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Paul Singh's avatar

I’m a new subscriber, and I wanted to thank you for this informative post.

Thank you also for linking to the YouTube recording of The Hui programme on Dementia Mate Wareware. It was beautiful, emotional, informative, and hopeful.

Most of my lived experience advocacy is focused on Young-onset Dementia Mate Wareware. By that I mean dementia first experienced before the age of 65, often in someone’s 40s, 50s or early 60s, at a very different life stage from the way dementia is often stereotypically understood as only an older age issue.

What struck me about the programme was how clearly it showed local communities coming together to create local solutions. Some of those solutions are exactly what the dementia community has been asking for through the Dementia Mate Wareware Action Plans.

Aotearoa New Zealand has now had two evidence-based Dementia Mate Wareware Action Plans.

The first was the 2020 - 2025 Action Plan. It was endorsed by the Labour Government Cabinet towards the end of 2021 and received $12 million over four years in Budget 2022. That funding supported seven regional pilots, a Health NZ leadership and advisory group, and a Dementia Network development work.

The Wairoa initiative featured in The Hui, involving Dementia Hawke’s Bay in collaboration with Kahungunu Executive ki te Wairoa Charitable Trust, is one of those pilots.

However, the current Coalition Government has not provided further funding to fully implement and sustainably fund the whole 2020 to 2025 Action Plan. Nothing was provided in Budget 2024, nor Budget 2025. The Coalition is conveniently suggesting those seven regional pilots are evidence of them doing something about Young-onset Dementia, but as noted, they did not fund them, rather the previous Labour government did, and they have kept the funding over four years in their Budgets. I guess, at least they didn’t cut them, but that is small comfortable.

The four kaitiaki organisations who wrote both Action Pland then developed a refreshed Dementia Mate Wareware Action Plan 2026 - 2031, noting much of the previous Action Plan was ever implemented. This was formally presented to Associate Minister of Health Casey Costello at the Alzheimers NZ conference in September 2025.

Additionaly, people with Young-onset Dementia Mate Wareware are listed in both Action Plans as a priority community, alongside Māori, Pasifika, and people living with dementia mate wareware in rural communities.

However, we only found out through written parliamentary questions asked by Labour MP Ingrid Leary, then comments the Minister made in the House, that it appears the Minister has not yet taken the refreshed Action Plan to her Cabinet colleagues. Instead, the actions appear likely to be absorbed into Health NZ’s existing work programmes, mainly around aged care.

That is deeply concerning.

Meanwhile, people with Young-onset Dementia, their whānau and supporters are again left without a nationwide set of age-appropriate and life-stage-appropriate support and services.

As you set out, we are also seeing wider changes, such as those affecting the Total Mobility Scheme, and although dementia services are usually funded through Health NZ rather than Disability Support Services, many of us are concerned about the precedent being set through the DSS Bill. If that approach is later applied to Health NZ-funded dementia mate wareware support and services, it could make an already fragile system even harder for families to navigate.

That is why programmes like the one shown on The Hui matter so much.

They show what is possible when communities are supported to respond to local needs. But they also show why pilots and goodwill are not enough.

We need sustainable national implementation, not another plan left sitting on a shelf.

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