahuahu Kaunuku and the Partners in care team.
- Te Rōpū members and the chair shared their individual experiences and challenges following since the April 2021 hui.
- The members updated on the work they have been doing since the April 2021 hui with focus on workforce development, housing, decolonisation, mental health and addiction, and diabetes. The Commission’s Health Quality Intelligence team will organise a meeting relating to the discussion on diabetes.
- The CEO updated the members in relation to the expanded role of the Commission in the health sector reform agenda. The Commission will have a greater focus on the consumer and will work to become a central agency of knowledge and learning about quality and safety.
- The members discussed the recently announced health system reforms with particular focus on the Māori Health Authority, consumer fora and the Te Tiriti o Waitangi approach.
- An update was provided on the Te Ao Māori framework and the members were asked for their input on the implementation of the framework. A tohunga external advisory group has met and have accepted the central concepts. The team will update Te Rōpū again in the next hui and ask for more feedback. Ahuahu Kaunuku is working on developing measures with the Commission’s Health Quality Intelligence team.
- Te Rōpū members provided feedback about the framework concepts and their thoughts about how to implement it. There was considerable discussion on whether the central concept should be wairuatanga or patuitanga, but the members were broadly in favour of the central concepts as they stood.
- The minutes of the 29 April 2021 hui were accepted as a true and correct record by email after the meeting.
The meeting closed at 3.30pm.
Date: 29 April 2021
Time: 1pm‒3pm
Chair: Ria Earp
Members: Muriel Tunoho, Hingatu Thompson, Assoc Prof Sue Crengle
In attendance: Stephanie Turner, Hikitia Ropata, Alexis Wevers (minute taker), Dr Janice Wilson, Wi Keelan, Heidi Cannell
Apologies: Dr Tania Riddell, Bronwen Chesterfield, Huataki Whareaitu, Prof Denise Wilson, Marama Parore, Dr Fiona Cram, Te Raina Gunn
- Te Rōpū members shared their individual experiences and challenges following since the February 2021 hui.
- Members were asked to review the future role of Te Rōpū in the Commission as recently meetings had regularly low attendance.
- The Commission began discussions of the recently announced health system reforms. It seems the Commission will perform a larger role in quality and safety in the health sector which makes the role of Te Rōpū Māori more important. The Commission has been asked to review from first principles the mortality review and the board is discussing this.
- Te Rōpū more widely discussed the health reforms for the sector. While raising specific concerns about certain aspects, there was broad support for the proposed reforms.
- Members updated on their experiences of the COVID-19 immunisation rollout. Chief among the concerns was the lack of communications that had been set up for Māori regarding the immunisation programme and vaccine.
- An update was provided on the te ao Māori framework. It is founded on Te Tiriti o Waitangi and will influence policy. The team is currently working on developing the implementation guide. A tohunga external advisory group has been established and will review the work done. Te Rōpū provided specific feedback about some of the details in the document. The team will update Te Rōpū again in the next hui.
- An update was provided about the Māori health outcomes team. It is now named ‘Ahuahu Kaunuku’. The Commission has also been gifted a mauri stone.
- The health system quality dashboard with equity views was launched on 12 February 2021 with no media attention.
- The minutes of the 4 February 2021 hui were accepted as a true and correct record by email after the meeting.
The meeting closed at 3pm.
Date: 4 February 2021
Time: 1:30pm‒4pm
Chair: Ria Earp
Members: Marama Parore, Dr Fiona Cram
In attendance: Stephanie Turner, Dr Tania Riddell, Bronwen Chesterfield, Hikitia Ropata, Huataki Whareaitu, Alexis Wevers (minute taker)
Guests: Shelley Hanifan, Dr Carl Horsley, Caroline Tilah
Apologies: Hingatu Thompson, Dr Janice Wilson, Assoc Prof Sue Crengle, Prof Denise Wilson, Muriel Tunoho, Wi Keelan
- Te Rōpū members shared their individual experiences and challenges following since the November 2020 hui.
- Stephen McKernan discussed the Board the Health and Disability System Review and the role the Commission would play in the future. The Commission is producing a think piece to detail where the organisation sees itself.
