South Metropolitan Area Health Service Reconciliation Action Plan 2009 to 2014 Annual Progress Report for the Year 2010

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1 South Metropolitan Area Health Service Reconciliation Action Plan 2009 to 2014 Annual Progress Report for the Year 2010 Our vision for reconciliation The South Metropolitan Area Health Service (SMAHS) respects the holistic view of health held by Aboriginal and Torres Strait Islander peoples and recognises their values, beliefs, rights and customs. Our vision is for Aboriginal and Torres Strait Islander people in Western Australia to access the health system in a timely manner and for this system to deliver culturally relevant and respectful care to patients and their families. The health system refers to services across the continuum of care, including hospital services, primary health care, community and public health services. Our Reconciliation Action Plan for 2010 The aim of the South Metropolitan Area Health Service s Reconciliation Action Plan (RAP) is to effectively deliver health gains to Aboriginal and Torres Strait Islander people in a culturally secure manner. The South Metropolitan Area Health Service s commitment focuses on building relationships, promoting respect and creating opportunities for Aboriginal people. The implementation of the RAP will be an ongoing process with the aim of making the changes sustainable over the long term. The South Metropolitan Area Health Service RAP was developed in collaboration with the Noongar community who are the traditional owners of the south metropolitan region. The RAP was developed by the South Metropolitan Area Health Service RAP Working Group comprising of representatives from the Aboriginal community, Aboriginal and non-aboriginal SMAHS staff; the Department of Indigenous Affairs; the Office of Aboriginal Health; and Reconciliation Australia. Summary and Key Learnings South Metropolitan Area Health Service launched its RAP in February 2010 and over the subsequent eight months has worked hard at implementing the actions incorporated in its RAP. It recognises that continued close engagement with the local Aboriginal community is an essential part of ensuring the success of the RAP actions, along with the promotion of the RAP to all staff. Another critical element has been to ensure that staff members are informed via staff meetings and newsletters and that they understand the reasons why actions incorporated in the RAP are undertaken. There were a number of celebrations during Reconciliation Week and NAIDOC Week across South Metropolitan Area Health Service sites, such as, at Armadale Health Service, Bentley Health Service, Royal Perth Hospital, Fremantle Hospital, Rockingham Peel Group (including Nidjalla Waangan Mia Aboriginal Health and Wellbeing Centre and Rockingham General Hospital). These included flag raising ceremonies, Welcome to Country luncheons and displays of Aboriginal art. These events provided an opportunity to involve, respectfully acknowledge and celebrate the Aboriginal community and culture, and to raise awareness of the RAP actions and targets with SMAHS employees. 1 of 22

2 Stop Light Outcomes Key Exceeded Achieved On track Not achieved Relationships South Metropolitan Area Health Service will work towards a stronger future for Aboriginal people by supporting Aboriginal and non-aboriginal staff to develop and strengthen relationships with Aboriginal people, communities and Aboriginal organisations Focus area: Partnership between SMAHS and Aboriginal people to identify and address health needs Develop District Aboriginal Health Action Groups in the South Metropolitan Area. These will build partnerships between local Aboriginal communities, SMAHS and other service providers. Develop District Aboriginal Health Action Groups (DAHAGs) in each health district. District Aboriginal Health Action Groups established in each health district. It takes time to build trust, respect and relationships with Aboriginal communities. Aboriginal leadership is essential to the community engagement process. It is essential to adopt culturally appropriate protocols at all times. South Metropolitan Area Health Service representation in Aboriginal Health Action Groups. Quarterly meetings of the Aboriginal Health Action Group across all South Metropolitan health districts South Metropolitan Area Health Service membership participation. Achieved The South Metropolitan Public Health Unit (SMPHU) whose role it has been to develop the SMAHS RAP and coordinate its implementation has had representatives from its Aboriginal Health Team and Health Promotion It takes time to build trust, respect and relationships with Aboriginal communities It is essential to adopt culturally appropriate protocols at all times. The structural support and resources provided by South Metro Public Health Unit has been essential to the success 2 of 22

