NACCHO Aboriginal Health #ClosingtheGap : Pat Turner Convener #CoalitionofPeaks Speech at the National #PHN Conference : Challenging the way Governments and Primary Health Networks work with us

The reform priorities, and that they are being discussed in a COAG forum with Aboriginal and Torres Strait Islander people at the table, as well as the upcoming engagements is a demonstration of how the conversation and approach is changing as a result of the Partnership Agreement on Closing the Gap.  

But this changed approach is not to be just contained to the Partnership Agreement and governments work with the Coalition of Peaks. It is to be applied to all your policy practice and service delivery.

It is a challenge for you (PHN’s) to reconsider how you develop policies and programs with and for Aboriginal and Torres Strait Islander people and communities.

The Partnership Agreement means that:

  • Aboriginal and Torres Strait Islander people are no longer government ‘stakeholders’ but are full partners in the development of policies and programs that impact on us.
  • Primary Health Networks need to develop formal arrangements with us, through our community controlled health organisations, to agree policy and programs, based on our own structures and not your own appointed advisory bodies.
  • The knowledge of Aboriginal and Torres Strait Islander peoples to determine their own solutions must be given primacy in policy and program design and delivery.

I ask that you all consider what the Partnership Agreement will mean to your own Primary Health Network, to the area and team that you work with, to start a conversation with your team members about it, to read further about the work we are doing and set up a time to speak to one of our Coalition of Peaks members to learn more.

The Partnership Agreement presents a significant opportunity for you all to think creatively and with innovation, to not just think about what is possible in the relationship between government and Aboriginal and Torres Strait Islander people, but to be at the forefront of the change.”

Pat Turner NACCHO CEO speaking at the PHN NATIONAL FORUM, 11TH September 2019 HYATT HOTEL, Canberra

Hello everyone, thank you for inviting me here today to speak to at the seventh Primary Health Network National Forum.

It is testament to the changing times that you now have delegates from national health peak bodies like mine, the National Aboriginal Community Controlled Health Organisation (NACCHO), attending your forums and being invited to share our own stories.

My name is Pat Turner. I am the CEO of NACCHO, and the Lead Convener of the Coalition of Peaks. Foremost, I am an Aboriginal woman, the daughter of an Arrente man and a Gurdanji woman.

Before we start, I want to acknowledge the traditional custodians of the lands where we are meeting today.

Canberra is Ngunnawal country. The Ngunnawal are the Aboriginal people of this region and its first inhabitants.

The neighbouring people are the Gundungurra to the North, the Ngarigo to the South, the Yuin on the coast, and the Wiradjuri inland.

It is a harsh climate and difficult country for hunter-gatherer people. To live here required great knowledge of the environment, skillful custodianship of it and close cooperation.

It is this knowledge and ways of working that continue to guide Aboriginal and Torres Strait Islander peoples across the in today’s Indigenous policy landscape.

As we navigate the changing policy environment, Aboriginal people draw strength from our lands and our customs. And we continue the cooperation amongst our many nations for the betterment of all of us. This is the approach that we take to the Coalition of Aboriginal and Torres Strait Islander Peaks Bodies and our work on Closing the Gap.

The Coalition of Peaks are made up of some forty national and state/territory community controlled Aboriginal and Torres Strait Islander Peak Organisations. We have come together to be formal partners with Australian Governments on Closing the Gap.

Today I want to share with you how a group of Aboriginal community controlled organisations, led by NACCHO, have exercised political agency by leading the way, challenging the possibilities and imagining a future of shared decision-making with governments on policies and programs that impact on our people and our communities.

Together, we are changing the way governments work with Aboriginal and Torres Strait Islander peoples on policies and programs that impact on us: we are setting a new benchmark for how our voices are heard in the design and implementation of policies and programs that impact on us.

I come before you to not only share the story of the Coalition of Peaks and their work with governments. Importantly, I also want to talk to you about what these new arrangements mean for Primary Health Networks and for your own daily work practices.

The new approach to Closing the Gap is a challenge you to change the way you work with and engage with Aboriginal and Torres Strait Islander people in the development of policies and delivery of health and wellbeing programs.

BACKSTORY

I will start by going back, to tell you how the Coalition of Peaks got to where we are today.

You might recall the Council of Australian Governments (COAG) in 2007 committed to ‘closing the gap’ in life expectancy between Aboriginal and Torres Strait Islander and other Australians, and a range of targets to end the disparity between Aboriginal and Torres Strait Islander peoples and other Australians in areas like infant mortality, employment and education.

  1. It was the first time that Australian Governments had come together in a unified way to address the disadvantage experienced by too many Aboriginal and Torres Strait Islander peoples.
  2. An unprecedented investment of around 4.6 billion dollars in programs and services to ‘close the gap’ as also made.
  3. Governments also agreed to new oversight, monitoring and reporting arrangements, including an annual report to the Commonwealth Parliament by the Prime Minister.

Aboriginal and Torres Strait Islander leaders at the time welcomed this new approach from governments and some of us were consulted in the early stages of the Commonwealth’s thinking.

However, despite this unprecedented coming together of Australian Governments and investment and initial engagement with our peoples, we were not formally involved in Closing the Gap, it was not agreed by us and it was a policy of governments and not for our people.

Many Aboriginal and Torres Strait Islander people felt that Closing the Gap presented the issue of our disadvantage as a technical problem built around non-Indigenous markers of poverty. This only served to hide the extent to which Aboriginal and Torres Strait Islander peoples’ disadvantage is a political problem requiring deep structural reforms about the way governments work with us.

Closing the Gap did not address the biggest gap that we face: the gulf between the political autonomy and economic resources of Aboriginal and Torres Strait Islander peoples and non-Indigenous people.

The policies and programs that then followed whilst making some difference to our peoples lives did not achieve their potential.

Over time government commitment to work together fell away. Funding to our programs and services were cut or not continued.

It is not surprising then, that, now ten years later, we have not made the progress against the closing the gap targets that had been hoped.

“REFRESH”

As you know, in 2017 the Commonwealth Government embarked on a ‘refresh’ of the Closing the Gap framework and undertook a series of consultations. In the view of many Aboriginal and Torres Strait Islander organisations, the consultations were inadequate and superficial. There was no public report prepared on their outcomes.

The lack of transparency and accountability surrounding these consultations were very disappointing, but also not surprising. Many of our organisations made submissions to government on Closing the Gap but we felt like our voices were ignored.

We were worried that governments commitment to work differently with us going forward was not backed by meaningful demonstrations. And we were concerned that governments wanted to walk away from the intergovernmental arrangements that brought a national integrated policy strategy needed to close the gap.

No new funding was announced to accompany the ‘refresh’ and there were no specific actions being discussed that we could see or feel confident would make a positive change to our lives.

As the ‘refreshed’ Closing the Gap strategy was being prepared for sign off by the Australian Governments, our dismay and disappointment galvanised a small group of community controlled organisations to come together to write to the Prime Minister, Premiers and Chief Ministers asking that it not be agreed.

We weren’t going away, and there were three important messages that we wanted governments to hear. These were:

  • When Aboriginal and Torres Strait Islander peoples are included and have a real say in the design and delivery of services that impact on them, the outcomes are far better;
  • Aboriginal and Torres Strait Islander peoples need to be at the centre of Closing the Gap policy: the gap won’t close without our full involvement; and
  • the Council of Australian Governments cannot expect us to take responsibility and work constructively with them to improve outcomes if we are excluded from the decision making.

Eventually, we were invited to meet with the Prime Minister, who acknowledged that the current targets were ‘government targets’ not ‘shared targets’, and that for Closing the Gap to be realised Aboriginal and Torres Strait Islander people had to be able to take formal responsibility for the outcomes through shared decision making.

On 12 December 2018, COAG publicly committed to developing a genuine, formal partnership with Aboriginal and Torres Strait Islander people, through their representatives, on Closing the Gap; and that through this partnership a new Closing the Gap policy would be agreed.

THE PARTNERSHIP AGREEMENT ON CLOSING THE GAP

The initial fourteen organisations then became almost forty, as we brought together Aboriginal and Torres Strait Islander Peaks bodies across the country to form a formal Coalition to negotiate a new Closing the Gap framework with Australian Governments. We include both national and state and territory based Aboriginal and Torres Strait Islander Peaks representing a diverse range of services and matter that are important to us as Aboriginal and Torres Strait Islander peoples and to Closing the Gap.

As a first step and through our initiative, we negotiated and agreed a formal Partnership Agreement between the Council of Australian Governments and the Coalition of Aboriginal and Torres Strait Islander peak organisations which came into effect in March 2019.

The Partnership Agreement sets out that the Coalition of Peaks will have shared decision making on developing, implementing and monitoring and reviewing Closing the Gap for the next ten years.

This is an historic achievement. It is the first time that Aboriginal and Torres Strait Islander Peaks have come together in this way, to work collectively and as full partners with Australian Governments. It’s is also the first time that there has been formal decision making with Aboriginal and Torres Strait Islander peoples and Australian Governments in this way.

