NACCHO NEWS: Why are so many Aboriginal children taken from their families?

Kids

Children are being removed from their Aboriginal and/or Torres Strait Islander families at never before rates. Why? In NSW, one in every ten Aboriginal children have been removed from their families – from a racialised lens it does not get worse anywhere else in the nation; it does not get worse anywhere else in the world. Why are Government agencies not working to improve the lot of poor and struggling families in order to keep them together – this is in the ‘best interests’ of the child – instead of predominately ‘meddling’ and tearing families apart? It is fact that the majority of children have not been removed because of sexual or physical abuse.

FROM THE STRINGER by Gerry Georgatos

It is not possible that one in ten children is ‘neglected’. So, why then are Governments allowing for children to be removed at the world’s highest rates?

But each year more children are being removed than during any year of the cruellest of periods, the Stolen Generations. It is not just happening in NSW, but right across the nation. In every year since 2010, the Western Australian Government reported an increase in children removed from their Aboriginal families. In every year since 2010, the removal rate increased by around 10 per cent.

In 2010, 1,492 Aboriginal children were taken from their families in Western Australia. This increased to 1,607 in 2011, and to 1,775 in 2012, and 1,962 in 2013, and to 2,114 last year and to 2,338 as of July this year.

That’s 2,338 Aboriginal children from a total of 4,503 children removed from their families in Western Australia – 53 per cent. This is around one in 15 of the State’s Aboriginal children removed.

When Aboriginal and/or Torres Strait Islander children are removed at these rates it appears critically that the Australian Government and its services are overtly judgmental, biased and yes, racist. If children are being removed for other than physical and sexual abuse then why are our Governments shying away from highlighting and responding to the underlying factors – the racialised economic inequalities, the acute poverty our nation continues to dish out to many Aboriginal and/or Torres Strait Islander communities, the lack of healing it has failed to sponsor and deliver to victims of the Stolen Generations (which ended early 1970s), to the victims of the reserves and most Church-run missions where many were sexually, physically, emotionally and spiritually abused – where depressions, breakdowns, clinical disorders, fear, anger and hate were borne.

Those still living – and their children – who were removed during the Stolen Generations are at least twice as likely, and up to three times, more likely to finish up in prison, three times more prone to depression, mental health disorders and in ideating suicide. We know the impacts of removing children from their families – it is ruinous, decimating and the impacts are intergenerational. Each child needlessly removed devastates many.

It must be understood that the majority of children are not being removed because of sexual abuse or injurious violence. Thousands of families and children are fighting for reunification but for the majority they will fail to achieve this. They will lose their childhoods and some their sanity by the time they meet up again. Years pass before they find each other and for many anger and hate has accumulated and ironically the majority of the lives of those removed are not improved for the separation.

Children who are abused, sexually or physically injured should be removed but certainly not for anything else. Families should be supported and assisted and for any Government to argue that they are doing this to the best of their ability is a lie.

The current trends demonstrate the crisis will long continue and worsen. On these trends, the future speaks of an ancillary narrative where prisons will be built, where these prisons will be filled by the pain and suffering of those removed, where this nation will continue on its infamy as the mother of all jailers of the descendants of its First Peoples, where the suicide crisis among Aboriginal and/or Torres Strait Islander peoples, one of the world’s worst, will worsen from the humanitarian crisis today to the devilishly catastrophic.

The Bringing Them Home Report 1997 argued that around 50,000 children had been taken during the Stolen Generations. Since this report’s findings more Aboriginal and/or Torres Strait Islander children have been removed than during the Stolen Generations. In the 18 years since the report, the number of Aboriginal and/or Torres Strait Islander children removed has increased by 500%. Nationally, in 1997, 2,785 Aboriginal and/or Torres Strait Islander children were removed; but in Western Australia alone, nearly as many Aboriginal children have been removed in 2015. In NSW alone, where it is worst, it is more than twice times as many Aboriginal and/or Torres Strait Islander children that have been removed in comparison to 1997. The promise in the air of 1997 has long gone and it is now toxic.

