NACCHO Aboriginal Health News: world-first virtual healthcare technology will improve remote area training access

feature tiel - two nurses using virtual healthcare training goggles

World-first virtual healthcare training trial

Training for healthcare workers is about to go virtual for the first time as part of a new partnership between industry, TAFE and NSW Health. Learning how to take a blood test will no longer need to be done in a real health setting. Instead, trainees including doctors, nurses, laboratory technicians and Indigenous health workers will be able to learn the procedure while fully immersed in a virtual hospital, including sound effects such as blipping machines.

The NSW government said the virtual reality training technology was a world first that would be piloted in a yet-to-be named regional hospital. The virtual reality blood testing pilot was developed by TAFE NSW with NSW Health Pathology, CognitiveVR and diagnostic solutions company Werfen. Healthcare workers will use a virtual reality headset to learn “hands-on” blood testing. The simulation aims to provide healthcare professionals across the state, including in regional and remote areas, with greater access to hands-on training scenarios, ultimately increasing the quality of care while also reducing time away from clinical care.

To read the full article in The Sydney Morning Herald click here.

Werfen Australian NZ GM Sally Hickman demonstrates virtual reality blood testing - wears virtual reality goggles, hand is outstretched

Werfen Australian NZ General Manager Sally Hickman. Image source: The Sydney Morning Herald.

Purple House HESTA Excellence Award finalist

Purple House is one of six finalists in the Outstanding Organisation category of the HESTA 2020 community services awards. Purple House has been recognised for getting Indigenous dialysis patients home to country and providing a home away from home in Alice Springs. Purple House is an innovative Indigenous-owned and run health service operating from a base in Alice Springs. It runs dialysis units in 18 remote communities across the NT, WA and SA, and a mobile dialysis unit called the Purple Truck and has a focus on getting patients back home so families and culture remain strong.

Before Purple House, patients were forced to leave country and move far away for dialysis, leaving communities without elders to share knowledge and families disrupted. Many patients are now home but there are still communities without dialysis and patients who need to live short or long term in Alice Springs. Purple House’s base in Alice also offers primary health care, allied health, wellbeing, aged care, NDIS and a bush medicine social enterprise.

To view the full article click here.
Purple House CEO Sarah Brown with patient Rosie Patterson from Yuelamu

Purple House CEO Sarah Brown and patient Rosie Patterson. Image source: Hospital and Healthcare.

Homelessness affects children’s health

Seven new Flinders University research projects have been funded by the Channel 7 Children’s Research Foundation, including support for special studies to help homeless, at-risk, migrant and autistic children and Indigenous health. Nurse practitioners working with social service agencies is one way to help the estimated 22% of Australian children living in temporary or precarious living conditions, with families hit hard by unemployment and other problems created by the pandemic. These children – some skipping health checks, vaccinations and even nutritional meals – may not have regular doctor appointments, and poorer access to health services, leading to more physical and mental health issues and emergency department presentations.

To view the full article click here.

small Aboriginal child with tangled hair, scrapped knees sitting on concrete floor with head in knees, hands wrapped around legs

Image source: Flinders University website.

NT 2021 Australian of the Year Award nominees

Across Australia (except Vic & Tas) – Australian Bureau of Statistics (ABS)

2021 Census Engagement Manager x 35 (25 in remote areas, 10 in urban/regional locations)

The ABS is recruiting Census Engagement Managers for the 2021 Census. Due to the close working relationship with the community, 35 Census Engagement Manager positions will be only open to Aboriginal or Torres Strait Islander applicants. Census Engagement Managers are specialised roles requiring a high degree of community interaction. They will be working within communities telling people about the Census and ensuring everyone can take part and get the help they need. Where possible, Census Engagement Managers will be recruited locally. To view a recruitment poster click here.

For further information on the roles and to apply click here.

Applications for Census Engagement Manager roles are open now and close Thursday 5 November 2020.

NACCHO Aboriginal Health News: CtG targets alone will not close the chasm of need


AIHCTG logo painting of black hand with thumb interlinked with thumb of white hand against burnt orange cirle, surrounded by golden yellor circle, then white dots then black circle

CTG targets alone don’t drive change

The new National Agreement on Closing the Gap released in late July this year, was met with mixed reactions. Featuring 16 new socioeconomic targets and the commitment to shared decision-making between government and Aboriginal and Torres Strait Islander representatives, it reset the original 2008 targets after little year-to-year progress. The Coalition of Peaks, a representative body made up of approximately 50 Indigenous community-controlled organisations, believes progress on the targets over the last 12 years didn’t progress as far as was hoped, as governments didn’t follow through with their commitments.

Lead Convenor of the Coalition of Peaks and CEO of the National Aboriginal Community Controlled Health Organisation, Pat Turner AM said targets alone do not drive change. “The National Agreement gives our people and the wider Australian public a birds eye view of every government’s level of commitment to actually close the giant chasm of need,” she said.

To read the National Indigenous Times article click here.

view from waist up of two Aboriginal children one with arm around the shoulders of the other facing away from the canera

Image source: National Indigenous Times website.

SNAICC expresses out-of-home care concerns

The Secretariat for National Aboriginal and Islander Child Care (SNAICC) is deeply concerned about the increasing number of Aboriginal and Torres Strait Islander children in out-of-home care being placed away from Aboriginal and Torres Strait Islander families and carers, as revealed in a new report released by the Australian Institute of Health and Welfare (AIHW) today. The Aboriginal and Torres Strait Islander Child Placement Principle Indicators 2018–19 report measures progress towards implementing the Aboriginal and Torres Strait Islander Child Placement Principle – a principle that aims to ensure the value of culture to the safety and wellbeing of Aboriginal and Torres Strait Islander children is embedded in policy and practice.

To view SNAICC’s media release click here.

sad face of young Aboriginal girl

Image source: AbSec website.

COVID-19 homelessness short-term fix

Research for the Australian Homelessness Monitor 2020 reveals at least 33,000 rough sleepers and other homeless people have been booked into hotels and other temporary accommodation during the COVID-19 crisis. COVID-19 triggered multimillion-dollar commitments by state governments to tackle homelessness, with several states pledging funds and support to move beyond this short-term fix to ensure former rough sleepers find long-term housing. These are commendable actions in a long-neglected policy area, even if largely inspired by public health anxieties rather than concern for the welfare of people without a home. Such action should be part of comprehensive national housing strategy to design and phase-in the wide-ranging reforms of taxes and regulations needed to rebalance Australia’s housing system and tackle homelessness at its source.

To view the full article click here.

homeless camps (multiple tents) Macquarie Street Sydney

Homeless camp in the centre of Sydney. Image source: The Conversation website.

COVID-19 wellbeing survey seeks youth voice

The Menzies School of Health Research Aboriginal and Islander Mental health initiative (AIMhi) Stay Strong team is looking for Aboriginal and Torres Strait Islander youth between 16–25 years old to take part in to understand the impacts of the Coronavirus pandemic on mental health and wellbeing.

HAVE A YARN WITH THE TEAM – the team would love to hear about your experiences during the pandemic. Join them for a casual interview in-person (in Darwin) or on Zoom! Each interview participant will receive a $30 voucher! For more information about the research click here and here and to express your interest in participating click here.

UNABLE ATTEND AN INTERVIEW? – you can still take part by completing this 10 minute survey and go in the draw to win a $20 voucher!

Not you, but know someone who might be interested?

Please share this information to spread opportunities for young Aboriginal and Torres Strait Islander people to have a voice in Australian research.

backs of Aboriginal Trei and Karlie Stewart leaning against would post rail fence looking at football field

Trei and Karlie Stewart. Image source: ABC news.

Every Doctor, Every Setting National Framework

The Every Doctor, Every Setting: A National Framework was officially launched last week, as part of a national commitment to prioritise the mental health and wellbeing of Australian doctors and medical students. The framework was developed under the guidance of a national working group and in consultation with doctors, doctors in training and medical students in addition to a review of best practice evidence. It aims to guide coordinated action on the mental health of doctors and medical students through target areas including – improving training and work environments, recognising and responding to those needing support, improving the response to doctors and medical students impacted and improving the culture of the medical profession to enable wellbeing and coordinated action and accountability.

To view the DRS4DRS media release click here.Every Doctor, Every Setting banner - stethoscope sitting on keyboard

Reward for NATSIHWA membership referrals

The Aboriginal and Torres Strait Islander Health Worker Association (NATSIHWA) is holding a membership drive for the month of October 2020. NATSIHWA are inviting all student, associate and full members of NATSIHWA to refer new members. By referring a new member, you will assist others to discover the benefits of becoming a NATSIHWA member and get rewarded with a special gift pack for every successful referral. Also, there is a chance to win a Google Home Mini, for the most number of referrals!
 
The offer is valid for the month of October 2020 and applications must be made online.

Better healthcare in hospitals for our people webinar during NAIDOC Week 2020

The Australian Healthcare and Hospitals Association will be holding a free webinar Better healthcare in hospitals for Aboriginal and Torres Strait Islander people in acknowledgement of NAIDOC Week 2020 at 10.30 am Thursday 12 November 2020.

AHHA would like to invite you and any other interested parties to register here, where you will also find more information on the webinar and presenters.

health professional leaning on rail of hospital bed talking to Aboriginal woman patient

Image source: the footprints network webpage.

Racism embedded in healthcare system

Why do vast gaps exist between Indigenous and non-Indigenous Australians when it comes to health outcomes? What would you say if someone told you that racism is embedded in Australia’s healthcare system, and that the system itself was perpetuating inequities? Professor Roianne West is taking on the immense task of unravelling racism in Australia’s complex health system through innovative training and education, and inspiring a generation of healthcare workers to understand the impact of racism on the health outcomes of Aboriginal and Torres Strait Islander people.

