Ng Paerewa Health and Disability Services Standard 2021 Section 1: Our Rights

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This content outlines the standards and implementation plans for Health and Disability Services in New Zealand, focusing on ensuring safe services that comply with consumer rights legislation. It covers various subsections related to respecting individual rights, cultural values, informed choice, protection from abuse, effective communication, and access to complaints procedures.


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  1. Ng Paerewa Health and disability services standard 2021 Section 1: T TOU MOTIKA / OUR RIGHTS

  2. Manat Hauora Karakia Wh ia, wh ia, wh ia, Ng uaratanga o te Manat Hauora. Ko te manaakitanga Ko te kaitiakitanga Ko te whakapono Ko te k kiri ng tahi Kia tae atu t tou ki pae tata, ki pae tawhiti, ki Pae Ora. Kia t turu ka whakamaua kia t na, t na! Haumi e, hui e! T iki ! Let us jointly pursue the values of the Ministry of Health We take care of each other We create an environment for our people to thrive We work in good faith And we move forward together If we do this, we will lay hold of distant horizons and those near to us, and we will create a thriving future for all people

  3. Implementation/Transition Plan Staged, Transparent, Non-punitive Approach New (unmapped) and partially new (partially mapped) criteria will have grace periods before full implementation required Audit Pilot to 2021 HDSS: The pilot will include a mix of certification and surveillance audits across a variety of service types Purpose: To test implementation processes for the 2021 HDSS. When: At the same time as the scheduled DAA certification/surveillance audit (Aug-Nov 2021). Who: Providers and DAAs are able to volunteer to take part. How: HealthCERT approved auditors will undertake the pilot audit at the same time as the . Resources: Developing an online e-learning module to support providers with the updated Te Tiriti content of the Standard Re-establishing the HealthCERT Bulletin DAA Handbook will be updated to align with the 2021 HDSS Feedback from the sector to inform implementation: Regular implementation stakeholder surveys will be available to feed into the implementation activities and workshops Events/Forums Let HealthCERT know if you have an event, forum or national/regional meeting you think would be useful for HealthCERT to attend.

  4. Standard Implementation Section 1: T tou Moutika |Our Rights Section 1: T tou Moutika |Our Rights (formerly Consumer Rights) 2021 Edition Subsections 10 Subsections (new language) Criteria 56 Not applicable criteria 9 (Fertility only) Partially new criteria 3 Not mapped (new) 10

  5. Section 1: TTOU MOTIKA / OUR RIGHTS Outcome 1: People receive safe services of an appropriate standard that comply with consumer rights legislation. Services are provided in a manner that is respectful of people s rights, facilitates informed choice, minimises harm, and upholds cultural and individual values and beliefs. Subsection 1.1: Pae ora healthy futures (5 criteria) 1.2: Ola manuia of Pacific peoples in Aotearoa (5 criteria) 1.3: My rights during service delivery (5 criteria) 1.4: I am treated with respect (6 criteria) 1.5: I am protected from abuse (6 criteria) 1.6: Effective communication occurs (6 criteria) 1.7: I am informed and able to make choices (9 criteria) 1.8: I have the right to complain (5 criteria) 1.9: Health and wellbeing of children born as a result of, and people accessing, reproductive technology services (4 criteria) 1.10: Requirements of donation and surrogacy (5 criteria)

