Minutes
Gender-Affirming Primary Care Advisory Group Meeting
Date:
28 March 2024
Start Time:
9.00 am
Finish Time:
11.30 am
Location:
Teams
Chair
s 9(2)(a)
Attendees:
s 9(2)(g)(ii), s 9(2)(a)
Guests:
s 9(2)(g)(ii)
(10.00 am to 10.30)
Apologies:
S9(2)(a)
1. Welcome and karakia
The Chair welcomed everyone to the meeting, followed by karakia.
2. Introductions
s 9(2)(g)(ii)
introduced themselves to the members of the group that were
not at the last meeting.
3. Previous meeting minutes and actions s 9(2) )
The minutes from the meeting held on 15 February
(g)(ii) 2024 were accepted as an accurate record.
under the
The actions from the previous meeting were reviewed and updated as per the action table.
4. Māori and Pacific caucus s 9(2)(a)
The Māori and Pacific caucus met the previous day (Wednesday 27 March). The discussion
included the changes to s 9(2)(g)  role which moves on 2 April to Health New Zealand | Te Whatu
Ora following the disestabl
(ii)ishment of Te Akai Whai Ora from June 2024. s 9(2)  assured the
Group that the mahi wil  continue as part of the newly formed Hauora Māori Se
(g)(ii) rvices Group in
Health New Zealand | Te Whatu Ora.
5. OIA
s 9(2)  updated the group on the series of OIA requests that have been received requesting
info
(g)(ii) rmation on the membership of the GAPC advisory group. OIA request relating the
composition of the advisory group wil  be responded to with the terms of reference of the Group.
Released
It was noted that sector organisations are also receiving OIA requests.
s 9(2)(g)  is supporting the development of OIA responses. Discussion covered how best to
Official Information Act 1982
coo
(ii) rdinate responses, how to support and share expertise and resources with sector
organisations.
The discussion also covered how the organisation responds to repeat requests for the same
information from the same requestor. It was noted that the OIA team have a standard line that
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 28 March 2024
Page 1 of 3

can be included in the response to the writer outlining that the request has been previously
answered and wil  no longer be answered in future requests.
The Group agreed that communication to the sector and Health New Zealand |Te Whatu Ora
that gender affirming care work is continuing would be worthwhile.
6.  Procurement update s 9(2)
The procurement panel selected
(g)(ii) four preferred providers for next funded community driven
models of care. Currently the contracts are being drafted and once completed an announcement
can be made. It is expected an announcement can be made in May. These wil  cover a variety of
gender-affirming care needs across the country.
7.  Guidelines content review s 9(2)
had circulated to the Group so
(a)
s 9(2)
me of the non-clinical draft documents for the Guidelines,
incl
(g)(ii)uding content for Māori, Pacific and disabled people, asylum seekers and refugees. S9(2) has
asked the Group to provide suggestions and comments. A second draft wil  be available for
(a)
peer-review early May.
1982

The Health New Zealand | Te Whatu Ora sign out process for the Guidelines includes clinical
sign-out and the Guidelines wil  go to National Clinical Governance Group. Sign out between
PATHA and Health New Zealand would ensure that the right people have been consulted to
ensure that the process is evidence based and follows best practice standards.

the  Act
The Health Pathways work wil  commence once the Guidelines have been completed.

The Group commented that Health Pathways are different depending on where you are in the
country, services differ in different regions, sometimes the differences are warranted /
unwarranted.
8.  Update on provider hui s 9(2)(a)
)
s 9(2)(a)
are working through the details of what that the hui may look like. Options for
under
organising the hui are stil  being investigated.
9.  Terms of Reference reviews 9(2)
(g)(ii)
The Terms of Reference (TOR) are now outdated.
wil  recirculate the TOR to the Group to
review and provide comment back to
before the next meeting (18 April) on any suggested
changes / updates.
Information
10. Update from s 9(2)(a)

The Group received the update from s 9(2), key messages included that the Government in
Iceland is progressive in the approach t
(a)o gender affirming care and s 9(2) has been enabled to
travel in Europe to visit centres of excel ence.
(a)
11. Organisational structure s 9(2)
(g)(ii)
Released
The Group has previously commented that it would be helpful to have context on how decisions
are made, and information of the functions that remain with Manatū Hauora | Ministry of Health
and the functions that sit with Health New Zealand. As the organisation structure for Health New
Zealand is now clearer,
asked how the group would like to receive this information and
Official
there was comment that visual would be helpful.
12. Standing items s 9(2) )
(g)(ii)
OIA – covered under item 3.
Sex and gender work – this is stil  work in progress.
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 28 March 2024
Page 2 of 3

