NACCHO Aboriginal Health News: NDIS workforce critical given high disability rates

feature tile text 'NDIS workforce critical given high rates of disability among First Nations peoples' & rear silhouette view of elderly lady in wheelchair looking up at blue sky & clouds

NDIS workforce critical given high disability rates

NACCHO CEO recently appeared before the National Disability Insurance Scheme (NDIS) Joint Committee. In her opening comments, Pat Turner said “the NDIS workforce is an absolutely critical issue for our people and communities, given our high rates of disability. As you are aware, the National Agreement on Closing the Gap demonstrates a commitment from all levels of government to changing the way policies and programs affecting our people are developed and delivered.”

“Shared decision-making between Aboriginal and Torres Strait Islander people and government, strengthening the community controlled sector, improving mainstream organisations, and improving collection of and access to Aboriginal and Torres Strait Islander data are the priority reforms that underpin the national agreement. NACCHO’s submission [to the NDIS Joint Committee] outlines the need for and provides recommendations about how government can support and build a sustainable, community controlled NDIS workforce.”

Aboriginal and Torres Strait Islander people are twice as likely to experience a disability as other Australians. Currently, 9.6% of Aboriginal and Torres Strait Islander people are NDIS participants. However, there is a severe underutilisation of plans by Aboriginal and Torres Strait people nationally when compared to other Australians. A key barrier for many of our people who are currently on NDIS plans is that they are unable to access culturally safe services or, in many cases, any services. I need to make this very clear: this is not just a remote issue but one also faced by our regional and urban communities. To ensure the successful uptake and utilisation of NDIS and disability services, a multidisciplinary and competent workforce is needed to support and provide services to Aboriginal and Torres Strait Islander people.

However, the community controlled care and health sector is facing major workforce challenges where demand will outstrip the supply of suitably skilled and job-ready Aboriginal and Torres Strait Islander employees. This shortage will impact access to culturally appropriate, effective and efficient support and assistance needed by Aboriginal and Torres Strait Islander people.

To access the full transcript of what Pat Turner said at the NDIS Joint Committee click here.

Pat Turner. Image source: Sydney Morning Herald.

Most vaccinated community in Central Australia

The low rate of COVID-19 vaccinations in Indigenous Australians continues to cause concern for politicians desperate to reopen borders, but one community near Alice Springs has turned that on its head with 94% of the eligible population having received at least one dose.

One major reason for the community’s success was the push by Sarah Gallagher, a long-term health worker in the community, who has almost single-handedly persuaded residents to get the jab.  “We’ve seen it everywhere. Our community heard about it, seen the news, it’s everywhere,” she said. “Our community people have been saying, ‘we’ve got to think about ourselves here. This is a good community, we need to go to the clinic and get vaccinated’.”

Health workers who service the community have also credited strong male leadership in the community in the uptake success. Jonathan Doolan, who has lived in Utju for 20 years, said the community had felt fear and uncertainty about COVID. “Some are getting scared of this thing and some really aren’t sure what they need to do,” said Mr Doolan. “We’re giving them the message and people will come to have the needle, have the thing.”

The combined efforts of Ms Gallagher’s commitment to her community and Mr Doolan’s leadership, has led to success, but the formula has proven difficult to replicate in other communities struggling to promote vaccination. “People trust me. I live here in my community and people trust me,” Ms Gallagher said. The health clinic in Utju is run by the Indigenous-controlled Central Australian Aboriginal Congress (CAAC) and not the NT Government, which is the case for some other remote health clinics.

To view the ABC News article in full click here.

Sarah Gallagher & Jonathan Dooley, Areyonga

Sarah Gallagher and Jonathan Dooley have been crucial in encouraging residents of Areyonga to get vaccinated. Photo: Steven Schubert, ABC Alice Springs. Image source: ABC News.

New COVID-19 vax resources from NSW Health

NSW Health have put together a range of updated COVID-19 vaccination resources for Aboriginal and Torres Strait Islander peoples, including:

  • updated sorry business poster and factsheet to reflect new restrictions
  • updated self-isolation rules
  • new community champion vaccination postcards
  • community champion videos: Blake Tatafu; BudjerahCorey Tutt; Lesley Armstrong
  • updated ‘release and recovery from COVID-19’ factsheet with new advice about vaccination for recovered cases.

All the above resources, as well as the social media resources listed below, can be found on the NSW Government website here.

NSW Health will also be hosting another Yarn Up Q&A at 3:00PM Tuesday 26 October 2021 on the NSW Health Facebook page. This series will focus on the facts about COVID-19 vaccination, responding to some of the misinformation circulating through the community. If you have any questions you think would be valuable to include, please let Helen Gardiner, Aboriginal Health COIVD-19 Communications Lead, Centre for Aboriginal Health, NSW Government know by midday this Thursday 21 October 2021 using this email link.

Youth call for action on “missing middle”

Young leaders have released a Call to Action to promote a much stronger role for young Australians in the design of health services to meet the “missing middle” needs of teenagers and young adults in health policy. The Call to Action seeks innovations including the creation of a youth healthcare card, a National Youth Commissioner and education in schools to promote understanding of the health system.

The call flows from the recent Youth Health Forum National Summit which brought together hundreds of advocates and young people from across Australia to discuss the health system challenges experienced by people aged 18 to 30. This age group has been identified in the report Life Transitions and Youth Pathways to Health services report as the “missing middle” in healthcare, experiencing limited engagement in the health sector and worsening outcomes.

“Changes need to be made within the health system to ensure that young people are able to live their healthiest lives. For these changes to be effective and sustainable, we are directly engaging and listening to young health consumers who are most impacted by the system,” the spokesperson for the Youth Health Forum, Roxxanne MacDonald, said.

To view the CHF media release in full click here.

legs of 5 young people sitting with laptops

Image source: Pro Bono Australia.

$93m to extend Indigenous programs

The Morrison Government is investing more than $93 million into 224 organisations to extend a range of Indigenous programs across early childhood, schooling, vocational education and training, and safety and wellbeing projects. Minister for Indigenous Australians, the Hon Ken Wyatt AM, MP, said the funding continues many successful programs that address essential service gaps and meet community needs.

“Our commitment to initiatives that help realise better outcomes for Indigenous Australians is unwavering – this funding will help deliver a raft of critical services, particularly to improve early life outcomes for Aboriginal and Torres Strait Islander children.” “224 organisations will receive funding from the Indigenous Advancement Strategy, allowing them to plan and deliver 253 activities and services for Indigenous Australians.

To view Minister Wyatt’s media release in full click here.

7 young Aboriginal kids jumping in the air, grass underfoot & blue sky

Image source: The Australian.

EOIs sought for Project ECHO Steering Group

The COVID-19 pandemic has had an impact on the use of alcohol and other substances and delivery of treatment services across Australia, and has reinforced the key role primary care, and particularly general practice, plays in keeping people well in the community.