Aboriginal and/or Torres Strait Islander children comprise only 4.6 per cent of the Australian child population.

Nationally, in 2015, 16,000 Aboriginal and/Torres Strait Islander children have been taken from their families – that is one child removed for thereabouts every 20 Aboriginal and/or Torres Strait Islander children. This is a moral abomination. In Western Australia, where the removal rate is 2nd worst in the nation, it is one child removed in every 15 children and in NSW it is one child in every 10.

It is outrageous, disgusting and despicable that 10 per cent of Aboriginal children in NSW are in the care of the State – compared to 1.6 per cent of NSW’s non-Aboriginal children residing in the care of the State. Whether White or Black, poverty is not a reason to remove children. Most psychologists I know state, “You should do everything to keep families together, and with the exception of the most obvious reasons, you must not separate children from family.”

 

 

 

 

 

NACCHO NEWS ALERT : New report Performance indicators show improvements in Aboriginal primary health care service delivery

New Microsoft Word Document (2)

A new report from the Australian Institute of Health and Welfare (AIHW) shows improvements against a range of national key performance indicators (nKPIs) for primary health care organisations providing care to Aboriginal and Torres Strait Islander Australians.

DOWNLOAD HERE

The report, National key performance indicators for Aboriginal and Torres Strait Islander primary health care: results from December 2014, is the 3rd in a series of reports, and presents information from 233 organisations.

The report provides information for 21 indicators comprising 27 key measures, focussed on maternal and child health, preventative health and chronic disease management. Data have been collected over 6 reporting periods between June 2012 and December 2014.

Nineteen of the 27 measures look at primary healthcare organisations’ processes-of-care, which assess whether clients have received relevant tests or had their risk factor status recorded. These are largely under the control of organisations, so can be used to assess the organisations’ performance.

‘Our report shows improvements in 17 out of the 19 process-of-care measures across all organisations,’ said AIHW spokesperson Dr Fadwa Al-Yaman.

In December 2014, birthweight had been recorded for 69% of babies, information had been recorded on smoking status for 78% of clients, alcohol consumption for 55% and adult health checks for 44%. Among clients with type 2 diabetes, 50% received Medicare Benefits Schedule (MBS) GP management plan and 47% an MBS team care arrangement.

Better results were recorded for a number of health outcome measures: of the clients with type 2 diabetes, 35% had a good HbA1c (haemoglobin A1c-an indicator of long-term diabetes control) result in the previous 6 months, 44% had a blood pressure result in the normal range, and 81% had good kidney function result.

The report also looked at a subset of 192 organisations that reported data over 4 reporting periods. They showed significant improvements in many process-of-care indicators.

For example, 79% organisations had ‘Smoking status recorded‘ which showed an increase of 5.8 percentage points, on average, every 6 months, ‘MBS health assessments-adults aged 25 and over‘ increased by 2.7 percentage points to reach 44% and ‘General Practitioner Management Plan-clients with type 2 diabetes‘ increased by 2.5 percentage points to reach 54%.

Some improvements were seen on health outcome measures for this subset of organisations. For example, there were declines in the proportion of low birthweight babies from 14% to 12% and current smokers from 54% to 52% between June 2013 and December 2014.

The AIHW is a major national agency set up by the Australian Government to provide reliable, regular and relevant information and statistics on Australia’s health and welfare.

Canberra, 29 October

HAVE YOU REGISTERED for the NACCHO 2015 Conference in November ?

Save a date : Register for Allied Health-IAHA and Nursing -CATSINaM professional development

IAHA2015CONF_KOORI_AD(19)
Indigenous Allied health Australia (IAHA), a national not for profit, member-based Aboriginal and Torres Strait Islander allied health organisation, is holding its 2015 National Conference, Allied Health – Stepping into Action on 1 – 2 December 2015 at the Pullman Cairns International in Cairns, Queensland. 
 
“Our national conference recognises and values the interprofessional diversity and collaboration required to really make a difference as we work together to achieve Aboriginal and Torres Strait Islander health equality,” said IAHA CEO Ms Donna Murray. “We are excited to provide this unique professional development opportunity that will bring together so many people from different disciplines and sectors working towards the same goal.”
 
