Monitoring & advocacy

Monitoring and Advocacy

A new commission has been established to take on monitoring and advocacy for improvements to mental health and addiction services. From 9 February 2021, the function of the previous Mental Health Commissioner at the HDC has passed to the Mental Health and Wellbeing Commission.

HDC will continue to look at complaints relating to mental health and addiction services. People who have concerns about the care they or others have experienced at a mental health and addiction service should still contact the Advocacy Service or make a complaint to the HDC.  

The Mental Health and Wellbeing Commission will perform a broad role in transforming Aotearoa New Zealand’s approach to mental health and wellbeing. It will provide system-level oversight of mental health and wellbeing and hold the Government of the day and other decision makers to account for the mental health and wellbeing of people in Aotearoa New Zealand.

HDC will continue to work with the Mental Health and Wellbeing Commission and the Ministry of Health on issues relating to mental health and addiction.

Find out more about the Mental Health and Wellbeing Commission:

About the Commission

Mārama Real Time Feedback

HDC has transferred stewardship of the Mārama Real Time Feedback tool to the Ministry of Health.

Mārama is an important tool for capturing the real time experiences and voices of people engaging with mental health and addiction services. The Ministry taking on stewardship of Mārama reflects its commitment to ensuring the voices of tangata whaiora and their whānau shape service design and delivery.

Previous monitoring and advocacy work

While HDC held the monitoring and advocacy role for mental health and addiction services, we used the Monitoring and Advocacy Framework. This framework, developed with the sector, helped us to assess the state of mental health and addiction services and to make recommendations for change.

Monitoring activity

HDC will continue to identify themes and trends from complaints we receive about mental health and addiction services.

Our past monitoring activity included engagement with a range of sector stakeholders including:

  • consumer and family/whānau leaders,
  • the Director of Mental Health and other Ministry of Health officials,
  • the Health Quality and Safety Commission,
  • District Health Boards,
  • non-government organisations,
  • professional leadership forums,
  • other agencies concerned with human rights including the Ombudsman, the Children's Commissioner and the Human Rights Commissioner.

Advocacy activity

HDC will continue to advocate for improvements to mental health and addiction services by making decisions in relation to complaints about these services, and providing independent comment and recommendations for service improvement.

Our past advocacy work included:

  • Preparing submissions on major legislative or policy initiatives in relation to mental health and addiction services.
  • Presenting and providing sector updates.