From
the Chair
Te Toi Ahorangi
2030 launch
Sally Webb - Chair, Bay of Plenty District Health Board
Next month marks the end of my nine years as Chair
of Bay of Plenty District Health Board. As I trained
as a nurse at Tauranga Hospital and worked in the
Eastern Bay for many years prior to moving into
governance roles, this is the end of an era for me.
There have been many highlights - some of which I
share with you here in Health Matters.
Firstly, I’d like to thank all the Board members who
have served with me over the years. They have all
been totally committed to ensuring the BOPDHB
continues to strive to meet its vision of Healthy,
thriving communities, Kia Momoho Te Hāpori
ōranga. It has been a pleasure and I thank you for
the enthusiasm and energy you have all brought to
our discussions and decision making.
In my time of tenure, I have been fortunate to work
with two very dedicated Chief Executives - Phil
Cammish and Helen Mason. They have both been
very committed to ensuring our DHB provides
the highest quality of services possible for the
communities we serve. Without their enthusiasm
and dedication the DHB would not be as well
positioned as it is today.
Hospital development
through a rural lens. The aim is to attract health
professionals to rural areas. RHIP has gone from
strength to strength each year. It has been a privilege
over the years, to be a guest at the students’ fi nal
graduation evening where they present and give an
insight about what they’ve learnt including their
increased knowledge of Tikanga Māori and rural
communities.
Te Toi Ahorangi
Sally Webb speaking at the launch of Te Toi Ahorangi.
Te Toi Ahorangi outlines what we hope to achieve
with tangata whenua living in Te Moana a Toi. Te
Toi Ahorangi calls for us to think and act diff erently.
History shows us we cannot achieve Māori health
equity by using the same thinking we have used for
the past 10, 20, 30 years. It is time to step out of the
comfort zone.
Success will only come if we, as the DHB and the
Crown Agency, are in real partnership with tangata
whenua and support their aspirations and self-
determination - only then will all fl ourish. There is a
challenge I know the new Board will be ready to meet.
People
In 2014 the doors of the redeveloped Whakatāne Hospital
were opened to the public attracting more than 2000 people
including Walter and Anne Hogarth.
One of my fondest memories will always be the
open day for the redeveloped Whakatāne Hospital
in 2014. The sheer number of people who came to
see the new hospital was amazing. It was clear to see
how much it meant to the Eastern Bay community.
For me the inclusion of a history wall tracing our
health journey dating back to 1900 and the cultural
wall, Te Ara Tauwhāiti o Tāwhaki - “In the now is
the pathway of all time” is a real focal point.
The Tauranga Hospital campus has also seen
signifi cant building development with Pathlab and
the Kathleen Kilgour Centre. These facilities are a
real asset to the Bay of Plenty, providing world class
laboratory and radiation therapy services in
the region.
Clinical Campus
Last year our DHB offi cially became a Clinical
Campus - recognition from the University of
Auckland for the success of our teaching and
research facility. The DHB is the second outside
Auckland to receive this status and the fi fth in New
Zealand. The recognition means more students
are coming here for training, which increases the
likelihood of them choosing our DHB as the place
to start their careers. The consistent quality of our
staff teaching, supervising and caring for the next
generation of health professionals was recognised
last year with many receiving awards from the
University of Auckland.
Rural Health Inter-professional Programme
(RHIP)
RHIP students at Waimana looking at rural health from the
dairy farmers’ perspective.
In 2013 the RHIP programme was introduced at
Whakatāne Hospital. The joint initiative with the
Clinical Campus, Auckland University and Health
Workforce New Zealand brings students from a
wide range of health disciplines to the Eastern
Bay. They live and learn together looking at health
Te Toi Ahorangi Te Rautaki A Toi Ora 2030. Erica Sinclair
Photography
Kia hiwa rā, kia hiwa rā.
Kia hiwa rā i tēnei tuku,
Kia hiwa rā i tēnā tuku.
Kia ohooho, kia mataara!
Last month at Manuka Tūtahi Marae in
Whakatāne, the Māori Health Rūnanga of the Bay
of Plenty District Health Board launched Te Toi
Ahorangi 2030 Toi Ora Strategy. Te Toi Ahorangi
affi rms the Bay of Plenty District Health Board’s
Te Tiriti o Waitangi partnership with the 18 iwi in
the Bay of Plenty and aims to transform the health
system for Māori so as to realise their collective
aspirations for Toi Ora.
Te Wharenui Mataatua was the stunning venue for
the launch. It is a physical and spiritual reminder
of the challenges and hardships faced by Ngāti
Awa and their potential to realise a fl ourshing
future. This unifying symbol of Ngāti Awa was a
perfect location to celebrate the fl ourishing future
for the entire Moana nui ā Toi.
Called in by kuia, the manuhiri were then warmly
welcomed by speakers from Ngāti Awa supported
by our eastern Bay of Plenty iwi. The Runanga
was led by Chair Pouroto Ngaropo and dignatories
included Minister Peeni Henare and Waiariki MP
Tamati Coff ey. The BOPDHB as represented
by leaders, Chair Sally Webb, former CE Helen
Mason, and Manukura Tricia Keelan as well as
other BOPDHB Board members and staff . The
kaumātua acknowledged that we stand upon the
legacy of our tūpuna to inspire us today to endure
and unite to achieve Toi Ora and a future of
wellbeing for our mokopuna.