  6. 1.1 Pae Ora/Healthy futures HDSS 2008 Alignment: 1.4 Recognition of M ori Values & Beliefs; HCSS 8158 2012 1.4 Recognition of M ori Values & Beliefs; Fertility 8181 2007 1.2 Tangata Whenua Criteria 1.1.1 Criteria Description 2021 My service provider shall embed and enact Te Tiriti o Waitangi within all its work, recognising M ori, and supporting M ori in their aspirations, whatever they are (that is, recognising mana motuhake/independence) HDSS 2008 1.1.4.1; 1.1.4.2; 1.1.4.3; 1.1.4.4; 1.1.4.5 HCSS 1.4.1; 1.4.3; 1.4.4 Fertility 1.2.2; 1.2.3 Abortion 6.3.2; 6.3.9; 6.3.10; 6.1.11; 6.10.12; 6.10.13 Applicability All service types 1.1.2 My service provider shall ensure my services are operating in ways that are culturally safe 1.1.4.1; 1.1.4.3; 1.1.4.4; 1.1.4.5 1.3.2; 1.4.1; 1.4.3 1.2.2; 1.3.4 6.3.1; 6.3.2; 6.3.9; 6.3.10; 6.1.11; 6.10.12; 6.10.13 1.1.3 My service provider shall actively recruit and retain a M ori health workforce across all organisational roles Not mapped Not mapped 1.2.4 6.3.5; 8.2.7 1.1.4 To facilitate equity approaches, my service provider shall be M ori centred 1.1.4.2 1.4.1; 1.4.2; 1.4.4 1.2.1 6.3.2 1.1.5 My service provider shall work in partnership with iwi and M ori organisations within and beyond the health sector to allow for better service integration, planning, and support for M ori. 1.1.4.2; 1.1.4.4; 1.1.4.6; 1.3.6.2; 1.1.12.2 1.4.1; 1.4.4 1.2.1; 1.2.4 6.3.6

  7. 1.1 Pae Ora/Healthy futures cont Criteria Description 1.1.3 (New) Sector Guidance for all providers Planning: Annual plans show evidence of: increasing M ori capacity and capability and the size of the M ori health workforce actively recruiting and retaining a M ori health and disability workforce evidence shows the workforce reviews their practice at defined intervals through a health equity and quality lens Applicability All service types My service provider shall actively recruit and retain a M ori health workforce across all organisational roles Self-review: Evidence shows: self-review occurs at defined intervals, applying the sector guidance above to a culture of planning, review, and modification concerning M ori health and equity robust performance improvement, monitoring, and accountability mechanisms demonstrate that organisations are on track to achieve equity of health outcomes for M ori

  8. 1.1 Pae Ora/Healthy futures cont Criteria Description 1.1.3 (New) Sector Guidance for all providers Tools and resources: (refer to the Ministry s website) Applicability All service types My service provider shall actively recruit and retain a M ori health workforce across all organisational roles Equity of Health Care for M ori: A framework: https://www.health.govt.nz/publication/equity-health-care-maori-framework The three actions that support the framework are: leadership by championing the provision of high-quality health care that delivers equitable health outcomes for M ori knowledge by developing a knowledge base about ways to effectively deliver and monitor high-quality health care for M ori commitment to providing high-quality health care that meets the health care needs and aspirations of M ori Health Quality & Safety Commission (2019): https://www.hqsc.govt.nz/publications-and-resources/publication/3916/ self-review report based on the Performance Improvement Framework | P rongorongo arotake whaiaro i whai i te Anga Whakapiki Whakaaturanga Whanganui District Health Board (2018): https://www.wdhb.org.nz/assets/Uploads/Documents/9cfc35bcfd/whanganui-dhb- pro-equity-report-december-2018.pdf

