VACCHO Annual Report 2015-16

Victorian Aboriginal Community Controlled Health Organisation Inc. VACCHO is the peak body for Aboriginal health in Victoria Warning: Aboriginal and/or Torres Strait Islander Peoples are warned that this Annual Report may contain images of deceased people. VACCHO wishes to acknowledge and pay respect to all community members who have passed away in Victoria and communities throughout Australia this year.

Gunditjmara shield cover - images credited throughout Annual Report VACCHO Annual Report 2015-16 © Victorian Aboriginal Community Controlled Health Organisation Incorporated 2016 The internals of this Annual Report are printed on 100% recycled uncoated paper Contents 26 25 22 20 19 16 14 14 13 12 10 08 06 04

Financial report Goal 7:Sustainability Goal 6:Qualitypartnershipsandnetworks Goal 5:Qualitypolicyandadvocacy Goal 4:Qualityinfrastructure Goal 3:Qualityservices Goal 2:Qualityworkforce Goal 1:Aboriginalculturalqualities Our relationships Strong Culture, thrivingcommunities Membership Message from theCEO Message from theChair Our strategicobjectives

3 VACCHO Annual Report 2014-15 Message from the Chair Our revised Plan, which will be shared towards the end of 2016, will enable VACCHO to ensure we are achieving measurable gains for our Members and for Victorian families and children now and into the future. It provides the mandate to work more closely with other state-wide and peak organisations, and most importantly it will ensure we can clearly demonstrate accountability to Victorian Aboriginal people. I’d like to finish by acknowledging the value we place on maintaining our effective relationships with politicians, government agencies and our partner agencies. Like our partnership with our Members, working respectfully and collaboratively will ensure Aboriginal health equity is achievable. Marcus Clarke Chairperson

This is a year of celebration for VACCHO as we move into our twentieth year of operation during 2016. Our Members drove the establishment of VACCHO and continue to be the drivers of the work we do. I was very proud to be part of the launch of our mural on the 15th April and to acknowledge the cultural footprint that we have added to the environment. A time capsule was installed recognising and showcasing our Members. This celebration coincides with the mid-term review of our Strategic Plan. Reflecting on the work we do, it was clear that VACCHO has been working across a much wider subject base than just health, and this was not formally recognised in our Strategic Plan in a way that was clear to everybody. Over previous years, our Members have requested VACCHO expand into areas related to the Aboriginal definition of ‘health’. ‘Aboriginal health’ means not just the physical wellbeing of an individual. It refers to the social, emotional and cultural wellbeing of the whole Community in which each individual is able to achieve their full potential as a human being. Thereby bringing about the total wellbeing of their Community. It is a whole of life view and includes the cyclical concept of life-death-life. Examples include our expanded focus on activity across the social determinants of health. We also have increased our fee-for- service work considerably. The effectiveness of this representation for our Members requires strong working relationships with other key Aboriginal agencies that respects their strengths and roles along with strategic partnerships with other key stakeholders. Our young people strong and proud at the NAIDOC Vic March, Melbourne at the NAIDOC Vic March, and proud Our young people strong Annual Report 2015-16 VACCHO

5 Message from the CEO Goolum Goolum Aboriginal Co-operative’s Deadly Bike Program hits the road CEO Jill GallagherAO discussions andCommunityconsultationsonTreaty. VACCHO iswatching withinterest theevolving partners whohelpusachieveourgoals. I’d liketotakethisopportunitythankourmany wellbeing forAboriginalVictorians. which weknowwillleadtoimproved healthand to strengthen advocacyforself-determination I believeitallowsoursectoragreater opportunity the Government. to getadeeperinsightintothefuture plansof and opportunity toadvocateMembersconcerns a broad rangeoftopicsenables VACCHO the stakeholders. Engagementatthislevel,across officialsand with politicians,seniorgovernment Committees andmeetingswhichoccurregularly a memberofrangeExpertPanels,Steering unprecedented numberof invitationstobecome I ampleasedtobetherecipient ofan need ofourMemberACCOsastheytoo,grow. we canprovide effectivesupport andmeetthe to grow itsstaffandprograms. Thisensures that Over thepastfiveyears, VACCHO hascontinued health andwellbeingoftheirCommunities. Member ACCOs’deadlyworktoimprove the the opportunityrecognise andacknowledgeour plan willdirect ourfuture path.I’dliketotake our Membersandthereview ofourstrategic this year. Ourworkisdrivenandinformedby not becelebrating20yearsinAboriginalhealth If itweren’t forourMembers,VACCHO would

7 VACCHO Annual Report 2015-16 Membership Membership

Men’s Goup member Benji Davidson, Uncle Walter Melrose and VACCHO’s Dylan Clarke at the Mungabareena Aboriginal Corporation 2015 Men’s Health Summit 1982 1979 1978 1977 1977 1975 1975 1974 1974 1974 1973 Membership timeline Aboriginal children, families andcommunities. best placedtodelivertheneededservices of communityservices,VACCHO’s Membersare capacity forself-determinationanddirect provision organisations thatassistinbuildingcommunity aproud historyassustainable,grassrootsWith cultural ‘footprint’intheirregion. community hubsandare oftentheprominent are notjustservicedeliveryagencies,theyare tailored totheneedsoflocalcommunities.They person centred, innovativeserviceswhichare These organisations,orACCOs,provide holistic human beingandasamemberoftheircommunity. Aboriginal persontorealise theirfullpotentialasa ensuring acommitmenttoassistingevery of communityinitiation,ownershipandcontrol VACCHO’s Membersare runbyaphilosophy addressed effectively. for individuals,familiesandcommunitiesis that ensure thesocialdeterminantsofhealth appropriate, highqualityservicedelivery Our Membersofferauniquemodelofculturally was established Goolum Aboriginal Co-operative was established Ballarat &DistrictAboriginal Co-operative established Wathaurong Aboriginal Co-operativewas established Co-operativeLtd)was Ngwala Willumbong Limited(Formerly Ngwala Willumbong Kirrae HealthServiceInc.wasestablished established Aboriginal HealthServices1972)was Co-operative (FormerlyEastGippsland Gippsland &EastAboriginal operative Ltdwasestablished Dandenong &DistrictAboriginesCo- established Murray Valley AboriginalCo-operativewas was established Rumbalara AboriginalCo-operativeLtd was established Echuca Co-operativeWarma Corporation) AboriginalCorporation(Formerly Njernda established AboriginalHealthServicewas Victorian 2009 2007 2005 2003 2001 2001 1999 1996 1994 1994 1993 1992 1991 1991 1984 1983 1982 Association wasestablished Healesville IndigenousCommunity Services Association wasestablished Lakes EntranceAboriginalHealth was established Albury Wodonga AboriginalHealthService established (Formerly LakeTyers Trust 1968)was Lake Tyers Health&Children’s Service Gymnasium 1982)wasestablished Stars AboriginalCommunityYouth Club Recreation Co-operative(Formerly Fitzroy AboriginalYouth,Melbourne Sport& established Association Incorporated1987)was (formerly DjaWrung Aboriginal Bendigo &DistrictAboriginalCo-operative established Budja AboriginalCo-operativewas Health Organisationwasestablished AboriginalCommunityControlledVictorian established Mungabareena Aboriginal Corporation was established Elderly CitizensAssociation)was Health ServiceInc.(FormerlyWurrung Dhauwurd Wurrung ElderlyandCommunity Inc. wasestablished Moogji AboriginalCouncilEastGippsland was established Ramahyuck DistrictAboriginalCorporation established AboriginalCorporationwas Winda-Mara was established (formerly IrisLovettGardener CaringPlace) Aboriginal CommunityEldersServices established Mildura AboriginalCorporation)was Mallee DistrictAboriginalServices(Formerly Aboriginal MedicalService)wasestablished Morgan Aboriginal Corporation(Viney Cummeragunja Housing&Development was established Gunditjmara AboriginalCo-operativeLtd

