HNZ00036426 response.pdf

11 March 2024

Anatoly
[FYI request #25481 email]

Tēnā koe Anatoly

Your request for official information, reference: HNZ00036426

Thank you for your email on 25 January 2024, extended 22 February 2024, asking
Health New Zealand | Te Whatu Ora for information relating to the Bay of Plenty Mental
Health Transformation under the Of icial Information Act 1982 (the Act). For clarity, we have
provided a response to each part of your request in the order it was asked below.
  1.  A copy of the contract for the Bay Of Plenty Mental Health Transformation Project.
(367912).

Please refer to Attachment 1 enclosed. This is released to you in full.

2.
A breakdown of what has been delivered/achieved within the contract's current
spend ($753k).

3.
A plan for the remaining transformation that was described to the BOP community
in a series of hui.

A summary of the project workstreams is enclosed as Attachment 2. Please note, some
information within this document is withheld under section 9(2)(a) of the Act. The need to
protect the privacy of these individuals is not outweighed by the public interest in the release
of this information.

How to get in touch

If you have any questions, you can contact us at [email address].

If you are not happy with this response, you have the right to make a complaint to the
Ombudsman. Information about how to do this is available at
www.ombudsman.parliament.nz or by phoning 0800 802 602.

As this information may be of interest to other members of the public, Health NZ may
proactively release a copy of this response on our website. Al  requester data, including your
name and contact details, wil  be removed prior to release.

Nāku iti noa, nā

Debbie Brown
Senior Advisor Governance and Quality
Health New Zealand
TeWhatuOra.govt.nz
Health NZ, PO Box 793,
Wel ingt on 6140, New Zealand

Attachment 1
440295 / 367921/01
Provider No. / Contract No.
Variation to Agreement
between
HER MAJESTY THE QUEEN IN RIGHT OF HER
GOVERNMENT IN NEW ZEALAND
1982
(acting by and through the Ministry of Health)Act
Private Bag 92522
PO Box 1031
PO Box 5013
Wellesley Street
Waikato Mail Centre
Lambton Quay
Auckland 1141
Hamilton 3240
Wellington 6140
Ph: 09-580 9000
Ph: 07-858 7000
Ph: 04-496 2000
Information
PO Box 3877
Private Bag 1942
Christchurch
Dunedin 9058
Ph: 03-974 2040
Ph: 03-474 8040
Contact:
Sue Hallwright (Auckland)
Official
and
the
Bay of Plenty DHB
Mental Health and Addiction System Collaborative Design
under
and Implementation Support
Private Bag 12024
Tauranga
Ph: 03-579 8726
Contact:
Stewart Ngatai
[email address]
Released

Bay of Plenty DHB
440295 / 367921/01
CONTENTS OF THIS AGREEMENT
1982
A:
SUMMARY
2
B:
PROVIDER SPECIFIC TERMS AND CONDITIONS
3
Act
C:
SERVICE SPECIFICATION
6

