Te Manawa Taki

TMT Blue

Whakataka te hau ki te uru|
Whakataka te hau ki te tonga
Kia mākinakina ki uta
Kia mātaratara ki tai
E hī ake ana te atākura
He tio, he huka, he hauhū
Tūruturu o whiti whakamaua kia tina. Tina!
Haumi e, hui e, tāiki e!



‘Te Manawa Taki’ (‘the heart beat’) is the name gifted and agreed upon to represent the region encompassing the five DHB regions of Bay of Plenty, Hauora Tairāwhiti, Lakes, Taranaki and Waikato.

The name Te Manawa Taki in the context of the combined region represents:

  • Always ready to go.
  • Without a strong heartbeat the fish cannot swim.
  • We lead, others follow.

Our Values

The Values of Te Manawa Taki are represented by the acronym T.A.H.I - the Māori kupu (word) for the number 1. T.A.H.I aptly reflects our commitment to achieve Equity, Māori health gain and a successful Te Tiriti embedded Partnership. These issues and those in this plan are our combined #1 priority.


It is through these values that we can continue to improve outcomes for Māori, where Māori have at least the same health outcomes as Non-Māori. TAHI also aligns with our Vision statement, which reflects our singular commitment.

Our Vision

Te Manawa Taki’s vision is He kapa kī tahi - a singular pursuit of Māori health equity.

It reflects that as a region we will work in unison to achieve equity of Māori health outcomes and wellbeing through multiple means, including: 

  • A health system that actively prioritises achieving Māori health equity.
  • Mutual respect for braiding the best of kaupapa Māori and western science best practice evidence, thinking and worldviews to benefit Māori health equity.
  • Shared accountability for measuring and achieving success.
  • Shared decision-making and authority.
  • Shared resources (financial, technical, human, other).
  • Working in partnership to create a system that enables Māori to lead solutions that are based on kaupapa Māori and mātauranga Māori.
  • Creating and enabling champions to lead solutions that drive equitable outcomes for Māori.

Our Mission - C3 - Co-design, Co-decide, Co-implement

Our Mission reflects the way we will work together in order to implement true Te Tiriti o Waitangi based relationships to effect sustainable and positive partnered change over time.

Te Tiriti o Waitangi

Te Tiriti o Waitangi is the foundation of our partnership. The tino rangatiratanga of Te Manawa Taki iwi is realised through our governance and management structures as well as our ongoing dialogue with communities around the region. Patients and whānau have their own thoughts, feelings and desires for a health system that works for them, and it is through that conversation that we can deliver a system that people can fully engage with. Giving proper and full effect to the Treaty goes beyond the traditional ‘three Ps’ principles of “Protection”, “Partnership” and “Protection”. The Waitangi Tribunal recommends adoption of the following principles (the recommendations below were in the context of primary health care delivery):

  1. The guarantee of tino rangatiratanga, which provides for Māori self-determination and mana motuhake in the design, delivery, and monitoring of primary health care.
  2. The principle of equity, which requires the Crown to commit to achieving equitable health outcomes for Māori.
  3. The principle of active protection, which requires the Crown to act, to the fullest extent practicable, to achieve equitable health outcomes for Māori. This includes ensuring that it, its agents, and its Treaty partner are well informed on the extent, and nature, of both Māori health outcomes and efforts to achieve Māori health equity.
  4. The principle of options, which requires the Crown to provide for and properly resource kaupapa Māori primary health services. Furthermore, the Crown is obliged to ensure that all primary health care services are provided in a culturally appropriate way that recognises and supports the expression of hauora Māori models of care.
  5. The principle of partnership, which requires the Crown and Māori to work in partnership in the governance, design, delivery, and monitoring of primary health services. Māori must be co-designers, with the Crown, of the primary health system for Māori.