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Come in
Kuhu mai
Our home

Kia hauora te katoa, kia puaawai te katoa - Everyone healthy, everyone thriving.

Our vision is to deliver primary care that supports all people to thrive by realising their health and wellbeing potential.

This rautaki (strategy) is based on the concept of te rākau, a tree growing strong and providing whakaruruhau (shelter) for all.

Find out more about how we plan to achieve our vision.

Mihi whakatau
Who we are
Strong and growing

Pinnacle Incorporated is the parent in a group of not-for-profit primary care focused organisations. We’re a network of forward thinking general practices that manage the healthcare of nearly half a million people enrolled with 86 practices in Tairāwhiti, Taranaki, Rotorua, Taupō-Tūrangi, Thames-Coromandel and Waikato.

We are committed to becoming a bi-cultural organisation.

Pinnacle Incorporated is a 31 year old GP membership network and the parent company for Pinnacle Midlands Health Network and Ventures.

Midlands Regional Health Network Charitable Trust is our primary health organisation (PHO). It governs the execution of PHO functions through its management arm, Pinnacle Midlands Health Network.

Pinnacle Midlands Health Network is the operational arm of the group, designed to deliver PHO functions and support all Pinnacle general practices to thrive.

Ventures creates a better health deal for people in two ways: not for profit ownership of a network of practices that set the standard for sustainable primary care; and maximising the potential of technology to enable better health outcomes.

Our responsibility
We are committed

Ehara i te mea, he kotahi tangata nāna i whakaara te pō.

It is not for one person but for everyone to take responsibility.

Our strategy is aligned to international and national priorities including the United Nations Sustainable Development Goals, the New Zealand Health Strategy, Te Tiriti o Waitangi and Whakamaua: Māori Health Action Plan 2020-2025.
We have made an explicit commitment to Māori and our communities to improve equity of health and wellbeing, in accordance with Te Tiriti o Waitangi. We have also made an equity commitment to our Pasifika population.
The individual and whānau experience is of fundamental importance. People in our communities have different levels of privilege and therefore different levels of ability to access the health care they need. We recognise different approaches are needed to ensure equitable health outcomes for all.
We are powerful advocates for primary care services that support people and communities to thrive. We recognise the role of general practice as a hub and shelter within the community – a place to seek help, receive ongoing care from a team that knows you and take action to live well.
We can't do this alone. We are committed to partnership, to collaboration, to integration and to walking alongside others for the collective good.

Our roots
We believe in

Developing understanding through relationships.


Taking an evidence-based approach to everything we do.

Mahi tahi
Collaboration and partnership

Working together to achieve our goals.

Kawa whakaruruhau
Cultural responsiveness

Respecting the unique value and perspective people bring.


Caring for and protecting our resources.

Health and wellbeing

Supporting our people to lead healthy lives.

Strong leaders
Supporting continual improvement

Our boards, groups and committees work together to ensure the network has effective leadership – particularly in the areas of governance, clinical quality and education, Māori hauora and rural general practice.

We are continually improving our governance to support a thriving practice network and ensure effective stewardship of our resources.

With our eye on the future we are actively developing the next generation of leaders. 

Diversity represented at board level, undergo training to ensure we are culturally competent, and extended scope of the Trust Board to include Māori representation.

Integration of Pinnacle Incorporated and Midlands Health Network boards, and support for new or potential board members.

Transparency through communication to members on board matters, governance costs and outcomes based reporting.

Engagement with practice teams and members to ensure effective participation.

Leadership development programmes.

Advocacy and representation with Network 4 (N4) and General Practice New Zealand (GPNZ) to achieve scale for innovation and a strong primary care voice.

The trunk
Key enablers

We’re pioneers and innovators with a recognised history of changing the way health care services are delivered. Building on previous success, these enablers are at the heart of who we are and what we do. 

Proactive and coordinated primary care through a continual design, test and develop process.

Continuous quality improvement including practice and locality planning, peer groups for sharing learning, practice accreditation and quality programmes.

