NACCHO Aboriginal Health #NovelCoronavirus Resources Fact Sheets Alert : @healthgovau Australian Health Sector Emergency Response Plan for Novel Coronavirus (the #COVID19 Plan)

The Australian Government’s Chief Medical Officer held a national teleconference yesterday to provide details on the national response to the Novel Coronavirus (COVID-19).

The Chief Medical Officer and state and territory Chief Medical Officers have been meeting and teleconferencing daily for several weeks since the outbreak in China.

They have agreed on the Response Plan to guide the health sector response within Australia.

The link to the Response Plan is:

Australian Health Sector Emergency Response Plan for Novel Coronavirus (the COVID-19 Plan)

The Response Plan is a living document and will be updated as required.

In addition, the Australian Government Department of Health website Coronavirus (COVID-19) includes a collection of resources including fact sheets for the general public, health professionals and industry about COVID-19.

A collection of resources for health professionals, including pathology providers and healthcare managers, about coronavirus (COVID-19).

You are encouraged to subscribe to the page to remain informed and ensure you have the latest information.

The information is updated daily.

Any urgent enquiries can be directed to the Department of Health’s National Incident Room via health.ops@health.gov.au.

NACCHO Aboriginal Health Alert :  Download the PM @ScottMorrisonMP 2020 #ClosingTheGap report that commits to a partnership where Indigenous Australians are genuinely positioned to make informed choices, to forge their own pathways and reach their goals.

” In March 2019, I entered into the Partnership Agreement on Closing the Gap, a landmark agreement to work together to develop the new Closing the Gap framework

For the first time, we have constructed something that sits at the very centre of government and demonstrates a strong commitment to Indigenous Australians having a real say.

That’s what was missing from the original Closing the Gap framework.

As we turn the last page on that framework, we take the evidence of the last twelve years and provide the final results. These results are not what we had hoped for, and it’s important to acknowledge them.

But it’s also important to celebrate the stories and successes that lie beyond the targets. On almost every measure, there has been progress.

I look forward to honouring our commitment to partnership. I want to make sure Indigenous Australians are genuinely positioned to make informed choices, forge their own pathways and reach their goals.

I want to make sure all governments renew our efforts to help close the gap.

We can all play a part.

Together we can all improve the lives of Aboriginal and Torres Strait Islander people in this generation and the next. “

Selected extracts from Prime Minister Scott Morrison’s forword to the Closing the Gap report

Download the 2020 Closing the Gap Report HERE

closing-the-gap-report-2020

View the NIAA Closing the Gap Website HERE

“Never have Aboriginal and Torres Strait Islander peak bodies from across the country come together in this way, to bring their collective expertise, experiences, and deep understanding of the needs of our people to the task of closing the gap.

 We have an unprecedented opportunity to change the lived experience of too many of our people who are doing it tough.

It is hard not to get overwhelmed by the lack of progress ( 2020 CTG Report ) , a widening gap in life expectancy, soaring rates of incarceration, with our people dying in custody

I’m hopeful the renewed policy will be a “circuit breaker”.

There is “goodwill” and “desire for change”, and the new Closing the Gap targets could be signed off by June.

We’re aiming for a maximum of 15 targets [and] all the targets should be national.

[There will be] new ones like justice, for example … and for the first time there will be actual Aboriginal involvement in designing this process.”

Ms Pat Turner AM, CEO of the National Aboriginal Community Controlled Health Organisation and co-chairing a project to refresh the Closing the Gap framework.

Read all 500 plus Aboriginal Health and Closing the Gap articles published by NACCHO over past 8 years HERE

Read all Coalition of Peaks articles HERE

“This demonstrates the need to adopt a new approach to Closing the Gap.

Key to this is shared accountability and shared responsibility – governments, Indigenous Australians and their communities and organisations.”

Minister for Indigenous Australians Ken Wyatt welcomed the gains in early childhood and school education, but acknowledged progress has been slow in other areas . See Part 3 below for the Ministers CTG Editorial 

Part 1 :This year, the Closing the Gap report marks a new era. An era of partnership based on an historic agreement with Aboriginal and Torres Strait Islander people.

Last year, I hoped this report would be on a new Closing the Gap framework.

But, this is not a process we should rush. Getting it right is worth the time it takes. So while we don’t yet have a new framework in place, a new process has begun. A process that is truthful, strengths-based, community-led, and that puts Aboriginal and Torres Strait Islander people at the centre.

In March 2019, I entered into the Partnership Agreement on Closing the Gap, a landmark agreement to work together to develop the new Closing the Gap framework.

It’s a commitment by the Commonwealth, all states and territories, the Australian Local Government Association and the Coalition of Aboriginal and Torres Strait Islander Peak Organisations to work together in genuine partnership.

This is no small achievement.  For the first time, we have constructed something that sits at the very centre of government and demonstrates a strong commitment to Indigenous Australians having a real say.

That’s what was missing from the original Closing the Gap framework.

As we turn the last page on that framework, we take the evidence of the last twelve years and provide the final results. These results are not what we had hoped for, and it’s important to acknowledge them. But it’s also important to celebrate the stories and successes that lie beyond the targets.

On almost every measure, there has been progress.

There have been heartening improvements in key areas of health and education. These are the things that create pathways to better futures.

It’s clear we have more to do, but we must do things differently. Without a true partnership

with Aboriginal and Torres Strait Islander people, we will hamper our own progress.

The new framework is based on true partnership, and on a commitment by all governments

to work together, and to work with Aboriginal and Torres Strait Islander people.

The new Joint Council on Closing the Gap is developing priorities, realistic targets and metrics that all governments and the Coalition of Peaks can commit to achieving. At the core of this new process is the expertise of Aboriginal and Torres Strait Islander people, guiding local action and local change.

Our refreshed Closing the Gap will focus on how we deliver services, as well as what is being delivered, and on solutions, not problems.

This means changing the way we work. It means expanding the opportunities for shared decision-making and making sure all mainstream agencies provide high quality programs and services. It means making sure Aboriginal and Torres Strait Islander people have better access to

high-quality services, including building community-controlled sectors, and ensuring we have the data needed for ongoing improvement. It means making sure we have the systems in place to share responsibility, and to measure our progress. Without this, we can have no meaningful action and no real progress.

For example, we are investing in Aboriginal and Torres Strait Islander-led data to support

decision-making at a local level. This will mean richer data to build programs that work for people in the place they live. It will also help to develop regional profiles to better understand how we are tracking towards Closing the Gap targets and other community priorities.

In making this commitment, together we have made a new path. Together we are setting out towards a goal we all share: that is, for every Aboriginal and Torres Strait Islander child to grow up with at least the same opportunities in life as every other Australian.

I look forward to honouring our commitment to partnership. I want to make sure Indigenous Australians are genuinely positioned to make informed choices, forge their own pathways and reach their goals. I want to make sure all governments renew our efforts to help close the gap.

We can all play a part. Together we can all improve the lives of Aboriginal and Torres Strait Islander people in this generation and the next.

Part 2 : Key findings from the 12th Closing the Gap report 

Child Mortality

Target: Halve the gap in mortality rates for Indigenous children under five within a decade by 2018 – Not met.

In 2018, the Indigenous child mortality rate was 141 per 100,000 – twice the rate for non-Indigenous children (67 per 100,000). While the Indigenous child mortality rate has improved slightly, the rate for non-Indigenous children has improved at a faster rate.

Early Childhood Education

Target: 95 per cent of all Indigenous four-year-olds enrolled in early childhood education by 2025 – On track.

In 2018, 86.4 per cent of Indigenous four-year-olds were enrolled in early childhood education compared with 91.3 per cent of non-Indigenous children.

School Attendance

Target: Close the gap between Indigenous and non-Indigenous school attendance within five years by 2018 – Not met.

Most Indigenous students attended school for an average of just over four days a week in 2019. Gaps in attendance start from the first year of schooling and widen into high school.

Literacy and Numeracy

Target: Halve the gap for Indigenous children in reading, writing and numeracy within a decade by 2018 – Not met but some improvements.

In 2018, about one in four Indigenous students in Years 5, 7 and 9, and one in five in Year 3 remained below national minimum standards in reading. Year 3 literacy rates are improving.

Year 12 Attainment

Target: Halve the gap for Indigenous Australians aged 20-24 in Year 12 attainment or equivalent attainment rates by 2020 – On track.

In 2018/19, 66 per cent of Indigenous Australians aged 20-24 years had attained Year 12 or equivalent. Over the decade, the proportion of Indigenous Australians aged 20-24 years attaining Year 12 or equivalent increased by 21 percentage points.

Employment

Target: Halve the gap in employment outcomes between Indigenous and non-Indigenous Australians within a decade by 2018 – Not met (stable).

In 2018, the Indigenous employment rate was 49 per cent compared with 75 per cent for non-Indigenous Australians.

Life Expectancy

Target: Close the life expectancy gap within a generation by 2031 – Not on track.

Life expectancy is 71.6 years for Indigenous males (8.6 years less than non-Indigenous males) and 75.6 years for Indigenous females (7.8 years less than non-Indigenous females). While there have been improvements in Indigenous mortality rates from heart disease, stroke and hypertension, cancer rates are increasing.

Part 3 : A good education can lay solid foundation blocks for a successful life.

Through these foundations we have the ability to close the gap for indigenous Australians across a range of areas – getting it right at an early age can mean getting it right for life.

I am heartened by gains, including in early childhood and education and its long-term impact.

As a government, we do however, acknowledge that progress has been slow in other areas.

The past ten years have not delivered the results they should have – and there’s no shying away from the responsibility we share to get the next ten right, and the ten after that.

This demonstrates the need to adopt a new approach to Closing the Gap.

So, how do we take our successes in the education field and replicate them across other markers and indicators?

