Reconciliation Action Plan - Townsville Hospital and ... · Reconciliation Action Plan 2019 - 2021. Townsville Hospital and Health Service Reconciliation Action Plan . July 2019 -

Townsville Hospital and Health Service Reconciliation Action PlanJuly 2019 – June 2021

Reconciliation Australia is delighted to welcome Townsville Hospital and Health Service (THHS) to the Reconciliation Action Plan (RAP) program by formally endorsing its inaugural Innovate RAP.

As a member of the RAP community, THHS joins over 1,000 dedicated corporate, government, and not-for-profit organisations that have formally committed to reconciliation through the RAP program since its inception in 2006. RAP organisations across Australia are turning good intentions into positive actions, helping to build higher trust, lower prejudice, and increase pride in Aboriginal and Torres Strait Islander cultures.

Reconciliation is no one single issue or agenda. Based on international research and benchmarking, Reconciliation Australia defines and measures reconciliation through five critical dimensions: race relations; equality and equity, institutional integrity; unity; and historical acceptance. All sections of the community—governments, civil society, the private sector, and Aboriginal and Torres Strait Islander communities—have a role to play to progress these dimensions.

The RAP program provides a framework for organisations to advance reconciliation within their spheres of influence. This Innovate RAP provides THHS with the key steps to establish its own unique approach to reconciliation. Through implementing an Innovate RAP, THHS will develop its approach to driving reconciliation through its business

activities, services and programs, and develop mutually beneficial relationships with Aboriginal and Torres Strait Islander stakeholders.

We wish THHS well as it explores and establishes its own unique approach to reconciliation. We encourage THHS to embrace this journey with open hearts and minds, to grow from the challenges, and to build on its successes. As the Council for Aboriginal Reconciliation reminded the nation in its final report:

On behalf of Reconciliation Australia, I commend THHS on its first RAP, and look forward to following its ongoing reconciliation journey.

Karen MundineChief Executive Officer Reconciliation Australia

Message from Reconciliation Australia

Reconciliation is hard work—it’s a long, winding and corrugated road, not a broad, paved highway. Determination and effort at all levels of government and in all sections of the community will be essential to make reconciliation a reality.

Townsville Hospital and Health Service Reconciliation Action Plan 2019 - 2021

Townsville Hospital and Health Service Reconciliation Action Plan July 2019 - June 2021

Published by the State of Queensland (Townsville Hospital and Health Service), July 2019

This document is licensed under a Creative Commons Attribution 3.0 Australia license.

To view a copy of this license, visit creativecommons.org/licenses/by/3.0/au

© State of Queensland (Townsville Hospital and Health Service) [2019]

You are free to copy, communicate and adapt the work, as long as you attribute the State of Queensland (Townsville Hospital and Health Service).

For more information contact:Executive Director, Aboriginal and Torres Strait Islander HealthTownsville Hospital and Health ServicePO Box 670, Townsville, QLD 4810

WARNING: Aboriginal and Torres Strait Islander peoples are advised that this publication may contain images of deceased people.

Contents

Acknowledgment of Country 6

Artwork 6

Message from the Chair and Health Service Chief Executive 7

Our business 8

Our RAP 9

Our RAP Champions 10

Our actions - Relationships 12

Our actions - Respect 14

Our actions - Opportunities 16

Our actions - Governance, tracking progress and reporting 17

Please direct all enquiries regarding the Townsville Hospital and Health Service Reconciliation Action Plan to:

Dallas LeonExecutive Director, Aboriginal and Torres Strait Islander HealthTownsville Hospital and Health ServiceT: (07) 4433 0125E: [email protected]

Townsville Hospital and Health Service Reconciliation Action Plan 2019 - 2021 5

Palm Island Traditional Dancers

6

Photo: Lyn Nichols and Dr Matt Bryant

Acknowledgment of CountryThe Townsville Hospital and Health Service acknowledges the Traditional Owners of the land on which our health facilities have been built. We pay our respects to Elders past, present and emerging; and we value Aboriginal and Torres Strait Islander history, culture and knowledge.

ArtworkIn keeping with the spirit of reconciliation, development of the inaugural RAP provided an important opportunity to showcase the talents of staff within the Townsville HHS. An internal expression of interest was sought to design the artwork proudly displayed on our Reconciliation Action Plan 2019 - 2021.

