Primary Maternity Services Notice Review 2021 – Consumers of maternity services

Closes 13 Nov 2020

Consultation Contents

This consultation sets out the Ministry of Health’s proposed changes to the Primary Maternity Services Notice pursuant to Section 88 of the New Zealand Public Health and Disability Act 2000 (the Notice).

This and any future iterations of the consultation documents, including the Notice, should be read as working drafts until the final Notice is gazetted.

The questions are organised by section. Once you have filled out the questions on one page, you can select ‘Continue’ to return to this contents page and complete the other sections you are interested in.

You can complete your submission over a number of sessions and save it as you go. If you select ‘Save and come back later’, you will be sent an email with a unique link that will let you return to your submission to edit and submit it. You can share the link with others if you require their contribution or wish them to review your submission.

Design principles for the Notice

Whānau-centred: services are planned and delivered according to what women and whānau need to achieve their best outcomes; there is special recognition of the rights and needs of whānau Māori. 

Fair: work done equals work paid. Additional time and travel are compensated when it is provided.

Flexible: services flex to meet varying levels of need throughout the maternity journey and flex to meet the different needs of different women and whānau. Services are delivered at times and at locations that work for women and whānau.

Sustainable: timing of payments supports business sustainability. Service specifications support sustainable clinical practice. Overall approach supports the sustainability of community-based continuity of care.

Equity for Māori and the Notice

‘Māori have the right to experience equitable health outcomes through access to high-quality health and disability services that are timely, safe and culturally responsive to their aspirations and needs. Evidence shows that even when access to services is equal, Māori tend to receive lower-quality care. Equity is an integral component of quality.’
Whakamaua: Māori Health Action Plan 2020-2025, p47

For Māori, we acknowledge that pregnancy and birth has unbreakable links to tupuna, whakapapa, whenua and whānau. Maternity services must hold space for mātauranga Māori pregnancy, birth and parenting practice and uphold mana motuhake for hapū wahine and whānau. Maternity funders must exercise effective kaitiakitanga over maternity services and must hold space for mana whakahaere to ensure services are planned and provided in a way that establishes tino rangatiratanga and upholds tikanga, kaupapa and kawa Māori.

We acknowledge that we must prioritise equity for Māori throughout the review process to ensure the new Notice achieves equity.

Page Response
Your details and background
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Part 1: First Assessment, Registration and Care Planning
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Part 2: Lead Maternity Carer Antenatal Care
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Part 3: Lead Maternity Carer Labour and Birth Care
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Part 4: Lead Maternity Carer Postnatal Care
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Part 5: Primary Maternity Single Services
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Part 6: Lead Maternity Carer Travel
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Part 7: Ultrasound Services
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Future of maternity services in Aotearoa New Zealand
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General feedback
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Privacy and publishing submissions (Required)
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