Te Toi Ahorangi Te Rautaki A Toi Ora 2030 was
launched with karakia supported by the beautiful
waiata of the kapahaka from Te Kura O Te Pāroa.
The tamariki imbued Te Toi Ahorangi with their
mauri, reminding us that fl ourishing future for
these tamariki will be the measure of its success.
Sally and interim CE Simon Everitt at the annual Staff
Recognition Celebration with Medical Director Dr Hugh Lees
marking 35 years at Tauranga Hospital.
Eastern Bay based staff at the annual Staff Recognition
Celebration held at Te Mānuka Tūtahi Marae in Whakatāne. Tamariki from Te Kura O Te Pāroa performing at
the launch.
At the heart of any organisation is its people. Over
the years I’ve met thousands of people across the
healthcare sector who are dedicated and passionate
about providing healthcare for our communities.
Today we’re providing more cancer, cardiac and renal
services in the region closer to your homes than ever
before. ED teams provide a great service regardless of
the increased number of people arriving. The general
practice, pharmacy and kaupapa Māori teams are
there as your fi rst point of care. Mental health teams
are across hospital and the community providing
incredible support. Volunteers too, are there giving
up their time. The list goes on. None of these services
would exist without dedicated highly committed
people working in health. To each and every one
of you, I want to thank you for all that you do and
continue to do for our health service.
He aha te mea nui o te ao.
He tāngata, he tāngata, he tāngata
What is the most important thing in the world? It is
people, it is people, it is people. Te Toi Ahorangi is a refl ection of the aspirations
of our iwi across te Moana nui ā Toi. Toi Ora,
the vision at the heart of Te Toi Ahorangi, was
determined by the eighteen iwi in 2007. This
vision directly aligns with He Korowai Oranga,
the Government’s national Māori Health Strategy
and its vision of Pae Ora - healthy, Māori futures.
Pouroto Ngaropo, Chairperson of the Māori Health
Rūnanga, noted, “We stand on the foundation of
all of those iwi leaders who have gone before us
and their important work, from Ngā Pou Mana
o Io to He Pou Oranga Tāngata Whenua, now
realised in Te Toi Ahorangi.”
Arohanui
Sally Webb
Māori Health Rūnanga Chairperson, Pouroto Ngaropo at
Te Wharenui Mataatua.
Te Toi Ahorangi calls the Bay of Plenty District
Health Board to demonstrate an authentic Te Tiriti
o Waitangi partnership that values and invests in
tāngata whenua aspirations, to realise Toi Ora. The
vision has fi ve interconnected elements of what
we could see in a fl ourishing future for tāngata
whenua: Mauri Ora (fl ourishing individuals),
Whānau Ora (fl ourishing families), Wai Ora
(fl ourishing environments), Iwi Ora (fl ourishing
iwi) and Hapū Ora (fl ourishing hapū).
“Our success will be measured by improvements
in the lives of our peoples,” commented Tricia
Keelan, Manukura/Executive Director Toi Ora
at BOPDHB. “The solutions and pathways to
Toi Ora lie with whānau, hapū and iwi. We
can transform the system, but the most
important transformation must occur within
whānau themselves.”
BOPDHB Manukura/Executive Director Toi Ora, Tricia
Keelan with former CE Helen Mason.
Sally Webb – Board Chair acknowledged that,
“Te Toi Ahorangi as a strategy is unique, because
it challenges us right to the roots of our thinking.
It challenges us to think beyond the status quo.
It is well beyond time that we as Crown
representatives and Crown entities are brave and
have the courage to look at things diff erently.
Te Toi Ahorangi calls us to think and act
diff erently. To stop Pākehā thinking and step
into a Tāngata Whenua world view.”
Te Toi Ahorangi looks beyond the enduring
inequities in Māori health to supporting the
aspirations of whānau, hapū and iwi across the
Bay of Plenty. Former CE Helen Mason spoke
of the challenge the strategy has already and
continues to address that “Within Te Toi Ahorangi
we recognize institutional racism, we recognize
unconscious bias. And through having those
conversations, those brave conversations, it gives
people the opportunity to explore our worldview,
and to understand maybe what it feels like from
somebody else’s world view.”
A ten year strategy, Te Toi Ahorangi ensures that
iwi and the Bay of Plenty District Health Board are
partnering for outcomes across sectors, investing
in success, focused on hapū and iwi development
and ensuring that whānau reclaim their authority
for their own health here in the Bay of Plenty.
As we launched Te Toi Ahorangi, we remain
cognizant of the enormous challenges ahead.
Associate Minister of Health (Māori Health) Peeni
Henare captured that sentiment in his own speech
as he lamented that, “Many of you will remember
when hauora Māori proliferated across the country.
We had tribal iwi health providers. We had
community health providers, all built by Māori
to service Māori I remember the optimism in our
people at the time.
“But I also remember the challenge. As wonderful
as those kaupapa, we were still operating in a non
Māori world. And, as long as the foundation is not
built on a Te Tiriti o Waitangi based relationship,
those kaupapa will suff er, some will fail.”
Te Toi Ahorangi will move from strategy to
reality as we partner with intent around the eight
Au Rangi (strategic currents) that look to system
transformation. The commitment made in the
strategy by both the BOPDHB and our Runanga
is the fi rst step and an invitation to all stakeholders
in the health sector to board Te Waka O Toi as we
strive for Toi Ora.
Read Te Toi Ahorangi in Te Reo Māori or English