•  looking at what can realistically be done
•  looked at what has happened overseas and stil  consulting with people, community safety
•  looking at what can be done in the short term.
Any other business
•  Resignation
s 9(2) advised the Group that he is leaving Health New Zealand | Te Whatu Ora, his last
day
(g)(ii)wil  be 24 May. The Group acknowledged s 9(2) for the great work that he has done
while in the role. There wil  be an opportunity to ackno
(g)(ii)
wledge s 9(2) before he leaves at a
future meeting.
(g)(ii)
•  Changes to the Gender Affirming Primary Care Programme Manager role
•  The Programme Manager GAPC role wil  not be recruited to following s 9(2)  resignation.
•  Rainbow System Design Manager role
(g)(ii)
This role wil  be advertised week of 2 April 2024. The continued implementation of the
Gender Af irming Primary Care work programme will be the responsibility of the Rainbow
1982
System Design Manager.
13. Closing karakia (Al )
Meeting closed with karakia at 11.30 am.
Act
Next meeting: 18 April 2024
the

Meeting actions
Action no:
Item / action
Status
Action lead
5.12.23-1
Update on procurement and evaluation panel
In progress

Look into the possibility of organising an in-person hui.
5.12.23-4
Other items
Closed 28.3. Invites

GAPCAG hui dates to be reset for 2024, likely to be 9am on a
sent.
Thursday.
under
15.2.24-1
Update on procurement for Community Driven Models of Care
In progress

Provide a written update on the learnings from conditional
grants once the procurement process has been completed.
15.2.24-2
In person hui/provider forum
In progress

Discuss options for arranging a hui.
s 9(2)
28.3.24-1
Guidelines content review
In progress
(a)
Send feedback and comment to
before 18 April.
28.3.24-2
Information
Terms of reference review
In progress

Circulate terms of reference for Group to provided

comments/amendments before 18 April.

Closed actions
Action no:
Item / action
Status
Action lead
5.12.23-2
Released
Update on procurement and evaluation panel
Closed (15.2) on

Invite Auckland PHO to attend a GAPCAG hui early next year.
agenda – item 3.
5.12.23-3
Gap register
Closed (15.2)
s 9(2)
Share the gap register with the GAPCAG as a Google document.
Document has
(a)
Official
been circulated.
5.12.23-3
Other items
Closed (15.2) Sarah

Set time near the end of each agenda for Sarah to attend.
invited to GAPCAG
mtgs.
15.2.24-3
OIA Update
Closed (28.3)

Circulate practitioner privacy document.
Completed

Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 28 March 2024
Page 3 of 3

Minutes
Gender-Affirming Primary Care Advisory Group Meeting

Date:
18 April 2024
Start Time:
9.00 am
Finish Time:
10.50 am
Location:
Teams
Chair
s 9(2)(a)

Attendees:
s 9(2)(a), s 9(2)(g)(ii)


Guests:
1982
Apologies:
s 9(2)(a)

1.  Welcome and karakia
The Chair welcomed everyone to the meeting, followed by karakia.
the  Act
2.  Previous meeting minutes and actionss 9(2)(g)
(ii)
The minutes from the meeting held on 28 March 2024 were accepted as an accurate record.
  The actions from the previous meeting were reviewed.
3.  Conflict of interest review
Conflict of interest wil  be included as a standard item on the agenda for members to declare any
perceived or potential conflicts related to the meeting agenda items.
under

  There were no conflicts of interest noted for this meeting.
4.  Māori and Pacific caucuss 9(2)(a)
There is no update from the meeting held on 17 April 2024.
Information
5.  Procurement update s 9(2)(g)
(ii)
The contracts the four additional community driven models of care are in progress, s 9(2)  will
provide an update once the contracts are in place.
(g)(ii)
The Group noted that funding for the last two providers wil  be available from the financial year 1
July 2025 to 30 June 2026
Released
Action for next meeting: s 9(2)(a)  to give an update on the workforce project.
6.  Update on provider huis 9(2)(a), s 9(2)
(g)(ii)
The Group discussed linking the provider hui to the Education programme sessions run for
Official
primary care.
Action: s 9(2) to follow up with s 9(2)(g)
(g)(ii)
(ii)
7.  Terms of reference reviews 9(2)
(g)(ii)

Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 18 April 2024
Page 1 of 3

The Group reviewed the terms of reference and provided feedback.
Action: s 9(2)  to update and circulate to the group for any further changes. If all members are
happy with t
(g)(ii) his, the updated ToR wil  be approved at the next meeting.
8.  Organisational structures 9(2)(g)
(ii)
s 9(2)  shared a presentation of the Te Whatu Ora structure and where the Gender Af irming
Prima
(g)(ii)
ry Care work sits.
Action: Presentation to be circulated to the Group.
9.  Standing itemss 9(2)(g)
(ii)
OIAs
No additional OIAs have been received since the last meeting.
Sex and gender work – this is stil  work in progress. Drawing on international work to inform the
approach.
1982
The Group asked if Te Whatu Ora are being upskil ed in this area. This can be picked up by the
Rainbow System Design Manager to progress.
10. Closing karakia (Al )
Meeting closed with karakia at 10.50 am.
the  Act
Next meeting: 24 May 2024

