NACCHO Aboriginal Health and #WorldHypertensionDay @strokefdn High #bloodpressure – known to doctors as ‘hypertension’ – is a silent killer of our mob with 47% having high #stroke risk

 

 ” But high blood pressure – known to doctors as ‘hypertension’ – is a silent killer of our mob because there are no obvious signs or symptoms, and many people don’t realise they have it. “

A staggering 82 percent of those, found to have high blood pressure, were not aware prior to taking the health check and were referred to their doctor for a further assessment.

Aboriginal and Torres Strait Islander are between two and three times as likely to have a stroke than non-Indigenous Australians which is why increasing stroke awareness is crucial.

Too many Australians couldn’t spot a stroke if it was happening right in front of them.

We know that in Aboriginal and Torres Strait Islander communities this awareness is even lower.

We want all Australians, regardless of where they live or what community they’re from, to learn the signs of stroke.”

Stroke Foundation and Apunipima ACCHO Cape York Project

 ” Naomi and Rukmani’s stroke rap runs through vital stroke awareness messages, such as lifestyle advice, learning the signs of stroke, and crucially the need to seek medical advice when stroke strikes.

Music is a powerful tool for change and we hope that people will listen to the song and remember the FAST message – it could save their life,”

Stroke Foundation Queensland Executive Officer Libby Dunstan 

Naomi Wenitong  pictured with her father Dr Mark Wenitong Public Health Officer at  Apunipima Cape York Health Council  in Cairns:

Share the stroke rap with your family and friends on social media

Listen to the new rap song HERE

                                       or Hear

Research has shown the number of strokes would be practically cut in half (48 percent) if high blood pressure alone was eliminated

NACCHO has published over 90 articles Aboriginal health stroke prevention and recovery READ HERE

“It can happen to anyone — stroke doesn’t discriminate against colour, it doesn’t discriminate against age “

Photo above Seith Fourmile, Indigenous stroke survivor campaigns for culture to aid in stroke recovery

” Cardiovascular disease is the leading cause of death for Aboriginal and Torres Strait Islander people, who experience and die from cardiovascular disease at much higher rates than other Australians.

What you don’t know can hurt you. Heart disease and strokes are the biggest killers of Australians, and the biggest risk factor for both of them is high blood pressure.

But high blood pressure – known to doctors as ‘hypertension’ – is a silent killer because there are no obvious signs or symptoms, and many people don’t realise they have it. “

John Kelly CEO-National, Heart Foundation

Aboriginal and Torres Strait Islander people, when compared with other Australians, are:

  • 1.3 times as likely to have cardiovascular disease
  • three times more likely to have a major coronary event, such as a heart attack
  • more than twice as likely to die in hospital from coronary heart disease
  • 19 times as likely to die from acute rheumatic fever and chronic rheumatic heart Disease
  • more likely to smoke, have high blood pressure, be obese, have diabetes and have end-stage renal disease.

It was World Hypertension Day yesterday  and the Stroke Foundation is determined to slash stroke numbers in Australia – with your help.

Today kicks off Australia’s Biggest Blood Pressure Check for 2018 and communities are being urged to take five minutes out of their day for a potentially life-saving blood pressure check.

More than 4.1 Million Australians are living with hypertension or high blood pressure, putting themselves at serious and unnecessary risk of stroke.

Research has shown the number of strokes would be practically cut in half (48 percent) if high blood pressure alone was eliminated.

The major concern with high blood pressure is many people don’t realise they have it. It has no immediate symptoms, but over time, it damages blood vessels and increases the risk of stroke and heart disease.

How you can help?

  • Encourage your family and friends to take advantage of a free check.
  • Help spread the word via social media:  Research has shown the number of strokes would be practically cut in half if high blood pressure alone was eliminated.
  • Get your free health check today! https://bit.ly/2ps1UOn #WorldHypertensionDay

  • I am urging you – no matter what age you are – to have a blood pressure check regularly with your ACCHO GP (General Practitioner), pharmacist or via a digital health check machine.
  • Stroke strikes in an instant, attacking the brain. It kills more women than breast cancer and more men than prostate cancer and leaves thousands with an ongoing disability, but stroke is largely preventable by managing blood pressure and living a healthy lifestyle.
  • Stroke Foundation and SiSU Wellness conducted more than 520,000 digital health checks throughout 2017, finding 16 percent of participants had high blood pressure putting them at risk of stroke

Given there will be 56,000 strokes in Australia this year alone, if we can reduce high blood pressure we will have a direct and lasting impact on the rate of stroke in this country.Yours sincerely,

Sharon McGowan
Chief Executive Officer
Stroke Foundation

NACCHO Aboriginal Health #ACCHO #6rrhss Deadly Good News stories :#NSW #QLD #VIC #WA #NT #SA #ACT Including @Galambila @DeadlyChoices @IUIH_ @WinnungaACCHO

1.1 NSW: Galambila ACCHO Coffs Harbour leads the way incorporating cultural healing artwork into new building and staff uniforms

1.2. NSW : Indigenous Doctor to specialise in women’s health and high-risk pregnancy care. after graduating this month

2.1 NT : Danila Dilba ACCHO Darwin hosts Wurrumiyanga community on Bathurst Island with information about improving health and career pathways in health.

2.2 NT : Katherine West Health Board Timber Creek’s Women’s Health Day 2018.

3.QLD :Institute for Urban Indigenous Health :Because of Her I must : Adrian Carson and Aunty Pamela Mam

4SA : Colourful health bus provides medical services to Aboriginal and Torres Strait Islanders in remote areas

5. VIC : Officially launch in Mildura partnership with MDAS & Deadly Choices hosting a community day for the mob.

6. 1 ACT : Winnunga has commenced a new program for first time mothers of Aboriginal and Torres Strait Islander babies.

6.2 ACT : Winnunga Save a date : celebrating 30 Years of excellence ACCHO health

 View hundreds of ACCHO Deadly Good News Stories over past 6 years

How to submit a NACCHO Affiliate  or Members Good News Story ?

 Email to Colin Cowell NACCHO Media    

Mobile 0401 331 251

Wednesday by 4.30 pm for publication each Thursday /Friday

1.1 NSW: Galambila ACCHO Coffs Harbour leads the way incorporating cultural healing artwork into new building and staff uniforms

On behalf of the Board and management, NACCHO congratulates the Galambila Aboriginal Health Service in Coffs Harbour on the opening of its new reception and patient waiting area. It is good that staff and community members alike will benefit from this new facility.

It is also great to have the Commonwealth Government’s financial support for this initiative. It is pleasing to see the Galambila Aboriginal Health Service improving its facilities for the benefit of our community, and I congratulate you on your continued efforts to improving Aboriginal health outcomes in the region.”

Pat Turner CEO NACCHO

Galambila ACCHO Compassionate, Respectful, Empowering & Inclusive

This week the Chair of the Galambila ACCHO Rueben Robinson officially opened the new building and reception at a smoking ceremony on Gumbaynggirr country

Local artist, Brentyn Lugnan, who designed the artwork for the building and is also embedded on the staff shirts.

Brentyn attended the opening and explained the story his art that follows the journey from the foundations of the family / community thru to the travels of kangaroos ,  middens connecting to country and the role of bush medicine  for Gumbaynggirr people

1.2. NSW : Indigenous Doctor to specialise in women’s health and high-risk pregnancy care. after graduating this month

 

 “I had the opportunity to undertake placement at the Eleanor Duncan Aboriginal Medical centre in Wyong, attend rural obstetrics clinics in Moree – the birthplace of my Nan, and complete an elective subject at the Menzies School of Health Research in Brisbane, which explored barriers to early diagnosis and poor outcomes in gynaecological cancers in Indigenous women,” 

Following in the footsteps of her Aunty, Professor Gail Garvey, Nicole Whitson is proud to be the third person to graduate from her large Indigenous family of almost 40 immediate relatives.

Commencing her studies at the University as an Open Foundation student, Nicole persevered with her studies and has become a doctor, graduating with a Bachelor of Medicine with Distinction.

Nicole said she was particularly interested in medical care for Indigenous people and enjoyed the opportunity to tailor her study to reflect her interests.

It was through this practical experience that Nicole realised her desire to specialise in high-risk pregnancy care.

Reflecting on her experience at the University of Newcastle, Nicole said she was “glad to study in a supportive environment.

“As an Indigenous medical student from a large family with little exposure to the tertiary education system, I expected to encounter challenges but I had a lot of support from the University, its Wollotuka Institute, and my husband Elliot.”

Nicole said she was grateful for her time at university, not only to realise her dream of becoming a doctor, but to have built a network of life-long friends.

“One of the highlights was definitely the close-knit community, I met some of my best friends during my studies at university,” Nicole said.

The University of Newcastle has graduated approximately one-third of Australia’s Indigenous doctors and today celebrates a proud milestone, graduating its largest ever cohort of Indigenous students from the Joint medical Program, with ten students crossing the graduation stage today.

2.1 NT : Danila Dilba ACCHO Darwin hosts Wurrumiyanga community on Bathurst Island with information about improving health and career pathways in health.

This week visiting students from Xavier Catholic College in the Wurrumiyanga community on Bathurst Island came to visit Danila Dilba.

The students got an overview of our organisation, including information about improving health and career pathways in Danila Dilba.

Great to see the enthusiasm of these students and their interest in health.

2.2 NT : Katherine West Health Board Timber Creek’s Women’s Health Day 2018.

A successful day where the ladies from Timber Creek region and Bulla community came together to yarn about women’s health.

A shout out to SARC Katherine for coming long. Thank you Victoria Daly Regional Councill for your spport.

#oneshieldforall

3.QLD :Institute for Urban Indigenous Health :Because of Her I must : Adrian Carson and Aunty Pamela Mam

Adrian Carson has worked in Aboriginal and Torres Strait Islander health for more than 25 years and has been the CEO of the Institute for Urban Indigenous Health since 2011.

Adrian nominated Aunty Pamela Mam’s story to lead the Because of Her campaign, a celebration of women who have made our communities what they are today.

Aunty Pamela Mam (Aunty Pam) was one of the first Aboriginal nurses in Queensland. She was the first Nurse Manager of the Aboriginal and Islanders Community Health Service Brisbane (now ATSICHS Brisbane) and the first Manager of the Jimbelunga Nursing Centre – where she worked for 15 years.

Raised on Palm Island, Aunty Pam started working as a Nurse Aide at Palm Island Hospital, later receiving permission to train as a nurse at Townsville Hospital.

She went on to study midwifery at the Royal Women’s Hospital in Brisbane and in conjunction with her late husband, Uncle Steve Mam, was hugely active in advocating for and establishing many services that exist today.

Adrian says that he chose to nominate Aunty Pam because of the sacrifices she has made to lead our community to where we are today. He says, “She has supported IUIH since we were established in 2009 and has always been here for us when we needed her.

“Aunty Pam is a great leader in the community and we are so lucky to have her as our patron. Her hard work and tireless efforts to make sure we are accessing the health care we need in the way that we need it has made a huge impact on the health of our people.

“Through her amazing work in the community, she connects all of us to our humble beginnings.”

He mentions that Aunty Pam has impacted his life greatly by providing support within the work that IUIH does. He says, “She has always been a great support for me, she always gives a good counsel, and she’s there when I need her.”

“She lives by three words, commitment, compassion and dedication. These are the qualities that IUIH as an organisation reflects on when working with and for our people.”

Aunty Pam continues to serve as the patron for IUIH, and supports many other community projects that focuses on improving the health and wellbeing of Aboriginal and Torres Strait Islander people living in South East Queensland.

To recognise Aunty Pam’s contribution the Because of Her project was launched at Aunty Pam’s 80th birthday celebration held at Jimbelunga Nursing Centre in March this year.

Share your own story of a deadly woman in your life at www.facebook.com/IUIHBecauseofHer

Image: Adrian Carson (IUIH), Aunty Pamela Mam, Jody Currie (ATSICHS Brisbane)

4SA : Colourful health bus provides medical services to Aboriginal and Torres Strait Islanders in remote areas

 See original story in full here 

Remote communities often grapple with challenges of distance from health care and support, but an outreach service for Aboriginal and Torres Strait Islander people in South Australia’s Riverland is hoping to change this, with the help of a bus.

Bright and colourful, the Pi:Lu Bus is designed to be a safe place for Aboriginal and Torres Strait Islander people to receive help and health advice.

The bus is highly regarded and well recognised by Riverland locals, with a role of providing specific health prevention messages and free testing.