3 Relationships South Metropolitan Area Health Service will work towards a stronger future for Aboriginal people by supporting Aboriginal and non-aboriginal staff to develop and strengthen relationships with Aboriginal people, communities and Aboriginal organisations Focus area: Partnership between SMAHS and Aboriginal people to identify and address health needs Team participating in all District Aboriginal Health Action Group meetings. Their role has been to assist with meeting coordination, agenda preparation, minute taking, as well as supporting the recruitment of new members through their networks. of these groups. It has enabled group members to invest their time in driving cultural improvements, rather than the tasks of managing an action group (e.g. minute taking). An annual health service open day for the Aboriginal community held at each South Metropolitan Area Health Service district site to promote health services. One event/annum at each SMAHS health district site. Community Participation events held at Peel, Rockingham, Fremantle, Bentley and Armadale. Cultural events supported at Royal Perth Hospital. Regular communication with health sites is required to continue to progress this target. All events acknowledged on the RAP website and newsletter. Website currently being updated. Newsletter in progress. Website to be linked with other culturally significant websites such as those of nongovernment Aboriginal corporations. Include in the newsletter relevant Aboriginal service development issues (e.g. progress on the Council of Australian Governments funded projects implemented throughout the SMAHS). 3 of 22

4 Relationships South Metropolitan Area Health Service will work towards a stronger future for Aboriginal people by supporting Aboriginal and non-aboriginal staff to develop and strengthen relationships with Aboriginal people, communities and Aboriginal organisations Focus area: Improving the patient journey through better communication Use of Aboriginal interpreting services consistent with other interpreting services. Review the South Metropolitan Area Health Service Multicultural Policy to update information about Aboriginal interpreting services or develop specific Aboriginal policy for endorsement by the South Metropolitan Area Health Service Area Executive Group (AEG). In progress but awaiting the endorsement of a state-wide policy with which local actions can be aligned. Endorsement of the state-wide policy is expected in March The importance of aligning local actions with state-wide initiatives that are imminent to ensure efficient use of resources. Add Aboriginal interpreting service information to existing Interpreter Service databases. On track. Awaiting the endorsement of the state-wide policy. Once endorsed Aboriginal interpreting service information can be added to existing Interpreter Service databases. See above. 4 of 22

5 Relationships South Metropolitan Area Health Service will work towards a stronger future for Aboriginal people by supporting Aboriginal and non-aboriginal staff to develop and strengthen relationships with Aboriginal people, communities and Aboriginal organisations Focus area: RAP implementation and sustainability Form South Metropolitan Area Health Service RAP Implementation Working Group (with strong Aboriginal representation). SMAHS RAP Working Group formed. The SMAHS RAP Implementation Working Group was formed with Aboriginal representation and representatives from other health services within SMAHS. The group has had the membership of three Senior Aboriginal Project Officers one of whom organises and chairs each meeting. The South Metropolitan Public Health Unit s Aboriginal Team Manager regularly attends these meetings. In 2010 the RAP Implementation Working Group will be increased by approximately six Aboriginal members. It is important to have strong Aboriginal representation to ensure that RAP actions are implemented in a culturally sensitive manner. Four meetings annually. Minutes from regular meetings of RAP Working Group that outline the progress of RAP implementation Four meetings in Meeting scheduled for Feb Minutes have been recorded. 5 of 22