9 VACCHO Annual Report 2015-16 Strong Culture Thriving communities Strong Culture Thriving communities

Kristy Lappin - Indigenous Community Support Worker, Gateway Health with Margaret Murray - Aboriginal Health Worker, Mungabareena Aboriginal Corporation and Tamara Curtain - HIPPY Tutor, Gateway Health attitudes and beliefsthroughout theircommunity and existsto enableourMembersto instil healthy emption ineffectivehealthcare implementation recognises theimportanceofeducationandpre- a comprehensive healthcare system.VACCHO Aboriginal identityasaninseparable aspectof as anadvocateforitsMembers, championing VACCHOtheir communityandinturn, serves VACCHO’s Membersserve asanadvocatefor representingVictoria 27 ACCHOs. VACCHO isthe peakbodyforAboriginalhealthin Why are wehere empowerment andself-determination. as humanbeingsbyproviding theresources for within theircommunitytorealise their potential with aproud historyofenabling Aboriginalpeople VACCHO’s MemberbaseismadeupofACCOs stands againsttheforces whoopposethisright. rights ofitsMemberstoinhabittheiridentityand working andourintegrity. VACCHO standsforthe source ofstrength andthisinformsourwaysof Our Members’culturalidentitiesare animportant chance tothrive,sotoodoweflourish. too isourhealth.Whenidentitygiventhe health. Whenouridentityiscompromised, so inseparable connectionwithidentity, culture and the needsofcommunitieswhoshare this It istheambitionofVACCHO tolookafter who represent itproudly. within thevitalityandenduranceofpeople strength andvulnerabilitysimultaneously andlives contemporary societyisdynamic.Itconveys Our culture isrichinhistoryanditsimpacton communities werepresent. to ourgreater identityandtheof integrity ofourpracticesandbeliefsisintrinsic the nature ofourinteractions.Thecultural delivery ofourpoliciesandconveyedthrough constitutional andspiritual.Itispresent inthe VACCHO’s embodimentofAboriginalityis evolving setting. and beliefsysteminacontemporaryever strong, vulnerableandvaluable.Itisaknowledge culture isancientandcontemporary, dynamic, qualities playinahealthycommunity. Aboriginal VACCHO strivestoconveytheintegralrole these optimism, integrity, respect andempowerment. entity thatthrivesinenvironments ofcompassion, Aboriginal culture isaspiritualandcommunal to ourcommunitiesandpartofworld. Aboriginality beingintrinsictoouridentity, essential Aboriginal communityorganisation,withour VACCHO isatheartandbyconstitutionan organisation forAboriginal healthinVictoria. recognise VACCHO asthepeakrepresentative formally State andFederalGovernments AboriginalCommunity,(NACCHO). TheVictorian Community Controlled Health Organisation on theboard oftheNationalAboriginal health sectornationallythrough its membership VACCHO represents thecommunitycontrolled recognising allissuesrelevant toAboriginalhealth. agenciesatastateandnationallevel, Government place inarangeofprivate,communityand network ofourMembers.Thisadvocacytakes development bystrengthening thesupport capacity forcommunityadvocacyandworkforce VACCHO’s leadershiprole involvesbuildingthe community whichitserves.’ its Members,stakeholdersandultimatelythe services VACCHO provides meettheneedsof health sector, itisessentialtoensure thatthe community control Aboriginal withintheVictorian ‘In respect tothegoalsand principlesof vibrant community. health andcelebratingAboriginalculture ina treating thephysicalillnesses affectingAboriginal advocates forAboriginalhealthontwofronts: culture tothrive,sotoowill itspeople.VACCHO for Aboriginalpeople.Byallowing and itsimportanceinimproving healthoutcomes recognises theimportance ofspiritualhealing health servicesandAboriginalculture. VACCHO due tothegeneralincompatibilityofmainstream Unfortunately, spiritualhealingcanbedifficult affects onetheotherjustasacutely. are inseparableinAboriginalculture; thatwhich spiritual wellbeing.Spiritualityandphysicality can causedamagetooursocial,emotionaland peoples. WhenAboriginalculture isdismissedit not onlyaffectthephysicalityofAboriginal VACCHO strivestoconveythatsicknessdoes culturally appropriate healthcare. will demonstratethelongtermeffectivenessof correlation isintegraltosecuringthefundingthat Achieving mainstream recognition ofthis culturally safethetreatment isfarmore effective. of Aboriginalculture. Whenhealthcare is ensures thatadministered care isrepresentative outcome isourholisticapproach tohealththat An importantfactorinthesuccessofthis peoples isthedrivingforce behindourapproach. health equalitiesofAboriginalandnon-Aboriginal Our determinationtoclosethegapbetween Aboriginal peoplesbypreventing seriousillness. health issuescausingadeclineinthewellbeingof This approach helpsnegatethemanycomplex 11 VACCHO Annual Report 2015-16 Our relationships VACCHO continues to value the importance of effective and sustainable working relationships with other organisations to achieve continuous improvements in health and wellbeing services and outcomes for Victoria’s Aboriginal families and communities. These relationships range from formal contractual agreements and Memorandums of Understanding to other collaborative arrangements and partnerships, shared research or program activities. VACCHO would like to say thank you to its continued partners as well as its new partners for another great year of collaboration in 2015-16. an existing Memorandum of Understanding Harper update and resign CEO Jill Gallagher AO and Cancer Council Victoria CEO Todd VACCHO Beautiful Wemba Wemba Country

