NACCHO #HaveYourSayCTG about #closingthegap on Aboriginal and Torres Strait Islander youth health : #NACCHOYouth19 Registrations Close Oct 20 @RACGP Doctor :Routine health assessments co-created with young Aboriginal and Torres Strait Islander people may soon be adopted by general practice.

Part 1 : Research project ‘Developing, implementing, and testing a co-created health assessment for Aboriginal and Torres Strait Islander young people in primary care’

Part 2 : Registrations close 20 October for the NACCHO Youth Conference Darwin 4 November 

Part 3 : If you cannot get to Darwin  you can still have your say about what is needed to make real change in the lives of Aboriginal and Torres Strait Islander youth

‘General practice needs to think more carefully about the issues facing young people as a distinct group. Better understanding has to start with asking Aboriginal and Torres Strait Islander people about important health priorities, and then listening carefully to the responses.

Once we have listened to community voices on health priorities and co-created the young person’s health assessment, we intend to conduct a pilot randomised trial of the new health assessment looking at outcomes including social and emotional wellbeing, detection of psychological distress and appropriate management and referrals.” 

Dr Geoffrey Spurling first had the idea for his research project ‘Developing, implementing, and testing a co-created health assessment for Aboriginal and Torres Strait Islander young people in primary care’ during a moving experience not so long ago, when he attended the funeral of a young Aboriginal woman who had committed suicide. See Part 1

The project was originally published in the RACGP News GP

Read all NACCHO Youth Articles HERE 

Part 1 ‘Developing, implementing, and testing a co-created health assessment for Aboriginal and Torres Strait Islander young people in primary care’. Continued from intro above

‘It was a profoundly sad experience,’ Dr Spurling told newsGP.

‘At the same time, community members were telling me that social and emotional wellbeing, especially for young people, was a health priority.

‘I wanted to do what I could with my medical and research skills to understand and help address the social and emotional wellbeing issues facing the community.’

It was here that his research project began to take shape.

Dr Spurling, a GP at Inala Indigenous Health Service and senior lecturer at the University of Queensland, was recently granted funds from the National Health and Medical Research Council (NHMRC) to develop his project, ‘Developing, implementing, and testing a co-created health assessment for Aboriginal and Torres Strait Islander young people in primary care’.

Through collaboration with Aboriginal and Torres Strait Islander community members, this research aims to develop and implement a health check especially tailored for young people in these communities.

Current Aboriginal and Torres Strait Islander Medicare health assessments involving adolescents are constructed for 5–14-year-olds and 15–54-year-olds. Dr Spurling believes more focus is needed on the health of young people within the second age group, and a specific health assessment should be implemented.

Following development of the tailored health assessments, Dr Spurling and his team intend to conduct a trial comparing the new health check with the current one available in clinical software, aiming to show better detection and management of social and emotional wellbeing concerns.

‘By creating a youth health assessment together with both young people and clinicians, I hope we can have more relevant conversations about health in general practice within both the specific context of the newly developed young person’s Aboriginal and Torres Strait Islander health assessment, and more broadly in general practice.’

The National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people recommends the Social Emotional Wellbeing (SEW) and HEEADSSS screening tools as part of health assessments for young people.

Investigator Grants is the NHMRC’s largest funding scheme, with a 40% allocation from the Medical Research Endowment Account. The scheme’s objective is to support the research of outstanding investigators at all career stages, providing five-year funding security for high-performing researchers through its salary and research support packages. The 2019 Investigator Grants funding totals $365.8 million.

Part 2 NACCHO Youth Conference Darwin 4 November 

 ” Culturally-appropriate care and safety has a vast role to play in improving the health and wellbeing of our people.

In this respect, I want to make special mention of the proven record of the Aboriginal Community Health Organisations in increasing the health and wellbeing of First Peoples by delivering culturally competent care.

I’m pleased to be here at this conference, which aims to make a difference with a simple but sentinel theme of investing in what works, surely a guiding principle for all that we do

Providing strong pointers for this is a new youth report from the Australian Institute of Health and Welfare.

Equipped with this information, we can connect the dots – what is working well and where we need to focus our energies, invest our expertise, so our young people can reap the benefits of better health and wellbeing “

Minister Ken Wyatt launching AIHW Aboriginal and Torres Strait Islander Adolescent and Youth Health and Wellbeing 2018 report at NACCHO Conference 31 October attended by over 500 ACCHO delegates including 75 ACCHO Youth delegates Pictured above 

Read Download Report HERE

The central focus of the NACCHO Youth Conference Healthy youth, healthy future is on building resilience. For thousands of years our Ancestors have shown great resolve thriving on this vast continent.

Young Aboriginal and Torres Strait Islander people, who make up 54% of our population, now look to the example set by generations past and present to navigate ever-changing and complex social and health issues.

Healthy youth, healthy future provides us with opportunities to explore and discuss issues of importance to us, our families and communities, and to take further steps toward becoming tomorrow’s leaders.

We hope to see you there!

Registrations CLOSE 20 October 

Registrations are now open for the 2019 NACCHO Youth Conference, which will be held November 4th in Darwin at the Darwin Convention Centre

REGISTER HERE

Part 3 Have your say about what is needed to make real change in the lives of Aboriginal and Torres Strait Islander youth #HaveYourSay about #closingthegapCTG

Aboriginal and Torres Strait Islander people know what works best for us.

We need to make sure Aboriginal and Torres Strait Islander youth voices are reflected and expertise is recognised in every way at every step on efforts to close the gap in life outcomes between Aboriginal and Torres Strait Islander people and other Australians.’

‘The Coalition of Peaks is leading the face to face discussions, not governments.

The Peaks are asking Aboriginal and Torres Strait Islander youth to tell us what should be included in a new Closing the Gap agreement and we will take this to the negotiating table.’

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

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

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

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

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

NACCHO Aboriginal Health and #RHD : @RACGP NewGP : ” This should not be the norm for our people ” Dr Olivia O’Donoghue and Pat Turner CEO NACCHO : Ending rheumatic heart disease in Australia

Australia has some of the highest rates of RHD in the world, seen almost exclusively in our Aboriginal and Torres Strait Islander communities,’ Chief Executive of the National Aboriginal Community Controlled Health Organisation (NACCHO), Patricia Turner, told newsGP.

‘A lot of non-Indigenous Australians would have never heard of this disease, yet for our communities, it continues to pose a real and serious threat.

Chief Executive of the National Aboriginal Community Controlled Health Organisation (NACCHO), Patricia Turner, told newsGP.

Article by Amanda Lyons

Read NACCHO RHD articles HERE

Rheumatic heart disease (RHD) is a serious illness, linked to disadvantage and largely preventable – and it’s rife in Australia.

RHD is a cardiac complication of acute rheumatic fever (ARF), an auto-immune illness that is itself caused by group A streptococcal infection (Strep A) which often manifests in sore throat or sores on the skin. It causes lasting damage to the heart, and has an enormous impact on the lives of those who contract it.

‘Our Aboriginal and Torres Strait Islander families are living with generations of occurrences of ARF and RHD, and for some it feels inevitable that it will affect them and their children,’ Dr Olivia O’Donoghue, Lead Aboriginal Health Training Medical Educator and Northern Territory Representative on the RACGP’s Aboriginal and Torres Strait Islander Council, told newsGP.

Read ABC Story : Rheumatic heart disease: Arnhem Land family with three afflicted sons take fight to Canberra

‘RHD and its complications can adversely affect pregnancy outcomes, young people are having major cardiac surgery which should have been preventable, and parents have asked me when their youngest child will need their heart operation as they had recently been diagnosed with ARF.

‘This should not be the norm for our people and something needs to be done to rectify this situation.’

Once ARF has developed into RHD, it requires expensive and complex management involving the coordination of multiple services, including oral healthcare, interventional cardiology and primary care. Patients require regular cardiac monitoring and often surgery.

If ARF is diagnosed in time, RHD can be prevented by bicillin injections; however, this treatment regime is not easy.

‘Regular injections of Bicillin L-A for prophylaxis against RHD are given, three to four times weekly, for an average of 10-plus years, and they are painful,’ Dr O’Donoghue explained.

‘Trying to explain to young children why they need to come in every month for these injections is challenging and heartbreaking.’

Even better than bicillin injections is prevention of ARF in the first place, and work is currently underway by RHD-focused organisation END RHD to create a vaccine against Strep A.