To read the full Hospital and Healthcare article click here.

portrait photo of Professor Roianne West

Professor Roianne West, Griffith University. Image source: Hospital and Healthcare website.

Training to support Stolen Generations survivors

The Marumali Journey of Healing Model developed by Aunty Lorraine (Darcy) Peeters, a survivor of the removal policies herself. is unique, original and unparalleled. Since 2000 the Marumali Program, that is based on the nationally recognised best practice, good practice healing model, has been delivered to groups and individuals, with an aim of increasing the quality of support available to Stolen Generations, their families and their communities. Groups  include service providers in the Aboriginal community controlled sector and Government sector and survivors within community and the prison system.

Wingali Marumali Pty Ltd is running two courses in December:

Marumali Program for Aboriginal and Torres Strait Islander Service Providers (4 days) – 1–4 December 2020, Brisbane.

Marumali Program Trauma-Informed Care For Stolen Generations Workshop for Non-Aboriginal Service Providers (2 days) – 7–8 December 2020, Brisbane.

For more information on the courses and to register click here.

close up photo of faces of Aunty Lorraine Peeters & her daughter Shaanf

Aunty Lorraine Peeters and her daughter Shaan. Image source: ABC All In The Mind webpage.

Mental health support network for our mob

Black Dog Institute is one step closer to developing a network to support mob struggling with mental ill-health. Led by the Aboriginal and Torres Strait Islander Lived Experience Centre, the network is being developed through extensive consultation with communities across the nation.

Head of the Aboriginal and Torres Strait Islander Lived Experience Centre, Quandamooka woman, Leilani Darwin. said “We have had an opportunity to host some national online yarning circles with mob who have lived experience and I feel so privileged to hear their stories and their journeys. Even though we know how much our communities are impacted by suicide and mental ill-health, when you have families there that are losing 20 people in a year in the family group … the fact they can [attend and] talk about it is powerful.” 

To view the full article in the National Indigenous Times click here.

Aboriginal man talking on his mobile phone

Image source: ABC News website.

Health worker support essential

The national peak body Mental Health Australia, has released results of a survey on the mental health and wellbeing of healthcare professionals across the country. The research looks at how the pandemic has affected healthcare professionals on a personal level, and what strategies they have used to maintain mental health and wellbeing over the past six months. Over 70% of healthcare professionals stated that COVID-19 restrictions have impacted their mental health and wellbeing in a negative way. 4 out of 5 say that working in healthcare during the pandemic has increased the amount of stress and pressure they experience in the workplace.

To view the Mental Health Australia’s media release click here.

3 Moorundi ACCHS Aboriginal Health Workers in office, one have blood pressure taken

Moorundi ACCHS Aboriginal Health Workers Alfie Gollan, Njirrah Rowe, Dorothy Kartinyeri. Image source: The Murray Valley Standard.

Social determinants of health link to kidney disease

The Australian Indigenous HealthInfoNet has produced an updated Review of kidney health among Aboriginal and Torres Strait Islander people. Kidney disease is a serious health concern for people living in Australia with one in three adult Australians at an increased risk of developing chronic kidney disease (CKD).  Australians diagnosed with CKD regularly suffer poor health outcomes and a compromised quality of life. CKD  can be associated with other chronic diseases like diabetes and cardiovascular disease. Aboriginal and Torres Strait Islander people experience an increased burden of kidney disease, particularly those living in remote communities. HealthInfoNet Director Neil Drew says, “The purpose of this review is to provide a comprehensive synthesis of key information on kidney health among Aboriginal and Torres Strait Islander people in Australia and provide evidence to assist in the development and delivery of policies, strategies and programs”.

To view the Australian Indigenous HealthInfoNet media release in full click here.

Aboriginal person's arm & hand with tubes for dialysis

Image source: RACGP website.

Australia-wide – Hearing Australia

Hearing Australia is looking to fill the two Hearing Assessment Program (HAP) positions listed below. The HAP is a major initiative to reduce hearing loss in Aboriginal and Torres Strait Islander children aged 0-6 years living in regional and remote communities.

FT Aboriginal Manager Capability Strategy HAP (fixed term)

The Aboriginal Manager Capability Strategy HAP position is a national role responsible for the detailed design and implementation of the capability strategy with a key focus of building capability in Aboriginal Community Controlled Health Services.  The capability strategy contains 3 key areas- ensuring services have the resources (human and physical) to do ear and hearing health checks on 0–3 year olds; that services have staff who are competent to undertake these checks and that services have a system in place to provide checks at regular intervals during a child’s first 3 years of life. To view the job description click and to apply click here.

FT Manager Clinical Operations HAP (fixed term)

The Manager Clinical Operations HAP position is a national role responsible for ensuring that HAP-EE has sufficient clinical staff to meet its national service targets. The Manager will work closely with other HAP-EE managers to ensure that clinical staff and clinical equipment are deployed effectively across all HAP-EE sites, hearing centres and tele-health services to complete assessments and to build capability in participating services. To view the job description click and to apply click here.

Applications for both positions close on Friday 30 October 2020.

Adelaide – CRANAplus

FT or PT Senior Psychologist: Mental Health & Wellbeing Service (permanent)

CRANAplus is the Peak Professional Body for Health Professionals working in remote and isolated areas across Australia. We exist to ensure the delivery of safe, high quality primary healthcare to remote and isolated areas of Australia. Responsible for the development and delivery of high-quality psychological interventions and supports to Health Professionals and their families, across Australia. We are seeking an experienced Practitioner who has a passion to: – Provide counselling care and interventions through CRANAplus’ Bush Support Line – Grow clinical resources, materials, and workshops available to remote and rural Health Professionals to support their wellbeing and professional knowledge growth. – Contribute to new innovations, designs, and position CRANAplus as a specialist service.

To view the position description click here.

Applications close 3.00 pm 9 November 2020.CRANAplus logo & image of 4-wheel drive in outback

NACCHO Aboriginal #Kidney Health News and Resources Alert :  @KidneyHealth Australia awarded funding investment to improve kidney disease outcomes for our communities : Plus Download new APP

Contents of this post 

1.Funding press release

2.Updated CKD Go! App is now available!

3.Indigenous Resources

4. NACCHO Kidney Health articles over past 8 years

The peak body for kidney disease in Australia, Kidney Health Australia, is pleased to announce Federal Government funding of over $700k to support world-first clinical guidelines to improve the diagnosis and treatment of kidney disease within Aboriginal and Torres Strait Islander communities.

Kidney Health Australia CEO Chris Forbes said the funding was vital to improve health outcomes for Aboriginal and Torres Strait Islander people as the rate of kidney disease in indigenous communities was twice as high as non-indigenous communities, with 1 in 5 Aboriginal and Torres Strait Islander people having the indicators for chronic kidney disease.

“We are very pleased to have the Federal Government’s ongoing support in working with Aboriginal and Torres Strait Islander communities to deliver better health outcomes for kidney disease,” Mr Forbes said.

“Kidney disease is an insidious and deadly disease that is often not detected until kidneys fail, and the treatment for end stage kidney disease can make life very challenging – for First Nations people, the social, spiritual and community impact is immense.”

“Since 2018, we have conducted consultations with Aboriginal and Torres Strait Islander communities around Australia to develop a framework for evidence-based guidelines that are specific to the management of kidney disease within their communities, and will deliver better health outcomes.

“The Federal Government funding enables us to deliver what the community has clearly told us is long-overdue – meaningful and appropriate clinical guidelines that are aligned with First Nations’ community preferences and needs,” Mr Forbes said.

For more information on the Federal Government’s funding announcement, please visit: www.kidney.org.au/yarning-kidneys-consultations

2. Updated CKD Go! App is now available!

Kidney Health Australia recently launched of the 4th edition of the ‘Chronic Kidney Disease (CKD) Management in Primary Care’ handbook.

Download HERE

chronic-kidney-disease-management-in-primary-care-4th-edition-handbook

This highly regarded handbook provides guidance and clinical tips to help detect, manage, and refer patients in your practice with CKD.

We are excited to share that the new content is now also available in our FREE app CKD Go!  The CKD Go! app can now be downloaded free from the iTunes Store and from Google Play.

3.Indigenous Resources

Download HERE

4. NACCHO Kidney Health articles over past 8 years

Read Here

 

NACCHO Aboriginal Health Research Alert : @HealthInfoNet releases Summary of Aboriginal and Torres Strait Islander health status 2019 social and cultural determinants, chronic conditions, health behaviours, environmental health , alcohol and other drugs

The Australian Indigenous HealthInfoNet has released the Summary of Aboriginal and Torres Strait Islander health status 2019

This new plain language publication provides information for a wider (non-academic) audience and incorporates many visual elements.

The Summary is useful for health workers and those studying in the field as a quick source of general information. It provides key information regarding the health status of Aboriginal and Torres Strait Islander people across the following topics:

  • social and cultural determinants
  • chronic conditions
  • health behaviours
  • environmental health
  • alcohol and other drugs.

The Summary is based on HealthInfoNet‘s comprehensive publication Overview of Aboriginal and Torres Strait Islander health status 2019. It presents statistical information from the Overview in a visual format that is quick and easy for users to digest.

The Summary is available online and in hardcopy format. Please contact HealthInfoNet by email if you wish to order a hardcopy of this Summary. Other reviews and plain language summaries are available here.