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C e r u u l t 13 VACCHO Annual Report 2015-16 VACCHO’s strategic plan outlines our strategic priorities for achieving improved health and wellbeing outcomes for Aboriginal people in Victoria. Goal 2: Quality Through continuous review and service improvement VACCHO is committed to providing workforce the highest quality service to its Members, To support the development of a creative, partners and stakeholders and ultimately the knowledgeable, skilled, experienced and community which it serves. committed workforce throughout mainstream and Aboriginal Community Controlled Organisations. Goal 1: Aboriginal Our achievements The Victorian Committee for Aged Care and Disability Members have been supported to cultural qualities access training and workshops for professional To implement a range of activities that express development. the diversity of culture in Victoria’s Aboriginal VACCHO received funding towards the end of this communities and to demonstrate this in the daily financial year to undertake a Disability and Aged operations of VACCHO. Care Response project. The project will include Our achievements building the capacity of ACCO staff to move safely through the reforms as block funding for services We ensure that all our staff have the knowledge to transitions to a client driven purchaser model. honour, respect and celebrate Victorian Aboriginal culture and to understand the impact of history An Integrated Workforce Development workshop on contemporary Victorian Aboriginal peoples was held at VACCHO in February to explore better today. We are focusing on implementing systems ways to support the Aboriginal and Torres Strait to ensure our publications, media and work Mental Health, Alcohol and Drug and Social and practices reflect this. This in turn helps us raise Emotional Wellbeing Workforces. Representatives the profile of Aboriginal Victoria, while improving from VACCHO, Department of Health and Human the cultural knowledge of our stakeholders. Services, Australian Government Department of Health and Department of Prime Minister and VACCHOs Koori Maternity Strategy (KMS) and Cabinet attended. As a result of the workshop, Cultural Safety Team (CST) have been working VACCHO, with support from DHHS has secured with Maternity Services Education Program funding to support a new Workforce Development (MSEP) to deliver cultural safety in Maternity Care Policy Officer role that will identify training needs Workshops. Workshops have been delivered at of the Mental Health and Alcohol and Drug Wimmera Health (Horsham) and Western Health Workforces and implement a training calendar to (Sunshine) to over 30 participants. meet their needs. The cultural safety program continues to assist VACCHO has held state wide forums/gatherings mainstream services to improve on their cultural to support many workforce networks, each service practices, including but not limited to the forum/gathering aims to build upon the skills service environment, policies and procedures, of the specific workforce and provide relevant stakeholder networks, recruitment and retention information and training to support each worker to processes and many other areas relevant to expand on their current skills to meet the needs of service improvements. their Communities. The cultural safety program reviewed its delivery The following state-wide forums/gatherings and participant numbers since the program’s were held: inception in 2012, where it was identified that the program had increased it program attendance by • Improving Care for Aboriginal Patients 773% since its first delivery. As of 30 June 2016, (Aboriginal Hospital Liaison Officers and VACCHO has delivered a total of 159 workshops Koori Mental Health Liaison Officers) and trained 2,842 people in cultural safety. • Social and Emotional Wellbeing (Bringing Them Home, Link Up, Alcohol and Other Drugs Workers)

• Koori Maternity Services (Aboriginal Health Workers and Midwives) Improving Care for Aboriginal Patients Program Gathering attendees on a cultural tour of Bunjilaka Aboriginal Cultural Centre, Melbourne Museum conducted, there were: identified bytheMemberserviceshavebeen of professional developmentsessions,asper Throughout thedurationofthisproject avariety network ofHRpractitionersacross thestate. of Practiceforumsandestablishinganactive within Memberservices,conductingCommunity significant successinestablishinganHRfunction The HRCapacityBuildingproject hashad positively impactsonretention rates. individual workersfeelsupportedandinturn better waystopracticeare vitaltoensure that to debrief,heargoodnewsstoriesandidentify The opportunitytocometogetherwithcolleagues • • • • • • Bullying and Harassment training. Supervision workshop Investigations training HR forLeaders Fit forDutiestraining HR CommunityofPractice receptive ofwere: The topicsparticipantsseemedtobemost who participatedacross both 2-dayforums. attend andintotalthere were 40people and May2016.AllMembersare invitedto conducted inGeelongOctober2015 Through theproject twoHRforumswere • • • • • • • • • Yarning circle Developing managercompetencies Annual performanceprocess Training needsanalysis Professional development branding Organisational culture andemployer workplace Managing emotionalwellbeinginthe Managing change strategy Developing anAboriginalemployment 15 VACCHO Annual Report 2015-16 A graduation ceremony, held on 14th April, was a dedicated day to celebrate the 123 graduating students who had successfully completed Goal 3: Quality qualifications from 2012-2015. VACCHO acknowledge their students’ commitment to services their communities and employers through their hard work, achievements and the much needed VACCHO has been building upon the capacity support they provide to Aboriginal people. of our network to deliver culturally appropriate healthcare services to the Victorian Aboriginal A Koolin Balit funded Alcohol and Drug Project community. By utilising our strengthening has commenced to provide training and network we have been able to influence providers associated resources to improve understanding of programs that address health needs in of harm reduction approaches to alcohol and accordance with social determinants. We have other drug use for health workforce in ACCHOs therefore been able to ensure our ability to meet and ACCOs. the diversifying needs of our Members and stakeholders. Three Member meetings, two CEO Professional Network meetings and one Annual General Our achievements meeting were held during this period in with 266 participants in attendance. VACCHO actively participated in the Review of NACCHO and Jurisdictional Peak The VACCHO Members meeting provides the Bodies conducted by NOUS Group for the opportunity for our Members to share information Commonwealth Department of Health and with other organisations facing the same issues, Ageing. The review related to the investment by offer solutions. The Member meetings also the Department to help guide decision making provide VACCHO a platform to monitor current about future funded activities for peak bodies. trends, assist Members with current issues, set The review took over 12 months to complete advocacy priorities and gather information to and VACCHO undertook a substantial amount of inform policy development. work to compile a comprehensive submission to the review. We would like to thank those Member CEO Professional Network meetings provide organisations and key stakeholders who provided an opportunity for the CEO’s of our Member input and VACCHO is very pleased with the result organisations to meet and share information, for our organisation. The National document is to discuss issues pertaining to their organisations be released by the Minister at some stage next and communities as well as identify and address financial year. local and regional priorities. In partnership with Palliative Care Victoria, the inaugural Cherie Waight Aboriginal Palliative Care Symposium was held in December with over 100 attendees from the Aboriginal health and palliative care sector coming together to identify strategies to improve access to culturally responsive palliative care. The Victorian Health Minister, Hon. Jill Hennessy, announced new funding for three Cherie Waight Aboriginal Palliative Care Scholarships. She paid tribute to Cherie’s visionary leadership and commitment to address the gap in Aboriginal palliative care. With increased focus on Aboriginal early years, in particular Maternal Child Health (MCH) and with participation still lower for Aboriginal families to identify how MCH services could better respond to the needs of Aboriginal families, the Department of Education and Training initiated a review of Aboriginal families’ engagement with MCH services. VACCHO was engaged to undertake Phase 1 of the Review to analyse the current scope of MCH service provision to Aboriginal families and identify – from a service provider perspective – potential factors that Hon. Jill Hennessy with Cherie Waight’s daughter Nerita Waight and Cherie’s brother Ian Hamm at the inaugural Cherie Waight Aboriginal Palliative Care Symposium Health Service (NSQHS)Standards. Primarily requirements ofthe NationalSafetyandQuality their accreditation andtoensure theymetthe (3) Memberservicestoassist themtoachieve request toprovide intensesupport tothree During thisperiodtheprogram received a accreditation framework. meet theincreasing rangeofrequirements of upon request toassisttheorganisations SQI continuestoprovide supporttoMembers The QualityandAccreditation program withinthe wording forproposed changes. community meetingsorproviding adviceon their ModelRules/Constitutioneitherbyfacilitating the SQIteamassistedsomeMemberstoreview Other examplesofthisworkhavebeenwhere in makingchanges. it thisactuallylookslikeandwhatare theirrights morewell asgoodgovernance broadly andwhat matters, as constitutional and membership talked about attended and 20 localElders Approximately groups. their Elders meeting with community facilitate a VACCHO to who Invited one Member was with of thiswork An example the servicesformembersoftheircommunity. Some ofthissupporthasbeenprovided through obligated toperformagainst. the variousaccreditation frameworkstheyare the organisationstomeetrequirements of to provide toMembersuponrequest andassists component oftheworkSQIteamcontinues The qualityandaccreditation program isacrucial accreditation andqualityimprovement processes. to assistwithserviceandprogram planning, organisations primarilyproviding intensesupport continues toworkcloselywithseveralMember The SectorQualityImprovement (SQI)team to-face workshops. organisations through anonlinesurveyandface- consulted with62healthprofessionals from 26 to MCHservices.DuringPhase1VACCHO affected Aboriginalchildren andfamilies’access blood borne viruses. blood borne knowledge topicsrelating tosexual healthand healthy relationships alongwith evidencebased at increasing theparticipants’understandingof ACCO stafftodelivereducation forumsaimed throughout 2016.Thekitandtrainingenables to berolled outtoallMemberorganisations acceptance andsuccess)willcontinue commenced withinseveralservices(withgreat The DeadlySexyHealthKittraininghas health servicedata. requestsand external foraccesstode-identified data sharingguidelinesthatwillmanageinternal consultation withMemberCEOs,isdeveloping as identifiedbytheservices. VACCHO, in priorities (foranalysis,reporting, advocacy) and willidentifydatahealthinformation A MemberDataAdvisoryGroup wasestablished Victoria. significant Aboriginalhealthdatasetsin extract. Thismakesitoneofthelargestandmost and qualityframeworks: seeking supportwiththefollowingaccreditation to respond torequests from theMember services The QualityandAccreditation program continues grade standards. Members withandare alignedagainsthospital are newstandards forVACCHO tosupport was around DentalAccreditation, which the supportprovided tothesethree services • • • • • Standards (NSQHS) National SafetyandQualityHealth Human ServicesStandards (DHHS) Practitioners (RACGP)Standards Royal AustralasianCollegeofGeneral ISO9001 Standards Standards Quality Improvement Council(QIC) a PENCAT month through VACCHO each transmitted to tobe Victoria people livingin Aboriginal 20,000 representing service data identified health enables de- Strategy This Data 20 Members. was ratifiedby Data Strategy VACCHO’s 17 VACCHO Annual Report 2015-16 VACCHO’s Nutrition team developed a successful A new breastfeeding resource was produced with health promotion campaign “Rethink Sugary beautiful photos. ‘Yarning about breastfeeding: Drinks” in partnership with Cancer Council Sharing our Stories’ showcases Aboriginal Victoria. The video and media launch within Victorian families stories about breastfeeding Member services and though mainstream and KMS sites that support families. This was broadcasters highlights the need for reducing launched on the fourth August. the consumption of drinks containing high sugar levels within our communities.