Dr O’Donoghue sees this initiative, and its recent funding boost from the Federal Government, as a positive step, although she would also like to see research into ARF treatment options, as well.

‘The discovery and development of a vaccine against Strep A infection would significantly decrease the burden of disease of ARF and RHD on individuals, families, communities and the health system,’ she said.

‘An interim goal would be the development of an alternative to the three-to-four weekly Bicillin L-A injection which is less burdensome to individuals and those who are administering them.’

Above added by NACCHO : Telethon Kids : Written for kids, by kids from the remote Aboriginal community of Barunga, ‘Boom Boom’ aims to teach children how to prevent deadly rheumatic heart disease (RHD).

Ms Turner is also supportive of the END RHD vaccine work, but wants to see practical, hands-on solutions for those who are suffering in the present.

Pat-Turner-article.jpgCEO of NACCHO, Patricia Turner, believes it is imperative to act decisively on Australia’s high rates of ARF and RHD.

‘A Strep A vaccine would be a game-changer, but developing it will take years and people are dying now – we need to make sure that the really exciting investments in science are coupled with on-the-ground action,’ she said.

Because ARF and RHD have significant links to disadvantage, Dr O’Donoghue believes their elimination will require a focus on the social as well as medical determinants of health – and that this needs to go beyond simple informational campaigns.

‘The onus of prevention should not be put solely on the individual or the family,’ she said. ‘It is not acceptable to say we just need to educate parents and families about personal and household hygiene standards when the surrounding systems make it challenging to provide healthy food choices, clothing, uncrowded dwellings, and to send children to school.

‘There is only so much the health system can do in isolation of improvements in housing, infrastructure and education services, such as access to quality education and services in communities, like supermarkets with affordable fresh produce and cleaning supplies.’

Ms Turner agrees that addressing social determinants of health is critical to ending RHD, outlining some practical requirements she sees as vital in the fight against the disease.

‘We need investment in comprehensive, community-controlled primary care services, so people can get their sore throats and skin sores assessed and treated in order to stop them leading to RHD,’ she said.

‘Regular antibiotic injections reduce the risk of ARF by 80%, but if people can’t get to the clinic or aren’t well-cared for when they get there, we are missing that chance to stop its development.

‘We need to support our clinics to deliver these injections and provide ongoing care for people to live with this lifelong condition.’

Above all, Ms Turner warns that urgent action must be taken now, to guard against poor consequences for the future.

‘Rates of ARF are continuing to rise – by 2031, more than 10,000 Aboriginal and Torres Strait Islander people will develop ARF or RHD,’ she said.

‘Of these people, more than 500 will die, and their medical treatment will cost the health system over $300 million dollars.

‘It’s a no-brainer that we need investment to tackle this disease – no child born in Australia today should die of RHD.

NACCHO and @RACGP Aboriginal Women’s Health and #FamilyViolence : How to identify and provide early intervention for victims and perpetrators.

About four in 10 women who were physically injured [as a result of family violence] visited a health professional for their injuries
 
This information [from the report] offers important insights for those involved in family and domestic violence policy, as well as organisations which provide services for Aboriginal and Torres Strait Islander peoples, aimed at preventing violence and supporting those affected by violence.’

ABS Director of the Centre of Excellence for Aboriginal and Torres Strait Islander Statistics, Debbie Goodwin said.

 ” Chapter 16 of the RACGP NACCHO National Guide : ‘Family abuse and violence’, provides key recommendations on prevention interventions – screening, behavioural and environmental.

These recommendations aim to support healthcare professionals to develop a high level of awareness of the risks of family abuse and violence, and how to identify and provide early intervention for victims and perpetrators.”

National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (

Published by NewsGP Morgan Liotta

The report forms part of the Australian Bureau of Statistics’ (ABS) publication National Aboriginal and Torres Strait Islander Social Survey, 2014–15 and compares sociodemographic factors of Aboriginal and Torres Strait Islander women who experienced family violence with those who did not in the year prior to the 2014–15 survey.

Key findings show that, among Aboriginal and Torres Strait Islander populations, around two in three women (72%) compared with one in three men (35%) were likely to identify an intimate partner or family member as at least one of the perpetrators in their most recent experience of physical violence.

Approximately one in 10 Aboriginal and Torres Strait Islander women experienced family violence based on their most recent experience of physical violence.

Almost seven in 10 (68%) women who had experienced family violence reported that alcohol and/or other substances contributed to the incident:

  • More than half of women (53%) who had experienced family violence reported alcohol (by itself or with other substances) was a contributing factor
  • More than one in 10 (13%) reported that other substances alone were a contributing factor

When compared with Aboriginal and Torres Strait Islander women who had not experienced any physical violence, those who had were:

  • more likely to report high or very high levels of psychological distress (69% compared with 34%)
  • more likely to have a mental health condition (53% compared with 31%)
  • more likely to report they had experienced homelessness at some time in their life (55% compared with 26%)
  • less likely to trust police in their local area (44% compared with 62%)
  • just as likely to trust their own doctor (77% compared with 83%)

The report underlines the role of GPs’ support for such people.

GP resources

  • The RACGP and the National Aboriginal Community Controlled Health Organisation (NACCHO)’s National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (National Guide), Chapter 16: ‘Family abuse and violence’, provides key recommendations on prevention interventions – screening, behavioural and environmental. These recommendations aim to support healthcare professionals to develop a high level of awareness of the risks of family abuse and violence, and how to identify and provide early intervention for victims and perpetrators.
  • The RACGP’s Abuse and violence: Working with our partners in general practice (White book), Chapter 11: ‘Aboriginal and Torres Strait Islander violence’, outlines statistics and recommendations for healthcare professionals to show leadership at a community level through local organisations by advocating for provision of services that meet the needs of Aboriginal and Torres Strait Islander peoples experiencing family violence.

NACCHO Aboriginal Health #RefreshtheCTGRefresh : Read and /Or Download #ClosingtheGap response Press Releases from Pat Turner NACCHO CEO @June_Oscar @congressmob @closethegapOZ @amapresident @RACGP @RecAustralia @Change_Record @Mayi_Kuwayu

Close the Gap Campaign

AMA

RACGP

Reconciliation Australia

Change the Record

AMSANT Darwin

Mayi Kuwayu /ANU

Greens

Introduction NACCHO Closing the Gap response CEO Pat Turner AM 

On the floor of Parliament yesterday, the Prime Minister spoke of a change happening in our country: that there is a shared understanding that we have a shared future- Indigenous and non-Indigenous Australians, together. But our present is not shared. Our present, and indeed our past is marred in difference, in disparity. This striking disparity in quality of life outcomes is what began the historic journey of the Closing the Gap initiatives a decade ago.

But after ten years of good intentions the outcomes have been disappointing. The gaps have not been closing and so-called targets have not been met. The quality of life among our communities is simply not equal to that of our non-indigenous Australian counterparts.

Yes change must come from within our communities, but change must also come from the whole of Australia. We must change together.

The time has come for our voices to be heard and for us to lead the way on Closing the Gap. We are ready for action. ”

Pat Turner AM is the CEO of the National Aboriginal Community Controlled Health Organisation.

But I’m ever hopeful that change is near. I was heartened by the statement made by the Prime Minister yesterday on the floor of Parliament. For the first time, I heard a genuine acknowledgement of why the Closing the Gap outcomes seem steeped in failure. I heard an acknowledgement that until Aboriginal and Torres Strait Islander people are brought to the table as equal partners, the gap will not be closed and progress will not be made. This is a view that our community has expressed for many years – a view I am encouraged has finally been heard.

Historically, Aboriginal and Torres Strait Islander community leaders have not been equal decision-makers in steering attempts to close the unacceptable gaps between Aboriginal and Torres Strait Islander Australians and the broader community. Our struggle as community-controlled organisations to even gain a voice at the table  – let alone for governments to actually listen to us – has long been at the crux of the disappointing progress.

Last year, an accord on the first stage of the Closing the Gap Refresh languished because discussions were not undertaken with genuine input from community members. We turned an important corner in December when an historic agreement was reached to include a coalition of peak bodies as equal partners in refreshing the Closing the Gap strategy.

We now need to ensure that the agreement blossoms into genuine action.

We simply cannot let this opportunity to make a real difference to the lives of our people slip by. Government cannot be allowed to drag the chain on this until it becomes another broken promise.