The mobile service is one of only a few in Australia.

“The bus is available to the Aboriginal and Torres Strait Islander community who may not be able to get into our service for reasons that they could not have transport available or their funds may be really low,” Riverland Aboriginal Health Service coordinator Corinne Thompson said.

“I think the bus is helping to build relationships between our local Aboriginal people and some of our mainstream services as well.

“Any needs that the community have around their health, we’re there to support them.”

Community shines spotlight on its health

The Pi:Lu Bus was returned to the community last year at NAIDOC Week celebrations following extensive consultation around local health services.

Previously known as the Peelies Bus — the Aboriginal word for eyes — the bus travelled the region conducting health examinations, with a particular focus on eyes.

It was decomissioned for five years due to mechanical troubles, but a push from the community saw its re-commissioning and name change to the Pi:Lu Bus — Aboriginal for all-seeing eyes.

“Aboriginal people, Torres Straight Islander people have vastly different health needs to mainstream Australia,” Ms Thompson said.

“I guess we need to be working more to get those prevention messages out there.”

5. VIC : Officially launch in Mildura partnership with MDAS & Deadly Choices hosting a community day for the mob.

6. 1 ACT : Winnunga has commenced a new program for first time mothers of Aboriginal and Torres Strait Islander babies.

See attached brochure ANFPP brochure (2)

6.2 ACT : Winnunga Save a date : celebrating 30 Years of excellence ACCHO health 

 

7. WA : @AHCWA pioneering new ways of working in Aboriginal Health :Our Culture Our Community Our Voice Our Knowledge

VIEW HERE

NACCHO Aboriginal Women’s Health #SocialDeterminants #RedfernStatement : The impact of political determinants of health must be recognised for Aboriginal and Torres Strait Islander women

 

 ” Western culture remains the dominant culture in Australian society.

Its worldview has shaped Australian society and is constantly in conflict with the cultural identity and knowledge of Aboriginal and Torres Strait Islanders, including that of women.

Recently, Australian Indigenous leaders have set out a blueprint for action in the Redfern Statement. 

This blueprint acknowledges that Aboriginal people have provided viable, holistic solutions.

Without a change in leadership attitudes, governance and administration, Aboriginal and Torres Strait Islander women will continue to be disadvantaged, and their health will continue to suffer.

It is high time that Australian policymaking recognized the above issues and acted with integrity on the deficits because we will not have equality until Australia recognizes the impact of the political determinants of health as identified throughout this paper.

Australia will never be a whole, functioning society until institutionalised oppression ceases. ” 

Originally published here Power and Persuasion

Read over 340 Aboriginal Women’s Health articles published by NACCHO over past 6 years

Read over 100 Aboriginal Health and Social Determinants published by NACCHO over past 6 years

The role of government policy is to support its citizenry to thrive. By this measure, Australian policy is failing Aboriginal and Torres Strait Islander communities, and women are bearing the brunt of failed policy through seriously compromised health and wellbeing. “

In this analysis, Vanessa Lee from the University of Sydney applies a lens of political determinants of health to illuminate policy failure for Indigenous women and their communities, and calls for the government to be held accountable to the outcomes of generations of harmful policy.

 This piece is drawn from an article that ran in the Journal of Public Health Policy in 2017.

Paternalism is compromising the health of Indigenous women

When it comes to Australian policy, Aboriginal and Torres Strait Islander women are not being supported. Rather, a long history of paternalistic government decisions created barriers towards Indigenous women achieving equivalent health and wellbeing measures when compared to non-Indigenous women.

The manifestation of colonisation has included a displacement of Aboriginal and Torres Strait Islander people, a history of segregation and apartheid, and a breakdown of culture and cultural values through the impact of missionaries and government legislation, Acts and policies.

These political determinants of health breech human rights conventions, lack an evidence base, and are profoundly damaging across generations. Better policy could be and should be implemented but there appears to be a lack of political will.

Aboriginal and Torres Strait Islander women experience poorer health and reduced social and emotional wellbeing when compared to non-Indigenous women, and this is due to generational life circumstances. Aboriginal and Torres Strait Islander women take a holistic world view that intrinsically connects family and culture with everything else that they connect with.

What this means is that Indigenous women have a cultural and family relationship with their social and economic world.

The breakdown in life circumstances are evident today across employment and education where 39 per cent of the Indigenous females were employed compared to 55 per cent of the non-Indigenous females; and 4.6 per cent overall of the Indigenous compared to 20 per cent of the non-Indigenous people have completed a bachelor degree or higher degree.[1]

Educational attainment and employment are intrinsically linked to economic opportunity, with higher levels of education reducing societal disadvantage. Failure to address these fundamental social determinants in early life contributes to life-long disadvantage.

When the British colonized Australia, they did so under a paternalistic ideology that remains evident today as Australian federal, state, territory and local governments continue to implement paternalistic policies. Paternalistic policies are those that restrict choices to individuals, ostensibly in their ‘best interest’ and without their consent.

The justification of such policies is often to change individuals’ damaging behaviours; for example gambling, smoking, consumption of drugs and alcohol, or the reliance on welfare payments. Given the etymology of the word ‘paternalism’, it is little wonder that Aboriginal and Torres Strait Islander women have been the victims of extraordinarily high levels of sexism, domestic violence, marginalization, work-place lateral violence and racism.

Especially since the policies were developed and implemented from colonisation, with little or no evidence to support the need to change behaviours of the First Nations women of Australia.  The response to the impact of these paternalistic policies has resulted in an increase in prevalence in pain and trauma based behaviours such as substance abuse.

Social determining factors

Social determinants of health are about “the cause of the cause.” Poorer health outcomes are not narrowed to individual lifestyle choice or risky behaviour. Understanding the social determinants of health requires looking at the relationship between cause, social factors and health outcomes. Social factors are those societal factors that influence health throughout life and include housing, education, access to healthcare and family support.

The diagram below highlights an example of the circular relationship between the causes of the social factors and the social factors themselves across a person’s life stages. The unborn Aboriginal and/or Torres Strait Islander child of parents with high drug and/or alcohol intake, low income and low education will be born into an environment influenced at the macrosocial level by history, culture, discrimination and the political economy.

This first stage of inequality can manifest in increasing risky behaviours such as smoking, drinking, unhealthy eating, and lack of exercise or imprisonment. These behaviours have been associated with intellectual impairment that continues through all life stages.[ii] Quite often the continuous exposure to drugs and alcohol from adults becomes part of the child’s assumption of the normality of risk-taking behaviour and the cycle continues.

Tragically, at times the child born into this situation may commit suicide. Indigenous young people are as much as five times more likely to commit suicide as their non-Indigenous peers. Or the child may end up in prison, and although Indigenous women make up 2% of the adult female population 2% of the adult female populationin Australia they make up 27 to 34% of the female prison population across jurisdictions (see also here). T

he imprisonment of women causes an upheaval in their lives and that of their families and for Indigenous women it also creates a breakdown in their world view and to all that is connected to their world view.

Diagram 1: Relationship between ‘the cause’ and life stages

Relationship between causes, social factors and life stages

Social and economic circumstances have a profound impact on individual experiences of inequity, yet within a neoliberal framework the individual is blamed for making poor choices. The government’s failure to acknowledge or address the causes which shape the social factors that in turn underpin individual lifestyle “choices” reveals a disinterest in addressing the socio-structural causes of illness and health.

When governments invest long-term resources and time into understanding the socio-structural causes of illness and health, they will recognize that Aboriginal and Torres Strait Islander women are constantly subjected to unnecessary inequalities that mitigate against making positive lifestyle choices for future generations.

Structured inequities within society are based on unequal distribution of power, wealth, income and status. A woman’s ability to move up and down the class system is directly impacted by socioeconomic position or status – including education, employment and income.

This truth epitomizes the gross inequalities that continue to exist in Australian society. Inequities in health are heightened because social class not only includes education, employment and income but also differential access to power. Social class structures are characterized by factors including race, sex/gender, ethnicity, Indigeneity and religion. Fundamentally, it is structural issues of class and political disadvantage that place Aboriginal and Torres Strait Islander women close to the bottom of the socioeconomic ladder.

Political determinants

From colonization of Australia until the present day, the policy decisions for Aboriginal and Torres Strait Islander people made by National, State and Territory governments, churches and other institutions have had dire effects on Indigenous peoples’ health and well-beingInequitable policies contributed to inequalities in health resulting from unequal distribution of power and resources between Indigenous and non-Indigenous people.

The impact of policies which fail to take a holistic view on Indigenous population health reflects a political failure of the system with regard to the basic human rights of Aboriginal and Torres Strait Islander people and their good health and well-being.

Denial of a human right directly violates a person’s right to self-determination. These rights should be protected by a covenant to which Australia is a signatory—The International Covenant on Civil and Political Rights (1966) (The Covenant). It states that “all peoples have the right of self-determination. By virtue of that right they freely determine their political status and freely pursue their economic, social and cultural development” (Article 1 Section 1).

The level of Australia’s commitment to this covenant became questionable with the implementation of The Northern Territory National Emergency Response (the Intervention) in 2007. This was a federal government action that ignored one of its own government-funded reports highlighting the critical importance of working with Aboriginal and Torres Strait Islander people in the design and implementation of initiatives for their communities. In less than six months, following the politically motivated “Intervention” that was introduced just prior to an election, the Australian parliament introduced a complex legislative package consisting of five Bills, all 450 pages long and passed in parliament on the same day.

The bills were primarily associated with welfare reform. In 2008, a national emergency response by the Australian government took effect and was administered across all of the Northern Territory using the political rationale ‘to protect Aboriginal children’. This appeared to be an excuse to further erode Indigenous self-determination rather than to address the safety of children; as one critic pointed out, “we have witnessed the abandonment of consultation with Indigenous people, diminishing use of available statistical and research evidence and increased marginalization of the experts – especially if their views diverge from national leadership.” (p. 7)

The impact on health outcomes

Welfare data published in 2016 show that Indigenous children in the Northern Territory were being removed from families at 9.8 times more often than that of non-Indigenous children based on ‘reforms’ in the five new ‘welfare reform’ Bills.

The Northern Territory Indigenous death rates are still 2.3 times higher than those of non-Indigenous people, and Indigenous people experience assault victimization at six times the rate of non-Indigenous people (see here).

The 2014/2015 Social Survey found that fewer than half of Aboriginal and Torres Strait Islander people aged 15 years and over were employed, and males were more than twice as likely as females to be working full time.

The deplorable outcomes of these politically motivated policies are most clearly illustrated by the understanding that Aboriginal and Torres Strait Islander women between the ages of 20 and 24 years are four times more likely to commit suicide than are the other woman and between 70-60% of Indigenous women in prisons are due to them being victims of domestic violence.

Holding government accountable to policy outcomes

These outcomes demonstrate the political failure of Australian governments at national, state, territory and local levels to work with the Aboriginal and Torres Strait Islander people, and the lack of integrity surrounding equitable policy administration, leadership and governance.

Many policies developed for Aboriginal and Torres Strait Islanders over a long period of time have contributed to the shameful inequity in Australian society between Indigenous and non-Indigenous people. This level of inequity is even more dramatic with regard to Indigenous women.

The Covenant is neither the first Human Rights Charter that Australia has signed nor the first it has violated to the disadvantage of Aboriginal and Torres Strait Islander women, their health and well-being (and of the entire Indigenous population). Australia played a key role as one of eight nations involved in developing the United Nations’ Universal Declaration of Human Rights, when Australian Dr HV Evatt was the President of the United Nations General Assembly.

Until a referendum allowed Aboriginal and Torres Strait Islander people to become citizens, there was scant regard to Article 2: “Everyone is entitled to all the rights and freedoms set forth in this Declaration, without distinction of any kind, such as race, colour, sex, language, religion, political or other opinion, national or social origin, property, birth or other status”. The Australian government is disregarding its own stated ideals when it disregards the rights of Indigenous Australians.

The gap in health outcomes between Aboriginal and Torres Strait Islanders and other Australians is becoming more apparent, leading to calls for a new and more effective response. The effects of discriminative policies are now being exposed more often – thus, they become more visible. Non-Indigenous services account for 80 per cent of Indigenous expenditure, and there is a lack of transparency and clarity evaluating how these organizations address policies developed by government for Aboriginal and Torres Strait Islander people.