You wouldn’t eat 16 teaspoons of sugar - so why drink it?

600ml 500ml 600ml 250ml 600ml 1100ml cola iced tea sports drink energy drink lemon squash slushy

16 8 9 7 16 25 teaspoons teaspoons teaspoons teaspoons teaspoons teaspoons sugar per bottle sugar per bottle sugar per bottle sugar per can sugar per bottle sugar per cup VACCHO co-ordinates the Western District ACCO consortia (six ACCOs) to support the development and implementation of a Tackling Indigenous Smoking (TIS) program in accordance with Commonwealth Health guidelines and the identified needs and activities across the six ACCOs. Additional funding was sought and received that enabled MDAS to join the TIS consortium. This has youtube.com/user/VACCHOinc extended the program of work being implemented by the 10 sites to more than 6,000 Community The gestational diabetes educational tool, members living in Western Victoria. The key groups FeltMum, which is an addition to the FeltMan that will be targeted include: resource was launched in partnership with Diabetes Victoria and is now being rolled out • Children and young people across the state. • Pregnant women Young mums and dads Distribution of the new Eye Health brochures is • being rolled out to VACCHO Member services • Adults and at health promotion events for Community • Elders members. VACCHO’s Working Together for Health VACCHO’s Sexy Health Team are working with (prevention in the primary healthcare setting) key stakeholders and Member organisations to Coordinator developed a statewide network, develop and deliver workforce education and and held several meetings with project partners, training for the new hepatitis C treatments and conducted several Member visits, developed accompanying resources. data dashboards and provided practice/clinical systems support and advice. Increasing General Practitioner Registrars (GPRs) within our Member services has As a result of this feedback from consultation at continued to be a focus of VACCHO in forums and collection of data from training needs partnership with the two newly formed analysis of the Aboriginal workforce, the ETU is in Registered Training Organisations. We will the process of putting the Diploma of Indigenous continue to work with our Members to enable Spiritual and Emotional Wellbeing course back on GPR placements so that clinical service delivery scope for delivery. is increased and enhanced within community. submission were: infrastructure needs.Thekeypointsinthe plan willdevelopstrategytoaddress future Victoria’s 30-yearinfrastructure strategy.This All ThingsConsidered –Exploringoptionsfor development of30yearInfrastructure Victoria Infrastructure inrelation Victoria tothe todevelopajointsubmission Victoria VACCHO partnered withAboriginalHousing enhanced advocacyandlobbyingtoachieve: housing priorities.Theworkwillprovide enhance thesustainabilityofMemberACCOs with MemberACCOstofocusonprojects to Housing totheirwork.VACCHO ispartnering Sustainability ofACCOManagedAboriginal VACCHO hasincreased itscapacitytoadd In response tosustainedMemberlobbying, Our achievements VACCHO andourMemberorganisations. necessary tosustainandenhancetheactivitiesof To secure thehumanandcapitalresources Infrastructure Goal 4:Quality • • • • • • • needs ofthe Aboriginalcommunity. account ofthedemographic diversityand Aboriginal populationandtakes Victorian meets theneedsofarapidly growing ensure housingpolicyanddevelopment Community Controlled organisations infrastructure needsofAboriginal address thecriticalphysicalandITC developments/ projects decision makingaround infrastructure heritage intothethinking,planningand embeds Victoria’s richAboriginalcultural to ensure theplanincorporatesand life goals. tenants andtoassistthemachievetheir the needsofcommunityMembers/ provide wrap-around servicestomeet improve thecapacityofACCOs to in maintenancecrews employment forcommunityMemberse.g. revenue toACCOsandproviding economic developmentventure providing develop “housing”asasustainable Members flexible housingoptionsforcommunity expand housingstockandincrease housing management improved capacityandcapabilityin

