NACCHO #ClosetheGap Aboriginal Health : Read Download Top 10 Press releases #Closethegapday

 

In this NACCHO Alert you can read /download Close the Gap Press Releases from

1.AMA 2.NACCHO 3.RACGP 4. FVLPS/#JustJustice 5. Healing Foundation

6.Pallative Care 7.Labor Party 8.Stroke Foundation

9.NSW Aboriginal Land Council .10. Australian Psychological Society (APS) is

Please note  :  Only a selection and in no particular order from hundreds released

” The Close the Gap Campaign 2017 Progress and Priorities Report, released today, shows that, despite their best efforts, all Australian governments are failing in their endeavours to meet their own targets in closing the gap – but we can turn this around,” Dr Gannon said.

The AMA believes that positive progress can be made if governments work directly with Aboriginal and Torres Strait Islander people, and better understand the approaches that they know work in their own communities.”

AMA President, Dr Michael Gannon, said today that genuine cooperation between all political parties and across all levels of government is needed if Australia is to achieve significant improvements in closing the gap in life expectancy and health outcomes between Indigenous and non-Indigenous Australians

Photo above All AMA Presidents from all states and Territories met at Winnunga Nimmityjah Aboriginal Health Service (AHS) for Close the Gap Day Event : Winnunga is an Aboriginal community controlled ACCHO primary health care service for Canberra and the ACT community

Read full article here

2.NACCHO

” Hard figures and targeted investment, not rhetoric, are key to solving indigenous disadvantage, Aboriginal health leader Pat Turner said as she called for at least 4000 homes to be built in remote Australia to help tackle the ­problem.”

As published in The Australian

Ms Turner, chief executive of the National Aboriginal Community Controlled Health Care Organisation, said indigenous health problems would be ­addressed only through “far greater ­investment … in the physical environment including safe houses, communities and roads.

“I would estimate there are 4000 dwellings required in remote Australia alone.

“We have not had this investment,” she said. “We need to take account of the factors that contribute to good health: housing, education, employment and access to justice.

“And why hasn’t there been far greater innovation, why is the passing on of knowledge of language and culture not recognised as legitimate work? This sounds fuzzy, but it’s not. We know that around 30 per cent of Aboriginal and Torres Strait Islander health problems are to do with social and cultural factors.

“The context of people’s lives is what matters most in determining health outcomes, and that is something that individuals are unlikely to be able to control. We ask that the federal government replace its rhetoric about economic empowerment with significant public policy initiatives that produce specific outcomes.”

Close the Gap Campaign

Download CTG Press Release : 17.03.16 MR for CTG Progress & Priorities report launch FINAL

Download PHAA Press Release :PHAA CTG 2017

Close the Gap Campaign report: Australia ‘going backwards’ in fight to end Indigenous disadvantage

Download the Press Release NACCHO CTG 2017

A peak Northern Territory  Aboriginal community controlled  health organisation which  was on track  to close  the life expectancy gap between First Nations peoples and other Australians  has challenged Governments to listen to what programs really work… and then give their people the capacity to deliver them.

Speaking to CAAMA  on  National Close the Gap Day  Donna Ah Chee CEO of the Alice Springs based Central Australian Aboriginal Congress , AMSANT Chair and NACCHO Board member  was scathing in her criticism of Government and  its inability to actually listen to what her people have been saying for decades.

Listen here :

Download the report HERE CTG Report 2017

3.RACGP

The RACGP recognises the importance of supporting our members to be great doctors for all Australians, including Aboriginal and Torres Strait Islander people

 We are committed to developing culturally safe GPs and practice staff so that they are able to work effectively in the cross-cultural context and in partnership with Aboriginal and Torres Strait Islander people and communities. ”

RACGP President Dr Bastian Seidel said the organisation was an active member of the Close the Gap Steering Committee, proudly committed to ending the health gap by 2030.

Download the Press release RACGP CTG 2017

4.FVPLS / #JustJustice

” We know being incarcerated affects someone’s health and yet it is not one of the Closing the Gap targets. It’s Close the Gap Day and the Close the Gap Campaign Steering Committee’s Progress and Priorities report 2017 has been released.