WHERE ARE AT NOW

Progress is being made under the Partnership Agreement on Closing the Gap:

  • All Council of Australian Government members, including the local government association, have signed the Partnership Agreement.
  • The National Indigenous Reform Agreement (NIRA) has been reviewed by the Coalition of Peaks and officials from Australian Governments.
  • It has been agreed that the NIRA will be replaced with a new National Agreement on Closing the Gap covering the next ten years, to be signed off by the Council of Australian Governments and the Coalition of Peaks. It will continue the NIRA’s successful elements, strengthen others and address foundational areas that were previously excluded from consideration.
  • New accountability, monitoring and reporting arrangements are being developed for the new National Agreement that will strengthen public transparency and accountability.

Most importantly, the Coalition of Peaks have also proposed reform priorities to underpin the new National Agreement on Closing the Gap.

The reform priorities seek to change the way Australian Governments work with Aboriginal and Torres Strait Islander peoples and organisations, and accelerate life outcomes for Aboriginal and Torres Strait Islander peoples, these are:

  1. Establishing shared formal decision making between Australian governments and Aboriginal and Torres Strait Islander people at the State/Territory, regional and local level to embed ownership, responsibility and expertise on Closing the Gap.
  2. Building and strengthening Aboriginal and Torres Strait Islander community-controlled organisations to deliver services and programs in priority areas.
  3. Ensuring all mainstream government agencies and institutions undertake systemic and structural transformation to contribute to Closing the Gap.

These reforms have been agreed in principle by the COAG established Joint Council on Closing the Gap, made up of Ministers from each jurisdiction and Coalition of Peak representatives on 23 August 2019. And they have direct relevance to the Primary Health Networks and our work together.

The Joint Council also agreed to the Coalition of Peaks leading engagements with Aboriginal and Torres Strait Islander representatives of communities and organisations on new National Agreement.

These engagements are happening over the next two months and include open meetings across Australia agreed to and supported by governments. The Coalition of Peaks are also consulting with their own memberships and there is an online public opportunity for people to have their say.

The primary focus of the engagements is to build understanding and support for the reform priorities and to have a detailed discussion on what is needed to make those reform priorities a success. The discussions and input from Aboriginal and Torres Strait Islander communities will help inform the finalisation of the negotiations on the New National Agreement on Closing the Gap.

This is also a significant shift in the approach to policy development. It is the first time that governments have agreed to leaders of Aboriginal and Torres Strait Islander organisations engaging with representatives from our communities and organisations about important government policy.

Pat Turner Lead Convener of the Coalition of Peaks invites community to share their voice on #ClosingtheGap

This week a survey will be sent to hundreds of Aboriginal and Torres Strait Islander community-controlled organisations and their networks, inviting responses from both individuals and organisations.

There is a discussion booklet that has background information on Closing the Gap and sets out what will be talked about in the survey.

The survey will take a little bit of time to complete. It would be great if you can answer all the questions, but you can also just focus on the issues that you care about most.

To help you prepare your answers, you can look at a full copy here

The survey is open to everyone and can be accessed here:

https://www.naccho.org.au/programmes/coalition-of-peaks/have-your-say/

NACCHO Aboriginal Health #ClosingtheGap Download @AIHW Australia’s Welfare Report 2019 : Our mobs welfare is closely linked to health and is influenced by #socialdeterminants such as education, employment, housing, access to services, and community safety.

Indigenous wellbeing is shaped by the wellbeing of the community. In recent years there have been improvements in a range of areas of wellbeing for Aboriginal and Torres Strait Islander Australians.

Indigenous home ownership has risen over the past decade, from 34% in 2006 to 38% in 2016, household overcrowding has decreased, and fewer Indigenous Australians rely on government payments.

Education remains important in helping to overcome Indigenous disadvantage.

The employment gap between Indigenous and non-Indigenous Australians narrows as education levels increase.

There is no gap in the employment rates between Indigenous and non-Indigenous Australians with a university degree.

Despite these improvements, some Indigenous Australians experience widespread social and economic disadvantage.

One in 5 Indigenous Australians live in remote areas and fare worse than those in non-remote areas. They had lower rates of school attendance and employment, and were more likely to live in overcrowded conditions and in social housing.

Members of the Stolen Generations are another particularly disadvantaged group.

They were more likely than other Indigenous Australians to have been incarcerated, receive government payments as their main source of income, experience actual or threatened physical violence or experience homelessness.”

AIHW spokesperson Mr. Dinesh Indraharan.

” Many factors contribute to the welfare of Aboriginal and Torres Strait Islander Australians.

Welfare is closely linked to health and is influenced by social determinants such as education, employment, housing, access to services, and community safety. Contextual and historical factors are particularly important for understanding the welfare of Indigenous Australians.”

” Home ownership has an opportunity to formulate the next wave of transformative success for indigenous people.

Home ownership is a key pillar on the journey to economic independence for indigenous Australians, providing not only stable housing but also an anchor from which to build an asset base for current and future generations and equity for other investment and business opportunities.”

Dagoman-Wardaman man and chairman of Indigenous Business Australia Eddie Fry oversees a home loan program that is helping increasing numbers of Aboriginal and Torres Strait Islander people into home ownership. See Part 2 Below

The latest two-yearly snapshot of national wellbeing uses high-quality data to show how Australians are faring in key areas, including housing, education and skills, employment, social support and justice and safety.

The Australian Institute of Health and Welfare report Australia’s welfare 2019 was launched today in Canberra by Senator the Hon. Anne Ruston, Minister for Families and Social Services.

The report shows that record employment and an increase in education levels are contributing to Australia’s wellbeing but challenges facing the nation include housing stress among low-income earners.

Download the Report and Snapshot

aihw-aus-227

Australias-welfare-snapshots-2019

‘Australia’s welfare 2019 demonstrates the value in continuing to build an evidence base that supports the community, policy makers and services providers to better understand the varying and diverse needs of Australians,’ said AIHW spokesperson Mr. Dinesh Indraharan.

‘Australia is in the top third of Organisation for Economic Co-operation and Development (OECD) countries for a range of measures, including life satisfaction and social connectedness.

‘In 2018, 74% of people aged 15–64 were employed—the highest annual employment rate recorded in Australia. In July 2019 the female and total employment rates remain at record levels.’

The proportion of Australians working very long hours (50 or more per week) declined from 16% to 14% and more Australians are using part-time work to balance work with other activities including caring responsibilities.

However, in December 2018, about 9% of workers were underemployed, or unable to find as many hours of work as they would like. One in 9 families with children had no one in the family who was employed.

Generally, the higher a person’s level of education, the more opportunities they have in their working life.

‘Between 2008 and 2018 the proportion of students staying in school until Year 12 rose from 69% to 81% for males and from 80% to 89% for females,’ Mr Indraharan said.

‘In 2018, 65% of Australians aged 25–64 had a non-school qualification at Certificate III level or above. This is up from 55% in 2009.’

Australia has high levels of civic engagement with 97% of eligible people enrolled to vote in 2019—up from 90% in 2010 and strong rates of volunteering (contributing 743 million hours a year). But an estimated 1 in 4 Australians are currently experiencing an episode of loneliness – with people who live alone, young adults, males and people with children more likely to feel lonely.

Finding affordable housing remains a challenge for many Australians, with more people spending a higher proportion of their incomes on housing than in the past and fewer younger people owning their own homes.

‘More than 1 million low-income households were in housing stress in 2017-18, where they spent more than 30% of their income on rent or mortgage repayments,’ Mr Indraharan said.

There has been little change in income inequality since the mid-2000s—though it is higher now than it was in the 1980s—and wealth is more unequally distributed than income.

Most crime rates have fallen in recent years but Australia ranked in the bottom third of countries for people feeling safe walking alone at night.

‘Survey data shows rates of partner and sexual violence have remained relatively stable since 2005, while rates of total violence have fallen. However, the number and rate of sexual assault victims recorded by police has risen each year since 2011,’ Mr. Indraharan said.

Welfare services and support for people in need

Australian governments spent nearly $161 billion on welfare services and support in 2017-18, including $102 billion on cash payments to specific populations, $48 billion on welfare services and $10 billion on unemployment benefits. Per person spending on welfare increased an average of 1.3% a year—from $5,287 per person in 2001–02 to $6,482 in 2017–18.

Over the past 2 decades, there has been a notable fall in the number of people aged 18–64 receiving income support—down from 2.6 million in 1999 to 2.3 million in 2018. Put another way, in 1999, 22% of Australians aged 18–64 received income support, but this fell to 15% in 2018.

In 2017-18:

  • 1.2 million people (or 3 in 10 older people) received aged care services
  • 803,900 people were in social housing
  • 288,800 people were supported by Specialist Homeless Services
  • 280,000 people used specialist disability support services under the National Disability Agreement
  • 172,000 people were active participants in the National Disability Insurance Scheme (at June 2018)
  • 159,000 (or 1 in 35) children aged 0–17 received child protection services.

incarcerated, receive government payments as their main source of income, experience actual or threatened physical violence or experience homelessness.

