www.naccho.org.au
National Aboriginal Community Controlled Health Organisation ANNUAL REP RT 2016–2017 NACCHO ANNUAL REPORT 2016–2017
ARTIST RECOGNITION: Artist Tahnee Edwards (Yorta Yorta) and Toby Dodd. Ngarrindjeri/Narungga/Kaurna Dreamtime Public Relations, 2013 http://dreamtimepr.com/artwork/
STORY: The waves in the pattern mimic those in the ochre pits. The colours represent Aboriginal and Torres Strait Islander peoples. The meeting places represent our affiliates and the larger meeting place is the National Aboriginal Community Controlled Health Organisation (NACCHO).
DESIGN AND LAYOUT: Dreamtime Creative.
Images courtesy of NACCHO or supplied, unless otherwise noted. The contents of the Annual Report 2016-2017 unless explicitly stated otherwise, may not be reprinted, reproduced or published in any form whatsoever without the permission of NACCHO with the exception of quotations from media releases or for the reproduction by non-profit organisations pursuing similar aims to NACCHO. To request rights to reproduce content from the Annual Report 2016-2017 which are copyright to NACCHO you can email us at [email protected] Level 5, 2 Constitution Avenue, Canberra City ACT 2601 P.O. Box 130, Civic Square ACT 2608
T (02) 6246 9300 E [email protected] W www.naccho.org.au ABN 89078949710
NACCHO acknowledges the financial support of the Australian Department of Health.
“NACCHO acknowledges Aboriginal and Torres Strait Islander peoples as the Traditional Owners of country throughout Australia and their continuing connection to both their lands and seas. In the spirit of respect, NACCHO recognises the Aboriginal and Torres Strait Islander peoples’ past, present and future cultural, spiritual, physical and emotional connection with their lands and seas. NACCHO honours and pay respects to all elders, both past and present, and all generations of Aboriginal and Torres Strait Islander peoples, now and into the future.” NACCHO ANNUAL REPORT 2016–2017
CONTENTS
Our Vision, Our Values 02
Report from the Chairperson 04
Report from the Chief Executive Officer 06
About National Aboriginal Community Controlled Health Organisation (NACCHO) 08
Governance 10
Our Partners 12
Programs 16
Ochre Day 25
Stakeholder Engagement 26
Political Leadership 32
Media and Communication Activities 34
State and Territory Reports 38
NACCHO Financial Report for the year ended 30 June 2017 63
Appendix A | NACCHO Member Sector 87
Appendix B | NACCHO Representation on Committees 90
Appendix C | Abbreviations and Acronyms 91 NACCHO ANNUAL REPORT 2016–2017
OUR VISION, OUR
VALUES Professor Talley from The Council of Presidents of Medical Colleges shake hands after signing a collaborative agreement with The Federal Minister for Indigenous Health, Ken Wyatt, Health Minister Greg Hunt, Assistant Minister for Health NACCHO’S CORE VALUES ARE EMBEDDED IN THE FOLLOWING: David Gillespie, Craig Dukes CEO Australian Indigenous • Aboriginal Community Control Doctors’ Association and NACCHO Chair Matthew Cooke. The Council of Presidents of • A holistic, comprehensive Primary Health Care approach Medical Colleges is committed to working with our partners and • A ground-up approach to planning, policy development the Australian Government to reduce the current gap in health and implementation outcomes and life expectancy between Indigenous and • Aboriginal cultural integrity non-Indigenous Australians • Co-ordinated and integrated activity • Strategic partnerships and alliances • Proactive and responsible action • Respect and loyalty • Equity • Quality.
Bobbi Campbell First Assistant Secretary, Indigenous Health Division, Department of Health, signs the network funding agreement with NACCHO CEO Pat Turner
02 03 NACCHO ANNUAL REPORT 2016–2017
CHAIRPERSON’SREPORT
“Our services have a proven track record at meeting key Closing the Gap targets.” - Matthew Cooke
NACCHO Chairperson Matthew Cooke
THE NATIONAL ABORIGINAL NACCHO is accredited are those of the literacy and numeracy improving? COMMUNITY CONTROLLED HEALTH Quality Improvement Council (QIC) The Board and I will continue to hold ORGANISATION (NACCHO) HAS and can be reviewed in the QIC Health people in government to account for all HAD YET ANOTHER BUSY AND and Community Services Standards: of these important measures. 6th Edition. NACCHO also undertakes EXCITING YEAR. OUR NETWORK NACCHO welcomed several of the broader Continuous Quality Improvement (CQI) OF 143 MEMBERS’ IN 302 CLINICS health measures announced in the last activities throughout the organisation. AND HEALTH SETTINGS HAVE Budget, namely, the lifting of the freeze DELIVERED MILLIONS OF EPISODES The NACCHO leadership group regularly on the indexation of the Medicare rebates, OF CARE THAT WERE PROVIDED BY meets with the Secretary of the the restoration of bulk billing incentives ALMOST 6,000 STAFF. Department of Health or their senior for diagnostic imaging and pathology staff. We are engaged in high-level, services and funding for the Indigenous I’m proud to have served for a long period strategic consultations to ensure Australians’ Health Program. Without of time as either the Chairperson or Deputy our policy objectives are supported, additional funds, Aboriginal Community Chairperson of NACCHO. In that time, clear and appropriately align with Controlled Health Sector services I have seen NACCHO grow and prosper our Strategic Directions for 2016-2021. (ACCHs’s) cannot consolidate and expand as a member organisation committed NACCHO expertise in the health their core services and provide more to a new governance structure, sector is highly valued by the Turnbull healthcare to more Aboriginal people. developing new models of primary Government and the Opposition. The Budget also included good initiatives health care and always striving to adopt which could most effectively be delivered and create a continuous series of quality As Chairperson, I always ask, are by our ACCHs’ services who have a proven improvements for our people. We now the social determinants of health track record at meeting key Closing the have in place a sustainable, honest, improving, are Aboriginal people Gap targets. accountable, transparent and professional experiencing any socio-economic management structure at NACCHO. improvement, are cultural patterns The past year was also notable for its being better known and acknowledged significance to Aboriginal people as Over the last 12 months NACCHO within the general population, are new we have celebrated many milestones continued to maintain and undergo an th ways of communication and health and historic occasions; it was the 50 Organisational Accreditation renewal anniversary of the successful 1967 service provision being made available process. The Standards against which Referendum and the 25th anniversary of to the most needy, is health and digital 04 NACCHO ANNUAL REPORT 2016–2017
NACCHO Chairperson Matthew Cooke signing a collaborative agreement with The Council of Presidents of Medical Colleges and Commonwealth Ministers
the momentous Mabo decision. NACCHO and our Affiliates to support these evidenced based Report Cards Also, it was the 20th anniversary of the ACCHs’’s and improve the health demonstrated that our National the Bringing Them Home Report. outcomes for our people. Network of ACCHs’ are a key part The resilience of Aboriginal people of the overall Australian Healthcare I also welcome the new NACCHO continues to inspire me and helps architecture. focus NACCHO to enhance our service governance arrangements and the new delivery across Australia. draft Constitution approved by the I also congratulate Patricia Turner on Board. The draft Constitution is aimed her continuing role as Chief Executive The Board continues to monitor the at strengthening Aboriginal Community Officer (CEO) of NACCHO. Ms Turner progress of our programs, provide Control of health services. It will be has been appointed by the Board for advice to government, liaise with voted on at the Canberra AGM on the a further three years from July 2017 Ministers, make departmental 2 November 2017. I strongly urge all until July 2020. Pat will help create submissions, apply for grants and plan Members’ to adopt it. real, meaningful and lasting change for the future care needs of Aboriginal for NACCHO that will strengthen and Torres Strait Islander people. I’d like to pay appreciation to, community control and keep It is once again pleasing to report, and acknowledge Ms Lisa Briggs, Aboriginal health in Aboriginal hands. for the third year in a row, a modest former NACCHO CEO, for her significant Finally, thanks to our committed and surplus of over $150,000 for the contribution to NACCHO during my passionate staff during the last year who NACCHO financial year budget. time as Chairperson, particularly the devote countless hours to improving As always, the Board and finance staff development of the Healthy Futures conditions in our many communities. remain vigilant against ever rising fees Report Card’s on the National Key I would also like to thank all the and costs in our sector. I welcome the Performance Indicators (nKPI’s). Directors who have assisted me as new national network funding agreement These Report Cards demonstrated the Chairperson. My time at NACCHO has for supporting Aboriginal Community significant performance of our National been both rewarding and personally Controlled Health services. NACCHO Network of ACCHs’ in providing fulfilling and I thank the NACCHO and the Commonwealth signed the preventative healthcare to the largest Membership for the opportunity. agreement which increased our budget proportion of Aboriginal and Torres from $3 to $21 million. The agreement Strait Islander people – more than Matthew Cooke | Chairperson heralds an exciting new stage for any Government run services and Private General Practice. Importantly, 05 NACCHO ANNUAL REPORT 2016–2017
CHIEF
EXECUTIVEREPORT OFFICER’S
“Governments at all levels must do more to join the dots between education, housing, employment and other social determinants if we are to significantly improve health outcomes for our people and Close the Gap they have spoken about for the best part of a decade.” - Patricia Turner
NACCHO CEO Pat Turner
AS OUTLINED IN LAST YEAR’S As you all know the national NAIDOC months to consult with Members to ANNUAL REPORT WE HAVE theme was that Our Languages Matter update our NACCHO Constitution CONTINUED TO EXPAND AND which was in recognition of the vital role and have spent the last few months ENHANCE OUR ROLE IN THE Indigenous languages play in promoting criss-crossing the nation to obtain the HEALTH SECTOR AS THE community wellbeing and culture. views and opinions of our Members’ At almost the same time Ken Wyatt MP and Affiliates about new constitutional NATIONAL VOICE REPRESENTING was appointed as the first Indigenous changes. What I heard was a great AND ADVOCATING ON BEHALF Australian to be a Federal Minister diversity of views about the proposed OF ABORIGINAL COMMUNITY and we currently have four Aboriginal changes to the NACCHO Constitution CONTROLLED HEALTH SERVICES. members of Parliament. and I thank everyone so far I’ve had I AM PLEASED TO REPORT the chance to talk with. The proposals A new network funding agreement THAT THE ORGANISATION HAS deserved serious consideration by all for supporting community controlled RESTRUCTURED THE NATIONAL our Members’ which will be voted on Aboriginal health services with the SECRETARIAT AND OUR FINANCIAL at our next Annual General Meeting in Commonwealth was signed which Canberra in November 2017. POSITION HAS IMPROVED increased our budget from $3 to $21 CONSIDERABLY. million. This will allow for better, Last year our staff continued to work The Secretariat will continue to build and more targeted investment in efforts on strengthening and expanding the enhance organisational capacity through to close the health gap for Aboriginal Aboriginal Community Controlled the new policies and procedures that people. I have been delivering on Health Sector, maintaining its strategic have now been implemented. the Board’s agenda for the last 12 directions, cutting unnecessary red
06 NACCHO ANNUAL REPORT 2016–2017
“ The social determinants of health are the conditions in which people are born, grow, live, work and age. These circumstances are shaped by the distribution of money, power and resources at global, national and local levels. The social determinants of health are mostly responsible for health inequities - the unfair and avoidable differences in health status seen within and between countries.”
Map of Australia of our 302 ACCHs’ service settings - World Health Organisation
tape and building a closer relationship The NACCHO workforce provides a patients, carers, health care providers, between all our organisations. multi-million-dollar economic injection doctors and other health professionals. NACCHO has continued to advocate into the Australian economy and NACCHO has a determination to to the government to renegotiate includes many struggling rural and increase the number of ACCHs’’s in the Closing the Gap targets with the remote locations. the sector and will continue to create various state and territory jurisdictions thousands of jobs and drive economic These professional career orientated roles every year. I continued as CEO to growth across the nation. are exactly what local communities need, implement a full year of the NACCHO expect and enhance their overall standard Our staff team work is always based on Strategic Directions 2016-2021. of living. While NACCHO’s Members are current best-practice, evidence-based At the same time the social determinants the largest employer of Aboriginal people research in the Aboriginal Community of health matter and NACCHO continued in Australia it should also be noted that Controlled Health Sector and supports to advocate for a fully resourced strategy we have created over 2,000 jobs for equitable access to accessible, from governments to redress these. non-Indigenous Australian in parts of economically affordable, locally NACCHO welcomes proposed reforms Australia were unemployment is high. available, and culturally appropriate that assist the Government to Close the comprehensive primary health care, This creates significant positive impacts Gap by implementing evidence-based in urban, rural and remote locations. in rural and remote towns. From a and Aboriginal-community supported I would like to thank our Chairperson funding perspective, our ACCHs’s are recommendations and programs in Matthew Cooke and the NACCHO Board known to already operate on barely areas like incorporating justice targets members for their continued support. sustainable financial margins and this into COAG. affects the service delivery of all our Pat Turner | Chief Executive Officer
07 ABOUT NATIONAL ABORIGINAL COMMUNITY CONTROLLED HEALTH ORGANISATION
THE NATIONAL ABORIGINAL It is important to highlight and Our health care services have been COMMUNITY CONTROLLED acknowledge the different established and operated by local HEALTH ORGANISATION (NACCHO) understandings of health between Aboriginal communities, through locally IS THE NATIONAL PEAK BODY a western context and an Aboriginal elected Boards of Management, REPRESENTING ABORIGINAL cultural context. The western to deliver holistic, comprehensive and understanding of health is an absence culturally appropriate health care. HEALTH.1 NACCHO REPRESENTS of disease; someone is healthy if they ACCHs’ form a network, but each is ITS MEMBERSHIP OF OVER do not have a disease, or illness. autonomous and independent of one 143 ABORIGINAL COMMUNITY another and of government. CONTROLLED HEALTH SERVICES The culturally safe and multidisciplinary (ACCHS’) AT THE COMMONWEALTH The Aboriginal GOVERNMENT LEVEL AND SPEAK models of comprehensive primary care understanding of health provided by the Sector have evolved WITH ONE CLEAR, UNITED AND over the last 40 years and represent its DISTINCT VOICE. THE ACCHS’, WHICH is holistic and includes enduring and continuously innovating ARE PRINCIPALLY FUNDED BY THE land, the physical strengths. These include distinctive DEPARTMENT OF HEALTH (DOH), body, the mind, clan, mixes of local community and cultural ARE THE LEADING AND PREFERRED relationships, and lore. authority, the promotion of healthy life PROVIDER OF CULTURALLY Health, in an Aboriginal choices, chronic disease prevention and SAFE AND COMPREHENSIVE management to enabling personally MULTIDISCIPLINARY PRIMARY cultural context, is the empowered and smooth client/patient HEALTH CARE TO ABORIGINAL AND social, emotional and journeys. The unique synthesises of TORRES STRAIT ISLANDER CLIENTS, cultural wellbeing of the these community controlled care models cannot be replicated in public FAMILIES AND COMMUNITIES. THIS whole community, not INCLUDES TARGETED ACTIONS TO or private-for-profit mainstream systems of primary health care. CLOSE THE GAP. ACCHS’ REMAIN just the individual. THE FOREMOST HOLDER OF EXPERT KNOWLEDGE AND ‘KNOW HOW’ FOR THESE HEALTH PURPOSES.
08 CULTURALLY ACCESSIBLE APPROPRIATE HEALTH AND SKILLED SERVICES WORKFORCE
FLEXIBLE HOLISTIC APPROACH HEALTH CARE TO CARE CULTURE
CONTINUOUS COMMUNITY QUALITY PARTICIPATION IMPROVEMENT
SELF NACCHO Member Service hubs DETERMINATION AND by remoteness EMPOWERMENT
Characteristics Indigenous primary health care service delivery model2
NACCHO is guided by a Board ABOUT THE ACCHS’ 1 Aboriginal and Torres Strait Islander: of Directors, with the Chair and is the term NACCHO uses in all documentation Deputy elected from its Members SECTOR when referring to the original habitant of all the lands now known as Australia. Aboriginal to embody community control and is used if referring to the original habitants of they have been pivotal in improving mainland Australia. circumstances for Aboriginal and The ACCHs’ were 2 Modified form ‘Characteristics of Indigenous primary health care service delivery models: Torres Strait Islander people. established in the early a systematic scoping review.’ CREATE, It has achieved this by working 1970s in response to Adelaide Harfield, S., C. Davy, E. Kite, A. with its Members and its State and McArthur, Z. Munn, A. Brown, and N. Brown. Aboriginal and Torres 2016 Territory peak Aboriginal Community Controlled Health bodies to agree Strait Islander people upon and address a national agenda finding that mainstream for Aboriginal and Torres Strait services could not provide Islander health and associated social justice matters. adequate health care. NACCHO advocates to government for evidence-supported, community- ACCHs’ operate in urban, regional, developed responses and solutions remote and very remote Australia. to the deep-seated social, economic They range from large multi-functional and political conditions that prevail in services employing a number of many Aboriginal communities. medical professionals and health These conditions affect the holistic workers who provide a wide range of health of people within those comprehensive primary care services, communities. NACCHO strives often with a preventative, health- to maintain the highest levels of education focus, to smaller, rural and professionalism and to remain remote health care facilities. apolitical in its advocacy.
09 NACCHO ANNUAL REPORT 2016–2017 GOVERNANCE
Matthew Cooke, NACCHO Chairperson, Sandy Davies, Deputy Chairperson meet with NACCHO Board in Canberra2
THE NACCHO BOARD THE BOARD MEETS THE BOARD REGULARLY THROUGHOUT OF DIRECTORS Our NACCHO Board has met six times THE YEAR TO: in the last year and keeps the Federal THE NACCHO BOARD IS MADE • Make decisions regarding the Minister for Indigenous Health Ken UP OF ONE DELEGATE EACH strategic policy directions of the Wyatt informed. organisation FROM THE AUSTRALIAN CAPITAL The Board reconfirmed with the Minister TERRITORY AND TASMANIA, • Develop, monitor and review our support of the National Health TWO DELEGATES EACH FROM THE NACCHO’s Strategic Directions, Plan and Implementation Plan. It also REMAINING SIX JURISDICTIONS, approve the annual business plan, committed to work with the Minister A CHAIRPERSON AND DEPUTY and monitor its implementation and Department to bring to fruition, CHAIRPERSON. ELECTIONS FOR through six monthly reports against the next iteration of the Implementation DELEGATES TO THE BOARD ARE agreed key performance indicators Plan whilst seeking the bipartisan HELD ANNUALLY TO COINCIDE • Maintain and strengthen connections support of the Labor opposition, WITH EACH STATE AND TERRITORY between the Affiliates, Members and the Greens and crossbenchers. PEAK ANNUAL GENERAL MEETING. The Board These Board members bring their THE MEMBERSHIP ELECTS A • Organise The Members’ Conference diverse expertise and stakeholder CHAIRPERSON AND A DEPUTY and Annual General Meeting that last perspectives to assist NACCHO further CHAIRPERSON FOR THREE-YEAR convened at the Grand Hyatt Hotel advance health policy and best practice TERMS AT TRIENNIAL ANNUAL in Melbourne Victoria from in our sector. The Chairperson, GENERAL MEETINGS OF NACCHO 6-8 December 2016. CEO and staff at NACCHO extend our MEMBERS. thanks to outgoing Board members – Allison Cann, Marcus Clarke and
10 NACCHO ANNUAL REPORT 2016–2017
Laurence Riley – for their dedication, To assist Members understand the full Meetings with Member services time, insights, passion and hard work. implications of the changes, have been held in Perth, Melbourne, NACCHO welcomed Kieran Chilcott, several state-based consultations were Adelaide, Darwin, Canberra Sydney Lesley Nelson, John Mitchell and held across Australia with Members and Brisbane and engaged in Raelene Foster to the Board. to discuss the need for changes to productive discussions. NACCHO have NACCHO’s governance. This was been working closely with the excellent NACCHO BOARD APPROVES followed by a detailed description legal team at Gilbert and Tobin who OF NEW GOVERNANCE of some possible options for change have provided their services pro bono ARRANGEMENTS TO ITS with a pros and cons of each change to draft proposed changes and are MEMBERS’ highlighted to our membership that will working towards members voting on be formally voted on at the AGM on the changes at the AGM. Last year the NACCHO Board agreed 2 November this year. to update the NACCHO Constitution The Board requested that the NACCHO to reflect contemporary Board good 3 For the names of all the NACCHO Board practice and meet our regulator’s CEO consult further with Members’ Directors during the financial year please refer to the Financial Report on page 65. requirements. Changes to NACCHOs during 2017 on the proposed changes past governance arrangements and the and how this will best position need for a review of governance was NACCHO to be a strong and influential identified as a key priority by the Board. voice for Aboriginal Community NACCHO carefully and collaboratively Controlled health with governments consulted with, Affiliates and Members and other key stakeholders. to improve Commonwealth funding arrangements, reword redundant terminology and improve governance.