broadcast and callinggamesoverthetwo days. have astronger presence there includinga 3KND VACCHO isofferingtosupporttheorganisers and planning hascommenced forthe2016Carnival. in2015, the BendigoFootballand Netball Carnival Due tothesuccessof program broadcast during AboriginalCommunity; Victorian promoting servicesandissuesrelated tothe over 200interviewsandaudiosegments Since itsinceptionYarnin’ Health hasdelivered NAIDOC weekin2016. celebrated twofullyearsontheairduring with abi-weeklyrotation ofcontent.Theprogram been runningsuccessfullyinthecurrent format VACCHO’s Yarnin’ HealthRadioProgram has This workwillcontinuethroughout 2016. initiatives beingundertakenwithinMemberservices. alignment oftheNationalCQIframeworkwithlocal the developmentoftheirCCQIworkplansand (CCQI) andDatateamssupportedallMembersin VACCHO’s ClinicalContinuousQualityImprovement commence inthenewfinancialyear. VACCHO anticipatesthattheaccredited unitswill the yearinEchuca,Warrnambool andMelbourne. have beenscheduledfordeliverybefore theendof of thetrainingtocome.Anotherthree workshops foundation hasbeenestablishedfortheremainder feedback received wasvery positiveandastrong days inJuneanddelivered inDandenong.The The firstworkshopwasconductedoverthree organisations whoare overthe ageof18years. andpeopleworkinginAboriginal Aboriginal Victorians was rolled outin2016.Thistraining isopentoall and community,fundedbyAboriginalVictoria, Organisations –Workshops forBoards, individuals The deliveringofStronginAboriginal Governance thinking aboutafuture nomination. who mayalready beonaboard ofmanagementor for ourMembersandcommunitymore broadly, implement shorttrainingcoursesingovernance inseekingfundstodesignand to AboriginalVictoria Fund, theGandelTrust andpublictendersubmitted application submittedtotheLord MayorsCharitable The SQIteamwere successfulintheirphilanthropic our Memberorganisations. exciting toknowthecalibre ofpeopleatthehelm our memberboard directors forthefirsttime,itis other mattersaffectingthesector. Meetingsomeof financial management, research, policychangeand ACCHOs engagedinissuesofgoodgovernance, individual storiesandseeingDirectors from different of VACCHO Memberservices.We lovedhearing was wellattendedbyapproximately 40Directors Forum forACCHOBoards Thisforum inMelbourne. In FebruarytheSQIteamdelivered itsfirstever 19 VACCHO Annual Report 2015-16 system more comprehensive, culturally safe and effective. It notes ACCHOs, Jurisdictional Peaks Goal 5: Quality (VACCHO) and NACCHO as lead agencies across the vast majority of activities. VACCHO is meeting policy and regularly with the Commonwealth Department of Health regarding the Implementation Plan. advocacy The Department of Health and Human Services Health, Wellbeing and Safety plan is in development Influencing government policy and stakeholders and VACCHO has provided leadership, advice and to directly address the health needs of Aboriginal detailed submissions with good success to ensure people in Victoria. the best possible outcomes can be achieved for Victorian Aboriginal people. Our achievements VACCHO has been actively engaged in VACCHO has had the opportunity to continue providing leadership, advice and assistance to its highly valuable quarterly meetings with the Government and departmental agencies into Secretary and Deputy Secretary of the Victorian the significant number of key reforms occurring Department of Health and Human Services. across Victoria. The Roadmap for Reform and These meetings provide an opportunity for the recommendations coming from the Royal VACCHO to raise the profile of the work and Commission into Family Violence will provide successes of our Members, to provide information many new opportunities to improve outcomes for sharing and a place where we can raise emerging the Aboriginal Community and for our Member issues for action. ACCOS. Both of these reforms will see a VACCHO continues to auspice the Victorian significant investment in a range of programs and Aboriginal Children and Young People’s Alliance a whole of system change to support vulnerable (the Alliance). The advocacy work of the Alliance families and address the over representation of has been highly successful and is visible through Aboriginal children and young people entering out a number of Ministerial budget announcements of home care. and commitments such as: The imminent enactment of the Increasing choice • the development of a transition team in home care legislation and other aged care to develop and implement a strategy to reforms continue to be a focus for VACCHO. We transition support services for Aboriginal provided a submission to the Commonwealth children and young people who are regarding the first stage of these reforms, which involved with child protection to ACCOs will see aged care packages directly allocated to consumers who will then be able to choose their • increasing workforce across Victoria for own provider from 2017. Both the Aged Care Aboriginal Cultural Support Plans reforms and the transition to the National Disability • the expansion of the Aboriginal Child Insurance Scheme provide many opportunities Specialist Advice and Support Service for our Members and we have been continuing program to ACCOs and the additional the work to provide leadership, advice and funding to assist ACCO’s in applying for assistance at the national and state levels, and to Targeted Care Packages. our Members. This work is so our Members have The successes of the Alliance have been a strategic approach to achieving a workforce and acknowledged by the state Government which sustainable service delivery model to meet the has doubled its investment for the Policy and challenges arising from these changes. VACCHO Advocacy roles this financial year. has continued to be NACCHO’s representative on VACCHO has supported the DHHS Mental Health the National Aged Care Alliance (NACA), which and Drugs Branch in promoting and conducting has been the key source of Aged care policy stakeholder consultations with the Aboriginal advice to the Commonwealth. This participation community controlled sector. Consultations have enables the Australian Aboriginal Community to been undertaken with the AHLO/KMHLOs, ACCO have every opportunity to engage in quality, safe CEO’s and a state-wide/peak bodies forum with service delivery these reforms with influence. participation from VALS, VAEAI, AAL, VACCA, The National Aboriginal and Torres Strait Islander Outblack, AHBV, SGV and VACCHO. Health Plan Implementation plan includes It became evident during the consultations that, targets which is a ‘first’ for the Commonwealth despite several strategies highlighting Aboriginal Department of Health. The Implementation Plan mental health as a priority, this is an area that covers broad changes needed to make the health has been neglected for an extensive period of for earlychildhood services: the Government’s proposed fiveareas of reform VACCHO participatedinaconsultation todiscuss The EducationState:Early Childhood health issues. dialogue aboutAboriginal AoDandmental and VACCHO ensuringcontinuedandongoing between theMentalHealthandDrugsBranch A regular catchuphasbeenre-established the 10Year MentalHealthPlan. Implementation Planthatwasannouncedwithin of theAboriginalSocialandEmotionalWellbeing support Aboriginalparticipationinthedevelopment to Helen KennedyasSEWBPrincipalPolicyOfficer The MentalHealthandDrugsBranchappointed specifically. Aboriginal socialandemotionalwellbeing inform workacross anumber ofareas including and anumberofworkinggroups tosupportand established suchasanExpertReference Group planning. Advisorymechanismshavebeen consultation, research andevidenceinformed innovation through of coproduction and explores concepts responsive andwhich service systemthatis proceed indeliveringa will how Government reform. Itoutlines priorities areas for framework thatidentifies is ahighlevelstrategic November 2015and was released on26 Mental HealthPlan Government’s 10Year The Victorian sensitive services. the deliveryofculturally of theAboriginalcommunitysectortosupport infrastructure andpartnershiparrangements) as wasbuildingthecapacity(program, workforce, promoted asbestpracticeduringconsultations responses thatare culturallyfoundedwere Prevention, early intervention and trauma informed program integration. people, housingandjusticetoensure policyand suicide andself-harm,children andyoung and emotionalwellbeing,drugalcohol, in health,disability(NDIS),mentalsocial commonwealth healthreforms alsooccurring system responses whichaligntootherstateand accessible, culturallysafeandintegratedservice attention andinvestmentinholistic,locally time. Aboriginalmentalhealthrequires urgent

