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Community Driven Models for gender-affirming services in primary care


RFx ID : 26800113
Tender Name : Community Driven Models for gender-affirming services in primary care
Reference # :
Open Date : Q1 2023
Indicative RFx Release Date  : Q1 2023  [?]
Department/Business Unit : Procurement
Tender Type : Future Procurement Opportunity (FPO)
Project Status : Initial development  [?]
Expected number of contracts offered : 2
Tender Coverage : Sole Agency  [?]
Categories :
  • 85000000 - Healthcare Services
  • New Zealand
Required Pre-qualifications : None
Contact : Corinne Thompson

Te Whatu Ora – Health New Zealand intends to seek proposals from providers to deliver the following two service components. The aim is to improve health outcomes and overall wellbeing of transgender and non-binary people by improving access to, and the quality of, primary health care services, including gender-affirming care.
1. Community driven models for gender-affirming services in primary care. Funding an initial two primary and/or community health providers to provide gender-affirming services over four years. This includes the establishment and delivery of a tailored model of care. This is likely to include, but is not limited to, gender-affirming hormone therapy, mental health support, peer support and speech language therapy services, with strong linkages to local paediatric, psychiatry, and gynaecology services.
2. Training and workforce development programmes (details in a separate FPO)
The intention is to release two separate request for proposals (RFPs) for the two service components above. Respondents may respond to one or both RFPs. For both RFPs potential respondents will need to have the ability, or partner with others who have the ability, to ensure potential services support equitable health outcomes for transgender and non-binary people.
Across multiple determinants of health, transgender and non-binary people experience poorer health outcomes than the general population. Transgender and non-binary identities intersect with every minority population group, including Māori, Pacific, and tāngata whaikaha | disabled peoples, further compounding health inequities.
On 1 July 2022, Budget 2022 allocated $2.182 million over four years to a project with the aim to improve access to primary care for transgender and non-binary people.
The future procurement opportunities outlined above relate to the following workstreams that have been developed from this Budget allocation:
1. funding up to eight primary and community health providers to deliver gender-affirming services over four years
2. developing training and workforce development programmes to improve workforce responsiveness to transgender patients.
Indicative timeframes
The RFPs are expected to be released in February/March 2023. Timeframes and procurement approach are subject to change.