” This eighth national report presents information from 277 organisations, funded by the Australian Government to provide one or more of the following health services to Aboriginal and Torres Strait Islander people: primary health care; maternal and child health care; social and emotional wellbeing services; and substance-use services.
These organisations contributed to the 2015–16 Online Services Report downloadable.
Good News see in full below
Many health promotion group activities were provided, including around 7,600 physical activity/healthy weight sessions, 3,300 chronic disease support sessions and 2,000 tobacco-use treatment and prevention sessions.
With respect to maternal and child health care, around 12,900 home visits, 3,300 maternal and baby/child health sessions, 2,800 parenting skills sessions and 1,000 antenatal group sessions were done.
Information is presented on the characteristics of these organisations; the services they provide; client numbers, contacts and episodes of care; staffing levels; and service gaps and challenges.
Key characteristics
Of the 204 organisations providing Indigenous primary health-care services:
72% (147) delivered services from 1 site, while 11% (23) had 2 sites and 17% (34) had 3 or more sites.
67% (136) were ACCHOs.
78% (159) had a governing committee or board and of these 72% had 100% Indigenous membership.
79% (162) were accredited against the Royal Australian College of General Practitioners (RACGP) and/or organisational standards.
28% (57) had more than 3,000 clients (see Table S3.2).
Policy context : The health of Indigenous Australians
An estimated 744,956 Australians identified as Aboriginal and/or Torres Strait Islander in June 2016, representing 3% of the total Australian population (ABS 2014). In 2011, 10% of the Indigenous population identified as being of Torres Strait Islander origin, and almost two-thirds of the Torres Strait Islander population lived in Queensland.
The Indigenous population has a younger age structure compared with the non-Indigenous population.
In June 2011, the median age of the Indigenous population (the age at which half the population is older and half is younger) was 21.8, compared with 37.6 for the non-Indigenous population.
The birth rate for Indigenous women is also higher (2.3 babies per woman in 2013 compared with 1.9 for all women) (AIHW 2015d).
Most Indigenous Australians live in non-remote areas (79% in 2011); however, a higher proportion live in remote areas (21%), compared with non-Indigenous Australians (2%)
The gap in health outcomes between Indigenous and non-Indigenous Australians is well documented, especially around life expectancy, infant mortality, child mortality, chronic disease prevalence, potentially preventable hospitalisations and the burden of disease (AIHW 2015a).
For example, a recent burden of disease study found that Indigenous Australians experienced a burden of disease 2.3 times the rate of non-Indigenous Australians, with diabetes 6 times as high.
Chronic diseases were responsible for more than two-thirds (70%) of the total health gap in 2011 and for 64% of the total disease burden among Indigenous Australians in 2011.
The 5 disease groups that caused the most burden were mental and substance use disorders (19% of total disease burden), injuries (which includes suicide) (15%), cardiovascular diseases (12%), cancer (9%) and respiratory diseases (8%).
The same study also suggests that much of this burden could be prevented and reducing exposure to modifiable risk factors may have prevented over one-third (37%) of the burden of disease in Indigenous Australians.
The risk factors contributing most to the overall disease burden were tobacco and alcohol use, high body mass, physical inactivity, high blood pressure and dietary factors (AIHW 2016a).
While there have been improvements in the health and wellbeing of Indigenous Australians, they remain disadvantaged compared with non-Indigenous Australians.
There are a number of interlinking issues that contribute to this gap, including the disadvantages Indigenous people experience in relation to the social determinants of health such as housing, education, employment and income; behavioural risk factors such as smoking, poor nutrition, and physical inactivity; and access to health services (AIHW 2015a).
In addition, a broader range of social and emotional wellbeing issues result from colonisation and its intergenerational legacies: grief and loss; trauma; removal from family and cultural dislocation; racism and discrimination (DoH 2013).
Policy responses
In 2008 a framework was developed to tackle Aboriginal and Torres Strait Islander disadvantage, with 6 targets established to close the gap between Indigenous and non-Indigenous people. These targets were agreed with all states and territories through the Council of Australian Governments (COAG).
National Aboriginal and Torres Strait Islander Health Plan
Following on from the COAG targets, the Australian Government worked with Aboriginal and Torres Strait Islander people to produce the National Aboriginal and Torres Strait Islander Health Plan 2013–2023.
This sets out a 10-year plan for the direction of Indigenous health policy and provides a long-term, evidence-based policy framework to close the gap in Indigenous disadvantage.
The vision outlined in the Health Plan around health system effectiveness is that the Australian health system delivers primary health care that is evidence-based, culturally safe, high quality, responsive and accessible to all Aboriginal and Torres Strait Islander people (DoH 2013).
An Implementation Plan sits alongside the Health Plan, detailing the actions to be taken by the Australian Government and other key stakeholders to implement the Health Plan (DoH 2015b).
It identifies 20 goals to support the achievement of the COAG targets around the effectiveness of the health system and priorities across the life course, from maternal health and parenting, childhood health and development, adolescent and youth health, healthy adults and healthy ageing.
A technical companion document to the Implementation Plan outlines these goals and how they will be measured (AIHW 2015b).
The second stage of the Implementation Plan will be released in 2018 and will further develop actions and goals in the domain of social and cultural determinants of health and health system effectiveness.
It will also seek to increase engagement between Australian Government agencies, state, territory and local governments, the Aboriginal community-controlled health sector, the non-government sector and the corporate/private sector (DoH 2017).
Progress on achieving the Implementation Plan goals will be reported every two years in line with the release of the Aboriginal and Torres Strait Islander Health Performance Framework. The findings will be incorporated into the Department of Health’s Annual Report and will inform the Prime Minister’s annual Closing the Gap report. Progress on the goals will also be publically reported on the DoH and AIHW websites from mid-2017 (DoH 2015b).
The good news
• In 2015–16, 204 organisations provided a wide range of primary health-care services to around 461,500 clients through 3.9 million episodes of care. Over 1 million episodes of care (26%) were in Very remote areas and these areas had the highest average number of episodes of care per client (10). Over time there has been an increase in the average episodes of care per client, from 5 in 2008–09 to 8 in 2015–16.
• Around 7,766 full-time equivalent staff were employed and just over half (53%) were Aboriginal and Torres Strait Islander. Nurses and midwives were the most common type of health worker, representing 15% of employed staff, followed by Aboriginal and Torres Strait Islander health workers and practitioners (13%) and doctors (7%). Nurses and midwives represented a higher proportion of employed staff in Very remote areas (24%).
• Many health promotion group activities were provided, including around 7,600 physical activity/healthy weight sessions, 3,300 chronic disease support sessions and 2,000 tobacco-use treatment and prevention sessions. With respect to maternal and child health care, around 12,900 home visits, 3,300 maternal and baby/child health sessions, 2,800 parenting skills sessions and 1,000 antenatal group sessions were done.
• In the 93 organisations funded specifically to provide social and emotional wellbeing services, 216 counsellors provided support services or Link Up services to around 18,900 clients through 88,900 client contacts.
• In the 80 organisations funded specifically to provide substance-use services, around 32,700 clients were seen through 170,400 episodes of care. Most clients (81%) and episodes of care (87%) were for non-residential substance-use services.
Things to note
• Over half the organisations providing primary health-care services reported mental health/social and emotional wellbeing services as a service gap (54%), and two-thirds (67%) reported the recruitment, training and support of Aboriginal and Torres Strait Islander staff as a challenge in delivering quality health services.
• Some organisations felt clients with high needs had to wait too long for some services, in particular to access specialist and dental services. For example, 53 (28%) organisations providing on-site or off-site access to dental services still felt clients with high needs often had to wait a clinically unacceptable time for dental services.
For most specialist and allied health services, more organisations in Remote and Very remote areas felt clients with high needs had to wait too long to access services.
” Mabo establishes a fundamental truth and lays the basis for justice … Mabo is an historic decision – we can make it an historic turning point, the basis of a new relationship between Indigenous and non-Aboriginal Australians.
I believe that Mabo gives Australia the opportunity to mature as a nation. Just as there is no economy without environment, development must include justice and human rights.
I am not supposing a utopian dream where in all parties are completely happy and negotiate the perfect solution, but a way ahead toward fair and just solutions which all parties can live with and which do not sacrifice the interest of one over the other.
Most important of all, in the Federal Constitution, it is necessary that there be a recognition of Sovereignty as by that recognition and resulting compensation so that Aboriginal people can regain our dignity and be treated as equal partners in any future development of our land.
Charles Perkins AO 1993 Alice Springs ” Creating an economic template for our healthy futures.” see full extract part 1 below
“He (Eddie) was a fighter for the underdogs, anyone who was deemed to be treated unkindly – he would step up and support them.
“He also became a voice for people who had language difficulties.
To me, he was like a hero of the people.
I was sitting at a hospital in the carpark and I heard on the radio that my dad had won and I went ‘Oh my God he’s won’
And then I just started crying and I looked at my boy and I thought, he did it, he finally did it.”
