Contents of our CTG NACCHO Post
National Close the Gap Campaign Launched at Tharawal Aboriginal Corporation ACCHO
Stakeholders CTG Press Releases
1.AHHA
2.RACGP
3.RANZOG
4.ACCRM
5.ACEM
6 ABSEC
7.Labour Party
8. Greens Party
9. RACGP
10. Stroke Foundation
11. Coalition Government
ACCHO Members
Congress ACCHO Alice Springs
Gidgee ACCHO Mt Isa
Mallee ACCHO Victoria
Apunipima ACCHO Cape York Cover )
Galambila ACCHO Coffs Harbour
Kimberly Aboriginal Medical Service
National Close the Gap Campaign Launched at Tharawal Aboriginal Corporation ACCHO
A national campaign highlighting the health and well-being of Indigenous people was launched in Campbelltown today.
Close the Gap Day was established to celebrate community practices that are positively affecting Aboriginal and Torres Strait Islander people.
Tharawal Aboriginal Corporation in Airds was chosen to host the launch due to its valuable contributions to the local community.
Campbelltown mayor George Brticevic said the event was important not just for Macarthur, but for the rest of Australia as well.
“The importance we place on everyone in our community being able to enjoy a comparable standard of life can’t be understated,” he said.
“Close the Gap Day is a reminder of the inequalities Aboriginal and Torres Strait Islander people still face today, and a call to action for the entire community.
“The fact that the report is being launched here in Campbelltown is a great credit to our Aboriginal community leaders and the important work being done by the Tharawal Aboriginal Corporation.”
South-western Sydney has the largest growing Aboriginal and Torres Strait Islander population in Australia, but the health of the community as a whole trails well behind non-Aboriginal Australians.
According to the most recent census, Aboriginal men on average live to 69 compared to non-Aboriginal men who live to 80.
Non-Aboriginal women live to 84 compared to Aboriginal women who live to 73.
The 2019 Close the Gap report, “Our Choices, Our Voices”, was released this morning.
The report, prepared by the Lowitja Institute, is being released at a community event at Tharawal Aboriginal Corporation – Aboriginal Medical Service South Western Sydney, as part of National Close the Gap day events around the country.
National Congress of Australia’s First Peoples co-chair Rod Little said the report highlighted the incredible work being carried out by Aboriginal Community Controlled Organisations (ACCOs) to improve the health and well-being of Aboriginal and Torres Strait Islander peoples.
“The stories in the report clearly demonstrate that when Aboriginal and Torres Strait Islander people are involved in the design and delivery of the services they need, we are far more likely to succeed,” he said.
The report comes one month after the Commonwealth Government’s Closing the Gap report was tabled in federal parliament, showing a lack of progress on most targets.
In his address, Prime Minister Scott Morrison restated the government’s commitment to work collaboratively in a formal partnership with Aboriginal and Torres Strait Islander people.
Mr Little said he hoped National Close the Gap Day would encourage further commitment to address the challenge of health inequality.
“Health outcomes and life expectancy in Aboriginal communities are affected by many different factors, such as housing, educational opportunity, access to community-controlled primary health services, a culturally safe workforce, racism, and trauma and healing,” he said.
“I want Aboriginal and Torres Strait Islander peoples to have the same opportunity to live full and healthy lives, like all other Australians.
“We are optimistic that by supporting Aboriginal and Torres Strait Islander led initiatives and a commitment to working in genuine partnership, that we can close the gap.”
Download the CTG report HERE
ACCHO CTG Stakeholders
1.AHHA
‘Today is National Close the Gap Day—and to truly close that gap we badly need a refreshed focus on the social determinants of health, including income, education, racism and intergenerational trauma’, says Australian Healthcare and Hospitals Association (AHHA) Chief Executive Alison Verhoeven
‘These factors account for over one-half of the difference in health outcomes between Aboriginal and Torres Strait Islander people and non-Indigenous Australians.
‘To reduce such inequities, as a nation we need to have concrete action on things many non-Indigenous Australians take for granted. Things such as quality housing, effective education, jobs, community activities, access to healthy food and clean water, and access to appropriate healthcare.
‘When we say “appropriate healthcare” we mean more than medically appropriate—we mean culturally safe healthcare services.
