This section provides online application forms and all the supporting information you need to assist you in making an application for certification under the Health and Disability Services (Safety) Act 2001.You can for apply for certification online by visiting the Provider Regulation website.
https://providerregulation.health.govt.nz/oprans/
With the online forms you can:

register a new legal entity that wishes to apply for certification
apply for a new certificate, for example, if you are buying a provider or developing a new site
renew an existing certificate
apply for additional services on an existing certificate or notify the Ministry if you are moving premises

User manuals

User Manual for Online Forms for Applying for Certification (Word, 37KB)
User Manual for Online Forms for Applying for Certification (PDF, 249 KB)

Video tutorials and frequently asked questions
View video tutorials and frequently asked questions for the online forms.
If you need further assistance
If you are unable to submit an application online please contact us for assistance.
Notifying of a reconfiguration or increase in capacity
Note that no application is required for a reconfiguration or extension to an existing site, where you are not changing the services certified.  In this situation please see the Applying to reconfigure and/or increase capacity section.

Supporting information

The Act and relevant Standards
Required supporting documents and payment
Designated auditing agencies
Services you can apply for certification
Application processing
Information to be provided to the Director-General of Health
Expiry of certification
Further information

The Act and relevant Standards
Information on the Act and relevant Standards that will help your prepare for certification is available on the Health and Disability Services (Safety) Act 2001 page.
Required supporting documents and payment

Payment of the application fee of $419.11.  An invoice will be emailed to your organisation’s contact person as part of the online application process.
An audit of the services to be provided by a designated auditing agency.


Additional supporting documents for new providers
If purchasing an existing service, then written confirmation will be required from the solicitors acting for you that settlement has taken place.  This will have to occur after the Ministry has given you a letter of intent to certify, following the audit undertaken by your designated auditing agency.
Designated auditing agencies
An auditing agency that has been designated by the Director-General of Health needs to be chosen by the provider. The designated auditing agency you choose must be designated to audit the kind of health and/or disability service you provide or intend to provide. View a list of designated audit agencies.
When you apply for certification you will need to include the name of the designated auditing agency you have contracted to audit your service/s against the relevant standards.
When your designated auditing agency has completed audits of the service/s you provide, or intend to provide, the agency will provide a copy of the report to you and the Ministry of Health. The auditing agency also may undertake, at the same time, an audit against your service contract for the Ministry of Health if applicable.
Health care services
The services you may apply to be certified to provide are:

Hospital Care

Children's Health Services
Surgical Services
Medical Services
Maternity Services
Mental Health Services
Geriatric Services

Rest Home Care
Residential Disability Care

Intellectual Services
Physical Services
Sensory Services
Psychiatric Services

Fertility Services

Application processing
The Ministry of Health will make an assessment for the purposes of satisfying the Director-General of Health that your health and/or disability service meets the relevant standards and the requirements of the Act.
This assessment will entail a review of:

your application for certification
the audit report with any corrective actions to be taken
other relevant matters held by the Ministry of Health.


Once all the requirements for certification are met, you will be issued with a certificate for the services you provide. The Ministry of Health requires 20 working days, from the date of receipt of all required documentation/information from you and your designated auditing agency, to process your application and issue a certificate. Please take this into consideration when deciding to apply. Consult with your auditing agency well in advance to schedule your audit.
Information to be provided to the Director-General of Health
Once certified it is important to be familiar with the information you are required to provide to the Director-General during your period of certification.
A certified provider must advise the Director-General of Health in writing of any of the following events in accordance with Section 31 of the Health and Disability Services (Safety) Act 2001:

changes to the contact details for your organisation
new fixed locations at which services are to be offered
changes in membership of ’s governing body
serious incidents that have or may put at risk the health or safety of people for whom services are being provided
police investigations related to the service or the premises where  services are delivered
death of a person to whom you provided services that is required to be reported to a coroner under the Coroners Act 2006.


Please ensure you take the time to familiarise yourself with the full details of section 31 of the Act, which details the information that must be provided.
Expiry of certification
Before your certification expires you will need to arrange with your auditing agency for an audit to be completed, and make an application for re-certification. You will need to allow adequate time for this audit and certification process. If your initial certification expires before new certification is approved, you will not be legally entitled to continue to provide the services.
The Ministry of Health requires 20 working days from the date it receives all required documentation/information from you and your designated auditing agency. Please take this into consideration when deciding when to apply. Consult with your auditing agency well in advance to schedule your audit.
Further information
If you require any further information or advice please contact us.


Downloads

 User Manual for Online Forms for Applying for Certification (docx, 37 KB)

 User Manual for Online Forms for Applying for Certification (pdf, 249 KB)

In this section

Online provider forms - video tutorials and FAQ

 Video tutorials

Five short tutorial videos have been produced that give instruction on a few of the basic tasks that can be carried out using the online forms.
 Read more

Page last reviewed: 01 December 2021

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Part 6: Restraint and seclusion | 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

 Part 6: Restraint and seclusion

Section 6.1: A process of restraint
Criterion 6.1.1

Aged care: Guidance

The governance body’s strategic plan has an objective that:

aims to eliminate restraint
links to objectives operationalised in annual planning
demonstrates commitment to implementing strategies to eliminate restraint
includes quality improvement approaches
demonstrates transparency of governance processes and links with the operational reviews.


Residential disability: Guidance

The governance body’s strategic plan has an objective that:

aims to eliminate restraint
links to objectives operationalised in annual planning
demonstrates commitment to implementing strategies to eliminate restraint
includes quality improvement approaches
demonstrates transparency of governance processes and links with the operational reviews.

The governance body receives training on the intent of minimising restraint with the aim of eliminating it.
Service providers are committed to reducing inequities in the rate of restrictive practices that Māori and Pacific peoples experience when they access services.
Service providers consider environmental restraint and mitigation strategies.

Residential mental health and alcohol and other drug: Guidance

The governance body’s strategic plan has an objective that:

aims to eliminate restraint
links to objectives operationalised in annual planning
demonstrates commitment to implementing strategies to eliminate restraint
includes quality improvement approaches
demonstrates transparency of governance processes and links with the operational reviews.

The governance body receives training on the intent of minimising restraint with the aim of eliminating it.
Service providers are committed to reducing inequities in the rate of restrictive practices that Māori and Pacific peoples experience when they access services.
Service providers consider environmental restraint and mitigation strategies.

