NACCHO Aboriginal Health News : Read / Download Press Release responses to the 2020 #ClosingtheGap Report from #CoalitionofPeaks @closethegapOZ @NATSILS_ @SNAICC @SenatorSiewert @CAACongress @RACGP

“ These Closing the Gap reports tell the same story of failure every year

The danger of this seemingly endless cycle of failure is that it breeds complacency and cynicism, while excusing those in power.

People begin to believe that meaningful progress is impossible and there is nothing governments can do to improve the lives of our people.

The truth is that the existing Closing the Gap framework was doomed to fail when it was designed without the input of Aboriginal and Torres Strait Islander people. We know what will work best for our communities and the Prime Minister even acknowledges in this report that our voice was the missing ingredient from original framework.

The Coalition of Peaks has signed a formal partnership agreement with every Australian government, where decision-making on design, implementation and evaluation of a new Closing the Gap framework will be shared. Through this partnership, the Coalition of Peaks has put forward structural priority reforms to the way governments work with and deliver services to Aboriginal and Torres Strait Islander people.

Governments say they are listening to Aboriginal and Torres Strait Islander people. However, the true test in listening is translating the priority reforms into real, tangible and funded actions that make a difference to Aboriginal and Torres Strait Islander people right across our country.

This historic partnership could be the circuit-breaker that is needed. However, if they view this process as little more than window dressing for the status quo, the cycle of failure evident in today’s report is doomed to continue.”

Pat Turner, CEO of NACCHO and Co-Chair of the Joint Council on Closing the Gap, said that governments need to learn from these failures, not continue to repeat them.

Read Download the full Coalition of Peaks Press Release HERE

Read previous NACCHO Communiques this week

1.Coalition of Peaks Editorial Pat Turner

2.PM Launches CTG Report ( Download )

3.PM CTG Full Speech

4.Opposition response to CTG Report

“Every year for the last 12 years we have listened to a disappointing litany of failure – it’s not good enough, Indigenous Australians deserve better.

We are heartened by the developments last year with COAG and the Prime Minister agreeing to a formal partnership with the Coalition of Peaks on the Closing the Gap strategy.

Indigenous involvement and participation is vital – when our peoples are included in the design and delivery of services that impact their lives, the outcomes are far better.

However, now that partnership is in place, Australian governments must commit to urgent funding of Indigenous healthcare and systemic reform.

Preventable diseases continue to take young lives while unrelenting deaths in custody and suicide rates twice that of other Australians continue to shame us all.

As governments reshape the Closing the Gap strategy, we cannot afford for the mistakes of the past to be repeated.

Close the Gap Campaign co-Chairs, Aboriginal and Torres Strait Islander Social Justice Commissioner June Oscar AO and National Aboriginal and Torres Strait Islander Health Worker Association (NATSIHWA) CEO Karl Briscoe, have called on the government to invest urgently in health equity for Aboriginal and Torres Strait Islander peoples

Download full Close the Gap campaign press release HERE

Close the Gap Campaign response to CTG Report

” There was one glaring omission from the Prime Minister’s Closing the Gap speech this week. Housing did not rate a mention. Not a word about action on Aboriginal housing or homelessness.

Housing was not even one of the targets, let alone one we were meeting, but it must be if we are to have any chance of finally closing the gap between Indigenous and non-Indigenous Australians on all the other targets for life expectancy, child mortality, education and jobs.

Aboriginal and Torres Strait Islander people make up 3 per cent of Australia’s population but 20 per cent of the nation’s homeless. Aboriginal people are 2.3 times more likely to experience rental stress and seven times more likely to live in over-crowded conditions than other Australians.”

James Christian is chief executive of the NSW Aboriginal Land Council.

“For the first time ever, there is a commitment from all Australian governments, through COAG, to work with Aboriginal leaders through the peak bodies of Aboriginal organisations to negotiate key strategies and headline indicators that will make a difference.

So long as the negotiations continue in good faith and we stay the course together this should lead to a greater rate of improvement in coming years. Of this I am sure.

There is a commitment to supporting Aboriginal people by giving priority to our own community controlled organisations to deliver the services and programs that will make a difference in our communities while at the same time ensuring mainstream services better meet our needs”

Donna Ah Chee, Chief Executive Officer of the Central Australian Aboriginal Congress : Read full Report Part 1 below.

“Today is another day we reflect on the Federal Government’s inability to meet the Closing the Gap targets.

This report clearly shows that the gap will continue to widen if reforms aren’t translated into tangible, fully funded actions that deliver real benefits to Aboriginal and Torres Strait Islander people throughout the country.