Information
Official
the
under
Released
Ministry of Health
Variation
Page 1

Bay of Plenty DHB
440295 / 367921/01
A:
SUMMARY
A1
Definitions
1982
a.
Zealand (acting by and through the Ministry of Health (MoH))
b.
Bay of Plenty DHB
Act
c.
d.
you
A2
The Agreement
In 2021 both of us entered into a Health and Disability Services Agreement (the Agreement).
The Agreement commenced on 15 May 2021 and ends on 30 June 2022 and is numbered
(440295 / 367921/00).
A3
Variation
Information
This is the 01 variation to the Agreement and modifies service details.  This variation to the
Agreement begins on 01 July 2022 and ends on 30 June 2024.
A4
Section B
The attached Section B includes al  of the adjustments to this Agreement as a result of this
variation.
Official
A5
Remainder of Agreement
The remaining terms and conditions of the Agreement are confirmed in al  respects except
the
for the variations as set out in this document.
A6
Signatures
Please confirm your acceptance of the Agreement by signing where indicated below.
For Her Majesty the Queen:
For Bay of Plenty DHB:
under
(signature)
(signature)
Name  ......
M ..
ar.t.i.n. ..
D .u.tt..
o .n......................................
Name  .......................
M ..
a .r..a...
m..a. ..T..a..u..r..
a ..
n ..
g ..
a ........
Position  ...
M .a..
n .a.g..
e .r,. ..
P .ri..
m..
ar..y ..
a .n..
d ..
C..
o ..
m ..
m .u..
ni.t.y. ..
W..
el .l.b..
ei ..
n .g...
Position  .......................................................
8 June 2022
Date  .......1.3. .J..
u .n..
e ..
2 .0..
2 .2......................................
Date  ............................................................
Released
Ministry of Health
Variation
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Bay of Plenty DHB
440295 / 367921/01
B:  PROVIDER SPECIFIC TERMS AND
CONDITIONS
1982
B1
It is agreed that the following details apply to this Variation
Legal Entity Name
Bay of Plenty DHB
Act
Legal Entity Number
440295
Contract Number
367921 / 01
Variation Commencement Date
01 July 2022
Variation End Date
30 June 2024
B2
Details of all purchase units which apply to this Variation
Purchase Unit (PU ID)
Volume
Unit Price
Total Price
GST  Payment
excl. GST
excl. GST
Rate
Type
Information
(per PU)
(UP x V)
(%)
MHSI02
2 FTE
$130,360.00  $521,440.00
15
CMS
Mental Health and Wel being
Implementation Facilitator
Total price for the Service Schedule

$521,440.00

Official
PAYMENT DETAILS
B3
Price
the
B3.1
The price we will pay for the Service you provide is specified above.  Note that al  prices are
exclusive of GST.
B4
Invoicing
under
B4.1
We wil  pay you on the dates set out in the Payment Schedule below for the services you
provide in each invoice period so long as we receive a valid GST tax invoice from you.  The
invoice must meet al  legal requirements and must contain the fol owing information:
a.
provider name (legal entity name)
b.
provider number (legal entity number)
c.
provider invoice number
d.
contract number
e.
purchase unit number or a description of the service being provided
f.
date the invoice is due to be paid/date payment expected
Released
g.
dollar amount to be paid
h.
period the service was provided
i.
volume, if applicable
Ministry of Health
Variation
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Bay of Plenty DHB
440295 / 367921/01
j.
GST rate
k.
GST number
l.
full name of funder
If we do not receive an invoice from you by the date specified in the payment schedule
below, then we wil pay you within 20 days after we receive the invoice.
B5
Invoicing Address
1982
Send invoices to:
[email address]
Act
or post to:
Provider Payments
Ministry of Health
Private Bag 1942
Dunedin 9054
B6
Payment Schedule
Payments will be
On invoices received
For services supplied
Amount
made by us on these
by us on or before:
in the period:
(excl GST)
dates:
22 August 2022
31 July 2022
July 2022
$21,726.66
Information
20 September 2022
31 August 2022
August 2022
$21,726.66
20 October 2022
30 September 2022
September 2022
$21,726.66
21 November 2022
31 October 2022
October 2022
$21,726.66
20 December 2022
30 November 2022
November 2022
$21,726.66
20 January 2023
31 December 2022
December 2022
$21,726.66
20 February 2023
31 January 2023
January 2023
$21,726.66
20 March 2023
28 February 2023
February 2023
$21,726.66
Official
20 April 2023
31 March 2023
March 2023
$21,726.66
22 May 2023
30 April 2023
April 2023
$21,726.66
20 June 2023
31 May 2023
May 2023
$21,726.66
20 July 2023
30 June 2023
June 2023
$21,726.74
the
21 August 2023
31 July 2023
July 2023
$21,726.66
20 September 2023
31 August 2023
August 2023
$21,726.66
20 October 2023
30 September 2023
September 2023
$21,726.66
20 November 2023
31 October 2023
October 2023
$21,726.66
20 December 2023
30 November 2023
November 2023
$21,726.66
22 January 2024
31 December 2023
December 2023
$21,726.66
under
20 February 2024
31 January 2024
January 2024
$21,726.66
20 March 2024
29 February 2024
February 2024
$21,726.66
22 April 2024
31 March 2024
March 2024
$21,726.66
20 May 2024
30 April 2024
April 2024
$21,726.66
20 June 2024
31 May 2024
May 2024
$21,726.66
22 July 2024
30 June 2024
June 2024
$21,726.74
Total

