CATSINaM Annual Report 2021 - 2022

Acknowledgements

Congress of Aboriginal and Torres Strait Islander Nurses and Midwives (CATSINaM) would like to acknowledge the Traditional Owners of the many lands on which we live and work, for their continuing connection to land, sea and community. We pay our respects to them, and to their Elders past and present.

CATSINaM is a public company limited by guarantee. CATSINaM is registered as a charity with the Australian Charities and Not- for-Profits Commission.

President: Marni Tuala

CEO: Professor Roianne West

Congress of Aboriginal and Torres Strait Islander Nurses and Midwives ABN: 64 085 000 120

Auditor: Canberra Accountancy and Audit Pty Ltd Report period: 1 July 2021 - 30 June 2022

Acronyms

ANMAC Australian Nursing and Midwifery Accreditation Council

ARC Australian Research Council

ASQA Australian Skills Quality Authority

BoC Birthing-on-Country (research project)

CATSINaM Congress of Aboriginal and Torres Strait Islander Nurses and Midwives CoP Coalition of Peaks

GENKE I ‘gettin em n keepin em’: Report of the Indigenous Nursing and Education Working Group (2002)

GENKE II ‘gettin em n keepin em n growin em’: Strategies for Aboriginal and Torres Strait Islander nursing and midwifery education reform (2022)

LINMEN Leaders in Indigenous Nursing and Midwifery Education Network

NHLF National Health Leadership Forum

NHMRC National Health and Medical Research Council

NMBA Nursing and Midwifery Board of Australia

NMSRG Nursing and Midwifery Strategic Reference Group (Australian Government Department of Health and Aged Care)

NNMEAN National Nursing and Midwifery Education Advisory Network (Australian Government Department of Health and Aged Care)

NRRNG National Rural and Remote Nursing Generalist Framework Steering Committee (Australian Government, Office of the National Rural Health Commissioner)

STRIDE Strengthening systems for Indigenous healthcare equity (research project)

VET Vocational Education and Training

WHN Women’s Health Nurse

Elders’ Circle Message

“We seek constitutional reforms to empower our people and take a rightful place in our own country. When we have power over our destiny our children will flourish. They will walk in two worlds and their culture will be a gift to their country.”

(Uluru Statement of the Heart, May 2017, First Nations National Constitutional Convention, Uluru)

The Elders’ Circle of CATSINaM originally started as an advisory group, and now provides cultural support and guidance to the organisation and its members.

CATSINaM (originally the Congress of Aboriginal and Torres Strait Islander Nurses [CATSIN]) was established in 1997 to provide a voice for Aboriginal and Torres Strait Islander nurses and midwives within the health framework. With the development and leadership of the organisation, CATSINaM has again lit the fires with the cultural knowledge that after fire comes change, new growth and new beginnings.

It is the role of the Elders’ Circle in CATSINaM to support and nourish the young roots as they spring forth from families and communities with their cultural knowledge and ways of knowing. By respecting our cultural knowledges, we continue to strengthen CATSINaM’s cultural connections, which is pivotal in advocating for our ways of knowing, being and doing within the Western health framework.

President’s Message

The 2021–22 financial year was a year of reviewing governance systems, strengthening partnerships and strategic alignment. The year commenced with member outreach through a highly successful conference series and then, in the New Year, became celebratory as CATSINaM launched its 25th Anniversary.

Throughout the year, our activity agenda remained focused on our strategic direction to embed antiracism policy and practice in nursing and midwifery and across Aboriginal and Torres Strait Islander healthcare. We sought to privilege Aboriginal and Torres Strait Islander knowledges in challenging racism and in the relentless promotion of Cultural Safety.

Together with consolidating our governance systems, we reviewed the CATSINaM Strategic Plan and made major strides in delivering on our Cultural Safety agenda. This was largely achieved through the delivery of the Murra Mullangari online educational tool, through extensive CATSINaM representational activity and through preparatory work on CATSINaM’s ‘gettin em n keepin em n growin em’ (GENKE II) report. The ongoing work on implementation of the GENKE II recommendations is setting a strong strategic direction for CATSINaM’s future policy and advocacy work.