  9. 1.2 Ola manuia o ng iwi o Te Moana-nui-a-Kiwa kei Aotearoa / Ola manuia of Pacific peoples in Aotearoa HDSS 2008 Alignment: 1.5 Recognition of Pacific Values & Beliefs; HCSS 2012 1.5 Recognition of Pacific Values & Beliefs; Fertility 8181 2017 1.5 Recognition of Individual Values & Beliefs Criteria 1.2.1 Criteria Description 2021 My service provider shall ensure cultural safety for Pacific peoples and that their worldviews, cultural, and spiritual beliefs are embraced HDSS 2008 1.1.5.1 HCSS 1.3.2; 1.5.1; 1.5.2; 1.5.3 Fertility 1.3.4 Abortion Not mapped Applicability All service types 1.2.2 My service provider shall focus on achieving equity and efficient provision of health and disability services for Pacific peoples My service provider shall design a Pacific plan in partnership with Pacific communities underpinned by Pacific voices and Pacific models of care 1.1.5.1 1.5.1 Not mapped Not mapped 1.2.3 Not mapped Not mapped Not mapped Not mapped 1.2.4 My service provider shall actively recruit, train, and retain a holistic Pacific health and wellbeing workforce that is responsive to the Pacific population s health and disability needs. This will include Pacific peoples in leadership and training roles My service provider shall work in partnership with Pacific communities and organisations, within and beyond the health and disability sector, to enable better planning, support, interventions, research, and evaluation of the health and wellbeing of Pacific peoples to improve outcomes 1.1.5.1; 1.1.5.2 1.5.3 Not mapped Not mapped 1.2.5 1.1.5.1; 1.1.5.2; 1.1.12.2; 1.3.6.2 1.5.1; 1.5.2; 1.5.3 Not mapped Not mapped

  10. 1.2 Ola manuia of Pacific peoples in Aotearoa cont Criteria Description 1.2.3 (New) Sector Guidance for all providers Tools and resources: (refer to the Ministry s website) Development of a Pacific plan: includes strategies relevant to Pacific peoples such as: achieving equity of access providing Pacific-centred services fostering Pacific community integration/collaboration recognising the value of Pacific health models, removing barriers to Pacific peoples/wh nau with disabilities increasing participation of Pacific peoples in decision making increasing Pacific capacity/capability through active recruitment/retainment improving quality of service for Pacific peoples Providing health promotion information/education and effective services for Pacific peoples by operating in ways that are culturally safe Applicability All service types My service provider shall design a Pacific plan in partnership with Pacific communities underpinned by Pacific voices and Pacific models of care Embed relevant national/regional Pacific health plans within their own strategic health plans with the main aim of improving the health outcomes of Pacific peoples. Working collaboratively with Pacific organisations, across sectors, to improve service integration, planning, and support for Pacific peoples. People using the services/whanau/communities are put at the heart of their services.

  11. 1.3 Aku motika i te w e tukuna ana ng ratonga/ My rights during service delivery HDSS 2008 Alignment: 1.1 Consumer Rights During Service Delivery; HCSS 8158 2012 1.1 Consumer Rights Under Legislation; Fertility 8181 2007 1.1 Consumer Rights During Service Delivery Criteria 1.3.1 Criteria Description 2021 My service provider shall know and understand my rights and ensure that I am informed of my rights HDSS 2008 1.1.1.1; 1.1.2.2 HCSS 1.1.1; 1.1.2 Fertility 1.1.1; 1.1.2; 1.1.4 Abortion Not mapped Applicability All service types 1.3.2 My services shall be provided in a manner that complies with my rights. 1.1.1.1 1.1.1 1.1.3; 3.1.4 Not mapped 1.3.3 My service providers shall provide opportunities for discussion and clarification about my rights My service provider shall facilitate support for me in accordance with my wishes, including independent advocacy 1.1.1.1; 1.1.2.3 1.1.3; 1.1.4 1.1.5 8.2.1 1.3.4 1.1.2.4; 1.1.11.1; 1.1.11.2; 1.1.11.3 1.1.4; 1.1.5; 1.3.2; 1.4.2; 1.5.4; 2.5.3; 4.1.2 1.1.2; 1.4.3; 1.4.4 1.1.5 6.3.7 1.3.5 My service provider shall recognise M ori manamotuhake (independence) Partially new/aligns with 1.1.2.1;1.1.2.2; 1.1.4.1; 1.1.4.2; 1.1.4.3; 1.1.4.4; 1.1.4.5 Not mapped Not mapped

