Aboriginal Health Strategic Plan 2018-2022
AVS 81958
NRAA L I MANAGDBURINGUDUAboriginal HealthStrategic Plan2018–2022APLACETO GETTBETER
Art and elements used to design this planare part and in full extracts from the‘Getting Better Together’ artworkpainted by Lee Hampton, 2018
Contents3Foreword5Executive summary6‘Closing The Gap’ between Aboriginal andNon-Aboriginal communities8Key principles of Aboriginal healthcare delivery10The planning process10Achievements of the Sydney South West Area Health ServiceAboriginal Health Plan 2010–201412Community consultation13Policy and strategic context13National policies and plans13State policies and plans14Sydney Local Health District policies and partnership plans15Our Aboriginal health service15Services15Partnerships15Aboriginal Workforce Strategy16Our Aboriginal population16The Aboriginal population18Social and environmental context19Health outcomes of Aboriginal people21Use of health services by Aboriginal people21Emergency Department activity23Inpatient activity26Non-admitted Aboriginal patient activity27Challenges and directions for Aboriginal health27Key challenges for Sydney Local Health District28Strategic directions36Governance and implementation36Governance36Monitoring and evaluation37Action Plan48Appendices62References
Ngurang Dali Mana Burudi –A Place to Get BetterThe Sydney Local Health District’s Aboriginal Health logo was created by theDistrict’s Aboriginal Cultural Committee in coordination with our Aboriginal workforce.The map in the centre represents the boundaries of Sydney Local Health District.The blue lines on the map are the Parramatta River to the north and the Cooks Riverto the south which are two of the traditional boundaries.The Gadigal, Wangal and Bediagal are the three clans within the boundaries of theSydney Local Health District. They are three of the twenty-nine clans of the greatEORA nation.The centre circle represents a pathway from the meeting place for Aboriginal peopleto gain access to better health care.The Goanna or WirrigaOne of Australia’s largest lizards the goanna is found in the bush surrounding Sydney.The Whale or GawuraFrom June to October pods of Humpback whales migrate along the eastern coastlineof Australia to warmer northern waters, stopping off at Watsons Bay the traditionalhome of the Gadigal people.The Eel or BurraShort-finned freshwater eels and grey Moray eels were once plentiful in theParramatta River inland fresh water lagoons.A Place to Get Better – Ngurang Dali Mana Burudi, is a view of our whole communityincluding health services, Aboriginal communities, families, individuals and organisationsworking in partnership. We want to build a strong system to improve access to equitableliving conditions and lifestyle choices and a healthier future for all.(Source: Sydney Language Dictionary)Sydney Local Health District2Aboriginal Health Strategic Plan 2018–2022
Foreword‘Closing the Gap’ between Aboriginal*and nonAboriginal communities is one of the greatestchallenges currently facing our nation. SydneyLocal Health District is committed to improvingthe health and wellbeing of Aboriginal communities,through the Sydney Metropolitan Local AboriginalHealth Partnership in collaboration with theAboriginal Medical Service Redfern, and ourlocal Aboriginal communities.The inter-relationships between health and socialdeterminants such as education, employment statusand income are well established in national andinternational literature. The District will workcollaboratively to address the social determinantsof health to actively reduce the health disparitiesbetween Aboriginal and non-Aboriginal people.This Aboriginal Health Plan 2018–2022 is consistentwith Australian and NSW policies, and builds on theprevious and current plans and policies of the District,including the SLHD Aboriginal Workforce Action Plan2016–2018, the Sydney Metropolitan Local AboriginalHealth Partnership Agreement and Plan 2016–21, andits Social Determinants of Health Forum Report 2016.Aboriginal health is a major priority of the District,and is reflected in all of our plans and strategies.Sydney Local Health District will aim to closethe health gap between our Aboriginal and nonAboriginal communities by ensuring that our attitudesand approach to service delivery, and our strongcommitment to improved health outcomes forAboriginal people are characterised by respect,strong collaboration, empowerment and openness.The District is committed to implementing thisplan and to developing partnerships to improvethe health and wellbeing of Aboriginal people aswell as continuing to build on the improvementsmade in the past five years. We look forward tocontinuing to work with the community to achieveequity in access and, most importantly, equity inhealth outcomes for Aboriginal people.Recognition of Aboriginal people, their strongconnection to country and their enduring culture,which has great diversity across language, experienceand circumstances is essential to providing care thathas a positive impact, and is delivered in partnershipwith the community.