national rural health conference 2017 cairns · national rural health conference 2017 cairns...
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National Rural Health Conference 2017 Cairns
Delivering culturally appropriate aged care and palliative care in Cape York: the
Apunipima and Catholic Health Australia Partnership
Mark Wenitong and Annette Panzera
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• Health improvements through: - Community Governance of health services - Provision of community-specific primary health care services in all communities - Reciprocal Accountability Framework to hold all health providers accountable
• Stop children being taken from communities• Create safe communities
• Healthy children who are being educated • Health information in the schools• Career pathways to VET and tertiary sectors• Families taking responsibility for children
• Culture is included in the health service• Health services reflect the community’s
cultural constructs
• Jobs match people wanting jobs• Provide jobs for local people• Creating & supporting local business opportunities
• Home ownership• Community leading solutions• Creation of business opportunities• Environmentally safe communities• Increased infrastructure• Access to basic services • Funding investments being
aligned to community priorities• Community values are naturally
being taught & passed to the next generation
Heart of Apunipima Way
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Less than 10% of the Qld Indigenous population are aged >60
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Things to know about Cape York • 17 Aboriginal Communities
• Communities range from 60 to 1,400 residents
• Approximately 14,000 people with 8,000 being Indigenous
• Wet season cuts off Communities for about six months of the year
• Majority are welfare dependent - low income
• Not enough houses so often have 12+ people in a 3 bedroom house
• Food costs are high when there is food in the Community Stores
• High rates of chronic disease
• Apunipima established in 1994 as the only solution to better health
Apunipima means “United All In One”
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Apunipima / CHA Partnership April 2015 to present
• 2015 – Apunipima delegation visit Canberra and CHA • August 2015 – Apunipima are keynote speakers at CHA National Conference –
majority of members show interest in partnering with Apunipima to close the gap
• Late 2015 St Vincents health Australia agree to fund a palliative care scoping project in Northern peninsula Council (Apunipima partner)
• March 2016 Mercy Health assist Apunipima with a clinical governance review • July 2016 group of CHA members, HESTA representatives and other local
stakeholders led by a team from Apunipima visit Aurukun, followed by a day workshop in Cairns to discuss partnering possibilities
• November 2016 – As an initial outcome of the workshop funding is secured to initiate a workforce exchange project
• November 2016 – Allied Health staff from Cabrini assist Apunipima to respond to a trauma event in Kowinyama
• March/April 2015 – A project officer is recruited to the workforce exchange project and an ACU student intern begins the evaluation framework
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Statement of Strategic Intent 2016
Apunipima Cape York Health Council (Apunipima) is the largest community controlled health organisation in Queensland and delivers a comprehensive
primary health care service to 11 Cape York communities. Apunipima adheres to a family centred model of comprehensive primary health care. Catholic
Health Australia (CHA) represents Australia’s largest non-government grouping of hospitals, aged and community care services in both metropolitan
and regional locations in fulfilment of the healing ministry of Christ. Apunipima and CHA have begun a journey of collaborating together towards achieving the goal of closing the substantial gaps in health outcomes between
Aboriginal people in Cape York and other non-Indigenous Australians. This Statement of Strategic Partnership formalises that relationship and sets out the
intent of both parties to work together over the coming years.
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Palliative Care – Project outline • Developing a palliative care service needs a long term strategy • It is about changing both community and clinical staff attitudes • Funded a project officer in the first year to establish project • Focusing on PEPA training as a first step both in Cairns and NPA • Engaging local Palliative Care service (Gordanvale) – keen to assist • NPA leading with assistance from SVHA – developing PD, interview
panel etc • Responding to a request – Apunipima presented at CHA Conf • Focusing on a specific need – Palliative care at NPA • Started conversation - building a partnership • Bringing cultural and clinical expertise together • Funding is only part of the solution
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• Established Aged Care Ministry in Far North Queensland (Cairns) June 2015
• Recognition of cultural diversity and community partnerships
• ACYHC and Mercy Health Board linkage in 2015
• Commitment to ACYHC announced at CHA Conference 2015
• June 2016 – Supported Apunipima in a clinical governance review
Mercy Health - Our journey with ACYHC began in 2015
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Emergency response to an incident in Kowinyama
• In October 2016 Apunipima contacted CHA regarding a serious incident in Kowinyama which led to 15 people being evacuated to Cairns and Townsville hospitals
• Allied health support (physios and OT) were needed to assist those injured in the community who had remained as well as those returning from attending the ED
• Cabrini Health were able to assist with equipment and 2 staff who came to Apunipima offices in cairns, received cultural awareness training and then travelled to the community with the Apunipima team
• This resulted in the identification of some serious gaps in allied health support • The workforce exchange program is now looking to fill some of those gaps
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Next steps for 2017 • Analysis of aged care services in the Cape • Roll-out of workforce exchange program • Interview respondees to the EOI • Develop evaluation framework to assure continuous evaluation through lifetime
span of project so that incremental changes can be made where required • Possible reestablishment of an echocardiography service (under discussion with
QH) • Organise a visit to a Cape community (Kpwinyama or Coen) • 2nd workshop in July • Funding applications as required
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Big Thank you! Apunipima staff that looked after us:
Renee Williams, Paula Arnol and Mark Wenitong and many others…..
And of course our sponsors for the Aurukun visit and Cairns workshop:
HESTA in particular Kylie Woolcock and Bart Moyes