Public/private hospital: Guidance

The governance body’s strategic plan has an objective that:

aims to eliminate restraint
links to objectives operationalised in annual planning
demonstrates commitment to implementing strategies to eliminate restraint
includes quality improvement approaches
demonstrates transparency of governance processes and links with the operational reviews.

The governance body receives training on the intent of minimising restraint with the aim of eliminating it.
Service providers are committed to reducing inequities in the rate of restrictive practices that Māori and Pacific peoples experience when they access services.
Service providers consider environmental restraint and mitigation strategies.

Hospice: Guidance


Hospice: Guidance

The governance body’s strategic plan has an objective that:

aims to eliminate restraint
links to objectives operationalised in annual planning
demonstrates commitment to implementing strategies to eliminate restraint
includes quality improvement approaches
demonstrates transparency of governance processes and links with the operational reviews.


Criterion 6.1.2

Residential disability: Guidance

Membership of the restraint oversight groups includes:

Māori representation
whānau representation.

Membership of the restraint oversight group includes lived experience of restrictive practice.

Residential mental health and alcohol and other drug: Guidance

Membership of the restraint oversight groups includes:

Māori representation
whānau representation.

Membership of the restraint oversight group includes lived experience of restrictive practice.

Public/private hospital: Guidance

Membership of the restraint oversight groups includes:

Māori representation
whānau representation.

Membership of the restraint oversight group includes lived experience of restrictive practice.


Criterion 6.1.3

Aged care: Guidance

Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:

organisational chart
documented roles and responsibilities
performance objectives.

Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
Service providers may have a restraint coordinator role or team with this responsibility.

Residential disability: Guidance

Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:

organisational chart
documented roles and responsibilities
performance objectives.

Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
Service providers may have a restraint coordinator role or team with this responsibility.

Residential mental health and alcohol and other drug: Guidance

Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:

organisational chart
documented roles and responsibilities
performance objectives.

Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
Service providers may have a restraint coordinator role or team with this responsibility.

Public/private hospital: Guidance

Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:

organisational chart
documented roles and responsibilities
performance objectives.


Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
Service providers may have a restraint coordinator role or team with this responsibility.

Hospice: Guidance

Service providers may demonstrate they have an executive leader responsible for implementing and maintaining this commitment through their:

organisational chart
documented roles and responsibilities
performance objectives.

Service providers implement this commitment with the intention of addressing inequity and improving Māori health outcomes.
Service providers implement this commitment with the intention of addressing equity and improvement health outcomes for people receiving services.
Service providers may have a restraint coordinator role or team with this responsibility.


Criterion 6.1.4

Aged care: Guidance

Operating policy determines, defines and integrates indicators relating to restraint.
Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.

Residential disability: Guidance

Operating policy determines, defines and integrates indicators relating to restraint.
Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.
The reporting includes workforce data, such as:

incidents related to health care and support worker injury
 workforce wellbeing surveys
ACC claims
outcomes use data, which is used to profile the environment during an event
use of the employee assistance programme by health care and support workers.

Service providers allocate resources to address actions that minimise restrictive practices, which may include:

whakawhanaungatanga
karakia
waiata
kai
duress alarms
sensory rooms
designing units well with good lighting, space, and access to outside areas
creating a more welcoming environment for Māori, such as by displaying cultural whakataukī or Māori proverbs, Māori carvings, or pictures
occupational therapists
activity programmes
de-escalation training and other skills training for health care and support workers, such as brief psychotherapeutic interventions.

Service providers refer to Te Pou ‘The Six Core Strategies service review tool’.

Residential mental health and alcohol and other drug: Guidance


Residential mental health and alcohol and other drug: Guidance

Operating policy determines, defines and integrates indicators relating to restraint.
Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.
The reporting includes workforce data, such as:

incidents related to health care and support worker injury
 workforce wellbeing surveys
ACC claims
outcomes use data, which is used to profile the environment during an event
use of the employee assistance programme by health care and support workers.

Service providers allocate resources to address actions that minimise restrictive practices, which may include:

whakawhanaungatanga
karakia
waiata
kai
duress alarms
sensory rooms
designing units well with good lighting, space, and access to outside areas
creating a more welcoming environment for Māori, such as by displaying cultural whakataukī or Māori proverbs, Māori carvings, or pictures
occupational therapists
activity programmes
de-escalation training and other skills training for health care and support workers, such as brief psychotherapeutic interventions.

Service providers refer to Te Pou ‘The Six Core Strategies service review tool’.

Public/private hospital: Guidance

Operating policy determines, defines and integrates indicators relating to restraint.
Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.
The reporting includes workforce data, such as:

incidents related to health care and support worker injury
 workforce wellbeing surveys
ACC claims
outcomes use data, which is used to profile the environment during an event
use of the employee assistance programme by health care and support workers.


Service providers allocate resources to address actions that minimise restrictive practices, which may include:

whakawhanaungatanga
karakia
waiata
kai
duress alarms
sensory rooms
designing units well with good lighting, space, and access to outside areas
creating a more welcoming environment for Māori, such as by displaying cultural whakataukī or Māori proverbs, Māori carvings, or pictures
occupational therapists
activity programmes
de-escalation training and other skills training for health care and support workers, such as brief psychotherapeutic interventions.

Service providers refer to Te Pou ‘The Six Core Strategies service review tool’.

Hospice: Guidance

Operating policy determines, defines and integrates indicators relating to restraint.
Service providers monitor environmental impacts on the use of restraint and implement changes that contribute to restraint minimisation.
Service providers have reporting systems in place to identify trends in restraint use, including trends and strategies to minimise restraint.


Criterion 6.1.5

Aged care: Guidance

The executive leader:

facilitates a restraint monitoring committee
understands the different types of restraint used within their services
approves and reviews restraint meeting minutes
monitors progress towards meeting corrective actions in a timely manner
verifies approval documents signed by registered health practitioner
upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.

Service providers develop person-centred policies and procedures to support least-restrictive best practice that:

meet the requirements of the criterion
provide information about restraint to the person and their whānau in a manner they understand when they enter the service
include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
aim to make the environment as stress-free as possible.

As part of the holistic assessment, the person’s care or support plan may include:

frequency and extent of monitoring
cultural, physical, and verbal assessment processes
personal, cultural, and belief systems
strategies that align with trauma-informed care principles.