The success of the 2021–22 Conference Series, which included face-to-face forums held in cities across Australia under the theme ‘Back to the Fire’, was a major achievement in the first half of 2021 – delivered despite the uncertainties of COVID-19. Reaching and engaging with our members is fundamental to the connectedness of our professional community and was a key priority for the year. The Conferences Series promoted a call-to-action from Aboriginal and Torres Strait Islander nurses and midwives across the country to highlight racism in healthcare and spread messages for health and healing. It focused on the importance of cultural connection and truth telling and the need for a national apology from Australian nursing and midwifery leaders to Aboriginal and Torres Strait Islander people to acknowledge the historic and ongoing harm and institutional racism in healthcare and in health care education.

On behalf of the CATSINaM’s Board of Directors, I would like to thank our dedicated team of Elders, members and staff who constantly worked to uphold our values and pursue our strategic objectives. Our collaborations and unique Indigenous governance arrangements consistently demonstrated Unity and Strength through Caring in all aspects of our work throughout 2021–22.

Marni Tuala Bundjalung CATSINaM President

Reaching and engaging with our members is fundamental to the connectedness of our professional community and was a key priority for the year.

Executive Leadership Team Message

The 2021–22 financial year was a year of achievement as we continued to deliver on our 2018–2023 CATSINaM Strategic Plan. We set an ambitious program agenda forming Aboriginal and Torres Strait Islander nursing and midwifery workforce recruitment and retention strategies; informing and influencing national health and education policy; fostering leadership and delivering on the provision of Culturally Safe learning. In doing so, we have worked to prioritise partnership, collaboration and the embedding of antiracism policy and practice in nursing and midwifery and across Aboriginal and Torres Strait Islander healthcare. We have sought to privilege Aboriginal and Torres Strait Islander knowledges in challenging racism and in the relentless promotion of Cultural Safety.

The review of the 2002 seminal strategic report on Aboriginal and Torres Strait Islander nursing education – ‘gettin em n keepin em’: Report of the Indigenous Nursing and Education Working Group (GENKE I) was a significant achievement in the first half of the 2021–22 financial year. The review examined the impacts and contemporary relevance of GENKE I and confirmed that, despite some progress, many of its recommendations for reform remain relevant. In the second half of the year, CATSINaM responded to the review by undertaking an extensive work program preparing for the future publication of the GENKE II report - ‘gettin em n keepin em n growin em’: Strategies for Aboriginal and Torres Strait Islander Nursing and Midwifery Education Reform August 2022.

In early 2022, CATSINaM launched our 25th Anniversary celebrating 25 years of collective and sustained Aboriginal and Torres Strait Islander nursing and midwifery activism.

CATSINaM’s many achievements and the outstanding contributions of our members were showcased in tribute, including our widely promoted 25 Acts of Individual Activism profiles. With great pride, on 16 March 2022 CATSINaM launched Murra Mullangari: Introduction to Cultural Safety and Cultural Humility – an online education program tailored specifically for practicing nurses and midwives. A profoundly important achievement, Murra Mullangari is an essential tool for improving cultural and clinical safety in nursing and midwifery practice.

Other important outcomes for the 2021–22 financial year, included the significant 20% growth in the CATSINaM membership and the prioritisation of a considerable advocacy engagement agenda. In all deliberations, we have maintained a steadfast focus on the need to address our comparatively and consistently low workforce numbers impacting health care access, quality, and safety for Aboriginal and Torres Strait Islander peoples.

Looking forward to the year ahead, we are firmly committed to the implementation of the GENKE II recommendations in pursuit of our vision: to improve the health and wellbeing of Aboriginal and Torres Strait Islander peoples through increasing the number of Aboriginal and Torres Strait Islander nurses and midwives. Through establishment of collaborative partnerships with the Nursing and Midwifery Board of Australia, the Australian Nursing and Midwifery Council and the Australian Government, we can share purpose and vision and combine our strengthens to drive transformative change in nursing and midwifery as it relates to Aboriginal and Torres Strait Islander health.

