Raranga
Te whakaū tikanga ahurea mō ngā iwi katoa
1982
Improving cultural safety for Māori and all who interact with our services
Act
the vision
what’s the opportunity?
what is raranga?
Raranga (to weave):
We want our kiritaki (clients) and
We want all those who work with us to be committed to the
Raranga is the name given to ACC’s cultural safety uplift project. We’re
Services and projects that are designed
whānau to be welcomed into culturally
delivery of equitable and culturally safe health care. To achieve
developing an ACC cultural safety policy, called Te Kawa Whakaruruhau,
with Māori in mind. Weaving the ‘best
safe environments where they receive
this, we need to defne our stance on cultural safety and set an
as part of our commitment to uphold our responsibilities to Māori
of’ te ao Māori knowledge and Western
appropriate and equitable health care.
expectation of how it’s applied across our services.
under Te Tiriti o Waitangi and to empower Māori to participate fully in
knowledge to deliver outcomes for Māori
We want to improve the experiences
We want to change the experience for Māori who:
their hauora (health) and oranga (wellbeing). The policy sets out our
and health outcomes of Māori, as Te
expectation on cultural safety and will be applied across all our services.
clients and their whānau. Must deliver
• are more likely to sustain a serious injury, but less likely to
Tiriti partners, across all our services.
culturally safe and culturally competent
access ACC services
Resources are being developed, and existing cultural competency
guidance updated, to support this change for our providers and
services. All likely to beneft.
• experience inequity in universal health care, unequal power
provider-facing kaimahi (staf). These will encourage people to refect,
relationships and unequal distribution of services or resources.
recognise diference, confront their biases and correct the imbalance of
(Shea, S. 2021. Universal, Raranga and Kaupapa Māori Defnitions. Presentation
Information
power in our relationships with kiritaki.
to the Associate Minister of ACC and Māori Stakeholder Hui. 7 May 2021.)
the journey
2021
2022
2023
There are four steps in our journey to weave raranga
through ACC’s services.
What this means
for...
From
In progress
Future State
What we’re
striving for
Official
Tuatahi: Research
We research cultural safety in the health sector and continue to kōrero
with our partners to get a clear understanding of their existing approaches.
• New cultural safety policy socialised
• No formal cultural safety stance
• Updated cultural competency
• Cultural safety policy implemented
the • Outdated provider cultural
guidance
• Provider-facing ACC kaimahi uplifted
Equity for Māori
Tuarua: Defne
ACC
competency guidance
• Promotion of cultural uplift by
• Consistent delivery of culturally safe
• Inconsistent delivery of cultural safety
relationship managers
care
and all kiritaki
With what we learn, we defne our approach to cultural safety and share our
across services
• Strengthened evaluation of cultural
• Client feedback channels established
policy and support resources to encourage uplift ahead of implementation.
safety in procurement
Tuatoru: Embed
We embed our policy to ensure our kiritaki experience culturally safe
Contracted and
• Engage with new ACC policy and
• Apply cultural safety policy in service
under
interactions across all our services.
non-contracted
• Follow sector-driven cultural safety
resources
delivery
Stronger
providers
standards
• Begin cultural uplift in their practice
• Follow current cultural competency
partnerships
guidance
Tuawhā: Evaluate
We identify beneft indicators and establish monitoring processes to
ensure that cultural safety is appropriately applied. We continue to evolve
our approach in response to the needs of our kiritaki.
• Poor or inconsistent experiences
• Empowered by culturally safe
experiences
Better
Kiritaki / whānau
• Lack of trust and engagement with
• Improved experiences where providers
experiences
ACC
are early adopters of policy
• Increased trust and uptake of ACC
and outcomes
• Poorer health outcomes for Māori
services
• Improved health outcomes for Māori
for whānau
Released
Kaupapa Māori Solutions Key messages
Last updated 21 March 2023
1982
Top-line key message
ACC understands that to do better by and for Māori we need to do things differently. Overall whānau
Act
wellbeing is the priority. We want to achieve this through collaborative design of kaupapa Māori
solutions that provide whānau with choice across injury prevention, hauora (health) and rehabilitation.
