USDY Medical School - Back

to Basics – 17-21 May 2021

“What is the role of an

SUB PAGE
Aboriginal and Torres Strait
TITLE GOES
Islander Health
HEREWorker and
Health Practitioner?”
Facilitated by: Karl Briscoe
CEO, NAATSIHWP
17 May 2021
 Session Overview:

Acknowledgement of Traditional
Owners.
• Who is NAATSIHWP and what we
do?
• Our membership and benefits
• Key Strategic Priorities and
Activities
2009 Founding Members
Current NAATSIHWP Board today:

NAATSIHWP Board of Directors

Top Row L-R: David Follent – Chair (NSW), Christine Ingram – Treasurer (Vic), Natalie
Pangquee - Secretary (NT)
Bottom Row L-R: Aunty Thelma Weston (ACT), Yancy Laifoo (NPA/TSI), Judith Parnham (Qld),
Raeylene McKenna (WA), Suzie Smith (TAS)
 Our Vision
“An association, founded on the cultural and
spiritual teachings of our past and present leaders,
which best serves our members in their important
role in achieving physical, social, cultural and
emotional wellbeing for all Aboriginal and Torres
Strait Islander peoples”.
Our Key Strategic Focus Areas
1. Scope of practice for the workforce
2. Professional support and development for Members
3. Representation and promotion of workforce needs
4. Recruitment and retention of the workforce
 Membership Growth from
Membership 2016 – Current:
2016 – Current Membership Comparison
Full- 1007 2,379

Associate- 816 1,227

1,007
Students- 131 703

Friends- 425

Total: 2,379
 Membership Benefits - Membership is FREE
Full Students
• Member Certificate • Membership Certificate
• Weekly Newsletter • Weekly Newsletter
• Opportunity to feature in our Newsletter • Opportunity to feature in our Newsletter
• Starter Pack • Access to Online Student Members
• Members badge Portal
• Eligibility to use your Badge number to • 10% Discount for our online shop
apply for a Medicare Provider Number • Access to Bursaries & Scholarships
(A&TSI H/W) • Support from mentors (keep your eyes
• 15% Discount for our online shop peeled in 2021)
• Access to Online Full Members Portal
• Access to Bursaries & Scholarships
• Voting rights at AGM after 6 months Friends
continual membership • Membership Certificate
• Weekly Newsletter
Associates • Opportunity to feature in our Newsletter
• Member Certificate • Corporate Members get their logo added
• Weekly Newsletter to our website with a web link
• Opportunity to feature in our Newsletter
• Access to Bursaries & Scholarships
Key Priorities and Activities:
Timeframe 2018/2022
Projects
• National Mentoring Program,
• CPD Endorsement Program
• A&TSIHW CPD Scoping
• Review of Cultural Safety Framework
• Modern Award / Strategic Research
• National Ambassadors/Champions 3 x categories
• Virtual RTO Network
• Professional Development Forums
• A&TSI Health Professionals Resource Kit
• Members Portal CPD register and reporting tool
• MBS Review
• COVID-19 - Exemplar Model of Care,
• COAG National SOP Commitment 9
 About the Program Apply Apply
to get a to be a
mentor mentor

Log my
Mentorin Mentor Profiles
× Mentoring g session
 Mentoring Program Modules:
Module 1: Welcome and The
Mentoring Experience Module 6: Stage 1 - Preparing for
Your Mentoring Journey
Module 2: Diversity in
Mentoring Relationships Module 7: Stage 2 - Starting Your
Mentoring Journey
Module 3: Using Strengths
Based Practice Module 8: Stage 3 - Travelling
Together and
Module 4: Supporting Anti- Stage 4 - After Reaching Your
Racism and Cultural Safety Destination

Module 5: Supporting Self- Module 9: Where to from Here?