Aboriginal and Torres Strait Islander Survey #HaveYourSay :

Pat Turner Lead Convener of the Coalition of Peaks invites community to share their voice on #ClosingtheGap

Part 2 From today’s Australian

More indigenous Australians than ever are homeowners, fewer live in overcrowded accommodation and Aboriginal and Torres Strait Islander people who rent are slowly shifting away from social housing in favour of private properties.

Figures to be published on Wednesday by the Australian Institute of Health and Welfare show almost two in five indigenous Australians were homeowners at the last census — of those, 12 per cent owned their home outright and 26 per cent had a mortgage. The number of indigenous households where the home is paid off or mortgaged has reached an estimated 263,000.

The rate of home ownership among indigenous Australians has gradually increased since 2006, while the home ownership rate among non-indigenous Australians has decreased slightly over the same period.

In 2006, 34 per cent of indigenous Australians owned their home or were paying it off.

By 2011 that figure had climbed to 36 per cent and at the 2016 census, 38 per cent of indigenous Australians either owned their homes outright or were paying off a mortgage.

In contrast, the percentage of non-indigenous Australians who either owned their home or were paying it off declined from 68 per cent in 2006 to 66 per cent in 2016.

Dagoman-Wardaman man and chairman of Indigenous Business Australia Eddie Fry oversees a home loan program that is helping increasing numbers of Aboriginal and Torres Strait Islander people into home ownership.

IBA approved more than $1bn in home loans to indigenous Australians over the past five years.

In 2014-15, IBA approved 517 home loans to Aboriginal and Torres Strait Islander people. In 2017-18, the number of home loans approved by IBA was a record 917.

“Home ownership has an opportunity to formulate the next wave of transformative success for indigenous people,” Mr Fry said.

“Home ownership is a key pillar on the journey to economic independence for indigenous Australians, providing not only stable housing but also an anchor from which to build an asset base for current and future generations and equity for other investment and business opportunities.”

The Australian Institute of Health and Welfare report used census data to show that, between 2006 and 2016, the proportion of indigenous households living in social housing fell from 29 per cent to 21 per cent.

The proportion of indigenous Australians renting privately increased from 27 per cent to 32 per ce

Aboriginal and Torres Strait Islander Survey #HaveYourSay : Pat Turner Lead Convener of the Coalition of Peaks invites community to share their voice on #ClosingtheGap

“Aboriginal and Torres Strait Islander peoples know what works best for us and now the conversation on Closing the Gap is changing because we are finally at the negotiating table.

The Coalition of Peaks want to hear ideas on what should be included in the new National Agreement. We want to hear from enough people across Australia to make sure we’re on the right track and have support to finalise the new national agreement with governments.

Some communities, organisations and people may have attended government led meetings about Closing the Gap targets in 2017 and 2018, but this is different.

This time the Coalition of Peaks are leading the discussion and we are now also talking about some important changes that we think needs to happen to improve our lives faster.

And we have a seat at the table with governments so that the better hear what we are saying.

I hope every person and community-controlled organisation takes up this opportunity to influence policies that will have a direct impact on our communities.

And I really look forward to reading the survey responses and attending engagement events across Australia over the next few months,

Lead Convener of the Coalition of Peaks, CEO of NACCHO and Co-Chair of the Joint Council, Pat Turner said that listening to the voice of an affected community is critical to the success of any policy or program.

This week marks the start of the Coalition of Aboriginal and Torres Strait Islander Peak Organisations (Coalition of Peaks) led engagements with Aboriginal and Torres Strait Islander people on the next phase of Closing the Gap – a national policy aimed at improving the lives of Aboriginal and Torres Strait Islander people.

The Coalition of Peaks is working with the Council of Australian Governments (COAG) to develop a new National Agreement that will set out efforts over the next ten years to help close the gap.

 

This is the first time Aboriginal and Torres Strait Islander peak bodies will have an equal say in the design, implementation, monitoring and evaluation of the policy framework.

And the Coalition of Peaks, together with Australian governments, want to ensure that all Aboriginal and Torres Strait Islander people have an opportunity to contribute their voice.

The Survey

This week a survey will be sent to hundreds of Aboriginal and Torres Strait Islander community-controlled organisations and their networks, inviting responses from both individuals and organisations.

There is a discussion booklet that has background information on Closing the Gap and sets out what will be talked about in the survey.

The survey will take a little bit of time to complete. It would be great if you can answer all the questions, but you can also just focus on the issues that you care about most.

To help you prepare your answers, you can look at a full copy here

The survey is open to everyone and can be accessed here:

https://www.naccho.org.au/programmes/coalition-of-peaks/have-your-say/.

The survey will close at 5pm on October 25, 2019.

There will also be opportunities in every State and Territory for Aboriginal and Torres Strait Islander people to have a say through face-to-face meetings, to ensure that the community’s voice is truly heard and understood.

A Joint Council meeting of COAG Ministers and the Coalition of Peaks recently agreed in principle to the three priority reforms that will underpin the new agreement and form the basis of the survey and other engagements that will take place over the coming months.

Those priority reforms are:

1.Developing and strengthening structures to ensure the full involvement of Aboriginal and Torres Strait Islander peoples in shared decision making at the national, state and local or regional level and embedding their ownership, responsibility and expertise to close the gap;

2.Building the formal Aboriginal and Torres Strait Islander community-controlled services sector to deliver closing the gap services and programs in agreed priority areas; and

3.Ensuring all mainstream government agencies and institutions undertake systemic and structural transformation to contribute to Closing the Gap.

A report on what people say during the engagements will be prepared by the Coalition of Peaks, to be provided to governments and made public.

The report will inform the finalisation the new National Agreement between the Coalition of Peaks and COAG.

NACCHO Aboriginal Health #COAG #ClosingtheGap : Pat Turner ” Today marks a significant step forward in our historic partnership between governments and the Coalition of Aboriginal and Torres Strait Islander Peaks “

Today marks a significant step forward in our historic partnership between governments and the Coalition of Aboriginal and Torres Strait Islander Peaks with the agreement that we will work towards a new National Agreement on Closing the Gap to guide efforts over the next ten years.

The conversation on Closing the Gap is changing because Aboriginal and Torres Strait Islander peoples are now at the negotiating table with governments.

The proposed priority reforms are based on what Aboriginal and Torres Strait Islander peoples have been saying for a long time is needed to close the gap and we now have a formal structure in place to put those solutions to governments.

If we are to close the gap it will be Aboriginal and Torres Strait Islander community-controlled organisations leading the way on service delivery. We already know that community-controlled organisations achieve better results because we understand what works best for our peoples.

It is a critical step for the Joint Council to formally recognise that Aboriginal and Torres Strait Islander peoples must share in decision-making on policies that affect their lives.

The Coalition of Peaks are looking forward to engaging with communities around Australia to build support from Aboriginal and Torres Strait Islander peoples for the priority reforms and to ensure that their views on what is needed to make them a success is captured in the new National Agreement.” 

Pat Turner, Lead Convener of the Coalition of Peaks, CEO of NACCHO and Co-Chair of the Joint Council speaking after a meeting of the Joint Council on Closing the Gap was held in Adelaide on Friday 23 August

The Joint Council agreed on a communiqué, which is attached.

ctg-joint-council-communique-20190823

See Closing the Gap Website

Joint Council makes progress towards new National Agreement on Closing the Gap

A meeting of the Joint Council on Closing the Gap was held in Adelaide on Friday 23 August , between representatives of the Council of Australian Governments (COAG) and a Coalition of Aboriginal and Torres Strait Islander Peak Bodies (Coalition of Peaks).

In its second ever meeting, the Joint Council today agreed to work towards a new National Agreement Closing the Gap.

Importantly, it also agreed in principle to the following three priority reforms to underpin the new agreement and accelerate progress on Closing the Gap:

  1. Developing and strengthening structures to ensure the full involvement of Aboriginal and Torres Strait Islander peoples in shared decision making at the national, state and local or regional level and embedding their ownership, responsibility and expertise to close the gap;
  2. Building the formal Aboriginal and Torres Strait Islander community-controlled services sector to deliver closing the gap services and programs in agreed priority areas; and
  3. Ensuring all mainstream government agencies and institutions undertake systemic and structural transformation to contribute to Closing the Gap.

The priority reforms will form the basis of engagements with Aboriginal and Torres Strait Islander representatives of communities and organisations across Australia and will focus on building support and what is needed to make them a success.

In another first, the engagements will be led by the Coalition of Peaks, with the support of Australian Governments.

A Welcome to Country for the second meeting of the Joint Council on #ClosingtheGap in Adelaide , co-chaired by the Minister Ken Wyatt and Pat Turner AM, Lead Convenor of the Coalition of Peaks. 

Additional text AAP

Friday’s agreement follows the release in December last year of a set of draft targets by the Council of Australian Governments in a range of areas including health, education, economic development and justice.

They include a desire to have 95 per cent of Aboriginal and Torres Strait Islander four-year-olds enrolled in early childhood education by 2025, a bid to close the life expectancy gap between indigenous and non-indigenous Australians by 2031 and efforts to ensure 65 per cent of indigenous youth aged between 15 and 24 are in employment, education or training by 2028.