ON THE morning of June 3, 1992, Gail Mabo was feeding her five-month-old son in her car, when her father’s landmark achievement was broadcast around Australia. Part 2 Below Interview Townsville Bulletin
” The High Court’s Mabo decision, 25 years ago on Saturday, triggered widespread celebrations and fresh hope among Indigenous Australians and their supporters, and exaggerated, even vitriolic outrage from some politicians, business leaders, journalists and academics.
These critics foreshadowed various economic and social disasters, including Jeff Kennett’s grossly irresponsible scaremongering that “backyards were at risk”. That was never the case. Little, if any, of this predicted chaos eventuated. Quite the reverse.”
Reforms are urgently needed to the native tile scheme
Dr Bryan Keon-Cohen, AM, QC, was junior counsel to Ron Castan, AM, QC, throughout the Mabo litigation, 1982-1992 Canberra Times 1 JuneSee Part 3 Below
” In 1992 the High Court decided in Mabo No 2 that customary native title could be recognised at common law, reversing the longstanding doctrine of terra nullius—that the land of Australia had belonged to no one when the British arrived.
In some quarters the decision was condemned for its activism, and the fear of judicial activism currently haunts debates about Indigenous constitutional recognition.
Many benefits have flowed from the Mabo judgment and the recognition of native title to land—these benefits have been both practical and symbolic.
I can answer the question posed in the title of my lecture in the affirmative.
The Mabo judgment was an agent for change and recognition, though many issues of Indigenous recognition and rights remain unresolved.”
The Mabo High Court judgment:
Was it the agent for change and recognition?
The 2015 Mabo Oration was delivered by Dr Dawn Casey PSM FAHA, (now NACCHO COO ) at the Queensland Performing Arts Centre, on 15 August 2015.
Part 1 : ” Creating an economic template for our healthy futures.” Dr Charles Perkins speech to NIBEC Business Conference in Alice Springs 1993 see full here
Pictured above Charles Perkins on the 3 June 1992 just after the Mabo judgement announced with then PR Colin Cowell ( Copyright Koori Mail first anniversary Conference )
As we are all aware this is The International Year of the World’s Indigenous Peoples which was launched in December 1992 in New York at the United Nations. It is a significant beginning to this decade of the 90o. the time is right, the scene is set, our people are ready and willing – this is or could be the decade for the renaissance of the Indigenous people in this country we now call Australia. History is a guide but still a memory.
The future is ours to create. Today is our tomorrow. All societies have it seem to have one or two opportunities to fulfil their dreams and ours has arrived. We are on the threshold of our great national dream. The just, the good, the compassionate, the prosperous society.
The catalyst to move our people collectively towards this greater future has been granted to us the High Court in the recent Mabo decision. It could not come at a more opportune time, It is our once in a lifetime chance to recreate the society that we all desire.
As the Prime Minister stated in Sydney in December 1992, “We need these practical building blocks of change.
The Mabo judgement should be seen as one of these. By doing away with the bizarre conceit that this continent had no owners prior to settlement of Europeans. Mabo establishes a fundamental truth and lays the basis for justice … Mabo is an historic decision – we can make it an historic turning point, the basis of a new relationship between Indigenous and non-Aboriginal Australians. The message should be that there is nothing to fear or to lose in the recognition of historical truth, of the extension of social justice, or the deepening of Australian social democracy to include Indigenous Australians”.
Within this context the federal government must pursue, as they promised some years ago, the concept of a treaty.
This government must keep its promise to enter into a Treaty with the Indigenous people, particularly in this U.N. Year of the Indigenous People. This would demonstrate to the world that Australians – both Aboriginal and non-Aboriginal, can exist in cultural harmony and celebrate our common humanity.
History must not be a cross we should carry as a nation, into the future. Our children must inherit a society better than the one we inherited. A treaty is not so much a matter of dollars and cents, it is more spiritual and symbolic. It can be a catalyst which binds us together as a nation, respecting our past but building for the future. Australians must never forget that Australia was Aboriginal land and still is Aboriginal land. A Treaty is the appropriate mechanism for such negotiations. Naturally, such a Treaty can be one of the basic principles for discussions and conclusion with the framework of the recent and further Mabo High Court decision.
As is public knowledge, on 3 June 1992, the High Court made the great leap forward in recognising that Australia and the Torres Strait Islands were not empty “terra Nullius” before the British invasion of 1788, but were peopled by hundreds of Aboriginal nations, each with a distinct, rich and complex culture. The Mabo decision thus take recognition of Aboriginal and Torres Strait Islander culture at its starting point, and establishes that Aboriginal and TSI peoples have rights which have their source in traditional customary law rather than the British common law imposed on us in 1788. In this respect, the decision is empowering, as Aboriginal people are not starting with nothing and waiting for rights to be handed out piecemeal at the political him of the government of the day.
The Mabo decision represents an opportunity for some measure of justice to be gained for Aboriginal Peoples who are the most dispossessed of Indigenous peoples of all former British colonies, who are the most jailed race in the world and who have suffered and continue to suffer cultural genocide. However, Mabo is very limited in its “context”, it only addresses the narrow concept of native title and thus is defined in traditional areas.
It is also important to recognise the limitations of the case. Firstly, Aboriginal and TSI Sovereignty is a demand by Aboriginal people that the courts and Parliament of Australia recognise and acknowledge that the “acquisition” of sovereignty by the British in 1788 was illegal under English law at the time and also international law.
And that the acquiring of the land was by dispossession, genocide, ethnocide and it was consequently unlawful, illegal and immoral. Plus the demand that the government of Australia as the inheritors of the British Crown, compensate Aboriginal people for the loss and the damage done to our land and our culture. It is not a demand upon Australian individuals to surrender their land but rather a demand for recognition and compensation by the community as a whole. Sovereignity was not argued by the plaintiffs in Mabo, and therefore Commonwealth and State governments, according to the decision, have ultimate power to extinguish native title at will, subject to the Racial Discrimination Act 1975 (Cth).
Given these limitations, the hysteria and scare mongering currently seen in the media is put into perspective. Australians will not lose their homes and backyards. One of the most basic principles of Mabo is that once a State Government grants freehold title to a third party (ie. A person or company) , and native title to that area is automatically extinguished. In lay language, once any person buys a bit of land, native title is completely wiped out.
You can see that far from Australia being on the brink of a black coup d’etat, native title is actually quite limited and vulnerable.
The question then arises, where do we go from here ?. The notion of native title coinciding with other interests in land points us toward the answer.
Mabo is about working together, about balance and recognition of Aboriginal and TSI culture as a source of strength and wisdom from which all Australians can learn.
Mabo is also about self-determination – giving Aboriginal and TSI peoples the space and resources to enjoy our culture, work out our own solutions and control our own lives. The imposition of successive waves of government policy has not solved anything for us, but only created more problems.
Some of the most difficult aspects of post-Mabo relations will stem from competing land use in the form of resource development and native title. I do not believe that Aboriginal And TSI peoples are anti-development, if it is done in a way which respects them.
The history of conflict between mining companies and Aboriginal people has largely resulted form the formers deceit, lack of proper consultation and negociation, marginalisation of Aboriginal people from benefits flowing from projects undertaken on their land and disrespect for the wishes of Aboriginal people, for example; in relation to the protection of sacred sites.
Today, Aboriginal people must be equal partners at the negotiating table, we must have our say and governments and resource developers must listen and work out with us proper solutions to these vexed problems in a faire, reasoned and balanced way. I believe that Mabo gives Australia the opportunity to mature as a nation. Just as there is no economy without environment, development must include justice and human rights.
I am not supposing a utopian dream where in all parties are completely happy and negotiate the perfect solution, but a way ahead toward fair and just solutions which all parties can live with and which do not sacrifice the interest of one over the other.
Most important of all, in the Federal Constitution, it is necessary that there be a recognition of Sovereignty as by that recognition and resulting compensation so that Aboriginal people can regain our dignity and be treated as equal partners in any future development of our land.
Part 2 : My father has opened the doorway.
His legacy is not just ours, it’s for everybody
“I was sitting at a hospital in the carpark and I heard on the radio that my dad had won and I went ‘Oh my God he’s won’,” she said.
“And then I just started crying and I looked at my boy and I thought, he did it, he finally did it.”
An overwhelming sense of pride enveloped Ms Mabo who was 28 at the time.
And 25 years later, her father, Eddie Mabo, continues to make a huge impact on her family’s life and the Australian community.
Saturday, June 3, will mark 25 years since the High Court abolished terra nullius – meaning land belonging to no one.
Eddie Mabo, who died five months before the High Court ruling, championed the historic court case to establish the traditional ownership of Australian land.
Ms Mabo said she and her siblings had grown up listening to the significance of land rights.
“He (Eddie) was a fighter for the underdogs, anyone who was deemed to be treated unkindly – he would step up and support them,” she said.
“He also became a voice for people who had language difficulties.
“To me, he was like a hero of the people.”
However in what Ms Mabo called a “knee-jerk reaction from the Government”, a 10-point plan was put in place following the High Court ruling.
Ms Mabo said government conditions regulated land rights so that indigenous people had to “jump through more hoops”.
“But at the end of the day, it’s about how people approach that and how they fight,” she said.
“It’s a longer battle but it’s a battle worth fighting.