- An update was provided on the te ao Māori framework. A tohunga external advisory group has been established and will review the work done at the end of March. There will be more hui with providers in the meantime. The team will update Te Rōpū again in the implementation stage.
- An update was provided on the Commission Whakarite project. Commission staff have all completed Te Tiriti o Waitangi training and are now working towards action and meaningful change within the Commission by building strong partnerships.
- The Māori health outcomes team is writing a summary of all the work done in the Commission towards building partnerships. The rōpū discussed the role of the Commission as a Crown agency in building partnerships and ensuring manaakitanga.
- Te Rōpū was introduced to the resilient health care work. Some of the main themes include adaptability, responsiveness and rethinking the health care system in human terms. Many of the principles align well with te ao Māori.
- The health system quality dashboard with equity views will be launched on 12 February 2021.
- The minutes of the 26 November 2020 hui were accepted as a true and correct record once the correction was made to the list of members.
The meeting closed at 4pm.
Date: 26 November 2020
Time: 9am–2pm
Chair: Ria Earp
Members: Marama Parore, Hingatu Thompson, Dr Janice Wilson, Dr Fiona Cram, Assoc Prof Sue Crengle, Prof Denise Wilson, Muriel Tunoho
In attendance: Stephanie Turner, Heidi Cannell, Dr Tania Riddell, Kim Dougall, Bronwen Chesterfield, Hikitia Ropata, Alexis Wevers (minute-taker)
Guests: Clare O’Leary
Apologies: N/A
- Te Rōpū members shared their individual learnings and challenges following COVID-19.
- The Māori community’s response to COVID-19 was strong and providers connected with their communities. Services had to change to virtual platforms. The community continues to be impacted.
- Commission staff supported other agencies during the early stages of COVID-19.
- Training sessions for Commission staff on Te Tiriti o Waitangi have been well received.
- An update was provided on the Te Ao Māori framework. The Commission is partnering with the Ministry of Health on the Health Equity Assessment Tool review.
- Advanced care planning provided an update following the resource My advance care plan & guide being updated.
- Te Rōpū members were introduced to the Te Ao Māori QI Framework, the whakapapa of the project, the wānanga process and the engagement strategy. The rōpū provided feedback and suggested a Te Tiriti o Waitangi framework would work better.
- The chief executive’s report was accepted.
- Te Rōpū set the scene for their joint meeting with the Board that afternoon.
- The minutes of the 24 September 2020 meeting were accepted as a true and correct record once the correction was made to the list of members.
The meeting closed at 2pm.
Date: 24 September 2020
Time: 9am–12pm
Chair: Ria Earp
Members: Marama Parore, Hingatu Thompson, Dr Janice Wilson, Dr Fiona Cram, Prof Denise Wilson, Muriel Tunoho, Wi Keelan\
In attendance: Stephanie Turner, Heidi Cannell, Kim Dougall, Huataki Whareaitu, Ella Novak, Alexis Wevers (minute taker)
Guests: Catherine Gerard, Avril MacFarlane
Apologies: Assoc. Prof Sue Crengle, Dr Tania Riddell
- Te Rōpū members shared their individual learnings and challenges following COVID-19.
- There have been increases in funding to Kaupapa Māori services in response to COVID-19 but there were concerns about how this funding would be distributed. There are also implications for how mental health & addiction services are funded.
- The chief executive’s report was accepted. The Commission is focusing on its deliverable of embedding Te Tiriti o Waitangi into all its work.
- Te Rōpū were introduced to the Patient Experience Survey cultural safety questions. The rōpū provided feedback on the recommendations made and suggested some changes to the wording. The rōpū was asked to provide contact details of other Māori academics who could review the changes.
- An update was provided on the Te Ao Māori framework. The Commission working group has been developing its process and preparing for the engagement phase.
- Te Rōpū agreed that the Te Ao Māori framework would be included as a regular update item in their future meetings.
- The minutes of the 30 July 2020 meeting were not accepted as a true and correct record as there was not time to complete this action. There was a standing request for members to the review the minutes and forward any feedback to the Commission.
- Post meeting note: the 30 July 2020 minutes were reviewed by the Chair and accepted. A reminder to review was distributed to the members but no other feedback was received in the time frame so they were presumed accepted.