by the Melbourne MagistratesCourtof Victoria. by theMelbourne attended theWalk inherShoes tourconducted understanding around this development, the Team law has becomeinvolved.To assistwiththe matters, especiallywhere the courts andthe support employeesgoing through familyviolence policyforworkplacesto is aFamilyViolence recent interest toconsiderfordevelopment Member services.Oneparticularpolicyof implementation andmonitoringacross the policies andprocedure developments, providing guidanceuponrequest oneffective The HRCapacityBuildingTeam hasbeen funding recurrently. committed tocontinuefundtheexpansion in early2016formallyadvisedthattheyare transition fundingforthepast12monthsand DHHSprovidedand ceasedin2014.TheVictorian Development –NationalPartnershipAgreement Health undertheIndigenousEarlyChildhood funded bytheCommonwealthDepartmentof Serviceswhichwaspreviously for KooriMaternity Human Servicestofundtheexpansionfunding include: VACCHO raisedby Some feedbackandconcerns • • • • • • families andchildren. consultation paperrelate toAboriginal five challengeshighlightedwithinthe omission consideringthree ofthe children. Thisappearstobeaserious No specificcommitmenttoAboriginal Better connectionbetweenservices disadvantaged children andfamilies More supportforvulnerableand More supportforparents Boost toeducationalquality Earlier engagementinlearning Department of Health and Department ofHealthand advocated totheVictorian VACCHO successfully out ofhomecare. children are currently in that over1200Aboriginal care, given aconcern children inoutofhome • for families. service optionsavailable broad rangingearlyyears MCH servicesandother demonstate therangeof models wasraisedto Health Service(MCH) andChild ACCO Maternal • No reference to The inclusionof 21 VACCHO Annual Report 2015-16 The Cultural Safety Team lobbied state Government and were successful in acquiring them to invest some seed funding to support the Goal 6: Quality commencement of developing the process and supports for commercialising the cultural safety partnerships and program across VACCHO’s Membership. Six Members in total will be approached to seek their interest in being supported to localise the design networks of VACCHO’s cultural safety training package and To improve the accessibility and quality of implement the delivery with support of a business Aboriginal health services and programs through case model and business development support the development of partnerships and networks from the team. with key organisations. VACCHO’s Health Evidence team lead a national Our achievements advocacy campaign (unanimously supported by all State and Territory jurisdictional peak VACCHO has continued to provide leadership bodies), highlighting the adverse impact of the and advocacy through several partnership forums new “Canning Tool” for nKPI data extraction on to enhance outcomes for Aboriginal health and Member services. wellbeing. The work of the Coalition for Aboriginal Health in Victoria continues and is a highly valuable structure made up of 17 civil service organisations who meet and lobby governments to ensure the commitments in the Statement of Intent to Close the Gap are achieved. In February 2016, The Victorian Advisory Council of Koori Health re-signed the Framework Agreement on Victorian Aboriginal and/or Torres Strait Islander Health and Wellbeing 2015-2020 (a tripartite agreement between VACCHO, the Commonwealth Minister for Health and the State Minister for Health). The Council has expanded its membership this year. This expansion is driven by the increasing number of reforms and machinery of government changes, particularly in mental health funding and early years programs, moving to Department of Education and Training at both the state and commonwealth levels. VACKH continues to meet quarterly to action items in its annual plan around the priorities of data, early childhood and mental health. VACCHO is an active member of the National Close the Gap Steering Committee which is a coalition of Aboriginal and Torres Strait Islander health peak bodies and leaders, mainstream national health organisations and human rights organisations campaigning together for health equality. We played an active role in raising the profile and number of Community member signatories as part of preparations for the 10 year anniversary of the signing of the Statement of Intent to Close the Gap event that took place at Parliament House in Canberra on the 16 February to raise awareness and renew pressure on the Government. VACCHO is an active Member of the Health and Human Services Partnership Committee. This Committee is co-chaired by the CEO of the Victorian Council of Social Services and Jethro Calma-Holt and Keith Morgan in a still from Sports Drinks are Gammin! the program assistsservices withare: accreditation processes. Someoftheactivities ongoing supporttoMemberspre andpost The QualityandAccreditation program provides service forAboriginalfamilies.” develop atailoredandchildhealth maternal Aboriginal communitiestoco-designand for Reform’s commitmentto“...workwith successful implementationoftheRoadmap contributetotheAssociation ofVictoria, of EducationandTraining andMunicipal VACCHO, workingwiththeDepartment workforce andplanning. work suchascriticalservicesectorreforms, Ministers andDepartmentalSecretaries onkey as VACCHO theopportunitytoengagewith DHHS. Thecommitteeprovides peakssuch • • • • • Members to utilise. Providing resources and toolsfor Risk ManagementandCompliance. Quality Structures, i.e; ClinicalGovernance, improvement invariouskeyspecificareas Providing adviceandstrategy’s for authorising bodiestoensure currency. Validating audit reports conductedby audit report findings. improvements asrecommended inthe and howtheyprogress anychange or a theoretical andpracticalconcept their compliancerequirements from Supporting memberstounderstand action planwithrecommendations. assessment dates,providing membersan Conducting gapauditspriorto promote thebenefits ofdrinkingwater. Community a socialmedia competitionatthesame timeto aired onmainstream TV. TheNutritionteamran in April/May2016.Thisis the firsttimeit’s been WIN TVnetworkinregional forfour weeks Victoria service announcementwas broadcast across the The AboriginalRethinkSugaryDrink community for thenewanti-viraltreatments forHIV. research trialsandaccessforAboriginalpeople participated inthedevelopmentoftranslational responses inACCHOs.VACCHO hasactively treatments forHIVandimproving harmreduction access forAboriginalpeoplethenewanti-viral development oftranslationalresearch trialsand VACCHO has activelyparticipatedinthe people whoinjectdrugsintheinnercityregion. the toincreasing HIVdiagnosisamongAboriginal spearheading clinicalandworkforce responses to C treatments. TheTeam isaleadagency resources fortheroll outofnewhepatitis have theclinicaltrainingandhealthpromotion of serviceproviders toensure thatACCHOs have collaboratedwithDHHSandawiderange team Virus The SexualHealthandBloodBorne the programs asrequired byeachcommunity. standards andallowthemtocontinuedelivering supporting eachothertoretain theiraccreditation and hasestablishedanewleveloftrustin proved tobeofgreat benefittobothorganisations standards andqualityframeworks.Thisendeavour experience around organisationalandclinical andimprove supported learning knowledgeand assisted twoMemberservicestoestablishpeer The QualityandAccreditation Program has 23 VACCHO Annual Report 2015-16 members were asked to take a “selfie” drinking decreasing the number of babies born with a low water with the #DrinkWaterUMob hashtag. There birth weight), and improving the satisfaction and were five weekly prize packs for four weeks and a engagement of pregnant women throughout their grand prize for the overall best ‘selfie’. gestational journey. New Sports Drinks are Gammin! videos have VACCHO are working with the Youth Support been created in partnership with Cancer Council and Advocacy Service (YSAS) on a Koolin Balit Victoria (CCV) and will be launched in July. Local AOD Project that will develop health promotion Aboriginal sports role models feature in the four resources and tools with and for Aboriginal videos and talk about why they choose water and young people. The tools will provide education not sports drinks. and increase awareness regarding ice, alcohol and other drug use. YSAS and VACCHO have Our Nutrition Team are supporting a new co-facilitated workshops with Aboriginal young Aboriginal Population Health Workforce based in people in various locations across the state. LGAs across Victoria. Having met all the recruits and their managers the Team is looking forward to A Clinical Quality Improvement and Sector Quality supporting their network