About the artistMy Name is Luke Duffy, a Kalkadoon artist residing in Townsville for the last 14 years. My artwork displays many colours, that is my signature. It also reflects the Aboriginal and Torres Strait Islander community and the vast landscape, coast line and big icons such as the great barrier reef. The core centre piece is the RAP. The many paths connecting to the RAP are the strong links with the community and surrounding areas. The centre circle also represents the foundation of the Elders, the backbone of our community. Without our Elders we are blind and not guided. Our Elders past and present have paved the way to ensure a brighter and healthier future for our Aboriginal and Torres Strait Islander community. Because of the strong connections there are great initiatives such as the RAP to better understand support and ensure cultural safety within our service group and district.


Message from the Health Service Chief Executive

It is my great pleasure to endorse the Townsville Hospital and Health Service’s inaugural Reconciliation Action Plan 2019 -2021.

This is an important document that will help pave the way for healthier, longer and more rich lives for our large and proud Aboriginal and Torres Strait Islander communities across North Queensland.

Our health service is strongly committed to the national ‘Close the Gap’ agenda and we are the first to recognise there is more to do.

I am proud of the Townsville Hospital and Health Service’s recent commitment to engaging with our Aboriginal and Torres Strait Islander partners and governments of all levels to improve health outcomes.

Working with the State Government, Palm Island Aboriginal Shire Council and the local community we have delivered a 10-year action plan to improve health outcomes on Palm Island including the centrepiece of that plan – the $16.5 million Palm Island Primary Healthcare Centre that will be run by the community for the community.

We’ve also developed an Aboriginal and Torres Strait Island Community Advisory Committee which will give our Aboriginal and Torres Strait Islander community a stronger and clearer voice in developing and delivering health services across North Queensland. This committee will provide advice and recommendations directly to health service management and the Board.

Partnerships are key to improving health outcomes and they are central to the actions in the Reconciliation Action Plan 2019 -2021. I am delighted to endorse this important plan and look forward to seeing its goals reached as we continually strive to Close the Gap.

Tony Mooney AMChair, Townsville Hospital and Health Service Board

Message from the Chair

7

This Reconciliation Action Plan 2019 - 2021 is an important document that outlines practical steps we can take over the coming years to improve health outcomes for our Aboriginal and Torres Strait Islander community.

I want to commend the work done by our Indigenous Health Services Division and Reconciliation Action Plan champions for pulling together this important document.

Importantly, this document has been informed by the wishes of our Aboriginal and Torres Strait Islander communities across North Queensland with consultation sessions held in Ingham, Ayr, Charters Towers, Hughenden, Palm Island and Townsville.

The actions outline in this document will aim to make the health services we provide to our Aboriginal and Torres Strait Islander communities increasingly culturally appropriate and safe by setting a clear agenda outlining respect and a collaborative approach to improve health outcomes.

It sets specific targets including almost doubling our workforce of Aboriginal and Torres Strait Islander staff from 4.5 per cent to 8 per cent.

An annual Aboriginal and Torres Strait Islander health summit will be hosted by the Townsville Hospital and Health Service from 2019, so we can better engage with partners to improve health outcomes.

And, it formally embeds a commitment to better and more fulsomely engage with our Aboriginal and Torres Strait Islander communities about the way we provide care and services.

These are just some of the practical steps we can implement to make our health service more respectful and welcoming for our First Nations people and I am pleased to support this important document.

Kieran KeyesHealth Service Chief Executive, Townsville Hospital and Health Service

8

Our businessThe Townsville Hospital and Health Service (HHS) comprises eighteen hospitals and community health campuses and two residential aged care facilities in the area north to Cardwell and Ingham, west to Charters Towers, Hughenden and Richmond, south to Ayr and Home Hill and east to Magnetic and Palm Islands. The HHS operates acute and/or community public health facilities in each of these areas. The Townsville Hospital is the largest facility in the HHS and is the only tertiary hospital north of Queensland’s south-east corner.

The Townsville HHS is home to a resident population of 240,000, with 8.7% identifying as Aboriginal and/or Torres Strait Islander. As northern Australia's only tertiary hospital and health service, the HHS services an extensive catchment area stretching from Mackay in the south, north to the Torres Strait Islands and west to the Northern Territory border. The catchment population is more than 695,000 people, with approximately 77,900 (14%) identifying as Aboriginal and/or Torres Strait Islander.