Service providers reject the inappropriate use of medication to make a person incapable of resistance or to force compliance. They show evidence of having non-medicating options such as talking with the person, addressing their concerns, and supporting the person with time for reflection.

Residential disability: Guidance

The executive leader:

facilitates a restraint monitoring committee
understands the different types of restraint used within their services
approves and reviews restraint meeting minutes
monitors progress towards meeting corrective actions in a timely manner
verifies approval documents signed by registered health practitioner
upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.


Service providers develop person-centred policies and procedures to support least-restrictive best practice that:

meet the requirements of the criterion
provide information about restraint to the person and their whānau in a manner they understand when they enter the service
include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
aim to make the environment as stress-free as possible.

As part of the holistic assessment, the person’s care or support plan may include:

frequency and extent of monitoring
cultural, physical, and verbal assessment processes
personal, cultural, and belief systems
strategies that align with trauma-informed care principles.


Service providers reject the inappropriate use of medication to make a person incapable of resistance or to force compliance. They show evidence of having non-medicating options such as talking with the person, addressing their concerns, and supporting the person with time for reflection.
Policies should include the governance body’s aim to eliminate restraint wherever possible, showing clear leadership around improved assessment and health care and support worker training.
Service providers demonstrate support that is culturally responsive. This may include instances where a cultural support worker guides the clinical team.
Service providers give information about de-escalation to the person receiving services and their whānau in a timely and accessible manner that they all understand. This includes information on the complaints process and the opportunity for an independent review into the use of restraint on a whānau member.
The service provider’s information pack for the person and their whānau about de-escalation may come in a variety of accessible formats and languages and may include any documented evidence the person receives, such as the admission checklist or their clinical record.
As part of the holistic assessment, the person’s care or support plan may include:

lessons from previous restraint, such as environmental triggers
alternatives to restraint such as Māori cultural sensory support, other cultural interventions, or cultural support experts, including waiata, pūrākau, and karakia
restraint minimisation actions, such as positive behaviour support strategies
least-restrictive, person-centred, and whānau-centred approaches, such as sensory modulation and use of whānau and other relevant support people.

Service providers provide a timely debriefing for all parties involved in restraint, including:

people who are restrained and their whānau
people who witness the restraint
health care and support workers who were involved.


Assessment and risk mitigation processes support the use of alternative interventions, which may include:

use of sensory modulation resources
diversional therapy
mindfulness
peer support approaches
occupational therapy
low beds
specialling
other therapeutic approaches.

Service providers provide access to alternative support options, including peer support, and these options are readily available with the aim of eliminating restraint.

Residential mental health and alcohol and other drug: Guidance

The executive leader:

facilitates a restraint monitoring committee
understands the different types of restraint used within their services
approves and reviews restraint meeting minutes
monitors progress towards meeting corrective actions in a timely manner
verifies approval documents signed by registered health practitioner
upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.

Service providers develop person-centred policies and procedures to support least-restrictive best practice that:

meet the requirements of the criterion
provide information about restraint to the person and their whānau in a manner they understand when they enter the service
include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
aim to make the environment as stress-free as possible.

As part of the holistic assessment, the person’s care or support plan may include:

frequency and extent of monitoring
cultural, physical, and verbal assessment processes
personal, cultural, and belief systems
strategies that align with trauma-informed care principles.


Assessment and risk mitigation processes support the use of alternative interventions, which may include:

use of sensory modulation resources
diversional therapy
mindfulness
peer support approaches
occupational therapy
low beds
specialling
other therapeutic approaches.

Service providers provide access to alternative support options, including peer support, and these options are readily available with the aim of eliminating restraint.

Public/private hospital: Guidance

The executive leader:

facilitates a restraint monitoring committee
understands the different types of restraint used within their services
approves and reviews restraint meeting minutes
monitors progress towards meeting corrective actions in a timely manner
verifies approval documents signed by registered health practitioner
upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.

Service providers develop person-centred policies and procedures to support least-restrictive best practice that:

meet the requirements of the criterion
provide information about restraint to the person and their whānau in a manner they understand when they enter the service
include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
aim to make the environment as stress-free as possible.

As part of the holistic assessment, the person’s care or support plan may include:

frequency and extent of monitoring
cultural, physical, and verbal assessment processes
personal, cultural, and belief systems
strategies that align with trauma-informed care principles.


Assessment and risk mitigation processes support the use of alternative interventions, which may include:

use of sensory modulation resources
diversional therapy
mindfulness
peer support approaches
occupational therapy
low beds
specialling
other therapeutic approaches.

Service providers provide access to alternative support options, including peer support, and these options are readily available with the aim of eliminating restraint.

Hospice: Guidance

The executive leader:

facilitates a restraint monitoring committee
understands the different types of restraint used within their services
approves and reviews restraint meeting minutes
monitors progress towards meeting corrective actions in a timely manner
verifies approval documents signed by registered health practitioner
upskills health care and support workers on de-escalation strategies, effective communication, and cultural safety.

Service providers develop person-centred policies and procedures to support least-restrictive best practice that:

meet the requirements of the criterion
provide information about restraint to the person and their whānau in a manner they understand when they enter the service
include holistic assessment processes of the person, support plan, and information on avoiding the use of restraint
aim to make the environment as stress-free as possible.

As part of the holistic assessment, the person’s care or support plan may include:

frequency and extent of monitoring
cultural, physical, and verbal assessment processes
personal, cultural, and belief systems
strategies that align with trauma-informed care principles.

Service providers reject the inappropriate use of medication to make a person incapable of resistance or to force compliance. They show evidence of having non-medicating options such as talking with the person, addressing their concerns, and supporting the person with time for reflection.


Criterion 6.1.6

Aged care: Guidance

Service providers’ annual training plan includes:

access to internal and external training for health care and support workers
records of attendance and completed training
records of competencies in different types of restraint training
principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
safe practice in the use of restraint within a culture of continuous learning and improvement.

Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
Training is available in accessible formats.

Home and community: Guidance

Service providers’ annual training plan includes:

access to internal and external training for health care and support workers
records of attendance and completed training
records of competencies in different types of restraint training
principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
safe practice in the use of restraint within a culture of continuous learning and improvement.

Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
Training is available in accessible formats.