$521,440.00

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Ministry of Health
Variation
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Bay of Plenty DHB
440295 / 367921/01
B7
Children  Act 2014
1

services provided to one or more children

services to adults in respect of one or more children
NB At a future date, the scope of children's services can be expanded by regulations.
Expansion may include services to adults which could significantly affect the wel -being of
children in that household.
1982
Child Protection Policy
ou will adopt
Act
a child protection policy as soon as practicable and review the policy within three years from
the date of its adoption or most recent review.  Thereafter, you wil  review the policy at least
every three years.  In accordance with the requirements set out in section 19(a) and (b) of
services (as defined in section 15 of the Act), must be written and must contain provisions on
the identification and reporting of child abuse and neglect in accordance with section 15 of
the Oranga Tamariki Act 1989.
Worker Safety Checks
If you have workers that provide children's services, the safety check requirements under the
Children  (Requirements for Safety Checks of Children's Workers) Regulations 2015 wil
Information
need to be complied with.2

Official
the
under
Released

1 http://www.legislation.govt.nz/act/public/2014/0040/latest/DLM5501618.html
2 http://www.legislation.govt.nz/regulation/public/2015/0106/latest/DLM6482241.html
Ministry of Health
Variation
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Bay of Plenty DHB
440295 / 367921/01
C:  SERVICE SPECIFICATION
Mental Health and Addiction System Collaborative Design and Implementation Support
Bay of Plenty District Health Board
Variation 01
1982
This service specification replaces the service specification in Agreement 367921-00
Act
Background
He Ara Oranga: Report of the Government Inquiry into Mental Health and Addiction (He Ara Oranga)
cal ed for a transformational approach to mental health and addiction in New Zealand. Over the past
two years, there has been good progress in addressing the gaps in primary and community mental
health and addiction services with significant funding invested in new services across al  District
Health Board (DHB) regions.
In addition to cal ing for new services to address gaps, He Ara Oranga cal ed for them to be tailored
for the people who use them, ensure they are joined up across the health and social sectors and are

Information
The Ministry has developed Kia Manawanui Aotearoa: Long-term pathway to mental wellbeing for
implementation (Kia Manawanui) of He Ara Oranga recommendations to set the direction for cross-
government action.  A service and system framework describing the spectrum of mental health and
addiction services to reflect the direction set out in Kia Manawanui and in Whakamaua, Maori Health
Action Plan 2020   2025 (Whakamaua)and Ola Manuia Pacific Health and Wellbeing Action Plan
2020 -2025 is also being developed.
Official
In order to support the transformational approach, in 2021, the Ministry contracted Mental Health and
Addiction System Col aborative Design and Implementation Support services across al  DHB areas,
including Bay of Plenty District Health Board via Agreement 367921-00. The services enabled DHBs,
either individual y or working together with other geographically adjacent DHBs, to facilitate a
the
col aborative design process with their local stakeholders and communities and develop the capability
to implement the changes needed to the existing mental health and addiction service delivery system
so that it works for their local populations. This work aligns with the Health and Disability system
reforms and will contribute to, and inform, the locality planning for primary and community services
signal ed in the reforms.
under
Each of the agreements included three service components: (a) col aborative system design (b)
implementation support establishment and (c) mental health and wellbeing implementation FTE (FTE
component).  Of the three key components, only the FTE component is being renewed from 1 July
2022 to 30 June 2024 through a right of renewal as specified in Agreement 367921-00. This is
because the col aborative design component was a discrete piece of work to identify preliminary
priority improvement projects while building relationships between local iwi, other key stakeholders,
the ful  spectrum of mental health and addiction services and those who use them. This previous
improve the delivery of the whole system of services.
Released
This service specification replaces the service specification in Agreement 367921-00 and sets out the
requirements for Bay of Plenty District Health Board to continue to deliver the FTE component for Mental
Health and Addiction System Col aborative Design and Implementation Support.