The targets also seek to cut the number of Aboriginal and Torres Strait Island young people in detention by up to 19 per cent and the adult incarceration by at least five per cent by 2028.

The refreshed closing the gap agenda will also commit to targets that all governments will be accountable to the community for achieving.

About the Joint Council

The Joint Council was established under the historic Partnership Agreement, announced in March. The agreement represents the first time Aboriginal and Torres Strait Islander Peak bodies will have an equal say in the design, refresh, implementation, monitoring and evaluation of the Closing the Gap framework.

The council is comprised of 12 representatives elected by the Coalition of Peaks, a Minister nominated by the Commonwealth and each state and territory governments and one representative from the Australian Government Association.

See full list in Communique 

ctg-joint-council-communique-20190823

The Joint Council will meet at least twice a year, and will develop a workplan to refresh the Closing the Gap framework and monitor its implementation over the next ten years.

For more information on The Joint Council, The Partnership Agreement, The Coalition of Peaks and to sign up for our mailing list, go to: https://www.naccho.org.au/ programmes/coalition-of-peaks/

 

NACCHO Aboriginal Health News : Read Barb Shaw AMSANT Chair keynote speeches at the inaugural Indigenous Health Justice Conference #NILCIHJC2019 Darwin 13 Aug and #AMSANT25Conf Alice Springs 7 Aug

” The conference represents the coming together of two strands of community endeavour—health and justice—that I think naturally belong together, and about which I have had a close association with, and passion for, since I was young.

From my sector’s perspective—the primary health care sector—you simply cannot talk about health without invoking the principles of justice.

It’s in our DNA as health professionals.

Even more so when we are talking about Aboriginal community controlled primary health care services.

For our services are—first and foremost—acts of self-determination. There is no stronger expression of our community’s desire and hunger for justice than the pursuit of our rights as First Nations peoples to be self-determining.

To have our people making the decisions about what we need and how we should do things.

And to have our people governing and being employed in the organisations that deliver programs and services to our communities.

And yet we have never accepted, and we will never accept, this imposed status quo.

Aboriginal community controlled health services embody this determination and resolve.” 

Barb Shaw keynote address delivered 13 August to the inaugural Indigenous Health Justice Conference held in Darwin in conjunction with the National Indigenous Legal Conference.

Read in full Part 1 Below

” AMSANT provides a strong and respected voice nationally, which is evidenced by the high regard that we are afforded by the politicians we seek to influence, the bureaucrats we spar with on a daily basis, and by our peers who we work with at the national level, including our national peak body, NACCHO. AMSANT has been a consistent and significant contributor to NACCHO.

I will finish by sounding a note of concern that we can’t take our achievements or position for granted. We need to be forever vigilant, for despite all our efforts, the system has not fundamentally changed and is still configured to marginalise and disempower Aboriginal people. We have to work harder and smarter.

And we know we can because AMSANT is all of us. When we work together, when we combine our voices, and when we share a vision, then nothing is going to stop us.

May the next 25 years of AMSANT be as wonderful as the first.

AMSANT Chair Barb Shaw Keynote address for AMSANT 25th Anniversary Conference
Alice Springs Convention Centre, 7th August 2019 

At the #AMSANT25Conf Dinner 25 years of Aboriginal health leadership cutting the 25 year celebratory cake Our Barb Shaw Chair and John Paterson CEO , Pat Anderson , June Oscar and Donna Ah Chee 

Read and or download 25 Anniversary address here 

Barb Shaw – Keynote address for AMSANT 25th Anniversary Conference_FINAL (2)

Good morning everyone.

I’d like to begin by acknowledging the Traditional Owners of the land on which we’re meeting, the Larrakia people, and particularly their elders, past, present and emerging, and to thank James Parfitt for his warm welcome to country.

My name is Barb Shaw.

I am the Chairperson of the Aboriginal Medical Services Alliance of the NT—or AMSANT—and also the Chief Executive Officer of Anyinginyi Health Service.

I would like especially thank David Woodroffe for his insightful words of introduction, and particularly his highlighting of the importance of the words hope, optimism and resilience. These are qualities that have always been strong in our communities.

I am very grateful to the Winkiku [Win-kee-koo] Rrumbangi NT Indigenous Lawyers Association for their invitation to AMSANT to partner with them in holding the inaugural Indigenous Health Justice Conference, being held in parallel with this year’s National Indigenous Legal Conference.

The conference represents the coming together of two strands of community endeavour—health and justice—that I think naturally belong together, and about which I have had a close association with, and passion for, since I was young.

From my sector’s perspective—the primary health care sector—you simply cannot talk about health without invoking the principles of justice.

It’s in our DNA as health professionals.

Even more so when we are talking about Aboriginal community controlled primary health care services.

For our services are—first and foremost—acts of self-determination. There is no stronger expression of our community’s desire and hunger for justice than the pursuit of our rights as First Nations peoples to be self-determining.

To have our people making the decisions about what we need and how we should do things.

And to have our people governing and being employed in the organisations that deliver programs and services to our communities.

When we take a long, hard look at the many, many injustices our people face today, we can trace the path of injustice back to the persistent and variously callous, arrogant, or ignorant denials of our rights to self-determination that is our lived experience as First Nations peoples in this country.

And yet we have never accepted, and we will never accept, this imposed status quo.

Aboriginal community controlled health services embody this determination and resolve.

In the NT, we have been around more than 45 years, since Congress was first established in Alice Springs in 1974.

It was a time when one out of every four of our babies died before their first birthday! Just think about that.

It was a time when the life expectancy for Aboriginal males was just 52 years and for Aboriginal females, 54 years.

The community rallied—literally. It was a turning point and a movement was born.

Other communities followed and new community controlled services emerged—Urapuntja in 1977, Wurli Wurlinjang in the early 1980s, Pintupi and Anyinginyi in 1984, with more joining over the years.

As a sector, we didn’t sit back and wait for the government to do to us—we actively drove the agenda, took a leadership role, and did the hard work to advocate and lobby—and importantly—to provide the evidence and substance to what we were asking for.

Last week AMSANT held our 25th Anniversary celebrations in Alice Springs. One of our strong and amazing leaders, Pat Anderson, reminded us of our sector’s leadership in the early years, including in the international arena.

When primary health care leaders from around the world met in Russia in 1978, to set out a vision for primary health care, resulting in the historic Alma Ata Declaration—we were there—making our contribution to the Declaration’s drafting.

And in 1996, when the United Nations Working Group on Indigenous Populations was drafting the UN Declaration on the Rights of Indigenous Peoples—UNDRIP—we were there, advocating for community control.

Back in Australia, we led the campaign to remove health from ATSIC’s responsibilities—where it was chronically underfunded—and transfer it to the Commonwealth Department of Health, where Commonwealth bureaucrats were made accountable for our people’s health.

Importantly, this meant we were finally able to begin to access the mainstream resources and services due to us, that we were not receiving.

This brought significantly increased funding to our sector and transformed the Aboriginal health landscape.

Today, our services provide over 60% of all primary health care to our people in the Northern Territory.

And we do it better. In 2010, a major study concluded that when ACCHSs deliver health programs there is fifty percent more health gain or benefit than if those programs were delivered by mainstream primary care services.

The important point here is that this didn’t come from government. It came from us.

This history also illustrates two fundamental principles that our two disciplines, justice and health, also hold in common—Truth and Evidence.

For our sector, our truth existed in the history of disadvantage, neglect, exclusion and institutional racism that our communities were facing.

But in order to get action from government we needed to provide the evidence to support our case.

The battles we were fighting were, in fact, situated within a much longer history of struggle to establish and protect human rights.

Advances in public health achieved during the 19th century laid the foundations for a set of rights as citizens and communities that we now regard as standard entitlements and the responsibility of good government—if not to provide—then at least to regulate.

These advances depended on evidence.

For example, discovery of the causes of infectious diseases, such as cholera, provided crucial evidence for the need for public infrastructure for clean water supply and sewage disposal.

Evidence of the impacts on health caused by poor and overcrowded housing contributed to establishing a role for government in the provision of public housing and building standards—the concept of shelter as a basic human right.

Such advances in our knowledge of health determinants underpin the rights and laws that have developed around these issues, which we largely take for granted.

In stating this, it is also apparent to all of us here that these rights have not become automatic and universally available, and that those who most often lack them, come from the poorest and most marginalised sections of our society.

Here in the Northern Territory, particularly in remote communities, the lack of adequate housing, water and sewerage are major issues of concern.

For our people, connection to country and the ability to live on our ancestral lands are fundamental to our identity, to our cultural and spiritual wellbeing, and to our right to maintain our relationships and communities.

However, we cannot achieve this without basic infrastructure and services that are routinely provided in cities and towns, but which in many of our communities, are either inadequately provided or don’t exist.

Poor quality and inadequate sources of potable water have become issues of public health concern which in some cases are threatening community viability.