The meeting closed at 12.00pm.
Download the minutes from this meeting as a word or pdf file below:
- 21 April meeting minutes (docx)
- 21 April meeting minutes (pdf)
Te Kāhui Piringa hui minutes (16 November 2022)
Date: 16 November 2022
Time: 9:00am–12:00pm
Chair: Ria Earp
Members: Wi Keelan, Denis Grennell, Chas McCarthy, Matire Harwood
In attendance: Stephanie Turner, Hikitia Ropata, Jim Wiki, Doug Edwards, Dr Janice Wilson, Alana Emery
Guests: None
Apologies: Dr Fiona Cram, Marama Parore, Bernadette Jones
- New members were welcomed by the chief executive and provided an update the work being undertaken by the Commission.
- The hui was focused on whakawhanaungatanga for new members, and the new name for Te Rōpū; Te Kāhui Piringa, was launched.
- Members discussed the opportunity for Te Kāhui Piringa to work alongside the Commission board as a partnership board rather than an advisory group to the board.
- Ahuahu Kaunuku shared the whakapapa of their team for new members joining the rōpū.
The meeting closed at 12:00pm.
Te Kāhui Piringa hui minutes (8 February 2023)
Date: 8 February 2023
Time: 9:00am–12:00pm
Chair: Ria Earp
Members: Denis Grennell, Chas McCarthy, Bernadette Jones, Dr Fiona Cram, Marama Parore
In attendance: Stephanie Turner, Hikitia Ropata, Jim Wiki, Huataki Whareaitu, Dr Janice Wilson, Alana Emery
Guests: Heidi Cannell
Apologies: Matire Harwood, Wi Keelan
- The members and chief executive gave updates about what has occurred since the last hui.
- Members discussed electing a deputy chair, Ria will contact members to request a deputy when needed.
- Members has a discussion about how they will work with the Commission in their new role as an elevated partnership board. A paper will be developed by Ahuahu Kaunuku to go to the next board hui outlining their status and new functions.
- Heidi Cannell provided an update about the Commissions plan to undertake a performance self-review to understand where the organisation is at and where opportunities are to improve. Members will be contacted by external reviewers for an interview to share their thoughts.
The meeting closed at 12:00pm.
Te Rōpū Māori/consumer advisory group joint hui minutes (28 June 2022)
Date: 28 June 2022
Time: 9:00am–12:45pm
Chair: Ria Earp and Frank Bristol
Members: Mary Schnackenberg, Russ Aiton, Jodie Bennett, Maine Mareko, Delphina Soti, Angie Smith Marama Parore, Wi Keelan
In attendance: Janice Wilson, Deon York, DJ Adams, Allison Anderson, Dez McCormack, Stephanie Turner, Hikitia Ropata, Jim Wiki, Alana Emery
Guests: None
Apologies: Muriel Tunoho, Dr Fiona Cram, Chris Walsh
- The chief executive gave an update about the Commission’s role in the evolving health sector. The Commission has four priorities: partnership with consumers and whānau, embedding and enabling partnerships with Māori using Te Tiriti and mana motuhake, focus on health equity for all, improving the health system to create quality services.
- Members were updated about new functions in the Commission, such as the knowledge sharing platform, as well as a Measures Library.
- An update was provided by He Hoa Tiaki on the consumer voice project. Three pieces of work have been delivered for the consumer voice framework which are the Centre of Excellence for Engagement, the code of expectations, and delivery of whānau and consumer voice infrastructure.
- Ahuahu Kaunuku provided an update on their whānau voice project. They have facilitated 12 hui with whānau to gather voice and plan to work with Te Aka Whai Ora to amplify this voice in the health system.
- Members of both groups discussed how to build a stronger relationship between Te Rōpū and the consumer advisory group. Annual hui have made it difficult to maintain a strong relationship so there is potential to increase frequency, or have a member on both groups.
The meeting closed at 12:45pm.
