There are more than 464,000 people living in the Auckland DHB area, and this number is predicted to grow by almost a fifth (86,000) by 2026. The population is diverse and has varied health needs, with cancer and heart disease remaining the biggest health challenges for our district.
Our aim is to see all our community living healthier lives. Working together, we will help people self-manage their care and provide better health prevention advice and support. In addition, more than half the work done within Auckland DHB hospitals is for people who live outside Auckland city.
Local communities at the heart of health service
To get a better understanding of health needs and how services are used, we have divided our region into nine geographic areas (or localities). We have elected to use the same local board areas as Auckland Council, given our shared interest in promoting health and wellbeing.
The goal of this approach is to put local communities at the heart of health service planning and delivery, and better coordinate and integrate health services at the local level. This will allow individuals, families/whānau and communities to take greater control over their lives to maximise their health.
Public consultations on health in your area
We are committed to discharging our statutory and best practice commitments to community engagement, consultation and procurement. Community engagement and consultation helps the DHB ensure its proposed policy, funding and service changes will improve, promote and protect the health of the people of Auckland City. To participate in confidential online surveys and discussions, visit the Reo Ora website (external link) .
Public consultations that you may be interested in:
Waiheke Island Health Services Review
Thanks to the many people who participated in the recent Waiheke Health Services Review survey. Thank you for your patience while the results were compiled.
Update: February 2017
Both the Clinical Lead and Project Manager for the project have now been appointed. Dr Jeannie Oliphant and Duncan Matthews will bring new focus and energy in progressing this work. Each of their roles run for a period of two years. They will support the development of the regional Transgender Health service based on the service specification developed out of community and advisory group input in 2015.
This process will be guided by the establishment of a new advisory group. The Northern Region Transgender Clinical and Consumer Advisory Group (NRTCCAG) will include both clinical and consumer representation which will be an ongoing feature of the Transgender health services project going forward. Applications are open until 12 March 2017. Please contact the Project Manager Duncan Matthews: firstname.lastname@example.org for more details.
With the establishment of a new Advisory Group, one of their first tasks will be to develop a work plan for the Transgender health services project.
In the interim, the Transgender Health team have been hard at work on a number of immediate priorities for the region, including updated pathways and information for GPs/Primary Care, and better connection and collaboration between secondary services that are currently providing services for Transgender people. This work will be open for review with the Advisory Group once established.
Update: April 2016
Initial funding is in place to lay the ground work to deliver better health services for transgender communities in the Northern DHB region covering Counties Manukau, Auckland, Waitemata and Northland DHBs.
The first steps will be to appoint a project manager and a chairperson to lead a Northern Regional Transgender Advisory Group. Job descriptions will be ready for circulation in the next four weeks. The aim is to spread the word widely to people with the experience and knowledge who might be interested in taking up the roles. There will be regular updates on progress.
With support from the DHBs, the team will develop a plan for a Northern region Transgender Care Pathway based on feedback from community and online forums, clinical advice on best practice and a robust evidence base.Pathways to Care
The Pathways to Care diagram (agreed at community workshops) is based on five key principles:
- Access - Transgender culturally competent health care services at primary care and community NGO level.
- Safety - Gender diversity and cultural competence including flexible care pathways .
- Wellbeing - A whole of health and well-being approach to service delivery.
- Respect - Self-identification and informed consent.
- Diversity - Accepting and facilitating conversations in public health context.
The focus of the plan will be to put in place regionally consistent, multi-disciplinary gender health services for children, adolescents and adults experiencing gender identity issues and seeking health services as part of a gender transition. These services may be provided locally or regionally and by one or more providers.
The Pathways to Care plan will seek to bridge the gaps that have made it hard for transgender patients to access health care. At the heart of the new model is a multi-disciplinary team of health professionals with a broad range of clinical, social and community expertise. Transgender patients would work with a culturally appropriate key worker, who can be any member of the multi-disciplinary team, at their points of contact in their journey through the care pathway.