Workforce planning and redesign. Ensuring the future workforce for our communities is proactively planned for sustainability of service provision and supporting the development of  diverse clinical and non-clinical roles to meet local need.

Modern IT infrastructure including indici™ practice management system, online triage tools, specialist telehealth services and home monitoring packages.

Supporting practice ownership through a social enterprise model to provide options for owner exit and buy in.

Data and informatics transforming how we access and use data to design, plan and deliver better care.

Culture of partnership with iwi and Māori providers, NGOs, the education sector and ACC.

The trunk
This year we will

Advocate for the critical role general practice plays in health and wellbeing, and a sustainable funding model.

Increase board diversity and cultural competence.

Expand our membership programme.

Nurture development of general practice clusters to increase collaboration.

Inspire and support excellence in achieving population health indicators.

Design a clinical education programme for 2021, tailored to the needs of our primary care workforce.

Support salaried GPs towards practice ownership. 

Focus on general practice strategic business planning.

Shift towards outcomes-based contracting and reporting.

Support network recovery from the impact of COVID-19.

Prioritise improving Māori healthcare and outcomes.

Focus on development of our rural healthcare services.

Innovate and develop services to improve multi-morbidity and mental health management and care.

Review and improve after hours models of care.

Engage with patients to inform service redesign.

Work with our strategic partners to review and redesign health services in our localities.

Improve all areas of business as usual, with a focus on achieving population health indicators and data reporting. 

Deliver an internal organisational strategy to ensure high performance.

Focus on data and interoperability – particularly for vulnerable groups and our Māori and Pasifika partner organisations.

Identify digital health opportunities as a result of COVID-19.

Develop our internal culture to support mental health and wellbeing.

Streamline our business to weather the financial impact of COVID-19.

Balance our current business activity with what’s next.

Towards our goals

This rautaki (strategy) is based on the concept of te rākau, a tree growing strong and providing whakaruruhau (shelter) for all. 

Ngā peka (the branches) describe our goals and key areas of focus across our work programmes. 

Scroll to read more.

Health equity

A targeted approach to health outcome achievement

Our goals

Close the equity gap and achieve demonstrable health outcome improvements for Māori and Pasifika people.

Target funding to close the equity gap.

Prioritise diversity, inclusion and engagement at all levels of Pinnacle decision making.

Support general practice to deliver models of care aligned with Māori culture.

Actively develop the primary care workforce to reflect our Māori population, with a higher number of Māori clinicians.

Develop closer and more effective relationships with iwi, kaupapa Māori and Pasifika health service providers.

Develop data integration and informed decision making with our iwi and Pasifika partners.

Be known for not accepting poor outcomes and addressing Māori and Pasifika health as a priority.

General practice

Supporting our general practices to thrive as primary care hubs within their communities

Our goals

A thriving and engaged general practice network.

A dynamic and sustainable primary care nursing and medical workforce.

Develop wider workforce roles to support future health need.

Support integration of general practice and other providers.

Develop new models of care.

Develop sustainable model of after hours primary care.

Support workforce succession planning.

Support and develop emerging clinical and practice management leaders.

Enable data-informed practice development.

Eliminate unnecessary bureaucracy.

Support development of new ownership models.

Support higher numbers of GP owners, together with nurse and practice manager ownership.

Acknowledge and reward high performance.

Simplify and streamline funding streams to practices

Primary care nursing

Recognise and enable excellence in nursing as an essential pillar of primary care

Our goals

Develop a dynamic and skilled primary care nursing service.

Develop a community of practitioners that are engaged and supported to innovate.

Primary care nurses achieving excellence and delivering high-quality care.

A nursing workforce that is appropriately funded.

Develop opportunities for nursing leadership and new models of care to flourish.

Support innovation in primary care nursing education programmes.

Maternity and early childhood

Supporting the best possible start in life. Integrated care for hapū māmā to achieve the best possible outcomes for pēpi and whānau

Our goals

Ensure all pēpi are enrolled with a general practice by six weeks old.

Integrate antenatal and early childhood services with primary care.

