-----Original Message-----
From: Webcentral <[EMAIL PROTECTED]>
To: '[EMAIL PROTECTED]' <[EMAIL PROTECTED]>
Date: Thursday, May 11, 2000 8:36 AM
Subject: [atsic] Speech by Commissioner Jenny Pryor at the opening of the
new Joyce Palmer Health Service, Palm Island, Qld


>Speech
>
>by
>
>Commissioner Jenny Pryor
>
>at the opening of the new Joyce Palmer Health Service,
>
>Palm Island, Qld
>
>Tuesday 09 May 2000
>
>
>
>Respected elders and traditional owners, The Honourable Wendy Edmond. MLA,
>Robert Blakely, Chairperson of the Palm Island Council and your council
>members
>
>To my fellow ATSIC regional councillors, to the many brothers and sisters
>from the community, both our elders and the young, to the hospital staff
and
>workers, ladies and gentlemen.
>
>I must begin with paying my respect to the traditional owners of the land
we
>are on today.
>
>And to thank the Minister, Wendy Edmond , for  the invitation to be part of
>the occasion and to share  this event  with the community on this very
>special day.
>
>Unfortunately, a major meeting of indigenous leaders in  Brisbane  prevents
>me from being here with you today. Such is the lot of an ATSIC
Commissioner.
>
>But that is what I was elected to do - take up and push the issues and
>concerns of our people in this region, to ensure we are heard by and get
>action from governments.
>
>But this  is such an important occasion for the community I could not just
>send my apologies.
>
>Instead, I have asked my son Leon Pryor to be here for me and  say what I
>want to say.
>
>Firstly, it is pleasing to see State government Ministers here again
today.
>
>It shows  the growing priority they, their departments and their government
>are attempting  to give to Palm Island and to the pressing concerns and
>circumstances of indigenous people generally.
>
>I want to warmly commend the Ministers for that support and commitment by
>being here today. And for helping make possible the reason why we are here
>today.
>
>There is no-one here who is not aware of the dire health of indigenous
>people across Australia.
>
>Indigenous people have the poorest health status of any group in Australia.
>
>We die at three times the rate of other Australians. Life expectancy for
our
>men is about 17 years less than for other Australian males.
>
>And slightly more for our women.
>
>In some age groups our people, like those of us in our late 30's and early
>40's are dying at rates that are 6 to 8 times higher than non-Aboriginal
>Australians.
>
>We are 10 times more likely to suffer from blindness, especially from
>Trachoma and blindness as a complication of diabetes.
>
>Only this week, the heart foundation released figures showing that
>indigenous Australians are dying at up to 9 times the rate of  other
>Australians.
>
>Yet all of those conditions are preventable. These shocking statistics are
>preventable.
>
>But despite the booming economy, despite this being a wealthy, prosperous
>stable country, despite the marvels of medicine and technology of the 21 st
>century; our  health status  remains  third world.
>
>As the heart foundation said our death rate figures are "unacceptable."
>
>Make no mistake  - health remains a life and death matter for us.
>
>After the old wood and asbestos structure that many of us remember this
>newly built hospital, the Joyce Palmer Health Service, is really important,
>and will help make a difference  to the health and lives of this community.
>
>There will be many health spin-offs, no question about that.  And on that
>score I am pleased to say that the Townsville ATSIC Regional  council is
>proud to  have contributed $700,000 to the cost of the hospital.
>
>While health has not been an ATSIC responsibility since 1994, there should
>be no doubt it anyone one's mind, the level of concern about the lack of
>progress in indigenous health outcomes or its priority  in the Commission.
>
>ATSIC also welcomes the contribution of the State government in playing it
s
>part in delivering a hospital  of quality to the community here on Palm
>Island.
>
>I think few Australians realise just how important  a new hospital  centre
>is to our mob in remote areas.
>
>We also strongly commend  the naming of the hospital after Joyce Palmer. It
>is a  great honour and tribute to that fine woman. It will be tremendously
>well received by everyone here.
>
>There is also  a lesson from Joyce Palmer's story and life.
>
>She had no formal qualifications, but she learnt her skills as  a midwife
by
>watching and by delivering.
>
>She delivered many babies, many by herself, she knew her stuff and had the
>full confidence of staff and patients alike.
>
>The lesson is:  just like  Joyce Palmer had  no formal qualifications, and
>there is no doubt about her  knowledge and expertise.
>
>So to with the running of this hospital. The same lesson applies.
>
> We do not need to be formally trained health bureaucrats to make informed
>decisions and to have a major role on the  running of this hospital.
>
>So the next step, after today's opening of this marvellous new Joyce Palmer
>Health service, is to move towards greater community control and direction.
>
>It is time there is local board of community representatives who set the
>priorities and directions for this hospital.
>
>Now that we have the infrastructure in place, the skilled staff  here, more
>community control, or self-determination, is I believe, part of the way
>forward.
>
>Not just in terms of health, as important as that is.
>
>It is about the future of  Palm Island. It is the future in Indigenous
>affairs.
>
>I want to remind the bureaucrats and the government ministers  here of
this:
>you are on notice that indigenous people, like the wider community,  want
to
>start seeing results.
