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Modern Slavery
STATEMENT
2020
Legal/74518799_1
This Statement is made on behalf of St Vincent’s Health Australia Ltd (ABN 75 073 503 536), and all entities owned or controlled by St Vincent’s Health Australia Ltd.
ACKNOWLEDGEMENT
Contents
3 Who we are
4 Our Commitment to addressing Modern Slavery
5 A message from our Chair
6 Board approved Statement
7 Reporting Criteria 1 & 2: About St Vincent’s Health Australia
8 Reporting Criteria 3: Modern slavery risks in operations & supply chain
11 Reporting Criteria 4: Actions taken to assess & address risk
13 Reporting Criteria 5: Effectiveness Assessment
13 Reporting Criteria 6: Process of consultation with entities owned or controlled
14 Reporting Criteria 7: Other
Modern Slavery Statement 2020 3
we areWho
Our MissionAs a Catholic health care service, we bring God’s love to those in need through the healing ministry of Jesus. We are especially committed to people who are poor or vulnerable.
Our ValuesCompassion, Justice, Integrity, Excellence.
Our VisionWe lead through research driven, excellent and compassionate health and aged care.
Founded by the Sisters of Charity more than 180 years ago, St Vincent’s Health Australia is a clinical, research and education leader working in private hospitals, public hospitals, and aged care services in New South Wales, Victoria and Queensland.
When the first five Sisters arrived in Australia in 1838 they carried with them the vision of their Founder, Mary Aikenhead, to reach out to all in need of care, but particularly those living on the fringes of our society.
Today, St Vincent’s Health Australia is the largest not-for-profit health and aged care provider in Australia.
It is the legacy entrusted to us by the Sisters of Charity that continues to inspire St Vincent’s Health Australia to strengthen and grow our mission.
4
to addressing Modern SlaveryOur Commitment
St Vincent’s places its Mission at the heart of everything we do. Arising from the core of this Mission is our special commitment to those who are poor or vulnerable in our community. Initiatives which endeavour to care for those who find themselves on the margins of society are an essential part of the continuation of our Mission.
At the core of our ethic of care are the principles of dignity, justice and flourishing. Accompanying this is a conviction that each and every person possesses an inherent, sacred dignity. When one is subject to slavery or slavery-like conditions, it profoundly threatens their dignity and right to live a good life of their choosing. The task of upholding the dignity of all impels us to work for justice in health and aged care and beyond, such that all might have the opportunity to flourish.
Modern Slavery and human trafficking is a global issue and one that remains largely hidden in Australia. Thankful for our collaboration with Australian Catholic Religious Against Trafficking in Humans (ACRATH), St Vincent’s’ work in this area aims at achieving systematic change in the Australian healthcare community, so that the needs of those affected by human trafficking and modern slavery can be more strategically addressed within the sector. In line with the Modern Slavery Act 2018 (Cth), St Vincent’s Health Australia takes seriously its responsibility to reduce or eliminate the risk of modern slavery occurring in the supply chains of purchased goods and services. We are also committed to awareness raising of the issue among our community and the safe identification, treatment and referral of victims of human trafficking and modern slavery who present for treatment at our service.
Modern Slavery Statement 2020 5
from our ChairA message
St Vincent’s Health Australia exists to bring God’s love to all people in need, with a special commitment to those who are poor or vulnerable. Core to this Mission of ours is the belief in the inherent and sacred dignity of all people. As we continue to respond to the signs of the times in many and varied ways, our commitment to those who find themselves on the margins, in danger of being cast aside by society, does not waver.
Today, in our work in health and aged care, we stand on the shoulders of the Sisters of Charity who founded our service some 182 years ago. Now, as the largest not-for-profit health and aged care provider in Australia, St Vincent’s Health Australia is committed to using our skills and influence to uphold the dignity of all and promote human flourishing.
When an individual is caught up in Modern Slavery, their freedom to live a life of their choosing is categorically undermined.
Speaking earlier this year, Pope Francis said that an economy without human trafficking is an “economy of care” which “cares for work, creating
employment opportunities that do not exploit workers through degrading working conditions and gruelling hours.”1 In making combating human trafficking and slavery a priority of his papacy, he has commented that the utilitarian perspective of our contemporary society which views “others according to the criteria of convenience and personal gain” keeps those who are enslaved from experiencing “the fullness of their unique and unrepeatable humanity”.2
Pope Francis recognises the endemic problem as “a scourge that wounds the dignity of our weakest brothers and sisters” and has called for sustained effort to be committed to its total eradication.3 He has stressed that the aim of these efforts should be “for every enslaved person to return to being a free agent of his or her own life and to take an active part in the construction of the common good.” 4
In publishing our first Modern Slavery Statement, we are mindful that there is still a long way to go in Australia and globally to address the horror of this issue and that the urgency to address it remains. As an organisation, we are able to take good strides in an effort to affect change and help protect those who are most vulnerable to exploitation. However, the scope of the problem requires that we maintain a concerted effort to address it, acting always with integrity and ensuring that those we work with and procure from also engage in best practice and ethical behaviours.
Notwithstanding the significant work already undertaken at St Vincent’s Health Australia to examine our procurement processes, there remains considerable work to be done in interrogating our own supply chains and holding our suppliers to account, continuing to educate ourselves about the reach and impacts of Modern Slavery and changing our practices accordingly.
As a health care organisation, we recognise our obligation to hold ourselves to a particular standard which includes understanding how victims of Modern Slavery interact with our services. It is incumbent on us to know how victims may present to any number of our services and the ways in which we can help assist them to safety and security. As such, in the pages of this statement, we make an additional commitment to equip our staff with the knowledge and skills to be able to respond appropriately to victims of Modern Slavery who are identified as such in our services.
In these goals, we are keen to share and collaborate within the network of Catholic health and aged care providers so that we can help affect change more broadly and not miss opportunities to rescue people who are victims of Modern Slavery. We are grateful for our collaborations with Australian Catholic Religious Against Trafficking in Humans (ACRATH) who helped us immeasurably as we commenced this work, and as a member organisation of the Australian Catholic Anti-Slavery Network (ACAN).
In the service of human dignity and flourishing, St Vincent’s Health Australia is committed to continually improving, remaining focussed and working to eradicate Modern Slavery.
Mr Paul McClintock AO
1. https://www.vaticannews.va/en/pope/news/2021-02/pope-francis-human-trafficking-world-day-prayer.html 2. https://www.vaticannews.va/en/pope/news/2020-08/pope-francis-human-trafficking-scourge-against-dignity.html 3. Ibid. 4. https://www.vaticannews.va/en/pope/news/2021-02/pope-francis-human-trafficking-world-day-prayer.html
6
This Modern Slavery Statement was approved by the Board of St Vincent’s Health Australia Ltd on 4th February, 2021. It is submitted as a joint statement by the following reporting entity:St Vincent’s Health Australia Ltd ABN 75 073 503 536
on its own behalf and on behalf of the following subsidiary or affiliated entities:
St Vincent’s Hospital Sydney Limited ABN 77 054 038 872
St Vincent’s Hospital (Melbourne) Limited ABN 22 052 110 755
St Vincent’s Private Hospitals Ltd ABN 61 083 645 505
*St Vincent’s Private Hospital Sydney ABN 99 269 630 262
St Vincent’s Care Services Ltd ABN 50 055 210 378
St Vincent’s Healthcare Ltd ABN 46 095 382 791
St Vincent’s Care Services Boondall Ltd ABN 15 146 972 303
St Vincent’s Care Services Carseldine Ltd ABN 49 094 645 262
*affiliated entity
Mr Paul McClintock AO4 February 2021
approved StatementBoard
Modern Slavery Statement 2020 7
Criteria 1 & 2:Reporting
Our Organisational StructureSt Vincent’s Health Australia (SVHA) is a not-for-profit group of companies operating under the stewardship of Mary Aikenhead Ministries.
SVHA is governed by a board that sets our strategic direction and ensures that we comply with legal and legislative requirements. The SVHA Board sits as the board of SVHA and of 6 of the subsidiary companies, including those that operate our private and public health facilities and services and our aged care services. It also governs the SVHA group of companies in compliance with the Corporations Act 2001 (Cth), the Australian Charities and Not-for-profits Commissions Act 2012 (Cth), and all other relevant civil legislation.
Our group executive aims to manage the daily operations of the organisation to the highest standard. We all work together to realise the mission of our founders to serve all in need of care.
The parent company of the group is St Vincent’s Health Australia Ltd ABN 75 073 503 536.
The following are wholly owned subsidiaries of St Vincent’s Health Australia Ltd:• St Vincent’s Hospital Sydney Limited• St Vincent’s Hospital (Melbourne) Limited• St Vincent’s Private Hospitals Ltd• St Vincent’s Care Services Ltd• St Vincent’s Healthcare Ltd
The following are wholly owned subsidiaries of St Vincent’s Care Services Ltd:• St Vincent’s Care Services Boondall Ltd• St Vincent’s Care Services Carseldine Ltd
The following is an affiliated hospital:• St Vincent’s Private Hospital Sydney
Our Governance FrameworkThe Executive sponsor of our Modern Slavery work is the SVHA Group Mission Leader, Dr Lisa McDonald who has convened the Anti- Modern Slavery Working Group, chaired by Genevieve Alexander, Senior Procurement Officer.
The Group Mission Leader presents this work to the Executive Leadership Team of SVHA. It is reported to the SVHA Board through the Mission Ethics and Advocacy Committee.
Our OperationsWe operate 6 public hospitals, 10 private hospitals and 20 aged care facilities in Queensland, New South Wales and Victoria. Along with three co-located research institutes – the Victor Chang Cardiac Research Institute, the Garvan Institute of Medical Research, and St Vincent’s Institute of Medical Research – we work in close partnership with other research bodies, universities, and health care providers.
St Vincent’s Health Australia employs around 20,494 staff and operates more than 2,800 hospital beds and 1,956 residential aged care beds. In our hospitals, we provide more than 1 million episodes of care for patients each year.
We are a clinical and education leader with a national and international reputation in medical research. Our areas of expertise include heart lung transplantation; bone marrow transplantation; cardiology; neurosurgery; cancer; clinical genomics; HIV medicine; palliative care; respiratory medicine; mental health; drug and alcohol services; aged psychiatry; homeless health; and prisoner health.
Our Supply ChainSt Vincent’s Health Australia deploys a “federated” procurement model. A “centre led” Procurement Team, Group Procurement Services, organises and manages “common use” contracts covering a substantial proportion of clinical and non-clinical spend across the Group. Group procurement also manages the Group’s catalogue of material goods holding over 120,000 material items.
Distributed on-site supply chain teams manage day to day materials management and supply as well as local purchasing, with facilities management procurement also at a local level.
Our two major public hospitals in Sydney and Melbourne have access to respective State Government Procurement arrangements which they access directly.
Our Group Procurement Services team is responsible for selecting and appointing common use suppliers of all commodities and services used by the group. We prefer to develop longer-term partnerships with our suppliers, while continually assessing alternative sources of supply. Competitive tender processes are used to monitor the marketplace and potential suppliers and only those suppliers who can meet our standards are appointed.
SVHA has a diverse and complex global supply chain – our largest suppliers operate mainly in the Asia-Pacific region, South Asia, Northern, Southern and Central America, Europe and Australia. We source almost $1billion per annum in clinical and non-clinical goods and services across almost 16,000 suppliers.
Our clinical supply chain comprises general medical and surgical consumables, drugs and pharmacy, pathology and laboratory, medical devices, medical imaging, surgical equipment and protheses/implants, through to wound care, dressings, intravenous products, airway management, medical gases and robotics. Our non-clinical supply chain encompasses ICT, facilities maintenance, cleaning, food and beverage, linen and laundry services, uniforms and equipment servicing and repairs as well as corporate overheads such as office supplies and travel.
About St Vincent’s Health Australia
8
Criteria 3:Reporting
Since May 2017, St Vincent’s has been working in collaboration with the Australian Catholic Religious Against Trafficking in Humans (ACRATH) as part of a joint Anti- Human-Trafficking Project. The goal of the Project is to achieve systemic change in the Australian health care community so that the needs of those affected by human trafficking and slavery can be identified and more strategically addressed in the health care sector.
Underpinned by the St Vincent’s – ACRATH Memorandum of Understanding (MOU) 2017, the Project had three key objectives:1. The safe identification, treatment and referral of victims
of human trafficking and modern slavery who present for treatment,
2. Investigations of the supply chain of services and goods used that are liable to human trafficking and develop a plan to address these issues,
3. To incorporate suitable activities (awareness raising and prayer) across the organisation to increase recognition of the issues and give staff the opportunity to take action in the workplace (and beyond) to help eliminate human trafficking and modern slavery.
While the Project itself was finalised in late 2019, SVHA continues to maintain a close working relationship with ACRATH and continues to progress the objectives to achieve systemic change through the work continued by SVHA’s internal Modern Slavery Working Group.
St Vincent’s is also a participating organisation of the Australian Catholic Anti-Slavery Network (ACAN).
OPERATIONAL RISKSOur OperationsRegardless of the form of exploitation, research shows that health care providers are one of the few groups of professionals likely to interact with victims of human trafficking. However, there are barriers that exist within health care settings, both here in Australia and internationally, which hinder the identification of victims of trafficking and the delivery of appropriate treatment and support to this vulnerable group.
It is through the first objective of our joint Anti Human-Trafficking Project with ACRATH that we set out to further understand this issue.
We acknowledged that the harm caused by exploitative activities means that a person who is trafficked has an increased likelihood of presenting to a hospital. We also recognised that we are in a unique position to intervene and disrupt the cycle of exploitation, but that our health care staff need support to identify and respond appropriately.
Our first objective is underpinned by two research studies including:– a literature review to identify world’s best practice in
identifying, assessing and responding to trafficked people, as well as;
– a qualitative focus group research study to explore awareness of human trafficking and investigate if the international findings were transferable to an Australian health care setting (Appendix 1).
This information was then used to inform the development a clinical pathway for victims of human trafficking in St Vincent’s (Appendix 2).
Our PeopleOur values are evident in the way we behave, care for our patients and residents and interact with each other within the SVHA community.
We are confident that our risk of modern slavery through our internal staff is low due to a range of policies, systems and practices we have in operation. These include Human Resource policies which are intended to ensure that all staff are paid at award rates (or above) according to their role and qualification. All employment information is managed through our HR Information System and Payroll System to manage our staff and their relevant employment and pay details. We also operate Kronos, our time management system, the intended purpose of which is to manage rosters and ensure that we are paying our staff accurately for the hours that they work. Other relevant policies and frameworks we have in place include:• Code of Conduct• Whistle-blower policy• Ethics Competency Framework
Regarding employment law, all of our HR teams strive to remain up to date on relevant legislation and review our contract templates and obligations on a regular basis. Where an employment law specialist is required, we seek external assistance as required. Regarding visa management, we aim to ensure all our recruitment and employment operations are carried out in line with relevant visa management guidelines outlined by the Australian Government.
We recognise the importance of raising awareness of human trafficking among the broader SVHA community. Which is why our third objective has been to develop and implement a communications plan to add key human trafficking campaigns, issues, recommended community activities to the SVHA mission calendar.
Modern slavery risks in operations & supply chain
Modern Slavery Statement 2020 9
SUPPLY CHAIN RISKSSt Vincent’s is committed to leading the way in managing modern slavery and human rights risks amongst faith-based organisations in Australia and is taking steps to identify and eradicate modern slavery and human trafficking from our supply chain.
Hence why the second objective of our joint SVHA-ACRATH Anti Human Trafficking Project focuses on reducing or eliminating the risks of modern slavery occurring in SVHA’s supply chain. We believe that we can achieve a slavery free supply chain within our lifetime.
In 2018, with support from SD Strategies and Mills Oakley, SVHA undertook a deep dive assessment into our top 50 suppliers, who were selected based on the size of their relationship to SVHA (spend) or their assumed exposure to modern slavery risks (goods or service supplied). Collectively, these suppliers represent ~75% of our supply chain. The survey sought to understand business operations, governance and due diligence, risk management, employee and labour rights and training and reporting.
Following the survey, a summary report was presented to the Board in December 2018 to raise awareness of the risks that these findings created for the SVHA supply chain.
A summary of the number of suppliers in each category as well as key findings and subsequent implications are outlined below: (noting that these findings relate to an almost 50% response rate of top 50 suppliers).
Summary overview of returned 2018 Supplier Modern Slavery Survey
Business & Operations
Governance & Due Diligence
Risk Management
Employment & Labour Rights
Training & Reporting
Fully Effective 0 1 0 1 1
Substantially Effective 5 4 0 9 1
Partially Effective 13 11 7 7 4
Largely Ineffective 3 5 11 3 15
Totally Ineffective 0 0 3 0 0
Not assessed 0 0 0 1 0
Total number of Suppliers 21 21 21 21 21
SVHA acknowledges that the above results do not indicate that suppliers are engaging in modern slavery practices, however it does assist us in identifying where the risk to our own supply chain might lie.
Key finding from responses Implications & risk to SVHA
1. Less than 20% of our suppliers have mapped their supply chain. None provided evidence. Visibility beyond our tier 1 suppliers is very low.
2. Our suppliers operate globally and source products and services from a number of high-risk countries and regions
Our modern slavery risk is increased when suppliers operate in high-risk geographies.
3. Suppliers who are larger global entities refer to corporate (global) policies but did not provide evidence of how these policies are implemented or tailored to local operations.
Risk that our suppliers are not educating staff appropriately on policies and that there is no verification of internal or external codes of conduct.
4. No supplier was found to be low risk.Lack of fully effective governance, due diligence and risk management processes in place exposes SVHA to risk of exploitation across our supply chain.
5. Suppliers scored lowest in risk management and training and reporting.
Risk of modern slavery is increased when there is a lack of awareness, or, lack of effective risk management and verification processes, across an organisation’s Board, management and staff.
6. Verificationandmonitoringofsuppliermodernslaveryrisklevels is low.
Exposure to modern slavery risks are increased when the issue is not addressed, monitored or lacks implementation of corrective action plans.
10
Continued…Reporting Criteria 3: Modern slavery risks in operations & supply chain
Modern Slavery Risk by spend category ($M)
Medical equipment & consumables
Prothesis, implants & medical devices
Building, construction & fabrication services
ICT Software & services
Food & hospitality
Officesupplies&services
Property & facility maintenance
Our COVID-19 ResponseOver the last 160 years, St Vincent’s Health Australia has been called on to provide professional and compassionate care during several pandemics, and this current COVID-19 pandemic is no different. These are uncertain times and, as we have shown throughout history, we have an enduring commitment to care for everyone, including the most disadvantaged and marginalised members of our community.
While we continue to play our part in a coordinated, nationwide response to the pandemic, we see the increase in pressure across our global supply chains as the demand for health care resources surge. We must work together in these unprecedented times to ensure that modern slavery practices are not amplified, abused or, indeed, forgotten.
Now, more than ever, it is critical that we remember our vulnerable workers and continue to advocate for the total respect of human rights and zero tolerance of labour rights abuses. Whether it is access to paid overtime and sick leave, ability to keep identity documents safe and secure, access to clean water for handwashing or practicing social distancing measures at factories and in provided accommodation, every worker has the right to be protected against COVID-19.
St Vincent’s has continued to seek assurance as to what measures specific high-risk suppliers have implemented for workers to guarantee that the appropriate controls and protections are in place in workplaces across every level of their supply chain.
$300,000,000$250,000,000$150,000,000$50,000,000$– $200,000,000$100,000,000
Modern Slavery Statement 2020 11
Criteria 4:Reporting
Recognition & support for victims of human traffickingSVHA established an Anti- Modern Slavery and Human Trafficking Working Group in 2017 that has overseen all activities and actions. The current membership of this group includes:• Group Mission Leader (Executive sponsor)• Senior Procurement Specialist (Chair)• Group Legal Counsel• Chief Social Worker• HR Consultant• Group Manager Procurement• Group Manage Inclusive Health• Modern Slavery Advocates• Mission Leaders
One of the first actions SVHA undertook was the exploration of staff awareness of the issue of modern slavery and human trafficking. In 2017, we conducted a qualitative research project in partnership with ACRATH to explore health care staff awareness of the issue, their perceptions of the likelihood that trafficked people would present for health care, and their ability to respond appropriately (findings of this study were published in February 2019 and can be seen in Appendix 1). Similar to research conducted internationally, the study indicated that staff required training and protocols (a referral pathway) to ensure that appropriate care is delivered from identification through to discharge. In response to these findings, SVHA, with support from ACRATH, began to implement a number of measures to better support staff to recognise and respond to victims of trafficking who present to our services. These measures (which continue to evolve and improve) have included the following:• Training with social work and emergency department
staff at Sydney and Melbourne Public Hospitals• Development of a Human Trafficking and Modern Slavery
Education Guide• Drafting a Human Trafficking and Modern Slavery clinical
policy• Development of a clinical pathway to guide clinicians to
better identify and respond to victims who come into their care (Appendix 2)
• Data collection of identified cases presenting to SVHA facilities, so as to monitor and improve care from our experiences
• Recruitment of staff champions (known as Modern Slavery Advocates for Change) across the organisation (program described further under Criteria 7)
• Delivery of extended training session (utilising education guide) to advocates
• Delivery of localised targeted training by advocates to staff across their teams (wider training was planned for 2020 but has been delayed by COVID-19)
• Awareness raising activities by advocates and mission staff to mark key dates throughout the year (namely St Bakhita’s Day, Easter and Christmas)
• In Melbourne, alignment of Anti- Modern Slavery and
Human Trafficking work with Forced Marriage (part of the Royal Commission) along with Strengthening Hospital Responses to Family Violence as part of Social Work Safer Communities and Equitable Health program to support visibility and engagement using a Trauma Informed Care approach.
Below is a case study from a case earlier in 2020 presenting to SVHM ED. A remarkable piece of work by the clinician, and the Australian Federal Police, despite the additional challenges of the COVID-19 pandemic, and a wonderful outcome for the client:
Rose*(not her real name) is a 27 woman found by police in the city, intoxicated, in an altered conscious state, and expressing suicidal ideations in the setting of recent homelessness. She was brought by police to St Vincent’s Hospital Melbourne Emergency Department.
Previously working in a brothel, where she also resided, Rose had been homeless for four weeks after the brothel was forced to close due to COVID-19.
Rose came to Australia from Indonesia 2 years ago – after being forcibly sent her by her ‘abusive’ husband who was ‘in trouble with drugs and needed to get out of the country’. She reported that her husband planned for her to come to Australia to set-up, and then bring him across to live as her husband.
Rose reported that her husband controlled her flights, passport, access to money, and that she arrived on a student visa. Sadly, she reported that she was ‘sent away’ from her baby who she was still breastfeeding. Her husband initially paid for her accommodation in a private rental in Swanston Street, and she worked for a time whilst studying early childcare education. However he stopped paying the rent, and she was forced to move into and work in a brothel.
ED Care Coordinator and Modern Slavery Advocate for Change noted when assessing this client that there were several ‘red flags’ for Human Trafficking, and that the client was very vulnerable to exploitation. She made a referral to the Australian Federal Police who attended the Emergency Department to assess the client. They provided a trauma-informed, compassionate and highly specialised response to the patient as well as providing coordinated and timely advice to the clinician.
The AFP ensured a female Member attended, which was critical to the emotional safety of the highly traumatised patient sharing her story. They deemed that Rose was indeed a victim of human trafficking and on-referred to the Red Cross for case management, specialist support, and accommodation.
Actions taken to assess & address risk
12
Supplier engagement planningSVHA has done a deep dive review into our top 50 suppliers and a high-level stakeholder engagement strategy has been developed but has not yet been implemented across our broader supply chain. Further stakeholder engagement and supplier awareness and training will be a focus over the next 6 – 12 months.
Procurement activitiesIn addition to the initial work that SVHA has undertaken to audit our top 50 suppliers, we have also completed the following actions to address the risk:– A modern slavery clause has been included in our
standard Terms and Conditions enforcing that SVHA will not, to the extent that it is aware, contract with a supplier who knowingly engages in modern slavery practices.
– Modern slavery and human trafficking considerations are applied to our tendering activities, including RFPs and RFQ’s.
– Social and ethical procurement considerations have been included in our Group Procurement Policy.
– Investigations have begun into existing internal SVHA policies to understand where modern slavery, and ethical procurement more broadly, may need to be considered/included.
Direct supplier engagementGroup Procurement strives to develop long-term partnerships with our suppliers and care is taken to ensure that suppliers remain the best all-round provider to our organisation. As such, we believe in engaging with suppliers directly and openly when issues are identified. One example of this has been our communications with Ansell, following allegations of modern slavery and forced labour surrounding their manufacturer, Top Glove. While SVHA has been reassured that there are no Top Glove manufactured gloves in our supply chain, this is still a serious concern for SVHA and we continue to be vocal in our advocacy to Ansell to address these issues across their own supply chain.
It is important for SVHA to continue to investigate the risks across our supply chain and understand how we can address these risks as an industry and how we can educate and support our suppliers to eradicate these issues.
SVHA Anti- Modern Slavery Working GroupWe have continued the objectives of the ACRATH Joint Project through the formation of the Anti- Modern Slavery Working Group. The Working Group meets bi-monthly to discuss progress of initiatives and opportunities to further create systemic change in the way that the Australian heath care community approaches modern slavery risks.
We have also drafted a Group Modern Slavery Policy and begun consultation. We have also developed high level Key Performance Indicators and a governance framework for the Working Group.
Awareness raisingAt the commencement of the second phase of work with ACRATH, in May 2018, SVHA added the third strategic objective to our work to combat Modern Slavery – to raise awareness of the issue of modern slavery and human trafficking, both internally and in the wider community.
Awareness raising has taken many forms including the delivery of an Awareness Raising Module in 2018 of which 54 staff across St Vincent’s Hospital Melbourne attended.
The Modern Slavery Advocates for Change (who formed in October 2019) developed the Advocates’ Calendar of Events that focus on three dates throughout the year on which to hold events at their facilities: St Bakhita’s Day (on February 8th), Easter and Christmas. While only having been together for a sort time, and despite the disruption of COVID-19, the group have already supported numerous events including:• St Bakhita’s Day events held across 5 sites in 2020• Staff at SVHNS and SVHM have met with local
procurement teams in 2019/20, to discuss development of ‘Slavery-Free Tea Rooms’
• 12 Days of Slavery Free Christmas shopping (December 2019) – communications run via SVHA internal online platform Workplace Connect.
• Promoting the use of Slavery-Free Fashion Guides (via ACRATH) and Apps was been well received by staff in 2019.
In addition, SVHA continues to promote activities through our Mission Calendar including holding an online prayer session with ACRATH on 30/07/2020 for World Day Against Trafficking in Persons.
There have been various educational events held, attendance and presentations at conferences, articles in Catholic publications, and a range of other advocacy work – see Criteria 7 for further details.
In conjunction with ACAN, SVHA has begun rolling out a modern slavery 101 e-learning training course. This is separate to the clinical training of our frontline staff and aims to create a broader, more general awareness of modern slavery across our organisation.