‘When dealing with the healthcare sector Aboriginal and Torres Strait Islander peoples should feel safe and secure in their identity, culture and community. There should be no challenge to whether they should be able to access culturally safe services. Whether a service is “culturally safe” or not needs to be determined by Aboriginal and Torres Strait Islander people themselves.
‘In this vein, we have much to do in tackling institutional racism—which is different to individual racist acts, and mostly goes unacknowledged.
‘For example—a recently published study of the Australia and New Zealand Dialysis and Transplant (ANZDATA) Registry showed that Indigenous patients were less likely than non-Indigenous patients to be added to the transplantation waiting list during the first year of renal replacement therapy; this disparity was not explained by differences in patient- and disease-related factors. The authors concluded that changes in policy and practice are needed to reduce these differences.
‘There was also the case of a government department providing 26 different streams of funding for various ‘body parts’ (diabetes, heart disease and so on) to a holistic Aboriginal Medical Service—and then demanding 26 different streams of accountability for the money. Apart from the unreasonable reporting load, this kind of administration is screaming “we don’t trust you” to the funding recipients—and don’t imagine that they don’t feel it.
‘We need to go right back to the original 2008 Close the Gap Statement of Intent signed by the Council of Australian Governments (COAG). That statement was founded on an understanding that population health outcomes are fundamentally the result of social determinants and that governments need to work in partnership with Aboriginal and Torres Strait Islander peoples and their organisations to achieve beneficial outcomes.
‘The 2018 commitment by COAG to a formal partnership approach with Aboriginal and Torres Strait Islander peoples to Close the Gap is a long overdue step in the right direction.
‘In addition to Aboriginal and Torres Strait Islander peoples having a leadership role in Aboriginal health, let’s also ensure that there is strong investment in Aboriginal health services, and prioritised development of an Aboriginal health workforce to deliver both Aboriginal-specific and mainstream health services’, Ms Verhoeven said.
2. RACGP
Dr Schramm points to Aboriginal Community Controlled Health Services (ACCHS) as a proven example of the success that comes with people being involved.
‘Their strength is that, as it says, they are community-controlled,’ she said. ‘They’re developed by the community, for the community.
‘So that’s the power behind them – the community have a say in how their health service is run, the programs and how it’s all going to work … [ACCHSs] set themselves up to address the needs of Aboriginal people and health, and they’re culturally safe, competent services for people to go to.’
Dr Tim Senior, Medical Advisor for RACGP Aboriginal and Torres Strait Islander Health, also spoke at this week’s event, emphasising the need for non-Indigenous Australians to truly consult with Aboriginal and Torres Strait Islander communities about what is needed to close health gaps.
‘We actually have to do much more listening than talking, particularly around issues of cultural safety.
‘This is not up to us to decide or judge, this is up to thousands of local communities around Australia to decide and judge if we are getting this right,’ Dr Senior said.
‘And then listen, and act on that.’
Taking action to achieve health equality for Aboriginal and Torres Strait Islander people #ClosetheGap
Dr Tim Senior, Tharawal CEO Darryl Wight, Leanne Bird, Prof Jenny Reath, and Chair RACGP Aboriginal and Torres Strait Islander Health A/Prof Peter O’Mara at the launch of the #ClosetheGap Report at Tharawal AMS
3.RANZGP
The Royal Australian and New Zealand College of Psychiatrists (RANZCP) supports Close the Gap Day as an important opportunity to reflect on the social and health disparities present between Aboriginal and Torres Strait Islander peoples and other Australians.
The recently released Closing the Gap Report 2019 once again showed that in many areas Australia is not making progress.
In recognition of the need for ongoing action to address the social determinants of health and the mental health needs of Aboriginal and Torres Strait Islander peoples, the College recently updated its Position Statement to call for the recognition of Aboriginal and Torres Strait Islander peoples in the Australian Constitution.
The RANZCP supports the establishment of an Aboriginal and Torres Strait Islander advisory body to guarantee an Indigenous voice in political decision-making, as recommended in the Uluru Statement from the Heart.
In order to realise truth-telling and promote health, the RANZCP also supports the establishment of a Makarrata Commission to guide the treaty process and to provide a basis for truth-telling.
The inclusion of mental health targets in any refresh to the Close the Gap strategy, designed and implemented in collaboration with Aboriginal and Torres Strait Islander peoples, is also a crucial part of working towards achieving health equity.
