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Te Wao nui a Tāne – An Integrated Service Model for the MidCentral DHB region

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MidCentral DHB, along with its partners and providers, is embarking on an exciting, innovative change to the way healthcare is delivered in this region.


What is an integrated health system?

Te Wao nui a Tāne is an integrated health system that will create stronger connections and care pathways links between primary, specialist, community and hospital care in the MidCentral region to ensure patients and whānau experience healthcare journeys that are as simple and seamless as possible.

A common theme that emerged during the Locality Planning consultation held in the MidCentral region throughout 2017 and 2018 was about people wanting more from their healthcare system.

People told us they wanted timely, accessible care, and more say in how that care was delivered to them. Those with complex or multiple healthcare needs expressed frustration with having to constantly repeat their health information at multiple appointments in different care settings.

To provide patients and whanāu with the care they want, Te Wao nui a Tāne will ensure all healthcare professionals in the MidCentral region are collaborating and effectively communicating with each other on a regular basis.

Te Wao nui a Tāne will give health professionals the freedom to work as one team to provide a joined-up health and social care experience that puts the patient at the centre of everything we do. This will be achieved by redesigning care pathways, allowing consumers to have more access and involvement in their care and by enabling the use of digital solutions to support our population to have more ownership of their health. It will also provide health staff with better access to the information they need to offer integrated care.

Improvements in communication will see health professionals sharing skills and care plans with other health providers who are supporting consumers.  These changes will help the healthcare system in MidCentral become more sustainable and inclusive, while improving health equity in the region.

These changes will take some time to fully embed, but at maturity Te Wao nui a Tāne will be a more responsive healthcare system with fewer delays and more local care within communities. Te Wao nui a Tāne will ensure people have more say in their healthcare and an increased use of digital health technology to support health professionals and consumers to work together.

A guide to Te Wao nui a Tāne, integrated care and the cluster arrangements is available. 


Have your say

If you would like to provide feedback on Te Wao nui a Tāne, please send an email to You can also send feedback in hard copy to:

Cluster Feedback
c/o Human Resources
MidCentral District Health Board
Private Bag 11036
Manawatu Mail Centre
Palmerston North 4442.

Feedback can also be sent to MidCentral DHB Facebook, and Neighbourly social media pages via the private message function.

Please check back for updates on the progress of Te Wao nui a Tāne, which will include structure documents, staff profiles and videos.

​Document Format

Most documents are available in Acrobat (PDF) format. Some documents are also available in other formats (doc, xls, html etc.) or as a printed version (hard copy). Please note, due to cost, a different format or printed version may not be available.

To request a different format or printed version, please contact the MidCentral District Health Board Communications Unit.


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Send a message to a patient at a MidCentral DHB facility.

General information about Palmerston North Hospital.