Te Rōpū Māori hui minutes (12 May 2022)
Date: 12 May 2022
Time: 10:00am–12:45pm
Chair: Ria Earp
Members: Marama Parore, Dr Fiona Cram
In attendance: Stephanie Turner, Hikitia Ropata, Dr Te Raina Gunn, Jim Wiki, Dr Janice Wilson, Alana Emery
Guests: None
Apologies: Muriel Tunoho, Wi Keelan
- The members and the chief executive gave an update about what has occurred since the last hui.
- Hingatu Thompson and Prof Denise Wilson have resigned as Te Rōpū members. Potential new members have been nominated by Commission staff and Ria will contact nominees.
- Members were advised there is to be a strategy meeting to discuss the role of the Commission in the new health environment.
- Members were updated regarding mental health and addictions services. The health reforms and the COVID-19 pandemic have impacted mental health and addictions services nationally, leading to a ride in seclusion. It is noted that nurses have been redeployed to address COVID cases. The Ombudsman has been informed of the overall declining rate of seclusion despite the current challenges.
- Four Māori Cultural frameworks have been developed to initiate a bicultural process and bring in Māori expertise to codesign services alongside consumers and whānau accessing mental health and addictions services.
- Ahuahu Kaunuku provided an update about the whānau, hapū and marae voices project. Ahuahu Kaunuku discussed how to highlight the importance of whānau instead of consumer.
- The Te Ao Māori framework has now been published on the Commission website. Feedback from Te Rōpū was positive and performance management is a good tool to ensure the health system is accountable when using the framework.
The meeting closed at 12:45pm.
Te Rōpū Māori hui minutes (17 February 2022)
Date: 17 February 2022
Time: 1:00–2:30pm
Chair: Hingatu Thompson (interim)
Members: Marama Parore, Dr Fiona Cram
In attendance: Hikitia Ropata, Bronwen Chesterfield, Heidi Cannell, Jim Wiki, Alexis Wevers (minute taker), Dr Janice Wilson
Guests: Victoria Evans, Jocasta Whittingham
Apologies: Ria Earp (Chair), Prof Denise Wilson, Huataki Whareaitu, Stephanie Turner, Dr Tania Riddell, Wi Keelan, Muriel Tunoho, Assoc. Prof Sue Crengle, Te Raina Gunn
- The minutes of the 2 September 2021 hui were accepted as a true and correct record. Reviewing the minutes was restarted as a standing item.
- The members and the CEO gave updates about what has occurred since the last hui.
- An update was provided on the branding refresh of the Commission and Te Rōpū Māori’s advice sought. Te Rōpū acknowledged that Health NZ has made a blanket statement about limiting rebranding and associated costs in the changing health sector, however, the group felt that the concept and design process pre-dated the sector changes and should proceed. Members also suggested different wording instead of using the words ‘refreshing branding’: “Ko wai matou?” (“Who are we?”).
- Te Rōpū endorse and support changing the Māori name for the Commission to Te Tāhū Hauora, and also support the design concepts behind the image. Te Rōpu recommend reframing the description of the image and brand by describing the Te Ao Maori foundations for the design first, and then describing how the Health Quality & Safety Commission will align with the kaupapa.
- The Commission updated the members in relation to the ongoing engagement with the Transition Unit. The Commission has been working on defining a quality system using the Wai 2575 principles as a framework, with the addition of wairuatanga, and the quadruple aim. They submitted this paper to the Minister.
- The Commission also updated members about the health reforms. The Commission met with the Boards of the Māori Health Authority and Health NZ to discuss the consumer/whānau code of expectations. Members agreed that the implementation guidance would be very important and would like the Commission to highlight examples of good practice.
- Ahuahu Kaunuku provided an update on the whanau engagement programme which is ongoing and successful so far. Ahuahu Kaunuku will present back case studies to Te Rōpū Māori. Marama Parore will facilitate introductions with some people for Ahuahu Kaunuku to contact as part of the programme.
- The Commission will set up an extra Te Rōpū Māori before the next scheduled hui to discuss the Te Ao Māori framework ahead of finalising the statement of performance expectations.
The meeting closed at 2.30pm.