Fifty per cent of the Indigenous Australian population is under the age of 22and their health, as that of their elders, remains dire. Without understanding their cultural ways of doing and knowing and without working with Aboriginal and Torres Strait Islander women in making policy decisions, there will be no progress in achieving health equality for this population group.

Major changes needed

Western culture remains the dominant culture in Australian society. Its worldview has shaped Australian society and is constantly in conflict with the cultural identity and knowledge of Aboriginal and Torres Strait Islanders, including that of women. Recently,

Australian Indigenous leaders have set out a blueprint for action in the Redfern Statement.

This blueprint acknowledges that Aboriginal people have provided viable, holistic solutions. Without a change in leadership attitudes, governance and administration, Aboriginal and Torres Strait Islander women will continue to be disadvantaged, and their health will continue to suffer.

It is high time that Australian policymaking recognized the above issues and acted with integrity on the deficits because we will not have equality until Australia recognizes the impact of the political determinants of health as identified throughout this paper. Australia will never be a whole, functioning society until institutionalised oppression ceases.

References

[1] Burns, J., MacRae, A., Thomson, N., Anomie., Catto, M., Gray, C., Levitan, L., McLoughlin, N., Potter, C., Ride, K., Stumpers, S., Trzesinski, A. and Urquhart, B. (2013) Summary of Indigenous women’s health. http://www.healthinfonet.ecu.edu.au/population-groups/women/reviews/our-review.

[ii] Carson, B., Dunbar, T., Chenhall, R. and Bailie, R. (Eds.). (2007). Social determinants of indigenous health. Sydney, Australia: Allen & Unwin.

Press Release @NACCHOChair calls on the Federal Government to work with us to keep our children safe #WeHaveTheSolutions Plus comments from CEO’s @Anyinginyi @DanilaDilba

” The sexual abuse of any Aboriginal or non-Aboriginal children has got to stop.

 It is not acceptable and in no way can our communities, the Australian community at large or Governments at all levels condone this continuing.

 I welcome a thorough investigation by the Northern Territory Child Abuse Taskforce and Children’s Commissioner into this grave allegation.”

The National Aboriginal Community Controlled Health Organisation(NACCHO ) Chair John Singer said he is deeply concerned that some of our  children are being sexually interfered with.

Download Press Release NACCHO Calls on the federal government to work with us to keep our children safe – FINAL

 “According to media reports last this week, a four-year-old boy from the community of Ali Curung in the Northern Territory has been taken to Alice Springs for medical care after he was allegedly sexually assaulted on the weekend and police are investigating.”

See The Guardian article Part 2 Below

” High levels of disadvantage, alongside “vulnerable and very impoverished” communities, was putting children at risk.

What’s really tragic is that we’ve known about them [problems] for well over a decade and more, and there’s been very little sustained, concerted effort to deal with them,

What’s absolutely needed are more of the early intervention and prevention programs, better parenting programs, and a better level of education and awareness about child.”

Chief executive of the Danila Dilba Aboriginal Medical Service, Olga Havnen, is unsurprised by the most recent incident : Interview ABC

 ” The community was devastated, but not surprised by the latest allegations, and there had been a feeling of “absolute hopelessness” as community leaders beared witness to social dysfunction, alcohol abuse and child protection problems.

They are issues which are attribute to overcrowded public housing.

Resourcing across all sectors and services is what’s needed to support vulnerable families,

I think it’s just been a build-up of years and years of neglect and limited resources.”

At least 40 extra houses were needed in the area to reduce overcrowding, and reduce the risk for children.

It just allows for an explosion, if you like, to further dysfunction of Aboriginal families.

[It] just leads to total hopelessness… creating such incidents as what’s happening now where our children are being harmed.”

Barb Shaw, the chief executive of the Anyinginyi Health Aboriginal Corporation, which takes in Ali Curung.

Interview ABC

Photo: Children in the Barkly region have been calling for change. (ABC News: Jane Bardon

NACCHO Aboriginal Health Media Alert March 20

CEO Pat Turner , Olga Havnen CEO Danila Dilba and James Ward appear on #Sunrise to respond to Indigenous child protection issues #wehavethesolutions

#WeHaveTheSolutions :Government must take off the blinkers over these issues, show leadership and take the actions outlined.

1.Immediate Government action to assist families to keep their children safe. We know these are complex issues requiring urgent responses but the abuse still continues.

2.We need a comprehensive approach to child and community safety with a focus on prevention and community education.

3. Establishing a Confidential Child Help Line within Aboriginal Community Controlled Health Services by regions which is a no-brainer for any government to fund and implement in this budget cycle.

In getting better rates of disclosure, we can respond to both victims and offenders.  This is particularly important when young people are perpetrators so that they can be held to account for their behaviour and receive appropriate rehabilitation and behavioural change programs.

4.Extra resources should also be made immediately available for wrap around Families and Children Support services to work with traumatised children and their families. This requires a multi-disciplinary professional team to provide full assessment and treatment programs in our local communities. A health-led therapeutic model will deliver much better outcomes for our people.

Often as the academic evidence now suggests, perpetrators have themselves often been abused and they too require treatment not punitive punishment regimes or they will not be rehabilitated and will re-offend.

5.National plan to redress the Social Determinants of Health in Aboriginal communities throughout Australia.[1]

6.Liquor licenses :The NT Government needs to take a good hard look at the total number of liquor licenses granted and curtail them to stop the flow of alcohol. People must come before profits. The grog is killing our people and our children are exposed to the results of that every day.

Those dry communities are to be  commended for their efforts to control alcohol consumption, but the sheer number of liquor outlets at Roadhouses on the Highway and in the closest towns undermines their efforts to live safe and peacefully in their local community. Government must take off the blinkers over these issues, show leadership and take the actions outlined,” said Mr Singer.

Part 2 Boy, 16, charged with rape of four-year-old boy in remote Northern Territory community

Helen Davidson in The Guardian

Noting NACCHO press release was published in online article

A 16-year-old boy has been charged over the alleged rape of a four-year-old boy in a remote Northern Territory community.It is at least the second such incident in the Barkly region, after a two-year-old girl was sexually assaulted in Tennant Creek last month.

The 16-year-old is scheduled to appear in the Alice Springs youth court on Tuesday, to face one charge of sexual intercourse without consent.

The NT police child abuse taskforce was investigating the alleged attack, which reportedly occurred on Sunday, and said it was not seeking anyone else in relation to the matter.

The territory families minister, Dale Wakefield, said a full team of staff was on the ground as part of the child abuse taskforce.

“They are working alongside police and engaging with the family and the community,” she said.

“We have also spoken to the children’s commissioner and will keep her informed of any developments.

“It is heartbreaking for any child anywhere to be harmed. Every child deserves a childhood where they are safe and given pathways to reach their full potential.”

A 24-year-old charged with sexually assaulting a two-year-old in Tennant Creek is scheduled to appear in court in April.

That alleged incident prompted emergency measures by NT authorities, including the immediate deployment of extra Territory Families department staff and the implementation of strict alcohol restrictions on Tennant Creek.

The community where the latest alleged assault happened is one of about 100 in the NT with restrictions or bans on drinking alcohol.

Steve Edgington, the mayor of Tennant Creek, said there had been “immediate learnings” after the alleged assault in his town.

Edgington said there was a clear need to decentralise government resources and divert them to identified hotspots of disadvantage.

“What needs to be done is a full audit of where these particular incidents are happening,” he said.

“I’m sure they’re happening elsewhere. We need to allocate resources to where these incidents are, tackling issues from the ground up. It’s just critical – children need to be safe in our communities.”

Edgington said most resources in the Barkly region were based in Tennant Creek and there were a number of small remote communities nearby where governments could look at what resources were allocated for child protection and welfare, housing, and other areas.

On Monday the NT chief minister, Michael Gunner, said extra Territory Families staff had been deployed to the community and the incident would also be referred to the children’s commissioner.

“This is an extremely disturbing incident,” he told the ABC. “Every child, no matter where they live, deserves to be in a safe environment.”

[1] http://www.who.int/violenceprevention/publications/en/index.html and Canadian Red Cross, Ten Steps to Creating Safe Environments, 2nd Edition How organizations and communities can prevent, mitigate and respond to interpersonal violence 2011

NACCHO Aboriginal Health and #Cultural Safety Media Debate : The Truth behind the Nurses Code of Conduct and the false claims enforcing #WhitePriviledge “to apologise to #Indigenous clients for being white’

 

” National media outlets ( Including Peta Credlin on SkyNews and News Corp Newspapers see Part 5 below plus Today Tonight SA ) have aired wrongful claims that the codes would force white nurses to ‘apologise to Indigenous clients for being white’.

The codes do not say that – that idea was invented and then pushed on these media programs.

These stories were not based in facts, but seem to have been driven by the partisan politics of a fringe nursing group, and conservative politicians who have been approached to comment on the wrongful claims.

I am sure that some of our nursing and midwifery members and community will be hearing disturbing claims.

Let me be clear, nurses and midwives under the new code do not have to announce their ‘white privilege’ before treating Indigenous clients.

 I am really proud of these new codes, and not only because the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) contributed to their development, which included extensive consultation across nursing and midwifery and at the time no one opposed the inclusion of cultural safety “

Janine Mohamed CEO CATSINaM see IndigenousX  Part 1 below

Read over 90 NACCHO Aboriginal Health and Racism articles published last 6 Years

Read 30 NACCHO Aboriginal Health and Cultural Safety published last 6 years

” It is clear from the 2018 Closing the Gap Report tabled by Prime Minister Turnbull in February 2018 that Aboriginal and/or Torres Strait Islander Peoples still experience poorer health outcomes than non-Indigenous Australians.

It is well understood these inequities are a result of the colonisation process and the many discriminatory policies to which Aboriginal and/or Torres Strait Islander Australians were subjected to, and the ongoing experience of discrimination today.

All healthcare leaders and health professionals have a role to play in closing the gap.

The approach the NMBA has taken for nurses and midwives (the largest workforce in the healthcare system) by setting expectations around culturally safe practice, reflects the current expectations of governments to provide a culturally safe health system.

(For more information please see the COAG Health Council 4 August 2017 Communiqué).

Combined Press Release Nursing and Midwifery Board of Australia ,The Australian Nursing and Midwifery Federation, the Australian College of Nursing, the Australian College of Midwives and the Congress of Aboriginal and Torres Strait see in full Part 2 Below

 ” I was stunned to read businessman Graeme Haycroft’s comments regarding nurses and indigenous Australians on the weekend, as part of his criticism of the new NMBA Codes and the term cultural safety which is defined in a glossary connected to the codes.

These codes were the subject of lengthy consultations with the professions of nursing and midwifery and other stakeholders including community representatives.

This review was comprehensive and evidenced-based. Our union and our national body the Australian Nursing Midwifery Federation (ANMF) were active participants in these consultations.

The codes, written by nurses and midwives for nurses and midwives, seek to ensure the individual needs and backgrounds of each patient are taken into account during treatment.”

QNMU Secretary Beth Mohle issued a statement clarifying misleading comments in the media around the NMBA’s new Codes of Conduct for nurses and midwives: See in Full part 3 Below

And just to reinforce that point, the entire premise for the segment was false.

There is no requirement for nurses to apologise for being white, which would be very awkward for the more the more than 1500 Indigenous nurses across Australia, and the countless others who also aren’t white to begin with. But, even for the nurses who are – THERE IS NO REQUIREMENT FOR THEM TO APOLOGISE FOR BEING WHITE.

So, why on Earth would Today Tonight run such a story?

Why would they base a story off the demonstrably false allegations of this Graeme Haycroft person? “

The truth behind the Nursing Code of Conduct lie ; Indigenous X Article Read in full Part 4

Watch Today Tonight TV

If you thought nursing was about quality health care, think again.

According to the Nursing and Midwifery Board of Australia, “’cultural safety’ is as important to quality care as clinical safety”. And there’s no objective test of ‘cultural safety’; it’s determined, so the Board says, by the “recipient of care”. You see, it’s not just what the nurse does that matters but “how a health professional does something”.”

Nurses’ Code of Conduct undermines those who care

 

So who is this Graeme Haycroft

Businessman . Director of Queensland Association Services Group (QAS Group), Political activist , Anti Unionist

And according to peak Nurses groups Graeme has has no previous health experience or qualifications

From a recent BIO

Graeme has spent a lifetime working in industrial relations and was the man who set up Haycroft Workplace Solutions, leading provider of workplace consulting and management that has nearly 2000 workers on the payroll.