“My father has opened the doorway.
“His legacy is not just ours, it’s for everyone.”
Palm Island Mayor Alf Lacey said the 25-year anniversary was a reminder that the ruling had “done what it needed to do”.
“The only thing I’d like to see is that it doesn’t stop progress for our future generations, particularly for our kids,” he said.
“We want to share some of the wealth and employment opportunities.
“It’s really important it gives us recognition.”
Mr Lacey said Native Title agreements, once resolved, enabled jobs to be created.
“Adani is going to be a good opportunity for indigenous North Queenslanders,” he said.
“Everyone needs to take a breath of fresh air because at the end of the day we have to provide a future for future generations.
“We need jobs. We need to reassess where we are.
“The only way we’ll close the gap is to give our mob an opportunity, rather than meddling in the social issues – they’re not getting us anywhere.”
Townsville is invited to attend the region’s commemoration of the 25-year Mabo Decision on June 3 at Jezzine Barracks.
The free event will include a performance by the John Butler Trio.
Part 3 :Reforms are urgently needed to the native tile scheme
The High Court’s Mabo decision, 25 years ago on Saturday, triggered widespread celebrations and fresh hope among Indigenous Australians and their supporters, and exaggerated, even vitriolic outrage from some politicians, business leaders, journalists and academics.
These critics foreshadowed various economic and social disasters, including Jeff Kennett’s grossly irresponsible scaremongering that “backyards were at risk”. That was never the case. Little, if any, of this predicted chaos eventuated. Quite the reverse.
Illustration: Andrew Dyson Illustration: Andrew Dyson
The court’s decision – that Indigenous Australians, subject to proof, enjoyed traditional rights and interests in their ancestral land pursuant to their customs and traditions, and that British colonisation had not extinguished these rights – opened up a wide range of possible responses by governments, state and federal.
After 18 months of intensive negotiations, the Keating federal government delivered a three-part response. These were the Native Title Act 1993; an Indigenous Land Corporation and associated Land Fund; and a social justice package.
Children play footy during the closing ceremony in the Mutitjulu community of the First Nations National Convention. Photo: Alex Ellinghausen
The social justice package disappeared without trace. The ILC continues to operate, purchasing properties around the nation, transferring title to Indigenous corporations and assisting with their management. As at June 30, 2016, the ILC had purchased 252 properties, totalling around 5.86 million hectares, and granted 191 to Indigenous corporations.
The Native Title Act has delivered valuable results, but it remains a limited, excessively legalistic and inadequate scheme. As many have stated, the act – a heavily negotiated compromise deal championed by Paul Keating – represents a clear failure by the Federal Parliament to exploit anything like the full potential of the Mabo decision.
Following the Wik decision of 1998, the Howard government’s amendments to the act, including then deputy prime minister Tim Fischer’s “bucket loads of extinguishment”, further entrenched these defects.
The scheme’s greatest failing – and a prime area for urgent reform – is that the extensive extinguishment regime, plus legal technicalities built into the claims process, means that Indigenous communities who have lost their traditional connection to their country due to colonisation, and who thus are most worthy of some land-related redress – those located along the eastern seaboard – are cut out of the scheme’s benefits.
Mutitjulu men perform during the opening ceremony of the First Nations National Convention in Uluru. Photo: Alex Ellinghausen
Nevertheless, much has been achieved. As of March 2017, 388 determinations whether native title exists have been made by the Federal Court – 308 of those succeeded, in whole or in part. These successful claims cover about 32 per cent of the Australian land mass.
Following strident opposition during the first 10 years by respondents, including by governments of all persuasions, today, native title is a more accepted part of the political and business landscape: much of the 1992-93 fear and trepidation has abated. Thus, over the past decade, many more claims have been negotiated, not forced to trial, delivering savings in cost and effort (but not always time), and many more “consent” determinations of native title. This more co-operative engagement provides a firmer basis for co-existence on the same land between traditional owners and crown grantees into the future.
A second stream of achievement is the negotiation and execution of Indigenous Land Use Agreements between traditional owners and respondents as part of the claims process. Currently, 1172 ILUAs have been concluded under the NTA’s “right to negotiate” regime. These deliver a range of outcomes for all sides: to the (for example, a mining company) respondents, secure access to land and utilisation of its resources.
Recent noteworthy developments include the emergence of regional claims where several claimant groups join together, as one “cultural block” to make one claim to one large, consolidated area. Examples include the Akiba claim, finalised in the High Court in 2013. Here, 13 Islander communities joined together and successfully claimed a large area of seas in the Torres Strait. Akiba also decided, for the first time since 1992, that native title rights can include rights to commercially exploit the land, seas and resources.
A second regional claim concerns the Noongar people in south-west of Western Australia. There, six groups joined together and negotiated a resolution with many respondents by way of six ILUAs and a legislated settlement with the WA government. Significant financial and other benefits were involved.
These regional claims also provide an obvious and potentially fruitful land-base for pursuing domestic “treaties” or “agreements”, which might deliver a measure of self-government to the relevant native title owners. In this sense, 1172 “domestic treaties” are already in place. Further, such “treaty” discussions are now under way with the Victorian and SA governments.
Many problems remain with the native title scheme and reforms are urgently needed. The most glaring failure, to my mind, is the excessively onerous burden of proof imposed upon Indigenous claimants.
Among many suggestions for reform, including reversing the current onus of proof, are recommendations contained in a substantial report of the Australian Law Reform Commission, Connection to Country (April 2015). These are sensible reforms fully consistent with the spirit of Mabo and the NTAct: to recognise, protect, and facilitate the claiming of, native title.
The ALRC’s report was tabled in the Federal Parliament in June 2015. To date, the Turnbull government through the Attorney-General, Senator George Brandis QC, has failed to offer any response, let alone adopt these much-needed reforms. This rejection by silence is simply unacceptable, and is another example of elected politicians refusing to confront political “hot potatoes” – one major factor that triggered the commencement of the Mabo case in 1982.
As we celebrate 25 years on, this disinterest must be replaced by action. Otherwise, grand words about “closing the gap” become yet more cant and hollow hypocrisy.
Dr Bryan Keon-Cohen, AM, QC, was junior counsel to Ron Castan, AM, QC, throughout the Mabo litigation, 1982-1992.
” The Deadly Choices program’s intent is to provide a measurable difference in addressing Aboriginal health issues.
“Aboriginal people have far higher mortality rates than the average population and die at much younger ages. Despite government intentions to ‘close the gap’, the problem isn’t getting any better,
Chronic disease and preventable health conditions are taking a toll on our communities and we need to find innovative ways to move the dial toward better health outcomes.
We hope, with support from the Port Adelaide Football Club, our Deadly Choices initiative will encourage our young people to take responsibility and stop smoking, stay active and look after their own wellbeing, and that of their families.”
Aboriginal Health Council of SA chairperson John Singer
Port Adelaide has signed a memorandum of understanding (MOU) with the Aboriginal Health Council of South Australia Ltd (AHCSA) to deliver Deadly Choices – a program that will build awareness of healthy lifestyle choices and encourage regular health checks.
‘Deadly’ is a common term used to express positivity or excellence within Aboriginal communities, and Deadly Choices is designed to help improve the excellent health choices made by Aboriginal people in South Australia.
Gavin Wanganeen ( right ) won the 1993 Brownlow Medal. Wanganeen is a descendant of the Kokatha Mula people.
The program is based on a successful model used in Queensland since 2009 with the Brisbane Broncos, developed by Adrian Carson and his team and staff at the Institute for Urban Indigenous Health.
That program led to a 1300 per cent increase in Aboriginal and Torres Strait Islander people undergoing health checks.
Deadly Choices provides participants with limited edition merchandise in exchange for taking part in educational programs and undergoing regular health checks.
The merchandise is provided as a ‘money can’t buy’ incentive, with revenue from undergoing health checks used to fund subsequent stages of the program.
Port Adelaide players will support the promotion of the program and encourage participants to take part in the eight-week education program to receive their Deadly Choices footy guernsey.
As part of the program:
Education programs will be launched in the Anangu Pitjantjatjara Yankunytjatjara Lands (APY Lands) in collaboration with the Nganampa Health Council in June, in support of Port Adelaide’s WillPOWER program.
Curriculum will cover leadership, chronic disease, tobacco cessation, nutrition, physical activity, harmful substances, healthy relationships, access and health checks.
Health checks will be provided in the first stage of Deadly Choices by AHCSA-aligned members, which already provided comprehensive primary health care in SA.
Long-term partnerships with the South Australian Health and Medical Research Institute (SAHMRI) are being explored to established metropolitan clinics to provide health check services.
Port Adelaide chief executive officer Keith Thomas said the decision to partner with AHCSA is a continuation of Port Adelaide’s commitment to helping forge tangible outcomes for Aboriginal communities in South Australia.
National ACCHO Launch See 8 Canberra for more photographs
Federal Minster for Indigenous Health and Minister for Aged Care, the Hon. Ken Wyatt AM (4th from right) attended the 2017 World No Tobacco Day function at Winnunga Nimmityjah Aboriginal Health Service in Narrabundah, ACT.
