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
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