At this 2 day conference, delegates from a diverse range of health disciplines and sectors will:
  • Experience national and international perspectives from Indigenous keynote speakers in the allied and wider health, research, education and community sectors;
  • Develop professional and personal skills and knowledge through interactive workshops that focus on interprofessional approaches to motivational interviewing, autism spectrum disorders, resilience and reflective practice, eye health, managing change, Indigenous research, culturally safe and responsive practice and collaborative team-based problem solving;
  • Explore innovation in Aboriginal and Torres Strait Islander health and allied health at over 20 concurrent presentations;
  • Build and strengthen relationships and experience national networking opportunities; and
  • Celebrate success at the IAHA 2015 National Indigenous Allied Health Awards and Gala Dinner.
If you are interested in finding out more, or registering to attend the conference, please visit the IAHA 2015 National Conference website at www.iahaconference.com.au or contact IAHA on 02 6285 1010.
 
CATSanIM 168

Cultural Safety Training for full and associate Members only December 2nd and 3rd 2015, Brisbane (1.5 days)

$300 per person (GST exclusive)

CATSINaM is very excited to offer a Members version of the Cultural Safety Training we encourage our stakeholders to attend. It will be run by the same facilitators, Sharon Gollan and Kathleen Stacey, and is for Full and Associate members only. As Aboriginal and Torres Strait Islander nurses and midwives, you will experience the same content as our non-Indigenous stakeholders, but some aspects of the process will be a different as we are talking about our lived experience of racism and cultural safety.

The workshop will strengthen your skills in understanding, managing and responding to racism, with a particular focus on institutional racism and the concept of whiteness. Aboriginal and Torres Strait Islander participants find the workshop experience enlightening and validating, while also empowering and supportive as it acknowledges their journey, and values and strengthens their resilience.

CATSINaM will subsidise some aspects of the workshop but there is a per participant cost to attend. It will go ahead if we have at least 22 booked participants, with a total of 30 places available. While it is being held in Brisbane, Members from anywhere are very welcome to attend. Please, book early and make sure the workshop can go ahead – the cut-off date for registrations is November 17th.

We hope you decide to be a participant in this inaugural event. We will send out more information on the exact location and the workshop timing.

In the meantime, please contact the CATSINaM office to book a place.

If you would like another Aboriginal and Torres Strait Islander colleague who is not a CATSINaM Member to attend, they are also welcome. The non-Member cost is $400 (GST exclusive).

NACCHO News Alert : Better access to medicines will help close the gap

 

NACCHO GUILD PBS SIGNING (5)

Chronic diseases are one of the major reasons we still have a gap in life expectancy between Aboriginal and other Australians,” Mr Cooke said.

“Improved access to medicines is critically important if we are to see generational change in the health outcomes of Aboriginal and Torres Strait Islander people.”

NACCHO Chair Matthew Cooke pictured at todays signing with The Pharmacy Guild of Australia National President, George Tambassis.

See copy of signed agreement below

A range of practical changes to Australia’s Pharmaceutical Benefits Scheme will boost the numbers of Aboriginal and Torres Strait Islanders accessing appropriate medicines and help close the health gap between Aboriginal and other Australians.

The National Aboriginal Community Controlled Health Organisation (NACCHO) and the Pharmacy Guild of Australia (The Guild) today released a national Joint Position Paper calling for improvements in the CTG PBS Co-payment measure.

Introduced in 2010, the Closing the Gap Co-Payment measure reduces or removes the patient co-payment for PBS medicines for eligible Aboriginal and Torres Strait Islander patients living with, or at risk of chronic disease.

Some of the key points the position paper raises are the need for the measure to:

  • Link CTG eligibility to the patient’s Medicare Card to improve privacy, and so that the patient is eligible regardless of who the prescriber is or where their medicine is dispensed;
  • Expand the PBS listing to include more common medicines;
  • Include Dose Administration Aids for better management of medicines; and
  • Better communication for patients and health professionals of the CTG Co-payment measure.