Residential disability: Guidance

Service providers’ annual training plan includes:

access to internal and external training for health care and support workers
records of attendance and completed training
records of competencies in different types of restraint training
principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
safe practice in the use of restraint within a culture of continuous learning and improvement.

Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
Training is available in accessible formats.
Service providers have an annual training plan that includes:

training that is delivered by people with lived experience of restrictive practice and their whānau
involving tāngata whaikaha in the design and delivery of training
training or support delivered by behaviour specialists
consideration of conscious and unconscious bias
how to use and introduce cultural sensory support options for Māori and other cultures.


Residential mental health and alcohol and other drug: Guidance

Service providers’ annual training plan includes:

access to internal and external training for health care and support workers
records of attendance and completed training
records of competencies in different types of restraint training
principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
safe practice in the use of restraint within a culture of continuous learning and improvement.

Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
Training is available in accessible formats.
Service providers have an annual training plan that includes:

training that is delivered by people with lived experience of restrictive practice and their whānau
involving tāngata whaikaha in the design and delivery of training
training or support delivered by behaviour specialists
consideration of conscious and unconscious bias
how to use and introduce cultural sensory support options for Māori and other cultures.


Public/private hospital: Guidance

Service providers’ annual training plan includes:

access to internal and external training for health care and support workers
records of attendance and completed training
records of competencies in different types of restraint training
principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
safe practice in the use of restraint within a culture of continuous learning and improvement.

Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
Training is available in accessible formats.
Service providers have an annual training plan that includes:

training that is delivered by people with lived experience of restrictive practice and their whānau
involving tāngata whaikaha in the design and delivery of training
training or support delivered by behaviour specialists
consideration of conscious and unconscious bias
how to use and introduce cultural sensory support options for Māori and other cultures.


Hospice: Guidance

Service providers’ annual training plan includes:

access to internal and external training for health care and support workers
records of attendance and completed training
records of competencies in different types of restraint training
principles of de-escalation techniques, alternative interventions, and effective communication, including waiting for Māori, Pacific, or other cultural or peer support to be present
safe practice in the use of restraint within a culture of continuous learning and improvement.

Service providers support and enable health care and support workers to access training and supervision. Supervision includes both cultural and clinical supervision.
Training is available in accessible formats.


Section 6.2: Safe restraint
Criterion 6.2.1

Aged care: Guidance

Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example, a registered nurse, general practitioner, occupational therapist, or diversional therapist.
Service providers have tried and documented all alternative interventions.

Residential disability: Guidance

Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example. a registered nurse, general practitioner, occupational therapist, or diversional therapist.
Service providers have tried and documented all alternative interventions.
Multidisciplinary input determines the appropriate support, such as  cultural or psychological support, to provide to people receiving services.
Service providers explore alternatives, such as sensory modulation, as part of the assessment process.
Service providers make all efforts to support the person and understand them in the first instance, before considering any form of restraint. They only use restraint as a last resort, and document such instances.
Health care and support workers have read the information on each person they are working with, so they are aware of:

any trauma history
known strategies to support the person when they are experiencing distress.

Service providers use Māori cultural support as an integral part of de-escalation strategies and policies. For example, in instances where Māori may be restrained, the service provider demonstrates it has made its best effort to have a Māori health care or support worker present.
Service providers use peer, Pacific or other cultural support as an integral part of their de-escalation strategies and policies. For example, in instances where a person may be restrained, the service provider demonstrates it has made its best efforts to have a peer, Pacific or other cultural support worker present.

Residential mental health and alcohol and other drug: Guidance


Residential mental health and alcohol and other drug: Guidance

Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example. a registered nurse, general practitioner, occupational therapist, or diversional therapist.
Service providers have tried and documented all alternative interventions.
Multidisciplinary input determines the appropriate support, such as  cultural or psychological support, to provide to people receiving services.
Service providers explore alternatives, such as sensory modulation, as part of the assessment process.
Service providers make all efforts to support the person and understand them in the first instance, before considering any form of restraint. They only use restraint as a last resort, and document such instances.
Health care and support workers have read the information on each person they are working with, so they are aware of:

any trauma history
known strategies to support the person when they are experiencing distress.

Service providers use Māori cultural support as an integral part of de-escalation strategies and policies. For example, in instances where Māori may be restrained, the service provider demonstrates it has made its best effort to have a Māori health care or support worker present.
Service providers use peer, Pacific or other cultural support as an integral part of their de-escalation strategies and policies. For example, in instances where a person may be restrained, the service provider demonstrates it has made its best efforts to have a peer, Pacific or other cultural support worker present.

Public/private hospital: Guidance


Public/private hospital: Guidance

Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example. a registered nurse, general practitioner, occupational therapist, or diversional therapist.
Service providers have tried and documented all alternative interventions.
Multidisciplinary input determines the appropriate support, such as  cultural or psychological support, to provide to people receiving services.
Service providers explore alternatives, such as sensory modulation, as part of the assessment process.
Service providers make all efforts to support the person and understand them in the first instance, before considering any form of restraint. They only use restraint as a last resort, and document such instances.
Health care and support workers have read the information on each person they are working with, so they are aware of:

any trauma history
known strategies to support the person when they are experiencing distress.

Service providers use Māori cultural support as an integral part of de-escalation strategies and policies. For example, in instances where Māori may be restrained, the service provider demonstrates it has made its best effort to have a Māori health care or support worker present.
Service providers use peer, Pacific or other cultural support as an integral part of their de-escalation strategies and policies. For example, in instances where a person may be restrained, the service provider demonstrates it has made its best efforts to have a peer, Pacific or other cultural support worker present.

Hospice: Guidance


Hospice: Guidance

Service providers seek multidisciplinary input to provide appropriate support. This support may include, for example. a registered nurse, general practitioner, occupational therapist, or diversional therapist.
Service providers have tried and documented all alternative interventions.
Multidisciplinary input determines the appropriate support, such as  cultural or psychological support, to provide to people receiving services.
Service providers explore alternatives, such as sensory modulation, as part of the assessment process.
Service providers make all efforts to support the person and understand them in the first instance, before considering any form of restraint. They only use restraint as a last resort, and document such instances.
Health care and support workers have read the information on each person they are working with, so they are aware of:

any trauma history
known strategies to support the person when they are experiencing distress.

