Introduction

l  Unknown/ Learning

l  Aboriginal Perspective Required

l  Engage with Aboriginal people

Aboriginal Perspective- IAHA- Culture

Culture is central to the health & wellbeing of ATSI peoples.

Transformation of Australian health system requires:

A strong & resilient workforce characterised by increased numbers of ATSI professionals & support workers, & a culturally responsive workforce acting in partnership with individuals, families & communities that provides culturally safe & responsive care to increase access to available, affordable, acceptable & appropriate healthcare to ATSI peoples

Allied Health Aboriginal Health Workforce l  Aboriginal Allied Health Clinicians

(Identified as Aboriginal in AH Positions)

l  Aboriginal Health Staff (Workers & Practitioners) (Positions, occupants may not be Aboriginal)

Treasury Group   Headcount  

FTE (Prod + Non Prod)  

Allied Health Professionals   105   85  

Source – PSC data set as of June 2016 Notes – There maybe duplication of employees in Instances on Payroll due to multiple assignments FTE is productive and non productive only excludes overtime FTE

Abor.Health Co-Ordinator  

Abor Hlth Educ Officer  

Aboriginal Health Worker   Total  

Total FTE   1.00   107.78   243.61   352.38  Total Headcount   1   119   265   385  

Allied Health - Workforce NSW Health Aboriginal Workforce Strategic Framework 2016-20 & Allied Health:

l  Allied Health Encourage Aboriginal people into Allied Health disciplines

–  Aboriginal Allied Health Cadetship Program- 13 cadets - aiming for 20

l  Respecting the Difference: Aboriginal Cultural Training for NSW Health

l  Utilise Aboriginal Health Workers & clinicians as able

l  Utilise NSW Health resources eg -  Aboriginal Health Worker Guidelines

-  Decision Making Framework for Aboriginal Health Workers

Undertaking clinical activities in NSW

-  Stepping up resource- an online recruitment resource

Allied Health Clinical Teams In providing services for Aboriginal people & communities ideally:

l  Clinical design teams need to include Aboriginal Health clinicians, workers, and representation or input from Aboriginal consumers, patients and communities

l  Multidisciplinary teams include Aboriginal Health workers practitioners & clinicians

l  Aim for all Clinical staff be trained in Cultural Awareness, & be culturally responsive

l  Aim to improve outcomes- Monitor, evaluate data & Aboriginal patient and community feedback, action results.

l  May need to develop strategies/ processes to be able to implement these criteria/ or other actions to achieve Aboriginal input & engagement

Allied Health Service Examples with Elements of Success

l  WNSW Allied Health: Aboriginal Allied Health Assistant project – with POCHE

l  SLHD Redfern Jarjum College Outreach clinic(MDT – medical & AH)

l  HNELHD- Tamworth N&D & AHEO’s- Lets Talk Tucker - An education manual developed to provide AHEOs with additional nutrition skills & knowledge to provide care for their communities.

l  HNELHD Speech Pathology- Kaleidoscope Community Outreach Clinics to Nikinpa Aboriginal Child & Family Centre & Awabakal Medical Centre.

l  ISHLHD Podiatry Port Kembla Hospital: Aboriginal Foot Health Project with Aunty Jeans Program- Aunty Jeans Foot Assessment & Referral Program.

l  SLHD Social Work -The NSW Aboriginal Allied Health Cadetship Program: Exploring early experiences.

Allied Health Services & Research Examples

Lung Foundation Australia training program- NHMRC Grant- Prof J Alison

Implementation of a pulmonary rehabilitation program- BE WELL.

A service delivered by Aboriginal people for Aboriginal people.

WSLHD Social Work: Towards systematic monitoring of the experiences of care of ATSI people with cancer

To obtain advice directly from ATSI people affected by cancer, & health professionals

NSW MOH l  NSW MOH- Podiatry Workforce & Diabetes in

Aboriginal Communities

l  Podiatry with ACI: High Risk Foot Standards of Care

Conclusion

“Aboriginal people are best placed to determine and define the mechanics of support, assistance and delivery of health needs for Aboriginal individuals & communities.

The engagement and support of the Aboriginal workforce is crucial to providing effective health services in NSW”

Dr Mary Foley, Good Health- Great Jobs: 2011-2015

l  Engagement with Aboriginal people:

Step back and listen to what is required by Aboriginal people