The significant shortfall in housing and high levels of overcrowding and homelessness experienced in Aboriginal communities are unacceptable in themselves, but all the more so, because the evidence tells us that inadequate housing and homelessness are determinants of poor health and wellbeing.

This includes transmitted diseases such as rheumatic heart disease, communicable diseases, effects on stress and wellbeing, family violence and even school attendance.

Whichever way you look at it, Indigenous housing is an area of significant government failure.

In a large part this is because government made a series of ill-considered decisions to cut us out of any significant or meaningful governance and decision-making role in housing.

Our Indigenous Community Housing Organisations were abolished.

The Commonwealth’s Strategic Indigenous Housing and Infrastructure Program or SIHIP, and National Partnership on Remote Indigenous Housing or NPARIH, burned through some $1.7 billion over 10 years without much troubling to get our input.

And the NT Intervention saw the Commonwealth take over responsibility for remote community leases and housing, with housing transferred to the NT Government.

The latter has been its own disaster, with evidence of incompetent management of residential tenancy leases and rents and an inadequate system for responding to repairs and maintenance, leading to significant hardship for residents.

Despite evidence of its own failures, it is perhaps unsurprising that the government is not happy that communities have recently exercised their rights to adequate housing by launching a class action against the NT Government in relation to rents and repairs.

This is a good example of a health justice partnership—the community partnering with a group of lawyers who provided the expertise to document and launch an action at the direction of the community.

It is hard to look at this example as anything other than a spectacular own goal by government.

They should have listened to us, perhaps!

In saying this, it needs to be acknowledged that there are encouraging developments in government policy on housing at both the NT and Commonwealth levels.

The NT Government’s Local Decision Making policy extends to Aboriginal housing and the new National Partnership Agreement on Indigenous housing struck between the NT and the Commonwealth, includes the four Northern Territory Land Councils in a significant role.

However, this falls well short of self-determination in Aboriginal housing.

Here, the leadership has once again come from the Aboriginal community. Four years’ work—supported by the Aboriginal Peak Organisations NT, or APO NT—has resulted in the development of a new Northern Territory Aboriginal peak housing body, Aboriginal Housing NT, or AHNT.

This was our initiative and our hard work—not government’s.

With in-principle agreement to support the new body, it is now a matter of negotiation about what formal role the new peak body will be afforded.

Occasionally an issue emerges that cuts like a knife through the national consciousness, requiring immediate and strong action.

Such was the situation when the 4-Corners program revealed the appalling abuse that was occurring inside the Don Dale youth detention centre. The revelations prompted the immediate establishment of the Royal Commission into the protection and detention of children in the Northern Territory.

This issue blew wide open the systemic failures that exist in the treatment of our young people, mostly Indigenous children, and provided a huge opportunity for reform.

Our sector’s response, alongside our APO NT partners, provided leadership to ensure an evidence-based, therapeutic, public health response was considered by the Royal Commission.

We also advocated for a new Tripartite Forum with an oversight role in relation to reforms in child protection and youth justice. AMSANT is represented on the Forum as one of three APO NT representatives.

The NT Government’s acceptance of the recommendations of the Royal Commission is commendable, however progress on the reforms is concerning and the lack of a commitment of funding from the Commonwealth is disappointing.

It is also disappointing to see the Northern Territory Government waver in the face of a recent campaign to water down the reforms.

We know only too well the politics that have long played out in the Northern Territory to scapegoat and demonise our people as problems to be managed, and punished.

We have seen the law and order and mandatory sentencing campaigns that have directly contributed to outcomes such as Don Dale.  We have suffered under the NT Intervention.

The low road of political opportunism dressed up as community concern.

Anything but focus on the neglect and structural racism that are key underlying determinants of the situation.

We can and must do better as a community.

This brings me to two other moments of national consciousness pricking that bring us—I believe—to a watershed moment in this nation’s history.

The first is Closing the Gap—a policy that was well-intentioned but also typically forged without our consent or input and delivered as a top-down initiative.

What could possibly go wrong?

Burdened with annual, very public demonstrations of its failure according to its own indices—only two of 10 targets achieving reasonable improvement—the Prime Minister sensibly called for a re-fresh of the policy.

Perhaps not so sensibly, the re-fresh consultations were centrally controlled and once again failed to engage us meaningfully.

However, this time, faced with concern expressed by a national Coalition of Peak Indigenous organisations, the Prime Minister asked for our solution.

The result is a formal Partnership Agreement on Closing the Gap with the Coalition of Peaks, and the establishment of a Joint Council on Closing the Gap with the Coalition of Peaks represented as a member—the first time that a non-governmental body has been represented within a COAG structure.

APO NT is a member of the Coalition of Peaks and the NACCHO CEO, our very own Pat Turner, is leading the Coalition.

Importantly, the central ask of the Coalition of Peaks, is not around the new indicators—although these are important tools to get right—but for a fundamental change in the way governments work with our people and the full involvement of our people in shared decision-making at all levels.

This includes the need for a commitment to building, strengthening and expanding the formal Aboriginal and Torres Strait Islander community controlled sector to deliver Closing the Gap services and programs.

The second watershed moment was the release of the Uluru Statement from the Heart.

That this considered and heart-felt gesture from our communities was summarily dismissed by the Prime Minister of the day—and that it continues to be undermined by baseless scaremongering—represents a moment of national shame.

But we have taken great heart from the many, many non-Indigenous organisations and individuals who have taken the Statement to their hearts.

This includes the AMA and the Australian Law Society.

And what did we ask for? We asked for:

  • a process of treaty-making to lay a firm basis for the future relationship of First Nations and those who came to this country later;
  • a process of truth telling about our shared past; and
  • a constitutionally enshrined voice to Parliament to ensure ongoing structures for our input into policy making and the life of the nation.

If we were to try to pinpoint the essence of what justice for our people means and what it will take to address the health disadvantage we face, then we would probably find it contained within the pregnant potential of these two initiatives—Closing the Gap and the Uluru Statement.

We are not going anywhere.

And we will not give up on our dreams.

All we ask is to be afforded the responsibility to make our own decisions about our own lives.

To have the opportunity to participate in decision-making over the policies that affect us; and to have our organisations and our people serve our communities.

To be afforded respect as equals, side-by-side, safe and secure in our cultures and identity.

To have the courage and the decency to face the truth of this nation.

Over the next two days, these and many other issues will be discussed and I know it will be done with passion and with goodwill.

I commend this conference to you.

Thank you.

 

NACCHO Aboriginal Health and #Closingthe Gap : Coalition of around forty Peak Aboriginal and Torres Strait Islander organisations welcomes COAG continued commitment to the historic Partnership Agreement on Closing the Gap

“I’m very pleased to see COAG acknowledge the historic Partnership Agreement on Closing the Gap and note the important work of the Joint Council already underway.”

We will only be able to close the gap with a continued commitment to shared decision making with Aboriginal and Torres Strait Islander people on the design and implementation of key actions to close the gap.

The Coalition of Peaks is looking forward to participating in the next Joint Council meeting later this month. And I look forward to co-chairing the meeting with the Hon Ken Wyatt, the first Aboriginal Minister for Indigenous Australians.

Coalition of Peaks Convener and NACCHO Chief Executive Officer Ms Patricia Turner AM.

Download Coalition of Peaks Press Release

CoP Media Statement 9 August 2019

Part 1 COAG Communique 

 ” Reaffirming commitment to Closing the Gap Leaders reaffirmed their commitment to ensuring that the finalisation of targets and implementation of the Closing the Gap framework occurs through a genuine formal partnership with Aboriginal and Torres Strait Islander peoples, through their representatives.

Since COAG met in December 2018, governments and the National Coalition of Aboriginal and Torres Strait Islander Peak Organisations have formed the Joint Council on Closing the Gap.

This is the first COAG Council to include non-government members as equal partners in decision-making and marks an historic change in the way Australian governments are working with Aboriginal and Torres Strait Islander peoples.

This partnership embeds shared decision making into designing, implementing and monitoring the Closing the Gap framework. Leaders welcomed an update on progress from the co-chairs of the Joint Council and look forward to finalising a new national agreement on Closing the Gap with the Coalition of Peaks

Download the full COAG communique

COAG Meeting Communique

Part 2; The Coalition of around forty Peak Aboriginal and Torres Strait Islander organisations (Coalition of Peaks) has today welcomed the formal commitment of the Council of Australian Governments (COAG) to the historic Partnership Agreement on Closing the Gap.

COAG has today officially endorsed the Partnership Agreement which sets out for the first-time shared decision making on Closing the Gap between Australian Governments and the Aboriginal and Torres Strait Islander peoples through the Coalition of Peaks.

The Partnership Agreement establishes the Joint Council on Closing the Gap, made up of ministers from the Commonwealth, state and territory governments, and representatives from the Coalition of Peaks and the Australian Local Government Association (ALGA) to oversee and work together as equal partners to refresh the Closing the Gap framework for the next 10 years.

The Joint Council will next meet in Adelaide on August 23 and will consider new priority reforms to accelerate improvements in life outcomes for Aboriginal and Torres Strait Islander peoples.