The report reveals that progress against the majority of Closing the Gap targets is still not on track. The gap in mortality rates between Aboriginal and Torres Strait Islander people and non-Indigenous

Australians increased last year and there are very worrying signs on infant mortality.

The Federal Government needs to commit to funding solutions to end over-imprisonment of Aboriginal and Torres Strait Islander people and they must be implemented alongside other areas of disadvantage in the Closing the Gap strategy – health, education, family violence, employment, housing – in order to create real change for future generations.”

Cheryl Axleby, Co-Chair of NATSILS.

“We are deeply concerned about the Federal Government’s decision to not continue funding for remote Indigenous housing. Access to safe and affordable housing is essential to Closing the Gap,”

Nerita Waight, Co-Chair of NATSILS.

Download the full NATSILS press release HERE

NATSILS response CTG Report

” SARRAH welcomes the bipartisan approach by Parliamentarians who committed to work genuinely and collaboratively with Aboriginal and Torres Strait Islander leaders.

The potential contribution of Aboriginal and Torres Strait Islander Australians is far greater than has been acknowledged or supported to date.

There are many organisations working hard to close the gap, such as Aboriginal community controlled health organisations right across Australia, and Indigenous Allied Health Australia, the national Aboriginal and Torres Strait Islander peak allied health body.

Governments, through COAG, working with the Aboriginal and Torres Strait Islander Coalition of Peaks have the opportunity to reset the trajectory.”

Download SARRAH Press Release

Media Release SARRAH Closing the Gap

“ Many of our communities are affected by a range of adverse experiences from poverty, through to violence, drug and alcohol issues and homelessness.

Without an opportunity to heal from the resultant trauma, its impact can deeply affect children’s brain development causing life-long challenges to the way they function in the world.

It is experienced within our families and communities and from one generation to the next.

We need urgent action to support better outcomes and opportunities for our children.

SNAICC CEO, Richard Weston

Download the full SNAICC press release HERE

SNAICC Response to CTG Report

“Mr Morrison will keep failing First Nations peoples and this country until a genuine commitment to self-determination is at the heart of closing the gap.

The Prime Minister’s same old “welfare” rhetoric indicates that the Government really hasn’t got it.   While they say they are committed to the COAG co-design process the PM ignores the point that it is his Government continuing to drive discriminatory programs such as the Cashless Debit Card, the CDP program, ParentsNext and who are failing to address the important social determinants of health and wellbeing.

There are a few things this Government needs to do before they just “get people into jobs”, like invest in the social determinants of health and wellbeing and a housing first approach.”

Australian Greens spokesperson on First Nations peoples issues Senator Rachel Siewert

Download the full Greens press release HERE

The Greens Response to CTG Report

” Australia’s efforts to close the gap are seemingly stuck in a holding pattern.

Though Prime Minister Scott Morrison has hailed the beginning of a ‘new era’ of improving the health and life expectancy of Aboriginal and Torres Strait Islander people in the launch of the 12th Closing the Gap report, the results are all but unchanged.”

Read RACGP editorial

Part 1 : Donna Ah Chee, Chief Executive Officer of the Central Australian Aboriginal Congress

Continued

“It’s also important to recognise that there has been progress here in Central Australia both over the longer term and more recently. Since 1973, the number of Aboriginal babies dying in their first year of life has reduced from 250 to 10 per 1000 babies born, and life expectancy has improved on average around 13 years.

As recently as 2019 we have seen significant improvements across multiple areas.

“Alice Springs has experienced a remarkable 40% reduction in alcohol related assaults and a 33% reduction in domestic violence assaults. This is 739 fewer assaults year on year, or 14 fewer assaults per week”.

“There has been a 33% reduction in alcohol related emergency department presentation which is 1617 fewer presentations year on year or a reduction of 31 per week. Corresponding with this, there has been a decline in hospital admissions and, as noted in the MJA recently, ICU admissions. These are dramatic improvements,” she said.

“The proportion of babies born of low birth weight has halved and the rates of childhood anaemia and anaemia in pregnancy have declined markedly.”

“In addition to this the number of young people who reoffend and therefore recycle through youth detention has dropped dramatically.”

“Combining all of these factors, we are closing the gap on early childhood disadvantage and trauma and this will make a big difference in coming years in other health and social outcomes.”

There are however, still many issues to be addressed, especially with the current generation of young people, as too many have already experienced the impacts of domestic violence, trauma and alcohol and other drugs. Unfortunately, this has led to the youth issues experienced now in Alice Springs.