GPs often see the impact of alcohol and drug use on people’s wellbeing and are well placed to offer support. Just like other health problems, substance use issues can be treated, with treatment generally more effective if initiated early.

To build confidence and capability of primary care practitioners to support people experiencing alcohol and other drug (AOD) issues, WA Primary Health Alliance (WAPHA) are establishing WA’s first Project ECHO (Extension for Community Healthcare Outcomes). Project ECHO is an evidence-based model which places healthcare providers from diverse settings in direct contact with subject matter experts, empowering them to provide best practice care for their local communities.

WAPHA is seeking expressions of interest (EOIs) from GPs and other health professionals to be part of a Steering Group to guide the development and implementation of Project ECHO. The Steering Committee will provide leadership, oversight and direction; monitor progress; progress relevant actions and contribute to project evaluation.

WAPHA is seeking applications from:

  • General Practitioners (with advanced experience and/or an AOD speciality as well as early career practitioners with a special interest in AOD)
  • Aboriginal Health Practitioners
  • Pharmacists
  • Nurses
  • Other Allied Health professionals and
  • Consumers who use AOD services

If this sounds like you then please submit your EOI here by COB Friday 5 November 2021.

For more information about Project ECHO click here.

banner, vector sign text 'Project ECHO'

Indigenous Justice Research Program established

The national Indigenous Justice Research Program (IJRP) has been established as part of the Morrison Government’s commitment to the National Agreement on Closing the Gap. The IJRP will fund academic research relating to Aboriginal and Torres Strait Islander criminal justice and aim to reduce the number of Aboriginal and Torres Strait Islander people in detention.

Minister for Home Affairs Karen Andrews said closing the gap was vitally important, not just for Aboriginal and Torres Strait Islander peoples but for all Australians. “This new research program will build a body of evidence to inform improvements to criminal justice polices and responses as they relate to Aboriginal and Torres Strait Islander individuals interacting with the justice system,” Minister Andrews said. Minister Wyatt said a solid research and evidence base will support all parties to meet and exceed the targets to reduce Indigenous over-representation in the criminal justice system.

To view the media release in full click here.

Calls for national social prescribing scheme

The Royal Australian College of General Practitioners (RACGP), Consumer Health Forum of Australia (CHF) and Mental Health Australia are urging the government to implement a national social prescribing scheme to tackle Australia’s mental health and wellbeing crisis in the 2021 Mid-Year Economic and Fiscal Outlook (MYEFO).

Mental ill health is a growing problem in Australia and has been made worse by the COVID-19 pandemic. Since 2017, GPs across Australia have rated mental health as the most common presentation they see as part of the RACGP’s annual Health of the Nation survey. Medicare data also shows the increase in patients accessing mental health services during the pandemic, with services highest in July 2020 when Victoria’s second wave peaked. We also know that approximately 20% of patients consult their GP for what are primarily social problems.

The RACGP, CHF and Mental Health Australia are calling on the Australian Government to support the development of a nationally coordinated scheme dedicated to tackling the problem with innovative local solutions.

Social prescribing is about health and wellbeing support. It involves a health professional supporting a patient to take up non-medical activities and services to supplement conventional healthcare. It aims to address the key risk factors for poor health, including mental health problems, social isolation, and chronic illness. It has been shown to deliver positive health benefits and improved self-care capability.

To view the joint media release click here.

vector images of 18 social activities

Image source: CTA website.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

NACCHO Aboriginal Health News: Expanded vaccine choice for all over 60 years

feature tile text 'Expanded COVID-19 vaccine choice now available for all over 60 years' & 62 year old Aboriginal man receiving vax

Feature image source The Conversation: Cecil Phillips, 62, receiving his COVID-19 vaccination by registered nurse, Sam Parimalanathan, at the Aboriginal Medical Service in Redfern. Photograph: Isabella Moore

Expanded vaccine choice for over 60s

The Minister for Health has announced people aged 18 and over are now eligible to receive any COVID-19 vaccine available in Australia. This includes Pfizer, Moderna and AstraZeneca.

Previously, AstraZeneca was the only vaccine available, outside of remote areas, to those aged over 60 years.

The expansion of COVID-19 vaccine choice may help to address the approximately 20% of the Aboriginal and Torres Strait Islander population over 60 years who have not yet been vaccinated.

For further information visit the Department of Health’s website here.

DoH banner text 'All 3 vaccines available for people over 18'

Full community control for Palm Island company

This week saw a major step towards self-determination for the Palm Island community with the transition of the Palm Island Community Company (PICC) to full community control. The Queensland Government and the Palm Island Aboriginal Shire Council have now transferred their shareholding in PICC to enable a community-controlled organisation that is fully owned by community members.

PICC has been operating since 2008 and has grown into a large professional organisation delivering a wide range of community services with a workforce of nearly 150 employees, who are overwhelmingly local Palm Islanders. In August, PICC took on responsibility for Palm Island primary health services, amalgamating their existing health centre with the Townsville Hospital and Health Service (THHS) primary health centre to create an integrated community-controlled Aboriginal Medical Service.

The Palm Island Mayor and past chairperson of PICC, Mislam Sam said: “this is a hard-won achievement for the Palm Island community. Our community and our elders and leaders have worked for decades for self-determination, and we are proud to finally have local control over services, especially health, that support our families and employ local people.”

PICC services include:

  • an integrated Aboriginal medical service
  • community services, including in the areas of family well-being, early childhood, healing, disability, child protection, domestic violence, men’s groups, children and youth activities
  • social enterprises, including a mechanics workshop, fuel supply and a community shop.

To view the media release click here.

VACCHO Vaccine Vans hit the road

The Victorian Aboriginal Community Controlled Health Organisation (VACCHO) have launched dedicated Vaccine Vans. The vans, which will travel through Greater Shepparton and Latrobe Valley, are crucial in making the COVID-19 vaccine available to the Indigenous community who’ve faced barriers accessing the vaccine so far.

“Building on the hard work of ACCHOs across the state – the vans will boost support of COVID-19 vaccine delivery to community members during regional residencies across Victoria over the coming weeks,” said VACCHO CEO Jill Gallagher.

Gallagher stressed the urgent need for this initiative and vaccinating the community given the record high case numbers in the state, and the plans to open up restrictions as vaccination rates improve. “We must be mindful of the fact that risk factors for COVID-19 are disproportionately higher for Aboriginal and Torres Strait Islander people,” she said.

“[This is] due to a combination of factors including pre-existing health concerns, pressing mental health and wellbeing issues, and people living in overcrowded or transient accommodation.”

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

VACCHO building external view, overlaid with VACCHO logo

Pharmacist guidelines for vaping prescriptions

In December 2020, the Therapeutic Goods Administration (TGA) announced that from 1 October 2021, a prescription will be required to access liquid nicotine for inhalation (vaping), following a change to its scheduling.