11 NACCHO ANNUAL REPORT 2016–2017
OUR PARTNERS
Former Federal Minister for Health, The Hon Sussan Ley MP speaking with RAAF Wing Commander Janine Tillott at a mobile dental clinic
NACCHO PARTNERS WITH OUR PARTNERSHIPS Standards to ensure that their scope ORGANISATIONS THAT HAVE AN benefits the ACCHs’ in the evolution of clinical accreditation. The College INTEREST IN AND COMMITMENT DEPARTMENT OF HEALTH TO DEVELOPING AND MAINTAINING also conducted a national survey with ACCHs’ as part of the RACGP HEALTH CARE SERVICES FOR The Department of Health (DoH) is the major funding contributor to Accreditation Standards to provide ABORIGINAL AND TORRES STRAIT NACCHO. In 1997 the Commonwealth national advice to RACGP on the ISLANDER PEOPLE. Government funded NACCHO to Accreditation Standards and the During the last year NACCHO has establish a Secretariat in Canberra impacts on the cultural provisions continued to deliver on its numerous which greatly increased the capacity of the model of ACCHs’. successful partnership activities and for Aboriginal and Torres Strait RACGP and NACCHO prepared and innovative programs and collaborated Islander Peoples involved in ACCHs’ submitted an application for funding with health providers to publish papers to participate in national health policy to DoH (with RACGP as funds holder) and submissions. NACCHO roundtables, development. Last year, NACCHO and to develop the 3rd edition of the workshops and forums have been DoH signed a new single funding National Guide to a Preventative enthusiastically received by the network and agreement for three years which has Health Assessment for Aboriginal advice from them was provided to federal secured our role in the ACCHs’ sector. and Torres Strait Islander People. and state governments. NACCHO have also NACCHO and RACGP will develop a provided information and data sets for ROYAL AUSTRALIAN plan for implementing and embedding national institutional based researchers COLLEGE OF GENERAL the National Guidelines into Patient that are vital for government resource PRACTITIONERS Record systems and within health allocation and facilitation of effective professionals’ curriculum. NACCHO Aboriginal health service delivery across NACCHO and the Royal Australian collaboration has established the Australia. NACCHO championed the College of General Practitioners (RACGP) standards, guidelines, funding models provision of our community controlled have an existing MoU that dates from and resources to equip general health services across communities 2014 and there are defined projects that practitioners, health professionals but also continued to state a case for both agencies develop and participate and ACCHs’ to maximise health increased resources from governments in to improve the health of Aboriginal outcomes for Aboriginal and Torres to build enhanced capacity and effective people. ACCHs’ and the mainstream Strait Islander people and developed health outcomes for Aboriginal and service providers liaise with the RACGP initiatives that attract and retain a Torres Strait Islander people. NACCHO National Aboriginal Health Faculty, skilled ACCH sector workforce. acknowledges the important work that Committee and the Secretariat in the each partnership provides. development of Clinical Accreditation
12 NACCHO ANNUAL REPORT 2016–2017
RAAF Air Force personnel were recognised for their professionalism in delivering full clinical dental services and in implementing governance measures in sterilisation and infection control during four hours of training for ACCHs’s staff. In total 199 patients were treated, dental officers’ extracted 137 teeth and provided 805 services to the communities.
AUSTRALIAN HEALTHCARE with the goal to improve the lifestyles OUR PROJECT AND HOSPITALS of rural Indigenous populations. PARTNERS ASSOCIATION Two dental officers and three dental assistants conducted dental clinics for NACCHO has many programs which NACCHO’s partnership with the Indigenous people from communities involve project partners such as the Australian Healthcare and Hospitals surrounding Port Hedland and Australian Trachoma Alliance, Association (AHHA) harnesses the Roebourne in Western Australia. Dental Quality Use of Medicines Maximised for strength of both organisations to services were delivered at Mawarnkarra Aboriginal and Torres Strait Islander reverse the differences in the health of Health Service Clinic (MHS), Roebourne Peoples (QUMAX) program with the Aboriginal and Torres Strait Islander and Wirraka Maya Health Service Clinic Pharmacy Guild of Australia and Fetal Australians. Our partnership explores (WMHS), South Hedland. Alcohol Spectrum Disorder (FASD) with new opportunities for collaboration the Menzies School of Health Research. on policies, research and public RAAF Air Force personnel were health campaigns to close the gap. recognised for their professionalism In December 2015 NACCHO and in delivering full clinical dental MEMORANDA OF the AHHA Chairpersons signed a services and training ACCHs’ staff to UNDERSTANDINGS Memorandum of Understanding to implement new clinical measures NACCHO has a number of Memoranda facilitate policy development, advocacy, in sterilisation and infection control of Understanding (MoUs) and communication, joint planning during four hours of training for acknowledges the support each and collaboration between the two ACCHs’ staff. Dental officers provided provides. Our relationships are with peak organisations regarding all aspects of 805 services to the communities and bodies such as the Australian Medical Aboriginal and Torres Strait Islander treated 199 patients which included Association, Pharmaceutical Society of Health. Together NACCHO and AHHA the extraction of 137 teeth. Health Australia, the Royal Flying Doctor Service now share resources, skills and explore education and promotion were and the National Rural Health Alliance. opportunities to build the capacity and also provided by two Indigenous extend the reach of both organisations. liaison officers. The RAAF considered it a positive experience because RESEARCH PARTNERSHIPS it helped deliver a noticeable and NACCHO also has research partnerships ROYAL AUSTRALIAN AIR tangible difference to Close the Gap in with organisations such as, CREATE, FORCE Indigenous health and more Aboriginal Lighthouse Health Foundation, Exercise Kummundoo was a health people were able to access the dental the Australian Healthcare and Hospitals initiative conducted under a joint five care they need. Association, Council of the Ageing (COTA), year agreement between the Royal the Menzies School of Health Research Australian Air Force (RAAF) and NACCHO with the Telethon Kids Institute (TKI) and the Australian National University. 13 National Congress of Australia’s First People’s co-chair Dr Jackie Huggins presented a Coolamon holding the Redfern Statement to Prime Minister Malcolm Turnbull and Opposition Leader Bill Shorten in Canberra
NACCHO AND OTHER The Aboriginal and Torres Strait Islander leaders developed and agreed solutions for improving Indigenous health for ORGANISATIONS implementation by COAG and the Australian Government by mid-2018. The following solutions have been proposed by REDFERN STATEMENT Aboriginal and Torres Strait Islander health leaders: The Redfern Statement, first launched just prior to the June • Fully cost the next iteration of the National Aboriginal 2016 federal election, represented an urgent call for a more and Torres Strait Islander Health Implementation Plan just approach to Aboriginal and Torres Strait Islander Affairs. (2018-2023) and extend it to 2031 The Redfern Statement gained national attention as it was the • Improve delivery of services to Aboriginal and Torres first-time national Aboriginal and Torres Strait Islander leadership Strait Islander people in the areas of health, aged care, organisations had come together to call on all parties to tackle mental health and disability inequality and disadvantage facing Australia’s First People as a federal election priority. Following the federal election, • Protect and expand mainstream funding of Aboriginal and |meetings were held with Redfern Statement leadership and Torres Strait Islander health funding was secured (from the federal government) for a series • Support the reform of the Indigenous Advancement Strategy of workshops to tackle the five areas of concern highlighted in • Develop and fund innovative, evidence-based services the statement. for Aboriginal and Torres Strait Islander mental health, This encouraged the Prime Minister and parliament to including suicide prevention positively engage with key Aboriginal and Torres Strait Islander • Support the development of a National Social Determinants organisations in 2017 – recognising that working with Aboriginal of Health Strategy and Torres Strait Islander peoples is the most effective way to • Support the development of a sustainable Aboriginal and close the gap. The Redfern Statement parliamentary breakfast Torres Strait Islander Health Workforce and was held at Parliament House on 14 February 2017. • Establish a National Inquiry into Institutional Racism. On 15 June 2017, representatives of National Aboriginal and Torres Strait Islander Health organisations met in Melbourne for the Redfern Statement Workshop on Health.
14 NACCHO representatives regularly attend national Change the Record campaign meetings
THE NATIONAL CONGRESS OF CHANGE THE RECORD CAMPAIGN AUSTRALIA’S FIRST PEOPLES NACCHO is represented at Change the Record meetings. NACCHO is represented at National Congress of Australia’s Aboriginal people are among the most marginalised groups in First Peoples meetings. As the fourth iteration of a national Australia. Australia has a crisis of over-incarceration. representative body for Aboriginal and Torres Strait Islander This national crisis warrants a nationally co-ordinated response, people, Congress began operations in 2011, and now counts which is why the Change the Record Campaign has been calling over 180 organisations and almost 9,000 individuals as for the Government to set national justice targets through COAG. members. Congress was established with bipartisan support, Justice targets must now be developed in partnership with and has been endorsed as the voice of Aboriginal people in the Aboriginal and Torres Strait Islander communities, Kirribilli Statement. their organisations and representative bodies. Federal targets would provide an important national accountability mechanism and drive co-ordinated action to address these issues.
15 NACCHO ANNUAL REPORT 2016–2017 PROGRAMS
Assistant Minister for Health David Gillespie regularly attends and tweets about ACCHs’ events and health campaigns: visit to the Barunga Festival in the NT
DATA IS CRITICAL FOR NACCHO Communications Technology and Forum and it helps inform work plans TO PROVIDE DETAIL ABOUT THE Information Management (ICT/IM) and strategic directions. Forum. Data is analysed at the Forum ROLE AND CONTRIBUTION TO Information was provided from NACCHO twice a year and it is critical in providing THE DELIVERY OF OUR MEMBER in its role on numerous Committees detail about the role and contribution to SERVICES TO THE NATIONAL including: the delivery of our Member Services, HEALTH SYSTEM. ACCHS’ HAVE HAD its settings and in the sector. • Indigenous Health Performance ELECTRONIC HEALTH SYSTEMS Framework (PM&C) FOR THEIR PATIENTS AND THEIR The Forum and its members are heavily • NACCHO Submission to the FAMILIES FOR NEARLY 20 YEARS, reliant on a robust evidence base to Productivity Commission Inquiry PROVIDING INTEGRATED WELL- support their advocacy efforts and, in turn, the realisation of better outcomes and into Data Availability and Use BEING AND CARE RECORDS circumstances for Aboriginal people • Implementation for the National WHEN SERVICES ARE PROVIDED through the ongoing provision of Data Collection for the Online Service WITHIN THE SECTOR.OBTAINING informed, quality primary health care Report and National Key Performance INFORMATION FROM PUBLIC service provision. NACCHO considered Indicators meetings AND PRIVATE PROVIDERS CAN BE the use of data as a vital facilitator and • Out of session advice to Indigenous PROBLEMATIC.THE ACCHS’ ARE enabler of research and integral to Health Service Data Advisory Group ENDORSING THE NATIONAL MY increasing our evidence base. HEALTH RECORDS AS A VEHICLE • Burden of Disease Report, The data both informs and validates FOR CROSS-SECTOR DATA Australian Institute of Health current and future quality practice in the and Welfare AGGREGATION OF HEALTH DATA AT provision of the sector’s culturally safe, • Program of work for the National THE LEVEL OF THE INDIVIDUAL. multidisciplinary and comprehensive Advisory Group on Aboriginal Recently in order to sustain and support models of primary care. It also helps and Torres Strait Islander Health this work, NACCHO, Affiliates and ACCHs’ to ensure that proposals to conduct Information and Data continued to focus on detailing our primary care research within Aboriginal collective strengths and capacities. communities reflect needs identified • Online Service Report, To this end, the NACCHO Activity by, and are instigated and approved by, Australian Institute of Health Plan established an Information those communities. NACCHO places a and Welfare high value upon the research from the 16 NACCHO ANNUAL REPORT 2016–2017
• National Key Performance Indicators working in remote locations including Report, Australian Institute of Health urban and rural sites where there are The NACCHO online and Welfare limited clinical staff on duty. NACCHO administration system attended Tackling Indigenous Smoking • Tobacco Cessation Review, was enhanced with Department of Health Evaluation Advisory Group meetings. This Group Reviewed and commented new options that • Indigenous Conditions, on the evaluation of the Tackling include monitoring of National Health Performance Indigenous Smoking programme Authority including their current methodologies. progress on specific • OCHRE Streams Advisory Group and NACCHO has also continued to analyse tasks like the NACCHO • Indigenous Excellence (IDX) Strategy and map Aboriginal and Torres Strait Activity and Quality (National Centre of Indigenous Islander peoples’ access to ACCHs’, Improvement Plan. Excellence). redesigned the NACCHO website as NACCHO was also nominated to our main information sharing platform, become a Board member of the enhanced the information systems Broad Band for the Bush Alliance supporting QUMAX operations and which was accepted by the CEO of reporting, developed better online NACCHO and confirmed in August administration support systems and 2016. NACCHO provided input to the designed a less complex way for the Alliance submission to the Productivity secretariat to access the evolving Commission on Telecommunications NACCHO evidence base. This improves Universal Service Obligation in July the sharing of quality information and 2016. NACCHO also attended the knowledge translation with our staff and Council of Remote Area Nurses of Member services. Our Members’ can Australia Remote Safety and Security expect that the ICT team will continue to Taskforce. This Advisory Committee was develop improved information system researching, reviewing and developing infrastructure and online functionality. guidelines for staff safety when
17 NACCHO ANNUAL REPORT 2016–2017
NATIONAL PROGRAMS AND WHAT IS QUMAX? PROJECT PARTNERS The QUMAX Program aims to improve health outcomes by improving the QUM through seven support categories under QUALITY USE OF MEDICINES MAXIMISED the Pharmaceutical Benefits Scheme (PBS): (QUMAX) FOR ABORIGINAL AND TORRES • Dose Administration Aids Agreements and Flexible Funding STRAIT ISLANDER PEOPLE • QUM Pharmacy Support The QUMAX Program is a collaboration between NACCHO • Home Medicine Reviews (HMR) models of support and the Pharmacy Guild of Australia, and funded by the • QUM Devices Commonwealth Department of Health. QUMAX is delivered by ACCHs’ and community pharmacies, and contributes to better • QUM Education health outcomes through improved Quality Use of Medicines • Cultural Education and (QUM). To support QUM activities and services at the local • Transport. level, funding is available to eligible ACCHs’ in inner and outer regional areas, urban areas and major cities. In 2016-2017, nearly 60 per cent of NACCHO members participated in the QUMAX program. This equated to 76 QUALITY USE OF MEDICINES MAXIMISED ACCHs’ across each State and Territory participating in the FOR ABORIGINAL AND TORRES STRAIT program reaching 219,486 Aboriginal and Torres Strait Islander ISLANDER PEOPLE clients. The registration for the 2017-2018 QUMAX cycle was completed in May 2017, with one new ACCHs’ registering, The QUMAX program is a collaboration between NACCHO and taking numbers to 77 for that period. the Pharmacy Guild of Australia (PGoA) and funded by DoH. To support QUM activities and services at the local level, The 2016-2017 QUMAX cycle ran on schedule. This is primarily funding is available to eligible ACCHs’ in inner and outer due to improved administrative process and management regional areas, urban areas and major cities. from NACCHO and the ongoing support of the PGoA. Acceptance by participating ACCHs’ in the use of manual excel spread sheets for work plans and reporting has contributed to this outcome. The QUMAX Program Coordinator supported ACCHs’ through the completion and submission of work plans and reporting requirements for this period. All contract reporting deliverables have been met for this period.
18 QUMAX Trade booth at our 2016 NACCHO Conference in Melbourne with NACCHO National QUMAX Co-Ordinator Jodie Fisher and Pharmacy Guild representative Sharon Storen
Work continued on the eQUMAX project (previously NACCHO The QUMAX Coordinator participated in NACCHO’s response Communication Network NCN) which was due for completion to DoH’s Review of Indigenous Pharmacy Programs (IPP). in December 2016 but delayed due to changing requirements. QUMAX is one of the four IPPs under review. Specifically, The purpose of this project was to redevelop an online QUMAX the Coordinator developed the online questionnaire for management portal, following on from the decommissioning NACCHO Members as part of the broader consultation process, of the NCN. In taking on board lessons learned, NACCHO will and also helped draft the submission. build a platform for the continuation of eQUMAX in line with the operational and service delivery needs of QUMAX. NACCHO SUBMISSION TO THE REVIEW Four workshops were held as part of the 2016-2017 QUMAX OF PHARMACY REMUNERATION AND cycle. The first two workshops were held in Sydney and Brisbane REGULATION – DISCUSSION PAPER in November 2016. The second two workshops were held in Aboriginal and Torres Strait Islanders face significant barriers Melbourne and Adelaide in March 2017. Overall 50 people to access and efficient use of PBS medicines including participated in the workshops, with 41 of the 77 ACCHs’ taking financial, cultural and geographical factors. Two programs part in QUMAX attending. The purpose of the workshops was to: within the 6th Community Pharmacy Agreement (6CPA) aim • learn more about QUMAX and the 6CPA, funding and budget to support access and the Quality use of Medicines (QUM) allocation for Aboriginal and Torres Strait Islander people – the QUMAX • understand the QUMAX Program Specific Guidelines, Program and the s100 Remote Areas Aboriginal Health including eligibility and the seven support areas Services Program (RAAHS). However, evidence shows that there are amendments, or reform required, to improve both • understand potential and practical benefits of QUMAX and access and the quality use of medicines. The total amount • tailor QUMAX to the needs of community/clients. of PBS expenditure for Aboriginal and Torres Strait Islander people was around 44 per cent of the amount spent per Evaluations indicated participants found the Workshops useful non-Indigenous person ($369 compared with $832) in and informative, with the vast majority rating the overall quality 2010-11. While there are benefits to these Programs, of the Work Shops ‘high’ or ‘very high’. Participants were asked there are a number of limitations and barriers outlined in the evaluation feedback to provide work highlights within this Submission and proposed solutions to increase these included: both access to medicines and the quality use of medicines • HMR information, group discussions, QUMAX work plan for Aboriginal and Torres Strait Islander people. information • More insight/understanding of QUMAX • Networking with other services and people • Better understanding of the seven support areas • Face to Face with NACCHO and Pharmacy staff and • Sharing of QUMAX experience with other member representatives.
