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Executive summary
In late 2018, I became increasingly concerned about a continuing shortage of specialised hospital accommodation for people with an intellectual disability requiring secure care and rehabilitation, and about the conditions in which some of these people were being detained. I made further enquiries and was alerted to a range of problems with the operation of the High and Complex Framework (the Framework). This is a network of services to support people who are either subject to the Intellectual Disability (Compulsory Care and Rehabilitation) Act 2003 (IDCCR Act) or who have specialised needs that cannot be managed in mainstream services.
The Ministry of Health – Manatū Hauora (the Ministry) is the steward and kaitiaki of the health and disability system. It is also directly responsible for planning and funding services under the Framework, which are delivered by District Health Boards (DHBs) and non-governmental organisations (NGOs).