The 2017 report calls for a social and cultural approach and covers many issues, including justice. This is the fourt report from the Steering Committee to call for Justice Targets.

Since 2004, there has been a 95 per cent increase in the number of Aboriginal and Torres Strait Islander people in custody. Over the same time, we have seen the crime rates decrease across the country.

Urgent action is required to reduce incarceration if we are ever to see life expectancy parity between Aboriginal and Torres Strait Islander people and other Australians.

Despite the urgency of the need, and the calls by Aboriginal and Torres Strait Islander people and organisations for an urgent response to this need, there has been no indication that governments are responding with the level of urgency required.”

Summer May Finlay from Croakey : Read Full report HERE

5. Healing Foundation

 “The social determinants of health need to be realigned in a cultural context of understanding the impact of trauma for Aboriginal and Torres Strait Islander people and how to overcome – to heal – from this. Focusing on changing just economic or education levels alone will not fix the profound challenges we face without also giving people the opportunity to improve their social and cultural connectedness and feel greater inclusion.”

Meanwhile, Richard Weston, CEO of the Healing Foundation, writes in The Guardian of the vital importance of trauma-informed practices and services, as well as for broadening discussion of the social determinants of health.

6.Palliative Care Australia

While this report doesn’t address palliative care, it is important that all people with a life-limiting illness are able to access palliative care.

“We understand that while some parts of the country offer exceptional levels of palliative care, culturally appropriate care is still not done well everywhere in Australia. We need to see that good work spread,” Ms Callaghan said.

“Community-based local approaches to end-of-life care are preferred, which leads to a significant role for Aboriginal and Torres Strait Islander health professionals in the delivery of quality end-of-life care.

“It is also very important that non-Indigenous health professionals develop culturally safe practice through education or training and appropriate engagement with local Indigenous communities.

“Culturally safe palliative and end-of-life care means that providers or practitioners must understand how these communities want health care to be provided

Download the Press Release Pallative Care CTG 2017

7. Labor Party

 ” The 2017 Close The Gap Progress and Priorities Report reiterates the need for all levels of Government to recommit and refocus, Labor stands ready to work in partnership with Aboriginal and Torres Strait Islander Peoples and their Communities.”

Labor is committed to working in a bi-partisan way, striving for the best possible outcomes for Australia’s First Peoples. Labor recognizes the importance of relationships that harness the knowledge, creativity and innovation that community controlled originations bring to driving decisions; strong relationships, working in partisanship, is the only way forward.

“Genuine partnerships with Aboriginal and Torres Strait Islander people and organisations, are essential to improving the quality of life for our First Peoples. As stated in the Report, the health and wellbeing of Aboriginal and Torres Strait Islander peoples cannot be considered at the margins”,

Senator Dodson said.

Download the Press Release Labor Party CTG 2017

8.Stroke Foundation

 ” Currently, Aboriginal and Torres Strait Islander people suffer stroke at a younger age, are more than twice as likely to be hospitalised with a stroke and 1.4 times as likely to die from stroke as non-Indigenous Australians. Aboriginal and Torres Strait Islanders experience multiple risk factors for stroke and cardiovascular disease and there are significant challenges around identifying and managing that risk. 

As a healthcare community we need to come together to close the stroke gap which is claiming the lives of too many Aboriginal and Torres Strait Islander people. The Stroke Foundation is committed to working with Aboriginal and Torres Strait Islander health organisations to improve the health outcomes of Indigenous communities.”

By Stroke Foundation Chief Executive Officer Sharon McGowan

Today is Close the Gap day – a national movement demanding equal access to healthcare for Aboriginal and Torres Strait Islander Australians. Most Australians enjoy one of the highest life expectancies of any country in the world – but this is not true for Aboriginal and Torres Strait Islander people.

Aboriginal and Torres Strait Islander people can expect to live 10 –17 years less than fellow Australians.  The mortality rates for Aboriginal and Torres Strait Islander people is on par with some of the world’s most impoverished nations. The United Nations Report, The State of the World’s Indigenous Peoples (2009) indicated Australia and Nepal have the world’s worst life expectancy gaps between Indigenous and non-Indigenous people – we must do better.