To manage these legislative changes, the Pharmaceutical Society of Australia (PSA), with support from the Commonwealth Department of Health, has developed guidelines and education to support Australian pharmacists through the transition.

Claire Antrobus, Manager, Practice Support and project lead, explained why such support is required. “From today, a prescription will be required to access nicotine vaping products. When nicotine vaping products are prescribed under the Authorised Prescriber Scheme or the Special Access Scheme they can be dispensed through local pharmacies.

“As a result of these legislative changes, we are likely to see patients presenting to pharmacies, to access nicotine vaping products via prescription. PSA has worked with the Therapeutic Goods Administration, the Department of Health’s Tobacco Control Section, Quit Victoria, the Royal Australian College of General Practitioners, the National Aboriginal Community Controlled Health Organisation, the Pharmacy Guild of Australia and the Royal Australian and New Zealand College of Psychiatrists to develop guidelines and education which equips pharmacists with the skills and knowledge to effectively manage the transition.

“These guidelines outline the pharmacist’s role in providing smoking cessation support and key requirements for dispensing nicotine vaping products, including counselling and safety considerations.

To view the full article click here.

chemist counter with vaping fluid packs

Australian manufacturer Liber Pharmaceuticals produces a nicotine vaping product (NVP). Image source: Business News Australia.

Now is the time to be vaccinating

According to the peak Aboriginal health body, NACCHO, the vaccination gap between Aboriginal and Torres Strait Islander people and non-Indigenous people is partly due to the low coverage among the younger population.

NACCHO medical adviser, epidemiologist Dr Jason Agostino, said almost 90% of the Indigenous population is under 60, and many of them had only recently become eligible for vaccination. “This is really an issue about immunisations for younger Aboriginal and Torres Strait Islander people,” Dr Agostino, said. “If we look at the over-60 population, more than 70% have had a first dose nationwide and in ACT, NSW and Victoria it’s about 85%.”

Agostino said he was “quite confident” that the ACT, Victoria and NSW would reach a fully vaccinated rate above 80% for the 12 and over population before the end of October. But he said states which have had very few Covid cases, such as Queensland and WA, should be dramatically lifting their vaccination rates now, to avoid a a situation like the one unfolding in Wilcannia, which now had more than 156 cases in a population of 720 people.

“It’s so important, because starting to lift your vaccination [rates] during an outbreak is not the ideal time,” he said. As you’ve seen in western NSW, in the space of six weeks, they’ve had almost 1,000 cases and they’ve had five deaths in that region. Now is the time to be vaccinating.”

To view The Guardian article in full click here.

Darren Wright receives the first dose of a COVID vaccine at the Ungooroo Vaccination Hub in Singleton. Photo supplied by: Ungooroo Aboriginal Corporation

Darren Wright receives the first dose of a COVID vaccine at the Ungooroo Vaccination Hub in Singleton. Photo supplied by: Ungooroo Aboriginal Corporation. Image source: Muswellbrook Chronicle.

Culturally appropriate NDIS services trial

The WA Government will fund a trial of culturally appropriate services for Aboriginal NDIS participants in the Kimberley. The Broome Regional Aboriginal Medical Service (BRAMS) will undertake research and consult with specialists and Aboriginal people to develop a culturally competent model of allied health service delivery for the region over 18 months.

There will be a particular focus on developing techniques and resources that can be used by allied health professionals who work with Aboriginal NDIS participants. A six-month ‘Community of Practice’ will also be set up to test and learn from the practical tools and resources created by the project.

To access the media statement in full click here.

Aboriginal man and woman having a cup of tea at table

Image source: Synapse Australia’s Brain Injury Organisation.

Aboriginal Family Led Decision Making pilot

Child Protection Minister Simone McGurk has announced Wungening Aboriginal Corporation (Wungening) as the successful Aboriginal Community Controlled Organisation (ACCO) for the Aboriginal Family Led Decision Making (AFLDM) pilot in Mirrabooka.

Through the pilot, Wungening will enlist independent Aboriginal convenors to facilitate a culturally safe process that supports Aboriginal families to make decisions about how to best keep their children safe and connected with their community. AFLDM aims to address the overrepresentation of Aboriginal children in the child protection system by promoting greater participation and self-determination for Aboriginal families and to provide input into decisions regarding their children.

To view the media release click here.
Wungening AC building & logo

Health scholarship opportunity closing soon

The opportunity to apply for a scholarship is closing soon. The scholarship supports students studying in a number of health disciplines including additional scholarship places for Mental Health studies.

Attached are a couple of web banners for your use. If you require any adjustments to the artwork, please contact Sam. The  social media caption is: ‘DON’T MISS OUT! Scholarships for Aboriginal and Torres Strait Islander students studying, or intending to study, entry-level health courses. The scholarships are funded by the Australian Government Department of Health.

Visit here to find out more and apply, closes Monday 11 October 2021.

banner text 'ATSI health scholarship applications open'

Steady pipeline of doctors program

A new locally-led medical program, the first of its kind, could be launched as early as 2023, to build a steady pipeline of doctors into regional, rural, and urban areas in the Northern Territory. Charles Darwin University has joined Menzies School of Health Research (Menzies) in its aspirations to establish the CDU/Menzies Medical Program, as a part of a new Northern Australian Health Workforce Alliance to support the health workforce needs of the Northern Territory and, more broadly, northern Australia. The opportunity to expand general practice and rural medicine training, consultant medical training and health research will be enhanced through such an Alliance.

To view the CDU media release click here and to view a more detailed article click here.

Charles Darwin University sign

Charles Darwin University is joining forces with Menzies School of Health Research to establish a medical program in the NT. Image source: NT News.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.

World Cerebral Palsy Day

World Cerebral Palsy Day, marked today Wednesday 6 October, is a movement of people with Cerebral Palsy (CP) and their families, and the organisations that support them, in more than 75 countries. CP affects more than 17 million people worldwide. Another 350 million people are closely connected to a child or adult with CP. It is the most common physical disability in childhood. CP is a permanent disability that affects movement. Its impact can range from a weakness in one hand, to almost a complete lack of voluntary movement:

  • 1 in 4 children with CP cannot talk
  • 1 in 4 cannot walk
  • 1 in 2 have an intellectual disability
  • 1 in 4 have epilepsy.

The World CP DAY movement’s vision is to ensure that children and adults with Cerebral Palsy have the same rights, access and opportunities as anyone else in our society. It is only together, that we can make that happen.

The report Comparing risks of cerebral palsy in births to Australian Indigenous and non-Indigenous mothers concludes that those of Indigenous heritage may be the subject of greater under-ascertainment of CP than those without Indigenous heritage and Indigenous children are at significantly greater risk of CP, particularly postneonatal CP, and their impairments tend to be more severe.

The theme of World CP Day this year is Because every person living with cerebral palsy is a reason to strive for change.

