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HomeOur workRegulationCertification of health care servicesFor service providersReporting on an ACC Notification of Harm

Certification of health care services

Health and Disability Services (Safety) Act
Standards
For residents and families
For service providersAnnual service provider declaration
Notification for one hospital-level resident to be cared for in a rest home service area
Applying for certification
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Notifying a change of clinical or facility manager
Notifying a change of governance
Notifying an incident under section 31
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Residential disability provider surveillance

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For Te Whatu Ora
Making a complaint
HealthCERT Bulletin
Publications

 Reporting on an ACC Notification of Harm


This section provides information for certified providers who need to make a report relating to an ACC notification of harm.Section 284(2) of the Injury Prevention, Rehabilitation, and Compensation Act 2001 requires the Accident Compensation Corporation (ACC) to notify the Director-General of Health of events, or series of events, it believes represent a degree of ‘risk of harm’ to the public.
Certified providers can use the ACC Notification of Harm Report Provider Feedback Form (docx, 67 KB) to make the report, if requested to do so by the Ministry.
Further information
If you require any further information or advice please contact us.

Downloads

 ACC Notification of Harm Report Provider Feedback Form (docx, 67 KB)

Page last updated: 29 January 2015

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Notifying a change of governance | Ministry of Health NZ

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HomeOur workRegulationCertification of health care servicesFor service providersNotifying a change of governance

Certification of health care services

Health and Disability Services (Safety) Act
Standards
For residents and families
For service providersAnnual service provider declaration
Notification for one hospital-level resident to be cared for in a rest home service area
Applying for certification
Designated auditing agencies
Notifying a change of clinical or facility manager
Notifying a change of governance
Notifying an incident under section 31
Reconfiguring services or building a new premises
Reporting on an ACC Notification of Harm
Residential disability provider surveillance

For designated auditing agencies
For Te Whatu Ora
Making a complaint
HealthCERT Bulletin
Publications

 Notifying a change of governance


Section 31 of the Health and Disability Services (Safety) Act 2001 requires certified providers to notify the Director-General of Health any change in membership of the governing body, partners or trustees of the service provider.
Please use the Notification of change of governance form (Word, 57 KB) to advise HealthCERT of these changes.
Advising Te Whatu Ora
If you hold a contract with Te Whatu Ora, you should also send a copy of the completed form to your Te Whatu Ora Portfolio Manager.
Further information
The Section 31 Reporting Guidelines (Word, 68 KB) provide more information about notifications under Section 31 of the Act. If you have any questions, please contact HealthCERT on 0800 113 813 or at [email protected].

Downloads

 Notification of change of governance form (docx, 57 KB)

Page last updated: 05 December 2022

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Burial and Cremation Act 1964 | Ministry of Health NZ

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HomeOur workRegulationBurial and Cremation Act 1964

Burial and Cremation Act 1964

Completing death documents
Referring a death to the coroner
WHO cause-of-death certification
Cause-of-death statistics
Death Documents project
Cremation regulations

 Burial and Cremation Act 1964


Guidance for health professionals on the Act and Regulations, including certification for a cause of death or cremation, referring a death to the coroner, WHO guidelines and cause-of-death statistics.The Burial and Cremation Act 1964 requires that a medical practitioner or nurse practitioner must first certify the cause of death before a body can be buried or cremated. If a health practitioner is unable to certify the cause of death then a coroner must authorise the burial or cremation.
Medical certificates and coroners’ reports are the main source of cause of death information from which underlying cause-of-death statistics are collated. These statistics are recognised as an important objective measure of the health status of the population, forming health policy, monitoring the effectiveness of cancer screening, immunisations and other health programmes and for comparing New Zealand cause of death statistics with those from other countries.

Consultation on modernising death, burial and related legislation is now closed
Public consultation on proposed options for modernising New Zealand's legislation relating to death, burial, cremation and funerals closed on 31 October 2020 and the Ministry of Health is actively progressing this policy review. A summary of the submissions has been published.
The consultation documents and other related information can be found at:

Death, Funerals, Burial and Cremation: a Review of the Burial and Cremation Act 1964 and Related Legislation


In this section

Completing death documents

 Information for health practitioners about completing or amending medical cause of death and cremation certificates, and guidance when using the Death Documents website.

 Read more

Referring a death to the coroner

 In certain cases, a health practitioner must report a death to the coroner.

 Read more

WHO cause-of-death certification

 Information about the role of the World Health Organization (WHO) in the rules for health practitioners, guidelines for clinical coders and using the online learning tool.

 Read more

Cause-of-death statistics

 Information on causes of death has been published in New Zealand since 1872 for Europeans and 1920 for Māori.

 Read more

Death Documents project

 Find out more about the Death Documents project, latest updates, guidance resources and how to provide feedback on the processes implemented so far.

 Read more

Cremation Regulations 1973: Exemption from Regulation 7

 Guidance for when cremations are permitted to be carried out without complying with regulation 7 of the Cremation Regulations 1973.

 Read more

Related areas

 Mortality data and stats

Related websites

 Births, Deaths and Marriages

 Coronial Services

 Death Documents

 End of Life Services

 Burial and Cremation Act 1964 - NZ Legislation

 Coroners Act 2006, s14

 Cremation Regulations 1973

Page last updated: 19 November 2021

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Page last updated: 19 November 2021

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Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021) | Ministry of Health NZ

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HomeOur workRegulationCertification of health care servicesStandardsNgā Paerewa Health and Disability Services StandardSector guidance

Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021)Part 1: Our rights
Part 2: Workforce and structure
Part 3: Pathways to wellbeing
Part 4: Person-centred and safe environment
Part 5: Infection prevention and antimicrobial stewardship
Part 6: Restraint and seclusion

 Sector Guidance for Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021)


This guidance supports providers to meet the updated Ngā Paerewa Health and Disability Services Standard NZS 8134:2021.The sector guidance is now published and overseen by the Ministry. To learn more about how this sector guidance was developed, see Stage 2: Sector Solutions Guidance working groups. This new structure allows the Ministry to update the guidance more frequently to keep pace with new trends and changing models of care and support.
The purpose of the sector guidance is to assist different service types with the interpretation of the criteria for each section within the standard. Sector guidance is a guide and is not mandatory. It is not to be audited against. The guidance is general and does not include all methods that can be used to meet the criteria.
To sign up for notification regarding sector guidance, email [email protected].

Part 1: Our rights

Page last updated: 30 June 2021

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Medicinal Cannabis Agency | Ministry of Health NZ

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HomeOur workRegulationMedicinal Cannabis Agency
Medicinal Cannabis AgencyThe Medicinal Cannabis Agency administers the Medicinal Cannabis Scheme and ensures medicinal cannabis products meet the minimum quality standard.

Medicinal cannabis products that have been verified as meeting the minimum quality standard – read more.

Information for the industry
The medicinal cannabis scheme enables the commercial cultivation of cannabis for the medicinal use and the manufacture and supply of cannabis-based ingredients, starting material and medicinal cannabis products. Read more.
Licence activities

Activities related to the cultivation, manufacture or supply of medicinal cannabis products must be carried out in accordance with a medicinal cannabis licence issued by the Medicinal Cannabis Agency under the Misuse of Drugs (Medicinal Cannabis) Regulations 2019.
The following pages outline the types of 'activity' that can be carried out by the licence holder and the people working under their authority.

Cultivation
Nursery
Research


Possess for manufacture
Supply

Applying for a licence
This section outlines what you will need to work through to obtain a medicinal cannabis licence. This includes providing guidance to help you complete your application, set out the application process and the fee structure. Read more.
Working with medicinal cannabis
The following pages outline some of the key requirements you will need to meet when working with medicinal cannabis.

Security of cannabis
Minimum quality standard
Product assessments

Importing and exporting
Advertising products
CBD products

Information for consumers
Information for members of the public who may have a clinical need to access quality medicinal cannabis products. Read more.

Information for health professionals
Information for doctors, pharmacists and other health professionals involved in the provision of quality medicinal cannabis products for therapeutic use by patients. Read more.

View medicinal cannabis products that meet the minimum quality standard

Background information
More information about the Medicinal Cannabis Agency, including a timeline of the Medicinal Cannabis Scheme, key documents, and info about the stakeholder workshops. Read more.

 About the Medicinal Cannabis Scheme
See more information for members of the public who may have a clinical need to access quality medicinal cannabis products. Read more.

Guidance and forms
This section provides guidance on the Medicinal Cannabis scheme and applying for:

A medicinal cannabis licence
Assessment of medicinal cannabis products, cannabis-based ingredients or starting material

And application forms for:

A medicinal cannabis licence
Amending a medicinal cannabis licence
Renewing a medicinal cannabis licence
Making a declaration of illicit plants and seeds
New medicinal cannabis product assessment
Changed medicinal cannabis product assessment
Cannabis starting material assessment

Subscribe to mailing list
Subscribe to receive updates from the Medicinal Cannabis Agency. Read more.

Page last updated: 04 July 2022

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Page last updated: 04 July 2022

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Training and support | Ministry of Health NZ

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HomeOur workRegulationCertification of health care servicesStandardsNgā Paerewa Health and Disability Services StandardTraining and support

Certification of health care services

Health and Disability Services (Safety) Act
StandardsNgā Paerewa Health and Disability Services StandardTraining and support
Sector guidance
Te Apārangi: Māori Partnership Alliance

Standards Review (2019–2021)

For residents and families
For service providers
For designated auditing agencies
For Te Whatu Ora
Making a complaint
HealthCERT Bulletin
Publications

 Training and support


HealthCERT is providing a variety of online seminars, education sessions, and printable resources to ensure health and disability service providers, health professionals, designated auditing agencies, and the people and whānau who use these services are well supported in preparation for the Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021) to come into effect.On this page:

Online training sessions (November 2022 - August 2023)
Online lunch sessions (July 2021 - October 2021)
Sector specific information seminars (September – December 2021)
Workshops on topics of interest
eLearning modules
How to stay informed

Online training sessions (Nov 22 - Aug 23)
Based on the feedback HealthCERT received from the sector, we understand the providers’ needs of ongoing training in the style of online workshops/presentations. HealthCERT is currently developing a series of presentations focusing on interpretation of requirements in Ngā Paerewa and the practical ways to meet requirements, with examples of good practice we have noted from the completed audits under Ngā Paerewa.
The first presentation has been recorded and is available on YouTube. A copy of the presentation slides is available below:

Infection Prevention and Antimicrobial Stewardship (pptx, 3MB)

More training presentations will be coming soon.