It’s not a simple answer but key to this is shared accountability and shared responsibility – between all governments and indigenous Australian communities and organisations.

We are committed working in partnership with indigenous Australians to optimise outcomes over the life course

And we have issued a call to all governments to continue to work together on national priorities for collective action and supporting local communities to set their own priorities and tailor services to their unique context.

For the first time in the Closing the Gap process, indigenous expertise is at the centre of decision making – this represents an opportunity to set, implement and monitor closing the Gap along with indigenous Australians.

2020 marks the next stage in an unprecedented partnership between Aboriginal and Torres Strait Islander peak organisations, the Australian government, states and territories.

The Morrison government, through the leadership of the Prime Minister, is bringing together COAG and the Coalition of Peaks to deliver the new Closing the Gap National Agreement.

Our Closing the Gap Refresh will deliver shared responsibility and accountability.

Indigenous Australians at local, regional and national engagements are embedding knowledge and leadership, co-designing systems, policy and operational frameworks, and working with government to action change.

We are taking the time to ensure indigenous Australians and traditional owners are empowered and in a genuine position to make informed decisions.

In this new way of working, we share priorities – with indigenous Australians and with state and territory governments – in the fields of early childhood, education, employment and business opportunity, community safety, suicide prevention and health, as well as supporting local people to drive local solutions.

We must also continue to encourage conversations across the nation – so we become more comfortable with each other, our shared past, present and future. This has often led to local action to realise positive change.

This is why as the Minister for indigenous Australians, I have been tasked by the Prime Minister to develop a new whole of government indigenous early childhood strategy.

This will be a new way of working together to achieve our shared goal – working with experts, families, frontline service providers and communities.

Longer term we know that education has a direct impact on the ability for indigenous Australians to obtain employment.

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

Since 2014 through the indigenous Advancement Strategy we have provided significant investments to indigenous youth and education initiatives throughout Australia.

Currently some 30,000 Aboriginal and Torres Strait Islander youth are being supported on their education journey through mentoring, scholarships and leadership programs like AIME, Yalari, Clontarf and the GO Foundation.

With this support, we will see this cohort of youth come through completing year 12 and progressing through further education, training and employment.

There was effectively no gap in the 2016 employment gap between indigenous and non-Indigenous Australians with a Bachelor degree or above (around 83 per cent employed for both)

Completion of Year 12 also considerably boosts employment outcomes for younger indigenous Australians compared with early school leavers.

The employment rate in 2016 for young indigenous Australians aged 18-29 who had completed Year 12 was between 1.5 and 3 times the rate for those without Year 12 qualification, depending on gender and remoteness locations.

Young, employed indigenous Australians with Year 12 qualifications were more likely than early school leavers to be employed full time, and be in a skilled occupation.

In the last 10 years, the number of indigenous Australians accessing higher education as more than doubled and currently almost 20,000 indigenous Australians are attending university.

This is worth celebrating. Every improved outcome and achievement needs to be celebrated and used to build momentum for greater improvements.

Governments, indigenous Australians and communities have a shared commitment to closing the gap; change will happen and we must not be afraid to learn from each other.

Indigenous Australians are the key agents of change. Governments need to draw on their insights, knowledge and lived experiences to deliver on Closing the Gap, for current and future generations.

We owe it to future Australians, both indigenous and non-Indigenous to build a better future.

We owe it to all Australians that they feel as though they have a future ahead of them that will deliver worth and value for work.

We will continue to work every day, to get more children to school, to support pathways into long-term employment, to address and reduce suicides right across the nation and to empower and give a voice to those who need it most.

For the first time government is walking this journey hand-in-hand with indigenous Australians.

I am optimistic that we can Close the Gap, not overnight, but overtime, in partnership and through genuine engagement with all indigenous Australians.

Ken Wyatt is the Minister for indigenous Australians

 

 

 

NACCHO Aboriginal Health and Alcohol other Drugs: Peak public health bodies @_PHAA_ And @FAREAustralia respond to Health Minister @GregHuntMP launch of National Alcohol Strategy 2019-28 : Download Here

The federal government will spend $140m on drug and alcohol prevention and treatment programs but has ruled out measures such as hiking taxes on cask wine.

Health Minister Greg Hunt announced the National Alcohol Strategy 2019-28 has been agreed with the states following protract­ed negotiations.

The strategy outlines agreed policy options in four priority areas: community safety, price and promotion, treatment and prevention.

Health lobby groups have pushed for reform in two major areas: the introduction of a minimum floor price for alcohol by state governments, and the introduction of a volumetric tax, based on the amount of alcohol in a beverage, by the commonwealth. ”

From The Australian Health Editor Natasha Robinson (See in full part 1 below )

Read over 200 Aboriginal health and Alcohol other drugs articles published by NACCHO over the past 7 years 

” Overall, Aboriginal and Torres Strait Islander people are more likely to abstain from drinking alcohol than non-Aboriginal and Torres Strait Islander people (31% compared with 23% respectively).

However, among those who did drink, higher proportions drank at risky levels (20% exceeding the lifetime risk guidelines) and were more likely to experience alcohol-related injury than non-Aboriginal and Torres Strait Islander people (35% compared to 25% monthly, respectively).

For this reason, Aboriginal and Torres Strait Islander people experience disproportionate levels of harm from alcohol, including general avoidable mortality rates that are 4.9 times higher than among non-Aboriginal and Torres Strait Islander people, to which alcohol is a contributing factor.

The poorer overall health, social and emotional wellbeing of Aboriginal and Torres Islander people than non-Aboriginal and Torres Strait Islander people are also significant factors which can influence drinking behaviours. ” 

Page 8 of National Strategy Aboriginal and Torres Strait Islander people

Download the full strategy HERE

national-alcohol-strategy-2019-2028

 ” The Public Health Association of Australia (PHAA) is pleased the National Alcohol Strategy 2019-2028 is finally out but said it lacked ambition to prevent Australians suffering adverse health impacts of alcohol consumption.

“It is good news to have this strategy now finalised, albeit many years in the making and with too much influence from the alcohol industry,”

PHAA CEO Terry Slevin  : See part 2 below for full press release 

Australia has not had a national strategy since 2011 and we congratulate Health Minister Greg Hunt for spearheading this successful outcome. 

Given the high burden of harm from alcohol, including 144,000 hospitalisations each year, we trust that the NAS will support proportionate action from the Commonwealth, states and territories to protect Australians and their families,

 FARE has also welcomed the Minister’s announcement that the Government will commission a report to estimate the social costs of alcohol to the community.  

Australia faces a $36 billion a year alcohol burden, with approximately a third due to alcohol dependence, a third caused by injuries, and the final third due to chronic diseases such as cancer and cardiovascular diseases,

FARE Director of Policy and Research Trish Hepworth. See part 3 below for full press release 

 ” Alcohol places an enormous burden on our healthcare resources on our society and ultimately on us as a nation.

Alcohol is currently the sixth leading contributor to the burden of disease in Australia, as well as costing Australian taxpayers an estimated $14 billion annually in social costs.

The AMA has previously outlined the priorities we would like to see reflected in the Strategy, including action on awareness, taxation, marketing, and prevention and treatment services.

Implementing effective and practical measures that reduce harms associated with alcohol misuse will benefit all Australians.”

AMA President, Dr Tony Bartone : See Part 4 Below for full Press Release 

Part 1 The Australian Continued 

The National Alcohol Strategy lists the introduction of a volumetric tax as one policy ­option, but Mr Hunt said the commonwealth was ruling out such taxation reform.

“The government considers Australia’s current alcohol tax settings are appropriate and has no plans to make any changes,” the minister’s office said.

Mr Hunt said there were “mixed views” among the states on the introduction of a minimum floor price for alcohol — the Northern Territory is the only jurisdiction to introduce this measure — but such policy remained an option for the states.

Mr Hunt said the national strategy had laid out a path towards Australia meeting a targeted 10 per cent reduction in harmful alcohol consumption.

“There’s a balance been struck, what this represents is an attempt to lay out a pathway to reducing alcohol abuse and reducing self-harm and violence that comes with it,” Mr Hunt said.

“The deal-maker here was the commonwealth’s investment in drug and alcohol treatment. That was the most important part. Now we’d like to see the states match that with additional funds, but we won’t make our funds ­dependent upon the states.”

Health groups welcomed the finalisation of the national strategy. Alcohol Drug Foundation chief executive Erin Lalor said it was now up to governments to act on the outlined policies. “The strategy means we can now start doing and stop talking, because it’s been in development for a ­really long time,” Ms Lalor said.

“We’ve now got really clear options that we can focus on and it’s up to governments around Australia and other groups working to reduce alcohol-related harm and the alcohol industry to start to take serious measures and evidence-based measures that will reduce the significant harm from alcohol.”

Ms Lalor was disappointed the government had ruled out a volumetric tax. “We have been advocating for a long time for volumetric tax to be introduced. The strategy outlines it and we would hope to see pricing and taxation of alcohol being adopted to reduce alcohol-related harms.”

Canberra will spend $140m on programs to combat alcohol and drug addiction.

Primary Health Networks will receive $131.5m to commission new and existing drug and ­alcohol treatment services, while the government will commission a new report to estimate the social costs of alcohol to society.

Part 2 Belated alcohol strategy is a missed opportunity

The Public Health Association of Australia (PHAA) is pleased the National Alcohol Strategy 2019-2028 is finally out but said it lacked ambition to prevent Australians suffering adverse health impacts of alcohol consumption.

“It is good news to have this strategy now finalised, albeit many years in the making and with too much influence from the alcohol industry,” PHAA CEO Terry Slevin said.

“The strategy recommends important policy options that can reduce alcohol related harm via both national and state level efforts.”

“All governments should invest in and commit to reducing the health and social burden of excess alcohol consumption,” Mr Slevin said.