Here at the Stroke Foundation we believe everyone should have the opportunity to lead a healthy life and have access to best practice healthcare. While Australia has made some big strides towards improving Aboriginal and Torres Strait Islander health, as a nation we have a long way to go.

Equal access to healthcare is a basic human right. Everyone in Australia should have the opportunity to live a long and healthy life. It is time our Aboriginal and Torres Strait Islander communities get the health care and support they need and deserve.

The facts

• Aboriginal and Torres Strait Islander people are more than twice as likely to be hospitalised with stroke.
• Aboriginal and Torres Strait Islander people are 1.4 times as likely to die from stroke as non-indigenous Australians.
• Aboriginal and Torres Strait Islander people are 1.5 times as likely as non-Indigenous people to be obese – seven in 10 adults are overweight or obese.
• Two in five indigenous Australians smoke daily, 2.6 times the rate of non-Indigenous Australians.
• More than half of Indigenous Australians (over 15) put themselves at risk of harm by drinking alcohol.
• 64 percent of Indigenous adults do not get enough exercise.
• 85 percent on Indigenous children and 97% of Indigenous adults do not eat enough fruit and vegetables.
• One in five Indigenous adults have high blood pressure.
• One in four Indigenous adults have abnormal or high cholesterol levels

– See more at: https://strokefoundation.org.au/

9.NSW Aboriginal Land Council (NSWALC)

Aboriginal and Torres Strait Islander people can expect to live 10 to 17 years younger than other Australians and the data on preventable illness and infant mortality is an appalling reminder of the challenges we face.

“The inequalities in health are a generational challenge and we have to continue the fight because the lives of our children depend on it.

“Positive change is possible – particularly when Aboriginal and Torres Strait Islander organisations are driving those changes.

“Solutions that are generated by Aboriginal and Torres Strait Islander peoples are a key part of any efforts to Close the Gap on health and living standards in Australia.”

Further progress to Close the Gap can be made if Aboriginal and Torres Strait Islander peoples are able to drive change, the Chair of the NSW Aboriginal Land Council (NSWALC) Roy Ah-See said today

Please note the above NACCHO TV was recorded when Roy was Chair of Yerin ACCHO

Download Press release NSW Land Councils CTG 2017

10. Australian Psychological Society (APS)

” There is a need for more community-based, culturally appropriate mental health services that include strengthening culture and identity, and that are delivered by culturally responsive health professionals “

Leading Aboriginal psychologist and Chair of the National Aboriginal and Torres Strait Islander Leadership in Mental Health (NATSILMH) Professor Pat Dudgeon FAPS, agrees that building on social and emotional wellbeing and cultural strengths is the foundation for improving Indigenous health and preventing suicide.

Picture : Our NACCHO CEO Pat Turner as a contributor to the report attended the launch pictured here with Senator Patrick Dodson and co-author Prof. Pat Dudgeon

 Download Press Release dAustralian Psycholigical Society CTG 2017

 

NACCHO #ClosetheGapday Editorial Comment and Download #CTG 2017 Progress and Priorities Report

 ” Achieving health equality for Aboriginal and Torres Strait Islander people will be impossible without a sincere, committed effort to understand and address racism in this country. That is why the Close the Gap Campaign continues to call for a national inquiry into the prevalence of racism and its impact.

The old cliché about persisting with the same failure in the hope of a different outcome is sadly the lived reality of much of the government policies regarding our people.

It is time to do something different.”

NACCHO CEO Pat Turner AM and Co- Chair Close the Gap Campaign

Opinion editorial 16 March see below in full ” It’s time to re-think Aboriginal and Torres Strait Islander health

Closing the gap in health equality between Aboriginal and Torres Strait Islander people and other Australians is an agreed national priority but governments are failing to meet nearly every key measure. This has to change.”