Key messages
• We are improving the way we respond to the needs of whānau by ensuring regionally based,
kaupapa Māori options are available to improve access, experience and outcomes for Māori, as
Te Tiriti partners.
• We are seeking to deliver whānau-centred solutions to wellbeing, hauora (health) and
rehabilitation by partnering regionally with whānau and kaupapa Māori specialists to
collaboratively design initiatives and services that meet local need.
Information
• The first wellbeing initiatives to be designed wil support the prevention of family and sexual
violence; the first hauora services wil support whānau with complex injuries and a high level of
need (including people who have experienced serious injuries and sexual violence).
• We are appointing regional panels in each of 12 rohe (regions) across the motu (country) who
have strong connections to the community they serve.
• The first regional design commenced in 2021 in the Tainui waka rohe; by mid-2023, we expect
Official
to announce two further design panels, in Te Tai Tokerau and Tāmaki Makaurau. Regional
engagement and procurement across the rest of the motu wil follow in 2023-2024.
Why do we need Kaupapa Māori Solutions?
the
This mahi aligns with our incoming enterprise strategy Huakina Te Rā that seeks to achieve mana
taurite (equity), ringa atawhai (guardianship) and oranga whānau (safe and resilient communities).
The need to introduce a new way of working is directly linked to the Wai2575 claim with the Waitangi
Tribunal where ACC is featured specifically around failing to deliver our services in ways that result in
equitable outcomes between Māori and non-Māori. This included the way we commission services and
under
our relationship with Māori suppliers and providers, who are the key to us connecting with hapori Māori
to better serve whānau.
This regional procurement is designed to enable us to work directly with Māori providers to deliver
tailored services in each rohe and help us achieve successful long-term health outcomes for Māori.
Working in partnership, we wil be honouring our Whāia Te Tika commitments to improve access,
experiences and outcomes for Māori, and deliver equity and options as good Te Tiriti partners.
The order for service design across the motu is based on data, client and sector feedback, resourcing
needs and existing iwi relationships.
Released
Where can people go for information?
• GETS interim notice
– https://www.gets.govt.nz/ACC/ExternalTenderDetails.htm?id=26387324
• ACC website
– acc.co.nz/about-us/our-campaigns-and-programmes/kaupapa-maori-solutions/
OUR GOAL / TE WHĀINGA
“We uphold te Tiriti o Waitangi / the Treaty of Waitangi principles of
Under Whāia Te Tika, ACC s
Partnership, Participation and Protection”
overarching aspirations are to
improve outcomes and
1982
experiences for Māori customers.
Partnership
One of the guiding principles to
Participation
Protection
achieving this is to uphold the
Me mahi tahi
Me whai wāhi
Me maru
Treaty of Waitangi principles.
based on mutual good faith, cooperation,
and equitable access at all levels
and improvement of Māori wellbeing
Act
tolerance, honesty and respect
KO TĀ TĀTOU NEI HIAHIA WHAT WE ASPIRE TO DO
Clients’ individual culture,
•
s
i
beliefs, and everyday
• Endorse and support clients to share their
Recognise inequities in access to services and
ak
• Value and respect cultural differences
it
realities are valued and
ideas, and those ideas are reflected in the
actively addresses them at the client level
• Include clients’ whānau in discussions and
• Give clients access to culturally appropriate
Client
respected:
management of their claim(s)
r
ā Kir
decision making about client needs
treatment and rehabilitation
u
“My whānau is involved in
• Have open discussion and genuine consultation
• Uphold mana of clients throughout all
O
Ng
• Co-plan treatment and rehabilitation
the decisions that affect
about their claim
interactions
me”
• Involve iwi, hapū, marae, whānau and other
• Pursue culturally appropriate treatment and
to
Services are
Māori networks in seeking cultural advice to
• Offer culturally appropriate pathways of service
rehabilitation contracts proactively
ara
appropriately tailored to
iders
support culturally appropriate treatment
delivery. Providers will either offer appropriate
• Require providers to demonstrate cultural
v
hak
the unique needs and
Information
ro
iw
aspirations of
pathways
services for Māori clients, or know who can
competency standards as part of tender