6 Relationships South Metropolitan Area Health Service will work towards a stronger future for Aboriginal people by supporting Aboriginal and non-aboriginal staff to develop and strengthen relationships with Aboriginal people, communities and Aboriginal organisations Focus area: RAP implementation and sustainability actions. Community event to launch RAP. RAP launched. Launched on the 25 th February 2010 at South Fremantle Football Club with lunch provided. Approximately 70 Aboriginal community members along with health service providers attended. The bringing together of the Aboriginal community and health service providers for the RAP launch highlighted the mutual commitment to South Metropolitan Area Health Service RAP. It takes time to build trust, respect and relationships with Aboriginal communities. It is essential to adopt culturally appropriate protocols at all times. Launch acknowledged on the RAP website and newsletter and magazines. Web site currently being updated. Newsletter in progress. The complexity of such tasks and the need for educational support should be considered when setting timelines. RAP registered on Reconciliation Australia website. Present RAP workshops to create/maintain awareness of reconciliation and progress the implementation of the SMAHS RAP and inform staff about the WA Cultural Respect Implementation Framework. RAP registered on Reconciliation Australia website. Deliver a minimum of four RAP Workshops annually with an initial focus on the SMAHS Health District Executive One executive presentation/workshop was delivered to outline the focus of the RAP and benefit realisation to the SMAHS. The preparatory work required with the hospital sites has taken longer than was anticipated in this learning time. 6 of 22

7 Relationships South Metropolitan Area Health Service will work towards a stronger future for Aboriginal people by supporting Aboriginal and non-aboriginal staff to develop and strengthen relationships with Aboriginal people, communities and Aboriginal organisations Focus area: RAP implementation and sustainability Committees. Disseminate the WA Cultural Respect Implementation Framework resource package and other relevant documents at the workshops. In progress. This policy was developed by the WA Department of Health - Office of Aboriginal Health to improve access of health services for Aboriginal people. Planned development of a project officer position to implement the WA Cultural Respect Implementation Framework Local strategies that translate Statewide policy and involve site based staff are required to change practices. Regular report on the target achievements of the RAP implementation. South Metropolitan Area Health Service RAP annual report submitted to Reconciliation Australia and the South Metropolitan Area Health Service Area Executive Group. When finalised, this report will be submitted to Reconciliation Australia and the South Metropolitan Area Health Service Area Executive Group. Data collection systems are necessary to facilitate handover between staff and aid the reporting mechanism over time. Familiarity with the format and editing process is now established. 7 of 22

8 Respect South Metropolitan Area Health Service respects and values Aboriginal culture and is committed to Aboriginal people s right to access culturally secure services. Focus area: A workforce that is culturally aware and sensitive to Aboriginal peoples values, beliefs, rights and customs Development of a directory of cultural awareness training providers. A SMAHS cultural awareness training directory is provided to all services and is available on the SMAHS website. In progress. The Western Australian Department of Health Corporate Network has processes in place for selecting and registering preferred providers to be employed for consultancy purposes. The South Metropolitan Area Health Service is consulting with Health Corporate Network and the Aboriginal community to register preferred cultural awareness consultants. To date, the Aboriginal community has been involved in selecting appropriate cultural trainers/educators for all training delivered in SMAHS. The development of a shared directory will simplify the selection process for cultural trainers and also meet community expectations. Investigate availability of existing web-based or self directed cultural awareness training package. Web-based program identified. Packages were identified and it was determined that these were either too long, overly academic, not specific to health care or expensive to make available to For a large workforce, an e- learning package is useful for introducing cultural information and raising awareness about the need to get cultural advice. It is essential to also provide 8 of 22

9 5000+ employees. Decision was made to develop a customised e- learning package An introduction to culturally appropriate health services for Aboriginal people. staff with other training options (e.g. group learning; on-the-job training). Local Aboriginal health professionals were essential to designing the messages, as well as the general health workforce. Content needs to be presented in a way that is relevant to patient care so staff understand why the training is needed. Business case developed for purchase of package. All SMAHS staff have access to web-based cultural awareness training program on RAP Website. In-house package developed. No need for business case. RAP website is not completed. Once completed and the e- learning package is approved it will be uploaded onto the RAP website. See above. E-learning package is completed and will be presented to the Area Executive Group for approval to implement at all health services in SMAHS. Development of a training component for inclusion on orientation programs across SMAHS. Introduction to Aboriginal history and culture is included in all SMAHS orientation programs. Web based program has been developed and will be available to all SMAHS staff as part of their orientation. The program is currently with IT awaiting electronic loading. When available the program will need Area Executive Group approval which is expected to occur in E-learning package needs to short enough that all services can realistically include it as part of orientation for all staff. As this is an introductory program it was important to limit the key messages to staff (e.g. Get cultural advice) and raise awareness of the need for staff to develop their 9 of 22

