[4][5] The structure remained relatively static even when the Social Security Act 1938 was passed where the New Zealand government took a larger role in health purchasing.

The high growth rate in hospital expenditure was occurring at a time when the economy was slowing down.

[10] By 2008, the Primary Health Care Strategy had succeeded in reducing fees for doctors' and nurses' visits in "higher need areas" and for patients aged over 65 years.

In addition, consultation rates increased across all age, socio-economic, and ethnic groups in New Zealand.

[15] In 2021, this resulted in the creation of Te Hiringa Mahara, an independent Crown entity that promotes mental health and wellbeing.

Key changes include shifting from a mental health service model to a community-based one and supporting people bereaved by suicide.

[22][23] In March 2024, the Health Ministry proposed slashing 180 jobs following a cost-saving directive from the National-led coalition government.

[24] In early April 2024, the Public Service Association expressed concerns that proposed job cuts at the Health Ministry would lead to the closure of the Suicide Prevention Office and other specialist roles.

The PSA's statement was disputed by the Minister for Mental Health Matt Doocey, who said he had not been briefed about the closure of the Suicide Prevention Office.

Doocey reiterated that mental health and suicide prefention remained a priority for the New Zealand Government.

[citation needed] The former National Health Board (NHB), which was set up in November 2009, dealt with issues such as rising costs, increased demand, an ageing population and shortages of staff with a view to improving the quality, safety and sustainability of health care.