Source: Oxfam Aotearoa
Health survey shows good health isn’t for everyone – it’s about time it was! – IHC
24 November 2025
The New Zealand Health Survey 2024/25 shows that most people consider themselves in good health, while people with intellectual disability experience some of the poorest health outcomes in the country.
Despite IHC raising awareness of this issue for many years we are still waiting for government intervention that will address these substantial inequalities.
The New Zealand Health Survey reports that most New Zealanders are doing well:
- 86.6% of adults say they are in good, very good, or excellent health
- Nearly all children (97.5%) are reported to be in good health
- Adults report high life satisfaction (83.3%) and strong family wellbeing (83.2%)
- Daily smoking rates remain very low at 6.8%
- One in six adults (17.1%) and one in five children (19.1%) visited an emergency department in the past year
- 21% of children lived in households where food ran out often or sometimes. (ref. https://communications.cmail20.com/t/i-l-zxkjyd-tjiltkjdiu-y/ )
But these positive national trends do not reflect the experiences of people with intellectual disability.
Key health outcomes for people with intellectual disability1:
People with intellectual disability die up to 20 years earlier than the rest of New Zealand
- 50% of people with intellectual disability have a diagnosed mental health condition – more than twice the rate for people without intellectual disability
- 9% have a mood disorder – three times higher than the rest of the population
- 4% have been treated for a psychotic disorder – 13 times higher than people without intellectual disability
- 11.5% of people with intellectual disability are smokers – almost double the national smoking rate
- 62% of people with intellectual disability visited the emergency department in 2023. They are 2.7 times more likely to attend ED than those without intellectual disability
- Children with intellectual disability are more than twice as likely to go without fresh fruit, vegetables, or protein compared with other children.
The Reality Behind Self-Reported Health
Given their significantly lower life expectancy, high rates of preventable health conditions, and higher levels of unmet need, people with intellectual disability are far less likely to report being in good health than the general population. This stands in stark contrast to the overwhelmingly positive health ratings in the national survey.
IHC Senior Advocate Shara Turner says the findings show that people with intellectual disability continue to face avoidable and unacceptable health inequities.
“What this data shows is that Government health policies continue to fail people with intellectual disability. Without meaningful, system-wide change, people with intellectual disability will continue to experience poorer health outcomes and much shorter lives.”
IHC has worked closely with the disability and health sectors for many years to identify a set of changes that will start to improve health outcomes for people with intellectual disability.
IHC is calling for:
- Government-funded comprehensive annual health checks for all people with intellectual disability, with a focus on preventive healthcare
- Targeted preventative screening programmes and better monitoring of health outcomes, including a national intellectual disability marker in health records and wellbeing frameworks
- Improved healthcare professional training, including mandatory curriculum and ongoing professional development on communication, ableism, bias, and human rights
- Health literacy and advocacy support for intellectually disabled people and their families, including plain language resources, Easy Read formats, health passports, electronic health records, and evidence-based information
- A twin-track approach to care, combining mainstream health services with specialist intellectual disability healthcare teams, including nurses and liaison officers
- Better transition planning between paediatric, adult, and geriatric services
- Reduction of overmedication with psychotropic medicines, modelled on programmes such as the NHS STOMP initiative
- Inclusion of carers in hospital care teams and strengthening public health policies to improve health outcomes
- Monitoring and review systems for mortality and health outcomes, modelled on UK programmes like LeDeR, to identify risks and guide system improvements.
References
1 Beltran-Castillon, L., & McLeod, K. (Forthcoming). From Data to Dignity Reality Check 2026: Updated health and wellbeing indicators for New Zealanders with intellectual disability. IHC.
1 Beltran-Castillon, L., McLeod, K., & Stone, G. (2025). The Cost of Exclusion: Hardship and People with Intellectual Disability in New Zealand (p. 9389854 Bytes). IHC. https://doi.org/10.6084/M9.FIGSHARE.29387705.V1
Appointments – Earth Sciences New Zealand announces its new Chief Executive
Source: Earth Sciences New Zealand
Northland Regional Council media brief – 24 November 2025
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Weather News – Changeable weather for the final week of spring – MetService
Covering period of Monday 24th – Friday 28th November – Changeable weather for the final week of spring.
• Maximum temperatures swing back to the 20s for most, approaching 30°C in Canterbury
• The South Island sees wet and windy weather Wednesday and Thursday
• The North Island turns unsettled on Friday
The final week of spring brings a mix of weather, from a cool start to a warm and muggy finish, with several bouts of rain in between. MetService is forecasting a series of weather systems to move through: two from the Tasman Sea on Wednesday and Thursday, followed by one affecting the North Island on Friday. It all adds up to a changeable week to round off what has been a similarly changeable season.