Online lunch sessions (Jul - Oct 21)
HealthCERT has previously run a number of online sessions to provide an overview of the different sections within the 2021 standard, with a focus on the changes from the previous standards to Ngā Paerewa Health and Disability Services Standard (NZS 8134:2021) (Ngā Paerewa).
The sessions were recorded and are available on YouTube
A copy of the presentation slides is available below:


Introduction (PowerPoint, 946 KB)
Ō tātou moutika  | Our rights (PowerPoint, 1.7 MB)
Hunga mahi me te hana | Workforce and structure (PowerPoint, 1.9 MB)
Ngā Huarahi Ki Te Oranga | Pathways to Wellbeing (PowerPoint, 1.9 MB)
Te Aro Ki Te Tangata Me Te Taiao Haumaru | Person-centred and Safe Environment and Te Kaupare Pokenga Me Te Kaitiakitanga Patu Huakita | Infection Prevention and Antimicrobial Stewardship (PowerPoint, 2.2 MB)
Here Taratahi | Restraint and Seclusion (PowerPoint, 2.0 MB)
Ngā Paerewa Refreshed Te Tiriti o Waitangi Related Requirements – Session for Service Providers (PowerPoint, 2.3 MB)
Ngā Paerewa Refreshed Te Tiriti o Waitangi Related Requirements – Session for Auditors (PowerPoint, 2.8 MB)

Sector specific information seminars (Sep - Dec 21)
Due to disruption from COVID-19 Delta outbreaks during 2021, HealthCERT was unable to run the tailored seminar roadshows as planned. We understand that our providers and key stakeholders were also greatly affected. Therefore, we have published pre-recorded sector specific sessions that provide an overview of the development of NZS8134:2021 including a summary of partially new and new criteria.
The pre-recorded sessions are available on YouTube.
A copy of the presentation slide is available below


Aged residential care providers (pptx, 24 MB)
Fertility service providers (pptx, 32 MB)
Primary maternity centre providers (pptx, 32 MB)
Hospice providers (pptx, 32 MB)
Overnight hospital inpatient services (public and private) providers (pptx, 32 MB)
Residential mental health and addiction service providers (pptx, 32 MB)
Residential disability service providers (pptx, 32 MB)
Home and community support service providers (pptx, 28 MB)
Abortion service providers (pptx, 24 MB)

In December 2021, HealthCERT hosted a Designated Auditing Agency (DAA) annual national Hui that had a key theme of Ngā Paerewa and Te Ao Māori as part of preparing the DAAs for the new requirements.

Workshops on topics of interest
Ngā Paerewa pre-implementation survey results suggest that targeted workshops is the preferred way of training to support the sector’s preparedness for implementing, HealthCERT will be running quarterly feedback survey to understand how best HealthCERT can support the sector’s implementation of Ngā Paerewa in daily practice, and develop targeted workshops to meet the sector’s needs. All service providers currently certified will receive the survey via email. If you are not a certified provide and wish to be included in the next survey and/or to sign up for the HealthCERT Bulletin, email [email protected].


eLearning modules
As part of Ngā paerewa implementation, HealthCERT developed an eLearning module (Compliance with Te Tiriti o Waitangi requirements in Ngā Paerewa) to help people with their understanding of how to implement the criteria within Section 1.1 Pae ora and throughout the standard, and explaining how Ngā Paerewa supports the Ministry in its role as kaitiaki of the Health and Disability system for Aotearoa.
HealthCERT is currently working on a second eLearning module. This second module will dive deeper into the steps providers can take to be compliant with Te Tiriti requirements within Ngā Paerewa. If you have any feedback from the first one, or would like certain topics covered in the second, or would even like to be involved in the development, please email  [email protected].

How to stay informed
This page will be updated regularly with information about further training and support available to support the embedding of the full Ngā Paerewa requirements in provision of health and disability services.
If you have additional queries, please contact HealthCERT, [email protected].


Page last updated: 07 December 2022

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Released 20 23 health.govt.nz

Standards
Mapping
Analysis
2021 ( Updated in 2023 )


Mapping
Health and Disability Services Standards (NZS 8134:2008)
Fertility Services Standard (NZS 8181:2007)
Home and Community Support Sector Standard (NZS 8158:2012)
Interim Standards for Abortion Services in New Zealand
To: updated Ngā Paerewa Health and Disability Services Standard
(NZS  8134:2021)
Citation: Ministry of Health. 2023. Standards Mapping Analysis . Wellington: Ministry
of Health.
Published  in March  2023 by the Ministry of Health
PO Box 5013, Wellington  6140 , New Zealand
ISBN 978-1- 991075- 07-9 ( online )
HP 8706

 This work is licensed under the Creative Commons Attribution 4.0 International licence.
In essence, you are free to: share ie, copy and redistribute the material in any medium or
format; adapt ie, remix, transform and build upon the material. You must give
appropriate credit, provide a link to the licence and indicate if changes were made.


STANDARDS MAPPING ANALYSIS : 2021 ( UPDATED IN 2023 ) iii
 Contents
Purpose  1
Background  2
Other standards in cluded in the review  2
The updated Ngā Paerewa Health and Disability Services Standard  3
Methodology  4
Mapping categories  4
Mapping for specific services  5
High -level summary of analysis 5
Detailed mapping analysis 6
1 Ō tātou motika | Our rights  6
2 Hunga mahi me te hanganga | Workforce and structure  10
3 Ngā huarahi ki te oranga | Pathways to wellbeing  13
4 Te aro ki te tangata me te taiao haumaru | Perso n-centred and safe
environment  17
5 Te kaupare pokenga me te kaitiakitanga patu huakita | Infection
prevention and antimicrobial stewardship  18
6 Here taratahi | Restraint and seclusion  21
Appendix A: Mapping analysis by service type 23


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  1
 Purpose
HealthCERT has completed the official mapping analysis of the Health and Disability
Services Standards ( NZS 8134:2008) , the Fertility Services Standard (NZS 8181:2007) ,
the Home and Community Support Sector Standard (NZS 8158:201 2) and the Interim
Standards for Abortion Services in New Zealand (the previous  standards) against  the
updated Ngā Paerewa Health and Disability Services  Standard NZS 8134:2021 (Ngā
Paerewa ).

This official mapping  analysis compares the previous  standards with Ngā Paerewa,
showing which criteria have changed and which have stayed the same.
 This document will help providers plan and prepar e for meeting the updated
requirements in Ngā Paerewa.
 This document was updated  in February  2023 , following the initial implementation of
Ngā Paerewa . Some changes have been made in mapping criteria  for the Health and
Disability Services Standards ( NZS 8134:2008) and Home and Community Support
Sector Standard (NZS  8158:2012)  to Ngā Paerewa following feedback and discussion
between HealthCERT , providers  and the design ated auditing agencies.


2 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Background
The Health and Disability Services (Safety) Act 2001 (the Act) requires regular review of
the any standards in  force  under the Act. Reviewing the standards regularly is
important to ensure they reflect the  health and disability  services being provided today
and continue to work for health practitioners, service providers as well as those using
the services and their whānau.

In 2017, Manatū Hauora - The Ministry  of Health  (the Ministry)  began a significant
review and consultation process with the health and disability sector, including health
practitioners, service providers, advocacy and support groups, iwi and the individuals
and whānau who use our health and disability services.
 The review gave the healt h and disability sector the chance to ensure the standards are
flexible enough to reflect current accepted best practice and incorporate changes to
the way they deliver high- quality care and support.

For more information about the review process, see the Standards Review (20 19–
2021) webpage on the Ministry website .
Other  standards inclu ded in the
review
The home and community  support  sector ha s some crossover with the health and
disability sector . For this reason, the Home and Community Support Sector Standard
(NZS 8158:2012)  was considered as part of this review , with the support of the sector .

Following the passing of the Abortion Legislation Act 2020,  the role of regulating
abortion services transferred to the Ministry. Thus, the Ministry’s Interim Standards for
Abortion Servi ces in New Zealand were also included in the review.


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  3
 The updated Ngā Paerewa Health
and Disability Services Standard
Following agreement from the health and disability sector, Ngā Paerewa combined the
following  four standards  into one, significantly redu cing duplication and variation
across health and disability services .
• Health and Disability Services Standards (NZS 8134:2008)
• Fertility Services Standard (NZS 8181:2007)
• Home and Community Support Sector Standard (NZS 8158:2012)
• Interim Standards for Abor tion Services in New Zealand.

Ngā Paerewa applies to over 650 different h ealth and disability service providers,
including fertility services, primary birthing centres, hospices, overnight hospital
inpatient services (public and private), age-related residential care  services, residential
mental health  and addiction services and disability services. This standard is also fit for
use by home and community support services and abortion service providers in
Aotearoa New Zealand.

The independe nt statutory board Standards Approval Board approved Ngā Paerewa on
4 May 2021. The Minister of Health approved Ngā Paerewa for use under the Act on
24 June 2021. Ngā Paerewa became  mandatory on 28  February 2022.


