At the end of this year, New Zealanders will elect a government inheriting a health system under growing strain. That government will face a defining choice for themselves and for the nation. It can continue to respond to pressure at the edges, or it can confront the underlying design of the system itself.
A Health System Worth Building
New Zealand already has the foundations of a more connected, equitable and effective health system. We have an opportunity to build a health system that is more connected, more sustainable and better able to support people throughout their lives.
The foundations already exist. The challenge now is coordinating execution, long-term commitment, and sustained public trust.
From Promise to Practice
We believe there are four key components to pushing beyond incremental change and unlocking a sustainable healthcare system:
- A national shared care record that works in the real world, across settings
- A digital front door that people use
- Data tools embedded into care, planning and decision-making
- Secure cloud foundations and modern infrastructure
Our Delivery Roadmap
By sequencing delivery and focusing on clear, tangible outcomes at each stage, New Zealand can steadily build towards a modern, connected health system.

A health system worth building
There is too much at stake to continue with fragmented systems, inconsistent delivery, and short-term fixes.
New Zealand has an opportunity to build a health system that is more connected, more sustainable and better able to support people throughout their lives.
The foundations already exist. The challenge now is coordinating execution, long-term commitment, and sustained public trust.
When we succeed, we can:
- Bend the health cost curve: Slow health-spend growth
- Lift productivity: Healthier populations mean fewer sick days and longer productive careers
- Longer, healthier lives: Predictive care enables prevention and early intervention
- Resilient health system: Fewer avoidable hospitalisations reduced pressure and workforce burnout