Telehealth connectivity requirements and rural health service delivery resilience

Sam Brown made this Official Information request to Ministry of Health

Currently waiting for a response from Ministry of Health, they must respond promptly and normally no later than (details and exceptions).

From: Sam Brown

Dear Ministry of Health,

Under the Official Information Act 1982, I request:

1. Any analysis, clinical guidance, or technical standards regarding connectivity requirements for telehealth service delivery, including:
- Bandwidth, latency, and reliability requirements for video consultations
- Network performance requirements for remote diagnostics or specialist consultations
- Whether different connectivity technologies (fibre, fixed wireless, satellite) meet clinical telehealth requirements
- Any assessment of service quality differences affecting clinical care delivery

2. Any assessment of whether current rural connectivity infrastructure adequately supports telehealth objectives, including:
- Whether rural residents have access to connectivity suitable for telehealth participation
- Service reliability concerns affecting appointment completion or clinical outcomes
- Cost barriers preventing rural residents from obtaining telehealth-suitable connectivity

3. Any advice to Ministers regarding health equity implications of rural residents depending on particular connectivity types for health service access, including:
- Whether connectivity limitations create disparities in care access or quality
- Assessment of telehealth viability in areas with limited connectivity options
- Whether rural health strategy adequately considers connectivity infrastructure as health infrastructure

4. Any assessment of health service continuity risks in isolated rural areas where:
- Medical practices, pharmacies, aged care facilities, and patients' homes depend on a single or shared connectivity provider or technology platform for telehealth access
- Traditional terrestrial communications infrastructure (such as copper telephone lines) has been withdrawn, eliminating backup options for phone-based consultations or emergency calls
- A single-point-of-failure scenario exists where connectivity disruption would simultaneously affect GP clinics' ability to conduct telehealth, patients' ability to access virtual care, prescription systems, and emergency services coordination
- Whether health service planning includes contingency arrangements for connectivity outages in communities with no alternative infrastructure

5. Any contingency planning or risk assessment for scenarios where:
- Primary connectivity provider becomes unavailable during health emergencies or natural disasters
- Service degradation affects critical remote consultations, monitoring systems, or prescription platforms
- Rural residents lack alternative connectivity options for urgent health service access
- Entire communities lose connectivity simultaneously, affecting both healthcare facilities and patients

6. Data or analysis on:
- Telehealth utilisation rates in rural areas compared to urban areas
- Whether connectivity is identified as a barrier to telehealth access in rural communities
- Patient or provider feedback regarding connectivity quality affecting care delivery
- Any clinical incidents, missed appointments, or service disruptions attributed to connectivity issues
- Communities identified as having single-provider dependency with no terrestrial backup for health services

7. Any assessment of health service delivery risks if rural connectivity market structure changes result in:
- Reduced provider choice, limiting patients' and healthcare facilities' connectivity options
- Price increases affecting affordability of adequate connectivity for vulnerable patients or small medical practices
- Service quality concerns affecting real-time video consultations, remote monitoring, or emergency telemedicine
- Elimination of terrestrial alternatives, creating sole dependency on satellite solutions with potential latency, reliability or security limitations

I understand some clinical information may be withheld to protect patient privacy, but request policy analysis and aggregated data relevant to health system planning.

Context: As health services increasingly move online, reliable connectivity becomes health infrastructure. In some isolated areas, medical facilities and patients increasingly depend on single connectivity providers as traditional terrestrial options (including the copper network) are withdrawn. I am seeking to understand whether health service planning considers connectivity resilience, infrastructure diversity, and continuity of care in single-provider-dependent communities.

Yours faithfully,

Sam Brown

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Kia ora Sam,

 

 

Thank you for your request under the Official Information Act 1982 (the
Act), received by the Ministry of Health on 8 January 2026. You requested:

 

"1. Any analysis, clinical guidance, or technical standards regarding
connectivity requirements for telehealth service delivery, including:

 

- Bandwidth, latency, and reliability requirements for video consultations

- Network performance requirements for remote diagnostics or specialist
consultations

- Whether different connectivity technologies (fibre, fixed wireless,
satellite) meet clinical telehealth requirements

- Any assessment of service quality differences affecting clinical care
delivery

 

2. Any assessment of whether current rural connectivity infrastructure
adequately supports telehealth objectives, including:

 

- Whether rural residents have access to connectivity suitable for
telehealth participation

- Service reliability concerns affecting appointment completion or
clinical outcomes

- Cost barriers preventing rural residents from obtaining
telehealth-suitable connectivity

 

3. Any advice to Ministers regarding health equity implications of rural
residents depending on particular connectivity types for health service
access, including:

 

- Whether connectivity limitations create disparities in care access or
quality

- Assessment of telehealth viability in areas with limited connectivity
options

- Whether rural health strategy adequately considers connectivity
infrastructure as health infrastructure

 

4. Any assessment of health service continuity risks in isolated rural
areas where:

 

- Medical practices, pharmacies, aged care facilities, and patients' homes
depend on a single or shared connectivity provider or technology platform
for telehealth access

- Traditional terrestrial communications infrastructure (such as copper
telephone lines) has been withdrawn, eliminating backup options for
phone-based consultations or emergency calls

- A single-point-of-failure scenario exists where connectivity disruption
would simultaneously affect GP clinics' ability to conduct telehealth,
patients' ability to access virtual care, prescription systems, and
emergency services coordination

- Whether health service planning includes contingency arrangements for
connectivity outages in communities with no alternative infrastructure

 

5. Any contingency planning or risk assessment for scenarios where:

 

- Primary connectivity provider becomes unavailable during health
emergencies or natural disasters

- Service degradation affects critical remote consultations, monitoring
systems, or prescription platforms

- Rural residents lack alternative connectivity options for urgent health
service access

- Entire communities lose connectivity simultaneously, affecting both
healthcare facilities and patients

 

6. Data or analysis on:

 

- Telehealth utilisation rates in rural areas compared to urban areas

- Whether connectivity is identified as a barrier to telehealth access in
rural communities

- Patient or provider feedback regarding connectivity quality affecting
care delivery

- Any clinical incidents, missed appointments, or service disruptions
attributed to connectivity issues

- Communities identified as having single-provider dependency with no
terrestrial backup for health services

 

7. Any assessment of health service delivery risks if rural connectivity
market structure changes result in:

 

- Reduced provider choice, limiting patients' and healthcare facilities'
connectivity options

- Price increases affecting affordability of adequate connectivity for
vulnerable patients or small medical practices

- Service quality concerns affecting real-time video consultations, remote
monitoring, or emergency telemedicine

- Elimination of terrestrial alternatives, creating sole dependency on
satellite solutions with potential latency, reliability or security
limitations"

 

The reference number for your request is H2026077361. As required under
the Act, the Ministry will endeavour to respond to your request no later
than 20 working days after the day your request was
received: [1]http://www.ombudsman.parliament.nz/.  

 

Please be advised that due dates for requests received on 27 November 2025
onwards will take into account the summer holiday period (25 December 2025
to 15 January 2026). Please refer to this guide for an explanation of
the [2]statutory obligations under the Official Information Act 1982.

If you have any queries related to this request, please do not hesitate to
get in touch ([3][email address]).

 

 

Ngā mihi,
 
OIA Services Team

Ministry of Health | Manatū Hauora
 

M[4]inistry of Health information releases

 

 

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