4 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Methodology
The mapping analysis compare s the criteri a that make up Ngā Paerewa with criteri a
from  the Health and Disability Services Standards ( NZS 8134:2008) , Fertility Services
Standard (NZS 8181:2007) , Home and Community Support Sector Standard
(NZS 8158:201 2) and Interim Standards f or Abortion Services in New Zealand
(collectively referred to as ‘the previous standards ’).

This mapping indicates the high- level similarities across the different criteria. In some
instances, two or more criteria from the previous  standards could be mapp ed to the
same criteria in Ngā Paerewa . For the purposes of this document, we matched the
criteria according to best fit. However, we acknowledge there may be other Ngā
Paerewa  criteria that the previous standards’ criteria could be applied to.
Mapping categories
The mapping analysis  of the previous  standards and Ngā Paerewa  fit the criteria into
one of three categories.
1. Mapped : Ngā Paerewa criteria directly align  to criteria in one or more of the
previous standards . The criteria are either  exact ly the  same  or they have the
same intent but the  wording has been changed slightly to reflect more
contemporary language .
2. Partial ly mapped: Ngā Paerewa criteria  partially  align  to criteria in one  or more  of
the previous standards. Ngā Paerewa criteria are either similar to the previous
standards criteria or are the same as the previous  standards criteria but with an


standards criteria or are the same as the previous  standards criteria but with an
additional element. In either situation, the wording is likely to be different
because Ngā Paerewa criteria are more up to date, reflect ing current accepted
best practice.
3. Not mapped: Ngā Paerewa criteria do not align  to criteria in any of the previous
standard s. New criteria have been added to Ngā Paerewa  to reflect updated
models of care and ensure New Zealanders receive safe servi ces.


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  5
 Mapping for specific services
The mapping considers the Health and Disability Services Standards in their entirety.
This means that this initial mapping analysis does not consider any standards or criteria
with notations1 that indicat e they only apply to some health and disability services.
High -level s ummary  of analysis
Analysis of  the Health and Disability Services Standards (NZS 8134:2008) criteria
against Ngā Paerewa  criteria indicates that 63 percent  of the criteria directly map, 22
percent  partially map and 15 percent  do not map.

Analysis of  the Fertility Services Standard (NZS 8181:2007) criteria against  Ngā Paerewa
criteria indicates that 5 1 percent  of the criteria directly map , 3 percent  partially map
and 46  percent  do not ma p.

Analysis of  the Home and Community Support Sector Standard (NZS  8158:2012)
criteria against  Ngā Paerewa criteria indicates that 55 percent of the criteria directly
map, 5 percent partially map  and 40 percent do not map.

Analysis of  the Interim Standards for Abortion Services in New Zealand criteria against
Ngā Paerewa  criteria indicates that 38  percent  of the criteria directly map and 62
percent  do not map.

1 In the Health and Disability Services  Standards, the notations ‘ID’ (intellectual disability), ‘MHA’ (mental
health and addiction) and ‘S’ (acute, secondary or tertiary services) identified the parts of the standard s


that applied  only to those particular services (NZS 8134:2008, p12).


6 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Detailed m apping
analysis
The following tables provide  the official mapping analysis by criteria for the previous
standards  against Ngā Paerewa. See also Appendix A: Mapping analysis by service
type .
1 Ō tātou motika | Our rights
Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
1.1 Pae ora healthy futures
1.1.1 Partially mapped:
not explicit  / aligns
with: 1.1.4.1; 1.1.4.2;
1.1.4.3; 1.1.4.4; 1.1.4.5  1.4.1; 1.4.3; 1.4.4  1.2.2; 1.2.3  6.3.2; 6.3.9; 6.3.10; 6.1.11; 6.10.12; 6.10.13


1.1.2 1.1.4.1; 1.1.4.3; 1.1.4.4; 1.1.4.5  1.3.1; 1.3.2; 1.4.1;
1.4.3 1.2.2; 1.3.4  6.3.1; 6.3.2; 6.3.9;
6.3.10; 6.1.11; 6.10.12;
6.10.13
1.1.3 Not mapped  Not mapped  1.2.4 6.3.5; 8.2.7
1.1.4 Partially mapped:
not explicit  / aligns
with: 1.1.4.2  1.4.1; 1.4.2; 1.4.4.
1.4.5 1.2.1 6.3.2
1.1.5 Partially mapped:
not explicit  / aligns
with: 1.1.4.2; 1.1.4.4;
1.1.4.6; 1.3.6.2;
1.1.12.2  Partially mapped:
not explicit  / aligns
with: 1.4.1; 1.4.3;
1.4.4; 1.4.5 ; 1.4.6  1.2.1; 1.2.4  6.3.6


1.2 Ola manuia o ngā iwi o Te Moana- nui-a-Kiwa kei Aotearoa | Ola manuia of Pacific peoples in
Aotearoa
1.2.1 For public hospitals
and residential mental health and
addiction services,
mapped to: 1.1.5.1
For all other service
types, partially
mapped: not
explicit / aligns
with: 1.1.5.1  1.3.1; 1.3.2; 1.5.1; 1.5.2; 1.5.3  1.3.4 Not mapped


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  7
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
1.2.2 For public hospitals
and residential
mental health and addiction services,
mapped to: 1.1.5.1
For all other service
types, partially
mapped: not
explicit / aligns with: 1.1.5.1  Partially mapped:
not explicit / aligns
with: 1.5.1  Not mapped  Not mapped
1.2.3 Not mapped  Not mapped  Not mapped  Not mapped
1.2.4 Partially mapped:
not explicit  / aligns
with: 1.1.5.1; 1.1.5.2  Not mapped  Not mapped  Not mapped
1.2.5 For public hospitals
and residential
mental health and addiction services ,
mapped to : 1.1.5.1;
1.1.5.2; 1.1.12.2; 1.3.6.2
For all other service types,  partially
mapped: not


For all other service types,  partially
mapped: not
explicit  / aligns
with: 1.1.5.1; 1.1.5.2;
1.1.12.2; 1.3.6.2  Not mapped  Not mapped  Not mapped
1.3 Aku motika i te wā e tukuna ana ngā ratonga  | My rights during service delivery
1.3.1 1.1.1.1; 1.1.2.2  1.1.1; 1.1.2  1.1.1; 1.1.2; 1.1.4  Not mapped
1.3.2 1.1.1.1  1.1.1 1.1.3; 3.1.4  Not mapped
1.3.3 1.1.1.1; 1.1.2.3  1.1.3; 1.1.4  1.1.5 8.2.1
1.3.4 1.1.2.4; 1.1.11.1;
1.1.11.2; 1.1.11.3  1.1.4; 1.1.5; 1.3.2;
1.5.4; 1.9.1; ; 4.1.2 ;
4.2.1; 4.2.2  1.1.5 6.3.7
1.3.5 Partially mapped:
not explicit  / aligns


1.3.5 Partially mapped:
not explicit  / aligns
with: 1.1.2.1; 1.1.2.2;
1.1.4.1; 1.1.4.2;
1.1.4.3; 1.1.4.4;
1.1.4.5  Partially mapped
not explicit  / aligns
with: 1.1.2; 1.2.1;
1.4.3; 1.4.4; 4.2.4  Not mapped  Not mapped
1.4 E whakautetia ana ahau | I am treated with respect
1.4.1 1.1.3.6; 1.1.6.1;
1.1.6.2  1.3.2; 1.4.4; 1.4.5;
1.5.2; 4.2.2; 4.4.1;
4.4.2; 4.4.3  Not mapped  6.3.8; 8.3.7; 6.3.4; 6.3.8;
6.3.9; 6.3.10; 6.1.11;
6.10.12; 6.10.13
1.4.2 1.1.3.6; 1.1.6.1;


1.1.6.2  1.3.1; 1.3.2; 1.4.3; 1.4.4; 1.4.5; 1.5.2  1.3.3; 1.3.4  6.3.4; 6.3.8; 6.3.9; 6.3.10; 6.1.11; 6.10.12;
6.10.13
1.4.3 1.1.3.6; 1.1.6.1;
1.1.6.2  1.2.1; 1.2.2  1.4.3; 4.11; 4.12  8.3.18


8 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
1.4.4 Not mapped  Not mapped  Not mapped  6.3.1; 6.3.2; 6.3.7; 6.3.8;
6.3.9; 6.3.10; 6.1.11;
6.10.12; 6.10.13
1.4.5 Not mapped  1.4.1 Not mapped  6.3.2
1.4.6 Partially mapped:
not explicit  / aligns
with: 1.1.4.1; 1.1.4.4  Not mapped  Not mapped  Not mapped
1.5 E whakahaumarutia ana ahau i ngā mahi tūkino | I am protected from abuse
1.5.1 1.1.3.7; 1.1.7.1;
1.1.7.2; 1.1.7.3;


1.1.7.2; 1.1.7.3;
1.1.7.4; 1.1.7.5  1.7.1; 1.7.2; 1.7.3;
1.7.4; 1.7.5  1.1.7 Not mapped
1.5.2 1.1.3.7; 1.1.7.1;
1.1.7.2; 1.1.7.5  1.7.1; 1.7.3; 1.7.4;
1.7.5; 1.8.2  1.1.7 8.2.6; 8.3.3; 8.3.10; 8.3.14; 8.3.15
1.5.3 1.1.3.1; 1.1.7.1; 1.1.7.3  1.7.1; 1.8.1; 1.8.2  Not mapped  6.3.11
1.5.4 1.1.7.1; 1.1.7.3; 1.1.7.4; 1.1.7.5  1.7.2 Not mapped  Not mapped
1.5.5 Not mapped  Not mapped  Not mapped  Not mapped
1.5.6 Partially mapped: not explicit  / aligns
with: 1.1.4.2; 1.1.4.3;
1.1.4.7  Not mapped  Not mapped  Not mapped