NACCHO Chairperson Matthew Cooke said it was important that everything is done to ensure Aboriginal and Torres Strait Islander people have access to appropriate medicines.

“Chronic diseases are one of the major reasons we still have a gap in life expectancy between Aboriginal and other Australians,” Mr Cooke said.

“Improved access to medicines is critically important if we are to see generational change in the health outcomes of Aboriginal and Torres Strait Islander people.”

The Pharmacy Guild of Australia National President, George Tambassis, said it was pleasing that more than 258,000 Aboriginal and Torres Strait Islander patients were accessing the more affordable PBS medicines through the measure but more could be done to ensure greater take up.

“A range of practical enhancements would assist those in remote areas to get better access to the medicines under the scheme and ensure they have access to it wherever they fill their prescriptions. We want this vital scheme to be sufficiently flexible to improve the health of people wherever they live and wherever they travel,” he said.

“These relatively simple improvements will help in the management of chronic disease within the Aboriginal and Torres Strait Islander people.”

The joint position paper can be found at here

Signed Joint Position Paper NACCHO PGOA CTG PBS Co-Payment Measure 28 October 2015

NACCHO #IAS NEWS : Indigenous Advancement Strategy Consultation Dates and venues

IAS

The Australian Government is calling for people to have their say as it revises the Indigenous Advancement Strategy (IAS) Guidelines.

A series of forums are being held with service providers and community members across the country to discuss how the guidelines can be improved to ensure everyone can make the most of the opportunities the IAS offers.

For information on where a forum is being held near you, please refer to the table below or download the table: Review of IAS Guidelines – Forum locations DOCX 20 KB.

To register your attendance, or for more information about the forums call 1800 088 323 FREE or email ias@pmc.gov.au

Further information on funding under the IAS is available on the Funding under the IAS page

Date Time Location Venue
Wednesday 28 October

 

 

10am – 4pm Melbourne

 

 

Amcor Room

The Arts Centre

100 St Kilda Road, Melbourne

 

Wednesday 28 October

 

10am – 3.30pm Geraldton, WA Posh, 218 Marine Terrace, Geraldton
Thursday 29 October

 

 

10am – 4pm Adelaide

 

 

Adelaide Showground

Goyder Mezzanine

Goodwood Road, Wayville

 

Monday 2 November 10am – 4pm Broome

 

Mercure Broome

1 Weld St, Broome

 

Monday 2 November

 

 

Commencing at 9.30am Katherine

 

 

Knott’s Crossing

Cameron Street (Corner of Giles & Cameron Streets), Katherine

 

Wednesday 4 November

 

 

10am – 4pm Perth

 

 

Hyatt Regency

99 Adelaide Terrace, Perth

Thursday 5 November

 

10am – 4pm Darwin

 

DoubleTree by Hilton

116 Esplanade, Darwin

 

Friday 6 November 10am – 4pm Alice Springs

 

DoubleTree by Hilton

82 Barrett Drive, Alice Springs

 

Monday 9 November 10am – 4pm Cairns

 

Cairns Colonial Club Resort

18-26 Cannon St, Cairns

 

Tuesday 10 November

 

10am – 4pm Brisbane Sofitel Brisbane Central

249 Turbot St, Brisbane

 

Tuesday 10 November

 

 

12 – 4.30pm Coffs Harbour

 

 

Norm Jordan Pavillion, Coffs Harbour Show Ground, Pacific Highway

Coffs Harbour

 

Wednesday 11 November

 

 

10am – 4pm Port Augusta Pika Wiya Health Service Aboriginal Corporation, 40‑46 Dartmouth Street,

Port Augusta

 

Wednesday 11 November

 

10am – 4pm Sydney SMC Conference and Function Centre

66 Goulburn St, Sydney

 

Wednesday 11 November

 

 

Commencing at 9.30am Mt Isa

 

 

PM&C Office

42-44 Simpson St (Entrance through Marion Street), Mt Isa

 

