At present, access to after-hours and urgent care varies depending on where people live. Long wait times and travel distances are common in some areas, especially outside urban centres. This package will help address those challenges.

The aim is to ensure 98% of New Zealanders can access urgent care within one hour’s drive of their home.

New and improved urgent and after-hours healthcare

This investment supports the roll-out of a new and improved urgent and after-hours healthcare framework, developed by Health New Zealand and ACC, informed by after-hours and urgent care providers. The framework aims to establish a comprehensive and cohesive approach to healthcare delivery, ensuring accessibility, efficiency, and quality of services across our regions.

Over the next two years, new and improved services will be introduced.

New and improved urgent and after-hours healthcare [PDF, 1.1 MB]

New and improved urgent and after-hours healthcare [DOCX, 2.9 MB]

Rural Urgent and Unplanned Care (RUUC)

The RUUC project was commissioned under the Interim New Zealand Health Plan as part of a broader commitment to review and improve rural urgent care services, including the PRIME service.

All recommendations have been considered in the development of the New and Improved Urgent and After-Hours Care Framework. Most recommendations are being incorporated directly into the national rollout of this Framework over the next two years.

Led by Health NZ, in partnership with ACC, and guided by an external RUUC Advisory Group – including rural clinicians, Māori health providers, sector experts, and rural health leaders – the project ran from April to November 2024.

Rural Urgent Unplanned care (RUUC) Recommendations Paper

Workforce

We know the biggest cost and constraint in urgent care is workforce. This package builds on primary care workforce funding (external link) announced by the Government earlier this year that will help to recruit and retain more health workers, including GPs and Nurse Practitioners.

We’ll also support more team-based, innovative models using the full range of health professionals to deliver safe, sustainable care.

Implementation and next steps

These changes will be rolled out over the next two years, with services tailored to the needs, size, and location of each community.

Key changes across the country:

  • Five new 24/7 urgent care services established in major centres.
  • Three new services set up in urban and smaller city locations.
  • Extended hours, better access to diagnostics and medicines, or on-call clinician support in a range of other locations.

Health NZ will now begin working region-by-region with urgent care providers and communities to develop detailed implementation plans to support the introduction of the new and improved services.