Aboriginal and Torres Strait Islander health equity—a renewed approach to eliminating unavoidable, unjust and unfair health inequities.
Queensland Health has a long history of supporting First Nations peoples achieve their health aspirations since the release of the first Aboriginal and Torres Strait Islander health policy in 1994. Queensland’s public health system has built strong foundations over the last 30 years and since 2017, Queensland Health has accelerated its efforts by driving a health equity reform agenda in response to the release of the groundbreaking Addressing Institutional Barriers to Health Equity for Aboriginal and Torres Islander people in Queensland’s Public Hospital and Health Services report released by the then Queensland Anti-Discrimination Commission (now Queensland Human Rights Commission) and Queensland Aboriginal and Islander Health Council (QAIHC).
Under the leadership of the Chief Aboriginal and Torres Strait Islander Officer and Deputy Director-General, Queensland Health in partnership with QAIHC is driving a renewed First Nations health equity reform agenda to address the legacy of institutional racism, strengthen relationships with First Nations peoples and implement new approaches to eliminate the avoidable, unjust and unfair health inequities experienced by many Aboriginal and Torres Strait Islander peoples. The voices, leadership and lived experiences of First Nations peoples are driving this agenda.
One of the most significant reforms is the amendment to the Hospital and Health Boards Act 2011 requiring each Hospital and Health Service (HHS) to develop and implement a Health Equity Strategy in partnership with First Nations peoples and local Aboriginal and Torres Strait Islander community-controlled health organisations (ATSICCHOs). HHSs will have 12 months to develop and release the strategies after the regulation has been proclaimed by Governor in Council (expected by mid-2021).
The discussion paper
Join the conversation—we want your ideas! And we want action!
A discussion paper—Making Tracks towards health equity with Aboriginal and Torres Strait Islander peoples: working together to achieve life expectancy parity by 2031 (PDF 9912 kB)—was released by the Minister for Health and Ambulance Services and the Leader of the House in Queensland, the Hon Yvette D’ath, and the Chairperson of QAIHC, Matthew Cooke, on 17 March 2021. The discussion paper is a historical first because it’s the first time a discussion paper has been co-designed and jointly written between Queensland Health and QAIHC on behalf of ATSICCHOs in Queensland.
The discussion paper is a call to action to generate wider discussions, mobilise effort and build collective support across the health system and society more broadly for a renewed and focused agenda centred on First Nations health equity. This agenda aims to:
- introduce broader changes and improvements within and across the health system, and
- influence wider changes and improvements to the economic and social conditions in with Aboriginal and Torres Strait Islander peoples live their lives.
The discussion paper explains what health equity is and how the concept can be applied in practice, outlines the new regulation that will require each HHS to develop a Health Equity Strategy, and puts forwards a number of other ideas and proposals to achieve health equity in the future.
Nine weeks of regional consultations between April to June 2021 will involve Queensland Health, QAIHC and ATSICCHOs discussing the health equity agenda and other suggestions to drive the agenda forward and improve the social determinants of health. The regional forums are being conducted at the following locations (please note these details are subject to change):
|Monday 12 April||Rockhampton||12.00-5.00pm|
|Tuesday 13 April||Rockhampton||9.00am-1.00pm|
|Wednesday 14 April||Bundaberg||9.30am-2.30pm|
|Thursday 15 April||Hervey Bay||11.00am-4.00pm|
|Monday 19 April||Toowoomba||10.30am-3.30pm|
|Tuesday 20 April||Brisbane—professional associations and peak bodies||9.30am-2.30pm|
|Wednesday 21 April||Brisbane—universities and academics||9.30am-2.30pm|
|Tuesday 27 April||Brisbane||9.30am-2.30pm|
|Thursday 29 April||Charleville||9.30am-2.30pm|
|Tuesday 4 May||Gold Coast||9.30am-2.30pm|
|Wednesday 5 May||Brisbane—Children’s Health Queensland Hospital and Health Service||9.30am-2.30pm|
|Thursday 6 May||Caboolture||10.30am-3.30pm|
|Friday 7 May||Maroochydore||10.30am-3.30pm|
|Monday 10 May||Ipswich||10.30am-3.30pm|
|Tuesday 11 May||Brisbane North||10.30am-3.30pm|
|Wednesday 12 May||Brisbane South||10.30am-3.30pm|
|Friday 14 May||Cairns||9.30am-2.30pm|
|Tuesday 18 May||Thursday Island||11.00am-4.00pm|
|Wednesday 19 May||Bamaga||8.30am-1.30pm|
|Thursday 20 May||Weipa||10.30am-3.30pm|
|Monday 24 May||Longreach||12.30-5.30pm|
|Wednesday 26 May||Brisbane—Queensland Government||9.30am-2.30pm|
|Thursday 27 May||Brisbane—QAIHC||9.30am-2.30pm|
|Friday 28 May||Mt Isa||9.30am-2.30pm|
|Monday 31 May||Townsville||9.30am-2.30pm|
Written responses to the discussion paper can also be submitted via email, online survey and mailing address by 30 April 2021.
Aboriginal and Torres Strait Islander Health Division
Department of Health
GPO Box 48
Brisbane, Qld 4001
Fact sheets on the Making Tracks towards health equity with Aboriginal and Torres Strait Islander peoples discussion paper are available to download:
- Summary leaflet of discussion paper
(PDF 3574 kB)
- The journey so far... building on our foundations in the past and now
(PDF 884 kB)
- Embedding health equity into local health systems... placing First Nations peoples and voices at the centre of healthcare service delivery (PDF 826 kB)
- Driving health equity across the health system and addressing the social and cultural determinants of health... future reforms (PDF 1014 kB)
Support this important agenda and contribute to the conversation. Your voice matters! Learn how to achieve equity through your actions!