  12. 1.3 My rights during service delivery cont Criteria Description 1.3.5 (Partially new) Sector Guidance for all providers Service providers display the Code of Health and Disability Services Consumers Rights so that it is: visible and is also available in accessible formats (eg, te reo M ori) Applicability All service types My service provider shall recognise M ori mana motuhake/independence Service providers have processes that support building resilience and that encourage and support: wh nau self-management and self-advocacy. Service providers identify and remove processes that prevent: wh nau-centred service provision and wh nau ora. Service providers demonstrate an understanding of M ori indigenous rights and current issues in relation to M ori health and health equity. Service providers respond to: t ngata whaikaha (people with disability) needs and enable their participation in te ao M ori as a right.

  13. 1.3 My rights during service delivery cont Criteria Description 1.3.5 (Partially new) Sector Guidance for all providers Tools and resources: (refer to the Ministry s website) Applicability All service types My service provider shall recognise M ori mana motuhake/independence He Ara Hauora M ori: A pathway to M ori health equity (Medical Council of NZ): http://www.mcnz.org.nz/assets/standards/6c2ece58e8/He-Ara-Hauora- Maori-A-Pathway-to-Maori-Health-Equity.pdf M ori indigenous rights and current issues in relation to M ori health and health equity.

  14. 1.4 E whakautetia ana ahau / I am treated with respect HDSS 2008 Alignment: 1.3 Independence, Personal Privacy, Dignity & Respect; 1.6 Recognition & Respect of the Individual s Culture, Values & Beliefs; HCSS 8158 2012 1.3 Individual Values & Beliefs Respected; 1.4 Recognition of M ori Values & Beliefs; Fertility 8181 2007 1.3 Recognition of Individual s Values & Beliefs. Criteria Criteria Description 2021 HDSS 2008 1.4.1 I shall be asked, and shall have opportunities to share, what is important to me 1.1.6.2 HCSS 1.4.4; 1.4.5; 1.5.2 Fertility Not mapped Abortion 6.3.8; 8.3.7; 6.3.4; 6.3.8; 6.3.9; 6.3.10; 6.1.11; 6.10.12; 6.10.13 Applicability All service types 1.1.3.6; 1.1.6.1; 1.4.2 My service provider shall be responsive to my identity, which could include my values and beliefs, culture, religion, disabilities, gender, sexual orientation, relationship status, and other social identities or characteristics My services shall be provided in a manner that respects my dignity, privacy, confidentiality, and preferred level of interdependence Te reo M ori and tikanga M ori shall be actively promoted throughout organisations and incorporated through all their activities 1.1.3.6; 1.1.6.1; 1.1.6.2 1.3.1; 1.3.2; 1.4.3; 1.4.4; 1.4.5; 1.5.2 1.3.3; 1.3.4 6.3.4; 6.3.8; 6.3.9; 6.3.10; 6.1.11; 6.10.12; 6.10.13 1.4.3 1.1.3.6; 1.1.6.1; 1.1.6.2 1.2.1 1.4.3; 4.11; 4.12 8.3.18 1.4.4 Not mapped 1.4.1; 1.4.3; 1.4.4; 1.4.5 Not mapped 6.3.1; 6.3.2; 6.3.7; 6.3.8; 6.3.9; 6.3.10; 6.1.11; 6.10.12; 6.10.13 1.4.5 Services shall ensure health care and support workers receive Te Tiriti o Waitangi training and that this is reflected in day-to-day service delivery Service providers shall respond to t ngata whaikaha needs and enable their participation in te ao M ori Not mapped 1.4.1 Not mapped 6.3.2 1.4.6 Not mapped Not mapped Not mapped Not mapped

  15. 1.4 I am treated with respect cont Criteria Description 1.4.4 (New) Sector Guidance for all providers Health care and support workers model respect for and appreciate te reo M ori and tikanga M ori and demonstrate the relevance and importance of both. Organisations strategies include provision for: te reo M ori classes correct pronunciation of M ori names bilingual signage access to learning te reo M ori and tikanga. Health care and support workers are provided with time to complete training and access to suitable platforms. Applicability All service types Te reo M ori and tikanga M ori shall be actively promoted throughout organisations and incorporated through all their activities