Australian Catholic Anti-Slavery Network (ACAN)Following initial engagement with our suppliers, SVHA took a pause to collaborate with ACAN and the other Catholic entities to plan our next steps together. We have a nominated Modern Slavery Liaison Officer who participates in the regular monthly ACAN meetings and provides updates to the SVHA Working Group.
Anti- Modern slavery road mapAn updated Action Plan has recently been drafted that includes all activities to date along with planned activities over the coming years.
Continued…Reporting Criteria 4: Actions taken to assess & address risk
Modern Slavery Statement 2020 13
Criteria 5:
Criteria 6:
Reporting
Reporting
SVHA is committed to measuring the effectiveness of its work to combat modern slavery. During the two year initial phase of working with ACRATH from May 1st 2017 – June 30th 2019, an evaluation framework was established to measure SVHA’s progress against key objectives. Process and impact evaluation measures were used and the evaluation was conducted progressively through the implementation period, independently to SVHA. For a full summary of project achievements during this period, please refer to the SVHA-ACRATH Human Trafficking Final Evaluation Report (Appendix 3).
As outlined in the Procurement Activities section above we have undertaken an audit of our top 50 suppliers and have begun addressing risks identified. We have also developed a clinical pathway process (Appendix 2). In addition to awareness raising we have tracked numbers of staff completing education training sessions conducted since the commencement of the project.• Interim Education Sessions (2018) – 50 staff across SVHA• Modern Slavery Advocates for Change training (2019) – 8 staff across SVHA• Educations sessions conducted by Advocates (2019/20) – 80 staff across SVHA
SVHA now needs to move to establish a thorough effectiveness assessment process, but progress towards this has been limited in 2020 due to COVID-19.
As noted under Reporting Criteria 1 and 2 above, SVHA is a group of companies bringing together private and public health facilities and services, aged care services, and related mission activities which are committed to helping those who are poor and vulnerable. SVHA is governed by a board that sits concurrently as the board of SVHA and of 6 of the subsidiary companies, including those that operate our private and public health facilities and services and our aged care services. The Group CEO and divisional CEOs of the public hospitals division, private hospitals division, care services division and other senior executives make up the Executive Leadership Team (ELT) of SVHA which meets monthly. Functions of the ELT include making strategic decisions and setting the policy direction for the SVHA group.
As a result of the common board and the ELT structure, underpinned by the common mission and values, there is a general consistency of policies and processes across the various entities making up the group.
Consultation as between the parent company St Vincent’s Health Australia Ltd and the subsidiaries and affiliates in the preparation of this statement has occurred via the common board and ELT structures as described above and Group Procurement, as well as the Board Mission Ethics and Advocacy Committee and the Anti- Modern Slavery Working Group which comprises staff drawn from the different entities, facilities and group functions. In light of these structures, SVHA considers it is reasonable and appropriate for St Vincent’s Health Australia Ltd to provide this joint statement on behalf of all reporting entities in the group, including a consolidated description of their actions to address modern slavery risks.
Effectiveness Assessment
Process of consultation with entities owned or controlled
14
Criteria 7:Reporting
SVHA is vocal in advocating for the eradication of modern slavery. Below is a snapshot of recent advocacy regarding our work:• Group CEO, Toby Hall, wrote to Australian Border Force
on 13 February 2020 to provide comment on the National Action Plan to Combat Modern Slavery 2020-2024 Public Consultation Paper.
• The CEO of St Vincent’s Public Hospital Sydney, Anthony Schembri, wrote to the NSW Government on the 30th July 2020, to voice support for the importance of the NSW Modern Slavery Act (Appendix 4).
• In August 2018 SVHA, in partnership with ACRATH, presented to the Senate Committee review into the Modern Slavery Act, advocating heavily for further accountabilities on participating entities and the need to include a Commissioner role.
• In March 2019, SVHA and ACRATH presented to the Catholic Mission Conference in Sydney.
• Articles in CathNews and the Caritas Internationalis newsletter regarding the Advocates for Change initiative.
• Bakhita Day Ethical Sourcing Seminar Panellist, February, 2019.
• Working Party Open Meeting in November 2018, attended by CHA, Mercy Foundation, Cabrini Health, Mater Hospital, St John of God Health Care, Calvary Health Care, and Villa Maria Homes.
• Presentation at Catholic Health Australia Conference, August, 2018
SVHA has also participated in numerous modern slavery conferences, seminars and training workshops including attending the Commonwealth’s Implementing Australia’s Modern Slavery Conference (26-27 June 2019), Procurement Australia’s Modern Slavery Workshop (16 April 2019) as well as presenting at the QLD Chartered Institute of Procurement and Supply (CIPS) Modern Slavery Presentation (29 August 2019) and the ACAN National Conference (30-31 July 2019). Other events of note in the last 12 months include:• St Vincent’s Hospital Melbourne (SVHM) featured Modern
Slavery in the June 2020 Allied Health Grand Round. Dr Dominique Martin (Deakin University) presented to allied health staff on “what more we can do to combat organ trafficking and transplant tourism?” Approximately 80 staff attended this event where they were encouraged to explore the role and responsibilities of allied health professionals in helping to address these issues domestically and within the region.
• The Social Work Department at St Vincent’s Health Network Sydney (SVHNS) held an event on Tuesday 15th October 2019 exploring the landscape of modern-day slavery highlighted by Australian and international examples. The session featured keynote speaker, Professor Jennifer Burn, NSW Anti-Slavery Interim Commissioner, and informed social workers of the current avenues being used to tackle this issue. Approximately 60 people attended this event from SVHNS and beyond.
And finally, we are really excited about the opportunities coming to life via the SVHA Modern Slavery Advocates for Change. This groundbreaking program has involved selecting and training key staff from across the organisation. Staff have both clinical and non-clinical backgrounds, and take the lead in providing education and undertaking awareness raising activities at their workplaces. They are exploring localized opportunities to liaise with procurement, network with external agencies, and investigate research activities. We are strongly committed to serving and advocating for the poor and vulnerable and will continue to be a loud voice in the work to eradicate modern slavery and human trafficking.
Other
Appendix 1 – Publication: Hospital Health Provider Experiences
Appendix 2 – St Vincent’s Hospital Melbourne: Clinical Pathway
Appendix 3 – SVHA-ACRATH Human Trafficking Final Evaluation Report
Appendix 4 – SVHNS CEO Letter to NSW Premier
Appendices
16
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Australian Social Work
ISSN: 0312-407X (Print) 1447-0748 (Online) Journal homepage: https://www.tandfonline.com/loi/rasw20
Hospital Health Provider Experiences ofIdentifying and Treating Trafficked Persons
Doris Testa
To cite this article: Doris Testa (2019): Hospital Health Provider Experiences of Identifying andTreating Trafficked Persons, Australian Social Work
To link to this article: https://doi.org/10.1080/0312407X.2018.1529812
Published online: 17 Feb 2019.
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Hospital Health Provider Experiences of Identifying andTreating Trafficked PersonsDoris Testa
College of Health and Biomedicine, Victoria University, Melbourne, Victoria, Australia
ABSTRACTOver the past 20 years, human trafficking (“trafficking”) hasgenerated much public attention throughout the world. Theproblem has received growing media coverage and increasedanti-trafficking activism. Additionally countries have created newpolicies, laws, and enforcement mechanisms to tackle theproblem. This micro level study examined the lived experiences of22 health and allied health workers situated within St Vincent’sHealth Australia’s Melbourne facility, and reports on theiridentification, assessment, treatment, and outreach to traffickedpersons. The results indicated that trafficked persons werepredominantly invisible within the health setting. Whenpractitioners did suspect trafficking, they considered themselvesas lacking the professional skills and knowledge, or the clearorganisational policy or procedures to confidently identify andmanage the complex health needs of the suspected traffickedpersons. The findings contribute to St Vincent’s Health Australia’sgoal of formulating contextually appropriate policy and practicesthat will assist in the identification of and response to the healthneeds of trafficked persons.
IMPLICATIONS. The health needs of trafficked persons are multiple and interrelated
and require health care providers and systems to be skilled in theidentification, intervention, and treatment of trafficked persons.
. Education and training of health professionals is the cornerstone ofthe identification, intervention, and treatment of trafficked persons.
. Social workers’ specific focus on person-in-environment may be animportant contribution to the identification and treatment oftrafficked persons.
ARTICLE HISTORYReceived 20 February 2018Accepted 6 August 2018
KEYWORDSTrafficking; Enslavement;Practice
Human trafficking, also referred to as modern-day slavery, is defined as
The recruitment, transportation, transfer, harbouring or receipt of persons, by means of thethreat or use of force or other forms of coercion, of abduction, of fraud, of deception, of theabuse of power or of a position of vulnerability or of the giving or receiving of payments orbenefits to achieve the consent of a person having control over another person, for thepurpose of exploitation. (Office of the United Nations High Commissioner for HumanRights [OHCHR], 2000) Article 3 (a))
© 2019 Australian Association of Social Workers
CONTACT Doris Testa [email protected] College of Health and Biomedicine, Victoria University, Footscray ParkCampus, PO Box 14428, Melbourne, Vic 8001, Australia
AUSTRALIAN SOCIAL WORKhttps://doi.org/10.1080/0312407X.2018.1529812
Appendix 1
Modern Slavery Statement 2020 17
Hospital Health Provider Experiences of Identifying andTreating Trafficked PersonsDoris Testa
College of Health and Biomedicine, Victoria University, Melbourne, Victoria, Australia
ABSTRACTOver the past 20 years, human trafficking (“trafficking”) hasgenerated much public attention throughout the world. Theproblem has received growing media coverage and increasedanti-trafficking activism. Additionally countries have created newpolicies, laws, and enforcement mechanisms to tackle theproblem. This micro level study examined the lived experiences of22 health and allied health workers situated within St Vincent’sHealth Australia’s Melbourne facility, and reports on theiridentification, assessment, treatment, and outreach to traffickedpersons. The results indicated that trafficked persons werepredominantly invisible within the health setting. Whenpractitioners did suspect trafficking, they considered themselvesas lacking the professional skills and knowledge, or the clearorganisational policy or procedures to confidently identify andmanage the complex health needs of the suspected traffickedpersons. The findings contribute to St Vincent’s Health Australia’sgoal of formulating contextually appropriate policy and practicesthat will assist in the identification of and response to the healthneeds of trafficked persons.
IMPLICATIONS. The health needs of trafficked persons are multiple and interrelated
and require health care providers and systems to be skilled in theidentification, intervention, and treatment of trafficked persons.
. Education and training of health professionals is the cornerstone ofthe identification, intervention, and treatment of trafficked persons.
. Social workers’ specific focus on person-in-environment may be animportant contribution to the identification and treatment oftrafficked persons.
ARTICLE HISTORYReceived 20 February 2018Accepted 6 August 2018
KEYWORDSTrafficking; Enslavement;Practice
Human trafficking, also referred to as modern-day slavery, is defined as
The recruitment, transportation, transfer, harbouring or receipt of persons, by means of thethreat or use of force or other forms of coercion, of abduction, of fraud, of deception, of theabuse of power or of a position of vulnerability or of the giving or receiving of payments orbenefits to achieve the consent of a person having control over another person, for thepurpose of exploitation. (Office of the United Nations High Commissioner for HumanRights [OHCHR], 2000) Article 3 (a))
© 2019 Australian Association of Social Workers
CONTACT Doris Testa [email protected] College of Health and Biomedicine, Victoria University, Footscray ParkCampus, PO Box 14428, Melbourne, Vic 8001, Australia
AUSTRALIAN SOCIAL WORKhttps://doi.org/10.1080/0312407X.2018.1529812
18
Oram, Howard, Trevillion, & Byford, 2016; Cheshire, 2017; Titchen et al., 2015) andnationally (George, McNaughton, & Tsourtos, 2017) many trafficked persons go undis-covered or unrecognised when interacting with health systems. Several factors drivethis, these include: the trafficked person’s survival-driven priority to often work longhours to support themselves and their families; disconnection from or the absence ofaccessible mental health services (Lewis-O’Connor & Alpert, 2017); the cumulativephysical and mental health impacts of repeated and sustained substance or sexual abuse(Alpert et al., 2014; Domoney, 2015; Patel, Ahn, & Burke, 2010); the trafficker’s adeptcontrolling of the trafficked person (Alpert et al., 2014); profound patient fearfulness;inconsistent stories; and, resistance to work with law enforcement agencies (Gibbons &Stoklosa, 2016).
Systemic and organisational factors that prohibit the identification, treatment, andreferral of trafficked persons further contribute to invisibility in the health care system.These include the absence of linguistically matched or culturally sensitive services,limited organisational and practitioner capacity and resources (Davy, 2016); inadequatehealth provider formal education, identification, screening, and treatment protocols(Yarborough, Jones, Cyr, Phillips, & Stelzner, 2000) and unidentified service needs thatextend beyond the health providers’ expertise and effective interagency collaboration(Helton, 2016; Titchen et al., 2015). Cheshire (2017) additionally points to the healthorganisation’s surrender of its moral responsibility and overreliance on well-intentioned,under-resourced and ill-informed medical professionals for not taking action. D’amourand Oandasan (2005) highlight media coverage that fails to communicate the severityand complexity of the problem, and perpetuates invisibility through the use of imagesand representations of trafficked persons as either exploited in countries other than thehost country or as limited to subjects of particular profiles, for example, womentrafficked for prostitution.
Juxtaposing invisibility, international literature reports whole-of-system approachesdesigned to build organisational capacity to identify and treat trafficked persons.These include trafficking–enslavement training programs and guidebooks thateducate in trauma-informed responses (Macias-Konstantopoulos, 2016). Otherexamples of specific screening questions canvass issues relating to safety, physicalhealth and history, living circumstances, employment travel and immigration status,living environment, and child-specific issues (Alpert et al., 2014; Gibbons & Stoklosa,2016), which aim to equip health workers to respond to behavioural and physical“red flags,” by providing safe, trustworthy spaces when further investigating the poten-tiality of trafficking (Alpert et al., 2014). Additionally, effective programs clearly definestakeholder roles and clearly articulate and reference policies that may be implicated intreatment and referral (Macias-Konstantopoulos, 2016; Schwarz et al., 2016) oftrafficked persons.
In the Australian health care system, there is currently limited literature that evidencesif and how healthcare providers identify, treat, and refer trafficked persons (Davy, 2015;Macias-Konstantopoulos, 2016), nor is there evidence of any trafficking–enslavementtraining programs and guidebooks that can guide a health practitioner’s work. Thiscurrent study seeks to address this gap and increase understanding of the factors thatimpede health care providers’ ability to identify a trafficked person who seeks medicalattention within Australian hospitals.
AUSTRALIAN SOCIAL WORK 3
Trafficking crosses local, national, and global borders and ranges from sexual exploita-tion, labour exploitation, criminal involvement, forced marriages, and organ trafficking toforced military service. All forms of trafficking involve the violent exploitation and abuseof human beings and their rights. Factors such as globalisation, economic and politicalinstability, disease, disintegration of families, and war (Carolan & Simmons, 2016) haveincreased the numbers of vulnerable populations that expose people to the risk of traffick-ing. While precise statistics remain elusive (Cannon, Arcara, Graham, & Macy, 2016),sexual exploitation and forced labour has been estimated by De Chesnay (2013) toaffect 27 million people, and by the International Labor Organisation (2017) to affect21 million people.
In the Asia–Pacific region it is generally accepted that although only a small percentageof irregular migrants are trafficked for exploitation, most victims are irregular migrantswho are subjected to exploitation such as forced labour in a country that is not theirown but to which they travelled to obtain work (Carolan & Simmons, 2016). In Australiathere exists a wide discrepancy between officially detected cases and estimates of thenumber of trafficked persons. The available aggregate statistics from Australian Govern-ment agencies indicate that between January 2004 and June 2011, 184 persons werevictims of trafficking (Larsen & Renshaw, 2012). Regardless of the form of their exploita-tion, people who are trafficked suffer intense abuse that often results in physical andmental illness (Baldwin, Eisenman, Sayles, Ryan, & Chuang, 2011).
This article reports on stage one of a two-stage project commissioned by St Vincent’sHealth Australia (SVHA), within the St Vincent’s Health Melbourne facility (SVHM), andcarried out by the non-government organisation Australian Catholic Religious AgainstTrafficking of Humans (ACRATH). Prior to reporting the research, I will canvass thecurrent literature regarding the health needs of trafficked persons and global and nationalhealth provider responses to these health needs.
The Health Needs of Trafficked Persons
The cumulative harm of each stage of trafficking (recruitment, travel–transit, exploitation,detention and integration, or reintegration) results in adverse and multiple interrelatedphysical, reproductive, developmental, behavioural, and psychological health impacts(Zimmerman, Kiss, & Hossain, 2011). These interact with the personal, social–environmental, and contextual systemic factors specific to the trafficked person (Alpertet al., 2014; Banović & Bjelajac, 2012; De Chesnay, 2013; Dovydaitis, 2010; Gibbons &Stoklosa, 2016; Schwarz et al., 2016). Regardless of the reason for being trafficked, an indi-vidual’s development and life trajectory is negatively disrupted. Many may seek thesupport of mental health services, physical healthcare services, and social services(Cannon et al., 2016).
Invisibility and the Health Care System
Health care providers are one of the few groups of professionals likely to interact withvictims of trafficking and therefore hold a unique position in their identification, treat-ment, and referral (Gibbons & Stoklosa, 2016). Notwithstanding this unique, butlimited opportunity to intervene in the cycle of exploitation internationally (Cary,
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Modern Slavery Statement 2020 19
Oram, Howard, Trevillion, & Byford, 2016; Cheshire, 2017; Titchen et al., 2015) andnationally (George, McNaughton, & Tsourtos, 2017) many trafficked persons go undis-covered or unrecognised when interacting with health systems. Several factors drivethis, these include: the trafficked person’s survival-driven priority to often work longhours to support themselves and their families; disconnection from or the absence ofaccessible mental health services (Lewis-O’Connor & Alpert, 2017); the cumulativephysical and mental health impacts of repeated and sustained substance or sexual abuse(Alpert et al., 2014; Domoney, 2015; Patel, Ahn, & Burke, 2010); the trafficker’s adeptcontrolling of the trafficked person (Alpert et al., 2014); profound patient fearfulness;inconsistent stories; and, resistance to work with law enforcement agencies (Gibbons &Stoklosa, 2016).
Systemic and organisational factors that prohibit the identification, treatment, andreferral of trafficked persons further contribute to invisibility in the health care system.These include the absence of linguistically matched or culturally sensitive services,limited organisational and practitioner capacity and resources (Davy, 2016); inadequatehealth provider formal education, identification, screening, and treatment protocols(Yarborough, Jones, Cyr, Phillips, & Stelzner, 2000) and unidentified service needs thatextend beyond the health providers’ expertise and effective interagency collaboration(Helton, 2016; Titchen et al., 2015). Cheshire (2017) additionally points to the healthorganisation’s surrender of its moral responsibility and overreliance on well-intentioned,under-resourced and ill-informed medical professionals for not taking action. D’amourand Oandasan (2005) highlight media coverage that fails to communicate the severityand complexity of the problem, and perpetuates invisibility through the use of imagesand representations of trafficked persons as either exploited in countries other than thehost country or as limited to subjects of particular profiles, for example, womentrafficked for prostitution.
Juxtaposing invisibility, international literature reports whole-of-system approachesdesigned to build organisational capacity to identify and treat trafficked persons.These include trafficking–enslavement training programs and guidebooks thateducate in trauma-informed responses (Macias-Konstantopoulos, 2016). Otherexamples of specific screening questions canvass issues relating to safety, physicalhealth and history, living circumstances, employment travel and immigration status,living environment, and child-specific issues (Alpert et al., 2014; Gibbons & Stoklosa,2016), which aim to equip health workers to respond to behavioural and physical“red flags,” by providing safe, trustworthy spaces when further investigating the poten-tiality of trafficking (Alpert et al., 2014). Additionally, effective programs clearly definestakeholder roles and clearly articulate and reference policies that may be implicated intreatment and referral (Macias-Konstantopoulos, 2016; Schwarz et al., 2016) oftrafficked persons.
In the Australian health care system, there is currently limited literature that evidencesif and how healthcare providers identify, treat, and refer trafficked persons (Davy, 2015;Macias-Konstantopoulos, 2016), nor is there evidence of any trafficking–enslavementtraining programs and guidebooks that can guide a health practitioner’s work. Thiscurrent study seeks to address this gap and increase understanding of the factors thatimpede health care providers’ ability to identify a trafficked person who seeks medicalattention within Australian hospitals.
AUSTRALIAN SOCIAL WORK 3
20
members comprised SVHA’s Executive Team Member/Mission Leader, Inclusive HealthProgram Leader, Melbourne and Sydney Chief Social Workers, and the ProcurementOfficer; ACRATH’s Project Evaluation Officer and Research Assistant; and Victoria Uni-versity Associate Investigator.
The participant’s right to discontinue focus group participation without penalty orprejudice was stipulated at the beginning of each focus group. To alleviate any potentialrisks and discomfort that might have arisen when recalling and sharing personal or pro-fessional experiences of work with trafficked persons, participants were given the nameand contact details of a SVHM counsellor.
Participant recruitment into stage one of the project involved three phases:
. A flyer widely distributed through the regular staff meetings of the Assessment Liaisonand Early Referral Team (ALERT), Emergency Department Team, Nursing UnitLeaders and Allied Health Team called for expressions of interest.
. A general information session was conducted for interested staff. This session providedinformation about the overall project, its context within SVHA’s Inclusive Health Strat-egy, the research method, voluntary de-identified participation in the research, infor-mation and consent forms, and opportunity for questions.
. Facilitation of six, 45-minute focus group sessions involving 8–10 participants, con-ducted over three dates in a designated two-week period.
The recruitment strategy yielded 22 participants: 16 social workers, three physiotherapists,two nurses, and one social worker assigned to the Hospital Admission Risk Program(HARP) team. The researcher acknowledges that the weekday timing of the focusgroup sessions potentially restricted the participation of those who worked night shiftsand thus potentially made the group nonrepresentational of SVHM health and alliedhealth workers.
Focus groups, facilitated by the ACRATH research assistant and introduced by theSVHA’s Mission and Social Justice Development Manager, were digitally recorded.Recordings ensured that specific quotations were retrievable at the data analysis stage.An ACRATH note taker was present during each focus groups to document critical feed-back. The researcher also added her field notes to the collected data.
Using pseudonyms to protect the identity of the participants, data were analysed andmanaged through the use of NVivoTM (QSR International) computer program, codedand recoded thematically under the research questions. This involved becoming familiarwith the data through carefully reading and rereading units of data and establishing pat-terns of common and divergent understandings and practices amongst and between par-ticipants (Spencer, Ritchie, Ormston, O’Connell, & Barnard, 2014).
The analysis was interested in participants’ personal stories and how these personalstories were influenced by larger societal discourses. In this sense the strategy representedthe researcher as situated knower, shaping and analysing data and producing knowledgefrom a particular, partial perspective. The perspective was that of a person producingpotentially useful hypotheses about participants’ experiences, perceptions, and interpret-ations regarding trafficking and the health carer’s identification, treatment, and referral oftrafficked persons. To ensure that analysis was robust, credible, and trustworthy, theresearcher’s coding and initial analysis was presented to the research assistant and
AUSTRALIAN SOCIAL WORK 5
Research Context
SVHA has 36 facilities: six public hospitals, nine private hospitals, 17 aged care facili-ties, three co-located research institutes and one co-located partner facility. SVHA iscommitted to changing the structures and systems that lead to some people experien-cing poorer health outcomes than others because of poverty, marginalisation, or vul-nerability (St Vincent’s Health Australia, 2018). It is this commitment thatunderpinned SVHA’s partnership with and funding of the non-government organis-ation, ACRATH. ACRATH is the peak body for 190 religious orders in Australia,working together towards the elimination of human trafficking in Australia, theAsia–Pacific region, and globally (ACRATH, 2018). The project was undertaken inSVHA’s Melbourne facility. This facility was chosen based on the accessibility andlocation of the SVHA’s Melbourne Reference Group members, ACRATH focusgroup facilitator, and the researcher.
Methodology and Method
The qualitative approach used in this research falls within the constructivist epistemologyand postmodernist theoretical perspective (Liamputtong & Ezzy, 2005). This theoreticalperspective understands that one does not simply encounter “trafficked persons,” ratherparticipants construct explanations of trafficking from the multiple beliefs and multipleperspectives they bring to it. Using focus groups as the data-gathering method, partici-pants had opportunity to explore and interpret their experiences, perceptions oftrafficked persons, and their views of the professional skills, trafficking–enslavement train-ing programs needed to identify, treat, and refer them.
The qualitative research described in this article reports on stage one of the project,stage two is to be reported elsewhere at a later date. The data gathered from the focusgroups details the experiences of 22 health and allied health workers. The questionsguiding the focus groups:
. What is your understanding of a “trafficked person”?
. In your professional duties, have you ever encountered a victim of trafficking?
. If a nurse or allied health professional at SVHM encountered a trafficked person whatcould/would they do?
. If SVHA provided awareness raising and education about human trafficking for staff,how likely would you be to seek it out and in what form would it be most accessiblefor you?
Stage one of the project was facilitated by ACRATH’s research assistant and note taker andwas carried out in SVHA’s Melbourne facility. Stage one used focus groups to scopeSVHA’s health and allied current health professionals’ current awareness, knowledge,and actions regarding trafficked patients. Stage two engaged ACRATH in the develop-ment, trial, and adoption of educational packages for educating and training SVHAworkers in the identification, treatment, and referral of trafficked persons.
The study received ethics approval from SVHA’s Human Research Ethics Committeeand was overseen by the SVHA’s Melbourne Reference Group. The seven reference group
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Modern Slavery Statement 2020 21
members comprised SVHA’s Executive Team Member/Mission Leader, Inclusive HealthProgram Leader, Melbourne and Sydney Chief Social Workers, and the ProcurementOfficer; ACRATH’s Project Evaluation Officer and Research Assistant; and Victoria Uni-versity Associate Investigator.
The participant’s right to discontinue focus group participation without penalty orprejudice was stipulated at the beginning of each focus group. To alleviate any potentialrisks and discomfort that might have arisen when recalling and sharing personal or pro-fessional experiences of work with trafficked persons, participants were given the nameand contact details of a SVHM counsellor.
Participant recruitment into stage one of the project involved three phases:
. A flyer widely distributed through the regular staff meetings of the Assessment Liaisonand Early Referral Team (ALERT), Emergency Department Team, Nursing UnitLeaders and Allied Health Team called for expressions of interest.
. A general information session was conducted for interested staff. This session providedinformation about the overall project, its context within SVHA’s Inclusive Health Strat-egy, the research method, voluntary de-identified participation in the research, infor-mation and consent forms, and opportunity for questions.
. Facilitation of six, 45-minute focus group sessions involving 8–10 participants, con-ducted over three dates in a designated two-week period.
The recruitment strategy yielded 22 participants: 16 social workers, three physiotherapists,two nurses, and one social worker assigned to the Hospital Admission Risk Program(HARP) team. The researcher acknowledges that the weekday timing of the focusgroup sessions potentially restricted the participation of those who worked night shiftsand thus potentially made the group nonrepresentational of SVHM health and alliedhealth workers.