Professor Roianne West Kalkadoon – Djaku-nde

CEO of CATSINAM

1 July 2021 to 30 June 2022

About Us

CATSINaM is the national peak body that represents, advocates and supports Aboriginal and Torres Strait Islander nurses and midwives at a national level.

This annual report provides a summary of CATSINaM’s operational and financial performance and achievements for the 2021–22 financial year. It reports on and highlights our activities that support and assist our valued members and explains how we work to support positive health and healthcare experiences and outcomes for our communities.

The primary audiences for the annual report are:

• Our members

• Government and non-government partners who provide funding and in-kind support

• Stakeholders who support our members

• Employees of CATSINaM who work to serve our members.

Vision

Aboriginal and Torres Strait Islander Nurses and Midwives play a pivotal and respected role in achieving health equality across the Australian health system for Aboriginal and Torres Strait Islander Peoples and communities.

Purpose

CATSINaM honours a holistic and culturally safe approach to achieving optimal health and wellbeing for Aboriginal and Torres Strait Islander Peoples and communities. We develop and promote strategies to ensure that this holistic and culturally safe approach is understood and applied by nurses and midwives working in Australia.

Back to the Fire

Since its launch in April 2021, we have stepped up efforts to engage with the entire CATSINaM membership in the dedicated ‘Back to the Fire’ online community platform. ‘Back to the Fire’ is a key component in our strategies to realise our vision of ’Unity and Strength through Caring’. CATSINaM set up the ‘Back to the Fire’ all members Campfire site, to enable members to find support, best practices, peer-to-peer connections, resources, events, and networking, all in one destination.

‘Back to the Fire’ gives our members a place to connect digitally and join virtual forums, a place to network, encourage and empower each other to continue our journeys in nursing and midwifery – including student journeys – in a Culturally Safe and private forum. It is also a forum for exploring issues and for discussing ways to ‘keep the fire burning’ in work, families, communities, and the professions. Coming ‘back to the fire’ is as much about our past, as it is our present and our future.

Blog posting

Increased to share important and interesting information with the membership.

Most viewed blog included scholarship information, resulting in 43 Scholarships funded for 2022.

Member

log-ons increased by 268%.

The Announcements feature was introduced, with over 50 announcements shared by staff with members.

All Member Campfire library entries:

Library views increased by 284%, resulting in over 1,000 views of resources shared by CATSINaM and shared again by members. 640 library downloads by members.

‘Friend’ connections increased to 280 with networking within the community.

The CATSINaM community continued to engage on ‘Back to the Fire’ in 2021–22:

Back to the Fire Conference Series Kaurna, Adelaide (South Australia)

In 2021 CATSINaM convened an ambitious national conference series held in several cities across Australia under the theme ‘Back to the Fire’. The conference series was centred on a call to action from Aboriginal and Torres Strait Islander nurses and midwives across the country to put the spotlight on racism in healthcare and spread messages for health and healing. ‘Back to the Fire’ emphasised the importance of cultural connectedness and truth telling with hopes for a nursing and midwifery professions apology to Indigenous people to acknowledge the historic and ongoing harm and institutional racism in healthcare.

In 2020 the national conference was cancelled because of the COVID19 pandemic and, amid ongoing uncertainty in 2021, separate events were held over six weeks in Cairns, Darwin, Adelaide, Hobart, Melbourne, Perth, Sydney, Canberra, and Melbourne. A coolamon carrying ashes from the campfire at the historic Aboriginal Tent Embassy in Canberra was gifted by the Aboriginal Tent Embassy Elders to CATSINaM. The coolamon travelled to the host cities. The ‘Back to the Fire’ theme draws on the words of one of the Aboriginal Tent Embassy guardians to ‘come

back to the fire’, which is a reminder of the importance of our place, roles and responsibilities within Aboriginal and Torres Strait Islander nursing and midwifery, and to reflect on who we are and where we have come from. The ‘Back to the Fire’ conference series opened with a two-day meeting on Yirrganydji and Yidinji Country in Cairns and put national and place-based solutions at the centre of discussions. This was followed by a meeting on Larrakia Country in Darwin where delegates met to celebrate their connections, strengths and leadership.