For more information click here.banner text 'World CP Day October 6' green, blue, yellow, vector map of world

COVID-19 vaccine update for GPs webinar

The latest in the Australian Government Department of Health’s series of COVID-19 vaccine updates for GPs webinar will be held from:

11:30am–12:00pm (AEST) tomorrow, Thursday 7 October 2021.

At this webinar, you’ll be provided with the latest information on the vaccine rollout. GPs and all health professionals are welcome.

Joining Professor Michael Kidd AM this week will be Dr Lucas de Toca, First Assistant Secretary, COVID-19 Primary Care Response, Department of Health and Dr Clara Soo
Practice Principal, Hobart Place General Practice and East Canberra General Practice, Canberra.

This week’s GP webinar will have a slightly different look and feel as it will be held via webex. This will enable guests from other locations to join the GP webinar panel. If you’re unable to view this webinar live, you can view it on-demand using the same link, within a few hours of the live stream ending.

When you’re ready to join, use this link.

NACCHO Aboriginal Health News: QAIHC comments on vax rates

feature tile text 'vulnerable First Nations communities could be at risk of being overwhelmed according to QAIHC' & image of cartoon drawing of two Aboriginal people wearing masks & 'QAIHC' along footer

QAIHC comments on vax rates

Vulnerable indigenous communities could be at risk of being ‘overwhelmed’ by COVID-19 if their vaccination rates continue to dwindle, the Queensland Aboriginal and Islander Health Council (QAIHC) has said.

Modelling based on current vaccination rates for indigenous populations suggests the 80% inoculation target for First Nations Queenslanders won’t be achieved until February 2022. The QAIHC says current health data shows 34.2% of Indigenous Queenslanders have had at least one vaccine dose. The state’s lowest vaccinated Indigenous population is in central Queensland at 17.78% fully vaccinated, with Townsville second last at 19.19%.

With target vaccination rates being set, and the notion of opening the borders to ‘live with the virus’, Queensland’s First Nations communities face the very real threat of being completely overwhelmed by COVID-19, QAIHC chair Matthew Cooke says.

“Targeted investment is needed immediately from both levels of government, otherwise our mob will be left behind when the borders open and be left most vulnerable to this virus”, Mr Cooke said. He says the vaccination gap is a grave cause for concern, particularly as discussions shift to reopening borders.

To view the full article in The West Australian click here.

Aboriginal woman with mask & health worker with mask & face shield

Image source: Yahoo! News website.

Min Wyatt outlines COVID-19 activities

The Minister for Indigenous Australians, the Hon Ken Wyatt MP has outlined a number of activities being undertaken by the Commonwealth to support states and territories, and Indigenous communities against the threat of COVID-19, including the formation of a National Food Security Taskforce. The role of this taskforce is to address food security issues in remote Indigenous communities, and work in close collaboration with states and territories under the National Coordination Mechanism to coordinate responses in a range of sectors. Ensuring a reliable supply of essential goods, groceries, pharmaceuticals and other critical supplies during the COVID-19 pandemic remains a high priority.

The National Indigenous Australians Agency (NIAA) has been working closely with the Department of Health from the beginning of the COVID-19 outbreak and, with its regional presence and on-the-ground contacts, has coordinated with other jurisdictions throughout the pandemic. The Minister for Indigenous Australians and NIAA continue to receive correspondence from a range of organisations and individuals regarding COVID-19 and includes this information as part of its ongoing communication with relevant Commonwealth and State and Territory bodies.

To view Minister Wyatt’s statement in full click here.

AUSMAT’s longest deployment on home soil

The Australian Medical Assistance Team, or AUSMAT, is a crack team of emergency disaster responders who deploy overseas providing emergency humanitarian support during major disasters. They never imagined their longest deployment would be on home soil.

Emergency nurse practitioner Angela Jackson has been at the frontline of many AUSMAT international rescue missions but this deployment, although closer to home, is shaping up to be a much bigger challenge. Angie and her team were tasked with providing COVID-19 vaccination support to remote communities that are home to many isolated, vulnerable, and Indigenous Australians.

Regional local health services in the NSW far-western region were faced with the monumental task of covering this vast remote area to provide vaccinations with already pre-pandemic stretched resources.

To view the full ABC News article click here.

two health professionals full PPE country road back of van

Namatjira community vaccine rollout in Dareton, NSW. Image source: ABC News website.

Calls for clean water continue

The WA government is under pressure to ensure remote Aboriginal communities have access to clean drinking water.

WA Shadow Minister for Water James Hayward has called on “the Departments of Water, Communities and Health, to work together cohesively to deliver a program to identify and test drinking water supplies in Aboriginal communities that have been left untested for going on a decade. It is in no way appropriate for a first world country to dismiss a community’s cry to ensure they have clean drinking water.“

Kimberley Labor MP and Yawuru, Nimanburr and Bardi woman, Divina D’Anna said she would “continue to advocate for better quality services to remote communities. It is critical that we provide services to remote communities. I am passionate about ensuring that the people of the Kimberley, especially Aboriginal people in remote communities, are afforded the same opportunities and access to essential services that city people are.”

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

old broken water tap in outback

Image source: National Indigenous Times.

Dementia cases to double by 2058

A major report on dementia from the Australian Institute of Health and Welfare (AIHW) was recently release, finding that dementia is the second leading cause of death in Australia and the number of people developing the disease is growing at an alarming rate. It is expected that by 2058, dementia cases will double to 849,300 Australians from the estimated 386,000 – 472,000 people living with dementia in 2021.

The Dementia in Australia report was launched by the Minister for Senior Australians and Aged Care Services, Richard Colbeck on Monday. Also announced at the launch was the establishment of AIHW’s National Centre for Monitoring Dementia. The aim of the Centre is to undertake routine monitoring of dementia, find data gaps and address them, and help inform policy that meets the needs of Australians with dementia.

For people who are Aboriginal or Torres Strait Islander, rates of dementia are three to five times higher than non-Indigenous Australians. Due to an ageing Indigenous Australian population, AIHW believes the numbers of dementia among this group will continue to rise in the future.

To read the article in full click here.

Aged care worker Faye Dean (left) is supporting Winnie Coppin (right), who has dementia. Photo: Erin Parke, ABC Kimberley. Image source: ABC News.

New process for job advertising

NACCHO have introduced a new system for the advertising of job adverts via the NACCHO website and you can find the sector job listings here.

Click here to go to the NACCHO website where you can complete a form with job vacancy details – it will then be approved for posting and go live on the NACCHO website.


dice spelling JOBS resting on keyboard

Stride4Stroke campaign

The Stroke Foundation’s flagship campaign Stride4Stroke is back. For many Australians, the various lockdowns around the country have made keeping fit and active a challenge. That’s why this November you’re invited to join Stride4Stroke your way, wherever you are, and raise vital funds to help prevent, treat and beat stroke.

Get together with friends, colleagues, or family to create a team or go solo.

Ask your friends and family to donate to your online fundraising page. Every conversation and dollar raised will help prevent stroke, save lives and enhance recovery.