Care 11
 CPD Endorsement Program

Main Menu
12
NAATSIHWP’s Cultural
Safety Framework
Stage 1 – Coffee table version of Cultural Safety Framework
FWC Timeline: Hearing, Consultation,
Decision, Statements and Listing:
Decision Full
Full Consultati Consultati Bench Direction Final
Bench on Sub on Sub 21 March 20 March 2019 18 September Determination
Hearing and Minor and Minor 2018
Issues Issues Notice for 2019 Final 12 March
6 Dec 7 August Listing
2016 28 Mar 1 June 2018 Submissions 2021
2017 2017 28 March 2019

8 Feb 2017 28 April 19 Jul 2017 1 Oct 2018 Listed for 30 September
2017 Final 13 Nov 2018
Consultati
24 Dec 2018 Hearing 2020 Final
on Sub Consultati Consultatio
and Minor on Sub and n Sub and 6 Feb 2019 25-26 July Submissions on
Issues Minor Minor 13 Feb 2019 2019 Interim
Issues Issues 28 Feb 2019 Decision
Statements
 FWC Decision wage grade recognising the “Care” and “Practice”
Aboriginal & Torres Strait Islander Health Workers & Practitioners & Aboriginal Community
Controlled Health Services Award 2020https://www.fwc.gov.au/awards-and-agreements/modern-award-
reviews/4-yearly-review/award-stage/award-review-documents/MA000115?m=AM2014/250

ACCHSA ACCHSA ACCHSA

Grade 4 Grade 5 Grade 5
ACCHSA ACCHSA
Grade 1 & 2 Grade 3 HLT40113 - Certificate IV HLT50113 - Diploma HLT60113 - Advanced
(2 when completed cert)
in Aboriginal and/or of Aboriginal and/or Diploma of Aboriginal
Torres Strait Islander Torres Strait Islander and/or Torres Strait
HLT20113 - HLT30113 - Primary Health Care Islander Primary Health
Primary Health Care
Certificate II in Certificate III in (Care) Care (Care)
Aboriginal and/or Aboriginal and/or (Care)
Torres Strait Torres Strait Islander HLT40213 - Certificate
Islander Primary Primary Health Care HLT50213 - Diploma of
IV in Aboriginal and/or
Health Care (Care) (Care) Aboriginal and/or Torres Strait
Torres Strait Islander Islander Primary Health Care
Primary Health Care (Practice)
(Practice)

ACCHSA ACCHSA
Grade 4.2 Grade 5.2
Aboriginal & Torres Strait Islander Health Workers & Practitioners &
Aboriginal Community Controlled Health Services Award 2020

Factsheet
Con’t Aboriginal & Torres Strait Islander Health Workers & Practitioners & Aboriginal Community
Controlled Health Services Award 2020
Current and proposed training package HLT – Health for:
• A&TSI Health Workers
• A&TSI Health Practitioners