Ministry of Health
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Bay of Plenty DHB
440295 / 367921/01
  Service Description

1  Term of Agreement
1.1
This Agreement starts from the date this Agreement is executed and ends 30 June 2024.
2  Outcomes and Objectives
2.1
The outcomes sought from this work are those of the whole service system:
a)

b)  Improved population wellbeing.
1982

2.2
The two main objectives for this service are:
a)  To transform existing mental health and addiction services and pathways by identifying
Act
and supporting implementation of agreed transformation projects so that the services:
  work as a cohesive whole, spanning promotion and prevention, primary and
specialist mental health and addiction services

improving wellbeing
  focus on improving equity of access and outcomes

experience and by evidence of what works
  align well with the directions signal ed in key guiding documents including He Ara
Oranga, Kia Manawanui, the future System and Service Framework and
Information
Whakamaua.
b)  To build capability and capacity for better and faster change across the whole mental
health and addiction service delivery system.
3  Service Features
3.1
This work wil  embody the guiding principles of Kia Manawanui:

-centred
Official
  community-led
  uphold Te Tiriti o Waitangi
  achieve equity
the
  protect human rights
  work together.

3.2
You wil  align this work with any localities developments in your area associated with the health
reform.

under
3.3
You wil  work in partnership with iwi and wil  build on previous col aborative processes with key
across the ful  spectrum of services who wil :
  continue to shape how the spectrum of mental health and addiction services wil  be
delivered to your population and within your localities in the future
  identify successive priorities for change to existing services that are aligned with the
national system and service framework and will have the biggest positive impact in
improving equity, experience and outcomes for local populations
  guide implementation of change and oversee progress.
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Ministry of Health
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Bay of Plenty DHB
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3.4
In delivering this Service you wil :
  maintain trusting relationships with partners and key stakeholders
  work with other DHBs within your region to create a regional virtual implementation
support team
  work col aboratively with any national team providing backbone support for this work,
including participating in work to develop measures of change and/or outcomes resulting
from this work
  e
pport
team, recognising that achieving the changes needed will take time and wil  generate new
wisdom along the way
1982
  participate in opportunities to enhance shared learning including those coordinated by the
national team.
4  Core component: Implementation Support
Act
4.1
If the collaborative design component of the 00 agreement has not been completed prior to the
end of June 2022, it will be completed as per the deliverable specified in the Table in Section
6.1 of the 00 agreement and within the funding provided through purchase unit code MHSI01 of
that agreement. Any further work undertaken to complete the col aborative design component
after 30 June 2022 will be reported as per section 5 of this Agreement.

4.2
You wil  recruit implementation support FTEs with expertise in project management, equity,
evaluation / measurement, col aborative design and systems thinking to support the
implementation of change.

Information
4.3
You wil  identify suitable management/leadership arrangements to oversee this work and
establish an implementation support team accountable to the identified leadership, bringing
together implementation support FTEs from this Agreement with other existing mental health
and addiction change / improvement resource.

4.4
You wil  work col aboratively with the mental health and addiction leadership from across your
region to establish a virtual regional implementation support team.
Official

4.5
You wil  ensure that facilitating implementation of the change projects identified during the
col aborative design process is the initial priority for the implementation support FTEs.
the

4.6  Key features of the implementation support provided by the implementation support FTEs wil
include for each project:
  ensuring leadership support of the project
  identifying sector champions to play their part in generating wider support for the project
under
  convening a project steering group that includes participants from the groups of people
with lived

  developing the project plan based on relevant implementation methodologies
  implementing the project with involvement of key stakeholders
  clearly describing the service changes sought, the expected outcomes and measures of
component of transforming the services and health equity measures must be included.
  regularly reporting on progress against the project plan
Released
  using the measures of change to track impact over the course of implementation
  providing regular communications about project progress to interested parties
  participating in regional and national implementation support activities and shared learning
opportunities

Ministry of Health
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Bay of Plenty DHB
440295 / 367921/01
5  Reporting
5.1  Quarterly reports: you will ensure that the Ministry of Health is provided with the fol owing
quarterly reports for these services from the commencement of service delivery, with reports due
by the 20th of the month following the end of the quarter (October 2022, January 2023, April
2023, July 2023, October 2023, January 2024, April 2024, July 2024).