19 NACCHO ANNUAL REPORT 2016–2017
INDIGENOUS The approval of these trials is the result NACCHO on the National Aged Care of considerable work from NACCHO and Alliance (NACA). This has been a key PHARMACY PROGRAMS reflects what Members and research source of aged care policy advice to (IPP) REVIEW have been requesting for some time. the Commonwealth Government. Both trials have been announced by Recommendations and advice are PHARMACY TRIALS the Minister for Health, will receive shared between the Alliance and PROGRAM (PTP) TRANCHE 2: several million dollars in funding and NACCHO on a regular basis. are planned to involve around 25 of ACCHO EMBEDDED The NACA understands the importance NACCHO’s Member services. NACCHO is PHARMACISTS (JOINT of working closely with consumers and currently working closely with DoH and NACCHO- PSA) providers. They continue to advocate respective organisations to ensure these Under the Sixth Community Pharmacy for quality care for older people, trials are implemented. Agreement, $50 million has been and ongoing government funding allocated for the Tranche 2 Pharmacy to service providers. Trial Programme. The trials seek to PHARMACY REVIEWS develop new and innovative community There are two reviews relating to FETAL ALCOHOL pharmacy practices to improve medicines and ACCHs’ that NACCHO SPECTRUM DISORDER clinical outcomes for consumers by has primarily focused on: extending the role of pharmacists in The Fetal Alcohol Spectrum Disorder • The Pharmacy Regulation and the delivery of primary healthcare Prevention and Health Promotion Remuneration Review (King Review) services. In that context, NACCHO and Resources Project ended at 30 June and the Pharmaceutical Society of Australia 2017. NACCHO partnered with the (PSA) have begun working together to • The Indigenous Pharmacy Programs Menzies School of Health Research develop a model of care for pharmacists (IPP) Review. and the Telethon Kids Institute to work within ACCHs’. (TKI) to develop and implement The IPP Review involves the remote health promotion resources and NACCHO has invested considerable s100, CTG prescription and QUMAX interventions to prevent and reduce resources into medicines and pharmacy programs and was completed by the impacts of Fetal Alcohol Spectrum policy over the last 18 months. A range Urbis Consulting in June 2017. Disorders (FASD) on Aboriginal and of policies and programs have been NACCHO provided a comprehensive Torres Strait Islander families and developed in the context of several submission and is now working young children. FASD is an umbrella national reviews related to medicines through recommendations with term used to describe the range of and the Pharmacy Trial Program. DoH, emphasizing the importance of effects that can occur in individuals This has involved employing a consultant continuing and enhancing medicines whose mother has consumed alcohol pharmacist, building a NACCHO programs for our Members. during pregnancy. These effects may medicines policy working group, The King Review Interim Report was include physical, mental, behavioural, engaging with ACCHs’ and reviewing released in June 2017 and provided a developmental, and or learning medicines research. NACCHO has also range of ‘Options’ that closely align with disabilities with possible lifelong formed a policy and support network NACCHO’s advice so far. This includes implications. Fetal Alcohol Spectrum for pharmacists employed by NACCHO’s endorsing non-dispensing pharmacists Disorder Prevention and Health Member Services in collaboration with to be embedded directly into ACCHs’ Promotion Resources (FPHPR) were the Pharmaceutical Society of Australia. and trialling pharmacies owned and developed for the 85 New Directions: operated by ACCHs’. NACCHO has Mothers and Babies Services across PHARMACY TRIAL PROGRAM responded to the Interim Report and Australia. These resources primarily awaits the final Report due later in 2017. focused on the prevention of FASD, NACCHO has co-designed two trials but also provide information about within the Pharmacy Trial Program, sexual and reproductive health, these are: NATIONAL AGED CARE ALLIANCE smoking and substance abuse. An 1. An Aboriginal medication review example of a successful Member service, in collaboration with PGoA, Representatives from the Victorian program in the Ord Valley Aboriginal and Aboriginal Community Controlled Health Service’s is at the end of this Health Organisation (VACCHO) and annual report. 2. The integration of non-dispensing the Institute for Urban Indigenous pharmacists into ACCHs’, Health (IUIH) continued to represent in collaboration with the PSA.
20 Fetal Alcohol Spectrum Disorder - Aboriginal awareness campaign poster 2017
21 NACCHO ANNUAL REPORT 2016–2017
Dr Dawn Casey COO NACCHO and the Australian Trachoma Alliance: Safe Eyes Program meeting in Canberra with former Governor General, Major General Michael Jeffery AC, CVO, MC.
AUSTRALIAN TRACHOMA The Alliance aims to bring together and advance national and community based Aboriginal and Torres Strait Islander ALLIANCE – SAFE EYES PROGRAM leadership, to build community ownership and to further progress the success of trachoma programs implemented IN AUSTRALIA, TRACHOMA CAN STILL BE FOUND to date. AT ENDEMIC LEVELS IN A NUMBER OF REMOTE ABORIGINAL COMMUNITIES IN THE NORTHERN Up to mid-2017 NACCHO had employed the Canberra based, TERRITORY (NT), SOUTH AUSTRALIA (SA) AND Safe Eyes Implementation Manager. The Alliance then employed Gwen Troutman-Weir as Program Implementation WESTERN AUSTRALIA (WA). AUSTRALIA IS A Manager with responsibility to engage with Aboriginal leaders SIGNATORY TO THE WORLD HEALTH ORGANIZATION’S in remote communities to eliminate trachoma, by facilitating (WHO) ALLIANCE FOR THE GLOBAL ELIMINATION OF engagement in the development and implementation of BLINDING TRACHOMA BY THE YEAR 2020 (GET 2020) community plans. Gwen also works to support the Alliance in AND IS COMMITTED TO ENSURING THAT TRACHOMA developing cross-sectoral coordination with related levels of LEVELS DECREASE TO BELOW ENDEMIC LEVELS IN AT government, ACCHs’ and other relevant organisations, RISK COMMUNITIES. councils and service providers. These hotspots need particular attention and all communities require additional support to sustain reduced prevalence and eliminate trachoma by the comprehensive implementation “This program is an exemplar on how of the SAFE (surgery – antibiotics - facial cleanliness - to engage and involve communities environmental improvements) strategy. Only then, will Australia eliminate trachoma by 2020. in finding solutions to community To that end, leading organisations across Australia have identified problems.” formed the Australian Trachoma Alliance (The Alliance), whose objective is to eliminate blinding trachoma in - ATA Principals Meeting 27 July 2016 Australia by the year 2020. The organisations include: The Diamond Jubilee Trust Australia (DJTA), National Aboriginal Community Controlled Health Organisation (NACCHO), Indigenous Eye Health Unit at the University of Melbourne (IEHU), and Vision 2020 Australia.
22 Safe Eyes
Dawn Casey attended The Close It was also a time to discuss and plan the Gap for Vision by 2020 National what needs to be done to close the Conference 2017 which held in gap for vision by 2020. Data from the Melbourne on 16 and 17 March 2017. National Eye Health Survey (2016) 107 attendees from all jurisdictions and National Trachoma Surveillance and representing national, state Report (2016) indicates that the and territory, regional and local inequity gap for vision between organisations and interests across Indigenous and non-Indigenous Australia gathered to share learnings Australians is closing. Further work and experiences to improve is required to improve performance Indigenous eye health. monitoring at the national, state/territory and regional levels.
23 TOP: Delegates at a workshop at the 2016 Annual NACCHO Ochre Day in Perth and Michelle Nelson Cox Chair AHCWA welcomed the delegates to Perth
OPPOSITE PAGE: The men take a traditional walk to Langley Park – on the side of Derbarl Yerrigan which the locals call the Swan River
24 NACCHO ANNUAL REPORT 2016–2017 OCHRE DAY
OCHRE DAY ALLOWS ABORIGINAL NACCHO OCHRE DAY MALES OF ALL AGES TO SHARE PERTH 2016 “Ochre Day was an KNOWLEDGE AND EXPLORE WAYS TO Ochre Day is an important Aboriginal awesome platform for our ENGAGE WITH THEIR LOCAL ACCHS’. male health initiative to help raise men to share and discuss Ochre aims to: awareness as well as provide an opportunity to draw national public important health issues” • Build on the recommendations awareness to Aboriginal male health, and outcomes from the male only and social and emotional wellbeing. - Perth Ochre Day Delegate sessions at the NACCHO AGM/ The NACCHO Ochre Day was held on the Members meeting and lands of the Noongar people in Perth. • Provide an opportunity to draw The 2016 annual NACCHO Ochre Day Last year NACCHO Ochre Day provided national public awareness to activities were hosted in Perth on 15 and an opportunity to draw national public Aboriginal male health, and social 16 September in partnership with the awareness to Aboriginal male health for and emotional wellbeing. Aboriginal Health Council of Western over 100 participants. The Day showcased Commencing in Canberra in 2013, Australia (AHCWA) and Derbarl Yerrigan exemplars of best practice in Aboriginal Ochre Day is an important NACCHO Health Service Incorporated (DYHS). male health service delivery within the Aboriginal male health initiative. The Ochre Day Hoodies presentation Aboriginal Community Controlled sector, lunch was by Associate Professor James as well facilitating Q&A opportunities in NACCHO has long recognised the Ward from SAHMRI and Ms Michelle workshops discussing issues of concern, importance of addressing Aboriginal male Nelson Cox from AHCWA, the traditional relevance and encouraged increased health as part of Close the Gap by 2030. male-only breakfast was also held and participation of Aboriginal and Torres To address the social and emotional afterwards delegates walked to Langley Strait Islander males of all ages in health needs of males in our communities, Park where speeches, presentations and promotion and healthy lifestyle activities. NACCHO proposed a positive approach to a lunch were held. male health and wellbeing by celebrating An emphasis was also placed on Aboriginal masculinity, and upholding Speakers included Mr Troy Combo encouraging individual health checks traditional values of respect for our laws, (Bulgarr Ngaru Medical Aboriginal by delegates in accessing their local respect for Elders, culture and traditions, Corporation), Mr Neville Bartlett and Aboriginal Community Controlled responsibility as leaders and men, Mr Stan Master (Derbarl Yerrigan Health Health Organisation. Mr Kelvin teachers of young males, holders of lore, Service), NACCHO Deputy Chair Sandy Lawrence delivered the Jaydon Adams providers, warriors and protectors of our Davies (Geraldton Regional Aboriginal Memorial oration at the closing Day families, women, old people and children. Medical Service, Laurence Riley dinner. NACCHO acknowledges the (AHCWA), John Paterson (AMSANT), assistance of the Jaydon Adams Associate Professor Ted Wilkes and Memorial Foundation, South Australia Professor Dennis Gray from the National Health Medical Research Institute Drug Research Institute (NDRI). (SAHMRI), Oxfam, Wathaurong Glass, Panel discussions were held with, Mercure Hotel and JB’S Fleecy Hoodies Normie Grogan, Russell Butler, Daniel in making the conference so successful. Morrison, Ben Gorrie, Shaun Nannop, In 2017 NACCHO is hosting Ochre Day Jonathon Ford, Patrick Johnson, in Darwin. Rod Little, Laurence Riley, Brad Hart, Brett Walley and Uncle Philip Matsumoto NACCHO Ochre Day Patron.
25 NACCHO ANNUAL REPORT 2016–2017 STAKEHOLDER ENGAGEMENT
World No Tobacco Day function at Winnunga Nimmityjah Aboriginal Health Service in Narrabundah, ACT (Photo credit Geoff Bagnall)
NACCHO HAS TAKEN THE In 2016-2017, NACCHO collaborated • Attended the Canada-Australia LEAD IN ADVOCATING AND with several healthcare partners on roundtable on Indigenous Health and DEVELOPING PARTNERSHIPS several policy reform issues through the Wellness WITH ITS STATE AND TERRITORY submission of position papers to the • Aboriginal health and justice project PEAKS, INDUSTRY PARTNERS federal government. Our recent papers, to discuss and address the issues agreements, roundtables, forums and AND GOVERNMENT TO DELIVER of racism in health care settings/ workshops have been extensive and HOLISTIC AND COMPREHENSIVE Racism in Health Forum and effective for the Sector. PRIMARY HEALTH CARE SUPPORT • 14th National Rural Health AND ADVICE TO ITS MEMBER • Participation in the Central Australia Conference. Remote Area Nurse Association Expert SERVICES AND ABORIGINAL Committee on Safety and Security AND TORRES STRAIT ISLANDER PEOPLE. • Member of the Review Panel for the Tackling Indigenous Smoking Program
26 NACCHO ANNUAL REPORT 2016–2017
NACCHO AND MENTAL HEALTH PROFESSIONALS’ NETWORK WEBINAR
Activity Mental Health Professionals’ Network hosted a national webinar in collaboration with NACCHO where an all Indigenous panel explored and discussed youth suicide.
Aim Working collaboratively to support POSITION PAPERS the social and emotional well-being of Aboriginal and Torres Strait • NACCHO Submission to the Islander youth in crisis webinar was broadcast. The webinar was organised Productivity Commission Inquiry and produced by the Mental Health into Human Services: Identifying Professionals Network and provided participants with the opportunity to sectors for reform July 2016 identify: • NACCHO Submission to the • Key principles in the early identification of youth experiencing Productivity Commission Inquiry psychological distress into Data Availability and Use • Appropriate referral pathways to August 2016 prevent crises and provide early intervention and • NACCHO participation in the Human • Challenges, tips and strategies to implement a collaborative response Services Roundtable: Services in to supporting Aboriginal and Torres Remote Indigenous Communities Strait Islander youth in crisis. October 2016 Outcome This professional development • NACCHO Submission to the opportunity proved effective with 680 participants across Australia of whom Department of Health inquiry into 27 people identified as Aboriginal and The Practice Incentives Program Torres Strait Islanders. After watching the 90-minute webinar participants Redesign December 2016. surveyed said that their learning objectives were met and that this was relevant to their clinical practice and that their work practice would be improved. This also helped in improving interdisciplinary mental health practice and collaborative care across the ACCHs’ sector. The panel was described as excellent and that the collaborative nature of the conversation was welcoming and effective. Ultimately the ACCHs’ consumers and patients will obtain a better service after the practitioners viewing of the online material. Screenshot of the Mental Health Professional Network Webinar for Supporting the social and emotional well-being of Aboriginal and Torres Strait Islander youth in crisis
27 NACCHO Director of Medicines Policy and Programs Mike Stephens discussing dispensing iron tablets at a Pharmacy in Hobart
SUBSIDISED CONTINUOUS GLUCOSE CLOSING THE GAP ON MEDICATIONS: MONITORING INITIATIVE IMPLEMENTED ACCESS GRANTED TO IRON TABLETS ON THE PBS
Activity NACCHO provided the Australian Government with advice about an Activity Access granted to iron tablets on initiative for subsidised continuous the PBS. glucose monitoring products. Aim NACCHO Pharmacist policy advisor Aim As part of an expert Advisory Group Mike Stephens and Chairperson that included other stakeholder Matthew Cooke convinced the organisations NACCHO achieved Department of Health to relist oral outcomes that assisted in identifying iron and folate tablets that had been and implementing the new initiative. delisted. Their successful advocacy NACCHO helped the federal occurred after multiple stakeholder government with public policy priority concerns were communicated to the given to support people in need. Department and also after NACCHO wrote to the General Manager of AFT Pharmaceutical. Outcome After extensive consultation with NACCHO, The Hon Greg Hunt, Minister for Health, announced an Australian Outcome Iron and folate was relisted on the Government initiative for subsidised PBS as a restricted benefit only for continuous glucose monitoring the treatment of patients identifying products for eligible children and as Aboriginal and/or Torres Strait young people aged under 21 years Islander. with Type 1 diabetes. The development has now been completed and the project moves to the implementation stage.
28 BROAD BAND FOR THE BUSH ALLIANCE REMOTE HOUSING REVIEW ADVICE SUBMISSION JANUARY 2017 The first part of the NACCHO submission to the Remote Housing Review concentrated on the social determinants Broad Band for the Bush Alliance Activity of health and the disproportionate health disadvantages submission that includes promoting Aboriginal people experience today. Many of these can in part, and advocating for improved telecommunications connectivity for be traced back to colonisation, however the ongoing nature remote and regional Australia and of this disadvantage is embodied in the social determinants of demonstrating impacts of improved health. The second half of the submission was the response to internet access in social, economic, remote housing needs and highlighted: educational and health contexts. • The content of the new remote housing/infrastructure agreement is the most important health issue facing Aim Support of the Remote Outback remote Communities Satellite Infrastructure Enablement (ROSIE). • When considering the NPARIH was a ten year program with an outlay of $5.5 billion it appears that the training and Contributions to the Broadband for the Bush Alliance (B4BA) conference continued employment outcomes for local people have June 2016 (Brisbane) included a been dismal to date discussion about ROSIE project • The evidence of the link between poverty and poor health providing fast reliable managed is overwhelming and is a core explanation for Aboriginal satellite internet for remote and very ill health. While some of the disparity factors can be remote ACCHs’s in WA and SA. construed as being within the control of the tenant, ROSIE is seen as a way of including the lack of training and education of not only the tenant service delivery locations where but the broader community renders the tenant incapable internet access is limited in terms of reliable access to bandwidth of dealing with the issues. and speed in Telehealth, video- conferencing in support of mental health and social and emotional well-being programs, and de-identified health related data sharing.
Outcome NACCHO provided input to the Broad Band for the Bush Alliance submission to the Productivity Commission on Telecommunications Universal Service Obligation 19 July 2016.
29 Speakers at the Marking of 50 Years of Commonwealth Administration in Indigenous Affairs
NACCHO POSITION PAPER ON SUICIDE NACCHO supported the immediate adoption of the planning, PREVENTION AND THE ABORIGINAL assessment and evaluation tools developed by ATSISPEP AND TORRES STRAIT ISLANDER SUICIDE for all government programs relating to suicide prevention, PREVENTION EVALUATION PROJECT including programs and initiatives funded under the (ATSISPEP) Indigenous Advancement Strategy that address Aboriginal and Torres Strait Islander people’s emotional and social wellbeing NACCHO SUPPORTS CONTINUED ADVOCACY AND and those funded through the Primary Health Networks. INFORMATION SHARING ACROSS THE ACCHS’ SECTOR. NACCHO seek an urgent development of a national strategy THE REPORT FINDS THAT COMMUNITY-LED ACTIONS to address the social and cultural determinants of Aboriginal ARE THE MOST EFFECTIVE APPROACH TO SUICIDE health including ‘upstream’ risk factors for suicide. PREVENTION. NACCHO also called for the urgent adoption of justice reinvestment principles by all levels of government as one The acute and immediate need is action to address mechanism for securing additional funding for upstream suicide rates among Aboriginal and Torres Strait Islander diversionary activities for Indigenous young people. populations, and in particular, our young people. The time for talking is over. Governments, mainstream health organisations and the community controlled sector now have the evidence and tools they need to invest immediately in effective suicide prevention activity. NACCHO requested the immediate allocation of funds for the implementation of new services in line with the Australian Government’s undertakings in the National Aboriginal and Torres Strait Islander Suicide Prevention Strategy. NACCHO called for community controlled organisations to be the preferred provider and facilitator for all Aboriginal and Torres Strait Islander suicide prevention activities, including the rollout of the National Aboriginal and Torres Strait Islander Suicide Prevention Strategy and the National Suicide Prevention Strategy.