*T he term ‘Aboriginal’ rather than Aboriginaland Torres Strait Islander or Indigenous hasbeen used within the content of this Plan tomean ‘Aboriginal and Torres Strait Islander’,in recognition the Aboriginal people arethe original inhabitants of NSW (see NSWHealth PD2005 319).Dr Teresa AndersonChief ExecutiveHon. Ron Phillips AOBoard ChairSydney Local Health District3Aboriginal Health Strategic Plan 2018–2022
Deliveringtargetedstrategies in theDistrict’s healthpriority areasBuildingtrust throughpartnershipsImplementingwhat works andbuilding ningperformancemonitoring andaccountabilityProvidingculturallycompetent workenvironmentsand healthservicesSydney Local Health District4Ensuringintegratedservice planningand deliveryStrengtheningthe AboriginalworkforceAboriginal Health Strategic Plan 2018–2022
Executive SummarySydney Local Health District has a strongcommitment to closing the health gap betweenAboriginal and non-Aboriginal people and this Plan2018–2022 has adopted the six strategic directionsof the NSW Aboriginal Health Plan 2013–2023:This Aboriginal Health Plan 2018–2022 builds onthe successes of the former Sydney South West AreaHealth Service Aboriginal Health Plan 2010–2014, andaligns with the National Aboriginal and Torres StraitIslander Health Plan 2013–2023, NSW AboriginalHealth Plan 2013–2023, and the Sydney Local HealthDistrict Strategic Plan.1. Building trust through partnership2. I mplementing what works and buildingthe evidence3. Ensuring integrated planning and service delivery4. Strengthening the Aboriginal workforce5. Providing culturally competent work environmentsand health services6. Strengthening performance monitoring,management and accountabilityThis plan proudly acknowledges the achievementsmade by the District over the course of the previousplan; in particular, creating and building on servicesand programs to improve Aboriginal access tohealthcare, strengthening partnerships withgovernment and non-government organisationsin both health and non-health sectors, significantlyexpanding and enhancing the District’s Aboriginalworkforce, and providing high quality mandatoryand voluntary Aboriginal cultural education.A seventh strategic direction is included Deliveringtargeted strategies in SLHD health priority areas,to support the delivery of locally developed strategiestailored to the local need.Sydney Local Health District is determined to build onits successes in empowering Aboriginal communities,to address health inequity and reduce discriminationand racism towards Aboriginal people.This plan supports these directions with strategiesthat are community-driven, respectful of Aboriginalculture, supportive of ongoing partnerships, alignedto the Aboriginal Workforce Action Plan 2016–2018and committed to ‘Closing the Gap’ betweenAboriginal and non-Aboriginal people.The Sydney Local Health District Aboriginal HealthPlan 2018–2022 aims to: Establish the key strategic priorities for AboriginalHealth in Sydney Local Health District for the nextfive years; and Identify key actions for Sydney Local HealthDistrict to implement the NSW Aboriginal HealthPlan 2013–2023.The seven principles that guide the responseto improving the health and wellbeing of thelocal Aboriginal community include:1. Strong leadership and governance2. Holistic responses to Aboriginal healthand wellbeing issues3. Valuing Aboriginal cultures and employingAboriginal staff4. Active involvement of Aboriginal communities5. Adequate and sustainable resources6. A culturally competent system7. Truly integrated careSydney Local Health District5Aboriginal Health Strategic Plan 2018–2022