Focus groups, facilitated by the ACRATH research assistant and introduced by theSVHA’s Mission and Social Justice Development Manager, were digitally recorded.Recordings ensured that specific quotations were retrievable at the data analysis stage.An ACRATH note taker was present during each focus groups to document critical feed-back. The researcher also added her field notes to the collected data.
Using pseudonyms to protect the identity of the participants, data were analysed andmanaged through the use of NVivoTM (QSR International) computer program, codedand recoded thematically under the research questions. This involved becoming familiarwith the data through carefully reading and rereading units of data and establishing pat-terns of common and divergent understandings and practices amongst and between par-ticipants (Spencer, Ritchie, Ormston, O’Connell, & Barnard, 2014).
The analysis was interested in participants’ personal stories and how these personalstories were influenced by larger societal discourses. In this sense the strategy representedthe researcher as situated knower, shaping and analysing data and producing knowledgefrom a particular, partial perspective. The perspective was that of a person producingpotentially useful hypotheses about participants’ experiences, perceptions, and interpret-ations regarding trafficking and the health carer’s identification, treatment, and referral oftrafficked persons. To ensure that analysis was robust, credible, and trustworthy, theresearcher’s coding and initial analysis was presented to the research assistant and
AUSTRALIAN SOCIAL WORK 5
22
was practice “blindness” and practice “uncertainty about how to proceed” when encoun-tering a trafficked person.
In Your Professional Duties, Have You Ever Encountered a Victim ofTrafficking?
Overall, participants variously reported either uncertainty (“probably”) or unawareness(“haven’t knowingly come across it”) when considering their contact with the trafficked.They also concluded that they may not been able to “put a name” to trafficking, attributinguncertainty to inexperience and lack of knowledge of the medical, psychosocial, or behav-ioural indicators that may signal trafficking and that may warrant further investigation ofthe patient’s circumstances. However, drawing on their practice wisdom and skills whendealing with other vulnerable groups, participants could describe factors that could beused to identify, treat, and refer trafficked persons
Discussing invisibility, they described the guardedness and resolve of patients who were“not going to make it all that obvious” when interacting with the health system and notedan incongruity between a patient’s narrative and body language as a possible signal thatwarranted further investigation. Participants suggested that accompanying adults, pur-porting to be family members and their reluctance to offer patient details and circum-stances, and patients “not wanting [the nurse] knowing” a medical history could signalthe cause for concern and further investigation by the treating health professional. Partici-pants also thought that the trafficker’s strategic use of a larger hospital could signal a hopethat their victim might get “in and out quickly and anonymously.”
Turning their attention to practitioner interventions, participants recalled incidents sig-nalling the probability of encounters with trafficked persons; patients “overstaying theirvisa,” having “no paperwork”, and referrals made by their colleagues to “immigrationagencies.” The participants who suspected that they had “most likely” encountered atrafficked person described themselves as registering “a radar go(ing) off” within them.Referring to these “radars” as particularly present when treating patients with complexnarratives. One of the participants described a patient as having been “very scared, [sup-plying] inconsistent information” and disclosing “large debts overseas, working in fields inthe sun for long hours with few breaks, and no proper paperwork.” Hospital triage noteswere also nominated as “hinting at something suspect,” particularly those notes that “hadinformation gaps.”
Offsetting interpretations that they may have encountered a trafficked person, partici-pants indicated that “red flags” were insufficient indicators of trafficking and that it wasplausible that a patient’s “cognitive difficulties” may also account for some of the behav-ioural and narrative inconsistencies that they encountered in their patients. Albeit the par-ticipants’ interpretations for why or why not trafficked persons are recognised, there was astated reluctance to act on their “red flags.” The reluctance was situated in their perceptionof policy and procedural uncertainty about how to proceed with treatment and referralwhen encountering trafficked persons.
In contrast to those who had indicated unawareness of contact with trafficked persons,those who were firm in their view that they had knowingly encountered them describedthe multiple or interrelated health factors that formed the basis of their firm view.Mental health, somatic complaints, and overdosing on medication were highlighted as
AUSTRALIAN SOCIAL WORK 7
reference group for feedback and discussion (Neuman, 2006). In this sense, the researcherengaged in “interviewing oneself,” drawing on feedback to uncover and correct anyresearcher biases and any inappropriately presumed relevancies.
Findings
The data presented below report on stage one of the project. Findings are presented undereach of the questions that guided the focus group sessions.
What Is Your Understanding of a “Trafficked Person”?
Overall, data indicated that participants understood what constituted human traffickingand recognised the familial and employment contexts most vulnerable to people traffick-ing. The general view was that the issue was outside their realm of personal or professionalexperience and when it was front of mind, their views and perceptions were informed bymedia representations.
Participants echoed a human rights (OHCHR, 2000) definition of trafficking, under-standing trafficking as “when the person is told something else, taken against [their]will, moved between companies and [possessing] no working rights,” as “young womenwho had been forced into marriage,” and “somebody who has been convinced to movefrom somewhere to somewhere with a promise of work/housing,” or as “providingsomeone to someone else in exchange for cash.” The occupations vulnerable to traffickingwere identified as domestic work, fruit picking, hospitality industries, sex industry, andmining.
Participants reasoned that it was either familial or structural powerlessness that main-tained people in these contexts, or in some instances both familial and structural power-lessness. Acknowledging the push and pull factors of global economies, participantsmaintained that trafficking had become “more economically viable than drug trafficking.”They were also of the view that attempts to escape was problematic since “if you leave ormake trouble, your family will be harmed.” In the case of forced marriage, participantsthought that unawareness was a mitigating reason for people remaining in trafficked cir-cumstances, deeming that “some don’t even realise that they’re in forced marriages.”
Asked about how they formed their views, participants stated that they were largelyinformed by “reading news articles” and concluded from the media representations thatthe issue was “far away and something that happens overseas.” Notwithstanding themedia’s role in constructing their views and perceptions, participants argued that theviews they held could only be changed through personal and professional contact withtrafficked persons and that “until you experience (working with a trafficked person) youdon’t understand it.” Nonetheless, participants were emphatic in warning against pro-fessional complacency and the dismissal of the existence of trafficking within Australiaor within the sphere of practice. Expressing an urgency for the hospital to address theissue, the consensus view of participants was that contact with trafficked persons bringsunderstanding and that personal experience influenced their views (“we don’t live in abubble”; “trafficking happens now in my backyard”; “modern slavery is alive and well”).They maintained that the professional consequence of unfamiliarity and complacency
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Modern Slavery Statement 2020 23
was practice “blindness” and practice “uncertainty about how to proceed” when encoun-tering a trafficked person.
In Your Professional Duties, Have You Ever Encountered a Victim ofTrafficking?
Overall, participants variously reported either uncertainty (“probably”) or unawareness(“haven’t knowingly come across it”) when considering their contact with the trafficked.They also concluded that they may not been able to “put a name” to trafficking, attributinguncertainty to inexperience and lack of knowledge of the medical, psychosocial, or behav-ioural indicators that may signal trafficking and that may warrant further investigation ofthe patient’s circumstances. However, drawing on their practice wisdom and skills whendealing with other vulnerable groups, participants could describe factors that could beused to identify, treat, and refer trafficked persons
Discussing invisibility, they described the guardedness and resolve of patients who were“not going to make it all that obvious” when interacting with the health system and notedan incongruity between a patient’s narrative and body language as a possible signal thatwarranted further investigation. Participants suggested that accompanying adults, pur-porting to be family members and their reluctance to offer patient details and circum-stances, and patients “not wanting [the nurse] knowing” a medical history could signalthe cause for concern and further investigation by the treating health professional. Partici-pants also thought that the trafficker’s strategic use of a larger hospital could signal a hopethat their victim might get “in and out quickly and anonymously.”
Turning their attention to practitioner interventions, participants recalled incidents sig-nalling the probability of encounters with trafficked persons; patients “overstaying theirvisa,” having “no paperwork”, and referrals made by their colleagues to “immigrationagencies.” The participants who suspected that they had “most likely” encountered atrafficked person described themselves as registering “a radar go(ing) off” within them.Referring to these “radars” as particularly present when treating patients with complexnarratives. One of the participants described a patient as having been “very scared, [sup-plying] inconsistent information” and disclosing “large debts overseas, working in fields inthe sun for long hours with few breaks, and no proper paperwork.” Hospital triage noteswere also nominated as “hinting at something suspect,” particularly those notes that “hadinformation gaps.”
Offsetting interpretations that they may have encountered a trafficked person, partici-pants indicated that “red flags” were insufficient indicators of trafficking and that it wasplausible that a patient’s “cognitive difficulties” may also account for some of the behav-ioural and narrative inconsistencies that they encountered in their patients. Albeit the par-ticipants’ interpretations for why or why not trafficked persons are recognised, there was astated reluctance to act on their “red flags.” The reluctance was situated in their perceptionof policy and procedural uncertainty about how to proceed with treatment and referralwhen encountering trafficked persons.
In contrast to those who had indicated unawareness of contact with trafficked persons,those who were firm in their view that they had knowingly encountered them describedthe multiple or interrelated health factors that formed the basis of their firm view.Mental health, somatic complaints, and overdosing on medication were highlighted as
AUSTRALIAN SOCIAL WORK 7
24
training packages for all staff, suggesting the use of window displays, and targeted trainingthat incorporated the use of case studies and the development of resources and referral kitsas a way of building a shared knowledge and skill platform. Participants stressed that anyimplementation of policies and procedures for working with trafficked people wouldrequire a “focus of senior executives and the Board” that assured practitioners that theycould confidently meet the needs of the organisation and simultaneously ensure thatthe vulnerability of the patients was not further compromised or exacerbated.
Regarding the type and modalities of education and training, social work participantsquestioned the efficacy of online learning, opining that “online stuff does nothing” toengage them in deep learning and strongly advised against its use. They suggested thatface-to-face delivery was a more productive learning mode since it provided opportunityto share discipline skills and knowledge as well as providing opportunity to challenge atti-tudes and beliefs. In contrast, nursing participants were firm in their view that onlinedelivery provided greater flexibility and access to education and training for nurses whoworked evening shifts. Although differing in their suggestion of how training could bedelivered, all participants argued the need for discipline mentors who were equippedwith specialised knowledge about trafficking and who could support frontlinepractitioners.
Finally, identifying the duty of care owed to those managing the complexity oftrafficked patients, participants drew attention to the emotional impact of working withsuch a marginalised group and the potential vicarious trauma for workers. They wereof the view that the work could be distressing and thus they must have an organisationalcommitment to “background support and resilience training” otherwise workers would beleft “carrying around this burden” of identifying and treating trafficked persons.
Discussion
Medical providers in social services are potentially the first point of contact with traffickedpersons. Being comprehensively trained to identify signs of human trafficking and inter-vene while these individuals are in their care is particularly important since it is these pro-fessionals who must account for the nuances of trauma and the complications a traffickingexperience may bring to the health professional–patient encounter. The findings of thisproject has relevance for all institutions and agencies that are likely to encountertrafficked persons and who emphasise social justice as an organising perspective for ser-vices and outreach to this cohort.
Additionally the findings of this project affirm the centrality of micro and macro prac-tices and policies that are supportive of the identification, treatment, and referral oftrafficked persons.
Findings confirm that the ability to identify, treat, and refer trafficked persons requiresindividual and organisational capacity building (Baldwin et al., 2011; Gibbons & Stoklosa,2016; Recknor, Gemeinhardt, & Selwyn, 2017) that moves practitioners and organisationsbeyond the media and individual created discursive contructions of trafficked persons toan evidence-based critique and exploration of the multifaceted issue of human trafficking.Findings also indicate that participants had more than one interpretation, explanation,description, or meaning of trafficking and thus from a postmodern perspective, educationand training must include the deconstruction of participant interpretations in order to
AUSTRALIAN SOCIAL WORK 9
the complex health needs of patients they identified as trafficked. Social workers and phy-siotherapists described the psychological and contextual factors that combined with thepatient’s physical factors as “hint[ing]” at trafficking. For example, participants describedthe “very scared” stroke patient who provided “inconsistent information” as a traffickedperson and the mental and physical health concerns resulting from “violent, abusive”spousal relationships and the trauma resulting from “a child marriage.”
As with the participants who had registered “red flags,” those who had encounteredtrafficked persons believed that they did not have a strategy or hospital policy and protocolto further investigate or act on suspicion of trafficking.
If a Nurse or Allied Health Professional at SVHM Encountered a Person WhoHad Been Trafficked, What Could/Would They Do?
Generally participants indicated that investigating the circumstances of a suspected victimof trafficking was not without difficulty for the professionals involved. A lack of clarityaround policy and procedures created a reluctance to “ask the question because[workers] don’t know what to do afterwards” and a fear that practice without clear policiesmay “put the person at risk” of prosecution with immigration authorities. They main-tained the belief that they would be “opening a can of worms without the [proceduraland policy] information behind it.”
Although the majority of participants’ stated hesitancy to act on their suspicions oftrafficking, participants believed that SVHA’s staff were “predisposed to look at peoplewho are vulnerable” and noted that trafficked persons belonged to the group of vulnerable,disadvantaged people that SVHA was committed to serve. They referred to the value ofSVHA’s use of the trauma-informed treatment model and recalled the positive impactof this model on practice with other vulnerable groups. Indicating that they “aretrained in things to look for in elder abuse, children at risk, family violence,” they wereconfident that they could transfer these trauma-informed skills and knowledge to workwith trafficked persons.
At a systemic level, the view was the need for SVHA to have clear intervention pathwaysthat factored in how individual workers, departments, and multidisciplinary teams couldprogress from identification, assessment, intervention through to discharge of traffickedpersons. Participants impressed the need for individuals to, “escalate suspicion/thingsnot feeling right, to team leaders” and emphasised the role of interdisciplinary collabor-ation in cases when a “nurse would make a referral to the Assessment, Liaison andEarly Referral Team [ALERT] board.”
Discussing the circumstances that would mitigate against the stated reluctance to inter-vene in suspected trafficked cases, participants agreed that training was essential beforeimplementation of any strategy. Proposing that “people get sick, especially if not beingcared for,” participants highlighted the inevitability of encountering a trafficked personand thus their need to be professionally equipped to work with this cohort.
Participants viewed the development of a shared knowledge platform within and acrossdisciplines, and amongst other health provider groups as a priority. They suggested thatSVHA, with a strong mission focus and outreach on inclusivity, is well-placed to createshared knowledge platforms that shape referral and treatment pathways, systems, and pol-icies for work with trafficked persons. They emphasised the need for education and
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training packages for all staff, suggesting the use of window displays, and targeted trainingthat incorporated the use of case studies and the development of resources and referral kitsas a way of building a shared knowledge and skill platform. Participants stressed that anyimplementation of policies and procedures for working with trafficked people wouldrequire a “focus of senior executives and the Board” that assured practitioners that theycould confidently meet the needs of the organisation and simultaneously ensure thatthe vulnerability of the patients was not further compromised or exacerbated.
Regarding the type and modalities of education and training, social work participantsquestioned the efficacy of online learning, opining that “online stuff does nothing” toengage them in deep learning and strongly advised against its use. They suggested thatface-to-face delivery was a more productive learning mode since it provided opportunityto share discipline skills and knowledge as well as providing opportunity to challenge atti-tudes and beliefs. In contrast, nursing participants were firm in their view that onlinedelivery provided greater flexibility and access to education and training for nurses whoworked evening shifts. Although differing in their suggestion of how training could bedelivered, all participants argued the need for discipline mentors who were equippedwith specialised knowledge about trafficking and who could support frontlinepractitioners.
Finally, identifying the duty of care owed to those managing the complexity oftrafficked patients, participants drew attention to the emotional impact of working withsuch a marginalised group and the potential vicarious trauma for workers. They wereof the view that the work could be distressing and thus they must have an organisationalcommitment to “background support and resilience training” otherwise workers would beleft “carrying around this burden” of identifying and treating trafficked persons.
Discussion
Medical providers in social services are potentially the first point of contact with traffickedpersons. Being comprehensively trained to identify signs of human trafficking and inter-vene while these individuals are in their care is particularly important since it is these pro-fessionals who must account for the nuances of trauma and the complications a traffickingexperience may bring to the health professional–patient encounter. The findings of thisproject has relevance for all institutions and agencies that are likely to encountertrafficked persons and who emphasise social justice as an organising perspective for ser-vices and outreach to this cohort.
Additionally the findings of this project affirm the centrality of micro and macro prac-tices and policies that are supportive of the identification, treatment, and referral oftrafficked persons.
Findings confirm that the ability to identify, treat, and refer trafficked persons requiresindividual and organisational capacity building (Baldwin et al., 2011; Gibbons & Stoklosa,2016; Recknor, Gemeinhardt, & Selwyn, 2017) that moves practitioners and organisationsbeyond the media and individual created discursive contructions of trafficked persons toan evidence-based critique and exploration of the multifaceted issue of human trafficking.Findings also indicate that participants had more than one interpretation, explanation,description, or meaning of trafficking and thus from a postmodern perspective, educationand training must include the deconstruction of participant interpretations in order to
AUSTRALIAN SOCIAL WORK 9
26
knowledge, or training that may have informed participant responses. Nonetheless, thisstudy gives some insight and direction into how SVHA and other health facilities may pro-gress their whole of system capacity to work with trafficked persons and build on thetrauma-informed approaches currently used with other vulnerable groups. Additionally,SVHA’s focus on social justice and its commitment to redress disadvantage cannot beassumed as the focus and commitment of other health providers, therefore transferabilityof these findings is limited to health providers who privilege social justice in their missionand outreach.
The uneven representation of health and allied health disciplines may also be a limit-ation. However, while the majority of participants were social workers, the participantswere informationally representative, in that data were obtained from persons whoshared similar health practitioner characteristics (Babbie, 2013).
Conclusion
The study confirms evidence elsewhere stressing the importance of well-trained, educated,and supported professionals charged to work with trafficked persons. Health care environ-ments that provide support positively change their workers’ knowledge and self-reportedrecognition of trafficked persons. Findings support the need for skills and knowledge thatfocus on the identification and specific needs of trafficked persons as well as the needs ofthe health providers and systems. More explicitly, skills and knowledge must provideworkers with step-by-step processes from identification through to discharge and engage-ment with community services and must ensure co-worker support and supervision ifpractice is to move towards evidence-informed intervention and address the currentinvisibility of trafficked persons.
Finally, the findings of this project reflect the United Nation’s (OHCHR, 2000) call toidentify trafficked persons since “a failure to identify a trafficked person correctly is likelyto result in a further denial of that person’s rights” (guideline 2).
Disclosure Statement
No potential conflict of interest was reported by the author.
ORCID
Doris Testa http://orcid.org/0000-0001-7107-1752
References
ACRATH. (2018). Mission statement. Retrieved from https://acrath.org.au/Alpert, E. J., Ahn, R., Albright, E., Purcell, G., Burke, T., & Macias-Konstantopoulos, W. (2014).
Human trafficking: Guidebook on identification, assessment, and response in the health caresetting. Waltham: Massachusetts Medical Society.
Australian Association of Social Workers (AASW). (2010). Code of ethics. Canberra: Author.Babbie, E. (2013). The practice of social research (11th ed.). Belmont, CA: Thomson Wadsworth.Baldwin, S. B., Eisenman, D. P., Sayles, J. N., Ryan, G., & Chuang, K. S. (2011). Identification of
human trafficking victims in health care settings. Health and Human Rights, 13(1), 36–49.
AUSTRALIAN SOCIAL WORK 11
reconstruct the understading of trafficking to incude the role of the social and culturalcontext that shapes these interpretations.
Affirming previous literature (George et al., 2017), the project found that, with a fewexceptions, trafficked persons remained invisible when interacting within the healthsystem. Similar to previous international studies (Alpert et al., 2014; De Chesnay, 2013;Dovydaitis, 2010), this invisibility was aided by professionals who were unaware of themultiple and interrelated symptoms endured by trafficked persons and who were unskilledin the techniques that could be employed to recognise them. In the absence of adequatelyequipped workers, misidentification, and limited preparedness to respond to the needs oftrafficked persons will remain a major barrier to effective service provision, as will the pro-fessional’s ability to confidently identify, treat and refer trafficked persons. This reluctancenegatively influences the health provider’s unique, but limited opportunity to intervene inthe cycle of exploitation and role in alleviating the health of trafficked person (Gibbons &Stoklosa, 2016). While the health providers in this project felt “distant” from and generallyunable to identify trafficked persons, the burden of disclosure remains with the trafficked,adding further to this group’s marginality, adverse circumstances, vulnerability and invisi-bility (Alpert et al., 2014).
Reaffirmed as central to capacity building (Davy, 2016; Schloenhardt, Beirne, &Corsbie, 2009; Yarborough et al., 2000) was the provision and efficacy of education andtraining supports, strategies, and competencies that build a knowledge and skill basewithin and across discipline groups, and modalities that employ a variety of methodsand strategies. Recommended as key content to include in education and training is:definitions and understanding of trafficking, understanding victim behaviours, identifyingthe trafficker and victim, physical and psychological assessment of a potential victim andintervention and referral.
Moderating SVHA’s current practice and providing a point of reference and organis-ational capacity to develop whole of system responses to trafficking is SVHA’s culture,ethos, and mission. SVHA’s current holistic, rights-based, trauma-informed approachto the treatment of vulnerable and alienated populations is transferrable to practicewith trafficked populations. As noted in literature (D’amour & Oandasan, 2005;Macias-Konstantopoulos, 2016; Patel et al., 2010), trauma-informed practices provide arich resource when creating policies, practices, and protocols that aim to reduce retrauma-tisation, highlight resilience and strengths, that promote healing and recovery, and thatsupport the development of short- and long-term coping mechanisms for vulnerablepopulations, in this instance, those who are trafficked.
From an interdisciplinary perspective, the role of social workers and their simultaneousfocus on and attention to both the person and the person’s environment makes for aunique contribution to the health system’s micro and macro practices when workingwith trafficked persons. The ethics embedded in social work require social workers toengage in social and political actions that seek to ensure that all people have equalaccess to the resources needed to meet basic human needs (AASW, 2010). Thus theyare well positioned to coordinate case management and the ongoing and multiple servicesrequired by trafficked persons within and beyond the hospital site.
Limitations of this study include its location within one branch of SVHA’s health facili-ties, and therefore professionals in other SVHA facilities may have different levels ofawareness, skills, and knowledge, nor was there exploration of the previous education,
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knowledge, or training that may have informed participant responses. Nonetheless, thisstudy gives some insight and direction into how SVHA and other health facilities may pro-gress their whole of system capacity to work with trafficked persons and build on thetrauma-informed approaches currently used with other vulnerable groups. Additionally,SVHA’s focus on social justice and its commitment to redress disadvantage cannot beassumed as the focus and commitment of other health providers, therefore transferabilityof these findings is limited to health providers who privilege social justice in their missionand outreach.
The uneven representation of health and allied health disciplines may also be a limit-ation. However, while the majority of participants were social workers, the participantswere informationally representative, in that data were obtained from persons whoshared similar health practitioner characteristics (Babbie, 2013).
Conclusion
The study confirms evidence elsewhere stressing the importance of well-trained, educated,and supported professionals charged to work with trafficked persons. Health care environ-ments that provide support positively change their workers’ knowledge and self-reportedrecognition of trafficked persons. Findings support the need for skills and knowledge thatfocus on the identification and specific needs of trafficked persons as well as the needs ofthe health providers and systems. More explicitly, skills and knowledge must provideworkers with step-by-step processes from identification through to discharge and engage-ment with community services and must ensure co-worker support and supervision ifpractice is to move towards evidence-informed intervention and address the currentinvisibility of trafficked persons.
Finally, the findings of this project reflect the United Nation’s (OHCHR, 2000) call toidentify trafficked persons since “a failure to identify a trafficked person correctly is likelyto result in a further denial of that person’s rights” (guideline 2).
Disclosure Statement
No potential conflict of interest was reported by the author.
ORCID
Doris Testa http://orcid.org/0000-0001-7107-1752
References
ACRATH. (2018). Mission statement. Retrieved from https://acrath.org.au/Alpert, E. J., Ahn, R., Albright, E., Purcell, G., Burke, T., & Macias-Konstantopoulos, W. (2014).
Human trafficking: Guidebook on identification, assessment, and response in the health caresetting. Waltham: Massachusetts Medical Society.
Australian Association of Social Workers (AASW). (2010). Code of ethics. Canberra: Author.Babbie, E. (2013). The practice of social research (11th ed.). Belmont, CA: Thomson Wadsworth.Baldwin, S. B., Eisenman, D. P., Sayles, J. N., Ryan, G., & Chuang, K. S. (2011). Identification of
human trafficking victims in health care settings. Health and Human Rights, 13(1), 36–49.
AUSTRALIAN SOCIAL WORK 11
28
Patel, R. B., Ahn, R., & Burke, T. F. (2010). Human trafficking in the emergency department.Western Journal of Emergency Medicine, 11(5), 402–404. Retreived from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070690/
Recknor, F. H., Gemeinhardt, G., & Selwyn, B. J. (2017). Health-care provider challenges to theidentification of human trafficking in health-care settings: A qualitative study. Journal ofHuman Trafficking, 4(3), 1–18. doi:10.1080/23322705.2017.1348740
Schloenhardt, A., Beirne, G., & Corsbie, T. (2009). Trafficking in persons in Australia: Myths andrealities. Global Crime, 10(3), 224–247. doi:10.1080/17440570903079931
Schwarz, C., Unruh, E., Cronin, K., Evans-Simpson, S., Britton, H., & Ramaswamy, M. (2016).Human trafficking identification and service provision in the medical and social servicessectors. Health and Human Rights Journal, 18(1), 11.
Spencer, L., Ritchie, J., Ormston, R., O’Connell, W., & Barnard, M. (2014). Analysis: Principles andprocesses. In J. Ritchie, J. Lewis, C. McNaughton Nicholls, & R. Ormston (Eds.), Qualitativeresearch practice: A guide for social science students and researchers (2nd ed., pp. 269–290).London: Sage.
St Vincent’s Health Australia. (2018). Inclusive health. Retrieved from https://svha.org.au/home/mission/inclusive-health
Titchen, K. E., Loo, D., Berdan, E., Rysavy, M. B., Ng, J. J., & Sharif, I. (2015). Domestic sex traffick-ing of minors: Medical student and physician awareness. Journal of Paediatric and Adolescentgynaecology, 30(1), 102–108. doi:10.1080/23322705.2018.1448956
Yarborough, M., Jones, T., Cyr, T. A., Phillips, S., & Stelzner, D. (2000). Interprofessional educationin ethics at an academic health sciences center. Academic Medicine, 75(8), 793–800.