About the Coalition of Peaks

The Coalition of Peaks is a representative body comprised of around forty Aboriginal and Torres Strait Islander peaks organisations that have come together to have their collective voice heard on issues that affect Aboriginal and Torres Strait Islander people.

Since the Closing the Gap framework and targets were first implemented in 2008, we have been calling on government to recognise the expertise that exist in Aboriginal and Torres Strait Islander organisations.

In an historic agreement, the Coalition of Peaks has formed a Joint Partnership with COAG in order to collaborate on the Closing the Gap Refresh process. This is the first time that Aboriginal and Torres Strait Islander voices have not only been invited to the table, but have also been empowered with shared decision-making responsibilities.

More information on the Coalition of Peaks: www.naccho.org.au/programmes/coalition-of-peaks/

 

Aboriginal Health Researchers Challenge : Just in time for #LowitjaConf19 “The Blackfulla test” 11 reasons that Indigenous health research grant/publication should be rejected. @drcbond @Lisa_J_Whop @IndigenousX

 ” Our present and persisting ill-health as First Nations peoples is not because of a lack of research, or a lack of white knowing and control over our lives, in fact, it is a product of it.

Transformative health outcomes for Aboriginal and Torres Strait Islander peoples will only come about through foregrounding Indigenous sovereignty, both politically and intellectually.  

If you are a non-Indigenous health researcher feeling triggered by this article, please don’t run to the nearest Indigenous person for validation.

 They are already giving you a lot of free labour (whether they are the admin officer, the research assistant or, by some miracle, the lead CI).

This article was written to free them up to do the work their people need them to do, not burden them with more of your feelings.”

Just in time for the Lowijta International Indigenous Health and Wellbeing Conference (18-20 June) Authors Chelsea Bond, Lisa Whop and Ali Drummond bring you this thought provoking Aboriginal research challenge

Originally published by IndigenousX see full press release below or Here

Download the full program

2019 Lowitja Program

Or access digital program

The digital program is available HERE. This version of the program will allow you to search all presentations including posters, their abstracts, and presenter bios.

This will be the up-to-the-minute version of the conference program. You will also be able to tailor the program to your preference.

Press Release

With increasing financial investment and commitment to Indigenous health via the National Health and Medical Research Council and Closing the Gap since 2002 and 2007 respectively, every man and their dog, or rather every white saviour and their intentions are all up in our grants, discovering the solutions to our problems (or the next problem to the problem).

What has resulted is a whole lot of noise published in the name of knowledge production, of which the benefit to Indigenous peoples and our health remains questionable, despite the emergence of Indigenous health researchers during this time.

This is most likely because so much of our intellectual and emotional labour is taken up reviewing and remedying highly problematic research grants and publications about us, that serve little purpose beyond the next academic promotion of the lead chief investigator (who typically isn’t Indigenous).

But never fear, we are here to help.

As Aboriginal and Torres Strait Islander health researchers, working across varying health research contexts, we’ve pretty much read it all and we have devised a foolproof test to tell you if what you’re reading is worth the paper it’s written on, or the research grant that funded it.

Also, it might come in handy the next time that special someone asks for your ‘cultural advice’ on their research grant or publication.

The extra bonus is, you can then use all that spare time writing your own research grant, of which you will lead. No more being the bridesmaid – this is your time to shine.

Below is the Blackfulla Test; 11 of the most common violations found in Indigenous health research grants or publications.

That paper or proposal you are reading fails if it:

  1. Includes “intentions”. Typically, intentions are referenced as “good” or “well” and something of which is exclusively possessed by non-Indigenous peoples. Non-Indigenous authors will often argue that “intentions” are worth mentioning so as not to alienate the (white) readership, but its inclusion, even in the supposed ‘objective’ research, make clear that this is a “settler move to innocence”rationalising making a career from the problem of Indigenous health, while never actually fixing it. Also, these are the same people who supervise Indigenous PhD students and tell them they can’t use Standpoint Theory (incl. Indigenous, or Indigenous Women’s) because it is biased and not scholarly. This manoeuvre sustains neo-Missionary narratives from which they build research careers and research centres.
  2. Makes no mention of “colonisationbecause that would be “too political” they say.   Please refer above for why this is problematic, and what enables it. The health sciences have always operated as an apparatus of colonial control in the regulation and surveillance of Black bodies and the production of racialized knowledges, both via biological and culturalist explanations. It cannot continue to claim to be an innocent observer when it has and continues to be complicit. Also, if colonisation is referenced as a past event, rather than an ongoing process, it doesn’t count.
  3. Makes no mention of “race or racism…because settlers and their feelings. But look if they can’t get what’s wrong with writing about racialized health inequalities while insisting that race isn’t real as a system of oppression or a category of analysis then they need to stop now and go do a systematic review of systematic reviews.
  4. Refers to “our indigenous” (sic). This is a kind of double whammy, the possessive pronoun is not a mark of inclusion, rather it works in the Distinguished Professor Aileen Moreton-Robinson “white possessive logics” kind of way. The lower case I is an all too frequent, but a deliberate grammatical error. Aboriginal and Torres Strait Islander people and Indigenous people are proppa nouns and as such should be capitalised.
  5. Refers to ATSI people *shudder*. For the people at the back, we are First Nations peoples, we are not an acronym.
  6. Prefaces some statistic with “alarming” or “appalling. Much like #1, this is a settler pearl clutching moment in which they can position themselves as the only possible saviour for the native folk. Worse still, it is also used in research grant applications providing the moral imperative for investing in said research, which has no specific Indigenous health application. Yes we didn’t think it possible, but some have taken “Black window dressing” to a whole new level.
  7. Refers to Indigenous peoples primarily in terms of “risk” and “vulnerabilityor worse describes Indigeneity as the risk factor. *Clears throat*. Send them back to #3 and tell them to slap themselves for not believing us when we said they need to deal with race.
  8. Includes the phrase “strength-based” without naming any specific strengths of Indigenous peoples, cultures or communities. Strengths based requires a reimagining of Indigeneity which renders Black excellence blatantly visible. This requires more than inverting proportions, in fact it requires reconfiguring the problematic assumptions of Indigeneity apparent in that seemingly objective research question sissy.
  9. Is concerned with monitoring or illuminating understandings of “poor” individual health behaviours of Blackfullas in such a way that is completely divorced from the social, political, historical, and economic context in which they occur. Describing or rather dismissing that context as ‘complex’ and then suggesting the solution is one of education, awareness raising, health literacy, or more research is gammon.
  10. Acknowledges the advisory role that Indigenous people have played, often as “cultural mentors” and typically at the end of the publication somewhere (some might name them, while others may refer to the committee or “the community” more broadly which operates to include anyone and no one in particular). Indigenous Health Research which insists that Blackfullas can only ever be the (cultural) advisor and never the author, need to be cancelled.
  11. Has no first author Indigenous publications on their reference list. How one can operate in a space in which Indigenous people have made such a profound contribution and not cite the intellectual labour that mob have made has a real kind of Terra Nullius vibe. See #2 and our point about colonisation being an ongoing process, even in health research. Also refer them to Rigney’s articulation of “intellectual nullius”.

Well did you pass the test ?

NACCHO Aboriginal Health and #Housing #SocialDeterminants @2019wihc News : @AIHW report Our #housing situation of #IndigenousAustralians has improved – with rises in #homeownership and housing provided through the private rental market, and falling levels of #homelessness.

 ” Stable and secure housing is fundamentally important to health and well-being.

Historically, Aboriginal and Torres Strait Islander people have experienced much higher rates of homelessness and have been overrepresented among clients seeking homelessness and social housing services than non-Indigenous Australians.

These higher rates of unstable housing relate to complex and interrelated factors including the lasting impacts of colonisation on Indigenous Australians, exposure to family violence, substance disorders, unemployment, low education levels and poor health—which are both contributors to, and outcomes of, insecure housing circumstances (Flatau et al. 2005; Keys Young 1998; Silburn et al. 2018).

Even though there is still much progress to be made, the findings in this report covering the last 15 years demonstrate the housing situation of Indigenous Australians has improved—with rises in home ownership and housing provided through the private rental market, and falling levels of homelessness. “

From AIHW Report March 2019 see Part 1 Below and Download the Report

aihw-housing Report

“The Territory Labor Government has fought long and hard for the housing funding that was promised to us 9 months ago. We’ve now won that fight.

“When you invest in housing and address indigenous disadvantage, you are investing in generational change – and saving money in the long term.

“Since coming to Government the Territory Labor Government has built and upgraded more than 1350 homes. The Federal Government’s contribution to our Government’s trail-blazing remote housing program will allow us to continue to make tangible and sustainable differences to the lives of Territorians.

Local Decision Making is at the core of our work in remote communities where we are building new homes, improving living conditions and creating jobs and generational change.

“People from the bush have told us that having jobs and better homes gives them a sense of pride and dignity. We know our remote housing program is working. It is changing the housing landscape and improving social outcomes in communities across the Territory.”