‘Closing the gap’ betweenAboriginal and non-Aboriginal communitiesSydney Local HealthDistrict continues tofocus on improvinghealth outcomes,reducing harm fromrisky behaviours andsupporting familiesand communities tomanage their health.Endorsed by the Australian Government in 2008, ‘Closing the Gap’is a national strategy that focuses on the areas of health, educationand employment, which are recognised as the key drivers for successin addressing the significant disparity between the health, wellbeingand prosperity of Aboriginal and non-Aboriginal people.The 2017 National ‘Closing the Gap’1 Report outlined some positivehealth gains with a decline in the national Aboriginal mortality rates,especially deaths from circulatory diseases (such as heart diseaseand stroke) and the Aboriginal infant mortality rate which has declinedby a third in the past 17 years. The high rate of immunisation amongAboriginal children at five yearsof age is also encouraging.However the life expectancy of Aboriginal people is still around 10 yearsless than non-Aboriginal people, an unacceptably wide gap. As a result,it remains important that Sydney Local Health District continues tofocus on improving health outcomes, reducing harm from riskybehaviours and supporting families and communities to managetheir health.In line with the established evidence, the District recognises that thesocial determinants of health, such as education, employment statusand income, have both direct and indirect effects on the risk of diseaseand injury, the overall health status, and access to healthcare servicesfor Aboriginal people.For Aboriginal people, the social determinants of health are mediatedby the history of colonisation and dispossession, racism, the denialof recognition of (and right) to self-determination and the disruptionof prior ownership of the land.As part of the Sydney Metropolitan Local Aboriginal Health Partnership(SMLAHP) Agreement, Sydney Local Health District is committed toactioning the principles and the recommendations of the SMLAHPHealth Priorities Action Plan 2015–162 and the Social Determinantsof Health Forum Report 20163.In order for policies and programs to deliver the desired outcomes,they must be built on evidence and developed in partnership withthe Aboriginal people and communities who will benefit from them.To do this, the District will strengthen both its mainstream healthservices and targeted Aboriginal programs and aim to empowerAboriginal communities to address health inequity through itspartnership with the Aboriginal Medical Service Redfern, theSMLAHP and the local Aboriginal community.Sydney Local Health District6Aboriginal Health Strategic Plan 2018–2022
Sydney Local Health District’s vision isOurvisionto achieve excellence in health andhealthcare for all.Our vision for Aboriginal Health isto partner with Aboriginal communitiesand organisations to close the gapin health outcomes.OurmissionTo work in collaboration with Aboriginal communities, the SydneyMetropolitan Local Aboriginal Health Partnership Agreement and otherhealth and non-health partners to deliver accessible, evidence-based,patient-centred, culturally competent care and information.To empower the Aboriginal community to take ownership of theirhealth and wellbeing, prevent and manage ill-health and ensure theearliest access to appropriate primary, secondary and tertiary healthcare.To work with all of our partners to systematically address the socialdeterminants of health and wellbeing.OurvaluesOur values are a statement of the standards and behaviours we model inour work and how we interact with our patients, our community and amongstourselves. These values are consistent with the CORE values of the NSWhealth system:CollaborationImproving health status and healthcare depends on everyone in thesystem working as a team. In Aboriginal Health, this requires a commitmentto partnership, Aboriginal empowerment, community autonomy and intersectoral collaboration.OpennessTransparent system improvement processes are essential to make surethat information is open, relevant and available.RespectThe respect for and understanding of Aboriginal culture, history and peopleis fundamental to achieving better outcomes. We recognise the role ofAboriginal elders as leaders in the community. We also recognise thatengaging Aboriginal organisations and community groups is integral toimproving health. We acknowledge and respect Aboriginal people asthe traditional owners of the land.EmpowermentWe must build trust on all sides and at all levels with Aboriginal peopleand the community. In Aboriginal health, empowerment is fundamentalto ‘Closing the Gap’, building community capacity, supporting Aboriginalcommunity services and ensuring culturally competent models of care.Sydney Local Health District7Aboriginal Health Strategic Plan 2018–2022
Key principles ofAboriginal healthcare deliveryStrongleadershipand governanceHolisticresponses toAboriginalhealth issuesActiveinvolvementof of Aboriginalhealthcaredeliveryin SLHDCulturallycompetentsystemAdequate andsustainableresourcesSydney Local Health DistrictValuingAboriginal culturesand employingAboriginal staff8Aboriginal Health Strategic Plan 2018–2022