Māori;
•
•
r P
Understand the unique viewpoint of tangata
Involve clients and their whānau in the planning
processes
services are designed
u
whenua within the community the provider
and delivery of the services they provide
• Include measurable cultural competencies in
O
gā Ka
N
under a cultural lens
works within
contracts
s
Iwi and Māori community
• Review outcomes regularly, monitor what we
der
organisations are actively
• Engage and partner with iwi and Māori
• Consult with the appropriate groups (iwi, hapū,
do and measure the impact on Māori
hol
anga
involved in ACC planning
e
community organisations, identifying successes
k
etc) on relevant matters that may have an
• Acknowledge and protect the intellectual
ta
and process; working with
hāip
and working with others to co-design services
S
gā Hunga
impact on Māori
property
N
W
iwi is a natural part of how
to address disparities
of the Māori community (eg research
Official
data and private information)
Our
ACC operates
• Make genuine attempts to correctly pronounce,
i
le
Our people engage with
•
spel and use Māori names and common
Engage with Māori effectively by using
the
• Encourage and support their clients and their
imah
Māori in a culturally
preferred styles of working
words/places
eop
whānau to be part of discussions and decision
• Observe tikanga in everyday actions, such as
appropriate and
•
r P
ā Ka
making, as appropriate
Be familiar with the iwi and hapū of the
meeting/greeting, not sitting on tables, etc
u
responsive way
geographical area in which they work
O
• Take advantage of opportunities to develop
Ng
bilingual skills and knowledge
r
e
hi
Cultural capability
• Have visible Māori representation at the top
• Have culturally appropriate corporate policies
oy
w
• State the significance of the Treaty of Waitangi
hi
becomes the natural way
tiers of ACC
pl
eg allowing appropriate leave for tangihanga
w
to ACC in advertised roles
under
m
a
of operating, from how we
• Have a Māori Leaders network that champions
e
k
hi
• Al ow for Māori protocol at significant
n
a recruit new employees
• Include interview protocols for Māori candidates
cultural capability across ACC
a
ha
M
s
w
through to the support
•
meetings/events
Recruit Māori employees to reflect percentage
• Establish relationships with Māori entities to
a
and development
of Māori population (with regional variation to
• Provide support for employees to develop
Kai
identify and grow talent
CC
provided to employees
reflect local populations)
bilingual skills and knowledge
A
He
ā
rs
The process of decision
• Recognise and acknowledge inequities and
e
k
aw
• Consult with relevant groups (iwi, hapū, etc) on
a
k
making takes into account
have a plan to address them
m
a
k
the potential impact on
• Address inequities in business plans, service
matters that may have an impact on Māori,
• Seek information from relevant groups on how
ion
ha
Māori, and consideration
design and procurement processes, taking into
before decisions are made (where appropriate)
decisions could impact on Māori
is
w
has been made of these
account the broader goals of Whāia Te Tika
• Engage with Māori effectively by using
• Undertake research to understand inequities
dec
Kai
impacts (including
preferred styles of working
and considers finding new ways to address
C
C
meaningful consultation)
them
A
Ngā
Released
Hāpai rollout map 2023-2024
1982
Act
Tranche 1
May 2023
Kāhui o te Urutira
Tauranga, Whakatane,
Rotorua, Gisborne
Kāhui o te Manawa
Hamilton, New Plymouth
Tranche 2
Aug 2023
Kāhui o te Hiku
Whangarei, Albany,
Henderson
Information
Kāhui o te Kaki
Newmarket, Manukau
Tranche 3
Dec 2023
Kāhui o te Piha
Hastings, Whanganui,
Palmerston North
Kāhui o te Upoko
Masterton, Hutt Valley,
Official
Wellington
Tranche 4
April 2024
Kāhui o te Waipounamu
Nelson, Greymouth,
the
Christchurch
Kāhui o Aoraki
Dunedin, Timaru, Alexandra,
Invercargill
under
1
Released
Hāpai Expansion Schedule
1982
Act
Information
Partnered Recovery – Mental Injury (MI)
Official
It is envisaged that the service design component for Mental Injury will be completed by
September 2023 and rolled
out nationally in
December 2023. Partnered MI will rollout across all regions, the exception will be Kāhui o te
Waipounamu and Kāhui o Aoraki – the rollout of MI will coincide with the implementation of Partnered PI and
Supported Recovery in
April 2024.
the
Assisted Recovery
It is envisaged that the service design component for Assisted Recovery will be completed by
December 2023.