He is chair of the Liberal National Party’s labour market policy committee, active in the HR Nicholls Society, is a regular commentator on labour market issues, and has published his thoughts in such places as the IPA Review, Courier Mail and Online Opinion. But Graeme’s most important contributions have come through what he has done, not what he has written or said.

In the 1990s Graeme famously fought the Australian Workers’ Union to set up sub-contracting for shearers in Charleville, and went on to battle the CMFEU in helping to set up union-free high-rise construction sites. When the Howard government allowed Australian Workplace Agreements (AWAs), Graeme was instrumental in creating the most widely copied template in the country, and his business helped set up about 30,000 agreements.

Lately, Graeme has been working on a exciting new project with the potential to fundamentally change the role and power of unions in this country, while improving services for workers.

He is not waiting for politicians to act; he is changing the system himself… and after years of planning he is finally ready to show us how.

So who is this new Nurses Professional Association of Queensland ? 

Queensland Association Services Group QAS Group and Sajen Legal have established a new business model for Employee Associations Queensland Association Services Group (QAS Group), who are the contracted service providers for the  NPAQ, in conjunction with Sajen Legal have developed and set up a new association business  model.

Extract from NPAQ website

Working with a small group of dedicated and experienced nurses, they have built in a strict separation  between the money earned and spent on the one hand, and the control of the Association on the other.

To launch NPAQ, the  QAS Group , have backed the provision of services for ten years under contract. They have provided all of the seed funding for the administrative and legal services including the member  Professional Indemnity Insurance policy required of the Association..

Whilst it will be many years before all the seed funding is fully repaid, at the end of our second year, the membership income was sufficient to fund all the running expenses of the NPAQ

 ” And they quote no party politics

The NPAQ executive is resolute that there will be no party politics. Every cent of your NPAQ membership money is spent on nurse services and issues

When NACCHO pointed out that NursesPAQ was ”  using the definitions of two America right wing commentators to justify mounting a political membership campaign in which you sensationalise and falsely quote out of context  aspects of our Indigenous cultural safety in Australia ”

These videos were then removed from the NPAQ news page

http://www.npaq.com.au/news.php

Part 1 Janine Mohamed CEO CATSINaM

Originally Published Indigenous X

I rang my dad over the weekend. We’d hardly begun yarning before he asked me: “What’s this about white nurses having to apologise to us for being white?”

I could have just said, “Dad, you should know better than to believe what the mainstream media says about us.”

But instead I took the time to explain the truth behind recent misleading media reports on new codes of conduct for nurses and midwives.

Media outlets have aired wrongful claims that the codes would force white nurses to ‘apologise to Indigenous clients for being white’.

The codes do not say that – that idea was invented and then pushed on these media programs.

As Luke Pearson recently wrote for IndigenousX, these stories were not based in facts, but seem to have been driven by the partisan politics of a fringe nursing group, and conservative politicians who have been approached to comment on the wrongful claims.

I took the time to have the conversation with my Dad because it is important people understand how significant these new codes are for efforts to improve the care of our people, hence I thought it important to reach out to the readers of IndigenousX too.

I am sure that some of our nursing and midwifery members and community will be hearing disturbing claims.

Let me be clear, nurses and midwives under the new code do not have to announce their ‘white privilege’ before treating Indigenous clients.

I also had the conversation because, to be honest, I am really proud of these new codes, and not only because the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) contributed to their development, which included extensive consultation across nursing and midwifery and at the time no one opposed the inclusion of cultural safety.

We are delighted the Nursing and Midwifery Board of Australia (NMBA) listened to CATSINaM in developing these new codes, and took on board our advice that cultural safety should be recognised as an integral part of ethical and competent professional practice. Further, they cited some of our work at CATSINaM in materials supporting the code.

CATSINaM has been at the forefront of advocating for cultural safety training for health professionals at all levels of health systems in order to improve care for both Indigenous clients and their families. Improving the cultural safety of workplaces is also a vital strategy for improving the recruitment and retention of Indigenous health professionals and staff. We need more of our people in the health system.

Rather than being criticised by sensationalist, inaccurate reports, the NMBA deserves credit for showing leadership in the area of cultural safety. They have set a great example for other health professions and organisations. It wouldn’t be the first time that nurses and midwives have been at the forefront of leading change.

In fact, this is also not the first time this has happened. In many ways, Australia is playing a game of ‘catch up’.

In New Zealand, cultural safety is part of the nursing and midwifery code of conduct and also in the laws that nurses and midwives must follow to be registered to practice. This happened well over 10 years ago because many Maori nurses worked hard for many years to teach their non-Maori colleagues about cultural safety and gain their support so they could provide better care for their people. This is considered completely normal in New Zealand.

Under the new codes, which took effect on 1 March, nurses and midwives must take responsibility for improving the cultural safety of health services and systems for Aboriginal and Torres Strait Islander clients and colleagues.

They are required to provide care that is “holistic, free of bias and racism”, and to recognise the importance of family, community, partnership and collaboration in the healthcare decision-making of Aboriginal and/or Torres Strait Islander people.

The codes advocate for culturally safe and respectful practice and require nurses to understand how their own culture, values, attitudes, assumptions and beliefs influence their interactions with people and families, the community and colleagues (for more information on our position on Cultural Safety please visit our website).

As part of such reflexive practice, nurses and midwives are encouraged to consider issues, such as white privilege, and how this can affect the assumptions and practices they bring to the care of clients and how they interact with their families. It must be said that privilege has been discussed in Australia for some time – although we are more used to talk about class privilege in Australia – those who have more financial resources compared to those who don’t.

Over time we have recognised there different forms of privilege – men have male privilege in contrast to women. Able-bodied people have able-bodied privilege compared to people living with different types of disabilities. Heterosexual people have heterosexual privilege compared to people who are lesbian, gay, bisexual, transgender, intersex or queer. Not to mention what we have been socialised to believe is normal!

Many people have campaigned for decades to help us learn about these different forms of privilege and do something to change inequity they cause. This has involved education, advocacy, legislation, policies and professional codes of conduct. The acknowledgement of these different forms of privilege and the non-acceptance of biased treatment has resulted in improved circumstances for women, people living with disabilities and lesbian, gay, bisexual, transgender, intersex or queer people. But there is still a long way to go in all of these areas, and especially so where they intersect.

There has been considerable work over the last 20-30 years to talk about white privilege and address the inequity that many white Australians don’t see or realise is there, although Aboriginal and Torres Strait Islander Australians live this every day.

Cultural safety training does include examining how Indigenous people have been locked out of the opportunities that most white people take for granted by past policies and this has resulted in intergenerational exclusion and Indigenous disadvantage. This means that white privilege is one of the areas that people must explore and understand. This is what the codes are asking nurses and midwives to do – to think this through so they do not make incorrect and unhelpful assumptions based on their idea of what is normal for non-Indigenous Australians, particularly white Australians.

A glossary accompanying the new codes cites CATSINaM materials. It identifies that the concept of cultural safety was developed more than 20 years ago in a First Nations’ context (in New Zealand) and holds that the recipient of care – rather than the caregiver – determines whether care is culturally safe. That means you determine if the care you receive is culturally safe.

Instead of providing care regardless of difference, such as when people say ‘I treat everyone the same’, to providing care that takes account of peoples’ unique needs. This includes their cultural needs.

While this is important for Indigenous clients, it also has the potential to improve all clients’ care by encouraging health practitioners to be more reflexive and responsive to the needs of different clients.

Despite what recent headlines might have us believe, there is widespread support for cultural safety’s implementation across the health system.

The National Aboriginal and Torres Strait Islander Health Plan: 2013-2023 (2015) and its associated Implementation Plan (both available here) identify the importance of cultural safety in addressing racism in the health system, and many health services already provide cultural safety training for their staff.

The Australian Nursing and Midwifery Federation, the Australian College of Nursing, the Australian College of Midwives are united with CATSINaM in strongly supporting the guidance around cultural safety in the new codes of conduct.

The Council of Deans of Nursing and Midwifery also considers cultural safety an integral part of competencies for registered nurses and midwives. Providing culturally safe care that is free from racism should be a normal expectation. All health professionals learning about cultural safety and building it into their codes of conduct is a very important step to this becoming a reality. Hence nurses and midwives are currently required to study Aboriginal and Torres Strait Islander health, culture, history, and cultural safety as part of their study programs.

Cultural safety is talked about and implemented in other fields, including education, and family and community services, although people in these fields are still learning about it so it is not always standard practice yet. In fact, CATSINaM recommended cultural safety training for journalists in our submission to the recent Senate Inquiry into the future of public interest journalism, and the latest media fracas indicates just how sorely this is needed.

It is important that we continue these conversations about the importance of cultural safety for healthcare and other systems – they are potentially life-saving.

 

For readers who wish to contribute to the discussion, I suggest you read the joint statement from nursing and midwifery organisations and the codes of conduct, which can be downloaded here.

Part 2

In response to Graeme Haycroft’s recent comments, we welcome the opportunity to provide further information on how important cultural safety is for improving health outcomes and experiences for Aboriginal and Torres Strait Islander Peoples.

It is clear from the 2018 Closing the Gap Report tabled by Prime Minister Turnbull in February 2018 that Aboriginal and/or Torres Strait Islander Peoples still experience poorer health outcomes than non-Indigenous Australians. It is well understood these inequities are a result of the colonisation process and the many discriminatory policies to which Aboriginal and/or Torres Strait Islander Australians were subjected to, and the ongoing experience of discrimination today.

All healthcare leaders and health professionals have a role to play in closing the gap.

The approach the NMBA has taken for nurses and midwives (the largest workforce in the healthcare system) by setting expectations around culturally safe practice, reflects the current expectations of governments to provide a culturally safe health system. (For more information please see the COAG Health Council 4 August 2017 Communiqué).

Culturally safe and respectful practice is not a new concept. Nurses and midwives are expected to engage with all people as individuals in a culturally safe and respectful way, foster open, honest and compassionate professional relationships, and adhere to their obligations about privacy and confidentiality.

Many health services already provide cultural safety training for their staff. Cultural safety is about the person who is providing care reflecting on their own assumptions and culture in order to work in a genuine partnership with Aboriginal and Torres Strait Islander Peoples.

Nurses and midwives have always had a responsibility to provide care that contributes to the best possible outcome for the person/woman they are caring for. They need to work in partnership with that person/woman to do so. The principle of cultural safety in the new Code of conduct for nurses and Code of conduct for midwives (the codes) provides simple, common sense guidance on how to work in a partnership with Aboriginal and Torres Strait Islander Peoples. The codes do not require nurses or midwives to declare or apologise for white privilege.

The guidance around cultural safety in the codes sets out clearly the behaviours that are expected of nurses and midwives, and the standard of conduct that patients and their families can expect. It is vital guidance for improving health outcomes and experiences for Aboriginal and Torres Strait Islander Peoples.

The codes were developed through an evidence-based and extensive consultation process conducted over a two-year period. Their development included literature reviews to ensure they were based on the best available international and Australian evidence, as well as an analysis of complaints about the conduct of nurses and midwives to ensure they were meeting the public’s needs.

The consultation and input from the public and professions included working groups, focus groups and preliminary and public consultation. The public consultation phase included a campaign to encourage nurses and midwives to provide feedback.

The Australian Nursing and Midwifery Federation, the Australian College of Nursing, the Australian College of Midwives and the Congress of Aboriginal and Torres Strait Islander Nurses and Midwives all participated in each stage of the development and consultation of the new codes. The organisations strongly support the guidance around cultural safety in the codes for nurses and midwives.

Lynette Cusack

Chair Nursing and Midwifery Board of Australia

Ann Kinnear

CEO
Australian College of Midwives (ACM)

Kylie Ward

CEO
Australian College of Nursing (ACN)

Janine Mohamed

CEO
Congress of Aboriginal and Torres Strait Islander Nurses
and Midwives

Annie Butler

A/Federal Secretary Australian Nursing and Midwifery
Federation

For more information:

Part 3 QNMU Secretary Beth Mohle has issued a statement clarifying misleading comments in the media over the weekend around the NMBA’s new Codes of Conduct for nurses and midwives.



I was stunned to read businessman Graeme Haycroft’s comments regarding nurses and indigenous Australians on the weekend, as part of his criticism of the new NMBA Codes and the term cultural safety which is defined in a glossary connected to the codes.

These codes were the subject of lengthy consultations with the professions of nursing and midwifery and other stakeholders including community representatives. This review was comprehensive and evidenced-based. Our union and our national body the Australian Nursing Midwifery Federation (ANMF) were active participants in these consultations.

