Ngāti Hine Health Trust
In the early 1990s, the Kāwana introduced
changes in the health sector to separate public
health services and purchasing provisions so that
public and private health providers could contract
for health services. In the last 30 years, further
structural changes have been made including to
health funding and delivery, with the most recent
changes enabling an autonomous Māori Health
Authority from 1 July 2022.
Māori providing health services for Māori was
encouraged by the health sector structural changes
in the 1990s, and Ngāti Hine, part of the wider
confederation of Ngāpuhi, set up a not-for-profit
health trust in 1992 to provide health services
for Māori in its area. Ngāti Hine Health Trust
“originally began as a tribal initiative, but demand
for its services quickly extended to the wider
community”.72 The Trust now services many of the
local rural population from Whangārei and north.
Holistic health services are provided encompassing
social and economic aspects under contract to the
government funding entity.
30
Governed by a board of trustees initially appointed
by Ngāti Hine marae, the Trust’s aim has been to
reinforce rangatiratanga by providing culturally
appropriate and integrated health services, which
has recently included COVID-19-related responses.
The success of the Trust’s health services
provision has led to the Trust becoming a large
employer in the northern area and initiating the
development of a pilot housing scheme in 2021.
The Trust received funding through the MAIHI Ka
Ora housing scheme for the appointment of a
project manager to scope housing developments
at two project sites, which included community
consultation.
Whānau are central to Ngāti Hine organisational
structure, and the accountability system of tikanga
Māori is to whānau, hapū and iwi although not
through the rūnanga structures as this is a Trust.
Three kaumātua have been retained as part of the
structure as life members.73
Te Kāhui Tika Tangata New Zealand Human Rights Commission Housing Inquiry