1.1.4.7  Not mapped  Not mapped  Not mapped
1.6 Ka kitea ngā whakawhitiwhitinga whai hua | Effective communication occurs
1.6.1 1.1.2.3; 1.1.9.1; 1.1.10.3  1.1.2; 1.1.3; 1.6.1;
4.1.1 1.1.2; 1.3.2; 1.3.3; 1.3.4; 1.6.1; 2.10.1  7.1; 7.2; 7.4; 7.5; 8.1.1; 8.3.13; 8.3.20; 8.3.21
1.6.2 1.1.12.2; 1.3.2.1; 1.3.3.5; 1.3.4.4; 1.3.4.5; 1.3.6.2;
1.3.6.5; 1.3.12.7;
1.3.9.1  1.2.2; 1.4.1; 4.3.1  Not mapped  6.2.7; 6.3.6; 8.3.12
1.6.3 1.1.2.3; 1.1.9.1;


1.1.9.3; 1.2.4.4  1.6.1; 1.6.2; 1.6.3 1.6.2 7.4
1.6.4 1.1.2.3; 1.1.9.2  1.1.3; 1.6.2; 4.2.1  1.6.2 7.4
1.6.5 1.1.9.4  1.5.4; 1.6.4  1.3.2 6.2.10; 8.3.21
1.6.6 1.1.9.1  1.6.1; 1.6.2; 1.6.3;
1.6.4; 4.1.1 1.6.1; 1.6.2  6.2.4; 7.1; 7.2; 7.4; 7.5; 8.1.1
1.7 Kua whai mōhio ahau, ā, ka taea e au te mahi whiringa | I am informed and able to make choices
1.7.1 1.1.2.3; 1.1.10.1; 1.1.10.2; 1.1.10.5;
1.1.10.6  1.1.6; 1.1.7; 4.1.1;


4.2.1 1.6.2 6.2.5; 7.1; 7.2; 7.3; 7.4;
8.1.1; 8.2.3; 8.2.4;
8.3.21; 8.3.3; 8.3.5;
8.3.7; 8.3.8; 8.4.10;
9.4.1
1.7.2 1.1.2.3; 1.1.10.2;
1.1.10.3; 1.1.10.4;
1.1.10.5; 1.1.10.8  4.2.1; 4.4.1; 4.4.2  Not mapped  7.4; 8.2.3; 8.2.4; 8.3.7; 8.3.8


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  9
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
1.7.3 1.1.2.3; 1.1.10.2;
1.1.10.3; 1.1.10.5;
1.1.10.6  1.1.3; 1.1.6; 4.2.1 ;
4.4.1;  Not mapped  7.4; 8.2.1; 8.2.2; 8.2.3; 8.2.4; 8.3.7; 8.3.8
1.7.4 1.1.4.1; 1.1.4.5; 1.1.2.3; 1.1.10.2;
1.1.10.3; 1.1.10.5;
1.1.10.6  1.3.2; 4.2.3; 4.4.2  Not mapped  7.4; 8.2.2


1.7.5 1.1.2.3; 1.1.10.1;
1.1.10.2; 1.1.10.3;
1.1.10.4; 1.1.10.5;
1.1.10.6; 1.1.10.8  1.1.6; 1.1.7;  1.7.1; 1.7.2; 1.101.2;
1.10.3; 1.10.4; 1.10.5  7.4; 8.3.8; 9.12.6; 9.4
1.7.6 1.1.10.1; 1.1.10.6; 1.1.10.7  4.2.3 Not mapped  Not mapped
1.7.7 1.1.10.7  Not mapped  Not mapped  Not mapped
1.7.8 1.1.10.8; 1.1.10.9  NA Not mapped  6.3.14; 6.3.15; 8.3.24; 9.13.1 –9.13.3
1.7.9 Partially mapped: not explicit  / aligns
with: 1.1.4.1; 1.1.4.4;
1.1.8.1: 1.1.10.2;


1.1.8.1: 1.1.10.2;
1.1.10.5; 1.1.10.6 1.3.6.4  Not mapped  Not mapped  9.13.2; 9.13.3; 8.2.1;
8.2.2

1.8 Nōku te mana ki te tuku amuamu  | I have the right to complain
1.8.1 1.1.2.3; 1.1.13.1;
1.1.13.2  1.9.1; 1.9.2  1.1.6; 2.5.1  Not mapped
1.8.2 1.1.2.3; 1.1.6.1; 1.1.6.2; 1.1.13.1;
1.1.13.2  1.9.1; 1.9.2  2.5.2; 2.5.3  Not mapped
1.8.3 1.1.13.1  1.9.1; 1.9.2; 1.9.3  2.5.1; 2.5.2; 2.5.4  Not mapped
1.8.4 1.1.13.1  Partially mapped: not explicit  / aligns
with: 1.9.1; 1.9.3  Not mapped  Not mapped
1.8.5 Not mapped  Not mapped  Not mapped  Not mapped


1.8.5 Not mapped  Not mapped  Not mapped  Not mapped
1.9 Te hauora me te oranga o ngā tamariki ka whānau mai, hei hua o ngā ratonga hangarau
whakaputa uri, ā, me te whakaurunga ki ēnei e te tangata | Health and wellbeing of children
born as a result of, and people accessing, reproductive technology services
1.9.1 NA NA 2.7.1; 3.6.1; 3.6.2  NA
1.9.2 NA NA 2.6.3 NA
1.9.3 NA NA 1.1.1; 1.1.4  NA
1.9.4 NA NA 2.7.3 NA
1.10 Ngā whakaritenga o te tuku tātea/hua me te kōpū taurima | Requirements of donation and
surrogacy
1.10. 1 NA NA 1.9.1; 1.10.5; 1.10.7;
1.11.1  NA
1.10.2  NA NA 1.10.2; 1.10.5;
1.10.6; 1.11.1; 3.3.1;
3.3.2 NA


10 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
1.10.3  NA NA 2.7.1 NA
1.10.4  NA NA 1.11.1; 2.2.3; 3.3.2;
3.3.5 NA
1.10.5  NA NA 1.101.1; 3.5.7  NA
2 Hunga mahi me te hanganga |
Workforce and structure
Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS 8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number


for Abortion
Services in
New  Zealand
reference number
2.1 Mana whakahaere | Governance
2.1.1 1.2.1.3; 1.2.3.3;
1.2.4.2  2.3.1; 2.4.4; 3.3.1  2.1.5; 2.6.1  6.5.1
2.1.2 1.2.1.1; 1.2.1.2  2.1.1; 2.1.2  2.1.1; 2.1.2  Not mapped
2.1.3 1.2.1.3; 1.2.2.1  2.2.1 2.1.3; 2.1.7; 2.5.1  8.6.1; 8.6.3
2.1.4 Partially mapped:
not explicit  / aligns
with: 1.2.3.1; 1.2.3.3;
1.2.3.4; 1.2.3.5; 1.2.3.6; 1.2.3.7;
1.2.3.8; 1.2.3.9  2.1.3; 2.3.1  2.1.4 Not mapped
2.1.5 Not mapped  Not mapped  2.1.6 6.3.4
2.1.6 Not mapped  Not mapped  Not mapped  Not mapped
2.1.7 Partially mapped:


2.1.7 Partially mapped:
not explicit  / aligns
with: 1.1.4.2  Partially mapped:
not explicit  / aligns
with: 1.4.2 Not mapped  Not mapped
2.1.8 Partially mapped:
not explicit  / aligns
with: 1.2.3.2; 1.2.5.1;
1.2.5.2; 1.2.5.3;
1.2.5.4; 1.2.5.5;
1.2.6.1; 1.2.6.2;
1.2.6.3   2.2.2; 2.3.3 Not mapped  6.3.4; 8.3.12
2.1.9 Partially mapped:
not explicit  / aligns
with: 1.1.4.6; 1.3.6.2  Not mapped  Not mapped  Not mapped
2.1.10  Not mapped  Not mapped  Not mapped  Not mapped


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  11
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS 8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
2.1.11  Partially mapped:
not explicit  / aligns
with: 1.2.3.1; 1.2.3.3;
1.2.3.5; 1.2.3.6; 1.2.3.7; 1.2.3.8;
1.2.3.9  Not mapped  Not mapped  Not mapped
2.2 Kounga me te mōrearea | Quality and risk
2.2.1 1.2.3.2; 1.2.5.1;
1.2.5.2; 1.2.5.3;
1.2.5.4; 1.2.5.5  2.1.3; 2.2.2; 2.3.3
2.3.5 2.2.4; 2.2.5  Not mapped


2.2.2 1.2.3.1; 1.2.3.3;
1.2.3.4; 1.2.3.5;
1.2.3.6; 1.2.3.7;
1.2.3.8; 1.2.3.9;
1.2.4.1; 1.2.4.2;
1.2.4.3; 1.2.4.4  2.1.3; 2.3.1; 2.3.2;
2.3.3; 2.3.4 ; 2.3.5;
2.4.1; 2.4.2  2.2.1; 2.2.4; 2.5.5  Not mapped
2.2.3 1.2.1.1; 1.2.1.2;
1.2.3.6; 1.2.3.7;
1.2.3.8; 1.2.3.9;
1.2.4.3  2.1.3; 2.3.1; 2.3.2;
2.3.3; 2.3.4; 2.3.5  2.2.1; 2.2.6  Not mapped
2.2.4 Partially mapped:
not explicit  / aligns
with: 1.2.3.1; 1.2.3.5;