30 NACCHO ANNUAL REPORT 2016–2017
31 NACCHO ANNUAL REPORT 2016–2017 POLITICAL LEADERSHIP
“I offer the IPAA and APS an open invitation to send their secondees across to us, or email me for advice and we can all work on public Aboriginal Health policy outcomes together.” - NACCHO CEO Pat Turner
NACCHO CEO Pat Turner
PARLIAMENT HOUSE STANDS ON local knowledge and wisdom. NACCHO is constantly asked to provide LAND TRADITIONALLY OWNED BY Our bipartisan political engagement advice to the government whilst seeking THE NGUNNAWAL AND NGAMBRI strategy has evolved and developed support from other parties and the PEOPLE. over the years to make NACCHO an crossbench for a variety of legislative effective and influential advocate for issues which are discussed and voted Ministerial leadership during the past the sector. on. NACCHO provided substantial year proved challenging with many advice to the three Health Ministers NACCHO continues to lead, shape changes in the political landscape, about our portfolio concerns, and advocate for national health including a change of Health Minister. proposed legislation or new policy reform in areas like the social NACCHO Chairperson Matthew Cooke government initiatives. spoke with many ministers and determinants of Aboriginal health, parliamentarians and encouraged them insist on an inquiry into Institutional Our public health policy positions are all to focus their attention on closing Racism and increase funding to constantly being tested, discussed, the gap in Aboriginal health. Aboriginal mental health services. updated if required and new policy The NACCHO Board has been resolute proposals developed. NACCHO are NACCHO consistently advocates the in advancing the interests of Members always seeking to integrate data sources Government to adopt measures that and their services footprint. The last to assist in providing the evidence base encourage Aboriginal and Torres Strait federal budget was a relative non-event NACCHO require to present our new Islander Peoples’ participation in for Aboriginal people, although the findings to DoH, Ministers and in the their own community development government did make sector changes media. NACCHO builds and maintains and reinforce the human rights of that over the next few years will see relationships with government Aboriginal and Torres Strait Islander some positive Health revenue forecasts. ministers and other parliamentary People. The Community Controlled representatives. sector embodies these aspirations, Nevertheless NACCHO remains vigilant combining the best of clinical and will have a great presence and know-how with culturally enriched provide submissions to the budget policy implications of the future. 32 National Congress of Australia’s First People’s co-chair Mr Rod Little Assistant Minister for Health and Aged speaking at the presentation of the Redfern Statement to Prime Care Ken Wyatt speaking to NACCHO Minister Malcolm Turnbull and Opposition Leader Bill Shorten Conference delegates 2016
NACCHO now speaks with one voice NACCHO has built a strong relationship in Canberra. NACCHO works with our with the Department of Health as well Affiliates to provide support and advice as Prime Minister and Cabinet staff. The “This current generation to organisations aligned with our Commonwealth provided $433 million of parliament [has] strategic priorities like the Australian to our Aboriginal Medical Services ...to do more than just Medical Association (AMA), Australian across the country last financial year. commemorate. ‘Less Healthcare and Hospitals Association NACCHO aspires to increase our (AHHA), Royal Australian College of paternalism, more services in the sector and support the General Practitioners (RACGP), new Indigenous Procurement policy empowerment. Less Royal Australian College of Surgeons that will see millions of new funds paid rhetoric, more action.’” (RACS), Pharmacy Guild of Australia to supply nation firms. This empowering (PGA), Pharmaceutical Society of of our local communities is a key driver - Leader of the Australia (PSA), Royal Australian Air in our quest for self-determination Force (RAAF), Close the Gap, Justice Opposition Bill Shorten as one vital component in advancing Reinvestment, Redfern Alliance and the financial interests and economic Change the Record. NACCHO also opportunities of our people. NACCHO coordinates and facilitates meetings, Next year planning begins for a NACCHO is an example of this with our increased roundtables, discussions and events meets senior politicians from the House funding enhancing our capacity to serve regarding Aboriginal health care with and Senate that will focus on challenges our membership. NACCHO influences these groups. specific to Aboriginal and Torres Strait public policy decisions, strategies, Islander people. NACCHO meets regularly programs and research outcomes with Ministers and shadow ministers. through robust analysis, a common- An inaugural day in mid-2018 has been Yanggugulanyinngalawiri, sense approach to discussing complex set aside that will (future plan-evidence, dhunayi, Ngunawaldhaw- Aboriginal health issues and use research, and reason). The year ahead will national statistics to reinforce the value ra. Wanggarralijinyin- see greater engagement with parliament of our opinions. marinybulanbugarabang. and enhanced collaboration with the What a phenomenal role model the AMA to eradicate Rheumatic Heart - Prime Minister Turnbull Hon Ken Wyatt, Minister for Indigenous Disease (RHD) by 2031. NACCHO will be Health and Minister for Aged Care is. harnessing modern technology, He’s the first Aboriginal person to be data management and economics to elected to the House of Representatives. |plan evidence based future public policy. He’s now been joined by Linda Burney, For more information about the year the first Aboriginal woman on the Labor ahead you can read online at side. Minister Wyatt is the first Aboriginal www.naccho.org.au Australian to be appointed a Minister in a Federal Government. Source: Ngunnawal language of the traditional owners of the Canberra region. Prime Minister - Transcript - Remarks at the Indigenous Youth Parliamentarians’ Reception - Parliament House, Canberra - Wednesday, 24 May 2017 and BILL SHORTEN - SPEECH - ADDRESS TO THE HEALING FOUNDATION: 20TH ANNIVERSARY OF THE ‘BRINGING THEM HOME’ REPORT - CANBERRA - TUESDAY, 23 MAY 2017
33 NACCHO ANNUAL REPORT 2016–2017
MEDIA AND COMMUNICATION ACTIVITIES
NACCHO Aboriginal Health NACCHO Aboriginal Health Communique Subscribers Communique Views 4,314 628,887 2016-17 2016-17
2012-13 2013-14 2014-15 2015-16 2012-13 2013-14 2014-15 2015-16 850 1203 3,740 3,973 156,000 245,599 375,804 506,603
OVERVIEW SOCIAL MEDIA ENGAGEMENT
IN 2016/17 NACCHO’S STRATEGIC MEDIA AND NACCHO continued to regularly communicate with members, COMMUNICATIONS CONTINUED TO BE EMPLOYED stakeholders and community 24/7 via a wide range of integrated social media platforms delivering a steady stream TO GOOD EFFECT SUPPORTING NACCHO’S GOALS of up to date information on Aboriginal national, regional and AND ENSURING ABORIGINAL HEALTH ISSUES WERE remote health issues. Our communications emphasis is on ELEVATED IN THE NATIONAL ARENA. THESE GOALS sharing positive stories and information from all our ACCHs’ WERE ACHIEVED BY: members’ services. Downloads from the NACCHO website • Disseminating press releases, speeches, member alerts was tracking at over 1 million hits per year. Our social media and organising media interviews platforms – Facebook, Twitter and YouTube (NACCHO TV), • Publishing a daily online Aboriginal Health Information allow NACCHO to engage with the community, delivering a News Alert steady stream of information concerning health issues affecting Aboriginal and Torres Strait Islander people. • Organising events, press conferences, workshops, roundtables and backgrounding journalists The NACCHO communications team continued to provide numerous press and editorial articles in various media • Media monitoring and writing newspaper editorials, platforms, wrote speeches and organised parliamentary speeches and background briefs events for NACCHO and its partners that demonstrated why • Extensive social media engagement on various platforms politicians should support Aboriginal Controlled Health like Twitter and YouTube. Services. Our Board continues to remind politicians from all NACCHO’s communication objectives involved educating parliamentary parties of the important work our Aboriginal ACCHs’ staff regarding NACCHO programs, branding, Community Controlled Health Services provide. marketing, event management, sharing success stories between members, and educating our sector, the media and the broader community about NACCHOs’ successes.
34 NACCHO Australia NACCHO Australia NACCHO Facebook Twitter followers Tweets to date Followers 24,200 64,500 9,561 2016-17 2016-17 2016-17
2012-13 2014-15 2012-13 2014-15 2012-13 2014-15 5,236 15,604 10,600 23,100 2,320 5,154
2013-14 2015-16 2013-14 2015-16 2013-14 2015-16 9,907 20,600 23,100 51,400 3,131 8,736
MEDIA ENGAGEMENT Essential Media Communications (EMC) continued to provide media services through the publication of media releases and alerts attracting considerable national coverage for our activities and events through online, print, broadcast and radio outlets. 3. Facebook restricted our corporate account with limited 1. Daily Aboriginal Health News Alert: distribution this year (forcing us to advertise). ( www.nacchocommunique.com ) continues to be major Therefore, our posts this year did not have the same reach online publisher of Aboriginal Health News in Australia and impact as previous years when some of our posts having posted over 1,920 informative news alerts over reached over 1 million Facebook followers nationally the past 5 years to our 4,314 subscribers. Besides our and internationally. subscribers our posts have been read over 628,887 times (Daily record 2,373) with the Aboriginal Health and Racism 4. Instagram: In 2017 NACCHO opened an integrated having the most readers (4,615) of this one post. This year NACCHONEWS account and this has a huge potential to NACCHO have focused and consolidated our posts by reach our ACCHs’ community Members in the future. servicing our ACCHO members with weekly Save a Date, 5. NACCHOTV : NACCHO continued to utilise our NACCHO ACCHs’ job alerts and Deadly ACCHs’ good news stories. YouTube account with ACCHO member interviews embed 2. Twitter: NACCHO this year was awarded a prestigious in our communiqués. The ‘Aboriginal Health in Aboriginal Blue Tick from Twitter for our bona fides health sector Hands for Healthy Futures’ videos were made available contributions and engagement. Our followers grew to through NACCHO TV, NACCHOs YouTube channel. 24,200 and with 64,550 posts to date NACCHO are now All episodes will be made available to NITV and other leaders in the dissemination of Aboriginal health and Aboriginal media groups for broadcast. social determinant news.
35 NACCHO ANNUAL REPORT 2016–2017
Dave Gillespie visit to the Barunga Festival in ABC News 24 interviews NACCHO CEO Pat Turner about the Redfern Statement the Northern Territory
NACCHO continued the Publications issued or launched for the These report cards allow the sector communications outreach plan through year included: to track progress, celebrate success, active engagement with stakeholders, • NACCHO Strategic Directions 2016-2020 and see where improvements need non-government organisations, to be made. This is critical for the senior public servants, lobbyists, • NACCHO Annual Report 2015-2016 continuous improvement of the the media, the public and our members. • NACCHO Melbourne Conference and Aboriginal Community Controlled The CEO delivered over 20 major AGM program guide and Health Sector as well as a way to speeches that included; • Healthy Futures Report Card 2016. maintain focus and achieve goals. • Recognise Leader’s Forum We need to acknowledge the great NACCHO CEO Pat Turner launched the system in place that comprises the • National Aboriginal and Torres Strait Aboriginal and Torres Strait Islander HIV network of Aboriginal Community Mental Health Forum Awareness Week (ATSIHAW) website Controlled Health Organisations, and • NACCHO Melbourne Conference during the HIV Awareness week for ATSI, recognise the role you play to build and AGM 30 November 2016 at Parliament House. culturally responsive services in the The Hon. Sussan Ley, Minister for Health • Close the Gap-Redfern Statement mainstream system. Our people need and Aged Care, Senator Dean Smith, Alliance at Parliament House to feel culturally safe in the mainstream Senator Pat Dodson and the Hon Ken health system; the Aboriginal • Racism in Health Forum Wyatt MP attended. Community Controlled Health sector • Allied Health Forum must continue to play a central role in • Violence Against Women meeting MINISTERIAL LAUNCH AT helping the mainstream services and THE AGM the sector to be culturally safe. • Oxfam speech in Alice Springs The Minister launched the second • Indigenous Leadership Day of the Healthy Futures Report Card that Australian Public Service and was published by the Australian • Marking 50 Years of Commonwealth Institute of Health and Welfare and Administration in Indigenous Affairs. commissioned by NACCHO. A joint event with IPAA and the The Minister Ken Wyatt said that the Department of the Prime Minister and Report was an invaluable resource Cabinet to mark the 1967 Referendum. because it provides a comprehensive picture of a point in time.
36 NACCHO ANNUAL REPORT 2016–2017
Assistant Minister for Health and Aged Care Ken Wyatt at the NACCHO NACCHO CEO Pat Turner and NACCHO Chair Matthew Cooke Conference with Chair Matthew Cooke launched the Healthy Futures presented a certificate to Sol Bellear acknowledging Redfern AMS Report Card 2016 45 year contribution to Indigenous Health services at the NACCHO National Conference.
NATIONAL MEMBERS’ • the latest research findings and On day 2, the Conference explored further CONFERENCE AND AGM IN academic observations experiences from member services but MELBOURNE 2016 • strategic issues within our sector also heard very useful presentations on broader health issues of interest to the On 6–8 December 2016, NACCHO held our including future governance whole sector including about sexual annual Members’ Conference and AGM in arrangements and health, the “First 1,000 Days project”, Melbourne on Wurundjeri land. NACCHO • broader contextual issues like Treaty best practice in chronic disease and thanked Wurundjeri for welcoming us to negotiations in Victoria and the suicide prevention and mental health. their land for this important work. Redfern statement. The Conference also explored The theme for the Conference and AGM The Conference was opened by important issues for the sector related was “Strengthening our Future through Matthew Cooke, Chair of NACCHO, to governance, and heard from the Chief Self-Determination”. Delegates had the who set the scene and talked about the Executive Officer of NACCHO Ms Patricia opportunity at the conference to celebrate importance of self-determination. Turner with an Overview of NACCHO self-determination in community Then the Master of Ceremonies, Strategic Directions and Priorities, controlled health by acknowledging the Mr Garry Goldsmith began to introduce and later the audience heard about 45th anniversary of the Redfern Aboriginal the speakers. The morning focused at how NACCHO define comprehensive Medical Service, their years of dedicated the strategic level with presentations primary health care and the contextual service and the outstanding contribution from the Shadow Minister for Health issues of the Redfern Statement and the to our Aboriginal community the Service and Medicare Catherine King MP and establishment of a Treaty in Victoria. has made. The Chair of NACCHO a discussion of progress with the Mathew Cooke presented a certificate Medicare Review. The feedback from participants is that it acknowledging this great milestone was a great and productive conference In the afternoon, the focus moved to our to the Chair of Redfern AMS, Mr Sol full of useful and interesting information member services with the opportunity Bellear. The more than 300 participants for member services. The Annual to explore ways to use Medicare billing from our member services, peak General Meeting was held the next day to generate income for our services, bodies, governments, research bodies, and a few hundred delegates heard using data to inform service design academics and other organisations from The Honourable Ken Wyatt AM, MP, and delivery and a range of workforce involved in Aboriginal health enjoyed a Assistant Minister for Health and Aged issues. Delegates finished the day with high quality program of speakers and Care who launched our Healthy Futures a presentation from the Youth Justice events that covered the gamut of issues Report Card 2016. NACCHO look forward Alliance and justice reinvestment – of interest to our sector: to an even bigger and better Conference a very topical issue with the Royal and AGM in Canberra in 2017. • strategic directions of government Commission into the Northern Territory’s Julie Tongs, Chief Executive Office, • practical experiences of member youth detention and child protection Winnunga Nimmityjah Aboriginal Health services systems currently underway. Service is the host.
37 NACCHO ANNUAL REPORT 2016–2017
STATE AND TERRITORY
PEAK REPORTS ABORIGINAL HEALTH COUNCIL OF WESTERN AUSTRALIA (AHCWA) ABORIGINAL HEALTH AND MEDICAL Address: 450 Beaufort Street, Highgate WA 6003 RESEARCH COUNCIL (AH&MRC) PO Box 8493 Business Centre WA 6849, Sterling Street Perth Address: Level 3, 66 Wentworth Avenue, Surry Hills, NSW 2010 WA 6000 PO Box 1565 Strawberry Hills, NSW 2012 T (08) 9227 1631 F (08) 9228 1099 T (02) 9212 4777 E [email protected] F (02) 9212 7211 W www.ahcwa.org.au E [email protected] W www.ahmrc.org.au TASMANIAN ABORIGINAL CENTRE (TAC) VICTORIAN ABORIGINAL HEALTH Address: 198 Elizabeth Street, Hobart TAS 7001 COMMUNITY CONTROLLED HEALTH GPO Box 569 Hobart TAS 7001 ORGANISATION (VACCHO) T (03) 6234 0700 Address: 17-23 Sackville Street, Collingwood VIC 3066 F (03) 6234 0799 PO Box 1328 Collingwood VIC 3066 E [email protected] W www.tacinc.com.au T (03) 9411 9411 F (03) 9411 9599 E [email protected] ABORIGINAL MEDICAL SERVICES ALLIANCE W www.vaccho.org.au NORTHERN TERRITORY (AMSANT) Address: MOONTA HOUSE 43 Mitchell Street, Darwin NT 0800 QUEENSLAND ABORIGINAL AND ISLANDER GPO Box 1624, Darwin NT 0801 HEALTH COUNCIL (QAIHC) T (08) 8944 6666 Address: Level 2, 55 Russell Street, South Brisbane QLD 4101 F (08) 8981 4825 PO Box 3205 South Brisbane QLD 4101 E [email protected] W www.amsant.org.au T (07) 3328 8500 F (07) 3844 1544 W www.qaihc.com.au WINNUNGA NIMMITYJAH Address: 63 Boolimba Crescent, Narrabundah ACT 2604 ABORIGINAL HEALTH COUNCIL OF SOUTH T (02) 6284 6222 or free call 1800 120 859 or 1800 110 290 AUSTRALIA (AHCSA) F (02) 6284 6200 Address: 220 Franklin Street, Adelaide SA 5000 W www.winnunga.org.au PO Box 719 Adelaide SA 5001
T (08) 8273 7200 F (08) 8273 7299 E [email protected] W www.ahsca.org.au
38 NACCHO ANNUAL REPORT 2016–2017
ABORIGINAL HEALTH AH&MRC also continued to deliver • Completed the Brief Interventions workforce development opportunities, (BIs) Project, a CQI Collaborative AND MEDICAL CQI projects, led preventative program aimed at supporting BIs for smoking RESEARCH COUNCIL delivery, and continued to build on cessation. Nine ACCHs’s participated OF NSW REPORT partnerships. Key achievements include: in the Collaborative, and the • Resigned a Memorandum of evaluation found that the project 2016-2017 WAS A YEAR OF Understanding between the led to delivery of significant short- CHANGE FOR THE ABORIGINAL AH&MRC and the NSW Mental Health term outcomes that will contribute HEALTH AND MEDICAL RESEARCH Commission. The initial MoU was to medium and longer- term efforts COUNCIL(AH&MRC) OF NSW, WHICH signed in 2013, shortly following the to strengthen delivery of BIs by the INCLUDED SAYING GOODBYE TO MS establishment of the Commission. ACCHs’ sector in NSW. SANDRA BAILEY, AH&MRC’S CEO • Ongoing partnership with the • We partnered with 12 Member FOR 25 YEARS, IN JUNE 2017. NSW STI Programs Unit to deliver Services to deliver the Aboriginal WE WOULD LIKE TO THANK SANDRA ‘Take Blaktion’, a social marketing child seat project. FOR HER COMMITMENT AND campaign aimed at young Aboriginal • 20 Aboriginal Health Workers DEDICATION TO THE AH&MRC, AND people to increase testing and received accredited training on THE ACCHS’S SECTOR. management of STIs, and increase fitting and installing child seats use of condoms. Four Aboriginal as part of the project. More than In addition to leadership changes, ambassadors (Ian Zaro, Matty 453 child seats were distributed the recent political and funding Fields, Carly Wallace and Bjorn and approximately 497 Aboriginal landscape has precipitated a period of Stewart) promoted comedy skits people participated in face to face review and adaptation for the AH&MRC, and messages through their own education across 25 communities. to ensure we best support our Member and Take Blaktion social media sites, Services to deliver comprehensive primary • The AH&MRC Ethics Committee reaching 1.3 million people and health care. AH&MRC has 48 members, is one of the few Aboriginal achieving an engagement rate of which is the most of any state or territory community controlled ethics 9%. The Ambassadors also attended and this year we welcomed new members; committees in Australia. This year community events during NAIDOC Waminda – South Coast Women’s Health & the committee reviewed 63 new and Yabun. Welfare Aboriginal Corporation, Ungooroo applications and 292 amended Aboriginal Corporation and Ngaimpe • Ongoing distribution and training proposal, extension requests and Aboriginal Corporation. around “Doin IT Right!” - a resource draft publications for review. developed by AH&MRC for Health AHMRC held three members meetings • The Aboriginal Health College held Professionalsworking with young throughout the year to discuss the its 10th graduation ceremony where Aboriginal people around sexual impact of national and state policy approximately 200 people attended, and reproductive health, including and program reforms. AH&MRC’s including graduating students, activities, resources and factsheets. Meeting Ground 2017 – Members their guests, VIPs, current students Workshop themes were Renewal, • Co-hosting the Aboriginal Medical and staff. Actor Luke Carroll was the Unity and Strength and was a pivotal Health and Wellbeing Forum with M.C and College Patron Hon Prof forum where our members shared the NSW Ministry of Health, Dame Marie Bashir and Brien Hold and built on strategies to ensure a held 14-15 June. Vision Institute’s Prof Brian Layland strong and sustainable NSW ACCHs’ • Development of training resources attended the event sector. It was also an opportunity for for Mental Health Units to be In conclusion, 2017 – 2018 AH&MRC members to renew partnerships with delivered at Aboriginal Health looks forward to rebuilding our team key stakeholders in Aboriginal health College, including the Cert IV PHC and working with our Members to such as PHNs and Local Health Districts (Mental Health) to be delivered in ensure they are in the best possible through workshop sessions. 2018. The Cert IV includes mental position in an evolving and competitive health care plans and suicide funding environment. AH&MRC would prevention. like to thank the Board for their ongoing • Hosted three NSW Aboriginal commitment and leadership. Residential Healing Drug & Alcohol Network (NARHDAN) meetings for the seven Aboriginal community controlled residential rehabilitation services in NSW.