Here are the key facts

Please note in an earlier version sent out 7.00 am June 15 a computer error dropped off the last word in many sentences : these are new fixed 

Key facts

Population

  • In 2019, the estimated Australian Aboriginal and Torres Strait Islander population was 847,190.
  • In 2019, NSW had the highest number of Aboriginal and Torres Strait Islander people (the estimated population was 281,107 people, 33% of the total Aboriginal and Torres Strait Islander population).
  • In 2019, NT had the highest proportion of Aboriginal and Torres Strait Islander people in its population, with 32% of the NT population identifying as Aboriginal and/or Torres Strait Islanders
  • In 2016, around 37% of Aboriginal and Torres Strait Islander people lived in major cities
  • The Aboriginal and Torres Strait Islander population is much younger than the non-Indigenous population.

Births and pregnancy outcomes

  • In 2018, there were 21,928 births registered in Australia with one or both parents identified as Aboriginal and/or Torres Strait Islander (7% of all births registered).
  • In 2018, the median age for Aboriginal and Torres Strait Islander mothers was 26.0 years.
  • In 2018, total fertility rates were 2,371 births per 1,000 for Aboriginal and Torres Strait Islander women.
  • In 2017, the average birthweight of babies born to Aboriginal and Torres Strait Islander mothers was 3,202 grams
  • The proportion of low birthweight babies born to Aboriginal and Torres Strait Islander mothers between 2007 and 2017 remained steady at around 13%.

Mortality

  • For 2018, the age-standardised death rate for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT was 1 per 1,000.
  • Between 1998 and 2015, there was a 15% reduction in the death rates for Aboriginal and Torres Strait Islander people in NSW, Qld, WA, SA and the NT.
  • For Aboriginal and Torres Strait Islander people born 2015-2017, life expectancy was estimated to be 6 years for males and 75.6 years for females, around 8-9 years less than the estimates for non-Indigenous males and females.
  • In 2018, the median age at death for Aboriginal and Torres Strait Islander people in NSW, Qld, WA, SA and the NT was 2 years; this was an increase from 55.8 years in 2008.
  • Between 1998 and 2015, the Aboriginal and Torres Strait Islander infant mortality rate has more than halved (from 5 to 6.3 per 1,000).
  • In 2018, the leading causes of death among Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT were ischaemic heart disease (IHD), diabetes, chronic lower respiratory diseases and lung and related cancers.
  • For 2012-2017 the maternal mortality ratio for Aboriginal and Torres Strait Islander women was 27 deaths per 100,000 women who gave birth.
  • For 1998-2015, in NSW, Qld, WA, SA and the NT there was a 32% decline in the death rate from avoidable causes for Aboriginal and Torres Strait Islander people aged 0-74 years

Hospitalisation

  • In 2017-18, 9% of all hospital separations were for Aboriginal and Torres Strait Islander people.
  • In 2017-18, the age-adjusted separation rate for Aboriginal and Torres Strait Islander people was 2.6 times higher than for non-Indigenous people.
  • In 2017-18, the main cause of hospitalisation for Aboriginal and Torres Strait Islander people was for ‘factors influencing health status and contact with health services’ (mostly for care involving dialysis), responsible for 49% of all Aboriginal and Torres Strait Islander seperations.
  • In 2017-18, the age-standardised rate of overall potentially preventable hospitalisations for Aboriginal and Torres Strait Islander people was 80 per 1,000 (38 per 1,000 for chronic conditions and 13 per 1,000 for vaccine-preventable conditions).

Selected health conditions

Cardiovascular health

  • In 2018-19, around 15% of Aboriginal and Torres Strait Islander people reported having cardiovascular disease (CVD).
  • In 2018-19, nearly one quarter (23%) of Aboriginal and Torres Strait Islander adults were found to have high blood pressure.
  • For 2013-2017, in Qld, WA, SA and the NT combined, there were 1,043 new rheumatic heart disease diagnoses among Aboriginal and Torres Strait Islander people, a crude rate of 50 per 100,000.
  • In 2017-18, there 14,945 hospital separations for CVD among Aboriginal and Torres Strait Islander people, representing 5.4% of all Aboriginal and Torres Strait Islander hospital separations (excluding dialysis).
  • In 2018, ischaemic heart disease (IHD) was the leading specific cause of death of Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT

Cancer

  • In 2018-19, 1% of Aboriginal and Torres Strait Islander people reported having cancer (males 1.2%, females 1.1%).
  • For 2010-2014, the most common cancers diagnosed among Aboriginal and Torres Strait Islander people living in NSW, Vic, Qld, WA and the NT were lung cancer and breast (females) cancer.
  • Survival rates indicate that of the Aboriginal and Torres Strait Islander people living in NSW, Vic, Qld, WA, and the NT who were diagnosed with cancer between 2007 and 2014, 50% had a chance of surviving five years after diagnosis
  • In 2016-17, there 8,447 hospital separations for neoplasms2 among Aboriginal and Torres Strait Islander people
  • For 2013-2017, the age-standardised mortality rate due to cancer of any type was 238 per 100,000, an increase of 5% when compared with a rate of 227 per 100,000 in 2010-2014.

Diabetes

  • In 2018-19, 8% of Aboriginal people and 7.9% of Torres Strait Islander people reported having diabetes.
  • In 2015-16, there were around 2,300 hospitalisations with a principal diagnosis of type 2 diabetes among Aboriginal and Torres Strait Islander people
  • In 2018, diabetes was the second leading cause of death for Aboriginal and Torres Strait Islander people.
  • The death rate for diabetes decreased by 0% between 2009-2013 and 2014-2018.
  • Some data sources use term ‘neoplasm’ to describe conditions associated with abnormal growth of new tissue, commonly referred to as a Neoplasms can be benign (not cancerous) or malignant (cancerous) [1].

Social and emotional wellbeing

  • In 2018-19, 31% of Aboriginal and 23% of Torres Strait Islander respondents aged 18 years and over reported high or very high levels of psychological distress
  • In 2014-15, 68% of Aboriginal and Torres Strait Islander people aged 15 years and over and 67% of children aged 4-14 years experienced at least one significant stressor in the previous 12 months
  • In 2012-13, 91% of Aboriginal and Torres Strait Islander people reported on feelings of calmness and peacefulness, happiness, fullness of life and energy either some, most, or all of the time.
  • In 2014-15, more than half of Aboriginal and Torres Strait Islander people aged 15 years and over reported an overall life satisfaction rating of at least 8 out of 10.
  • In 2018-19, 25% of Aboriginal and 17% of Torres Strait Islander people, aged two years and over, reported having a mental and/or behavioural conditions
  • In 2018-19, anxiety was the most common mental or behavioural condition reported (17%), followed by depression (13%).
  • In 2017-18, there were 21,940 hospital separations with a principal diagnosis of International Classification of Diseases (ICD) ‘mental and behavioural disorders’ identified as Aboriginal and/or Torres Strait Islander
  • In 2018, 169 (129 males and 40 females) Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA, and the NT died from intentional self-harm (suicide).
  • Between 2009-2013 and 2014-2018, the NT was the only jurisdiction to record a decrease in intentional self-harm (suicide) death rates.

Kidney health

  • In 2018-19, 8% of Aboriginal and Torres Strait Islander people (Aboriginal people 1.9%; Torres Strait Islander people 0.4%) reported kidney disease as a long-term health condition.
  • For 2014-2018, after age-adjustment, the notification rate of end-stage renal disease was 3 times higher for Aboriginal and Torres Strait Islander people than for non-Indigenous people.
  • In 2017-18, ‘care involving dialysis’ was the most common reason for hospitalisation among Aboriginal and Torres Strait Islander people.
  • In 2018, 310 Aboriginal and Torres Strait Islander people commenced dialysis and 49 were the recipients of new kidneys.
  • For 2013-2017, the age-adjusted death rate from kidney disease was 21 per 100,000 (NT: 47 per 100,000; WA: 38 per 100,000) for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and NT
  • In 2018, the most common causes of death among the 217 Aboriginal and Torres Strait Islander people who were receiving dialysis was CVD (64 deaths) and withdrawal from treatment (51 deaths).

Injury, including family violence

  • In 2012-13, 5% of Aboriginal and Torres Strait Islander people reported having a long-term condition caused by injury.
  • In 2018-19, 16% of Aboriginal and Torres Strait Islander people aged 15 years and over had experienced physical harm or threatened physical harm at least once in the last 12 months.
  • In 2016-17, the rate of Aboriginal and Torres Strait Islander hospitalised injury was higher for males (44 per 1,000) than females (39 per 1,000).
  • In 2017-18, 20% of injury-related hospitalisations among Aboriginal and Torres Strait Islander people were for assault.
  • In 2018, intentional self-harm was the leading specific cause of injury deaths for NSW, Qld, SA, WA, and NT (5.3% of all Aboriginal and Torres Strait Islander deaths).

Respiratory health

  • In 2018-19, 29% of Aboriginal and Torres Strait Islander people reported having a long-term respiratory condition .
  • In 2018-19, 16% of Aboriginal and Torres Strait Islander people reported having asthma.
  • In 2014-15, crude hospitalisation rates were highest for Aboriginal and Torres Strait Islander people presenting with influenza and pneumonia (7.4 per 1,000), followed by COPD (5.3 per 1,000), acute upper respiratory infections (3.8 per 1,000) and asthma (2.9 per 1,000).
  • In 2018, chronic lower respiratory disease was the third highest cause of death overall for Aboriginal and Torres Strait Islander people living in NSW, Qld, WA, SA and the NT

Eye health

  • In 2018-19, eye and sight problems were reported by 38% of Aboriginal people and 40% of Torres Strait Islander people.
  • In 2018-19, eye and sight problems were reported by 32% of Aboriginal and Torres Strait Islander males and by 43% of females.
  • In 2018-19, the most common eye conditions reported by Aboriginal and Torres Strait Islanders were hyperopia (long sightedness: 22%), myopia (short sightedness: 16%), other diseases of the eye and adnexa (8.7%), cataract (1.4%), blindness (0.9%) and glaucoma (0.5%).
  • In 2014-15, 13% of Aboriginal and Torres Strait Islander children, aged 4-14 years, were reported to have eye or sight problems.
  • In 2018, 144 cases of trachoma were detected among Aboriginal and Torres Strait Islander children living in at-risk communities in Qld, WA, SA and the NT
  • For 2015-17, 62% of hospitalisations for diseases of the eye (8,274) among Aboriginal and Torres Strait Islander people were for disorders of the lens (5,092) (mainly cataracts).