For the third conference event, Aboriginal and Torres Strait Islander nurses and midwives gathered on Kaurna country in Adelaide, where the focus was firmly on the importance of addressing racism in healthcare. Gamilaroi man Dr Chris Bourke (Strategic Programs Director of the Australian Healthcare and Hospitals Association), presented the work he has led (together with Professor Adrian Marrie) auditing South Australia’s Local Health Networks for institutional racism. This important work, done on behalf of the Health Performance Council, demonstrated high levels of institutional racism across South Australian state health services.

Back to the Fire Conference Series Kaurna, Adelaide (South Australia)

The fourth conference location was in Nipaluna, Hobart, Tasmania – where delegates were told of the urgent need to remove barriers to the wider implementation of birthing-on-country and to grow the Aboriginal health workforce. In her address to the conference, CATSINaM President Marni Tuala called for a national solution to the indemnity insurance limitations that are a key barrier to birthing-on-country models of care. Workforce issues were a further barrier to birth-on-country models of care, Ms Tuala said, adding that there were still only 230 Aboriginal and Torres Strait Islander midwives nationally. Marni pointed to a chasm between the national graduation rates of Aboriginal and Torres Strait Islander nursing and midwifery students and other Australian students’ national graduation rates.

The next location was in Naarm, Melbourne, Victoria, where delegates were hosted by the Bunurong Boon Wurrung and Wurundjeri Woi Wurrung Peoples. Truth-

telling was an important focus of #BackToTheFire in Naarm, starting with the Welcome to Country by Sue-Anne Hunter, a Commissioner for the newly established Yoo-rrook Justice Commission. Speaking on the day before National Sorry Day, Associate Professor Catherine Chamberlain told the conference that midwives and nurses played a critical role in building up social and emotional expertise in healthcare systems to close the gap in the continuing removal of Aboriginal and Torres Strait Islander babies.

Disrupted by the Delta COVID-19 outbreaks, the final three events for Perth, Sydney, and Canberra were held online. Professor Roianne West, CATSINaM’s CEO, opened each of the online events with a ‘moment of silence’ for founding members and other Aboriginal and Torres Strait Islander nurses and midwives who have died in recent times, as well as for community members lost from COVID-19 in the Delta outbreak.

The Perth Forum heard a powerful presentation from Bwgcolman nursing leader Dr Lynore Geia, who said it was the responsibility of every nurse and midwife to ‘recognise, confront and challenge racism’, to practise safe care, and to deeply reflect on the culture of the profession. Dr Geia led a unified call to action to Australian nurses and midwives in the wake of the death of George Floyd and the eruption of #BlackLivesMatter protests across the globe. Published in the Contemporary Nurse journal, the call-to-action was signed by more than one hundred Indigenous and non-Indigenous nursing and midwifery leaders.

Back to the Fire Conference Series Nipaluna, Hobart (Tasmania)

Back to the Fire Conference Series Naarm, Melbourne (Victoria)

In Sydney, the forum opened with a powerful Welcome to Country from Dharawal and Gumbaynggirr woman Rowena Welsh and a keynote address by Melanie Briggs. The online event showcased ongoing acts of resistance and activism honouring CATSINaM’s origins, and welcoming four founding members for the day’s discussions.

The final online event was held on Ngunnawal Country in Canberra where there were calls for restorative healthcare with a focus on family and community to help address the vastly disproportionate rates of removal of Aboriginal and Torres Strait Islander children from their families, and child and adult incarceration, together with the ongoing health impacts of intergenerational trauma and dispossession. In Canberra, Elders have

been working to strengthen the cultural connections of community members who have been grappling with stresses and health concerns related to these chronic issues and pandemic isolation.

Across conference sites, nursing and midwifery professions were urged, again, to respond to calls for truth telling and a national apology for the harm their professions have caused to Aboriginal and Torres Strait Islander patients, nurses and midwives through racism and culturally unsafe practices. Aboriginal and Torres Strait Islander health leaders are hopeful that longstanding calls for a national apology from Australian nursing and midwifery leaders for the impact of historic and ongoing racism may finally get momentum.

