“In Aotearoa, people have differences in health that are not only avoidable but unfair and unjust. Equity recognises different people with different levels of advantage require different approaches and resources to get equitable health outcomes.”
- Dr Ashley Bloomfield, Ministry of Health
This year almost 20 per cent of the quality plan funding has been set aside for your practice to focus on activities associated with equity. (It is worth 18 points.)
The activities for this part of the quality plan can be individualised for your practice and population’s needs. Your practice can incorporate activities you already do as part of other programmes such as the equity module in Cornerstone or training towards being culturally competent as part of Te Manawanui.
There isn’t a requirement to do a specific activity, instead we have provided guidance and suggestions. We’ve given a range of ideas across three broad areas – organisation, workforce and your population. There are no rules. Your practice can choose to focus on one area or all three.
Your practice development facilitator will be in touch and can help you determine what your equity project will be.
Note: our guidance is primarily focused on Māori health equity. As our region has one of the highest Māori populations in New Zealand, and we know we have inequity within this group. Responding to Māori health aspirations is a Te Tiriti o Waitangi obligation and includes achieving equity for Māori. We recognise some practices may have different populations and may focus on achieving equity in line with that.
Links associated with the ideas listed below can be found in the 'files and links' at the bottom of this page.
Practices are more likely to achieve and sustain health equity outcomes if the commitment is driven by boards and senior leadership and have policies that reflect this.
Cultural competence requires an awareness of cultural diversity and the ability to function effectively, and respectfully when working with and treating people of different cultural backgrounds. Cultural competence means a doctor has the attitudes, skills and knowledge needed to achieve this.
- Medical council of NZ statement on cultural safety, 2019
Knowing your population and any gaps around access or outcomes is the first step to improving equity.
This plan removes all reporting for your practice. We will simply check in with you throughout the year to understand what you are doing and what support from us you may need.