  16. 1.4 I am treated with respect cont Criteria Description Sector Guidance for all providers Applicability 1.4.5 (New) All service types All health care and support workers complete Te Tiriti o Waitangi training. Services shall ensure health care and support workers receive Te Tiriti o Waitangi training and that this is reflected in day-to- day service delivery Te Tiriti o Waitangi training is reflected in day-to-day service delivery 1.4.6 (New) Service providers demonstrate an awareness of t ngata whaikaha (people with disability) needs and enable them to access te ao M ori. Service providers shall respond to t ngata whaikaha needs and enable their participation in te ao M ori

  17. 1.5 E whakahaumarutia ana ahau i ng mahi tkino / I am protected from abuse HDSS 2008 Alignment: 1.3 Independence, Personal Privacy, Dignity & Respect; 1.7 Discrimination; HCSS 8158 2012 1.7 Freedom from Abuse & Neglect; Fertility 8181 2007 1.1 Consumer Rights During Service Delivery Criteria 1.5.1 Criteria Description 2021 I shall receive services free of discrimination; coercion; harassment; physical, sexual, or other exploitation; abuse; or neglect HDSS 2008 1.1.3.7; 1.1.7.1; 1.1.7.2; 1.1.7.3; 1.1.7.4; 1.1.7.5 HCSS 1.7.1; 1.7.3; 1.7.4; 1.7.5 Fertility 1.1.7 Abortion Not mapped Applicability All service types 1.5.2 My service provider shall have effective safeguards to protect me from abuse and re-victimisation 1.1.3.7; 1.1.7.1; 1.1.7.2; 1.1.7.5 1.7.1; 1.7.3; 1.7.4; 1.7.5; 1.8.2 1.1.7 8.2.6; 8.3.3; 8.3.10; 8.3.14; 8.3.15 1.5.3 My property shall be respected, and my finances protected within the scope of the service being provided 1.1.3.1; 1.1.7.1; 1.1.7.3 1.7.1; 1.8.1; 1.8.2 Not mapped 6.3.11 1.5.4 Health care and support workers shall maintain professional boundaries with me and refrain from acts or behaviours that could negatively impact on my wellbeing My service provider shall promote an environment in which it is safe to ask the question how is institutional and systemic racism acting here? My service provider shall prioritise a strengths- based and holistic model ensuring wellbeing outcomes for M ori. 1.1.7.1; 1.1.7.3; 1.1.7.4; 1.1.7.5; 1.7.2 1.7.2 Not mapped Not mapped 1.5.5 Not mapped Not mapped Not mapped Not mapped 1.5.6 Partially new/aligns with 1.1.4.2; 1.1.4.3; 1.1.4.7 Not mapped Not mapped Not mapped

  18. 1.5 I am protected from abuse cont Criteria Description 1.5.5 (New) Sector Guidance for all providers Service providers have in place: policies, and programmes that are focused on abolishing institutional racism. Applicability All service types My service provider shall promote an environment in which it is safe to ask the question how is institutional and systemic racism acting here? Service providers encourage health care and support workers to keep up to date with the latest literature on institutional racism to inform the way they design and deliver services. Service providers: identify racism, demonstrate their willingness to address racism, and evidence how they are doing something about it.

  19. 1.5 I am protected from abuse cont Criteria Description 1.5.6 (Partially new) Sector Guidance for all providers Service providers set the expectation for responsive health care within health teams. Applicability All service types My service provider shall prioritise a strengths-based and holistic model ensuring wellbeing outcomes for M ori. Service providers deliver equitable care and support services. Health care and support workers receive training to look at: their own practice and professional commitment and responsibility in ensuring equitable health outcomes for M ori. Service providers use strengths-based language when discussing the care or health of people using their service. Service providers look for opportunities to support M ori to engage with services and receive the care and support they need. Service providers actively reduce and eliminate deficit-based language and practice. For example, they use alternatives to Did not attend .