over the next 12 months. Forum was held over two days in May, with Strong advocacy continues to DHHS for job participants from 20 Member organisations in security/sustainability for the recruits in this sector. attendance, and/or presenting. Priorities for action were set by Members at this forum to guide the VACCHO’s Smoking Cessation team are working work of the VACCHO CQI program, and this was with Alfred Health to develop a webinar series for fed back to all participants. ACCO staff on the use of nicotine replacement therapies (NRTs). Support and input to AH&MRC review of accredited CQI training modules (to be shared VACCHO is working with DHHS, Cancer Council with Victoria once finalised). Victoria, Members and community groups to identify culturally appropriate community All VACCHO Members with a primary care engagement activities that will increase public service signed Agreement to share data with health screening participation, the patient journey VACCHO. Progress on this initiative was through in-hospital and community cancer presented to VACCHO Members, VACCHO CEO treatment phases and increasing access to Professional Network, VACCHO Staff, Primary clinical trials. Healthcare Networks, Victorian Government, Commonwealth Government, NACCHO and Work with the Heart Foundation has commenced other State/Territory Peaks. with the aim of developing health service models that reduce the incidence of cardio-vascular events within our communities. Prevention and early detection of heart disease or significant risk factors will be the focus. The Public Health and Research unit recruited an experienced volunteer data analyst and requested data from Victorian hospital emergency department (VEMD) and admissions (VAED) for Aboriginal mental health presentations. VACCHO continues its involvement with the CREATE Research Leadership group at the South Australian Health and Medical Research Institute in Adelaide. The research program focuses on building evidence based chronic disease knowledge and research capacity within ACCOs nationally. VACCHO has partnered with LaTrobe University researchers to implement a new midwifery case model for Aboriginal women (to improve health outcomes of newborn babies), across several public hospitals in Melbourne. The research will assess whether the model delivers better health outcomes to new born babies (such as Samantha Brennan - Health Services Integration Officer , Mallee District Aboriginal Services and Maree Davidson - Facilitator at the CQI Forum in thisactivity havingthesuccessithas had,has (aka Aboriginal Pedagogies).Akeycomponent influenced bytheeight Aboriginal waysoflearning content totheirstudents. Thishasstrongly been their confidencetodeliver culturalspecific working withthenon-Aboriginal tutorstoimprove cultural contentinthecurriculum anddirectly of whatisrelevant toincludearound Aboriginal Catholic Universitytoassistwiththere-writing territory inworkingverycloselywiththeAustralian The CulturalSafetyprogram hasentered intonew ongoing program development. andphilanthropicgovernment grantstoenable gain fundingfrom avarietyofsources including enabled VACCHO to parties andhas interest from external continues toattract model. Thismodel coaching/mentoring through anactive skills governance procedures andbroad processes, meeting planning andreview develop more effective number ofBoards to we havesupporteda Through our conducted inMay. state-wide CQIforum services andatthe staff inMember management and for Boards, senior clinical governance financial management, and program levels), and review (strategic frameworks, planning risk management around principles, topicsincludinggovernance to conductanumberofon-siteworkshops requests comingthrough seekingouravailability team hasbeenoverwhelmedwiththeamountof Over theyearSectorQualityImprovement Our achievements and growth amongstourMembers. sector tofacilitatelong-termfinancialsustainability funding. Theincomecanthenbereinvested inour sources grant beyondtraditionalgovernment We aimtoexpandthediversityofourincome Sustainability Goal 7: projects, phase completionduringtheyearincluded: and itsMembers.TheoutcomesoftheStart-Up aimed atimproving thesustainabilityofVACCHO the VACCHO Shared BusinessServicesinitiative Work hascontinuedwiththedevelopmentof Aboriginal health. cultural capabilitiesandsocialdeterminantsin available inclasstoanswerquestionsconcerning student oralpresentations, aswellbeing supervision toACUTutors anddirectly observing been dulyduetoVACCHO providing cultural • • Managed/Hosted services,Medical telephony, managedprinting,ICT Seven serviceofferingareas (mobile Business Case Independent review andvalidationofthe suppliers forVACCHO. efficient servicesand new costeffectiveand and implementing as wellinvestigating operational systems streamlining also continuously this demandwhilst organisation hasmet 17 percentandthe year hasincreased by growth inthelast VACCHO staffing improvements. reduction andquality financial savings,risk with demonstrated and Non-members to bothMembers • and GraphicDesign) Office Consumable – electricityandgas, consumables, Utilities Service delivery 25 VACCHO Annual Report 2015-16 Financial report NAVISION. Themultiplebenefits tobe realised phases ofthe newsystem;Microsoft Dynamics planning, consultation,purchase andinstallation and completed.Thiswork progressed through the project fortheexistingsoftware was commenced management andreporting needs, areplacement Identified asnolonger meeting ourfuture financial management system. July 2016‘go-live’dateforanewfinancial preparation workwascompletedfora1 For the2015-2016financialyear, considerable system Preparation foranewfinancialmanagement of VACCHO’s financialposition. transparency andamore accurate representation the mainstatements.Thisprovides improves auspice arrangementswere isolatedfrom This year, activitiesdelivered byVACCHO under Auspicing Accounts organisation’s cashreceipts andpayments or segregation ofdutiesand signoffonthe to bankaccountreconciliations, separation controlsinternal includedforexample,changes controls were implemented.Theseimproved During theperiod,arangeofimproved financial Bank accountreconciliation change tothefinancialriskprofile. against theprevious periodwithoutamaterial increase ininterest from earned investment this workwasanadditional$59,000or39.6% for ourworkingcapital.Arealised benefitfrom with opportunitiestoimprove thereturnsavailable accounts resulted inoperatingefficienciesalong services includinganamalgamationofnumerous A rationalisationprocess ofVACCHO’s banking Rationalisation ofbankingandinvestment the AustralianAccountingStandard. revenue recognition hasgreater alignmentwith stakeholders.Thisnewsystemof to external providing enhancedlevelsoffinancialassurance of ourfinancial reports alongwithaswell users of financialinformationavailabletointernal has improved thetransparency andthequality The revised approach torevenue recognition recommendation. work arisefrom theprevious period’s auditor and more accuraterevenue recognition. This This yearVACCHO haveimplementedabetter Revenue Recognition and activities Financial yearinreview –keyfocus by totalrevenue) (Total incomereceived from divided government Economic Dependency liabilities) (Total current asset dividedbytotalcurrent Working Capital expenditure) (Total program costdividedbytotal Program Efficiency expenditure) (Total administrationcostdividedbytotal Administration Efficiency Note contributiontoVACCHOThis showsgovernment 2016: 90.892015:91.14 Economic Dependency and short-termfinancialhealth. debt withitscurrent assets.Itshowsitsefficiency This ratioshowsVACCHOs abilitytopayforits 2016: 1.822015:1.69 Working Capital deliverables atamore efficientrate. and anabilitytoachieveprogram outcomes/ Shows improved productivity rateoftheprograms 2016: 19.852015:24.76 Program Efficiency administrative expenses A decreased percentage ofrevenue spenton 2016: 19.402015:21.78 Administration Efficiency VACCHO’s workingcapital. approach haveresulted intheimprovement to from servicesandaccountingmeasurement These generalimprovement inprocesses, value costs andprogram expenditures. activities aimedatreducing bothadministration achieved through theimplementationofvarious came from efficiencyimprovements. Thiswas as indicatedbytheperformanceratiosbelow, The maincontributiontothisyear’s strengthening, strengthen in2015-16. VACCHO’s overallfinancialpositioncontinuedto performance forthe2015-16year: A snapshotofVACCHO’s financial of theaccountingrecords. well asbettercontrol oftheMasterfileandsecurity integrity, areduced riskofdatamanipulationas functionality andfinancialcontrol, betterdata in thenextperiodwillbebetterrecord keeping 27 VACCHO Annual Report 2015-16