Simply select any activity – we’re talking any activity, such as swimming, exercise bike, yoga, walking, running – set your Moving Minutes target, and stride your way this November.

Register here by Friday 15 October 2021 to go in to the draw to WIN your very own Apple Watch for access to the latest in fitness tracking technology.

NACCHO Aboriginal Health News: First Nations COVID-19 vaccine implementation plan released

feature tile text 'Australian Government releasesCOVID-19 Vaccination Program Implementation Plan: Aboriginal and Torres Strait Islander People', photo of purple gloved hands injecting person's arm

First Nations COVID-19 vaccine implementation plan released

The Australian Government has released its COVID-19 Vaccination Program – Aboriginal and Torres Strait Islander Peoples Implementation Plan. This Implementation Plan is for the COVID-19 vaccination program for all Aboriginal and Torres Strait Islander peoples over 18 years of age. This plan has been developed in consultation with the Aboriginal and Torres Strait Islander health sector, and with state and territory governments.

To view the plan click here.cover of Australian Government Department of Health COVID-19 Vaccination Program Implementation Plan: Aboriginal and Torres Strait Islander Peoples

Sydney hospital goes from worst to best

It’s one of the busiest and most esteemed emergency rooms in the country, but for decades some of the most vulnerable have slipped through the cracks. Located in the heart of Sydney’s nightlife district, St Vincent’s Hospital has saved thousands of lives — but it was considered the worst in the state when it came to caring for certain patients. “A high number of Aboriginal people were coming in through our emergency department and were leaving us, not completing their treatment,” said Pauline Deweerd, director of Aboriginal health at the hospital.

Some months, as many as one in three patients left the hospital before receiving the vital care they needed. “It was because of past bad experiences, they didn’t like waiting, and they didn’t like the way we treated them,” Ms Deweerd said. It was a persistent, hard to address problem, even for a hospital that has a reputation for providing top-notch emergency medicine.

But in the middle of a global pandemic the hospital found a solution, and doctors are certain the rest of the country can learn from it. “It’s our attempt at closing the gap for our small part of the health world; we not only brought it to the level of the general population, we made it a little better,” Dr Preisz said.

To view the full ABC News article click here.

Aboriginal Health Manager Scott Daley in scrubs sitting on patient bed at St Vincent's Hospital

Aboriginal Health Manager Scott Daley, St Vincent’s Hospital, Sydney. Photo: Brendan Esposito. Image source: ABC News website.

Former PM urges women to get COVID-19 vaccine

Julia Gillard has had her coronavirus jab, urging everyone – and particularly women – to get vaccinated. The former PM joined Health Minister Greg Hunt and Department of Health secretary Brendan Murphy to be among the first to receive the AstraZeneca COVID-19 vaccination at a Melbourne clinic on Sunday 7 March 2021. “Me being here today is a visible representation that no matter what side of politics you barrack for, no matter whom you intend to vote for, there is a united message,” Ms Gillard told reporters. “Please get the vaccine. And particularly to Australian women, can I say, please get the vaccine.

She understands that people might feel a little bit anxious, but recommended they get their information from reliable sources, such as the Australian government or from their local health practitioner. “Whether it’s smallpox, measles, mumps, rubella, whooping cough, influenza, and now COVID-19, vaccinations can save lives and protect lives,” Mr Hunt said.

AstraZeneca and Pfizer doses from overseas are being given to frontline health and hotel quarantine workers, as well as aged and disability care residents and staff, as part of phase 1a. The AMA said more than 130 respiratory clinics and over 300 Aboriginal community controlled health service sites will support the phase 1b rollout.

To view the full SBS News article click here and to listen to a Julie Gillard urging Australians to get the COVID-19 vaccine click here.

portrait photo of ex-PM Julia Gillard

Former Australian Prime Minister Julia Gillard. Image source: SBS News website.

Umoona Tjutagku frontline staff receive COVID-19 vaccine

“South Australia’s economic and health response to the COVID-19 threat has been world-leading, and we are focused on working with our health experts to deliver a safe and quick roll out of the vaccines,” SA Premier Marshall said. “This is the biggest peacetime operation in our state’s history, and a big plank in our plan to keep South Australia safe and strong. “The roll out is happening right across the State, with our three key hubs in the north, south and centre of Adelaide all operational, and our regional hubs also progressing .”

Minister Wade said the rollout continues to expand into regional areas with 240 doses of the vaccine arriving at Coober Pedy Hospital today.

“Frontline staff of the Coober Pedy Health Service, Umoona Tjutagku Aboriginal Health Service and Umoona Aged Care as well as aged care residents will receive their COVID-19 vaccine over the next four days.  It is an excellent example of cooperation across all sectors of Health and Aged Care in the Eyre and Far North Local Health Network, SA Minister for Health and Wellbeing Stephen Wade said.

To view the SA Premier’s media release in full click here.

two Aboriginal health workers at Umoona Tjutagku Health Service AC checking medicine box

Image source: Umoona Tjutagku Health Service Aboriginal Corporation website.

Over 55s in next phase of COVID-19 vaccine rollout

More GPs and health clinics will be involved in the vaccine rollout every week from March 22, as the mass COVID-19 vaccination program enters its next phase. Federal Health Department secretary Brendan Murphy says phase 1b of the vaccine rollout will include adults based on their vulnerability to getting COVID-19. “[It] will involve the over 80s who are most at risk as a general group, then the over 70s, and those who are immunocompromised. We will have our Indigenous Australians over 55 as well as frontline emergency service and defence workers.”

The staged commencement of general practices will be complemented by GP-led respiratory clinics and Aboriginal community controlled health services. The AMA said more than 130 respiratory clinics and over 300 Aboriginal community controlled health service sites will support the phase 1b rollout.

To view the full SBS News article click here.

Aboriginal woman and man both 50+ years

Image source: AbSec – NSW Child, Family and Community Peak Aboriginal Corporation website.

Professor Langton talks about the COVID-19 vaccine 

Professor Marcia Langton AO has warned of the ongoing dangers of COVID-19, the effectiveness of available vaccines and the importance of getting vaccinated as soon as possible.

You can view the short video and transcript here.

snapshot of Professor Marica Langton AO The Uni of Melbourne video for DoH on COVID-19 importance, standing in park with trees in background

Professor Marcia Langton AO, The University of Melbourne.

Pain treatment and opioid use – have your say!

NACCHO is working on a project to create some support materials for pain management and the use of opioid medicines, including for Aboriginal and Torres Strait Islander people and is looking for Aboriginal and Torres Strait Islander people consumers and health professionals to take part in group discussion to understand the important issues so that the materials made can be useful.

If you are a health consumer and experience pain and use opioids or are interested in pain management as a practitioner in your ACCHO we invite you to contribute to this project. NACCHO will provide financial compensation for your participation.

To apply or learn more please contact Fran Vaughan at NACCHO medicines@naccho.org.au.

bottles of tablets & blister packs

Image source: NPS Medicinewise website.