Thursday 12 November

 

10am – 4pm Hobart

 

Hobart Function & Conference Centre

1 Elizabeth St, Hobart

 

Thursday 12 November

 

 

Commencing at 10am Dubbo

 

Dubbo RSL Club (Auditorium Room)

178 Brisbane street (Cnr Brisbane & Wingewarra Streets), Dubbo

 

NACCHO Chair Press release: Yalata and Australian Trachoma Alliance partner to eliminate trachoma

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The National Aboriginal Community Controlled Health Organisation is proud to be part of an alliance which has signed an agreement with Yalata community in South Australia to stamp out Trachoma – a leading cause of preventable blindness in a number of remote Aboriginal communities.

Picture Above :Maureen Smart (OAM) the Chairperson of the Yalata Community Council (seated on right) and councillors sign the agreement at Yalata Community on 26 October 2015; and seated on the left, John Singer (NACCHO Board Member, Chairperson of the Aboriginal Health Council of South Australia and Director of Nganampa Health Council) and Joanne Badke (CEO, Tullawon Health Service – standing behind the Chairperson of the Yalata Community Council).

The agreement between the Yalata Community near Ceduna in South Australia and the Australian Trachoma Alliance (ATA)* headed by former Governor General, Major General Michael Jeffery, commits to working together on an action plan to address the key causes of trachoma.

National Aboriginal Controlled Community Health Organisation (NACCHO) Chairperson Matthew Cooke said it was disappointing that Australia remained the only Western country affected by the disease.

“Trachoma is a contagious bacterial infection, which if left untreated can lead to corneal scarring and eventually blindness,” Mr Cooke said.

“In remote communities such as Yalata it is spread through overcrowding, poor hygiene and substandard environmental health conditions – all of which can be addressed by effective planning and education.

“Poor eye-sight affects learning, it affects health and it affects a person’s ability to care for their family, with devastating impacts on the welfare of entire families. We need to move beyond treating trachoma through surgery or antibiotics to preventing infection and reinfection in the first place.”

Major General Michael Jeffery said the ATA’s Safe Eyes Project was mostly funded by the Queen’s Diamond Jubilee Trust which is working to eliminate causes of preventable blindness in Commonwealth countries.

Yalata is one of three desert communities in central Australia taking part by addressing facial hygiene and environmental health, which will improve eye health and also help reduce the incidence of other communicable diseases such as rheumatic fever and gastroenteritis.

“This commitment has been initiated by the Yalata community – it’s not people coming in from outside and telling them what should be done,” Mr Jeffrey said.

“A key principle of the commitment signed today is the Yalata community controls the planning process so it works for them and builds on existing health and Trachoma programs, with support from the ATA. Community resources will be used wherever possible.”

*ATA members are NACCHO, The Fred Hollows Foundation, Queen Elizabeth Diamond Jubilee Trust Australia, Vision 2020 Australia and the Indigenous Eye Health Unit at the University of Melbourne.

Key facts

  • A clean face and clean environment are key prevention strategies to combat Trachoma.
  • More than 50 developing countries in Africa and Asia are still affected by Trachoma
  • In 2009 the Australian Government made a commitment to eliminate blinding trachoma from Aboriginal communities.
  • Trachoma remains prevalent in many remote communities.
  • Like conjunctivitis and other bacterial infections spread by contact it particularly affects children.
  • In Alice Springs in 2014 the ATA convened a forum of Aboriginal Controlled Community Owned Health Organisations from the Northern Territory, South Australia and Western Australia to discuss how trachoma can be eliminated in their communities.

 HAVE YOU REGISTERED FOR THE NACCHO CONFERENCE 2015 ?

NACCHO Aboriginal Health News: Dr Mark Wenitong appointed to Commonwealth advisory committee

DR Mark Wenitong

GPs are centrally relevant in health care, often being the first port of call when someone has a health and wellbeing need, physical illness or mental health issue. The need for this “generalist” to diagnose, to centrally coordinate, treat and manage, and advise and advocate best patient care across the health system is critical.

