Health/mental health systems and strategy

In this submission to the Parliamentary Health Committee, the Mental Health Foundation recommends this Bill be rejected because it removes:

• most of the legal mechanisms that support an equal Te Tiriti o Waitangi-based partnership with Māori, including the expression of tino rangatiratanga and equitable outcomes
• the health sector's focus on protecting and promoting health and wellbeing; equally prioritising mental and physical health; and valuing the views of people with lived experience of mental health challenges.

This submission is to the Pae Ora Legislation Committee on the Pae Ora (Healthy Futures) Bill. The Bill outlines the new structures and accountabilities in the health system. Our submission makes several recommendations to strengthen the Bill including recommending a focus on wellbeing, and to require for a mental health, addiction and wellbeing strategy in the Bill. 

Developing a Mental Health and Addiction System and Service Framework is one of the key actions recommended by Kia Manawanui Aotearoa – Long-term pathway to mental wellbeing. As the light bearer for delivery of the mental health and addiction transformation within the new health system, the System and Service Framework will be one of the most important tools employed to ensure the locality approach does in fact take a broad approach to mental wellbeing and decision makers place the mental wellbeing of their community at the forefront of actions.

In our letter to the Ministry of Health, we argue that the System and Service Framework should emphasise prevention and mental wellbeing more strongly, provide a phased action plan with clear accountability mechanisms, include an explicit action to address/eliminate racism, and align with and reinforce related strategic documents and frameworks such as the Mental Health and Wellbeing Commission’s He Ara Āwhina monitoring framework and He Tapu te Oranga o ia Tangata (the national suicide prevention strategy and action plan) as well as the incoming new mental health legislation.

The MHF's petition, launched in October 2025, calls on the Minister for Mental Health to take urgent action on child and youth mental health. As of 12 December, we have received over 14,000 signatures of support for this petition, from a range of concerned New Zealanders. The petition will remain open into early 2026. This letter invites the Minister to formally respond to our petition's request for urgent action and reaffirms our commitment to engage with the public on this issue until we are satisfied an adequate response is forthcoming.

On 19 February 2026 the Minister for Mental Health, Hon. Matt Doocey, received a joint letter and petition signed by 19,615 New Zealanders. Together, we called on the Government to take urgent action to address poor child and youth mental health rates.

The petition urges both immediate, and long-term steps to ensure that young New Zealanders can access the timely, effective mental health supports they need — and deserve.  

For too long, young people have had the highest rates of mental health challenges in the country, yet waited the longest for support. This collective action reflects a growing, nationwide demand for meaningful change. 

The Ministry of Social Development has consulted on a new Carers’ Strategy Action Plan, following the expiry of the previous plan in 2023. Carers are people who support friends, family, whānau and aiga members with a disability, illness, or health condition – including mental health and addiction challenges.

While the MHF supports the idea of a rolling plan that can respond quickly and flexibly to need, the draft lacks urgency and real action. Many deliverables are vague, with no clear accountabilities, timelines, or corresponding funding.

Carers are doing it tough, experiencing significantly higher rates of anxiety, loneliness, and poor health – especially young carers. Support isn’t reaching people either, with many not even realising they’re considered as “carers”, and services are either hard to find or don’t exist. 

Carers need real support now, including respite, financial help, and recognition of their own needs (not just the person they care for). A stronger focus on equity is also needed, including meaningful support for Māori carers and whānau.