Tui Ora was launched in 1998 after consultation with representatives from the iwi health board Te Whare Pūnanga Kōrero (TWPK). Eight iwi in the Taranaki region were represented on the board.
Tui Ora was set up as a ‘not-for-profit’ business.
This was seen as the most efficient way to make decisions and share resources. It was to be owned in a partnership between iwi representatives and representatives of affiliated provider organisations. This model was unique and was called a Māori Development Organisation (MDO). Eight providers came under the organisation’s umbrella and turnover was $1.1 million.
In 2000 the number of providers under Tui Ora had almost doubled to 14 with those providers working across a range of age groups and in different parts of the region.
Three years later there were 26 providers. Our turnover for the year ended 30 June 2002 was $4.4 million.
During a strategic review, the organisation began to encourage better collaboration between individual providers.
In 2009 a shift in Government policy led to a focus on greater clinical leadership, value for money and improved quality and safety.
The values and principles of Tui Ora aligned with these policies. By 2010 Tui Ora had accepted these policies and was beginning to implement them.
This change was done in three phases so that midway through 2012 a range of service providers had been almost fully consolidated. A small number of services were contracted to other providers such as the older person’s and homecare services as well as traditional therapies.
Within that framework the Taranaki District Health Board (TDHB) was instituting a more focused approach to the health of Māori and high needs groups.
In August 2012 Taranaki District Health Board's single contract for Māori health called Te Kawau Mārō was signed.
We now operate under a flexible funding arrangement to best meet the needs of it clients and whānau. We have adopted the Whānau Ora model of care, to support the delivery of our services.
Staff and organisation structures take a wider focus. Services are better co-ordinated so clients are not dealing with many different health professionals.
In 2013 a new ownership model was introduced. It is solely based on an iwi ownership model with the new trust called Te Tuituia. The trust has a representative from each of the eight iwi: Ngāti Tama, Ngāti Mutunga, Te Atiawa, Ngāti Maru, Taranaki, Ngā Ruahine, Ngāti Ruanui and Ngā Rauru.
Those representatives are the Tui Ora shareholders. A board of directors has oversight of Tui Ora and reports to the trustees.