“It is vital they are well trained to provide care in a variety of situations, including culturally appropriate care for Aboriginal and Torres Strait Islander clients, as this skill will enable them to help not only Aboriginal and Torres Strait Islander people, but all of their patients.”

Apunipima’s Public Health Medical Advisor Dr Mark Wenitong pictured above being filmed by Wayne Quilliam for NACCHO’s  20 part video series ” Aboriginal Health In Aboriginal Hands for healthy futures “to be released in 2016

Apunipima’s Public Health Medical Advisor Dr Mark Wenitong has been appointed to the Commonwealth Government’s GP Training Advisory Committee.

As the only Aboriginal and/or Torres Strait Islander GP on the committee, Dr Wenitong will be able to give a valuable insight into the skills GPs need to deliver high quality medical services in remote aboriginal communities.

The Committee will oversee the governance of the Australian General Practice Training program and advise the government on GP training policy and delivery.

“The Australian General Practice Training program is a postgraduate vocational education and training program designed to prepare GP registrars for fellowship,” Health Minister Sussan Ley said.

There are currently more than 4700 GP registrars on the Australian General Practice Training program nationally.

Dr Wenitong, who is also Adjunct Associate Professor at James Cook University’s School of Public Health, Tropical Medicine and Rehabilitation Sciences, says his new role is “to help ensure we have effective training policy and practice to deliver a well-trained and well supported, culturally competent GP primary health care workforce in Australia.

Dr Wenitong’s term as Independent Aboriginal or Torres Strait Islander GP will run for three years.

Biography

Dr Mark Wenitong is from the Kabi Kabi tribal group of South Queensland. He is the Senior Medical Officer at Apunipima Cape York Health Council, where he is working on health reform across the Cape York Aboriginal communities. He was the Senior Medical Officer at Wuchopperen Health Services in Cairns for the previous nine years. He has also worked as the medical advisor for OATSIH in Canberra.

He is the immediate past president and founder of the Australian Indigenous Doctors Association and sits on the National Health and Medical Research Committee – National Health Committee, chairs the Andrology Australia- Aboriginal and Torres Strait Islander Male Reference group, and sits on several other committees. He is a council member of the Australian Institute of Aboriginal and Torres Strait Islander Studies and a member of the Queensland Aboriginal and Torres Strait Islander council.

Dr Wenitong has been heavily involved in Aboriginal and Torres Strait Islander health workforce and has helped develop several national workforce documents. He is involved in several research projects, and has worked in prison health, refugee health in East Timor as well as studying and working in Indigenous health internationally. He was a member of the NTER review expert advisory group in 2008. He is involved in clinical and policy work with the aim of improving Aboriginal and Torres Strait Islander health outcomes in Australia

 

Close the Gap: Indigenous health implementation plan a potential game-changer

 MC

The National Aboriginal and Torres Strait Island Health Implementation Plan also means much improved management and information processes. A dedicated share of the eHealth budget is required to ensure funds to monitor and support continuity of care and quality improvement across both mainstream and Aboriginal Community Controlled Health Services (ACCHS). Management needs to be reshaped from a blind contract management process to a mutual, shared process between funder and service provider process which will guarantee return on investment.

Ian Ring is a professorial fellow at the Australian Health Services Research Institute at the University of Wollongong.

Download here the Implementation plan for the

National Aboriginal and Torres Strait islander Health Plan 2013-2023

Aboriginal and Torres Strait Islander Health Plan 2013-2023 looks to the people who have runs on the board, those in the Aboriginal Community Controlled Health sector, to play a key role, and offers further opportunities for our Services to grow and deliver more primary health care to more Aboriginal and Torres Strait Islander people. We congratulate Minister Fiona Nash on seeing this through – a process started by the former government but broadly informed by the Aboriginal health sector”

Picture above Matthew Cooke leading the way by example : see NACCHO response here

The launch of the National Aboriginal and Torres Strait Island Health Implementation Plan by Rural Health Minister Fiona Nash on October 22 is another important milestone on the long path towards achieving the goals of Australian governments to Close the Gap in child mortality and life expectancy. It is potentially a game changer and comes at a critical time for Australia’s Indigenous people, following the threats to remote Indigenous communities in WA, cuts to major programs such as those aimed at reducing smoking by Indigenous people, and what is widely seen as a debacle with changes to the Indigenous Advancement Strategy.