Te Rōpū Māori hui minutes (2 September 2021)
Date: 2 September 2021
Time: 1:00pm- 3:30pm
Chair: Ria Earp
Members: Muriel Tunoho, Marama Parore, Prof Denise Wilson, Dr Fiona Cram
In attendance: Stephanie Turner, Hikitia Ropata, Bronwen Chesterfield, Dr Tania Riddell, Jim Wiki, Maddi Mitchell, Alexis Wevers (minute taker), Dr Janice Wilson
Guests: Kere Pomare, Heidi Cannell, Chris Walsh
Apologies: Huataki Whareaitu, Wi Keelan, Hingatu Thompson, Prof Sue Crengle, Te Raina Gunn
- The CEO updated the members in relation to the commissioning role of the Commission and the ongoing engagement with the Transition Unit. The Commission is advising to prioritise integrating Te Tiriti o Waitangi and equity, quality and safety, and consumer engagement. The Commission is also preparing advice to the Minister about its future role.
- The chair and Ahuahu Kaunuku shared their experiences and challenges following since the June 2021 hui. Ahuahu Kaunuku is more involved with the commissioning work focusing on Te Tiriti o Waitangi, consumer engagement and clinical governance.
- An update was provided on the review of the national mortality review function. The secretariat are finalising talks with a provider to conduct the review. The review will be conducted from first principles and will focus heavily on Te Tiriti o Waitangi and Māori data sovereignty in particular. While the review is being run, the secretariat will complete only essential functioning to support the committees.
- Te Rōpū members discussed the proposed Terms of Reference (ToR) update. The members discussed whether Te Tiriti o Waitangi should be explicitly stated in the ToR, and whether the Ministry of Health’s Māori Health Action Plan: Whakamaua should also be explicitly referenced in the document. The members also discussed how Te Rōpū Māori will fit under the proposed changes to the Commission’s accountability and role. Finally, members discussed the extent of their function and role, and whether this should be strengthened. Ahuahu Kaunuku will make some suggested changes based on the feedback and return to the members of Te Rōpū Māori outside of hui.
- An update was provided to Te Rōpū about the draft code of expectations for consumer and whānau engagement. The members provided feedback about the draft document with a particular focus on the entrenchment of whānau-centred care, in preference to patient-centred care. It was suggested to change the tone of the code to be more active, for example, replacing ‘values’ with ‘actions’. The Commission will return to Te Rōpū Māori after further engagement and feedback has been provided.
- The members discussed the development of the Māori Health Authority, and the relationship of the Māori Health Authority with the Commission. Iwi partnerships in particular were discussed. It was agreed that this would be a regular agenda item.
- An update was provided on the successful launch of the advance care planning resource ‘Whenua ki te whenua’.
- The minutes of the 10 June 2021 hui were accepted as a true and correct record by email after the meeting.
The meeting closed at 3.30pm.
Te Rōpū Māori hui minutes (10 June 2021)
Date: 10 June 2021
Time: 1:00pm- 3:30pm
Chair: Ria Earp
Members: Muriel Tunoho, Hingatu Thompson, Prof Sue Crengle, Marama Parore, Prof Denise Wilson, Dr Fiona Cram
In attendance: Stephanie Turner, Hikitia Ropata, Heidi Cannell, Bronwen Chesterfield, Dr Tania Riddell, Jim Wiki, Wi Keelan, Maddi Mitchell, Alexis Wevers (minute taker), Dr Janice Wilson
Guests: Marsha Wyllie
Apologies: Huataki Whareaitu, Te Raina Gunn
- Te Rōpū shared a meeting with the Commission’s consumer advisory group (CAG) in the morning. Presentations were given about the Commissions’s response to the increased responsibility in the Minister’s expectations. An update was also provided on the Te Ao Māori framework and the partnership between Ahuahu Kaunuku and the Partners in care team.
- Te Rōpū members and the chair shared their individual experiences and challenges following since the April 2021 hui.
- The members updated on the work they have been doing since the April 2021 hui with focus on workforce development, housing, decolonisation, mental health and addiction, and diabetes. The Commission’s Health Quality Intelligence team will organise a meeting relating to the discussion on diabetes.
- The CEO updated the members in relation to the expanded role of the Commission in the health sector reform agenda. The Commission will have a greater focus on the consumer and will work to become a central agency of knowledge and learning about quality and safety.