Meeting actions

Action no:  Item / action
Status
Action lead
5.12.23-1
Update on procurement and evaluation panel
In progress

Look into the possibility of organising an in-person hui.
15.2.24-1
Update on procurement for Community Driven Models of Care
In progress

Provide a written update on the learnings from conditional
under
grants once the procurement process has been completed.
15.2.24-2
In person hui/provider forum
In progress

Discuss options for arranging a hui.
18.4
to look at the hui being included in the education
sessions run for primary care.
28.3.24-2
Terms of reference (ToR) review
In progress

Circulate terms of reference for Group to provide
All
comments/amendments before 18 April.
Information
18.4 Reviewed and feedback provided.
to circulate the
updated ToR for approval.
18.4.24-1
Procurement update
24.5.24

Provide an update on the workforce project.
  Closed actions
Released

Action no:  Item / action
Status
Action lead
5.12.23-2
Update on procurement and evaluation panel
Closed (15.2) on

Invite Auckland PHO to attend a GAPCAG hui early next year.
agenda – item 3.
5.12.23-3
Gap register
Closed (15.2)

Official
Share the gap register with the GAPCAG as a Google document.
Document has
been circulated.
5.12.23-3
Other items
Closed (15.2) Sarah

Set time near the end of each agenda for Sarah to attend.
invited  to  GAPCAG
mtgs.
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 18 April 2024
Page 2 of 3

15.2.24-3
OIA Update
Closed (28.3)
Circulate practitioner privacy document.
Completed
5.12.23-4
Other items
Closed 28.3. Invites
GAPCAG hui dates to be reset for 2024, likely to be 9am on a
sent.
Thursday.
28.3.24-1
Guidelines content review
Closed
All
Send feedback and comment to
before 18 April.
under the
Released
Official Information Act 1982
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 18 April 2024
Page 3 of 3

1982
the  Act
Organisational Struc
under  ture
For Gender-Affirming Primary Care  Information
Released
Official

Health
Ministers
1982
the Act
- Minister of Health
Shane Reti
- Associate Minister of under
Health Matt Doocey
- Associate Minister of
Health Casey CostelloInformation
- Associate Minister of
Health David Seymour
Released
Official

Health
Ministers
1982
the Act
- Minister of Health
Shane Reti
Hon Matt Doocey’s delegations
include:
- Associate Minister of
• Rainbow Health
under
Health Matt Doocey
• mental health and addictions
• rural health
- Associate Minister of
• disability ethics
Health Casey CostelloInformation
- Associate Minister of
Health David Seymour
Released
Official

Ministerial Portfolio: Health
Crown Entities
1982
the Act Also includes:
Ministry of Health |
Health New Zealand |
Manatū Hauora
- Te Aka Whai Ora/Māori
Te Whatu Ora
Health Authority
- Health and Disability
under
- CEO: Fepulea’i Margie Apa
- Director-General of Health and
Commissioner
- Approx 80,000-100,000 staff
Chief Executive: Diana Sarfarti
- Health Quality and Safety
- Leads day-to-day running of the
- Approx 730 FTE for the time being
Commission
health system across Aotearoa
- Important role in monitoring and
- Health Research Council
Information
- Includes what used to be DHBs:
of New Zealand
regulating performance of health
frontline services, hospitals
- New Zealand Blood
system
Service
- Former Te Aka Whai Ora staff
- Advise Government on health,
- Pharmaceutical
now within Te Whatu Ora
priority setting, policy and system
Management Agency
Released
performance
(Pharmac)
Official

Within Te Whatu Ora:
1982 Procurement
Infrastructure
Office of the
People and
Finance
and Supply
and Investment
Chief Executive Communications
Chain
the Act
Hospital and
Service
Specialist
National Public
Improvement
Pacific Health
Hauora Māori
Services
Services
Health Service
and Innovation
under
The Commissioning team leads the design and funding
Commissioning
of primary and community health services with the
Information
goal of achieving the most effective, efficient,
accessible services delivered closer to home.
Released
Official