The codes, written by nurses and midwives for nurses and midwives, seek to ensure the individual needs and backgrounds of each patient are taken into account during treatment.

There’s no doubt cultural factors, including how a patient feels while within the health system, can impact wellbeing. For example, culture and background often determine how a patient would prefer to give birth or pass away.

Every day, nurses and midwives consider a range of complex factors, including a patient’s background and culture to determine the best treatment. These codes simply articulate what is required to support safe nursing and midwifery practice for all.

Mr Haycroft stated that the new code “has been sponsored and supported by the QNU to promote its party political social policy.”

This statement is disturbing on a number of levels. The Queensland Nurses and Midwives’ Union (QNMU) has repeatedly refuted Mr Haycroft’s allegations we donate to political parties. We do not. Nor are we affiliated with any political party. Yet Mr Haycroft continues to repeat these claims.

Secondly, this statement demonstrates a failure to understand the basics. It is the Nursing and Midwifery Board of Australia (NMBA) that regulates the practice of nurses and midwives through its standards, codes and guidelines.

The QNMU actively participates in NMBA consultations and represents the interests of our members individually and collectively.  However, the new codes have not been “sponsored” by our union.

As a not-for-profit organisation run by nurses and midwives for nurses and midwives, the QNMU will remain steadfastly focused on advancing the values and interests of our members and the safety of those in their care.  We will not be diverted by the political or business agendas of others.

Author Luke Pearson Indigenous X

But first tonight, the contentious new code telling nurses to say “sorry for being white” when treating their Indigenous patients.

That’s how Today Tonight Adelaide began last night.

It continued:

“Now, it’s the latest in a string of politically correct changes for the health industry, but this one has led to calls for the Nursing Board boss to resign.”

It was followed by a five minute story with the new code being condemned by someone you’ve probably never heard of, Graeme Haycroft, explaining that:

“According to how the code is written, the white nurse would come in and say, ‘before I deal with you, I have to acknowledge to you that I have certain privileges that you don’t have” followed by Cory Bernardi calling it divisive.

It goes on in this vein for a full five minutes before it cuts back to the presenter, who finally says, “The Nursing and Midwifery Board has told us that the code was drafted in consultation with Aboriginal groups and has been taken out of context as it’s not a requirement for health workers to declare or apologise for white privilege”.

And just to reinforce that point, the entire premise for the segment was false. There is no requirement for nurses to apologise for being white, which would be very awkward for the more the more than 1500 Indigenous nurses across Australia, and the countless others who also aren’t white to begin with. But, even for the nurses who are – THERE IS NO REQUIREMENT FOR THEM TO APOLOGISE FOR BEING WHITE.

So, why on Earth would Today Tonight run such a story?

Why would they base a story off the demonstrably false allegations of this Graeme Haycroft person?

To answer that, it might useful to cut back to a 2005 Sydney Morning Herald story about Mr Haycroft:

“A member of the National Party and the H.R. Nicholls Society, he (Mr Haycroft) boasts that, because of a tussle he had with the Australian Workers Union 15 years ago, the union does not have a single member shearing sheep in south-western Queensland today.

Now he runs a labour hire firm with a thriving sideline in moving small-business employees off awards and collective agreements and onto the Federal Government’s preferred individual contracts, Australian Workplace Agreements.

…Mr Haycroft’s business stands out because he is targeting lower-skilled, lower-paid workers, often with poor English – the people unions say have much to fear from individual contracts.”

Cut back to 2018, and Graeme Haycroft now runs the Nurses Professional Association of Queensland, which promotes itself as an alternative to the Qld Nurses Union.

So, a man with a long history of fighting Unions, who ‘saved’ the mushroom farming business by showing businesses how to move “small-business employees off awards and collective agreements and onto the Federal Government’s preferred individual contracts, Australian Workplace Agreements.”

According to the 2005 article, “Mr Haycroft said workers had been more than happy to sign on, most with their penalty rates, holiday pay and other conditions being rolled into a flat rate.”

“However, [there is always a ‘however’], Mr Haycroft was stripped of his preferred provider status with the Office of the Employment Advocate on Thursday, after a Sydney picker, Carmen Walacz Vel Walewska, said she was sacked after she contacted the Australian Workers Union for advice on AWAs.”

With that track record, it’s hard to imagine why nurses would want to leave their current union in favour of his ‘professional association’.

It seems as though, once again, Indigenous people have become a political football and a convenient scapegoat for issues that have nothing to do with us.

Queensland has a long history of political success found through anti-Aboriginal sentiment, so what better way to undermine a Union and recruit new members to a professional association than to accuse the Union of ‘racism against white people’ and ‘political correctness gone made’ by spreading the blatantly false and misleading accusation that white nurses now have to apologise to Aboriginal people for being white?

And just like Dick Smith’s anti-immigration campaign, Blair Cottrell’s anti-African ‘community safety group’, and Prue McSween’s call for a new Stolen Generation, it seems Channel 7 is always more than happy to ignore the facts and sensationalise issues about race and racism.

There is always one more thing.

We, and others, will soon publish articles explaining what the Code of Conduct actually calls for, and explain why cultural competence and cultural safety are important (editor’s note: we did, here’s one of them), but I can’t help but be reminded of this quote from Toni Morrison:

“The function, the very serious function of racism is distraction. It keeps you from doing your work. It keeps you explaining, over and over again, your reason for being. Somebody says you have no language and you spend twenty years proving that you do. Somebody says your head isn’t shaped properly so you have scientists working on the fact that it is. Somebody says you have no art, so you dredge that up. Somebody says you have no kingdoms, so you dredge that up. None of this is necessary. There will always be one more thing.”

So, instead of working on the very real business of ensuring best practice within the nursing industry, our Indigenous experts in this area will have to take a few days away from this important work to explain that no one is asking for white nurses to apologise for being white.

Just like we have to explain that not all Aboriginal parents abuse their children, or that we don’t want to steal white people’s backyards, or that we had (and have) science, or that Australia wasn’t Terra Nullius, or, as Malcolm Turnbull suggested last year, that acknowledging Indigenous history and addressing the issue of colonial statues and place names across Australia is not a “Stalinist exercise of trying to wipe out or obliterate or blank out parts of our history”.

So long as Australian media and politics finds value, profit and opportunity in promoting racism, there will always be one more thing.

So, I might as well clear up a few others while I’m here, and empty a few more buckets out of the endless ocean of racist misinformation.

Child abuse isn’t a ‘cultural’ thing.

Police are not scared to arrest Aboriginal people out of fear of being called racist.

We don’t get free houses.

Aboriginal people using white ochre on their faces in dance and ceremony is not the same thing as white people dressing up in blackface.

We don’t get free university.

The Voice to Parliament is not a third chamber of parliament.

We are not the problem.

Anything else?

We aren’t vampires?

We don’t shoot laser beams out of our eyes?

We aren’t secretly developing a perpetual motion machine that runs on white tears?

I’m sure I, and countless others, will undoubtedly need to keep adding to this list because, as Toni Morrison tells us, there will always be one more thing.

If you thought nursing was about quality health care, think again.

According to the Nursing and Midwifery Board of Australia, “’cultural safety’ is as important to quality care as clinical safety”. And there’s no objective test of ‘cultural safety’; it’s determined, so the Board says, by the “recipient of care”. You see, it’s not just what the nurse does that matters but “how a health professional does something”.

According to the commissars at the Board, “’cultural safety’ represents a key philosophical shift from providing care regardless of difference, to care that takes account of peoples’ unique needs”.

Changes to the Code mark a philosophical shift in the industry. (Pic: supplied)

What this means is that nurses are no longer required to be colourblind; instead, they must see colour and treat patients differently because of it.

According to the Code, the Board declares, “cultural safety provides a decolonising model of practice based on dialogue, communication, power sharing and negotiation and the acknowledgment of white privilege” (no, I am not making this up — it’s on page 15 of the Code effective 1 March 2018).

The Board decrees that “non-indigenous nurses must address how they create a culturally safe work environment that is free of racism”. Now I know many nurses, including my sister who has spent 20 years working selflessly in indigenous communities, and the idea that they are subtly racist or even insensitive to their patients’ needs is as offensive as the leftist sanctimony that has infected their professional body.

The changes to the Code were endorsed by COAG. (Pic: iStock)

When a body representing some nurses had the temerity to complain about this, Board Chair Associate Professor Lynette Cusack disdainfully replied that it had been endorsed by COAG.

Well, I checked with the Federal health minister Greg Hunt and that’s not accurate. The Minister’s own advice from his Chief Nursing Officer and health department noted that “while the Commonwealth Department of Health provided feedback in the public consultation process, the final changes to cultural safety were made after (this) process. The Department did not see the final version until it was publicly released in March 2018.”

Greg Hunt is one of the smartest politicians I know; I didn’t think he would have let this get through, had he known about it, without a fight.

NACCHO Aboriginal Health #CloseTheGap Press Release : Download a 10 year Review : The #ClosingTheGap Strategy and 6 Key Recommendations to #reset

The life expectancy gap has in fact started to widen again and the Indigenous child mortality rate is now more than double that of other children.

This is a national shame and demands an urgent tripartite health partnership. This must be high on the agenda at tomorrow’s COAG meeting.”

In a departure from the campaign’s usual report, this year’s review focusses on the decade since the 2008 signing of the Close the Gap Statement of Intent.”

Close the Gap Campaign Co-Chair and Aboriginal and Torres Strait Islander Social Justice Commissioner, June Oscar AO, said the Close the Gap strategy began in 2008 with great promise but has failed to deliver.

 Read  CTG call for urgent action to address national shame press release Part 2

Download the 40 Page review HERE

CTG 2018_FINAL_WEB

 

“ The Close the Gap refresh being considered by the COAG provides an opportunity to reflect upon and reform current policy settings and institutionalised thinking,

The Close the Gap targets should remain, as should the National Indigenous Reform Agreement framework and associated National Partnership Agreements. They serve to focus the nation and increase our collective accountability.

What we need however is radically different action to achieve the targets

This starts with Aboriginal and Torres Strait Islander peoples, their community controlled health organisations and peak representatives having a genuine say over their own health and wellbeing and health policies.

“Increased funding is needed for ACCHOs to expand in regions where there are low access to health services and high levels of disease, and in areas of mental health, disability services and aged care.

ACCHOs have consistently demonstrated that they achieve better results for Aboriginal and Torres Strait Islander peoples, at better value for money.

NACCHO Chairperson, Mr John Singer.

Download NACCHO Press Release

1. NACCHO media release CtG – FINAL

Download NACCHO Press Background Paper

2. NACCHO media release ATTACH CTG – FINAL 10 Years On

Part 1 NACCHO Press Release : Increased support to Aboriginal Community Controlled Health Organisations needed to Close the Gap in life expectancy gap

The National Aboriginal Community Controlled Health Organisation (NACCHO) calls for urgent and radically different action to Close the Gap.

“The Council of Australian Governments’ (COAG) commitment to Close the Gap in 2007 was welcome.

It was a positive step towards mobilising government resources and effort to address the under investment in Aboriginal and Torres Strait Islander peoples’ health”, said NACCHO Chairperson, Mr John Singer.

“But ten years on the gap in life expectancy between Aboriginal and Torres Strait Islander peoples and non-Indigenous Australians is widening, not closing.

Jurisdictions currently spend $2 per Aboriginal and Torres Strait Islander for every $1 for the rest of the population whereas the Commonwealth in the past has spent only $1.21 per Aboriginal and Torres Strait Island person for every $1 spent on the rest of the population. NACCHO calls for the Commonwealth to increase funding to Close the Gap”, said John Singer.

NACCHO is a proud member of the Close the Gap Campaign and stands by its report released today: ‘A ten-year review: the Closing the Gap Strategy and Recommendations for Reset’.

The review found that the Close the Gap strategy has never been fully implemented. Underfunding in Aboriginal and Torres Strait Islander health services and infrastructure has persisted – funding is not always based on need, has been cut and in some cases redirected through mainstream providers.

The role of Aboriginal Community Controlled Health Organisations (ACCHOs) in delivering more successful care for Aboriginal and Torres Strait Islander peoples than the mainstream service providers is not properly recognised.

A health equality plan was not in place until the release of the National Aboriginal and Torres Strait Islander Health Plan Implementation Plan 2015, and this is unfunded.

And despite the initial investment in remote housing, there has not been a sufficient and properly resourced plan to adequately address the social determinants of health.