He is pictured with the Winnunga CEO, Julie Tongs, OAM (to his left), the Winnunga team, and Prof Tom Calma, AO, National Coordinator, Tackling Indigenous Smoking, and Ngambri – Ngunnawal Elder, Aunty Louise Brown who gave the Welcome to Country (2nd and 3rd from left).
Today is WORLD NO TOBACCO DAY!! #dontquitqutting Yerin is working with community to reduce smoking! Come in and see our wellbeing team and join our #dontquitquittingteam —
SO good to hear Aunty Rieo Ellis, Jimi Peters and Rhee Kennedy share with us this morning about their quitting journeys as we celebrated World No Tobacco Day!
As Aunty Rieo says, never quit quitting! If you would like to have a yarn with someone about quitting smoking, you can call the Aboriginal Quitline right now on 137848.
You can also talk to someone like your doctor, health worker, pharmacist or a tobacco cessation specialist!
Did you know that VAHS has two wonderful quit specialists that hang out at VAHS Preston regularly? Margot and Christine from Darebin Community Health and Merri Health are the experts in the game and a great resource. Come and meet them!
Really excited for everyone that has made today the day they throw it away. You’ve got this and we’re all here to support you!
“Never quit quitting!”
Aunty Rieo Ellis shared her Quitting Journey with us today at our World No Tobacco Day morning tea.
Thank you for sharing your story with us Aunty Rieo and for being a great encourager of anyone thinking about giving up smoking. You’re an inspiration!
If you would like to talk to someone about quitting smoking you can call the Aboriginal Quitline on 137848. Or you could book in to see your doctor or health worker to talk about the options that you have for support. You can call the VAHS Medical reception on 9419 3000 to make an appointment.
Go on, make today the day you give it away!
3.Queensland
Cairns Staff celebrate those who have quit smokes and those who are trying to quit smokes.
If you want to quit you have our support! Have a yarn to your local Health Worker.
Sean has signed up 3 community members 2 our Deadly Smoke Free Pledge, this will see 15 people benefit
What a deadly day for our team out in community today Tackling Tobacco. Nothing better seeing our community taking control of their health.
Sue from Gold Coast just signed the Smoke-free Pledge and completed a quick lung health check
4.Western Australia
Today is World No Tobacco Day, highlighting the health and additional risks associated with tobacco use, and advocating for effective policies to reduce tobacco consumption.
The theme for World No Tobacco Day 2017 is “Tobacco – a threat to development.”
AHCWA’s Tobacco Action team, in conjunction with the Health Promotion team at Derbarl Yerrigan Health Service (DYHS) set up a display and ran activities at DHYS’s East Perth Clinic to promote awareness and the benefits of quitting smoking.
Here’s a message from former Tennis World number 1 Evonne Goolagong Cawley “Please be safe and don’t smoke”. If you would like to find out more visit http://www.evonnegoolagongfoundation.org.au/
6.Tasmania
7.Northern Territory
Tennant Creek and the Barkly Region’s Tackling Indigenous Smoking team from Anyinginyi Health Aboriginal Corporation in the NT had a deadly day out yesterday in support of World No Tobacco Day.
Locals and organisations from in and around Tennant Creek come down to show their support of Tackling Indigenous Smoking. The Public Health team was also present to ensure a holistic approach was presented such as our dietician and nutritionist with a healthy feed for all with nutritional salads and meat options in tasty wraps.
The Grow Well team supporting mums and bubs program had a yarning tent and lots of give aways. Anyinginyi Health’s Clinical Diabetes Nurse was present throughout the day taking blood pressure levels and sugar/glucose checks and of course the TIS team was actively voicing health promotion and awareness to community around the dangers of smoking, passive smoking, the expenses of smoking and ways of quitting/cutting down. We had a smoke-a-lizer to test the levels of carbon monoxide of individual’s even non-smokers, conducting smoke-a-lizer tests on non-smokers showed a great example of how second-hand smoke effect and still makes its way into someones lungs, we had great conversations and engagement as to how to prevent second hand smoke effecting families.
Having such a great outcome makes our TIS and Public Health teams motivated to create more health promotional materials and awareness to the Barkly Region!
It was so exciting to see everyone together in Nhulunbuy for #WNTD2017, bukmak rrambangi, addressing this important issue.
Aboriginal people in remote regions suffer from the highest smoking rates in the country. Smoking in East Arnhem is estimated to be anywhere between 67% and 80% of the adult population. It is really important that we all get behind reducing these rates! Miwatj Health, Nhulunbuy Corp & Cancer Council NT
Federal Minster for Indigenous Health and Minister for Aged Care, the Hon. Ken Wyatt AM attended the 2017 World No Tobacco Day function at Winnunga Nimmityjah Aboriginal Health Service in Narrabundah, ACT.
Above : congratulates the Winnunga Tackling Indigenous Smoking Team: Chanel Webb, Perri Chapman and Caitlin Towart
Prof. Tom Calma, AO, National Coordinator, Tackling Indigenous Smoking addresses the gathering.
Winnunga CEO, Julie Tongs, OAM shows Federal Minster for Indigenous Health and Minister for Aged Care, the Hon. Ken Wyatt AM the universal room, which houses optometry and the Otitis Media Programme (Ear health).
Federal Minster for Indigenous Health and Minister for Aged Care, the Hon. Ken Wyatt AM congratulates Beth Sturgess, Executive Assistant to the CEO, Winnunga Nimmityjah, on 293 days, 13 hours and 25 minutes of successful quitting (but who’s counting?).
As of World No Tobacco Day, 2017, Beth’s Drop It app calculates that in that time she has NOT smoked 7,338 cigarettes, saving her $5,870.40.
” Health conditions associated with ageing often affect Aboriginal and Torres Strait Islander people earlier than other Australians.3
This is reflected in the Australian Government policy to provide Aboriginal and Torres Strait Islander people access to aged care services from 50 years old, in comparison to 65 years old for the broader population.
Aboriginal and Torres Strait Islander people are also designated as a special needs group under the Aged Care Act 1997 and all aged care service providers must have regard to the particular physical, physiological, social, spiritual, environmental and other health related care needs of individual recipients.4″
1. The Australian Government provided $15.2 billion in funding to the aged care sector in 2014–15 and $16.2 billion in 2015–16.
Aged Care services were delivered to 35 083 Aboriginal and Torres Strait Islander people in 2014–15 at an estimated cost of $216 million1 (approximately 1.4 per cent of the total aged care budget).2
3. The Australian Government funds aged care services to assist frail older people, and the carers of frail older people, to remain living at home as well as residential aged care services. The programs funded include:
the Commonwealth Home Support Program, which provides entry-level home support for older people who need assistance to keep living independently;
the Home Care Packages Program, which provides services tailored to meet individuals’ specific care needs including care services, support services, clinical services and other services to support older people to remain living at home and connected to their communities; and
residential aged care, which provides supported accommodation services for older people who are unable to continue living independently in their own homes.
4. Aboriginal and Torres Strait Islander people also have access to aged care services funded through the National Aboriginal and Torres Strait Islander Flexible Aged Care Program (Flexible Program). In 2015–16 funding for the Flexible Program was approximately $37 million, based on agreed funded places rather than occupancy. The Flexible Program aims to provide aged care services that meet the specific needs of Aboriginal and Torres Strait Islander people in a culturally appropriate setting, close to home and community. The majority of Flexible Program services are delivered in regional, remote and very remote locations.5
5. The Department of Health is responsible for leading the development of evidence based policy, determining the allocation of funding, and regulation of the Commonwealth aged care system to improve the wellbeing of older Australians as well as the implementation of the aged care reforms. The Australian Aged Care Quality Agency is responsible for assessing the quality of care of Australian Government funded aged care service providers. This is done through:
the accreditation of residential aged care service providers;
quality reviews of aged care provided to people living in their own homes or in the community; and
education and training on quality aged care to the aged care sector.
Audit objective and criteria
6. The objective of the audit was to assess the effectiveness of Australian Government-funded aged care services delivered to Aboriginal and Torres Strait Islander people. To form a conclusion against the audit objective, the ANAO adopted the following high level criteria:
Is there an effective framework in place to support access by Aboriginal and Torres Strait Islander people to quality aged care services?
Do the Department of Health and the Australian Aged Care Quality Agency have effective frameworks to oversee the delivery of aged care services to Aboriginal and Torres Strait Islander people?
Does the Department of Health have appropriate arrangements in place for monitoring and reporting on the achievement of program objectives and supporting the cost effectiveness and service continuity of aged care delivery to Aboriginal and Torres Strait Islander people?
Conclusion
7. Australian Government-funded aged care services are largely delivered effectively to Aboriginal and Torres Strait Islander people.
8. The ageing of Australia’s population and growing diversity among older people, in terms of their care needs, preferences and socioeconomic status, are placing pressure on the depth and agility of Australia’s aged care system. There are additional challenges in ensuring access to culturally appropriate care and service continuity for Aboriginal and Torres Strait Islander people, particularly for those living in remote and very remote communities. Some Aboriginal and Torres Strait Islander people may also have language or cultural preferences that influence their specific requirements.