The Territory Labor Government has secured a $550 million investment from the Federal Government to continue to deliver remote housing in the NT. The deal comes nine months after the funding was first committed by the Commonwealth. 

The NT Government will work with the Federal Government and Land Councils to continue the delivery of remote housing.

The deal will see the Federal Government add $550 million to the NT Government’s investment of $1.1 billion for remote housing. In return, the NT Government will accept responsibility for remote housing leases until 2023

NT Chief Minister Michael Gunner

Download Full Press Release 

Territory Govt Housing Win

20 -24 May 2019 World Indigenous Housing Conference. Gold Coast

Thank you for your interest in the 2019 World Indigenous Housing Conference.

The 2019 World Indigenous Housing Conference will bring together Indigenous leaders, government, industry and academia representing Housing, health, and education from around the world including:

  • National and International Indigenous Organisation leadership
  • Senior housing, health, and education government officials Industry CEOs, executives and senior managers from public and private sectors
  • Housing, Healthcare, and Education professionals and regulators
  • Consumer associations
  • Academics in Housing, Healthcare, and Education.

The 2019 World Indigenous Housing Conference #2019WIHC is the principal conference to provide a platform for leaders in housing, health, education and related services from around the world to come together. Up to 2000 delegates will share experiences, explore opportunities and innovative solutions, work to improve access to adequate housing and related services for the world’s Indigenous people.

Key event details as follows:
Venue: Gold Coast Convention and Exhibition Centre
Address: 2684-2690 Gold Coast Hwy, Broadbeach QLD 4218
Dates: Monday 20th – Thursday 23rd May, 2019 (24th May)

PLEASE NOTE: The Trade Exhibition is open Tuesday 21st May – Thursday 23rd May 2019

Please visit www.2019wihc.com for further information on transport and accommodation options, conference, exhibition and speaker updates.

Part 1

Read full AIHW Report Online HERE

More Indigenous households own their home or rent privately

Across the 4 most recent Censuses, there has been a steady rise in Indigenous home ownership, with 38% of Indigenous households (or around 100,000) owning a home (with or without a mortgage) in 2016, compared with 32% in 2001. The opposite trend was observed for other Australian households (69% home ownership in 2001, 66% in 2016).

For both Indigenous and other Australians, there was a steady fall in the proportion of households in social housing between 2001 and 2016, offset by a rise in the proportion of private renters. Indigenous households were consistently more likely than other households to be renting in private housing (32% compared with 25% in 2016) over the period. The largest difference between Indigenous and other households remains the proportion of households renting in social housing (21% compared with 4% in 2016), however, this gap has been narrowing over time.

Fewer households in mortgage stress, more in rental stress

Increasing home ownership levels are a positive sign, particularly when considered in combination with data about households in mortgage stress. The proportion of Indigenous households with a mortgage considered to be in mortgage stress has dropped from a peak of 30% in 2011 to 21% in 2016. In 2016, 68,000 Indigenous home owners had a mortgage (26% of Indigenous households).

In contrast, of those Indigenous households renting, the proportion considered to be in rental stress increased from 22% in 2001 to 39% in 2016. In private rental housing, rental stress for Indigenous households increased similarly in both urban and rural areas over this period (from 34% to 43% in urban areas and 29% to 38% in rural areas in 2016).

Indigenous households in public housing

While the proportion of the Indigenous household population living in social housing has decreased, the number of households has increased. There are three main types of social housing available to eligible Australians. In 2016–17, of the 66,700 Indigenous households in social housing:

  1. Half (50%, or 33,300) were in public housing, with this number rising by one-third (8,200 households) since 2008–09.
  2. The number of Indigenous households in community housing more than doubled from 2,700 households in 2008–09 to 5,800 in 2016–17.
  3. In contrast, the numbers of households in Indigenous-specific housing programs remained relatively stable over the period (around 10,000 for state owned and managed housing (SOMIH) and 18,000 for Indigenous community housing).

Fall in wait times for social housing

Waiting times for Indigenous Australians are generally shorter compared with other applicants. For both public housing and SOMIH housing programs there were improvements from 2013–14 to 2016–17. A larger proportion of clients waited less than 3 months (35% in 2013–14 and 42% in 2016–17 for public housing and 38% and 48% for SOMIH), and a smaller proportion waited more than 2 years to be housed. However, up to 1 in 6 (17%) Indigenous households waited more than 2 years for public housing.

Conditions in social housing have also improved over the 6 years to 2018. Data show a fall in overcrowding among Indigenous households, and a rise in the proportion of Indigenous tenants who rated their dwellings at an ‘acceptable’ standard.

1 in 28 Indigenous people are homeless

One in 28 Indigenous people (23,000) were homeless on Census night in 2016—representing more than 1 in 5 (22%) homeless Australians. More than half of Indigenous people experiencing homelessness lived in Very remote areas.

The rate of Indigenous homelessness decreased from 571 per 10,000 population in 2006 to 361 in 2016. The decline in Indigenous homelessness since 2006 is due predominantly to the decrease in Indigenous people living in ‘severely’ crowded dwellings (75% in 2006 to 70% in 2016). However, the 2016 Indigenous homelessness rate is 10 times that of non-Indigenous Australians. The differences in the rates of homelessness for Indigenous and non-Indigenous Australians were higher in Remote and Very remote areas than in Major cities.

The main type of homelessness experienced by Indigenous Australians was living in ‘severely crowded’ dwellings; that is, dwellings that need 4 or more extra bedrooms. Of those homeless on Census night 2016, Indigenous Australians (70%) were much more likely than non-Indigenous Australians (42%) to be living in severely crowded dwellings, yet the gap has narrowed over the past decade. Indigenous Australians were 68 times more likely to live in severely crowded dwellings in 2006; decreasing to 16 times more likely in 2016.

1 in 4 specialist homelessness services clients are Indigenous

Indigenous clients made up a quarter (25%) of all clients assisted by specialist homelessness services (SHS) in 2017–18; a rate 9 times that of non-Indigenous clients (803 per 10,000 population compared with 86). Most Indigenous people using these services were at risk of homelessness (53%), with the remainder homeless (47%), when they sought assistance.

Since 2011–12, SHS have assisted more Indigenous clients (43,600 in 2011–12; 65,200 in 2017–18). Of the Indigenous SHS clients in 2017–18:

  • 1 in 8 (13% or 8,500) were aged under 5, reflecting that families often seek assistance
  • 4 in 10 had experienced domestic and family violence (domestic and family violence was a reason they sought help and/or they required domestic or family violence assistance).

Homelessness services help clients keep tenancies and find homes

In 2017–18, more than half of Indigenous SHS clients (53% or 32,400 people) sought help when they were in unstable housing situations (at risk of homelessness)—more than 1 in 2 (16,400 clients) were living in social housing (either renting or rent free) when they sought assistance, while another third (12,100 clients) were in private or other housing (renting, rent free or owning). Most clients at risk of homelessness (89%) maintained their tenancies with SHS support.

Of the 20,700 Indigenous clients who were homeless when they sought help from SHS and had ended support in 2017–18, 38% (or 7,200 clients) were assisted into stable housing; an increase from 29% in 2012–13. In 2017–18 most Indigenous homeless clients who were assisted into housing ended support in social housing (around 3,800) with a further 3,100 clients in private rentals.

NACCHO Aboriginal Health and #ClosingtheGap : Read or Download these Indigenous Peak bodies responses to historic hard-fought #COAG partnership agreement @NACCHOAustralia @VACCHO_org @IAHA_National @SNAICC @AIDAAustralia @nswalc @AMSANTaus

This historic achievement of a hard-fought partnership between peak Aboriginal organisations and governments on Closing the Gap should be celebrated,”

This weeks Joint Council meeting represented the first time we’ve had a seat at the table and was a culmination of many years of negotiations and hard work.”

From this day forward, expert Aboriginal and Torres Strait Islander voices in health, education and community services will be working as equal partners with COAG in crafting the best solutions to achieve better life outcomes within our communities.

The health disparities and widening gaps between Aboriginal and Torres Strait Islanders and other Australians are unacceptable and as leaders in our fields, we are ready to do the hard work to reverse these trends.

We are so pleased to see the Federal Government step up and commit $4.6 million to support the efforts of our peaks to undertake this important work,”

Pat Turner, CEO of NACCHO after the first ever Joint Council meeting on Closing the Gap was held this week in Brisbane between the Council of Australian Governments (COAG) and a Coalition of National Aboriginal Peak Bodies (Coalition of Peaks).

Updated Friday PM NATSIHWA and Reconcilition Australia

The Joint Council is comprised of 12 representatives elected by the Coalition of Peaks, a Minister nominated by the Commonwealth and each state and territory governments and one representative from the Australian Government Association.

Read or Download this full NACCHO Press Release Here

The Joint Council agreed on a communique which can be read here: https://www.naccho.org.au/wp-content/uploads/ctg-joint-council-communique.pdf

For more information on The Joint Council, The Partnership Agreement, The Coalition of Peaks and to sign up for our mailing list, go to: https://www.naccho.org.au/ programmes/coalition-of-peaks/

We believe that shared decision making between governments and Aboriginal and Torres Strait Islander community-controlled representatives in the design, implementation and monitoring of new Closing the Gap targets and framework is essential

This is self-determination in action. Self-determination is a proven approach to Closing the Gap for Indigenous peoples; global research provides that evidence-base, including research done at Harvard University.