39 Victorian Aboriginal Community Controlled Health Organisation building
VICTORIAN ABORIGINAL VACCHO demonstrated the value of COMMUNITY The value of this holistic culture and cultural understanding approach can be seen through the continued success of CONTROLLED HEALTH Cultural Safety training programs. ORGANISATION in the growth of our This year, in addition to providing Members’ services and cultural awareness training, VACCHO VACCHO REFLECTED ON 20 YEARS in our membership developed a new program, Managing OF OPERATION AS THE PEAK Aboriginal Peoples and Programs, numbers. VACCHO has ORGANISATION FOR THE HEALTH tailored to Executive management and AND WELLBEING OF VICTORIAN 23 full Members and 7 Human Resources Officers. ABORIGINAL PEOPLE THIS YEAR. Associate Members. The Cultural Safety team delivered training to approximately 1,300 participants across Our Members are thriving, sustainable the State, in 94 sessions delivered to over organisations delivering high quality The sweeping reforms to Aged Care 60 organisations and services. Through holistic health and wellbeing wrap funding and the NDIS will have these programs VACCHO is building around services to our communities. significant impact on the way that our a bridge of understanding between With VACCHO as a strong voice for Members run their businesses, Aboriginal people and health our Members, we have been able to and VACCHO has undertaken a and wellbeing service providers. influence the policy agenda at both State significant amount of advocacy work to In April 2017, VACCHO was involved in and National levels, advocating for the influence the national policy agenda, the 15th World Congress on Public Health best solutions to the issues that face and to assist our Members to prepare in Melbourne, as the hosts of the First our communities. for those two initiatives. VACCHO have People’s Networking Space. This space also had great success in influencing At VACCHO, everything we do is was celebrated at the conference as a the Productivity Commission’s underpinned by the vision that we share culturally safe place for First Nations’ recommendations to government with our Members: that we have vibrant, delegates to network and engage with regarding funding arrangements. healthy self-determining communities. each other and with other conference VACCHO’s influence contributed to the This means supporting our Members delegates. It was a space of respectful reversal of their decision to recommend to provide quality services in housing, engagement and dialogue, and was a funding arrangement that would be employment, education, justice, celebrated by the World Congress. detrimental to our Members and our disability, aged care, child protection, The establishment of an Indigenous communities, and we have been invited primary health care, mental health Working Groups within the World to present our evidence based position and family services. Our member Federation of Public Health Associations, at a hearing to this Commission. ACCOs expect VACCHO to be able to and the commitment to continuing the advocate effectively across this range of presence of a First People’s Networking issues affecting an Aboriginal Victorian Space at future conferences were just people’s lives. And we do. some of the outcomes of this event. 40 NACCHO ANNUAL REPORT 2016–2017
In September 2016, VACCHO became VACCHO continued its successful Social marketing and Social change accredited with the Australian Health accreditation support and development category, and won the AMI Victorian Practitioner Regulation Agency as a program which provides tailored, award for this deadly campaign. provider of the Certificate IV in Aboriginal on the ground support for our Members VACCHO launched the ‘Sports Drinks are and Torres Strait Islander Primary Health pre, post and during re-accreditation Gammin!’ campaign in July 2016 and ran Care Health Practice. VACCHO are the audits. Our staff assist Member Services the Aboriginal Rethink Sugary Drink only Registered Training Organisation to achieve the multiple accreditation and ‘Sports Drinks are Gammin!’ ad on (RTO) in Victoria to offer this training, requirements for the various programs a regional television network, which allows Aboriginal health workers across their organisation. VACCHO is and a selfie competition using the hashtag to become registered Aboriginal health currently assisting its Members with #DrinkWaterUMob, which reached 22,666 practitioners, and have their skills and seven different accreditation frameworks. people through social media platforms. experience recognised. This year VACCHO launched a VACCHO supports the Aboriginal Drug book Yarning about Breastfeeding: and Alcohol workforce through the A vital part of VACCHO’s Celebrating our stories; a collection provision of support, training, and support for its Members of stories from mothers, fathers and resource development. The links is governance training. grandparents about their breastfeeding between Drug and Alcohol issues and experiences, and key information Mental Health are well understood, VACCHO’s governance to help promote the importance of they go hand in hand. This year, training supports breastfeeding our young boorais. VACCHO successfully lobbied to Members to operate and This year VACCHO commenced analysis have the Drug and Alcohol sector plan effectively. This funding come back in alignment to be of data being collected through supported as a single sector by both year VACCHO developed Member Services. VACCHO use this Commonwealth and State funding. accredited training units data to benefit Members by analysing This allows for better strategic planning which can be applied statistics and statewide trends in health across the whole Social and Emotional outcomes, and build the evidence base Wellbeing sector of VACCHO and our to the Certificate IV in to advocate for improved funding and Members’ services. Business (Governance) programs throughout communities. and the Certificate IV in Members drive the topics of the VACCHO Improvement Cycles, regular webinars, VACCHO ran a series Business Administration. training, and resource development. of National Disability Delivery of these will VACCHO celebrated the conclusion of the Insurance Scheme occur next financial year. three-year HR capacity building project, which built the HR knowledge and skills (NDIS) capacity building within our membership. The positions workshops in November VACCHO and two of its Members implemented through this project have were featured as best practice case 2016 and March 2017 significantly built the HR knowledge and examples in the Department of Health’s experience in the Member ACCHs’’. to help our Members interim evaluation of the national The positions are now almost 100% to understand the Tackling Indigenous Smoking (TIS) self-funded by the ACCHs’’. implications of the program published in June 2017. This achievement recognises the Minimising risk and increasing NDIS’ individualised outstanding work that VACCHO and the efficiencies in back of office operations funding model on their Member ACCHs’ are doing in this area. is a focus of Shared Business Services model offered at VACCHO. This includes sustainability, and The study relating to VACCHO’s work recognised the achievement of reducing a solution for our Members’ Information, consider what training smoking rates in the community by Communication and Technology (ICT) and infrastructure they 2% per annum statewide. needs. VACCHO expanded its model to establish a shared finance solution, will need to be able VACCHO is a member of the Rethink as well as the existing hosted services to deliver disability Sugary Drink Alliance and has solution. Through this hosted service collaborated with Cancer Council services to their resource, Member ACCHs’’ have all Victoria to create and build the of their ICT needs covered, with a communities. Aboriginal Rethink Sugary Drink Project. helpdesk, system security, backups VACCHO was a finalist in the Australian and any other ICT support they Marketing Institute (AMI) Awards in the require. VACCHOs model has been 41 NACCHO ANNUAL REPORT 2016–2017
recognised by overseas companies VACCHOs productive relationship with VACCHO sits on a range of expert panels as an international example of best State government is also demonstrated and advisory committees in rolling out practice. Several interstate not-for-profit through participation in numerous the recommendations and provided companies have also looked at the co-design of policies. The State a 2-day workshop for our Members example that VACCHO have set, Government is now formulating all of to explain all of the family violence in particular around the finance their agencies’ new policies under the reforms, the impacts and opportunities business systems, and at the benefits co-design principle – by Aboriginal for the ACCOs. that Members receive through this people, for Aboriginal people, This year we strengthened our business model. and in the recently released Aboriginal relationship with Dental Health Services Health, Wellbeing and Safety Plan, VACCHO was successful in securing Victoria (DHSV), and VACCHO now VACCHO saw 100% of their contribution funding through the NDIS Information, hosts an Aboriginal Community Liaison and recommendations included Linkages and Capacity building (ILC) Officer employed by DHSV, in the final version of the strategic stream to deliver a program to build The Aboriginal Community Liaison document, demonstrating the value Members’ awareness and capacity Officer provides support to our members that the government sees in VACCHO’s to meet the needs of people in their to build capacity within their services, contributions in these processes. communities who have a disability. and identify funding to deliver improved The project will build the capacity dental health services in the Members. of ACCHs’’, mainstream health and VACCHO signed a Memorandum of community services to provide more VACCHO have continued Understanding with the Royal Flying inclusive and responsive services to to play a lead role in Doctors Service (RFDS) this year, for them Aboriginal community members who aged care advocacy. to provide a telehealth platform that have a disability. The project is being allows ACCHs’ to set up consultations formally evaluated so the learnings can VACCHO is a NACCHO with specialists. VACCHO worked with be shared across Australia. representative on the them to train the ACCHs’ staff to access There are several funding reforms in National Aged Care and use the telehealth platform. the National Policy arena that threaten Alliance, and through VACCHOs connection to Community the safety nets for Aboriginal peoples. that forum, have been is also strengthened through their Through the excellent relationship with innovative and award winning radio the Victorian Department of Health and able to advocate for an program, Yarnin’ Health, run by Dylan Human Services (DHHS), adequate ‘safety net’ for Clarke. Yarnin’ Health gets messages VACCHO has ensured that Victoria’s Aboriginal Elders who into Communities, shares community voice is heard at the national policy members’ stories, and links up people table by providing advice and need Aged Care services in the community with their local health information from our Members’ services. VACCHO promotes its Members to DHHS to take to the standing The Indigenous Australians Health through the program, and shares committees under the Australian Health Program Primary Health Care funding important health messages and stories Ministers’ Advisory Council, to the model has seen significant proposed about eye and ear health, dental health, Advisory Council itself and the Council changes this year. VACCHO has diabetes, and many other key focus of Australian Governments Health actively participated in the Funding areas for VACCHO and its Members. Council. By working in partnership with Model Review Advisory Committee to This program is the only radio show DHHS the policy priorities of VACCHO’s determine a new model to determine based on the health and wellbeing of Members have reached the ears of the funding for our Member ACCOs. Aboriginal peoples living in Victoria federal decision-making bodies. This is and runs weekly. It has over 180,000 seen in the communication coming out VACCHO has undertaken significant listeners across Victoria, Australia and of the COAG Health Council. VACCHO work in the space of Family Violence. internationally. have also seen the results of the In response to the outcomes and advocacy reflected in the Productivity recommendations of the Report of Commission’s recommendations to the Royal Commission into Family Commonwealth Government for the Violence, released last year, the State funding of social welfare services. Government committed to fully implement al 227 recommendations.
42 Michelle Nelson-Cox, Ben Wyatt and Elder, Ted Wilkes with Wadumbah Dance Group
ABORIGINAL HEALTH COUNCIL OF Each part of the new, formalised network agreed to the Network Funding Agreement in the last two weeks of June 2017. WESTERN AUSTRALIA The shift to a Network Funding Agreement did not result in any loss of funding for NACCHO or any Affiliate, and in WHERE DID THAT YEAR GO? I CANNOT BELIEVE I AM fact resulted in longer-term funding for all members of the ALREADY PRESENTING AHCWA’S ANNUAL REPORT network: a five-year contract. AGAIN, THIS TIME FOR THE 2016/17 YEAR. Proposed funding formula for all Australian ACCHs’s The Nous Review, and then the Network Funding Agreement Each Australian Aboriginal Community Controlled Health In early 2016/17 the Nous Review consultative processes Service (ACCHs’) is unique. The whole basis for the ACCHs’s’ finished, and for a time we faced a nervous wait to see firstly model of care is that all communities of Aboriginal and Torres what the consultants would say about the National Aboriginal Strait Islanders around the country deserve fair access to Community Controlled Health Organisation (NACCHO) and locally customised and culturally safe health care, and that the Affiliates, and then what the Federal Government might can be achieved if each of those communities can form their do in response. As it happened Nous had many positive things own community controlled health services. to say about both AHCWA and the Aboriginal Community Controlled Health Sector (ACCH Sector) more broadly. The Federal Government has occasionally tried to introduce In particular, Nous found WA’s approach to services of more consistency as to how and why each of those ACCHs’s concern to be a model for the whole country. is funded. It is happening again now; a controversial attempt to reduce the complexity of all Australian services to a fairly One of the key things that happened after the Nous Review simple formula connected directly with the number of clients was a Federal Government decision to move toward funding and number of episodes of care of each particular ACCHs’. NACCHO and all of the Affiliates through a single contract The AHCWA Board and AHCWA staff have been very active in with NACCHO. This proposed ‘Single Funding Agreement’ challenging this latest Federal Government push, which as I – now called the Network Funding Agreement – was quite write this message we see as posing a substantial risk to the controversial with some Affiliates in the early stages of viability and sustainability of the Sector. consultation. But AHCWA’s view was always that, in principle, community control was increased if AHCWA was to deliver on its core Federal grant for a national Aboriginal corporation rather than directly for the Government.
43 Cert IV Graduates celebrating graduation
CEO REPORT (DES MARTIN) New: Outreach Services Project Officer and the MAPPA Project Services of concern continue to be well-supported. A new role, the Outreach Services Project Officer (OSPO) seeks AHCWA continues to work very hard to support any WA ACCHs’ to improve the mobile and outreach services accessed by rural that needs support to work through difficulties with operating and remote WA, including by having those services coordinate smoothly and sustainably. This work is very challenging more effectively with the communities they assist as well as but AHCWA receives long hours of effort from a number with each other service. The OSPO also pushes each mobile of AHCWA’s highly-skilled staff. The AHCWA staff have also and outreach service to build the capacity of ACCHs’s’ staff in needed to seek the direction of the AHCWA Board much more those rural and remote areas. often than normal, so I thank all of the Board very much for those extra efforts. An important part of the OSPO role has been attending numerous Regional Aboriginal Health Planning Forums, Health Systems Improvement Unit is working hard plus leading the development of a totally new web-based In addition to its detailed work with CMSAC and in particular interactive tool to improve the patient journey of rural and DYHS, the HSIU has continued to support the WA ACCHs’s remote patients. That proposed database has been named generally with areas such as Continuous Quality Improvement the MAPPA Project, and it has the potential to be a real (CQI); maintaining clinical accreditation; reporting game-changer for the WA health sector. summarised clinical data; and optimising Medicare revenue. Tackling Indigenous Smoking has evolved Key 2016/17 achievements include continuing to build the WA Clinical Leadership Group (CLG); developing a detailed The Tackling Indigenous Smoking (TIS) work at AHCWA has HSIU calendar; and getting iron tablets and chloramphenicol entered a new phase, with a partnership with DYHS allowing a (an important eye drop) back on the Pharmaceutical Benefits presence at their East Perth clinic. This has been well-received, Scheme (PBS). and has the potential to grow to DYHS’s other clinics too. Sector Development is growing In 2016/17 Sector Development grew, including with the addition of two new sexual health programs: Young, Deadly and Free; and the Birds and the BBVs [blood-borne viruses]. Demand for first aid training is increasing, and the RTO’s Cert IV in Aboriginal and/or Torres Strait Islander Primary Health Care Practice is now accredited with the Australian Health Practitioner Regulation Authority (AHPRA) so that graduates can register with AHPRA if they wish.
