​​​​​​​​​​​​​​​At the program, ward and service management level of decision making and governance, clinical and operational decisions impact how programs and wards are designed, managed and structured.

What does success look like at this level?

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

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

    • Identified roles for Aboriginal NSW Health staff are embedded into program, ward and service management structures, including senior AHW and AHP roles.
    • Aboriginal NSW Health staff are enabled to participate in shared decision making in the program design and management for programs that impact Aboriginal people.
    • Programs and services for Aboriginal people are co-created with Aboriginal Health Units in LHD/SHNs, Pillars, Statewide and Shared Health Services.
    • All NSW Health programs and services undertake an Aboriginal Health Impact Statement during program development, design or changes.

  • NSW Health and the Aboriginal Community Controlled Sector have strong partnership mechanisms to provide integrated and coordinated care and services to Aboriginal people in NSW

    • ACCHOs and NSW Health co create programs and services for Aboriginal patients to meet the needs of their communities.
    • NSW Health Clinical staff work in a ACCHO to provide speciality and clinical services under a Community Controlled model which is culturally accessible. ACCHO staff work within NSW Health services to provide continuity of care and embed collaboration across ACCHO and NSW Health services.

  • The NSW Health system is held accountable for improving outcomes for Aboriginal people at each level of decision making and governance

    • NSW Health programs are monitored and evaluated using methods validated for Aboriginal people, to ensure that programs are being held accountable for the care they are providing to Aboriginal people. This includes embedding the principles of Indigenous Data Sovereignty and Governance in monitoring and evaluation process, to ensure that Aboriginal people are enabled to hold the program and service to account.
    • NSW Health funded programs in mainstream non-government organisations report on KPIs for how their programs meet the needs and improve the health outcomes of Aboriginal people.

Examples of how the framework principles look in practice

For examples of how the framework principles look in practice at this level, visit:

View all case studies

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