Evidence required:

• Ethnicity data (PMS or PHO) and audits less than six months old at the date of assessment.
• Displays of data and audit findings in staff room and/or other staff-only spaces.
• Minutes from team meetings demonstrating that health equity is a standing agenda item.

Written comments:

• Description of the data sources your practice uses to inform pro-equity initiatives (e.g., internal practice data, DHB-provided community data, qualitative data, etc).
• Description of how the analysis of this data is used to inform and monitor pro-equity initiatives.

Evidence required:

• Service delivery plan, or an action plan, or something similar, outlining how the practice plans to develop and deliver services and programmes that promote and monitor health equity outcomes.
• Health equity policy is already a requirement under 1.1. so there is no need to duplicate the evidence for 4.2.

Written comments:

• Description of services and programmes that promote health equity outcomes, including a description of any initiatives developed or plans to address specific disparities found in audit results.
• Description of how the practice develops community relationships, partners with Māori and collaborates with other organisations to improve health equity outcomes for Māori and for under-served groups (e.g., with Iwi/hapū, Māori health providers, PHO Māori Liaison, community organisations etc.)

Evidence required:

• Patient/whānau surveys or other feedback processes or narratives that allow patient and whānau to report on patient and whānau experience, including an assessment of cultural safety.

Written comments:

• Description of the activities or initiatives that the practice undertakes to ensure that patients and whānau experience inclusive and culturally safe care.