The following seven principles* guide the District’sresponse to improving Aboriginal health:Strong leadership and governanceAdequate and sustainable resourcesTo ensure the District’s senior leadership is committedto, and prioritises Aboriginal health, ‘Closing the Gap’and working in close partnership with Aboriginalcommunities and organisations.To support sustainable programs targeting Aboriginalcommunities with demonstrated evidence-basedsuccess; and ensure data and information systemssupport evaluation and performance in ‘Closing theGap’.Holistic responses to Aboriginal healthand wellbeing issuesA culturally competent systemTo support health and wellbeing across the lifespan,the District’s responses must take into account thecultural, social, emotional and economic context,including being aware of the trauma, grief and lossassociated with colonisation, as well as thecommunity’s strength and ongoing resilience.To develop culturally competent strategies to increasethe accountability, understanding, knowledge andskills of staff in order to ensure a culturally competentsystem. This includes addressing racism anddeveloping strategies to mitigate negative attitudesand behaviours.Valuing Aboriginal cultures and employingAboriginal staffTruly integrated careTo value and support targeted Aboriginal healthservices and to integrate care that spans acrossservices, agencies, organisations and settingsto meet Aboriginal people’s health andwellbeing needs across their lifespan.To value Aboriginal contributions to the organisationand promote positive cultural identity by providingtraining, education, support and ongoing careeropportunities to Aboriginal staff.Active involvement of Aboriginal communitiesTo involve Aboriginal communities in serviceplanning, delivery and evaluation, through communityengagement that fosters genuine and sustainablepartnerships and builds community capacity.* Adapted from Australian Government ‘Closingthe Gap’ Prime Minister’s Report December2013 ts/02 2013/00313-ctg-reportfa1.pdfSydney Local Health District9Aboriginal Health Strategic Plan 2018–2022
The Planning ProcessThe planning process includeda review of the outcomes of theprevious Aboriginal Health Plan,a consultation process with thelocal community and stakeholders,an analysis of the current policycontext and the incorporation ofthe available evidence about bestpractice in Aboriginal health.District initiatives T he Sydney Metropolitan Local Aboriginal HealthPartnership Agreement, a formalised alliancebetween the AMS Redfern, Sydney, NorthernSydney and South Eastern Sydney Local HealthDistricts, St Vincent’s Hospital Network and theSydney Children’s Hospitals Network wasdeveloped. Since 2012, there has been significant growth in theDistrict’s Aboriginal workforce, with 1.9 per cent ofthe workforce identifying themselves as Aboriginaland/or Torres Strait Islander. The District alsocontinues to build a culturally competent and safeorganisation through ongoing implementation ofthe Respecting the Difference program andassociated strategies.Achievements of the SSWAHSAboriginal Health Plan 2010–2014A comprehensive review of the implementation ofthe previous Sydney South West Area Health Service(SSWAHS) Aboriginal Health Plan 2010–2014 wasundertaken. This process identified strategies thatwere successfully achieved, those that were modifiedto meet the changing needs of the District and thosethat have continuing relevance for the District. Majorachievements under each of the health priority areashave been highlighted on the next page:Early years, children and young people Delivery of the ‘Yana Muru – Walking Together’program which provides parent support, education,child health checks and vaccination and sustainedhome visiting for Aboriginal children and theirfamilies. This Commonwealth funded service is nowgrouped under the District’s Healthy Families,Healthy Children initiative. R elocation of the Youthblock Youth Health Serviceto Chippendale and ongoing provision of onsite andoutreach counselling, health services and healtheducation. Youthblock works in partnership witha number of organisations and the community todeliver health promotion activities including a mentalhealth awareness workshop (Deadly Minds), nutritionand cooking skills workshop (Roaming Kitchen) andgeneral youth health education (Living Strong). I ntroduction of a paediatric medical clinic at theAMS Redfern to improve access for local Aboriginalchildren and their families to paediatric specialistdoctors and associated child and family healthservices. Between 2010 to 2015, the number of fullyimmunised Aboriginal children in the Districtincreased across the one, two and five year agegroupings. In 2015, one year-old Aboriginal childrenwere fully immunised at the same rate as nonAboriginal children (92.4 per cent) in the District.Sydney Local Health District10Aboriginal Health Strategic Plan 2018–2022