“It is a shame the federal government has again ruled out the option of volumetric tax on alcohol, which is a fairer and more sensible way of taxing alcohol.

“This is about stopping people from getting injured, ill or dying due to alcohol, so why rule out this option?”

“The current alcohol tax system is a mess and is acknowledged as such by anyone who has considered the tax system in Australia.”

“We hope this important reform will again be considered at a time in the near future.“

“Let’s remember that alcohol is Australia’s number one drug problem. Harmful levels of consumption are a major health issue, associated with increased risk of chronic disease, injury and premature death,” Mr Slevin said.

“The announcement of funding for drug treatment services is modest but we welcome the support for a report assessing the social cost of alcohol.”

“When that report is completed we hope it will influence alcohol policy into the future.”

Part 3 The Foundation for Alcohol Research and Education (FARE) congratulates Federal, State and Territory Ministers for finalising the National Alcohol Strategy 2019–2028 (the NAS).

“Australia has not had a national strategy since 2011 and we congratulate Health Minister Greg Hunt for spearheading this successful outcome,” said FARE Director of Policy and Research Trish Hepworth.

“Given the high burden of harm from alcohol, including 144,000 hospitalisations each year, we trust that the NAS will support proportionate action from the Commonwealth, states and territories to protect Australians and their families,” she said.

FARE has also welcomed the Minister’s announcement that the Government will commission a report to estimate the social costs of alcohol to the community.

“Australia faces a $36 billion a year alcohol burden, with approximately a third due to alcohol dependence, a third caused by injuries, and the final third due to chronic diseases such as cancer and cardiovascular diseases,” Ms Hepworth said.

“In implementation, we urge governments to take action to increase the community’s awareness of the more than 200 injury conditions and life-threatening diseases caused by alcohol,” she said.

FARE strongly encourages the Federal Government to revisit alcohol taxation reform, which would be the most effective way to reduce the death toll from alcohol-related harm, which is almost 6,000 people every year.

“We know from multiple reviews that alcohol taxation is the most cost-effective measure to reduce alcohol harm because measures can be targeted towards reducing heavy drinking, while providing government with a source of revenue,” Ms Hepworth said.

Part 4 AMA

The announcement that the National Alcohol Strategy 2019–2028 (the NAS) has been agreed to by all States and Territories is welcome, but it is disappointing that it does not include a volumetric tax on alcohol, AMA President, Dr Tony Bartone, said today.

“The last iteration of the NAS expired in 2011, so this announcement has been a long time coming,” Dr Bartone said.

“The AMA supports the positive announcements by the Government to reduce the misuse of alcohol. However, they simply do not go far enough.

“An incredibly serious problem in our community needs an equally serious and determined response.

“Doctors are at the front line in dealing with the devastating effects of excessive alcohol consumption. They treat the fractured jaws, the facial lacerations, the eye and head injuries that can occur as a result of excessive drinking.

“Doctors, and those working in hospitals and ambulance services, see the deaths and life-long injuries sustained from car accidents and violence fuelled by alcohol consumption.

“Healthcare staff, including doctors, often bear the brunt of alcohol-fuelled violence in treatment settings. Alcohol and other drugs in combination are often a deadly cocktail.

“Prolonged excessive amounts contribute to liver and heart disease, and alcohol is also implicated in certain cancers.

“All measures that reduce alcohol-fuelled violence and the harm caused by the misuse of alcohol, including taxing all products according to their alcohol content, should be considered in a national strategy.

“For this reason, we are extremely disappointed that the Government has ruled out considering a volumetric tax on alcohol.

“A national, coordinated approach to alcohol policy will significantly improve efforts to reduce harm.

“Alcohol places an enormous burden on our healthcare resources on our society and ultimately on us as a nation.

“Alcohol is currently the sixth leading contributor to the burden of disease in Australia, as well as costing Australian taxpayers an estimated $14 billion annually in social costs.

“The AMA has previously outlined the priorities we would like to see reflected in the Strategy, including action on awareness, taxation, marketing, and prevention and treatment services.

“Implementing effective and practical measures that reduce harms associated with alcohol misuse will benefit all Australians.”

Background

  • The Australian Institute of Health and Welfare found that alcohol and illicit drug use were the two leading risk factors for disease burden in males aged 15-44 in 2011.
  • The AIHW has linked alcohol use to 26 diseases and injuries, including six types of cancer, four cardiovascular diseases, chronic liver disease, and pancreatitis, and estimated that in 2013 the social costs of alcohol abuse in Australia was more than $14 billion.
  • A study conducted by the Australasian College for Emergency Medicine in 2014 found that during peak alcohol drinking times, such as the weekend, up to one in eight hospital patients were there because of alcohol-related injuries or medical conditions. The report noted that the sheer volume of alcohol-affected patients created more disruption to Emergency Departments than those patients affected by ice.

 

NACCHO Aboriginal Health #NACCHOAgm19 #NACCHOYouth19 : Transcript of doorstop media interview with Minister Greg Hunt NACCHO and Chair Donnella Mills at the NACCHO Conference in Darwin

” It’s just a privilege to be here at the NACCHO Conference with Donnella, with Pat, with Senator Sam McMahon.

We’ve made an announcement today of a new funding model agreed by and with NACCHO and Indigenous Australia.

They’ve had deep input. They went through an early draft and had a huge involvement in redrafting, redesigning.

And I’m delighted that we’ll be adding an additional $90 million to help produce better Indigenous health outcomes. That will be supporting our Aboriginal community controlled health organisations, our Aboriginal medical services, 145 of them around the country.

And in particular, it will help as we pursue the goals of ending avoidable Indigenous blindness, avoidable Indigenous deafness and ending rheumatic heart disease and making a difference (inaudible) Donnella, you want to say a couple of words and then?

Introduction at media event from Health Minister Greg Hunt at NACCHO Members Conference Darwin

DONNELLA MILLS:

Yes. Just as- as the Acting Chair of the National Aboriginal Community Controlled Health Organisation, we really welcome this announcement.

And I just want to make particular mention with Minister Hunt that we’ve really moved forward on building a genuine partnership.

What we know as Aboriginal and Torres Islander peoples, we are the experts in delivering comprehensive primary health care to our people.

So I look forward to continuing to work with the Australian Government. And again, we welcome this announcement. Pat?

GREG HUNT:

Great. Happy to take any questions.

JOURNALIST:

Minister, can you talk us through the major enhancements to the way the funding is distributed? What are the changes that the organisations will see?

GREG HUNT:

So firstly, it’s a three-year funding. Secondly, there’s a guarantee that every organisation will maintain its existing funding and then that additional funding will be based on a combination of need, cost, and complexity.

And so it’s been designed by and with the Aboriginal community controlled health organisations and services.

And thirdly, the other element that’s there, which is really important, is the indexation of wages. And it’s a fair point to ask whether that should or shouldn’t have been built in previously, but it will be now.

JOURNALIST:

Labor has brought up, I suppose, questions about the timing of these Ministerial visits the past few days, because there’s a public inquiry on- or a Senate inquiry on in Darwin. Was it timed to match with that?

GREG HUNT:

No. This conference was established by NACCHO, their time, their watch.

And I, in fact, adjusted my diary to be here for their conference. And so sort of a little bit embarrassing, I think, for them to be trying to downplay a really important health breakthrough. And as Donnella said, a health partnership.

The timing was set, as it should have been, by Indigenous Australia for Indigenous Australia. And I was privileged to join them on their time, on their watch as part of their conference.

JOURNALIST:

How committed is the Coalition Government to developing Northern Australia? I mean it was- it’s been, you know, years since they- Tony Abbott first announced the White Paper into Developing Northern Australia.

The rhetoric gets brought up election after election, but really is there- is there much of a difference being made on the ground in regional and especially north Australia?

GREG HUNT:

Look, I think the Northern Australia Infrastructure Fund has very real possibilities. One of the things which is available under that- we might well be able to support some of the very services that we outlined today.

So the physical infrastructure for Aboriginal community controlled health services does qualify under the NAIF, and that could make a real difference.

Sam, you’ve been very involved in northern development, your thoughts?

SAM MCMAHON:

Yeah. I mean, look, it has been slower to be rolled out and it has been slower in uptake than we would have liked. And you possibly heard Minister Canavan say that yesterday.

But he and the Coalition Government and myself are very committed to making sure that that gets rolled out.

And not only the NAIF, but some other infrastructure, other things such as health infrastructure. We are very committed to making sure that that northern Australia is taken care of.

GREG HUNT:

Okay. Thank you. So look, ultimately, today is about saving lives and protecting lives in Indigenous Australia, and a partnership that we hope will last the next 20 years. Thank you.

JOURNALIST:

Minister, what are you doing- what’s the Government doing to address the sickness outbreak that has now seen more than three-hundred to three-thousand people affected from Queensland right the way through to Western Australia?

GREG HUNT:

So the Chief Medical Officer has led discussions and led talks with states on- and the territories on precisely that issue.

So we’ve been investing additional funds. The Chief Medical Officer is leading a coordinated national plan with the states and territories on that issue.

And then the third element of course is the AMS, the Aboriginal Medical Services, and their capacity to make that impact on the ground.

JOURNALIST:

Does there need to be a national centre for disease control, do you think?

GREG HUNT:

Well I think what we do have, which is run out of the Health Department, is precisely that.

We have a national approach to disease coordination and emergency management, which comes from the Federal Health Department, it’s actually embedded within.

JOURNALIST:

Was the Government too slow to act on this issue given that that outbreak started in Queensland I think right back in 2014, perhaps even earlier?

GREG HUNT:

Look, we’ve stepped in because some of the states and territories have not done their work. So primarily, the population health control responsibilities rests with the states and territories.

But where there is an issue, which comes because in some cases they may not have stepped up, then it’s our time and our turn and our watch, and we’ll deal with that.