The NT government recently advised Congress that they are implementing strategies that are aimed at making an immediate difference while at the same time we know key strategies that will make a longer-term difference are already in place. New immediate strategies include:

  1. 14 additional police undertaking foot patrols and bike patrols in the CBD
  2. Police now taking young people home where it is safe to do so, rather than telling them to go home themselves
  3. The employment of two senior Aboriginal community police officers from remote communities and the recruitment of three others in town and two at Yuendumu
  4. The flexible deployment of the YOREOs to meet peaks in the numbers of young people out at different hours of the night
  5. The much more active deployment of the truancy officers to ensure all young people are going to school.
  6. Access to emergency accommodation options for young people at night

While progress overall is slower than it should be, it is important to acknowledge the successes we are having because of the good work of many dedicated community organisations and government agencies working together in a supportive environment, where governments are adopting evidence based policies.

NACCHO Aboriginal Health Resources Alert : @RACGP , NACCHO and @ahmrc to host a webinar series to complement their brand new Aboriginal and Torres Strait Islander health resource hub.

” The National Aboriginal Community Controlled Health Organisation (NACCHO) and the Royal Australian College of General Practitioners (RACGP) have worked together to develop resources for GPs and other health professionals to support culturally responsive primary healthcare for Aboriginal and Torres Strait Islander people, wherever they seek care.”

A new resource hub has been launched : See Part 1 below

 ” AH&MRC has also partnered with the RACGP to develop a webinar series. The webinars are on topics relevant to healthcare professionals employed within the ACCHS sector.” 

These webinars are published on the RACGP Website : See Part 2 below 

Part 1

 

A new resource hub has been launched on the RACGP website.

It is home to resources that support primary healthcare that is accessible, effective and valued by Aboriginal and Torres Strait Islander people.

Original published WAGPET 

The hub includes:

  • Good practice tables – building on the five steps towards excellent Aboriginal and Torres Strait Islander healthcare and five good practice tables provide activities for all members of the practice team with each activity linked to accreditation
  • Quality 715 health check resource – this one-page resource provides an opportunity for practice teams to reflect on what they are doing well and what could be improved to support quality Medicare Benefits Schedule (MBS) item 715 health checks for Aboriginal and Torres Strait Islander people
  • National Guide check (unit 561) – this edition of check provides case studies involving Aboriginal patients
  • Clinical audit – Identification – this audit aims to identify with the use of existing medical record software

To complement the resource hub, RACGP Aboriginal and Torres Strait Islander Health has developed a new webinar series titled, ‘I can see clearly now: Good experiences and great health outcomes through effective, culturally safe primary healthcare’.

The webinar series is presented by:

  • Ms Jacinta McKenzie, Integrated Team Care Supervisor, Indigenous Health Project Officer, Wellness Our Way at Country and Outback Health
  • Dr Mary Belfrage, GP and RACGP Fellow
  • Ms Ada Parry, RACGP Cultural and Education Advisor.

Webinar details

Webinar Title Date Time
NACCHO RACGP Resource Hub webinar Wednesday, 18 March 2020 7:00 – 8:00pm
Case study: Working together to achieve great health outcomes webinar Wednesday, 6 May 2020 7:00 – 8:00pm
Quality 715 health check and follow up webinar Wednesday, 10 June 2020 7:00 – 8:00pm

Part 2 ACCHS webinar series

Access RACGP Aboriginal and Torres Strait Islander Health, Aboriginal Health and Medical Research Council of NSW and NSW Health webinars on issues related to GPs and other health professionals working in the Aboriginal Community Controlled health Services (ACCHS) sector.

SEE WEBPAGE

Topic Webinar Slides
Nicotine Replacement Therapy (NRT) Recording PDF
Hepatitis C epidemiology, screening and treatment Recording PDF
Syphilis: Clinical overview, screening and treatment Recording PDF
Influenza preparedness Recording PDF
715 Health check Recording PDF

National guide webinars

Topic Webinar Slides
The new guidelines: Family abuse and violence (Chapter 16) Recording PDF

 

NACCHO Aboriginal Health and #Smoking : Download the @RACGP Supporting #smokingcessation Guide : Smoking daily is three times as high in the lowest socioeconomic areas of Australia compared to the highest.

“The likelihood of smoking daily is three times as high in the lowest socioeconomic areas of Australia compared to the highest.

What this means is that smoking-related health problems disproportionately affect those least able to afford the medicines that are essential to helping them quit.