link to page 8 Senior Leadership Commissioning Team
Abbe Anderson
Mahaki Albert
S9(2)(a)
National Director,
Chief of Tikanga,
Commissioning
Office of the Chief Executive
1982
Senior Executive Assistant
Tricia Keelan
Paul Martin
Person
Central,
Deputy National Director,
Person
the Act
Regional Wayfinder
Commissioning & System Design
Executive Assistant
Senior Executive Assistant
Chiquita Hansen
Dr Sarah Clarke
S9(2)(a)
Te Waipounamu,
National Clinical Director, Primary
Regional Wayfinder
& Community Care
Executive Assistant
Danny Wu
Toni Atkinson
under
S9(2)(a)
Northern,
Director, Office of the National
Person
Regional Wayfinder
Director
Executive Assistant
Executive Assistant
Nicola Ehau
Jason Power
S9(2)(a)
Te Manawa Taki,
S9(2)(a)
Regional Wayfinder
Director, Funding & Investment
Executive Assistant
Executive Assistant
Information
Person
Jennifer Rutene-Smith
S9(2)(a)
Chief of Staff, Commissioning
Director, Māori Health
Executive Assistant (Shared
with Chief of Staff)
Released
Sarah Herbert
Chief Advisor,
Official
Māori Health
Commissioning Structure
7

Life course teams:
Commissioning
• Starting Well
• Living Well
• Ageing Well
• Mentally Well
National & regional
under the teams:
• Northern
• Te Manawa Taki
• Central
• Te Wai Pounamu
Released
Official Information Act 1982

Commissioning
1982
National System
Design Team
the Act
under
Information
Released
Official

Commissioning
1982
National System
Design Team
the Act
under
Starting WellInformation
Released
Official

Commissioning
1982
National System
Design Team
the Act
under
Starting WellInformation
Young People
Released
Official

Director, Starting Well
Deborah Woodley
Strategic Engagement Lead, Starting
Executive Assistant to Director,
Wel
Starting Wel
S9(2)(a)
Strategic Network Programme
Manager, Starting Well
s 9(2)(a)
Group Manager, Young People
Group Manager, Kahu Taurima
Group Manager, Population Health
1982
Rachael Hetaraka-Gotz
Bronwyn Petrie
Clinical Advisor (0.5 FTE)
Clinical Advisor (0.5 FTE x2)
Executive Assistant to GM Pop
Health & Young People
Team Administrator
System Design Manager, Youth
S9(2)(a)
Health
Manager, Whānau Wel being
Manager, Community Wellbeing &
Harm Reduction
S9(2)(a)
the  Act
Executive Assistant to GM, Kahu
S9(2)(a)
s 9(2)(a)
Taurima
Senior Service Development
S9(2)(a)
Clinical Advisor, Kahu Taurima
Team Administrator
Principal Service Development
Manager, Young People
S9(2)(a)
S9(2)(a)
Manager, Long Term Conditions
         S9(2)(a)
S9(2)(a)

Strategic Advisor, Kahu Taurima
System Design Manager, Whānau
Service Development Advisor,
S9(2)(a)

Wel being
Principal Service Development
Young People
Manager, Healthy Families
S9(2)(a)

Principal Service Development
s 9(2)(a)
Manager, Housing
under
S9(2)(a)
Senior Service Development
System Design Manager, Oral Health
System Design Manager, Maternity
System Design Manager, Early Years
S9(2)(a)
S9(2)(a)
Manager, Community Wellbeing
S9(2)(a)
Principal Service Development
S9(2)(a)
Manager, Family violence
Principal Development Manager,
Service Development Advisor,
S9(2)(a)
Oral Health
Principal Service Development
Principal Service Development
Community Wellbeing
Under recruitment
Manager, Maternity
Manager, Early Years
Principal Service Development
S9(2)(a)
S9(2)(a)
s 9(2)(a)
Manager, Rheumatic Fever
Service Development Advisor, Oral
Service Development Advisor,
S9(2)(a)
Information
Health
Community Wellbeing
Senior Service Development
Senior Service Development
S9(2)(a)
Senior Service Development
S9(2)(a)
Manager, Maternity
Manager, Early Years
Manager, Whānau Wel being
System Design Manager, Rainbow
vacant
s 9(2)(a)
S9(2)(a)
Health
Principal Service Development
Vacant
Manager, Sexual Health
Service Development Advisor,
Senior Service Development
Senior Service Development
Whānau Wel being
Manager, Maternity
Manager, Early Years
Under recruitment
Principal Service Development
Programme Manager, GAPC
Released
S9(2)(a)
S9(2)(a)
Manager, Harm Reduction
S9(2)(a)
S9(2)(a)
Service Development Advisor,
Service Development Advisor, Early
Service Development Advisor,
Team Administrator
Official
Maternity
Programme Manager, STBBI
Years
s 9(2)(a)

Harm Reduction
S9(2)(a)
S9(2)(a)
S9(2)(a)
S9(2)
(a)

