Philosophy and Values
To be a centre of excellence for rural health care that is responsive to the needs and aspirations of the people of Hokianga.
"Ma to tatou mahi tahi i runga i te maia, te tika me te pono, ka whiwhi tatou ki te taumatatanga o te ora mo te iwi o Hokianga".
By working as one, with courage and mana, integrity and respect, we pursue excellence in the realm of health for all the people of Hokianga.
Hokianga Health Enterprise Trust:
|acknowledges Te Tiriti o Waitangi as a founding document of Aotearoa, and seeks to work within its articles|
|provides services with a Māori kaupapa focus|
|emphasises the promotion of good health|
|acknowledges the importance of integrated health services in Hokianga|
|recognises one people but provides for the aspirations of Māori and other cultures|
|seeks to offer a service with no payment at the point of need|
|seeks equity of funding|
|seeks autonomy and control of health services within and by the community|
Tino Rangatiratanga and the Principle of Subsidiarity
Hokianga Health Enterprise Trust is guided by Māori concepts such as Kāwanatanga and Tino Rangatiratanga in accordance with the articles of the Māori version of Te Tiriti o Waitangi. Hokianga, a predominantly Māori community, practices self-determination to improve its own health and well-being. The Trust is an expression of this community action.
“the aims of self-determination are practical and intimately bound to the aspirations and hopes within which contemporary Māori live.” 1
Tino Rangatiratanga is central to understanding the significance of the Te Tiriti o Waitangi to Māori and Pakeha New Zealanders. There is a strong relationship between this and the European social principle of subsidiarity.
Subsidiarity was borrowed from classical political theory by the Roman Catholic Church, which turned it into a moral principle. It was restated in a papal encyclical, Quadragresimo Anno, in 1941;
“It is an injustice, a grave evil and a disturbance of right order for a larger and higher organisation to arrogate to itself functions which can be performed more efficiently by smaller and lower bodies”
This is saying quite simply in the words of popular writer and business columnist Charles Handy: “that stealing people’s responsibility is wrong”.
Handy contrasts subsidiarity with empowerment - he says empowerment implies that someone in a superior position is giving away power to someone in an inferior position, while subsidiarity means that power does not have to be given away – it properly belongs where it is.2
1. “Te Mana, Te Kāwanatanga, The Politics of Māori Self-determination", Mason Durie (1998) ↩
2. “Cooperative Government, Devolution of Powers and Subsidiarity”, Gretchen Carpenter ↩
Philosophy of Hauora Hokianga
Hauora Hokianga (or Hokianga Health) represents the health services provided by Hokianga Health Enterprise Trust. An evidence-based model of medicine and primary health care is provided by Hauora Hokianga within a holistic framework, informed by a Māori worldview related to the interconnectedness of organic life. A model that articulates this philosophy is Mason Durie’s, Te Whare Tapa Wha. 3 Thus:
|Hauora Hokianga recognises health as a four-sided concept (tapa wha); the spiritual (taha wairua), the psychological (taha hinengaro), the physical (taha tinana), and the social (taha whanau). These components connect to form an integrated conscious living system which adapts purposefully to changing environments in order to maintain and enhance health and well being.|
These four dimensions are represented by the four walls of a house. Each wall is necessary to the strength and symmetry of the whole building.
|Hauora Hokianga recognises that all individuals are part of a whanau and our care will be whanau centred and whanau endorsed. Our outcomes will be whanau satisfaction, inspired workforce and relationships and enhanced mana.|
|Hauora Hokianga recognises the place of marae in Hokianga society, and celebrates the successful development of marae knowledge and resources.|
|Hauora Hokianga recognises that the people of the Hokianga are responsible for their own health and lifestyle.|
|Hauora Hokianga recognises that health care provision should be readily accessible, affordable and sensitive to the needs of the people.|
|Hauora Hokianga recognises that the people of Hokianga have the right to a high quality health service to assist them to achieve and maintain good health and to promote healthy living.|
|Hauora Hokianga recognises that the people of Hokianga are aware of their own health care needs, and are encouraged to be involved in the planning and provision of their own care. Hauora Hokianga is aware of its role in assisting whanau to seek ways to improve their own health and well-being.|
|Hauora Hokianga recognises that Hokianga Hospital is an important component of health care provision for the people of Hokianga – an extension of the primary health services.|