Conclusion The message from Aboriginal and Torres Strait Islander peoples is clear: To improve the outcomes for Aboriginal and Torres Strait Islander peoples; large-scale systemic reform and a paradigm shift in policy design and delivery is necessary to truly empower Aboriginal and Torres Strait Islander peoples. The last 12 months have seen systemic racism, climate change, natural disasters and pandemics continue to impact the health and wellbeing outcomes of Aboriginal and Torres Strait Islander peoples across the country. However, there are many achievements to be celebrated in the work of Aboriginal and Torres Strait Islander communities and organisation. Aboriginal and Torres Strait Islander peoples have successfully adapted to respond to such challenges and continue to demonstrate that strengths-based, community-driven initiatives, which empower localised processes and cultural understandings, work best. The case studies and stories shared within this report are examples of the tireless efforts of Aboriginal and Torres Strait Islander peoples to support and uplift our families and communities. They demonstrate the importance of selfdetermination as a primary mechanism for Aboriginal and Torres Strait islander peoples to take control of our lives and make heard the voices of the most vulnerable and marginalised people within our communities. Aboriginal and Torres Strait Islander peoples continue to demand strong reforms to the systems that have relegated us to the margins. Supportive action must be taken by governments to recognise the cultural safety, intellect and integrity that Aboriginal and Torres Strait Islander peoples and communities bring and invest in strengths-based, community-driven models. To achieve this governments must work in partnership with Aboriginal and Torres Strait Islander people to ensure the specific needs of Aboriginal and Torres Strait Islander peoples and communities are identified and addressed. 42 Transforming Power: Voices for Generational Change