  20. 1.6 Ka kitea ng whakawhitiwhitinga whai hua / Effective communication occurs HDSS 2008 Alignment: 1.9 Communication; HCSS 8158 2012 1.6 Communication in a Manner that the Consumer can Understand; Fertility 8181 2007 1.6 Consumer Information Criteria Criteria Description 2021 HDSS 2008 HCSS Fertility Abortion Applicability 1.6.1 I shall receive information in my preferred format and in a manner that is useful for me 1.1.2.3; 1.1.9.1; 1.1.10.3 1.6.1; 2.5.3 1.1.2; 1.3.2; 1.3.3; 1.3.4; 1.6.1; 2.10.1 7.1; 7.2; 7.4; 7.5; 8.1.1; 8.3.13; 8.3.20; 8.3.21 All service types 1.6.2 My service provider shall communicate with other agencies involved in my care 1.1.12.2; 1.3.2.1; 1.3.3.5; 1.3.4.4; 1.3.4.5; 1.3.6.2; 1.3.6.5; 1.3.12.7; 1.3.9.1 1.1.2.3; 1.1.9.1; 1.1.9.3; 1.2.4.4 4.3.1 Not mapped 6.2.7; 6.3.6; 8.3.12 1.6.3 My service provider shall practise open communication with me 1.6.1; 1.6.3 1.6.2 7.4 1.6.4 I shall be provided with the time I need for discussions and decisions to take placey service provider shall facilitate support for me in accordance with my wishes, including independent advocacy. 1.1.2.3; 1.1.9.2 1.6.2; 4.2.1 1.6.2 7.4 1.6.5 Appropriate interpreter services shall be provided to me/independence My service provider shall make communication and information easy for all people to access; understand; and use, enact, or follow 1.1.9.4 1.5.4; 1.6.4 1.3.2 6.2.10; 8.3.21 1.6.6 1.1.9.1 1.6.4; 2.5.3 1.6.1; 1.6.2 6.2.4; 7.1; 7.2; 7.4; 7.5; 8.1.1