Ear health and hearing

  • In 2018-19, 14% of Aboriginal and Torres Strait Islander people reported having a long-term ear and/or hearing problem
  • In 2018-19, among Aboriginal and Torres Strait Islander children aged 0-14 years, the prevalence of otitis media (OM) was 6% and of partial or complete deafness was 3.8%.
  • In 2017-18, the age-adjusted hospitalisation rate for ear conditions for Aboriginal and Torres Strait Islander people was 1 per 1,000 population.

Oral health

  • In 2014-15, the proportion of Aboriginal and Torres Strait Islander children aged 4-14 years with reported tooth or gum problems was 34%, a decrease from 39% in 2008.
  • In 2012-2014, 61% of Aboriginal and Torres Strait Islander children aged 5-10 years had experienced tooth decay in their baby teeth, and 36% of Aboriginal and Torres Strait Islander children aged 6-14 years had experienced tooth decay in their permanent teeth.
  • In 2016-17, there were 3,418 potentially preventable hospitalisations for dental conditions for Aboriginal and Torres Strait Islander The age-standardised rate of hospitalisation was 4.6 per 1,000.

Disability

  • In 2018-19, 27% of Aboriginal and 24% of Torres Strait Islander people reported having a disability or restrictive long-term health
  • In 2018-19, 2% of Aboriginal and 8.3% of Torres Strait Islander people reported a profound or severe core activity limitation.
  • In 2016, 7% of Aboriginal and Torres Strait Islander people with a profound or severe disability reported a need for assistance.
  • In 2017-18, 9% of disability service users were Aboriginal and Torres Strait Islander people, with most aged under 50 years (82%).
  • In 2017-18, the primary disability groups accessing services were Aboriginal and Torres Strait Islander people with a psychiatric condition (24%), intellectual disability (23%) and physical disability (20%).
  • In 2017-18, 2,524 Aboriginal and Torres Strait Islander National Disability Agreement service users transitioned to the National Disability Insurance Scheme.

Communicable diseases

  • In 2017, there were 7,015 notifications for chlamydia for Aboriginal and Torres Strait Islander people, accounting for 7% of the notifications in Australia
  • During 2013-2017, there was a 9% and 9.8% decline in chlamydia notification rates among males and females (respectively).
  • In 2017, there were 4,119 gonorrhoea notifications for Aboriginal and Torres Strait Islander people, accounting for 15% of the notifications in Australia.
  • In 2017, there were 779 syphilis notifications for Aboriginal and Torres Strait Islander people accounting for 18% of the notifications in Australia.
  • In 2017, Qld (45%) and the NT (35%) accounted for 80% of the syphilis notifications from all jurisdictions.
  • In 2018, there were 34 cases of newly diagnosed human immunodeficiency virus (HIV) infection among Aboriginal and Torres Strait Islander people in Australia .
  • In 2017, there were 1,201 Aboriginal and Torres Strait Islander people diagnosed with hepatitis C (HCV) in Australia
  • In 2017, there were 151 Aboriginal and Torres Strait Islander people diagnosed with hepatitis B (HBV) in Australia
  • For 2013-2017 there was a 37% decline in the HBV notification rates for Aboriginal and Torres Strait Islander people.
  • For 2011-2015, 1,152 (14%) of the 8,316 cases of invasive pneumococcal disease (IPD) were identified as Aboriginal and Torres Strait people .
  • For 2011-2015, there were 26 deaths attributed to IPD with 11 of the 26 deaths (42%) in the 50 years and over age-group.
  • For 2011-2015, 101 (10%) of the 966 notified cases of meningococcal disease were identified as Aboriginal and Torres Strait Islander people
  • For 2006-2015, the incidence rate of meningococcal serogroup B was 8 per 100,000, with the age- specific rate highest in infants less than 12 months of age (33 per 100,000).
  • In 2015, of the 1,255 notifications of TB in Australia, 27 (2.2%) were identified as Aboriginal and seven (0.6%) as Torres Strait Islander people
  • For 2011-2015, there were 16 Aboriginal and Torres Strait Islander people diagnosed with invasive Haemophilus influenzae type b (Hib) in Australia
  • Between 2007-2010 and 2011-2015 notification rates for Hib decreased by around 67%.
  • In 2018-19, the proportion of Aboriginal and Torres Strait Islander people reporting a disease of the skin and subcutaneous tissue was 2% (males 2.4% and females 4.0%).

NACCHO Aboriginal Health and #Racism : Download Report : Confronting racism to improve healthcare for Aboriginal and Torres Strait Islander patients with kidney disease

Action is urgently needed to confront the immense health disparities in kidney disease outcomes suffered by Aboriginal and Torres Strait Islander peoples.

‘There is some encouraging work being done—especially by the Queensland and South Australian governments, and in some individual agencies—but much more is needed.’

Australian Healthcare and Hospitals Association Strategic Programs Director, Dr Chris Bourke.

Read the 120 Aboriginal Health and racism published by NACCHO over past 8 years

Read the 12 Aboriginal Kidney Health published by NACCHO over past 8 years

Dr Bourke, who is Australia’s first Aboriginal dentist, has co-authored a Perspectives Brief published by the AHHA’s Deeble Institute for Health Policy Research—Addressing racism to improve healthcare outcomes for Aboriginal and Torres Strait Islander people: a case study in kidney care.

‘The raw facts are that Indigenous Australians have at least 6 times—in some age groups up to 15 times— the incidence of end-stage kidney disease as non-Indigenous Australians.

‘Yet we have one-quarter of the chance of receiving home-based dialysis, and one-third of the chance of receiving a kidney transplant.

‘We believe that many of the answers to solving this problem lie in addressing racism—mostly unintentional—particularly at the institutional level, but also at the individual level’.

‘There is documented evidence of Aboriginal and Torres Strait Islander peoples receiving poorer healthcare outcomes when treated by non-Indigenous healthcare organisations and health professionals’.

‘My fellow authors and I feel that equity in kidney care should come from concerted action in four interconnected areas:

Cultural safety: Boards, accreditation agencies, and education and training providers can do more to promote self-reflection in non-Indigenous healthcare professionals about providing accessible and responsive care that is safe and free of racism, as judged by Indigenous individuals, families and communities.

Institutional racism: Healthcare organisations can actively work within the health system to reverse the exclusion of Aboriginal and Torres Strait Islander people from governance, control, and accountability of healthcare organisations, and to employ more Indigenous health workers.

National safety and quality health service standards: The Australian Commission on Safety and Quality in Healthcare’s triennial accreditation processes for hospitals set out how healthcare organisations can improve service delivery to Aboriginal and Torres Strait Islander people.

Race discrimination law: The existing laws tend to focus on individual rather than systemic discrimination, with racism being hard to prove, even though intention to discriminate does not have to be proven.

The laws also focus on equality of opportunity rather than equality of outcomes. Nevertheless, it is important for healthcare organisations to ensure that the need to avoid discrimination is factored into their governance and operations and to be aware that the laws do provide for “positive discrimination” in removing barriers to care and bringing about better outcomes.’

Addressing racism to improve healthcare outcomes for Aboriginal and Torres Strait Islander people: a case study in kidney care is available here. More information on the Deeble Institute for Health Policy Research is available here.

 

 

 

NACCHO Aboriginal @KidneyHealth : On #WorldKidneyDay Minister GregHuntMP commits $3.5 million to the National Strategic Action Plan for #KidneyDisease.

” The Federal Government this week launched the National Strategic Action Plan for Kidney Disease and awarded $3.5 million in funding to organisations to take immediate action.

  • million Australian adults are estimated to have chronic kidney disease, however less than 10 per cent are aware they have the

In 2017, 17,000 Australians lost their lives to kidney disease and 1.8 million hospitalisations occurred.

Three per cent of Aboriginal and Torres Strait Islander people aged 15 years and over live with the condition, triple the rate of the non-Indigenous population.

Early diagnosis and management can change the course of chronic kidney disease, a disease that is often detected too late to be reversible.”

Minister Greg Hunt press release : See Part 1 below

Download the National Strategic Action Plan for Kidney Disease 

national-strategic-action-plan-for-kidney-disease

Picture above Ready Mob at Galambila ACCHO Coffs Harbour World Kidney Day 

Addressing the impact of kidney disease in Aboriginal and Torres Strait Islander communities

The Action Plan includes a focus on addressing the disproportionate burden of kidney disease in Aboriginal and Torres Strait Islander people. Relevant actions draw on a number of noteworthy reviews in relation to Aboriginal and Torres Strait Islander kidney health. These include:

  • The Commonwealth Aboriginal and Torres Strait Islander Renal Health
  • TSANZ Performance Report – Improving Access to and Outcomes of Kidney Transplantation for Aboriginal and Torres Strait Islander People in
  • The Review of the Australian organ donation, retrieval and transplantation
  • The Kidney Health Australia Caring for Australasians with Renal Impairment (KHA-CARI) Aboriginal and Torres Strait Islander Guidelines Community
  • Research and programs from the Menzies School of Health Research and the Lowitja Institute, including the ‘Catching Some AIR – Asserting Aboriginal and Torres Strait Islander Information Rights in Renal Disease’ project policy

The Action Plan may have direct correlation to a number of key recommendations in these reviews and therefore aims to complement future actions as a result.

