In New Zealand, The Ministry of Health has a contract with the Inter-church Council for Hospital Chaplaincy (ICHC) to provide religious, pastoral, and spiritual support in all of the public hospitals. The ICHC is a Christian only organisation managed by a panel of 9 churches. All of the salaried chaplains are practicing Christians, many of them ordained ministers. All of the trained volunteers helping the chaplains are practicing Christians too. This is in contrast with the United Kingdom’s (UK’s) NHS where each hospital trust has control over its own chaplaincy budget. This puts the trusts in a position to employ the chaplains they feel they need to in order to provide appropriate religious, pastoral, and spiritual support for the service users. I knew that there was a consistently increasing proportion of non-religious people in Aotearoa/New Zealand but there had been no changes in the chaplaincy service since its inception. Spirituality is seen as a significant part of holistic health care both in the Māori health model Te Whāre Tapa Whā (Durie 1984 ) and by the World Health Organisation (Dhar 2014 ) . This importance of spiritual care made me wonder how can a hospital or the Ministry of Health claim to be providing holistic care without offering adequate and appropriate religious, pastoral, or spiritual support to the majority of the population?