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About Us

Who we are, what we do

Total Healthcare is a Primary Health Organisation (PHO) that contracts Nirvana Health Group as its Management Support Organisation. Nirvana contracts medical providers to deliver the services required in the PHO/District Health Board (DHB) contracts. The providers include East Tamaki Healthcare, West Auckland Healthcare, Raukura practices, and White Cross offering clinics to 220,000 patients, 75% of whom are deemed high needs.

The PHO is a leading commissioner of health services to patient populations in the Auckland region. We work with our clinics  to ensure you have access to affordable and high-quality services, and that the clinics you attend largely meet their targets in clinical and social service delivery.

Total Healthcare has achieved significant recognition from the Ministry of Health, the National Health Board and the DHBs as an organisation that embraces new opportunities and maintains a strong focus on improving access to high-quality health services for high needs patient populations.



Mark Vella, Chief Executive Officer

Mark began his career as a primary school teacher, later moving into special education working with children with disabilities and eventually working his way up to the national office of the Special Education Service.

He has experience in a variety of senior Government and commercial roles such as national contracts manager – Special Education Service (Ministry of Education) and later senior advisor to the Minister of Education. In the early 2000s, Mark moved into health as a project manager, and later a senior manager, for ProCare Health, where he worked in community and mental health, as well as in the PHO’s commercial arm. Mark joined Total Healthcare as its Chief Executive Officer in 2008.

In his spare time, Mark enjoys boating, property development and spending time with family.


Total Healthcare has charitable status, and is governed by a Board of Trustees.

Name Position Representative Occupation
Willie Ropata Chairman Executive Committee, Health Outcomes Committee Maori Teacher
Tupou Manapori Health Outcomes Committee Pacific Teacher
Dr Richard Hulme Executive Committee, Clinical Director THO, Chairman of Health Outcomes Committee Medical, Pacific General Practitioner
Dr Kanti Patel Trustee Medical General Practitioner
Ranjna Patel Chairperson of Executive Committee, Executive Trustee Medical Practice Manager
Dr Mahesh Patel Trustee Medical General Practitioner
Sanjay Kumar Chairman Audit & Finance Committee Medical Chartered Accountant
Dr Ellis Situe Trustee Medical, Pacific General Practitioner, Consultant
Kerry Oxenham Trustee Other Health Pharmacist
Karen Sutton Trustee Other Health Physiotherapist
Jordan Situfu Salesa Trustee Other Health Physiotherapist