That’s the blunt assessment delivered by Close the Gap Campaign co-chairs, Jackie Huggins and Patricia Turner :

Photo : NACCHO CEO Pat Turner and #CTG co chair Dr Jackie Huggins launch 2017 #CloseTheGap Progress & Priorities Report

Dr Huggins, who is also co-chair of the National Congress of Australia’s First Peoples, and Ms Turner, who is chief executive of the National Aboriginal Community Controlled Health Organisation, released the Close the Gap Campaign 2017 Progress and Priorities Report in Sydney today (  16 March ) to mark National Close the Gap Day.

Download the report HERE     CTG Report 2017

CTG 2017 report : 15 Recommendations :  “We have the Solutions

New Engagement ( The remaining 12 below )

  1. The Federal, State and Territory governments renew the relationship with Aboriginal and Torres Strait Islander peoples, by engaging with sector leaders on the series of calls in the Redfern Statement, and that they participate in a National Summit with Aboriginal and Torres Strait Islander leaders in 2017, to forge a new path forward together.
  2. The Federal Government restore previous funding levels to the National Congress of Australia’s First Peoples as the national representative body for Aboriginal and Torres Strait Islander peoples, and work closely with Congress and the Statement signatories to progress the calls in the Redfern Statement.
  3. The Federal Government hold a national inquiry into racism and institutional racism in health care settings, and hospitals in particular, and its contribution to Aboriginal and Torres Strait Islander inequality, and the findings be incorporated by the Department of Health in its actioning of the Implementation Plan of the National Aboriginal and Torres Strait Islander Health Plan 2013-2023.

It’s time to re-think Aboriginal and Torres Strait Islander health

Op-ed by Patricia Turner, CEO, National Aboriginal Community Controlled Health Organisation and co-chair of the Close the Gap Campaign.

Today [16 March 2017] is National Close the Gap Day. It is a day to acknowledge our resilience and a day to focus attention on the significant gap in health equality between Aboriginal and Torres Strait Islander people and non-Indigenous Australians.

The facts are indisputable. Governments at all levels are failing Australia’s First Peoples. We have shorter lifespans and we are sicker and poorer than the average non-Indigenous Australian.

The Close the Gap Campaign began in 2006. One of the Campaign’s first accomplishments was to convince the Federal Government of the need to plan and set targets to improve health equality for Aboriginal and Torres Strait Islander people.

We’ve now had almost a decade of Closing the Gap Strategy by successive federal governments. Prime Minister Malcolm Turnbull’s most recent report to Parliament, in February 2017, was not good news. Most of the Closing the Gap targets are unlikely to be met by 2030. Frustratingly, child mortality rates are going backwards.

Today, the Close the Gap Campaign’s Progress and Priorities Report 2017 reflects on the continuing failure of the Government’s Closing the Gap Strategy and outlines a series of recommendations that can begin to turn the tide.

As a co-chair of Close the Gap Campaign and CEO of the National Aboriginal Community Controlled Health Organisation, I see the impact of a lack of coordination between federal, state and territory governments on addressing Aboriginal and Torres Strait Islander health.

The Federal Government’s recent announcement to refresh the strategy is timely and a dialogue should begin with Aboriginal and Torres Strait Islander peak health organisations on how to address the health challenges our people face.

We expect much more from the state and territory governments. The Federal Government has a clear leadership role but the states are simply not doing enough to address inequality in their jurisdictions.

New arrangements between state, territory and federal governments must begin with a clear focus on addressing the social and cultural determinants of health.

Aboriginal and Torres Strait Islander affairs should not be managed in siloes. Instead, we need to take account of the factors that contribute to good health: housing, education, employment and access to justice. Aboriginal and Torres Strait Islander leaders from across these sectors are already working together to make these policy connections – governments must follow suit.

Cultural determinants matter. There is abundant evidence about the importance of self-determination, freedom from the grind of casual and systemic racism, discrimination and poverty. For over 200 years we have been burdened with laws, systems and institutes that perpetuate disadvantage.

But our cultures and traditions still endure; we remain the traditional custodians of the land you walk on.

Last year, 140 Aboriginal community-controlled health organisations (ACCHOs) provided nearly 3 million episodes of care to over 340,000 clients by more than 3,000 Indigenous staff. It is clear that putting Aboriginal health in Aboriginal hands works.