JOURNALIST:

Any state and territory in particular that dropped the ball on this one?

GREG HUNT:         

Oh, I think this was most significantly the issue in Queensland. They were notified, they were warned, and they were very slow to act. Okay, thank you very much.

NACCHO Aboriginal Health and #PrimaryHealth Care 10-Year Plan . @GregHuntMP Press Release :Our Deputy CEO Dawn Casey and @IUIH_ CEO Adrian Carson on team of experts to provide independent advice on the development of the Plan.

The Morrison Government has appointed a team of experts to provide independent advice on the development of the Primary Health Care 10-Year Plan.

The 10-Year Plan will set a vision and path to guide future primary health care reform, as part of the Government’s Long Term National Health Plan.

Under the Long Term National Health Plan, the Government is committed to reforming our health system to be more person-centred, integrated, efficient and equitable.

The 10-Year Plan will be informed by extensive consultation with patients, providers, experts and the community.

The establishment of the Primary Health Reform Steering Group is the first step in this approach.

The Steering Group will be co-chaired by Dr Steve Hambleton, a practicing General Practitioner and former federal president of the Australian Medical Association, and Dr Walid Jammal, a practicing General Practitioner and Clinical Lecturer at the University of Sydney and Conjoint Senior Lecturer, Western Sydney University.

Other members of the Steering Group are:

  • Dr Tony Bartone, Australian Medical Association
  • Dr Harry Nespolon, Royal Australian College of General Practitioners
  • Dr Ewen McPhee, Australian College of Rural and Remote Medicine
  • Dr Dawn Casey, National Aboriginal Community Controlled Health Organisation
  • Ms Leanne Wells, Consumers Health Forum of Australia
  • Ms Cathy Baynie, Australian Association of Practice Management
  • Ms Karen Booth, Australian Primary Health Care Nurses Association
  • Prof Claire Jackson, University of Queensland
  • Mr Adrian Carson, Institute for Urban Indigenous Health
  • Ms Gail Mulcair, Allied Health Professions Australia
  • Mr Phil Calvert, Australian Physiotherapy Association

As the first step in the 10-Year Plan, the Steering Group will advise on the implementation of the $448.5 million 2019-20 Budget measure, to support doctors to provide more flexible care to Australians aged 70 years and over.

I had the pleasure of discussing the 10-Year Plan with the members of the Steering Group at their first meeting on 17 October 2019. The Steering Group will meet periodically until September 2020.

The next step in the consultative approach to developing the 10-Year Plan will be the establishment of a broad-based Consultation Group with representation from across the sector to help guide and respond to public consultations.

My Department will also be convening targeted consultations and roundtables on key issues to help inform the plan.

I am confident the Morrison Government’s Primary Health Care 10-Year Plan will strengthen and modernise Australia’s primary health care system into the future, and I look forward to building community consensus behind it.

SEE NACCHO POST 

Or to view the Morrison Governments Long Term National Health Plan visit – https://www.health.gov.au/resources/publications/australias-long-term-national-health-plan

NACCHO Aboriginal Health #IYIL2019 and the United Nations Declaration on the Rights of Indigenous Peoples. Minister @KenWyattMP Speech Geneva : To us the Declaration reflects economic, social, cultural and political rights that should guide our policies intended to deliver change

 

” Kaya wangju – hello and welcome in my language, the Noongar language.

To celebrate the United Nations International Year of Indigenous Languages, I commenced in the language of my ancestors. I am Ken Wyatt, Australia’s first Indigenous member of the Australian cabinet and Minister for Indigenous Australians.

I am pleased to have the opportunity to address the Human Rights Council in this session.

There is power in telling the truth.

In Australia, we are starting a national conversation about truth telling around the history of Aboriginal and Torres Strait Islander Australians.

To me, truth-telling is not a contest of history, but an acknowledgement of what has been, and sharing what was seen.

So let me start here by talking truth with you.” 

Minister Ken Wyatt’s Dignitary address to the 42nd session of the UN Human Rights Council 18 September : Read full speech part 1 below

“ Language is more than a mere tool for communicating with other people. People simply don’t speak words. We connect, teach and exchange ideals. Indigenous languages allows each of us to express our unique perspective on the world we live in and with the people in which we share it with.

Unique words and expressions within language, even absence of, or taboos on certain words, provide invaluable insight to the culture and values each of us speaks.

Our Language empowers us.

It is a fundamental right to speak your own language, and to use it to express your identity, your culture and your history. For Indigenous people it lets us communicate our philosophies and our rights as they are within us, our choices and have been for our people for milleniums “

Minister Ken Wyatt sharing Australia’s story on preserving and revitalising #IndigenousLanguages at @UNHumanRights Council yesterday @IYIL2019

Part 1

It’s been 10 years since Australia joined the global community to support the United Nations Declaration on the Rights of Indigenous Peoples.

The truth is… Australia did not support the Declaration when it was first introduced. Over two years we considered the implications, and like other countries, we are still on the journey of what the Declaration means to us.

To us the Declaration reflects economic, social, cultural and political rights. Rights that should guide our policies intended to deliver change that is sustainable and embraces Aboriginal and Torres Strait Islander people and their culture.

Although we have already started walking our journey to change the way we protect and uphold the rights of Indigenous people, we know healing won’t actually start until we recognise and acknowledge where our country began. To this end we have set ourselves a goal to recognise Aboriginal and Torres Strait Islander people as the first peoples of Australia.

This is too important to rush, and too important to get wrong.

As everyone here would know, the declaration itself was the product of almost 25 years of deliberation between UN member states and the Indigenous groups.

To achieve our goal we must focus on rediscovering our differences, our incredible history and culture, and integrating traditional knowledge and systems in our current way of life.

We acknowledge that our long struggle to recognise and realise traditional Indigenous systems has been made more difficult by the truth that we have interpreted that connection long ago.

This is a terrible and hard fact to face. We cannot change it. But we are trying hard to heal and to reconnect.

To achieve our goals it’s vital we have unity in our solution. This demands all voices should be heard respectfully. It requires us to solve the problem together … to ‘co-design’.

Soon we will be talking to our elders and communities about what co-design looks like.

The truth is we have problems and some are serious problems. High rates of incarceration of Aboriginal and Torres Strait Islander Australians, and high rates of suicide, particularly of young Indigenous Australians are just two of these problems.

But … we are working to change the statistics.

Australians pride themselves on being honest, hard-working and loyal people. We know we must all contribute to enjoy better outcomes for all of us.

All of Australia’s governments have partnered to work with Indigenous people and communities to develop solutions to our problems jointly.

Our Closing the Gap framework, focuses on community safety, education and employment as enablers for better futures. By addressing the underlying issues we hope to reduce the unacceptably high rates of suicide and incarceration.

Economic rights are also at the heart of our strategies. Our strategies covering demand and supply are designed to cultivate growth and sustainability.

We are offering targeted funding support and levering our own government spending to drive demand for Indigenous goods and services, and consequently drive business growth and create jobs.

For example, the Australian Government’s Indigenous Procurement Policy commenced four years ago. In this time over 16,280 contracts, worth more than $2.47 billion, have been awarded to 1,780 Indigenous businesses across a variety of industries and sectors.

On the supply side we’re nurturing the Indigenous corporate sector through a 10-year plan to improve access to business and financial support.

We also recognise the additional struggles Indigenous women can face in setting up businesses. To address this we have provided culturally-safe spaces for women to seek business support and we’ve funded the first Indigenous Women in Business conference.

Economic participation is just one element of the declaration.

Australia’s truth is that while our Indigenous culture and systems are one of the most ancient, sophisticated and complex in the world, they are also evolving, blending our Australian nations together in a peaceful but challenging journey. Similar to our journey towards realising the Declaration.

There is no doubt we are a nation with a lot of challenges to address and we anticipate new ones as globalisation shifts us further into the new community paradigms. We are headed in the right direction … but we are cautious not to run before we have first learned to walk.

We are on that journey and walking together.

We embrace the opportunity to be part of this global community here and we hope you will walk with us to achieve long and lasting change for the better for both Indigenous and non Indigenous Australians but the First Nations of the World.

Thank you Mr President.

Part 2 Panel discussion on Indigenous languages

In West Australian Noongar language, I say kaya wangju – hello and welcome.

Australia welcomes the International Year of Indigenous Languages and the focus this past year has brought to the importance of Indigenous languages.

Those present at this session today would be aware of the statistics about Indigenous languages:

  • 96 per cent of the world’s 6,700 languages are spoken by only three per cent of the world’s population.
  • Indigenous people comprise less than six per cent of the global population, but speak more than 4,000 of the world’s languages.

Language is more than a mere tool for communicating with other people. People simply don’t speak words. We connect, teach and exchange ideals. Indigenous languages allows each of us to express our unique perspective on the world we live in and with the people in which we share it with.

Unique words and expressions within language, even absence of, or taboos on certain words, provide invaluable insight to the culture and values each of us speaks.

Our Language empowers us.

It is a fundamental right to speak your own language, and to use it to express your identity, your culture and your history. For Indigenous people it lets us communicate our philosophies and our rights as they are within us, our choices and have been for our people for milleniums.

It is in the everyday lives of people who are speaking their own language that a difference can be felt.

In Australia, we are investing in maintaining the knowledge of languages being spoken today, and preserving this resource for younger people, as one way for future generations to connect with their identity, culture and heritage.

We have around 250 original Aboriginal and Torres Strait Islander languages. Sadly only about half of these are still spoken today. Even more upsetting is that of these, only 13 are considered strong. This places Australia as one of the world’s most top five hot spots for endangered languages.

To address this we are partnering with Indigenous Australians to revitalise languages that are in danger.

We recognise that cultural authority, community control and engagement are paramount to preserving and revitalising Australia’s first languages. This is why the Australian Government insists that it’s first people, our Indigenous voices, that are heard when we develop policies, programs and services around Indigenous languages.