It was generally recognised that the national Aboriginal and Torres Strait Island Health Plan launched by former Indigenous health minister Warren Snowdon needed an implementation plan to turn the concepts in that document to services which would actually alter what happens on the ground, and deliver the services which are needed to Close the Gap. Of course the NATSIHIP isn’t really a fully developed implementation plan at this stage, and probably couldn’t be, but it does have the architecture of one, and recognises most of the key elements. Full credit to Minister Nash and to the National Indigenous Health Leadership Forum for reaching this stage.

The NATSIHIP recognises the central importance of culture and racism in shaping Indigenous health and, for the first time, starts to come to grips with the obvious question of what services are need to Close the Gap, what workforce is required and how would they be paid for. Most importantly, it focuses on the need to identify the areas with relatively poor health and not enough services, to make capacity building of services in those areas a priority. Some health gains are possible through improvements to services for people already receiving some kind of service, but much more gain is possible through provision of services to those who aren’t receiving them or aren’t receiving adequate services.

But the real work lies ahead. The key question of identifying a set of services required to Close the Gap remains to be tackled, although fortunately there is some excellent work on this topic in the NT that can be used as a starting point. Once the services are clearly defined, then the workforce requirements and funding strategies can be developed. This does not mean that there is an inbuilt assumption of an unlimited bucket of money to fund services but it does imply shifting the current ad hoc inequitable and inefficient funding mechanisms to a more rational basis and clearly identifying service gaps for government consideration.

So, the first key point is that the NATSIHIP is not a one-off, static, glossy piece of paper. Rather it is an ongoing process whose aim is the continuous improvement of services. The goals are achievable but require high quality services delivered in the right way. That is the job of the NATSIHIP and it is to be achieved, not through words, but with services and actions on a continuing long-term basis, and a small combined Indigenous/government oversight group for that purpose is essential.

What is missing at this stage? Firstly, a process to define the core services and associated workforce and funding strategies. Secondly, “training opportunities” need to become a formal national training plan. Much greater value will be achieved from funds for Indigenous health services if all those involved are actually trained in how best to provide those services. This means training public servants in health planning, health administration and the core elements of Indigenous health, training clinicians in technical and cultural aspects of Indigenous health, and managers and board members of health service organisations. And everyone involved needs to understand, live and breathe Continuous Quality Improvement.

It also means much improved management and information processes. A dedicated share of the eHealth budget is required to ensure funds to monitor and support continuity of care and quality improvement across both mainstream and Aboriginal Community Controlled Health Services (ACCHS). Management needs to be reshaped from a blind contract management process to a mutual, shared process between funder and service provider process which will guarantee return on investment.

And much more work needs to be done to develop a sensible set of targets (badged as “Goals” in the Implementation Plan). The National Indigenous Health Equality Targets developed by a broad range of organisations is a sensible starting point. These targets identified the health issues responsible for the life expectancy and child mortality gaps (chronic disease, low birth weight etc), defined services required for those topics, spelt-out infrastructure requirements (workforce and funding) and the central importance of social determinants.

The targets identified in the NATSIHIP seemed to have been framed to present predictions from current trajectories and rather miss the point. A target is an aspiration, not a prediction and needs to bear a logical relationship with the overall Goal (Close the Gap) and with the level of investment in a given time period. The level of health gain is closely linked to the degree of service enhancement that is possible. For this reason, the critical targets at this stage are those for service provision and can really only be set when the core service requirements are defined.

The success of the NATSIHIP will ultimately turn on all these elements and particularly on building up ACCHS services in areas lacking sufficient services, lifting the standard of mainstream services and formal structures and mechanisms for both types of services to work constructively together in each region of Australia.