Recently, Flinders University highlighted the success of the Central Australian Aboriginal Congress in Alice Springs, noting its ability to provide a one stop-shop with outreach services, free medicine and advocacy.

The benefits of having Aboriginal health in Aboriginal hands are evident in other case studies which show reductions in the numbers of young smokers, increased immunisations rates, and increased numbers of child health checks in our local communities.

The Federal Government’s rhetoric about economic empowerment and opportunity should be replaced with significant public policy initiatives and the delivery of specific outcomes. Politicians often speak about the optimism, resilience and determination of our people but how about speaking today, right now, about meaningful actions, engagement and self-determination for us all.

CTG 2017 report 15 Recommendations :  “We have the Solutions

Prime Minister, and all Members of Parliament I say to you that Aboriginal and Torres Strait Islander people have the solutions to the difficulties we face.

Consider for a moment the 2.5 million episodes of care delivered to our people by Aboriginal Community Controlled Heath Organisations each year.

This community-controlled work is echoed by many of our organisations here today, and amplified by countless individual and community efforts working for change.

Imagine this work stretching out over decades as it has.

We need a new relationship that respects and harnesses this expertise, and recognises our right to be involved in decisions being made about us.

A new relationship where we have a seat at the table when policies are developed.”

Dr Jackie Huggins Redfern Statement Parliamentary Event, 14 February 2017

Reinvigorating the national approach to health inequality

4.     State and Territory governments recommit to the Close the Gap Statement of Intent, and develop and implement formal partnerships with the Federal Government with agreed roles, funding and accountability with the provision of annual reports on their efforts to close the gap from each jurisdiction.

 

5.     The Federal, State and Territory governments work together to develop a National Aboriginal and Torres Strait Islander Health Workforce Strategy to meet the vision of the National Health Plan.

Social and Cultural Determinants of Health

6.     The Federal Government develop a long-term National Aboriginal and Torres Strait Islander Social and Cultural Determinants of Health Strategy.

Implementation Plan

The Implementation Plan is a major commitment by the Federal Government and must be adequately resourced for its application and operation. As such, the Government should:

7.     Identify geographic areas with both high levels of preventable illnesses and deaths and inadequate services, and development of a capacity-building plan for Aboriginal Community Controlled Health Organisations (ACCHOs) in those areas.

8.     Fund the process required to develop the core services model and the associated workforce, infrastructure, information management and funding strategies required.

9.     Ensure Aboriginal and Torres Strait Islander health funding is maintained at least at current levels until the core services, workforce and funding work is finalised, when funding should be linked directly with the Implementation Plan.

10. Ensure the timely evaluation and renewal of related frameworks upon which the Implementation Plan relies.

 

11. Finalise and resource the National Plan for Aboriginal and Torres Strait Islander Mental Health and Social and Emotional Wellbeing. This plan should incorporate and synthesise the existing health, mental health, suicide and drugs policies and plans – and should be an immediate priority of all governments.

12. Ensure that the consultation process for the next iteration of the Implementation Plan be based on genuine partnership with Aboriginal and Torres Strait Islander people, in a way that is representative and properly funded so that First Peoples can be full and equal development partners.

Primary Health Networks

13. The Federal Government mandate formal agreements between Primary Health Networks (PHNs) and ACCHOs in each region that:

a.     specify Aboriginal and Torres Strait Islander leadership on Indigenous issues and identify the specific roles and responsibilities of both the PHNs and the ACCHOs.

b.     include workforce targets for Aboriginal and Torres Strait Islander health professionals and include mandatory Aboriginal and Torres Strait Islander representation on the clinical committees of every PHN.

14. The Federal Government mandate ACCHOs as preferred providers of health services for Aboriginal and Torres Strait Islander people provided through PHNs.

15. The Federal Government develop and implement agreed accountability, evaluation and reporting arrangements to support the provision of primary health care for Aboriginal and Torres Strait Islander peoples in each PHN area.[i]

Summary

The Campaign believes that the PHN program has the potential to make a significant positive difference in health outcomes for all Australians if they are culturally safe and properly engaged with the Aboriginal and Torres Strait Islander community within their network area.