Director, Starting Well
Deborah Woodley
Strategic Engagement Lead, Starting
Executive Assistant to Director,
Wel
Starting Wel
S9(2)(a)
Strategic Network Programme
Manager, Starting Well
S9(2)(a)
Group Manager, Young People
Group Manager, Kahu Taurima
Group Manager, Population Health
Rachael Hetaraka-Gotz
Bronwyn Petrie
Clinical Advisor (0.5 FTE)
Clinical Advisor (0.5 FTE x2)
Executive Assistant to GM Pop
Health & Young People
Team Administrator
System Design Manager, Youth
S9(2)(a)
Health
Manager, Whānau Wel being
Manager, Community Wellbeing &
Harm Reduction
s 9(2)(a)
Executive Assistant to GM, Kahu
S9(2)(a)
S9(2)(a)
Taurima
Senior Service Development
S9(2)(a)
Clinical Advisor, Kahu Taurima
Team Administrator
Principal Service Development
Manager, Young People
S9(2)(a)
S9(2)(a)
Manager, Long Term Conditions
S9(2)(a)
S9(2)(a)
Strategic Advisor, Kahu Taurima
System Design Manager, Whānau
Service Development Advisor,
Wel being
S9(2)(a)
Principal Service Development
Young People
Manager, Healthy Families
s 9(2)(a)
Principal Service Development
S9(2)(a)
Manager, Housing
under the
S9(2)(a)
Senior Service Development
System Design Manager, Oral Health
System Design Manager, Maternity
System Design Manager, Early Years
Manager, Community Wellbeing
S9(2)(a)
S9(2)(a)
S9(2)(a)
Principal Service Development
S9(2)(a)
Manager, Family violence
Principal Development Manager,
Service Development Advisor,
S9(2)(a)
Oral Health
Principal Service Development
Principal Service Development
Community Wellbeing
Under recruitment
Manager, Maternity
Manager, Early Years
Principal Service Development
S9(2)(a)
S9(2)(a)
S9(2)(a)
Manager, Rheumatic Fever
Service Development Advisor, Oral
Service Development Advisor,
S9(2)(a)
Health
Community Wellbeing
Senior Service Development
Senior Service Development
S9(2)(a)
Senior Service Development
S9(2)(a)
Manager, Maternity
Manager, Early Years
Manager, Whānau Wel being
System Design Manager, Rainbow
vacant
S9(2)(a)
S9(2)(a)
Health
Principal Service Development
Vacant
Manager, Sexual Health
Service Development Advisor,
Senior Service Development
Senior Service Development
Whānau Wel being
Manager, Maternity
Manager, Early Years
Under recruitment
Principal Service Development
Programme Manager, GAPC
Released
S9(2)(a)
S9(2)(a)
Manager, Harm Reduction
S9(2)(a)
S9(2)(a)
Service Development Advisor,
Service Development Advisor, Early
Service Development Advisor,
Team Administrator
Official Information Act 1982
Maternity
Programme Manager, STBBI
Years

Harm Reduction
S9(2)(a)
S9(2)(a)
S9(2)(a)
S9(2)(a)
S9(2)
(a)

Minutes
Gender-Affirming Primary Care Advisory Group (GAPCAG) Meeting
Date:
23 May 2024
Start Time:
9.00 am
Finish Time:
11.30 am
Location:
Teams
Chair
s 9(2)(a)
Attendees:
s 9(2)(g)(ii), s 9(2)(a)
Apologies:
s 9(2)(g)(ii), s 9(2)(a)
1. Welcome and karakia
The Chair welcomed everyone to the meeting, followed by karakia.
2. Previous meeting minutes and actionss 9(2)(g)(ii)
The minutes from the meeting held on 18 April 2024 were accepted as an accurate record.
The actions from the previous meeting were reviewed.
3. Conflict of interest reviews 9(2)(g)(ii)
There were no conflicts of interest noted for this meeting.
4. Māori and Pacific caucus s 9(2)(a)
under the
There caucus met on 22 May 2024. The GAPC AG noted the recent HRC funding announcement which
will support future development of the Manalagi project and Pacific providers.
5. Procurement updates 9(2)(g)(ii)
There are a further 4 Community Driven Models of Care in place:
•  s 9(2)(a)
•  s 9(2)(a)
•  S9(2)(a)
•  S9(2)(a)
There is one further round of procurement which will commence later in 2024.
6. Workforce development updates 9(2)(a)
Released
s 9(2)
(a)
provided an update on the workforce development contract that started September 2023. The team
worked with Deloitte to scope the work, develop an evaluation framework, survey primary care
providers and  put together education blue prints based on Te Whare Takatāpui. Both prescriber and
Official Information Act 1982
foundation courses have been set up, there is a mix of face-to-face courses and eLearning, which will be
hosted by Te Whatu Ora.
The evaluation framework covers pre and post evaluation.
7. Update on provider hui s 9(2)(g)(ii)
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 23 May 2024
Page 1 of 3