We are doing the heavy lifting and have drafted a formal partnership agreement for the Commonwealth, state and territory governments to consider. We are determined to do all that we can to fulfil COAG’s undertaking to agree formal partnership arrangements by the end of February.

The agreement sets out how we all work together and have shared and equal decision making on closing the gap. We are confident that a genuine partnership will help to accelerate positive outcomes to close the gaps.

The lack of progress under Closing the Gap is the lived reality of our people on the ground everyday. They are being robbed of living their full potential. Sadly, attending the funerals of people in our community – including increasingly young people taking their own lives – is all too common.

A coalition of Aboriginal and Torres Strait Islander peak bodies from across the nation has formed to be signatories to the partnership arrangements. We are now almost 40* service delivery, policy and advocacy organisations, with community-control at our heart. This is the first time our peak bodies have come together in this way.

Our coalition brings a critical mass of independent Indigenous organisations with deep connections to communities that will enhance the Closing the Gap efforts. We are a serious partner for government. We want to ensure our views are considered equal and that we make decisions jointly.

We cannot continue to approach Closing the Gap in the same old ways. The top-down approach has reaped disappointing results as evidenced by the lack of progress of previous strategies to reach their targets.

We must not lose sight of the most crucial point of Closing the Gap, which is to improve the everyday lives of our people. We must ensure our people are no longer burdened with higher rates of child mortality, poorer literacy, numeracy and employment outcomes and substantially lower life expectancies.

Yesterday on the floor of Parliament, the Prime Minister said that this will be a long journey of many steps. And I say, we have been walking for centuries. We have journeyed far and we will keep walking forward and climbing up until we reach a place where we are all on equal ground.

I also heard the Leader of the Opposition say that the burden of change needs to be carried by non-Indigenous Australians in acknowledging that racism still exists, that our justice system is deeply flawed and that generational trauma cannot be ignored.

Yes change must come from within our communities, but change must also come from the whole of Australia. We must change together.

The time has come for our voices to be heard and for us to lead the way on Closing the Gap. We are ready for action.

1 .Close the Gap Campaign

“We have had so many promises and so many disappointments. It’s well and truly time to match the rhetoric. We cannot continue to return to parliament every year and hear the appalling statistics,

 Last December, the Council of Australian Governments (COAG), led by the Prime Minister, agreed to a formal partnership with peak Indigenous organisations on Closing the Gap.

We strongly support the Coalition of Aboriginal and Torres Strait Islander Peak bodies that has formed to be signatories to the partnership agreement with COAG, and for them to share as equal partners in the design, implementation and monitoring of Closing the Gap programs, policies and targets.

This partnership really does have the potential to be a game changer. It means active participation in decisions about matters that affect us. It will allow the voices of Indigenous Australians at community, local and national levels to be heard. “

The Co-Chairs of the Close the Gap Campaign, the Aboriginal and Torres Strait Islander Social Justice Commissioner June Oscar AO and the Co-Chair of the National Congress of Australia’s First Peoples Rod Little, say that commitment must be followed by action.

It was imperative for Australian governments to have an agreement in place by the end of February with the coalition of more than 40 Aboriginal and Torres Strait Islander health and justice groups, so all stakeholders can get onto the “nitty gritty” of the Closing the Gap Refresh with new targets set to be finalised by mid year. ”

National Family Violence Prevention Legal Services (FVPLS) Forum convenor Antoinette Braybrook 

Download CTG Press Release

1.Close the Gap response to CTG

2.AMA

“After more than a decade, the lack of resourcing and investment in the health and well-being of Aboriginal and Torres Strait Islander peoples continues to see unacceptable gaps across a range of outcomes.

The lack of sufficient funding to vital Indigenous services and programs is a key reason for this.”

The AMA supports the comments made by Ms Pat Turner, CEO of Aboriginal Community Controlled Health Organisation (NACCHO) who said: ‘While our people still live very much in third-world conditions in a lot of areas still in Australia … we have to hold everybody to account’.

Closing the Gap targets are vital if we are to see demonstrable improvements in the health and well-being of Aboriginal and Torres Strait Islander people.

The call for a justice target and a target around the removal of Aboriginal children should be considered.

The AMA welcomes the decision of the Council of Australian Governments (COAG) to agree a formal partnership with us on Closing the Gap. This is an historic milestone in the relationship between Governments and Aboriginal and Torres Strait Islander peoples.” 

AMA President, Dr Tony Bartone

Download the AMA Press Release

2 AMA Closing the Gap progress disappointing

See all NACCHO AMA posts

3.RACGP

‘This year’s Closing the Gap report reminds us that whilst we are making important progress, we are still not doing enough for Aboriginal and Torres Strait Islander peoples.

It’s critical we get this right. Our people deserve to live full and healthy lives, like every other Australian. We know the best way to achieve this is when Aboriginal and Torres Strait Islander peoples have a say in the decisions that impact them.

Governments must acknowledge the critical role of primary healthcare and particularly the culturally responsive care offered by Aboriginal Community Controlled Health Services in Closing the Gap “

Chair of RACGP Aboriginal and Torres Strait Islander Health, Associate Professor Peter O’Mara, told newsGP he welcomes the Prime Minister’s commitment to establishing a formal partnership with Aboriginal and Torres Strait Islander peoples on the Closing the Gap Strategy.

Read full Press Release HERE

Read NACCHO RACGP articles HERE

4.Reconciliation Australia

“Aboriginal and Torres Strait Islander leaders and peak bodies have been demanding a greater say in the policy priorities, and design and implementation of programs around the CTG since its inception over a decade ago. Today’s commitment by the Prime Minister, supported by the Opposition Leader, is welcome albeit overdue, and builds on the COAG commitment in December.

It is simple common sense that people, who live each day with the problems CTG is trying to address, will have the greatest knowledge and understanding of the causes and solutions to these problems “

Karen Mundine, CEO of Reconciliation Australia, said her organisation was disappointed by the failure but remained hopeful that a bipartisan commitment to a greater First Nations’ voice in the planned refresh of the CTG would lead to more effective programs being delivered in partnership with communities.

Download the Press Release

4.Reconciliation Aust CTG Response

5.Change the Record

 “Change the Record calls on the Prime Minister to listen to the majority of        Australians who believe governments must act to close the gap on justice, as shown by the 2018 Australian Reconciliation Barometer results.

“Almost 60% of Australians want the Federal Government to include justice in Closing the Gap, and 95% agree our people should have a say in matters that affect us,”

In the past year the Government engaged selected stakeholders in a nation-wide consultation, however many Aboriginal and Torres Strait Islander organisations were excluded. Change the Record stands in support of the Coalition of Aboriginal and Torres Strait Islander community-controlled peak bodies as they push for a formal partnership agreement to finalise the Closing the Gap Refresh.

This historic step to make our peak bodies equal partners with Government is critical to our self-determination and to Closing the Gap,”

Change the Record co-chair Damian Griffis.

Download the CTG Press Release

5. Change the Record

6. AMSANT Darwin

We would have loved to be part of those discussions about what to prioritise. We absolutely support education being a top priority target, but we need to ensure we are also prioritising some of those targets such as housing.”

You are not going to get kids to go to school if they haven’t had a decent night’s sleep because of an overcrowded house, you are not going to get kids to go to school if they haven’t got food in their tummy … you ain’t going to get kids to go to school if parents are not encouraging them to go to school due to lack of support services for parents”,

John Paterson AMSANT Darwin

From SMH Interview

7.Mayi Kuwayu /ANU

 ” The refreshed targets help us focus on progress and achievement. Most of these refreshed targets are not dependent on how things are going within the non-Indigenous population (they are not moving targets) — they are absolute, fixed targets that we can work towards. For example, the old target of “halve the gap in employment by 2018” is replaced by “65 per cent of Aboriginal and Torres Strait Islander youth (15-24 years) are in employment, education or training by 2028”.

Further, the refreshed targets are evidence-based and appear to be achievable.

This is a change from the original targets which the evidence showed could never have been met. They were always going to fail. This is a problem because it has reinforced the idea held by many in the wider Australian community that Aboriginal and Torres Strait Islander inequality was “too big of a problem” and could never be overcome. Or even worse, it supported the myth that Aboriginal and Torres Strait Islander people themselves were the problem

Ray Lovett, Katherine Thurber, and Emily Banks are part of the Aboriginal and Torres Strait Islander Health Program at the National Centre for Epidemiology and Population Health, Australian National University, and conduct research on the social and cultural determinants of Aboriginal and Torres Strait Islander health and wellbeing.