To support this work we are undertaking a comprehensive survey to inform us on the current state of proficiency and frequency and use of languages.

We are also keeping language alive, vibrant and accessible.

Australia has over 20 Indigenous community-led language and arts centres. These centres contribute to strong cultural identities, and community-driven wellbeing activities.

At the national level we are using modern technology streaming platforms to provide a range of content in language — from children’s stories and cartoons to oral histories and news articles.

IndigiTUBE, which has received Commonwealth funding, is such a platform. It is becoming a repository for this content as well as music videos, documentaries and comedy routines.

We encourage Indigenous community radio stations around the country to share the content, and all Australians to access it at home or through the web. Imperatives of incorporating language into government services is a priority.

As we say in Noongar:

“Ngyung moort ngarla moort, ngyung boodja ngarla boodja”

My people our people, my country our country.

At all levels, on all platforms we should be making our languages heard and kept. While we acknowledge that much has been lost, it is not too late to preserve and use Indigenous language – which I hope is the outcome of the International Year.

 

NACCHO Aboriginal Health #ClosingtheGap #UNDRIP : Minister @KenWyattMP announces he will represent Australia at the #UN Human Rights Council in Geneva this week to promote his Government’s priorities that partner with, invest in and empower our mob

Australia’s support of the Declaration reflects our intent to promote and protect the economic, social, cultural and political rights of indigenous people

The Declaration was drafted in partnership with the world’s Indigenous peoples, including Aboriginal and Torres Strait Islander peoples, and the Morrison Government remains committed to observing these rights through our policies and programs

We are changing the way we work in partnership with Indigenous Australians and this is a message we can take to the world.

Our national framework for action to improve outcomes for Indigenous Australians, the Closing the Gap strategy, is a priority for the Australian Government and demonstrates our commitment to working in partnership with Indigenous communities.

 I will be discussing our experiences with UN experts and other countries to harness global thinking and research to improve our framework.

Through our advocacy with the United Nations and our recognition of the UN Declaration on the Rights of Indigenous Peoples, we can improve the lives of all Indigenous peoples.”

Minister for Indigenous Australians, the Hon Ken Wyatt AM MP, said since Australia supported the Declaration in 2009, our nation’s human rights obligations to Aboriginal and Torres Strait Islander Australians have been clear.

Friday marked the 12th anniversary of the UN Declaration on the Rights of Indigenous Peoples which established a universal set of rights for the dignity and well-being of Indigenous peoples around the world.

Minister Wyatt  announced he will represent Australia at the United Nations Human Rights Council in Geneva, from 16 to 20 September, to promote the Australian Government’s priorities that partner with, invest in and empower Aboriginal and Torres Strait Islander Australians.

“This year is our second as a member of the UN Human Rights Council, following the Coalition Government’s successful campaign to secure Australia a seat for the first time. It is in Australia’s national interest to shape the work of the Human Rights Council and uphold the international rules-based order.

“I will be pleased to promote Australia’s pragmatic and constructive approach to protecting and promoting fundamental human rights and freedoms both at home and abroad. Advancing Indigenous rights globally is a pillar of our membership of the Human Rights Council and an objective we pursue through a range of other UN mechanisms.

“I intend to build stronger relationships with like-minded countries by meeting with experts and leaders from around the world to discuss good practices in Indigenous policy, to share Australia’s experiences and learn from other countries’ strategies.

“As one of the largest donors to the UN Voluntary Fund for Indigenous Peoples, Australia will continue to play a constructive role in ensuring Indigenous voices are heard in UN meetings and bodies.

 

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 and #VOICE #ClosingtheGap : Read Minister @KenWyattMP ‘LOOKING FORWARD, LOOKING BACK’ – 19TH ANNUAL VINCENT LINGIARI MEMORIAL LECTURE Darwin 15 August 

” What are you going to do tomorrow, in three months’ time and in a year’s time? – good will, while important, will not allow us to complete this journey and positively shift the pendulum.

How can we elevate our successes?

How can we give voice to those who feel voiceless?

And, how can we make sure their voices are heard as loudly as those who come from Canberra and in the media?

I want you to remember these words from Vincent Lingiari:

“Let us live happily together as mates, let us not make it hard for each other… We want to live in a better way together, Aboriginals and white men, let us not fight over anything, let us be mates.”

Minister Ken Wyatt ‘LOOKING FORWARD, LOOKING BACK’ – 19TH ANNUAL VINCENT LINGIARI MEMORIAL LECTURE Darwin 15 August

The Hon Ken Wyatt AM MP

Kaya wangju – hello and welcome, in Noongar.

As a Noongar, Wongi and Yamatji man standing before you, I thank Bilawara for her warm welcome this evening.

I formally acknowledge the traditional custodians of the land on which we stand, the Larrakia people, and pay, my respects to Elders past, present and emerging.

Good evening to all of you who have joined us this evening and in particular, I want to acknowledge my brothers and sisters who, many that I’ve walked, the challenges of change with.

The words of a song that was sung by the much-loved Slim Dusty of Looking Back and Looking Forward was the basis for what I wanted to cover tonight because of several reasons but Slim in particular was loved by Indigenous Australians – Slim was a storyteller.

Since the beginning of our time our nation’s sacred knowledge and identity has been kept and shared in song and in transmission through our stories.

Song is important to our culture, and to Australian culture. Music and the stories presented through songs are understood and loved by all Australians.

In Slim’s case, his songs were heard drifting throughout Australia’s living rooms, pubs, town halls, on the old wireless radio and through the records we played.

Through his songs and storytelling, Slim brought Indigenous Australia into suburbia, into the minds and hearts of the nation and the wider Australian culture.

The words you would’ve heard in his song ‘Looking Forward, Looking Back’ – are very poignant – and help paint an image of modern-day Australia.

I won’t sing it to you, because that’ll sort of distract from the quality of the music, but as Slim says:

Looking Forward, Looking Back.

We’ve come a long way down the track.

We’ve got a long way left to go.

Indigenous Australians, in everything we do, draw on the insights of our journey, the knowledge and wisdom of the past, and use that to embrace our future generations.

As we look back, we see the tracks of those who’ve walked before us.

For each of us, looking back evokes different memories and experiences, but I want us to be able to Look Forward – together – with a united purpose and determination for our children and grandchildren. And whilst for us as well – we have lived our time.

That’s why I’m here, with you, at the 19th annual Lingiari Lecture.

Tonight I will outline how I see us walking together, to advance:

  • Local truth-telling;
  • Constitution Recognition of Indigenous Australians;
  • Giving voice to local communities; and
  • Addressing disadvantage in Indigenous Australia.

So why did I start with Slim?

I’m told that, back in the day, there were juke-boxes here in the Territory that had nothing but Slim Dusty records on them. And as a Slim Dusty and Country Western music fan, I can certainly understand that sentiment.

But the thing that I really admired about him was that he sang about the land, about country, about people and our Australian way of life.

He sang about us, and to us, travelling in the old purple with his caravan to many remote communities and country towns across Australia.

Slim once said the most valuable performance fee he ever received in his entire career was the fee paid by a young girl called Miriam from Daly River here in the Territory.

Miriam and the children of the Daly River Mission wanted to see Slim perform but they couldn’t travel to Darwin to see him.

So together they saved up some money and wrote to Slim offering him an attractive performance fee if he came to their town.

The performance fee they offered was five dollars. But that was good enough for Slim.

He came to Daly, accepted the fee, and put on a show.

Over the course of his life, he visited that community many times. He’d go out to the mustering camp for dinner and share their black tea and bully beef sandwiches.

He’d watch and learn as the women and children showed him how to look for minnamindi.

He learnt how to cook with the honey-bag the kids brought back from the wild bees.

He fished with them; he went shooting with them.

He was invited to corroborees and learned how to make ochre paint.

Knowing us – and really knowing us – meant he could sing about us. He could share our stories in ways we didn’t have the means to and he could tell us stories of other places and people that helped us to understand our neighbours around us.

He sang of Trumby the ringer who couldn’t read or write…he sang of The Tall Dark Man in the Saddle…and of the painter Albert Namatjira.

He sang of a man called Bundawaal, “a King without subjects or crown”; a tribal elder reflecting on past struggles and glories, who couldn’t stop “an alien race without pity or grace” eradicating his people.

The song was based on a story that the local Aboriginal people told Slim while he was on tour.

He was singing about this when hardly anyone else in Australia was talking about us in the same way that he sang.

Slim opened the door for Indigenous people themselves to share the stage in the Australian country music industry, some of these early Indigenous pioneers in the Country Music Industry were people like Auriel Andrew, Jimmy Little and Gus Williams, just to name a few.

Picture a time in Australia, and this is for all the young ones out there, because for many of us here tonight know what it’s like to be told:

Where we could – and could not – sit.

Where we could – and could not – go.

You couldn’t sit on a seat at the cinema – you had to sit on a milk crate at the front of the auditorium or the old chairs.

You couldn’t enter a pub.

But Slim Dusty’s concerts were open to all, and we could sit wherever we liked.

People like Slim helped shift the pendulum.

Throughout our history, advancements in Indigenous affairs have swung like a pendulum.

This pendulum has shifted, back and forth, sometimes bringing meaningful advancement for Indigenous Australians, through events and actions of our own people, such as:

  • Albert Namatjira becoming the first Indigenous Australian to be given restricted citizenship,
  • Charlie Perkins Freedom Ride,
  • The election of Neville Bonner in 1971 to our nation’s Parliament, the first Indigenous Australian to serve in the Australian parliament. If you ever get the opportunity, go to the old museum at the parliament, the Old Parliament, and read his diary entry. He has a pillow on display and the diary entry says “I was never invited to any event, any function. At the end of a day, I would leave my office, go home to my trusted friend, my pillow, and would lay my head down to rest.”
  • Eddie Mabo’s fight and victory for Native Title and land rights, and of course
  • Vincent Lingiari’s Wave Hill walk-off and a strike which led to the Native Land Rights Act in 1976.