We have made massive inroads, now it’s time for the final, decisive push to reduce daily smoking levels.

These medicines work, we just need to do more to help get them into the hands of people who need them most and removing restrictions on prescribing will do just that.”

RACGP President Dr Harry Nespolon said that the Government should act to assist those who struggle to afford the medicines that are proven to help people quit smoking.

Aboriginal and Torres Strait Islander people

 ” Indigenous Australians are still more than twice as likely as non-Indigenous Australians to be current daily smokers.2 However, there has been a progressive decrease in daily smoking rates for Aboriginal and Torres Strait Islander people, declining from 49% in 2002 to 45% in 2008, and then to 41% in 2012–13.3

People who identify as Aboriginal or Torres Strait Islander qualify for PBS authority listing that provides up to two courses per year of nicotine patches, each of a maximum of 12 weeks. Under this listing, participation in a support and counselling program is recommended but not mandatory. Access t nicotine patches for Aboriginal and Torres Strait Islander people can be facilitated through the Closing the Gap PBS co-payment measure (see page 45).”

Extracts from GUIDE

Download the RACGP Supporting smoking cessation: A guide for health professionals (2nd edition) smoking-cessation

Read over 130 Aboriginal Health and Smoking articles published by NACCHO over past 8 years

Read Aboriginal Health and our partnership with RACGP articles published by NACCHO over past 8 years

The Royal Australian College of General Practitioners (RACGP) has today recommended allowing greater flexibility in prescribing for smoking cessation pharmacotherapy.

The bold proposal, contained in the RACGP’s newly released Supporting smoking cessation: A guide for health professionals (2nd edition) (“the guide”), could prove a game-changer for reducing smoking rates.

Pharmacotherapy options available in Australia include nicotine replacement therapy (NRT, e.g. a transdermal patch or acute forms such as an oral spray, gum, inhaler or lozenge), varenicline (a drug that blocks the pleasure and reward response to smoking) and bupropion hydrochloride (which reduces the urge to smoke and helps with nicotine withdrawal).

Oral forms of NRT subsidised on the Pharmaceutical Benefits Scheme (PBS) are gum and lozenges for use as the sole PBS-subsidised therapy. This means that combination NRT (i.e. using two forms of NRT together such as a patch and gum) is not currently PBS-subsidised.

Under PBS rules, a maximum 12 weeks of PBS-subsidised NRT is available per 12-month period.

Australia has made commendable inroads in tobacco control and smoking rates with daily smoking nearly halved from 24% in 1991 to 12.8% in 2013. However, the job is not complete and there has been a slowing in the rate of decline with little change in prevalence from 2013 to 2016 (12.2%).

The latest National Tobacco Strategy aims to reduce the national adult daily smoking rate to 10% of the population and halve the Aboriginal and Torres Strait Islander adult daily smoking rate.

RACGP President Dr Harry Nespolon said that the Government should act to assist those who struggle to afford the medicines that are proven to help people quit smoking.

“Some people can quit unassisted; however, those who take advantage of behavioural support and vital medicines including combination NRT, varenicline and bupropion will substantially increase their chances of quitting.

“The science is in – a host of randomised clinical trials tell us that these medicines work. Varenicline or combination NRT almost triples the odds of quitting and bupropion and NRT alone almost double the odds of quitting versus a placebo at six months. The evidence is also clear that combination NRT is most effective.

“However, as things stand we have fixed PBS rules that don’t reflect best-practice medical assistance. As a result, people trying to quit smoking miss out on PBS subsidies that could make a real difference.

“We need to improve flexibility in prescribing to cut costs for patients using pharmacotherapy so that people who could really benefit from these medicines can access them.

“It’s vital to allow for PBS-subsidised combination NRT, which is proven to be the most effective form of NRT.

“We should also allow GPs to prescribe a second round of PBS-subsidised NRT within a 12-month period because it will help reduce relapse in people who have stopped smoking at the end of a standard course of NRT. This is a public health policy no-brainer, pure and simple.”

Dr Nespolon noted that the inflexibility in PBS prescribing was particularly troubling given that smoking rates are inverse to socioeconomic status.

Chair of the Expert Advisory Group behind the guide, Professor Nicholas Zwar, said that health professionals including GPs should also be encouraged to embrace the “brief intervention” approach to smoking cessation.

“One of the most often cited barriers to providing smoking cessation advice is that it can prove time consuming.

“Up until now health professionals have used a ‘5A’s approach’ which involves identifying patients who smoke, assessing nicotine dependence and barriers to quitting, advising patients to quit, offering assistance and arranging a follow up. It is sound practice but it does take time.”