Chronic diseases and ageing E xpanding the Sydney District Nursing pathwayfor the 48-hour follow up program, resulted in anincrease in new referrals in the first month ofimplementation. E stablishment of Cardiac, Diabetes and Geriatricclinics at the AMS Redfern. E nhancement of the Chronic Disease ManagementProgram for Aboriginal patients throughdeveloping an integrated service delivery modelwith the Coordinated Care and SupplementaryServices Program delivered through the Centraland Eastern Sydney PHN.PatientperspectivesHospital care for Aboriginalpeople report4 released in 2016reported 78 per cent of adultadmitted Aboriginal patientsin SLHD rated the care theyreceived in hospital as ‘verygood’— the highest proportionin NSW.Mental Health E xpansion of mental health promotion workthrough training both internal and external staffin delivery of the Aboriginal Mental HealthFirst Aid program. D evelopment of a culturally sensitive modelto strengthen Aboriginal mental health asa specialised component of the District’sMental Health service. C ontinued workforce development throughlocal training initiatives, and support of the NSWAboriginal Mental Health Worker Training Program.Sydney Local Health District11Aboriginal Health Strategic Plan 2018–2022
Drug HealthOral health Delivery of a collaborative Aboriginal Drug andAlcohol Forum, with the AMS Redfern whichidentified concerns among agencies and workersabout the impact of drugs on individuals, familiesand the community, with a commitment to worktogether to build a strong and safe community. Establishment of the Aboriginal Hub and Spokeprogram funded through ‘Closing the Gap’ whichhas been successful in providing dental services toover 10,000 additional Aboriginal patients in NSWin the past three years. P articipation of Oral Health Promotion ina number of community events providingpromotion, education and early intervention,including the provision of mouthguards toAboriginal children. trengthening the partnership with the AMS SRedfern and the District’s Drug Health Services,to develop additional shared care arrangements,an outreach hepatitis C clinic, and an addictionspecialist and registrar secondment. Appointment of several identified Aboriginalpositions, including in the Hub and Spoke program,and ongoing support for Aboriginal DentalAssistant and Administration Traineeships. Improved access to clinical Drug Health Servicesat Concord Hospital for the AMS Redfern patients,through improved referral processes andsecondment of addiction specialists to theAMS Redfern.Community consultationInfectious diseases and sexual healthIn developing this plan, Sydney Local HealthDistrict’s Aboriginal Health unit, with supportfrom the planning unit, undertook a numberof consultation workshops, which wereattended and chaired by the District ChiefExecutive, demonstrating the senior executiveand Board commitment to Aboriginal health. I ncreased access to STI screening for communitymembers by training Aboriginal Health Workersand health promotion officers to conduct urinetesting for chlamydia and gonorrhoea in outreachsettings. Increased capacity to deliver health promotionactivities due to the employment of a sexual healthfocussed Aboriginal Health Worker who attendslocal community groups and events.Stakeholder consultations included Aboriginalcommunity members, Aboriginal NGOs andcommunity leaders, the Central and EasternSydney PHN and staff including AboriginalHealth Workers, service managers, clinicaldirectors, general managers. Participation in sexual health awareness raisingevents targeting local Aboriginal communitiesincluding What’s the HARM, World AIDS Dayand HIV Testing Week. elivery of targeted STI education to Staff of Dthe Sexual Health Service at the AMS, Redfernby SLHD Sexual Health Staff.Sydney Local Health District12Aboriginal Health Strategic Plan 2018–2022
