The New Zealand System Level Measures Programme – a New Policy to Implement a Whole of System Performance Framework Using Health Alliances

New Zealand's SLM programme was a unique experiment with a new system performance framework to improve integration across the health system. Its implementation provides important lessons on the role of centre to create the right conditions for integrated care initiatives, such as the SLM programme, to succeed. We conclude that successful implementation of integrated care initiatives requires sponsorship and leadership from senior leaders, adequate and appropriate resourcing, right incentives, and most importantly a strong platform for a collaborative way of working which nurtures high-trust relationships among system leaders and continuous learning.