Service providers use Māori cultural support as an integral part of de-escalation strategies and policies. For example, in instances where Māori may be restrained, the service provider demonstrates it has made its best effort to have a Māori health care or support worker present.
Service providers use peer, Pacific or other cultural support as an integral part of their de-escalation strategies and policies. For example, in instances where a person may be restrained, the service provider demonstrates it has made its best efforts to have a peer, Pacific or other cultural support worker present.


Criteria 6.2.2

Aged care: Guidance

Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
Post-event documentation is evident.

Residential disability: Guidance

Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
Post-event documentation is evident.

Residential mental health and alcohol and other drug: Guidance

Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
Post-event documentation is evident.

Public/private hospital: Guidance

Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
Post-event documentation is evident.

Hospice: Guidance

Service providers have an implemented process describing the frequency and extent of monitoring restraint that relates to identified risks, including trauma history.
Post-event documentation is evident.

Criterion 6.2.3

Aged care: Guidance

Service providers meet all needs, including needs for:

food and fluids
hygiene
elimination
toilet
repositioning and mobilising.


Residential disability: Guidance

Service providers meet all needs, including needs for:

food and fluids
hygiene
elimination
toilet
repositioning and mobilising.

Residential mental health and alcohol and other drug: Guidance

Service providers meet all needs, including needs for:

food and fluids
hygiene
elimination
toilet
repositioning and mobilising.

Public/private hospital: Guidance

Service providers meet all needs, including needs for:

food and fluids
hygiene
elimination
toilet
repositioning and mobilising.

Hospice: Guidance

Service providers meet all needs, including needs for:

food and fluids
hygiene
elimination
toilet
repositioning and mobilising.


Criterion 6.2.4

Aged care: Guidance

Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
The restraint register includes information on:

documentation of de-escalation techniques and health care and support worker interventions before the event
alternative interventions used before the use of restraint
the person being restrained
restraint type (such as prone)
duration of the restraint
who approved the restraint
health care and support workers who were involved and their level of training
details of any resulting injury.

Physical restraint includes use of equipment such as rails.
A register does not replace the requirement to document the restraint event in records.

Residential disability: Guidance


Residential disability: Guidance

Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
Service providers should record any personal restraint as a moderate, major, or severe adverse event.
All personal plans include interests and preferred activities that prevent or alleviate boredom and foster the wellbeing of a person receiving services.
Service providers keep good documentation on triggers for a person as well as effective de-escalation strategies
Service providers should constantly update behaviour care or support plans and review them along with progress notes.
For guidance on adverse event reporting, see Health Quality & Safety Commission (2017) Severity Assessment Code (SAC) rating and triage tool for adverse event reporting (PDF, 86 KB).
The restraint register includes information on:

documentation of de-escalation techniques and health care and support worker interventions before the event
alternative interventions used before the use of restraint
the person being restrained
restraint type (such as prone)
duration of the restraint
who approved the restraint
health care and support workers who were involved and their level of training
details of any resulting injury.

Physical restraint includes use of equipment such as rails.
A register does not replace the requirement to document the restraint event in records.

Residential mental health and alcohol and other drug: Guidance


Residential mental health and alcohol and other drug: Guidance

Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
Service providers should record any personal restraint as a moderate, major, or severe adverse event.
All personal plans include interests and preferred activities that prevent or alleviate boredom and foster the wellbeing of a person receiving services.
Service providers keep good documentation on triggers for a person as well as effective de-escalation strategies
Service providers should constantly update behaviour care or support plans and review them along with progress notes.
For guidance on adverse event reporting, see Health Quality & Safety Commission (2017) Severity Assessment Code (SAC) rating and triage tool for adverse event reporting (PDF, 86 KB).
The restraint register includes information on:

documentation of de-escalation techniques and health care and support worker interventions before the event
alternative interventions used before the use of restraint
the person being restrained
restraint type (such as prone)
duration of the restraint
who approved the restraint
health care and support workers who were involved and their level of training
details of any resulting injury.

Physical restraint includes use of equipment such as rails.
A register does not replace the requirement to document the restraint event in records.

Public/private hospital: Guidance


Public/private hospital: Guidance

Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
Service providers should record any personal restraint as a moderate, major, or severe adverse event.
All personal plans include interests and preferred activities that prevent or alleviate boredom and foster the wellbeing of a person receiving services.
Service providers keep good documentation on triggers for a person as well as effective de-escalation strategies
Service providers should constantly update behaviour care or support plans and review them along with progress notes.
For guidance on adverse event reporting, see Health Quality & Safety Commission (2017) Severity Assessment Code (SAC) rating and triage tool for adverse event reporting (PDF, 86 KB).
The restraint register includes information on:

documentation of de-escalation techniques and health care and support worker interventions before the event
alternative interventions used before the use of restraint
the person being restrained
restraint type (such as prone)
duration of the restraint
who approved the restraint
health care and support workers who were involved and their level of training
details of any resulting injury.

Physical restraint includes use of equipment such as rails.
A register does not replace the requirement to document the restraint event in records.

Hospice: Guidance


Hospice: Guidance

Service providers record any restraint resulting in mental, physical, or emotional harm to a person receiving care or support, or a person providing care or support as a moderate, major, or severe adverse event.
Service providers recognise a post-traumatic stress response of a person who either receives or provides care or support.
Service providers should record any personal restraint as a moderate, major, or severe adverse event.
All personal plans include interests and preferred activities that prevent or alleviate boredom and foster the wellbeing of a person receiving services.
Service providers keep good documentation on triggers for a person as well as effective de-escalation strategies
Service providers should constantly update behaviour care or support plans and review them along with progress notes.
For guidance on adverse event reporting, see Health Quality & Safety Commission (2017) Severity Assessment Code (SAC) rating and triage tool for adverse event reporting (PDF, 86 KB).
The restraint register includes information on:

documentation of de-escalation techniques and health care and support worker interventions before the event
alternative interventions used before the use of restraint
the person being restrained
restraint type (such as prone)
duration of the restraint
who approved the restraint
health care and support workers who were involved and their level of training
details of any resulting injury.

Physical restraint includes use of equipment such as rails.
A register does not replace the requirement to document the restraint event in records.


Criterion 6.2.5

Aged care: Guidance

Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:

what caused the distress
the reason given for the restraint
the way people felt before, during, and after the event
giving whānau an active role in this process if they desire
what could be done differently
suggestions or ideas to prevent restraint events in the future
the role of whānau at the onset and evaluation of restraint.