9. The National Aboriginal and Torres Strait Islander Flexible Aged Care Program has been effective in increasing the access to culturally appropriate aged care services for elderly Indigenous Australians. The direct selection and recurrent funding approach of the National Aboriginal and Torres Strait Islander Flexible Aged Care Program provides few opportunities for new service providers to enter the market. There would be benefit in the Department of Health extending the application process to new service providers and better aligning the funded places with service capacity.
10. The Department of Health has developed sufficient guidance materials and provides supplementary funding to support Indigenous-focused services that operate under the Commonwealth Home Support, Home Care Packages and residential programs. However, not all Indigenous-focused services are aware of the Department of Health’s sector support programs.6
11. The Department of Health and the Australian Aged Care Quality Agency have been largely effective in their administration of Australian Government-funded aged care services delivered to Aboriginal and Torres Strait Islander people. Each entity has developed sound administrative arrangements to manage the delivery of aged care services and to review the quality of care delivered through aged care programs. The Department of Health can strengthen its administration by implementing a coordinated approach that ensures the timely sharing of relevant information to facilitate risk assessments across the Ageing and Aged Care Group.
12. Consistent with its policy intent, the National Aboriginal and Torres Strait Islander Flexible Aged Care Program is a more cost effective and viable model for specialised aged care delivery to Indigenous Australians when services are located in remote and very remote communities. A 25.8 per cent share of National Aboriginal and Torres Strait Islander Flexible Aged Care Program funding is allocated to services located in major cities and inner regional areas. To optimise recurrent funding decisions, it is important the Department of Health ensures that the existing service providers, their location and number of places, remain the most appropriate.
13. Given that the majority of Aboriginal and Torres Strait Islander people access aged care through Commonwealth Home Support Program, Home Care Packages Program and residential aged care programs, further work is required by the Department of Health to maintain the service continuity of Indigenous-focused service providers in areas where there are no culturally secure alternatives. The Department of Health has an opportunity to leverage its datasets to improve the targeting of sector support initiatives to Indigenous-focused services and to monitor the ongoing impacts of aged care policies and programs on Aboriginal and Torres Strait Islander people.
Supporting findings
Access and use of aged care services by Aboriginal and Torres Strait Islander people
14. Aboriginal and Torres Strait Islander people were most likely to access aged care services through the Commonwealth Home Support Program or the Home Care Packages Program, at rates consistent with their share of the aged care population. Fewer than one per cent of residential aged care places were taken up by Aboriginal and Torres Strait Islander people.
15. The Department of Health has created clear and consistent pathways for individuals to access and progress through the aged care system. The My Aged Care Contact Centre and website are the main entry points to the aged care system. Aboriginal and Torres Strait Islander people are encouraged to connect with the My Aged Care Contact Centre, and can call directly or use a trusted representative to speak on their behalf. Following an initial screening undertaken by Contact Centre staff, the Regional Assessment Service assesses older people’s needs for lower intensity services available under the Commonwealth Home Support Program. Aged Care Assessment Teams assess the more complex needs of people requiring access to higher intensity care available under Home Care Packages, Transition Care, and within residential aged care.
16. A key challenge in targeting aged care services is assessing the eligibility of individuals seeking to access them as well as the scope of services. This can be particularly challenging in the context of facilitating access for individuals in remote or very remote areas, including Aboriginal and Torres Strait Islander people.
17. The Department of Health advised the ANAO that it is working with the aged care sector to identify opportunities to improve client pathways for diverse groups, including Aboriginal and Torres Strait Islander people, to address the specific difficulties they may experience.
18. The Department of Health manages the planning and allocation of aged care residential places and Home Care packages for service providers based on the national planning benchmark, population projections and the current level of service provision. The Commonwealth Home Support Program and the National Aboriginal and Torres Strait Islander Flexible Aged Care Program are funded through a grants process.
19. Between 2012–13 and 2015–16 the number of Home Care Level 1‒2 packages allocated to Indigenous-focused service providers has not grown at the same rate as those allocated to mainstream service providers. However, the growth in Home Care Level 3‒4 package and residential place allocations to Indigenous-focused service providers have both been higher than for mainstream counterparts.
20. The distribution of the National Aboriginal and Torres Strait Islander Flexible Aged Care Program funding has remained largely unchanged since its inception. This is largely due to the continuation of grant agreements to existing services that have been in place over the life of the program. These arrangements limit the potential for new providers to access the program.
21. The Department of Health has developed operational manuals and/or guidelines to support providers in the delivery and management of aged care services for the programs reviewed as part of the audit. The Department of Health also funds two peak bodies to develop additional resources to assist with managing the change introduced by aged care reforms (including resources targeted towards remote and very remote Indigenous-focused service providers).
22. The Department of Health funds a Remote and Aboriginal and Torres Strait Islander Aged Care Service Development Assistance Panel (SDAP) to support aged care providers. ANAO consultations with Indigenous-focussed service providers indicated that awareness of SDAP funding varied across states and territories. There would be benefit in the Department of Health raising the awareness of this assistance in a consistent manner across jurisdictions, and measuring the financial management and governance capacity that has been built and maintained among service providers as a result of having received the funding.
Administration and regulation of aged care services
23. The Department of Health has internal governance committees, templates and guidance to coordinate program administration. Health’s state and territory offices have also adopted various local strategies for engaging with Indigenous-focused service providers. The department has commenced work to strengthen relationships between its National Office and its state and territory offices, to improve links between policy development and program implementation, while still allowing for specific approaches within each jurisdiction.
24. The Department of Health has developed an Enterprise Risk Management Plan that is updated annually as part of the department’s business planning processes. Each of the programs reviewed as part of the audit included risk management (identification, analysis and evaluation) in its business processes. Risk is considered against the type of activity being funded and may result in different risk ratings being given to the same organisation across each activity or program being funded. For service providers that are funded under multiple programs, there is an opportunity for Health to implement a more coordinated approach that facilitates the timely sharing of relevant information across program areas.
25. The Australian Aged Care Quality Agency has developed policies, procedures and guidance materials to support the accreditation of residential aged care service providers, and specific policies for the quality review of Home Care Packages, Commonwealth Home Support Program and National Aboriginal and Torres Strait Islander Flexible Aged Care Program service providers. Documents reviewed by the ANAO demonstrate that the relevant accreditation and quality review procedures were followed internally.
26. The Australian Aged Care Quality Agency has collected information on assessments of all residential service providers against the accreditation standards. This information shows that between 2000-01 and 2015-16, 95 per cent of residential Indigenous-focused service providers had at least one episode of non-compliance, in comparison with 53 per cent of non-Indigenous-focused Residential service providers. Reported instances of non-compliance mostly related to governance, including regulatory compliance, risk management and human resources as opposed to issues relating to quality of care.
27. In 2014–15 the Australian Aged Care Quality Agency delivered 716 courses, seminars and compliance assistance training events to 10 638 participants from residential and Home Care service providers. Flexible service providers receive compliance assistance training as determined through a case management process. There would be benefit in the Australian Aged Care Quality Agency expanding the proposed cost recovery model to include the indirect and direct costs recovered from courses and workshops to be consistent with the Australian Government’s stated policy intention, as well as the Australian Government Cost Recovery Guidelines.
“This new collaboration marks an important step towards improving the health and wellbeing of First Australians.
The initial focus of the agreement will include improving how the health system works with Aboriginal and Torres Strait Islander peoples, ranging from enhanced cultural awareness and training for staff, through to decreasing any form of institutionalised racism”
The Federal Minister for Indigenous Health, Ken Wyatt Pictured above with Minister Greg Hunt , David Gillespie , Craig Dukes CEO AIDA and NACCHO Chair Matthew Cooke signing agreement
Minister Wyatt has pioneered a collaborative agreement on Aboriginal and Torres Strait Islander health, between the Australian Government and three influential national health organisations.
The agreement, signed at Parliament House in Canberra today, commits the Australian Government, the Council of Presidents of Medical Colleges (CPMC), the Australian Indigenous Doctors’ Association (AIDA) and the National Aboriginal Community Controlled Health Organisation (NACCHO) to collaborate on the journey towards closing the gap on Indigenous health.
“In line with tracking the progress of the Tier 3 measures of the Closing the Gap Health Performance Framework, the agreement aims to reduce barriers to Aboriginal and Torres Strait Islander peoples accessing appropriate health care,” Minister Wyatt said.
“This includes ensuring that health facilities are approachable places that provide a culturally safe and respectful environment.
“It is expected that combining the strengths of all of these organisations, along with coordination by the Australian government, will make an appreciable difference to the health and wellbeing of Aboriginal and Torres Strait Islander peoples.”
Minister Wyatt said it must be acknowledged that there have been significant gains in Aboriginal health over recent years.
“From 1998 to 2015 the overall mortality rate has declined significantly, by 15 per cent, and there have been improvements in a number of key health indicators, but much work still needs to be done if Australia is to Close the Gap.
“With this new collaborative agreement we have a real opportunity to help address the complex factors that contribute to positive health outcomes for Aboriginal and Torres Strait Islander peoples,” Minister Wyatt said.