The overall goal is to provide clinical care to “assist transsexual, transgender, and gender-nonconforming people to achieve lasting personal comfort with their gendered selves, in order to maximize their overall health, psychological well-being, and self-fulfillment.” (World Professional Association for Transgender Health).
Update: January 2016
There has been a positive response to the proposal for future health services for transgender health services in the northern DHB region, covering the Auckland metropolitan DHBs (Auckland, Counties Manukau, Waitemata DHB) and Northland DHB.
The proposal went to senior leaders from the northern DHB region in December 2015, who said it was a robust analysis that set out a pathway to respond to the need for better health services for people in the transgender communities. The project team thanks the Clinical and Consumer Transgender Advisory Group, which includes representatives from specialist and community service providers, NGOs and consumers from the transgender communities for their time, effort and insight.
The next steps will be to seek formal endorsement at senior management and board level in order to create a work plan for 2016 to progress the project.
Update: October 2015
We held a series of community forums in July 2015 to provide input into the development of a proposal for better health services for people from transgender communities, in the northern region. Read the combined summary of feedback from the community forums and online survey [PDF, 354 KB] from September 2015.
Update: June 2015
The Northern region district health boards (DHBs), Northland, Waitemata, Auckland and Counties Manukau are working on a proposal to develop a better health service for people in the region’s transgender communities. An advisory group with transgender representatives will listen to and talk with community groups and health professionals about how to develop a better health service. The project advisory group has to finalise its proposal for consideration by the DHB Boards by December this year.
This advisory group has agreed on some simple principles to create a process that is inclusive and robust:
- Transgender communities are as diverse as their health needs and health services need to reflect this.
- We need to focus on the span of life, young and old and wellbeing.
- We acknowledge the strength and diversity of the transgender communities.
- By working together we can help to shape a proposal for a health service that responds much better to diverse and complex needs.
- Transgender people come from all communities and age groups and health services need to reflect this.
- We acknowledge the many terms used by communities related to their gender identity. Transgender will be used when a generic term is needed.
If you have feedback or would like to register your interest in this work, please do so by contacting: email@example.com
By working together we can help to shape a proposal for a health service that responds much better to diverse and complex needs. Transgender people come from all communities and age groups and health services need to reflect this. We acknowledge the many terms used by communities related to their gender identity. Transgender will be used when a generic term is needed. You can read Frequently asked questions [PDF, 184 KB] (external link) about the project here.
National and regional health information and statistics
Thee Auckland District Health Board Planning and Funding team in partnership with providers work to achieve the best possible health and independence for people throughout metropolitan Auckland. The team intacts with the health community, look at emerging evidence and best practice, analyse data and undertake health needs assessments, to better understand the health needs of their population. This information assists in the development of health service plans that enable the ADHB to direct activity and funding.
The following maps show, for the first time on geographical bases, national and regional (locality) health information and statistics that are easy to read. and interact with.
National Health Targets Atlas (external link) interactive map by District Health board. (external link)
Locality Atlas (external link) regional approach to show Auckland Council Board level health and population information as interactive maps. (external link)
Auckland Region Atlas (external link) regional approach to show Auckland Council Census Area Unit level health and population information.
If you have difficulty using the maps, please call Dr Mazin Ghafel on 09 6309943 ext 26584 or email: firstname.lastname@example.org
Local health profiles
Click on the local health profiles below for an overview of each locality, including a population breakdown, map of primary care providers, and local health factors.
• Albert-Eden [PDF, 825 KB]
• Great Barrier Island (Aotea) [PDF, 650 KB]
• Maungakiekie-Tāmaki [PDF, 737 KB]
• Ōrākei [PDF, 825 KB]
• Ōtāhuhu [PDF, 725 KB]
• Puketāpapa [PDF, 834 KB]
• Waiheke Island [PDF, 699 KB]
• Waitemata [PDF, 826 KB]
• Whau [PDF, 713 KB]