5.1.1  Narrative report to cover:
  description of the current composition of your implementation support team in terms of
background/experience in project management, equity, evaluation / measurement,
col aborative design and systems thinking
1982
  list of current change projects being facilitated by the implementation support FTE, with a
brief description of each
  for each project: status of implementation including:
Act
o  level of leadership engagement and support for the project
o  steering group composition
o  sector champions engaged
o  identified measures of change and outcomes sought
o  status of communication plan and project plan development
o  status of project implementation against planned timeframes
o  current status of measures of change and outcome measures
o  any unintended consequences of the project
  in the event you did not complete col aborative design prior to 30 June 2022:
o  progress implementing col aborative design in the quarter
o  use of col aborative design funding broken down by the fol owing categories:
Information
external facilitation of collaborative design
staff FTEs (and number)
Hui costs (venue hire, food)
support for hui attendance/participation by community members
other (specified).

5.1.2  Volume of implementation support FTEs in post each month during the quarter.
Official

5.1.3
MH&A Collaborative Design Report-
in the subject line and
be emailed to the Contract Manager, Sue Hal wright, at Sue.Hal [email address], and
the
copied to [email address]
6  Evaluation
6.1
In the event an evaluation of this collaborative design and implementation support is
commissioned you wil :
  actively participate in and support any external evaluation
under
  provide, to the best of your ability, the necessary information and data to support the
evaluation.
7  Service Volumes and Payment Schedule
7.1
You wil  operate and deliver services within the funding allocated under this Agreement.

7.2
You wil  ensure that the volume of Implementation Support services delivered is as specified in
the tables below during the term of this Agreement:
Released
Start Month
Implementation Support FTE
FTE price
July 2022
2.0
$130,360

7.3
Payment of funding is dependent on delivery of the Services in accordance with the
requirements of this Service Specification, including receipt of satisfactory quarterly reporting.
Ministry of Health
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Bay of Plenty DHB
440295 / 367921/01
8  Repayment of Unspent Funds
8.1
You agree to apply 100% of the Funding in accordance with this Agreement.  If you have any
funding that is not applied to the delivery of the Services specified in this Agreement (Surplus
Funding) over the term of this Agreement, we wil  discuss how best to apply to this surplus. If
there are no clear needs identified, you wil  repay the Surplus Funding to us.

8.2
objectives of the services set out in this Agreement.
1982
Act
Information
Official
the
under
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Ministry of Health
Variation
Page 10

Attachment 2
Mental Health & Addiction Services Transformation
Project: This document has been created to provide the whakapapa and central access for
information of the Mental Health and Addiction Transformation programme.
*Hyperlinks directly to the associated Microsoft Teams folders provided.
Summary of Project Workstreams
Project Workstreams
Actions
1982
• Write project plan and deliverables.
• Maintain project plan, risk, and associated
Act
1. Project Administration/
documentation within the Whare Waka
Management
• Align outcome framework and KPIs for duration of
project
• Establishment of Toroa Leadership group.
2. Toroa Leadership Group
• Provide updates/ findings monthly via hui to the
Toroa Leadership group.
• Development of a lived experience network, provide
Information
resource and support to expand and grow the
3. Lived Experience
network.
• Integrate lived experience throughout system
changes, with support from network
Official
4. Integrating Projects,
• Map current health and social services across rohe
Programmes and
•
Development
Integrate map into decision-making
the • Contracted a Project Manager to develop and
complete a two-year implementation plan that will
deliver:a. Whanau centric services – access, choice,
under
and voice
5. Te Tau o Mataatua
b. Increased capacity and capability within the
workforce
c. Increase the voice of Lived Experience,
Māori, Pasifika, and marginalised groups.
Phase V Implementation Plan 2023.docx
• Deliver on workforce development plan, by
Released
6. Workforce Development
addressing key capability and capacity gaps in
workforce, including cultural capability

