2018 post-implementation review of Country Health SA’s Aboriginal Community & Consumer Engagement Strategy
Draft findings webinar
On Friday 05 October 2018, HPC held a webinar to share draft findings of the review with community stakeholders and provide an opportunity for feedback and discussion. We are grateful to all those who were able to attend and are pleased to make the materials available to everyone who could not join us on the day.
Webinar slide deck
We will also publish a full recording of the webinar soon on our YouTube channel.
Klynton Wanganeen’s video segment
This video segment, shown at slide 61 in the presentation, is a personal point of view from Klynton Wanganeen, who was involved in the review. Watch the clip here via YouTube (3min, 33sec).
Questions and discussion
A summary of the question and discussion session with participants at the webinar.
Most of the discussion among participants was around the devolution, from July 2019, of functions of Country Health onto the six new Local Health Networks that are being set up for country South Australia. Management and operation of the Experts by Experience register will be spread amongst the regions as part of this decentralisation process.
It was suggested that there should be expressly identified positions on the boards for Aboriginal expertise to be properly incorporated into the Boards’ decision-making processes, although it was noted on this matter that the legislation does require at least one member of each Board to ‘be a person who has expertise, knowledge or experience in relation to Aboriginal health’#.
Participants suggested that the findings from our review would be of interest to the new Local Health Networks in fulfilling their duties. We understand that staff in Country Health are looking to inform the new Boards about the Strategy and this review, and we expect that our final report for the review will include recommendations strongly encouraging and highlighting the need for this Strategy to continue to be applied after the devolution.
We also heard that the use of the term ‘cultural competency’ is deprecated, especially when used in a context where it might be taken as implying a measure of someone’s competency in their own culture. More modern terminology therefore differs, for instance, the staff training programme in Country Health is referred to as a ‘cultural learning framework’.
There was also some discussion on the fact, as was highlighted in the webinar, that less than 1% of all Country Health staff responded to the survey for the data collection for this review, although it is fair to note that response rates were rather higher than that for the separate surveys for executives and Aboriginal staff. It cannot be known exactly why so few staff overall chose to complete the survey, but there was consensus amongst webinar participants that it at least partly indicated and underlined an institutional cultural issue around Aboriginal affairs.
# s. 33B(4), Health Care Act 2008 as to be amended by the coming into force in July 2019 of s. 11 Health Care (Governance) Amendment Act 2018