A YEAR IN REVIEW New National Aboriginal and Torres Strait Islander Health Plan   On 15 December 2021, the Australian Government released a refreshed National Aboriginal and Torres Strait Islander Health Plan to provide a national policy framework to improve the health and wellbeing of Aboriginal and Torres Strait Islander peoples over the next 10 years. While the current plan was not due to expire until 2023, stakeholders agreed to refreshing the entire plan to link it to the new National Agreement on Closing the Gap, the new 10-year Primary Health Care Plan and Preventive Health Strategy, and the new 10-year National Aboriginal and Torres Strait Islander Health Workforce Strategic Framework and Implementation Plan. The National Aboriginal and Torres Strait Islander Health Plan 2021–20315 was developed in partnership with Aboriginal and Torres Strait Islander peoples through the Commonwealth Implementation Plan Advisory Group, its sub-committee, the Aboriginal and Torres Strait Islander Health Plan Working Group, and the National Health Leadership Forum. Building on the visionary and collaborative foundation of the first plan, the refreshed Plan’s vision is: Aboriginal and Torres Strait Islander people enjoy long, healthy lives that are centred in culture, with access to services that are prevention-focused, culturally safe and responsive, equitable and free of racism.6 The refreshed Plan embeds the priority reforms and outcomes from the National Agreement on Closing the Gap, recognises the critical role of the Aboriginal community controlled health sector and highlights the need for all health services to provide culturally safe care. It emphasises the importance of strengths-based and rights-based approaches to health and, for the first time, embeds the social and cultural determinants of health for Aboriginal and Torres Strait Islander peoples into a national health policy to ensure it is anchored in Aboriginal and Torres Strait Islander ways of knowing, being and doing, and encompasses a holistic understanding of health and wellbeing. Like the National Agreement on Closing the Gap, the success of the Plan will ultimately come down to its full implementation, and whether that brings a commitment to new ways of working that centre the leadership of Aboriginal and Torres Strait Islander health organisations, and ongoing needs-based funding.   Indigenous Voice to Government co-design process In 2021, the Final Report to the Australian Government on the Indigenous Voice Co-design Process was released and proposed “a strong, resilient and flexible system” in which Aboriginal and Torres Strait Islander peoples and communities are engaged in genuine shared decisionmaking with governments and are heard in processes for policy and law-making7. While there is support for the model of a National Voice to Government, we stand by the recommendation made in the 2021 Close the Gap Report, to which the National Health Leadership Forum members are party, which calls on government to fully implement the Uluru Statement from the Heart and a constitutionally enshrined Aboriginal and Torres Strait Islander Voice. We note that the Australian Government already holds a wealth of information on national representative bodies, developed through a history of consulting, establishing and dismantling national Aboriginal and Torres Strait Islander representative bodies dating back to the 1970s. Transforming Power: Voices for Generational Change 15

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