A&TSI H/W
A&TSI H/W A&TSI H/W HLT60113 -
HLT40113 - HLT50113 - Advanced
A&TSI H/W A&TSI H/W Certificate IV in Diploma of Diploma of
A&/orTSI A&/orTSI A&/orTSI Primary
HLT20113 - HLT30113 - Health Care
Certificate III Primary Health Primary Health
Certificate II Care (Care) (Care)
in A&/orTSI in A&/orTSI Care (Care)
Primary Primary
Health Care Health Care A&TSI H/Prac A&TSI H/Prac
(Care) (Care) HLT40213 - HLT50213 - Diploma
Certificate IV in of A&/orTSI Primary
A&/orTSI Health Care (Practice)
Primary Health (New AHPRA
Care (Practice) Registration)
(Current AHPRA
Registration)
 Strategic Research Project
1. Estimate enrolment rates and completion rates of A&/orTSI primary
health care training courses in Australia’s VET sector;
2. Identify A&/orTSI Health Worker and Health Practitioner workforce
trends over time;
3. Forecast the future A&/orTSI Health Worker and Health Practitioner
workforce pipeline based on items 1 and 2;
4. Estimate and consider the potential financial costs of A&/orTSI
Health Worker and Health Practitioner training and registration
relative to potential future earnings and likely impacts on the growth
of this workforce;
5. Outline the policy implications of the analysis.
DRAFT NATSIHWA Ambassador Program Concept Categories
Category 1:
National Celebrity
Potential Titles:
National Ambassador (title depicts role as a
national figurehead for broad mass appeal and
engagement)
Others…
NATIONAL Ambassador
Program activity:
Recruits Indigenous celebrities with national
profile, includes 1 x youth celebrity.
Activities focus on:
- Tailored to Ambassador’s profile and
availability
- Focused on national and regional mass
media, prioritising social media platforms
and national events and federal level health
sector engagements
Primary Category Aims
- National and Regional Promotion of value of
NATSIHWA and A&TSIHWs and A&TSIHPs roles
- Supporting workforce recruitment
- Key aim of the young celebrity is to attract
younger people and young men in response to
current workforce demographic profile.
- Increase profession pride improving the
recruitment and retention of A&TSIHWs and
A&TSIHPs.
Category 2:
National Professional
Potential Titles:
Professional Champion (title depicts role as a health
professional with deeper knowledge of the profession
able drive its promotion within a sector audience)
Others…
PROFESSIONAL Champion
Program activity:
Recruits an Indigenous professional with health
sector profile. This role has a professional
promotion focus. Ideally a professional with
A&TSIHW/HP background.
Activities focus on:
- National health/education sector social and
mass media
- Health sector events
- National health sector network engagements
Primary Category Aim
- Promote NATSIHWA and A&TSIHWs and
A&TSIHPs roles within health/education sector
policy and program environments, including
need for culturally safe work environments
- Support greater innovation and utilisation of
the workforce and workforce growth and
development.
- - Increase professions profile building
opportunities to improve the recruitment and
retention of A&TSIHWs and A&TSIHPs.
Category 3:
Young Champion/Warrior
Potential Titles:
Young Champion (title depicts role as a standout individual,
speaks to youth and acknowledges their potential)
Young Trailblazer
Young Warrior (title depicts role as a standout individual, speaks
to youth and acknowledges their potential)
Others…
YOUTH Champion
Program activity:
Recruits a student or earlier career HW/HP potentially
straddling/linked to the NATSIHWA Young Warrior
awards..
Activities focused on:
- Social media and local mass media
- Local events
- Local education and health networks engagements
- NATSIHWA national events and other appropriate
forums
Primary Category Aim
- Increase local community and local health sector
awareness, recognition and valuing of NATSIHWA
and A&TSIHWs and A&TSIHPs roles supporting
workforce growth and development
- Support leadership development of Young
Champion as professional role model for young
people
- Increase profession pride improving the
recruitment and retention of young A&TSIHWs
and A&TSIHPs.
NAATSIHWP Professional Development Forums
COVID-19 Posters for A&STI Health
Professionals and Communities:

24
 A&TSI Health Practitioners AHPRA Registration:
• Changes coming into effect from the 1 December 2019
• CPD 20hrs per year being the minimum each year that:
• seeks to improve patient outcomes and experiences
• draws on the best available evidence, including well-established and accepted
knowledge that is supported by research where possible, to inform good
practice and decision-making
• contributes directly to improving your competence (performance and
behaviour) and keeping you up to date in your chosen scope and setting of
practice
• builds on your existing knowledge, and
• includes a minimum of five hours of CPD in an interactive setting with other
practitioners.
• Maintain a portfolio that documents your learning goals and records
all your planned CPD activities and your reflection on how these CPD
activities are expected to improve or have improved your practice
NAATSIHWP Members Portal Demonstration