Their approach is to conduct research in partnership with Aboriginal and Torres Strait Islander individuals, communities, and organisations, and to frame research using a strengths-based approach, where possible. Follow the program @Mayi_Kuwayu Professor Maggie Walter is the Pro Vice-Chancellor Aboriginal Research and Leadership at the University of Tasmania.

 Read Article in Full 

8.Greens

” Mr Morrison’s closing the gap address was paternalistic and patronising and a clear indication that he doesn’t get it.

Mr Morrison lectured the Parliament about co-design and collaboration but he does not practice what he preaches

The Coalition was dragged kicking and screaming to a co-design approach and the Government’s failure to listen when the process started was in fact the reason we are so delayed with the Close the Gap refresh.

You would think that he was the first person to think of collaboration and co-design!

Senator Rachel Siewert 

Download the Greens CTG Press Release

8.Greens Party CTG Response

NACCHO @RACGP Aboriginal Health Survey : From now until 15 February 2019, NACCHO and @RACGP wants to hear from you about implementing the National Guide and supporting culturally responsive healthcare for Aboriginal and Torres Strait Islander people

Survey until 15 Feb 2019 : To participate in a short survey, please CLICK HERE

Please tell us your ideas for

-improving quality of 715 health checks

-clinical software -implementation of the National Guide

-culturally responsive healthcare for Aboriginal and Torres Strait Islander people

In 2018–19, NACCHO and the RACGP are working on further initiatives and we want your input!

Download this post as PDF and share with your networks

 We-seek-your-input-NACCHO-RACGP-Project

What we are currently doing:

  • Conducting practice team surveys and focus groups to:
    • understand current system requirements and how they can improve identification rates of Aboriginal and Torres Strait Islander patients in mainstream practices and
    • integrate the key recommendations from the National Guide into clinical software
  • Establishing a Collaborative with the Improvement Foundation to conduct rapid quality improvement cycles leading to the provision of better healthcare for Aboriginal and Torres Strait Islander peoples
  • Engaging with medical software vendors to understand how we can improve identification rates and integrate the National Guide into clinical software
  • Developing resources for Aboriginal and Torres Strait Islander people regarding preventive health assessments and follow up care
  • Working with our Aboriginal and Torres Strait Islander-led Project Reference Group to carry out all project activities.

From now until 15 February 2019, we want to hear from you!

Do you have ideas, solutions or examples of good practice relating to:

  • how health services can ensure that Aboriginal and Torres Strait Islander patients receive patient centred, quality health assessments (715) that meet their needs?
  • the resources that would support mainstream general practice teams to provide culturally responsive healthcare for Aboriginal and Torres Strait Islander people?
  • how guidelines, such as the National Guide, can be integrated into clinical software?
  • features of clinical software that will support improved identification of Aboriginal and Torres Strait Islander patients at your practice?
  • features of a 715 health assessment template that will support a comprehensive health assessment?

To participate in a short survey, please CLICK HERE

We also welcome your feedback and input at aboriginalhealth@racgp.org.au

With your feedback, we will:

  • understand the needs of our cohort
  • understand what works through our Collaborative model for improvement report
  • develop new resources to support you and your team with delivering better healthcare to Aboriginal and Torres Strait Islander peoples regardless of where care is sought
  • share the lessons with mainstream general practice and Aboriginal Community Controlled Health Services to improve the health and wellbeing of Aboriginal and Torres Strait Islander peoples.

National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people

Early detection, preventing disease and promoting health

The National Guide is a practical resource intended for all health professionals delivering primary healthcare to Aboriginal and/or Torres Strait Islander people.

Its purpose is to provide GPs and other health professionals with an accessible, user-friendly guide to best practice preventive healthcare for Aboriginal and Torres Strait Islander patients.

See Website

New to the third edition!

National Guide podcasts

Subscribe to the National Guide Podcast (listen to the third edition) to hear host Lauren Trask, NACCHO Implementation Officer and CQI expert, speak to GPs  and researchers on updates and changes in the third edition of the National Guide.

Downloads

 National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (PDF 9.8 MB)

 Evidence base to a preventive health assessment in Aboriginal and Torres Strait Islander people (PDF 9.4 MB)

 National Guide Lifecycle chart (child) (PDF 555 KB)

 National Guide Lifecycle chart (young) (PDF 1 MB)

 National Guide Lifecycle chart (adult) (PDF 1 MB)

NACCHO @RACGP Aboriginal Health Survey : 2 of 2 From now until February 2019, NACCHO and @RACGP  wants to hear from you about implementing the National Guide and supporting culturally responsive healthcare for Aboriginal and Torres Strait Islander people

In 2018–19, NACCHO and the RACGP are working on further initiatives and we want your input!

Download this post as PDF and share with your networks

 We-seek-your-input-NACCHO-RACGP-Project

What we are currently doing:

  • Conducting practice team surveys and focus groups to:
    • understand current system requirements and how they can improve identification rates of Aboriginal and Torres Strait Islander patients in mainstream practices and
    • integrate the key recommendations from the National Guide into clinical software
  • Establishing a Collaborative with the Improvement Foundation to conduct rapid quality improvement cycles leading to the provision of better healthcare for Aboriginal and Torres Strait Islander peoples
  • Engaging with medical software vendors to understand how we can improve identification rates and integrate the National Guide into clinical software
  • Developing resources for Aboriginal and Torres Strait Islander people regarding preventive health assessments and follow up care
  • Working with our Aboriginal and Torres Strait Islander-led Project Reference Group to carry out all project activities.

From now until February 2019, we want to hear from you!

Do you have ideas, solutions or examples of good practice relating to:

  • how health services can ensure that Aboriginal and Torres Strait Islander patients receive patient centred, quality health assessments (715) that meet their needs?
  • the resources that would support mainstream general practice teams to provide culturally responsive healthcare for Aboriginal and Torres Strait Islander people?
  • how guidelines, such as the National Guide, can be integrated into clinical software?
  • features of clinical software that will support improved identification of Aboriginal and Torres Strait Islander patients at your practice?
  • features of a 715 health assessment template that will support a comprehensive health assessment?

To participate in a short survey, please CLICK HERE

We also welcome your feedback and input at aboriginalhealth@racgp.org.au

With your feedback, we will:

  • understand the needs of our cohort
  • understand what works through our Collaborative model for improvement report
  • develop new resources to support you and your team with delivering better healthcare to Aboriginal and Torres Strait Islander peoples regardless of where care is sought
  • share the lessons with mainstream general practice and Aboriginal Community Controlled Health Services to improve the health and wellbeing of Aboriginal and Torres Strait Islander peoples.

National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people

Early detection, preventing disease and promoting health

The National Guide is a practical resource intended for all health professionals delivering primary healthcare to Aboriginal and/or Torres Strait Islander people.

Its purpose is to provide GPs and other health professionals with an accessible, user-friendly guide to best practice preventive healthcare for Aboriginal and Torres Strait Islander patients.

See Website

New to the third edition!

National Guide podcasts

Subscribe to the National Guide Podcast (listen to the third edition) to hear host Lauren Trask, NACCHO Implementation Officer and CQI expert, speak to GPs  and researchers on updates and changes in the third edition of the National Guide.

Downloads

 National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (PDF 9.8 MB)

 Evidence base to a preventive health assessment in Aboriginal and Torres Strait Islander people (PDF 9.4 MB)

 National Guide Lifecycle chart (child) (PDF 555 KB)

 National Guide Lifecycle chart (young) (PDF 1 MB)

 National Guide Lifecycle chart (adult) (PDF 1 MB)

NACCHO Aboriginal Health and #Racism : 1 of 2 Medical Advisor for @RACGP Aboriginal and Torres Strait Islander Health, Dr @timsenior discusses racism in healthcare with our Social Justice Commissioner @June_Oscar AO.

 ” The fact there remains a significant health gap between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians is indisputable.

The reasons behind this are complex, multifactorial and often uncomfortable to discuss, but one factor that may be the most difficult to raise is the presence of racism within the Australian health system.