44 Ear health program artwork
ABORIGINAL HEALTH COUNCIL OF PUBLIC HEALTH AND PRIMARY HEALTH CARE SOUTH AUSTRALIA AHCSA Public Health Medical Officer The AHCSA PHMO continues to provide public health advice ONE OF THE MOST EXCITING DEVELOPMENTS OVER and support to AHCSA and to improve comprehensive primary THE PAST TWELVE MONTHS HAS BEEN THE CHANGE health care for its member services. This involves a range of IN INCORPORATION FOR AHCSA TO THE AUSTRALIAN activities including SECURITIES AND INVESTMENT COMMISSION (ASIC) • Coordination of a support and information network AND NOW AHCSA IS A COMPANY BY GUARANTEE AND between AHCSA staff and ACCHs’ through monthly Public OFFICIALLY KNOWN NOW AS THE ABORIGINAL HEALTH Health Network meetings COUNCIL OF SOUTH AUSTRALIA LIMITED. • Supporting health service clinical governance including It continues to be a busy time for the Sector with the various leading a project with SA ACCHs’ to define the concept of Agreement discussions with funders at a State and National clinical governance and develop resources that ACCHs’ can level and the preparation for the new Indigenous Australian use to strengthen clinical governance activities Health Programme funding through NACCHO from the 1 July • Supporting a range of quality improvement initiatives with 2017 through to the 30 June 2020. AHCSA has been working with ACCHs’ including data collection, PDSA CQI cycles and NACCHO and the other State and Territory Affiliates to provide improved use health information systems. leadership for the Sector on the new Funding Model for the ACCHs’. The AHCSA Secretariat has been providing support to the The AHCSA Eye Health Programme AHCSA Members through the core positions and the program/ This has been a particularly busy year for the Eye program: programme support roles. Our Chief Finance Officer and HR Officer • In addition to existing twice-yearly community visits have been supporting the CEOs and Senior Managers where with optometrists and ophthalmologists to twelve core required with financial, HR and employment when requested. recipient ACCHs’s, increased funding support has enabled AHCSA’s RTO is expanding with AHCSA to provide Training two extra optometrist-only travel circuits to five of the both in Queensland and the Northern Territory and the CEO twelve core locations; has been working with Dr Roianne West from Griffith University • Increased delivering of on-site training to ACCHs’ clinic staff in Queensland’s and their 5 sites to deliver Cert III and Cert IV in Primary Eye Health and Vision Testing, toward primary Clinical and Practice to pre enrolled students to gain access level capacity building, early detection and timelier patient into direct entry Midwifery and Nursing. referrals for eye health concerns. The Program Managers spend a majority of their times out on the ground visiting the ACCHs’s with the many and varied program support as required from Communicare and MBS audits and training to our GP Supervisor and PHMO providing a GP Service. Some of the program/ programme support have been:
45 NACCHO ANNUAL REPORT 2016–2017
AHCSA Ear Health Programme For further information about the MEMBER SUPPORT Reinvented Puyu Blasters Tackling Indigenous Quality Systems Team • The AHCSA Ear Health Program Smoking Programme please visit has strategically rebranded the our Puyu Blasters website The team have been supporting the program with a new name and logo www.puyublasters.com.au or check us members through organisational ‘Deadly Sounds’. The Deadly Sounds out on Facebook www.facebook.com/ accreditation, data, patient information program aims to appeal to the wider PuyuBlastersAHCSA/ management systems and clinical accreditation and governance. community to improve the profile Sexual Health Program and outcomes of ear health within Some of the projects have included: The AHCSA Sexual Health Program is our communities. • Clinical Governance Project funded through the South Australian • The Deadly Sounds new logo and Sexually Transmissible Infection and • AHCSA Website Portal - General artwork “Yuri Pamanthi” is a Kaurna Blood Borne Virus Programs, Dept. of Information; My Health Service; AHCSA word meaning “to reach one’s ear”. Health and Ageing until 30 June 2019. Community • It’s a story about AHCSA’s Deadly Some activities undertaken by the team • Medicare Resource: have included: Sounds Program aims to support • SA Quality Improvement Data (SQID) members to develop and deliver • Hosting the Taboo or not Taboo 2 - Cycles. comprehensive primary ear and STI and BBV two day training hearing health services to reduce the workshop delivered at AHCSA to 48 RESEARCH prevalence and incidence of otitis workers and students from 9 ACCHs’ media in Aboriginal populations. across SA in April 2017 Building Safe Communities for Women • The artwork depicts the journey • Working with Members in Adelaide on how the program will assist to supply them with resources • Mapped services in communities and support the development and including staff education and across South Australia that work to enhancement of ear health services/ supporting Annual STI screening support Aboriginal women and their programs ensuring members services and health promotion with over children and keep them safe from have the capacity to identify, monitor, 5000 condoms distributed violence manage and resolve middle ear • Working with the SAHMRI STI • Conducted a literature review conditions of clients ensuring that Project Officer focus testing with into best practice for supporting our children have good ear and young people in Coober Pedy, Aboriginal women and their children hearing health. Port Lincoln and Ceduna for new STI experiencing violence, and creating Puyu Blaster Tackling Indigenous Commonwealth Health Promotion safer communities. Smoking (TIS) Programme resource as well as with the Young, The Puyu Blasters Team offers the Deadly and Syphilis Free and following programmes and support: GOANNA2 with SAHMRI • Community based tobacco • UTHS and CKHS in a national awareness and education, point of care for Chlamydia and Gonorrhea research project, Test, quit referral and information The Aboriginal Gender Study Treat and Go 2 (TTANGO2) being • Workplace capacity building through implemented by Flinders University • This project is working on developing Health Promotion, training and International Centre for Point-of-Care a strength-based understanding community engagement Testing, the Kirby Institute (UNSW of contemporary gender roles • brief intervention and Quit Skills Australia) and other research and relationships in Aboriginal communities.The project aims at • The development of a SA specific organisations, in collaboration with government and ACCHs’ understanding multiple gender roles tackling tobacco tab in Communicare and relationships across the life span, • Supporting smoke-free • Development and delivery of pilot and working to define gender equity environments. Sexual Health Module for RTO in a contemporary Aboriginal context. planned for September 2017. • This work will have a South Australian focus and contribute to knowledge about the building of respectful relationships through a gender equity lens.
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• Research is currently in the community engagement Figure 2: Chlamydia test positivity for clients aged 16 – phase, working to establish relationships with already 30 years, 2012 – 2016, by sex, all participating ACCHs’s existing groups within Member Services (i.e. parent groups, men’s groups, grandmother groups etc.). The project will commence yarning circles shortly which will focus on storytelling and shared narratives. • The project is funded by the Lowitja Institute and is operating in partnership with University of Adelaide and South Australian Health and Medical Research Institute (SAHMRI).
Select data from the 2016 AHCSA Annual STI Screening Report As part of AHCSA’s sexual health program, SA Pathology provides AHCSA with de-identified sexually transmissible infection (STI) testing data from all SA Aboriginal Community Controlled Health Services (ACCHs’s) except Nganampa Health Council. This data is then analysed and reported Figure 3: Gonorrhoea test positivity for clients aged 16 – back to ACCHs’s. 30 years, 2012 – 2016, by sex, all participating ACCHs’s Across all participating ACCHs’s in 2016 1402 STI tests were performed on 1160 unique clients. The number of STI tests performed has more than doubled since 2008, however, there has been a downward trend in the number of tests since 2014.
Figure 1: Number of STI testing episodes*, 2008 – 2016, all participating ACCHs’s
Figure 4: Trichomonas test positivity for clients of all ages, 2012 – 2016, by sex, all participating ACCHs’s
Since 2012 there have been downward trends in test positivity for chlamydia, gonorrhoea and trichomonas (Figures 2-4).
47 CEO of the Aboriginal Medical Services Alliance of the NT John Paterson with the Federal Minister for Indigenous Health, Ken Wyatt and Dr Mick Adams at Ochre Day which aims to raise awareness of issues in Aboriginal men’s health, celebrate the work being done by Aboriginal medical services on the ground.
ABORIGINAL MEDICAL SERVICES A further area of reform of the new Government is a ten-year Local Decision-Making policy aimed at progressively ALLIANCE NORTHERN TERRITORY re-empowering Aboriginal communities through increasing (AMSANT) community decision- making over services provided by government. This will involve delivering control of a range THE PAST YEAR HAS BEEN A MOMENTOUS ONE of services to Aboriginal controlled organisations and FOR AMSANT AND, EQUALLY, FOR THE TERRITORY enterprises. This includes out of home care and housing that AS A WHOLE. IT HAS BEEN A YEAR IN WHICH A are areas of critical concern for AMSANT and its Members. WATERSHED CHANGE OF GOVERNMENT THAT An out of home care workshop coordinated by Aboriginal BROUGHT LABOR BACK INTO POWER WAS ALL BUT Peak Organisations NT (APO NT) and AMSANT was held in July OVERSHADOWED BY THE AFTERMATH OF REVELATIONS 2016. AMSANT led APO NT’s subsequent proposal to the NT ON ABC’S FOUR CORNERS PROGRAM IN JULY OF THE Government for resources to develop a strategy to create an SHOCKING TREATMENT OF YOUTH AT THE DON DALE Aboriginal-led and controlled out of home care sector in the DETENTION CENTRE. THE REVELATIONS SPARKED NT. Territory Families have committed to providing resources NATIONAL OUTRAGE AND PRECIPITATED A SWIFT for the project, including a seconded position to APO NT to ANNOUNCEMENT BY THE PRIME MINISTER OF A ROYAL coordinate development of the strategy. COMMISSION INTO THE PROTECTION AND DETENTION OF CHILDREN IN THE NORTHERN TERRITORY. Meanwhile AMSANT, together with The Royal Commission has intersected with the reform agenda of the new Government, with a process of reform of child Member Services Congress and Danila protection and youth justice occurring alongside broader Dilba, have been represented on the reform of policies focused on children and families. AMSANT NT Government’s Experts Group and and its Members, along with other Aboriginal organisations, have engaged with the Government in the reform process, Working Group developing an Early and have also provided submissions to the Royal Commission, Childhood Strategy for the NT. due to report later in 2017.
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A milestone celebrated during the year was the 10-year AMSANT has provided strong eHealth support with business anniversary of AMSANT’s Indigenous leadership program, and information management systems, as well as access to held in May in Alice Springs. The event recognised the people remote infrastructure. AMSANT are working with Laynhapuy and the innovative work of the ACCHs’s sector which are the Homelands to install infrastructure and implement program’s inspiration. The 10-year leadership celebration telehealth services in three of their community health clinics, brought together thirteen Member Services and nine key with installation to commence in September 2017. stakeholders to showcase leadership initiatives in health. The eHealth team provides ongoing support with Communicare, QMS systems and reporting on the NTAHKPIs The year saw the completion of Commonwealth Department of and the nKPIs, as well as support in registering to participate Health-commissioned Nous Review of NACCHO and its Affiliates in the My Health Record system. with the release of the final report providing acknowledgement of AMSANT’s work in supporting members and its effective stakeholder engagement as a peak body for the sector. The AMSANT Continuous Quality AMSANT has continued to provide leadership as a member of Improvement (CQI) Coordinators the NT Aboriginal Health Forum, with three Forum meetings held during the year. Special meetings were also convened support health service teams with around developing a structured process for the prioritisation their ongoing CQI priorities, and held of regionalisation applications, and also to consider a CQI Collaborative in November 2016 Malabam Health Service’s application for funding to begin the transition process to take full control of primary health in Alice Springs. A CQI data working care services for Maningrida. group has been established to look On 1 July, another successful transition was completed with at identified Northern Territory Miwatj Health Service taking over control of the Milingimbi Aboriginal Health Key Performance clinic, with a further two clinics scheduled for transition over Indicator (NTAHKPI) data at service the next 18 months. Meanwhile, the Red Lily Health Board has continued to progress on its transition path, with continued level across the NT from both ACCHs’s auspicing and other support provided by AMSANT. and Northern Territory Government and Primary Health Care services for Support for Member Services is core quality improvement. business for AMSANT, delivered by dedicated teams specialised in key AMSANT is an active member of the Steering Committee and areas of services’ needs. the clinical and technical working groups to assist in developing and defining the NTAHKPI system. AMSANT led a workshop to develop strategic directions for the NTAHKPIs, with a key Workforce support has included initiatives to build the capacity outcome being the need to develop non-clinical indicators. of and support the Aboriginal Health Practitioner workforce The latest pooled data reveal that the ACCHs’ sector in the as well as other key workforce areas. AMSANT is working in NT provides 57% of all episodes of care and 60% of contacts partnership with Indigenous Allied Health Australia (IAHA) with Aboriginal Primary Health Care (PHC). The sector had and other key stakeholders to set up a pilot ‘NT Aboriginal 62% of the regular clients, building on an ongoing trend as Health Academy’ for VET in Schools (VETiS) School Based the largest provider of PHC to Aboriginal people in the NT. Traineeships to grow the allied health workforce in the This rapid growth – 11.6% growth in clients, including 14% NT. AMSANT worked closely with NTPHN to assist with the growth in remote areas – brings with it a challenge for the transition for the ITC Workforce Development Plan for the sector in that the increased workload for health services is newly formed Integrated Team Care (ITC) commissioned having to be achieved with no increase in funding. to nine of our Member Services. The team has coordinated successful Medicare Training Workshops for Member Services in the Top End and Central Australian regions and provided comprehensive Cultural Awareness training to GPRs.
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Over the past year, AMSANT has also responded to the rollout of major national health policies, including Health Care AMSANT is a partner in a number of Homes (HCHs) and the National Disability Insurance Scheme significant health research projects, (NDIS). In the NT, ACCHs’s represent over half of the trial sites for Health Care Homes. AMSANT has supported this by including the Mayi Kuwayu National providing information and working closely with NT Primary Study of Aboriginal and Torres Strait Health Network (PHN) on supporting the trial sites. In relation Islander Wellbeing and the NHMRC to NDIS, AMSANT canvassed Member views where NDIS trials have rolled out, consulted experts and has developed a set of Data Linkage Partnership Project. recommendations that have been put to the Commonwealth. AMSANT, in partnership with Human AMSANT has provided submissions to a broad range of Capital Alliance (HCA), has also inquiries and reviews including the Productivity Commission been successful in its application to inquiry into human services, MBS review consultations, the Lowitja Institute to undertake a the Royal Commission into the protection and detention of children, and the NT Renal Strategy as well as submissions national workforce research project on on pharmacy, take-own-leave, Indigenous Practice Incentive career pathways for Aboriginal & Torres Program (PIP) and interpreter services, to name a few. Strait Islander health professionals. The year has also seen changes in arrangements for mental AMSANT’s research governance has health funding. AMSANT successfully argued for the new mental health money provided through PHNs to be subject been bolstered during the year with to a needs-based allocation process managed by the NT the establishment of a Board Research Aboriginal Health Forum. This has resulted in a needs-based Subcommittee. expansion of SEWB in Aboriginal Primary Health Care. AMSANT’s Trauma Informed Care team has continued AMSANT also continues to work as a member of the engagement with Member Services, including the development Aboriginal Peak Organisations NT (APO NT) alliance as part and delivery of Trauma Informed Care training to Congress, of our commitment to intersectoral activity on the social Danila Dilba and Wurli Wurlinjang. Development of a Trauma determinants of health. During the year, the alliance has Informed Primary Health Care Action Group with a purpose to achieved significant outcomes in issues of concern raised consult, collaborate and lead trauma informed care across the by AMSANT’s Member Services. APO NT has supported the NT. Members include key people working within primary health Aboriginal Housing NT (AHNT) Committee and established care from ACCHs’s and the Northern Territory Government, a formal role in advocating on housing reform with the as well as Aboriginal leaders working nationally within the NT Government. APO NT has also successfully intervened trauma informed care field. in relation to the disastrous Community Development Driving improvement in Aboriginal health research to ensure it Programme (CDP) and has brokered the development of an is culturally safe and responsive to priorities set by Aboriginal alternative model which has garnered considerable interest communities has continued to be a strong focus for AMSANT. in the policy debate on reforming CDP. The leadership provided by AMSANT and Congress in the Central Australian Academic Health Science Centre was undoubtedly an important factor in the Centre’s successful bid to become one of only five Centres for Innovation in Regional Health (CIRH) approved by the National Health and Medical Research Council (NHMRC) across the country. The Centre’s model, with Aboriginal community controlled health at its centre, will ensure that the significant health research investment that is anticipated to flow to the Centre, will be well-targeted. TOP: Winnunga Nimmityjah once again hosted the National Sorry Day Bridge Walk in Canberra BOTTOM: Winnunga Nimmityjah chief executive Julie Tongs launched the Family and Domestic plan at Winnunga Health service
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51 QAIHC celebrated its 25 year anniversary
52 NACCHO ANNUAL REPORT 2016–2017
QUEENSLAND and QAIHC are grateful for their support STRONG STRATEGIC and guidance. These two vacancies PARTNERSHIPS ABORIGINAL AND allowed QAIHC the opportunity to The Queensland Aboriginal and Torres ISLANDER HEALTH welcome to the Board Kieran Chilcott, Strait Islander Health Partnership CEO of Kalwun Health Service as the new COUNCIL (QAIHC) continues to foster strong collaboration QAIHC Chairperson, and Kerry Crumblin, between QAIHC, the Commonwealth QAIHC HAS EXPERIENCED CEO of Cunnamulla Aboriginal Department of Health and Queensland SEVERAL EXCITING AND Corporation for Health as the new Health. This year the Partnership met SIGNIFICANT CHANGES OVER Deputy Chair. four times and deliberated over priority THE PAST 12 MONTHS, AS THE issues such as Mental Health, ORGANISATION CONTINUES KEY APPOINTMENTS AOD/Substance Misuse, Child TO DRIVE A SUSTAINABLE AND In January 2017, Matthew Cook & Maternal Health, sharing and RESPONSIVE COMMUNITY resigned as Chief Executive Officer (CEO) coordinating data collection and CONTROLLED HEALTH SECTOR. of QAIHC and in April 2017, Neil Willmett Indigenous Health Funding. The QAHIC WORKS IN PARTNERSHIP was appointed as the new CEO. Partnership also engaged on key topics WITH GOVERNMENTS AND OTHER Neil brings to QAIHC extensive senior with invited guests from Prime Minister SERVICE PROVIDERS TO ENHANCE management experience and expertise & Cabinet, Primary Health Networks THE DELIVERY OF PRIMARY in both the private and public sectors in and Hospital and Health Services. HEALTH CARE SERVICES TO Australia and overseas. ABORIGINAL AND TORRES STRAIT HEALTH PROGRAMS AND ISLANDER PEOPLE, FAMILIES COORDINATION OF EDUCATION AND COMMUNITIES ACROSS SIGNIFICANT MEMBER With a focus on hearing health, QUEENSLAND. EVENTS QAIHC shares the vision articulated QAIHC has 25 Member Services and in the Deadly Kids | Deadly Futures ANNIVERSARY three regional members as part of its Queensland’s Aboriginal and Torres CELEBRATIONS Queensland network. QAIHCs goal is Strait Islander Child Ear and Hearing to support and drive a sustainable Health Framework 2016-2026, which is: In October 2016, QAIHC celebrated and responsive Aboriginal and Torres 25 years of successful leadership and Strait Islander Community Controlled service to the sector, with a gala event Health Sector in Queensland. All Aboriginal and Torres held in Brisbane. Over 200 people In alignment to this goal, QAIHC joined the QAIHC Board, management Strait Islander children coordinated three key Member and staff to acknowledge the tireless in Queensland have forums/consultations in 2016-2017. efforts of both the original founders of healthy ears and can QAIHF, and now QAIHC, as well as the 1. The October 2016 QAIHC Members many people who have contributed Conference was a two-day event listen, learn and reach throughout the years in building a solid and was attended by some 130 their full potential. and successful, community controlled delegates from across the ACCHs’ health sector foundation. Sector in Queensland. Over the last 12 months QAIHC has 2. The QAIHC Member CEO Forum continued to participate a member NEW BOARD had an emphasis on the National of the Implementation Steering APPOINTMENTS Disability Insurance Scheme (NDIS), Committee for the Deadly Kids | Deadly The October 2016 QAIHC AGM saw Aged Care funding and policy, Futures Framework and contributed to the retirements of long serving QAIHC workforce recruitment and retention the development of its 2017-2018 Action Chairperson, Elizabeth Adams and and governance reform. Plan. In addition, QAIHC has facilitated Deputy Chairperson, Janice Burns. 3. The QAIHC Member Governance Hearing Health forums, linked research Both of these women have made Review Consultation was a dedicated with Member Services, developed significant contributions toward consultation in relation to the procedures and resources, assisted shaping and directing the organisation Governance Review being undertaken with school based screening projects, to ensure it is responsive to the needs by NACCHO. QAIHC has continued including an overseas university and expectations of Member Services to engage with its Members and initiative that was conducted with actively participate in the NACCHO consultations.
53 QAIHC Graduates of Cert III in Business Administrations for medical receptionists
Gurriny Yealamucka Health Service at The QAIHC immunisation nurse With the prevalence of the ICE epidemic, Yarrabah. QAIHC also participated at co-ordinator provided 16 training and QAIHC developed and delivered 23 the National Ear Disease Roundtable education sessions to member services professional development training in November 2016, co-presented with regarding policy and procedures, workshops to 471 Aboriginal and Torres Australian Hearing at the NACCHO cold chain management, and the Strait Islander community frontline Members Conference in December 2016 use of the Australian Immunisation staff working in Alcohol and other drugs and assisted with the 19th International Register (AIR), its functions, and data (AOD), primary health care and other Symposium on Recent Advances in management. Member Services were services. This included seven sites that Otitis Media that was held in June provided with educational resources were specifically for QAIHC Member 2017 on the Gold Coast. QAIHC made a such as power point presentations Services and their staff. QAIHC was also submission to the Standing Committee and step-by-step guides to use to part of the working group to develop a on Health, Aged Care and Sport for the assist in educating patients as well as national ICE e-toolkit and represented Report on the new and existing staff. Assistance was the sector on the National Indigenous also provided in reviewing policy and AOD Experts panel and the Queensland Hearing Health and Wellbeing of procedure manuals and auditing of cold Health and Queensland Mental Health Australia and also appeared at one chain management in line with best AOD Commission Advisory Committees. of its public hearings. practice and accreditation standards. QAIHC also collaborated with the The development of an immunisation Queensland Mental Health Commission Through funding from animation was commenced and is for an Aboriginal and Torres Strait expected to be completed and released Islander Stigma and Discrimination Queensland Health, in 2017-18. The rate of immunisation Research project for people QAIHC has been able to has been improving in Queensland with experiencing problematic substance focus on issues such as a 4.18% increase in Indigenous children use issues. (ages 1 ,2, 5) who are fully immunised. immunisations and crystal QAIHC is recognised by General Practice Training Queensland as the deliverer of methamphetamine (ICE). the mandatory Aboriginal and Torres Strait Islander Cultural Education program for 120 General Practice Registrars.