Main Menu 26
MBS Taskforce Findings – Aboriginal and Torres
Strait Islander Health Reference Group Report
1. Enable bulk-billing incentives to be billed in conjunction with provision of allied health
services for A&TSI peoples. supported but an alternative (non-MBS) mechanism
2. Enable all allied health services available to A&TSI peoples to be provided as group services.
supported but an alternative (non-MBS) mechanism
3. Change the name of M11 and M3 “Comprehensive PHC follow up services”. Not endorsed
4. Pool access to allied health items that are available following the completion of a health
assessment and the creation of a GPMP/TCA. Endorsed
5. Increase the number of allied health sessions available for A&TSI peoples. supported but an
alternative (non-MBS) mechanism
6. Create a new item for group service delivery of comprehensive follow-up services after a
health assessment. A&TSI peoples’ health assessments. Not endorsed
7. Ensure that health assessment templates and content (715) reflect best practice. Endorsed
8. Update the allied health referral form for item 715. Endorsed
9. Enable qualified A&TSI Health Workers to claim Items 10987, 10988, 10989 and 10997 on
behalf of a medical practitioner. supported but an alternative (non-MBS) mechanism
10. Enable nurses to claim 10988 and 10989 on behalf of a medical practitioner. supported but
an alternative (non-MBS) mechanism
11. Conduct research to enable MBS service provision by non-registered A&TSI health
professional. supported but an alternative (non-MBS) mechanism
 Longer-term Recommendations
12. Invest in the growth and sustainability of the A&TSI Health Worker and Health
Practitioner workforce. supported but an alternative (non-MBS) mechanism
13. Invest in an awareness campaign that explains the roles and scopes of practice
of A&TSI Health Worker and Health Practitioner. supported but an alternative
(non-MBS) mechanism
14. Establish an MBS data governance, reliability and monitoring group to provide
guidance and oversight of A&TSI peoples’ MBS claims data to ensure accuracy.
supported but an alternative (non-MBS) mechanism is recommended
15. Ensure that all MBS revenue generated from the 19(2) Directions for state and
territory clinics, funded under the IAHP delivering primary health care to A&TSI
peoples is invested back into PHC services. Not endorsed
16. Enhance social and emotional well-being support for A&TSI peoples through an
MBS rebate for SEWB support services delivered by accredited practitioners. Not
endorsed
17. Promote culturally safe health services for A&TSI peoples to all health
providers. supported but an alternative (non-MBS) mechanism
Scope of
SUBPractice
PAGESession
TITLE GOES
HERE
Current and proposed training package HLT – Health for:
• A&TSI Health Workers
• A&TSI Health Practitioners

A&TSI H/W
A&TSI H/W A&TSI H/W HLT60113 -
HLT40113 - HLT50113 - Advanced
A&TSI H/W A&TSI H/W Certificate IV in Diploma of Diploma of
A&/orTSI A&/orTSI A&/orTSI Primary
HLT20113 - HLT30113 - Health Care
Certificate III Primary Health Primary Health
Certificate II Care (Care) (Care)
in A&/orTSI in A&/orTSI Care (Care)
Primary Primary
Health Care Health Care A&TSI H/Prac A&TSI H/Prac
(Care) (Care) HLT40213 - HLT50213 - Diploma
Certificate IV in of A&/orTSI Primary
A&/orTSI Health Care (Practice)
Primary Health (New AHPRA
Care (Practice) Registration)
(Current AHPRA
Registration)
 Certificate IV – Qualification Core Modules Comparison
HLT40113 - Certificate IV in Aboriginal and/or Torres
Strait Islander Primary Health Care
(Aboriginal and Torres Strait Islander Health Worker)
CHCLEG001 - Work legally and ethically
HLTAHW005 - Work in an Aboriginal and/or Torres Strait
Islander primary health care context
HLTAHW006 - Facilitate and advocate for the rights and
needs of clients and community members
HLTAHW007 - Undertake basic health assessments
HLTAHW017 - Assess and support client s social and
emotional wellbeing
HLTAHW018 - Plan, implement and monitor health care
in a primary health care context
HLTAHW019 - Deliver primary health care programs for
Aboriginal and/or Torres Strait Islander communities
HLTAHW021 - Provide nutrition guidance for specific
health care
HLTAHW022 - Address social determinants of Aboriginal
and/or Torres Strait Islander health
HLTAHW037 - Support the safe use of medications
HLTAHW023 - Plan, develop and evaluate health
promotion and community development programs
HLTAID003 - Provide first aid
HLTINF001 - Comply with infection prevention and
control policies and procedures
HLTWHS001 - Participate in workplace health and safety
HLT40213 - Certificate IV in Aboriginal and/or Torres Strait Islander
Primary Health Care Practice
(Aboriginal and Torres Strait Islander Health Practitioner)
CHCLEG001 - Work legally and ethically
HLTAHW005 - Work in an Aboriginal and/or Torres Strait Islander
primary health care context
HLTAHW006 - Facilitate and advocate for the rights and needs of
clients and community members
HLTAHW016 - Assess client's physical wellbeing
HLTAHW017 - Assess and support client s social and emotional
wellbeing
HLTAHW018 - Plan, implement and monitor health care in a
primary health care context
HLTAHW019 - Deliver primary health care programs for Aboriginal
and/or Torres Strait Islander communities
HLTAHW021 - Provide nutrition guidance for specific health care
HLTAHW022 - Address social determinants of Aboriginal and/or
Torres Strait Islander health
HLTAHW020 - Administer medications
HLTAHW037 - Support the safe use of medications
HLTAID003 - Provide first aid
HLTINF001 - Comply with infection prevention and control policies
and procedures
HLTWHS001 - Participate in workplace health and safety
Why the need for a National SOP for
A&TSI Health Workers and Health
Practitioners