However, there is increasing evidence, drawn from the lived experience of Aboriginal and Torres Strait Islander peoples, that this form of racism is a barrier faced every day.

Dr Tim Senior : The RACGP has recognised the situation in its Racism in the healthcare system position statement, and recently I was also able to discuss these issues with Aboriginal and Torres Strait Islander Social Justice Commissioner, and Bunuba woman from Fitzroy Crossing in the Central Kimberley, June Oscar AO.

Read over 105 NACCHO Aboriginal Health and Racism articles published over the past 7 years 

One such example is the recent online survey conducted by the Victorian Aboriginal Community Controlled Health Organisation (VACCHO), which found that 86% of its Aboriginal and Torres Strait Islander respondents living in Victoria had personally experienced racism in a mainstream health setting. Of those polled, 88% reported incidences of racism from nurses and 74% from GPs.

When working towards closing the healthcare gap, this is a barrier that cannot be ignored.

SEE OUR NACCHO RACGP National Guide 

I’d like to start by asking, how does racism affect the health and wellbeing of Aboriginal and Torres Strait Islander people, and what does this mean for their everyday lives?

Well, from what I’ve heard with a project I’m leading across the country engaging with Aboriginal and Torres Strait Islander women and girls in this past year, [Wiya Yani U Thangani­ (Women’s Voices’ project)], and what I already know from engaging with communities before coming to this role [Aboriginal and Torres Strait Islander Social Justice Commissioner], experiences with racism are just all too common.

Thank you to the women and girls who came along to our Wiyi Yani U Thangani (Women’s Voices) session in Woorabinda . Thank you for taking the time to be part of this national conversation, a first in 32 years with our women. Your voices will join those of First Nations women and girls around the country in my first report to Federal parliament.

I’ve heard the terrible experiences Aboriginal and Torres Strait Islander people have when they visit health services. The manner in which they’re spoken to at the first point of contact in the service, and the way they’re treated and spoken to by health professionals, whether they be nurses or doctors. And I’ve heard that concern coming from people in remote, regional locations, and cities where there’s major hospitals and services.

So it’s widespread, it’s a huge concern, and it is something we have to address.

What do people say is the effect on their health?

People feel they’re not able to access a service that they have a right to access.

What they’re made to feel is that they shouldn’t be there, that they’re not being believed, they’re not being acknowledged in a respectful way. And so people are not wanting to be in that space, and that makes them feel terribly unwell on top of their state of health and wellbeing at that time.

To be treated like that is not a very nice feeling, so people often leave health services without seeing anybody.

So people are made to compromise their health and wellbeing because of an attitude and a way of communicating and interacting – and often it is non-Indigenous people that are at the other point of this contact.

Can you tell us what stories you’ve heard through the Wiya Yani U Thangani­ (Women’s Voices’) project?

I’m hearing comments like, “We’re sick and tired of going to services when we need to see someone about a genuine concern about our health, only to be spoken to in an unwelcoming, uncaring manner”. To see health professionals that issue Panadol without assessing and conducting full observations of the individuals presenting.

And so people are turning away, and being turned away, from quality of health assessment and diagnosis – which is their right in this country.

How can we start a conversation about, or continue a conversation about, the realities of racism in Australia?

I think services need to screen the types of people who they are recruiting to these roles and place the onus on them, because they are at a critical point of service delivery.

So if they’re seeing outpatients and are the first point of contact for people coming in to the service, there’s a standard at which we want them to be operating, and policies and a scrutiny of how they are conducting themselves in this role.

We have seen in many places that there are people who have been in these roles for a long time and hold these types of attitudes that Aboriginal and Torres Strait Islander people are experiencing.

We can involve Aboriginal and Torres Strait Islander people and organisations, particularly the community-controlled health organisations, in recruitment, and setting the recruitment protocols in places where there is a high population of Aboriginal communities and likelihood of people accessing the health service.

We have to involve Aboriginal and Torres Strait Islander people in the design of service delivery.

Are there any other options that primary healthcare organisations can take to support their staff and patients to challenge racism?

I think organisations can improve on how they ensure that [Aboriginal and Torres Strait Islander] people are accessing their right to quality healthcare service and delivery. We need to have people involved in the organisations that are listening to and incorporating the advice of Aboriginal members involved in that process.

How can clinicians better support their local communities and strengthen their abilities to deliver culturally appropriate healthcare?

I think many of the clinicians come from other places to live in these communities. They need to be aware of the communities and be informed, educated and orientated to the community, the environment and what the issues are.

They need to be made aware of the efforts and the history of these communities, and the long struggle it has been for Aboriginal and Torres Strait Islander people to establish these services, and know that they are not alone and disconnected in a community – they can access support if they have a question, or don’t know quite how to respond.

I think if we can establish stronger networks and relationships between health experts going into a community that they have no idea about, then the onus is on them to be informed well in advance before they get there. And once they’re in the community, they should seek out the supports that exist within the community.

Is there any other advice you have for GPs or practice staff?

GPs and health professionals need to know that people have a right to access these services; they don’t have the right to deny them access.

As citizens of this country, Aboriginal and Torres Strait Islander people have a right to these services.

This interview has been slightly edited for clarity.

NACCHO and @RACGP a very productive partnership in Aboriginal health #NACCHOagm2018 Report 3 of 5 @RACGP supports the #National Guide #Ulurustatement #FirstNationsVoice and takes aim at racism in healthcare

NACCHO’s [National Aboriginal Community Controlled Health Organisation] conference was a great opportunity to engage directly with members and workforce in the Aboriginal community controlled health sector, and to share the important work the RACGP is doing to support the growth of the Aboriginal and Torres Strait Islander general practice workforce,’

Associate Professor Peter O’Mara see Part 1 Below

The RACGP strongly supports the recommendations in the Uluru statement as a way to make real progress to close the gap in health inequality,

‘The Uluru Statement encourages a stronger voice for Aboriginal and Torres Strait Islander communities, who are the best placed to make decisions about what is important to them and how to make the changes needed to make a difference.’

The RACGP is committed to improving the health and wellbeing of Aboriginal and Torres Strait Islander people. It is one of our greatest priorities,

President Dr Harry Nespolon see Part 2 Below

Racism is a major barrier for Aboriginal and Torres Strait Islander people in accessing quality and appropriate healthcare.

The reality for many Aboriginal and Torres Strait Islander people is that they are sometimes treated differently in healthcare settings, and as a result, their health outcomes are poorer than for other Australians.’

That is why our revised position statement considers the effects of racism on both patients and workforce, as well as the effects of systemic racism through our institutions.’

Chair of the RACGP Aboriginal and Torres Strait Islander Health Associate Professor Peter O’Mara said that racism was a major contributor to poor social and emotional wellbeing . See part 3 below

Part 1 RACGP at #NACCHOagm2018

The 2018 NACCHO member’s conference ran from 31 October – 2 November. Its theme for this year is ‘Investing in what works – Aboriginal community controlled health’. Keynote speakers included Minister for Indigenous Health, Ken Wyatt, NACCHO Chairman John Singer and Co-Director of the University of British Columbia’s Northern Medical Program, Professor Nadine Caron.

GP news report from  Amanda Lyons

Associate Professor O’Mara discussed how the RACGP is helping to meet a key goal – to increase the Aboriginal and Torres Strait Islander workforce in the health sector – that is enshrined in the partnership agreement between the Federal Government, the Council of Medical Colleges of Australia (CPMC), the Aboriginal Indigenous Doctor’s Association (AIDA) and NACCHO, to improve the health and wellbeing of Aboriginal and Torres Strait Islander peoples.

‘The RACGP has focused both on strengthening opportunities for GPs to work sustainably in the sector, and to provide support for Aboriginal and Torres Strait Islander people to successfully navigate education and training pathways to becoming a GP,’ Associate Professor O’Mara said.

Key RACGP initiatives include annual awards for Aboriginal and Torres Strait Islander students, early career doctors and organisations working in the community sector, and advocacy work for improvements in key programs such as the Australian General Practice Training Salary Support Programme, which provides ACCHOs with financial support for general practice registrars.

Associate Professor O’Mara’s participation in the conference also underlines the strong relationship between NACCHO and the RACGP, formalised in a 2014 Memorandum of Understanding. This relationship has resulted in much fruitful work and the development of key resources in the field of Aboriginal and Torres Strait Islander health.

