Integration, both vertical and horizontal, remains a key objective politically and at a system level. Basic concepts of integration centre on collaboration and coordination to improve the delivery of services in a ways that work for patients.

Most of the work towards integration is being driven from primary care, however DHB alliance agreements and the proposed Integrated Performance and Incentive Framework are designed to facilitate and encourage primary and secondary integration.

The NZMA recognises the benefits of integration but needs to consider enablers, barriers and unintended consequences, and advocate accordingly.