Professor Zwar said that under the three-step model developed by Quit Victoria, advice and help for patients trying to quit smoking could be easier to provide and more frequently offered by a range of health professionals.

“This three-step model offers patients best practice smoking cessation treatment by linking into multi-session behavioural interventions such as Quitline and encouraging the use of pharmacotherapy.

“It can be summarised as ask, advise and help. Ask and record a patient’s smoking status, advise people who smoke to quit and on the most effective methods for doing so and help them by offering to arrange referral, encourage use of behavioural intervention and the use of evidence-based pharmacotherapy.”

The guide update was funded by VicHealth and the Australian Government Department of Health.

 

NACCHO Aboriginal Health and #Workforce : @uwanews Five Indigenous women doctors graduate from #WA Uni Dr Tamisha King, Dr Adriane Houghton, Dr Heather Kessaris, Dr Kelly Langford, and Dr Shauna Hill

Five Indigenous women were among 206 students to graduate as doctors at a ceremony held last week in The University of Western Australia’s Winthrop Hall.

Tamisha King, Adriane Houghton, Heather Kessaris and Kelly Langford were awarded a Doctor of Medicine and Shauna Hill was awarded a Bachelor of Medicine and Bachelor of Surgery.

Dr King, a Karajarri woman from the Kimberley region, completed her Rural Clinical School placement in Kununurra as well as electives in Melbourne and internship preparation in Broome.

Before enrolling in the MD she completed a Bachelor of Science, majoring in Anatomy and Human Biology, and Aboriginal Health and Wellbeing, winning several academic awards. She was also an active member of the Australian Indigenous Doctors Association (AIDA) and WA Medical Students’ Society (WAMSS) Indigenous Representative in 2016. Dr King will start work as an intern at Royal Perth Hospital next month.

Dr Houghton, a Ngarluma Yindjibarndi woman from Port Hedland, completed UWA’s Aboriginal Orientation Course in 2002 through the School of Indigenous Studies and went on to obtain a Bachelor of Science majoring in Geography. After graduating she worked in labs and chemical analysis for Woodside in Karratha for six years before enrolling in the MD.

Dr Houghton completed her Rural Clinical School placement in Port Hedland and was Rural Health West’s first Aboriginal Ambassador. The single mother with two children aged six and 10 will take up an internship at Royal Perth Hospital next month.

Dr Kessaris, an Alawa and Marra woman from the Northern Territory, completed a Bachelor of Science majoring in Aboriginal Health and Wellbeing and Population Health before enrolling in the MD. Also a member of AIDA, she represented UWA and AIDA at the Pacific Region Indigenous Doctors Congress (PRIDoC) in Hawaii this year and was also a WAMSS Indigenous Representative in 2016.

Originally from Cairns in Queensland, Dr Langford graduated with a Bachelor of Science majoring in Anatomy and Human Biology and Economics before enrolling in the MD. In 2017 she completed her Rural Clinical School placement in Broome. Dr Langford is a Badjala woman from Fraser Island and Darraba woman from Starcke, Cape York.

The same year she also received the 2017 national LIMElight Award for Excellence in Indigenous Health Education Student Leadership for her contribution to the understanding of Indigenous health education to her peers, promoting rural and remote health careers and advocating for improvements to the health of Indigenous people in rural and remote communities. Dr Langford will start her internship at Fiona Stanley Hospital next month.

Dr Hill, a Yamatji-Noongar woman who was born and raised in Perth, completed UWA’s Aboriginal Orientation Course in 2002 and went on to complete a Bachelor of Arts majoring in History and Political science and International Relations. She took up a graduate position in Canberra before returning to Perth to work for an Aboriginal organisation and a research officer at UWA’s Centre for Aboriginal Medical and Dental Health.

Dr Hill then enrolled in the graduate entry Bachelor of Medicine and Bachelor of Surgery, also representing UWA and AIDA at PRIDoC in Hawaii this year. The single mother of three children aged 13, 19 and 20 will take up an internship next month at Royal Perth Hospital.

