The ongoing failure of health policies to effectively support Aboriginal and Torres Strait Islander peoples is further deepening
the inequities brought about by colonisation. A co-design approach that centres Aboriginal and Torres Strait Islander peoples, knowledges, values and practices offers a policy development solution that more effectively addresses prevailing systemic discrimination and inequities. However, while co-design terminology is increasing in Australian health policymaking, many cases apply only tokenistic or superficial co-design practices; an approach that the authors term ‘faux-design’.

This paper critically reviews current approaches to co-designing and faux-designing health policy for Aboriginal and Torres Strait Islander peoples. It provides an overview of key concepts, principles and benefits of the co-design methodology; highlights concerns with contemporary practices; and outlines critical issues to address to achieve effective co-designed health policies. 

Case studies are included to illustrate aspects of best practice. Finally, the authors pose questions to spark debate and shape the future of co-designing policy with Aboriginal and Torres Strait Islander peoples.