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Health and Disability Review Transition Unit

The Health and Disability Review Transition Unit (Transition Unit) was established by Cabinet in September 2020 following consideration of the Health and Disability System Review / Hauora Manaaki Ki Aotearoa Whānui (the Review).

The Transition Unit led the response to the Review, including developing the policy response and design of the system operating model, providing advice on the establishment of new entities and legislative change, and is now working on producing an overall implementation plan and work programme for the transition.

The Transition Unit has launched a new website dedicated to the reform of the health system in Aotearoa New Zealand –

The website will be regularly updated with news and information about the progress being made to create our future health system.

Structure and leadership

The Transition Unit was led by former Director-General of Health Stephen McKernan, who reported to a Ministerial Group for delivery of the work programme.

Transition Unit enquiries

For media enquiries about the process and work of the Transition Unit, please email

For enquiries related to the current health system, contact the Ministry of Health

Background Context

The Health and Disability System Review / Hauora Manaaki Ki Aotearoa Whānui (the Review) outlined some of the challenges in the health sector.

This was based on widespread consultation with the health and disability sectors and interested parties over an 18-month period.

The Government's commitment to address inequalities was highlighted in the Speech from the Throne from the Governor General on 26 November 2020.

This was used as part of the background for the Government's decision-making for reforms in the health system.

The resources linked below provide the background context for the work of the Transition Unit:

Cabinet papers relating to The Health and Disability System Review:


Building a New Zealand Health Service that works for all New Zealanders - Minister of Health, Hon Andrew Little

The Minister’s announcement about the changes and reform of the health sector.

The case for change in the health system – Minister of Health, Hon Andrew Little.

An update on the case for reform in the health sector and the Government's response to the Health and Disability Sector review being considered by Cabinet.

The New Health System

Aotearoa New Zealand's health system is changing the way we structure and deliver health services to ensure all New Zealanders get the services they need and to meet future challenges.

The new health system will be a single health service providing consistent, high-quality health services for all people. The Ministry of Health will be focused on policy, strategy and regulation while a new body, Health New Zealand, will take over the planning and commissioning of services and the functions of the existing 20 District Health Boards to remove duplication and provide true national planning. A Māori Health Authority will work alongside Health NZ to improve services and achieve equitable health outcomes for Māori.

Visit the new health system reforms website for more information.

Resources and information

Health sector engagement

The Transition Unit has been conducting extensive engagement across the health sector around the health reforms.

A list of the engagements it has been involved in up until 9 July is available.

Health Reform: White Paper Summary

This White Paper provides an overview of the upcoming reform of the health and disability system.

Read the White Paper in: English (PDF, 271KB), te reo Māori (PDF 720KB), gagana fa'a Samoa (PDF, 210KB), Faka Tonga (PDF, 316KB) , 中文 (PDF, 625KB), Easy Read English (PDF, 2248KB), हिन्दी, हिंदी (PDF, 583KB), 한국어 (PDF, 446KB), Wikang Tagalog (PDF, 222KB), Te Reo Māori Kuki ‘Āirani (PDF, 226KB), vosa Vakaviti (PDF, 216KB), Gagana Tokelau (PDF, 251KB), ‘Gana Tuvalu (PDF, 216KB), Vagahau Niue (PDF, 147KB), Fäeag Rotuam (PDF, 243KB).


Check out the factsheets below to find out more about the changes to the health system.

Factsheet: Stewardship

Read the Factsheet in: English (PDF, 111KB), te reo Māori (PDF 119KB), gagana fa'a Samoa (PDF, 67KB), Faka Tonga (PDF, 74KB), 中文 (PDF, 195KB).

Factsheet: Factsheet: Implementation roadmap

Read the Factsheet in: English (PDF, 179KB), te reo Māori (PDF 156KB), gagana fa'a Samoa (PDF, 166KB), Faka Tonga (PDF, 191KB), 中文 (PDF, 274KB).