Policy and Strategic ContextNational policies and plansNational Aboriginal and Torres Strait IslanderHealth Plan 2013–20235This plan commits the Australian Government to: Continue working across governments and sectorsto close the gap in Aboriginal disadvantage. Invest in making health systems accessible,culturally safe, effective and responsive. Support good health and wellbeing across the lifecourse, and continue to target risk factors.State policies and plansNSW State Health Plan: Towards 20216The NSW Health Plan commits to three directions:1. Keeping people healthy2. Providing world class care3. Delivering truly integrated careNSW Aboriginal Health Plan 2013–20237Reflects the NSW Government’s commitment toclose the health gap between Aboriginal and nonAboriginal people in NSW through the strategicdirections:1. Building trust through partnerships.2. I mplementing what works and building theevidence.3. E nsuring integrated planning and service delivery.4. Strengthening the Aboriginal workforce.5. P roviding culturally safe work environments andhealth services.6. Strengthening performance monitoring,management and accountability.Good Health – Great Jobs. Aboriginal WorkforceStrategic Framework 2016–20208The Framework is intended to support Local HealthDistricts, Specialty Health Networks and other NSWHealth organisations to grow and to develop theirAboriginal workforce and is structured around six keypriority areas:1. Lead and plan Aboriginal workforce development.2. B uild cultural understanding and respect.3. A ttract, recruit and retain Aboriginal staff.4. D evelop the capabilities of Aboriginal staff.5. W ork with others to achieve workforce priorities.6. Track our achievements and improve results.Sydney Local Health District13Aboriginal Health Strategic Plan 2018–2022
Sydney Metropolitan Local Aboriginal HealthPartnership AgreementPriorities of the Framework include: Increase the representation of Aboriginalemployees to 2.6 per cent across NSW Health. Increase the representation of Aboriginal peopleworking across all public service classificationsto 1.8 per cent. This is in line with the NSWPublic Sector Aboriginal Employment Strategy(2014–2017).The SMLAHP Agreement was originally signed on14 November 2011, as a formalised alliance betweenthe AMS Redfern, Sydney, Northern Sydney andSouth Eastern Sydney local health districts. TheAgreement was re-signed on 7 July 2014, to includeSt Vincent’s Hospital and the Sydney Children’sHospitals Network. The partnership agreementcommits to: Advocate for the principles outlined in theNational Aboriginal Health Plan 2013–23; andRespecting the Difference: An Aboriginal CulturalTraining Framework for NSW Health 9The Framework aims to increase culturalcompetencies to promote greater understanding ofthe processes and protocols necessary for deliveringhealth services to Aboriginal people. ‘Closing the Gap’ in health inequity betweenAboriginal and non-Aboriginal people.In 2014, the SMLAHP Aboriginal Health Priorities2015–2016 Action Plan2 was developed, identifyingsix health priority areas for collective action:OCHRE – The NSW Government Plan forAboriginal Affairs – April 2013 10OCHRE, the plan for the Aboriginal AffairsDepartment, outlines a number of initiativesincluding: Connected communities: improving educationaloutcomes for Aboriginal students. Language and culture nests: creating learningpathways. Opportunity hubs: providing Aboriginal studentswith clear pathways to real jobs. In 2015, the SMLAHP Social Determinants of HealthForum was held and informed the development ofthe SMLAHP Social Determinants of AboriginalHealth Forum: Report and Recommendations3which identified eight key areas for action:Sydney Local Health District policiesand partnership plans1. Early childhood services and education2. Racism and lateral violence3. Education4. Connectedness5. Criminal justice6. Housing7. Employment and training8. AddictionSydney Local Health District Strategic Plan2012–2017 (revised 2014)11The Sydney Local Health District Strategic Planidentifies Aboriginal health as a priority for theDistrict. The plan seeks to strengthen the District’spartnerships with the AMS Redfern and the SMLAHPto implement: he NSW Aboriginal Health Plan.T The Aboriginal Workforce Strategic Framework. The Aboriginal Oral Health Program. The New Directions Program forAboriginal Families. The Aboriginal Chronic Care Program andother related policies, plans and projects.Sydney Local Health DistrictThe social determinants of healthCancerAboriginal workforceChronic careResearchIllicit drugs, alcohol, smoking and gambling14Aboriginal Health Strategic Plan 2018–2022
