This framework seeks to address health inequity for Aboriginal people in NSW through enabling Aboriginal self-determination and strengthening accountability for Aboriginal health in NSW Health. The framework sets out the gold standard for Aboriginal governance, shared decision-making and accountability within NSW Health, ensuring that all decisions and governance structures that impact Aboriginal people include Aboriginal voices and leadership. 

The framework is structured around four key principles, each discussed in terms of:

• its aim and why it is important
• what success looks like for the NSW Health system
• what success looks like for each principle at each level of decision-making and governance, and
• case studies of the principle in practice for NSW Health.

Principles

1. Aboriginal people are embedded into decision-making processes and governance structures that impact Aboriginal people in NSW Health.
2. Aboriginal NSW Health staff are recognised in the NSW Health system and are supported and empowered to participate in shared decision making, governance and structures.
3. NSW Health and the Aboriginal Community Controlled sector have strong partnership mechanisms.
4. The NSW Health system is held accountable for Aboriginal Health outcomes.