Zimmerman, C., Kiss, L., & Hossain, M. (2011). Migration and health: A framework for 21stcentury policy-making. PLOS Medicine, 8(5), e1001034. doi:10.1371/journal.pmed.1001034
AUSTRALIAN SOCIAL WORK 13
Banović, B., & Bjelajac, Ž. (2012). Traumatic experiences, psychophysical consequences and needsof human trafficking victims. Vojnosanitetski pregled, 69(1), 94–97. doi:0042-8450/2012/0042-8450120109
Cannon, A., Arcara, J., Graham, L., & Macy, R. (2016). Trafficking and health: A systematic reviewof research methods. Trauma, Violence, & Abuse, 1(17). doi:10.1080/2331205X.2017.1278841
Carolan, C., & Simmons, N. (2016). Human trafficking and slavery: A response from AustralianCatholics. Melbourne: Gerard Puigmal.
Cary, M., Oram, S., Howard, L. M., Trevillion, K., & Byford, S. (2016). Human trafficking and severemental illness: An economic analysis of survivors’ use of psychiatric services. BMC HealthServices Research, 16(1), 284–291. doi:10.1186/s12913-016-1541-0
Cheshire, W. P., Jr (2017). Groupthink: How should clinicians respond to human trafficking? AMAJournal of Ethics, 19(1), 91. doi:10.1080/13561820500081604
D’amour, D., & Oandasan, I. (2005). Interprofessionality as the field of interprofessional practiceand interprofessional education: An emerging concept. Journal of Interprofessional Care, 19(Suppl. 1), 8–20. doi:10.1080/13561820500081604
Davy, D. (2015). Understanding the support needs of human-trafficking victims: A review of threehuman-trafficking program evaluations. Journal of Human Trafficking, 1(4), 318–337. doi:10.1080/23322705.2015.1090865
Davy, D. (2016). Human trafficking and slavery in Australia: Pathways, tactics, and subtle elementsof enslavement.Women & Criminal Justice, 26(3), 180–198. doi:10.1080/08974454.2015.1087363
De Chesnay, M. (2013). Psychiatric-mental health nurses and the sex trafficking pandemic. Issues inMental Health Nursing, 34(12), 901–907. doi:10.3109/01612840.2013.857200
Domoney, J. (2015). Mental health service responses to human trafficking: A qualitative study ofprofessionals’ experiences of providing care. BMC Psychiatry, 5. doi:10.1186/s12888-015-0679-3
Dovydaitis, T. (2010). Human trafficking: The role of the health care provider. The Journal ofMidwifery & Women’s Health, 55(5), 462–467. doi:10.1016/j.jmwh.2009.12.017
George, E., McNaughton, D., & Tsourtos, G. (2017). An interpretive analysis of Australia’sapproach to human trafficking and its focus on criminal justice over public health. Journal ofHuman Trafficking, 3(2), 81–92. doi:10.1080/23322705.2016.1153367
Gibbons, P., & Stoklosa, H. (2016). Identification and treatment of human trafficking victims in theemergency department: A case report. The Journal of Emergency Medicine, 50(5), 715–719.doi:10.1016/j.jemermed.2016.01.004
Helton, M. (2016). Human trafficking: How a joint task force between health care providers and lawenforcement can assist with identifying victims and prosecuting traffickers. Health Matrix, 26,433–473. Retrieved from https://scholarlycommons.law.case.edu/healthmatrix/vol26/iss1/15
International Labor Organisation. (2017). Forced labour, modern slavery and human trafficking.Retrieved from http://www.ilo.org/global/topics/forced-labour/lang--en/index.htm
Larsen, J. J., & Renshaw, L. (2012). People trafficking in Australia. Trends and Issues in Crime andCriminal Justice, (441), 1–6. doi:10.1080/15614263.2017.1291599
Lewis-O’Connor, A., & Alpert, E. J. (2017). Caring for survivors using a trauma-informed care fra-mework. In M. Chisolm-Straker & H. Stoklosa (Eds.), Human trafficking is a public health issue:A paradigm expansion in the United States (pp. 309–323). MD: Springer.
Liamputtong, P., & Ezzy, D. (2005). Qualitative research methods (2nd ed.). Melbourne: OxfordUniversity Press.
Macias-Konstantopoulos, W. (2016). Human trafficking: The role of medicine in interrupting thecycle of abuse and violence. Annals of Internal Medicine, 165(8), 582–588.
Neuman, L. (2006). Social research methods: Qualitative and quantative approaches (6th ed.).Boston, MA: Pearson International.
Office of the United Nations High Commissioner for Human Rights. (2000). Protocol to prevent,suppress and punish trafficking in persons, especially women and children, supplementing theUnited Nations Convention against Transnational Organized Crime (Doc A/55/383). Retrievedfrom https://www.humanrights.gov.au/human-rights-approach-trafficking-persons-2011
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Modern Slavery Statement 2020 29
Patel, R. B., Ahn, R., & Burke, T. F. (2010). Human trafficking in the emergency department.Western Journal of Emergency Medicine, 11(5), 402–404. Retreived from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070690/
Recknor, F. H., Gemeinhardt, G., & Selwyn, B. J. (2017). Health-care provider challenges to theidentification of human trafficking in health-care settings: A qualitative study. Journal ofHuman Trafficking, 4(3), 1–18. doi:10.1080/23322705.2017.1348740
Schloenhardt, A., Beirne, G., & Corsbie, T. (2009). Trafficking in persons in Australia: Myths andrealities. Global Crime, 10(3), 224–247. doi:10.1080/17440570903079931
Schwarz, C., Unruh, E., Cronin, K., Evans-Simpson, S., Britton, H., & Ramaswamy, M. (2016).Human trafficking identification and service provision in the medical and social servicessectors. Health and Human Rights Journal, 18(1), 11.
Spencer, L., Ritchie, J., Ormston, R., O’Connell, W., & Barnard, M. (2014). Analysis: Principles andprocesses. In J. Ritchie, J. Lewis, C. McNaughton Nicholls, & R. Ormston (Eds.), Qualitativeresearch practice: A guide for social science students and researchers (2nd ed., pp. 269–290).London: Sage.
St Vincent’s Health Australia. (2018). Inclusive health. Retrieved from https://svha.org.au/home/mission/inclusive-health
Titchen, K. E., Loo, D., Berdan, E., Rysavy, M. B., Ng, J. J., & Sharif, I. (2015). Domestic sex traffick-ing of minors: Medical student and physician awareness. Journal of Paediatric and Adolescentgynaecology, 30(1), 102–108. doi:10.1080/23322705.2018.1448956
Yarborough, M., Jones, T., Cyr, T. A., Phillips, S., & Stelzner, D. (2000). Interprofessional educationin ethics at an academic health sciences center. Academic Medicine, 75(8), 793–800.
Zimmerman, C., Kiss, L., & Hossain, M. (2011). Migration and health: A framework for 21stcentury policy-making. PLOS Medicine, 8(5), e1001034. doi:10.1371/journal.pmed.1001034
AUSTRALIAN SOCIAL WORK 13
30
Social Work Department SVHM
St Vincent’s Hospital Melbourne Clinical Pathway Responding to Victims of Human Trafficking
HUMAN TRAFFICKING & MODERN SLAVERY AND SPECIALIST SERVICES NSW
Person accesses medical services.
Consider these Red Flags: Delayed presentation for medical care; evidence of lack of care for this
condition. Person is reluctant to explain their injury Someone else is speaking for the patient/ Is trafficker present? Person presents as subordinate, hyper-vigilant or exhibits fear, anxiety,
tension or PTSD. Person is not aware of location, the current date, or time Person shows signs of physical/sexual violence, medical neglect, or
torture Person stated older than visible appearance- Is person a minor?
Not Competent Discuss situation/ options with person and “person responsible” Assess risks, psychosocial situation and existing supports Document process/case notes of safety plan, assessment and care
plan & referrals Request patient consent to provide further assistance. Determine who can provide consent and request consent to provide
further assistance according to policy.
Competent Discuss situation and options Assess risks, psychosocial situation and existing supports Document process/case notes of safety plan, assessment and care
plan & referrals Request patient consent to provide further assistance.
Assessing Capacity Does the person have a formal diagnosis from the medical team, Psychiatrists, Neurologists, Neuro-psychologist Assessment, Aged Person's Mental Health Service, Cognitive Dementia and Memory Service (CADMs) or other qualified professional?
Specialist Human Trafficking and Modern Slavery Referral & Support In addition to usual care pathways services that can be accessed include;
Victoria Police or Victoria Police Family Violence Regional Officer (Forced Marriage or criminal violence AFP (Australian Federal Police) can be contacted anonymously for advice.
AFP Assistance & Support 131 237 Melbourne Office (03) 9607 7777 Urgent after hours (02) 6126 7777 Anti-Slavery Australia: free, confidential legal advice and for advice about Forced Marriage on 02 9514 8115
Forced marriage visit www.mybluesky.org.au or connect with them on Facebook at Facebook.com/MyBlueSkyFuture or (02) 9514 8115 or text message 0481 070 844
Medical services are provided to
person
Is the person in immediate danger or at risk of harm? Does a Code Black or Grey
need to be called? Do you need to escalate to
your supervisor or manager? Is a referral to Social
Work/ALERT required?
Suspect or confirm person is experiencing Human Trafficking or Modern Slavery Speak with the patient alone 1. Do you feel safe? Do you feel safe to go home? Include in a social worker, case manager or 2. Can we talk about what has happened today?
advocate when possible 3. Is someone holding your passport or identification documents? Is an Aboriginal Health Liaison required? 4. Do you have a debt to someone you cannot pay off? Use a professional, qualified interpreter if needed 5. Has anyone threatened to hurt you or your family in any way?
Screen to identify psychosocial and other risk factors to inform a safety plan? Resume to usual care
YES NO
Does person have capacity to make decisions?
Non Consent Has an alternate decision maker been identified Consider what interventions are required Provide patient and/or substituted decision maker with referral
information for supports for future referral if required Discuss safety plan and how to escalate post discharge if required Contract for follow up contact if appropriate Consider issues of cultural sensitivity or health literacy Advocate as required Document contact in the medical record of the person
Consent Consult with patient and/or substitute decision maker Consider interventions Consider privacy issues Make referrals with consent of patient/substitute decision maker Discuss safety plan and escalation process Consider issues of cultural sensitivity Advocate as required throughout process Document contact in the medical record of the person
Appendix 2
Modern Slavery Statement 2020 31
Social Work Department SVHM
HUMAN TRAFFICKING & MODERN SLAVERY AND SPECIALIST SERVICES (VICTORIA)
Human trafficking is the recruitment, transportation, transfer, harbouring or receipt of a person for the purpose of exploiting that person through slavery. Slavery is defined as the condition of a person over whom any or all of the powers attaching to the right of ownership are exercised, including where such a condition results from a debt or contract made by the person. Please note: People smuggling – there is some form of consent to the movement of the person by the person.
LEGAL:
Australian Federal Police (AFP) - Reporting hotline, high risk cases, online reporting, referral to safe accommodation and support services. The APF have a Human Trafficking team (HTT) which is a specialist unit responsible for investigating offences related to human trafficking and slavery. HTT investigation teams located in Sydney and Melbourne.
131237 / [email protected] [email protected]
Anti – Slavery Australia – ASA are able to provide access to comprehensive legal advice and assistance to people who have experienced human trafficking, slavery or forced marriage in Australia. This includes advice on migration, criminal law, family law and compensation.
02 95149660 [email protected]
GENERAL INFO:
Salvation Army’s Trafficking and Slavery Safe House – Located in Sydney but accepts referrals from around Australia. A 10 x bed shelter for women who have experienced human trafficking and slavery. Provides non-residential support for men, women and children. Assists with housing, financial, health care, education and legal.
1300 473 560 / 92115794 [email protected]
Red Cross – Support for Trafficked people program – Administrated by the Department of Social services and delivered nationally by the Australian Red Cross. Referred by the AFP post being identified as a victim. They assist with: case management, accommodation, medical treatment, counselling, legal/migration advice, skills and development training including ESOL and vocational guidance.
1800 812 028
FORCED MARRIAGE:
AFP 131 237
The AFP can provide initial advice to people who are in, or at risk of a forced marriage. The AFP can also refer victims for support, including safe accommodation, financial support, legal advice and counselling. In cases where the victim is a child, the AFP will always act in their best interests. Contact with the AFP can be anonymous. You can call 131 AFP (131 237) or complete the online form on the human trafficking page on the AFP website.
My Blue Sky
Australia’s first website dedicated to forced marriage prevention, information, referrals and legal advice. The site empowers vulnerable people and those who support them to access resources, links to Australian support services and direct legal assistance through phone, text message email and secure online locker room.
02 95148115 text service for victims 0481070844
SEXUAL EXPLOITATION:
Sex workers outreach project (SWOP NSW) is open Monday – Friday, located in Surry Hills. Promotes the health, safety and wellbeing of sex industry workers. They provide an outreach service across NSW and have a multicultural project offering migrant sex workers direct support and service delivery in multiple languages.
02 92062166 / [email protected]
Scarlet Alliance, Australian Sex Workers Association – Specialises in peer bases service delivery by and for sex workers in Australia. This includes individual and systemic support for migrant sex workers, national research with migrant sex workers, close relationships with sex workers and sex worker organisations in Asia and the Pacific.
02 932 69455 / [email protected]
32
SVHA
-ACR
ATH
HUM
AN T
RAFF
ICKI
NG
PRO
JECT
FIN
AL E
VALU
ATIO
N R
EPO
RT
(MAY
1, 2
017
to Ju
ne 3
0, 2
019)
Erin
Cas
sell
SVHA
Wor
king
Par
ty M
embe
r M
embe
r ACR
ATH
Eval
uatio
n Te
am
Seni
or R
esea
rch
Fello
w (A
djun
ct)
Acci
dent
Res
earc
h Ce
ntre
, Mon
ash
Uni
vers
ity
Augu
st 1
5, 2
019
Appendix 3
Modern Slavery Statement 2020 33
3
SVHA
-ACR
ATH
HUM
AN T
RAFF
ICKI
NG
PRO
JECT
: FIN
AL E
VALU
ATIO
N R
EPO
RT
(MAY
1, 2
017
to Ju
ne 3
0, 2
019)
BACK
GRO
UN
D
St V
ince
nt’s
hea
lth A
ustr
alia
(SVH
A) a
nd A
ustr
alia
n Ca
thol
ic R
elig
ious
Aga
inst
Tra
ffick
ing
in H
uman
s (AC
RATH
) are
join
tly c
ondu
ctin
g a
pilo
t pro
ject
with
in S
VHA
with
the
ultim
ate
goal
of a
chie
ving
syst
emic
cha
nge
in th
e Au
stra
lian
heat
h ca
re c
omm
unity
so th
at th
e ne
eds o
f tho
se a
ffect
ed b
y hu
man
traf
ficki
ng a
nd sl
aver
y ca
n m
ore
stra
tegi
cally
add
ress
ed w
ithin
the
heal
th c
are
sect
or.
(SVH
A –
ACRA
TH H
uman
Tra
ffick
ing
Proj
ect M
OU
s 201
7 &
201
8).
PRIM
ARY
PRO
JECT
OBJ
ECTI
VES
Phas
e 1
(May
1, 2
017
to M
ay 1
, 201
8)
1.
To in
crea
se th
e re
cogn
ition
and
supp
ort o
f vic
tims o
f hum
an tr
affic
king
who
seek
hea
lth c
are
with
in S
VHA
incl
udin
g w
omen
in se
xual
exp
loita
tion,
you
ng
peop
le fa
cing
forc
ed m
arria
ge a
nd p
eopl
e w
ho h
ave
expe
rienc
ed fo
rced
labo
ur; a
nd
2.
To e
xplo
re a
nd in
vest
igat
e th
e su
pply
cha
ins o
f ser
vice
s and
goo
ds u
sed
by S
VHA,
to d
eter
min
e w
hich
are
liab
le to
hum
an tr
affic
king
and
dev
elop
a p
lan
to
addr
ess t
hese
issu
es.
Phas
e 2
(May
1, 2
018
to M
ay 1
, 201
9, e
xten
ded
to Ju
ne 3
0, 2
019)
A th
ird o
bjec
tive
was
add
ed:
3.
Inco
rpor
ate
the
follo
win
g in
to S
VHA
com
mun
icat
ions
and
oth
er su
itabl
e ac
tiviti
es: a
war
enes
s rai
sing,
pra
yer a
nd a
ppro
pria
te a
ctio
n, a
nd re
cogn
ition
of t
he
Hum
an T
raffi
ckin
g Pr
ojec
t
(SVH
A –
ACRA
TH M
OU
s 201
7 &
201
8)
34
4
PRO
JECT
PHA
SES
Nea
r the
out
set o
f the
join
t pro
ject
it w
as e
nvisi
oned
that
it w
ould
be
cond
ucte
d in
two
phas
es e
ach
last
ing
12 m
onth
s (w
ith c
omm
itmen
t to
Phas
e 2
cont
inge
nt o
n sa
tisfa
ctor
y pr
ogre
ss in
Pha
se 1
). A
Mem
oran
dum
of U
nder
stan
ding
(MO
U),
signe
d by
bot
h pa
rtie
s, g
uide
d Ph
ase
1 of
the
proj
ect f
rom
May
1, 2
017
to M
ay 1
, 201
8.
The
SVHA
Exe
cutiv
e Le
ader
ship
team
(ELT
) con
firm
ed S
VHA’
s co
mm
itmen
t to
the
join
t pro
ject
for a
furt
her 1
2 m
onth
s on
Apr
il 18
, 201
8. A
sec
ond
MO
U c
over
ed
the
perio
d M
ay 1
, 201
8 to
May
1, 2
019.
On
May
1, 2
019,
SVH
A fu
rthe
r ext
ende
d pr
ojec
t sup
port
to Ju
ne 3
0, 2
019.
PHAS
E 1
(PRE
PARA
TORY
PHA
SE) e
ncom
pass
ed: p
roje
ct p
lann
ing,
aw
aren
ess
raisi
ng ta
rget
ing
key
SVHA
sta
ff, a
lite
ratu
re re
view
and
qua
litiv
e re
sear
ch p
roje
ct to
un
derp
in th
e de
velo
pmen
t of e
vide
nce-
base
d in
terv
entio
ns to
iden
tify
and
supp
ort v
ictim
s of
hum
an tr
affic
king
in th
e ho
spita
l set
ting
(rel
ated
to O
bjec
tive
1) a
nd
step
s to
dev
elop
sup
port
ive
polic
ies,
risk
ass
essm
ent s
yste
ms
and
prac
tices
with
in S
VHA
Grou
p Pr
ocur
emen
t to
ensu
re th
at th
e SV
HA s
uppl
y ch
ains
for p
urch
ased
go
ods a
nd se
rvic
es a
re sl
aver
y fr
ee (r
elat
ed to
Obj
ectiv
e 2)
.
PHAS
E 2
(IMPL
EMEN
TATI
ON
PHA
SE) c
over
ed th
e fu
rthe
r rol
l out
the
proj
ect w
ith th
e ai
m o
f ach
ievi
ng sy
stem
ic a
nd su
stai
nabl
e ch
ange
s with
in S
VHA
to a
chie
ve th
e pr
ojec
t obj
ectiv
es.
EVAL
UAT
ION
FRA
MEW
ORK
The
Proj
ect E
valu
atio
n Fr
amew
ork
and
Plan
was
dev
elop
ed b
y th
e Pr
ojec
t Eva
luat
or E
rin C
asse
ll, a
mem
ber o
f the
Pro
ject
Wor
king
Par
ty (W
P), i
n co
nsul
tatio
n w
ith
Eliza
beth
(Liz)
Pay
ne, t
he P
roje
ct C
omm
unity
Dev
elop
men
t Wor
ker (
PW).
The
eval
uatio
n w
as c
ondu
cted
pro
gres
sivel
y th
roug
h th
e pr
ojec
t im
plem
enta
tion
perio
d an
d in
depe
nden
tly o
f the
pro
ject
wor
ker.
The
mod
el u
sed
to g
uide
this
eval
uatio
n is
com
mon
ly u
sed
in th
e he
alth
pro
mot
ion
sect
or (H
awe,
Deg
elin
g &
Hal
l, 19
90).
Und
er th
is m
odel
ther
e ar
e th
ree
type
s of
eval
uatio
n –
proc
ess,
impa
ct a
nd o
utco
me.
• Pr
oces
s ev
alua
tion
mea
sure
s th
e ac
tiviti
es o
f the
pro
ject
, pro
ject
qua
lity
and
who
is re
achi
ng, a
nd a
nsw
erin
g th
ese
ques
tions
: (1)
Did
we
do w
hat w
e sa
id
we
wer
e go
ing
to d
o? (2
) Did
we
reac
h th
e ta
rget
gro
up?
(3) W
ere
part
icip
ants
sat
isfie
d w
ith th
e pr
ojec
t? (4
) Wer
e al
l mat
eria
ls an
d co
mpo
nent
s of
the
proj
ect o
f goo
d qu
ality
? •
Impa
ct e
valu
atio
n is
conc
erne
d w
ith im
med
iate
pro
ject
effe
cts a
nd u
sual
ly m
easu
res w
heth
er th
e pr
ojec
t ach
ieve
s its
obj
ectiv
es. I
n re
latio
n to
this
proj
ect
the
ques
tions
to b
e an
swer
ed w
ere:
(1) H
as th
e pr
ojec
t dev
elop
ed th
e sy
stem
s, p
olic
ies
and
prac
tices
to id
entif
y, a
sses
s an
d re
spon
d to
traf
ficke
d pe
ople
(s
peci
fical
ly w
omen
in se
xual
exp
loita
tion,
you
ng p
eopl
e fa
cing
forc
ed m
arria
ge a
nd p
eopl
e w
ho h
ave
expe
rienc
ed fo
rced
labo
ur) w
ho p
rese
nt to
SVH
A fo
r he
alth
car
e, b
ased
on
avai
labl
e be
st p
ract
ice?
; and
(2) H
as th
e pr
ojec
t dev
elop
ed p
olic
ies
and
proc
esse
s, b
ased
on
avai
labl
e be
st p
ract
ice,
to id
entif
y an
d ad
dres
s hum
an tr
affic
king
and
mod
ern
slave
ry is
sues
with
in S
VHA
supp
ly c
hain
s for
serv
ices
and
goo
ds w
ith th
e m
issio
n of
ens
urin
g th
ey a
re sl
aver
y fr
ee?
• O
utco
me
eval
uatio
ns is
con
cern
ed w
ith th
e su
bseq
uent
(lon
g te
rm) p
roje
ct e
ffect
s an
d m
easu
res
whe
ther
the
proj
ect g
oal (
i.e. t
he e
radi
catio
n of
hum
an
traf
ficki
ng/m
oder
n sla
very
) has
bee
n ac
hiev
ed. M
easu
ring
proj
ect o
utco
mes
is o
utsid
e th
e sc
ope
of th
is ev
alua
tion.
Re
fere
nce:
Haw
e P,
Deg
elin
g D,
Hal
l J. E
valu
atin
g He
alth
Pro
mot
ion:
A H
ealth
Wor
ker's
Gui
de. M
acLe
nnan
& P
etty
. Syd
ney
1990
.
Modern Slavery Statement 2020 35
5
SUM
MAR
Y O
F PR
OJE
CT A
CHIE
VEM
ENTS
Phas
e 1
(May
1 2
017
to M
ay 1
201
8)
Actio
n 1:
Con
duct
a li
tera
ture
rev
iew
to
iden
tify
wor
ld's
best
pra
ctic
e on
the
iden
tific
atio
n, a
sses
smen
t an
d re
spon
se t
o tr
affic
ked
pers
ons
who
pre
sent
for
trea
tmen
t in
the
heal
th c
are
sett
ing.
Fully
ach
ieve
d.
• Th
e re
sear
ch li
tera
ture
was
revi
ewed
by
Dr D
oris
Test
a (A
CRAT
H re
pres
enta
tive
on W
P an
d Se
nior
Lec
ture
r, So
cial
Wor
k, V
icto
ria U
nive
rsity
) and
find
ings
w
ere
pres
ente
d to
the
July
201
7 W
P m
eetin
g.
The
full
33pp
revi
ew ti
tled
A re
view
of t
he li
tera
ture
on
iden
tifyi
ng, t
reat
ing
and
supp
ortin
g tr
affic
ked
peop
le in
the
heal
th c
are
syst
em is
ava
ilabl
e fr
om A
CRAT
H (o
ffice
@ac
rath
.org
.au)
or f
rom
the
SVHA
Hum
an tr
affic
king
Pro
ject
Lea
der (
Mob
. 043
7 56
3 26
3).
Ac
tion
2: D
evel
op a
nd c
ondu
ct a
qua
litat
ive
rese
arch
stud
y to
exp
lore
SVH
M st
aff m
embe
rs’ k
now
ledg
e an
d un
ders
tand
ing
of h
uman
traf
ficki
ng a
nd to
iden
tify
thei
r edu
catio
n, tr
aini
ng a
nd s
uppo
rt n
eeds
and
the
syst
ems
chan
ges
requ
ired
to p
rovi
ding
bes
t pra
ctic
e ca
re a
nd s
uppo
rt fo
r tra
ffick
ed p
eopl
e pr
esen
ting
to
SVHA
.
Fully
ach
ieve
d.
• Et
hics
App
rova
l for
the
St V
ince
nt’s
Hos
pita
l Mel
bour
ne (S
VHM
) foc
us g
roup
rese
arch
stud
y gr
ante
d by
SVH
M R
esea
rch
Gove
rnan
ce U
nit o
n 31
July
201
7.
• Si
x fo
cus
grou
ps in
volv
ing
26 S
VHM
hea
lth p
rofe
ssio
nals
(21
soci
al w
orke
rs, 2
nur
ses
and
3 ph
ysio
ther
apist
s) w
ere
cond
ucte
d in
Oct
ober
201
7.
Few
er
nurs
ing
staf
f tha
n an
ticip
ated
wer
e re
crui
ted
into
the
stud
y. D
ata
from
the
stud
y w
ere
anal
ysed
by
Doris
Tes
ta.
• Ke
y th
emes
, fin
ding
s and
reco
mm
enda
tions
from
the
stud
y w
ere
com
mun
icat
ed to
the
WP
by D
oris
Test
a at
the
Febr
uary
and
Apr
il 20
18 W
P m
eetin
gs.
• Th
e fin
ding
s fro
m th
e lit
erat
ure
revi
ew a
nd fo
cus g
roup
stud
y w
ere
used
to d
evel
op th
e ed
ucat
ion
pack
age
for S
VHA
heal
th p
rofe
ssio
nals,
and
to u
nder
pin
the
case
iden
tific
atio
n an
d re
ferr
al p
athw
ay p
olic
y an
d pr
otoc
ol fo
r tra
ffick
ed p
eopl
e se
ekin
g tr
eatm
ent w
ithin
SVH
A. (
See
SVHA
-ACR
ATH
Hum
an T
raffi
ckin
g Fi
nal R
epor
t for
sum
mar
ies.
)
The
findi
ngs o
f the
SVH
M fo
cus g
roup
stud
y, a
utho
red
by D
r Dor
is Te
sta,
was
pub
lishe
d in
a p
eer r
evie
wed
aca
dem
ic jo
urna
l in
2019
: Dor
is Te
sta
(201
9) H
ospi
tal
Heal
th P
rovi
der E
xper
ienc
es o
f Ide
ntify
ing
and
Trea
ting
Traf
ficke
d Pe
rson
s, A
ustr
alia
n So
cial
Wor
k, D
OI:
10.1
080/
0312
407X
.201
8.15
2981
2.