Rollout to the five hubs will be completed by
February 2024
under
2
Released
1982
T H E H Ā PA I P R O J E C T S TA G E S
Act
Information
TE KĀKANO 2020
TE MATATIPU 2021
TE PIHINGA 2022
TE MĀHURI 2023
TE KŌHURE 2024
The genesis of Hāpai; from
Hāpai grew from project
Hāpai is in the fledgling
Hāpai has moved
Hāpai is now fully grown
the 2020 Ministers hui to
stage to beginning to
stage and needs to be well
through the critical
and wel established into
the interviews, insights and
shape what the real-life
supported to best
development stages,
ACC business as usual.
Official
opportunities developed
changes could look like for
understand how it should
has a wel refined root
The service offering is both
during the project stage
our Kaimahi, Māori clients
grow and receive the care
system of support and
well supported and able to
and
the
whānau. At the same
that it needs. Areas of
nutrients and is now
provide the cultural
time the roots of
opportunity begin
focused on growing
responsiveness our Māori
this kaupapa are beginning
to blossom but the
outwards
clients and whānau need to
to spread and take hold to
kaupapa stil needs to be
help support their recovery
under
help provide support and
well nurtured to reach its
nutrients to grow
ful potential
Released
1
April 2023
WHĀIA TE TIKA INITIATIVES
Objective
Programmes
Overview of the initiative.
STAGE
Te Kāpehu Whetū
Te Kāpehu Whetū defines what good likes from the perspective of Māori clients of ACC and measures the extent to which ACC as an organisation contributes to oranga
Implement
1982
Drive ACC’s
(Māori Outcomes
whānau (family wellbeing). The Te Kāpehu Whetū programme of work enables ACC to understand how well we are doing, at delivering wellbeing outcomes for whānau
3
performance
Framework)
Māori. ACC will monitor the measures of organisational success as defined by whānau Māori.
toward
Kōkiri
achieving
Whakamua
Kōkiri Whakamua is ACC’s Whāia te Tika action plan, that captures all of the work ACC is driving to deliver on Whāia te Tika.
Implement
(Whāia
3
equitable
te Tika
Kōkiri Whakamua currently captures 165 activities that ACC tracks, monitors and reports on quarterly. Work is underway to evolve Kōkiri Whakamua into ACC’s strategic
action plan)
Act
outcomes for
programme of work aligned to Whāia te Tika and Te Kāpehu Whetū (ACC’s Māori outcomes framework).
Māori.
Māori data Sovereignty
ACC is actively working on understanding and improving Māori data collection, use and reporting to drive performance for Māori.
Discovery
1
Māori Engagement
ACC’s Māori engagement framework will help ACC to understand where it current has relationships with Iwi, Māori Communities, Kaupapa Māori Business, measure the
Design
Lift
Framework
success of existing relationships and identify new relationships that ACC needs to establish. The framework will also enable ACC to take a more joined up approach to
2
organisational
engagement with Māori. Implementation of the Māori engagement framework is due to start in July 2022.
cultural
Cultural Capability
The Cultural Capability Roadmap is a response to Whāia te Tika’s focus area of cultural capability, the internal capability programme required to deliver better outcomes for
Implement
capability.
Roadmap
Māori. The roadmap recognises ACC’s partnership with Māori, to create space for Māori to be Māori when working within, and engaging with ACC. Through this roadmap
3
we are seeking to build tikanga Māori into our ways of working so that we can engage better with Māori,and create a better work environment for all our kaimahi.
