Tariana TuriaWednesday 14 September 2011, 4:53PM
Media release from Tariana Turia
E nga mana, e nga reo, tena koutou. Ngati Toa Rangatira, Ngati
Raukawa, Te Atiawa, tena koutou.
This morning at 5am, there was the most brilliant full moon. It was
one of those sights that make you think everything is fine with the
world.
The perfectly formed moon shimmering on still waters - the first
light of day breaking through, the quiet calling of the birds
reminding us that we share our universe with others.
It was an exquisite way to start this day off - a day in which we
are stepping courageously into a new direction with this first
Maori health action plan to be released at a regional level.
It is so entirely fitting that this report refers to the
significance of the message inherited in the words of our
traditional moteatea - ka po, ka ao, ka awatea.
This is an invitation passed through the generations, for us to
enter the journey from the darkness to the world of light, and
onwards to the new dawn.
My hope for the document we are launching today, is that it helps
to provide the light for all our whanau to travel by; as they each
and collectively determine their own destination forward.
I want to acknowledge the five boards within Compass Health, who
have given the green light to today, and that is
• Wairarapa PHO Board
• Compass Health Ltd Board
• Compass Primary Health Care Network Board
• Compass Health Wellington Trust Board
• and Central PHO Board.
As I look out amongst all of us gathered here today, it is exciting
to see the diverse range of people who have come to celebrate this
collaboration - mana whenua; iwi representatives; Maori Partnership
board members; general practice teams, chief executives, general
managers, Ministry staff, and friends.
That diversity is important - for central to the success of our
journey in Whanau Ora - is the quality of relationships we can
achieve around us.
The birth of this first regional Maori Health Plan today represents
an important statement of faith in regional collaboration. This is
about requiring people to come together, reducing the duplication
of backroom services, and focusing on making sure our services are
fit for purpose.
We must uphold that same statement of faith in focusing on the
importance of trusting whanau to foster and nurture relationships
which will contribute to achieving the best outcomes for
whanau.
I want us to commit to the goal of restoring trusting relationships
within whanau, between whanau, providers and navigators - and with
state agencies - all at the same time: we are talking about a major
transformation predicated on trust.
You will all know the waiata written by Tuini Ngawai - E te
hokowhitu a Tu, kia kaha ra - written in the times of the Second
World War when our young men of the Maori Battalion were away
fighting in North Africa and Italy.
There is a repeating refrain - Whirinaki, whirinaki, tatou katoa,
kia kotahi ra.
It is that all important call to depend upon each other; to place
trust in ourselves; to come together as one.
In many ways we must call on that same motivation now, to encourage
our people to connect; to believe in their own potential.
Whanau Ora is about opening the doors wide, to ensure that whanau
have every opportunity to describe success in their own terms, such
as self-determination and opportunities to foster
self-management.
I was really excited to attend the Whanau Ora conference a couple
of weeks ago, Sharing the Learning. At that hui we heard numerous
examples of the approach being already anchored on solid
foundations which illustrated so clearly no one else can do it for
us - it is up to us.
For a whanau in Cannons Creek the goal was to think big; to finish
education for a mum and her daughter.
From Te Ope Koiora, we heard about how Whanau Ora was incorporated
within the context of the Tainui 50 year plan.
From the agencies present we saw how Whanau Ora has influenced the
core business of the state - with some 158 integrated contracts and
business cases underway to walk with provider collectives in
supporting whanau.
With various presentations from the Pacific nations, Whanau Ora was
described as modelling hope, and providing opportunities for
champions for change.
I wanted to share some of these examples because I think we need to
really know our successes and to appreciate the potential of our
whanau to achieve their aspirations.
Sometimes I fear we have become over professionalized, and
disconnected from the very simple truths of our lives. We look to
doctors for our diagnosis rather than focusing on what we need to
do to keep ourselves well.
What this regional Maori Health Action Plan will do is to ensure
that whanau have a greater say in what and how services should be
provided - rather than being treated as passive recipients to be
done to, rather than with.
This is about taking a whanau centred approach; to ensure whanau
are empowered to take collective responsibility.
Whanau Ora is not just about health services of course - addressing
the broader needs of whanau will require sectors like housing,
social development, education to come on board as well.
And of course there will be many whanau who want to focus on their
own solutions for improving their lives. It is not about a one size
fits all.
As I have said earlier, this is the first regional Maori Health
Action Plan to be released and so we have great expectations for
how it will pan out, in helping to set the stage in implementing
Whanau Ora within a primary healthcare setting.
If there is one word I hope you will remember from my comments, it
is the concept of whakawhirinakitanga.
How can we encourage trust across and between your providers, your
PHO and with the DHB? How will the DHB Maori Health Plans work in
with Ka Po, Ka Ao? How does Compass Health demonstrate its trust
for the navigators who are working directly with whanau?
What I most want to see is collaboration and cooperation across all
levels with a single focus on improving outcomes with and for
whanau.
I'd like to see the Maori General Managers being decision-makers in
the funding and planning cycles. I'd like to see GPs, iwi and Maori
providers working together, in advancing the Whanau Ora
approach.
I want to thank you all for the enthusiasm, the commitment and the
investment you have made in creating a primary care system that is
better integrated and responds well to the needs of whanau.
Transformation always comes at some sacrifice - and I have no doubt
when I look around me that working together has required
considerable patience and a firm belief in what you are
doing.
Let us look upon this launch tonight, as an opportunity to start
anew, as a collective force for change, embarking upon the new dawn
that our whanau will lead us towards.
Tena tatou katoa.