Residential disability: Guidance

Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:

what caused the distress
the reason given for the restraint
the way people felt before, during, and after the event
giving whānau an active role in this process if they desire
what could be done differently
suggestions or ideas to prevent restraint events in the future
the role of whānau at the onset and evaluation of restraint.

Residential mental health and alcohol and other drug: Guidance

Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:

what caused the distress
the reason given for the restraint
the way people felt before, during, and after the event
giving whānau an active role in this process if they desire
what could be done differently
suggestions or ideas to prevent restraint events in the future
the role of whānau at the onset and evaluation of restraint.

Public/private hospital: Guidance

Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:

what caused the distress
the reason given for the restraint
the way people felt before, during, and after the event
giving whānau an active role in this process if they desire
what could be done differently
suggestions or ideas to prevent restraint events in the future
the role of whānau at the onset and evaluation of restraint.


Hospice: Guidance

Service providers have implemented processes around emergency restraint. These should include a documented discussion with whānau or a person who holds an enduring power of attorney (if activated). A suggested framework for the debrief is to discuss:

what caused the distress
the reason given for the restraint
the way people felt before, during, and after the event
giving whānau an active role in this process if they desire
what could be done differently
suggestions or ideas to prevent restraint events in the future
the role of whānau at the onset and evaluation of restraint.


Criterion 6.2.6
Guidance has not been developed for this criterion.
Criterion 6.2.7

Aged care: Guidance

Service providers have an implemented process to monitor restraint that relates to identified risks.

Residential disability: Guidance

Service providers consider the impact of restraint on other people receiving services. For example, at times people are refused access to an outdoor space because others in the home are in secure care. This form of restraint – where a person is restricted from certain areas because another flatmate cannot access them – should never occur.

Residential mental health and alcohol and other drug: Guidance

Service providers inform whānau of any restraint event and include them in the evaluation of a restraint.

Public/private hospital: Guidance

Service providers have an implemented process to monitor restraint that relates to identified risks.
Service providers inform whānau of any restraint event and include them in the evaluation of a restraint.


Criterion 6.2.8

Residential disability: Guidance

Service providers involve health care and support workers in follow-up actions.
The debrief supports the wellbeing of health care and support workers, maximises learning from the evaluation of the restraint incident, and reflects the perspectives of the person receiving services, their whānau, and Māori and other cultural worldviews.

Residential mental health and alcohol and other drug: Guidance

Service providers involve health care and support workers in follow-up actions.
The debrief supports the wellbeing of health care and support workers, maximises learning from the evaluation of the restraint incident, and reflects the perspectives of the person receiving services, their whānau, and Māori and other cultural worldviews.

Public/private hospital: Guidance

Service providers involve health care and support workers in follow-up actions.
The debrief supports the wellbeing of health care and support workers, maximises learning from the evaluation of the restraint incident, and reflects the perspectives of the person receiving services, their whānau, and Māori and other cultural worldviews.

Hospice: Guidance

Service providers involve health care and support workers in follow-up actions.
The debrief supports the wellbeing of health care and support workers, maximises learning from the evaluation of the restraint incident, and reflects the perspectives of the person receiving services, their whānau, and Māori and other cultural worldviews.


Section 6.3: Quality review of restraint
Criterion 6.3.1

Aged care: Guidance

Service providers include the use of restraint in their annual internal audit programme. This may include a review of restraint use, restraint incidents, and education needs. The outcome of internal audit goes through to the restraint committee or quality meeting.

Residential disability: Guidance

Service providers include the use of restraint in their annual internal audit programme. This may include a review of restraint use, restraint incidents, and education needs. The outcome of internal audit goes through to the restraint committee or quality meeting.

Residential mental health and alcohol and other drug: Guidance

Service providers include the use of restraint in their annual internal audit programme. This may include a review of restraint use, restraint incidents, and education needs. The outcome of internal audit goes through to the restraint committee or quality meeting.

Public/private hospital: Guidance

Service providers include the use of restraint in their annual internal audit programme. This may include a review of restraint use, restraint incidents, and education needs. The outcome of internal audit goes through to the restraint committee or quality meeting.

Hospice: Guidance

Service providers include the use of restraint in their annual internal audit programme. This may include a review of restraint use, restraint incidents, and education needs. The outcome of internal audit goes through to the restraint committee or quality meeting.

Section 6.4: Seclusion

Public/private hospital: Guidance

Criterion 6.4.1

Service providers only use seclusion as a last resort and when there is an assessed imminent risk to the safety of the person and all others involved.

Criterion 6.4.2

Data includes:

rationale and clinical review
number of people secluded
number of seclusion events
demographics
duration of seclusion events in hours
any personal restraints taken in order to achieve the seclusion
any specific issues related to each seclusion event.


Criterion 6.4.3

If service providers use seclusion, they must always explain the event to the person receiving services and their whānau in a culturally appropriate way and check with them that they understand what is happening to them and the length of time they will be secluded.

Criterion 6.4.4

Service providers whakapaepae (pay attention to) the environment to avoid seclusion by making available a space of nohopuku (silence, quiet, and inactivity).

Criterion 6.4.5

Service providers acknowledge and observe cultural practices; for example, they:

do not allow food to be eaten on a bed
make available kaumātua or health care and support workers who the person receiving services can identify with to support the person.

Criterion 6.4.6
Guidance has not been developed for this criterion.
Criterion 6.4.7
Guidance has not been developed for this criterion.
Criterion 6.4.8
Guidance has not been developed for this criterion.
Criterion 6.4.9

For guidance on night orders, see Ministry of Health (2018) Night Safety Procedures: Transitional guideline.


Part 5: Infection prevention and antimicrobial stewardship
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Page last updated: 28 February 2023

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HomeOur workRegulationCertification of health care servicesFor service providers

Certification of health care services

Health and Disability Services (Safety) Act
Standards
For residents and families
For service providersAnnual service provider declaration
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Applying for certification
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For designated auditing agencies
For Te Whatu Ora
Making a complaint
HealthCERT Bulletin
Publications

 Information for providers of health care services

This section provides information for current or potential certified providers of health care services under the Health and Disability Services (Safety) Act 2001.


In this section

Annual service provider declaration

 This section provides information for certified providers who need to make an annual declaration.
 Read more

Notification for one hospital-level resident to be cared for in a rest home service area

 Information for rest home certified providers who wish to apply for a dispensation to care for one hospital-level resident.