‘The RACGP has enjoyed a productive partnership with NACCHO over many years, which has resulted in important collaborations, such as the National Guide [to a preventive health assessment for Aboriginal and Torres Strait Islander people], and our current joint project to improve the quality of healthcare delivered to Aboriginal and Torres Strait Islander peoples,’ Associate Professor O’Mara said.

NACCHO CEO, Pat Turner, Former NACCHO Chair, John Singer, and Chair of RACGP Aboriginal and Torres Strait Islander Health Associate Professor Peter O’Mara at the launch of the National Guide earlier this year

Part 2 The RACGP supports developing the Uluru model so that it can be put to the broader community for agreement. 

The ‘Uluru statement from the heart’ calls for an independent voice enshrined in the Australian Constitution, and a Makarrata Commission to supervise agreement-making and truth-telling with governments.

The statement is supported by Aboriginal and Torres Strait Islander communities across Australia, and has been endorsed by the RACGP.

GP NEWS Report from  Amanda Lyons 

‘The RACGP is committed to improving the health and wellbeing of Aboriginal and Torres Strait Islander people. It is one of our greatest priorities,’ President Dr Harry Nespolon told newsGP.

‘Constitutional change of this kind must be considered a national priority to be successful.

‘The RACGP supports developing the Uluru model so that it can be put to the broader community for agreement. We encourage our members to support this process.’

The RACGP previously endorsed the Uluru statement as part of its submission to the Joint Select Committee on Constitutional Recognition Relating to Aboriginal and Torres Strait Islander Peoples 2018 (the Committee), which was formed with the purpose of investigating the recognition of Aboriginal and Torres Strait Islander peoples within the Australian constitution.

The Committee is due to present its final report by the end of this month.

‘The RACGP strongly supports the recommendations in the Uluru statement as a way to make real progress to close the gap in health inequality,’ Dr Nespolon said.

‘The Uluru Statement encourages a stronger voice for Aboriginal and Torres Strait Islander communities, who are the best placed to make decisions about what is important to them and how to make the changes needed to make a difference.’

The RACGP endorsed the ‘Uluru statement from the heart’ during NAIDOC week. 

According to Dr Anita Watts, an Aboriginal GP, academic and member of the RACGP Aboriginal and Torres Strait Islander Health board, the Uluru statement and constitutional recognition are vital to the health of Aboriginal and Torres Strait Islander peoples.

‘Without recognition, there cannot be self-determination for Aboriginal and Torres Strait Islander peoples,’ Dr Watts told newsGP earlier this year.

‘Health outcomes are inextricably linked to self-determination. There is overwhelming evidence to support improvement in health outcomes when Indigenous peoples take greater control over their health.’

PART 3 RACGP takes aim at racism in healthcare

Read previous NACCHO article HERE

And racism is a trigger for many health risk factors such as substance abuse, distress and mental health conditions and harm to physiological systems.

These are some of the reasons why the RACGP has updated its zero-tolerance position on racism in healthcare to focus more broadly on the effects of institutional racism.

GP News Report from  Doug Hendrie

RACGP President Dr Harry Nespolon said the revised position statement sent a clear message.

‘The RACGP wants to send the message that racism is unacceptable and harmful, not only for our patients, but also to the doctors, doctors in-training and staff members in our practices and health services,’ he said.

The RACGP’s updated position statement focuses on Aboriginal and Torres Strait Islander people, but the statement has wider applicability across Australia’s diverse patients and healthcare professionals.

‘Challenging institutional racism requires a systemic response … Action on institutional racism requires adapting approaches, attitudes and behaviours through up-skilling staff, reviewing policies, procedures and systems,’ the statement reads.

‘The RACGP strongly supports calls from the Close the Gap Steering Committee for a national inquiry into institutional racism.’

Racism also hurts Australia’s diverse health professional workforce.

‘Acts of racism and discrimination negatively impact the development of the Aboriginal and Torres Strait Islander medical workforce. Results from [the Australian Indigenous Doctors’ Association] 2016 member survey found that more than 60% of Aboriginal and Torres Strait Islander medical student, doctor and specialist members had experienced racism and/or bullying every day, or at least once a week,’ the statement reads.

‘The beyondblue National Mental Health Survey of Doctors and Medical Students similarly found that Aboriginal and Torres Strait Islander doctors reported racism as major source of stress, at nearly 10 times the rate of non-Indigenous counterparts.

The RACGP’s position is:

• a zero tolerance approach to racism
• that every practice provide respectful and culturally appropriate care to all patients
• GPs, registrars, health professionals, practice staff and medical students are supported to address any experience of racism
• that members are aware of, and advocate for patients who are affected by institutional racism

Chair of the RACGP Aboriginal and Torres Strait Islander Health Associate Professor Peter O’Mara said that racism was a major contributor to poor social and emotional wellbeing.

‘Racism is a major barrier for Aboriginal and Torres Strait Islander people in accessing quality and appropriate healthcare,’ Associate Professor O’Mara said.

‘The reality for many Aboriginal and Torres Strait Islander people is that they are sometimes treated differently in healthcare settings, and as a result, their health outcomes are poorer than for other Australians.’

‘That is why our revised position statement considers the effects of racism on both patients and workforce, as well as the effects of systemic racism through our institutions.’

Associate Professor O’Mara said GPs were well placed to show leadership in addressing racism, discrimination and bias.

‘In challenging racism, practice teams will be able to provide more culturally responsive healthcare for Aboriginal and Torres Strait Islander people and improve care for all patients,’ he said.

The RACGP is a supporter of the Australian Government’s Racism. It Stops With Me campaign, which encourages people to respond to prejudice and discrimination in their neighbourhoods, schools, universities, clubs, and workplaces.

The RACGP will next year roll out its Practice Experience Program, designed to boost support to often-isolated non-vocationally registered doctors, many of whom are international medical graduates, as they work towards Fellowship.

NACCHO and @RACGP Aboriginal Health Alerts : 1. Download #HealthoftheNation Report 2. National Guide and podcasts 3. #GP18 Workshop Gold Coast 10 October 

 

This report takes the pulse of the general practice profession, and in turn the front line of healthcare for all Australians,

GPs are the cornerstone of healthcare delivery within Australia. Every year, general practice touches the lives of every person, family and community in Australia, with the majority of us seeing our GP several times a year.”

President-elect of the RACGP, Dr Harry Nespolon, has launched General Practice: Health of the Nation to Australia’s key parliamentarians and decision makers at a parliamentary breakfast last week

Download RACGP Health-of-the-Nation-2018-Report

 ” The National Guide is a practical resource intended for all health professionals delivering primary healthcare to Aboriginal and/or Torres Strait Islander people.

Its purpose is to provide GPs and other health professionals with an accessible, user-friendly guide to best practice preventive healthcare for Aboriginal and Torres Strait Islander patients.

The reviewing and updating of the second (2012) edition of the National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (National Guide) was a joint initiative of the National Aboriginal Community Controlled Health Organisation (NACCHO) and The Royal Australian College of General Practitioners (RACGP).

The National Guide supports healthcare providers to use the opportunity with every clinic visit to prevent disease, and to find it early.”

See section 2 Below 

Part 1 :For the second year, the Royal Australian College of General Practitioners (RACGP) has  : compiled its annual health check-up on general practice, showing the areas where Australia’s primary healthcare system continues to thrive, whilst also highlighting areas of concern.

VIEW Health of a Nation Video 

The report highlights the reasons why patients see their GP and how patients interact with the primary health system. It also flags areas of major concern which need to be addressed to help ensure that Australians maintain healthy lives and stay out of hospital.

“Patients have shown strong connections to general practice, nearly 80% of patients can identify their own GP and can see them when needed.

“But the report also highlights areas which require urgent attention so that general practice does not get left behind, and patients are not short changed.

Key highlights of the report reveal that;

  • managing psychological issues and obesity continue to be the most significant concern to GPs,
  • GPs are calling for urgent government action on Medicare, including better supports for mental health services and obesity prevention,
  • nearly 90% of Australians see a GP every year, the majority more than once a year,
  • 45% of practicing GPs are female, with the percentage growing, and
  • despite general practice being the most widely accessed healthcare service, it receives less than 9% of overall government healthcare funding.

“If there is not a substantial and coordinated push to address these persisting health issues, – I am fearful of what the future may hold for Australia’s healthcare system..