The Townsville HHS is the region's largest local employer, employing approximately 6,400 staff, of whom, 241 (3.74%) identify as Aboriginal and/or Torres Strait Islander.

In the 2017-2018 year, the health service had 72,814 inpatient separations with 11,640 of those identifying as Aboriginal and/or Torres

VISION FOR RECONCILIATION

OUR

Our vision is to improve health outcomes for Aboriginal and Torres Strait Islander peoples by providing visible and culturally competent and capable care that responds to the past mistreatment of Aboriginal and Torres Strait Islander people through a journey of awareness, education and engagement.

Strait Islander. The Emergency Department at The Townsville Hospital had 82,152 separations with 14,366 those attributed to Aboriginal and Torres Strait Islander people. During the 2017 - 2018 period, approximately 25% all babies were born to Aboriginal and/or Torres Strait Islander women. Reducing infant and child mortality remains a key priority area for the HHS in line with targets established by the Council of Australian Governments to close the life expectancy and halve the gap for child mortality.


Photo: Jacob Baira and Matthew Wigan


Our RAPAboriginal and Torres Strait Islander patients and consumers represent a significant proportion of the inpatient, community and emergency presentations within the HHS. The Townsville HHS is committed to closing the gap through the design and development of services, programs, and culturally appropriate models of care to achieve equity in health outcomes for Aboriginal and Torres Strait Islander peoples.

The development and implementation of the RAP provides formal commitment to an agreed framework that aims to build better relationships with Aboriginal and Torres Strait Islander consumers, families and communities whilst developing service models that aim to close the gap in health disparities.

Consultations to inform the development of the RAP took place with community representatives in Ingham, Ayr, Charters Towers, Hughenden,

Richmond and Palm Island. The Aboriginal and Torres Strait Islander Consumer Advisory Council provided local input in Townsville, whilst also providing oversight and advice at critical stages during the development of the plan. Staff champions were identified and liaised closely with their respective work areas to ensure staff input and ownership.

The RAP working group is made up of RAP champions who were appointed through an expression of interest process, which called for one representative from each service group to provide input and participation in the development and implementation of the RAP. The RAP champions will be tasked with monitoring and ensuring that the actions within the RAP are delivered by their service group.

This is the first RAP for the Townsville HHS and we look forward working with our Aboriginal and Torres Strait Islander communities, our staff and stakeholders during the implementation of the plan.

Reconciliation is about unity and respect between Aboriginal and Torres Strait Islanders and non-Indigenous Australians, It is about respect for Aboriginal and Torres Strait Islander culture and justice and equity for all Australians

Top right: Victoria Fraser and Des’Rahn Logan

Bottom right: Iris Puttaburra with Health Worker Nanette Sands


NAME POSITION

Amie Raymond A/Senior Policy Advisor, Office of the Chief Executive

Andrea Wade Nurse Unit Manager, Townsville Community Health Service, Health and Wellbeing Service Group

Dr Andrew White Director of Paediatrics, Health and Wellbeing Service Group

Barbara BanuCoordinator, Aboriginal and Torres Strait Islander Workforce Engagement, Indigenous Health Services Division

Chris Smith Senior Industrial Relations Officer, Industrial Relations

Dallas Leon Executive Director, Aboriginal and Torres Strait Islander Health, Indigenous Health Services Division

David Mitchell Director of Planning and Business Development, Corporate and Strategic Governance

Dr Jason Lee Medical Director, Mental Health Service Group

Liela Murison Indigenous Women’s Cancer Coordinator, Indigenous Health Services Division

Michellina Davies Assistant Director of Nursing, Medical Services Group

Diana Friday Senior Health Worker, Rural Service Group

Natalie Shiells Clinical Nurse Consultant Hemovigilance, Healthcare Standards Unit

Dr Rajesh Sehdev Staff Specialist, Emergency, Medical Service Group

Salli-Ann Buttigieg Indigenous Health Coordinator, Indigenous Health Services Division

Trevor Prior Cultural Practice Program Coordinator, Indigenous Health Services Division

Vidula Garde Director, Psychology, Allied Health Services Division

Our RAP champions

Back from left: Vidula Garde, Amie Raymond, Dr Rajesh Sehdev, Michellina Davies, Natalie Shiells, Dr Andrew White, Andrea Wade and Salli-Ann ButtigiegFront from left: Dallas Leon, Trevor Prior, David Mitchell, Barb Banu