For more information, see Position Statement 68: Recognition of Aboriginal and Torres Strait Islander peoples in the Australian Constitution.
4.ACRRM
On Close the Gap Day 2019, ACRRM says it is time to build on the solutions
The Australian College of Rural and Remote Medicine (ACRRM) sees this Close the Gap Day as a time to focus efforts on the strategies that are successfully delivering better health outcomes to Aboriginal and Torres Strait Islander people.
ACRRM is a Close the Gap Campaign member and welcomes the Government’s recent commitment to progress its future work in full partnership with peak Aboriginal and Torres Strait Islander groups.
Alongside this, ACRRM commits to sharpening its own efforts to contribute toward health equity for Aboriginal and Torres Strait Islander people.
ACRRM President Dr Ewen McPhee says that after 11 years of closing the gap, if we are to achieve health equality for Aboriginal and Torres Strait Islander peoples by 2030, we need to build on what’s working.
“Health inequality has by most counts, worsened in the 11 years since the Close the Gap Strategy was produced,” he says.
“We need to work harder and smarter and learn from the many success stories of how community-centred, culturally-appropriate, primary-care is improving health outcomes for Australia’s first peoples.
“It is known that Aboriginal and Torres Strait Islander patients access health services more, where they feel they are culturally safe and respected and have strong relationships with practitioners, especially where there are Aboriginal and Torres Strait Islander doctors and staff to support them.
“The College recognises that by ensuring our doctors are dedicated and culturally competent and, by growing and supporting our Aboriginal and Torres Strait Islander Fellows, we are able to make an important contribution.
“Most ACRRM doctors have significant numbers of Aboriginal and Torres Strait Islander patients and our members are practising in some of the country’s highest needs, remote Aboriginal and Torres Strait Islander communities.
“Our College has more Aboriginal and Torres Strait Islander members now than ever before and since introducing its own selection process in 2017, ACRRM has seen continuing record numbers of Aboriginal and Torres Strait Islander doctor enrolments to its training programs.
“The College also continues to build on its Aboriginal and Torres Strait Islander health curricula and courses to ensure our members are trained and supported to provide their medical services as effectively as possible,” Dr McPhee says
National surveys demonstrate ACRRM registrars continue to be distinguished among general practice registrars for their interest in and likelihood of working with Aboriginal and Torres Strait Islander patients.
“Today we are happy to build on the outstanding contributions of our Aboriginal and Torres Strait Islander doctors and all our dedicated members working in rural and remote Aboriginal and Torres Strait Islander communities,” Dr McPhee says.
ACRRM is proud of the exceptional work of its members in serving Aboriginal and Torres Strait Islander communities and sees great promise for the future in both the passion and the capacity of the doctors that it continues to attract.
5.ACEM
Emergency departments (and health systems generally) have been poor at providing culturally safe and appropriate environments for Aboriginal and Torres Strait Islander peoples.
ACEM recognises that in order to help o close the gap in health outcomes emergency departments and the health system must improve our accessibility and responsiveness to Aboriginal and Torres Strait Islander communities.
A 2018 ACEM report examining the experience of Aboriginal and Torres Strait Islander (Indigenous) and non-Indigenous patients presenting to Australian emergency departments shows Indigenous patients are overrepresented, both in their number of presentations to EDs relative to their proportion of population (in remote, very remote and metropolitan areas).
For many patients, the emergency department is the front door to the health system. The experience of any patient presenting to an ED is one that may then shape their steps into specialist or other care, and their opportunities to achieve optimal health and life outcomes, so it is particularly important that the care we provide is culturally safe.
Since 2008 disparities health and life outcomes for Aboriginal and Torres Strait Islander peoples have been measured and tracked as part of the Australian Government’s Closing the Gap strategy, which has sought to identify and reduce these disparities with non-Indigenous populations of Australia.
As the government and Coalition of Australian Governments finally pursue meaningful partnerships with Aboriginal and Torres Strait Islander communities, leaders and peak bodies to close these gaps, ACEM is continuing its work to build culturally safe emergency departments and an emergency medicine workforce that is responsive to the needs of Aboriginal and Torres Strait Islander patients. To achieve this, we recognise that this work needs to be led from Aboriginal communities and organisations. We must also better enable the growth and development of our Aboriginal and Torres Strait Islander emergency specialist workforce.