“I hope that parliamentarians from all sides take note of the health of the nation today and remember that evidence based preventive care is always the best option for all Australians.”

Part 2. NACCHO and RACGP National Guide and Podcasts

This edition:

  • equips primary healthcare providers and their teams with a comprehensive and concise set of recommendations for Aboriginal and Torres Strait Islander patients, with additional information about tailoring advice depending on risk and need
  • advises on activities that can help prevent disease, detect early and unrecognised disease, and promote health in Aboriginal and Torres Strait Islander communities, while allowing for local and regional variations.
  • encourages clinicians to consider the social determinants of health when providing preventive healthcare
  • Includes the following new topics and features:
    • Fetal alcohol spectrum disorder
    • Preventing child maltreatment – supporting families to optimise child safety and wellbeing
    • Family abuse and violence
    • Prevention of lung cancer
    • Young person lifecycle summary wall chart

The following items are available to download:

  • the National Guide, which contains evidence statements, recommendations, risk calculation tables and an outline of what is new in the third edition
  • the evidence base: the collection of evidence underpinning the guide and recommendations (see the Methodology section ‘Searching the evidence base and drafting recommendations’)
  • child, young people and adult lifecycle summary wall charts listing activities recommended at each age group

The National Guide can be used in conjunction with the RACGP Guidelines for preventive activities in general practice ‘red book’ and with the Medicare Benefits Schedule rebate item 715: Health assessment for Aboriginal and Torres Strait Islander people.

New to the third edition!  National Guide podcasts

Subscribe to the National Guide Podcast to hear host Lauren Trask, NACCHO Implementation Officer and CQI expert, speak to general practitioners and researchers on updates and changes in the third edition of the National Guide. Listeners will hear about the latest evidence on a range of topics from authors of the National Guide – grassroots general practitioners and researchers with experience working with Aboriginal and Torres Strait Islander peoples as well as Aboriginal Community Controlled Health Services.

Download the Guideline and supporting documentation

1 – Episode 13: Cultural safety for patients and workforce, part one

2 – Episode 12: Fetal Alcohol Spectrum Disorder (FASD) with Dr James Fitzpatrick

3 – Episode 11: Cardiovascular Disease prevention with Professor David Peiris

4 – Episode ten: The Health of Young People with Dr Annapurna Nori

5 – Episode nine: Optimising child health and well being with Dr Mary Belfrage

6 – Episode eight: Gambling with Dr Jenny Hunt

7 – Episode seven: Antenatal care with Dr Jenny Hunt

8 – Episode six: Child health with Dr Marguerite Tracy

9 – Episode five: Oral and dental health with Dr Sandra Meihubers.

10 – Episode four: Type 2 diabetes with Dr Justin Coleman

11 – Episode three: Hearing Loss with Professor Amanda Leach

12 – Episode two: Mental Health with Dr Tim Senior

13 – Episode one: Smoking & Smoking Cessation with Professor David Thomas

14 – Teaser: The National Guide Podcast. What’s it all about?

Part 3 :  National guide to a preventive health assessment for Aboriginal and Torres Strait Islander people (Third edition) Workshop 10 October 

The RACGP and NACCHO invite you to a workshop to be held prior to GP18, that
will support your practice team to maximise the opportunity for the prevention of
disease at each health service visit.

A National Guide contributor and a cultural educator will discuss how best to utilise
the third edition of the National Guide when providing care for Aboriginal and Torres
Strait Islander people.

The workshop will also include a focus group exploring implementation of the
National Guide in both mainstream and Aboriginal Community Controlled Primary
Health Care Services (ACCHSs), as well as the characteristics of a culturally
responsive general practice.

Program

• Background and purpose of the National Guide
• Features of the National Guide, including:
• Recommendation tables
• Good practice points
• Evidence base
• Lifecycle wall chart
• Putting the National Guide

Date
Wednesday 10 October 2018

Time
Registration and lunch 12.00 pm
Workshop 12.30–4.00 pm

Venue
Jellurgal Aboriginal Cultural Centre
1711 Gold Coast Highway, Burleigh Heads

Cost
Free of charge

RSVP
Friday 5 October 2018

Registration essential

Registration
Email daniela.doblanovic@racgp.org.au
or call Daniela Doblanovic on 03 8699 0528.

We will then contact you to confirm

NACCHO Aboriginal Health joins other health peak bodies @AMAPresident @RACGP @RuralDoctorsAus @NRHAlliance welcoming the reappointment of the health ministry team but #ruralhealth no longer a distinct portfolio

 ” The Chairperson of the National Aboriginal Community Controlled Health Organisation (NACCHO) John Singer today joined other peak health bodies welcoming the election of Scott Morrison MP as the 30th Prime Minister of Australia and reappointments of Greg Hunt MP as the Federal Minister for Health, Ken Wyatt AM MP as the Federal Minister for Indigenous Health, and Senator Bridget McKenzie as the Federal Minister for Regional Services. “

See Part 1 NACCHO Media 

“With an election due in the first half of 2019, new Prime Minister Scott Morrison has made the right call in leaving Health in the safe hands of Greg Hunt.

A fourth Health Minister in five years would have undermined the priority that Australians place on good health policy,”

AMA President, Dr Tony Bartone see in full part 2 Below

‘Health is an integral part of any Governments agenda and I look forward to working with Minister Hunt on the future direction of healthcare in Australia,’ 

Minister Hunt has worked closely with the RACGP over the past two years, achieving positive results, including investment into general practice research, the removal of the Medicare freeze and the return of general practice training to the RACGP.’

Dr Nespolon told newsGP see in full Part 3 Below

It was only on Friday last week that rural health sector stakeholders met in Canberra, for a meeting convened by the (former) Minister for Rural Health, to discuss the issues and solutions for achieving better health outcomes for rural Australia’, 

The key message of the Roundtable meeting was very clear. The health and wellbeing issues faced by rural and remote Australia cannot be addressed using market-driven solutions that work in the cities.’

We need a genuine, high level commitment from the Commonwealth, State and Territory Governments to deliver a new National Rural Health Strategy that will address the unacceptable gap in health outcomes for rural Australians. This is not the time to be relegating Rural Health to the back burner’.

National Rural Health Alliance Chair, Tanya Lehmann see in full Part 4 below

With Minister McKenzie receiving an expanded set of other portfolio responsibilities, we are worried that the significant level of focus she has given to Rural Health to-date will, due to her increased workload in other

There has never been a more important time for Rural Health to retain a distinct portfolio.

As a sector, Rural Health continues to face significant challenges, but also significant opportunities.

Rural Australians continue to have poorer health outcomes than their city counterparts, and poorer access to healthcare services.

There continues to be an urgent need to deliver more doctors, nurses and allied health professionals to rural and remote communities, with the advanced training required to meet the healthcare needs of those communities.”

Rural Doctors President, Dr Adam Coltzau see Part 5 below in full 

Part 1 NACCHO

I was very pleased to hear Mr Morrison’s at his first media conference after winning the leadership say that chronic disease was one of his top three priorities as he  ” was distressed by the challenge of chronic illness in this country, and those who suffer from it ” Mr Singer said from Hobart where he was hosting Ochre Day a National Aboriginal Men’s Health Conference opened by the Minister Ken Wyatt

“ Chronic disease is responsible for a major part of the life expectancy gap and  accounts for some two thirds of the premature deaths among our Aboriginal and Torres Strait Islander community.

A large part of the burden of disease is due to chronic diseases such as cardiovascular disease, diabetes, cancer, chronic respiratory disease and chronic kidney disease. With the Prime Ministers increased support our 302 ACCHO clinics can be reduce by earlier identification, and management of risk factors and the disease itself.

Recently I attended the Council of Australian Governments Health Council meeting in Alice Springs, when it made two critical decisions to advance First Nations health. Firstly, it has made Aboriginal and Torres Strait Islander health a national priority, including by inviting the Indigenous Health Minister to all future meetings.

The Council also resolved to create a national Indigenous Health and Medical Workforce Plan, to focus on significantly increasing the number of First Nations doctors, nurses and health professionals.

However, NACCHO would also share our disappointment with Rural Doctors Association of Australia (RDAA) that Rural Health, while still being an area of responsibility for Minister McKenzie, will no longer have its own distinct portfolio under the revamped Coalition Government . ”

Minister Ken Wyatt Statement

I am honoured to be appointed as the Minister for Senior Australians and Aged Care and Minister for Indigenous Health in the Morrison Government. My focus will be building on the strong foundations we have in place through the 2018–19 Budget to deliver better outcomes for senior Australians and Aboriginal and Torres Strait Islander Australians.

