Hon Dr DAVID CLARK: The review has made a series of far-reaching recommendations. They include shifting to a greater focus on population health, creating a new Crown entity—provisionally called Health New Zealand—focused on the operational delivery of health and disabilities services and financial performance, reducing the number of DHBs from the current 20 down to eight to 12 within five years, creating a Māori health authority to advise on all aspects of Māori health policy and to monitor and report on the performance of the system, and greater integration between primary and community care and hospital specialist services. Local planning must drive decisions. Our health and disability system needs to better understand the real needs of the community and when and where services should be available. 