System must be held accountable for deaths in custody

Responding to news that two Indigenous people died in custody in NSW in the past week, Amnesty International Australia Indigenous Rights Lead Nolan Hunter said: “We’re coming up to the 30 year anniversary of the Royal Commission into Aboriginal Deaths In Custody (RCIADIC) and it feels as though very little has changed. For example, recommendation 165 called for the screening and removal of hanging points that could be used for self-harm; now nearly 30 years later, we hear of an Indigenous woman who used such a hanging point to tragically take her own life. Here we have two tragic deaths in custody and the Corrective Services Commissioner Peter Severin claims the system can be accountable, while not making these tragedies public.”

To view Amnesty International’s media quote in full click here. and a related article in The Sydney Morning Herald here.

crosses in row on grass with Aboriginal flag painted on them & words Black Deaths In Custody Cross For Loss

Image source: ABC News website.

World Kidney Day

Kidney disease is a non-communicable disease (NCD) and currently affects around 850 million people worldwide. One in ten adults has chronic kidney disease (CKD). Being diagnosed with kidney disease can be a huge challenge, both for the patient and those people around them. Its diagnosis and management, particularly in advanced stages of kidney disease, impacts severely upon their lives by reducing their, and that of family and friends, ability to participate in everyday activities like work, travel and socialising whilst causing numerous problematic side effects  – e.g. fatigue, pain, depression, cognitive impairment, gastrointestinal problems and sleep problems.

This year World Kidney Day continues to raise awareness of the increasing burden of kidney diseases worldwide and to strive for kidney health for everyone, everywhere. Specifically, the World Kidney Day Steering Committee has declared 2021 the year of “Living Well with Kidney Disease”. This has been done in order to both increase education and awareness about effective symptom management and patient empowerment, with the ultimate goal of encouraging life participation.

When compared to non-Indigenous Australians, Indigenous Australians

  • Are more than twice as likely to live with biomedical markers of chronic kidney disease – representing 1 in 5 Indigenous Australian adults
  • Experience an increased prevalence of significant medical co-morbidities
  • Have a median onset of ESKD around 30 years younger
  • Are almost 4 times as likely to die with CKD as a cause of death
  • Have incidence rates of renal replacement therapy (RRT) 8 – 9 times greater
  • Are less likely to receive dialysis in a home setting (either peritoneal or haemodialysis)
  • Are less likely to receive a kidney transplantation
  • Have worse outcomes from transplantation
  • Are more likely to live in very remote or remote areas which is associated with poorer health outcomes
  • Experience a greater psycho-social impact of their disease

For further information on World Kidney Day Thursday 11 March 2021 click here.

Aboriginal painting titled My Kidney Journey by Inawinytji Williamson, a Pitjantjatjara and Yankunytjara Woman and kidney patient

My Kidney Journey by Inawinytji Williamson, a Pitjantjatjara and Yankunytjara woman and kidney patient. Image source: World Kidney Day website.

2021 Indigenous Wellbeing Conference

The Australian & New Zealand Mental Health Association (ANZMHA) has announced details of its new conference, the 2021 Indigenous Wellbeing Conference to take place in Cairns from 7–8 October 2021.

Its theme will be “Honouring Indigenous Voices & Wisdom: Balancing the System to Close the Gap” and will showcase a high calibre of keynote speakers and presenters, covering four vital topics: (1) Promoting Wellness, (2) Social, Emotional & Cultural Determinants, (3) Community Care & Social Recovery and (4) Service Care & Recovery.

With a vision to “shine light on the key challenges in Indigenous communities and address the past and present issues contributing to inequities in mental health treatment and care,” the conference is set to enlighten, educate, and share the hard truths amongst keynote speakers, presenters and attendees.

For more information about the conference and to register click here.

NACCHO Aboriginal Health Research Alerts : Download @AIHW Report Indigenous primary health care results : Our ACCHO’s play a critical role in helping to improve the health of our mob

 ” Comprehensive and culturally appropriate primary health care services play a key role in improving the health and wellbeing of Indigenous Australians through prevention, early intervention, health education, and the timely identification and management of physical and psychological issues. “

Download the 77 Page AIHW Report HERE

Indigenous-primary-health-care-results-from-the-OSR-and-nKPI-collections

Primary health care organisations play a critical role in helping to improve the health of Indigenous Australians.

In 2018–19:

To this end, the Australian Government provides funding through the IAHP to organisations delivering Indigenous-specific primary health care services (referred to hereafter as organisations).

These organisations, designed to be accessible to Aboriginal and Torres Strait Islander clients, are administered and run by:

  • Aboriginal community-controlled health organisations (ACCHOs)
  • state/territory/local health services
  • non-government organisations (NGOs), such as women’s health services (a small proportion of services).

They vary in size, location, governance structure, length of time in operation, workforce composition, sources of funding, the services they offer, the ways in which they operate (for example, stand-alone or part of a consortium), and the needs of their clients.

What they all share in common is a holistic approach to meeting the needs of their Indigenous clients, which often involves addressing a complex mix of health conditions.

Each organisation provides contextual information about their organisation to the OSR once each financial year (covering the period July–June). The OSR includes all activities of the funded organisations, regardless of the percentage of those activities funded by IAHP.

This chapter presents a profile of organisations delivering Indigenous-specific primary health care services, including staffing levels, client numbers, client contacts, episodes of care and services provided. It excludes data from organisations that received funding only for maternal and child health services.

Trends over time are presented where possible, noting that the organisations providing data can vary over time which may limit comparability for some purposes (see Technical notes and Glossary for more information). Also, in 2018–19, the OSR collection underwent significant change and was scaled back to include only ‘core’ items. Plans are underway to reintroduce key items in a staged approach over the next few years.

The following boxes show key results for organisations providing Indigenous-specific primary health care in 2018–19.

Clicking HERE will go to more information on the selected topic.

Aboriginal Health #CoronaVirus Alert No 79 : June 11 #KeepOurMobSafe #OurJobProtectOurMob : 1.#COVID19 advice for #BlackLivesMatter protestors 2. New $24.2 million @headspace_aus mental health services funding for young people aged 12–25

Aboriginal and Torres Strait Islander Lives Matter: Many thousands of people around the country gathered in public places to give that message loud and clear over the weekend.

This has been followed by some mixed messages about the risks of catching COVID-19 and who needs to be tested.

Through following the health messages below, we can continue to keep COVID-19 infections low amongst Aboriginal and Torres Strait Islander peoples and all Australians.

1.People with coronavirus can spread the virus for at least 48 hours before showing symptoms. This is why it is important you continue with social distancing, regular hand washing and cough hygiene.If you can, avoid contact with Elders and with people with chronic medical conditions as these people are at much higher risk of serious COVID-19 illness if they get infected.