10 March cultural competency. E-learning package must be linked to employee electronic records so percentage of staff who have completed the package can be monitored. Cultural awareness training is mandatory for all South Metropolitan Area Health Service staff. South Metropolitan Area Health Service Area Executive Group endorsement of mandatory cultural awareness training. The e-learning package will be presented to the Area Executive Group with a recommendation that it is mandatory training for all staff. While state policies do not require mandatory training in cultural awareness this decision will be at the discretion of the Area Executive Group. Amend South Metropolitan Area Health Service Mandatory Training Policy to include cultural awareness It will be proposed to the Area Executive that the e-learning package is mandatory for all existing staff within a year of release. In addition, SMPHU and local health sites have commenced delivery of group cultural awareness training to priority staff involved in Aboriginal patient care. Multiple training opportunities for staff in Aboriginal culture and health care are essentially to achieving changes in staff knowledge, attitudes and skills. Liaise with all staff development units across the South Metropolitan Area Health Service to fully implement cultural awareness training. This is pending approval from Area Executive Group to implement the e-learning package across all sites. Preliminary discussion with South Metropolitan Area Health Service workforce planning has occurred to See above. 10 of 22

11 ensure this can be achieved, once the package has been endorsed. Additional cultural awareness training directed to areas of the health system Aboriginal patients are most likely to access e.g. community health, emergency, outpatient departments and renal dialysis. Strategies employed to ensure that key staff are trained in cultural security (e.g. resources, workshops etc). In progress. In November 2010 eight Aboriginal Health Liaison Officers were employed in the hospitals across the South Metropolitan Area Health Service. Their mandate is to ensure that the patient journey is culturally secure, provide/facilitate informal and formal cultural awareness training for staff and link patients with necessary health services following their discharge from hospital. It is critical that the key health workers undertake cultural awareness training to ensure that they are able to provide culturally secure services for Aboriginal people. Feedback from staff is that the cultural awareness training has been extremely well received and that there is a requirement for a for more in-depth training. Respect South Metropolitan Area Health Service respects and values Aboriginal culture and is committed to Aboriginal people s right to access culturally secure services. Focus area: Recognition of significant Aboriginal events Add culturally significant events to the WA Health Promotion Calendar. Calendar completed. In progress. The calendar is electronic allowing events to be updated on a monthly basis. A request to the This action is not the best possible location for this information to be stored and alternatives are being explored. 11 of 22

12 Respect South Metropolitan Area Health Service respects and values Aboriginal culture and is committed to Aboriginal people s right to access culturally secure services. Focus area: Recognition of significant Aboriginal events Department of Health Communications Directorate for inclusion of National Sorry Day, Reconciliation Day, NAIDOC Week into the What s on in Health Calendar has been made. Confirmation pending. Promote significant Aboriginal events such as National Sorry Day, National Reconciliation Day or NAIDOC Week to all South Metropolitan Area Health Service sites. All sites to receive and display promotional material. South Metropolitan Area Health Service sites hold an event to celebrate at least one of the events: Sorry Day, National Reconciliation Week or NAIDOC Week South Metropolitan Area Health Service sites hold at least one event annually. Website and newsletter report on each event completed. There were celebrations for Reconciliation Week and NAIDOC Week across SMAHS sites including Armadale Health Service, Bentley Health Service, Royal Perth Hospital, Fremantle Hospital, Rockingham General Hospital and Nidjalla Waangan Mia Aboriginal Health and Wellbeing Centre. All events were well received by the Aboriginal community and the hospital staff. The events provided a positive forum to encourage awareness of these significant events. 12 of 22