This Action Plan includes related recommended action which can be found in:

  • Objective 4 – Reducing the disproportionate burden of kidney disease in Aboriginal and Torres Strait Islander communities.

Additional actions relating to Aboriginal and Torres Strait Islander people are also included in each of the priority areas throughout the Action Plan.

A strong overarching recommendation is that Aboriginal and Torres Strait Islander people are involved in:

  • setting and formulating policy affecting their communities
  • developing and implementing locally relevant programs and research
  • health care service delivery in the

The importance of cultural safety and autonomy to the wellbeing of Aboriginal and Torres Strait Islander people must be forefront in all proposed actions.

Read all Aboriginal Kidney Health articles published by NACCHO

Part 1 : Press Release

Early diagnosis and management can change the course of chronic kidney disease, a disease that is often detected too late to be reversible.

Developed by Kidney Health Australia (KHA), the plan provides a blueprint for transforming kidney disease in Australia over the next 10 years through three priority areas:

  • Prevention, detection and
  • Optimal care and
  • Research and

The Government is providing $1.25 million to Kidney Health Australia over four years, to develop a new digital platform to underpin improved awareness and support for the public and the kidney disease sector.

This will assist the implementation of a number of recommendations identified in the action plan, help build awareness of the disease, and develop services and support for people living with kidney disease and their carers.

This is in addition to the $800,000 investment our Government has provided to Kidney Health Australia, to deliver a national peer support and education program for 500 young people aged 15 to 24 with advanced kidney disease who have received a kidney transplant.

The Government is also committing a further $2.25 million to implement a range of activities under the action plan. Shortlisted recipients include:

  • KidGen, led by the University of Flinders
  • The Menzies School of Health
  • The South Australian Health and Medical Research

The action plan complements the Indigenous Renal Health Roadmap, and together they will work to close the gap in Indigenous renal health and treatment outcomes.

The Morrison Government has continually demonstrated its commitment to supporting people living with kidney disease.

Last month we listed Pharmacor Cinacalcet® on the Pharmaceutical Benefits Scheme—a medicine that, without the subsidy, would see patients pay more than $700 per year. With the PBS subsidy they will only pay a maximum of $41 per script, or $6.60 with a concession card.

Our Government spends $270 million per year on medicines for the treatment and management of kidney and renal conditions.

We have also invested $214 million in National Health and Medical Research Council grants for clinical research into kidney and renal issues between 2000 and 2019.

The National Strategic Action Plan for Kidney Disease is available at: https://kidney.org.au/

Part 2

Kidney Health Australia were commissioned by the Commonwealth Government Department of Health to develop The National Strategic Action Plan for Kidney Disease (the Action Plan) on behalf of the kidney community.

The Action Plan was commissioned in recognition of the significant and growing impact of kidney disease on the health and wellbeing of Australians as well as the economic impact on society.

The Action Plan is accompanied by a Public Health and Chronic Disease Program grant of $3.7 million.

The genuine involvement and input from so many stakeholders from across the kidney disease sector into the development of the Action Plan is what makes it so effective. Kidney Health Australia thanks all those organisations and individuals who contributed to the development of this plan.

The Action Plan outlines a national, coordinated response to kidney disease – a blueprint for transforming kidney disease in this country over the next ten years – with over thirty actions across three priority areas designed to address the most pressing needs in kidney disease.

With the right focus, collaboration and partnerships, Australia has the capacity to make lasting changes over the next ten years; slowing the tidal wave of chronic conditions, providing equitable support and care for people affected by kidney disease and using research to improve lives and ultimately find cures for deadly disease.

The intended audiences for the Action Plan include the Australian and state and territory governments, health service providers and funders, clinicians, consumers, researchers and research funders.

Achieving the plan’s vision will require coordinated national action and partnerships across all levels of government and the health system, non-government organisations, the private sector, researchers and academics, and people affected by kidney disease.

The Action Plan is to be accompanied by three compendium documents detailing the evidence base supporting the Action Plan, a stocktake of relevant programs and initiatives at a state and national level, and a summary of the consultation undertaken in developing the Action Plan.

The Action Plan was announced by the Hon Katie Allen MP in Melbourne on World Kidney Day 12 March 2020.

The Action Plan contains guidance, goals and specific actions we can take to improve Kidney Disease care.

The major priority areas for action were identified:

  1. Prevention, Detection and Education.
  2. Optimal Care and Support.
  3. Research and Data.

Under each of these major priority areas are a number of recommendations for action including specific tasks relating to kidney transplantation, and kidney disease in Aboriginal and Torres Strait Islander peoples.

Read the National Strategic Action Plan for kidney disease here.

Read the Consultation document – compendium 1 to the Action Plan here

Read the Evidence document – compendium 2 to the Action Plan here

Read the Stocktake document – compendium 3 to the Action Plan here

NACCHO Aboriginal Health and #SugarTax #5Myths @ausoftheyear Dr James Muecke pushing for Scott Morrison’s government to enact a tax on sugary drinks : Money $ raised could be used to fund health promotion

” This year’s Australian of the Year, Dr James Muecke, is an eye specialist with a clear vision.

He wants to change the way the world looks at sugar and the debilitating consequences of diabetes, which include blindness.

Muecke is pushing for Scott Morrison’s government to enact a tax on sugary drinks to help make that a reality.

Such a tax would increase the price of soft drinks, juices and other sugary drinks by around 20%. The money raised could be used to fund health promotion programs around the country.

The evidence backing his calls is strong. ” 

From the Conversation

” A study of intake of six remote Aboriginal communities, based on store turnover, found that intake of energy, fat and sugar was excessive, with fatty meats making the largest contribution to fat intake.

Compared with national data, intake of sweet and carbonated beverages and sugar was much higher in these communities, with the proportion of energy derived from refined sugars approximately four times the recommended intake.

Recent evidence from Mexico indicates that implementing health-related taxes on sugary drinks and on ‘junk’ food can decrease purchase of these foods and drinks.

A recent Australian study predicted that increasing the price of sugary drinks by 20% could reduce consumption by 12.6%.

Revenue raised by such a measure could be directed to an evaluation of effectiveness and in the longer term be used to subsidise and market healthy food choices as well as promotion of physical activity.

It is imperative that all of these interventions to promote healthy eating should have community-ownership and not undermine the cultural importance of family social events, the role of Elders, or traditional preferences for some food.

Food supply in Indigenous communities needs to ensure healthy, good quality foods are available at affordable prices.” 

Extract from NACCHO Network Submission to the Select Committee’s Obesity Epidemic in Australia Inquiry. 

Download the full 15 Page submission HERE

Obesity Epidemic in Australia – Network Submission – 6.7.18

Also Read over 40 Aboriginal Health and Sugar Tax articles published by NACCHO 


Taxes on sugary drinks work

Several governments around the world have adopted taxes on sugary drinks in recent years. The evidence is clear: they work.

Last year, a summary of 17 studies found health taxes on sugary drinks implemented in Berkeley and other places in the United States, Mexico, Chile, France and Spain reduced both purchases and consumption of sugary drinks.

Reliable evidence from around the world tells us a 10% tax reduces sugary drink intakes by around 10%.

The United Kingdom soft drink tax has also been making headlines recently. Since its introduction, the amount of sugar in drinks has decreased by almost 30%, and six out of ten leading drink companies have dropped the sugar content of more than 50% of their drinks.


Read more: Sugary drinks tax is working – now it’s time to target cakes, biscuits and snacks


In Australia, modelling studies have shown a 20% health tax on sugary drinks is likely to save almost A$2 billion in healthcare costs over the lifetime of the population by preventing diet-related diseases like diabetes, heart disease and several cancers.

This is over and above the cost benefits of preventing dental health issues linked to consumption of sugary drinks.

Most of the health benefits (nearly 50%) would occur among those living in the lowest socioeconomic circumstances.

A 20% health tax on sugary drinks would also raise over A$600 million to invest back into the health of Australians.

After sugar taxes are introduced, people tend to switch from sugar drinks to other product lines, such as bottled water and artificially sweetened drinks. l i g h t p o e t/Shutterstock

 

So what’s the problem?

The soft drink industry uses every trick in the book to try to convince politicians a tax on sugary drinks is bad policy.

Here are our responses to some common arguments against these taxes:

Myth 1: Sugary drink taxes unfairly disadvantage the poor

It’s true people on lower incomes would feel the pinch from higher prices on sugary drinks. A 20% tax on sugary drinks in Australia would cost people from low socioeconomic households about A$35 extra per year. But this is just A$4 higher than the cost to the wealthiest households.

Importantly, poorer households are likely to get the biggest health benefits and long-term health care savings.

What’s more, the money raised from the tax could be targeted towards reducing health inequalities.


Read more: Australian sugary drinks tax could prevent thousands of heart attacks and strokes and save 1,600 lives


Myth 2: Sugary drink taxes would result in job losses

Multiple studies have shown no job losses resulted from taxes on sugar drinks in Mexico and the United States.

This is in contrast to some industry-sponsored studies that try to make the case otherwise.

In Australia, job losses from such a tax are likely to be minimal. The total demand for drinks by Australian manufacturers is unlikely to change substantially because consumers would likely switch from sugary drinks to other product lines, such as bottled water and artificially sweetened drinks.

A tax on sugary drinks is unlikely to cost jobs. Successo images/Shutterstock

 

Despite industry protestations, an Australian tax would have minimal impact on sugar farmers. This is because 80% of our locally grown sugar is exported. Only a small amount of Australian sugar goes to sugary drinks, and the expected 1% drop in demand would be traded elsewhere.

Myth 3: People don’t support health taxes on sugary drinks

There is widespread support for a tax on sugary drinks from major health and consumer groups in Australia.

