Principles

The principles of the framework are:


Principle 1
Aboriginal people are embedded into decision- making processes and governance structures that impact Aboriginal people in NSW Health.


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


Principle 3
NSW Health and the Aboriginal Community Controlled sector have strong partnership mechanisms.


Principle 4
The NSW Health system is held accountable for Aboriginal Health outcomes.

These principles have been developed to:

  • embed the key concepts of shared decision making, self-determination and accountability in NSW Health
  • support the implementation of the Priority Reforms Areas from CTG
  • be applicable across each NSW Health level of decision making and governance
  • strengthen partnerships between NSW Health and ACCOs.

Decision making and governance

The NSW Health levels of decision making and governance are:


Patient, carer, family and community
Clinical and operational decisions that have a direct impact on patient care.


Program, ward and service management
Clinical and operational decisions on how programs and wards are designed, managed and structured.


Hospital and health facility
Decisions and governance structures that manage NSW Health facilities.


Local Health District/Specialty Health Network management
Decisions and governance structures that manage LHD/SHN organisations.


NSW Health system management
Decisions and governance structures that manage NSW Health systems, including Ministry, pillars, shared and statewide services.

The principles are applicable at each of the NSW Health levels of decision making and governance. These levels were developed:

  • following consultations with stakeholders on the need of the framework to be applicable across the NSW Health system
  • to reflect the different decisions that have been identified across the NSW Health system
  • to capture the different contexts and environments within the NSW Health system.
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Current as at: Friday 27 September 2024
Contact page owner: Centre for Aboriginal Health