7.  Website & Communications
•  Intention to maintain a monthly newsletter, to ensure
communication is consistent with the communication
plan
Associated Documentation
The fol owing section provides links to completed deliverables and documentation.
1.  Project Administration
i.  MHA Transformation & Redesign (Project Brief)
1982
ii.  MHA Phase IV Control Book
iii.  MHA Phase IV Project Budget
iv.  Monthly Report – August 2022
Act
v.  Monthly Report – October 2022
vi.  Monthly Report – November 2022
vii.  Monthly Report – December 2022
viii.  Monthly Report – February 2023
ix.  Monthly Report – March-April 2023
x.  Monthly Report – May 2023 TBC
xi.  KPIs available via Control Book
xii.  Quarterly report to the Ministry – Q1 2022/23  Information
xiii.  Quarterly report to the Ministry – Qs2&3 22/23
xiv.  Quarterly Report Oct 2023.docx

2.  Toroa Leadership Group
i.  Letter of Invitation
Official
ii.  Terms of Reference
iii.  Position Statement
the
iv.  Position Statement distribution to TLG
v.  TLG August 2022 Hui – Agenda, Minutes & Presentation
vi.  TLG September 2022 Hui – Agenda, Minutes & Presentation
vii.  TLG October 2022 Hui – Agenda, Minutes & Presentation
viii.  TLG November 2022 Hui – Agenda, Minutes & Presentation
under
ix.  TLG February 2023 Hui – Agenda, Minutes & Presentation
x.  TLG March 2023 Hui – Agenda, Minutes & Presentation
xi.  TLG April 2023 Hui – Agenda, Minutes & Presentation
xii.  TLG May 2023 Hui – Agenda, Minutes & Presentation
xiii.  TLG Minutes 20.06.2023.docx
xiv.  TLG Meeting 18.07.2023
xv.  TLG Minutes 15.08.2023.docx
Released

3.  Lived Experience Workstream
i.  Lived Experience project brief

ii.  Te Wheke Terms of Reference
iii.  Te Wheke – Plan to expand reach & increase membership
iv.  Te Wheke – Groups that Lived Experience should be represented on
v.  Lived Experience Module #1
vi.  Lived Experience Module #2

4.  MHA Service Mapping
vii.  Site can be accessed at BOP Map Test
viii.  Final Data Spreadsheet
1982
ix.  Cloud Risk Assessment Tool

Act
5.  Te Tau a Mataatua
i.  Project Brief

6.  Workforce Development
i.  Workforce Development Plan (Phase III)
ii.  Workforce Development Discussion Document (Phase III)
iii.  Literature Review Data (Phase III)
iv.  Workforce Development implementation plan – simplified (Phase IV)
Information
v.

7.  Website & Communication
i.  Stakeholder list
Official
ii.  Communications Strategy
iii.  Mailchimp templates
iv.  MHAS Transformation Website
the
v.  Umbraco – website management
vi.  November Pānui
vii.  End of Year Pānui
viii.  February Pānui
under
ix.  March Pānui
x.  April Pānui
xi.  May Pānui
xii.  ‘Special Edition’ - Roadshow
xiii.  Resources

Pānui design, distribution, and website maintenance training to be co-ordinated with DHB
Released
Digital Communications Manager
Mailchimp details:

Mailchimp was utilised to create the pānui content and then be provided to BOPDHB IT
department to put on website.

1982
Act
Information
Official
the
under
Released

1982
Act
Information
Official
the
under
Released

Current Toroa Leadership Group members
•  Rutu Swinton (IMPB)
•  Renee Delamare (Oranga Tamariki)
•  Kelly Kuru (MSD)
•  Arana Pearson (Lived Experience)
•  Tyson Smith (Lived Experience)
•  Sherida Davy (Lived Experience)
•  Andrew Neas (Te Whatu Ora, Al ied Health)
•  Atawhai Ngatai (Education)
1982
•  Lani Hewson (Police)
•  Roy Nathan (Kaupapa Māori NGO)
Act
•  Chris Marjoribanks (Independent Chair)

Information
Official
the
under
Released

MHA Service Mapping Tool
Purpose:
To develop a service mapping tool that wil  help to understand the service reach of providers
across Te Moana a Toi and assist in decision making when al ocating future funding and service
provision.