1.2.3.6; 1.2.3.8; 1.2.3.9; 1.2.4.1;
1.2.4.2; 1.2.4.3  2.1.2; 2.1.3 ; 2.2.2;
2.3.2; 2.3.3; 2.3.4; 2.3.5; 2.4.1; 2.4.2  3.6.1 Not mapped
2.2.5 For public and private hospitals ,
mapped to : 1.2.3.6;
1.2.4.1; 1.2.4.3;
1.2.4.4; 1.4.1.2;
1.4.1.3
For all other service
types,  partially
mapped: not
explicit  / aligns
with: 1.2.3.6; 1.2.4.1;
1.2.4.3; 1.2.4.4; 1.4.1.2; 1.4.1.3  Partially mapped:
not explicit  / aligns
with: 1.7.4;  2.3.2;
2.3.3; 2.3.4; 2.4.1;
2.4.2; 2.4.3  2.2.3; 2.4.1  Not mapped


2.2.6 1.2.4.2; 1.2.4.4  2.4.4 2.4.1 Not mapped
2.2.7 Partially mapped: not
explicit  / aligns with :
1.1.4.1; 1.1.4.3; 1.1.4.5;
1.2.7.1; 1.2.7.2; 1.2.7.3;
1.2.7.4; 1.2.7.5  Not mapped  Not mapped  6.3.5
2.2.8 Not mapped  Not mapped  Not mapped  Not mapped


12 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS 8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
2.3 Whakahaerenga ratonga | Service management
2.3.1 Partially mapped:
not explicit  / aligns
with: 1.1.4.1; 1.1.4.3;
1.1.4.5; 1.1.5.1; 1.2.2.2; 1.2.8.1; 1.3.3.4  4.5.2 Partially mapped: not explicit  / aligns
with: 2.6.2; 2.9.2  8.2.7; 8.6.5
2.3.2 1.2.2.2; 1.2.7.1;
1.2.7.2; 1.2.7.3;
1.2.7.4; 1.2.7.5; 1.3.3.1  3.1.1; 3.2.3; 3.2.4;


3.2.6;  2.6.2; 2.9.2; 3.1.1;
3.5.1 6.3.13; 6.3.5; 6.3.9;
6.5.3; 7.3; 8.2.4a; 8.2.5;
8.2.7; 8.3.16; 8.5.1;
9.2.1
2.3.3 Partially mapped:
not explicit  / aligns
with: 1.2.2.2; 1.2.7.5  3.2.1; 3.2.3  2.6.2 6.3.2
2.3.4 1.2.2.2; 1.2.5.2;
1.2.5.3; 1.2.5.5;
1.2.6.1; 1.2.6.2; 1.2.6.3; 1.2.7.5; 2.2.3.6  3.2.2 2.8.6; 2.8.7  Not mapped
2.3.5 For public hospitals and residential
mental health and
addiction services ,
mapped to : 1.2.5.3;
1.2.5.4; 1.2.6.3
For all other service types,  partially
mapped: not
explicit  / aligns
with: 1.2.5.3; 1.2.5.4;


1.2.6.3  Not mapped  Not mapped  8.3.16; 8.6.2; 8.6.34;
8.6.6; 9.9.4; 9.9.5
2.3.6 Not mapped  Not mapped  Not mapped  6.3.1
2.3.7 Not mapped  Not mapped  Not mapped  6.3.5
2.3.8 Not mapped  Not mapped  Not mapped  8.6.4
2.3.9 1.2.5.1  NA NA NA
2.3.10  1.2.5.2  NA NA NA
2.3.11  1.2.5.4  NA NA NA
2.3.12  1.2.6.1  NA (mapped to
2.2.2)  NA NA
2.3.13  1.2.6.2  NA NA NA
2.3.14  1.2.6.3  NA NA NA
2.4 Ngā kaimahi tiaki hauora me ngā kaimahi tautoko | Health care and support workers
2.4.1 1.2.7.1; 1.2.7.2; 1.2.7.3; 1.2.7.4; 1.2.7.5  3.1.1; 3.1.2; 3.2.1;


3.2.2; 3.2.3; 3.2.4; 3.2.5; 3.2.6  2.2.3; 2.8.3 2.8.5  Not mapped
2.4.2 1.2.7.1  2.2.1; 3.1.1 2.8.1; 2.9.1  7.3; 8.3.6; 8.6.3
2.4.3 1.2.7.2  3.1.2 2.8.2 9.2.1
2.4.4 1.2.7.4  1.7.5; 3.2.1  2.8.4 Not mapped


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  13
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS 8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
2.4.5 1.2.7.5  Not mapped  Not mapped  6.3.2
2.4.6 Partially mapped:
not explicit  / aligns
with: 1.2.7.1; 1.2.7.2;
1.2.7.5  Not mapped  Not mapped  Not mapped
2.4.7 Not mapped  Not mapped  Not mapped  Not mapped
2.5 Mōhiohio | Information
2.5.1 1.2.9.1; 1.2.9.2;
1.2.9.3; 1.2.9.4;
1.2.9.5; 1.2.9.6;


1.2.9.5; 1.2.9.6;
1.2.9.7; 1.2.9.9  1.2.2; 2.6.1; 2.6.2; 2.6.3; 2.6.4; 2.6.5;
2.6.6; 2.6.7  1.4.1; 1.5.1; 1.6.3; 1.10.4 2.11.2; 2.11.3;
2.11.4; 2.11.5; 2.12.2  8.3.19
2.5.2 1.2.9.2; 1.2.9.3;
1.2.9.6; 1.2.9.8;
1.2.9.10; 1.3.5.3  1.2.2; 2.6.1; 2.6.3;
2.6.4; 2.6.5; 2.6.6; 2.6.7 1.4.1; 1.10.4;
2.1.11.1; 2.11.5;
2.12.1; 2.12.3; 2.12.4; 2.12.5; 2.12.6; 2.12.7  Not mapped
2.5.3 1.2.9.3; 1.2.9.4; 1.2.9.6  Not mapped  Not mapped  Not mapped


3 Ngā huarahi ki te oranga |
Pathways to wellbeing
Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
3.1 Te urunga me te whakakore urunga | Entry and declining entry
3.1.1 1.3.1.1; 1.3.1.3; 1.3.3.4  2.5.1; 4.1.1; 4.1.3  3.1.3; 3.1.6  6.2.1; 6.2.4; 6.2.6; 6.2.7;
6.3.6; 6.4.2; 7.1; 7.5;
9.12.2; 9.12.3; 9.9.1
3.1.2 1.3.1.1; 1.3.1.3;
1.3.1.4; 1.3.1.5  2.5.1; 4.1.1  Not mapped  6.2.9; 6.4.1


3.1.3 Partially mapped:
not explicit  / aligns
with: 1.1.1.1; 1.1.2.3;
1.1.3.1; 1.1.3.2; 1.1.4.1; 1.1.4.4; 1.1.4.5; 1.1.4.6;
1.1.6.1; 1.1.6.2  4.1.2; 4.3.4  3.1.3 Not mapped
3.1.4 1.3.2.1; 1.3.2 .2;
1.3.6.2  Not mapped  3.2.1; 3.2.2; 3.2.3  Not mapped
3.1.5 Not mapped  Not mapped  Not mapped  Not mapped


14 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
3.1.6 Partially mapped:
not explicit  / aligns
with: 1.3.4.5; 1.3.6.2  Not mapped  Not mapped  6.3.4; 6.3.6
3.2 Taku huarahi ki te oranga  | My pathway to wellbeing
3.2.1 1.1.1.1; 1.1.2.3;
1.1.3.2; 1.1.4.1;
1.1.4.4; 1.1.4.5;
1.1.4.6; 1.1.6.1;
1.1.6.2; 1.3.3.2;
1.3.3.3; 1.3.3.5;
1.3.4.1; 1.3.4.2;
1.3.4.4; 1.3.4.5;


1.3.4.4; 1.3.4.5;
1.3.5.1; 1.3.5.4;
1.3.5.5;  1.3.6.2  1.4.5; 2.5.2; 4.1.2;
4.2.1; 4.2.2; 4.2.3;
4.2.4; 4.4.1; 4.4.2  1.2.2; 3.5.2; 3.5.3;
3.5.4; 3.5.6; 3.8.1  6.2.6; 6.2.8; 6.4.1; 6.4.2;
8.3.1; 9.12.6
3.2.2 1.3.3.1; 1.3.3.3; 1.3.4.2; 1.3.4.3  4.4.1 3.5.6; 3.8.1  9.9.1; 9.9.2
3.2.3 Partially mapped: not explicit  / aligns
with: 1.1.1.1; 1.1.3.2;
1.1.3.6; 1.1.4.1;
1.1.4.4; 1.1.4.5;
1.1.4.6; 1.1.6.1;
1.1.6.2; 1.1.10.2;


1.1.6.2; 1.1.10.2;
1.1.10.3; 1.1.10.5;
1.1.10.6; 1.1.12.2;
1.2.1.3; 1.2.2.1;
1.2.7.1; 1.2.7.2;
1.2.7.3; 1.3.3.1;
1.3.3.3; 1.3.4.4; 1.3.4.5; 1.3.5.1;
1.3.5.2; 1.3.5.3;
1.3.5.4; 1.3.5.5 ;
1.3.6.2  1.4.3; 4.1.2; 4.2.1;
4.2.2; 4.2.4; 4.4.1;
4.4.2; 4.4.3; 4.5.1;
4.10.1; 4.10.2;
4.12.1; 4.12.2; 4.12.3  Partially mapped: not explicit  / aligns
with: 1.2.1; 1.2.3;


with: 1.2.1; 1.2.3;
1.2.3; 3.1.1; 3.1.2; 3.5.1 7.3; 8.2.2; 8.2.5; 8.3.4; 8.3.5; 8.3.6; 8.3.11;
8.3.22; 8.3.23; 8.4.1;
8.4.2; 8.4.3; 8.4.5; 8.4.6;
8.4.7; 8.4.8; 8.4.9; 8.4.11; 8.4.12; 8.4.14;
8.6.1; 9.5.1; 9.6.2; 9.7.1–9.7.20;
9.8 1– 9.8.3; 9.9.1;
9.9.2; 9.9.6 –9.9.12;
9.10.1
3.2.4 Partially mapped:
not explicit  / aligns
with: 1.3.4.2; 1.1.7.2;
1.1.7.5; 1.1.12.1; 1.3.3.2; 1.3.3.3;
1.3.4.4; 1.3.5.1; 1.3.5.2; 1.3.5.5;