54 Cover of the QAIHC publication, Deadly Kids/Deadly Futures hearing health framework
RESEARCH SUPPORTING THE CONCLUSION QAIHC is actively engaged in supporting QUEENSLAND COMMUNITY While it has been a time of great research, programme and policy In 2016, QAIHC supported the sixth change, it is a credit to the development in the area of sexual Queensland Murri Rugby League professionalism and commitment of health. Through the participation on a Carnival (MRLC) which was held over QAIHC staff that we have continued consortia with South Australian Health four days in Redcliffe, and involved a to achieve and improve during & Medical Research Institute (SAHMRI), total 48 teams and approximately 1,200 2016-17. QAIHC looks forward to the QAIHC is developing the capacity players. That year, the MRLC included future challenges and continuing of our Member Services, influential events for children aged 10 years and the journey of supporting Members community representatives and young over and importantly, included netball to create a vibrant and modern people to provide appropriate services, for girls. The MRLC is a smoke, drug, community controlled health sector support and knowledge in relation to alcohol & sugar free event and it is in Queensland. sexual health, specifically STI/BBVs. delivered in collaboration with the Innovatively, the project will allow Arthur Beetson Foundation and the QAIHC to engage young people in the Institute for Urban Indigenous Health. delivery of peer-to-peer education To be eligible to participate in the about sexual health. QAIHC continues MRLC, it is mandatory for all players and to provide feedback, on behalf of its’ officials to complete a 715-health check Members, in relation to the support, at their local AICCHO or participating education, prevention and treatment of private/public primary health care HIV in Queensland. service. Children also had to achieve a 90% school attendance rate as well as meet appropriate standards of behaviour while at school.
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A group of Aborigines visiting pilri as part of Preminghana Camp 2017 (TAC website photo)
TASMANIAN ABORIGINAL CENTRE INC CHRONIC DISEASE PROJECT OFFICER The Chronic Disease Project Officer (CDPO) works in conjunction THE TASMANIAN ABORIGINAL CENTRE (TAC) REMAINS with the AHS and Medical Director to provide information and DEDICATED IN ADVOCATING FOR ABORIGINAL explanation of programs aimed at addressing Indigenous PEOPLES’ RIGHTS AND PROVIDED SERVICES chronic disease to new and existing clinical staff. The CDPO IN THE AREAS OF HEALTH, LEGAL, CULTURAL provided support to the Care Coordination and Supplementary MAINTENANCE, CHILDREN’S PROGRAMS AND LAND Services (CCSS) program and the Integrated Team Care Program MANAGEMENT. THE TAC REMAIN COMMITTED TO (ITC) and administered the QUMAX and Medical Outreach PROTECTING ABORIGINAL HERITAGE; MAINTAINING Indigenous Chronic Disease Program (MOICDP). AND STRENGTHENING ABORIGINAL CULTURE AND TRADITIONS, AND ENSURING ABORIGINAL CULTURE PROGRAMS UNDERPINS PROGRAM ACTIVITY. There are a number of programs aimed at addressing Aboriginal chronic disease which the TAC is funded to deliver. CCSS is a useful ACCREDITATION source of funding to assist patients with defined chronic diseases but the administration is extremely burdensome while the Medical All three Aboriginal Health Services (AHS) are accredited under Outreach Indigenous Chronic Disease Program (MOICDP) brings Australian General Practice Accreditation Limited (AGPAL) specialists and allied health providers to the AHS. standards and align with the organisations strategic priorities. The AHS maintain eligibility to provide services under the Practice Incentive Program and the Practice Nurse Incentive MEDICAL OUTREACH INDIGENOUS Program. While the TAC is also accredited with the Quality CHRONIC DISEASE PROGRAM (MOICDP) Improvement Council. The TAC’s MOICDP provides allied health and specialist clinics in Hobart, Launceston and Burnie. The cardiopulmonary CHRONIC DISEASE WORKFORCE rehabilitation program and ongoing maintenance program is offered in Hobart, Launceston and Burnie with the support of The AHS employed more general practitioners to improve MOICDP funding. chronic disease prevention, screening, and management, and to provide acute care and chronic disease care alongside the AHWs. In the period 1 July 2016 to 30 June 2017, PRACTICE INCENTIVE PAYMENT 610 Aboriginal Health Checks (MBS Item 715), 126 General INDIGENOUS HEALTH INCENTIVE (PIP IHI) Practice Management Plans (GPMP) and 103 Team Care By the end of June 2017 there were 161 general practices in Arrangement (TCA) were undertaken. Tasmania of which 108 are registered for Practice Incentive Program (PIP) Indigenous Health Incentive (IHI). Medicare data indicate there are 124 general practices registered for PIP.
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CARE COORDINATION AND The grants were used to pay for sports fees, uniforms, SUPPLEMENTARY SERVICES PROGRAM footwear, and fitness equipment, enabling community (CCSS) AND INTEGRATED TEAM CARE members of any age to increase their physical activity and ARRANGEMENT (ITC) pursue a healthier lifestyle. The grants were extended to cover travel and accommodation for elite Aboriginal athletes The TAC provides assistance to Aboriginal and Torres Strait to participate in their sport at a regional, state, national or Islander patients who have heart disease, lung disease, renal, international level. cancer, diabetes, or are obese through Care Coordination and Supplementary Services (CCSS) and now the Integrated Team Care (ITC) funding. Through this funding Aboriginal and MEMBER SERVICES Torres Strait Islander patients receive care coordination to The TAC continues to provide assistance to Member Services assist in the access to specialists including, but not limited when requested. Member Services are invited to any relevant to, cardiologists, gastroenterologists, ophthalmologists, training and workshops delivered by the TAC. oncologists and respiratory physicians in a clinically acceptable timeframe. This program also provides access CONTINUOUS QUALITY IMPROVEMENT to Supplementary Services funding in which the Care Coordinator can use these resources to access resources that TAC continued to contribute to the development of a CQI normally would be inaccessible due to cost or waitlist times. framework for Aboriginal health services. The draft framework has been simplified by having four domains as the focus of CQI: Client and Community Centred Care, Leadership and Patients have also accessed allied Partnership Whole of Organisation Capability and Evidence health providers including, but not Approach. TACs work in the CQI network has been to further define and clarify these domains and the elements within limited to, podiatrists, physiotherapists, domains before the framework is released to ACCHs’ as a osteopaths, diabetes educators and guide to their CQI work. exercise physiologists. Without the assistance of the CCSS/ ITC funding, POLICY DEVELOPMENT AND PARTNERSHIPS patients would rely solely on the public TAC has contributed to many areas of policy and program health waiting list. advice over the year. The Tasmanian Tobacco Coalition, the Tasmanian Suicide Prevention Network, Breastfeeding Coalition, the South Australian Institute of Health and Medical QUMAX Research, Child Safety and Family Violence, and many others have provided opportunities for the TAC to contribute on In 2016/2017 the QUMAX program operated in 39 Pharmacies behalf of the Tasmanian Aboriginal Community. and they covered the cost of 2,911 Dose Administration Aids (DAA) for 66 clients. The cost per Dose Admission Aid (DAA) ranged between $4.00 and $9.50 depending on what each DATA AND DATA GOVERNANCE pharmacy charged. The formal QUMAX agreement with This area has had its challenges over the year with changes Chemist Warehouse Hobart covered the cost of DAAs at to definitions that influence what data ACCHs’ provide in $5.00 each for a total number of 25 patients. their reporting. Ensuring that Primary Health Networks have adequate data governance protocols before TAC sends TAKAMUNA PAKANA (RECREATIONAL AND detailed data has ensured that our AHS continues to make the SPORTING ASSISTANCE FUND) privacy of patient information the highest priority. TAC have also offered to support other services in their data governance. In the 2016/17 financial year takamuna pakana provided financial assistance to 287 community members. • 50% of these participants were female (49% male) • 7 Aboriginal people with a disability participated in the project • 10% of the participants related to elite/ representational activities • 3 recipients are umpires: 1 AFL, 1 cricket and 1 netball.
57 Federal Minster for Indigenous Health and Minister for Aged Care, the Hon. Ken Wyatt AM attended the 2017 World No Tobacco Day function at Winnunga
WINNUNGA NIMMITYJAH Team has been critical for the family and the community as a whole. Winnunga AHCS are pleased to report the family and ABORIGINAL HEALTH SERVICE the community have all benefited from this ongoing support AUSTRALIAN CAPITAL TERRITORY and without it the current situation would be far more problematic for all involved, including government MS JULIE TONGS, CEO OF WINNUNGA AHCS and non-government agencies. CONTINUED IN HER POSITION ON THE NACCHO BOARD Ongoing advocacy with government officials and ministers AS WELL AS IN THE HEALTH AND COMMUNITY SERVICES particularly around the social determinants of health AND AFFILIATE CEO ROLE. MS TONGS CONTINUED (including cultural and spiritual determinants) has continued TO ADVOCATE FOR WINNUNGA AHCS AND THE to be high on the agenda. As a direct result of these ABORIGINAL COMMUNITY IN THE ACT, conversations, negotiations have commenced on the role THE SURROUNDING REGION AND NATIONALLY. JULIE Winnunga AHCS should play in the delivery of services at the MET REGULARLY WITH SENIOR OFFICIALS, DECISION Alexander Maconochie Centre (ACT adult prison), for both MAKERS, KEY STAKEHOLDERS, ACT GOVERNMENT, clinical and social health services. COMMONWEALTH GOVERNMENT, ACADEMIC Winnunga AHCS successfully secured a pilot Justice INSTITUTIONS AND NON-GOVERNMENT AGENCIES, Reinvestment Trial program which will be rolled out in the WORKING ON CONTINUING TO TRY AND IMPROVE 2017-2018 financial year. The Program will work with 10 POLICIES AND SERVICES AT BOTH LOCAL AND NATIONAL identified families (with children) who are in contact with the LEVELS. THIS CONTINUED LOBBYING AND INCREASED criminal justice system. The aim of the Program is to through MEDIA ATTENTION AGAIN IN 2016-17, HAS RAISED THE intensive case management, wrap around holistic services/ PROFILE OF WINNUNGA AHCS IN THE ACT. supports for the families to give them the best possible opportunity to make positive life changes in a range of areas. Following on from 2015-16, the bashing of Steven Freeman, If the Pilot proves to be successful there is the possibility for a young Aboriginal man in custody in the AMC, followed by this work to continue in an ongoing capacity. Steven Freeman’s tragic death in custody in May 2016, continued to require a significant amount of advocacy in A review has been announced for the ACT on children in out this reporting period. Support and advocacy for Steven’s of home care. This announcement is welcomed by Winnunga mother and family has needed a consistent commitment AHCS, however, disappointingly it is intended to be undertaken from Winnunga AHCS, including the CEO. The Moss Inquiry, over a two-year period. Winnunga AHCS will keep a close eye meetings with corrections officials, the Australian Federal on the progress and development of the review. It is worth Police, lawyers, Human Rights Commission and medical noting that in the almost three years since the ACT Government experts have continued to be extremely difficult for the committed to ‘A Step Up for Our Kids’ (a government initiative family not only to navigate but to be present throughout to improve the alarming removal rate of Aboriginal children), their tragic loss – hence the trust and unconditional support without Aboriginal participation, that the rate of removal of particularly by Winnunga AHCS’s CEO and the Social Health Aboriginal children in Canberra has increased 1% a year and is now, at over 26% from a population base of just 1.5%.
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Disappointingly Aboriginal and Torres Strait Islander peoples The ACT Government’s decision to abandon its commitment continue to be grossly over represented in all areas of life. to an Aboriginal Drug and Alcohol Residential Rehabilitation The ACT has the highest incarceration rate of Aboriginal people service is to say the least disappointing. Winnunga AHCS is nationally, has the second highest rate of homelessness utterly dismayed at what the decision says about the level of nationally, and continues to remove Aboriginal and Torres Strait interest which the current ACT Government has for the welfare Islander children from families at alarmingly high rates. and circumstances of the ACT Aboriginal community. Priorities identified have remained the same as per the The ACT Government made an admission that the Ngunnawal previous reporting period: Bush Healing Farm facility built by the ACT Government, at a • Bashing of Steven Freeman whilst incarcerated in the AMC, cost of many millions of dollars, cannot operate as intended, sadly followed by the death of Steven Freeman in custody as a drug and alcohol residential rehabilitation service, because that use is not permitted under the Territory Plan. • Alcohol and Other Drugs, including continuing to advance The decision to abandon the proposal that the Healing Farm the Ngunnawal Bush Healing Farm Residential Drug and be an Aboriginal drug and alcohol residential rehabilitation Alcohol Rehabilitation Service service is devastating for the local Aboriginal community • Mental Health, including for children and young people which continues to reel under the impact of alcohol and drug • Distribution of commonwealth and ACT funding for misuse. It is particularly distressing for Winnunga AHCS and Aboriginal and Torres Strait Islander specific purpose Gugan Gulwan Aboriginal Youth Corporation which as the only Aboriginal managed and led services in Canberra and the • Access to services and service system response, including region are at the coal face in supporting Aboriginal people and systemic discrimination and racism families affected by alcohol and drug addiction. • Continuous Quality Improvement • Comprehensive primary health care A model of care, funded by the ACT • Significant over representation of Aboriginal people in Out of Home Care, the justice system and homelessness. Government was developed and It is Winnunga AHCS observation that the burden of reporting Winnunga AHCS signed a service and requests for additional data have increased significantly. delivery agreement, drafted by the This includes reporting directly to the Australian Government, ACT Government, for the management indirectly through the PHN (Capital Health Network) and through ACT Health. Winnunga AHCS have spent considerable of the Bush Healing Farm drug and time negotiating appropriate reporting, and configuring alcohol residential rehabilitation systems to accommodate reporting. Increasing requests for service. The good faith which clients’ personal health information through minimum datasets Winnunga AHCS brought to the is a concern and is providing legal, ethical, operational and technical problems. Winnunga AHCS would like a review of the negotiations on the establishment burden of reporting as a continued increase in reporting is not of the rehabilitation service was sustainable within current resources. disappointingly not matched by the Winnunga AHCS is concerned that program changes are ACT Health Directorate. being implemented without adequate consultation with the Aboriginal Community Controlled Health Sector, and without adequate consideration of implications and unintended The Aboriginal community is understandably angry and negative consequences. These include changes to the OSR upset that once again its needs have been by-passed. episodes of care reporting, direct load of reporting data to On this occasion, however, the Government not only the Department of Health, the Primary Mental Health Care acknowledged the need for an Aboriginal drug and alcohol Minimum Dataset and the Indigenous Australians Health residential rehabilitation service, it also constructed a Program (IAHP) Funding Model. Some of these changes may purpose build facility and funded the development of encourage health care delivery which is less than best practice, a model of care for its operation as a drug and alcohol despite a parallel government focus on quality improvement. residential rehabilitation service. Winnunga AHCS is committed to providing best practice service The ACT Government has walked away from its commitment delivery and will not compromise in this regard. to the Healing Farm being an Aboriginal drug and alcohol Winnunga AHCS encourages funders to adhere to the AHMAC residential rehabilitation service, however we will continue (Australian Health Ministers’ Advisory Council) National to advocate for the ACT Government to recommit to the Aboriginal and Torres Strait Islander Health Data Principles. establishment of such a service elsewhere in the ACT.
59 NACCHO ANNUAL REPORT 2016–2017 MEMBER CASE STUDIES
WUCHOPPEREN QLD: With an optometrist and assistant on staff, Wuchopperen is making a big difference to the sight of Aboriginal and Torres AN ACCHO-LED APPROACH Strait Islander people in the Cairns and Atherton regions. TO SERVICE DELIVERY The optometrist-onsite model works very well for Wuchopperen The Wuchopperen Health Service is an Aboriginal Community and it is recommend that an in-house optometrist model is one Controlled Health Service, with two sites in the Far North Queensland worth considering by other services. city of Cairns, and another site in Atherton to the west. It is a “one- stop shop” providing a wide range of medical treatments. Since 2010, ORD VALLEY ABORIGINAL HEALTH Wuchopperen has had an optometrist and an optical assistant on staff, working 27 hours over five days. Patient visits to Wuchopperen SERVICE’S (OVAHS) for eye examinations in 2015 totalled 1,146. Preventing Fetal Alcohol Spectrum Disorders FASD among The optometrist, Vicki Sheehan, sees patients who predominantly Aboriginal and Torres Strait Islander communities in Australia: have been referred by general practitioners and diabetes Where the rubber hits the road educators. Ms Sheehan said that as ‘recalls’ – getting patients to Australian research indicates most health professionals do not return for their biennial check-ups can be difficult, she will often ask pregnant women about alcohol use or provide information keep an eye on which patients are attending the Medical Service about the effects of alcohol on fetal development. for other reasons and takes the opportunity to do an eye check Barriers for health professionals include limited knowledge while they are there. Wuchopperen have found it important that and resources and lack of confidence in advising clients. the optometrist does her 27 hours across five days, in order to Funded by the federal Department of Health, Menzies School have a better chance of catching patients who only attend on a of Health Research developed and delivered a package of certain day of the week. Wuchopperen also undertake fortnightly FASD prevention training and resources to staff from New children and families clinics, which enable them to screen the eye Directions: Mothers and Babies Services across Australia. health of both the children and their parents. The package was modelled on the Ord Valley Aboriginal The Queensland Government, through the Spectacle Supply Scheme (QSSS), provides a free pair of basic spectacles once every Health Service’s (OVAHS) FASD prevention program and two years to holders of a concession card, health care card or promoted a whole of community approach. It was designed Queensland Government Seniors Card. Wuchopperen is a provider to equip health professionals with knowledge and skills to for this scheme, as are a large number of private optometrists develop, implement and evaluate community-driven solutions across Queensland. Wuchopperen provided 433 clients with to reduce FASD in their communities. glasses under the QSSS and referred a further 197 clients to either Partners included OVAHS, the National Aboriginal Community an external ophthalmologist, one of two private clinics, or Cairns Controlled Health Organisation and Telethon Kids Institute. or Townsville hospitals for specialist treatment. Ms Sheehan Ethics approval was obtained from all relevant state and local stated that Wuchopperen have a very good relationship with local ethics committees. Eighty staff attended two-day training ophthalmologists who are prepared to accept referrals of patients workshops held across five locations. Post-workshop surveys to initial appointments at no cost to the patient. indicated increased knowledge of the effects of alcohol during However where eye surgery is required, Cairns Base Hospital has a pregnancy and confidence to deliver brief interventions considerable waiting list, as do most public hospitals in Australia. for alcohol consumption during pregnancy. Despite some Wuchopperen have found the secret to having their patient seen in barriers, most attendees reported conducting FASD prevention a reasonable time period is to “keep pushing.” This takes the form activities e.g. awareness raising with clients or peers, of regularly writing letters and speaking to the hospital, outlining improving data collection systems. Community target groups reasons that make their patients deserving of priority in the surgery included women, men and school students. The training queue. Examples include: diabetics who require good eye-sight to workshops appear to have increased the capacity of some read the ingredients on food packets; those taking medication who NDMBS to take steps towards preventing FASD in Aboriginal need to be able to read labels to ensure they are taking the right and Torres Strait Islander communities. type and dose; older Aboriginal and Torres Strait Islander people who are much more likely to be carers of younger children than older people in the wider community.