  21. 1.7 Kua whai mhioahau, , ka taea e au te mahi whiring a / I am informed and able to make choices HDSS 2008 Alignment: 1.10 Informed Consent; HCSS 8158 2012 4.2 Promoting & Supporting Independence; Fertility 8181 2007 1.7 Informed Consent Criteria 1.7.1 Criteria Description 2021 I shall have the right to make an informed choice and give informed consent HDSS 2008 1.1.2.3; 1.1.10.1; 1.1.10.2; 1.1.10.5; 1.1.10.6 HCSS 1.1.6; 4.2.1 Fertility 1.6.2 Abortion 6.2.5; 7.1; 7.2; 7.3; 7.4; 8.1.1; 8.2.3; 8.2.4; 8.3.21; 8.3.3; 8.3.5; 8.3.7; 8.3.8; 8.4.10; 9.4.1 7.4; 8.2.3; 8.2.4; 8.3.7; 8.3.8 Applicability All service types with the exception of: 1.7.7: birthing units (N/A) 1.7.8: ARC; HCSS; Res-Dis; Res-Dis MH & AOD (N/A) 1.7.2 I shall be empowered to actively participate in decision making 1.1.2.3; 1.1.10.2; 1.1.10.3; 1.1.10.4; 1.1.10.5; 1.1.10.8 4.2.1 Not mapped 1.7.3 I shall have a right to supported decision making 1.1.2.3; 1.1.10.2; 1.1.10.3; 1.1.10.5; 1.1.10.6 4.2.1 Not mapped 7.4; 8.2.1; 8.2.2; 8.2.3; 8.2.4; 8.3.7; 8.3.8 1.7.4 My wh nau shall be included in decision making with my consent and shall be enabled to do so through access to quality information, advice, and resources 1.1.4.1; 1.1.4.5; 1.1.2.3; 1.1.10.2; 1.1.10.3; 1.1.10.5; 1.1.10.6 4.2.1 Not mapped 7.4; 8.2.2 1.7.5 I shall give informed consent in accordance with the Code of Health and Disability Services Consumers Rights and operating policies 1.1.2.3; 1.1.10.1; 1.1.10.2; 1.1.10.3; 1.1.10.4; 1.1.10.5; 1.1.10.6; 1.1.10.8 1.1.7; 1.7.5 1.7.1; 1.7.2; 1.101.2; 1.10.3; 1.10.4; 1.10.5 7.4; 8.3.8; 9.12.6; 9.4 1.7.6 My legal representative shall only make decisions on my behalf in compliance with the law. If my legal representatives make decisions for me, I still have the right to be included My advance directives (written or oral) shall be followed wherever possible The service providers shall have processes and policies to gain my consent and respect my wishes regarding the storage, return, or disposal of my body parts, tissues, and bodily substances Service providers shall follow the appropriate best practice tikanga guidelines in relation to consent 1.1.10.1; 1.1.10.6; 1.1.10.7 4.2.3 Not mapped Not mapped 1.7.7 1.1.10.7 Not mapped Not mapped Not mapped 1.7.8 1.1.10.8; 1.1.10.9 N/A Not mapped 6.3.14; 6.3.15; 8.3.24; 9.13.1- 9.13.3 1.7.9 Partially new/aligns with 1.1.4.1; 1.1.4.4; 1.1.8.1: 1.3.6.4 Not mapped Not mapped 9.13.2; 9.13.3; 8.2.1; 8.2.2

  22. 1.7 I am informed and able to make choices cont Criteria Description 1.7.9 (Partially new) Sector Guidance for all providers Service providers follow relevant best practice tikanga guidelines. Health care and support workers demonstrate competency. Applicability All service types Service providers shall follow the appropriate best practice tikanga guidelines in relation to consent Tools and resource examples: Capital & Coast DHB (2009) Tikanga M ori: A guide for health care workers (PDF, 195 KB) https://www.ccdhb.org.nz/our-services/a-to-z-of-our-services/Maori- health/tikangaMaoriaguideforhealthcareworkersbooklet.pdf Bay of Plenty DHB (nd) Tikanga Best Practice Document (PDF, 273 KB) https://baynav.bopdhb.govt.nz/media/1566/regional-Maori-health-services- tikanga-best-practice-document.pdf Waikato DHB (2004) Tikanga Best Practice Guidelines (PDF, 8.3 MB) https://www.waikatodhb.health.nz/assets/Docs/Learning-and-Research/Cultural- support/c98b921944/Tikanga-Best-Practice-Guidelines-2014-Waikato-DHB.pdf Researchers follow the Health Research Council s informed consent guidelines in: P taioraWriting Group (2010) Te Ara Tika: Guidelines for M ori research ethics: A framework for researchers and ethics committee members

  23. 1.8 Nku te mana ki te tuku amuamu / I have the right to complain HDSS 2008 Alignment: 1.13 Complaints Management; 8158 2012 1.9 Complaints; Fertility 8181 2007 2.5 Complaints Management Criteria 1.8.1 Criteria Description 2021 My right to make a complaint shall be understood, respected, and upheld by my service provider HDSS 2008 1.1.2.3; 1.1.13.1; 1.1.13.2 HCSS 1.9.1 Fertility 1.1.6; 2.5.1 Abortion Not mapped Applicability All service types 1.8.2 I shall be informed about and have easy access to a fair and responsive complaints process that is sensitive to, and respects, my values and beliefs My complaint shall be addressed and resolved in accordance with the Code of Health and Disability Services Consumers Rights 1.1.2.3; 1.1.6.1; 1.1.6.2; 1.1.13.1; 1.1.13.2 1.1.13.1 1.9.1; 1.9.2 2.5.2; 2.5.3 Not mapped 1.8.3 1.9.3 2.5.1; 2.5.2; 2.5.4 Not mapped 1.8.4 I am informed of the findings of my complaint 1.1.13.1 Not mapped Not mapped Not mapped 1.8.5 The Code of Health and Disability Services Consumers Rights and the complaints process shall work equitably for M ori Not mapped Not mapped Not mapped Not mapped