1.3.6.1; 1.3.6.4;
1.3.6.5; 1.3.8.1; 1.3.8.2  4.1.2; 4.2.3; 4.2.4;
4.4.1; 4.4.2; 4.4.3;
4.5.1; 4.8.1; 4.8.2  Partially mapped:
not explicit  / aligns
with: 1.2.1 8.3.4;  8.3.11
3.2.5 1.1.12.2; 1.3.3.2;
1.3.3.3; 1.3.3.4;
1.3.4.4; 1.3.5.1;
1.3.5.5; 1.3.6.2;
1.3.8.1; 1.3.8.2;
1.3.8.3; 1.3.8.4  4.11.1; 4.11.2;
4.11.3; 4.11.4; 4.11.5  3.8.2; 3.8.3  8.3.4; 8.3.11; 8.4.13; 9.6.1; 9.11.1 –9.11.5;
9.12.1 –9.12.7


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  15
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
3.2.6 For public hospitals
and residential
mental health and addiction services ,
partially mapped :
not explicit  / aligns
with: 1.2.5.1; 1.2.5.3;
1.2.5.4; 1.2.5.5
For all other service types,  not mapped  Not mapped  Not mapped  Not mapped
3.2.7 Partially mapped:
not ex plicit  / aligns
with: 1.3.4.5  Not mapped  Partially mapped:
not explicit  / aligns
with: 1.2.1; 1.2.2;
1.2.3 Not mapped
3.3 Ngā mahi takitahi | Individualised activities
3.3.1 1.3.7.1; 1.3.7.2;
1.3.7.3  4.2.2 NA NA


1.3.7.3  4.2.2 NA NA
3.3.2 1.1.12.1; 1.1.12.2; 1.3.7.2  4.4.2; 4.2.4 NA NA
3.3.3 Not mapped  Not mapped  NA NA
3.3.4 Not mapped  Not mapped  NA NA
3.4 Aku rongoā | My medication
3.4.1 1.3.12.1; 1.3.12.2; 1.3.12.3; 1.3.12.4; 1.3.12.5; 1.3.12.6; 1.3.12.7  4.6.1; 4.6.2  3.11.1; 3.11.2; 3.11.7  Not mapped
3.4.2 1.3.12.1; 1.3.12.2; 1.3.12.3; 1.3.12.6  4.6.1 3.11.3  Not mapped
3.4.3 1.3.12.1; 1.3.12.2; 1.3.12.3; 1.3.12.6  4.6.3 3.11.3  Not mapped
3.4.4 1.3.12.1; 1.3.12.2; 1.3.12.3; 1.3.12.4; 1.3.12.6  Not mapped  3.11.4  Not mapped


3.4.5 1.3.12.6; 1.3.12.7  4.6.4 3.11.6  9.12.4; 9.8.5
3.4.6 1.3.12.1; 1.3.12.2; 1.3.12.5; 1.3.12.6; 1.3.12.7  4.6.4 3.11.5  Not mapped
3.4.7 Partially mapped:
not explicit  / aligns
with: 1.3.12.1;
1.3.12.2; 1.3.12.3;
1.3.12.6  NA Not mapped  Not mapped
3.4.8 Partially mapped: not explicit  / aligns
with: 1.3.12.1;
1.3.12.7  Not mapped  Not mapped  Not mapped
3.4.9 Not mapped  Not mapped  NA Not mapped
3.4.10  Not mapped  Not mapped  Not mapped  Not mapped


16 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
3.4.11  Partially mapped:
not explicit  / aligns
with: 1.3.12.1;
1.3.12.2; 1.3.12.3; 1.3.12.4; 1.3.12.6;
1.3.12.7  NA Not mapped  Not mapped
3.4.12  Partially mapped: not explicit  / aligns
with: 1.3.12.1;
1.3.12.2; 1.3.12.3;
1.3.12.4; 1.3.12.6;
1.3.12.7  NA Not mapped  Not mapped
3.5 Taioranga kai hei tautoko i te oranga | Nutrition to support wellbeing


3.5.1 1.3.13.1; 1.3.13.2; 1.3.13.3  4.9.1; 4.9.2; 4.9.3  NA NA
3.5.2 1.3.7.2; 1.3.7.3  Not mapped  NA NA
3.5.3 1.3.13.3; 1.3.13.4  Not mapped  NA NA
3.5.4 1.3.13.1; 1.3.13.2 ;
1.3.13.5  NA NA NA
3.5.5 1.3.13.5  NA NA NA
3.5.6 1.3.13.5  NA (map ped to
4.9.4)  NA NA (mapped to 9.11.5)
3.5.7 Not mapped  Not mapped  NA NA
3.6 Te takatau, whakawhiti me te whakaputa | Transition, transfer and discharge
3.6.1 1.3.9.1; 1.3.10.1; 1.3.10.2  2.5.2; 4.3.1  3.9.2; 3.9.3
8.3.1; 8.3.2; 8.3.3; 9.8.4;
9.8.5; 10.1; 10.6


9.8.5; 10.1; 10.6
3.6.2 1.3.9.1; 1.3.9.2; 1.3.10.1; 1.3.10.2  2.5.2 3.9.4 6.5.2
3.6.3 1.3.9.1; 1.3.9.2; 1.3.10.1  4.3.1; 4.3.3  Not mapped  8.3.12
3.6.4 1.3.9.1; 1.3.9.2; 1.3.10.1; 1.3.10.2  2.5.2 3.9.1; 3.9.4  8.3.2; 10.1; 10.2; 9.11.4
3.6.5 1.3.9.1; 1.3.10.2  2.5.2; 4.3.1  Not mapped  6.2.2; 8.3.3; 8.3.11; 8.3.12; 9.9.12
3.7 Haumanu whakahikororo | Electroconvulsive therapy
3.7.1 1.3.11.1  NA NA NA
3.7.2 1.3.11.2; 1.3.11.4  NA NA NA
3.7.3 1.3.11.3; 1.3.11.4  NA NA NA


3.7.4 Not mapped  NA NA NA
3.8 Te whiwhi me te tiaki i ngā pūtau hema me ngā kikiri | Obtaining and caring for gametes and
embryos
3.8.1 NA NA 3.4.1 NA
3.8.2 NA NA 3.3.4; 3.7.1; 3.7.2;
3.7.3; 3.7.4; 3.7.5  NA
3.8.3 NA NA Not mapped  NA


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  17
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
3.8.4 NA NA 3.3.4 NA
3.8.5 NA NA Not mapped  NA
3.8.6 NA NA Not mapped  NA
3.8.7 NA NA Not mapped  NA
3.8.8 NA NA Not mapped  NA
4 Te aro ki te tangata me te taiao
haumaru | Person -centred and
safe environment
Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number


for Abortion
Services in
New  Zealand
reference number
4.1 Te whare haumanu | The facility
4.1.1 Partially mapped:
not explicit  / aligns
with: 1.4.2.1; 1.4.2.2;
1.4.2.3; 1.4.2.5;
1.4.8.1  NA 3.12.1; 4.2.1; 4.2.2;
4.2.3; 4.2.4; 4.2.5;
4.2.6; 4.2.7; 4.2.8;
4.2.9; 4.2.10; 4.2.11; 4.3.1; 4.6.3  6.3.3; 6.5.1; 6.5.2; 6.5.4; 6.6.1
4.1.2 1.4.2.3; 1.4.2.4;
1.4.2.6; 1.4.3.1;
1.4.3.2; 1.4.4.1; 1.4.4.2; 1.4.5.2  NA 4.4.1; 4.6.3  Not mapped
4.1.3 1.4.2.3; 1.4.2.4; 1.4.4.1; 1.4.4.2;
1.4.5.1; 1.4.5.2;


1.4.5.1; 1.4.5.2;
1.4.5.3  NA NA NA
4.1.4 1.4.3.1; 1.4.3.3; 1.4.3.5  NA Not mapped  Not mapped
4.1.5 1.4.2.3; 1.4.2.4; 1.4.4.1; 1.4.4.2  NA Not mapped  Not mapped
4.1.6 1.4.8.1; 1.4.8.2  NA NA NA
4.1.7 Not mapped  NA Not mapped  6.3.3; 6.5.4
4.2 Te haumaru o ngā tāngata me te hunga  mahi | Security of people and workforce
4.2.1 1.4.7.3  NA 4.6.6 Not mapped
4.2.2 1.4.7.1  NA 4.6.4 Not mapped
4.2.3 1.4.7.1  2.7.1; 3.3.1  4.6.1 Not mapped
4.2.4 1.4.7.1; 1.4.7.2  2.7.3; 4.5.3  4.6.2 Not mapped


18 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
4.2.5 1.4.7.5  NA 4.6.8 Not mapped
4.2.6 1.4.7.6  Partially mapped:
not explicit  / aligns
with: 1.6.3; 1.8.2  4.6.9 6.3.3; 6.5.4
4.2.7 1.4.7.4  NA Not mapped  Not mapped
4.2.8 1.4.7.7  Partially mapped: not explicit  / aligns
with: 2.7.2; 2.7.3  Not mapped  Not mapped
5 Te kaupare pokenga me te
kaitiakitanga patu huakita |
Infection prevention and antimicrobial stewardship
Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services


criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
5.1 Mana whakahaere | Governance
5.1.1 For public and
private hospitals ,
mapped to : 3.1.3;
3.1.4; 3.1.8; 3.1.9;
3.5.3
For all other service
types,  partially
mapped: not
explicit  / aligns with :
3.1.3; 3.1.4; 3.1.8;
3.1.9; 3.5.3  Not mapped  Not mapped  Not mapped
5.1.2 3.1.1; 3.1.4; 3.1.5; 3.1.6; 3.1.7  Not mapped  Not mapped  Not mapped
5.1.3 For public and
private hospitals ,
mapped to : 3.1.2
For all other service types,  partially
mapped: not
explicit  / aligns with :
3.1.2 Not mapped  Not mapped  Not mapped
5.1.4 3.1.2; 3.1.4  Not mapped  3.12.2  Not mapped