A higher proportion of pēpi growing up in smoke-free homes. 

Hapū māmā engaged with primary care initiatives and wananga during pregnancy.

Improve general practice team engagement with care of hapū māmā.

Early intervention programmes available to provide long-term support to achieve tamariki and whānau oranga (wellbeing) goals.

Enable consumer service co-design.

Child and youth

Create connections to improve access to primary care and empower young people to live well

Our goals

Improve and promote access to primary care.

Every child achieves all their health milestones, including immunisations and before school checks.

Provide access to online mental health service.

Child, youth and parent mental health and wellbeing resources available to all who need them.

Positive working relationships between primary care and kōhanga reo, kōhungahunga and early learning centres.

Health and education sectors working together on shared mental health goals.

Youth able to appropriately manage their own health and wellbeing.

Youth inspired to join the health workforce and make a difference themselves.

Enable consumer service co-design.

Rangatahi Māori

Culturally appropriate primary care for rangatahi Māori to achieve better health outcomes

Our goals

Align Pinnacle service delivery with rangatahi Māori culture.

Rangatahi Māori able to access general practice services at the right time, and late presentations reduced.

Better health literacy for rangatahi Māori.

Rangatahi Māori able to access primary care services they feel comfortable with.

A culturally competent primary care workforce that works effectively with rangatahi Māori.

Improve integration between primary care and kaupapa Māori services.

Rangatahi Māori enrolled with a general practice before they leave school.

Living well

Establishing healthy lifestyles and proactive wellbeing for ageing adults

Our goals

Support all adults (aged 18+) to actively engage with primary care services.

Support patients to connect with services that can help to address social determinants of health.

Health plans for every adult to support proactive wellness care.

Fewer people smoking.

Promote ageing adults maintaining positive social connections.

Health information available to adults in culturally relevant social settings.

Ageing well in later life

Convenient and appropriate primary care to maintain and improve quality of life for the elderly

Our goals

Develop services that support people aged 75+ (or 55+ for Māori) to maintain their independence and maintain or improve their quality of life.

Use data dashboards to proactively identify people with higher levels of need.

Develop services to reduce unnecessary hospital care.

Develop integrated models of care with a focus on Māori and Pasifika health and social care services.

Improve access to primary care in rural communities.

Develop effective partnerships with iwi and Māori health service providers to inform service development.

Enable consumer service co-design.

Mental health

Earlier intervention to support mental wellbeing

Our goals

Build on the Te Tumu Waiora model of integrated primary mental health and wellbeing services.

24 hour responsive mental health care and integration with national platforms and services.

Clear mental health service pathways from general practice.

Explore and develop e-platforms integrated with general practice.

Shift from responding to sickness to delivering proactive wellness services.

Enable consumer service co-design.

Living with multi-morbidity

Enable people with more complex health concerns to receive appropriate care and live the life they choose

Our goals

Ensure models of care are relevant to Māori and Pasifika populations for equitable outcomes.

Focus on every patient living to their personal goals and health potential. 

Design services to meet the needs of people with lived experience.

Develop health coaching as core to the model of care.

Promote models and resources supporting self care.

Develop extended care teams wrapped around general practice.

Develop the use of technology to support better care and self care.

Patients able to choose their preferred consult mode, and this is offered by every practice.

Increase capacity within primary care teams to provide specialised and wrap around services.

Enable consumer service co-design.

Rural health care

Improve access to primary care services for people living in our rural communities 

Our goals

Develop workforce succession plans in our rural localities.

Increase range of services provided to reduce unnecessary hospital travel.

Partner with DHBs to deliver a wider range of primary and secondary care services in rural community health hubs.

Integrate primary care services with iwi and Māori service providers.

Develop primary options, point of care testing and diagnostics in all practices.

Establish telehealth services for patient, GP and specialist consultation.

Develop plans to support integration of general practice and rural hospitals.

A greener environment

Better choices for a better future

Our goals

Embed sustainability into our organisational culture. 

Support development of climate friendly general practices.

Reduce our landfill waste.

Reduce our travel-related carbon footprint.