Scope:
To build a MHAS provider map that demonstrates the Hauora a Toi boundary as well as iwi
boundaries significant to Te Moana a Toi. The service map is dynamic in use and can display
1982
specific data as requested to be able to determine the scope and reach of the requested
services within the boundaries defined.
Act

How delivered:
An interactive map including a range of information/features, such as:
•  Hauora a Toi/ iwi boundaries
•  Te Whatu Ora Hauora a Toi | Bay of Plenty boundaries
•  Service provider names
•  Basic census information by geographical unit  Information
•  Index of Multiple Deprivation data (IMD)
•  Iwi boundary information.
Analysis:
•  Iwi boundary data derived from Te Puni Kōkiri, does not include small iwi of Te Moana
Official
a Toi. In terms of the purpose of this tool it may not be necessary/required.
•  Family services directory provides insight into smaller (non-DHB funded) services
the
delivered in the regions. This data could be included to expand oversight of services.
•  To enhance the mapping detail the data should be reviewed by DSA support and/or
someone who has knowledge of the services and what they provide.
Recommended Next Steps:
under
•  Incorporate into service commissioning processes, looking for opportunities to work in
conjunction with other agencies (eg MSD Whānau Connectors)
•  Create a second version for general public (ie does not include FTE, funding, etc) and
make it a directory service, embedded on www.toiorangangakau.nz
•  Expand data to include Project Map
•  Include FTE data in service search results.
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Lived Experience Workstream
Purpose:
To develop  an  infrastructure for the lived experience community across Te Moana a Toi,
including a network, training/learning modules where appropriate, and advocacy within the
health system. The MHAS Transformation project should be an exemplar of partnering with lived
experience.
How delivered:
Support for the development of Te Wheke, the lived experience network, including:
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•  venue hire
•  Facilitation
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•  Catering
•  Creation of terms of reference and support with work programme development
•  website support.
Te Wheke in turn is crucial to the development, prioritisation and governance of the MHAS
Project.

Analysis:
Information
This workstream was the single most successful part of the MHAS Transformation project in
phase 4, due in part to the skil  and drive of the members of Te Wheke itself. The network is
running effectively, and the two learning modules developed have been very highly regarded
by the wider lived experience community, including the team at Te Aka Whai Ora.
Recommendations:
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•  Every MHA service procurement process undertaken by Te Whatu Ora or Te Aka Whai
the
Ora should have a nominated representative from Te Wheke involved from the
beginning of the process, including on the panel or any governance group (for major
procurement)
•  Place Te Wheke website on to the same platform as toiorangangakau.health.nz. This
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wil  need some separation to ensure tino rangatiratanga – ie it cannot be a section
within the same website – but can link to it from the transformation website.
•  Continue to support Te Wheke meetings via facilitation, minute taking, support
arranging venues, and catering where required.
•  Some gentle support may be required to assist in developing a more formal work
programme and next steps.
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Workforce Development Workstream
Purpose:
To address limited training opportunities, retention of current workforce and training to meet
the needs of the community.
How delivered:
Delivery of the workforce development plan developed during Phase II .