NACCHO Announcement 2020

After 2,800 Aboriginal Health Alerts over 7 and half years from www.nacchocommunique.com NACCHO media will cease publishing from this site as from 31 December 2019 and resume mid January 2020 with posts from www.naccho.org.au

For historical and research purposes all posts 2012-2019 will remain on www.nacchocommunique.com

Your current email subscription will be automatically transferred to our new Aboriginal Health News Alerts Subscriber service that will offer you the options of Daily , Weekly or Monthly alerts

For further info contact Colin Cowell NACCHO Social Media Media Editor

NACCHO Aboriginal Health and the @HealingOurWay #StolenGeneration : Fact sheets launched by Minister @KenWyattMP have been guided by survivors: they identified the key issues for them with #GPs, #dentists and #agedcare providers, what is helpful and what should be avoided.

“Many Stolen Generations survivors experienced childhood trauma as a result of their forced removal from family, community, culture and language, and sometimes also as a result of abuse and racism experienced after their removal.

Every day events can trigger the original trauma, particularly if a situation brings back the lack of control Stolen Generations survivors experienced when they were taken from their families.”

Interacting with aged care staff, GPs, dentists and other services is often difficult for Stolen Generations survivors said The Healing Foundation’s Chair Professor Steve Larkin

‘General practice is often the first and only point of contact with the healthcare system for many patients. The RACGP has a strong interest in ensuring that general practice services and healthcare in general are safe and responsive to people who experienced the devastating impacts of forced removal,’ he said.

‘This new resource provides essential context and useful tools to assist GPs to identify and understand the impacts of trauma for their patients.

These are principles of good clinical practice, which is beneficial for all patients.’

Associate Professor Peter O’Mara, Chair of RACGP Aboriginal and Torres Strait Islander Health, said the factsheet is a vital resource for GPs.

Download 

Working-with-Stolen-Generations-GP-fact-sheet

Working-with-Stolen-Generations-GP-snapshot

General practitioners, dentists and the aged care sector will be better placed to support Stolen Generations survivors following the launch of new resources at Parliament House .

Download all new resources HERE 

The resources, launched by the Minister for Indigenous Australians The Hon Ken Wyatt AM MP, were developed by The Healing Foundation in collaboration with Stolen Generations survivors and peak bodies including the Royal Australian College of General Practitioners, the Australian Dental Association, Aged & Community Services Australia and the Aged Care Industry Association.

Stolen Generations survivor and member of The Healing Foundation’s Stolen Generations Reference Group Geoff Cooper said he hoped the fact sheets would create greater awareness about the best ways to provide services to the Stolen Generations without triggering trauma.

“Little changes can make a big difference to how we feel when we walk in to a service. Things like not making us talk about bad stuff that’s happened to us if we don’t want to, and explaining what you’re going to do before you do it so we aren’t caught off guard.”

The resources are part of The Healing Foundation’s Action Plan for Healing project, funded by the Department of Prime Minister and Cabinet in 2017 following the 20th anniversary of the 1997 Bringing them Home report, which highlighted the contemporary needs of the Stolen Generations and their descendants.

An Australian Institute of Health and Welfare analysis conducted as part of the Action Plan for Healing project found there are over 17,000 Stolen Generations survivors in Australia today, and by 2023 will all be aged over 50 and eligible for aged care.

“The development of the fact sheets has been guided by Stolen Generations survivors: they identified the key issues encountered when dealing with GPs, dentists and aged care providers, what is helpful and what should be avoided,” Professor Larkin said.

“We’ve been delighted with the level of interest the resources are already receiving from the target sectors, and are excited to see the materials taken up at the practice and provider level nationally.”

Australian Dental Association CEO Damian Mitsch said the organisation was proud to have supported the creation of the dental resource.

“This resource will go a long way in providing education and helpful tips to guide dental practitioners in providing effective dental care to Stolen Generations survivors,” Mr Mitsch said.

Download 

Working-with-Stolen-Generations-Dental-fact-sheet

The CEO of Aged & Community Services Australia (ACSA), Patricia Sparrow, said the organisation and its members were pleased to have contributed to the aged care resource.

“We believe the work of The Healing Foundation in providing information about how aged care services acknowledge the needs, and care for Stolen Generations survivors is critical.

“Through these resources, providers of aged care are able to better understand some of the trauma and triggers as well as the diversity of needs for Stolen Generations survivors, which must be considered in delivering the best quality care for all people,” Ms Sparrow said.

Download

Working-with-Stolen-Generations-Aged-Care-fact-sheet

Resources will now be developed for hospitals, allied health professionals and disability services.

The fact sheets provide practical tips, tailored for each profession, on how staff and management can improve services to Stolen Generations survivors. The suite of fact sheets can be downloaded here.

The Healing Foundation is a national Aboriginal and Torres Strait Islander organisation that partners with communities to address the ongoing trauma caused by actions like the forced removal of children from their families.

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)