Ngā Tini Whetū
Ngā Tini Whetū is an early support and prevention prototype established in 2020 in partnership with Te Puni Kōkiri (TPK), Oranga Tamariki (OT) and the Whānau Ora
Design
Commissioning Agency (WOCA). Together ‘the agencies’ build resilience and improve the wellbeing of whānau by testing a new model of care based on the Whānau Ora
2
approach and a Kaupapa Māori commissioning model. It encompasses a shift in the way that government works together with Kaupapa Māori organisations to deliver
services, focusing on whānau leadership and early support to provide early access to services, support and resourcing that was not previously available to them.
Information
Targeted Māori
Tuārai model project
ACC are supporting a collective of Iwi and hapū providers to develop and trial a Kaupapa Māori approach to injury prevention in Te Tairāwhiti. This model is based on the
Design
specific injury
shared belief that solutions exist within iwi systems, these approaches are modelled by the mātauranga, tikanga and kawa specific to mana whenua of a particular area or
2
prevention
region.
investment
Oranga Whakapapa
To address the drivers of sexual violence, ACC are investing $44.9 million to establish a fit-for-purpose sexual violence primary prevention system. This includes $11.715
Discovery
portfolio.
Healthy consensual
million allocated for Kaupapa Māori approaches. ACC will support the Governments comprehensive national strategy to eliminate family violence and sexual violence in
1
relationships
Aotearoa New Zealand, Te Aorerekura . ACC want to ensure whānau can protect their whakapapa through mana-enhancing and tapu-enriched relationships with others and
with te taiao.
Mokopuna Ora
ACC are working with E Tū
Official
Whānau (Ministry of Social Development) to develop and deliver a programme of work that will help ACC better understand the protection of
Design
whakapapa in the prevention of child sexual abuse.
2
Improve access,
Integrated Home and
ACC is working on ensuring all contracts are tendered equitably by removing those requirements that become a barrier to Māori providers directly holding a contract with
Discovery
experience and
Community Support
ACC.
1
outcomes for
the
Māori.
Navigation Services
ACC is establishing a Kaupapa Māori Navigation Service to improve the experiences of Māori accessing ACC. A Navigation Service will be available to inform, advise and
Implement
support ACC clients throughout their enquiry, claim or complaint process and help them to connect with additional support within ACC. Part of this Kaupapa will be looking
3
to align with other agencies who provide Navigation services to whānau.
Kia Mahea, Kia puāwai
Kia Mahea, Kia Puāwai (making it clear so we can flourish) has been developed using research insights and through a collaborative 'by Māori, for Māori' approach. The
Implement
campaign aims to help ACC share practical information with Māori about the services and support available to whānau when they are injured. The ads click through to
3
further information on ACC’s website.
Hāpai - Māori centred
Hāpai is an ACC initiative aiming to create a more culturally responsive case management experience for our Māori clients and their whānau. ACC is piloting a Kaupapa
Implement
under
recovery service
Māori case management model in four locations. Once ACC understands the impacts and outcomes of this pilot, ACC will be undertaking work to look at rolling this model
3
out wider than the four locations and teams within the pilot.
Kaupapa Lead design
ACC are designing and delivering kaupapa Māori health services Pathway (KMHS). These services will be regionally based to deliver to the needs of haukāinga (local people),
Design
and available to ACC clients of all ethnicities. The design of the services in each rohe (region) will be Māori-led, by local kaupapa Māori suppliers.
2
Improve Services
Rongoā Māori
Rongoa Māori is traditional Māori care and healing. ACC offer rongoā as a form of rehabilitation to all clients. As with other services, ACC are not able to make referrals to a
Implement
available for
specific practitioner, but ACC are working on how we can offer our clients choice in the practitioners available in their area. ACC are also looking at how we can build the
3
Māori.
service and contract with practitioners in the future.
Raranga is about delivering a culturally safe experience to all who interact with us and our services. It’s about being responsive to others and their cultural needs. Raranga is a
Implement
Raranga
standard that sets out ACC’s expectation on cultural safety, which will be applied to our services through our contracts and associated documents.
