This study examines a range of issues to improve access for Māori into health care services through the development of a whakapapa (genealogy) model about gout. It demonstrates the effectiveness of a dual paradigm approach using Māori bodies of knowledge framed by a whakapapa (genealogy) paradigm of Te Kore (abyss), Te Po (voids of darkness), and Te Ao Māori (world of darkness). The Māori human development framework track stages of growth and development within the whakapapa (genealogy) paradigm framed by Te Pu (the root), Te Weu (the rootlets), Te More (the taproot) Te Aka (the vine) and Te Tipuranga (the growth). It aligns with Maori and western bodies of knowledge through the clinical process about gout and intertwines the two schools of thought that are seen to improve access to and quality of health care for Māori. The dual paradigm approach contextualised the transformation of learning through one-to-one whanau (participants) interviews and Wānanga.