Dr D
oris
Test
a al
so e
dite
d th
e Fe
b/M
arch
201
9 iss
ue o
f Soc
ialD
ialo
gue,
the
free
mag
azin
e of
the
Inte
rnat
iona
l Ass
ocia
tion
of S
choo
ls of
Soc
ial w
ork,
title
d Hu
man
Tr
affic
king
and
Mod
ern
Day
Slav
ery
that
incl
uded
a re
port
on
the
SVHM
focu
s gro
up st
udy:
Dor
is Te
sta.
The
hea
lth n
eeds
of t
raffi
cked
and
ens
lave
d pe
ople
– a
soci
al
resp
onse
(ww
w.s
ocia
ldia
logu
e.on
line)
.
Obj
ectiv
e 1:
To
incr
ease
the
reco
gniti
on a
nd su
ppor
t of v
ictim
s of h
uman
traf
ficki
ng w
ho se
ek h
ealth
car
e w
ithin
SVH
A...
36
6
Actio
n 3:
Dev
elop
the
SVHA
Hum
an T
raffi
ckin
g Ed
ucat
ion
Pack
age
that
incl
udes
a g
uide
and
dra
ft m
odel
trai
ning
ses
sion
on
hum
an tr
affic
king
for S
VHA
nurs
ing
and
allie
d he
alth
sta
ff, a
nd a
refe
rral
pat
hway
for v
ictim
s of
hum
an tr
affic
king
iden
tifie
d in
the
EDs
of S
t Vin
cent
's Ho
spita
ls in
Mel
bour
ne (S
VHM
) and
Syd
ney
(SVH
S)
Part
ly a
chie
ved.
•
The
plan
ned
tria
l of a
staf
f tra
inin
g se
ssio
n w
ithin
the
focu
s gro
up st
udy
was
foun
d no
t to
be fe
asib
le g
iven
the
45-m
inut
e tim
e al
loca
tion
to fo
cus g
roup
s.
• Du
e to
tim
e co
nstr
aint
s, th
e pl
anne
d ac
tion
to “
deve
lop
a gu
ide
and
mod
el tr
aini
ng s
essio
n” w
as re
vise
d in
Aug
ust 2
017
“to
deve
lop
and
deliv
er in
terim
ed
ucat
ion
sess
ions
” fo
r key
clin
ical
and
Soc
ial W
ork
staf
f at S
t Vin
cent
’s H
ealth
Mel
bour
ne (S
VHM
) and
Syd
ney
(SVH
S).
• Sc
hedu
ling
diffi
culti
es d
elay
ed th
e de
liver
y of
pla
nned
sta
ff ed
ucat
ion
sess
ions
at S
VHM
and
SVH
S (in
volv
ing
ED A
lert
Tea
m n
urse
s, m
enta
l hea
lth w
orke
rs
and
soci
al w
orke
rs) t
o Ph
ase
2.
• A
draf
t int
erna
l and
ext
erna
l ref
erra
l pat
hway
for v
ictim
s of h
uman
traf
ficki
ng w
as d
evel
oped
and
com
men
ts o
n th
e pa
thw
ay w
ere/
will
be
soug
ht fr
om st
aff
atte
ndin
g th
e in
terim
edu
catio
n se
ssio
ns.
Actio
n 4:
Dev
elop
a p
lan
for P
hase
2 o
f the
pro
ject
bas
ed o
n le
arni
ng a
nd re
com
men
datio
ns fr
om P
hase
1.
Not
ach
ieve
d •
An e
xten
ded
Wor
king
Par
ty M
eetin
g w
as p
lann
ed fo
r Jun
e 15
, 201
8 to
com
men
ce p
lann
ing
for P
hase
2.
Phas
e 2
(May
1, 2
018
to Ju
ne 3
0, 2
019)
Actio
n 1:
Con
tinue
to d
evel
op th
e SV
HA H
uman
Tra
ffick
ing
Staf
f Edu
catio
n Pa
ckag
e.
(a) T
rial a
nd re
fine
the
educ
atio
n se
ssio
n to
be
incl
uded
in th
e Ed
ucat
ion
Gui
de.
Fully
ach
ieve
d •
The
mod
el H
uman
Tra
ffick
ing
educ
atio
n se
ssio
n w
as tr
ialle
d at
SVH
M a
nd S
VHS
in Ju
ne a
nd S
epte
mbe
r 201
8. I
n to
tal,
53 st
aff (
ED A
lert
Tea
m n
urse
s, m
enta
l he
alth
wor
kers
and
soci
al w
orke
rs) a
tten
ded
the
sess
ions
and
gav
e fe
edba
ck.
• Th
e ed
ucat
ion
sess
ion
was
the
n fu
rthe
r de
velo
ped
and
tria
lled
at t
he S
VHM
STA
R (S
uppo
rt T
eam
Act
ion
Resp
onse
) Pr
ofes
siona
l Dev
elop
men
t Tr
aini
ng
Mor
ning
att
ende
d by
25
nurs
es a
nd so
cial
wor
kers
on
Mar
ch 2
1, 2
019.
(b) F
urth
er d
evel
op th
e Ed
ucat
ion
Gui
de c
onsi
stin
g of
: (i)
a ha
rd c
opy
vers
ion
for u
se b
y SV
HA H
uman
Tra
ffick
ing
Clin
ical
Cha
mpi
ons
and
Lear
ning
Dev
elop
men
t Le
ader
s (L
DL) a
t SVH
A si
tes
(to
equi
p ch
ampi
ons
to d
irect
ly d
eliv
er a
n on
goin
g pr
ogra
m o
f 45-
min
ute
educ
atio
n an
d tr
aini
ng s
essi
ons
to fr
ontli
ne E
D st
aff,
soci
al w
orke
rs, l
eade
rshi
p te
am m
embe
rs a
nd o
ther
inte
rest
ed s
taff)
; and
(ii)
an o
n-lin
e tr
aini
ng m
odul
e fo
r tra
inin
g nu
rses
, oth
er c
linic
al a
nd a
llied
hea
lth
staf
f.
Mos
tly a
chie
ved.
Modern Slavery Statement 2020 37
7
• Th
e ha
rd c
opy
Guid
e an
d ac
com
pany
ing
USB
cov
er th
e ed
ucat
ion
sess
ions
for S
VHA
Hum
an T
raffi
ckin
g Cl
inic
al C
ham
pion
s and
oth
er k
ey S
VHA
staf
f and
the
USB
incl
udes
a P
ower
Poin
t pre
sent
atio
n; b
oth
can
be a
dapt
ed a
nd u
sed
by C
ham
pion
s whe
n ed
ucat
ing
fron
tline
staf
f.
• Th
e on
-line
staf
f tra
inin
g m
odul
e w
as n
ot d
evel
oped
. Ap
prov
al w
as g
iven
at t
he M
ay 2
019
Wor
king
Par
ty m
eetin
g fo
r SVH
A st
aff (
nurs
es a
nd o
ther
clin
ical
st
aff,
soci
al w
orke
rs a
nd a
llied
hea
lth w
orke
rs) t
o ac
cess
Ant
i-Sla
very
Aus
tral
ia’s
(ASA
’s) e
-Lea
rnin
g co
urse
via
hyp
erlin
k (a
vaila
ble
from
June
22,
201
9).
• Th
e iss
ue o
f for
ced
mar
riage
was
inco
rpor
ated
into
SVH
A’s F
amily
and
Dom
estic
Vio
lenc
e St
aff E
duca
tion
mod
ules
.
(c) R
ecru
it an
d tr
ain
a te
am o
f Hum
an T
raffi
ckin
g Cl
inic
al C
ham
pion
s (le
ad fa
cilit
ator
s) t
hat
cove
r al
l 36
SVHA
site
s: (i
) Dev
elop
and
impl
emen
t a
proc
ess
for
recr
uitin
g cl
inic
al c
ham
pion
s; a
nd (i
i) Re
crui
t and
trai
n cl
inic
al c
ham
pion
s.
Not
ach
ieve
d.
• A
num
ber
of d
iffer
ent
prop
osal
s w
ere
disc
usse
d ov
er t
he c
ours
e of
the
pro
ject
. A
deta
iled
plan
and
pro
toco
l for
rec
ruiti
ng H
uman
Tra
ffick
ing
Clin
ical
Ch
ampi
ons
(cov
erin
g th
e re
crui
tmen
t pr
oces
s an
d th
eir
lead
ersh
ip r
ole)
was
dev
elop
ed b
y Sa
man
tha
Corr
ie (I
nclu
sive
Heal
th P
roje
ct O
ffice
r, SV
HA; W
P m
embe
r) a
nd d
iscus
sed
at th
e M
ay 2
019
Wor
king
Par
ty m
eetin
g. T
he p
ropo
sed
broa
der r
ole
for s
ite o
r clu
ster
Clin
ical
Cha
mpi
ons t
o co
ver o
ther
vul
nera
ble
grou
ps in
add
ition
to H
uman
Tra
ffick
ing
vict
ims w
as re
gard
ed a
s too
one
rous
, giv
en th
at th
e ro
le is
vol
unta
ry.
Sam
anth
a Co
rrie
und
erto
ok to
revi
se th
e pl
an
and
SVHA
now
aim
s to
have
spec
ific
Hum
an T
raffi
ckin
g Cl
inic
al C
ham
pion
s in
plac
e by
Dec
embe
r 201
9.
Actio
n 2:
Dev
elop
SVH
A’s
Hum
an T
raffi
ckin
g Po
licy
docu
men
t th
at c
over
s pr
otoc
ols
and
proc
edur
es (i
nclu
ding
the
ref
erra
l pat
hway
for
pot
entia
l/co
nfirm
ed
vict
ims o
f hum
an tr
affic
king
iden
tifie
d by
clin
ical
and
soci
al w
ork
staf
f) to
supp
ort s
taff
enga
gem
ent i
n sp
ecifi
ed a
ctio
ns to
redu
ce h
uman
traf
ficki
ng.
Part
ly a
chie
ved.
•
Lisa
Bra
ddy
(Man
ager
, Soc
ial W
ork,
SVH
M a
nd W
P m
embe
r), s
uppo
rted
by
the
Proj
ect W
orke
r, un
dert
ook
to d
evel
op th
e SV
HM H
uman
Tra
ffick
ing
Polic
y do
cum
ent w
ith th
e ai
m o
f usin
g th
is as
a te
mpl
ate
for S
VHA’
s po
licy.
As
repo
rted
to th
e Ap
ril 2
019
Wor
king
Par
ty m
eetin
g, o
n th
e ad
vice
of L
isa B
radd
y,
SVHA
dec
ided
to s
low
the
deve
lopm
ent o
f the
SVH
M fu
ll po
licy
docu
men
t exc
ept f
or th
e ‘C
ase
iden
tific
atio
n, e
scal
atio
n an
d re
ferr
al p
athw
ay’ s
ectio
n. A
“w
ork-
in-p
rogr
ess”
dra
ft o
f the
full
polic
y w
as ta
bled
at t
he Ju
ne 2
019
Wor
king
Par
ty m
eetin
g an
d w
ill b
e fu
rthe
r dev
elop
ed b
y SV
HM/S
VHA
over
the
next
12
mon
ths.
•
Lisa
Bra
ddy
conv
ened
a s
mal
l gro
up o
f SVH
M s
ocia
l wor
kers
to a
ssist
the
deve
lopm
ent o
f the
Clin
icia
ns’ G
uide
cov
erin
g th
e ca
se id
entif
icat
ion,
esc
alat
ion
and
refe
rral
pat
hway
s pro
cess
(to
be in
clud
ed in
the
Educ
atio
n Gu
ide)
. Th
e in
itial
dra
ft w
as p
rese
nted
to th
e M
ay 2
019
Wor
king
Par
ty m
eetin
g an
d th
e fin
al
draf
t (tit
led
SVHM
Clin
ical
Pat
hway
– R
espo
ndin
g to
Vic
tims o
f Hum
an T
raffi
ckin
g) to
the
June
201
9 W
orki
ng P
arty
mee
ting,
to b
e fin
alise
d by
mid
-July
201
9.
• At
the
May
201
9 W
orki
ng P
arty
mee
ting,
Lisa
Bra
ddy
repo
rted
that
SVH
A’s
Fam
ily a
nd D
omes
tic V
iole
nce
Polic
y ha
d be
en re
vise
d to
incl
ude
the
issue
of
forc
ed m
arria
ge.
38
8
Actio
n 3:
Rol
lout
the
SVHA
Hum
an T
raffi
ckin
g st
aff e
duca
tion
and
trai
ning
pro
gram
.
(a) C
ondu
ct “
trai
n th
e tr
aine
r” e
duca
tion
sess
ions
for p
roje
ct ch
ampi
ons a
nd L
earn
ing
and
Deve
lopm
ent L
eade
rs to
equ
ip th
em to
offe
r tra
inin
g to
nur
sing
, soc
ial
wor
k, a
llied
hea
lth a
nd o
ther
inte
rest
ed st
aff a
cros
s SVH
A si
tes.
Not
ach
ieve
d.
• Im
plem
enta
tion
of tr
aini
ng n
eces
saril
y po
stpo
ned
until
the
Hum
an T
raffi
ckin
g Cl
inic
al C
ham
pion
s are
recr
uite
d (a
ntic
ipat
ed to
occ
ur b
y De
cem
ber 2
019)
.
(b) S
VHA
to d
evel
op a
sust
aina
ble
plan
for t
he o
ngoi
ng e
duca
tion
and
trai
ning
of s
ite c
ham
pion
s, fr
ont-
line
ED c
linic
al st
aff a
nd so
cial
wor
kers
.
Not
ach
ieve
d.
• Pl
an w
ill b
e de
velo
ped
by S
VHA
in c
onsu
ltatio
n w
ith C
linic
al C
ham
pion
s whe
n ap
poin
ted.
Phas
e 1
(May
1 2
017
to M
ay 1
201
8)
Actio
n 1:
Rai
se a
war
enes
s of
the
issu
e of
hum
an tr
affic
king
/sla
very
in h
ospi
tal a
nd h
ealth
car
e su
pply
cha
ins
with
in th
e SV
HA G
roup
Pro
cure
men
t Tea
m …
and
cr
eate
pro
ject
buy
-in fr
om th
e m
anag
er a
nd k
ey st
aff.
Fully
ach
ieve
d.
• Th
e SV
HA G
roup
Pro
cure
men
t M
anag
ers
(Cra
ig D
oyle
to
June
201
7 an
d Je
ff W
estb
rook
fro
m J
uly
2017
) w
ere
brie
fed
and
join
ed t
he W
P.
Grou
p Pr
ocur
emen
t’s S
enio
r Pro
cure
men
t Tea
m S
peci
alist
(Gen
evie
ve A
lexa
nder
) joi
ned
the
WP
in A
pril
2018
.
Actio
n 2:
Inve
stig
ate
the
rang
e of
goo
ds a
nd se
rvic
es p
urch
ased
by
SVHA
Gro
up P
rocu
rem
ent t
o id
entif
y th
e su
pplie
rs/g
oods
and
serv
ices
mos
t at r
isk
of h
uman
tr
affic
king
/sla
very
. Fu
lly a
chie
ved.
•
Scop
ing
of t
he S
VHA
Grou
p Pr
ocur
emen
t’s v
endo
r su
pply
list
sho
wed
the
re w
ere
1000
sup
plie
rs o
f cl
inic
al g
oods
and
ser
vice
s –
the
top
50 s
uppl
iers
ac
coun
ted
for 7
5% o
f the
tota
l SVH
A Gr
oup
Proc
urem
ent s
pend
on
clin
ical
goo
ds a
nd se
rvic
es ($
373.
8m/$
500m
).
Obj
ectiv
e 2:
To
expl
ore
and
deve
lop
a pl
an to
add
ress
hum
an sl
aver
y is
sues
with
in S
VHA’
s sup
ply
chai
n fo
r goo
d an
d se
rvic
es...
Modern Slavery Statement 2020 39
9
• Th
e siz
e an
d co
mpl
exity
of S
VHA'
s su
pply
cha
in le
d SV
HA G
roup
Pro
cure
men
t to
con
sider
out
sour
cing
the
sup
ply
chai
n ris
k as
sess
men
t of
maj
or S
VHA
supp
liers
to a
spec
ialis
t ser
vice
with
exp
ertis
e in
this
area
. •
Afte
r the
failu
re o
f a tr
ial o
f sup
plie
r risk
self-
asse
ssm
ent (
see
belo
w),
the
SVHA
Exe
cutiv
e Le
ader
ship
Tea
m (E
LT) a
ppro
ved
that
Gro
up P
rocu
rem
ent e
ngag
e M
ills O
akle
y Le
gal t
o un
dert
ake
risk
asse
ssm
ent o
f SVH
A's t
op 5
0 su
pplie
rs a
nd d
evel
op to
ols t
o im
prov
e th
e fu
ture
cap
acity
of G
roup
Pro
cure
men
t to
audi
t an
d re
med
iate
SVH
A’s s
lave
ry in
supp
ly c
hain
issu
es.
Actio
n 3:
Tak
e st
eps
to d
evel
op a
SVH
A Co
de o
f Con
duct
or e
quiv
alen
t sta
tem
ent o
f com
mitm
ent t
o ef
fect
ivel
y ad
dres
s th
e ris
k of
sla
very
in s
uppl
y ch
ains
of
com
pani
es p
rovi
ding
goo
ds a
nd se
rvic
es to
SVH
A th
roug
h G
roup
Pro
cure
men
t...
Part
ly a
chie
ved.
•
SVHA
’s c
omm
itmen
t to
the
erad
icat
ion
of m
oder
n sla
very
was
spec
ifica
lly in
clud
ed a
mon
g th
e ob
ject
ives
of S
VHA'
s Pro
cure
men
t Pol
icy
in O
ctob
er 2
017.
• Gr
oup
Proc
urem
ent's
Ten
der C
ondi
tions
doc
umen
t was
revi
sed
to in
clud
e: a
sta
tem
ent o
f SVH
A's
com
mitm
ent t
o w
ork
with
sup
plie
rs, b
usin
ess
part
ners
an
d go
vern
men
ts to
era
dica
te m
oder
n sla
very
in a
ll its
form
s; a
requ
irem
ent t
hat s
uppl
iers
and
bus
ines
s par
tner
s sel
f-as
sess
the
effe
ctiv
enes
s of t
heir
polic
y an
d pr
actic
es o
n sla
very
and
hum
an tr
affic
king
usin
g a
supp
lied
ques
tionn
aire
; and
a st
atem
ent t
hat,
whe
n te
nder
s are
eva
luat
ed, p
refe
renc
e w
ill b
e gi
ven
by S
VHA
to su
pplie
rs w
ho d
emon
stra
te o
ngoi
ng c
omm
itmen
t to
erad
icat
e sla
very
from
thei
r sup
ply
chai
ns.
• Th
e ne
w te
nder
cond
ition
s doc
umen
t inc
ludi
ng th
e qu
estio
nnai
re w
as tr
ialle
d w
hen
the
tend
er fo
r foo
dstu
ffs w
as a
dver
tised
by
Grou
p Pr
ocur
emen
t in
2017
. Re
spon
ses f
rom
supp
liers
wer
e of
poo
r qua
lity
and
indi
cate
d th
at n
one
had
take
n st
eps t
o au
dit t
heir
oper
atio
ns o
r the
ir su
pply
chai
ns fo
r sla
very
and
hum
an
traf
ficki
ng.
• Th
e fa
ilure
of t
he se
lf-as
sess
men
t pro
cess
resu
lted
in G
roup
Pro
cure
men
t gai
ning
app
rova
l fro
m S
VHA’
s ELT
to c
ontr
act M
ills O
akle
y to
inde
pend
ently
aud
it SV
HA's
top
50 su
pplie
rs.
Actio
n 4:
Tak
e st
eps
to d
evel
op a
‘Com
mun
icat
ion
Fram
ewor
k’ to
com
mun
icat
e SV
HA’s
eng
agem
ent i
n de
velo
ping
sla
very
free
sup
ply
chai
ns to
sup
plie
rs a
nd
othe
r sta
keho
lder
s and
exp
ecte
d de
liver
able
s (ba
sed
on ‘b
est p
ract
ice’
dra
ft p
rovi
ded)
.
Not
ach
ieve
d.
• Th
e re
visio
ns in
sert
ed in
SVH
A Gr
oup
Proc
urem
ent P
olic
y an
d Te
nder
Con
ditio
ns d
ocum
ents
wer
e fir
st s
teps
in c
omm
unic
atin
g SV
HA’s
sla
very
-free
sup
ply
chai
n po
licy
to p
oten
tial s
uppl
iers
. Ac
tion
5: D
evel
op a
‘SVH
A pr
ocur
emen
t Act
ion
Plan
201
8-20
23’ t
o m
inim
ise
the
risk
of S
VHA
supp
ly c
hain
s bei
ng ta
inte
d by
traf
ficki
ng/s
lave
ry.
Not
ach
ieve
d.
• N
o lo
nger
term
act
ion
plan
was
dev
elop
ed. A
n ex
tend
ed W
P m
eetin
g w
as p
lann
ed fo
r Jun
e 15
, 201
8 to
exp
lore
the
obje
ctiv
es a
nd a
ctio
ns to
be
unde
rtak
en
in P
hase
2 o
f the
pro
ject
.
40
10
Phas
e 2
(May
1 2
018
to Ju
ne 3
0 20
19)
Actio
n 1.
SD
Stra
tegi
es (s
peci
alis
t hum
an ri
ghts
con
sulta
nts s
ub-c
ontr
acte
d by
Mill
s Oak
ley)
to b
e co
mm
issi
oned
to re
view
the
top
50 S
VHA
supp
liers
iden
tifie
d in
Pha
se 1
to a
sses
s the
risk
of h
uman
traf
ficki
ng (m
oder
n sl
aver
y) in
thei
r ext
ende
d su
pply
cha
ins a
nd th
e ad
equa
cy o
f the
ir in
tern
al p
olic
ies,
pro
cedu
res a
nd
proc
esse
s to
iden
tify
and
amel
iora
te th
ese
risks
.
(a) S
D St
rate
gies
in c
onsu
ltatio
n w
ith S
VHA
Proc
urem
ent t
o de
velo
p an
on-
line
supp
ly c
hain
mod
ern
slav
ery
risk
asse
ssm
ent t
ool (
a su
pplie
r sel
f-ass
essm
ent
ques
tionn
aire
) and
acc
ompa
nyin
g vi
deo
expl
aine
r and
FAQ
s pag
e.
Fully
ach
ieve
d.
• Su
pply
cha
in q
uest
ionn
aire
, vid
eo e
xpla
iner
and
FAQ
s pag
e ci
rcul
ated
by
emai
l to
Wor
king
Par
ty m
embe
rs o
n 24
July
201
8 an
d di
scus
sed
at 2
5 Ju
ly 2
018
Wor
king
Par
ty m
eetin
g.
• Ta
rget
ed su
pplie
rs n
otifi
ed o
f sur
vey
and
proc
edur
e by
SVH
A Pr
ocur
emen
t Man
ager
on
Augu
st 2
1, 2
018
(b
) SD
Stra
tegi
es to
con
duct
the
desk
top
risk
asse
ssm
ent o
f the
top
50 S
VHA
supp
liers
(“Ti
er 1
supp
liers
”), s
elec
ted
on th
e ba
sis o
f SVH
A’s s
pend
(n=4
6) o
r SV
HA’s
ass
essm
ent t
hat t
he su
pplie
r was
at p
oten
tially
hig
h ris
k of
exp
osur
e to
mod
ern
slav
ery
in th
eir s
uppl
y ch
ain
(n=4
).
Fully
ach
ieve
d.
• Q
uest
ionn
aire
was
upl
oade
d on
SD
Stra
tegi
es w
ebsit
e on
Aug
ust 2
2, 2
018
as p
lann
ed.
Due
to p
oor r
espo
nse,
the
clos
ing
date
was
ext
ende
d tw
ice
(from
Se
pt 1
2 to
Sep
t 24
then
Oct
19)
. Rem
inde
rs se
nt to
supp
liers
on
Sept
5 a
nd 1
2 an
d O
ct 9
. •
Fina
l par
ticip
atio
n ra
te: 6
2% (3
1/50
targ
eted
supp
liers
) [42
% (2
1/50
) res
pond
ed in
full;
20%
(10/
50) r
espo
nded
in p
art;
38%
(19/
50) d
id n
ot re
spon
d]
(c
) SD
Stra
tegi
es to
col
late
and
ana
lyse
resp
onde
nts’
dat
a, a
sses
s sup
plie
rs o
n th
e ris
k of
mod
ern
slav
ery
in th
eir s
uppl
y ch
ains
and
pro
vide
SVH
A Pr
ocur
emen
t w
ith: (
i) a
sum
mar
y re
port
of t
he o
utco
mes
of t
he re
view
and
a ri
sk a
sses
smen
t for
eac
h pa
rtic
ipat
ing
supp
lier i
nclu
ding
reco
mm
enda
tions
for f
utur
e ac
tion;
an
d (ii
) a ta
ilore
d fe
edba
ck re
port
for e
ach
part
icip
atin
g su
pplie
r tha
t inc
lude
s the
ir ris
k as
sess
men
t and
reco
mm
enda
tions
for i
mpr
ovem
ent.
Fully
ach
ieve
d.
• Da
ta fr
om fu
ll re
spon
dent
s (21
supp
liers
) wer
e an
alys
ed a
nd S
D St
rate
gies
subm
itted
thei
r Sup
ply
Chai
n As
sess
men
t Rep
ort t
o SV
HA o
n De
c 11
, 201
8 w
hich
w
as c
ircul
ated
to th
e W
P.
SVHA
Mod
ern
Slav
ery
Supp
ly C
hain
Ass
essm
ent:
Som
e ke
y fin
ding
s (n=
21 su
pplie
rs)
- Mos
t sup
plie
rs w
ere
Aust
ralia
n su
bsid
iarie
s of g
loba
l com
pani
es a
nd so
urce
d pr
oduc
ts fr
om h
igh
risk
coun
trie
s/re
gion
s for
hum
an tr
affic
king
- S
ubsid
iary
com
pani
es m
ostly
refe
rred
to c
orpo
rate
(glo
bal)
polic
ies a
nd p
rese
nted
no
evid
ence
that
thes
e w
ere
tailo
red
to th
eir A
ustr
alia
n op
erat
ions
Modern Slavery Statement 2020 41
11
or im
plem
ente
d lo
cally
- L
ess t
han
20%
of s
uppl
iers
had
map
ped
thei
r sup
ply
chai
n - A
roun
d 40
% o
f sup
plie
rs d
id n
ot a
ddre
ss, m
onito
r or e
valu
ate
mod
ern
slave
ry ri
sk in
thei
r sup
ply
chai
ns
- Les
s tha
n 25
% o
f sup
plie
rs im
plem
ente
d co
rrec
tive
actio
n - N
o su
pplie
r was
rank
ed a
s hav
ing
low
risk
of m
oder
n sla
very
in it
s sup
ply
chai
n; 1
2 w
ere
rank
ed a
s med
ium
risk
; and
9 a
s hig
h ris
k
(d) S
VHA
Gro
up P
rocu
rem
ent M
anag
er a
nd G
roup
Mis
sion
Lea
der t
o pr
esen
t the
Sup
ply
Chai
n As
sess
men
t Sum
mar
y Re
port
to S
VHA
Exec
utiv
e Le
ader
ship
Te
am (E
LT) a
nd B
oard
for i
nfor
mat
ion
and
appr
oval
to d
isse
min
ate
feed
back
to su
pplie
rs.