There is still a long way to go but everyone involved, including Minister Nash and the Indigenous health leaders should be congratulated for reaching this stage.

Ian Ring is a professorial fellow at the Australian Health Services Research Institute at the University of Wollongong.

Read more: http://www.theage.com.au/comment/close-the-gap-indigenous-health-implementation-plan-a-potential-gamechanger-20151023-gkhavx#ixzz3phpOpcoM Follow us: @theage on Twitter | theageAustralia on Facebook

NACCHO #IAS Funding Alert : Have your say to revise the Indigenous Advancement Strategy (IAS) Guidelines

IAS _Page_1

The Australian Government is calling for people to have their say as it revises the Indigenous Advancement Strategy (IAS) Guidelines.

A series of forums are being held with service providers and community members across the country to discuss how the guidelines can be improved to ensure everyone can make the most of the opportunities the IAS offers.

Forums are currently scheduled in the following locations beginning in Melbourne on 28 October 2015 and running through until mid-November:

  • Melbourne
  • Hobart
  • Adelaide
  • Port Augusta
  • Broome
  • Geraldton
  • Perth
  • Darwin
  • Alice Springs
  • Katherine
  • Cairns
  • Brisbane
  • Mt Isa
  • Sydney
  • Coffs Harbour
  • Dubbo

Details of some forums are still being finalised and this list is subject to change.  A full list of locations and venues will be available on the Indigenous and the DPMC website in the coming week.

To register your attendance, or for more information about the forums, call 1800 088 323 FREE or email ias@pmc.gov.au.

NACCHO AGM and Members Conference now 4 weeks away : Have you registered yet ?

2015-AGM-SQU
Dear NACCHO Member Organisations and Stakeholders
 
As you are aware, the  2015 NACCHO Members’ Meeting and Annual General Meeting are being held at Crowne Plaza, Terrigal on the Central Coast of New South Wales.
 
The dates are fast approaching – Tuesday and Wednesday, 24-25 November for the Members’ Meeting, followed by the AGM on the morning of Thursday, 26 November. 
 
 
The formal NOTICE for the AGM with the Agenda is here  DOWNLOAD Notice of 2015 AGM
 
To secure rooms at the Crowne Plaza, you will need to register your Delegates quickly.
 
If you are still yet to register Delegates from your Service, you will need to do the following:
 
1.       Click on the link –  REGISTER And PAY FOR AGM
2.       On the registration page you will need to enter 4836
in the promotional code area to show the discounted voting and non-voting Member options
3.       Select the amount of delegates you intend on sending
4.       Continue to insert delegate information
5.       Complete payment (via PayPal, Cheque or Invoice)
6.       Confirmation will be sent to you via email
 
I am looking forward to meeting you in Terrigal.

NACCHO director, Canberra, ACT, 13th May, 2015

Matthew Cooke

NACCHO Chairperson

Who and why you should attend?

The conference provides a forum for the Aboriginal community controlled health services workforce, bureaucrats, educators , suppliers and consumers to:

  • Present on innovative local economic development solutions to issues that can be applied to address similar issues nationally and across disciplines
  • Have input and influence from the ‘grassroots’ into national and state health policy and service delivery
  • Demonstrate leadership in workforce and service delivery innovation
  • Promote continuing education and professional development activities essential to the Aboriginal community controlled health services in urban, rural and remote Australia
  • Promote Aboriginal health research by professionals who practice in these areas and the presentation of research findings
  • Develop supportive networks
  • Promote good health and well-being through the delivery of health services to and by Indigenous and non-Indigenous people throughout Australia

 Transport Assistance to get to Terrigal

DOWNLOAD HELP INFO HERE

Online Registration Information:

Ticket Prices : On registration members will need a promotion code for member rates (see above)

If you need help contact Jessica Mitchell Events Manager 02 6246 9319 or EMAIL

Ticket Category Price Inc GST
Voting Member $730.00
Non-Voting Member $910.00
Observers $1,100.00

All prices are inclusive of GST and ticketing Fees.

– See more at: http://www.naccho.org.au