Cultural Practice Program Coordinator, Trevor Prior and Indigenous Liaison Unit Team Leader, Mick Illin

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ACTION DELIVERABLE TIMELINE RESPONSIBILITY

RAP Working Group (RWG) oversights the implementation, monitoring and reporting on the RAP

RWG oversees the development, endorsement and launch of the RAP July 2019 Indigenous Health Coordinator

Meet at least twice per year to monitor and report on RAP implementationDecember

2019 and June 2020

Indigenous Health Coordinator

Establish and apply a Terms of Reference for the RWG August 2019 Indigenous Health Coordinator

Maintain Aboriginal and Torres Strait Islander representation on the RWG July 2019 Indigenous Health Coordinator

Liaise with the Aboriginal and Torres Strait Islander Community Advisory Council and Aboriginal and Torres Strait Islander Health Leadership Advisory Council to provide cultural advice and guidance regarding the implementation of the RAP

May 2021 Indigenous Health Coordinator

Embrace and share in the rich cultural history of Aboriginal and Torres Strait Islander peoples by coming together to celebrate significant events throughout the year

Produce and publish the Key Calendar of Events for Aboriginal and Torres Strait Islander peoples each year January 2020 Public Affairs

Support and participate in community events which celebrate or acknowledge the significant events June 2020 Indigenous Health

Services Division

Organise at a minimum two Townsville HHS events that align with the key events throughout the year June 2020 Indigenous Health

Services Division

Undertake meaningful and valued engagement with Aboriginal and Torres Strait Islander consumers, communities and organisations that enable collaboration towards improving the health of Aboriginal and Torres Strait Islander peoples

Meet with local Aboriginal and Torres Strait Islander organisations quarterly to develop partnerships March 2020 EDATSIH

Develop and promote collaborative partnerships with primary care providers, the North Queensland Primary Health Network, Townsville Aboriginal and Islander Health Service and Northern Australia Primary Health Limited to create a seamless patient journey

June 2020 EDATSIH

Embed Aboriginal and Torres Strait Islander engagement within the Townsville HHS Engagement Strategy

September 2019

Director Stakeholder Engagement

Hold an annual Aboriginal and Torres Strait Islander Health Summit November 2019 EDATSIH

The Townsville Hospital and Health Service will develop meaningful relationships that are inclusive and collaborative with Aboriginal and Torres Strait Islander peoples.

Work collaboratively, embrace innovation and continuously improve

RELATIONSHIPS

FOCUS AREA


13


Continue to support and advocate for Aboriginal and Torres Strait Islander input and leadership into significant organisational planning initiatives, in order to co-design services that are culturally competent and respectful

Explore opportunities to develop models of care that are inclusive of Aboriginal and Torres Strait Islander patients and their families January 2021 EDATSIH

Support existing and develop new key performance indicators that measure service wide performance of delivery of care to Aboriginal and Torres Strait Islander patients

November 2019 EDATSIH

Develop appropriate policies and procedures that compliment delivery of care to Aboriginal and Torres Strait Islander patients March 2020 Indigenous Health

Services Division

Build relationships through celebrating National Reconciliation Week (NRW)

Circulate Reconciliation Australia’s NRW resources and reconciliation materials to our staff March 2020 Indigenous Health

Coordinator

RAP Working Group members to participate in an external NRW event May 2020 Indigenous Health Coordinator

Encourage and support staff and senior leaders to participate in at least one external event to recognise and celebrate NRW March 2020 Indigenous Health

Coordinator

Organise at least one NRW event each year May 2020 Indigenous Health Coordinator

Register all our NRW events on Reconciliation Australia’s NRW website May 2020 Indigenous Health Coordinator

Promote reconciliation through our sphere of influence

Implement strategies to engage our staff in reconciliation December 2019 EDATSIH

Communicate our commitment to reconciliation publicly July 2019 EDATSIH

Explore opportunities to positively influence our external stakeholders to drive reconciliation outcomes

December 2019 EDATSIH

Collaborate with RA and other like-minded organisations to develop ways to advance reconciliation

December 2019 EDATSIH

Promote positive race relations through anti-discrimination strategies

Conduct a review of HR policies and procedures to identify existing anti-discrimination provisions, and future needs June 2020 EDHR

Develop, implement and communicate an anti-discrimination policy for our organisation June 2020 EDHR

Engage with Aboriginal and Torres Strait Islander staff and/or Aboriginal and Torres Strait Islander advisors to consult on our anti-discrimination policy June 2020 EDHR

Educate senior leaders on the effects of racism June 2020 EDATSIH

The Townsville Hospital and Health Service will develop meaningful relationships that are inclusive and collaborative with Aboriginal and Torres Strait Islander peoples.