These significant achievements shifted the pendulum positively, however this hasn’t always meant the pendulum stayed that way.

While we have succeeded in some areas, in others we have not.

Looking forward, we must address where we have failed.

Where we have failed to permanently shift the pendulum on fundamental disadvantage with Indigenous Australia, on factors such as;

  • The basic right to an education,
  • The value of a full-time job,
  • Access uniformly to health care – and the need to address alarming rates of suicide and mental illness in our community,
  • And much, much more.

As I stand here tonight, looking forward, I am optimistic about the opportunities that lie ahead for us – and equally as realistic about the challenges we must overcome.

LOCAL TRUTH-TELLING

As we embark on this journey – I am above all else wanting to have and encourage conversations across this nation – through these conversations we become more comfortable with each other, our shared past, present and future.

Truth-telling to me is not a contest of histories; it’s an understanding of history. It’s an acceptance that there can be shared stories around events in our nation’s history.

I recently spoke with an elderly woman who expressed her dismay that her childhood and education hadn’t featured the stories or history of Indigenous Australians.

In particular, she spoke about learning of massacres later in life and used the words to say that she had been lied to as a child.

I responded by saying that she wasn’t lied to, but she didn’t hear or have the opportunity to hear about our history through our eyes.

This is why we share and we need to share our history because it is important that the history of this nation is paralleled to the events that have occurred.

It is not about guilt. It is about acknowledging that there were events that occurred.

And we need to acknowledge that people will come to this debate from various angles, and perceptions of history – none of this is wrong, or should be dismissed or discouraged.

We cannot simply tell our truth through yelling.

It must be done through conversation.

For me, one of the most indelible moments that sparked a national conversation was that in December 1992 when the then Prime Minister Paul Keating delivered, what is now known as the Redfern Speech.

I had the fortune of being there.

The crowd was electrified and noisy, charged with energy and emotion.

I remember a bunch of balloons in the colours of the Aboriginal and Torres Strait Islander flags bobbed on the roof above Keating’s head, and children dressed in red as they sat on the grass at the foot of the stage, trying to keep still but mostly failing.

Keating’s words that day have entered the history books, so has that speech.

The words most often quoted are his accounting of the deeds of non-Aboriginal Australians. He said:

We took the traditional lands and smashed the traditional way of life. We brought the diseases. The alcohol. We committed the murders.”

But it was the next line that caused the strongest reaction from the audience. You couldn’t miss it.

We took the children from their mothers.

Those seven words drew a loud outburst from the crowd.

It was raw emotion.

Yet, it was both positive and negative – but most of all it was a significant moment of truth-telling, by none other than our nation’s Prime Minister of the day.

That shifted the pendulum – and from that shift, in 2008 we saw Prime Minister Kevin Rudd issue an apology on behalf of the Commonwealth Government to the Stolen Generations.

And any one of us here tonight could probably remember where we were, who we were with and the way in which we watched that speech being delivered. But the reactions that were portrayed on the screens, the tears running down the faces of those who were most affected, and the sense of relief became a glaringly obvious moment based on the fact: the truth of the past had been acknowledged.

Whilst this was regarded by some as merely a symbolic gesture, as of 2015 the fact is that there are an estimated 13,800 surviving Indigenous Australians aged 50 and over who had been removed from their families and communities and considered part of the Stolen Generation.

The healing that resulted from this act of truth-telling cannot be quantified.

And while this took time, it does demonstrate that truth-telling today can lead to significant moments of reconciliation in the future.

If we walk together and acknowledge our shared history we can achieve permanent positive change.

Truth-telling is not best served by a national commission or similar interrogation of truth.

We all should know detailed stories of the areas in which we lived. All Australians – sharing the one history.

I personally would rather see an organic and evolving truth-telling, in which we share our stories, our acknowledgement of the events of the past, but the way in which we as a nation of people are melding together for a better future.

There has to be local storytelling of the history of the past. And it must be local, otherwise we gloss over those very elements that are important in country, within region, and we will only tend to focus on national stories.

Every story to do with our country is as equally important as the national stories.

Around kitchen tables, over the BBQ and in the backyard, down at the local football and netball clubs and in pubs – this is where permanent change will come from – not from loud voices in Canberra and the media.

The 2018 Joint Select Committee on Constitutional Recognition heard this first hand, and reported the following:

“A large number of stakeholders agreed that truth-telling is best implemented at local and regional levels.”

A key component of this local truth-telling is the fact that we must be comfortable having these conversations.

And comfortability is a two way street – for Indigenous Australians it means having the ability to speak our truth and have it heard; and for those seeking to understand, we must allow them to ask questions and contribute to the rigour of the conversation – whilst at all times maintaining respect for one another.

Until this happens, we won’t see the shift in the pendulum that we want to see and achieve.

Importantly, truth-telling is also an opportunity to celebrate the achievements of Indigenous Australians – we must stand proud and celebrate the progress we’ve made.

Too often the pictures painted are that of setback and failure, which simply reinforces the negative elements of our history.

I want us to lead in a positive manner – I want all of us to lead in a positive manner. And, I want to celebrate our successes and champion those who achieve and do great things. In sport we do that exceptionally well – we acknowledge Ash Barty, we acknowledge Cathy Freeman, and many of our high-level achieving sports men and women.

But we also need to do it for the things that we achieve personally, those matters that we achieve as a community, but as equally important is the success of a child at each stage of schooling. And I’m not talking about achieving significant reform here, which is certainly important.

What I’m referring to is the kid who didn’t finish school getting their first job, and keeping it, and finding themselves contributing member to their community.

We need to celebrate every child who goes to school and receives an education, the foundation of a more meaningful and purposeful life.

These quiet achievements are as much about what defines Indigenous Australia in 2019 as the differences, we all too often allow those differences to divide us.

CONSTITUTIONAL RECOGNITION OF INDIGENOUS AUSTRALIANS

Looking forward to our opportunity to shift the pendulum – let’s talk about Constitutional Recognition of Indigenous Australians.

Whilst the Constitution belongs to all Australians, it is important for the purpose of the conversations that I’ve spoken about tonight are so critical in achieving what we set out to do.

As I’ve said before – this is too important to rush, and it’s too important to get wrong.

On eight occasions, the Australian people have voted to change our founding document.

The Constitution is like the rule book for sport; it is the rule book of our nation.

On 36 other occasions they’ve been lost – and there 36 issues that have not come back to the Australian people to consider again in a referendum.

The most recent example of this being the 1999 Republic and Preamble Referendum – a campaign that saw a rift in our nation’s fabric – and result where not a single State carried a Yes vote – and often forgotten, is the fact that the vote on the Preamble was rejected by a greater margin than the question of the Republic.

This is not to say we can’t achieve Constitutional Recognition within the term of this Parliament.

But it is important that we learn from the 1999 Referendum, and reflect on how challenging it can be to translate good will into a positive outcome.

Looking back to 1967, and the Referendum put forward by the Coalition Holt Government, 90.77% of Australians voted to embrace our people as part of Australia.

Key to this was bi-partisan support, the simplicity of the question and a clear purpose for holding the Referendum.

I want to be very clear – the question we put to the Australian people will not result in what some desire, and that is a enshrined voice to the Parliament – on these two matters, whilst related, need to be treated separately.

This is about recognising Indigenous Australians on our Birth Certificate.

And I’ll talk about voice later on.

When I was elected in 2010, I was appointed to the Expert Panel on Constitutional Recognition of Indigenous Australians – we held public conversations in 84 urban, regional and remote locations and in every capital city – as well as the hundreds of meetings and around 3,500 submissions were received.

From this, the Panel reported to government in 2012, and subsequently we had three more reports to government on the same matter.

Each of these reports have looked at a set of words to put to the Australian people.

The words are there in those documents.

Our challenge now is finding a way forward that will result in the majority of Australians, in the majority of states, overwhelmingly supporting Constitutional Recognition. We must be pragmatic.

The Constitution belongs to all Australians, from those in Slim’s home town of Kempsey to those in my childhood town of Corrigin, no one of us can lay claim to the Constitution.

It belongs to us collectively, and it belongs to those who came before us, and most importantly, it will belong to our children and our grandchildren.

I’m not thinking about what I can achieve for myself, or concerned about my legacy, I’m focused on realising recognition for my children, your children and generations to come.

Let me challenge the loudest voices in this debate – now is our opportunity to do this, and it will require understanding and tolerance of all views.

If we don’t seize the opportunity now, it may be lost for all of time – we must not allow this to happen – so I invite you to walk with all Australians on this journey.

It’s not about walking with me, or walking the path of any one individual – it’s about walking in the footsteps of those who’ve come before us, to create a new path for all Australians.

This is not an issue that can be viewed through the prism of political ideologies and all Australian politics have a way to go.

I ask my colleagues, from all sides, to remember what is your first duty as a Member of Parliament – and that is to listen to and represent the views of your community.

There is a lot of work to do on this journey – we haven’t had a referendum since 1999 – and we must educate a new generation on the importance of the Constitution and the significance of the change we are asking for.

This will require all of us to lay the foundation through education and conversation – that is the first step.

I had a young Australian ask me the other day when to expect their ballot to arrive in the mail to post back and wanted to be part of this change.

I had to explain to her the difference between the recent postal plebiscite to recognise same-sex Marriage and the difference between what a referendum is and how it works.

Having these conversations are as important as the conversations we have about why we need to recognise Indigenous Australians in the Constitution and demonstrates the steps we need to consider to achieve this.

Let’s start these conversations, which may seem very basic to us, but are very important to realising success.

The pendulum will shift – but it’s up to us to determine which way.