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WESTERN AUSTRALIA: SOUTH VICTORIA: BUDJA BUDJA WEST ABORIGINAL MEDICAL MEDICAL CLINIC SERVICE (SWAMS) Patient care at Halls Gap’s Victoria Budja Budja Medical Mental health services in the South West have been boosted Clinic was rewarded after it received a national award of with the South West Aboriginal Medical Service (SWAMS) accreditation. Australian General Practice Accreditation obtaining funds to increase capacity to help Aboriginal people Limited chair Dr Richard Choong said accreditation showed experiencing mental illness. Country WA Primary Health the practice made a significant investment and commitment Network has funded SWAMS to boost its delivery of mental to quality on a day-to-day basis and across all levels of the health services with a new mental health coordinator and practice team. mental health Aboriginal outreach worker. “Achieving accreditation is a major achievement for any Country WA Health regional manager Dianne Ritson said the practice and a clear demonstration that Budja Budja Medical new initiative delivered by SWAMS would provide culturally Clinic is striving to improve their level of care to both patients appropriate and safe services to meet the mental health and and the community,” he said. “Practices seek accreditation healing needs of Aboriginal people in the South West. because they want to do their best and view this as another “We know that coordinating care for people who have complex step towards excellence in patient care. health issues, including mental health, is critical so that The Victorian Aboriginal Spectacles Subsidy Scheme they get the care they need,” Ms Ritson said. “The additional (the Scheme) commenced in 2010 after the Australian College services delivered by SWAMS will build on their existing of Optometry (ACO), the Victorian Aboriginal Community programs, promote service integration and support Aboriginal Controlled Health Organisation (VACCHO) and the Victorian people in navigating mental health programs including suicide Aboriginal Health Service (VAHS) identified the need for the prevention and stolen generation counselling.” provision of spectacles to the Aboriginal Community, at SWAMS’ new mental health coordinator Jacqui Davis started in minimum cost to the patient. Blindness is 6.2 times more January this year and will lead the mental health services team prevalent in Aboriginal and Torres Strait Islanders than in the while being supported by Aboriginal health workers Elizabeth rest of the Australian population and vision impairment is 2.8 Narkle and Jenny Wallam. Chief Executive Officer Lesley times more prevalent. There is 20 times the rate of blindness in Nelson said the health network’s support was vital in enabling the Aboriginal and Torres Strait Islander than in the the centre to continue providing best-practice and culturally non- Aboriginal and Torres Strait Islander population. appropriate health services for the Aboriginal community. 35 per cent of Aboriginal and Torres Strait Islanders have never had an eye-exam and 39 per cent cannot see normal print. “It’s about building the capacity of our mental health services, It was found that 94 per cent of this vision loss is preventable. so our clients have more opportunities to access support,” As part of the Closing the Gap initiative, in July 2010 the she said. “The team will help clients through their journey of Victorian Department of Health provided new funding of getting a proper diagnosis, getting to appointments on time, $180,000 for a three-year program to make spectacles more and being educated on ways to manage their mental health affordable for Aboriginal Victorians. The Victorian Aboriginal needs through support and understanding. “It’s the first Spectacles Subsidy Scheme (the Scheme) was introduced important step in SWAMS being able to increase its reach in a in July 2010 initially to provide 1,800 subsidised visual aids service that is much-needed for our community. to Aboriginal Victorians over a three year period. It has “We recognise the impact mental health issues can have on subsequently been extended and expanded. The program families and carers and we want to help our clients through is delivered by the Australian College of Optometry (ACO), education, counselling and open communication.” and optometry consultations are subsidised by Medicare. Development of the scheme is overseen by the Koolin Balit Ms Nelson said the positions would be funded until June 2018, Eye Health Advisory Group. however the roles would be ongoing to meet the needs of the community.
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FINANCIAL STATEMENTS
NATIONAL ABORIGINAL COMMUNITY CONTROLLED HEALTH ORGANISATION ABN 89 078 949 710
GENERAL PURPOSE FINANCIAL REPORT FOR THE YEAR ENDED 30 JUNE 2017
TABLE OF CONTENTS Director’s Report 64
Statement of Profit or Loss and Comprehensive Income 67
Statement of Financial Position 68
Statement of Change in Equity 69
Statement of Cash Flows 70
Notes to the Financial Statements 71
Directors’ Declaration 82
Independent Audit Report 83 NACCHO ANNUAL REPORT 2016–2017
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* Company Secretary Christopher G Chenoweth was appointed by NACCHO on 15 March 2017 by a board resolution. Until recently Chris was a retired solicitor who had a long career previously practicing in corporate and commercial law.
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85 Canberra Marist College Under 15 AFL team wearing their Indigenous jumpers celebrating NADIOC WEEK round games
NACCHO CEO Pat Turner and Senator Dodson at Parliament House Canberra for the HIV Awareness week TSI launch of ATSIHIV.com NACCHO ANNUAL REPORT 2016–2017 APPENDIX A
MEMBERS
Organisation Name State Organisation Name State
Winnunga Nimititjya Health and Community ACT Riverina Medical & Dental Aboriginal Corporation NSW Centre South Coast Medical Service Aboriginal NSW Aboriginal Medical Service Cooperative Redfern NSW Corporation
Albury Wodonga Aboriginal Health Service NSW Tharawal Aboriginal Corporation NSW
Armajun Aboriginal Health Service NSW The Oolong Aboriginal Corporation NSW
Awabakal Newcastle Aboriginal Cooperative NSW Tobwabba Aboriginal Medical Service NSW Limited Incorporated
Bega Clinic NSW Ungooroo Aboriginal Corporation NSW
Biripi Aboriginal Corporation Medical Centre NSW Walgett Aboriginal Medical Service Cooperative NSW Limited Bourke Aboriginal Health Service Limited NSW Walhallow Aboriginal Corporation NSW Brewarrina Aboriginal Health Service Limited NSW Waminda - South Coast Women's Health and NSW Brungle Aboriginal Health Service NSW Welfare Aboriginal Corporation
Bulgarr Ngaru Medical Aboriginal Corporation NSW Weigelli Centre Aboriginal Corporation NSW
Bullinah Aboriginal Health Service Aboriginal NSW Wellington Aboriginal Corporation Health Service NSW Corporation Werin Aboriginal Corporation Medical Centre NSW Condobolin Aboriginal Service Inc NSW Yerin Aboriginal Health Services Incorporated NSW Coomealla Health Aboriginal Corporation NSW Yoorana Gunya Family Healing Centre Aboriginal NSW Coonamble Aboriginal Health Service NSW Corporation Incorporated Amoonguna Health Service Aboriginal NT Cummeragunja Housing and Development NSW Corporation Corporation (Viney Morgan Aboriginal Medical Service) Ampilatwatja Health Centre Aboriginal NT Corporation Durri Aboriginal Corporation Medical Service NSW Anyinginyi Health Aboriginal Corporation NT Galambila Aboriginal Health Service Incorporated NSW Central Australian Aboriginal Congress Aboriginal NT Griffith Aboriginal Medical Service Incorporated NSW Corporation
Illawarra Aboriginal Medical Service Aboriginal NSW Danila Dilba Biluru Butji Binnilutlum Health NT Corporation Service Aboriginal Corporation
Katungul Aboriginal Corporation Community & NSW Katherine West Health Board Aboriginal NT Medical Service Corporation
Murrin Bridge Aboriginal Health Service NSW Malabam Health Board Aboriginal Corporation NT Incorporated Miwatj Health Aboriginal Corporation NT Ngaimpe Aboriginal Corporation NSW Mpwelarre Health Aboriginal Corporation (Santa NT Orange Aboriginal Medical Service Incorporated NSW Teresa Health Centre)
Peak Hill Aboriginal Medical Service NSW Mutitjulu Health Service NT
Pius X Aboriginal Corporation NSW Ngaanyatjarra Health Service Aboriginal Corporation NT
87 NACCHO ANNUAL REPORT 2016–2017 APPENDIX A
Organisation Name State Organisation Name State
Ngaanyatjarra Pitjantjatjara Yankunytjatjara NT Injilinji Aboriginal and Torres Strait Islander QLD Women's Council Aboriginal Corporation Corporation for Children and Youth Services
Nganampa Health Council Incorporated NT Institute for Urban Indigenous Health QLD (Administration) Pintubi Homelands Health Service Aboriginal NT Corporation Kalwun Health Service QLD
Red Lily Health Board NT Kambu Aboriginal and Torres Strait Islander QLD Corporation for Health Sunrise Health Service Aboriginal Corporation NT Mamu Health Service Limited QLD Urapuntja Health Service Aboriginal Corporation NT Mount Isa Aboriginal Community Controlled QLD Utju Health Service Aboriginal Corporation NT Health Service (Gidgee Healing)
Western Aranda Health Aboriginal Corporation NT Mudth Niyleta Aboriginal and Torres Strait QLD Western Desert Nganampa Walytja Palyantjaku NT Islander Corporation Tjutaku Aboriginal Corporation Mulungu Aboriginal Corporation Medical Centre QLD
Wurli Wurlinjang Health Service Aboriginal NT Nhulundu Wooribah Indigineous Health QLD Corporation Organisation Inc.
Aboriginal and Torres Strait Islander Community QLD North Coast Aboriginal Corporation for QLD Health Service Brisbane Limited Community Health
Aboriginal and Torres Strait Islander Community QLD Townsville Aboriginal and Torres Strait Islander QLD Health Service Mackay Ltd Corporation for Health Service
Apunipima Cape York Health Council QLD Wuchopperen Health Service Limited QLD
Bidgerdii Aboriginal & Torres Strait Islander QLD Yulu-Burri-Ba Aboriginal Corporation for QLD Corporation Health Service Central Queensland Community Health Region Aboriginal Sobriety Group Incorporated SA Carbal Medical Services (Darling Downs) QLD Ceduna Kooniba Aboriginal Health Service SA Charleville & Western Areas Aboriginal Torres QLD Aboriginal Corporation Strait Islander Community Health Limited Kalparrin Community Incorporated SA Cherbourg Regional Aboriginal and Islander QLD Community Controlled Health Service (formerly Nunkuwarrin Yunti of South Australia Inc SA Barambah Regional Medical Service Aboriginal Corporation) (CRAICCHS) Nunyara Aboriginal Health Service Incorporated SA -Nunyara Wellbeing Centre Cunnamulla Aboriginal Corporation for Health QLD Oak Valley (Maralinga) Incorporated SA Galangoor Duwalami Primary Health Care Service QLD Pangula Marnamurna Incorporated SA Girudala Community Cooperative Society Ltd QLD Pika Wiya Health Service Aboriginal Corporation SA Goolburri Aboriginal Health Advancement QLD Company Limited Port Lincoln Aboriginal Health Service SA Incorporated Goondir Health Services QLD Tullawon Health Service Incorporated SA Gurriny Yealamucka Health Service Aboriginal QLD Corportion Umoona Tjutagku Health Service Aboriginal SA Corporation
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Organisation Name State Organisation Name State
Tasmanian Aboriginal Health Centre Incorporated TAS Beagle Bay Community Incorporated WA
Aboriginal Community Elders Services VIC Bega Garnbirringu Health Service Incorporated WA Incorporated Bidyadanga Aboriginal Health Service WA Ballarat & District Aboriginal Co-operative Ltd VIC Broome Regional Aboriginal Medical Service WA Bendigo & District Aboriginal Cooperative VIC Carnarvon Medical Service Aboriginal WA Budja Budja Aboriginal Co-operative VIC Corporation
Dandenong & District Aboriginal Cooperative Ltd VIC Derbarl Yerrigan Health Service Incorporated WA
Dhauwurd-Wurrung Elderly and Community VIC Derby Aboriginal Health Service Council WA Health Service Inc Aboriginal Corporation
Gippsland & East Gippsland Aboriginal VIC Geraldton Regional Aboriginal Medical Service WA Cooperative-GEGAC Jurrugk Aboriginal Health Service WA Goolum Goolum Aboriginal Cooperative VIC Kimberly Aboriginal Medical Services Limited WA Gunditjmara Aboriginal Co-operative Ltd VIC Mawarnkarra Health Service Aboriginal WA Kirrae Health Services Inc. VIC Corporation
Lake Tyers Health and Children's Service VIC Ngangganawili Aboriginal Health Service WA
Lakes Entrance Aboriginal Health Association VIC Nindillingarri Cultural Health Service WA Incorporated Mallee District Aboriginal Services VIC Ord Valley Aboriginal Health Service Corporation WA Moogji Aboriginal Council East Gippsland Inc. VIC Puntukurnu Aboriginal Medical Service WA Mungabareena Aboriginal Corporation VIC South West Aboriginal Medical Service WA Murray Valley Aboriginal Cooperative VIC Spinifex Health Service WA Ngwala Willumbong Cooperative Limited (Telkaya VIC Drug and Alcohol Network) Wirraka Maya Health Service Aboriginal WA Corporation Njernda Aboriginal Corporation - Njernda VIC Aboriginal Women's & Children's Health Centre Yura Yungi Medical Service Aboriginal Corporation WA
Ramahyuck and District Aboriginal Corporation VIC
Rumbalara Aboriginal Cooperative Ltd VIC
Victorian Aboriginal Health Service Cooperative VIC Limited
Wathaurong Aboriginal Co-operative Health VIC Service
Winda-Mara Aboriginal Corporation VIC
89 NACCHO ANNUAL REPORT 2016–2017 APPENDIX B
REPRESENTATION ON COMMITTEES NACCHO represents our sector on a wide range of bodies: Aboriginal and Torres Strait Islander Suicide Evaluation National Immunisation Committee Project National National Trachoma Surveillance and Reference Group Aboriginal and Torres Strait Islander Health Workforce National Advisory Group for Aboriginal Torres Strait Islander Working Group Health, Information and Data - NAGATSIHID Aged Care Leadership Group NATSILMH AMA Taskforce on Indigenous Health OCHREStreams Advisory Group Australian Trachoma Alliance Principals OSR Advisory Group BeyondBlue Advisory Group Practice Incentive Programme Advisory Group Cancer Australia Pharmacy Trials Programme Trials Advisory Group Change the Record QUMAX Program and also the QUMAX Reference Group Close the Gap Steering Committee Racism in Health Forum CREATE - Research Project Redfern Statement Alliance meetings and workshops CQI Project Team Remote Vocational Training Scheme Advisory Group Deeble Institute Research Royal Australian College of General Practitioners Reference Funding Model Advisory Committee Group and Faculty Board Health Care Home Advisory Group Stop. Think. Respect Campaign Indigenous Health Faculty Talking about the smokes – Menzies School of Health Research Project IPAG Forum Tackling Indigenous Smoking Best Practice Management Unit Leadership Group on Indigenous Cancer Control Taskforce on Indigenous Health Lighthouse Research Project University of Melbourne-Indigenous Eye Health, eHealth and MBS Review Taskforce Technology Roundtable National Health Leadership Forum Vision 2020 Australia Aboriginal & Torres Strait Islander Committee
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ABBREVIATIONS AND ACRONYMS
ABS Australian Bureau of Statistics AIDS Acquired Immune Deficiency Syndrome AC Aboriginal Corporation or Congress AMA Australian Medical Association ACCHRTOs Aboriginal Community Controlled Health AMSs Aboriginal Medical Services Registered Training Organisations AMSANT Aboriginal Medical Services Alliance Northern ACCH Aboriginal Community Controlled Health Territory ACCHs’ Aboriginal Community Controlled Health APHC Aboriginal Primary Health Care Services APHCRI Australian Primary Health Care Research Institute Australian College of Rural and Remote ACRRM ATA Australian Trachoma Alliance Medicine CCHS Community Controlled Health Services ADNs Aboriginal Disability Networks CEO Chief Executive Officer AF Asthma Foundation COAG Council of Australian Governments AGM Annual General Meeting CS&HISC Community Services and Health Industry Skills Aboriginal Health Advisory Committee AHAC Council Aboriginal Health Council of South Australia AHCSA CSTDA Commonwealth, State and Territory Disability AHCWA Aboriginal Health Council of Western Australia Funding Agreement AHMRC Aboriginal Health and Medical Research DAAs Dosage administration aids Council of NSW DoH Department of Health Australian Health Ministers Advisory Council AHMAC EPC Enhanced Primary Care Aboriginal Health Service AHS FASD Fetal Alcohol Spectrum Disorders Aboriginal and Torres Strait Islander Health AHW GP General Practitioner Worker KPI Key Performance Indicators AHHA Australian Healthcare and Hospitals Association MA Medicare Australia AIHW Australian Institute of Health and Welfare MAAPs Medication Access and Assistance Packages AIDA Australian Indigenous Doctors Association MBS Medical Benefits Schedule
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MOU Memorandum of Understanding PGA Pharmacy Guild of Australia NACCHO National Aboriginal Community Controlled PHCAP Primary Health Care Access Program Health Organisation PIP Practice Incentive Payment NATSIHC National Aboriginal and Torres Strait Islander PIRS Patient Information Recall System Health Council QAIHC Queensland Aboriginal and Islander Health National Aboriginal and Torres Strait Islander NATSINSAP Council Nutrition Strategy and Action Plan QUM Quality Use of Medicine NCHECR National Centre for HIV Epidemiology and Clinical Research QUMAX Quality Use of Medicines Maximised for Aboriginal peoples and Torres Strait Islanders NCIRS National Centre for Immunisation Research and Surveillance RAAF Royal Australian Air Force NHMRC National Health and Medical Research Council RACGP Royal Australian College of General Practitioners NIDAC National Indigenous Drug and Alcohol RACP Royal Australian College of Physicians Committee RDAA Rural Doctors Association of Australia NIHEC National Indigenous Health Equality Council SFA Standard Funding Agreement NKPIs National Key Performance Indicators SEWB Social and Emotional Well Being NPS National Prescribing Service SFA Single Funding Agreement NRHA National Rural Health Alliance STI Sexually Transmitted Infection NSFATSIH National Strategic Framework for Aboriginal TAC Tasmanian Aboriginal Centre and Torres Strait Islander Health VACCHO Victorian Aboriginal Community Controlled OATSIH Office of Aboriginal and Torres Strait Islander Health Organisation Health WACRRM Western Australian Centre for Remote and PBAC Pharmaceutical Benefits Advisory Committee Rural Medicine PBS Pharmaceutical Benefits Scheme WSF Aboriginal and Torres Strait Islander Health PSA Pharmaceutical Society of Australia Workforce Strategic Framework PCEHR Personally Controlled Electronic Health Record
92 Federal Minister for Indigenous Health, Ken Wyatt in his kangaroo skin cloak was congratulated by Prime Minister Malcolm Turnbull after he was sworn in at Government House in Canberra
ACCHO’s representatives attended the Federal Education Minister Simon Birmingham NITV/SBS launch of a new animated series Little J & Big Cuz which explores Indigenous culture, country and language www.naccho.org.au
Contact: National Aboriginal Community Controlled Health Organisation Level 5, 2 Constitution Avenue, Canberra City ACT 2601
All correspondence to: P.O. Box 130 Civic Square ACT 2608
T (02) 6246 9300 E [email protected] W www.naccho.org.au
Connect: naccho.org.au/connect
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