Work collaboratively, embrace innovation and continuously improve

RELATIONSHIPS

FOCUS AREA


14


Continue to implement and drive the Cultural Practice Program across the organisation to increase knowledge and understanding of Aboriginal and Torres Strait Islander cultures, histories and achievements

Ensure that Aboriginal and Torres Strait Islander Cultural Practice Program is mandatory for all staff in all areas of our business and considers various ways cultural learning can be provided (online, face to face workshops or cultural immersion)

May 2020Cultural Practice Program Coordinator

Conduct a review of cultural learning needs within our organisation November 2019

Cultural Practice Program Coordinator

Provide opportunities for RAP Working Group members, HR managers and other key leadership staff to participate in formal and structured cultural learning

November 2019


Develop opportunities to work with local Traditional Owners to ensure local content is added to the existing cultural practice training, other orientation induction processes

May 2020Cultural Practice Program Coordinator

Demonstrate respect for Aboriginal and Torres Strait Islander peoples and their communities through the implementation of the Townsville HHS Cultural Capability Plan 2018-2022

Develop, implement and communicate a cultural protocol document for Welcome to Country and Acknowledgement of Country

November 2019


Ensure a Traditional Owner is invited to provide a Welcome to Country at all significant events

November 2019


Ensure an Acknowledgement of Country is undertaken at all Townsville HHS meetings

November 2019


Display an Acknowledgment of Country plaque at the entrance points of each Townsville HHS facility January 2020 Director, FISS

Display Aboriginal and Torres Strait Islander flags at the main entrance of each Townsville HHS facility January 2020 Director, FISS

Display Aboriginal and/or Torres Strait Islander artwork that acknowledges people, culture and history at each entrance point across the Townsville HHS June 2020 Director, FISS

Our journey to reconciliation needs to be grounded in a deep-seated respect for and value of Aboriginal and Torres Strait Islander people, culture and history

Provide high-quality, person centred care for northern Queensland

RESPECT

FOCUS AREA


15


Celebrate NAIDOC Week and provide opportunities for Aboriginal and Torres Strait Islander staff to engage with culture and community

Townsville HHS to convene an annual NAIDOC event at TTH and across rural sites July 2020

Indigenous Health Services Division and Rural Hospitals Service Group

Service Groups conduct small support activities during NAIDOC Week and other events July 2019 Service Groups

RAP Working Group to participate in an external NAIDOC Week event July 2019 RAP Working Group

Remove barriers to staff participating in NAIDOC Week July 2019 EDATSIH

Promote and encourage participation in external NAIDOC events to all staff July 2019 EDATSIH

Grasp unique opportunities to respect Aboriginal peoples and Torres Strait Islander peoples, cultures, lands, histories and rights

Provide opportunities for Aboriginal and Torres Strait Islander staff to engage with their culture and communities by celebrating other significant cultural events. May 2020 EDATSIH, HRE

Communicate Aboriginal and Torres Strait Islander culture and history through storytelling, place making and naming, and connecting people to the country on which we provide services

Work in consultation and collaboration with Aboriginal and Torres Strait Islander people to incorporate stories, language, artwork in the master planning of the Townsville Hospital and Health Service

September 2019

Director of Planning and Business Development

Develop and implement strategy for using local Aboriginal words to name or co-name in the design and construction of Townsville HHS facilities

September 2019


Our journey to reconciliation needs to be grounded in a deep-seated respect for and value of Aboriginal and Torres Strait Islander people, culture and history

Provide high-quality, person centred care for northern Queensland

RESPECT

FOCUS AREA


16


Implement the Townsville HHS Aboriginal and Torres Strait Islander Workforce Strategy to increase the proportion of Aboriginal peoples and Torres Strait Islander peoples working for our organisation

