1. Mary Guthrie General Manager – Policy The Lowitja Institute

2. The Lowitja Institute - Australia’s National Institute for Aboriginal and Torres Strait Islander Health Research A research body that brings together Aboriginal organisations, academic institutions and government agencies to facilitate collaborative, evidence- based research into Aboriginal and Torres Strait Islander health (Acknowledgement: Artist Robert Hannaford)

4. Health system coalition for constitutional recognition – A Lowitja Institute initiative “The right thing to do” Kim O’Donnell – Co-ordinator Judith Dwyer – Leader Mary Guthrie - Leader

5.  Main law that guides how the Commonwealth Government of Australia operates  Written more than a century ago  Does not recognise Aboriginal people as the First Peoples of Australia nor acknowledge our country’s continuing first cultures (the world’s oldest)  Allows race-based discriminatory laws (Section 51 (xxvi)) and says the States could still legally prevent people from voting based on race (Section 25)  Exclusion from C’wealth attention and census were reversed in 1967 referendum

6. The links: social determinants

7. Or as Noel Pearson put it: Elimination of racial discrimination is inherently related to Indigenous recognition because Indigenous people in Australia, more than any other group, suffered much racial discrimination in the past. So extreme was the discrimination against Indigenous people, it initially even denied that we existed. Hence, Indigenous Australians were not recognised. Then, Indigenous people were explicitly excluded in our Constitution. Still today, we are subject to racially targeted laws with no requirement that such laws be beneficial, and no prohibition against adverse discrimination. Noel Pearson, A letter to the Australian people, 2012

8. We call on all Australians to support recognition of Aboriginal and Torres Strait Islander peoples in the Australian Constitution. We look forward to a time when all Aboriginal & Torres Strait Islander people can fully participate in all that Australia has to offer, enjoying respect for our country’s first cultures and leadership, and the dignity and benefits of long healthy lives. Australia’s First Peoples continue to die far earlier and experience a higher burden of disease and disability than other Australians. This is a result of long term economic disadvantage and social exclusion, among other factors. Constitutional recognition would provide a strong foundation for working together towards better health and social wellbeing in the hearts, minds and lives of all Australians. The Statement

9. A referendum to recognise Australia’s First Peoples 2010 - Broad Gov’t, Opposition, minor party support Expert Panel appointed Abbott Gov’t - Joint Select Committee on Constitutional Recognition of Aboriginal peoples to finalise wording of amendment; Ken Wyatt & Nova Peris Gov’t announced in December 2013 that the draft wording will be finalised by the end of 2014.

10. Two main hurdles: Multi-party support for wording for clear simple questions Double majority - A ‘yes’ vote at referendum = majority of people nationally + majority of states Image: Parliamentary Education Office

11. Health system coalition for constitutional recognition – Project Aim Contribute to national conversation about constitutional recognition of Australia’s First Peoples (and removal of discrimination) Coalition of non-government health organisations, each agreeing to sign statement in support of constitutional change from a health perspective Publicise / promote through media, social media, members (health workforce) and other community activities

12. Engagement of leaders and the people in dialogue Community organisations, institutions and non- government organisations To energise their members and the broader public to engage and support the referendum Influencing social media and on-line activists Which could be important in ways not seen in the past Meeting the Challenge

13. Approach Endorsed by National Health Leadership Forum Indigenous health organisations, under auspice of National Congress of Australia’s First Peoples + the Close the Gap Committee The Lowitja Institute provides organising base for work contract with partner Flinders University Collaboration with Recognise, the national community-based organisation supporting constitutional change, auspiced by Reconciliation Australia

14. Allied Health Professions Australia Australasian College of Health Service Management Australian College of Nurses Australian Healthcare and Hospitals Association Australian Health Promotion Association Australian Indigenous Doctors’ Association Australian Medical Association Cancer Council Australia Catholic Health Australia Congress of Aboriginal and Torres Strait Islander Nurses Council of Deans of Nursing and Midwifery (A & NZ)….. Membership : 19 founding Members

15. Heart Foundation Indigenous Allied Health Australia Medical Deans of Australia and New Zealand Nat’l Aboriginal & Torres Strait Islander Healing Foundation Nat’l Aboriginal & Torres Strait Islander Health Workers Assoc’n Nat’l Aboriginal Community Controlled Health Organisation Public Health Association of Australia The Lowitja Institute + 75 MEMBERS From all sectors of the health care system Membership : 19 founding Members (continued)

16. Finalise recruitment of signatoriesOfficial Launch of the Coalition (with Recognise) - second half of 2014Presentations to Boards, forums and conferencesWork with members to energise their constituenciesMembers cover virtually all of the health workforceFormal and informalPublic and private sectorsAboriginal and mainstreamAbout 10% of Australia’s workforce – a considerable proportion of voters Where to from here?

17. References http://www.recognise.org.au/final-report http://www.recognise.org.au/why/why-recognition http://www.recognise.org.au/about/expert-panel Dwyer, O’Donnell (2014), Background information: Why constitutional recognition of Aboriginal and Torres Strait Islander peoples is important for health equity