3
Released
KAUPAPA MĀORI
HEALTH SERVICES AND INJURY PREVENTION INITIATIVES
1982
Act
Our vision is to protect the wellbeing of whānau, and provide them with
greater choice in accessing health services when they are injured.
We will realise our vision by …
We define kaupapa Māori solutions as:
Partnering with kaupapa Māori specialists to design new ACC solutions that enable whānau to live
indigenous, localised, whānau-centred
solutions designed by Māori, with Māori,
well and, if injured, to access services that are safe and appropriate, as defined by Māori.
underpinned by tikanga and delivered by
Information
Our proposed journey
What we're seeking to design
providers who identify as Māori, primarily
for Māori, but available to all.
ACC understands that to do better for Māori
1. Wellbeing initiatives for whānau to know
we need to do things differently. We
about mana-enhancing and tapu-enriched
We define serious harm as: the impacts
understand our responsibilities to Māori
relationships, that will enable locally-led
caused by sexual assault and abuse,
under Te Tiriti o Waitangi. We want to ensure
approaches.
traumatic brain injuries, or physical injuries
whānau have options in accessing services and
resulting in long term and/or intensive care
Official
can exercise mana motuhake. We recognise
2. Kaupapa Māori health services to be
and rehabilitation.
the need to protect mātauranga
delivered by Māori, with a focus on services
Māori,
build genuine partnerships and empower
to support kiritaki and whānau with
Injury Prevention is about: protecting the
the
Māori to participate fully in their
complex injuries (including, but not limited
hauora.
wellbeing of whānau. We have a focus on
to, sexual violence and serious injuries).
Localised approaches to service design and
enabling whānau to live mana-enhancing
provision are best placed to meet the specific
and tapu-enriched relationships, informed
The role of ACC
needs of haukāinga.
by mātauranga and taonga tuku iho.
We seek to enable the success of this mahi
We present an opportunity to co-design these
through:
under
Health services are about: supporting
approaches.
•
kiritaki and whānau when they are injured.
commissioning a kaupapa Māori panel that
The focus of this first phase of services is
will design whānau-centred solutions
developing a pathway to support kiritaki
•
and whānau with a complex and high level
supporting the design process, equitably
of need, including services for those with
•
removing barriers to enable design and
serious injuries and survivors of sexual
delivery.
violence.
Released
KAUPAPA MĀORI HEALTH SERVICES AND INJURY PREVENTION INITIATIVES 1982
Our partners
Engaging across the motu
In each rohe we're seeking kaupapa Māori specialists to join a panel to design these solutions.
ACC’s Māori Health and
Act
Panel members will be commissioned through a Registration of Interest.
Injury Prevention teams will
be engaging kanohi ki te kanohi and online, in
stages, rohe by rohe …
Each design panel will be made up of:
•
with iwi and hapū to seek endorsement for the
mahi we are embarking on in their rohe; and
•
with kaupapa Māori providers and whānau to
Design Specialist
Design specialists who have experience working with whānau
kōrero about the services we’re seeking to design
Māori, and/or facilitating whanau-led design.
and how they could be part of this kaupapa.
Kaupapa Māori Providers
Kaupapa Māori providers who are Māori owned and operated
The map (right) outlines the
Information
and Subject Matter Experts (SMEs) who understand strengths-
order in which we are
and / or
based whānau-led approaches and the complexities of serious
engaging across the motu.
injuries, including sexual violence. These could be one and the
Subject Matter Experts
same.
Official
Kaupapa Māori Researcher
Kaupapa Māori researchers experienced in developmental
evaluation to inform discovery and detailed design and support
the implementation of the solutions designed.
the
Procurement phase
Whānau Convener
Whānau convenors who are responsible for carrying the voice of
We'll share more information on
whānau with lived experience into the design process.
future procurement opportunities
through a Registration of Interest
under
on the Government Electronic Tender Service (GETS) website.
The Advance Notice can be found at:
https://www.gets.govt.nz/ACC/ExternalTenderDetails.htm?id=26097976
2
Released
Document Outline
