Recommendations   In the changing and challenging environment of the past 12 months, Aboriginal and Torres Strait Islander communities and organisations have worked to keep culture strong and to lift the expectations of governments and mainstream organisations of what we can achieve through community-driven, holistic approaches to health and wellbeing. Increased investment in models and approaches which are self-determined and Aboriginal and Torres Strait Islander-led is essential to ensuring policies and programs are robust, equitable, transparent and responsive to the needs of Aboriginal and Torres Strait Islander peoples. Structural reform As in previous years, we again call on governments to make large-scale systemic reforms to truly empower Aboriginal and Torres Strait Islander peoples. We call on governments to support Aboriginal and Torres Strait Islander peoples’ self-determination and leadership. We call on governments to: 1. Fully implement the Uluru Statement from the Heart, including a constitutionally enshrined Aboriginal and Torres Strait Islander Voice to Parliament. 2. Fully implement the 2020 National Agreement on Closing the Gap, the National Aboriginal and Torres Strait Islander Health Plan 2021–2031 and other supporting plans, with a commitment to long term (10+ years) needs-based and coordinated cross-sectional funding by federal, state, territory and local governments. 3. Invest in Aboriginal and Torres Strait Islander-led data development at the local level and uphold the principles of Data Governance and Sovereignty by following through on commitments to communities and individuals to access place-based data to design community-driven initiatives. 4. Develop an Aboriginal and Torres Strait Islander-led research agenda for health and wellbeing, with a particular focus on the impacts of systemic racism in health systems. This should include an investment in knowledge translation and research impact. Innovation driven by cultural intellect and cultural safety Aboriginal and Torres Strait Islander peoples and communities have continued to grow, innovate and thrive despite the ongoing impacts of systemic racism, natural disasters and pandemics. Aboriginal and Torres Strait Islander peoples have successfully adapted to respond to such challenges and know the solutions that work best to deliver strengths-based, community-driven initiatives, which empower localised processes and cultural understandings that cannot be prescribed by national programs or policies. To support continued change, governments must invest in such Aboriginal and Torres Strait Islander-led innovation. We call on governments to: 5. Establish and support empowerment and leadership forums for Aboriginal and Torres Strait Islander young peoples at national, state and territory and local levels, to provide them with the opportunity to engage in decision-making processes for policies, programs and services. These forums should privilege and honour the voices of Aboriginal and Torres Strait Islander young peoples and support strengths-based, place-based social and emotional wellbeing initiatives. Transforming Power: Voices for Generational Change 7