Our health system is supported by a dedicated workforce – but has become overly complex and fragmented, and could provide more equitable and better care. In 2018, the Government commissioned the Health and Disability System Review to identify how we could reform our health system to deliver on that promise. This paper summarises the Government’s initial response to that Review, and explains how we plan to strengthen our health system to ensure every New Zealander can access the right care at the right time.