Fully
ach
ieve
d.
• Th
e Su
pply
Cha
in A
sses
smen
t Sum
mar
y Re
port
was
pre
sent
ed to
SVH
A EL
T an
d Bo
ard.
The
repo
rt b
y SD
Str
ateg
ies t
itled
Sup
ply
Chai
n As
sess
men
t Und
erta
ken
for S
t Vin
cent
’s H
ealth
Aus
tral
ia: S
umm
ary
Repo
rt is
ava
ilabl
e on
app
licat
ion
to M
anag
er,
Grou
p Pr
ocur
emen
t, SV
HA (j
effe
ry.w
estb
rook
@sv
ha.o
rg.a
u).
(e) I
ndiv
idua
lised
feed
back
repo
rts
(pre
pare
d by
SD
Stra
tegi
es) t
o be
dis
sem
inat
ed to
par
ticip
atin
g su
pplie
rs (f
ull r
espo
nden
ts) i
nclu
ding
a re
ques
t for
a
resp
onse
to th
eir a
sses
smen
t.
Not
ach
ieve
d.
• Di
ssem
inat
ion
of in
divi
dual
ised
feed
-bac
k re
port
s to
supp
liers
was
del
ayed
unt
il th
e ne
xt st
eps i
n SV
HA’s
supp
lier r
isk a
sses
smen
t pro
cess
are
det
erm
ined
by
SVH
A Gr
oup
Proc
urem
ent.
Ac
tion
2. E
ncou
rage
and
supp
ort a
ll m
embe
rs o
f Cat
holic
Hea
lth A
ustr
alia
(CHA
) to
part
ner w
ith S
VHA
and
ACRA
TH to
iden
tify
and
addr
ess h
uman
traf
ficki
ng
and
mod
ern
slav
ery
in th
eir s
uppl
y ch
ains
(as m
any
of S
VHA’
s maj
or su
pplie
rs a
lso
supp
ly to
oth
er C
HA m
embe
rs).
Part
ly a
chie
ved,
no
form
al p
artn
ersh
ips d
evel
oped
. •
Pres
enta
tions
mad
e to
con
fere
nces
and
sem
inar
s: C
atho
lic H
ealth
Aus
tral
ia (C
HA) C
onfe
renc
e, A
ugus
t 29,
201
8 (C
hrist
ine
Caro
lan,
ACR
ATH
& L
isa
McD
onal
d, S
VHA,
Bak
hita
Day
Eth
ical
Sou
rcin
g Se
min
ar p
anel
list,
Feb
8, 2
019
(Jeffr
ey W
estb
rook
, SVH
A)
• SV
HA-A
CRAT
H Hu
man
Tra
ffick
ing
Proj
ect W
orki
ng P
arty
Ope
n M
eetin
g he
ld in
Nov
embe
r 201
8 at
tend
ed b
y re
pres
enta
tives
from
CHA
, Mer
cy F
ound
atio
n,
Cabr
ini H
ealth
, Mat
er H
ospi
tal,
St Jo
hn o
f God
Hea
lth C
are,
Cal
vary
Hea
lth C
are,
Vill
a M
aria
Hom
es
• SV
HA M
anag
er, G
roup
Pro
cure
men
t dist
ribut
ed S
VHA
Supp
ly C
hain
Ass
essm
ent S
umm
ary
Repo
rt to
mem
bers
of t
he C
atho
lic N
egot
iatin
g Al
lianc
e (C
NA)
, a
netw
ork
of 9
Cat
holic
hos
pita
l and
age
d ca
re p
rovi
ders
•
Num
erou
s eng
agem
ents
bet
wee
n SV
HA M
anag
er, G
roup
Pro
cure
men
t and
cou
nter
part
s in
othe
r Cat
holic
hea
lth c
are
prov
ider
org
anisa
tions
and
Uni
ting
Heal
th
• Pr
esen
tatio
n by
ACR
ATH
EO (C
hrist
ine
Caro
lan)
to: M
ercy
Gov
erna
nce
CEO
and
Boa
rd c
hairs
(Mar
ch 1
8, 2
019)
; Mer
cy H
ealth
Boa
rd (M
ay 7
, 201
9); a
nd
42
12
CHA
Lead
ersh
ip R
etre
at
• Jo
int p
rese
ntat
ion
by S
VHA
(Sam
anth
a Co
rrie
) and
ACR
ATH
(Chr
istin
e Ca
rola
n an
d No
elen
e Si
mm
ons)
to C
atho
lic M
issio
n Co
nfer
ence
(May
15,
201
9)
Actio
n 3.
Pro
gres
s the
dev
elop
men
t of a
long
er-t
erm
act
ion
plan
that
cov
ers S
VHA’
s maj
or a
nd m
inor
supp
liers
of s
ervi
ces a
nd g
oods
.
Not
ach
ieve
d.
• SV
HA’s
Pro
cure
men
t Man
ager
repo
rted
to th
e Ap
ril 2
019
WP
mee
ting
that
SVH
A is
tryi
ng to
find
a b
ody
(suc
h as
CHA
or C
NA)
to sp
onso
r joi
nt a
ctio
n by
all
Cath
olic
hea
lthca
re p
rovi
ders
to a
ddre
ss m
oder
n sla
very
in th
eir s
uppl
y ch
ains
.
[SVH
A fa
vour
s joi
nt a
ctio
n as
the
othe
r Cat
holic
(and
priv
ate)
hea
lthca
re p
rovi
ders
use
the
sam
e m
ajor
supp
liers
as S
VHA
and,
like
SVH
A, th
ey w
ill n
ow b
e re
quire
d to
repo
rt a
nnua
lly to
the
Com
mon
wea
lth g
over
nmen
t set
ting
out t
heir
actio
ns to
ass
ess a
nd a
ddre
ss m
oder
n sla
very
risk
s in
thei
r ope
ratio
ns a
nd
supp
ly c
hain
s und
er th
e pr
ovisi
ons o
f Aus
tral
ia’s
Mod
ern
Slav
ery
Act,
2018
. Jo
int a
ctio
n w
ould
bot
h pu
t mor
e pr
essu
re o
n su
pplie
rs to
add
ress
mod
ern
slave
ry a
nd, c
onve
rsel
y, re
duce
thei
r rep
ortin
g bu
rden
.]
Phas
e 2
only
Actio
n: D
evel
op a
nd im
plem
ent a
com
mun
icat
ions
pla
n to
add
key
Hum
an T
raffi
ckin
g ca
mpa
igns
/iss
ues,
rele
vant
dat
e/s a
nd re
com
men
ded
com
mun
ity
actio
ns/a
ctiv
ities
to th
e 20
19 S
VHA
mis
sion
cal
enda
r to
rais
e aw
aren
ess o
f Hum
an T
raffi
ckin
g am
ong
the
broa
der S
VHA
com
mun
ity.
(a) F
orm
a W
orki
ng G
roup
to d
evel
op a
nd im
plem
ent t
he c
omm
unic
atio
ns p
lan.
Part
ly a
chie
ved.
•
A W
orki
ng G
roup
com
prisi
ng L
iz Pa
ine
and
Daisy
Sar
gean
t 201
8/Sa
man
tha
Corr
ie 2
019
(liai
sing
with
SVH
A Co
mm
unic
atio
n Te
ams)
initi
ally
met
in
Sept
embe
r 201
8.
(b
) Sel
ect a
t lea
st th
ree
of th
e is
sues
/cam
paig
ns, k
ey d
ates
and
reco
mm
ende
d co
mm
unity
act
ions
from
the
exis
ting
list d
evel
oped
in A
ustr
alia
and
in
tern
atio
nally
(sup
plie
d by
ACR
ATH)
and
incl
ude
thes
e on
the
2019
SVH
A M
issi
on c
alen
dar.
Mos
tly a
chie
ved.
•
ACRA
TH H
uman
Tra
ffick
ing
Cale
ndar
201
9 di
strib
uted
to a
ll SV
HA M
issio
n Le
ader
s on
Feb
26, 2
019.
•
Full
impl
emen
tatio
n of
act
iviti
es d
elay
ed u
ntil
2019
/20.
Sel
ecte
d iss
ues/
cam
paig
ns a
re to
be
adde
d in
to S
VHA
faci
lity
cale
ndar
s thr
ough
neg
otia
tion
by
SVHA
Hum
an T
raffi
ckin
g Ch
ampi
ons w
hen
recr
uite
d. T
he fo
llow
ing
date
s are
like
ly to
be
targ
eted
thro
ugho
ut th
e ye
ar: B
akhi
ta D
ay o
f Pra
yer (
Febr
uary
8);
Slav
ery
Free
Eas
ter C
hoco
late
Cam
paig
n (F
ebru
ary
to E
aste
r Sun
day)
; Wor
ld H
uman
Tra
ffick
ing
Day
(July
30)
; and
16
Days
of A
ctiv
ism (N
ovem
ber)
.
Obj
ectiv
e 3:
Inco
rpor
ate
the
follo
win
g in
to S
VHA
com
mun
icat
ions
and
oth
er su
itabl
e ac
tiviti
es: a
war
enes
s rai
sing
, pra
yer a
nd a
ppro
pria
te a
ctio
n, a
nd
reco
gniti
on o
f the
Hum
an T
raffi
ckin
g Pr
ojec
t
Modern Slavery Statement 2020 43
13
• A
list o
f ide
as fo
r aw
aren
ess r
aisin
g st
rate
gies
was
incl
uded
in th
e Ed
ucat
ion
Guid
e fo
r use
by
Clin
ical
Cha
mpi
ons (
whe
n ap
poin
ted)
to p
rom
ote
actio
n on
se
lect
ed is
sues
/cam
paig
ns a
t eac
h SV
HA si
te in
202
0.
(c) D
evel
op m
edia
ale
rts t
o co
mm
unic
ate
date
s, is
sues
/cam
paig
ns a
nd re
com
men
ded
actio
ns to
the
broa
der S
VHA
com
mun
ity.
Mos
tly a
chie
ved.
•
Med
ia a
lert
s on
hum
an tr
affic
king
issu
es/c
ampa
igns
pre
pare
d an
d di
ssem
inat
ed to
SVH
A co
mm
unity
via
Miss
ion
Lead
ers &
Com
mun
icatio
n (C
omm
s) T
eam
s on
Jan
31, 2
019
for S
t Bak
hita
’s D
ay (F
eb 8
) and
Apr
il 15
, 201
9 fo
r Eas
ter M
essa
ge. T
he S
t Bak
hita
’s D
ay S
lides
how
, hig
hlig
htin
g th
e iss
ue o
f hum
an tr
affic
king
an
d th
e SV
HA-A
CRAT
H Hu
man
Tra
ffick
ing
Proj
ect,
was
sho
wn
on s
hare
d sc
reen
s th
roug
hout
St V
ince
nt’s
Priv
ate
Hosp
itals
and
the
SVHA
Miss
ion
Lead
er’s
m
essa
ge to
all
staf
f at E
aste
r urg
ed th
em to
pur
chas
e et
hica
lly s
ourc
ed (s
lave
ry fr
ee) c
hoco
late
egg
s. T
he o
ther
two
even
t dat
es fa
ll ou
tsid
e th
e pr
ojec
t’s
time
fram
e.
(d) P
rogr
essi
vely
mon
itor t
he e
ffect
iven
ess o
f the
com
mun
icat
ion
stra
tegy
on
each
sele
cted
issu
e/ca
mpa
ign
with
the
aim
of i
mpr
ovin
g th
eir u
ptak
e an
d re
ach
and
incr
easi
ng a
war
enes
s of h
uman
traf
ficki
ng is
sues
with
in S
VHA
over
201
9.
Part
ly a
chie
ved.
•
Prog
ress
repo
rts o
n th
e tw
o aw
aren
ess r
aisin
g ac
tiviti
es u
nder
take
n by
SVH
A w
ithin
Pha
se 2
tim
e pe
riod
pres
ente
d to
Wor
king
Par
ty a
t the
ir Ap
ril a
nd M
ay
2019
mee
tings
. No
info
rmat
ion
incl
uded
in th
e re
port
s on
the
upta
ke a
nd re
ach
of a
ctiv
ities
at S
VHA
sites
.
44
14
SVH
A-AC
RATH
HU
MAN
TRA
FFIC
KIN
G P
ROJE
CT E
VALU
ATIO
N R
EPO
RT 2
019
PHAS
E 1
May
1, 2
017
to M
ay 1
, 201
8: P
REPA
RATO
RY P
HAS
E O
bjec
tive
1. T
o in
crea
se th
e re
cogn
ition
and
supp
ort o
f vic
tims o
f hum
an tr
affic
king
who
seek
hea
lth c
are
with
in S
VHA
incl
udin
g w
omen
in se
xual
ex
ploi
tatio
n, p
eopl
e fa
cing
forc
ed m
arria
ge a
nd p
eopl
e w
ho h
ave
expe
rienc
ed fo
rced
labo
ur.
Plan
ned
actio
ns/a
ctiv
ities
Pe
rson
/s re
spon
sibl
e In
dica
tor/
s (m
easu
re)
Mea
ns o
f ve
rific
atio
n Pr
ogre
ss/i
mpa
cts
Actio
n 1.
Lite
ratu
re re
view
(a
) Co
nduc
t a li
tera
ture
re
view
to id
entif
y w
orld
's be
st p
ract
ice
on th
e id
entif
icat
ion,
as
sess
men
t and
re
spon
se to
traf
ficke
d pe
rson
s who
pre
sent
in
the
heal
th c
are
sett
ing;
(b
) Use
the
findi
ngs f
rom
th
e lit
erat
ure
revi
ew to
un
derp
in th
e de
velo
pmen
t of t
he
ACRA
TH-S
VHA
Hum
an
Traf
ficki
ng p
roje
ct
-Dr D
oris
Test
a (S
enio
r Le
ctur
er, V
icto
ria U
nive
rsity
, SV
HA-A
CRAT
H Hu
man
Tr
affic
king
Pro
ject
Wor
king
Pa
rty
Mem
ber)
-L
iz Pa
yne,
Pro
ject
Co
mm
unity
Dev
elop
men
t W
orke
r (PW
) sup
port
ed b
y th
e Pr
ojec
t Wor
king
Par
ty
(WP)
•
Lite
ratu
re re
view
co
mpl
eted
• Fi
ndin
gs u
sed
prog
ress
ivel
y to
un
derp
in th
e de
velo
ping
SVH
A-AC
RATH
pro
ject
•
Sum
mar
y an
d fu
ll re
view
subm
itted
to
WP
•
Min
utes
of
Wor
king
Par
ty
mee
tings
and
ot
her p
roje
ct
docu
men
ts
• Su
mm
ary
of L
itera
ture
Rev
iew
pr
esen
ted
to Ju
ly 2
017
Wor
king
Pa
rty
Mee
ting
and
incl
uded
in th
e Hu
man
Tra
ffick
ing
Proj
ect R
epor
t Ph
ase
1, 2
019
•
The
liter
atur
e re
view
was
use
d to
in
form
:(i) t
he S
VHA-
ACRA
TH H
uman
Tr
affic
king
focu
s gro
up st
udy
incl
udin
g th
e qu
estio
ns g
uidi
ng th
e fo
cus g
roup
disc
ussio
ns; (
ii) th
e et
hics
app
licat
ion
for t
he fo
cus g
roup
st
udy;
(iii)
the
ongo
ing
deve
lopm
ent
of a
mod
el S
VHA
heal
th p
rofe
ssio
nals
trai
ning
pac
kage
, and
a c
ase
iden
tific
atio
n pr
oces
s and
refe
rral
pa
thw
ay fo
r pot
entia
l vic
tims o
f hu
man
traf
ficki
ng; a
nd (i
v) th
e de
velo
pmen
t of t
wo
acad
emic
jo
urna
l art
icle
s rep
ortin
g th
e fin
ding
s fr
om th
e qu
alita
tive
stud
y (a
utho
r Dr
Doris
Tes
ta)
Modern Slavery Statement 2020 45
15
Actio
n 2.
Foc
us G
roup
Stu
dy
Deve
lop
a qu
alita
tive
rese
arch
stud
y to
: (i)
iden
tify
the
educ
atio
nal
need
s of S
VHA
nurs
ing
and
allie
d he
alth
pro
fess
iona
ls to
un
derp
in th
eir a
bilit
y to
re
cogn
ise p
oten
tial
traf
ficke
d/ex
ploi
ted
peop
le in
th
e he
alth
car
e se
ttin
g; a
nd
(ii) d
esig
n an
app
ropr
iate
re
ferr
al p
athw
ay fo
r su
ppor
ting
pote
ntia
l vic
tims
with
in S
VHA
heal
th c
are
sett
ings
SVHA
-ACR
ATH
Rese
arch
te
am:
-Lisa
Bra
ddy
(SVH
A, S
VHM
Ch
ief S
ocia
l Wor
ker a
nd
Prim
ary
Inve
stig
ator
) -C
arrie
Let
hbor
g (S
VHA,
As
soci
ate
Inve
stig
ator
) -D
oris
Test
a (A
CRAT
H,
Asso
ciat
e Re
sear
cher
) -L
iz Pa
yne
(PW
, Ass
ocia
te
Rese
arch
er)
•
Rese
arch
stud
y pl
an
deve
lope
d •
Ethi
cs A
ppro
val f
or
cond
uct o
f the
re
sear
ch st
udy
give
n by
th
e SV
HM R
esea
rch
Gove
rnan
ce U
nit
•
Docu
men
ted
rese
arch
stud
y pl
an
• Re
ceip
t of E
thic
s Ap
prov
al le
tter
• Fo
cus G
roup
Res
earc
h st
udy
plan
fin
alise
d an
d ap
prov
ed b
y SV
HA-
ACRA
TH W
orki
ng P
arty
July
10,
201
7 •
SVHM
Res
earc
h Et
hics
App
rova
l ap
plic
atio
n fo
r the
con
duct
of t
he
rese
arch
stud
y w
as su
bmitt
ed o
n 31
Ju
ly, 2
017
• SV
HM E
thic
s App
rova
l let
ter r
ecei
ved
on
1 O
ctob
er 2
017
Not
e: T
he P
roje
ct W
orke
r too
k pr
ime
resp
onsib
ility
for w
ritin
g th
e Et
hics
App
rova
l ap
plic
atio
n an
d sh
ephe
rdin
g it
thro
ugh
the
appr
oval
pro
cess
. App
rova
l too
k on
e m
onth
lo
nger
than
pla
nned
. Inf
orm
al re
crui
tmen
t of
focu
s gro
up p
artic
ipan
ts b
egan
in
Sept
embe
r with
SVH
Uni
t Man
ager
s not
ified
of
the
stud
y an
d po
ssib
le d
ates
of f
ocus
gr
oups
at t
heir
Sept
embe
r mee
tings
. For
mal
re
crui
tmen
t did
not
occ
ur u
ntil
Oct
ober
5.
The
trun
cate
d re
crui
tmen
t per
iod
adve
rsel
y af
fect
ed th
e re
crui
tmen
t of n
urse
s int
o th
e st
udy.
(a
) Con
duct
6 F
ocus
Gro
ups
invo
lvin
g SV
HM n
ursin
g an
d al
lied
heat
h st
aff t
hat
incl
udes
a re
sear
ch
com
pone
nt a
nd a
n ed
ucat
ion
sess
ion
on h
uman
tr
affic
king
/mod
ern
slave
ry to
: (i)
iden
tify
part
icip
ants
' kn
owle
dge
of th
e in
dica
tors
- Liz
Payn
e (P
W)
- Dr D
oris
Test
a (R
esea
rche
r) su
ppor
ted
by
SVHA
-ACR
ATH
Rese
arch
Te
am m
embe
rs
• Fo
cus G
roup
Stu
dy
prot
ocol
and
edu
catio
n se
ssio
n de
velo
ped
• Fo
cus g
roup
mem
bers
re
crui
ted
and
six fo
cus
grou
ps c
ondu
cted
• Fi
nal p
roto
col
and
educ
atio
n se
ssio
n pl
an
• Re
sear
ch st
udy
repo
rt p
rese
nted
to
WP
• Th
e fo
cus g
roup
stud
y pr
otoc
ol w
as
refin
ed b
y Li
z Pay
ne a
nd D
oris
Test
a in
Au
gust
201
7. T
he e
duca
tion
sess
ion
was
re
plac
ed b
y a
shor
t brie
fing
on h
uman
tr
affic
king
in A
ustr
alia
that
was
giv
en a
t th
e st
art o
f foc
us g
roup
gui
ded
disc
ussio
ns
• Si
x fo
cus g
roup
s of 4
5 m
inut
es d
urat
ion
invo
lvin
g 26
par
ticip
ants
recr
uite
d fr
om
46
16
for t
raffi
cked
peo
ple
who
m
ay p
rese
nt fo
r tre
atm
ent i
n th
e ho
spita
l set
ting
pre-
and
po
st- t
he e
duca
tion
sess
ion;
an
d (ii
) col
lect
feed
back
from
pa
rtic
ipan
ts o
n: th
e qu
ality
of
the
educ
atio
n se
ssio
n th
ey
rece
ived
(inc
ludi
ng
reco
mm
enda
tions
for
impr
ovem
ent)
; and
thei
r op
inio
ns o
n th
e m
ost
appr
opria
te re
ferr
al p
athw
ay
for t
raffi
cked
peo
ple
with
in
SVHA
car
e se
ttin
gs, t
he
optim
al ti
me
for r
efer
rals
and
any
'road
bloc
ks' t
o m
akin
g re
ferr
als t
hat n
eed
to b
e ad
dres
sed
Not
e: T
he a
ims o
f the
focu
s gr
oup
rese
arch
stud
y w
ere
revi
sed
in A
ugus
t 201
7. I
n th
e re
vise
d pr
otoc
ol th
e ed
ucat
ion
sess
ion
was
re
plac
ed b
y a
shor
t brie
fing
on h
uman
traf
ficki
ng in
Au
stra
lia a
nd th
e gu
ided
di
scus
sion
that
follo
wed
ex
plor
ed: (
i) pa
rtic
ipan
ts'
awar
enes
s and
kno
wle
dge
of
hum
an tr
affic
king
and
the
likel
ihoo
d of
traf
ficke
d/
expl
oite
d pe
rson
s pre
sent
ing
for h
ealth
car
e in
SVH
A; a
nd
(ii) t
he st
aff e
duca
tion
and
trai
ning
and
syst
ems c
hang
es
• Re
port
of l
earn
ing
and
reco
mm
enda
tions
fr
om fo
cus g
roup
s do
cum
ente
d
• Re
sear
ch st
udy
prog
ress
and
fin
al re
port
s pr
esen
ted
to W
P
SVHM
[21
soci
al w
orke
rs (8
1%),
3 ph
ysio
ther
apist
s (11
%),
2 nu
rses
(8%
)] w
ere
cond
ucte
d at
SVH
M fr
om 1
2 to
19
Oct
ober
, 201
7
• Da
ta fr
om th
e fo
cus g
roup
s wer
e co
llate
d an
d an
alys
ed b
y Dr
Dor
is Te
sta
• Ke
y th
emes
, fin
ding
and
re
com
men
datio
ns fr
om th
e Fo
cus
Grou
p st
udy
wer
e ta
bled
and
disc
usse
d at
the
Febr
uary
and
Apr
il 20
18 W
orki
ng
Part
y m
eetin
gs
• A
sum
mar
y of
the
stud
y fin
ding
s was
in
clud
ed in
the
SVHA
-ACR
ATH
Hum
an
Traf
ficki
ng P
roje
ct R
epor
t, Ph
ase
1 da
ted
Augu
st 2
018
(and
also
in th
e Pr
ojec
t Pha
ses 1
& 2
Fin
al R
epor
t dat
ed
Augu
st 1
5, 2
019)
Modern Slavery Statement 2020 47
17
that
wou
ld b
e re
quire
d to
en
sure
that
pot
entia
l vic
tims
of h
uman
traf
ficki
ng a
re
iden
tifie
d in
SVH
A an
d a
mod
el o
f car
e an
d ap
prop
riate
refe
rral
pat
hway
de
velo
ped.
Ac
tion
3. D
evel
op th
e SV
HA
Hum
an T
raffi
ckin
g St
aff
Educ
atio
n Pa
ckag
e
(a) B
ased
on
publ
ished
bes
t pr
actic
e (id
entif
ied
in th
e pr
ojec
t lite
ratu
re re
view
) and
fe
edba
ck fr
om th
e pr
ojec
t’s
focu
s gro
up st
udy:
(i)
Dev
elop
an
Educ
atio
n gu
ide
and
mod
el st
aff t
rain
ing
sess
ion
on h
uman
tr
affic
king
/mod
ern
slave
ry fo
r SV
HA n
ursin
g an
d al
lied
heat
h st
aff;
(ii) C
ondu
ct a
n ex
tend
ed
“tra
in th
e tr
aine
r” se
ssio
n fo
r pr
ojec
t lea
d fa
cilit
ator
s /s
ocia
l wor
k de
part
men
t pe
rson
nel t
o eq
uip
them
to
offe
r tra
inin
g to
nur
sing
and
allie
d he
alth
staf
f acr
oss
SVHA
site
s; a
nd
(iii)
Deve
lop
a dr
aft r
efer
ral
path
way
for v
ictim
s ide
ntifi
ed
in th
e em
erge
ncy
depa
rtm
ents
of S
t Vin
cent
's Ho
spita
ls in
Mel
bour
ne a
nd
Sydn
ey
SVHM
-ACR
ATH
Rese
arch
te
am, S
VHM
Nur
sing
and
Allie
d He
alth
Dep
artm
ent
Head
s sup
port
ed b
y Pr
ojec
t Wor
ker (
Liz P
ayne
)
•
Staf
f tra
inin
g gu
ide
and
mod
el tr
aini
ng se
ssio
n de
velo
ped
• Ex
tend
ed tr
ain-
the-
trai
ner s
essio
n de
velo
ped
and
impl
emen
ted
• Dr
aft r
efer
ral p
athw
ay
deve
lope
d
• Gu
ide
and
mod
el
trai
ning
sess
ion
pres
ente
d to
WP
•
Repo
rt o
n tr
ain-
the-
trai
ner
sess
ion
give
n by
PW
to W
P M
eetin
g •
Draf
t Ref
erra
l Pa
thw
ay
docu
men
t pr
esen
ted
at W
P m
eetin
g
Not
e: D
ue to
tim
e co
nstr
aint
s the
pla
nned
ac
tion
to d
evel
op a
gui
de a
nd m
odel
trai
ning
se
ssio
n w
as re
vise
d in
Aug
ust 2
017
and
chan
ged
to th
e de
liver
y of
inte
rim e
duca
tion
sess
ions
for k
ey st
aff a
t St V
ince
nt's
Hosp
ital
Mel
bour
ne (S
VHM
) and
Syd
ney
(SVH
S).
