Recognising the importance of active engagement with communities, patients consumers and whānau - ensuring that we are providing them with greater control over the design of the health the services they rely on

Shifting the power: Designing systems around the needs of whanau and patients rather than clinicians and providers

Working in partnership with consumers, whānau and communities in the co-design of well-coordinated consumer and whānau-centred care for those living with long term conditions

Analysing the code of expectations for health entities’ engagement with consumers and whānau and the expectations it sets for how health entities must work with consumers, whānau and communities in the planning, design, delivery and evaluation of health services

Sharing examples of effective co-design in action demonstrating the active support of Māori and other key consumer groups in the co-production and co-design of health care services for those living with long term conditions

Improving the holistic management of long-term conditions to better meet the needs of Māori communities

Recognising the poorer outcomes and increased prevalence of long-term conditions for Māori who experience the onset of disease at a younger age and face a higher risk of complications and early death

Developing the capacity and capability of the IMPB to drive the health and care system to be more responsive to Māori health need around long-term conditions

Undertaking a prioritised local needs assessment and identifying our most vulnerable population groups and their health priorities

Creating a Community Health Plan to define the services most important to our rohe

Reassessing practice models to ensure treatment and management decisions contribute to improving equity

How to embed holistic, whole-of-whānau, strengths-based support across the chronic health condition disease continuum from prevention to end of life

Shifting the paradigm to achieve an emphasis on prevention of illness and the delivery of lifestyle support to reduce the exacerbation of long-term conditions

Exploring the use of green prescriptions (GRx) in supporting people to be more active and make healthier choices

Examining the local and national service provision of GRx

Evaluating the impact, value and return on investment GRx

Beyond the Script: How primary care can lead behavioural change

Recognising that the health system is superb at diagnosis and pharmacology but was never built to shift daily behaviour - why long-term conditions are where that gap in capability costs us the most

Delivering Advanced Behaviour Change for Clinical Practice

Providing better guidance on how to provide support to adults achieve healthy lifestyles

Why “’advice” is the weakest tool in our toolkit

Recognising "No motivation" as a biology problem rather than a character issue

Developing the Health Coach workforce to deliver lifestyle medicine, behaviour change programmes and build prevention capability at scale

Identifying and tackling the social determinants of health that impact negatively on the development of long-term conditions

Implementing long‑term prevention programmes at scale through place-based systems change

Working in partnership with communities and stakeholders to reshape the conditions that influence health

Working together to influence improvements in: Physical environments, social, economic environments and commercial environments

Understanding multi-morbidity and why the 20th-century model of single-condition episodes of care cannot meet the needs of people in the 21st-century living with multiple long-term conditions

Examining why co-ordinating clinical care is vital to ensure people with multiple long-term conditions get the right support

Coordinating integrated care for high needs patients with multi-morbidly

Achieving the co-ordination of clinical care across hospitals and primary and community health services for people with multiple long-term conditions

Integrated practice models – bringing together interventions from across the whole health and care system to achieve flow in and out of acute care

Examining the effectiveness of early supported discharge schemes

Utilising care coordinator roles to deliver effective coordination of integrated services from primary care

Journey to Wellbeing Huarahi Ora - Sharing the guiding principles for self-management developed by a review of international and national literature about self-management support for long-term conditions

Delivering a paradigm shift and from ‘self-management support’ to a more whānau inclusive to a more culturally safe and co-designed name and concept

7 principles to consider when designing and developing programmes and initiatives for people who have long term health conditions:
- Whānau centred
- Co-designed
- Culturally safe
- Meaningful
- Accessible
- Skilfully facilitated
- Sustainable

Exploring the Stanford Chronic Disease Self-Management Programme (CDSMP)

Exploring the potential of Artificial intelligence (AI) applications for promoting and supporting self-management in patients with long-term conditions

Assessing the capability of AI as a clinical decision-support tool to identify warning signs and support care teams to make more informed, proactive decisions - AI-equipped retinal screening pilots

Examining the role of AI in enabling earlier diagnosis of long-term conditions

Piloting AI Health Coaches providing lifestyle support for diabetes, gout, and weight management

Achieving system savings by leveraging advanced remote monitoring capabilities to enable patients to achieve greater control of their conditions and reduce unnecessary and costly admissions to acute care

Integrating telehealth and remote consultation technologies within long term-condition pathways

Using advanced data analytic capabilities to better target population health approaches and care coordination for long-term conditions

Practical change management approaches that support the adoption of new models of care

Developing and scaling implementation toolkits for multidisciplinary teams

Using population health data to drive local improvement and address inequities

Building workforce capability for quality improvement and service redesign

Sharing successful models and lessons learned to support national scale and spread

Diabetes

Mental health and addictions

Cancer

Cardiovascular disease

Respiratory disease

Obesity

Gout