VOICE

Let me now turn to voice and being heard.

Having your voice heard is going to look very different to how your neighbour sees their voice being heard.

In Australia today, there are almost 800,000 Indigenous voices – all of equal importance and relevance.

Therein lies the complexity of defining ‘a voice’.

The voice is multi-layered and multi-dimensional.

I see rooted in our elders, who are the basis for our knowledge, culture and lore, and rooted in our communities, and extending through the ways in which all levels of government, service providers and corporations engage and work with our people.

Too often I visit communities and I’m told that their voice isn’t being heard because needs are not being met on the ground and we certainly heard that at Garma for those who were in attendance.

And others, who say that they want their local member of parliament to hear their voice.

How we give voice to these Australians is through conversation and understanding.

Knowing what is happening, knowing what needs to happen – and work with leaders and individuals within our communities to develop the practical solutions that see a shift in the pendulum at the most local of levels.

Having these voices heard is not only a matter for the Commonwealth government – it’s a matter for State and Territories, local governments and service providers.

That’s why I’ve tasked the National Indigenous Australians Agency with changing the way they engage – to ensure that the priority is meeting the needs of local communities first.

I’m often asked about the commitment of the Morrison Government but let me assure you that the Morrison Government is committed to a co-design process so we ensure we have the best possible framework in place to hear those voices at the local, regional and national level.

More will be said in the months to come, and much like Constitutional Recognition, it’s too important to rush, or to get wrong.

This is about ensuring Indigenous voices are heard as loudly as any other Australian voice is.

Again – this is a journey for all Australians to walk, and through conversations we must respect, understand and address all perspectives on this matter.

Giving voice to Indigenous Australians, and realising Constitutional Recognition are the greatest opportunities in our lifetime, but they are not mutually-exclusive.

This must be remembered if we are to shift the pendulum.

SHIFTING THE PENDULUM

But what about shifting the pendulum tomorrow?

There are things that we can be doing, as individuals, as parts of organisations and as members of communities to positively shift the pendulum.

Don’t think that any one action you can take won’t lead to meaningful change – the individual actions of those here tonight, let alone all those across this nation, has the potential to improve lives and outcomes for our people.

We can all shift the pendulum.

And that’s what I’m focused on every single day.

I will be judged as equally on my ability and this government’s ability to create jobs, improve access to healthcare, have young people attend school and succeed, and reduce suicide rates as I will be on delivering Constitutional Recognition.

And this is what drives me.

Every Indigenous Australian who finds a job, every young person that gets to school in the morning, every prevented suicide and instances of Otitis Media for example being treated is what I will celebrate.

And that’s something you should celebrate too. It’s something you can have a direct impact upon.

How do you play a role in shifting the pendulum? Consider that proposition tonight and leave here motivated to shift the pendulum for one person, one family, one community or more.

Many of you will be doing that already, so the question becomes, how can we grow and share that? How can we celebrate that?

We must look at what we do and the good we have the potential for – and to then share these successes as loudly and widely as possible.

By celebrating success, we’re not blinding ourselves to the challenges at hand, or dismissing the levels of disadvantage within Australian Indigenous communities.

We know that people are dying earlier.

We know that our people are committing suicide.

We know that children are being born into a lifetime of poverty.

And, that’s on us as well.

I don’t discount or diminish this in any way.

We owe it to our children, and to future generations to come to create an environment and culture of opportunity and of positivity so that when an Indigenous Australian children is born, they see a world where their dreams can be realised, and where each day is filled with hope and optimism.

Where the face they see in the mirror, doesn’t limit their aspirations.

Where the face they see in the mirror is the face they see reading the 5 o’clock news, the face they see exploring space or one day the face they see leading our nation.

To achieve this future, we must change how we look at ourselves – and we must have others view Indigenous Australians through our successes and not our failings.

Just as disadvantage should not be viewed through colour – success should not be limited by colour.

I asked what we can do tomorrow to shift the pendulum – well, start by celebrating success, by sharing success and by ensuring that one person’s success today is the hope for someone else’s success tomorrow.

But to emphasise the importance of acting and listening at a local level, I want to take us back to the 1967 referendum.

As the referendum votes were being tallied and the nation’s ‘Yes’ vote was starting to emerge, Vincent Lingiari, a Gurindji man and his stockmen were several months into their famous Wave Hill walk-off and strike.

The strike although initially an employee rights action had soon become a national issue as the relationship between Indigenous Australians and the wider community and our national idioms were once again being challenged.

The strike lasted 8 years and that eventually led to the Native Land Rights (Northern Territory) Act 1976.

This shifted the pendulum, legislating the right for Indigenous people of the Northern Territory to negotiate over any developments on their lands.

LINGIARI

Lingiari’s actions at a local level, culminated in the Prime Minister Gough Whitlam’s pouring the red dirt of our land through the hands of Vincent.

While this act was symbolic, it put in train a series of events that defines the land rights movement to this day.

The courage shown by Lingiari was not only for him, but for future generations, as recognised by what Whitlam said. And I won’t repeat what Sue shared with us earlier but it was a sign of possession of our lands for our children forever.

I am truly humbled to be here in front of you, delivering the 19th annual Vincent Lingiari Memorial Lecture – and I thank Charles Darwin University for the opportunity to contribute to this series of lectures, which has helped in its own way, be a form of truth-telling and spark the conversations that we’ve needed since 1996.

To be in the company of such distinguished voices truly is an honour.

And, I don’t want tonight to be about me, but if I could take one moment to say that the significance of being appointed the first Indigenous Minister for Indigenous Australians is not lost on me.

And I thanks the Gurindji people for their faith and for their commitment and I will certainly walk with you to deliver on the things that are important to our people but I will walk with our people across this nation and other Australians.

For young Indigenous Australians out there, across this great nation, dreaming of a career in politics, I hope that my journey can give you hope.

Many of you here know my journey, but just let me share it again for that young person who’s hearing from me for the first time tonight.

I was born in 1952 and raised in Roelands Mission near Bunbury in Western Australia, and the oldest of 10 kids.

My father was a railway ganger. My mother was a member of the Stolen Generations.

And, we lived in a tiny place called Nannine, just west of Meekatharra.

My schooling at first was by correspondence – working a radio with a foot pedal, like an old sewing machine, for two hours at a time.

Soon afterwards, my parents moved to Corrigin.

Education was my turning point, and by going to school, my drive for knowledge and desire to learn is something that I retain and value today.

I have a few other fragments of memory from when I was a skinny-ankled kid running around Corrigin.

There was the time that some people in our town started circulating a petition to get the Aboriginal family that had just moved in kicked out.

The petition failed. The townspeople wanted us to stay and have a fair go.

I also remember a time when I was about ten years old and somebody said to me: you might end up being a politician one day.

And I thought “not in this country will I ever have that opportunity”.

As I grew into a teenager in the mid-60s, I became enterprising.

I worked on farms, I’d catch rabbits, sell the meat to the butcher (certainly not the ones I bruised; I’d cook those) and I’d sell the skins as well.

I used to work on farms too. I’d earn money by chopping wood, doing the fencing, driving tractors during harvesting.

But, it gave me money for myself. I’d keep half my earnings and buy a few things and put some away in the bank. The other half I’d give to mother to help put food on the table for all of us.

This is not a sob story.

To me it sort of felt like freedom.

It gave me a sense of personal responsibility and an attitude of enterprising thinking.

Those experiences living in a country town probably shaped me.

While I was busy skinning rabbits and making a buck, Australia was growing and changing.

I hope collectively we can fulfil the expectation I feel each day, to continue to grow and shape a better future for all Indigenous Australians, and continue the healing of our nation.

I know I don’t walk alone – but I also acknowledge there are many expectations placed on me. And I feel the weight of expectation.

But, I want to take this weight – and turn it into an optimism for what we can achieve – together when we swing the pendulum.

CONCLUSION

And, I’ll repeat again – everything I have spoken about tonight, from truth-telling to Constitutional Recognition is too important to rush, and too important to get wrong.

I need everyone in this room, and all of those out there who want us to succeed to ask yourselves – what can I do to help us realise our goals?

What are you going to do to shift that pendulum?

What are you going to do tomorrow, in three months’ time and in a year’s time? – good will, while important, will not allow us to complete this journey and positively shift the pendulum.

How can we elevate our successes?

How can we give voice to those who feel voiceless?

And, how can we make sure their voices are heard as loudly as those who come from Canberra and in the media?

I want you to remember these words from Vincent Lingiari:

“Let us live happily together as mates, let us not make it hard for each other… We want to live in a better way together, Aboriginals and white men, let us not fight over anything, let us be mates.”

Let this be the basis for conversations we have. And, remember these important words of Vincent Lingiari.

Take stock every so often and ask yourself – are your actions working for or against shifting the pendulum – on any of the measures we’ve discussed tonight, or on any other significant measures through which we define success and progress.

Let’s remember the importance of learning, listening and understanding when we look back – and through this, we will be able to look forward.

Look forward and work towards realising

  • Local truth-telling;
  • Constitution Recognition of Indigenous Australians;
  • Giving voice to our local communities; and
  • Addressing disadvantage in Indigenous Australia.

Together we can shift the pendulum, help every child out there realise their dreams, and leave a more unified, understanding and tolerant Australia for the generations to come.

Success for me, will be to look back, after all is said and done, and be able to say, as Slim once sang:

We’ve done us proud.

To come this far,

Down through the years,

To where we are,

Side by side,

Hand in hand,

We’ve lived and died for this great land,

We’ve done us proud.

Let us walk together.

Let us shift the pendulum together.

I thank you for the privilege of being here with you this evening.

Thank you.

[ENDS]

AUTHORISED BY KEN WYATT, LIBERAL PARTY, CANBERRA.