The framework underpinning the Close the Gap strategy – a national approach and leadership, increased accountability, clear roles and responsibilities and increased funding through National Partnership Agreements – has unraveled and in some cases been abandoned altogether.

A comprehensive and funded Indigenous health workforce is required to improve the responsiveness of health services to Aboriginal and Torres Strait islander peoples and increase cultural safety.

A boost in disease specific initiatives is urgently needed in areas where Aboriginal and Torres Strait Islander peoples have a high burden of disease or are particularly vulnerable, like ear health and renal disease, delivered through ACCHOs.”

“There also needs to be a way in which NACCHO and other Indigenous health leaders can come together with COAG to agree a ‘refreshed approach’ to Close the Gap”, said Mr Singer.

NACCHO has proposed to Government a way forward to Close the Gap in life expectancy and is looking forward to working with the Australian Government on the further development of its proposals.

The only way to close the gap is with the full participation of Aboriginal and Torres Strait Islander peoples. Until Aboriginal and Torres Strait Islander peoples are fully engaged and have control over their health and wellbeing any ‘refresh’ will be marginal at best, and certainly won’t close the gap

Part 2 CALL FOR URGENT JOINT ACTION TO ADDRESS NATIONAL SHAME

Australian governments must join forces with Aboriginal and Torres Strait Islander organisations to address the national shame of a widening life expectancy gap for our nation’s First Peoples.

“It’s time for each State and Territory government to affirm or reaffirm their commitments made via the Close the Gap Statement of Intent.

“Until now, the scrutiny has rightly been on the Federal Government regarding the need for it to lead the strategy and to coordinate and resource the effort.

But it’s now time for state and territory governments to step up.

“We want to see Premiers, Chief Ministers, Health and Indigenous Affairs Ministers in every jurisdiction providing regular and public accountability on their efforts to address the inequality gaps in their State or Territory.

“No more finger pointing between governments. A reset Closing the Gap Strategy should clearly articulate targets for both levels of government and be underpinned by a new set of agreements that include Aboriginal and Torres Strait Islander peoples, their leaders and organisations.”

Last year, the Prime Minister reported that six out of the seven targets were ‘not on track’. Since then, the Federal Government has announced that the COAG agreed

Closing the Gap Strategy would go through a ‘refresh’ process.

Close the Gap Co-Chair and Co-Chair of the National Congress of Australia’s First Peoples Rod Little, said the refresh process is the last chance to get government policy right to achieve the goal of health equality by 2030.

“The Close the Gap Campaign is led by more than 40 Aboriginal and Torres Strait Islander and non-Indigenous health and human rights bodies,” Mr Little said.

“No other group can boast this level of leadership, experience and expertise. We stand ready to work together with Federal, State and Territory governments. We have the solutions.

“You must get the engagement on this right. No half measures. No preconceived policies that are imposed, rather than respectfully discussed and collectively decided.”

The Close the Gap Campaign Co-Chairs have warned that, without a recommitment, the closing the gap targets will measure nothing but the collective failure of Australian governments to work together and to stay the course.

“While the approach has all but fallen apart, we know that with the right settings and right approach, including Aboriginal and Torres Strait Islander Peoples leading the resetting of the strategy, we can start to meet the challenge of health inequality, and live up to the ideals that all Australians have a fundamental right to health,” the Co-Chairs said.

Part 3 :This review’s major findings are:

1.First, the Close the Gap Statement of Intent (and close the gap approach) has to date only been partially and incoherently implemented via the Closing the Gap Strategy:

An effective health equality plan was not in place until the release of the National Aboriginal and Torres Strait Islander Health Plan Implementation Plan in 2015 – which has never been funded. The complementary National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017-2023 needs an implementation plan and funding as appropriate. There is still yet to be a national plan to address housing and health infrastructure, and social determinants were not connected to health planning until recently and still lack sufficient resources.

The Closing the Gap Strategy focus on child and maternal health and addressing chronic disease and risk factors – such as smoking through the Tackling Indigenous Smoking Program – are welcomed and should be sustained.

However, there was no complementary systematic focus on building primary health service capacity according to need, particularly through the Aboriginal Community Controlled Health Services and truly shifting Aboriginal and Torres Strait Islander health to a preventive footing rather than responding ‘after the event’ to health crisis.

2.Second, the Closing the Gap Strategy – a 25-year program – was effectively abandoned after five-years and so cannot be said to have been anything but partially implemented in itself.

This is because the ‘architecture’ to support the Closing the Gap Strategy (national approach, national leadership, funding agreements) had unraveled by 2014-2015.

3.Third, a refreshed Closing the Gap Strategy requires a reset which re-builds the requisite ‘architecture’ (national approach, national leadership, outcome-orientated funding agreements).

National priorities like addressing Aboriginal and Torres Strait Islander health inequality have not gone away, are getting worse, and more than ever require a national response.

Without a recommitment to such ‘architecture’, the nation is now in a situation where the closing the gap targets will measure nothing but the collective failure of Australian governments to work together and to stay the course.

4.Fourth, a refreshed Closing the Gap Strategy must be founded on implementing the existing Close the Gap Statement of Intent commitments.

In the past ten years, Australian governments have behaved as if the Close the Gap Statement of Intent was of little relevance to the Closing the Gap Strategy when in fact it should have fundamentally informed it.

It is time to align the two. A refreshed Closing the Gap Strategy must focus on delivering equality of opportunity in relation to health goods and services, especially primary health care, according to need and in relation to health infrastructure (an adequate and capable health workforce, housing, food, water).

This should be in addition to the focus on maternal and infant health, chronic disease and other health needs. The social determinants of health inequality (income, education, racism) also must be addressed at a fundamental level.

5.Fifth, there is a ‘funding myth’ about Aboriginal and Torres Strait Islander health – indeed in many Indigenous Affairs areas – that must be confronted as it impedes progress.

That is the idea of dedicated health expenditure being a waste of taxpayer funds.

Yet, if Australian governments are serious about achieving Aboriginal and Torres Strait Islander health equality within a generation, a refreshed Closing the Gap Strategy must include commitments to realistic and equitable levels of investment (indexed according to need).

Higher spending on Aboriginal and Torres Strait Islander health should hardly be a surprise.

Spending on the elderly, for example, is higher than on the young because everyone understands the elderly have greater health needs.

Likewise, the Aboriginal and Torres Strait Islander population have, on average, 2.3 times the disease burden of non-Indigenous people.[i] Yet on a per person basis, Australian government health expenditure was $1.38 per Aboriginal and Torres Strait Islander person for every $1.00 spent per non-Indigenous person in 2013-14.[ii]

So, for the duration of the Closing the Gap Strategy Australian government expenditure was not commensurate with these substantially greater and more complex health needs.

This remains the case. Because non-Indigenous Australians rely significantly on private health insurance and private health providers to meet much of their health needs, in addition to government support, the overall situation for Aboriginal and Torres Strait Islander health can be characterised as ‘systemic’ or ‘market failure’.

Private sources will not make up the shortfall. Australian government ‘market intervention’ – increased expenditure directed as indicated in the recommendations below – is required to address this.

The Close the Gap Campaign believes no Australian government can preside over widening mortality and life expectancy gaps and, yet, maintain targets to close these gaps without additional funding. Indeed, the Campaign believes the position of Australian governments is absolutely untenable in that regard.

 

In considering these findings, the Close the Gap Campaign are clear that the Close the Gap Statement of Intent remains a current, powerful and coherent guide to achieving Aboriginal and Torres Strait Islander health equality, and to the refreshment of the Closing the Gap Strategy in 2018.

Accordingly, this review recommends that:

Recommendation 1: the ‘refreshed’ Closing the Gap Strategy is co-designed with Aboriginal and Torres Strait Islander health leaders and includes community consultations.

This requires a tripartite negotiation process with Aboriginal and Torres Strait Islander health leaders, and the Federal and State and Territory governments. Time must be allowed for this process.

Further, Australian governments must be accountable to Aboriginal and Torres Strait Islander people for its effective implementation.

Recommendation 2: to underpin the Closing the Gap Strategy refresh, Australian governments reinvigorate the ‘architecture’ required for a national approach to addressing Aboriginal and Torres Strait Islander health equality.

This architecture includes: a national agreement, Federal leadership, and national funding agreements that require the development of jurisdictional implementation plans and clear accountability for implementation.

This includes by reporting against national and state/territory targets.

Recommendation 3: the Closing the Gap Strategy elements such as maternal and infant health programs and the focus on chronic disease (including the Tackling Indigenous Smoking program) are maintained and expanded in a refreshed Closing the Gap Strategy.

Along with Recommendation 2, a priority focus of the ‘refreshed’ Closing the Gap Strategy is on delivering equality of opportunity in relation to health goods and services and in relation to health infrastructure (housing, food, water).

The social determinants of health inequality (income, education, racism) must also be addressed at a far more fundamental level than before. This includes through the following recommendations:

Recommendation 4: the current Closing the Gap Strategy health targets are maintained, but complemented by targets or reporting on the inputs to those health targets.

These input targets or measures should be agreed by Aboriginal and Torres Strait Islander health leaders and Australian governments as a part of the Closing the Gap Strategy refresh process and include:

  • Expenditure, including aggregate amounts and in relation to specific underlying factors as below;
  • Primary health care services, with preference given to Aboriginal Community Controlled Health Services, and a guarantee across all health services of culturally safe care;
  • The identified elements that address institutional racism in the health system;
  • Health workforce, particularly the numbers of Aboriginal and Torres Strait Islander people trained and employed at all levels, including senior levels, of the health workforce; and
  • Health enabling infrastructure, particularly housing.

Recommendation 5: the National Aboriginal and Torres Strait Islander Health Plan Implementation Plan is costed and fully funded by the Federal government, and future iterations are more directly linked to the commitments of the Close the Gap Statement of Intent; and, an implementation plan for the complementary National Strategic Framework for Aboriginal and Torres Strait Islander Peoples’ Mental Health and Social and Emotional Wellbeing 2017-2023 is developed, costed and implemented by the end of 2018 in partnership with Aboriginal and Torres Strait Islander health leaders and communities

This will include:

  1. A five-year national plan to identify and fill health service gaps funded from the 2018-2019 Federal budget onwards and with a service provider preference for Aboriginal Community Controlled Health Services (ACCHSs). This includes provision for the greater development of ACCHS’s satellite and outreach services.
  2. Aboriginal and Torres Strait Islander health leadership, Federal, State and Territory agreements clarifying roles, responsibilities and funding commitments at the jurisdictional level.
  3. Aboriginal and Torres Strait Islander health leadership, Primary Health Network and Federal agreements clarifying roles, responsibilities and funding commitments at the regional level.

Recommendation 6: an overarching health infrastructure and housing plan to secure Aboriginal and Torres Strait Islander Peoples equality in these areas, to support the attainment of life expectancy and health equality by 2030, is developed, costed and implemented by the end of 2018.

 

 

 

 

[i]      Australian Institute of Health and Welfare 2016. Healthy Futures—Aboriginal Community Controlled Health Services: Report Card 2016. Cat. no. IHW 171. Canberra: AIHW, p. 40.

[ii]     Australian Health Ministers’ Advisory Council, 2017, Aboriginal and Torres Strait Islander Health Performance Framework 2017 Report, AHMAC, Canberra, p. 192.

NACCHO Aboriginal Health : Your Guide to #ClosetheGap Week Includes #ClosingtheGap #CtGRefresh @KenWyattMP ” Better #Indigenous Health ” @AusHealthcare Editorial

Understanding and respecting Aboriginal and Torres Strait Islander cultures—our strengths, traditions and our family, kinship, values and knowledge—is a fundamental foundation for better Indigenous health.

Consideration of the social and cultural determinants of health is vital, because a strong connection to culture correlates with good health, through strengthened identity, resilience and social and physical wellbeing.

In the words of the Prime Minister, we are committed to doing things with Aboriginal and Torres Strait Islander people, not to them, empowering local community solutions and better personal choices.

This will require the involvement of individuals, families, communities and Aboriginal organisations at all levels, in shaping the future and achieving improved health.

The Closing the Gap refresh and the next Implementation Plan will be important opportunities to build on what we have learned, and help ensure our people live better, longer and healthier lives and are able to achieve their full potential.”