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  19
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
5.2 Te hōtaka kaupare pokenga me te whakatinanatanga | The infection prevention programme and
implementation
5.2.1 3.1.1; 3.1.2; 3.1.5;
3.1.6; 3.1.7; 3.2.1;
3.2.2; 3.2.3; 3.2.4;
3.3.1; 3.3.3; 3.4.1  4.7.1; 4.7.2  3.12.5  Not mapped
5.2.2 3.1.3; 3.1.4; 3.1.6; 3.2.1; 3.2.2; 3.3.1;
3.3.3 4.7.1; 4.7.2  Not mapped  Not mapped


5.2.3 3.1.5; 3.2.1; 3.2.2; 3.3.1; 3.3.2; 3.3.3  4.7.1; 4.7.2  3.3.3; 3.12.9; 3.12.10  Not mapped
5.2.4 Partially mapped:
not explicit  / aligns
with: 3.3.1; 3.3.3  Not mapped  Not mapped  Not mapped
5.2.5 3.2.2; 3.3.1; 3.3.3  Not mapped  Not mapped  Not mapped
5.2.6 3.2.1; 3.2.2; 3.4.1;
3.4.2; 3.4.3; 3.4.5  4.7.2 3.12.4  Not mapped
5.2.7 3.2.1; 3.2.2  Not mapped  Not mapped  Not mapped
5.2.8 3.2.1; 3.2.2  Not mapped  Not mapped  Not mapped
5.2.9 Partially mapped:
not explicit  / aligns
with: 3.2.2; 3.3.1  4.7.2 3.12.10  Not mapped
5.2.10  Partially mapped: not explicit  / aligns
with: 3.2.2; 3.3.1  NA 3.12.10; 3.13.3  Not mapped


5.2.11  Partially mapped: not explicit  / aligns
with: 3.2.2; 3.3.1  Not mapped  Not mapped  Not mapped
5.2.12  Not mapped  Not mapped  Not mapped  Not mapped
5.2.13  Not mapped  Not mapped  Not mapped  Not mapped
5.3 Hōtaka kaitiaki patu huakita (AMS) me te whakatinanatanga  | Antimicrobial stewardship (AMS)
programme and implementation
5.3.1 For public and private hospitals ,
mapped to : 3.6.3;
3.6.5
For all other service types,  partially
mapped: not explicit  / aligns with :
3.6.3; 3.6.5  NA Not mapped  Not mapped


20 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
reference number
5.3.2 For public and
private hospitals ,
mapped to : 3.6.1;
3.6.2
For all other service
types,  partially
mapped: not
explicit  / aligns with :
3.6.1; 3.6.2  NA Not mapped  Not mapped
5.3.3 For public and
private hospitals ,
mapped to 3.6.4
For all other service types,  partially
mapped: not explicit  / aligns with :
3.6.4 NA Not mapped  Not mapped
5.4 Te āta tirotiro mō te pokenga e pā ana ki te tiakanga hauora (HAI) | Surveillance of health care -
associated infection (HAI)
5.4.1 3.5.1; 3.5.3; 3.5.5  Not mapped  Not mapped  Not mapped


5.4.2 3.5.1; 3.5.2; 3.5.5  Not mapped  Not mapped  Not mapped
5.4.3 Partially mapped: not explicit  / aligns
with: 3.5.4; 3.5.6  NA NA Not mapped
5.4.4 3.5.3; 3.5.7  Not mapped  Partially mapped:
not explicit  / aligns
with: 3.12.2; 3.12.6  Not mapped
5.4.5 3.5.8 Not mapped  Not mapped  Not mapped
5.5 Taiao | Environment
5.5.1 1.4.1.1; 1.4.1.3;
1.4.1.4; 1.4.1.5; 1.4.1.6  Not mapped  3.13.1; 3.13.5; 3.13.6  Not mapped
5.5.2 1.4.1.1; 1.4.1.3;
1.4.1.4; 1.4.1.5;
1.4.1.6  Not mapped  Not mapped  Not mapped
5.5.3 1.4.1.4: 1.4.1.5;
1.4.1.6; 1.4.6.1;
1.4.6.2; 1.4.6.3  Not mapped  4.5.1; 4.5.2  Not mapped


5.5.4 1.4.1.4; 1.4.1.5; 1.4.1.6; 1.4.6.1;
1.4.6.2; 1.4.6.3  Not mapped  3.13.2; 4.5.3  Not mapped
5.5.5 1.4.1.2; 1.4.1.3  NA Not mapped  Not mapped


STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)  21
 6 Here taratahi |  Restraint and
seclusion
Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
Aotearoa reference
number
6.1 He tukanga here | A process of restraint
6.1.1 Partially mapped:
not explicit  / aligns
with: 2.1.1 NA NA NA
6.1.2 Not mapped  NA NA NA
6.1.3 Partially mapped: not explicit  / aligns
with: 2.1.1 NA NA NA
6.1.4 Not mapped  NA NA NA
6.1.5 2.1.1; 2.1.2; 2.2.1.1; 2.2.1.2  NA NA NA
6.1.6 1.3.6.3; 2.1.5; 2.2.2.1; 2.2.3.6  NA NA NA
6.2 Herenga haumaru | Safe restraint


6.2 Herenga haumaru | Safe restraint
6.2.1 1.3.6.3; 2.1.2; 2.2.2.1; 2.2.3.2  NA NA NA
6.2.2 2.2.3.1; 2.2.3.3  NA NA NA
6.2.3 2.2.3.1; 2.2.3.3; 2.2.3.4  NA NA NA
6.2.4 2.1.1; 2.2.1.2; 2.2.3.4; 2.2.3.5  NA NA NA
6.2.5 2.2.4.1; 2.2.4.2; 2.2.4  NA NA NA
6.2.6 Not mapped  NA NA NA
6.2.7 1.3.6.3; 2.2.3.1; 2.2.4.1; 2.2.4.2  NA NA NA
6.2.8 2.2.4.1; 2.2.4.3; 2.2.5.1  NA NA NA
6.3 Arotake kounga o te herenga | Quality review of restraint
6.3.1 2.2.1.3; 2.2.5.1  NA NA NA
6.4 Taratahi | Seclusion
6.4.1 Not mapped  NA NA NA
6.4.2 Not mapped  NA NA NA


6.4.2 Not mapped  NA NA NA
6.4.3 2.3.1.1; 2.3.1.3  NA NA NA
6.4.4 2.3.2.1; 2.3.2.2; 2.3.2.3; 2.3.2.4  NA NA NA


22 STANDARDS MAPPING ANALYSIS : 2021 (UPDATED IN 2023)
 Ngā Paerewa
Health and
Disability
Services Standard
(NZS  8134:2021)
criteria  Health and
Disability Services
Standards
(NZS  8134:2008)
criteria  Home and
Community
Support Sector
Standard
(NZS  8158:2012)
criteria  Fertility Services
Standard
(NZS  8181:2007)
criteria  Interim Standards
for Abortion
Services in
New  Zealand
Aotearoa reference
number
6.4.5 2.2.4.3; 2.3.1.4;
2.3.1.5  NA NA NA
6.4.6 2.2.4.1; 2.3.1.4;
2.3.1.5  NA NA NA
6.4.7 2.2.5.1  NA NA NA
6.4.8 2.2.4.1; 2.2.4.3;
2.2.5.1  NA NA NA
6.4.9 Not mapped  NA NA NA


STANDARDS MAPPING ANALYSIS: 2021 (UPDATED IN 2023)  23
 Appendix A:  Mapping analysis by service type

Aged
residential
care services  Assisted
reproductive
technology
services  Home and
community
support
services  Residential
disability
services  Residential
mental health
and addiction
services  Public and private
overnight hospital
inpatient services  Birthing
unit
services  Hospice
services  Abortion
services  Mapping to
NZS
8134:2008
Total applicable
criteria (out of 221)  178 172 146 187 185 199 163 182 157 204
Total mapped
criteria (%)  62% 51% 55% 62% 65% 67% 60% 61% 38% 63%
Total partially
mapped criteria
(%) 24% 3% 5% 22% 21% 18% 26% 25% NA 22%
Total not mapped
criteria (%) 14% 46% 40% 16% 14% 15% 14% 14% 62% 15%


TRANSITION SURVEILLANCE AUDIT FOR NGĀ PAEREWA
HEALTH AND DISABILITY SERVICES STANDARD (NZS 8134:2021)  1

Transition surveillance audit
for Ngā paerewa
Health and disability services standard
(NZS 8134:2021)
November 2021

A transition model for Ngā paerewa  surveillance audits has been developed with inclusion of all new
Te Tiriti criteria to support providers implementation of cultural safety services, particularly for Māori.
The surveillance audit criteria is to be used for a transition period of 18 months  to 2 years from
28 February 2022.

The transition period ensures all providers have early support in their implementation of the new
Te Tiriti criteria, irrespective of whether they are due for a certification or surveillance audit.

The transition survei llance criteria will be reviewed in August 2023, and business as usual surveillance
audit criteria will be selected and implemented for future audits.

The transition surveillance audit criteria a re outlined in the below table.