 Read more

Applying for certification

 This section provides online application forms and all the supporting information you need to assist you in making an application for certification under the Health and Disability Services (Safety) Act 2001.

 Read more

Designated auditing agencies

 A list of agencies who have been designated to audit health care services by the Director-General of Health.

 Read more

Notifying a change of clinical or facility manager

 Information for certified providers of aged residential care services who need to notify of a change to the clinical or facility manager at one of their premises.

 Read more

Notifying a change of governance

 Information for certified providers notifying a change to membership of the governing body, partners or trustees of the service provider.

 Read more

Notifying an incident under section 31

 Information for certified providers who need to make a notification under section 31 of the Health and Disability Services (Safety) Act 2001.

 Read more

Reconfiguring services or building a new premises

 Information for certified providers of aged residential care services who want to reconfigure certified premises or build new health premises.

 Read more

Reporting on an ACC Notification of Harm

 Information for certified providers who need to make a report relating to an ACC notification of harm.

 Read more

Residential Disability – intellectual and/or physical services providers’ surveillance declaration

 This section provides information for certified providers of residential disability – intellectual and/or physical services who need to submit a surveillance declaration.
 Read more

Related areas

 Making a complaint about your residential care


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HomeOur workRegulationAbortion services

 Abortion services: information for health practitioners

Information about changes in the abortion legislation and what these changes mean for health practitioners.

Changes were made to the abortion law in 2020 to better align the legislation with that of other health services.
These pages have information about what these changes mean for health practitioners, including training and support to become an abortion provider.
Work is still underway to support more accessible and equitable abortion services.
Guidance for practitioners currently providing abortion services can be found in the New Zealand Abortion Clinical Guideline.
For those providing abortion counselling, visit the Standard for Abortion Counselling in Aotearoa New Zealand for further information on what abortion counselling means.

DECIDE – national abortion telehealth service

DECIDE provides information about accessing abortion services to the public.

DECIDE website
0800 DECIDE (0800 332 433)


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Information for health practitioners providing services in primary and community settings.

Establishing abortion services in primary care and community settings
Guidelines and training
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Information on the programme of work to deliver the transformation of abortion services.

Abortion services and the health system reforms
Embedding Te Tiriti o Waitangi in abortion services

Abortion legislation

Information on changes to abortion legislation in New Zealand resulting from the 2020 law reform.
– Find out more

Safe Areas Amendment Act

Safe Areas aim to protect the safety, wellbeing, privacy and dignity of people who are accessing or providing abortion services
– Find out more

Information for the public

Information on getting help and support, accessing abortion services, abortion methods, and more.
– Find out more

Abortion reporting

What information the Ministry collects, what health practitioners need to report, and the reporting process.
– Find out more

Annual reports

These reports provide an of overview of Manatū Hauora’s abortion services work, along with key abortion statistics.
– Find out more

Abortion services newsletter

Subscribe to our newsletter for the latest updates from the work programme.
– Find out more

Page last updated: 24 November 2022

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Te Apārangi: Māori Partnership Alliance | Ministry of Health NZ

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HomeOur workRegulationCertification of health care servicesStandardsNgā Paerewa Health and Disability Services StandardTe Apārangi: Māori Partnership Alliance

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Te Apārangi: Māori Partnership AllianceMembership
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 Te Apārangi: Māori Partnership Alliance


Te Apārangi: Māori Partnership Alliance was established to work in partnership with HealthCERT and Regulatory Assurance teams to provide expert Māori advice, framed by Te Tiriti o Waitangi.On this page:

Membership
Work undertaken

Standards Review, HealthCERT
Assisted Dying Services

Current work
Terms of Reference


Rangatiratanga, as defined in He Korowai Oranga, recognises that Māori are both a legitimate and an essential part of decision-making in the health and disability sector. Te Apārangi: Māori Partnership Alliance (Te Apārangi) works to ensure Māori participation and decision-making span across HealthCERT and Regulatory Assurance teams’ work programmes. Te Apārangi has written their own terms of reference. Membership includes the interim Māori Health Authority, health and disability service providers, researchers, lived experience, and sector experts. Their advice is framed by Te Tiriti of Waitangi (Te Tiriti).
Membership
View Te Apārangi members information.
Work undertaken
Standards Review, HealthCERT
Te Apārangi worked in partnership alongside HealthCERT to update Ngā paerewa Health and disability services standard (NZS 8134:2021) (Ngā paerewa). Te Apārangi’s formation was one of the steps taken to ensure Māori participation and decision-making spanned across all four phases of the standard review work programme (see section on Rangatiratanga). Te Apārangi held ultimate decision-making rights on all Māori content within Ngā paerewa.


Throughout the two-year standard review work programme, Te Apārangi members undertook a significant amount of the work to update Ngā paerewa. Their work was guided by feedback from initial scoping workshops, which reported a need for strengthened, updated and improved NZS 8134:2008  1.1.4: Recognition of Māori Values and Beliefs and Te Tiriti o Waitangi guidance and criteria throughout. Te Apārangi’s work was further informed by the experiences of Māori using health and disability services to update the standard and increase visibility of Te Tiriti throughout. Reported Māori consumer experiences of health systems and programs and the Equity of Health Care for Māori: A framework are two of the main sources with other kaupapa Māori research findings about Māori consumers being incorporated.
The result of Te Apārangi’s work can be seen throughout Ngā paerewa. Standard 1.1.4 is replaced by the new Section 1.1: Pae Ora healthy futures, which outlines service providers responsibilities under Te Tiriti in the context of the services they are providing.
Te Apārangi further authored the 34 Te Tiriti statements throughout Ngā paerewa. This is a new part of the standard designed to empower Māori to know what outcome or experience of service provision each section entitles them to as tangata whenua.
Te Apārangi additionally authored 34 criteria throughout Ngā paerewa which further embed the principles of Te Tiriti in how services are provided. These criteria are underpinned by sector guidance, which Te Apārangi drafted, and includes links to Te Tiriti training, tools and resources, to support providers as they begin to implement these updated requirements.