Extract from Minister Ken Wyatt’s ” Better Indigenous Health ” overview in this weeks the AHHA’s  #ClosetheGap Magazine Read in Full Part 4  below

Download a copy HERE : AHHA CTG 2018 Feature

Part 1 Your #ClosetheGap Week Guide

Thursday 8 th February the #ClosetheGap Campaigns Parliamentary Breakfast 7.00 AM event and the launch of a ten-year review: the #ClosingtheGap Strategy and Recommendations for Reset.

The Prime Minister has established a group of 10 Aboriginals to inform governments this week on the next phase of the #ClosingtheGap agenda. #CTGRefresh

The Aboriginal panel will meet from 7th – 8th February.

Ministers will join the Indigenous group on the afternoon of Thursday 8th.

Friday 9th February , The 10 Indigenous participants will formally present the gathering’s proposals to the Council of Australian Governments #COAG meeting.

Monday 12 Feb, the PM provides his #ClosingtheGap report to Parliament 11.00 am

Tuesday 13 February several key events to mark 10 years since the Apology, including the public concert on the lawns of Parliament House – hosted by The Healing Foundation. #Apology10

Read 454 NACCHO Aboriginal Health #ClosetheGap articles last 6 years

NACCHO This week Monday #WorldCancerday #CloseTheGap

Tuesday Aged Elder Care #CloseTheGap

Wednesday Aboriginal Children’s Health #ClosetheGap

Part 2 #ClosingTheGap #RefreshCTG

From NACCHO Post

This is a great opportunity for people to share their ideas and opinions”

Andrea Mason, Co-Chair Indigenous Advisory Council and CEO of NPY Women’s Council

Share your views

Submissions close 5pm 31 March 2018

 ” The Australian Government, on behalf of the Council of Australian Governments (COAG), is asking all Australians for their views to help construct the next phase of the Closing the Gap agenda and has released a COAG discussion paper to support ongoing consultations that have been held this year and will continue into 2018.

Over the past decade, important progress has been made in improving health, employment and education outcomes for First Australians since Australian governments agreed to a Closing the Gap framework to address Indigenous disadvantage.

However, it is clear that the Closing the Gap agenda can be better designed and more effectively delivered. This is a view shared among Aboriginal and Torres Strait Islander people, governments and the broader community.”

Download the Discussion paper

ctg-next-phase-discussion-paper

Part 3 #Refresh CTG Example from NACCHO Member Congrees Alice Springs

Congress Alice Springs notes the Council of Australian Government’s (COAG’s) commitment in their meeting of 9 June 2017 to refreshing the Closing the Gap (CtG) agenda, “focussing on a strength-based approach that supports Indigenous advancement, working in partnership with Aboriginal and Torres Strait Islander peoples”.

As a leading Aboriginal community controlled health service with over forty years of experience in delivering improvements in services and outcomes for Aboriginal people1 in Central Australia, Congress is submitting this paper to the Taskforce that has been established in the Department of the Prime Minister and Cabinet to progress this important work.

The paper is framed around five key structural reforms to the CtG process and on eight specific social and cultural determinants of health and well being

Download HERE

Congress-input-to-CtG-Refresh-Process-FINAL-24-January-2018

 Part 4 Minister Ken Wyatt’s ” Better Indigenous Health ” overview in this weeks the AHHA’s  #ClosetheGap Magazine

Download a copy HERE : AHHA CTG 2018 Feature

The February 2018 issue was released today. It focuses on ‘Close the Gap’ and features articles including:

  • Better Indigenous health—Ken Wyatt see in full below
  • Aboriginal patient journey mapping tools—Flinders University, University of Adelaide, Port Augusta Hospital and Regional Health Unit, Royal Adelaide Hospital
  • Walk with us—Janine Mohamed, CATSINaM
  • Nutrition from first foods—Dympna Leonard
  • Check today, see tomorrow—Hugh Taylor and Mitchell Anjou, University of Melbourne

Understanding and respecting Aboriginal and Torres Strait Islander cultures—our strengths, traditions and our family, kinship, values and knowledge—is a fundamental foundation for better Indigenous health.

The Turnbull Government understands that significant factors contributing to higher rates of premature death and chronic illnesses among our people lie largely outside the traditional health system.

Consideration of the social and cultural determinants of health is vital, because a strong connection to culture correlates with good health, through strengthened identity, resilience and social and physical wellbeing.

We know that over one-third of the average health gap between Indigenous and non- Indigenous people is the result of social determinants—the implications of housing, employment, justice and education.

This rises to over 50% when combined with risky behaviours such as tobacco and alcohol use, poor diet and physical inactivity.

In 2017, the Government led the My Life My Lead consultations across the nation, listening to people, and government and non-Government agencies, sharing their experiences around the social and cultural determinants of health, with around 600 attending 13 forums.

We heard that to make significant overall improvements in Indigenous lives, including their health, we need to:

• recognise the importance of culture, family and country;

• partner with communities to build capacity;

• recognise and address the impacts of underlying trauma; and

• lift access to health, education, employment and social services.

There is a need to address systemic racism and enhance cultural competency.

The 2017 Aboriginal and Torres Strait Islander Health Performance Framework highlighted some areas of success: There has been a 44% decline in Aboriginal circulatory disease death rates between 1998 and 2015, and a 47% decline in kidney deaths; there has been a longer term 33% decline (1998–2015) in child mortality and a recent 9% drop in smoking rates.

However, we can, and must, do better.

Among my Aboriginal and Torres Strait Islander health priorities are:

• Renal health—reducing the incidence of kidney disease, with a strong focus on early intervention.

• Maternal and child health—making sure we give babies through to teenagers the best possible start in life by developing a 0–17 years approach to social, physical and emotional wellbeing.

• Men’s health—considering more of the social and cultural determinants of health.

• Eye and ear health—working on the causes of preventable blindness and hearing loss, including tackling otitis media.

• Preventable hospital admissions—with a strong focus on early intervention to keep people out of hospital.

Aboriginal and Torres Strait Islander men’s life expectancy is 10 years shorter than non- Indigenous males.

While smoking rates have improved significantly, they remain high and contribute to the largest burden of Indigenous ill health.

The $116.8 million (2015–16 to 2017–18) Tackling Indigenous Smoking program aims to further reduce these rates.

The gap in the blindness rate in Aboriginal and Torres Strait Islander people over 40, compared to non-Indigenous Australians, has halved between 2008 and 2016. The Australian Government is investing $76 million from 2013 – 14 to 2020–21 to build on this improvement.

A comprehensive approach to childhood hearing loss is combining prevention, early treatment and management of ear infections, supported by an investment of $76.4 million from 2012–13 to 2021–22.

In addition, providing a culturally safe and respectful environment within mainstream health services can help improve access to health care, as well as the effectiveness of that care.

Between July 2013 and June 2015, Aboriginal and Torres Strait Islander peoples were discharged from hospital against medical advice at seven times the rate of non-Indigenous people and were more likely to leave the emergency department without waiting to be seen.

I am pleased to be partnering with organisations including the National Aboriginal Community Controlled Health Organisation, the Australian Indigenous Doctor’s Association and the Council of Presidents of Medical Colleges to help reduce the barriers to accessing health care.

The initial focus includes improving how the health system works with Aboriginal and Torres Strait Islander peoples, ranging from enhanced cultural awareness and training for staff, through to reducing any forms of institutionalised racism.

The Cultural Respect Framework for Aboriginal and Torres Strait Islander Health 2016–2026, sponsored by the Australian Health Ministers’ Advisory Council, commits all state and territory governments to embedding the principles of cultural respect into the health system.

The next Implementation Plan for the National Aboriginal and Torres Strait Islander Health Plan, due in 2018, will recognise the importance of culture in finding solutions, and focus on the factors that promote resilience, foster a sense of identity and support good mental and physical health and wellbeing for individuals, families and communities.

In the words of the Prime Minister, we are committed to doing things with Aboriginal and Torres Strait Islander people, not to them, empowering local community solutions and better personal choices.

This will require the involvement of individuals, families, communities and Aboriginal organisations at all levels, in shaping the future and achieving improved health.

The Closing the Gap refresh and the next Implementation Plan will be important opportunities to build on what we have learned, and help ensure our people live better, longer and healthier lives and are able to achieve their full potential.

 

 

Aboriginal Community Controlled and Health Sector : 30 plus #JobAlerts Includes @ahmrc #Nursing @Nganampa_Health @IUIH_ @CAACongress This week #TopJobs #CEO Jobs in #SA and #WA

This weeks #Jobalerts

Please note  : Before completing a job application please check with the ACCHO that the job is still open

This weeks top job

Chief Executive Officer

Location: Carnarvon, WA
Employment Type: Full time/ Permanent
Remuneration: Salary and employment conditions will be commensurate with qualifications and experience and will be negotiated with the successful applicant

About the Organisation

Carnarvon Medical Services Aboriginal Corporation (CMSAC) is an Aboriginal Community Controlled Health Service established in 1986. CMSAC aims to provide primary, secondary and specialist health care services to Carnarvon and the surrounding region.

About the Opportunity

CMSAC has a highly rewarding opportunity for a Chief Executive Officer to lead its professional, multi-disciplinary team, based in Carnarvon, WA.

This pivotal leadership position will work directly with the Board of Directors and is responsible for the day to day management and delivery of high quality, comprehensive and culturally appropriate primary healthcare services to the local Aboriginal community.

Key areas of responsibility will include (but will not be limited to):

  • Leading, directing and managing the operations of the organisation;
  • Implementing and achieving the strategic objectives and responsibilities of the organisation set by the Board of Directors;
  • Developing and fostering a high performing work environment
  • Driving and implementing cultural workplace changes;
  • Diversifying and growing revenue streams to increase service delivery;
  • Strengthening the organisation’s stakeholder relations, community engagement and patient satisfaction; and
  • Building and sustaining strong financial performance.

To view the full position description and selection criteria, please click here.

To view and download the application pack, please click here.

About YouOur successful candidate will have sound experience in a senior leadership position, along with tertiary qualifications in business and/or health.

As an inspiring and collaborative leader with a strong understanding of healthcare trends for Aboriginal and Torres Strait Islander peoples, you will work strategically to enable transformative change by strengthening the organisation and creating a sustainable future for improved health outcomes for our local Aboriginal communities.

Although not essential, experience working in an Aboriginal Community Controlled Health Service will be highly regarded.

Please Note: The successful candidate will be required to undertake a National Police Check prior to employment.

About the BenefitsFor your hard work and dedication, you will enjoy a highly attractive remuneration package plus salary sacrifice benefits. (Salary and employment conditions will be commensurate with qualifications and experience and will be negotiated with the successful applicant).

In addition, you will have access to a number of fantastic benefits including:

  • Fully furnished accommodation (exc utilities)
  • A fully maintained company vehicle for business and reasonable personal use
  • Mobile phone allowance (up to $1200 p/a)
  • 6 weeks annual leave
  • Support to further invest in your career through additional training
  • Study leave options
  • Annual leave loading
  • Employee assistance program
  • Work/life balance, with Monday – Friday hours, 8:30am – 5pm

A relocation allowance can be negotiated with the right candidate!

Closing date: Wednesday 14 February 2018 at 5pm.

APPLY HERE

 

How to submit a Indigenous Health #jobalert ? 