An Investment funding memo is currently progressing through the Commissioning sign out process to
fund Qtopia to host and arrange the hui.  The funding for the hui wil  come out of the next budget
allocation from 1 July 2024.
Action: Inform group of hui progress s 9(2)(a), s 9(2)(g)(ii)
8. Terms of reference reviews 9(2)(g)(ii)
The GAPCAG terms of reference were agreed as per the version circulated with the agenda. An updated
version wil  be circulated with the minutes.
The GAPCAG noted that s 9(2)(a) is no longer able to attend GAPCAG meetings and acknowledged s 9(2)(a)
contribution.
The GAPCAG discussed the process to replace s 9(2)(a), s 9(2)(g)(ii)  wil  meet to review the role
description of the Group and the process to find a suitable replacement, noting that s 9(2)
(a)
holds a specific
skil set that is key to the delivery of the initiative, and so similar skills will need to be sought.
Action: Review role description of the group and options for sourcing a replacement S9(2)(a), s 9(2)(g)(ii)
9. Standing items s 9(2)(g)(ii)
OIAs : There is currently a high volume of OIA requests around gender-affirming care. The guidance of
the Ombudsman and OIA advisory team is involved in these responses to ensure they adhere with the
Act.
Sex and gender work / data standards
Work continues on interim guidance for the sector.
The working group presented to the Primary Care Clinical Leaders hui, the presentation was well
received and attendees agreedthat privacy is very important and it is a complex environment.
Current environment:
There is an upcomingmeeting with the MoH Chief Medical Officer.
under the
The group acknowledge the work that s 9(2)
s 9(2)(g)(ii)
(g)(ii)  has done and achieved while in the role.
will cover until
the new persons starts on 8 July.
10. Closing karakia (All) at 11.15
Next meeting: 27 June 2024
Meeting actions
Action no:  Item / action
Status
Action lead
5.12.23-1
Update on procurement and evaluation panel
In progress
Look into the possibility of organising an in-person hui.
Released
15.2.24-1
Update on procurement for Community Driven Models of Care
Closed, circulated
Provide a written update on the learnings from conditional
with the agenda
grants once the procurement process has been completed.
23.5.24
15.2.24-2
In person hui/provider forum
On agenda 25.3.25
Official Information Act 1982
Discuss options for arranging a hui.
18.4
to look at the hui being included in the education
sessions run for primary care.
28.3.24-2
Terms of reference (ToR) review
Closed, on the
Circulate terms of reference for Group to provide
agenda, 23.5.24
All
comments/amendments before 18 April.
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 23 May 2024
Page 2 of 3

18.4 Reviewed and feedback provided.
to circulate the
updated ToR for approval.
18.4.24-1
Procurement update
Closed on agenda
Provide an update on the workforce project.
23.5.24
Closed actions
Action no: Item / action
Status
Action lead
5.12.23-2
Update on procurement and evaluation panel
Closed (15.2) on
Invite Auckland PHO to attend a GAPCAG hui early next year.
agenda – item 3.
5.12.23-3
Gap register
Closed (15.2)
Share the gap register with the GAPCAG as a Google document.
Document has
been circulated.
5.12.23-3
Other items
Closed (15.2) Sarah
Set time near the end of each agenda for Sarah to attend.
invited to GAPCAG
mtgs.
15.2.24-3
OIA Update
Closed (28.3)
Circulate practitioner privacy document.
Completed
5.12.23-4
Other items
Closed 28.3. Invites
GAPCAG hui dates to be reset for 2024, likely to be 9am on a
sent.
Thursday.
28.3.24-1
Guidelines content review
Closed
All
Send feedback and comment to
before 18 April.
under the
Released
Official Information Act 1982
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 23 May 2024
Page 3 of 3