Transition surveillan ce aud it criteria summary table
Key: New criteria /partially new criteria

Criterion
Aged residential care
services
Assisted reproductive
technology services
Home and community
support services
Residential disability
services
Residential mental health
and addiction services
Public and  private
overnight hospital
inpatient  services
Birthing unit services
Hospice services
Abortion services
Section 1: Our rights
1.1 Pae ora healthy futures  1.1.3  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓


1.2 Ola manuia  of Pacific peoples in
Aotearoa  1.2.3  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.3 My rights during service delivery  1.3.5 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.4 I am treated with respect  1.4.4  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.4.5  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.4.6  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓


2 TRANSITION SURVEILLANCE AUDIT FOR NGĀ PAEREWA
HEALTH AND DISABILITY SERVICES STANDARD (NZS 8134:2021)

Criterion
Aged residential care
services
Assisted reproductive
technology services
Home and community
support services
Residential disability
services
Residential mental health
and addiction services
Public and  private
overnight hospital
inpatient  services
Birthing unit services
Hospice services
Abortion services
1.5 I am protected  from abuse  1.5.5  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.5.6 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.7 I am informed and  able to make
choices  1.7.9 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.8 I have the right  to complain  1.8.1  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.8.5  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
1.9 Health and wellbeing of children
born as a  result of, and people
accessing, r eproductive
technology services  1.9.1 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
1.9.2 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
1.9.3 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
1.9.4 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
1.10 Requirement of donation and


1.10 Requirement of donation and
surrogacy  1.10.1  N/A ✓ N/A N/A N/A N/A N/A N/A N/A
1.10.2  N/A ✓ N/A N/A N/A N/A N/A N/A N/A
1.10.3  N/A ✓ N/A N/A N/A N/A N/A N/A N/A
1.10.4  N/A ✓ N/A N/A N/A N/A N/A N/A N/A
1.10.5  N/A ✓ N/A N/A N/A N/A N/A N/A N/A
Section 2 Workforce and structure
2.1 Governance  2.1.5  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.1.6  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.1.7 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.1.10  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.2 Quality and risk  2.2.2  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.2.4 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.2.6  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.2.7 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.2.8  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.3 Service management  2.3.1  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.3.3 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.3.4  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.3.6  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓


2.3.6  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.3.7  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.3.9 N/A N/A N/A N/A ✓ N/A N/A N/A N/A
2.3.10  N/A N/A N/A N/A ✓ N/A N/A N/A N/A
2.3.11  N/A N/A N/A N/A ✓ N/A N/A N/A N/A


TRANSITION SURVEILLANCE AUDIT FOR NGĀ PAEREWA
HEALTH AND DISABILITY SERVICES STANDARD (NZS 8134:2021)  3

Criterion
Aged residential care
services
Assisted reproductive
technology services
Home and community
support services
Residential disability
services
Residential mental health
and addiction services
Public and  private
overnight hospital
inpatient  services
Birthing unit services
Hospice services
Abortion services
2.4 Health care and support workers
and their availability  2.4.3  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.4.4  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
2.4.6 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Section 3 Pathways to wellbeing
3.1 Entry and  declining entry  3.1.5  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.1.6 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.2 My pathway  to wellbeing  3.2.3 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.2.4 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.2.5  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.2.6  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.2.7 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.3 Individualised activities  3.3.3  ✓ N/A ✓ ✓ ✓ Public
hospital
only N/A ✓ N/A
3.3.4  ✓ N/A ✓ ✓ ✓ Public
hospital
only N/A ✓ N/A


hospital
only N/A ✓ N/A
3.4 My medication  3.4.1 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.2 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.3 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.4 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.5 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.6 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.7 ✓ ✓ N/A ✓ ✓ ✓ ✓ ✓ ✓
3.4.8 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.9  N/A N/A ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.10  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.4.11  N/A ✓ N/A N/A N/A ✓ ✓ ✓ ✓
3.4.12  N/A ✓ N/A N/A N/A ✓ ✓ ✓ ✓
3.5 Nutrition to  support wellbeing  3.5.7  ✓ N/A ✓ ✓ ✓ ✓ ✓ ✓ N/A
3.6 Transition, transfer,  and discharge  3.6.4  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
3.7 Electroconvulsive therapy  3.7.4  N/A N/A N/A N/A N/A Public
hospital
only N/A N/A N/A


4 TRANSITION SURVEILLANCE AUDIT FOR NGĀ PAEREWA
HEALTH AND DISABILITY SERVICES STANDARD (NZS 8134:2021)

Criterion
Aged residential care
services
Assisted reproductive
technology services
Home and community
support services
Residential disability
services
Residential mental health
and addiction services
Public and  private
overnight hospital
inpatient  services
Birthing unit services
Hospice services
Abortion services
3.8 Obtaining and caring for gametes
and embryos  3.8.1 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
3.8.2 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
3.8.3 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
3.8.4 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
3.8.5 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
3.8.6 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
3.8.7 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
3.8.8 N/A ✓ N/A N/A N/A N/A N/A N/A N/A
Section 4 Person -centred and safe environment
4.1 The facility  4.1.1 ✓ ✓ N/A ✓ ✓ ✓ ✓ ✓ ✓
4.1.7 ✓ ✓ N/A ✓ ✓ ✓ ✓ ✓ ✓


4.1.7 ✓ ✓ N/A ✓ ✓ ✓ ✓ ✓ ✓
4.2 Security of people  and workforce  4.2.1 ✓ ✓ N/A ✓ ✓ ✓ ✓ ✓ ✓
4.2.6 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Section 5 Infection prevention and antimicrobial stewardship
5.2 The infection prevention
programme and implementation  5.2.4  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
5.2.12  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
5.2.13  ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
5.4 Surveillance of health care
associated infection  5.4.3  ✓ N/A N/A ✓ ✓ ✓ ✓ ✓ ✓
5.4.5 ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓ ✓
Section 6 Restraint and seclusion
6.1 A process of restraint  6.1.1 ✓ N/A N/A ✓ ✓ ✓ N/A ✓ N/A
6.1.2  N/A N/A N/A ✓ ✓ ✓ N/A N/A N/A
6.1.3 ✓ N/A N/A ✓ ✓ ✓ N/A ✓ N/A
6.1.4  ✓ N/A N/A ✓ ✓ ✓ N/A ✓ N/A
Total criteria  84 60 72 53 62 65 62 Private
hospital/
65 Public
hospital  58 63 57

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Minutes

Standards Review Governance Group Meeting


Standards Review Governance Group Terms of Reference

Purpose

This document sets out the Terms of Reference that the Governance Group (the Group) has adopted for the purpose of supporting the review of the Health and Disability Services Standards (NZS 8134:2008), and the Fertility Services Standard (NZS8181:2007).

Background

	The Health and Disability Services (Safety) Act 2001 (the Act) requires providers of health services to be certified against the relevant standards. The Act requires review of these standards at least every four years. The 2017 review supported amendment or replacement of the standards, and in December (2017) the Minister agreed to further consultation to determine the breadth of change being sought.

Due to the number of stakeholder groups affected by this review, a Governance Group has been formed to provide strategic oversight and guidance to the work programme.

Functions of the Governance Group

The Governance Group has been established to provide strategic leadership to this work programme. Group members are considered to be expert knowledge holders within their respective areas of work and as such will help strengthen stakeholder trust and confidence in the review.

The Governance Group will undertake the following functions:

Review quarterly project updates and provide feedback and/or escalate issues as needed

Provide strategic advice to project

Agree key milestones as they are presented by project lead

Maintain an overview of the standards review work programme

Maintain oversight of emerging risks and current issues as relevant and offer mitigation strategies

Agree communications strategies as the work programme progresses

Provide system-level advice on opportunities to reduce health inequities throughout this project.

Composition of the Governance Group

Permanent membership is comprised of the following:

Deputy Director-General, Health System Improvement and Improvement

Deputy-Director General, Disability

Manager, Accountability, DHB Performance, Support and Infrastructure

Deputy Director-General Māori Health

Group Manager Population Outcomes, System Strategy and Policy


Deputy Director-General Māori Health

Group Manager Population Outcomes, System Strategy and Policy

Manager, Mental Health and Addiction

Chief Advisor – Pharmacy, Clinical Cluster

Team Leader Development, Standards New Zealand

Consumer Representative

Te Apārangi: Māori Partnership Alliance representative

Disabled Person Representative, Enabling Good Lives pilot

Quorum

Decisions will only be made where a quorum of members is present. There must be at least  six members present to make a quorum.

Meetings

Meetings will be held as least once annually, and exceptional meetings may be called if emergent issues present that require strategic oversight or if there is significant deviation from the current project timeline

When a meeting occurs, supporting papers will be provided by the project lead including:

Agenda

Previous meeting minutes

Updated risk register

Supporting papers.

Meeting packs will be made available to the Governance Group not less than three days prior to scheduled meetings. Meetings will generally be no longer than one and a half hours.

Governance Group meetings will continue to meet until the reviewed Standards have been operationalised (2 - 3 years).

Review Process and End Date

The Governance Group will review its role annually. The review may lead to changes in these Terms of Reference, and Group membership.

Clare Perry (Chair)

Acting Deputy Director-General

Health System Improvement and Innovation

Approved on 19 November 2020

Date for next review:  May 2021

Appendix 1: High level overview


A transition model for Ngā paerewa surveillance audits has been developed with inclusion of all new Te Tiriti criteria to support providers implementation of cultural safety services, particularly for Māori. The surveillance audit criteria is to be used for a transition period of 18 months to 2 years from 28 February 2022.

The transition period ensures all providers have early support in their implementation of the new Te Tiriti criteria, irrespective of whether they are due for a certification or surveillance audit.

The transition surveillance criteria will be reviewed in August 2023, and business as usual surveillance audit criteria will be selected and implemented for future audits.

The transition surveillance audit criteria are outlined in the below table.

Transition surveillance audit criteria summary table

Key: New criteria/partially new criteria

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