New Zealand Public Health and Disability Act 2000 established District
Health Boards and statutory advisory committees to ensure that the
community has a voice in health and disability service planning and
funding. In addition to the public engagement process available
through the Board, there are also formal consultation processes on
significant work projects and where changes are proposed.
Community engagement and consultation ensure that community needs and
priorities are an integral component of decisions about planning and
Auckland DHB has public documents that
outline the future direction and priorities of the board available
on-line. Simply download and read at your leisure.
Services areas have developed their own ways of recognising
service users and the views of the public. Customer feedback is
collected via our quality systems and the complaints process.
General Managers for Māori health and for Pacific health make sure that
Auckland DHB responds to the identified needs and aspirations of their
The Auckland DHB population is diverse with rapidly
expanding new migrant populations that place increased demand on health
professional for culturally appropriate services. The city has
multiple communities of interest that span ethnic groups, age groups,
neighbourhoods, gender, sexual orientation and religion. People
expect health services to, at the very least, recognise and acknowledge
these differences. Responsiveness to culture is now integral to
best practice and is further underscored by the Code of Health and
Disability Services Consumers' Rights and Human Rights legislation.
A pacific cultural competency framework has been developed
to assist staff and other organisations to respond appropriately when
delivering services to Pacific people.
Baseline expectations for cultural practice help improve the quality of
service and assist practitioners and front-line staff to respond with
confidence to people presenting for care and enable basic human rights
to be upheld in the health care setting. Some groups, specifically
disabled people, older people and people with mental illness, require
support services to help them live independently and to participate in
society. Support service and the attention to basic rights are
essential to health and wellbeing.
A Tikanga Recommended Best Practice Policy has been
developed to help the organisation meet responsibilities under the Treaty
of Waitangi especially in improved service responsiveness to Māori.
The policy does, however, have much wider application and will become
the predominant best practice to help staff respond to ethnic groups,
cultures and religions. Tikanga recommended best practice also
recognises that many cultures incorporate traditional approaches to
health alongside western medicine.