STATEMENT OF PROFIT AND LOSS AND OTHER COMPREHENSIVE INCOME FOR YEAR ENDED 30 JUNE 2016

REVENUE 2016 2015 $ $

Grants and funding 8,925,665 9,264,546 Other income 894,698 850,582

TOTAL REVENUE 9,820,363 10,115,128

EXPENDITURE

Program operational expenses 1,771,624 2,108,785 Employee expenses 5,839,206 5,206,637 Depreciation expenses 185,901 219,656 Office expenses 476,062 641,377 Other expenses 653,451 339,084 TOTAL EXPENDITURE 8,926,244 8,515,539

Surplus Before Income Tax for the year attributable to Members of the Entity 894,119 1,599,589 Other Comprehensive Income - - Total Comprehensive Income for the year attributable to Members of the Entity 894,119 1,599,589

Note The above Statement of Profit and Loss is only an extract of VACCHO’s Annual Financial Statements (AFS). A copy of the VACCHO AFS 2016 is available on request. (AFS). Acopy oftheVACCHO AFS2016isavailableon request. The aboveStatement ofFinancialPosition isonlyanextractof VACCHO’s Annual FinancialStatements Note

TOTAL EQUITY TOTAL Retained EQUITY NET ASSETS LIABILITIESTOTAL - NON TOTAL benefitsEmployee - NON TOTAL LIABILITIES CURRENT Deferred income benefitsEmployee Trade andother p CURRENT LIABILITIES TOTAL ASSETS - NON TOTAL Property, plant and equipment - NON TOTAL ASSETS CURRENT Ot Financial a Trade an cashand e Cash CURRENT ASSETS her CURRENT LIABILITIES CURRENT ASSETS

d other r surpluses ssets

CURRENT LIABILITIES CURRENT ASSETS

quivalents

eceivables ayables

CONTROLLED HEALTHORGANISATIONINC

STATEMENT OF FINANCIAL POSITION OFFINANCIAL STATEMENT VICTORIAN ABORIGINALCOMMUNITY

AS AT 30JUNE2016 AT AS

A.B.N. 67498114972

16,868,645 10,159,246 11, 11,207,768 11, 2016 6,709,399 6,709,399 4,704,388 5,127,640 5,660,877 5,576,449 3,760,177 1,329,756 $ 274,959 486,516 207,768 207,768

52,259 84,428 84,428

1,503,361 14,516,632 10,313,649 10,313,649 10, 2015 6,755,297 6,755,297 7,761,335 4,606,190 2,854,921 4, 4,085,040 2,212,153 $

202,983 275,595 117,943 117,943 369,526 313,649

24,629

29 VACCHO Annual Report 2015-16

VICTORIAN ABORIGINAL COMMUNITY CONTROLLED HEALTH ORGANISATION INC A.B.N. 67498114972

STATEMENT OF CHANGES IN EQUITY FOR YEAR ENDED 30 JUNE 2016

General Retained Total Equity Building Surpluses Reserve $ $ $ 2015 Balance at 1 July 2014 - 8,714,060 8,714,060 Surplus attributable to members - 1,599,589 1,599,589 Balance at 30 June 2015 - 10,313,649 10,313,649

2016 Balance at 1 July 2015 - 10,313,649 10,313,649 Surplus attributable to members - 894,119 894,119 Balance at 30 June 2016 - 11,207,768 11,207,768

Note The above Statement is only an extract of VACCHO’s2 Annual Financial Statements (AFS). A copy of the VACCHO AFS 2016 is available on request. VACCHO AFS2016isavailable onrequest. The aboveStatement isonlyanextract ofVACCHO’s AnnualFinancialStatements (AFS).Acopyof the Note

financial year equivalents cash and Cash at theof end the financial year and cash equivalentsCash at the beginning of the Net Net forPayment forPayment purchase of property, flows investing from Cash activities Net cash from operating activities toPayments suppliers and employees Interest received Receipts from customers/funders flows operating from Cash activities increase/ used in i

nvesting activities investments (decrease) in cash

CONTROLLED HEALTHORGANISATIONINC VICTORIAN ABORIGINALCOMMUNITY FOR YEAR ENDED30JUNE2016 FOR YEAR STATEMENT OF CASH FLOWS OFCASH STATEMENT

plant equipment and A.B.N. 67498114972

2016 (8,453,384) 10,821,6 $ 2,272,719 2,517,852 5,127,640 2,854,921 (245,133) (105,130) (140,003)

149,589 47

2015

$ (2,606,307) (2,578,381) (8,758,176)

10,564,777 1,901,375 2,854,921 3,559,853 (704,932)

(27,926) 94,774

31 VACCHO Annual Report 2015-16 Aboriginal health is everybody’s responsibility.

It is VACCHO’s core business.

17-23 Sackville Street PO Box 1328 Victorian Aboriginal Community Collingwood, VIC, 3066 Controlled Health Organisation Inc. T 03 9411 9411 F 03 9411 9599 Annual Report 2015-16 www.vaccho.org.au