14th NRHC Recommendation

That mainstream health services partner with the peak Indigenous health bodies to develop and deliver cultural safety training for all health care workers that moves beyond the tick and flick. And that accreditation bodies (government, hospitals, medical boards, AMC/ACHS, colleges, universities and others) develop standards to measure the uptake, reach and success of these programs in such a way that lack of meaningful implementation has consequences for the practitioner or service so that we as practitioners and governing bodies are held accountable for cultural incompetence. Risks and barriers that need to be considered include

1. The busyness of the peak Indigenous bodies/health services and their limited capacity to do more without specific resourcing for this (opportunity :- offered as a commercial arrangement)

2. The need for cultural safety training to be situated locally and that no one size will fit all (opportunity :- that through the development of programs, relationships need to be built between mainstream and community/community organisations

3. The challenges in measuring "What is success?", (opportunity:- to undertake participatory research measuring the patient experience locally and sharing successes nationally.

Time frame :- the time frame will need to allow for some significant delays so suggest that a 50% target in 5 years. Some of the issues that will require significant time investments are :-

1. Developing relationship with specific providers
2. Developing the program itself
3. Delivering the program to all in a meaningful format that moves beyond on line modules and provides transformative change for the participant
4. The inclusion of accreditation standards and then the accreditation cycle as some services will need the threat of failing accreditation to adopt this

Recommendation Type: 


Agree for sure - but adding to this. Health services also need to be properly funded for this as well. The limited health dollar impacts ability to do this well