“Wasting a lot of money to buy cigarettes and it was making me sick, coughing a lot, and getting up late, and it smells on your clothes a lot. So I said to myself I would have to cut down smoking.”
“You don’t have to buy cigarettes, you don’t have to afford cigarettes for other people, you don’t have to get cigarettes. Just be strong and stand up for yourself and say no!”
Selena Possum, who has lived in Pormpuraaw for the last 20 years, is now a non-smoker. She says smoking affected her a lot
May 31st is World No Tobacco Day and people from Cape York are saying “Don’t Make Smokes Your Story.”
Apunipima Cape York Health Council Tackling Indigenous Smoking (TIS) staff have been engaging with Cape York communities to develop an anti-smoking campaign.
The locally appropriate ‘Don’t Make Smokes Your Story’ campaign aims to raise awareness of the harms of smoking and passive smoking, the benefits of a smoke-free environment, and available quit support.
The Cape York ‘Don’t Make Smokes Your Story’ Campaign enables community members to share on film their stories about quitting, trying to quit and the impact of smoking on families and communities. It is hoped that by sharing their stories, others will be encouraged to share their stories too.
Coen local Amos James Hobson has never smoked in his life. He sees many young people start smoking “Just to be cool, to pick up a chick.” He says to all the young people out there, “Our people didn’t smoke, don’t smoke, it’s not good. It’s not our culture and it’s not our way.”
Thala Wallace from Napranum has tried to quit three times and says “Every time it gets easier.” Her strategy is to “Try to find ways to occupy myself, snack-out on fruit or go to the gym, getting out and hanging out more with people who don’t smoke.”
The stories, as well as posters, social media posts and radio advertisements will be released from May 31st as Apunipima launches the Cape York ‘Don’t Make Smokes Your Story’ campaign.
Apunipima received a Tackling Indigenous Smoking (TIS) Regional Tobacco Control Grant as part of the National Tackling Indigenous Smoking program.
To effectively reduce smoking rates in Cape York, Apunipima TIS staff have been engaging with communities to develop and implement a locally appropriate social marketing campaign to influence smoking behaviours and community readiness to address smoke-free environments. The Cape York campaign will align with a national ‘Don’t Make Smokes Your Story’ campaign.
The South West Aboriginal Medical Service (SWAMS) is a non Government Health Service based in Bunbury which provides a variety of health services to Aboriginal people in the South West of Western Australia. SWAMS delivers a wide range of community programs and has a strong growth strategy through partnership opportunities and future community development.
Aboriginal Health Worker (50d) Full Time
Here at SWAMS we have an exciting position available for someone looking to make a difference. As an Aboriginal Health Worker, you will be involved in assessment, care coordination, support, advocacy and community development activities.
Specific requirements of this position include but are not limited to;
Essential Criteria
Aboriginal or Torres Strait Islanders descent under section 50(d) Equal Opportunity Act.
Current Certificate IV (preferred) in Aboriginal and/or Torres Strait Islander Primary Health Care.
Demonstrated ability to communicate effectively and sensitively with Aboriginal people.
A demonstrated understanding of the unique issues affecting and impacting upon the health of Aboriginal people
Experience, skills and knowledge in multidisciplinary teamwork and conflict management.
Sound written and oral communication skills.
Demonstrated organisational and time management skills along with an ability to adapt to changing needs.
Knowledge and experience in the provision of health promotion programs.
Knowledge of community and local Aboriginal cultural issues.
Desirable Criteria
Knowledge and expertise in the use of Communicare or similar clinical database system.
All candidates must have a WA Drivers License and will be required to undertake a National Police Check prior to beginning employment.
In addition to above award wages, Salary Sacrifice is available for the right candidate .
For Information
For further information about this position, please telephone the Human Resources Coordinator on (08) 9791 1166 during normal business hours.
To Apply
To apply for this role, please visit http://www.swams.com.au Current Vacancies and click on the role that you would like to apply for. This will take you to through the online application process. Alternatively please come and see one of the friendly HR staff who will be able to assist you in going through the online application process
Applications must be received by 5pm Wednesday, 14th June 2017
SWAMS reserves the right to withdraw this advertisement prior to the stated closing date.
To apply online, please click on the appropriate link below. Alternatively, for a confidential discussion, please contact Tia Ashwin on , quoting Ref No. 758896.
2. Senior Drug and Alcohol Educator – Murdi Paaki Drug and Alcohol Network
Rewarding opportunity to develop the capacity of health workers and support Aboriginal communities in the Murdi Paaki region.
Attractive remuneration package & excellent professional development opportunities.
Immediate start, contract position until 30th June 2018.
The organisation
Lyndon is a non-government organisation providing drug and alcohol services in regional, rural and remote areas, including: residential services in Orange and outreach programs to the Central West, Blue Mountains, the Murdi Paaki Region (West and Far West NSW) and Bega on the South Coast of NSW.
Lyndon provides innovative, person-centred and evidence-based programs to clients across the lifespan to improve the wellbeing of individuals, families and the community.
The role
Lyndon is seeking an experienced Drug and Alcohol Clinician for a Senior Drug and Alcohol Educator role in the Murdi Paaki Drug and Alcohol Network (MPDAN), a workforce development strategy that aims to reduce the harm done by drugs and alcohol in Aboriginal communities.
Based at the Clinical Hub in Orange NSW, the position is responsible for providing: clinical, group and practice supervision, training and education and capacity building services to primary health care providers such as Aboriginal Health Workers, D&A workers and other community service workers in the MPDAN region. An important part of this role is supporting service development of partner Aboriginal Health Services in the region.
Regular travel to the region (i.e. Bourke, Broken Hill, Walgett and Coonamble) is required.
The position is full-time until 30th June 2018.
The candidate
The ideal candidate will have:
Tertiary qualifications in health, welfare or related disciplines.
A minimum of 5 years’ experience in drug and alcohol service delivery.
A commitment to upskilling the drug and alcohol workforce including: evaluation, research, ongoing program development and quality improvement.
Experience providing education and supervision to clinical staff.
An ability to work in a multi-disciplinary, cross-agency and cross-cultural environment.
Experience working with or for Aboriginal organisations and communities.
Aboriginal and Torres Strait Islander people with relevant experience and qualifications are encouraged to apply.
The benefits
Enjoy an attractive remuneration package negotiable with experience, plus superannuation, salary packaging, flexible working hours, laptop, paid travel expenses and excellent professional development and training opportunities.
How to apply
For further information on the position or to view a copy of the position description, contact RenCare Recruit on 0439 906 284 or email: renee@rencare.com.au.
To apply, email a cover letter (addressing the selection criteria, available at www.rencare.com.au/jobs) and your CV to renee@rencare.com.au. All applications will be reviewed upon submission.
3- 8 Danila Dilba Health Services Darwin
3.SOCIAL WORKER
(Integrated Team Care)
*Total Salary $101,200 – $106,344
Full Time / Fixed Term / 1 position
The Social Worker will be responsible for working collaboratively with patients, general practitioners, practice staff and Aboriginal Health Workers to provide appropriate multidisciplinary care and services for Aboriginal people with a chronic condition.
The Family Partnership Worker (FPW) is integral to the successful implementation of the Australian Nurse Family Partnership Program (ANFPP).
The Family Partnership Worker is responsible for maintaining high level standards of community practice, foster acceptance of the ANFPP model in the community and observe the Primary Health Care Service’s policies and guidelines. The FPW is an identified position.
The Nurse Supervisor will facilitate the implementation and delivery of the Australian Nurse Family Partnership Program (ANFPP) to pregnant women with an Aboriginal and/or Torres Strait Islander baby and their families using a therapeutic, partnership approach.
The Marketing and Communications Officer works as part of Corporate Services Team in providing quality support services to the GM Marketing and Corporate Affairs in day-to-day communications, events and stakeholder engagement.
Kyrn.Stevens@ddhs.org.au This e-mail address is being protected from spambots. You need JavaScript enabled to view it
APPLICATIONS CLOSE: 12 June 2017 (5pm)
All applicants must apply via the online portal (link below) ensuring they address the Selection Criteria and include current resume/CV.
The Registered Midwife will contribute to the quality and delivery of primary health care within the Danila Dilba Health Service Mothers and Babies Clinic, by providing high quality, comprehensive and culturally appropriate midwifery care to patient with the aim of improving maternal and birth outcomes.
All applicants must apply via the online portal (link below) ensuring they address the Selection Criteria and include current resume/CV.
8.CLINICAL PSYCHOLOGIST
(P101-213)
*Total Salary $107,666
Full Time / Fixed Term / 1 position
The Clinical Psychologist is responsible for the provision of high quality mental health and social and emotional wellbeing services to Aboriginal and Torres Strait Islander people. These services may include clinical evidence based counselling, brief psychological interventions, case management, trauma informed practice and coordination of care/aftercare.
This position is supported by the Team Leader, Social and Emotional Wellbeing directly and also forms part of a larger team within Community Programs.
For further information please contact Joseph Knuth (Head of Programs) on 0417 404 419 or emailJoseph.Knuth@ddhs.org.au This e-mail address is being protected from spambots. You need JavaScript enabled to view it
APPLICATIONS CLOSE: 22 May 2017 (5pm)
All applicants must apply via the online portal (link below) ensuring they address the Selection Criteria and include current resume/CV.