• Common misconceptions of the

scopes of the roles.

• Differing Drugs and Poisons

Legislation and Regulation

34
 Development of the National Aboriginal and Torres Strait Islander Health WORKFORCE PLAN
• The Workforce Plan will focus on attracting, training and retaining Aboriginal and Torres
Strait Islander people in the health workforce across Australia. It will also be used to
supplement the National Aboriginal and Torres Strait Islander Health Workforce Strategic
Framework 2016-2023, with a focus on implementation.

• A Project Reference Group includes representatives from the National Aboriginal and Torres
Strait Islander Health Standing Committee; National Health Leadership Forum; National
Aboriginal Community Controlled Health Organisation; National Aboriginal and Torres Strait
Islander Health Worker Association; state and territory governments (where nominated) and
the Commonwealth Department of Health
NAATSIHWP’s 1st Proposal National SOP:

Outcomes from the A&TSI Health Leaders Roundtable

with COAG Health Council (COAG Health Ministers
and AHMAC), 1 August 2018.
2 August 2018 Ministers reaffirming their
commitment to addressing gaps in A&TSI health
outcomes. CHC Indigenous Roundtable Communique
1. National A&TSI Health and Medical Workforce
Plan
2. National Scope of Practice for Aboriginal
and/or Torres Strait Islanders Health Workers
and Heath Practitioners.
36
CHC Indigenous Roundtable Communique
Jurisdiction Aboriginal and Torres Strait Islander Health Worker or Health Practitioner Administer Supply Administer Supply
Permanent Permanent COVID-19 temporary COVID-19 temporary
Arrangement Arrangement
ACT Aboriginal and Torres Strait Islander Health Worker X X
Aboriginal and Torres Strait Islander Health Practitioner X X
NSW** Aboriginal and Torres Strait Islander Health Worker X X X X
Aboriginal and Torres Strait Islander Health Practitioner X X X X
VIC* Aboriginal and Torres Strait Islander Health Worker X X X X
Aboriginal and Torres Strait Islander Health Practitioner X X ✓* X
SA Aboriginal and Torres Strait Islander Health Worker X X
Aboriginal and Torres Strait Islander Health Practitioner X X
TAS Aboriginal and Torres Strait Islander Health Worker ✓ ✓
Aboriginal and Torres Strait Islander Health Practitioner ✓ ✓
WA Aboriginal and Torres Strait Islander Health Worker ✓ ✓
Aboriginal and Torres Strait Islander Health Practitioner ✓ ✓
NT Aboriginal and Torres Strait Islander Health Worker X X
Aboriginal and Torres Strait Islander Health Practitioner ✓ ✓
QLD^ Aboriginal and Torres Strait Islander Health Worker
✓ ✓
in Isolated Practice Areas (Hospital and Health Services)
Aboriginal and Torres Strait Islander Health Practitioner
✓ ✓
in Isolated Practice Areas (Hospital, Health Services and Aboriginal and Torres Strait islander Community Controlled Health Organisations)
Aboriginal and Torres Strait Islander Health Worker
✓ ✓
(clinical role in any location)
Aboriginal and Torres Strait Islander Health Practitioner
✓ ✓
(clinical role in any location)
Scope of Practice