13 Respect South Metropolitan Area Health Service respects and values Aboriginal culture and is committed to Aboriginal people s right to access culturally secure services. Focus area: Recognition of significant Aboriginal events Reporting on Sorry Day, National Reconciliation Week and NAIDOC events will be included in the newsletter, and in the website once it has been finalised. Respect South Metropolitan Area Health Service respects and values Aboriginal culture and is committed to Aboriginal people s right to access culturally secure services. Focus area: Respecting Aboriginal and Torres Strait Islander values and culture Aboriginal and Torres Strait Islander flags displayed at all SMAHS sites. All South Metropolitan Area Health Service sites display the Aboriginal and Torres Strait flags. Almost completed. Aboriginal and Torres Strait flags are displayed at Fremantle Hospital, Royal Perth Hospital, Rockingham General Hospital, Nidjalla Waangan Mia Aboriginal Health and Wellness Centre, Bentley Hospital Armadale Hospital. Site restrictions have delayed flag raising at Murray District Hospital. Unforeseen circumstances (i.e. site restrictions/safety issues) prevent the achievement of target within timeframe. 13 of 22

14 Respect South Metropolitan Area Health Service respects and values Aboriginal culture and is committed to Aboriginal people s right to access culturally secure services. Focus area: Respecting Aboriginal and Torres Strait Islander values and culture Each hospital displays either an Aboriginal designed Welcome Mural and/or Noongar artwork at the front entrance. Each hospital entrance displays an Aboriginal Welcome Mural and/or Aboriginal artwork. In progress. Art work has been displayed in all of the South Metropolitan Area Health Service Hospitals. As a result of a consultation process with the Aboriginal community not all of the hospitals have their artwork pieces at the front entrance. The consultation process facilitated the building of relationships and partnerships between the Aboriginal community and hospital. Implementation of Department of Health guidelines for recognition of the Traditional Owners of the local land at meetings and Welcome to Country at major health service events. In consultation with local Noongar people, visual signage in hospitals e.g. coloured dots or footprints to Protocols developed and endorsed by South Metropolitan Area Health Service. Traditional Owners are acknowledged at all major meetings. Traditional Owners are invited to perform a Welcome to Country at public events. Signage planned. This target has not been achieved. Discussions have taken place at the Regular communication with health sites is important to continue work on this action. 14 of 22

15 Respect South Metropolitan Area Health Service respects and values Aboriginal culture and is committed to Aboriginal people s right to access culturally secure services. Focus area: Respecting Aboriginal and Torres Strait Islander values and culture key sites such as the renal department, developed and implemented. Update and maintain an internal RAP website to support RAP initiatives, provide cultural training information, and post newsletters and annual reports. Produce a six-monthly e- newsletter sharing positive Aboriginal and Torres Strait Islander stories and RAP achievements. Signage implemented. Website updated to include relevant RAP information and resources. Newsletter produced biannually. Armadale Hospital to have renal dialysis machines decorated by local Aboriginal artists; and to have footprints leading to the unit put in place. Not achieved. The RAP website is not completed. The RAP is available on the South Metropolitan Public Health Unit website. The production of an annual newsletter is in progress. Details of positive stories and RAP achievements are being collated for inclusion in the e-newsletter. See above. Need to maintain focus on and make sure that deliverables are being achieved within the timeframes identified. Need to maintain focus on and make sure that deliverables are being achieved within the timeframes identified. 15 of 22

