Principle 2: Aboriginal ºÚÁϳԹÏÍø Health staff are recognised in the ºÚÁϳԹÏÍø Health system and are supported and empowered to participate in shared decision making, governance and accountability structures

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What is the aim of this principle?

This principle aims to:

  • recognise the diversity of cultural knowledge and skill sets that Aboriginal ºÚÁϳԹÏÍø Health staff bring into their roles,
  • support Aboriginal ºÚÁϳԹÏÍø Health staff to participate in shared decision making for decisions that impact Aboriginal people in ºÚÁϳԹÏÍø Health,
  • empower Aboriginal ºÚÁϳԹÏÍø Health staff to participate in shared decision making and governance structures in ºÚÁϳԹÏÍø Health,
  • strengthen the ºÚÁϳԹÏÍø Health system through embedding Aboriginal ºÚÁϳԹÏÍø Health staff into positions of leadership, governance and decision making in ºÚÁϳԹÏÍø Health.

“ I do not ‘lose’ my cultural knowledge when I work in ºÚÁϳԹÏÍø Health. Even though I am not in an identified role,

I bring my cultural knowledge and connections to Community to my role. This should be seen as a strength for me to work with Community to address their needs, which is what my job’s purpose isâ€

Aboriginal person in ºÚÁϳԹÏÍø Health Mental Health clinician role, rural consultation

Why is this important?

Aboriginal ºÚÁϳԹÏÍø Health staff are a critical part of the ºÚÁϳԹÏÍø Health system. Aboriginal staff, in both identified and non-identified roles, bring their cultural knowledge, perspectives, ways of working and lived experience as Aboriginal people into their work in ºÚÁϳԹÏÍø Health. Aboriginal staff play an important role in supporting and building the capacity and capability of the ºÚÁϳԹÏÍø Health system to deliver culturally safe services to Aboriginal people and Communities.

It is important that the ºÚÁϳԹÏÍø Health system recognises that Aboriginal people do not ‘lose’ or ‘leave at the door’ their cultural knowledge and experience. Rather, the knowledge and skills that Aboriginal people bring into their roles at ºÚÁϳԹÏÍø Health strengthens their ability to provide health services to people in ºÚÁϳԹÏÍø, particularly Aboriginal people.

In the development of this framework, we heard from many Aboriginal ºÚÁϳԹÏÍø Health staff members that they feel that their cultural knowledge and skills as Aboriginal people are not acknowledged and are undervalued by the ºÚÁϳԹÏÍø Health system.

“ Aboriginal ºÚÁϳԹÏÍø Health staff are critical to embed cultural governance within ºÚÁϳԹÏÍø Health without overburdening ACCHOsâ€

ACCHO CEO, Community Controlled Consultation

For this principle to be effectively implemented, it is critical that:

  • ºÚÁϳԹÏÍø Health empowers Aboriginal ºÚÁϳԹÏÍø Health staff in non-identified roles to self-determine how they would like to use their cultural skill set in their role. This includes supporting Aboriginal staff who choose to not participate in shared decision-making structures to have their choice respected.
  • ºÚÁϳԹÏÍø Health empowers Aboriginal ºÚÁϳԹÏÍø Health staff to identify where they would like to be involved in decision-making and governance processes,
  • ºÚÁϳԹÏÍø Health supports Aboriginal ºÚÁϳԹÏÍø Health staff to participate in shared decision-making structures, including ensuring that Aboriginal staff are trained and supported to participate,
  • ºÚÁϳԹÏÍø Health transforms its policymaking to recognise Aboriginal ºÚÁϳԹÏÍø Health staff’s expertise and connections to Community and enable Aboriginal ºÚÁϳԹÏÍø Health staff to design and deliver services that best suit their communities, for example, empowering Aboriginal ºÚÁϳԹÏÍø Health staff to co-create services with their local Communities to meet the needs that Community identifies.

“ I sit on a lot of committees as an Aboriginal staff member, but I don’t feel like I have voice. I feel that I am just there to tick a box.â€

Aboriginal Project Officer, ºÚÁϳԹÏÍø Health, regional consultation

What does success look like for the ºÚÁϳԹÏÍø Health system?

Aboriginal ºÚÁϳԹÏÍø Health staff are recognised and valued in the ºÚÁϳԹÏÍø Health system for their cultural skills and lived experience as Aboriginal people. Aboriginal ºÚÁϳԹÏÍø Health staff are empowered by non-Aboriginal ºÚÁϳԹÏÍø Health staff, ºÚÁϳԹÏÍø Health processes and governance structures to participate in shared decision-making or governance structures if it is a part of their role or if they choose to do so. ºÚÁϳԹÏÍø Health systems embed senior Aboriginal ºÚÁϳԹÏÍø Health roles into governance and accountability structures at a clinical, operational and strategic level.

What does success look like for this principle at each level of ºÚÁϳԹÏÍø Health decision making and governance?​

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What does this look like in practice?

Current as at: Friday 27 September 2024
Contact page owner: Centre for Aboriginal Health