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But if I was to be asked, I would say Whānau Ora is notabout the funding. It is about all of us picking up on ourresponsibilities, rather than picking up the phone toask the health provider or CYF to take up a role which isrightfully ours.Whānau Ora is possibly the first time in which Governmenthas been able to measure value for money against acultural construct.It is about our transformation; celebrating the power andpotential of a whānau-centred approach which will enableour people to flourish.Waipareira has also opened a one-stop frontline WhānauOra hub integrating health, social, justice and educationservices. The Whānau House – a four-storey complex inthe central business district of Henderson – is the home ofthe trust’s new-look workforce: kaimahi (service workers),kaiārahi (navigators) and kaiwhakahaere (leaders).NUMA is the parent body for the Whānau Ora providercollective that includes; Waipareira, Manukau UrbanMāori Authority (South Auckland), Te Rūnanga o Kirikiriroa(Hamilton) with approved affiliate Te Kohao Health andTe Roopu Awhina ki Porirua (Wellington) which is indevelopment.Whānau Ora is the ultimate expression of our survival.Tēnā tātou katoa.How is Whānau Ora being delivered?Te Whānau o Waipareira - AucklandTe Whānau o Waipareira in west Auckland – part of theNational Urban Māori Authority (NUMA) – has beenoperating a “Whānau Ora, Whānau Tahi” approach toservice delivery since January 2011.The collective has an enrolled health population of95,000 and provides whānau residing in the five mainurban centres with nearly 300 individual services acrosseducation, health, housing, justice and social services.Services include public health; mental health; primarycare; drug and alcohol addiction; Strengthening Families;Family Start; Parents as First Teachers (PAFT); breastscreening; nutrition; smoking cessation; 24/7 accidentand medical; ACC support; whānau housing; mentoring;holiday programmes; kaumātua support; child advocacy;restorative justice; violence prevention; funeral; housinginitiatives; diabetes; Māori men’s health; budget advice;financial literacy; youth services; youth justice; socialwork support; day activities and life skills programmes foradolescents; and tikanga Māori.As a specialist Whānau Ora provider, Waipareira is offeringfamilies wrap-around services tailored to their needs. Akaiārahi, or navigator, will work with whānau to identifythe aspirations and outcomes they seek, develop anoutcomes focused plan to achieve them and then brokertheir access to a range of services available both internallyand externally in the wider community.More than 200 staff have taken part in training anddevelopmental workshops focused on understandingoutcomes, whānau-centred practice and understandingthe requirements of privacy and confidentiality whenworking with whānau.For more information about NUMA, visit:www.numa.org.nz.Kōtahitanga – Whānau Ora inspired innovationKōtahitanga is a Whānau Ora collective of four Māorihealth and social service providers in South Auckland:Turuki Health Care Trust, Papakura Marae Trust, HuakinaDevelopment Trust and Te Kaha o Te Rangatahi Trust.The collective employs more than 285 staff and providesservices to over 22,000 multi-ethnic whānau including16,000 Māori.BPJ | Issue 37 | 13
Whānau Ora – A General Practitioners perspectiveDr Glenn Doherty is a General Practitioner and clinicaldirector for specialist Whānau Ora provider Te Whānauo Waipareira in west Auckland. Affiliated to the EastCoast tribe of Ngāti Porou, Dr Doherty has worked at theWai Health Clinic – now known as the Whānau CentreHealth Clinic – for the past three years. He has practisedconsistently as the only Māori male General Practitioner inwest Auckland for the last 11 years and has been workingin health management, policy and research and clinicalmedicine roles for the past 28 years. Dr Doherty has aspecial interest in adolescent and youth health and hasbeen the school doctor at Kelston Boys and Hendersonhigh schools in recent years. He is also on the ClinicalGovernance Board for the Waitemata PHO and a newlydeveloped National Māori Health Advisory Council. Hetalks to Best Practice Journal about his work at the clinic.What is the Whānau Centre Health Clinic?“The new centre has been expanded to include morecomprehensive services than before and in time, will beoperating under a ‘Whānau Ora, Whānau Tahi’ kaupapa.We have expanded to include a dental service and onsitepharmacist and are in the process of co-locatingvarious Waitemata District Health Board services. Weare also negotiating with a radiology service and will beco-locating WINZ, CYF and ACC within the centre. Visitingspecialists and a birthing unit are also in the process ofbeing developed.”What does Whānau Ora mean to communities?“Whānau Ora is about co-ordinating care on behalf ofpatients and ensuring care plans and Whānau Ora planscomprehensively address client needs. It is a whānaucentricmodel of service integration using a Māori kaupapato improve all outcomes for our registered clients. Primarycare practitioners will, over time, have centres in theirneighbourhoods and communities like this one that matrixacross sub-regions to provide services that may have beentraditionally provided under and by mainstream servicesor providers.”What are ”wrap-around services”?“Apart from primary and secondary health care serviceswithin the centre, we have a large amount of education,social services, justice and mental health services,which are known as wrap-around services. This meansthat whānau that access our services are looked atcomprehensively – not just snapshots of care or contact.Over time, we will develop a referral triaging process,clinical and non-clinical, that ranks client priorities basedon needs. Access and socio-economic issues will be takeninto account and care plans and Whānau Ora plans will bedeveloped around those needs. There will be a fosteringof new models of service delivery that will focus aroundusing Whānau Ora and Whānau Tahi models to add valueto client outcomes. We will also be concurrently developinghow we measure our performance to achieve improvedoutcomes for clients.”14 | BPJ | Issue 37
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