  24. 1.8 I have the right to complain cont Criteria Description 1.8.5 (New) Sector Guidance for all providers The Code of Health and Disability Services Consumers Rights is visible, and available in te reo M ori, English, and New Zealand Sign Language in accessible formats. Applicability All service types The Code of Health and Disability Services Consumers Rights and the complaints process shall work equitably for M ori Service providers use their best efforts to verify M ori and wh nau understand their rights. Communication and information about the complaints process are easy for all people to access, understand, and use. The complaint resolution policy and procedures, forms, surveys, guidelines, and resources are designed to adequately capture complaints made by M ori. Service providers consider: any under-reporting of complaints from M ori the level of access M ori have to the complaints process The service provider asks: what works best for M ori?

  25. Subsection 1.9 & 1.10 (Fertility Services Only) 1.9 Te hauora me te oranga o ng tamariki ka wh nau mai, hei hua o ng ratonga hangarau whakaputa uri, , me te whakaurunga ki nei e te tangata / Health and wellbeing of children born as a result of, and people accessing, reproductive technology services 2021 4 criteria 1.10Ng whakaritenga o te tuku t tea/hua me te k p taurima/Requirements of donation and surrogacy 5 criteria

  26. Indicative Implementation timeline NZS 8134: 2021 Ng paerewa Health & Disability Services Standard Standard NZ Board approval Sector engagement Minister of Health approves Standard for use Online workshops Lunchtime sessions for each section 30 June 30 June Standard and Sector guidance published Piloting the 2021 Standard Targeted sessions & conferences Targeted workshops based on feedback For each service type (eg ARC, RESDIS) DAAs People, wh nau, consumer organisations M ori health providers 28 February 2022 Standard in effect May 2021 Jun 2021 Jul 2021 Aug 2021 Sep 2021 Oct 2021 Nov 2021 Dec 2021 Jan 2022 Feb 2022 Mar 2022

  27. Upcoming lunch sessions Section 2: Hunga Mahi Me Te Hana | Workforce and Structure Tuesday 27 July, 12:00 1:30pm Section 3: Ng Huarahi Ki Te Oranga | Pathways to Wellbeing Friday 30 July, 11:30am 1:00pm Section 4 and 5: Te Aro Ki Te Tangata Me Te Taiao Haumaru | Person-centred and Safe Environment and Te Kaupare Pokenga Me Te Kaitiakitanga Patu Huakita | Infection Prevention and Antimicrobial Stewardship Tuesday 3 August, 12:00 1:00pm Section 6: Here Taratahi | Restraint and Seclusion Thursday 5 August, 12:00 1:00pm

  28. Questions?

  29. Manat Hauora Karakia Wh ia, wh ia, wh ia, Ng uaratanga o te Manat Hauora. Ko te manaakitanga Ko te kaitiakitanga Ko te whakapono Ko te k kiring tahi Kia tae atu t tou ki pae tata, ki pae tawhiti, ki Pae Ora. Kia t turu ka whakamaua kia t na, t na! Haumi e, hui e! T iki ! Let us jointly pursue the values of the Ministry of Health We take care of each other We create an environment for our people to thrive We work in good faith And we move forward together If we do this, we will lay hold of distant horizons and those near to us, and we will create a thriving future for all people

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