Develop and implement an Aboriginal and Torres Strait Islander Workforce Strategy December 2019

EDATSIH/Coordinator, Aboriginal and Torres Strait Islander Workforce Engagement

Develop strategies for supervision and mentoring for new and existing Aboriginal and Torres Strait Islander staff July 2020

Coordinator, Aboriginal and Torres Strait Islander Workforce Engagement

Maximize employment opportunities for Indigenous staff to exceed Townsville HHS target of 4.5% and stretch target equivalent to the population distribution (8%) by 2022

December 2022

Develop and promote the profile of the Townsville Hospital and Health Service as an employer of choice

December 2019

Develop appropriate career pathways and support strategies for Aboriginal and Torres Strait Islander staff June 2020

Build understanding of current Aboriginal and Torres Strait Islander staffing to inform future employment and professional development opportunities June 2020

Engage with Aboriginal and Torres Strait Islander staff to consult on our recruitment, retention and professional development strategy June 2020

Advertise job vacancies to effectively reach Aboriginal and Torres Strait Islander stakeholders June 2020

Review HR and recruitment procedures and policies to remove barriers to Aboriginal and Torres Strait Islander participation in our workplace June 2020

Support capability and capacity development for Aboriginal and Torres Strait Islander communities by working with local organisations and businesses to support local procurement

Review and update procurement policies and procedures relating to Aboriginal and Torres Strait Islander businesses

December 2019 CFO

Develop an Aboriginal and Torres Strait Islander procurement strategy June 2020 CFO

Investigate Supply Nation membership December 2019 CFO

Develop and communicate opportunities for procurement of goods and services from Aboriginal and Torres Strait Islander businesses to staff June 2020 CFO

Develop commercial relationships with Aboriginal and/or Torres Strait Islander businesses June 2020 CFO

The Townsville Hospital and Health Service will generate opportunities to develop and grow our workforce. We will also create opportunities for Aboriginal and Torres Strait Islander communities and organisations to embed their services in partnership with ours.

Maintain an exceptional workforce and be a great place to work

OPPORTUNITIES

FOCUS AREA


17


Integrate RAP reporting into organisational performance monitoring and reporting mechanisms

Service Groups are to report their progress against the RAP actions at quarterly service group performance and accountability meetings

September 2019 SG Directors

Develop and implement systems and capability needs to track, measure and report on RAP activities and Cultural Capability Audit Survey January 2020 Indigenous Health

Coordinator

Conduct bi-annual reviews of the RAP to ensure the plan is responsive to organisational and stakeholder requirements

Complete and submit the RAP Impact Measurement Questionnaire to Reconciliation Australia annually

September 2019 RAP Champions

Investigate participating in Reconciliation Australia’s biennial Workplace RAP Barometer May 2020 Indigenous Health

Coordinator

Establish and implement an organisational governance arrangement that provides appropriate leadership over the implementation and delivery of the RAP

Report is provided to the Board, Executive, ATSIHLAC and ATSICAC June 2020 Board Chair / CE

Publish our RAP achievements on social media June 2020 Public Relations

Ensure that the RAP integrates with the Townsville HHS Integrated Planning Framework, specifically in relation to planning documents that form the foundation for the organisations health strategies for Aboriginal and Torres Strait Islander peoples

Integrate RAP planning with the Townsville HHS planning cycles June 2020

Director of Planning and Business Development

Continue our reconciliation journey by developing our next RAP

Register via Reconciliation Australia’s website to begin developing our next RAP January 2021 Indigenous Health Coordinator

The Townsville Hospital and Health Service will develop and maintain a transparent governance structure that enables accurate reporting against actions set out in the Reconciliation Action Plan

Ensure efficient and sustainable stewardship of resources

GOVERNANCE, TRACKING PROGRESS AND REPORTING

FOCUS AREA



Back left: Alec Illin, Christine Skeene, Eddie Smallwood, Marlene Singleton, Keith Noble, Fred Stanley, Della Gibson, Dallas Leon, Eddie Savage, Tania DennisFront Left: Michele Bird, Jasmine Stanley, Kim Neale, Amie Raymond, David Mitchell

Townsville Hospitaland Health Service

Documents

Reconciliation Action Plan - Townsville Hospital and ... · Reconciliation Action Plan 2019 - 2021. Townsville Hospital and Health Service Reconciliation Action Plan . July 2019 -