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Counties Manukau Health logo Healthy Together logo


We'd love your help to shape the strategic picture for Counties Manukau Health. Please keep scrolling for a view of where we are at the moment, and the framework for the next phase of our strategic plan. We look forward to your input.

Healthy Together

Improving the health of all Counties Manukau communities and treating those that need us safely, with compassion and in a timely manner.

Counties Manukau Health

Counties Manukau Health has been working towards being the best healthcare system in Australasia by December 2015, and we’re heading in the right direction.

We challenged ourselves to improve how we work together, across a range of services and improvement programmes.

00000 healthy and well days

This saw us give back 23,060 healthy and well days to the people of Counties Manukau.

We improved our response to complex and long term conditions, with 7,000 patients in 2015 now receiving more proactive and coordinated care through primary care as the healthcare home.


We put patients, whaanau and family experience of care at the centre of our service improvements. People now feel more involved in their care decisions and 80% rate overall hospital care and treatment as excellent and very good.

We worked together to improve our national health target for urgent care with over 95% of people, in the last five years, admitted, discharged or transferred from Emergency Care within six hours.

We supported the national health target to provide better help for smokers to quit, with

of smokers

who are seen in primary care and hospital, being proactively offered quit smoking advice.

We improved the national health target waiting times for our cancer treatments, with a wait time of less than four weeks for our patients.

waiting time

While we have achieved a lot, what do our communities need from Counties Manukau Health over the next 5-10 years?

How do we bring our three Healthy Together missions to life? Healthy Communities, Healthy Services and Healthy People, Whaanau & Families.

Healthy Together: Mission Circle

Our population

Our population in Counties Manukau Health is growing and changing, both youthful and ageing, and our health system demand continues to grow.

Our population is growing 1-2% each year


by 2020

There is increasing ethnic diversity.
By 2020 we estimate there will be

living in Counties Manukau.


Our older population will increase by approximately 22% with an estimated 70,000 people aged 65 years and over by 2020.

— at the same time —

We have the largest population of children of any District Health Board, with an estimated 54,000 out of almost 121,000 children living in poverty.

Just over a third of our population live in areas of high

socioeconomic deprivation

If the situation continues at current levels this could be as many as 202,150 people in Counties Manukau in 2020.

The estimated resident population of Counties Manukau based on the 2013 Census tells a story about our diverse communities.

Counties Manukau localities map

Franklin Locality
Our most rural locality with over 67,000 residents in 2013. Approximately 13% of people are aged 65 years and over, with a significant Maaori population, making up about 17% of the residents living in Franklin.

Eastern Locality
Our second largest locality with over 146,000 residents in 2013. This includes more than 51,000 people of Asian ethnicities and over 18,000 people aged 65 years and over.

Manukau Locality
Our largest locality of over 181,000 residents in 2013. This includes almost 40,000 Pacific people, 42,000 Maaori people and 41,000 people of Asian ethnicities. A quarter of the population are aged under 15 years. About 50% of people are living in areas of high socioeconomic hardship.

Otara & Mangere Locality
Of the 100,000 plus people living in this locality in 2013, almost 59,000 are Pacific (our largest Pacific community) and 17,500 Maaori. Nearly 30% of residents are aged under 15 years. About 77% of people are living in areas of high socioeconomic hardship.


To improve health for all and to prevent demand due to potentially preventable causes across the system, we need to focus on being Healthy Together.

Together we can do more with our social sector partners to better support all our communities

icon for house insulation

Over the last 5 years we have provided free insulation for over 7,500 homes of families in need of help

icon for at the workplace

We are actively supporting people with health problems to return to work

icon for healthcare

By working better with schools, about 24,000 children aged 5- 12 years of age have access health services at school

We need to work together to decrease our smoking prevalence

Smoking affects health at all ages. In Counties Manukau 15.9% of people in 2013 were smoking.

15.9% arrow from 15.9% to 5% 5%

To work towards our goal of less than 5% we need to support those groups with the highest rates of smoking to be Smokefree.

We need to work together to decrease our obesity prevalence

Currently 40% of adults over 15 years old and about 19% of children are obese.

Tackling this requires action and commitment across sectors, families and communities.

We need to work together to reduce the need for services like renal dialysis

Currently over 600 people are treated with renal dialysis each month, and this is expected to increase to over 800 people by 2020.

We need to work together to improve early access to health services to keep people well

Currently growth in Emergency Care presentations to Counties Manukau Health facilities is higher than population growth, and growth in hospital admissions

Next Steps

For the past few weeks we have been gathering your feedback on what we need to focus on to bring our three missions to life, in a practical way. Key themes are beginning to emerge. We now need your help to make sure what we heard makes sense and that we aren’t missing anything. Then we can shape the actions around the missions as we develop our strategic plan.

Please share your thoughts and advice below:

Themes for...

Healthy Services:

Excellence achieved by more flexible and joined up information and services so that we consistently provide care that is people, whaanau and family centred, high quality and a positive experience.

People focused on a thriving workplace with a well supported, diverse workforce and leadership that is values-led to enable people to do their best everyday

Safety through sustainable, high quality, safe health services through service equity for all, transparent decision-making and a strong culture of learning and innovation

Does this sound right? Do you have anything else to add?

Healthy Communities:

Achieve equity by working with other sectors on policy and the big health issues, for example obesity, alcohol, substance abuse, poor quality housing and being Smokefree

Value partnerships and connect up communities, Council, schools and sectors to build resilience and readiness for positive and sustainable community health and wellbeing change

Prevent health problems by bringing health education into the community in a way that fits with people’s lives and what matters to them in plain words and language that everyone understands

Does this sound right? Do you have anything else to add?

Healthy people, whaanau and families:

Accessible and more comprehensive healthcare available in the community to better support people to reach their full potential where they are at in their lives

Holistic support for people, whaanau and family in a way that understands their life realities and is more responsive to their health and social needs

Collaborate more across public sectors to make it easier for people, whaanau and families to access services and information they need to be more active in their health and wellbeing

Does this sound right? Do you have anything else to add?