Aotearoa – Māori Health Authority
The Waitangi Tribunal has highlighted systemic
racism in the health system and the consistent
failure to address inequitable health and wellbeing
outcomes for Māori.64 In 2021, the Ministry of
Health announced the introduction of a new
Māori Health Authority, which will be responsible
for ensuring the health system is performing for
Māori. Associate Minister Peeni Henare said the
Authority “will give Māori a voice and influence
in how our system needs to perform better for
Māori.”65
The Authority will sit within the Ministry of Health.
It will work with Iwi-Māori Partnership Boards,
Māori health providers, iwi, hapū and Māori
communities to understand Māori health needs
across Aotearoa, and will commission services
in partnership with Health NZ. In each locality,
partnerships between Iwi-Māori Partnership
Boards, Health NZ and the wider community will
ensure Māori voices are heard.66
The Bill, which is expected to be enacted in 2022,
includes specific reference to engaging with and
reporting to Māori:
Section 20 Engaging with and reporting to
Māori
(1) The Māori Health Authority must—
(a) have systems in place for the purpose
of—
(i) engaging with Māori in relation to
their aspirations and needs for the
health system; and
(ii) enabling the responses from
that engagement to inform the
performance of its functions; and
(b) engage with relevant Māori
organisations when—
(i) jointly developing the New Zealand
Health Plan with Health New
Zealand; and
(ii) advising on the GPS and any health
strategy; and
(iii) preparing its statement of intent
and statement of performance
expectations; and
(c) report back to Māori from time to time
on how engagement under this section
has informed the performance of its
functions.67
The Bill’s participatory element is positive. This
kind of participatory approach could serve as an
example for the housing system.
The proposed new Authority provides a positive
example of Te Tiriti o Waitangi accountabilities,
demonstrating how a Crown-Māori partnership
could operate in the kāwanatanga sphere.
Scotland – social security and housing
Social security
The Scottish Government is creating a new social
security system for Scotland. It has set up a new
agency, Social Security Scotland, to deliver benefits
in a more positive and supportive way. The
relevant legislation is the Social Security (Scotland)
Act 2018.68 As the Bill progressed through
Parliament, its rights-based approach attracted
strong cross-party support.
Section 1 of the Act sets out eight principles which
are the foundational values of the new system. The
Scottish social security principles are:
(a) social security is an investment in the
people of Scotland,
(b) social security is itself a human right and
essential to the realisation of other human
rights,
(c) the delivery of social security is a public
service,
(d) respect for the dignity of individuals is to
be at the heart of the Scottish social
security system,
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