>
>We want to see the shameful health figures dropping , our health and life
>expectancy increasing.
>
>We want to live as long as you and your families do.
>
>But to do this , we also  want to see you listen to our suggestions and
>ideas, and do something with them.
>
>We want to see you help us put them into action, help us make a difference
>to our lives.
>
>To how long we live and how we live.
>
>That will be the test of whether this is the old 'consultation' and policy
>making we are used to.
>
>This will be the test of your government's new 10 year , whole of
government
>strategy, you are developing.
>
>This will be one of the tests as to whether this is a new partnership , a
>new way , with ongoing community involvement. Or not.
>
>Initiatives like  the 10 year 'whole of government' strategy, and the
>framework document and the period of six months community consultation do
>have some merit, albeit a very long way to go.
>
>There are I think some encouraging, albeit somewhat mixed signs.
>
>On the one hand , I believe that  public policy and indigenous affairs is
>finally showing some signs of going, where it ought to have been going for
a
>long time.
>
>There is I think emerging recognition and some serious thinking underway
>about  how things are done and not  just in indigenous health. But across
>all-indigenous concerns and issues.
>
>That  this must be done at the community level.
>
>Community control is the way forward.
>
>It is, in my view, the only way forward.
>
>But on the other hand, I have to say there are still some major concerns
and
>reservations about the approach taken by governments and bureaucracies.
>
>The Queensland government's response to the Bonnie Robertson report and the
>work of the indigenous women's task force on domestic violence released
>last Friday, is a case in point.
>
>I won't say to much more on that issue here other than to say that Bonnie
>Robertson was absolutely spot on .
>
>And that indigenous people's original fears were also confirmed, as they
>have by just about every report that has ever been to government.
>
>That the answers to the issues we face do not reside in governments and
>their agencies.
>
>Nevertheless, I think we are seeing governments and their bureaucrats
>finally beginning to admit that their way has failed - and that includes
>ATSIC programs as well.
>
>It has - and the evidence is clear.
>
>So what we're seeing emerging, albeit haltingly, is a new direction is
>emerging.
>
>One that holds some hope of getting some sorely needed changes in the
>shockingly disadvantaged circumstances that the indigenous people of this
>country live under.
>
>A direction which is seeing agencies, including ATSIC, no longer telling
you
>what you need.
>
>Instead it is you  the community telling them.
>
>Not just what the issues and our needs are - but also what the priorities
>are.
>
>And how they should be dealt with.
>
>How that can be done  in a user-friendly way in our own communities.
>
>This is not a new idea, this is self- determination. Self-determination is
a
>very basic proposition:
>
>That it is you, the community who know best what your needs are.
>
>It means that we as indigenous people know what's best for us.
>
>That we do know better than government, better than their department's, the
>ministers and their bureaucrats.
>
>It means that Palm Island has a far better idea of what the issues and
>problems are.
>
>It means that Palm Island has a much better chance of getting the answers
>and solutions under way than bureaucracies in Brisbane, in Canberra or in
>Townsville.
>
>Not only is it important.
>
>It is vital  that this comes to pass in all our communities , including
here
>on Palm.
>
>It is time to put self-determination, to put  community control into
>practice.
>
>Time for  policy, program and service delivery responses to begin  being '
>built up' from the community .
>
>Which you drive, from here in Palm Island, and which should be accountable
>to you.
>
>If things are to become really different from the stop start, band-aid
>approach of the past.
>
>If there are to be  improving results and outcomes , this has to be the
next
>step.
>
>Governments here in Australia are starting to mouth those words.
>
>But it is a two  way street. And our governments are net  yet ready or
>willing to allow that to happen in practice.
>
>ATSIC strongly supports the concept of community-controlled Aboriginal
>health organisations.
>
>Community controlled  Aboriginal medical services are one of the bright
>spots in the overall indigenous health picture.
>
>Independent research has established that they are cost-effective. That
this
>works.
>
>It is also popular with Indigenous people.
>
>Most importantly, they allow Aboriginal and Torres Strait Islanders to take
>control over our own health care.
>
>Something which is recognised by the World Health Organisation as important
>in raising health care standards.
>
>ATSIC collectively and I personally strongly support Aboriginal Medical
>Services, and the extension of community control of  health decisions  and
>resource allocation.
>
>And we have the strong support of the community firmly behind us on that.
>
>Here on Palm, we now have a wonderful, modern facility in place, which will
>help to make a difference.
>
>Let's start getting the next part of the equation right as well.
>
>Let's have a local indigenous board set up and in place, to start
delivering
>the goods.
>
>After all Joyce Palmer was delivering the goods at the old grass and timber
>hospitals  in the 50's and 60's.
>
>Nearly  50 years on surely its time for the new Joyce Palmers to be making
>some of those decisions.
>
>Thankyou
>
>Craig Sproule
>A/g Administration Manager
>Office of Public Affairs - ATSIC
>Ph: 02 6121 4952
>Fax: 02 6282 2854
>E-mail: [EMAIL PROTECTED]
>
>
>

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