Hawke’s Bay District Health Board (HBDHB) values the important role sustainability plays in enabling us to operate in a way that meets our present needs without compromising the fabric of the social community, the economy or the natural environment, so that future generations continue to benefit. 

HBDHB acknowledges that our vision and values require a healthy natural environment and a well-constructed built environment. Increased climate resilience is also necessary to continue creating a positive impact on overall community health through improved mental health and well-being, improved opportunities for physical activity, improved social contact and improved child development.


Many elements of Kaitiakitanga align with the concept of sustainability by acknowledging the mauri and wairua when it comes to our natural resources and environment. HBDHB recognises its responsibility to tāngata whenua to act together as kaitiaki in the active management of our operations in an environmentally sustainable way.


In all activities, HBDHB will seek to:

HBDHB affirms that a healthy environment is a key foundation for the health and wellbeing of people, and thus environmental sustainability is core to health. We aim to live within our means, and limit the use of natural resources in order to improve the environment whilst ensuring the goals of HBDHB are achieved. HBDHB will foster a culture of environmental sustainability and encourage leadership in sustainability throughout the organisation.

Initial Areas of focus

Climate change affects the social and environmental determinants of health and HBDHB intends to implement a strong response to climate change.

HBDHB has selected five areas of focus based on their potential financial, equity, efficiency, social and environmental impacts. The intent is to increase resilience and implement both mitigation and adaptation strategies underpinned by cost benefit analysis and co-benefits and financial savings. The following sections outline the policies for each of these areas. It should be noted that these areas of focus are overlapping and should not be viewed or actioned in isolation.