Minutes
Gender-Affirming Primary Care Advisory Group (GAPCAG) Meeting
Date:
27 June 2024
Start Time:
9.00 am
Finish Time:
9.35 am
Location:
Teams
Chair
s 9(2)(a)
Attendees:
s 9(2)(a), s 9(2)(g)(ii)
Apologies:
s 9(2)(a), s 9(2)(g)(ii)
1. Welcome and karakia
The Chair welcomed everyone to the meeting, fol owed by karakia.
2. Previous meeting minutes and actionss 9(2)(g)(ii)
The minutes from the meeting held on 23 May 2024 were accepted as an accurate record.
The actions from the previous meeting were reviewed.
3. Conflict of interest review
There were no conflicts of interest noted for this meeting.
4. Māori and Pacific caucus s 9(2)(a)
under the
The caucus met on 26 June 2024.
The group discussed finding a new member for the GAPC Advisory Group to replace s 9(2) s 9(2)(g)
(a)
(ii)
will look
at the people that applied / expressed interest last time and let s 9(2)(a) know if there are any others who
may be appropriate.
Action: s 9(2)(g)(ii) to review previous applications and let S9(2)(a) know of potentially suitable applicants.
5. Procurement updates 9(2)(g)(ii)
The next round of procurement wil start once the Rainbow System Design Manager starts (8 July).
6. Update on provider huis 9(2)(g)(ii)
Funding for the provider hui has been approved. Qtopia will lead arranging the hui. Further updates will
Released
be provided once the Rainbow System Design Manager is in place.
7. Update from s 9(2)(a)
No update for this meeting this month.
Official Information Act 1982
8. Standing items s 9(2)(g)(ii)
OIAs : There are currently two active OIAs. A draft OIA guidance document is being developed to help
people that are responding to OIAs. It will be available as a cross-agency document once approved.
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 27 June 2024
Page 1 of 3

Sex and gender work / data standards
Meetings continue with the data team that are working on the standards. The team are reviewing
international standards and what is relevant in New Zealand. A draft document wil  be shared once
available. Potentially a draft for Minister Doocey in October. A list of quick wins are being identified.
Conversations happening with software providers to identify problem points and develop national
guidance to get some consistency.
9. Closing karakia (All) at 9.35
Any other business
The media team at Health NZ | Te Whatu Ora have been approached seeking a spokesperson(s) for a
series of videos for YouTube. s 9(2)(g)(ii) checking to see if anyone from GAPCAG had been approached.
Next meeting: 25 July 2024
Meeting actions
Action no:  Item / action
Status
Action lead
23.5.24-1
Terms of Reference (replacement process for members)
In progress
/
Review role description of the group and options for sourcing a
replacement.
27.6 – Review previous applications and identify any that may be
appropriate to contact about continuing interest in joining the
group.
15.2.24-2
In person hui/provider forum
Closed, add to
Discuss options for arranging a hui.
standing items.
18.4
to look at the hui being included in the education
sessions run for primary care.
23.5:
and
to provide a progress update at 28.6.24
under the
meeting.
27.6: Funding with provider to arrange the hui.
Closed actions – for reference only
Action no:  Item / action
Status
Action lead
5.12.23-2
Update on procurement and evaluation panel
Closed (15.2) on
Invite Auckland PHO to attend a GAPCAG hui early next year.
agenda – item 3.
5.12.23-3
Gap register
Closed (15.2)
Share the gap register with the GAPCAG as a Google document.
Document has
been circulated.
5.12.23-3
Other items
Closed (15.2) Sarah
Set time near the end of each agenda for Sarah to attend.
invited to GAPCAG
mtgs.
Released
15.2.24-3
OIA Update
Closed (28.3)
Circulate practitioner privacy document.
Completed
5.12.23-4
Other items
Closed 28.3. Invites
GAPCAG hui dates to be reset for 2024, likely to be 9am on a
sent.
Official Information Act 1982
Thursday.
28.3.24-1
Guidelines content review
Closed
All
Send feedback and comment to
before 18 April.
15.2.24-1
Update on procurement for Community Driven Models of Care
Closed, circulated
Provide a written update on the learnings from conditional
with the agenda
grants once the procurement process has been completed.
23.5.24
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 27 June 2024
Page 2 of 3

18.4.24-1
Procurement update
Closed on agenda
S9(2)(a)
Provide an update on the workforce project.
23.5.24
5.12.23-1
Update on procurement and evaluation panel
Closed covered by
Look into the possibility of organising an in-person hui.
action 15.2.24-2.
28.3.24-2
Terms of reference (ToR) review
Completed
Circulate terms of reference for Group to provide
comments/amendments before 18 April.
18.4 Reviewed and feedback provided.
to circulate the
updated ToR for approval.
23.5: TOR agreed final version to be circulated with minutes.
under the
Released
Official Information Act 1982
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 27 June 2024
Page 3 of 3