2.If you develop even the mildest of symptoms, stay home and get a COVID-19 test. The symptoms that warrant a COVID-19 test include a sore throat, cough, shortness of breath, chills, night sweats or a temperature over 37.5°C. The earlier we pick up infections, the quicker we can move to prevent further spread.

3.Testing is only recommended for people with symptoms.

Part 2 : Press Release : The Australian Government announced an additional $24 million in funding , to expand headspace services and reduce wait times for young people seeking mental health support.

The Federal Government is investing $24.2 million to reduce wait times – fast tracking access to mental health services for young people aged 12–25 seeking headspace appointments.

Mental health and suicide prevention remains one of our Government’s highest priorities.

One in four young Australians are affected by a mental health illness every year, and as we battle COVID-19 it’s more important than ever that we prioritise mental health.

The disruption to normal life caused by the COVID-19 pandemic and the required restrictions has had profound impacts on young Australians.

Funding will go to Primary Health Networks (PHNs) in NSW, Victoria, Queensland, South Australia, Tasmania, the ACT and headspace National.

Services provided through headspace centres are a safe place to turn to, somewhere young people can get professional help, peer support and feel comfortable enough to tackle their challenges in a way that is right for them.

headspace provides access to free or low cost youth-friendly, primary mental health services with a single entry point to holistic care in four key areas—mental health, related physical health, substance misuse, and social and vocational support.

Prior to the pandemic, headspace service centres were experiencing high demand across the country.

Our Government’s investment will ensure young Australians can get information, advice, understanding, counselling and treatment, when and where they need it.

Individual grants of up to $2 million will improve facilities, access and reduce waiting times at headspace services commissioned by PHNs.

The headspace Demand Management and Enhancement Program is an investment of $152 million over seven years from 2018-19 by the Morrison Government to reduce wait times at headspace services.

The headspace services which will receive funding through this grant opportunity are:

State/Territory headspace Service
New South Wales Bankstown, Bondi Junction, Camperdown, Dubbo, Griffith, Hurstville, Lismore, Lithgow, Liverpool, Maitland, Miranda, Nowra, Orange, Penrith, Port Macquarie, Queanbeyan, Tamworth, Tweed Heads, Wagga Wagga and Wollongong
Victoria Albury-Wodonga, Bairnsdale, Bendigo, Geelong, Greensborough, Shepparton, Werribee and Wonthaggi
Queensland Bundaberg, Capalaba, Hervey Bay, Inala, Maroochydore, Nundah, Rockhampton, Southport, Townsville and Warwick
South Australia Berri, Mount Gambier, Murray Bridge and Port Augusta
Tasmania Hobart and Launceston
ACT Canberra

Our Government continues to demonstrate its firm commitment to the mental health and wellbeing of all Australians.

Children, young people and their families have been identified as a vulnerable population in the National Mental Health and Wellbeing Pandemic Response Plan.

We know this group will experience the impact of the social and economic outcomes of the COVID-19 pandemic the most.

Through record investments in mental health services and support, the Morrison Government will invest an estimated $5.2 billion this year alone.

Since the beginning of the year, our Government has provided $8 billion as part of the Coronavirus (COVID-19) National Health Plan, which is supporting primary care, aged care, hospitals, research and the national medical stockpile.

This includes an additional $500 million for mental health services and support, including $64 million for suicide prevention, $74 million for preventative mental health services in response to the COVID-19 pandemic and $48 million to support the pandemic response plan.

Next COVID-19 Webinar

A reminder too that our next webinar on the COVID-19 response for mental health will be held on Wednesday 17 June, 11am – 11:30am AEST. We hope to see you then and, as always, you can catch up on all previous webinars on-demand.

COVID webinar survey

If you have also been one of the thousands of practitioners who have watched our COVID-19 webinars then we are especially grateful for your engagement. The questions and comments have helped shape the information we have been providing.

To make sure our communication activities continue to be useful as we enter the next phase of the pandemic response, we would like your feedback. Your responses will be anonymous, and should take less than 5 minutes to complete. We appreciate your time is extremely valuable.

This link will remain open until COB Tuesday 16 June.

Take survey HERE

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

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

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

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

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

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

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

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

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

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

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

Page 8 of National Strategy Aboriginal and Torres Strait Islander people

Download the full strategy HERE

national-alcohol-strategy-2019-2028

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

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

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

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

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

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

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

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

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

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

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

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

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

Part 1 The Australian Continued 

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

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

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

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

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

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

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

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

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

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

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

Part 2 Belated alcohol strategy is a missed opportunity

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Part 4 AMA

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

Background

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

 

NACCHO Aboriginal #MentalHealth Download @NMHC National Report 2019 Released today : The Australian Government encourages PHNs to position Aboriginal Community Controlled Health Services as preferred providers for mental health and suicide prevention services for our mob

” Working to improve the health of Aboriginal and Torres Strait Islander people is a priority area for PHNs.

The PHN Advisory Panel Report recommended that PHN funds for mental health and suicide prevention for Aboriginal and Torres Strait Islander people should be provided directly to Aboriginal Community Controlled Health Services (ACCHS) as a priority, unless a better arrangement can be demonstrated.

The Senate Inquiry into the accessibility and quality of mental health services in rural and remote Australia also made a similar recommendation.

PHNs should continue to work on formalising partnerships with ACCHS.

The NMHC supports the recommendations made by both these reports and recommends that the Australian Government encourages PHNs to position ACCHS as preferred providers for mental health and suicide prevention services for Aboriginal and Torres Strait Islander people “

Extract from Page 14 

Recommendation 16: The Australian Government encourages PHNs to position Aboriginal Community Controlled Health Services as preferred providers for mental health and suicide prevention services for Aboriginal and Torres Strait Islander people.

The National Mental Health Commission today released its National Report 2019 on Australia’s mental health and suicide prevention system, including recommendations to improve outcomes.

Download the full 97 Page Report HERE 

National_Report_2019

or 9 Page Summary HERE 

National Report 2019 Summary – Accessible PDF

The Commission continues to recommend a whole-of-government approach to mental health and suicide prevention.

This broad approach ensures factors which impact individuals’ mental health and wellbeing such as housing, employment, education and social justice are addressed alongside the delivery of mental health care.

National Mental Health Commission Advisory Board Chair, Lucy Brogden, said we are living in a time when we’re seeing unprecedented investment and interest in making substantial improvements to our mental health system.

“Current national reforms are key, but complex, interrelated and broad in scope, and will take time before their implementation leads to tangible change for consumers and carers,” Mrs Brogden said.

“The National Report indicates while there are significant reforms underway at national, state and local levels, it’s crucial that we maintain momentum and implement these recommendations to ensure sustained change for consumers and carers.”

National Mental Health Commission CEO Christine Morgan said the National Report findings align with what Australians are sharing as part of the Connections Project, which has provided opportunities for the Commission to hear directly from consumers, carers and families, as well as service providers, about their experience of the current mental health system.