• In
terim
edu
catio
n se
ssio
ns in
volv
ing
emer
genc
y de
part
men
t (ED
) Ale
rt T
eam
nu
rses
, men
tal h
ealth
staf
f and
soci
al
wor
kers
wer
e sc
hedu
led
for J
une
6,
2018
at S
VHM
and
July
19,
201
8 at
SVH
S •
Trai
n-th
e-tr
aine
r ses
sions
pos
tpon
ed to
Ph
ase
2 of
pro
ject
. •
A dr
aft r
efer
ral P
athw
ay w
as d
evel
oped
fr
om o
ne u
sed
by A
CRAT
H in
an
earli
er
proj
ect.
The
draf
t will
be
disc
usse
d at
SV
HM a
nd S
VHS
educ
atio
n se
ssio
ns;
part
icip
ants
will
be
aske
d to
forw
ard
thei
r com
men
ts to
the
PW.
48
18
Actio
n 4.
Pha
se 2
pla
nnin
g
(a) D
evel
op a
pla
n fo
r Pha
se 2
of
the
proj
ect,
base
d on
le
arni
ng a
nd
reco
mm
enda
tions
from
Ph
ase
1
-Pro
ject
Com
mun
ity
Deve
lopm
ent W
orke
r (Li
z Pa
yne)
in c
onsu
ltatio
n w
ith W
orki
ng P
arty
m
embe
rs
•
Wor
k Pl
an d
evel
oped
• Ph
ase
2 W
ork
Plan
subm
itted
to
Wor
king
Par
ty
in M
ay 2
018
mee
ting
• Th
is ac
tion
was
not
ach
ieve
d in
the
time
fram
e •
An e
xten
ded
Wor
king
Par
ty M
eetin
g w
as p
lann
ed fo
r 15
June
201
8 to
disc
uss
prog
ress
on
Obj
ectiv
e 1
and
plan
act
ions
to
be
unde
rtak
en in
Pha
se 2
of t
he
proj
ect
Modern Slavery Statement 2020 49
19
Obj
ectiv
e 2.
To
expl
ore
and
inve
stig
ate
oppo
rtun
ities
and
dev
elop
a p
lan
to a
ddre
ss h
uman
slav
ery
issue
s with
in S
VHA
supp
ly c
hain
s for
serv
ices
and
goo
ds w
ith
the
view
of e
nsur
ing
they
are
slav
ery
free
Ac
tions
/act
iviti
es
Pers
on/s
resp
onsi
ble
In
dica
tor/
s (m
easu
re)
Mea
ns o
f ver
ifica
tion
Pr
ogre
ss
Not
e: F
ive
actio
ns/a
ctiv
ities
in su
ppor
t of O
bjec
tive
2 w
ere
initi
ally
form
ulat
ed: (
1) a
war
enes
s rai
sing
targ
etin
g SV
HA M
anag
er, G
roup
Pro
cure
men
t and
team
; (2
) sco
ping
of S
VHA
supp
liers
to id
entif
y th
e go
ods a
nd se
rvic
es m
ost a
t risk
of h
uman
traf
ficki
ng/s
lave
ry; (
3) d
evel
opm
ent o
f a C
ode
of C
ondu
ct to
add
ress
the
risk
of sl
aver
y in
ACR
ATH'
s sup
ply
chai
ns; (
4) d
evel
opm
ent o
f a
Com
mun
icat
ion
Stra
tegy
to c
omm
unic
ate
SVHA
's co
mm
itmen
t to
supp
liers
; and
(5) d
evel
opm
ent
of a
5-y
ear p
lan
to fu
lly im
plem
ent s
lave
ry S
VHA'
s fre
e su
pply
cha
in p
olic
y. T
his a
ppro
ach
was
dra
wn
from
the
step
s in
the
guid
e de
velo
ped
by th
e W
alk
Free
Fo
unda
tion
(Tac
klin
g M
oder
n Sl
aver
y in
Sup
ply
Chai
ns. A
gui
de 1
.0).
The
resig
natio
n of
the
Man
ager
, SVH
A Gr
oup
Proc
urem
ent i
n M
ay 2
017
dela
yed
the
star
t of
this
proj
ect c
ompo
nent
unt
il Au
gust
. Th
e ev
alua
tion
plan
was
then
mod
ified
to re
quire
that
'ste
ps b
e ta
ken'
tow
ards
the
deve
lopm
ent a
nd im
plem
enta
tion
of th
e Co
de o
f Con
duct
and
the
Com
mun
icat
ion
Plan
. Ac
tion
1. R
aise
aw
aren
ess o
f hu
man
traf
ficki
ng in
hea
lth
serv
ices
supp
ly c
hain
s (1
) Rai
se a
war
enes
s of t
he
issue
of h
uman
tr
affic
king
/sla
very
in h
ospi
tal
and
heal
th c
are
supp
ly c
hain
s w
ithin
the
SVHA
Gro
up
Proc
urem
ent T
eam
to:
(i) d
evel
op th
eir
unde
rsta
ndin
g of
the
SVHA
-AC
RATH
pro
ject
; and
(ii
) cre
ate
proj
ect “
buy-
in”
from
the
Grou
p Pr
ocur
emen
t m
anag
er a
nd k
ey st
aff.
-Liz
Payn
e, P
roje
ct
Com
mun
ity
Deve
lopm
ent W
orke
r -C
hrist
ine
Caro
lan
(ACR
ATH
Exec
utiv
e O
ffice
r) to
con
duct
a
brie
fing
and
awar
enes
s-ra
ising
se
ssio
n w
ith G
roup
M
anag
er, P
rocu
rem
ent
and
key
Proc
urem
ent
team
mem
bers
• Le
vel o
f “bu
y-in
” de
mon
stra
ted
thro
ugh
will
ingn
ess o
f Pr
ocur
emen
t M
anag
er a
nd
team
to e
ngag
e w
ith p
roje
ct
• Re
port
s of b
riefin
g m
eetin
gs
betw
een
PW a
nd G
roup
Pr
ocur
emen
t Man
ager
to W
P
• Pa
rtic
ipat
ion
of G
roup
Pr
ocur
emen
t Man
ager
in W
P
• Th
e in
itial
Gro
up P
rocu
rem
ent
Man
ager
(Cra
ig D
oyle
) was
brie
fed
by L
isa M
cDon
ald
(SVH
A Gr
oup
Miss
ion
Lead
er) p
rior t
o jo
inin
g th
e Pr
ojec
t Wor
king
Par
ty in
May
201
7.
He re
signe
d fr
om S
VHA
in Ju
ne 2
017.
Hi
s rep
lace
men
t (Je
ffrey
Wes
tbro
ok)
was
brie
fed
by C
hrist
ine
Caro
lan
and
Liz P
ayne
prio
r to
join
ing
the
Wor
king
Par
ty in
Aug
ust 2
017
• A
new
ly a
ppoi
nted
seni
or m
embe
r of
the
Grou
p Pr
ocur
emen
t Tea
m
(Gen
evie
ve A
lexa
nder
), w
ho w
as
task
ed to
ass
ist th
e ro
ll-ou
t of t
he
slave
ry fr
ee su
pply
cha
in in
itiat
ive,
jo
ined
the
Proj
ect W
orki
ng P
arty
in
April
201
8
50
20
Actio
n 2.
Inve
stig
ate
the
rang
e of
goo
ds a
nd se
rvic
es
purc
hase
d by
SVH
A G
roup
s Pr
ocur
emen
t to
iden
tify
the
supp
liers
/goo
ds a
nd se
rvic
es
mos
t at r
isk o
f hum
an
traf
ficki
ng/s
lave
ry
-Gro
up P
rocu
rem
ent
Man
ager
(Jef
f W
estb
rook
) -G
roup
Pro
cure
men
t Te
am m
embe
r (G
enev
ieve
Ale
xand
er)
supp
orte
d by
PW
• Go
ods a
nd
serv
ices
mos
t vu
lner
able
to
hum
an
traf
ficki
ng
inve
stig
ated
and
do
cum
ente
d
• Re
port
on
high
risk
su
pplie
rs/g
oods
and
serv
ices
su
bmitt
ed to
WP
• Gr
oup
Proc
urem
ent r
epor
ted
that
a
scan
of S
VHA’
s sup
ply
chai
n sh
owed
th
at th
ere
are
in e
xces
s of 1
000
supp
liers
on
the
SVHA
ven
dor s
uppl
y lis
t for
clin
ical
goo
ds a
nd se
rvic
es
with
the
top
50 su
pplie
rs a
ccou
ntin
g fo
r 75%
of t
heir
tota
l spe
nd o
n go
ods
and
serv
ices
exc
ludi
ng w
ages
($
373.
8/$5
00m
). •
A sa
mpl
e au
dit o
f Ans
ell,
the
supp
lier
of m
edic
al g
love
s (a
high
-risk
in
dust
ry fo
r sla
very
-like
pra
ctic
es)
was
com
plet
ed in
ear
ly O
ctob
er 2
017
by E
rin C
asse
ll (r
esea
rche
r and
m
embe
r of W
P). T
he re
port
was
pr
esen
ted
to N
ovem
ber W
P m
eetin
g an
d su
bseq
uent
ly sh
ared
with
oth
er
Cath
olic
hos
pita
ls in
volv
ed in
glo
ve
tend
er p
roce
ss.
• Th
e siz
e an
d co
mpl
exity
of S
VHA’
s su
pply
cha
in le
d SV
HA G
roup
Pr
ocur
emen
t to
cons
ider
out
sour
cing
th
e su
pply
cha
in a
uditi
ng/r
isk
asse
ssm
ent o
f maj
or S
VHA
supp
liers
to
Sal
vos L
egal
who
offe
r thi
s sp
ecia
list s
ervi
ce. T
he S
alvo
s Leg
al
team
pitc
hed
thei
r ser
vice
to Je
ff W
estb
rook
and
thre
e ot
her W
orki
ng
Part
y m
embe
rs (L
isa M
cDon
ald,
Ch
ristin
e Ca
rola
n an
d Er
in C
asse
ll) a
t a
mee
ting
on N
ovem
ber 8
, 201
7 •
At th
eir A
pril
18, 2
018
mee
ting
the
SVHA
Exe
cutiv
e Le
ader
ship
Tea
m
appr
oved
the
enga
gem
ent o
f Sal
vos
Lega
l and
, lat
er, o
f Mill
s Oak
ley
to
unde
rtak
e m
oder
n sla
very
risk
Modern Slavery Statement 2020 51
21
asse
ssm
ents
on
SVHA
's 'to
p 50
' su
pplie
rs a
nd d
evel
op re
port
ing
tool
s an
d te
mpl
ates
to im
prov
e th
e ca
paci
ty o
f Gro
up P
rocu
rem
ent t
o au
dit t
heir
supp
liers
and
repo
rt o
n co
mpl
ianc
e.
Ac
tion
3. T
ake
step
s to
deve
lop
a SV
HA C
ode
of
Cond
uct o
r equ
ival
ent
stat
emen
t to
effe
ctiv
ely
addr
ess t
he ri
sk o
f sla
very
in
supp
ly c
hain
s of c
ompa
nies
pr
ovid
ing
good
s and
serv
ices
to
SVH
A th
roug
h Gr
oup
Proc
urem
ent,
base
d on
a
‘bes
t pra
ctic
e’ d
raft
cod
e an
d th
e re
quire
men
ts o
f the
pr
opos
ed 2
018
Mod
ern
Slav
ery
Act,
Aust
ralia
.
-Gro
up P
rocu
rem
ent
Man
ager
and
key
Pr
ocur
emen
t sta
ff su
ppor
ted
by P
W
• Hi
gh q
ualit
y SV
HA C
ode
deve
lope
d an
d ap
prov
ed b
y W
orki
ng P
arty
, SV
HA E
xecu
tive
Lead
ersh
ip
Team
, and
SVH
A Bo
ard
• Pr
ogre
ss ta
ken
by S
VHA
in
supp
ort o
f Cod
e of
Con
duct
do
cum
ente
d an
d re
port
ed to
W
P.
• Co
de o
f Con
duct
not
fully
dev
elop
ed.
The
step
s tak
en a
re o
utlin
ed b
elow
. •
At it
s mee
ting
on A
pril
26, 2
017
the
Exec
utiv
e Le
ader
ship
Tea
m (E
LT)
com
mitt
ed to
Gro
up P
rocu
rem
ent
wor
king
with
SVH
A’s s
uppl
iers
to
erad
icat
e m
oder
n sla
very
, unj
ust
empl
oym
ent p
ract
ices
and
hum
an
traf
ficki
ng
• Th
is co
mm
itmen
t was
spec
ifica
lly
incl
uded
in th
e six
obj
ectiv
es o
f SV
HA’s
Gro
up P
rocu
rem
ent P
olic
y 4.
0 re
vise
d in
Oct
ober
201
7 •
SVHA
Gro
up P
rocu
rem
ent’s
Ten
der
Cond
ition
s doc
umen
t was
also
re
vise
d to
incl
ude:
a st
atem
ent o
f SV
HA’s
com
mitm
ent t
o w
ork
with
su
pplie
rs, b
usin
ess p
artn
ers a
nd
gove
rnm
ents
to e
radi
cate
mod
ern
slave
ry in
all
its fo
rms;
a re
quire
men
t th
at su
pplie
rs a
nd b
usin
ess p
artn
ers
self-
asse
ss th
e ef
fect
iven
ess o
f the
ir po
licy
and
prac
tices
on
slave
ry a
nd
hum
an tr
affic
king
usin
g a
supp
lied
ques
tionn
aire
; and
a st
atem
ent
notif
ying
supp
liers
that
, whe
n te
nder
s wer
e ev
alua
ted,
pre
fere
nce
wou
ld b
e gi
ven
to su
pplie
rs th
at
coul
d de
mon
stra
te st
rong
and
52
22
ongo
ing
com
mitm
ent t
o th
e er
adic
atio
n of
mod
ern
slave
ry
prac
tices
acr
oss t
heir
supp
ly c
hain
. •
The
new
tend
er c
ondi
tions
do
cum
ent i
nclu
ding
the
self-
asse
ssm
ent q
uest
ionn
aire
was
tr
ialle
d w
hen
the
tend
er fo
r foo
d se
rvic
es w
as a
dver
tised
by
Grou
p Pr
ocur
emen
t in
2017
. •
The
Grou
p Pr
ocur
emen
t Man
ager
re
port
ed th
at m
ost c
ompa
nies
te
nder
ing
for t
he fo
od se
rvic
es
cont
ract
did
not
ans
wer
key
qu
estio
ns o
n th
e M
oder
n Sl
aver
y qu
estio
nnai
re a
nd th
e re
spon
ses
give
n in
dica
ted
that
non
e of
the
supp
liers
had
serio
usly
add
ress
ed
slave
ry in
thei
r sup
ply
chai
n.
• Th
is po
or re
spon
se in
fluen
ced
the
Proc
urem
ent M
anag
er to
re
com
men
d SV
HA o
utso
urce
the
audi
t/ris
k as
sess
men
t pro
cess
to a
sp
ecia
list s
ervi
ce, s
uch
as th
at
offe
red
by S
alvo
s Leg
al, t
hen
Mill
s O
akle
y (s
ee a
bove
).
Actio
n 4.
Tak
e st
eps t
o de
velo
p a
‘Com
mun
icat
ion
Fram
ewor
k’ to
com
mun
icat
e SV
HA's
enga
gem
ent i
n de
velo
ping
slav
ery
free
su
pply
cha
ins t
o su
pplie
rs a
nd
othe
r sta
keho
lder
s, a
nd th
eir
expe
cted
del
iver
able
s (ba
sed
on a
‘bes
t pra
ctic
e’ d
raft
pr
ovid
ed)
-Gro
up P
rocu
rem
ent
Man
ager
and
key
staf
f su
ppor
ted
by P
W
• Hi
gh q
ualit
y Co
mm
unic
atio
n St
rate
gy
Fram
ewor
k ap
prov
ed b
y W
orki
ng P
arty
an
d SV
HA
Lead
ersh
ip T
eam
• Co
mm
unic
atio
n Fr
amew
ork
tabl
ed a
nd a
ppro
ved
at
Wor
king
Par
ty m
eetin
g
• N
ot a
chie
ved
in th
e tim
efra
me
•
The
revi
sed
SVHA
Gro
up
Proc
urem
ent t
ende
r con
ditio
ns
docu
men
t dist
ribut
ed to
Foo
d Se
rvic
es te
nder
ers w
as a
firs
t ste
p in
co
mm
unic
atin
g SV
HA’s
slav
ery-
free
su
pply
cha
in p
olic
y to
pot
entia
l su
pplie
rs.
Modern Slavery Statement 2020 53
23
Actio
n 5.
Dev
elop
SVH
A’s
Proc
urem
ent A
ctio
n Pl
an
2018
-202
3’, b
ased
on
a dr
aft
prov
ided
, to
min
imise
the
risk
of S
VHA'
s sup
ply
chai
n be
ing
tain
ted
by m
oder
n sla
very
.
-Gro
up P
rocu
rem
ent
Man
ager
and
key
staf
f in
Pro
cure
men
t rol
es,
supp
orte
d by
PW
• Hi
gh q
ualit
y Ac
tion
Plan
ap
prov
ed b
y W
orki
ng P
arty
an
d SV
HA B
oard
• Pr
ocur
emen
t Act
ion
Plan
, ba
sed
on e
vide
nce
of
effe
ctiv
enes
s and
cog
nisa
nt
of A
ustr
alia
’s d
raft
Mod
ern
Slav
ery
Act t
able
d an
d ap
prov
ed a
t Wor
king
Par
ty
mee
ting
• N
ot a
chie
ved.
•
An e
xten
ded
Wor
king
Par
ty M
eetin
g w
as p
lann
ed fo
r Jun
e 15
, 201
8 to
di
scus
s pro
gres
s on
Obj
ectiv
e 2
and
plan
act
ions
/act
iviti
es to
be
unde
rtak
en in
Pha
se 2
of t
he p
roje
ct.
54
24
PHAS
E 2:
MAY
1, 2
018
TO JU
NE
30, 2
019
- IM
PLEM
ENTA
TIO
N P
HAS
E O
bjec
tive
1. T
o in
crea
se th
e re
cogn
ition
and
supp
ort o
f vic
tims o
f hum
an tr
affic
king
who
seek
hea
lth c
are
with
in S
VHA
incl
udin
g w
omen
in se
xual
exp
loita
tion,
pe
ople
faci
ng fo
rced
mar
riage
and
peo
ple
who
hav
e ex
perie
nced
forc
ed la
bour
. Pl
anne
d ac
tions
/act
iviti
es
Pers
on/s
resp
onsi
ble
In
dica
tor/
s (m
easu
re)
Mea
ns o
f ver
ifica
tion
Prog
ress
/im
pact
s Ac
tion
1. D
evel
op S
VHA’
s Hum
an
Traf
ficki
ng st
aff e
duca
tion
and
trai
ning
pac
kage
(a
) Tria
l and
refin
e th
e ed
ucat
ion
sess
ion
as p
lann
ed in
pha
se 1
, in
volv
ing
key
staf
f at S
t Vi
ncen
t’s H
ospi
tal M
elbo
urne
(S
VHM
) and
St V
ince
nt’s
Ho
spita
l Syd
ney
(SVH
S)
(b
) Fur
ther
dev
elop
the
Educ
atio
n Gu
ide
cons
istin
g of
: (i)
a h
ard
copy
ver
sion
for u
se
by S
VHA
Hum
an T
raffi
ckin
g Cl
inic
al C
ham
pion
s and
Le
arni
ng D
evel
opm
ent
Lead
ers (
LDLs
) at S
VHA
sites
(t
o eq
uip
them
to d
irect
ly
deliv
er 4
5-m
inut
e on
goin
g ed
ucat
ion
and
trai
ning
se
ssio
ns to
fron
tline
ED
staf
f, so
cial
wor
kers
, lea
ders
hip
team
mem
bers
and
oth
er
inte
rest
ed st
aff);
and
- PW
(Liz
Payn
e)
- Se
rvic
e In
nova
tion
Proj
ect O
ffice
r, In
clus
ive
Heal
th
Prog
ram
, SVH
A (D
aisy
Sa
rgea
nt/S
aman
tha
Corr
ie)
- W
orki
ng P
arty
m
embe
rs
• In
terim
edu
catio
n se
ssio
ns h
eld
at
SVHM
& S
VHS
sites
in
June
and
Sep
tem
ber
2018
, res
pect
ivel
y
• Fi
nal d
raft
of
Educ
atio
n Gu
ide
circ
ulat
ed to
sele
cted
cl
inic
ally
exp
erie
nced
W
orki
ng P
arty
m
embe
rs fo
r fe
edba
ck b
y 31
Apr
il 20
19
•
Onl
ine
trai
ning
m
odul
e de
velo
ped
from
fina
l gui
de
cont
ent
• Re
port
as p
rese
nted
to
Wor
king
Par
ty
mee
ting
• Pr
ogre
ss d
ocum
ente
d in
WP
mee
ting
min
utes
- du
e da
tes
met
•
Fina
l ver
sion
of
Educ
atio
n gu
ide
and
on-li
ne tr
aini
ng
mod
ule
avai
labl
e an
d re
ady
to u
se o
n 31
M
ay 2
019
• 53
staf
f (ED
Ale
rt T
eam
nur
ses,
m
enta
l hea
lth w
orke
rs a
nd so
cial
w
orke
rs) a
tten
ded
educ
atio
n se
ssio
ns h
eld
at S
VHM
and
SVH
S on
Ju
ne 6
and
in S
ept 2
018.
•
Educ
atio
n se
ssio
n fu
rthe
r dev
elop
ed
and
tria
lled
at S
VHM
STA
R (S
uppo
rt
Team
Act
ion
Resp
onse
) Pro
fess
iona
l De
velo
pmen
t Tra
inin
g M
orni
ng
atte
nded
by
25 n
urse
s and
soci
al
wor
kers
on
Mar
ch 2
1, 2
019.
•
Deve
lopm
ent o
f Edu
catio
n Gu
ide
slow
er th
an a
ntic
ipat
ed.
A dr
aft w
as
circ
ulat
ed to
clin
ical
staf
f on
WP
for
com
men
t in
late
May
201
9 an
d di
scus
sed
at M
ay 2
019
WP
mee
ting.
•
Fina
l ver
sion
of E
duca
tion
Guid
e ci
rcul
ated
to se
lect
ed W
orki
ng P
arty
m
embe
rs o
n Ju
ne 1
8, 2
019
and
tabl
ed a
t Jun
e 20
19 W
orki
ng P
arty
m
eetin
g.
• St
aff o
n-lin
e tr
aini
ng m
odul
e no
t de
velo
ped;
app
rova
l giv
en a
t May
20
19 W
orki
ng P
arty
mee
ting
that
st
aff w
ill in
stea
d ac
cess
Ant
i-Sla
very
Modern Slavery Statement 2020 55
25
(ii) a
n on
-line
trai
ning
mod
ule
for t
rain
ing
nurs
es, o
ther
cl
inic
al a
nd a
llied
hea
lth st
aff
(c) R
ecru
it an
d tr
ain
a te
am o
f Hu
man
Tra
ffick
ing
Clin
ical
Ch
ampi
ons (
lead
faci
litat
ors)
th
at c
over
all
36 S
VHA
sites
: (i)
Deve
lop
and
impl
emen
t a
proc
ess f
or re
crui
ting
clin
ical
ch
ampi
ons
(ii)R
ecru
it an
d tr
ain
clin
ical
ch
ampi
ons.
Ac
tion
2. D
evel
op S
VHA’
s Hum
an
Traf
ficki
ng P
olic
y th
at c
over
s pr
otoc
ols a
nd p
roce
dure
s (in
clud
ing
the
refe
rral
pat
hway
fo
r pot
entia
l/con
firm
ed v
ictim
s of
hum
an tr
affic
king
iden
tifie
d by
cl
inic
al a
nd so
cial
wor
k st
aff)
to
supp
ort s
taff
enga
gem
ent i
n sp
ecifi
ed a
ctio
ns to
add
ress
hu
man
traf
ficki
ng
- PW
(Liz
Payn
e)
- Se
rvic
e In
nova
tion
Proj
ect O
ffice
r, In
clus
ive
Heal
th
Prog
ram
, SVH
A (S
aman
tha
Corr
ie)
- SV
HA/S
VHM
(Lisa
Br
addy
, Soc
ial W
ork)
-
Serv
ice
Inno
vatio
n Pr
ojec
t Offi
cer,
Incl
usiv
e He
alth
Pr
ogra
m, S
VHA
(Sam
anth
a Co
rrie
) -
PW (L
iz Pa
yne)
• Re
ady-
to-u
se
Educ
atio
n Gu
ide
and
mod
ule
com
plet
ed b
y 31
May
201
9
•
Hum
an T
raffi
ckin
g Cl
inic
al C
ham
pion
s pr
opos
al a
nd p
lan
pres
ente
d to
Mar
ch
and
May
201
9 W
orki
ng P
arty
m
eetin
gs
• Cl
inic
al c
ham
pion
s re
crui
ted
by Ju
ne
2019
•
A pr
otot
ype
Hum
an
Traf
ficki
ng P
olic
y do
cum
ent (
incl
udin
g re
ferr
al p
athw
ay
proc
edur
e) to
be
deve
lope
d an
d ap
prov
ed fo
r SVH
M
by e
nd A
pril
2019
w
ith th
e ai
m o
f ad
optio
n by
SVH
A at
a
late
r sta
ge
• Ap
prov
ed p
lan
and
list o
f rec
ruite
d Cl
inic
al C
ham
pion
s co
verin
g SV
HA si
tes
(as f
inal
ly p
rese
nted
to
Wor
king
Par
ty)
• SV
HM H
uman
Tr
affic
king
Dra
ft
Polic
y do
cum
ent
tabl
ed a
t May
WP
mee
ting.
Aust
ralia
’s (A
SA’s
) e-L
earn
ing
cour
se
via
hype
rlink
(neg
otia
ted
with
ASA
to
be
avai
labl
e fr
om Ju
ne 2
2, 2
019)
. Th
e iss
ue o
f for
ced
mar
riage
was
in
corp
orat
ed in
to S
VHA’
s Fam
ily
Viol
ence
Sta
ff Ed
ucat
ion
mod
ules
. •
The
hard
cop
y Gu
ide
and
acco
mpa
nyin
g U
SB in
clud
e ed
ucat
ion
sess
ions
, a P
ower
Poin
t pr
esen
tatio
n, n
otes
and
reso
urce
s th
at c
an b
e ad
apte
d an
d us
ed fo
r st
aff e
duca
tion
and
trai
ning
•
Not
ach
ieve
d, p
rogr
ess d
elay
ed.