NACCHO Affiliate , Member , Government Department or stakeholders

If you have a job vacancy in Indigenous Health 

Email to Colin Cowell NACCHO Media

Tuesday by 4.30 pm for publication each Wednesday

 

Job Ref : N2018 -1

ACCHO Member : Congress Alice Springs

Position: Childcare Educational Leader

Location : Alice Springs

Closing Date : 9 February

More Info apply :

Job Ref : N2018 -3

ACCHO Member : Congress Alice Springs

Position: Continuous Quality Improvement Facilitator

Location : Alice Springs

Closing Date : 5th February

More Info apply :

Job Ref : N2018 -6

ACCHO Member : Congress Alice Spring

Position : Dentist

Location : Alice Springs

Closing Date : 30 january

More Info apply :

Job Ref : N2018 -7

ACCHO Member : Nunyara Aboriginal Health Service

Position: GP. General Practitioner

Location : Wyalla SA

Closing Date : 31 January

More Info apply :

Job Ref : N2018 -8

ACCHO Member :

Position: Remote Chronic Disease Nurse

Location : Tjunjuntjara via Kalgoorlie WA

Closing Date : 9 February

More Info apply :

Job Ref : N2018 -9

ACCHO Member : Nganampa Health Service

Position: Remote Area Nurses and Midwives

Location : Far NW region of SA

Closing Date : 2 February

More Info apply :

Job Ref : N2018 -10

ACCHO Member : Ngaanyatjarra Health Service

Position: Alcohol & Other Drugs Counsellor

Location : Remote WA

Closing Date : 29 January

More Info apply :

Job Ref : 2018-16

ACCHO Member : Institute for Indigenous Urban Health

Position: Early Years Education Coordinator

Location : Brisbane

Closing Date : 2 February

More Info apply :

Job Ref : N2018-17

ACCHO Member : Institute for Indigenous Urban Health

Position: Clinical Optometrist

Location : Brisbane

Closing Date : 31st January

More Info apply :

Job Ref : N2018-22

ACCHO Member : Institute for Indigenous Urban Health

Position: Trainer – Aged Care and Disability

Location : Brisbane

Closing Date : 2nd February

More Info apply :

Job Ref : N2018-26

ACCHO Member : Wellington ACCHO

Position: Aboriginal Health Worker (Counsellor) – SEWB

Location : wellington NSW

Closing Date : 31ST January

More Info apply :

Job Ref : N2018-27

ACCHO Member : Wellington ACCHO

Position: Drug & Alcohol Worker- SEWB

Location : Wellington NSW

Closing Date : 31ST January

More Info apply :

Job Ref : N2018 – 32

ACCHO Member : AHMRC – NSW

Position: Policy Management Systems Officer

Location : Surry Hills – NSW

Closing Date : 19 February

More Info apply :

Job Ref : N2018 – 33

ACCHO Member : AHMRC – NSW

Position: Training and Workforce Development Coordinator

Location : Little Bay – NSW

Closing Date : 19 February

More Info apply :

Job Ref : N2018 – 34

ACCHO Member : AHMRC – NSW

Position: Finance Officer

Location : Little Bay – NSW

Closing Date : 19 February

More Info apply :

Job Ref : N2018 – 35

ACCHO Member : AHMRC – NSW

Position: Executive Support Officer

Location : Surry Hills – NSW

Closing Date : 19 February

More Info apply :

Job Ref : N2018 – 36

ACCHO Member : Stakeholder PHN Murray

Position: Aboriginal Access Advisor Intern

Location : Bendigo

Closing Date : 18 February

More Info apply :

Job Ref : N2018 – 37

ACCHO Member : Stakeholder PHN Murray

Position: Aboriginal Access Advisor Intern

Location : Mildura – VIC

Closing Date : 18 February

More Info apply :

Job Ref : N2018 – 38

ACCHO Member : Stakeholder PHN Murray

Position: Aboriginal Access Advisor Intern

Location : Shepparton – VIC

Closing Date : 18 February

More Info apply :

Job Ref : N2018 – 39

ACCHO Member : AHCWA

Position: Human resources Advisor

Location : Perth WA

Closing Date : 6 February

More Info apply :

Job Ref : N2018 40

ACCHO Member : Bulgarr Ngaru Medical AC

Position: Practise Nurse RN

Location : Tweed Heads – NSW

Closing Date : 14 February

More Info apply :

Job Ref : N2018 – 41

ACCHO Member : ATSICHS

Position: Care Coordinator – Registered Nurse

Location : Brisbane – QLD

Closing Date : 9 February

More Info apply :

Job Ref : N2018 – 42

ACCHO Member : Carnavon Medical Services

Position: Chief Executive Officer

Location : Carnavon – WA

Closing Date : 14 February

More Info apply :

 

Job Ref : N2018 – 43

ACCHO Member : Pangula Mannamurra AC

Position: Chief Executive Officer

Location : Mt Gambier – SA

Closing Date : 16 February

More Info apply :

Job Ref : N2018 -44

ACCHO Member : South West AMS

Position: Human Resources Officer

Location : Bunbury WA

Closing Date : 1 February

More Info apply :

 

 

 

 

 

 

 

 

 

 

 

 

 

NACCHO Aboriginal Heart Health : @HeartAust #NickysMessage “Heart disease is the number one killer of Aboriginal and Torres Strait Islander peoples. “

 “The people you love, take them for heart health checks.

Learn the warning signs of a heart attack and make sure to ring 000 (Triple Zero) if you think someone in your community is having one. Secondly give cigarettes the boot:

If you smoke, stop. I was only a light smoker but it still did me harm, so now I’ve given up.”

Former champion footballer Nicky Winmar always looked after his health, apart from having been a light smoker for years.

Nicky Winmar lifts his jumper in the memorable 1993 St Kilda v Collingwood match. Picture: Wayne Ludbey

But he had a heart attack at only 46, after losing his own father to a heart attack at 50

Read over 50 NACCHO Aboriginal Heart Health articles published in the past 6 years

Watch Nicky’s very moving heart story HERE

 

What’s a heart health check?

  • All Aboriginal and Torres Strait Islander peoples over the age of 35 should have regular heart health checks. These are simple and painless.
  • A heart health check can be done as part of a normal check up with your ACCHO doctor or health practitioner.
  • Your ACCHO doctor will take blood tests, check your blood pressure and ask you about your lifestyle and your family (your grandparents, parents, brothers and sisters).

  • Give your doctor as much information about your lifestyle and family history as possible.
  • Once your doctor or health practitioner has your blood test results, ask them for your report which will state if you have high (more than 15%); moderate (10-15%) or low risk (less than 10%) of a heart attack or stroke.

Warning signs of a heart attack

  • Pain in the chest – or arms, shoulders, neck, jaw or back
  • Breathless
  • Sick in the stomach
  • Cold sweats
  • Dizzy or light-headed

If someone seems to be having a heart attack:

  • Make them stop what they are doing
  • Give them a tablet of aspirin to chew
  • Call 000 (Triple Zero) for help. The operator will tell you what to do next

Do you have more questions?

The Heart Foundation Helpline is here to answer them. Call 13 11 12 and talk to one of our qualified heart health professionals. If you need an interpreter, call 131 450 and ask for the Heart Foundation.

Download Social media resources

For help also Contact your nearest ACCHO -Download the APP

NACCHO Alert : Refresh #CloseTheGap Aboriginal Health targets in 2018 : How can you help to shape the future of the #ClosingtheGap agenda ?

 

” The national attempt to close the gap on Indigenous disadvantage has largely failed and the Turnbull government is being warned that a proposed “refresh” of the scheme, intended to address its decade-long shortcomings, faces equally poor results.

Ten years after Kevin Rudd ­delivered the first prime minister’s Closing the Gap report to parliament, only one of seven targets is on track to be met, four more are due to expire in June with no hope of being achieved and all levels of government, as well as Indigenous leaders, are arguing over how to proceed.”

From the Australian 1 January 2018 see article in full Part 1 Below

 ” This is a great opportunity for people to share their ideas and opinions”

Andrea Mason, Co-Chair Indigenous Advisory Council and CEO of NPY Women’s Council

Share your views

Submissions close 5pm 31 March 2018

 ” The Australian Government, on behalf of the Council of Australian Governments (COAG), is asking all Australians for their views to help construct the next phase of the Closing the Gap agenda and has released a COAG discussion paper to support ongoing consultations that have been held this year and will continue into 2018.

Over the past decade, important progress has been made in improving health, employment and education outcomes for First Australians since Australian governments agreed to a Closing the Gap framework to address Indigenous disadvantage.

However, it is clear that the Closing the Gap agenda can be better designed and more effectively delivered. This is a view shared among Aboriginal and Torres Strait Islander people, governments and the broader community.”

Download the Discussion paper

ctg-next-phase-discussion-paper

Working together

Another step in this process is to consider how governments can improve program implementation. Six implementation principles have been developed to guide the new Closing the Gap agenda.

The principles are:

  • Funding prioritised to meet targets
  • Evidence-based programs and policies
  • Genuine collaboration between governments and communities
  • Programs and services tailored for communities
  • Shared decision-making
  • Clear roles, responsibilities and accountability

Fact sheets

Data for the fact sheets are based on the Closing the Gap Prime Minister’s Report 2017.

Targets

View Close the Gap Video from Indigenous leadership

Part 1 Closing the Gap: Indigenous targets mostly unmet

The poor result comes despite annual direct government spending on indigenous Australians of $33.4 billion, an increase of 23.7 per cent since the first expenditure survey when the program began and a figure twice that for non-indigenous Australians.

There are concerns that simply revising targets, rather than ­addressing policy failures responsible for the disadvantage gaps, will deepen the dire situation.

Indigenous leaders have urged Malcolm Turnbull to reconsider measures suggested in last year’s Uluru Statement from the Heart and presented to the Prime Minister in the Referendum Council’s subsequent report. They say the proposals, which include an indigenous advisory voice to parliament, would give Aboriginal and Torres Strait Islanders a greater say in policies that affect them.

“The Uluru outcome was a sophisticated roadmap to closing the gap,” Referendum Council member and constitutional law expert Megan Davis told The Australian.

“The dialogues said politicians and the bureaucracy have shown after 10 years they are not up to it. Refresh isn’t a priority, ­reform is a priority, otherwise we will be subjected to the annual ritualism of Prime Minister’s reporting on little or no progress.”

The Australian can reveal that a coalition of concerned peak organisations and leaders has written to Mr Turnbull ahead of this year’s 10th annual report, expected next month, expressing their fears the reboot will merely reflect “the aspirations of the federal government” rather than the needs of First Peoples.

They say public consultation on the missed targets is being rushed, indigenous communities are not being adequately briefed on the process and a public discussion paper contains leading questions and foregone conclusions.

West Australian Labor senator Patrick Dodson was excluded from one consultation, in his home town of Broome, on the basis that he was a member of parliament — despite being a key ­indigenous leader in the region — raising questions about Mr Turnbull’s insistence the “voice” proposal was unnecessary since there were already indigenous MPs.

“They’ve just gone deaf,” Senator Dodson said yesterday. “There may be things about Uluru that are complicated and hard but that doesn’t mean we shouldn’t be going through them.”

The letter, on behalf of the “Redfern Statement Alliance” which includes the indigenous Close the Gap steering committee, warns that the government’s ­refresh discussion paper “was not developed with Aboriginal and Torres Strait Islander leaders … is prescriptive and centres on the theme of ‘prosperity’ within a narrow economic frame”.

The only Closing the Gap target currently on track to be met is halving the gap for year 12 or equivalent attainment by 2020, currently tracking up from 45.4 per cent to 61.5 per cent from 2008 to 2014-15. The other failing targets are closing the gap in life expectancy by 2031 and having 95 per cent of indigenous four-year-olds enrolled in early childhood education by 2025.

Australian National University professor Nicholas Biddle said the 10-year program had brought some positives but warned that “targets alone don’t guarantee good policy”.

Cape York leader Noel Pearson has thrown his weight behind opposition to a purely targets-based focus, telling an audience last week the current approach amounted to “the political and cultural right bang(ing) on … about better health, better education, more responsibility, blah blah blah” without addressing “the structural problem” of a lack of policy participation.

Part 2 Shaping the future of the Closing the Gap agenda 

The Australian Government, on behalf of the Council of Australian Governments (COAG), is asking all Australians for their views to help construct the next phase of the Closing the Gap agenda and has released a COAG discussion paper to support ongoing consultations that have been held this year and will continue into 2018.

Over the past decade, important progress has been made in improving health, employment and education outcomes for First Australians since Australian governments agreed to a Closing the Gap framework to address Indigenous disadvantage.

However, it is clear that the Closing the Gap agenda can be better designed and more effectively delivered. This is a view shared among Aboriginal and Torres Strait Islander people, governments and the broader community.

In 2008, the original Closing the Gap targets were developed without consultation from Indigenous Australians and without the direct involvement of state and territory governments – which meant targets were not as effective or as well directed as they should have been.

A new approach to Closing the Gap must value the aspirations, strengths and successes of First Australians. Importantly, it must be built on meaningful conversations with Aboriginal and Torres Strait Islander Australians.

New Closing the Gap targets will drive better outcomes for Indigenous communities because, for the first time, state and territory governments will establish targets in areas for which they are responsible and all targets will be designed to drive change, with specific action plans to support targets.

Consultations have been ongoing for a number of months including through specific roundtables held in Broome, Dubbo and Cairns in November and December 2017. More sessions are scheduled across the nation in the coming months. Consultations will also continue with national peak bodies, and regional and local engagements led by state and territory governments.

We are committed to working with First Australians, state and territory governments and the broader community to develop a meaningful and robust framework for the future, and encourage all Australians to share their views.

Visit closingthegaprefresh.pmc.gov.au to access the discussion paper and find out more.