Analysis:
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Al  but one of the actions in the workforce development plan have been initiated or completed
during Phase IV, the exception being the creation of a recruitment communication plan. This
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action wil  be incorporated into Te Tau a Mataatua as part of a specific focus on developing
the Māori workforce.
While actions have been initiated, there is a lack of genuine levers to ensure that staff across
the rohe actual y participate in training, aside from through the Toi Ora System of Care (a very
successful, but separate project which has been prioritised for MHA services). The intention
was to ensure training opportunities are socialised via the Pānui and website, or in an ad hoc
way through the project manager’s contacts. Collaboration with Te Rau Ora to provide training
Information
on working with Māori lived experience to the Te Moana a Toi.
Recommendations:
•  Creation of a regular MHA NGO and secondary service hui / network. This would al ow
workforce development needs and opportunities to be regularly discussed. Te Rau Ora,
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Te Pou, Le Va, Wharaurau / Werry can be invited to present, and the project facilitator
can assist in bringing those opportunities to the Bay, including to smal er towns.
the
Planning and Funding had a network that could be leveraged for this purpose.
•  Proposal for the Toi Ora System of Care training to be available for Primary care, NGOs
as wel  as MHA Secondary services.
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Communication and Website
Purpose:
Primarily to share information on the MHAS Transformation project and associated
actions/changes, including workforce development opportunities or other MHA-related success
stories in Te Moana a Toi. There is a secondary aim of raising awareness of mental health and
addiction issues.
How delivered:
Website, Pānui, community engagement (such as through the Roadshow hui series).
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Analysis:
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While the Pānui and website are useful communication tools, feedback confirmed that
communication and engagement with the community is lacking.
The Comms Plan indicated that social media should be a part of the approach, however this
has not been the case so far, due in full to the health system changes. This must be included in
the future.
Recommendations:
Information
•  Use the proposed workforce hui as a means to update the community and services on
the Project face-to-face or via zoom.
•  Bring in communications expertise to refresh the approach and make simple
recommendations that would address identified deficits.
•  Regular updates to the MHAS Transformation website to bring people back to the
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website regularly / increase click-throughs. These should include removing sections
that are not in use (this has already been requested but not completed at the time of
the
writing.
under
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Lessons Learnt
Seven key risk/issue/win have been provided for project review.
WIN/
Describe what
ISSUE
happened
What was the impact
Recommenda�on
Risk
Health system reforms  The reforms have meant that
Funding and leadership need to
ownership of the MHAT
remain in 1 en�ty. i.e. Te Whatu
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programme of work has been le�  Ora
in an indeterminate state
Risk
Health system reforms  The reforms have meant that
The inten�on of Phase V was to
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ownership of components of the
ensure a project lead is in place
project now sit across two
who has or can create
organisa�ons.
rela�onships across

organisa�ons (Te Whatu Ora
and Te Aka Whai Ora) and is
experienced in working in this
way.
Issue
Lack of established
Projects being led and documents  Establish clear accountabili�es
ways of working
commissioned that could have
for the success of the project,
Information
across organisa�ons
been beter linked with the
including con�nuing the
transforma�on project.
internal working group
Issue
Communica�on of key  Key documents from Phase II
Ensure working group and
documents missed
(including the implementa�on
internal leaders are properly
report) were not published, or
engaged with key documents
agreed / communicated across
and ﬁndings from the project.
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the DHB, leading to iner�a and
miscommunica�on.
the
Win
Te Reo Māori me onā  Work reﬂected a te Ao Māori
Maintain engagement with
�kanga support
worldview.
Ruahine and Matauranga Māori
representa�ves.
Win
Project Support
Overall key stakeholders across
Con�nue to maintain these
the district and community for
rela�onships. The Roadshow in
under the project have been suppor�ve,  early 2023 was an eﬀec�ve
while wan�ng faster progress
means of achieving this but
needs to be combined with
other, more ac�ve ways of
communica�on.

Win
Lived experience
The development of Te Wheke
Maintain Te Wheke through
network development
and ac�vity undertaken is
funding and in-kind support
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fundamental to transforma�on
(venue booking, minute taking,
and has been arguably the biggest  etc).
win of the project so far.

Summary
MHAS Transformation Phase IV has created some important foundations for further meaningful
transformation. Focus on cultural change (the ‘bottom of the iceberg’) has been proved to be
essential.
Key achievements were the establishment of Te Wheke, the lived experience network, and two
learning modules to help amplify the voice of tangata mātau ā-wheako (‘experts by experience’),
the completion of the interactive map, and the initiation or completion of most actions from the
workforce development plan.
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The health system reforms have impacted progress and relationships are strained, which has
impacted buy-in to the transformation project. There is agreement across the organisation on
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the priorities for this mahi, and col ective intent to deliver. The focus of this project needs to
ensure sustainable and supported transformation project scope, with clearly defined roles and
responsibilities to support the Kaupapa.
Service redevelopment, delivery and success of the project wil come as a result of the project
team working in conjunction with secondary services, planning and funding, and the Toroā
Leadership Group.

Information

Official
the
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