The College’s Reconciliation Action Plan (RAP) Steering Group has been working to establish partnerships with key Aboriginal and Torres Strait Islander organisations (such as the Australian Indigenous Doctors’ Association)
This year the College’s RAP Steering Group is renewing ACEM’s Innovate RAP in partnership with Reconciliation Australia. The College’s inaugural RAP was released in 2017 with design by Indigenous artist Luke Mallie. Just nine (of more than 100) deliverables in that RAP have so far not been achieved and will be reincorporated into the next RAP (2019–21), being produced by Marcus Lee Design.
The College is undertaking a broad body of work to build these relationships, including:
- Embedding Indigenous Health and Cultural Competency into the ACEM Curriculum Framework.
- Awarding the Joseph Epstein Scholarshipto support the training and development of an Aboriginal, Torres Strait Islander or Māori advanced trainee.
- Accrediting Indigenous Health Special Skills posts for rural health.
- Developing careers resources for Aboriginal and Torres Strait Islander doctors working in emergency medicine.
- Advocating for more Indigenous Health Liaison Officers to be employed in emergency departments.
- Increasing the numbers of Aboriginal and Torres Strait Islander trainees, Diplomates and Certificants.
- Introducing mandatory cultural competence activitiesinto its Specialist CPD program.
The action plan guides the priorities and work of the College as it continues its commitment to equity in the health outcomes for Aboriginal and Torres Strait Islander peoples and seeks to build environments, systems and structures to support the training, development and careers of the Aboriginal and Torres Strait Islander workforce in emergency medicine.
6 .ABSEC
Closing the Gap will only be successful if Aboriginal communities lead the solutions according to NSW Aboriginal peak body AbSec
Currently in NSW as well as across Australia, the gap between Aboriginal and non-Aboriginal kids continues to widen across the child protection system.
In NSW, Aboriginal children are now almost 9 times more likely to be involved in the child protection system, an increase from almost 7 times for the previous year.
On Close the Gap day, it is a reminder that Aboriginal communities need to lead on the solutions to make sure that the inequalities faced by Aboriginal and Torres Strait Islander peoples are addressed Tim Ireland, Chief Executive Officer at AbSec, whose goal is to reduce the over-representation of Aboriginal kids in the child protection system, said:
“The gap is widening. Aboriginal children are now 11 times more likely to be removed from their families than non-Indigenous children, an increase from last year. “Closing the Gap will only be successful if Aboriginal communities lead the solutions.
We need a genuine partnership between governments and Aboriginal communities that invests in Aboriginalled solutions, designed by Aboriginal people, and delivered by Aboriginal organisations.
Only then will we have an approach that is tailored to the needs of our children, families and communities, supporting them to thrive, strong in culture and identity.”
7. Labour Party
“ If elected, a Shorten Labor Government will move quickly to agree on a process with First Nations people to make the Voice a reality – including a pathway to a referendum. Labor supports a Voice.
We support enshrining it in the Constitution. This is our first priority for Constitutional change.
First Nations peoples must have a say in the matters that affect their lives and policies must be co-designed with full free and prior informed consent.
Download full Press Release
” A Shorten Labor Government will invest $5 million towards closing the gap in
South Australia by assisting the Port Adelaide Football Club in establishing the
Aboriginal Centre of Excellence.
The Aboriginal Centre of Excellence will help close the gap for Indigenous students
by providing boarding capacity for 50 both male and female students from metro,
rural and regional South Australia.”
Download Labour CTG Press Release
8. Greens Party
The Greens have today announced their election commitment to work with First Nations peoples to address Australia’s unfinished business, close the gap and achieve justice
Australian Greens Senator Rachel Siewert said a commitment to self-determination must be at the heart of closing the gap, and that this approach has been sadly lacking.
Download or Read Greens Press Release
9. RACP recognises Indigenous leadership on National Close the Gap Day
The RACP is urging all Australian people to recognise Indigenous leadership and success on National Close the Gap Day 2019.
The RACP is a founding member of the Close the Gap Campaign for Indigenous health equality, a campaign by peak Indigenous and non-Indigenous health bodies to close the health and life expectancy gap by 2030.
“We have a right to self-determination and full participation in decision-making about matters that affect us. We need to invest in and support on the ground voices and solutions. An investment in our community-controlled organisations is an investment in success,” Commissioner Oscar said.