Minutes
Gender-Affirming Primary Care Advisory Group (GAPCAG) Meeting
Date:
25 July 2024
Start Time:
9.00 am
Finish Time:
10.10 am
Location:
Teams
Chair
s 9(2)(a)
Attendees:
s 9(2)(g)(ii), s 9(2)(a)
Apologies:
s 9(2)(g)(ii), s 9(2)(a)
1. Welcome and karakia
The Chair welcomed everyone to the meeting, fol owed by karakia.
The Group was introduced to s 9(2)(g)(ii)
2. Previous meeting minutes and actionss 9(2)(g)(ii)
The minutes from the meeting held on 27 June 2024 were accepted as an accurate record.
The actions from the previous meeting were reviewed.
3. Conflict of interest review
There were no conflicts of interest noted for this meeting.
under the
4. Māori and Pacific caucus s 9(2)(a)
The caucus met on 24 July 2024. Discussion included the process to bring on a new member to the
GAPCAG that has Māori perspective and service provision experience.
Action: s 9(2)(a), s 9(2)(g)(ii)
to discuss options for sourcing a new member. Any names of potential
members can be sent to s 9(2)(g)(ii), s 9(2)(a)
5. Procurement updates 9(2)(g)(ii), s 9(2)(a)
The uplift letters have been sent to providers. Procurement for the last two community driven models of
care will commence later in the year.
6. Update on provider huis 9(2)(g)(ii), s 9(2)(a)
Released
Planning for the provider hui continues.
7. Standing items
OIAs s 9(2)(g)(ii) : 1 current active OIA. Responses to two OIAs have been released to the requestors. There
Official Information Act 1982
has been some cross-party questions asking what advice different Ministers have received.
Sex and gender work / data standards
Work continues, working group looking at developing a standard for sex and gender, a draft document
should be ready by October.
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 25 July 2024
Page 1 of 3

There has been discussion with the Innate Variation in Sex Characteristics team looking at the gaps,
chal enges and issues.
8. Closing karakia (All) at 10.10
Any other business:
Hemisphere (Evaluation Provider) survey
s 9(2)(g)(ii)  asked the group if they would be happy to review a draft community consumer survey that is
being prepared by Hemisphere. It wil  be an anonymous survey passed on to providers. Comments are
due back to s 9(2)(g)(ii)  by morning of 30 July 2024.
The group discussed that a session on Evaluation could be included in the provider hui to give an
opportunity for providers to discuss what works wel  and what doesn’t.
Evidence brief update:
Health NZ | Te Whatu Ora updated that the External Advisory Group is being led by Manatū Hauora has
invited Health NZ to speak to the group on how gender affirming care services are provided in New
Zealand.
Next meeting: 22 August 2024
Meeting actions
Action no:  Item / action
Status
Action lead
25.7.24-1
Terms of Reference (replacement process for members)
In progress
Review role description of the group and options for sourcing a
replacement.
Review previous applications and identify any that may be
appropriate to contact about continuing interest in joining the
group.
under the
25.7.24-2
Share draft consumer survey for Evaluation with GAPCAG for
Actioned
feedback
Closed actions – for reference only
Action no:  Item / action
Status
Action lead
5.12.23-2
Update on procurement and evaluation panel
Closed (15.2) on
Invite Auckland PHO to attend a GAPCAG hui early next year.
agenda – item 3.
5.12.23-3
Gap register
Closed (15.2)
Share the gap register with the GAPCAG as a Google document.
Document has
been circulated.
5.12.23-3
Other items
Closed (15.2) Sarah
Set time near the end of each agenda for Sarah to attend.
invited to GAPCAG
mtgs.
Released
15.2.24-3
OIA Update
Closed (28.3)
Circulate practitioner privacy document.
Completed
5.12.23-4
Other items
Closed 28.3. Invites
GAPCAG hui dates to be reset for 2024, likely to be 9am on a
sent.
Official Information Act 1982
Thursday.
28.3.24-1
Guidelines content review
Closed
All
Send feedback and comment to
before 18 April.
15.2.24-1
Update on procurement for Community Driven Models of Care
Closed, circulated
Provide a written update on the learnings from conditional
with the agenda
grants once the procurement process has been completed.
23.5.24
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 25 July 2024
Page 2 of 3

18.4.24-1
Procurement update
Closed on agenda
Provide an update on the workforce project.
23.5.24
5.12.23-1
Update on procurement and evaluation panel
Closed covered by
Look into the possibility of organising an in-person hui.
action 15.2.24-2.
28.3.24-2
Terms of reference (ToR) review
Completed
Circulate terms of reference for Group to provide
comments/amendments before 18 April.
18.4 Reviewed and feedback provided.
to circulate the
updated ToR for approval.
23.5: TOR agreed final version to be circulated with minutes.
15.2.24-2
In person hui/provider forum
Closed added to
Discuss options for arranging a hui.
standard item.
18.4
to look at the hui being included in the education
sessions run for primary care.
23.5:
to provide a progress update at 28.6.24
meeting.
27.6: Funding with provider to arrange the hui.
under the
Released
Official Information Act 1982
Gender-Affirming Primary Care Advisory Group Meeting, Minutes, 25 July 2024
Page 3 of 3

Document Outline