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

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