Taitokerau Rautaki Hauora / Northland Health Strategy 2040 | Te Whatu Ora - Te Tai Tokerau

Taitokerau Rautaki Hauora / Northland Health Strategy 2040



This website page contains the Taitokerau Rautaki Hauora (Te Tai Tokerau Health Strategy 2040), along with an account of how it was developed and resources that were used to support the case for change.

The Strategy is the culmination of extensive engagement across Te Tai Tokerau that included hui with the community, health workers, public sector leaders and Northland DHB’s Board.  The Strategy was drafted with assistance from PricewaterhouseCoopers and endorsed by Te Kahu o Taonui.

Issues raised during the engagement matched those identified by the national health reforms, and the Strategy’s actions are structured around the Government’s five system shifts.  That makes the Strategy fit for purpose for Te Tai Tokerau to act promptly on our urgent and growing needs, not wait until the reformed system is properly up and running.  We are in an excellent position to use the Strategy as a launching pad to make gains for our population and place ourselves in the vanguard of transformational change.


Click the image to read the full document


 Te Māramatanga | Our Dreams and Aspirations


The dreams and aspirations of our communities and whānau are central to this strategy. Through extensive engagement across Tai Tokerau, we have listened to communities, Whānau, Hapū, Iwi, Ngāi Māori and health workers. 

The engagement not only identified the issues that need addressing, it also made it clear that navigating the changing health landscape needs to involve everyone. To ensure our Strategy focuses on wellbeing, we have placed Oranga at the heart. Our actions pivot towards a strength-based approach, providing an environment for aspirations of all people to be nurtured and to grow. 


       “Entrench a Te Tiriti focus into
         our decision-making and our
        environment (equity, resource,
        rangatiratanga), as we are the
       region who are the kaitiaki of
                Te Tiriti o Waitangi.”


 Our Vision   


Our vision for Te Tai Tokerau is:

• people live longer in good health
• have improved quality of life
• and there is equity between all groups.

This vision aligns with the direction of the nation’s new health system that will achieve pae ora / healthy futures for all.

Achievement of this will be measured by the ability of tamariki born today to access and achieve equitable health outcomes as adults in 2040. 2040 is significant as it also represents the two hundredth anniversary of Te Tiriti o Waitangi.



Click image for a readable version.


 Waka Hourua 


To ensure kaupapa Māori informs and guides the Strategy and
reflects the uniqueness of Te Tai Tokerau, we have used the Waka
Hourua metaphor, which reflects the voyage of
Kupe and the many waka that reached Te Tai Tokerau.

It implies keeping traditional Māori stories relatable to today’s
context, celebrating intergenerational wisdom, and emphasising
holistic wellbeing that is of high importance to indigenous wellbeing
and cultural identity. All the while, we need to keep our aspirations
in focus, constantly self-review and monitor progress.


 Guiding Principles 


Prior to the signing of Te Tiriti o Waitangi, He Whakaputanga o te Rangatira o Nu Tireni was drawn up. Alongside Te Tiriti o Waitangi, Whakaputanga is a constitutional document of special significance to the people of Te Tai Tokerau and should be remembered, acknowledged, contemplated and considered. 

Te Tiriti o Waitangi is our primary method of assessment for Strategy alignment. To ensure the goals and associated actions are aligned with Te Tiriti, we assessed alignment based on: 

Te Tiriti applies to everyone in Aotearoa. “It is a bill of rights for Pākehā too … the Treaty that gives Pākehā the right to be here … The Pākehā are Tangata Tiriti, those who belong to the land by right of that Treaty.” In a strategic sense, it provides an all-encompassing framework for addressing all health-related issues. (Sir Eddie Durie, Waitangi Day 1989). 


 Research and Intelligence


The Compelling Case for Change describes high-level data relevant to Northland that identifies key equity, social, economic and health factors that explain and justify the need for change.

An overview of the Northland Population Health Status covering demographic composition, life expectancy at birth, most common causes of mortality, smoking prevalence, diabetes and what each day in Northland looks like.



 What you told us


Before the Strategy was written there was extensive engagement across 8 community and 5 clinical hui, as well as a leadership hui that brought together leaders from across the health and social sectors.  The map shows where and when the hui took place, and the Insights document summarises what the community and health workers said.  

The Māori Health Priorities report preceded the Strategy and was compiled by Te Poutokomanawa, Northland DHB’s Māori Health Directorate, as a result of extensive engagement with Māori across Te Tai Tokerau. Its content mirrors what we were told during the Strategy process. 


 Frameworks and the Future State


During the engagement process participants developed the Future State 2040, a statement of what the health system will look like by that date, as a vision to work towards.  The Future State guided us when we were developing the nine themes and actions that form the core of the Strategy.

To make sure the Future State was relevant and comprehensive, we checked it against several key frameworks that guide work in the health sector:


 Some useful links


 Contact Us





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