Our Aboriginal Health ServiceOther important partners include local Aboriginalconsumers and community groups, governmentand non-government organisations. Thesepartners provide essential input into the planning,implementation and evaluation of local Aboriginalprograms and initiatives.Sydney Local Health District’sAboriginal Health Serviceprovides leadership, advocacy,cultural support and educationto mainstream health services, andto the Aboriginal health workforce.The Aboriginal Health Service isresponsible for strategic partnerships, planning, performance andthe coordination of Aboriginalhealth policy and programsacross the District.Aboriginal Workforce StrategyOne of the best ways to improve Aboriginal healthand to improve access to health care for Aboriginalpeople is to employ Aboriginal people. The Districtemploys an Aboriginal workforce consultant in theWorkforce Services department, to furtherAboriginal recruitment and retention strategieswithin our health services.The District’s Strategic Plan developed a strongfoundation to support the growth of our Aboriginalworkforce and since 2012 there has been significantgrowth in our Aboriginal employment levels. TheDistrict supports flexible employment practices tomaximise the opportunities for Aboriginalcandidates to obtain employment.ServicesAboriginal health services and program deliveryacross the District is located within mainstreamservices. The District also provides clinical servicesat the AMS Redfern across podiatry, endocrinology,obstetrics, geriatric/aged care, paediatric, drughealth and hepatitis.The SLHD Aboriginal Workforce Action Plan 2016–201812 is a plan to meet the targets set out in theNSW Public Sector Aboriginal Employment Strategy2014–2017 and the SLHD Workforce Strategic Plan2016–2020. Implementation of the Action Plan is theresponsibility of Workforce Services and issupported by the District’s Aboriginal WorkforceSteering Committee and working groups.These mainstream services are responsible forsupporting Aboriginal Health Workers by providingclinical supervision, developing work plans,undertaking professional development, reportingand open communication.Our goal is for Sydney Local Health District to be anemployer of choice for Aboriginal people. TheAction Plan provides strategies to enhance culturallysafe and competent healt
This Aboriginal Health Plan 2018–2022 builds on the successes of the former Sydney South West Area Health Service Aboriginal Health Plan 2010–2014, and aligns with the National Aboriginal and Torres Strait Islander Health Plan 2013–2023, NSW Aboriginal Health Plan 2013–2023, and the Sydney Local Health District Strategic Plan.
Aboriginal / Aboriginal Peoples – ‘Aboriginal’ is a general term used in the Canada Constitution (1982) to describe the Inuit, Métis Nation and First Nations and as such is still used in some official government documents but is falling out of use. Aboriginal Peoples is more acceptable than Aboriginal.
Health Plan 2013-2023 – at a glance Vision Health equity for Aboriginal people, with strong, respected Aboriginal communities in NSW, whose families and individuals enjoy good health and wellbeing. Goal To work in partnership with Aboriginal people to achieve the highest level of health
Aboriginal women and reducing rates of potentially preventable hospitalisations among Aboriginal people. More broadly, it emphasises the impact that system-wide quality improvement efforts can have on Aboriginal people's health. Patient Perspectives: Hospital care for Aboriginal people does not consider the question of whether the gap is closing.
PAGE 4 NSW Health Decision Making Framework for Aboriginal Health Practitioners This framework will enable NSW Health organisations to make local decisions regarding Aboriginal Health Practitioners undertaking clinical activities. It will help to address the fact that Aboriginal Health Practitioners currently have a variety of
ABORIGINAL HAND PRINT The Aboriginal flag is very important to Aboriginal people all over Australia. It has been flown since the 1960s. When looking at the Aboriginal flag, there are three colours. The top half is black and represents Aboriginal people from all over Australia. The bottom half is red and represents the land “Our Mother .
Shaping the future of Aboriginal mental health and wellbeing in NSW 13 Strengths-based, Aboriginal led co-design 13 Cultural capability and safety 13 Trauma informed holistic healing 14 Supporting and growing the Aboriginal mental health workforce 14 Access to quality, coordinated a
marriage, children, work, travel, wages, housing and land, and access to health care and education. . Tasmania Tasmanian Aboriginal Centre 1994 Western Australia Yorganop Child Care Aboriginal Corp 1992-93 . and add a place name, or in the print version look under 'Aboriginal and Torres .
The American Revolution, 1763-1783 By Pauline Maier This essay excerpt is provided courtesy of the Gilder Lehrman Institute of American History. INDEPENDENCE The Seven Years’ War had left Great Britain with a huge debt by the standards of the day. Moreover, thanks in part to Pontiac’s Rebellion, a massive American Indian uprising in the territories won from France, the British decided to .