We support new innovation and thinking, and openly collaborate and share new ideas. We’re healthy and active in our lives and wellbeing is encouraged at every level. Our people play an important role in the future of health and healthcare and we believe that working together, we’re stronger.
About Us
Medibank is a leading private health insurer with 40 years of experience delivering better health to Australians. We look after the health cover needs of millions of customers and deliver a wide range of programs to support health and wellbeing in the community.
The Opportunity
Medibank is delivering the best possible smoking cessation outcomes for Aboriginal clients in NSW and ACT on behalf of Quitline, the Cancer Institute of NSW and Healthdirect Australia.
The Aboriginal Quitline Program provides both inbound and outbound calls to Aboriginal clients who are considering smoking cessation. We have a dedicated team of counsellors who provide specific interventions such as delivering one off counselling, focusing on quit planning, supporting with quitting (including managing withdrawal symptoms), providing strategies for relapse prevention and providing outbound milestone checks.
Joining our Relationship Management team, the Aboriginal Coordinator will provide team leadership and program direction in relation to Quitline, specifically focused on the delivery of the program to Aboriginal and Torres Strait Islander Clients. This is a 12 month maternity leave contract and will be critical in promoting the service & liaising with Aboriginal Health workers & key Aboriginal Health & Community Controlled Services to ensure strong partnerships. The role will have a distinct community focus and will be key in the promotion of the program amongst Aboriginal and Torres Strait Islander communities. This is a satisfyingly broad role with a range of responsibilities including:
Develop and implement Aboriginal Health Community Engagement Strategies for the NSW and ACT Aboriginal Quitline program
Foster relationships within Aboriginal and Torres Strait Islander communities to promote awareness of services by travelling to identified communities;
Represent NSW Quitline at Aboriginal Health community events, organising and hosting promotional stalls as required;
Lead Aboriginal Advisory Groups with participation from key influencers in Aboriginal health groups to inform service design and the delivery of service improvement initiatives;
Lead engagement efforts to increase the variety of services delivered to Aboriginal and Torres Strait Islander communities;
Support the development and delivery of cultural education and training across the business and contribute to the Aboriginal Employment Strategy.
About You
You have exceptional communication and stakeholder engagement skills which enable you to build strong and lasting relationships across a range of internal and external stakeholders/clients and community groups. Critical thinking, decision making and problem solving skills are your strong suit as is your ability to lead and motivate others to achieve shared goals and objectives. You will also have the following skills and experience:
Strong community engagement experience with Aboriginal communities, ideally in health, welfare or similar;
Strong delivery focus; project management skills will be highly regarded;
Highly desirable – experience as a Counsellor, Registered Nurse or Allied Health Professional
This position will only be open to Aboriginal and/or Torres Strait Islander applicants – Medibank considers this to be a genuine occupational requirement under the relevant anti-discrimination legislation.
What We Offer
In return for your hard work we offer a range of great benefits. Furthermore, we take the health and wellbeing of our employees seriously, offering flexible working conditions and encouraging well-being at all levels of life.
Medibank is an equal opportunity employer committed to providing a working environment that embraces and values diversity and inclusion. If you have any support or access requirements, we encourage you to advise us at the time of application to assist you through the recruitment process.
A Career at Medibank adds up to more. More achievement. More progress. More passion and more innovation for health.
For a career option that will suit you better, click to apply.
Please note, if this position attracts a large volume of interest, the closing date for applications may be brought forward. With this in mind, we encourage you to submit your application as soon as possible.
10.Congress ORGANISATIONAL CAPABILITY MANAGER\ Alice Springs
Reference: 3522029
Are you an experienced HR Generalist looking for a new challenge!
An exciting opportunity has arisen for an HR generalist to lead projects that will develop organisational capability, performance, development and engagement of Congress’ growing workforce. You will be an expert advisor at both operational and strategic levels with the ability to design and deliver practical and pragmatic solutions to develop organisational capability.
Central Australian Aboriginal Congress (Congress) has over 43 years’ experience providing comprehensive primary health care for Aboriginal people living in Central Australia.
As well as a wonderful lifestyle and rewarding work, Congress offers:
Competitive salaries
Six (6) weeks annual leave
9.5% superannuation
Generous salary packaging
A strong commitment to Professional Development
Family friendly conditions
Relocation assistance (where applicable)
District allowance
For more information on the position please contact General Manager Human Resources, Kim Mannering on 0437 459 638 and email: kim.mannering@caac.org.au.
Applications close: Monday 5 June 2017.
*Total effective package includes: base salary, district allowance, superannuation, leave loading, and estimated tax saving from salary packaging options.
Contact Human Resources on (08) 8959 4774 or vacancy@caac.org.au for more information.
11. Congress EXPRESSIONS OF INTEREST- CLIENT SERVICE ROLES
Alice Springs
Reference: 3511700
Client Service Officer
Across Multiple Sites
Base Hourly Rate $25.84 – $31.10
Aboriginal Identified
Due to expansion of service locations in Alice Springs Congress is seeking experienced Client Service Officers who will provide a high standard of client service and general administrative support to various Congress Clinical Teams, the roles may involve evening and weekend shiftwork.
Congress offers the following:
Competitive salaries and allowances
Six (6) weeks’ annual leave
Generous salary packaging up to $30,000 per annum
A strong commitment to Professional Development
Relocation assistance (where applicable)
Access to selected Congress health services at no cost for self and eligible family.
Applications will be reviewed as they are received.
Base salary between $179,818 and $208,556 depending on experience (includes district allowance)
Paid annual leave 6 weeks plus 1 week paid professional development leave
Flexible working conditions
Medicare incentive scheme
NFP salary sacrifice up to $30,000 pa
General Practice Rural Incentives Program (as at 1 November 2016). Congress operates in MM6 and MM7 regions, providing access to annual gross payments of up to $35K and $60K respectively depending on performance.
Working with a large team of general practitioners
Access to Congress provided selected medical services at no cost for self and eligible family..
Central Australian Aboriginal Congress (Congress) has over 40 years’ experience providing comprehensive primary health care for Aboriginal people living in Central Australia. Congress is seeking a General Practitioner who is interested in making a genuine contribution to improving health outcomes for Aboriginal people.
This position is based in Alice Springs with a town of 27,000 people, with good access to good schools, flights, amenities.
For more information on the position please contract, Medical Director, Sam Heard 0438 556 050 or sam.heard@caac.org.au.
Applications will be reviewed as they are received.
Applications Close: 30 Jun 2017
13.SA Aboriginal Health Educator/Liaison Officer
GPEx is the South Australian Training Organisation which delivers training to doctors selected to specialise in general practice in Australia.
We are a provider of the Australian General Practice Training program that is administered by the Department of Health and funded by the Australian Government.
GPEx is built on GPExpertise, centered on GPExperience and is a vision of GPExcellence
The role of Aboriginal Health Educator/Liasion Officer involves liaison and engagement with core stakeholders, program partners and other GPEx staff in the implementation of the ATSI Strategic Plan.
Reporting to the Director Medical Education Operations the key responsibilities will be:
Assist in the planning, implementation and evaluation of the ATSI Strategic Plan. This will include:
Developing and supporting the role of cultural mentors within identified Aboriginal health training posts
Supporting the increase of Aboriginal health training posts by assisting the identified Aboriginal Health Services in becoming accredited training posts
In collaboration with the AGPT team, Aboriginal health team and relevant Medical Educators, assist with the integration of Aboriginal health within GPEX’s training program
Help facilitate the Aboriginal Health and Culture Workshops for registrars and staff
Contributing to internal and external communication of the GPEx Aboriginal and Torres Strait Islander Health Strategic Plan
Preparing, contributing to and managing relevant correspondence
Assist with the development of communication strategy to promote Aboriginal health training posts to registrars.
Prepare internal and external reporting, submissions and grant applications as required
Develop and maintain successful working relationships with key stakeholdersCandidates will ideally have relevant experience working in a health, education or policy environment.Aboriginal and Torres Strait Islander people are encouraged to apply.The position is full time until December 2018 and will be located in our new offices at 132 Greenhill Road, Unley.Further information and a position description can be obtained via our website at http://www.gpex.com.au or by contacting the People and Culture Support Officer Sarah Magill on 08 8490 0400 or via email sarah.magill@gpex.com.au.Applications to Rebecca Pit Manager People and Culture rebecca.pit@gpex.com.auApplications close Wednesday 7 June 2017.
14. NT Medical Practitioner / General Practitioner
Job No: 89281
Location: Ngukkur, Katherine region, NT
Closing Date: 8 Jul 2017
Rewarding opportunity for experienced GP to join a well-established Community Controlled Health Organisation!
Contribute to the improvement of medical services for a number of remote communities!
Highly attractive remuneration package circa $330,000 including a number of fantastic benefits!
About the Opportunity
Sunrise Health Service Aboriginal Corporation now has a rewarding opportunity for a Medical Practitioner / General Practitioner to join their dedicated team in Ngukurr, within the Katherine Region of the Northern Territory.