The new Closing the Gap targets must use Aboriginal holistic definitions of social and emotional health and wellbeing, and address systemic inequity and racism.

Closing the Gap encompasses much more than health indicators. We are resilient peoples who have survived for thousands of years and hundreds of detrimental government policies.

We know what works to help our people thrive and this Partnership Agreement will make sure that we are heard.”

VACCHO Chairperson and CEO BADAC ACCHO Ballarat Karen Heap

Read or Download this full VACCHO Press Release Here

2.VACCHO-MEDIA-PEAKS-COALITION

“Shared decision making between governments and Aboriginal and Torres Strait Islander community-controlled representatives in the design, implementation and monitoring of Closing the Gap is essential to improve the health and well-being of Aboriginal and Torres Strait Islander people

We have a lot of work to do, but through genuine engagement and a constructive partnership with governments we are in a position to improve outcomes for Aboriginal and Torres Strait Islander Peoples,”

IAHA CEO Donna Murray.

Read or Download this full IAHA  Press Release Here

3. Peaks-Partnership-Agreement-Media-Release-27-3-19-1

 

“After the first ten years of the original Closing the Gap Framework, it was clear that little progress was made against targets.

We believe that one of the reasons is insufficient ownership and engagement by Aboriginal and Torres Strait Islander Peoples.

This new and historic approach is a very important first step. Now begins the real work of refreshing targets, implementing measures we believe are necessary to achieve real change and monitor the progress of this new framework”.

CEO of the Victorian Aboriginal Child Care Agency (VACCA) and Chair of SNAICC – National Voice for our Children, Muriel Bamblett

Read or Download this full SNAICC Press Release Here

4.SNAICC CTG

Read or Download this full VACCA Press Release Here

VACCA CTG

“It is time for standard practice to include Aboriginal and Torres Strait Islander voices when making decisions and writing policy that impacts our lives, health and wellbeing. By signing this agreement, the government is committing to doing things in consultation with us, not to us or for us.”

AIDA President Dr Kris Rallah-Baker

Read or Download this full AIDA Press Release Here

5.AIDA CTG

We believe that the commitment in the Partnership Agreement to co-design, implement and monitor programs in partnership with Aboriginal and Torres Strait Islander community-controlled representatives and their members, is essential to closing the gap.

NSW CAPO along with other National Peak Aboriginal Organisations have been calling for a greater role with governments on efforts to close the unacceptable gaps in life outcomes within the Aboriginal and Torres Strait Islander community.

The Partnership Agreement sets out how governments and Aboriginal and Torres Strait Islander Peaks bodies will work together toward a refreshed national agreement on Closing the Gap, including any new Closing the Gap targets and implementation and monitoring arrangements.”

Co-Chair NSW CAPO Roy Ah-See,

Read or Download this full NSW ALC / CAPO Press Release Here

“And now collectively, we can come up with a plan to address those issues that we share.

Despite the federal election being only months away, I do not believe the agreement was a bid to win votes by the Morrison government because it was not on a party political level, and was under the COAG instead.

Regardless of who’s in power of the Australian government, this commitment will continue to exist with maybe some minor amendments, depending on the possible change of government,” he said.

But essentially, this is a non-political process “

John Paterson, the CEO of Aboriginal Medical Services Alliance Northern Territory and one of the Coalition Peak members, said the announcement was significant because it gave Aboriginal and Torres Strait Islander leaders equal opportunity to discuss pressing issues affecting Indigenous people.

Read full Press Coverage

Our people understand deeply the needs of our communities and this partnership brings
about a platform for these needs to be voiced with emphasised importance”

Aboriginal and/or Torres Strait Islander Health Workers and Health Practitioners have an
unmatched role in delivering health services to our communities. Our members are in a
prime position to play a key role in reducing barriers Aboriginal and Torres Strait Islander
peoples face in accessing health services and are critical to ensuring the provision of
cultural safety in care.

 Karl Briscoe, Chief Executive Officer, NATSIHWA.

Read or Download the NATSIHWA Press Release HERE

closing_the_gap_partnership_agreement_media_release

CEO, Karen Mundine said formalising this new partnership giving key Aboriginal and Torres Strait organisations a formal role in redesigning, implementing and monitoring the Closing the Gap strategy signals a significant shift towards shared decision making.

“The additional experience, knowledge and skills that the Peak Organisations can bring to COAG’s deliberations will lead to better outcomes,” said Ms Mundine. “And better outcomes are critical given the latest disappointing results which saw five of seven Closing the Gap targets not met.”

Reconciliation Australia CEO, Karen Mundine said formalising this new partnership giving key Aboriginal and Torres Strait organisations a formal role in redesigning, implementing and monitoring the Closing the Gap strategy signals a significant shift towards shared decision making.

Read full press release HERE

 

 

 

 

 

 

NACCHO Aboriginal Health and #ClosingtheGap “ @NITV ‘The buck will stop with us’: As representatives of 40 Indigenous peak groups meet with #COAG in historic #ClosingtheGap partnership

“ It’s the first time ever that COAG has Aboriginal people as equal partners at the table negotiating how we work over the next decade to Close the Gap for our people

We’re at a crossroads, and we’ve decided to take up our rightful role.

I want our people living in safe, secure housing. I want them to have access to community-controlled health services no matter where they live. I want our people to have the best access to all education services, and I want our people to generally have the same opportunities as other Australians,” Ms Turner said.

I want our people to have full-time jobs. We’ve got to scrap the negative issues that we have deal with every day. We have to take a strengths-based approach and we have to make sure that we are getting our people out of poverty.”

National Aboriginal Community Controlled Health Organisation (NACCHO) CEO  Pat Turner.

 See NACCHO Press Release and CTG Agreement Here

“If we’re stepping up to this level than we have to take on the responsibility and be prepared to work extensively to achieve the outcomes we’re all aspiring to, and if there are changes along the way, then so be it. The buck will stop with us.”

Aboriginal Medical Services Alliance Northern Territory chief executive, John Paterson, said the agreement also means Indigenous groups are just as accountable as governments.

“ Labor welcomes the Closing the Gap Partnership Agreement announced by the Coalition Government and the Coalition of Peaks, made up of some 40 Aboriginal and Torres Strait Islander national and state /territory peaks and other organisations across Australia.

A formal agreement with First Nations organisations and providers to work together to Close the Gap is long overdue.

This announcement comes after years of delay, dysfunction and poor communication due to the failure in leadership of this government. It has been two years since the government announced a ‘refresh’ of the Close the Gap”

For Labor Party response /support see Full Press Release attached

Labor Party CTG Press Release

Representatives of around 40 Indigenous peak bodies, making up a ‘coalition of peaks’ will co-chair a new joint council alongside ministers. Picture Brisbane Yesterday

The Council of Australian Governments has unveiled an historic partnership with Aboriginal and Torres Strait Islander organisations, as they look to refresh the Closing the Gap strategy and turn around a decade of disappointing results.

Our thanks to NITV for this excellent coverage Nakari Thorpe

Original article 

Aboriginal and Torres Strait Islander groups have sat down with state, territory and Commonwealth ministers, for the first time, to work on Closing the Gap.

Under a ten-year agreement, Indigenous peak bodies will share ownership and accountability to deliver real, substantive change for Indigenous Australians.

The partnership marks an historic turning point for the Closing the Gap strategy, which for the past eleven years has seen dismal results in delivering better outcomes for Indigenous Australians.

Last year, just two of the seven targets were on track to being met.

Representatives of around 40 Indigenous peak bodies, making up a ‘coalition of peaks’ will co-chair a new joint council alongside ministers.

Ms Turner and Indigenous Affairs Minister Nigel Scullion co-convened the first meeting in Brisbane on Wednesday.

The Morrison government is committing $4.6million over three years to fund the coalition’s secretariat work, and additional funding is expected in next Tuesday’s budget for the Closing the Gap refresh framework.

But Ms Turner warns the new coalition is not a substitute for an ‘Indigenous voice to the parliament.’

“Our focus is on the Close the Gap. We in no way are the ‘voice’ – that is a process that still has to be settled by the incoming government at the federal level,” she said.

The framework will undergo Indigenous-led evaluations every three years.

Details of new targets are expected to be revealed in mid-2019 but Indigenous groups have already flagged key areas of concern.

“We’ve got too many people in juvenile justice, we’ve got too many children being removed from their families, we’ve got so much family violence, drug and alcohol abuse.

And all those issues, this Closing the Gap can do something about,” said Victorian Aboriginal Community Controlled Health Organisation chief executive, Muriel Bamblett.

Ms Bamblett told NITV she hopes the new agreement will bring about real outcomes for Aboriginal and Torres Strait Islander people on the ground.

“We’re tired of going to the table and saying this is wrong … We know we’ve got the answers.”