Pacific Health Plus - Milne Drive - Pacific Health Plus - Milne Drive 9 Milne Drive

In Porirua, which has the highest Pacific population outside South Auckland, despite 10 years of "investment" and intervention, life expectancy for Pacific people is eight years lower than for others, and this gap has not narrowed over that period.

This must change. At our health practice in Cannons Creek, eastern Porirua, 60 per cent of our patients are high-needs, which means they have serious underlying conditions.

When we initially took over the practice, we had very little access to resources, which meant we had to search for innovative partners and programmes, particularly in the areas of heart disease, diabetes and related diseases. We quickly realised we also had to move into education and preventative programmes to stop the spiral.

In March, during the Covid pandemic, we had to source our own PPE gear offshore and hunt for flu jabs from other practices to make up the shortfall. This came as a huge shock because, knowing the significant underlying health vulnerabilities, combined with high-density housing, low or no incomes and limited access to healthcare, it would be carnage in the community if the virus caught on.

It was hard to fathom that the health system’s funding model prioritised a "mainstream" practice across the road ahead of a high-needs Pacific practice funded at a lower level. That is unacceptable.

Over time we have started dealing directly with the Pacific directorate of the Ministry of Health, the Pacific division of the Capital & Coast DHB, and a Whānau Ora provider of Pacific Futures, and we get a much more targeted, efficient and less bureaucratic response. This means resources get to the front line quickly.

The new health report needs a much stronger focus on early investment at the front line and for prevention, just as we invest in roading projects and infrastructure for the long term. We also need integrated health services to include education, mental health, workforce development and housing. Complex solutions are required for a multi-faceted problem.

And Pacific people must be involved at all levels. Without this partnership, we risk the new system being deaf and blind to the needs of Pasifika, and the opportunity for real change is lost.

There is a new Pacific generation coming through the ranks who are young, talented, educated, aspirational and confronting. They must be empowered to insist on an equal place in all parts of New Zealand. If we can do this, then Pasifika can make a rightful contribution to the social, cultural and economic wellbeing of the country.

The health and disability review has identified that it is time to navigate a new course in health and, as the original explorers in the Pacific, we are ready to set sail and lead the way.