We are investing an additional $5 billion in aged care over the next five years — a record amount — and our investments in the health of First Australians will be more targeted and based on what we know works. Our senior Australians are among our country’s greatest treasures.

They have earned the right to be cared for with dignity through our aged care system and this is something the Morrison Government is absolutely committed to delivering.

The aged care reform agenda we are implementing has already delivered senior Australians greater choice in the care they receive, and greater scrutiny of the sector — something that will be reinforced by the new independent Aged Care Quality and Safety Commission that will open its doors on 1 January 2019.

My administrative responsibilities will not change in the Morrison Government. However, the change to the Minister for Senior Australians and Aged Care reflects my focus on taking a broader, whole-of-government approach to advancing the interests of senior Australians.

Part 2 AMA 

AMA President, Dr Tony Bartone, said today that the AMA is pleased that Greg Hunt has been re-appointed Minister for Health.

Dr Bartone said that the health portfolio is broad and complex, and it takes time for Ministers to get fully across all the issues and get acquainted with all the stakeholders.

“Greg Hunt has been a very consultative Minister who has displayed great knowledge and understanding of health policy and the core elements of the health system,” Dr Bartone said.

“In his time as Minister, he has presided over the gradual lifting of the Medicare freeze and the major reviews of the Medicare Benefits Schedule (MBS) and the private health insurance (PHI).

“And he has acknowledged that major reform and investment is needed in general practice.

“These are all complex matters that would have been challenging for a new Minister.

“It takes months for new Ministers to gain command of the depth and breadth of the Health portfolio.

“With an election due in the first half of 2019, new Prime Minister Scott Morrison has made the right call in leaving Health in the safe hands of Greg Hunt.

“A fourth Health Minister in five years would have undermined the priority that Australians place on good health policy,” Dr Bartone said.

Dr Bartone said that the AMA looked forward to continuing its strong working relationship with the Minister for Senior Australians and Aged Care, Ken Wyatt, who is also Minister for Indigenous Health.

The AMA has been advised that Senator Bridget McKenzie will retain Rural Health as part of her Regional Services, Sport, Local Government, and Decentralisation portfolio.

Part 3 RACGP 

Dr Nespolon believes Minster Hunt understands the fundamental role primary care plays in the wellbeing of all Australians and will continue to make general practice a focal point of Government health policies.

‘Health is an integral part of any Governments agenda and I look forward to working with Minister Hunt on the future direction of healthcare in Australia,’ Dr Nespolon told newsGP.

‘Minister Hunt has worked closely with the RACGP over the past two years, achieving positive results, including investment into general practice research, the removal of the Medicare freeze and the return of general practice training to the RACGP.’

Dr Nespolon said he is particularly keen to discuss matters that lie at the heart of general practice.

‘The RACGP will continue to work with Minister Hunt on our core patient priority areas, including preventive health and chronic disease management,’ Dr Nespolon said.

Minister Hunt was re-appointed to his position on the frontbench following a cabinet reshuffle that took place in the wake of last week’s Liberal Party leadership challenge. Ken Wyatt was also re-appointed as the Federal Minister for Indigenous Health and for Aged Care.

Part 3 National Rural Health Alliance 

The Ministerial line-up announced by Prime Minister Scott Morrison has a glaring omission.

At a time when great swathes of rural and remote Australia are experiencing the impact of devastating drought conditions, including significant impacts on the health and wellbeing of our communities, the key portfolio of Rural Health is nowhere in sight.

The new Morrison Ministry does not include a Minister for Rural Health. That key responsibility was on Friday held by the Deputy Leader of the Nationals, Senator Bridget McKenzie. By Sunday it was gone.

‘It was only on Friday last week that rural health sector stakeholders met in Canberra, for a meeting convened by the (former) Minister for Rural Health, to discuss the issues and solutions for achieving better health outcomes for rural Australia’, National Rural Health Alliance Chair, Tanya Lehmann said.

‘The key message of the Roundtable meeting was very clear. The health and wellbeing issues faced by rural and remote Australia cannot be addressed using market-driven solutions that work in the cities.’

‘We need a genuine, high level commitment from the Commonwealth, State and Territory Governments to deliver a new National Rural Health Strategy that will address the unacceptable gap in health outcomes for rural Australians. This is not the time to be relegating Rural Health to the back burner’.

‘We call upon the Morrison Government to demonstrate it is fair dinkum about improving the health and wellbeing of rural Australians by reinstating Rural Health as a Ministerial portfolio and committing to the development of a National Rural Health Strategy’, Ms Lehmann said.

The Alliance welcomes the re-appointment of the Hon Greg Hunt MP, Federal Minister for Health and the Hon Ken Wyatt AM MP, Minister for Aged Care and Minister for Indigenous Health, and acknowledges their continuing contribution to addressing the health and aged care needs of all Australians. We also welcome Senator the Hon Bridget McKenzie’s contribution to regional services, sport, Local Government and decentralisation, however we remain concerned that rural health, as a separate Ministerial portfolio has been overlooked.

‘While we understand Minister McKenzie will continue to be responsible for Rural Health — and we very much look forward to continuing to work with her — we are concerned that this critical area will no longer have its own dedicated portfolio’, Ms Lehmann said.

Background:

The National Rural Health Alliance is the peak body for rural, regional and remote health. The Alliance has 35-member organisations representing the peak health professional disciplines (eg doctors, nurses and midwives, allied health professionals, dentists, pharmacists, optometrists, paramedics, health students, chiropractors and health service managers), Aboriginal and Torres Strait Islander health peak organisations, hospital sector peak organisations, national rurally focused health service providers, consumers and carers.

Some of the worst health outcomes are experienced by those living in very remote areas. Those people are:

  • 1.4 times more likely to die than those in major cities
  • More likely to be a daily smoker, obese and drink at risky levels
  • Up to four times as likely to be hospitalised

Part 5 Rural Doctors Association of Australia (RDAA) 

Ministerial reappointments welcomed, loss of Rural Health portfolio not

The Rural Doctors Association of Australia (RDAA) has welcomed the reappointment of Greg Hunt MP as the Federal Minister for Health, Ken Wyatt AM MP as the Federal Minister for Indigenous Health, and Senator Bridget McKenzie as the Federal Minister for Regional Services.

However, the Association is disappointed that Rural Health, while still being an area of responsibility for Minister McKenzie, will no longer have its own distinct portfolio under the revamped Coalition Government.

“We strongly welcome the continuation of the federal health leadership team under the new Prime Minister, Scott Morrison” RDAA President, Dr Adam Coltzau, said.

“The Coalition has been making significant progress on important health policy issues, and looking forward there remain big reform agendas to be delivered in the health policy space, so it makes sense to have continued stable leadership here

“While we understand Minister McKenzie will continue to be responsible for Rural Health — and we very much look forward to continuing to work with her — we are concerned that this critical area will no longer have its own dedicated portfolio.

“With Minister McKenzie receiving an expanded set of other portfolio responsibilities, we are worried that the significant level of focus she has given to Rural Health to-date will, due to her increased workload in other

“There has never been a more important time for Rural Health to retain a distinct portfolio.

“As a sector, Rural Health continues to face significant challenges, but also significant opportunities.

“Rural Australians continue to have poorer health outcomes than their city counterparts, and poorer access to healthcare services.

“There continues to be an urgent need to deliver more doctors, nurses and allied health professionals to rural and remote communities, with the advanced training required to meet the healthcare needs of those communities.

“Retaining Rural Health as a distinct portfolio would assist in progressing solutions in this area.

“For example, the development of a National Rural Generalist Pathway — to deliver more of the next generation of doctors to the bush with the advanced skills needed in rural settings — would benefit greatly from continuing to receive the strong political focus of a dedicated Rural Health portfolio.

“There also continues to be an urgent need to make the most of new technologies like telehealth, to broaden access to healthcare for rural and remote Australians, in particular with their own GP.

“We strongly urge Prime Minister Morrison to consider retaining Rural Health as a dedicated portfolio under Minister McKenzie’s stewardship, to ensure the focus can remain firmly on delivering the best healthcare outcomes for rural and remote Australians.