• De
taile
d pl
an fo
r int
rodu
cing
SVH
A Hu
man
Tra
ffick
ing
Clin
ical
Ch
ampi
ons (
cove
ring
thei
r re
crui
tmen
t and
lead
ersh
ip ro
le)
deve
lope
d by
Sam
Cor
rie (S
VHA)
an
d di
scus
sed
at M
ay 2
019
Wor
king
Pa
rty
mee
ting.
Pla
n to
be
furt
her
refin
ed.
• Re
crui
tmen
t of C
linic
al C
ham
pion
s de
ferr
ed p
ost p
roje
ct e
nd d
ate.
•
Part
ly a
chie
ved
– as
repo
rted
to
April
201
9 W
orki
ng P
arty
mee
ting,
SV
HA d
ecid
ed to
slow
the
deve
lopm
ent o
f the
SVH
M fu
ll po
licy
docu
men
t exc
ept f
or th
e “c
ase
iden
tific
atio
n, e
scal
atio
n an
d re
ferr
al p
athw
ay”
sect
ion.
A w
ork-
in-p
rogr
ess d
raft
of f
ull p
olic
y w
as
tabl
ed a
t the
June
201
9 W
P m
eetin
g fo
r fur
ther
dev
elop
men
t by
SVHM
/SVH
A ov
er n
ext 1
2 m
onth
s.
56
26
Actio
n 3:
Rol
lout
SVH
A st
aff
educ
atio
n an
d tr
aini
ng p
rogr
am
(a) C
ondu
ct “
trai
n th
e tr
aine
r”
educ
atio
n se
ssio
ns fo
r pro
ject
ch
ampi
ons a
nd L
earn
ing
and
Deve
lopm
ent L
eade
rs to
eq
uip
them
to o
ffer t
rain
ing
to n
ursin
g, so
cial
wor
k, a
llied
he
alth
and
oth
er in
tere
sted
st
aff a
cros
s SVH
A sit
es
(b) S
VHA
to d
evel
op a
sust
aina
ble
trai
ning
pla
n fo
r the
ong
oing
ed
ucat
ion
and
trai
ning
of s
ite
cham
pion
s, fr
ont-
line
ED
clin
ical
staf
f and
soci
al
wor
kers
- PW
(Liz
Payn
e) in
co
llabo
ratio
n w
ith
SVHA
site
clin
ical
ch
ampi
ons
- Se
rvic
e In
nova
tion
Proj
ect O
ffice
r, In
clus
ive
Heal
th
Prog
ram
, SVH
A (S
aman
tha
Corr
ie)
• O
rgan
isatio
n an
d co
nten
t of t
rain
-the
-tr
aine
r ses
sions
de
velo
ped
by Ju
ne
2019
•
Plan
dev
elop
ed b
y Ju
ne 2
019
• Pr
ojec
t Wor
ker’s
re
port
on
prog
ress
of
trai
ning
as p
rese
nted
to
May
201
9 W
orki
ng
Part
y M
eetin
g
• Li
sa B
radd
y (S
VHM
) rep
orte
d th
at
the
issue
of f
orce
d m
arria
ge is
now
co
vere
d in
SVH
A’s F
amily
and
Do
mes
tic V
iole
nce
Polic
y.
• Li
sa B
radd
y co
nven
ed a
smal
l gro
up
of S
VHM
soci
al w
orke
rs to
ass
ist th
e de
velo
pmen
t of t
he C
linic
ians
’ Gui
de
cove
ring
the
case
iden
tific
atio
n,
esca
latio
n an
d re
ferr
al p
athw
ays
proc
ess (
to b
e in
clud
ed in
the
Educ
atio
n Gu
ide)
. Ini
tial d
raft
was
pr
esen
ted
to M
ay 2
019
WP
mee
ting
and
final
dra
ft (t
itled
“SV
HM C
linic
al
Path
way
– R
espo
ndin
g to
Vic
tims o
f Hu
man
Tra
ffick
ing”
) to
the
June
20
19 W
P m
eetin
g (p
roje
cted
to b
e fin
alise
d by
mid
-July
).
• N
ot a
chie
ved.
•
Educ
atio
n se
ssio
ns fu
rthe
r ref
ined
bu
t im
plem
enta
tion
post
pone
d un
til
Hum
an T
raffi
ckin
g Cl
inic
al
Cham
pion
s rec
ruite
d an
d tr
aine
d (a
ntic
ipat
ed to
be
achi
eved
by
Dece
mbe
r 201
9)
• N
ot a
chie
ved
– w
ill b
e de
velo
ped
in
futu
re b
y SV
HA in
con
sulta
tion
with
Cl
inic
al C
ham
pion
s.
Modern Slavery Statement 2020 57
27
Obj
ectiv
e 2.
To
expl
ore
and
inve
stig
ate
oppo
rtun
ities
and
dev
elop
a p
lan
to a
ddre
ss h
uman
slav
ery
issue
s with
in S
VHA
supp
ly c
hain
s for
serv
ices
and
goo
ds w
ith
the
view
of e
nsur
ing
they
are
slav
ery
free
. Ac
tions
/act
iviti
es
Pers
on/s
resp
onsi
ble
In
dica
tor/
s (m
easu
re)
Mea
ns o
f ver
ifica
tion
Prog
ress
Actio
n 1.
Ass
ess t
he to
p 50
SV
HA su
pplie
rs id
entif
ied
in
Phas
e 1
to id
entif
y th
e ris
k of
hu
man
traf
ficki
ng (m
oder
n sl
aver
y) in
thei
r ext
ende
d su
pply
cha
ins a
nd th
e ad
equa
cy o
f the
ir in
tern
al
polic
ies,
pro
cedu
res a
nd
proc
esse
s to
iden
tify
and
amel
iora
te th
ese
risks
. (a
) SD
Stra
tegi
es in
co
nsul
tatio
n w
ith S
VHA
Proc
urem
ent t
o de
velo
p an
on
-line
mod
ern
slave
ry in
su
pply
cha
in ri
sk
asse
ssm
ent t
ool (
a su
pplie
r se
lf-as
sess
men
t qu
estio
nnai
re) a
nd
acco
mpa
nyin
g vi
deo
expl
aine
r and
FAQ
’s p
age
(b
) SD
Stra
tegi
es to
con
duct
a
desk
top
mod
ern
slave
ry ri
sk
asse
ssm
ent t
arge
ting
the
top
50 S
VHA
supp
liers
(“Ti
er
1 su
pplie
rs”)
, bas
ed o
n SV
HA ‘s
spen
d (n
=46)
or
SVHA
’s a
sses
smen
t tha
t a
- SV
HA G
roup
Pr
ocur
emen
t M
anag
er (J
eff
Wes
tbro
ok)
- Se
nior
Pro
cure
men
t Sp
ecia
list
(Gen
evie
ve
Alex
ande
r)
- M
ills O
akle
y (le
gal
firm
eng
aged
by
SVHA
) -
SD S
trat
egie
s (H
uman
Rig
hts
cons
ulta
nts s
ub-
cont
ract
ed b
y M
ills
Oak
ley)
to c
ondu
ct
supp
lier r
isk
asse
ssm
ent s
urve
y)
• Q
uest
ionn
aire
and
su
ppor
t mat
eria
l dr
afte
d, a
ppro
ved
and
post
ed o
n SD
Str
ateg
ies
web
site
(thr
ough
pa
ssw
ord
prot
ecte
d po
rtal
) by
end
Augu
st,
2018
.
•
Risk
ass
essm
ent
cond
ucte
d by
SD
Stra
tegi
es w
ith m
id-
Sept
embe
r clo
sing
date
• Ev
iden
ce th
at d
raft
qu
estio
nnai
re a
nd
supp
ort m
ater
ial
prov
ided
to S
VHA
Proc
urem
ent a
nd
Wor
king
Par
ty fo
r co
mm
ent p
rior t
o po
stin
g in
Aug
ust 2
018
• O
n-lin
e qu
estio
nnai
re
post
ed b
y SD
stra
tegi
es
• Su
pply
cha
in q
uest
ionn
aire
, vid
eo
expl
aine
r and
FAQ
pag
e ci
rcul
ated
by
em
ail t
o W
orki
ng P
arty
mem
bers
on
24
July
and
disc
usse
d at
25
July
20
18 W
orki
ng P
arty
mee
ting.
•
Targ
eted
supp
liers
not
ified
of
surv
ey a
nd p
roce
dure
by
SVHA
Pr
ocur
emen
t Man
ager
on
Augu
st
21, 2
018
•
Que
stio
nnai
re u
ploa
ded
by S
D St
rate
gies
on
Augu
st 2
2, 2
018
as
plan
ned.
Due
to p
oor r
espo
nse,
the
clos
ing
date
was
ext
ende
d tw
ice
(from
Sep
t 12
to S
ept 2
4 th
en O
ct
19).
Rem
inde
rs se
nt to
supp
liers
on
58
28
supp
lier w
as a
t pot
entia
lly
high
risk
of e
xpos
ure
to
mod
ern
slave
ry in
thei
r su
pply
cha
in (n
=4)
(c) S
D St
rate
gies
to c
olla
te a
nd
anal
yse
resp
onde
nts’
dat
a,
each
supp
lier o
n ris
k an
d pr
ovid
e SV
HA P
rocu
rem
ent
with
: (i)
a su
mm
ary
repo
rt o
f the
ou
tcom
es o
f the
surv
ey a
nd
a ris
k as
sess
men
t for
eac
h pa
rtic
ipat
ing
supp
lier
incl
udin
g re
com
men
datio
ns
for f
utur
e ac
tion;
and
(ii
) a ta
ilore
d fe
edba
ck
repo
rt fo
r eac
h pa
rtic
ipat
ing
supp
lier t
hat
incl
udes
thei
r risk
ratin
g an
d re
com
men
datio
ns fo
r im
prov
emen
t
(d) S
VHA
Grou
p Pr
ocur
emen
t M
anag
er a
nd G
roup
M
issio
n Le
ader
to p
rese
nt
the
Supp
ly C
hain
As
sess
men
t Sum
mar
y Re
port
to S
VHA
Exec
utiv
e Le
ader
ship
Tea
m (E
LT) a
nd
Boar
d fo
r inf
orm
atio
n an
d ap
prov
al to
diss
emin
ate
feed
back
to su
pplie
rs
(e
) Ind
ivid
ualis
ed fe
edba
ck
repo
rts d
issem
inat
ed to
the
• Su
rvey
dat
a co
llate
d,
anal
ysed
and
supp
liers
ra
ted
on ri
sk o
f mod
ern
slave
ry in
supp
ly c
hain
. •
Supp
ly C
hain
Ass
essm
ent
Sum
mar
y Re
port
pr
epar
ed a
nd
diss
emin
ated
to W
orki
ng
Part
y by
Dec
embe
r 201
8
•
Supp
ly C
hain
Ass
essm
ent
Sum
mar
y Re
port
pr
esen
ted
to S
VHA
Lead
ersh
ip T
eam
and
Bo
ard
• In
divi
dual
aud
it fe
edba
ck
repo
rts i
nclu
ding
a ri
sk
by 2
2 Au
gust
.
• M
etho
dolo
gy, r
esul
ts
and
mod
ern
slave
ry
risk
asse
ssm
ent
incl
uded
in S
VHA
Mod
ern
Slav
ery
Supp
ly
Chai
n As
sess
men
t Re
port
subm
itted
by
SD
Stra
tegi
es to
Gro
up
Proc
urem
ent M
anag
er
and
WP
by d
ue d
ate.
• As
repo
rted
to W
P an
d re
cord
ed in
WP
Min
utes
• Co
mpl
etio
n of
fe
edba
ck p
roce
ss
Sept
5 a
nd 1
2 an
d O
ct 9
. •
Fina
l par
ticip
atio
n ra
te: 6
2% (3
1/50
ta
rget
ed su
pplie
rs);
42%
(21/
50)
resp
onde
d in
full.
•
Data
from
full
resp
onde
nts (
21
supp
liers
) ana
lyse
d an
d dr
aft S
uppl
y Ch
ain
Asse
ssm
ent R
epor
t (da
ted
30
Nov
) circ
ulat
ed to
Wor
king
Par
ty o
n 11
Dec
, 201
8 •
Supp
ly C
hain
Ass
essm
ent R
epor
t: Re
sults
Sum
mar
y (n
=21
supp
liers
) -
Mos
t sup
plie
rs w
ere
Aust
ralia
n su
bsid
iarie
s of g
loba
l com
pani
es a
nd
sour
ced
prod
ucts
from
hig
h ris
k re
gion
s -
Subs
idia
ry c
ompa
nies
mos
tly re
ferr
ed
to c
orpo
rate
(glo
bal)
polic
ies a
nd
pres
ente
d no
evi
denc
e th
at th
ese
wer
e ta
ilore
d to
thei
r Aus
tral
ian
oper
atio
ns/im
plem
ente
d lo
cally
-
<20%
had
map
ped
thei
r sup
ply
chai
ns
- ~4
0% d
id n
ot a
ddre
ss, m
onito
r or
eval
uate
mod
ern
slave
ry ri
sk in
thei
r su
pply
cha
ins;
-
<25%
impl
emen
ted
corr
ectiv
e ac
tion
-
No
supp
lier w
as ra
nked
as h
avin
g lo
w
risk
of h
uman
traf
ficki
ng in
thei
r sup
ply
chai
n; 1
2 w
ere
rank
ed a
s med
ium
risk
; an
d 9
as h
igh
risk)
•
Supp
ly C
hain
Ass
essm
ent S
umm
ary
Repo
rt w
as p
rese
nted
to S
VHA
ELT
and
Boar
d.
• N
ot a
chie
ved
in p
roje
ct ti
me
fram
e:
diss
emin
atio
n of
indi
vidu
alise
d au
dit f
eed-
back
repo
rts d
elay
ed
Modern Slavery Statement 2020 59
29
21 a
udite
d su
pplie
rs
incl
udin
g a
requ
est f
or a
re
spon
se
Actio
n 2.
Enc
oura
ge a
nd
supp
ort a
ll m
embe
rs o
f Ca
thol
ic H
ealth
Aus
tral
ia (C
HA)
to p
artn
er w
ith S
VHA
and
ACRA
TH to
iden
tify
and
addr
ess h
uman
traf
ficki
ng a
nd
mod
ern
slav
ery
in th
eir s
uppl
y ch
ains
(as m
any
of S
VHA’
s m
ajor
supp
liers
als
o su
pply
to
othe
r CHA
mem
bers
)
- ACR
ATH
mem
bers
on
Wor
king
Par
ty
exte
ndin
g to
full
ACRA
TH
mem
bers
hip
- S
VHA
mem
bers
of
Wor
king
Par
ty
exte
ndin
g to
SVH
A Ex
ecut
ive
and
Boar
d.
ratin
g pr
epar
ed fo
r aud
it re
spon
dent
s di
ssem
inat
ed to
SVH
A re
spon
dent
s by
early
De
cem
ber 2
018
• Pl
anne
d an
d op
port
unist
ic
enga
gem
ents
of
ACRA
TH a
nd S
VHA
with
ot
her C
atho
lic H
ealth
ca
re p
rovi
ders
di
scus
sed
and
repo
rted
to
Wor
king
Par
ty
docu
men
ted
in W
P M
inut
es (f
rom
Gro
up
Proc
urem
ent
Man
ager
’s re
port
) •
Enga
gem
ents
reco
rded
in
WP
Min
utes
until
nex
t ste
ps in
aud
it pr
oces
s de
term
ined
by
SVHA
Gro
up
Proc
urem
ent.
•
Pres
enta
tions
mad
e to
the
follo
win
g co
nfer
ence
s and
sem
inar
s - C
atho
lic H
ealth
Aus
tral
ia (C
HA)
Conf
eren
ce, A
ugus
t 29,
201
8 (C
hrist
ine
Caro
lan,
ACR
ATH
& L
isa
McD
onal
d, S
VHA)
- B
akhi
ta D
ay E
thic
al S
ourc
ing
Sem
inar
pan
ellis
t, 8
Feb
2019
(Jef
f W
estb
rook
, SVH
A)
• SV
HA-A
CRAT
H Hu
man
Tra
ffick
ing
Proj
ect W
orki
ng P
arty
Ope
n M
eetin
g he
ld in
Nov
embe
r 201
8 at
tend
ed b
y re
pres
enta
tives
from
CH
A, M
ercy
Fou
ndat
ion,
Cab
rini
Heal
th, M
ater
Hos
pita
l, St
John
of
God
Heal
th C
are,
Cal
vary
Hea
lth
Care
, Vill
a M
aria
Hom
es
• SV
HA M
anag
er, G
roup
Pro
cure
men
t di
strib
uted
SVH
A Su
pply
Cha
in
Asse
ssm
ent S
umm
ary
Repo
rt to
m
embe
rs o
f the
Cat
holic
N
egot
iatin
g Al
lianc
e (C
NA)
, a
netw
ork
of 9
Cat
holic
hos
pita
l and
ag
ed c
are
prov
ider
s •
Num
erou
s eng
agem
ents
bet
wee
n SV
HA M
anag
er, G
roup
Pro
cure
men
t an
d co
unte
rpar
ts in
oth
er C
atho
lic
heal
th c
are
prov
ider
org
anisa
tions
an
d U
nitin
g He
alth
•
Pres
enta
tion
by A
CRAT
H EO
60
30
Actio
n 3.
Pro
gres
s the
de
velo
pmen
t of a
long
er-t
erm
ac
tion
plan
that
cov
ers S
VHA’
s m
ajor
and
min
or su
pplie
rs o
f se
rvic
es a
nd g
oods
- SV
HA G
roup
Pr
ocur
emen
t M
anag
er (J
eff
Wes
tbro
ok)
- Se
nior
Pro
cure
men
t Sp
ecia
list
(Gen
evie
ve
Alex
ande
r)
• Fo
rwar
d pl
an
deve
lope
d by
Gro
up
Proc
urem
ent
(Chr
istin
e Ca
rola
n) to
: Mer
cy
Gove
rnan
ce (C
EO a
nd B
oard
ch
airs
)18/
3/19
; Mer
cy H
ealth
Boa
rd
(7/5
/19)
; CHA
Lea
ders
hip
Retr
eat
• Jo
int p
rese
ntat
ion
by S
VHA
(Sam
anth
a Co
rrie
) and
ACR
ATH
(Chr
istin
e Ca
rola
n an
d N
oele
ne
Sim
mon
s) to
Cat
holic
Miss
ion
Conf
eren
ce (1
5/5/
19)
•
SVHA
’s P
rocu
rem
ent M
anag
er
repo
rted
at t
he A
pril
2019
Wor
king
Pa
rty
mee
ting
that
SVH
A is
tryi
ng to
fin
d a
body
(suc
h as
CHA
or C
NA)
to
spon
sor j
oint
act
ion
by a
ll Ca
thol
ic
heal
thca
re p
rovi
ders
to a
ddre
ss
mod
ern
slave
ry in
thei
r sup
ply
chai
ns.
SVHA
favo
urs j
oint
act
ion
as
othe
r Cat
holic
(and
priv
ate)
he
alth
care
pro
vide
rs u
se th
e sa
me
maj
or su
pplie
rs a
s SVH
A an
d, li
ke
SVHA
, the
y w
ill n
ow b
e re
quire
d to
re
port
ann
ually
to th
e Co
mm
onw
ealth
gov
ernm
ent s
ettin
g ou
t the
ir ac
tions
to a
sses
s and
ad
dres
s mod
ern
slave
ry ri
sks i
n th
eir o
pera
tions
and
supp
ly c
hain
s (u
nder
the
prov
ision
s of A
ustr
alia
’s
Mod
ern
Slav
ery
Act,
2018
).
Modern Slavery Statement 2020 61
31
Obj
ectiv
e 3.
To
inco
rpor
ate
the
follo
win
g in
to S
VHA
com
mun
icat
ions
and
suita
ble
activ
ities
: aw
aren
ess r
aisin
g, p
raye
r and
app
ropr
iate
act
ion
and
reco
gniti
on o
f th
e SV
HA H
uman
Tra
ffick
ing
Proj
ect t
o he
lp e
limin
ate
hum
an tr
affic
king
and
mod
ern
slave
ry.
Actio
ns/a
ctiv
ities
Pers
on/s
resp
onsi
ble
Indi
cato
r/s (
mea
sure
) M
eans
of v
erifi
catio
n Pr
ogre
ss
Actio
n 1.
Dev
elop
and
im
plem
ent a
com
mun
icat
ions
pl
an to
add
key
Hum
an
Traf
ficki
ng c
ampa
igns
/iss
ues,
re
leva
nt d
ate/
s and
re
com
men
ded
com
mun
ity
actio
ns/a
ctiv
ities
to th
e 20
19
SVHA
mis
sion
cal
enda
r to
rais
e aw
aren
ess o
f Hum
an
Traf
ficki
ng a
mon
g th
e br
oade
r SV
HA c
omm
unity
(a
) For
m a
Wor
king
Gro
up to
de
velo
p an
d im
plem
ent t
he
com
mun
icat
ions
pla
n (b
) Sel
ect a
t lea
st th
ree
of th
e iss
ues/
cam
paig
ns, k
ey d
ates
an
d re
com
men
ded
com
mun
ity a
ctio
ns fr
om
the
exist
ing
list d
evel
oped
- PW
(Liz
Payn
e)
- Se
rvic
e In
nova
tion
Proj
ect O
ffice
r, In
clus
ive
Heal
th
Prog
ram
, SVH
A (D
aisy
Sar
gean
t /S
aman
tha
Corr
ie
liaisi
ng w
ith S
VHA
Com
mun
icat
ions
Te
ams (
loca
l and
na
tiona
l)
• W
orki
ng g
roup
form
ed
by S
epte
mbe
r 201
8 •
Sele
ctio
n of
iss
ues/
cam
paig
n an
d ac
tions
to b
e in
clud
ed
in S
VHA’
s 201
9
• Pr
ojec
t Wor
ker’s
repo
rt to
W
orki
ng P
arty
•
Proj
ect W
orke
r’s p
rogr
ess
repo
rts t
o W
orki
ng P
arty
m
eetin
gs
• W
orki
ng G
roup
com
prisi
ng L
iz Pa
ine
and
Daisy
Sar
gean
t 20
18/S
aman
tha
Corr
ie 2
019
(liai
sing
with
SVH
A Co
mm
unic
atio
n Te
ams)
initi
ally
m
et in
Sep
tem
ber 2
018
•
ACRA
TH H
uman
Tra
ffick
ing
Cale
ndar
201
9 di
strib
uted
to a
ll SV
HA M
issio
n Le
ader
s on
26/2
/19.
Issu
es/c
ampa
igns
62
32
in A
ustr
alia
and
in
tern
atio
nally
(sup
plie
d by
AC
RATH
) and
incl
ude
thes
e on
the
2019
SVH
A M
issio
n ca
lend
ar
(c) D
evel
op m
edia
ale
rts t
o co
mm
unic
ate
date
s,
issue
s/ca
mpa
igns
and
re
com
men
ded
actio
ns to
th
e br
oade
r SVH
A co
mm
unity
cale
ndar
fina
lised
by
Febr
uary
28,
201
9 •
Tailo
red
med
ia a
lert
s de
velo
ped
at le
ast 4
w
eeks
in a
dvan
ce o
f da
tes o
f sel
ecte
d
• Te
xt o
f med
ia a
lert
s and
co
py o
f slid
esho
w
prov
ided
by
Proj
ect
Wor
ker t
o W
orki
ng P
arty
m
eetin
gs
cons
ider
ed fo
r inc
lusio
n in
SVH
A M
issio
n ca
lend
ars i
nclu
ded:
-B
akhi
ta D
ay: D
ay o
f Pra
yer (
8 Fe
brua
ry)
-Eas
ter C
hoco
late
Cam
paig
n (F
eb
to E
aste
r Sun
day)
-W
orld
Hum
an T
raffi
ckin
g Da
y (3
0 Ju
ly)
-16
Days
of A
ctiv
ism (N
ovem
ber)
• A
list o
f sug
gest
ed a
war
enes
s ra
ising
stra
tegi
es w
ere
incl
uded
in
the
Educ
atio
n Gu
ide
for u
se b
y Cl
inic
al C
ham
pion
s to
prom
ote
actio
n on
sele
cted
iss
ues/
cam
paig
ns a
t eac
h SV
HA
site
in 2
020.
•
Med
ia a
lert
s on
hum
an
traf
ficki
ng is
sues
/cam
paig
ns
prep
ared
and
diss
emin
ated
to
SVHA
com
mun
ity v
ia M
issio
n Le
ader
s & C
omm
unic
atio
n (C
omm
s) T
eam
s on
Jan
31, 2
019
for S
t Bak
hita
’s D
ay (F
eb 8
) and
Ap
ril 1
5, 2
019
for E
aste
r M
essa
ge. T
he S
t Bak
hita
’s D
ay
Slid
esho
w, h
ighl
ight
ing
the
issue
of
hum
an tr
affic
king
and
the
SVHA
-ACR
ATH
Hum
an
Traf
ficki
ng P
roje
ct, w
as sh
own
on sh
ared
scre
ens t
hrou
ghou
t St
Modern Slavery Statement 2020 63
33
(d) P
rogr
essiv
ely
mon
itor t
he
effe
ctiv
enes
s of t
he
com
mun
icat
ion
stra
tegy
on
each
sele
cted
iss
ue/c
ampa
ign
with
the
aim
of i
mpr
ovin
g th
eir
upta
ke a
nd re
ach
and
incr
easin
g aw
aren
ess o
f hu
man
traf
ficki
ng w
ithin
SV
HA o
ver 2
019
issue
s/ca
mpa
igns
. •
Shor
t rep
ort o
n av
aila
ble
evid
ence
on
the
effe
ctiv
enes
s of
each
cam
paig
n pr
epar
ed a
nd p
rovi
ded
to W
orki
ng P
arty
for
inpu
t
• Sh
ort r
epor
ts p
rovi
ded
to
Wor
king
Par
ty a
t the
m
eetin
g fo
llow
ing
impl
emen
tatio
n
Vinc
ent’s
Priv
ate
Hosp
itals
and
the
SVHA
Miss
ion
Lead
er’s
m
essa
ge to
all
staf
f at E
aste
r ur
ged
them
to p
urch
ase
ethi
cally
so
urce
d (s
lave
ry fr
ee) c
hoco
late
eg
gs.
The
othe
r tw
o ev
ent d
ates
fa
ll ou
tsid
e th
e pr
ojec
t’s ti
me
fram
e.
• Pr
ogre
ss re
port
s on
awar
enes
s ra
ising
act
iviti
es u
nder
take
n by
SV
HA w
ithin
the
proj
ect t
ime
perio
d pr
esen
ted
to th
e W
orki
ng
Part
y at
thei
r Apr
il an
d M
ay 2
019
mee
tings
. No
info
rmat
ion
incl
uded
on
the
upta
ke a
nd
reac
h of
act
iviti
es a
t SVH
A sit
es.
64
Appendix 4
Modern Slavery Statement 2020 65
STATEMENT
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