The Equity for Whānau Agreement

Mahitahi Hauora is moving away from the traditional PHE role of ‘middleman’ to a more service-oriented relationship with our member practices.

We all share a commitment to achieving health equity for whānau and have been striving to achieve equity for many years. On many occasions, the funding approach has hampered progress.

We’re bringing an end to complex multiple contract arrangements, which resulted in a siloed approach to care prioritisation and delivery. We’re also ending top slicing on funding for Services to Improve Access, Care Plus (Kia Ora Vision), Health Promotion, Rural Funding and half of System Level Measures funding. We’re redirecting this funding to practices to help general practices achieve equity for their enrolled population.

From 1 July 2022, Mahitahi Hauora general practices will receive all PHOSA funding through a single contract with us – the Equity for Whānau Agreement.

A high trust, high accountability partnership

The Equity for Whānau Agreement sets clear accountabilities for improving equity and outcomes for priority groups, while allowing for flexibility in how general practices achieve these accountabilities. The Agreement identifies three key areas for accountability: Access; Clinical; and Experience of Care. 

Your practice will need to develop an annual plan for achieving these accountabilities. If you need assistance with completing your annual plan, please contact your relationship partner. 


The three areas of accountability form the basis of a reporting template that you'll need to complete each quarter. For each of these areas of accountability, you'll need to report:

Other than your PHOSA reporting, this is the only reporting template you'll need to complete.

Performance-based funding 

The SLM component of funding is linked to reporting, performance against indicators, and achievement and maintenance of Foundation Standards. 

Our Papa Tikanga

Under the Equity for Whānau Agreement, your practice will need to prepare an annual plan based within our Papa Tikanga framework. We'll provide you with information about Papa Tikanga and how to apply it to your annual plan. 

A clear vision for WHY we’re asking practices to act Flexibility around HOW practices do it Clarity about WHAT practices need to deliver

We share a commitment to achieve and maintain equity for whānau in three key areas:

• Practices work with their Mahitahi Hauora relationship partner to agree an annual plan that works to achieve sustainable equitable outcomes for their enrolled population

• Practices choose the Mahitahi Hauora services they need to deliver on equity and improved outcomes for their enrolled population.

• A good quality annual plan based within our Papa Tikanga framework.

• All PHOSA reporting requirements met.

• Meeting agreed annual plan clinical indicators, including:

  • HbA1c reduction rates for Māori
  • 8 month immunisations
  • Smoking brief advice for Māori.

• National Patient experience surveys used and feedback addressed.

• Foundation standards achieved and maintained.

Māori and Pacific people enrolled with the practice are enabled to access care in a timely manner within a culturally responsive environment. Ensuring that marginalised other populations receive care in a manner than achieves equity.

Māori and Pacific people receive preventative care to reduce the inequitable burden of ill-health and chronic disease compared to non-Māori.

Experience of Care
Enrolled patients experience care services that meet their needs and aspirations in a timely manner.

Find more information about Mahitahi Hauora services and support packages.