- The members discussed the recently announced health system reforms with particular focus on the Māori Health Authority, consumer fora and the Te Tiriti o Waitangi approach.
- An update was provided on the Te Ao Māori framework and the members were asked for their input on the implementation of the framework. A tohunga external advisory group has met and have accepted the central concepts. The team will update Te Rōpū again in the next hui and ask for more feedback. Ahuahu Kaunuku is working on developing measures with the Commission’s Health Quality Intelligence team.
- Te Rōpū members provided feedback about the framework concepts and their thoughts about how to implement it. There was considerable discussion on whether the central concept should be wairuatanga or patuitanga, but the members were broadly in favour of the central concepts as they stood.
- The minutes of the 29 April 2021 hui were accepted as a true and correct record by email after the meeting.
The meeting closed at 3.30pm.
Te Rōpū hui minutes (29 April 2021)
Date: 29 April 2021
Time: 1pm‒3pm
Chair: Ria Earp
Members: Muriel Tunoho, Hingatu Thompson, Assoc Prof Sue Crengle
In attendance: Stephanie Turner, Hikitia Ropata, Alexis Wevers (minute taker), Dr Janice Wilson, Wi Keelan, Heidi Cannell
Apologies: Dr Tania Riddell, Bronwen Chesterfield, Huataki Whareaitu, Prof Denise Wilson, Marama Parore, Dr Fiona Cram, Te Raina Gunn
- Te Rōpū members shared their individual experiences and challenges following since the February 2021 hui.
- Members were asked to review the future role of Te Rōpū in the Commission as recently meetings had regularly low attendance.
- The Commission began discussions of the recently announced health system reforms. It seems the Commission will perform a larger role in quality and safety in the health sector which makes the role of Te Rōpū Māori more important. The Commission has been asked to review from first principles the mortality review and the board is discussing this.
- Te Rōpū more widely discussed the health reforms for the sector. While raising specific concerns about certain aspects, there was broad support for the proposed reforms.
- Members updated on their experiences of the COVID-19 immunisation rollout. Chief among the concerns was the lack of communications that had been set up for Māori regarding the immunisation programme and vaccine.
- An update was provided on the te ao Māori framework. It is founded on Te Tiriti o Waitangi and will influence policy. The team is currently working on developing the implementation guide. A tohunga external advisory group has been established and will review the work done. Te Rōpū provided specific feedback about some of the details in the document. The team will update Te Rōpū again in the next hui.
- An update was provided about the Māori health outcomes team. It is now named ‘Ahuahu Kaunuku’. The Commission has also been gifted a mauri stone.
- The health system quality dashboard with equity views was launched on 12 February 2021 with no media attention.
- The minutes of the 4 February 2021 hui were accepted as a true and correct record by email after the meeting.
The meeting closed at 3pm.
Te Rōpū minutes (4 February 2021)
Date: 4 February 2021
Time: 1:30pm‒4pm
Chair: Ria Earp
Members: Marama Parore, Dr Fiona Cram
In attendance: Stephanie Turner, Dr Tania Riddell, Bronwen Chesterfield, Hikitia Ropata, Huataki Whareaitu, Alexis Wevers (minute taker)
Guests: Shelley Hanifan, Dr Carl Horsley, Caroline Tilah
Apologies: Hingatu Thompson, Dr Janice Wilson, Assoc Prof Sue Crengle, Prof Denise Wilson, Muriel Tunoho, Wi Keelan
- Te Rōpū members shared their individual experiences and challenges following since the November 2020 hui.
- Stephen McKernan discussed the Board the Health and Disability System Review and the role the Commission would play in the future. The Commission is producing a think piece to detail where the organisation sees itself.
- An update was provided on the te ao Māori framework. A tohunga external advisory group has been established and will review the work done at the end of March. There will be more hui with providers in the meantime. The team will update Te Rōpū again in the implementation stage.
- An update was provided on the Commission Whakarite project. Commission staff have all completed Te Tiriti o Waitangi training and are now working towards action and meaningful change within the Commission by building strong partnerships.