NACCHO Aboriginal Health News : Minister @GregHuntMP launches Australia’s Long Term National Health Plan that charts the way forward over the next 3 and 10 years : Download HERE

Delivering the world’s best mental health system – stigma-free and focused on prevention, starting with children under 12 – is the major focus of the Australian Government’s Long Term National Health Plan, outlined today.

Under this Plan, we will build a mentally and physically healthy Australia. For the first time, mental health will be rated equally alongside physical health.

The Long Term National Health Plan recognises that depression, anxiety, bipolar disorder and psychosis are health problems to be treated just like diabetes, asthma and broken bones.

It charts the way forward over the next three and 10 years in the key areas of mental health, primary care, hospitals, preventive health and medical research.

The Long Term National Health Plan includes:

  • The 2030 mental health vision, including a new strategy specifically for children under 12 years
  • The 10-year Primary Health Care Plan
  • Continued improvement of private health insurance
  • The 10-year National Preventive Health Strategy
  • The 10-year Medical Research Future Fund (MRFF) investment plan.

To help inform the Plan, the Government is commissioning a multi-year study of more than 60,000 Australians to provide the most complete picture ever of our physical and mental health.

The Intergenerational Health and Mental Health Study will cover mental health, general health, nutrition and physical activity.

Health Minister Greg Hunt launching The Long Term National Health Plan at the National Press Club August 14

Download Read full 30 minute speech HERE

Transcript Minister Greg Hunt Launch Health Plan

Improving the health of Aboriginal and Torres Strait Islander people is a top priority for the Government.

Over four years from 2019-20, we will invest $4.1 billion in dedicated health programs for Indigenous
Australians.

This represents an annual increase of around four per cent. This will improve access to culturally sensitive comprehensive primary health care, and target areas of critical need to accelerate progress
towards the Closing the Gap targets.

Our focus is on working with Indigenous communities and other governments to ensure programs are working effectively to improve health outcomes, by tackling the social factors which impact heavily on health.

All Aboriginal Community Controlled Health Services now report against national key performance
indicators, which are critical for measuring progress towards the Government’s Closing the Gap targets.

We are also funding research and innovation in cooperation with Australia’s First Nations’ people,
including $160 million for a 10-year national Indigenous Health Research Fund.

Up to $25 million will be directed to communities and stakeholder groups to implement proposals at
a local level to improve Aboriginal and Torres Strait Islander Health “

Australia’s Long Term National Health Plan charts the way forward over the next 3 and 10 years in the key areas of mental health, primary care, hospitals, preventive health and medical research

Download the Plan HERE

australia-s-long-term-national-health-plan_0

Mental health

The Government will build a mental health system that is integrated, simplified, trusted and comprehensive.

The new Children’s Mental Health Strategy focuses on the 0–12 age group, and aims to maintain mental wellbeing and prevent mental ill health. It will improve delivery of supports for early childhood, parenting and early education.

We know that half of all symptoms of mental illness begin before the age of 14, and that neuropsychiatric conditions are the leading cause of disability in young people. If untreated, these conditions severely influence how children develop, and how they do at school and in life.

The Children’s Mental Health Strategy will provide a framework to embed protective skills in early childhood, create mentally healthy home environments, support parents, and prevent or treat early childhood trauma.

The expert working group developing the Strategy will be co-chaired by Professor Frank Oberklaid and Professor Christel Middeldorp. Two internationally recognised leaders in child mental health.

Professor Oberklaid, Director of the Centre for Community Child Health at The Royal Children’s Hospital, and Professor Middeldorp, conjoint Professor of Child and Youth Psychiatry at the Child Health Research Centre and Children’s Health Queensland Hospital and Health Service, are two of Australia’s leading child mental health experts.

The Government will continue to tackle stigma around mental illness and encourage people to seek help – and seek it early.

Enormous progress has been made on destigmatisation, but self-stigma – people’s self-consciousness about their own mental health concerns remains high. It is the main barrier to people seeking help.

As a Government, and through the nation’s leaders, organisations, schools and the community, we will work to ensure there will be no shame – in particular, no shame in our own mental health challenges – when we reach out for help.

The Government is undertaking unprecedented action to reduce the rates of suicide, particularly for our young people and Indigenous Australians. More than 3,120 recorded suicides in 2017 – part of an upward trend over the past decade – is a national tragedy.

The Government will establish a ‘towards zero’ suicide target and culture through a whole-of-government approach driven by Australia’s first National Suicide Prevention Adviser, Christine Morgan.

One of the specific priority areas for the next round of the Government’s Million Minds mental health research mission will be research on suicide prevention. Funding of $8 million will be made available to support this research with a round to be opened for competitive application in November 2019.

We will continue to improve service delivery. Funding of $111 million will establish 30 more headspace centres in this term, taking the total to 145 around Australia.

Funding of $110 million is allocated for the Early Psychosis Youth Services Program; $114.5 million to establish eight adult mental health centres; $63 million for residential eating disorder centres in each state and territory; and $36.7 million to expand Way Back services in selected regions, to support people after attempting suicide.

Between now and 2030, we will establish a network of adult mental health centres.

Australia’s mental health system needs to be better integrated. The Government will work towards a New National Mental Health Partnership with states and territories. This Partnership will be informed by the National Mental Health Commission and the Productivity Commission, which are currently working together on Vision 2030: Blueprint for the Future.

The Partnership will identify individual and shared responsibilities for states and territories, and the Commonwealth.

The goal of national partnerships with each of the states and territories is for a simplified mental health system from prevention to treatment to recovery.

Primary care

The Government will implement the 10-year Primary Health Care Plan.

A key reform is support for GPs to provide more flexible care for patients over 70 with chronic and complex conditions, through a new patient enrolment payment model rather than fee-for-service MBS items.

We will develop genomics testing as the new standard of care. Genomics will transform prevention, prediction, diagnosis and treatment by providing precision medical care, targeting the unique genetic makeup of individuals.

We will progressively roll out universal telehealth, modernising general practice, improving continuity and convenience, and particularly benefiting rural and remote Australia.

We will encourage more nurses to enter the primary care workforce.

We will make pharmacy an even more essential part of primary care. The Government is committed to early and inclusive negotiations for a new Community Pharmacy Agreement.

Through our Stronger Rural Health Strategy, we will better distribute the health workforce, with 3,000 new doctors and nurses and hundreds of allied health professionals to be located in areas of need, especially in regional and rural Australia.

Indigenous health is a key priority. We will complete the next iteration of the National Aboriginal and Torres Strait Islander Health Plan by mid-2020.

Through Medicare and the Pharmaceutical Benefits Scheme (PBS), we will continue to ensure Australians have guaranteed access to subsidised health care and medicines. We have provisioned $40 billion for PBS medicines over the next four years. Of this, more than $10 billion is for cancer medicines. We are also looking at ways to improve subsidised access, including streamlining processes for medicines that offer a real therapeutic advance.

Hospitals and private health insurance

We have begun the next wave of private health insurance reforms. We are working collaboratively with insurers, hospitals and doctors to deliver a better outcome for consumers. Our first round of reforms delivered the lowest premium changes in 18 years.

With $131 billion in record public hospitals funding on the table for the next five years under the National Health Reform Agreement, we will work with states and territories to better coordinate care for complex and chronic conditions, keep people out of hospital, and improve management, including self-management, of people with chronic and complex conditions.

Under our landmark $1.25 billion Community Health and Hospitals Program, we will continue to allocate funds for important health and hospital projects. So far, $100 million in signed bilateral agreements with states and territories has been released for 65 projects, including the Peter MacCallum Cancer Centre to bring CAR T – cell treatment to Australia ($80 million), Sydney Children’s Comprehensive Cancer Care Centre ($100 million), the Repat Brain and Spinal Centre, South Australia ($20 million), and the Logan Urgent and Specialist Care Centre, Queensland ($33.4 million).

Preventive health

The Government will develop and implement a 10-year National Preventive Health Strategy. This strategy will provide a better balance between treatment and prevention. It will be designed to keep people healthier and out of hospital.

We will continue to lift cancer screening rates across the three current population-based cancer screening programs – bowel, breast, and cervical – and have requested Cancer Australia to investigate the potential for a national lung cancer screening program.

Australia is set to be the first country in the world to eliminate cervical cancer through vaccination and screening.

We will continue to invest in the National Immunisation Program – $400 million for this year. We will develop a national obesity strategy with states and territories. A $20 million National Tobacco Campaign over four years will continue to reduce tobacco use. Our goal is to reduce smoking rates to below 10 per cent by 2025.

The National Preventive Health Strategy includes an Indigenous Preventive Health Plan. Under this plan, targets for improved health outcomes include:

  • Ending avoidable blindness by 2025
  • Ending avoidable deafness by 2025
  • Eradicating rheumatic heart disease by 2030
  • A 10 per cent annual increase in the number of people having at least one health check a year
  • 60 per cent of pregnant women to have at least one health check in the first trimester
  • Stopping the growth in type 2 diabetes among children and young people within five years.

Medical research

The 10-year, $5 billion MRFF investment plan and the $500 million Biomedical Translation Fund are giving funding certainty to our best and brightest researchers and start-ups. They are reaffirming Australia’s reputation as a world leader in the health and medical research.

A total of 54 clinical trials are now being funded through the MRFF. Within 10 years, we will have established Australia as a global centre for clinical trials.

Eight research missions covering brain cancer ($124.7 million), mental health ($125 million), genomics $500 million), ageing, aged care and dementia ($185 million), Indigenous ($160 million), stem cell ($150 million), cardiovascular ($220 million) and traumatic brain injury ($50 million) are funded through the MRFF. Over time, they will transform health care.

Work on breakthrough treatments includes the $20 million Mackenzie’s Mission to research rare genetic conditions like spinal muscular atrophy and fragile X syndrome, and the $50 million Genomic Cancer Medicine Program.