• National SOP

• State/Territory SOP

• Service/ Organisations
SOP

• A&TSI HW & HP SOP

NAATSIHWP’s 2nd Proposal for a National
Scope of Practice for A&TSI Health Workers
and Heath Practitioners:

• Basic Observations that are non-invasive

• Basic Observations benchmarked off a

715 Health Assessment Medicare Health
Assessment for A&TSI people
40
MEDICAL EXAMINATION Medical History
• FAMILY RELATIONSHIP
• Blood Pressure • ALLERGIES/DRUG INTOLERANCE
• PULSE RATE AND RHYTHM • CURRENT MEDICATIONS
• RELEVENT FAMILY MEDICAL HISTORY
• WEIGHT • IMMUNISATION STATUS (referring to current
• HEIGHT age/sex schedule)
• PHYSICAL ACTIVITY
• BMI • NUTRITION
• Weight circumference (if • ALCOHOL, TOBACCO AND OTHER SUBSTANCE
USE
indicated) • HEARING LOSS
• GUMS AND DENTITION • MOOD (depression and self harm risk)
• EAR AND HEARING • SEXUAL AND REPRODUCTIVE HEALTH
OTHER MEDICAL HISTORY AS INDICATED FOR
• VISION: Test near and PATIENT
distance visual acuity • VISUAL ACUITY (ask about clarity and comfort of
vision at distance and near, recommended for
• URINALYSIS over 40’s)
• TRICHIASIS • ENVIRONMENTAL AND LIVING CONDITIONS
41
• Other history considered necessary by doctor or
• SKIN collector (eg work environment)
What does this mean for State/Territory
and Service/Organisation and ACCHO’s?

Services or Organisations can develop their own

SOP for A&TSI HW and HP as long as they;

• Have the correct qualifications

• Are deemed competent to perform tasks

• Are practicing safely and abiding by Legislation42

 Examples of States and an
Organisation:

• QLD HLT A&TSI HW Career Structure 2009 p.g 13

• NSW HLT Aboriginal Health Worker Guidelines p.g14

• Galambila Clinical Services Practice Model p.g 18

43
What is an Individual's SOP:

• A Professions SOP

• An Individuals SOP

• Factors that influence a SOP

Determining your own Scope of Practice
Strategic Objectives
Objective Descriptor
Cultural safety A culturally safe health workforce through nationally consistent standards, codes and
guidelines across all practitioner groups within the National Scheme.
Increased participation Increased Aboriginal and Torres Strait Islander participation in the registered health
workforce and across all levels of the National Scheme.
Greater access Greater access for Aboriginal and Torres Strait Islander Peoples to culturally safe services of
health professionals regulated under NRAS.

Influence Using our leadership and influence to achieve reciprocal goals. 46

 Culturally Safe Notifications

• The Strategy commits Ahpra to deliver on monitoring and

reporting patient safety and notifications which involve Aboriginal
and Torres Strait Islander notifiers, practitioners and community
members.
• Towards Cultural Safety Notifications Plan focusing on increasing
the cultural safety capabilities and knowledge of Ahpra staff and
to develop culturally safe notifications processes.

47
New National Agreement on Closing the Gap

48
DO YOU HAVE

ANY
QUESTIONS
? Feel free to ask us questions
Contact Details
Karl Briscoe
CEO
NAATSIHWP
Phone: 02 6221 9222
Email: CEO@naatsihwp.org.au