- The Māori health outcomes team is writing a summary of all the work done in the Commission towards building partnerships. The rōpū discussed the role of the Commission as a Crown agency in building partnerships and ensuring manaakitanga.
- Te Rōpū was introduced to the resilient health care work. Some of the main themes include adaptability, responsiveness and rethinking the health care system in human terms. Many of the principles align well with te ao Māori.
- The health system quality dashboard with equity views will be launched on 12 February 2021.
- The minutes of the 26 November 2020 hui were accepted as a true and correct record once the correction was made to the list of members.
The meeting closed at 4pm.
Te Rōpū hui minutes (26 November 2020)
Date: 26 November 2020
Time: 9am–2pm
Chair: Ria Earp
Members: Marama Parore, Hingatu Thompson, Dr Janice Wilson, Dr Fiona Cram, Assoc Prof Sue Crengle, Prof Denise Wilson, Muriel Tunoho
In attendance: Stephanie Turner, Heidi Cannell, Dr Tania Riddell, Kim Dougall, Bronwen Chesterfield, Hikitia Ropata, Alexis Wevers (minute-taker)
Guests: Clare O’Leary
Apologies: N/A
- Te Rōpū members shared their individual learnings and challenges following COVID-19.
- The Māori community’s response to COVID-19 was strong and providers connected with their communities. Services had to change to virtual platforms. The community continues to be impacted.
- Commission staff supported other agencies during the early stages of COVID-19.
- Training sessions for Commission staff on Te Tiriti o Waitangi have been well received.
- An update was provided on the Te Ao Māori framework. The Commission is partnering with the Ministry of Health on the Health Equity Assessment Tool review.
- Advanced care planning provided an update following the resource My advance care plan & guide being updated.
- Te Rōpū members were introduced to the Te Ao Māori QI Framework, the whakapapa of the project, the wānanga process and the engagement strategy. The rōpū provided feedback and suggested a Te Tiriti o Waitangi framework would work better.
- The chief executive’s report was accepted.
- Te Rōpū set the scene for their joint meeting with the Board that afternoon.
- The minutes of the 24 September 2020 meeting were accepted as a true and correct record once the correction was made to the list of members.
The meeting closed at 2pm.
Te Rōpu hui minutes (24 September 2020)
Date: 24 September 2020
Time: 9am–12pm
Chair: Ria Earp
Members: Marama Parore, Hingatu Thompson, Dr Janice Wilson, Dr Fiona Cram, Prof Denise Wilson, Muriel Tunoho, Wi Keelan\
In attendance: Stephanie Turner, Heidi Cannell, Kim Dougall, Huataki Whareaitu, Ella Novak, Alexis Wevers (minute taker)
Guests: Catherine Gerard, Avril MacFarlane
Apologies: Assoc. Prof Sue Crengle, Dr Tania Riddell
- Te Rōpū members shared their individual learnings and challenges following COVID-19.
- There have been increases in funding to Kaupapa Māori services in response to COVID-19 but there were concerns about how this funding would be distributed. There are also implications for how mental health & addiction services are funded.
- The chief executive’s report was accepted. The Commission is focusing on its deliverable of embedding Te Tiriti o Waitangi into all its work.
- Te Rōpū were introduced to the Patient Experience Survey cultural safety questions. The rōpū provided feedback on the recommendations made and suggested some changes to the wording. The rōpū was asked to provide contact details of other Māori academics who could review the changes.
- An update was provided on the Te Ao Māori framework. The Commission working group has been developing its process and preparing for the engagement phase.
- Te Rōpū agreed that the Te Ao Māori framework would be included as a regular update item in their future meetings.
- The minutes of the 30 July 2020 meeting were not accepted as a true and correct record as there was not time to complete this action. There was a standing request for members to the review the minutes and forward any feedback to the Commission.
- Post meeting note: the 30 July 2020 minutes were reviewed by the Chair and accepted. A reminder to review was distributed to the members but no other feedback was received in the time frame so they were presumed accepted.
The meeting closed at 12.00pm.
Te Rōpu minutes (21 April 2020)
Download the minutes from this meeting as a word or pdf file below:
- 21 April meeting minutes (docx)
- 21 April meeting minutes (pdf)
Last updated: 13th December, 2021