The Chair of Te Apārangi, Riana Manuel, further held a seat on Standard New Zealand’s P8134 Standard Development Commitee, see Phase 4: Standards New Zealand, as Acting-Chair, to maintain the link between the P8134 Committees work and Te Apārangi’s work.
Assisted Dying Services
At the request of the Ministry of Health End of Life Choice Implementation Governance Group, Te Apārangi took on an advisory role during the implementation of the End of Life Choice Act 2019. Between June 2021 and when Act came into force in November 2021, Te Apārangi were consulted and provided advice on a wide range of implementation matters, including:


public information about assisted dying, including usage of Te Reo Māori
collection of disability data as part of the assisted dying process
inclusion of whānau and te ao Māori worldview in the assisted dying service
approach to Māori engagement.

Te Apārangi is continuing to provide support and expertise now the assisted dying service is operational. The role of Te Apārangi will shift towards providing governance and strategic oversight to the assisted dying secretariat, through which Te Apārangi will support the secretariat’s role of monitoring and improving the service over time.
In particular, it is expected Te Apārangi will be involved in evaluative and quality improvement activities related to the service, and ensuring equity is central to these activities.
Te Apārangi will also support the secretariat to engage with national Māori health workforce organisations, Māori and iwi led PHOs, Māori and iwi health providers and other Māori stakeholders. This will help ensure Māori representation and participation throughout all aspects of the service.

Current work
Ngā paerewa came into force on 28 February 2022. Te Apārangi has now shifted to a governance role supporting HealthCERT to implement Ngā paerewa across the sector. Te Apārangi meets quarterly and provides direction on how HealthCERT’s internal processes and policies can give effect to the principles of Te Tiriti.
To continue to support the sector to upskill in Te Tiriti and what it means for their service delivery, Te Apārangi advised on and oversaw the development of an online eLearning module: Compliance with Te Tiriti o Waitangi requirements in Ngā Paerewa . A second eLearning module is planned to be released later this year.

Terms of Reference
For addiitonal information view the terms of reference online.


In this section

Te Apārangi: Māori Partnership Alliance membership

 Information on the members of Te Apārangi.

 Read more

Te Apārangi: Māori Partnership Alliance terms of Reference

 Terms of reference of Te Apārangi: Māori Partnership Alliance

 Read more

Page last updated: 02 September 2022

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Residential Disability – intellectual and/or physical services providers’ surveillance declaration | Ministry of Health NZ

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HomeOur workRegulationCertification of health care servicesFor service providersResidential disability provider surveillance

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 Residential Disability – intellectual and/or physical services providers’ surveillance declaration


This section provides information for certified providers of residential disability – intellectual and/or physical services who need to submit a surveillance declaration.Certified providers are required to submit a surveillance declaration at the certification midpoint where an on-site surveillance audit does not occur.
Providers must complete Surveillance Declaration Form (docx, 49 KB) attached to this page and submit it to their Designated Auditing Agency.
Further information
If you require any further information or advice please contact us.

Downloads

 Surveillance Declaration Form (docx, 49 KB)

Page last updated: 19 February 2022

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Smoked Tobacco Products | Ministry of Health NZ

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HomeOur workRegulationSmoked Tobacco Products

 Smoked Tobacco Products

This section will provide information about the Smokefree Environments and Regulated Products Act 1990 (SERPA) and how it regulates smoked tobacco products in New Zealand and what that means for retailers, manufacturers, importers and distributors of smoked tobacco products.
In the future, you will find information for:

Retailers
Manufacturers and importers
Distributors


Latest updates
11 January 2023 New record keeping requirements
The Smokefree Environments and Regulated Products (Smoked Tobacco) Amendment Act received Royal assent on Friday 16 December 2022 and new provisions came into effect from 1 January 2023.
Under the new provisions, manufacturers, importers, exporters, distributors and retailers of regulated products (smoked tobacco, vaping, herbal smoking and smokeless tobacco products) are responsible for keeping accurate records relating to all of their regulated products.
Manufacturers, importers, exporters, distributors and retailers of a regulated product must take reasonable steps to keep accurate records of:

all the regulated products that they manufacture, import, export, buy, sell, or supply; and
for a manufacturer, the constituents required by regulations to be recorded that the manufacturer uses or intends to use in the manufacture of each regulated product.

Records must be kept for 3 years from the date of each transaction.
An enforcement officer may require a person to provide a copy of the records kept under this section by notice in writing.
The person must provide the enforcement officer with a copy of the records, in the format required in the notice, within 10 working days of receiving the notice.
Our expectation is that manufacturers, importers, exporters, distributors and retailers will already be keeping accurate records as part of their normal business practice. There is no particular format that businesses must use for their records – it will depend on each business’s management system. The Act requires records to be kept for 3 years and requires them to be provided to an enforcement officer upon request by written notice. The enforcement officer will stipulate in the notice whether the records should be provided in paper or electronic format, and how they should be delivered. Only existing records in their existing format will need to be provided.
The Act does not specify exactly what records must be kept but our expectation is that records would include:
For manufacturers, importers, exporters, distributors and retailers


what products they have purchased, who they purchased them from and when
what products they have sold and when
purchase and sale prices

In addition, for manufacturers, importers and exporters

who they sold products to and when
batch/serial numbers of products bought and sold

In addition, for manufacturers

constituents used or intended to be used in the manufacture of each regulated product
what constituents they have purchased, who they purchased them from and when
batch/serial numbers of constituents bought and sold.

SERPA Regulations 2023
Regulations that will significantly reduce the retail availability, appeal and addictiveness of smoked tobacco products are needed to fully deliver legislative changes under the Smokefree Environments and Regulated Products (Smoked Tobacco) Amendment Act.
From 4 January to 15 March 2023, New Zealanders can have their say about proposed smoked tobacco regulations that will support the country in its goal to achieve a smokefree future by 2025. The proposed regulations cover a range of areas, including the smoked tobacco retail reduction scheme, low nicotine cigarette testing requirements, fees and notification requirements. The proposals also include possible new measures to strengthen existing regulations on vaping products.
Have your say on the proposed smoked tobacco regulations


Make a complaint
If your complaint is about tobacco sales to under 18s or smoking in a workplace, then contact your local Public Health Service
For all other complaints, contact [email protected]


SERPA >

Read more about the Smokefree Environments and Regulated Products Act 1990

Retailers

Check back for updates

Manufacturers and importers

Check back for updates

Distributors

Check back for updates

About the Tobacco Regulatory Authority >

Subscribe for updates

Page last updated: 26 January 2023

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See all

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NZ health system