The Health Performance Framework was developed to monitor progress towards health equity for First Nations people. It brings together information about health outcomes, broader determinants of health like housing and education, health protective and risk factors, and access to health services. This report presents key findings from the framework for First Nations people in Queensland. 

The report finds mixed results, with some areas of improvement and other areas of concern for First Nations people living in Queensland across the three tiers of health status and outcomes, determinants of health and health system performance. It is important to note that measures in the three tiers are interconnected.

Key areas of improvement

• The age-standardised rate of cardiovascular disease deaths from 2010 to 2019 decreased by 15%.
• Over the period 2011 to 2021, the proportion of First Nations people aged 20–24 who had completed Year 12 or equivalent increased from 61% to 75%.
• The proportion of First Nations people living in overcrowded households fell between 2004–05 and 2018–19 from 30% to 20%.

Key areas of concern

• Between 2012 and 2021, the incidence rate of kidney failure with replacement therapy increased by 53%.
• Over the time period 2011–12 to 2020–21, the age-standardised hospitalisation rate for injury and poisoning increased by 53%.
• Over the decade from 2010 to 2019, the age-standardised death rate due to intentional self-harm increased by 64%.
• The age-standardised imprisonment rate for First Nations adults increased by 52%.