RACP President Associate Professor Mark Lane said Indigenous leadership and community-control are central.
“Without self-determination, it is not possible for Aboriginal and Torres Strait Islander people to fully overcome the legacy of colonisation and dispossession, and the ongoing impacts on health.
Professor Noel Hayman, Chair of the RACP Aboriginal and Torres Strait Islander Health Committee, said “to make real, long-term gains in Indigenous health, the health system needs to recognise the highly skilled leadership of Aboriginal and Torres Strait Islander people who are best placed to mobilise action and build the platform for change.”
“The RACP’s focus is on improving access to medical specialists for Indigenous people, and we have great examples of where this is being done innovatively and effectively,” Professor Hayman said
10. Stroke Foundation determined to close the gap
By Stroke Foundation Chief Executive Officer Sharon McGowan
Read over 100 NACCHO Aboriginal Health Stroke Articles HERE
Equal access to healthcare is a basic human right, but sadly, this is not the reality for Aboriginal and Torres Strait Islander Australians.
Today is Close the Gap Day – an important initiative which aims to achieve health equality within a decade.
Here at the Stroke Foundation, we believe this is a goal well worth fighting for. All Australians need and deserve to have access to best practice health care.
Currently, Aboriginal and Torres Strait Islander people are overrepresented in stroke statistics. This is harrowing and it must change.
Indigenous Australians are twice as likely to be hospitalised with stroke and 1.5 times as likely to die from stroke than non-indigenous Australians.
A 2018 Australian National University study found one-third to a half of Aboriginal and Torres Strait Islander people in their 40s, 50s and 60s were at high risk of future heart attack or stroke. Alarmingly, high levels of risk were also found in people under the age of 35.
Our vision is for a world free from disability and suffering caused by stroke, but there is so much to do in our own backyard.
Stroke Foundation is committed to working with Aboriginal and Torres Strait Islander health organisations to improve the health outcomes of Indigenous communities. This includes access to health checks and increasing stroke awareness by delivering targeted education on what a stroke is, how to prevent it and how to spot the F.A.S.T signs of stroke.
Our commitment to establishing a national telestroke network is also a big step towards transforming emergency stroke treatment for regional and rural Australia.
Stroke can be prevented, it can be treated and it can be beaten. We must act now to stem the tide of this devastating disease by closing the gap and delivering health equality.
The facts
The burden of disease for stroke in Aboriginal and Torres Strait Islander people is 2.3 times that of non-Indigenous Australians.
Aboriginal and Torres Strait Islander people are 1.5 times more likely to die from stroke as non-Indigenous Australians.
11. Coalition Government
Today is National Close the Gap Day, a day we re-affirm our commitment to delivering better outcomes for our First Australians.
The Coalition Government under the leadership of Prime Minister Scott Morrison (ScoMo) has re-framed the Government’s Closing the Gap agenda and established a new partnership with Aboriginal and Torres Strait Islander peak organisations as well as state and territory governments to drive the next phase of Closing the Gap.
We are committed to this because we know that Aboriginal and Torres Strait Islander Australians must have a say in their future and be a part of our shared efforts to improve the life outcomes of our First Australians.
That is why under the Indigenous Advancement Strategy we have doubled the percentage of Indigenous organisations receiving contracts under the Indigenous Advancement Strategy.
When I became Minister for Indigenous Affairs only 30 per cent of our services funded to deliver better outcomes for Aboriginal and Torres Strait Islander communities were delivered by Indigenous organisations.
Today, I am proud to say that 60 per cent of our services are delivered by Indigenous organisations.
Aboriginal and Torres Strait Islander people must be at the heart of our nation’s commitment to deliver a better future for all Australians including our First Australians.
#ClosetheGap #closethegap2019 #nationalclosethegapday #indigenous#IAS
ACCHO Members
Congress ACCHO
Gidgee ACCHO Mt Isa
Mallee ACCHO Victoria
It’s all happening today in the MDAS Health Mildura carpark with a BBQ for National Close the Gap Day. #closethegap #mildura #deadlychoices
Apunipima ACCHO Cape York Cover )
Galambila ACCHO Coffs Harbour
Closing the Gap recognition Awards
Lovely welcome by Aunty Kim
Kimberly Aboriginal Medical Service
A message from the KAMS CEO Vicki O”Donnell on Close the Gap Day #closethegap