First Nations Health Equity
Making Tracks Together - Queensland's Aboriginal and Torres Strait Islander Health Equity Framework
Placing First Nations peoples and voices at the centre of healthcare service design and delivery in Queensland.
Queensland Health and the Queensland Aboriginal and Islander Health Council (QAIHC) are placing First Nations peoples and voices at the centre of healthcare service design and delivery through Making Tracks Together - Queensland's Aboriginal and Torres Strait Islander Health Equity Framework.
Making Tracks Together was released to support Hospital and Health Services develop and implement new Health Equity Strategies. The new strategies will outline the actions Hospital and Health Services will deliver to achieve health equity, actively eliminate racial discrimination and institutional racism, and influence the social, cultural and economic determinants of health by working with Aboriginal and Torres Strait Islander organisations, health services, communities, consumers and Traditional Owners.
The voices, leadership and lived experiences of First Nations peoples are driving the health equity reform agenda.
A cornerstone of the First Nations health equity agenda is the legislative requirement passed by the Queensland Parliament in 2020 and 2021 for Hospital and Health Services to co-develop and co-implement Health Equity Strategies. For the first time a commitment to working in partnership with prescribed Aboriginal and Torres Strait Islander stakeholders is embedded in the legal framework guiding the public health system in Queensland to:
- achieve health equity and improve Aboriginal and Torres Strait Islander outcomes
- eliminate institutional racism and racial discrimination from the public health sector, and
- strengthen decision-making and power sharing arrangements with Aboriginal and Torres Strait Islander peoples.
Amendments to the Hospital and Health Boards Act 2011 and the Hospital and Health Boards Regulation 2012 have created the strongest public health system legislation ever enacted in Queensland's history by requiring Hospital and Health Services to partner with Aboriginal Torres Strait Islander peoples and organisations to design, deliver and monitor the delivery of healthcare in Queensland.
Health Equity Strategies
All 16 Hospital and Health Services across Queensland are working towards publishing their inaugural Health Equity Strategy by 30 September 2022 and commencing their initial three-year implementation cycle. Fourteen HHSs have released their Health Equity Strategy:
- Metro North HHS (released 4 July 2022)
- Children's Health Queensland HHS (released 12 July 2022)
- Cairns and Hinterland HHS (released July 2022)
- Gold Coast HHS (released 23 August 2022)
- Mackay HHS (released 6 September 2022)
- Metro South HHS (released 21 September 2022)
- Sunshine Coast HHS (released 26 September 2022)
- South West HHS (released 27 September 2022)
- Darling Downs HHS (released 30 September 2022)
- Townsville HHS (released 30 September 2022)
- North West HHS (released 30 September 2022)
- Wide Bay HHS (released 30 September 2022)
- West Moreton HHS (released 6 October 2022)
- Central West HHS (released 2 November 2022)
Resources
Legislative requirements
- Amendment Regulation - Hospital and Health Boards (Health Equity Strategies) Amendment Regulation 2021
- Health Service Directive - First Nations Health Equity Strategy: Co-design and Mediation Process Health Service Directive
- Explanatory Notes – Hospital and Health Boards (Health Equity Strategies) AR 2021 - Explanatory Notes
Policy documents
- Health Equity Framework - Making Tracks Together - Queensland’s Aboriginal and Torres Strait Islander Health Equity Framework (PDF 7199 kB)
- Health Equity Strategies Implementation Toolkit (PDF 3983 kB)
- Health equity strategy template (PDF 871 kB)
- Health Equity Consultation Report - Queensland’s First Nations Health Equity Consultation Report (PDF 3367 kB)
- Health Equity Discussion Paper
Key reports
- 2017 report into institutional racism across the public health system - Addressing Institutional Barriers to Health Equity for Aboriginal and Torres Strait Islander people in Queensland’s Public Hospital and Health Services
Launch of Making Tracks Together - a new approach to planning and delivering healthcare in Queensland
Making Tracks Together was co-launched by the Minister for Health and Ambulance Services, the Hon Yvette D’Ath, and the Chairperson of QAIHC, Matthew Cooke, on 26 October 2021.
The keynote speeches from the Minister for Health and Ambulance Services, the QAIHC Chairperson and the Chief Aboriginal and Torres Strait Islander Health Officer and Deputy Director-General are available below.