“What’s clear is we must remain focused on long term health objectives. Implementation of these targeted recommendations will support this focus,” Ms Morgan said.

The NMHC recommendations require collaboration across the sector.  As part of its ongoing monitoring and report role, the NMHC will work with stakeholders to identify how progress of the recommendations can be measured.

For your nearest ACCHO contact for HELP 

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

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

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

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

The Partnership Agreement means that:

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

BACKSTORY

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

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

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

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

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

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

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

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

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

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

“REFRESH”

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

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

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

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

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

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

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

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

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

THE PARTNERSHIP AGREEMENT ON CLOSING THE GAP

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

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

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

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

WHERE ARE AT NOW

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

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

NACCHO Aboriginal Health #ClosingTheGap #NAIDOC2019 : @AIHW Key results report 2017-18 Aboriginal and Torres Strait Islander health organisations:

Findings from this report:

  • Just under half (45%) of organisations provide services in Remote or Very remote areas

  • In 2017–18, around 483,000 clients received 3.6 million episodes of care

  • Nearly 8,000 full-time equivalent staff are employed in these organisations and 4,695 (59%) are health staff

  • Organisations reported 445 vacant positions in June 2018 with health vacancies representing 366 (82%) of these
  • In 2017–18, nearly 200 organisations provided a range of primary health services to around 483,000 clients, 81% of whom were Indigenous.
  • Around 3.6 million episodes of care were provided, nearly 3.1 million of these (85%) by Aboriginal Community Controlled Health Services.

See AIHW detailed Interactive site locations map HERE

In 2017–18, Indigenous primary health services were delivered from 383 sites (Table 3). Most sites provided clinical services such as the diagnosis and treatment of chronic illnesses (88%), mental health and counselling services (88%), maternal and child health care (86%), and antenatal care (78%). Around two-thirds provided tobacco programs (69%) and substance-use and drug and alcohol programs (66%).

Most organisations provided access to a doctor (86%) and just over half (54%) delivered a wide range of services, including all of the following during usual opening hours: the diagnosis and treatment of illness and disease; antenatal care; maternal and child health care; social and emotional wellbeing/counselling services; substance use programs; and on‑site or off-site access to specialist, allied health and dental care services.

Most organisations (95%) also provided group activities as part of their health promotion and prevention work. For example, in 2017–18, these organisations provided around:

  • 8,400 physical activity/healthy weight sessions
  • 3,700 living skills sessions
  • 4,600 chronic disease client support sessions
  • 4,100 tobacco-use treatment and prevention sessions.

In addition to the services they provide, organisations were asked to report on service gaps and challenges they faced and could list up to 5 of each from predefined lists. In 2017–18, around two-thirds of organisations (68%) reported mental health/social and emotional health and wellbeing services as a gap faced by the community they served.

This was followed by youth services (54%). Over two-thirds of organisations (71%) reported the recruitment, training and support of Aboriginal and Torres Strait Islander staff as a challenge in delivering quality health services.

Read full report and all data HERE

This is the tenth national report on organisations funded by the Australian Government to provide health services to Aboriginal and Torres Strait Islander people.

Indigenous primary health services

Primary health services play a critical role in helping to improve health outcomes for Aboriginal and Torres Strait Islander people. Indigenous Australians may access mainstream or Indigenous primary health services funded by the Australian and state and territory governments.

Information on organisations funded by the Australian Government under its Indigenous Australians’ health programme (IAHP) is available through two data collections: the Online Services Report (OSR) and the national Key Performance Indicators (nKPIs). Most of the organisations funded under the IAHP contribute to both collections (Table 1).

The OSR collects information on the services organisations provide, client numbers, client contacts, episodes of care and staffing levels. Contextual information about each organisation is also collected. The nKPIs collect information on a set of process of care and health outcome indicators for Indigenous Australians.

There are 24 indicators that focus on maternal and child health, preventative health and chronic disease management. Information from the nKPI and OSR collections help monitor progress against the Council of Australian Governments (COAG) Closing the Gap targets, and supports the national health goals set out in the Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan 2013–2023.

Detailed information on the policy context and background to these collections are available in previous national reports, including the Aboriginal and Torres Strait Islander health organisations: Online Services Report—key results 2016–17 and National Key Performance Indicators for Aboriginal and Torres Strait Islander primary health care: results for 2017.

At a glance

This tenth national OSR report presents information on organisations funded by the Australian Government to provide primary health services to Aboriginal and Torres Strait Islander people. It includes a profile of these organisations and information on the services they provide, client numbers, client contacts, episodes of care and staffing levels. Interactive data visualisations using OSR data for 5 reporting periods, from 2013–14 to 2017–18, are presented for the first time.

Key messages

  1. A wide range of primary health services are provided to Aboriginal and Torres Strait Islander people. In 2017–18:
  • 198 organisations provided primary health services to around 483,000 clients, most of whom were Aboriginal and Torres Strait Islander (81%).
  • These organisations provided around 3.6 million episodes of care, with nearly 3.1 million (85%) delivered by Aboriginal Community Controlled Health Services (ACCHSs).
  • More than two-thirds of organisations (71%) were ACCHSs. The rest included government-run organisations and other non-government-run organisations.
  • Nearly half of organisations (45%) provided services in Remoteand Very remote
  • Services were delivered from 383 sites across Australia. Most sites provided the diagnosis and treatment of chronic illnesses (88%), social and emotional wellbeing services (88%), maternal and child health care (86%), and antenatal care (78%). Around two-thirds provided tobacco programs (69%) and substance-use and drug and alcohol programs (66%).

See this AIHW detailed Interactive site locations map HERE

  1. Organisations made on average nearly 13 contacts per client

In 2017–18, organisations providing Indigenous primary health services made around 6.1 million client contacts, an average of nearly 13 contacts per client (Table 2). Over half of all client contacts (58%) were made by nurses and midwives (1.8 million contacts) and doctors (1.7 million contacts). Contacts by nurses and midwives represented half (49%) of all client contacts in Very remote areas compared with 29% overall.

  1. Organisations employed nearly 8,000 full-time equivalent (FTE) staff

At 30 June 2018, organisations providing Indigenous primary health services employed nearly 8,000 FTE staff and over half of these (54%) were Aboriginal or Torres Strait Islander. These organisations were assisted by around 270 visiting staff not paid for by the organisations themselves, making a total workforce of around 8,200 FTE staff.

Nurses and midwives were the most common type of health worker (14% of employed staff), followed by Aboriginal and Torres Strait Islander health workers and practitioners (13%) and doctors (7%). Nurses and midwives represented a higher proportion of employed staff in Very remote areas (22%).

  1. Social and emotional health and wellbeing services are the most commonly reported service gap

Organisations can report up to 5 service gaps faced by the community they serve from a predefined list of gaps. Since this question was introduced in 2012–13, the most commonly reported gap has been for mental health and social and emotional health and wellbeing services. In 2017–18, this was reported as a gap by 68% of organisations.