North Island
Warm and muggy conditions make a quick return for the North Island. After a cooler start today (Monday), temperatures climb again from Tuesday, with daytime highs in the 20s expected from Northland right through to Wellington. Nights will feel warm too, with muggy, mid-to-high-teen temperatures from Wednesday.
Most places will see showers at times, especially on Friday, which is shaping up to be the most unsettled day of the week with the chance of thunderstorms.
MetService meteorologist Mmathapelo Makgabutlane says, “This will be a good week to keep up with your local day-to-day forecast and an eye on our rain radars within our app and website. There’ll be plenty of dry breaks, but those showers could catch people off guard.”
South Island
The South Island, on the other hand, sees more than a few showers this week as two systems bring wet and windy weather on Wednesday and Thursday. The first wave moves in early Wednesday, with possible heavy rain for the ranges of Tasman, the West Coast Region and Fiordland. A Watch for Heavy Rain is in place for the ranges of Westland, and heavier falls may spill over into the Canterbury High Country near the Southern Alps. The next wave arrives on Thursday, bringing even larger rainfall totals for similar areas.
Northerly winds will also be felt markedly over the South Island this week, mainly on Wednesday and Thursday where speeds may approach severe gale in exposed places.
“Mid-week will be the time to plan for in the South Island. Additional Watches or Warnings may be issued, so keep an eye on metservice.com in the coming days,” Makgabutlane advises.
Warm conditions come with these northerlies. After today’s cooler spell, temperatures rebound quickly, with parts of Canterbury climbing towards 30°C on Wednesday and Thursday. And with warm nights also on the way, MetService Heat Alerts may be needed.
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Health – Advertising for 12-Month Prescriptions Risks Misleading Patients – GenPro
Recent advertising promoting 12-month prescriptions is creating expectations that are unrealistic, unhelpful, and in many cases not in patients’ best interests, says GenPro Chair Dr Angus Chambers.
“These ads imply that everyone will be able to access a 12-month prescription, that it will be simple, and that people will save money,” Dr Chambers says.
“But this is over-egging the situation. It’s not how prescribing works, and it risks leaving many patients confused and disappointed.”
Not Everyone Will Qualify
Dr Chambers says the public messaging fails to reflect clinical reality.
“Many people will not qualify for a 12-month prescription. It is always at the discretion of the GP. If a patient requires regular monitoring—blood tests, blood pressure checks, medication adjustments—they’re very unlikely to receive a 12-month script,” he says.
“We’re already seeing patients coming in with unrealistic expectations because the ads have told them what to expect. A significant number will be told ‘no’ and – understandably – they are grumpy about it.”
Only a limited number of medicines are routinely suitable for 12-month prescribing. “Certain statins, once stabilised, may be appropriate. Thyroid medications and vitamin D supplements are other examples,” Dr Chambers notes. “But conditions like diabetes—despite being referenced publicly—require regular monitoring and dose adjustments. It’s unlikely many people with diabetes will be eligible for 12-month scripts.”
“Lower Your Expectations”
Dr Chambers’ message is simple: temper expectations. “We are asking for the advertising to be dialled back. Otherwise, GPs will be dealing with a lot of frustrated patients whose clinical circumstances simply don’t allow for this option,” he says.
The suggestion that patients will save significant money also needs to be treated cautiously.
“The government points to savings of up to $120 a year in GP fees. What they haven’t acknowledged is that this revenue loss will have to be recovered elsewhere,” Dr Chambers says. “Many patients already request repeat prescriptions through apps or websites. That revenue supports general practice viability. If that income disappears, practices may have to increase other fees. There’s no cap on prescription fees, so it’s entirely possible these could increase substantially.”
“Upward pressure on fees is almost inevitable. The idea that patients will see large net savings needs to be tempered.”
Limited Impact on GP Workload
The Government has stated the policy will free up GP time for more appointments. Dr Chambers disagrees.
“I don’t know any GP who renews these kinds of routine prescriptions during appointments. The suggestion that it will significantly reduce workload is overstated. It might free up enough time for a cup of tea.”
GenPro has long advocated for a more cautious approach. “Our preference has been six-month prescriptions, not 12 months. Some practices may choose to adopt a six-month threshold regardless.”
A Need for Realistic Communication
“Ultimately, we want patients to have accurate information—not spin,” Dr Chambers says.
“This change will help a proportion of people, but not everyone. Expectations must be realistic, so patients aren't left disappointed and GPs not having to manage frustration created by misleading advertising.”