The ability of PHNs to deliver culturally safe, high-quality primary health care for Aboriginal and Torres Strait Islander people will be seen in the lived experience of the people.

Engagement

It is essential that Federal Government ensure that the PHNs are engaging with ACCHOs to ensure the best primary health care is afforded to Aboriginal and Torres Strait Islander people, as well as the broader community. Competitive tendering processes for PHNs that award contracts to organisations that are able to write the best proposal may well be at the expense of organisations that can provide the best services in terms of access, quality and outcomes.

However, formal partnerships between PHNs and ACCHOs should reduce rather than exacerbate current funding inequities and inefficiencies.

It is the Campaign’s view that ACCHOs must be considered the ‘preferred providers’ for health services for Aboriginal and Torres Strait Islander people.

Where there is either no existing ACCHO or insufficient ACCHO services, capacity should be built by the establishment of new ACCHOs or within existing ACCHOs (or have capacity development of existing ACCHOs) within the PHN area to extend their services to the identified areas of need.

Where it is appropriate for mainstream providers to deliver a service, they should be looking to partner with ACCHOs to better reach the communities in need.[i]

The Campaign welcomes the collaboration between the Department of Health and the National Aboriginal Community Controlled Health Organisation to develop the Primary Health Networks (PHNS) and Aboriginal Community Controlled Health Organisations (ACCHOS) – Guiding Principles which are intended to provide:

…guidance for actions to be taken by each party across six key domains: Closing the Gap; cultural competency; commissioning; engagement and representation; accountability, data and reporting; service delivery; and research.[ii]

Having a shared understanding of the key domains of focus and the principles of engagement and collaboration are a good start, however, more can be done to formalise the relationship between PHNs and ACCHOs.

Cultural Safety

The need for culturally safe services, with safe spaces that support the holistic concept of health is well established.

ACCHOs continue to be the exemplar for cultural safety standards as they are, by their very existence, best placed to respond to the health needs of the community based on implicit cultural understanding.[iii]

Again, it is encouraging to see some indications that the PHNs are looking to incorporate culturally safe practices as evidenced by the Guiding Principles document between PHNs and ACCHOs. The Guiding Principles state:

‘An understanding of Aboriginal and Torres Strait Islander culture is important to partners who wish to engage with Aboriginal and Torres Strait Islander people effectively and as equals.

Underpinning the Guiding Principles is a shared knowledge that will ensure:

  • respectful culturally sensitive consultation
  • recognition that Aboriginal and Torres Strait Islander health outcomes will be achieved when Aboriginal and Torres Strait Islander people control them, and
  • that commissioned service delivery will be a strengths-based approach reflecting the United Nations Declaration on the Rights of Indigenous Peoples.’[iv]

Respect of culture must be embedded in all PHN practice and management, from formalised cooperation with ACCHOs, the delivery of services and the investments made in the non-Indigenous workforces so that they understand and value Cultural Safety and its importance for Aboriginal and Torres Strait Islander people seeking care.

 The Close the Gap Campaign

Close the Gap Campaign co-chair Jackie Huggins highlighted the resilience of Indigenous people and cautioned against feeling disheartened by the slow pace of change.

“When Tom Calma started the Close the Gap Campaign in 2006, he set a 25-year goal to achieve health equality between Aboriginal and Torres Strait Islander peoples and non-Indigenous peoples,” Dr Huggins said.

This was an intentionally ambitious time frame. Nevertheless, Tom and the other early Campaign members knew that every inch the gap closed between First Australians and non-Indigenous Australians translated into lives saved and lives improved.

The Australian community agreed. Since then more than 220,000 Australians have signed the close the gap pledge for change.

“Despite the significant challenges we face to make health equality a reality in this country, it is the commitment of the hundreds of thousands of people that have pledged their support to closing the gap that give us courage and strength to press on.

“In communities across Australia we are seeing more and more of our people rising above the obstacles of institutional racism, generational trauma and low expectations to become nurses, doctors, social workers, youth workers, health workers, administrators, teachers and community leaders.

Our people, with the support of the many non-Indigenous people committed to health equality, are best placed to lead the changes needed today, tomorrow and over the next decade,” Dr Huggins said.