Factsheet: Voice of communities and consumers

Read the Factsheet in: English (PDF, 118KB), te reo Māori (PDF 121KB), gagana fa'a Samoa (PDF, 73KB), Faka Tonga (PDF, 78KB), 中文 (PDF, 177KB), हिन्दी, हिंदी (PDF, 66KB), 한국어 (PDF, 170KB), Wikang Tagalog (PDF, 49KB), Te Reo Māori Kuki ‘Āirani (PDF, 74KB), vosa Vakaviti (PDF, 50KB), Gagana Tokelau (PDF, 76KB), 'Gana Tuvalu (PDF, 55KB), Vagahau Niue (PDF, 21KB), Fäeag Rotuam (PDF, 78KB).

Factsheet: Health New Zealand

Read the Factsheet in: English (PDF, 130KB), te reo Māori (PDF 103KB), gagana fa'a Samoa (PDF, 124KB), Faka Tonga (PDF, 73KB), 中文 (PDF, 223KB), हिन्दी, हिंदी (PDF, 65KB), 한국어 (PDF, 173KB), Wikang Tagalog (PDF, 45KB).

Factsheet: Hauora Māori

Read the Factsheet in: English (PDF, 137KB), te reo Māori (PDF 141KB), gagana fa'a Samoa (PDF, 79KB), Faka Tonga (PDF, 150KB), 中文 (PDF, 238KB).

Factsheet: Services for disabled people

Read the Factsheet in: English (PDF, 111KB), te reo Māori (PDF 101KB), gagana fa'a Samoa (PDF, 69KB), Faka Tonga (PDF, 72KB), 中文 (PDF, 187KB).

Factsheet: Pacific communities

Read the Factsheet in: English (PDF, 112KB), te reo Māori (PDF 117KB), gagana fa'a Samoa (PDF, 54KB), Faka Tonga (PDF, 71KB), 中文 (PDF, 228KB), Te Reo Māori Kuki ‘Āirani (PDF, 70KB), vosa Vakaviti (PDF, 20KB), Gagana Tokelau (PDF, 69KB), 'Gana Tuvalu (PDF, 23KB), Vagahau Niue (PDF, 19KB), Fäeag Rotuam (PDF, 74KB).

Factsheet: Hospital and specialist services

Read the Factsheet in: English (PDF, 112KB), te reo Māori (PDF 119KB), gagana fa'a Samoa (PDF, 69KB), Faka Tonga (PDF, 78KB), 中文 (PDF, 212KB), हिन्दी, हिंदी (PDF, 66KB), 한국어 (PDF, 146KB), Wikang Tagalog (PDF, 18KB).

Factsheet: Primary and community care

Read the Factsheet in: English (PDF, 350KB), te reo Māori (PDF 176KB), gagana fa'a Samoa (PDF, 293KB), Faka Tonga (PDF, 290KB), 中文 (PDF, 398KB), हिन्दी, हिंदी (PDF, 286KB), 한국어 (PDF, 380KB), Wikang Tagalog (PDF, 270KB).

Factsheet: Mental Health

Read the Factsheet in: English (PDF, 142KB), te reo Māori (PDF 99KB), gagana fa'a Samoa (PDF, 59KB), Faka Tonga (PDF, 60KB), 中文 (PDF, 179KB).

Factsheet: Rural health

Read the Factsheet in: English (PDF, 119KB), te reo Māori (PDF 120KB), gagana fa'a Samoa (PDF, 90KB), Faka Tonga (PDF, 92KB), 中文 (PDF, 236KB).

Factsheet: Public Health

Read the Factsheet in: English (PDF, 128KB), te reo Māori (PDF 121KB), gagana fa'a Samoa (PDF, 95KB), Faka Tonga (PDF, 100KB), 中文 (PDF, 283KB), हिन्दी, हिंदी (PDF, 70KB), 한국어 (PDF, 184KB), Wikang Tagalog (PDF, 48KB).


Read all the Factsheets available in each language: English, te reo Māori, gagana fa'a Samoa, Faka Tonga, 中文, हिन्दी, हिंदी, 한국어, Wikang Tagalog, Te Reo Māori Kuki ‘Āirani, vosa Vakaviti, Gagana Tokelau, 'Gana Tuvalu, Vagahau Niue, Fäeag Rotuam.

Last updated: 
Wednesday, 15 March 2023

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