In addition, a national survey conducted in 2017 showed 77% of Australians supported a tax on sugary drinks, if the proceeds were used to fund obesity prevention.

Myth 4: People will just swap to other unhealthy products, so a tax is useless

Taxes, or levies, can be designed to avoid substitution to unhealthy products by covering a broad range of sugary drink options, including soft drinks, energy drinks and sports drinks.

There is also evidence that shows people switch to water in response to sugary drinks taxes.


Read more: Sweet power: the politics of sugar, sugary drinks and poor nutrition in Australia


Myth 5: There’s no evidence sugary drink taxes reduce obesity or diabetes

Because of the multiple drivers of obesity, it’s difficult to isolate the impact of a single measure. Indeed, we need a comprehensive policy approach to address the problem. That’s why Dr Muecke is calling for a tax on sugary drinks alongside improved food labelling and marketing regulations.

Towards better food policies

The Morrison government has previously and repeatedly rejected pushes for a tax on sugary drinks.

But Australian governments are currently developing a National Obesity Strategy, making it the ideal time to revisit this issue.

We need to stop letting myths get in the way of evidence-backed health policies.

Let’s listen to Dr Muecke – he who knows all too well the devastating effects of products packed full of sugar.

NACCHO Aboriginal Health and #WorldDiabetesDay #mydiabetesfamily : Why are Indigenous Australians three times more likely to develop type 2 diabetes than non-indigenous Australians ?

” Indigenous Australians are three times more likely to develop type 2 diabetes than non-indigenous Australians.

Type 2 diabetes is a serious disease that can lead to life-threatening complications. If you’re living with type 2 diabetes there is a lot you can do to manage it and live well.

And for those who may be at risk there is a lot you can do to lower your chances of developing type 2 diabetes.”

Diabetes NSW & ACT has a range of information sheets specially designed for people from Aboriginal and/or Torres Strait Islander backgrounds see Part 2 below to download facts sheets

Download HERE

ATSI_20180718_Reduce_Your-_Risk_Factsheet

  ‘Too many Australians especially Aboriginal and Torres Strait Islanders are being diagnosed with diabetes too late. This is true for both type 1 diabetes and type 2 diabetes. The delay in diagnosis is putting many people at risk of major life-threatening health problems.

Early diagnosis, treatment, ongoing support and management can reduce the risk of diabetes-related complications.

Diabetes:

  • is the leading cause of blindness in adults
  • is a leading cause of kidney failure
  • is the leading cause of preventable limb amputations
  • increases the risk of heart attacks and stroke by up to four times

It’s About Time we detected all types of diabetes earlier and save lives

See the itsabouttime.org.au for more info : Download resources 

” Aboriginal and Torres Strait Islander people are more likely than non-Indigenous Australians to have diabetes or pre-diabetes. Improving the lives of people affected by all types of diabetes and those at risk among Aboriginal and Torres Strait Islander communities is a priority for Diabetes Australia.

You can reduce the risk of developing type 2 diabetes by eating a more healthy diet and being physically active which will help maintain a healthy weight to keep your sugar (glucose) levels normal and your body strong.

If you have any worries about diabetes, check the symptoms below and find out more from your Aboriginal Health Worker, Health Clinic/Community Centre, Aboriginal Medical Service or doctor.”

Read over 160 NACCHO Aboriginal Health and Diabetes

More info HERE

Or watch NDSS Video HERE

Did you know diabetes…

  • Is the leading cause of blindness in working age adults?
  • Is a leading cause of kidney failure?
  • Is the leading cause of preventable limb amputations?
  • Increase a person’s risk of heart attacks and stroke by up to four times?

It’s about time you made ‘me time’, took time out and put you first. There is no time to lose. The earlier type 2 diabetes is detected,  the more lives will be saved.   

Type 2 Diabetes

Many Australians will live with type 2 diabetes for up to seven years before being diagnosed. More than 500,000 Australians are living with silent silent, undiagnosed type 2 diabetes.

If not diagnosed in time, it can cause blindness, kidney damage, amputation and heart attack.

Although you can develop type 2 diabetes at any age, your risk increases if you are over 40, especially if you are overweight or have a family history of type 2 diabetes.

It’s about time you took the time to get checked. A type 2 diabetes risk check only takes a minute.

The earlier people are diagnosed, the more time they have to live well and reduce their risk of complications.

During this time, type 2 diabetes can do serious harm and lead to:

  • Blindness
  • Kidney damage
  • Amputation
  • Heart attack and stroke

Read more 

Find out your risk of developing type 2 diabetes.

Calculate your risk

Type 1 Diabetes

Every year 640 children and adults are admitted to hospital because the early signs of type 1 diabetes are missed.

If not diagnosed in time, type 1 diabetes can be fatal.

It’s about time you took the time to learn the 4 T’s – the early warning signs of type 1 diabetes. It takes just a minute to learn. If you see the signs, don’t waste time and see you doctor immediately. If not diagnosed in time it can be fatal.

Learning the 4T’s could just save a life.

  • Toilet – going to the toilet a lot
  • Tired – unexplained or excessive fatigue
  • Thirsty – a thirst that can’t be quenched
  • Thinner – sudden or unexplained weight loss

Read more

Part 2 Diabetes NSW & ACT has a range of information sheets specially designed for people from Aboriginal and/or Torres Strait Islander backgrounds:

If you’d like any additional information or support, call our Helpline on 1300 342 238.

NACCHO Aboriginal Kidney Health #NIKTT #NIDTC2019 #ClosingTheGap #HaveYourSayCTG : Our CEO Pat Turner pays tribute to her Uncle Charlie Perkins in speech to the National Indigenous Dialysis and Transplantation Conference

 ” Every which way you look at renal disease in Aboriginal people, the only solutions that will work in the long term are those that are Aboriginal–led, culturally responsive, located in Aboriginal organisations and evaluated through an Aboriginal lens.

As I have described below, Danila Dilba and KAMS show you the proven capacity of community control to deliver results and accelerate outcomes for people with chronic renal disease.  

Both services have people sharing their experiences at this conference.  Keep an eye out for their presentations.

To our non-Indigenous supporters in the audience today, I believe these examples about HOW we want to work together will be inspiring. Please expand your discussions during the conference with a positive acknowledgement of community control, and the rights we have as Aboriginal and Torres Strait Islander peoples to shape our own destiny, to partner with you as equals in service delivery, and to be accountable. ” 

Pat Turner NACCHO CEO

Read all Aboriginal Kidney Health articles published by NACCHO

Read all 160 Aboriginal Health and Diabetes articles published by NACCHO 

Before I begin, I acknowledge the Arrernte people and their country on which we meet today.  As many of you may know, I am back home where I was born and feeling very much re-energised by the country that knows me so well, my family and friends.

This conference brings together both community and health care sectors.  A hugely diverse audience!   Your efforts at this conference will help shape a five-year National Indigenous Kidney Transplantation Strategy to be provided to the Commonwealth in 2020.

With this conference mandate, I hope you will permit me to reflect on the WHY, the HOW and the WHEN of what we are all trying to achieve together.

The WHY is both personal and professional for me.

At the time of his death in 2000 from renal complications, one of my uncles had been the longest living Australian kidney transplant recipient.

And my uncle had been many other ‘firsts’ in his life.  For example:

  • The first Aboriginal person to graduate with a university degree
  • The first Aboriginal person to play soccer at elite level

and

  • The first Aboriginal person to be the permanent head of an Australian government department.

My uncle’s name?  Charlie Perkins.

His transplant in 1972 – the year he arrived in Canberra for the Tent Embassy  – gave my uncle another 28 years of life.

Instead of dying at 36 years of age, he died nearly three decades later at 64.

Imagine if his life had been cut short at 36, which is what would have happened without his renal transplant.

In the words of then Senator Aiden Ridgeway in the Senate chamber in October 2000  about my uncle: “we would not have had his contribution to the life of the nation”.

Dying in his mid-thirties would have been a tragic loss for the country.  BUT, it would ALSO have been a tragic personal loss for uncle’s family, including me, and his communities.   It would have robbed us of someone we loved far too soon.

Every Aboriginal and Torres Strait Islander person whose life you save is just as important  to their family and community as my uncle was to me and mine.

While each one may not have the same national profile as Charlie Perkins, each person has a life with meaning and importance.

The old man you treated last week could be a respected cultural boss, a law man, an esteemed knowledge holder in his own community.

The young woman you treat next week could be on her own journey to become a healer, an artist or elder in her own right, as her community ordains.

The next 20 year-old your efforts engage in renal health could be Australia’s first Aboriginal Prime Minister, or the Chancellor of Australia’s first Indigenous university or our 1000th Aboriginal doctor.

You never know.  You must take the long view.

Every premature death from preventable renal disease inflicts a shortfall in community capacity and resilience: now and in the future.

Every funeral adds to our intergenerational trauma, our collective loss and our … exhaustion!  We have plenty of reserves  — history shows my people always manage to bounce back.  BUT the preventable toll of chronic renal disease must stop.

So there it is.  The WHY is huge!

Because of this WHY, let me now share a few ideas about HOW.

My first example comes from Danila Dilba Health Service in Darwin. 

Data points taken over a ten-year period provided Danila Dilba with unique insights about the management and disease trajectory of people with chronic renal disease before and after the appointment of a Renal Case Manager to their team.   Creating this Renal Case Manager position specifically aimed to delay progression of their clients to end-stage kidney disease.

Danila Dilba recruited this new position in early 2008.   With this new role, all members of the primary healthcare team were to be supported through the provision of systematic patient monitoring, and access to the latest advice about evidence-based practice for very complex clinical challenges.  As a learning organization, Danila Dilba also committed to an independent evaluation of these service changes.

