NACCHO Aboriginal #HealthBudget17 : Indigenous health funding not enough says #ClosetheGap co-chairs

“The Close the Gap Campaign priorities are not new. Governments know these priorities well. Yet the health gap remains a national tragedy,”

Indigenous people have a life expectancy of at least 10 years less than their non-Indigenous peers.

A nation as wealthy as ours should fund the critical health care of less than 3 per cent of its entire population,

The Commonwealth must work in full partnership with the state and territory governments to address all Aboriginal health needs.We especially need to agree on a national strategy to address the social and cultural determinants of health.

Every child under four must have ready access to early childhood education; every family should be able to live in decent social housing which is not over-crowded; and every working age person should be able to be gainfully employed.

These are immediate priorities because the social determinants of health account for more than 30% of the burden of disease that affects our people.

There is no other sector of Australian society that would tolerate the conditions our people live in and the lack of opportunity we have to improve these conditions.”

Pat Turner (pictured above), Co-Chair of the Close the Gap Campaign and CEO of National Aboriginal Community Controlled Health Organisation.Pictured above at Redfern Statement launch

Indigenous health representatives met in Canberra this week to consider the Federal Government’s 2017 budget, with Close the Gap Campaign Co-Chair Dr Jackie Huggins reflecting disappointment in the figures.

“More investment is needed to close the health gap experienced by Aboriginal and Torres Strait Islander peoples. Funding cuts will not close this gap,” Dr Huggins said.

“We need to train and support more Indigenous health practitioners, doctors and nurses; and it is essential that we put the social determinants of health at the centre of this debate.”

Dr Huggins, who is also Co-Chair of the National Congress of Australia’s First Peoples, said she would like to see disability, incarceration and justice measurements added to the Close the Gap targets.

The Close the Gap Campaign’s 2017 Budget Position paper (pdf) lists eight priorities that will help close the gap in health inequality for Aboriginal and Torres Strait Islander peoples.

Including Recommendation 4

Aboriginal Community Controlled Health Services (ACCHS) are supported to provide high-quality, comprehensive and accountable services that are locally responsive to identified Aboriginal and Torres Strait Islander health needs by:

a. Providing sufficient funding to identify and fill the primary health care service gaps; and

b. Systematic assessment of health outcomes/needs, workforce capability and service capacity undertaken to inform the development of the core services model, future workforce requirements and investment and capacity building priorities

c. Ensure Primary Health Networks are directed to support and partner with ACCHS as the preferred providers of Aboriginal and Torres Strait Islander health services.

The ACCHS sector provides inherent advantages for closing the gap. Firstly, its service model is the provision of comprehensive primary health care. This model of care is needed because of the higher levels and earlier age onset of illness, the much greater levels of comorbidity in Aboriginal and Torres Strait Islander people – and the need to address the fundamental determinants of health if the gap is to be closed. ACCHS were established because of the inability of mainstream services to deliver for Aboriginal and Torres Strait Islander people and have a critical role to play in closing the Gap.

The ACCHS sector is a major employer of Aboriginal and Torres Strait Islander people at all levels. In many Aboriginal and Torres Strait Islander communities, the ACCHS operates as the primary employer. These are real and essential, skilled jobs. A long-term plan for building the capabilities of ACCHS is overdue.

The Campaign calls on Government to provide greater surety of funding to enable ACCHS to enhance their capacity to undertake long-term service and workforce planning – particularly in relation to primary health care service gaps. We know that sustainable, long-term services deliver the best health outcomes.

We further propose that ACCHS be treated as preferred providers for health services for Aboriginal and Torres Strait Islander people unless it can be shown that alternative arrangements can produce better outcomes in terms of quality of care and access to services. We believe the evidence shows this and we support government using an objective, informed evidence base to guide future decisions.

Press release part 2

The Indigenous Health budget for the next financial year is $881 million, compared to $798 million allocated this financial year. The $83 million increase is primarily attributed to population increase and indexation.

Dr Huggins and Ms Turner said the Government’s decision to restore indexation of the Medicare Benefits Scheme is a good outcome. They said this was a priority for the Close the Gap Campaign after Parliament introduced the freeze on Medicare benefits in 2013-14.

The Government had previously announced a $40 million investment over four years to strengthen the evaluation of Indigenous Affairs programs. Improved reporting, monitoring and evaluation of contracts, programs and outcomes is expected to underpin this.

The Federal Health Minister, Greg Hunt, has released statements about the Medicare Guarantee Fund and other budget commitments on health.

The Minister for Indigenous Affairs, Nigel Scullion, has released statements about investment in Indigenous research and evaluation and the Indigenous business sector strategy.

Photo: Close the Gap Campaign Co-Chair Pat Turner.

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