As a Remote Medical Practitioner (RMP) at SHSAC, you will work as part of a multi-disciplinary team, led by the Director of Public Health and Planning. The role will involve provision of primary health care, support for and sharing of skills with other health centre staff and participation in key primary health care initiatives and community consultation.
To be considered for this position you must have the following:
Registration as a General Practitioner with AHPRA;
An understanding and commitment to the principles of Aboriginal community control in primary health care delivery; and
Broad based experience in primary health care appropriate to working in a rural/remote location.
Your dedication will be rewarded with a highly attractive salary package negotiable with skills and experience and salary packaging options.
You will be working in brand new, state of the art facility and also have access to a huge range of other benefits including:
6 weeks leave per year;
Up to 10 days study leave;
Fully subsidised air-conditioned housing, utilities, subsidised phone rental and up to $100 in phone calls;
Salary packaging options up to $15,899 per packaging year;
Full support from the health team; and
Generous relocation and repatriation.
About the Organisation
Sunrise Health Service Aboriginal Corporation (SHSAC) is a community Controlled Health Organisation providing medical services to a number of remote communities throughout the Katherine region including Barunga, Manyallaluk, Wugularr, Bulman, Mataranka, Jilkminggan, Minyerri, Ngukurr and Urapunga.
Sunrise Health Service Aboriginal Corporation works in partnership with Northern Territory PHN (NT PHN), who provide support services to health professionals and organisation across the Northern Territory. NT PHN offers support and assistance to eligible nurses and allied health professionals who are relocating the to the NT for the purposes of employment.
Don’t miss out on this unique opportunity in which you can truly make a difference – Apply Now!
“The three main causes of vision impairment in adults were uncorrected refractive error, cataract and diabetic retinopathy.
On the positive side, the report indicates that more Indigenous Australians are accessing eye health services provided through specific service programs.
The report finds that in 2014-15 more Indigenous Australians received an eye examination than in the previous twelve months; that the gap in accessing cataract surgery compared to non-Indigenous Australians is narrowing; and the rate of blindness for Indigenous Australians has decreased from 1.9 per cent in 2008 to 0.3 per cent in 2016.
While the report shows improvements are being made in Closing the Gap in Indigenous eye health, more needs to be done.”
Eye diseases and vision problems are common long-term health conditions experienced by Aboriginal and Torres Strait Islander people and the Minister for Indigenous Health, Ken Wyatt, today welcomed the release of a report that looks at the effectiveness of national eye health programs.
Launching the Indigenous Eye Health Measures 2016 report, released by the Australian Institute of Health and Welfare (AIHW), Minister Wyatt said that one-third of Aboriginal and Torres Strait Islander people reported one or more long-term eye conditions in 2016.
“This report is important because from here we can build an evidence base for monitoring changes in Indigenous eye health, and identify service delivery gaps at the regional level,” Minister Wyatt said.
Summary
Key findings in the report reveal that:
This first national report on the Indigenous eye health measures compiles data from a range of sources and presents findings at the national, state and regional levels.
In 2016 the prevalence of bilateral vision impairment for Indigenous Australians aged 40 and over was 10.5% and the prevalence of bilateral blindness was 0.3% (both affecting an estimated 18,300 Indigenous Australians aged 40 and over).
The 3 leading causes of vision impairment for older Indigenous adults were refractive error (63%), cataract (20%) and diabetic retinopathy (5.5%).
Repeated untreated trachoma infections are a cause of vision loss in some remote Indigenous communities, but the prevalence of active trachoma in children aged 5–9 in at-risk communities fell from 14% in 2009 to 4.6% in 2015.
The age-standardised proportion of Indigenous Australians who had had an eye examination by an eye-care professional in the preceding 12 months increased from 13% in 2005–06 to 15% in 2014–15.
There were 6,404 hospitalisations (4.5 per 1,000) of Indigenous Australians for eye procedures in the two year period 2013—15.
Between 2005–07 and 2013–15 the age-standardised Indigenous hospitalisation rate for cataract surgery increased by over 40% from 4,918 to 7,052 per 1,000,000.
In 2014–15, the median waiting time for elective cataract surgery was 142 days for Indigenous Australians, with 3.4% of Indigenous Australians who waited for more than 1 year for cataract surgery.
Hospitalisation rates for cataract surgery were higher for Indigenous Australians in Remote and Very remote areas combined, while waiting times were longest in Inner regional areas.
The number of occasions of service for Indigenous patients under the Visiting Optometrists Scheme (VOS) almost tripled between 2009–10 and 2014–15 rising from 6,975 to 18,890.
Comparison with non-Indigenous Australians
Indigenous Australians suffered from vision impairment or blindness at 3 times the rate of non-Indigenous Australians, based on age-standardised rates.
In 2014–15, a lower proportion of Indigenous Australians (15%) had had an eye examination by an optometrist or ophthalmologist in the preceding 12 months compared with non-Indigenous Australians (20%), based on age-standardised rates.
Indigenous Australians had a lower age-standardised rate of hospitalisations for eye diseases compared with non-Indigenous Australians (10 and 13 per 1,000, respectively), but 3 times the rate for injuries to the eye (1.3 and 0.4 per 1,000, respectively).
Indigenous Australians also had a lower age-standardised rate of hospitalisations for cataract surgery than non-Indigenous Australians (7,044 and 8,415 per 1,000,000, respectively).
In 2014–15, the median waiting time in days for those who had elective cataract surgery was longer for Indigenous Australians (142) than for non-Indigenous Australians (84).
“We now have a very valuable source of data we can use to improve eye health through better detection, management and treatment of eye disease in Aboriginal and Torres Strait Islander communities,” Minister Wyatt said.
The Indigenous Eye Health Measures report is the first national report on the Indigenous eye health measures.
It brings together comprehensive data from a range of sources and presents this information at the national, state and regional level.
The Australian Government is investing around $72 million over 2013-14 to 2020-21 to improve eye health for Indigenous Australians.
” The Aboriginal and Torres Strait Islander Health Performance Framework 2017 report shows some positive results in health outcomes for Aboriginal and Torres Strait Islander people but the harsh reality is that there is still a long way to go.
“While the government continues to invest substantially and works closely with communities in a wide range of Indigenous health programs and interventions that aim to improve Indigenous health and wellbeing, considerable challenges remain.
“Addressing these challenges requires a whole of health system response and a concerted effort from all levels of government.”
A major report that documents progress towards better health outcomes for Aboriginal and Torres Strait Islander people, was launched today by the Minister for Indigenous Health, Ken Wyatt.
Minister Wyatt said areas of improvement highlighted in the report include:
decreases in deaths caused by circulatory disease (the most common cause of death for Aboriginal and Torres Strait Islander people);
decreases in deaths caused by kidney disease;
a decrease in smoking rates, including smoking during pregnancy;
a decrease in drinking at risky levels;
a narrowing of the gap in Year 12 or equivalent attainment rate; and
increases in the number of health assessments and chronic disease management services claimed through Medicare.
Areas of concern include:
a widening of the gap for deaths related to selected chronic diseases, particularly cancer and end-stage kidney disease;
a continuing higher burden of disease among First Australians (2.3 times the non-Indigenous rate);
a significant increase in Indigenous suicide rates;
high rates of people who are overweight or obese;
high rates of disability;
high levels of undiagnosed high blood pressure;
high blood sugar levels among those diagnosed with diabetes (indicating the condition is not well managed);
high rates of discharge from hospital against medical advice; and
lower access to procedures in hospitals.
“We have the evidence and it is now up to all of us in this sector and beyond to continue to make inroads in Indigenous health matters,” Minister Wyatt said.
“We also have to make sure that where gains have been made, that we build on these very encouraging results.
“Our universal health system is a source of national pride but it will only be truly universal if we can close the gap on Indigenous health.”
Minister for Indigenous Affairs, Nigel Scullion, said the Coalition Government was working with state and territory governments and communities across the country to improve outcomes in areas such as housing, community safety, education and employment that in turn will help to improve health outcomes for Aboriginal and Torres Strait Islander people.
“This is work that cuts across all portfolios and all levels of governments and will contribute to improving the overall health and wellbeing of individual Indigenous people, as well as their families and communities,” Minister Scullion said.
The 2017 report has been prepared by the Department of the Prime Minister and Cabinet under the auspices of the Australian Health Ministers’ Advisory Council (AHMAC). The report was produced in close consultation with the Department of Health, the Australian Institute of Health and Welfare (AIHW), states and territories, the Australian Bureau of Statistics and non-government stakeholders.
It also provides comprehensive analysis on the key issues of relevance to the Indigenous Advancement Strategy including education, employment, community safety, mothers and babies, housing and juvenile justice.
“This report is accompanied by a dynamic data visualisation tool and online data tables covering a wide range of data for each measure produced by the Australian Institute of Health and Welfare,” Minister Wyatt said.
“This tool will make the report more accessible and assist users to explore the data and create charts for each measure in the HPF.”
The Aboriginal and Torres Strait Islander Health Performance Framework 2017 report is available at http://www.dpmc.gov.au/hpf