16 Opportunities South Metropolitan Area Health Service will act on opportunities to enhance a culturally secure health service for Aboriginal people and will endeavour to build capacity within the Aboriginal workforce employed by South Metropolitan Area Health Service Focus area: Promote Aboriginal employment in health Establish the South Metropolitan Area Health Service (SMAHS) Aboriginal Employment Working Party (AEWP) to identify strategies for implementation across SMAHS. Adopt and adapt the WA Health Aboriginal and Torres Strait Islander Employment Framework ( ) according to local needs and WA Health strategic and operational directives. South Metropolitan Area Health service Aboriginal Employment Working Party established. Planning is in place to develop SMAHS Aboriginal Employment Working Party. Strategies identified. In progress. Need Aboriginal Community engagement to identify strategies for Aboriginal employment. Need to ensure there is capacity and resources prior to developing an employment plan. Strategy endorsed by the South Metropolitan Area Health Service Area Executive Group. Plan is required to identify strategies. Sites aware of WA Health Aboriginal and Torres Strait Islander Employment Framework. Need to provide information in a timely manner where it has relevance to actions. Develop a proposal and business case to recruit Aboriginal trainees/cadets. Proposal developed and endorsed by South Metropolitan Area Health Service Need to ensure proposals are supported by state-wide initiatives for increasing employment, and the targets for traineeships are realistic 16 of 22

17 Opportunities South Metropolitan Area Health Service will act on opportunities to enhance a culturally secure health service for Aboriginal people and will endeavour to build capacity within the Aboriginal workforce employed by South Metropolitan Area Health Service Focus area: Promote Aboriginal employment in health Area Executive Group. and achievable. Opportunities South Metropolitan Area Health Service will act on opportunities to enhance a culturally secure health service for Aboriginal people and will endeavour to build capacity within the Aboriginal workforce employed by South Metropolitan Area Health Service Focus area: Strengthen the current Aboriginal workforce Establish the South Metropolitan Area Health Service Aboriginal Health Professional Network to provide support, staff development opportunities and mentorship. Aboriginal Health Professional Network established. Creating a complete list including all Aboriginal and Torres Strait Islander employees within the South Metropolitan Area Health Service was difficult as not all Aboriginal and Torres Strait Islander employees had completed the Employee Diversity Data Form. This form (which provides the opportunity for staff to identify as an Aboriginal or Torres Strait Islander is sent out to all new employees in WA Health) currently has a response rate of around 38%. For this reason an promoting the establishment and first meeting of the network was sent to known Aboriginal and Torres Strait Islander employees requesting wider circulation to other Aboriginal and 17 of 22

18 Opportunities South Metropolitan Area Health Service will act on opportunities to enhance a culturally secure health service for Aboriginal people and will endeavour to build capacity within the Aboriginal workforce employed by South Metropolitan Area Health Service Focus area: Strengthen the current Aboriginal workforce Torres Strait Islander people. Meetings held. Report in RAP Newsletter. First meeting has been scheduled for 27 January A report will be included in the newsletter. Opportunities South Metropolitan Area Health Service will act on opportunities to enhance a culturally secure health service for Aboriginal people and will endeavour to build capacity within the Aboriginal workforce employed by South Metropolitan Area Health Service Focus area: Strengthen Aboriginal leadership All South Metropolitan Area Health Service Aboriginal staff are aware of and have the opportunity to participate in leadership development workshops. Workshops listed on the RAP website. Aboriginal Health Professional Network. Number of Aboriginal Aboriginal staff members have attended leadership development workshops. These will be listed on the RAP website when the website has been finalised. Five Aboriginal staff Staff indicated that they found the workshop beneficial. It is anticipated that attending workshops will be an ongoing initiative. 18 of 22

19 Opportunities South Metropolitan Area Health Service will act on opportunities to enhance a culturally secure health service for Aboriginal people and will endeavour to build capacity within the Aboriginal workforce employed by South Metropolitan Area Health Service Focus area: Strengthen Aboriginal leadership Encourage Aboriginal representation on agency committees and working parties. health staff attending courses. Aboriginal representation on SMAHS boards, committees, etc. members attended the Fundamentals of Management course at Fremantle Hospital. District Aboriginal Health Action Groups established to provide forums for Aboriginal community members to have input into Aboriginal planning and service development. Having Aboriginal representation has allowed direct communication of the needs and wishes of the Aboriginal community. Aboriginal involvement is essential to the community engagement process. The Aboriginal community has responded positively to this initiative. 19 of 22

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