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NACCHO Annual Report 2008–09 National Aboriginal Community Controlled Health Organisation

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NACCHO Annual Report 2008–09 National Aboriginal Community Controlled Health Organisation National Aboriginal Community Controlled Health Organisation NACCHO AnnuAl RepORt 2008–09 Production: Design Direction | Printing: Elect Printing | Stock: Spicers Saxton Smooth Chardonnay Copyright: This work is copyright and may not be reproduced either in whole or part without the prior written approval of NACCHO unless for the purposes of NACCHO. NACCHO is the national peak body representing Aboriginal Community Controlled Health Services. It is a public company limited by guarantee, not having a share capital, and was incorporated under the Commonwealth Corporations Law provisions by the Australian Securities Commission in June 1997. ABN 89 078 949 710. NACCHO acknowledges the financial support of the Department of Health and Ageing. National Aboriginal Community Controlled Health Organisation NACCHO AnnuAl RepORt 2008–09 NACCHO is the national peak body representing Aboriginal Community Controlled Health Services. It is a public company limited by guarantee, not having a share capital, and was incorporated under the Commonwealth Corporations Law provisions by the Australian Securities Commission in June 1997. ABN 89 078 949 710. i ABOUT NACCHO CONTENTS ABOUT NACCHO .......................................................................................................................................................................................1 REPORTS .........................................................................................................................................................................................................3 Chairperson’s Report ............................................................................................................................................................................3 The NACCHO Board ..............................................................................................................................................................................6 Sector Chart ..............................................................................................................................................................................................13 Chief Executive Officer’s Report ................................................................................................................................................14 ReportiNg ON StrategiC PRiORiTiES: ProvidE leadershiP ANd directiON iN poliCy dEvElOPment ...................................................16 BUild ANd enhance ACCHSS capaciTy to providE more EffectivE/EffiCient PRimARy health care SERvices ............................................................................31 A more EffiCient ANd EffectivE Secretariat to achiEvE our viSiON, AimS ANd OBjectivES.......................................................................................................................................................... 49 NACCHO 2008 Annual General mEETiNg ................................................................................................................ 52 State ANd Territory Affiliate Reports .................................................................................................................... 54 NACCHO fiNANCiAl STATEmENTS ........................................................................................................................................ 69 Directors’ Report ...................................................................................................................................................................................70 Auditor’s Independence Declaration ................................................................................................................................... 74 Financial Report Income Statement ......................................................................................................................................................................75 Balance Sheet ................................................................................................................................................................................ 76 Statement of Changes in Equity .....................................................................................................................................77 Statement of Cash Flows ..................................................................................................................................................... 78 Notes to the Financial Statements ..............................................................................................................................79 Directors’ Declaration .......................................................................................................................................................................93 Independent Audit Report .......................................................................................................................................................... 94 Additional Information .................................................................................................................................................................. 98 APPENdiX 1 — CONTACTS/ORgANiSATiON dETAILS ........................................................................................... 100 APPENdiX 2 — ABBREVIATiONS ANd ACRONYMS .................................................................................................101 iv ABout NACCHO ABOUT NACCHO he National Aboriginal Community Controlled Health Organisation (NACCHO) is a living embodiment of the aspirations of Aboriginal communities and their T struggle for self-determination. NACCHO is the national peak body representing over 140 Aboriginal Community Controlled Health Services (ACCHSs) across the country on Aboriginal health and well being issues. It has a history stretching back to a meeting in Albury in 1974. In 1997, the Federal Government funded NACCHO to establish a Secretariat in Canberra which greatly increased the capacity of Aboriginal Peoples involved in ACCHSs to participate in national health policy development. An ACCHS is a primary health care service initiated and operated by the local Aboriginal community to deliver holistic, comprehensive, and culturally appropriate health care to the community which controls it, through a locally elected Board of Management. In keeping with the philosophy of self- determination, Aboriginal communities operate over 140 ACCHSs across Australia. They Map of Australia showing the geographical range from large multi-functional services location of over 140 ACCHSs as members of employing several medical practitioners and NACCHO, July 2008. providing a wide range of services, to small services without medical practitioners, which rely on Aboriginal health workers and/or nurses to provide the bulk of primary care services, often with a preventive, health education focus. The services form a network, but each is autonomous and independent both of one another and of government. The integrated primary health care model adopted by ACCHSs is in keeping with the philosophy of Aboriginal community control and the holistic view of health that this entails. ‘Aboriginal health is not just the physical well being of an individual but is the social, emotional and cultural well being of the whole community in which each individual is able to achieve their full potential thereby bringing about the total well being of their community. It is a whole-of-life view and includes the cyclical concept of life-death-life.’ (National Aboriginal Health Strategy, 1989). The solution to address the ill health of Aboriginal people can only be achieved by local Aboriginal people controlling the process of health care delivery. Local Aboriginal community control in health is essential to the definition of Aboriginal holistic health and allows Aboriginal communities to determine their own affairs, protocols and procedures. 1 2002/2003ABOUT NACCHO IN REVIEW Thus, NACCHO represents local Aboriginal community control at a national level to ensure that Aboriginal people have greater access to effective health care across Australia. NACCHO provide a coordinated holistic response from the community sector, advocating for culturally respectful and needs based approaches to improving health and well being outcomes through ACCHSs. NACCHO’s work is focused on: • Promoting, developing and expanding the provision of health and well being services through local ACCHSs • Liaison with organisations and Governments within both the Aboriginal and non- Aboriginal community on health and wellbeing policy and planning issues • Representation and advocacy relating to health service delivery, health information, research, public health, health financing, health programs, etc • Fostering cooperative partnerships and working relationships with agencies that respect Aboriginal community control and holistic concepts of health and well being. 2 REPortS REPORTS Chairperson’s Report NACCHO has worked hard during the 2008/09 financial year to ensure our sector’s vision of Aboriginal peoples determining the holistic care of our community so we reach our full potential is shared by government and the Australian community. The year began with optimism following the Federal Government’s signing, the previous March, of the Close the Gap Statement of Intent and what we understood to be its commitment to the principles of community control in the Aboriginal health sector. There was also frustration
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