Before this new role, there were clear gaps in care that needed improving.  For example:

  • Documentation in the electronic clinical record system.  Only 60% of patients were identified with their diagnosis.
  • Screening of ‘at risk’ patients was very low. Although there were over 500 patients with diabetes for example, few of these had been screened for chronic renal disease.
  • There was underuse of the GP management plan.  Only 63% of patients had a current plan. Only 14% of these contained self-management goals.  Only 26% contained clinical goals.

Using the ten-year data, this independent evaluation documented convincing improvements. The evaluation showed that Danila Dilba increased screening and monitoring of people under their care with Stage 3 to 5 chronic renal disease.

Prompt access to expert knowledge at the tertiary level also increased the organisation’s competence to recognise and effectively manage patients with chronic renal disease and associated complex comorbidities.

BUT the risk of tertiary renal services taking over the management of people to the exclusion of their other health priorities was avoided.

There was a significant increase in the timely identification of people in Stage 3 rather than the later, more difficult stages of chronic renal disease.  In fact, the patient numbers with Stage 3 grew from fifteen to 101 patients. The growth in the number of people in Stages 4 and 5 was less dramatic in absolute numbers, but a positive improvement was shown.  There was an increase in clinic visits for people with more advanced disease and, overall, improved management of risk factors.

As a result of this initiative, those patients with both renal disease and diabetes were better managed in terms of meeting agreed evidence-based targets for diabetes control.

At Danila Dilba, the proportion of patients meeting specific clinical targets for their care has sat above 90% consistently since 2012. Indeed, management of patients with diabetes has been above average since these data audits commenced.  There was a very welcome stabilization of diabetes control for those with Stage 5 renal disease.  This is fantastic for the patient’s wellbeing.

Of course, you’ll also be asking whether this increased service output delayed progression of chronic renal disease!

Before the program, 50% of patients ended up with Stage 5 within two and half years of identification.  After the program, progression had slowed down dramatically.  Rather than two and half years, the time it took to progress had extended out to four years.  This represents a significant delay in disease progression.  I find these results very positive.  In my mind, the rate of progression seems to have been nearly halved.  My congratulations to the team.

Overall, this experience has helped shift Danila Dilba to a ‘systems approach’. Their new service design, which also takes services close to home, has increased client access and increased client numbers.  This is what community-controlled primary health care is all about.  Screening for chronic renal disease is embedded in annual health checks.   Anyone with acute kidney injury is managed with clinical precision, until their kidney function returns to usual.  Since 2014, there has also been a doubling of people with diabetes, so Danila Dilba staff are managing much more complexity.

As a result of these initiatives, those patients with both renal disease and diabetes are better managed in terms of meeting agreed evidence-based targets for diabetes control.  The evidence is convincing.  Danila Dilba’s national KPIs are either AT or VERY CLOSE to their 2023 targets.

At Danila Dilba, there is a careful balance between ‘siloed’ technical expertise held by those with super-speciality knowledge about chronic kidney disease, and the need for care that looks at the whole person.  As Dr Sarah Giles has said “We’re not managing numbers, we are caring for people”.  Danila Dilba is preventing disease onset through effective risk factor management AND preparing people with serious renal disease and their families for choices, for a planned transition to dialysis.

I learned from the Transplant Society’s Performance Report that Aboriginal Australians are less likely than other Australians to receive a kidney transplant primarily because they are less likely to be put on the waiting list.  The need for culturally competent pre-transplant education is indisputable.  What Danila Dilba shows is that this education cannot happen out-of-the-blue without an existing relationship between the person, their family AND a health service they trust.  Expanding that waiting list is a clear role for community-controlled primary health care in concert with their tertiary service colleagues.

The second community-controlled example I’d like to share with you today is from the Kimberley region.

There, the Kimberley Aboriginal Medical Services known as KAMS has taken a pioneering step in becoming the first aboriginal community controlled renal healthcare service in Australia.  And quite possibly in the world.  This service is known as Kimberley Renal Services, or KRS, a wholly owned subsidiary of KAMS.  By running KRS itself, KAMS ensures a culturally appropriate renal healthcare service is available for Aboriginal people with chronic renal disease close to home.

There are 124 people currently receiving lifesaving haemodialysis treatment cared for by KRS. KRS provides renal healthcare services within four renal health centres.  These are located in the towns of Broome, Derby, Fitzroy Crossing and Kununurra.  Another 18 patients have chosen Home Therapy.   But there is a very large number of Kimberley people waiting in Perth to be able to come back home for dialysis.  Perth is a long way from country.

After many years frustrated by a model that wasn’t working for communities, KAMS secured significant funding for this service innovation which they have designed with absolute attention to cultural safety and clinical outcomes.

KRS has ensured a multi-disciplinary team approach is available to support people throughout their renal healthcare journey.  Access to the renal health centres is provided 6 days a week Monday to Saturday all year round.  The only days that the service is not available are Sunday’s and Christmas Day.

In designing their own solution, our colleagues in KAMS thought it was important to emphasise health as a priority, not disease.  So the decision was made to change from the previous term ‘dialysis units’ to the new term, ‘renal health centres’.   Anyone can engage with their renal health centre for advice, information and understanding.

There is a focus on local staff in each of these sites, learning and doing and caring for their families and communities in jobs vital for the community.  These local KRS staff include Aboriginal Health Workers, Patient Care Assistants, Aboriginal care co-ordinators and Aboriginal nurses.   KAMS is committed to Aboriginal employment.  Currently, 36% of the staff employed in KRS is Aboriginal.   There is an affirmative Aboriginal employment policy and, because KRS is managed by KAMS, cultural values permeate the entire service.  No patient is seen without an Aboriginal staff member.  All non-Indigenous staff recognise that Aboriginal staff guide their practice.

As a matter of necessity, there are three “renal GPs” in the team.  These are qualified GPs credentialed for independent practice who have also gained specific expertise in the nuanced management of chronic renal disease and other medical conditions affecting kidney function.  In a region the size of Germany, this works in a shared care model.

KRS has also been designed to conduct scheduled outreach to communities.  In doing so, this KRS multidisciplinary team does not cut across primary health care. Indeed, KRS has a shared care model that requires a strong foundation in primary health care to work.  This partnership is best when there are common values, clear team arrangements and community control.  Clinical medical records are shared. The renal team offers in-service training, both formal and informal, any time they are visiting a location for regular community outreach visits.  There can be telephone enquiries about patients at any time.

Another part of this service addresses community engagement and life-saving prevention. There are approximately 2,800 people known to KRS who are in Stages 1 to 3 of chronic renal disease across the region.  It is this commitment to prevention that will stem the tide of future incidence.

KAMS is looking outwards and wants to ensure none of these people in Stages 1, 2 or 3 progress to the more critical Stages 4 or 5.  Currently, there are 138 people progressing to End Stage Kidney Disease.  These patients will require haemodialysis within the next 12 to 18 months.  This will more than double the caseload.  With this projection, people are asking why the region does not yet have at least one full-time residential nephrologist.  Addressing this unresolved aspect of medical workforce planning and distribution nationally is critical to successful chronic disease management, and achieving equity of access to renal replacement therapy that our people deserve.

Having visited the Kimberley last week, I was most impressed by the commitment to evidence-based renal disease management through Australia’s first community-controlled renal healthcare service. Speaking with staff and community, the best outcomes are coming through with community-controlled primary health care.  Indeed, this KAMS model can’t work unless there is a strong foundation of community-controlled primary health care.

I learned last week that some of the greatest frustrations occur when primary health care is understaffed, especially when members of the primary health care team are pulled off chronic disease management for a different priority, OR when locum staff don’t handover properly and neglect to check critical pathology results.  These “stop-start” dynamics in primary health care are seen in all settings across the country.  They compromise shared care models.  They are also unsafe for patient care.

For this reason, NACCHO is leading national projects to ensure that core services are fully funded in primary health care and deliver the outcomes our people deserve.

NACCHO supports statements by various governments to transition Aboriginal primary health care to community control.   Successful transition of one local primary health care service in East Arnhem from government management to community control achieved a 400% (yes, FOUR hundred percent) increase in episodes of care within five years.  This community engaged with an Aboriginal community-controlled primary health care service in a way that increased health checks beyond the national average.  More babies were born with healthy weights.  You, in the audience, know better than me the importance of healthy human development right from the beginning of conception to ensure healthy kidneys for life!

Every which way    you look at renal disease    in Aboriginal people, the only solutions that will work in the long term are those that are Aboriginal–led, culturally responsive, located in Aboriginal organisations and evaluated through an Aboriginal lens.

As I have described, Danila Dilba and KAMS show you the proven capacity of community control to deliver results and accelerate outcomes for people with chronic renal disease.  Both services have people sharing their experiences at this conference.  Keep an eye out for their presentations.

To our non-Indigenous supporters in the audience today, I believe these examples about HOW we want to work together will be inspiring. Please expand your discussions during the conference with a positive acknowledgement of community control, and the rights we have as Aboriginal and Torres Strait Islander peoples to shape our own destiny, to partner with you as equals in service delivery, and to be accountable.

So that covers the WHY and the HOW.

I want to talk about WHEN.

WHEN should we start working differently together? 

The answer is right now.

An historic Partnership Agreement on Closing the Gap has been signed between COAG and the national Coalition of Peak Aboriginal and Torres Strait Islander Organisations.  Now, for the first time, Aboriginal and Torres Strait Islander people through their peak representatives will share decision making with governments on Closing the Gap.

This Partnership Agreement has created a high-level COAG Joint Council for Indigenous Affairs.

This Joint Council is made up of 22 members.  That means a Minister from the Commonwealth Government, a Minister from each State and Territory Governments, and a representative from local government. This makes up ten members.

What about the other twelve?

The Coalition of Aboriginal Peak Bodies has ensured that the majority of members on this Joint Council are Aboriginal or Torres Strait Islander representatives.  Chosen by us, in the majority, working for our mobs.

The Joint Council has three reform priorities.  These are:

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

This commitment to equal partnership through COAG has brought us to the table.  There’s no going back.

The Joint Council also agreed to the Coalition of Peaks leading engagements with Aboriginal and Torres Strait Islander people to ensure others can have a say on the National Agreement on Closing the Gap.  Surveys are out now and can be submitted anytime by Friday 25 October.

So to close my presentation to you today, a final reflection.

I am mindful that the Bulletin of the World Health Organization recently carried an article stating that kidney disease is ‘THE most neglected chronic disease’.

….. but neglected by whom?

Certainly NOT by anyone in THIS audience!

I applaud your dedication and your hard work.  By being here in Alice Springs, your commitment to better health for Aboriginal and Torres Strait Islander peoples in Australia is visible and much appreciated.

I know this issue is complex and no doubt frustrating.  Occasionally, you must feel completely demoralized in your work.  The Society’s Performance Report recognizes there is ‘no easy fix’.

But please be strengthened by the WHY, the HOW and the WHEN I have described today.

Working together, we can achieve even more than my uncle ever imagined.

National : Closing the Gap / Have your say CTG deadline extended to Friday, 8 November 2019.

 

The engagements are now in full swing across Australia and this is generating more interest than we had anticipated in our survey on Closing the Gap.

The Coalition of Peaks has had requests from a number of organisations across Australia seeking, some Coalition of Peak members and some governments for more time to promote and complete the survey.

We want to make sure everyone has the opportunity to have their say on what should be included in a new agreement on Closing the Gap so it is agreed to extend the deadline for the survey to Friday, 8 November 2019.

This will help build further understanding and support for the new agreement and will not impact our timeframes for negotiating with government as we were advised at the most recent Partnership Working Group meeting that COAG will not meet until early 2020.

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

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

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

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

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

NACCHO Aboriginal Health and #ChronicDisease #Prevention News : @ACDPAlliance Health groups welcome action on added sugars labelling and further consider 10 recommendations to improve the Health Star Rating system

 

“Industry spends vast amounts of money advertising unhealthy foods, so it is essential that nutrition information is readily available to help people understand what they are eating and drinking.

Two in three Australian adults are overweight or obese and unhealthy foods, including those high in added sugars, contribute greatly to excess energy intake and unhealthy weight gain”

Chair of the Australian Chronic Disease Prevention Alliance Sharon McGowan said food labelling is an important part of understanding more about the products we consume every day

Read previous 70 NACCHO Aboriginal Health and Nutrition Healthy foods articles

The five year review of the HSR system (the Review) has now been completed. See Part 2 Below

Five Year Review of the Health Star Rating System – PDF 3211 KB

The Australian Chronic Disease Prevention Alliance welcomes the recent decisions to improve food labelling and provide clear and simple health information on food and drinks.

The Australia and New Zealand Ministerial Forum on Food Regulation announced yesterday it would progress added sugars labelling and further consider 10 recommendations to improve the Health Star Rating system.

Decisions were also made to provide a nationally consistent approach to energy labelling on fast food menu boards and consider the contribution of alcohol to daily energy intake.

Current Health Star Rating system.

Ms McGowan said overweight and obesity is a key risk factor for many chronic diseases.

“We welcome improvements to existing labelling systems to increase consumer understanding and provide an incentive for industry to create healthier products.”

The Ministerial Forum also released the independent review of the Health Star Rating system with 10 recommendations for strengthening the system, including changes to how the ratings are calculated, and setting targets and timeframes for industry uptake.

The Australian Chronic Disease Prevention Alliance has been advocating to improve the Health Star Rating system for years. While the Alliance supports stronger changes to the ratings calculator, Ms McGowan said it was promising to see recommendations enhancing consistency of labels and proposing a mandatory response if voluntary targets are not met.

“Under the current voluntary system, only around 30 percent of eligible products display the health star rating on the label and some manufacturers are applying ratings to the highest scoring products only,” Ms McGowan said.

SMH Editorial The epidemic of childhood obesity and chronic health conditions linked to bad diet has turned supermarket aisles into the front line of one of the hardest debates in politics.

“To truly achieve its purpose and help people compare products, the rating needs to be visible and consistently applied to all foods and drinks.”

The recommendations to improve the Health Star Rating system will be considered by Ministers later this year.

Ms McGowan added “We know that unhealthy food and drinks are a major contributor to overweight and obesity, and that food labelling should be part of an overall approach to creating healthier food environments.”

Read the Health Star Rating report here and the Ministerial Forum communique here.

The five year review of the HSR system (the Review) has now been completed.

Five Year Review of the Health Star Rating System – PDF 3211 KB
Five Year Review of the Health Star Rating System – Word 16257 KB

The five year review of the HSR system considered if and how well the objectives of the system have been met and has identified several options for improvements to the system, including communication, monitoring, governance and system/calculator enhancements.

The Review found that the HSR system has been performing well. Whilst there is a broad range of stakeholders with diverse opinions, there is also strong support for the system to continue.

The recommendations contained in the Review Report are designed to address some of the key criticisms of the current system. The key recommendations from the report are that:

  • the HSR system continue as a voluntary system with the addition of some specific industry uptake targets and that the Australian, state and territory and New Zealand governments support the system with funding for a further four years;
  • that changes are made to the way the HSR is calculated to better align with Dietary Guidelines, and including fruit and vegetables into the system; and
  • that some minor changes are made to the governance of the system, including transfer of the HSR calculator to Food Standards Australia New Zealand.

The next steps will be for members of the Australia and New Zealand Ministerial Forum on Food Regulation to respond to the Review Report, and the recommendations contained within. It is anticipated that Forum will respond before the end of 2019.
Five Year Review – Draft Report

A draft of the review report was made available for public comment on the Australian Department of Health’s Consultation Hub from Monday 25 February 2019 until midnight Monday 25 March 2019. Following consideration of comments received, the report will be finalised and provided to the Australia and New Zealand Ministerial Forum on Food Regulation (through the HSRAC and the Food Regulation Standing Committee) in mid-2019. mpconsulting sought targeted feedback on the draft recommendations – in particular, any comments on inaccuracies, factual errors and additional considerations or evidence that hadn’t previously been identified.

Draft Five Year Review Report – PDF 2928 KB
Draft Five Year Review Report – Word 21107 KB

A list of submissions for which confidentiality was not requested is below; submissions are available on request from the Front-of-Pack Labelling Secretariat via frontofpack@health.gov.au.

List of submissions: draft five year review report – PDF 110 KB
List of submissions: draft five year review report – Excel 13 KB
Five Year Review – Consultation

Detail on previous opportunities to provide feedback during and on the review are available on the Stakeholder Consultation page.

public submission process for the five year review was conducted between June and August 2017. mpconsulting prepared a report on these submissions and proposed a future consultation strategy. A list of submissions made is also available.

Submissions to the five year review of the HSR system – PDF 446 KB
Submissions to the five year review of the HSR system – Excel 23 KB

Report on Submissions to the Five Year Review of the Health Star Rating System – PDF 736 KB
Report on Submissions to the Five Year Review of the Health Star Rating System – Word 217 KB

5 Year Review of the Health Star Rating system – Future Consultation Opportunities – PDF 477 KB
5 Year Review of the Health Star Rating system – Future Consultation Opportunities – Word 28 KB

mpconsulting also prepared a Navigation Paper to guide Stage 2 (Wider Consultations Feb-Apr 2018) of their consultation strategy.

Navigation Paper – PDF 355 KB
Navigation Paper – Word 252 KB

Drawing on the early submissions and public workshops conducted across Australia and New Zealand in February- April 2018, mpconsulting identified 10 key issues relating to the products on which the HSR appears and the way that stars are calculated. A range of options for addressing identified issues were identified and, where possible, mpconsulting specified its preferred option. These issues are described in the Five Year Review of the Health Star Rating System – Consultation Paper: Options for System Enhancement.

Five Year Review of the Health Star Rating System – Consultation Paper: Options for System Enhancement – PDF 944 KB
Five Year Review of the Health Star Rating System – Consultation Paper: Options for System Enhancement – Word 430 KB

This Consultation Paper is informed by the TAG’s in-depth review of the technical components of the system. The TAG developed a range of technical papers on various issues identified by stakeholders, available on the mpconsulting website.

From October to December 2018, mpconsulting sought stakeholder views on the issues and the options, input on the impacts of the various options, and any suggestions for alternative options to address the identified issues. Written submissions could be made via the Australian Department of Health’s Consultation Hub.

mpconsulting held three further stakeholder workshops in Melbourne, Auckland and Sydney in November 2018 to enable stakeholders to continue to provide input on key issues for the review, including on options for system enhancements.
Five Year Review – Process

In April 2016, the Health Star Rating (HSR) Advisory Committee (HSRAC) commenced planning for the five year review of the HSR system.

Terms of Reference for the five year review follow:
Terms of Reference for the five year review of the Health Star Rating system – PDF 23 KB
Terms of Reference for the five year review of the Health Star Rating system – Word 29 KB

In September 2016, the HSRAC established a Technical Advisory Group (TAG) to analyse the performance of the HSR Calculator and respond to technical issues and related matters referred to it by the HSRAC.

HSRAC Members agreed that, in order to achieve a degree of independence, consultant(s) should be engaged to complete the review. In July 2017, following an Approach to Market process, Matthews Pegg Consulting (mpconsulting) was engaged as the independent reviewer.

The timeline for the five year review.
Five year review timeline – PDF 371 KB
Five year review timeline – Excel 14 KB