Students, Scholarships and Awards

Student Packs

The CATSINaM Student Pack program aims to connect and engage with Aboriginal and Torres Strait Islander students undertaking nursing and midwifery degrees nationally. The program aligns with Strategy 3.3 of the CATSINaM’s Strategic Plan 2018–23 to ‘Support and engage Aboriginal and/ or Torres Strait Islander nursing and midwifery students and new graduates’.

In 2021, CATSINaM conducted an internal review of the student pack process. The final report made recommendations with the aim of streamlining the process for CATSINaM staff, universities, and students, while also improving the quality of information that feeds back to CATSINaM.

Through the 2022 student pack program, CATSINaM connected with over 100 commencing Aboriginal and Torres Strait Islander students, with nearly all going on to become CATSINaM student members. Feedback on this process will be used to inform the 2023 student pack program.

Scholarships

Each year, CATSINaM promotes and manages a Scholarship Program. This includes providing support for nursing and midwifery students seeking scholarship, as well as coordinating the selection process for scholarship recipients across the following grant opportunities.

Aunty Grace Kinsella – Women’s Health Scholarship

The Aunty Grace Kinsella Women’s Health Memorial Scholarship is to provide annual funding for Aboriginal and Torres Strait Islander nurses and midwives to undertake the required education to prepare them for employment in women’s health.

The Women’s Health Nurse (WHN) as a career path still struggles to gain traction in the health field, yet these nurses play such an important role in the community. This scholarship aims to encourage more Aboriginal and Torres Strait Islander nurses and midwives to pursue a career in this field.

Support and engage Aboriginal and/or Torres Strait Islander nursing and midwifery students and new graduates

Students,

Royal Flying Doctor Service Scholarships

The Royal Flying Doctor Service offers scholarships for Aboriginal and Torres Strait Islander nursing and midwifery students to undertake a clinical placement in a rural and remote locations.

Integrity Health & Safety

Integrity Health & Safety is an Indigenous owned supplier of work health and safety products and services, with certification by Supply Nation. This business provides scholarships that are available to contribute funds towards the costs of certified education for both student and practising nurses and midwives.

Northern Territory Primary Health Network Scholarships

The Northern Territory Primary Health Network provides scholarships for Aboriginal and Torres Strait Islander student nurses and midwife who reside in Northern Territory clinical placements scholarships.

Students, Scholarships and Awards

For the first time, in 2022 CATSINaM planned the commencement of two intakes of scholarships. Our scholarships were awarded to members for both educational requirements as well as child day-care fees for the period of clinical placement to provide the best possible support for clinical placement attendance and completion. Our scholarships applications asked members to identify barriers to their study which allowed CATSINaM to provided appropriate and targeted assistance, for example for day-care costs, vouchers for living costs while on placement, laptops, and internet access.

Scholarships were awarded to Aboriginal and Torres Strait Islander nurses and midwives who are members of CATSINaM. Scholarships were available for students, practising and post-graduate nurses and midwives. They were assessed on level of engagement with CATSINaM including their active participation with other members on the CATSINaM Back to the Fire members platform. Members who were awarded a scholarship, are required to remain engaged on Back to the Fire as ways of sharing their nursing and midwifery journey with other members during the full period of their scholarship.

CATSINaM Awards

The CATSINaM Awards program seeks to recognise the accomplishments of Aboriginal and Torres Strait Islander individuals, groups and organisations within the nursing and midwifery sector to acknowledge the known and unsung heroes and heroines who work to improve the health of our peoples. These awards are intended to provide a source of pride and inspiration for our members, partners and the workforce at large, as they continue their work to improve recruitment and retention of Aboriginal and Torres Strait Islander nurses and midwives and improve the health service experiences and outcomes for Aboriginal and Torres Strait Islander peoples.

...applications asked members to identify barriers to their study which allowed CATSINaM to provide appropriate and targeted assistance

...seeks to recognise the accomplishments of Aboriginal and Torres Strait Islander individuals, groups and organisations

Key Achievements

GENKE I review and GENKE II Development

Aboriginal and Torres Strait Islander nurses and midwives hold and have access to knowledges of Country and culture. They are also well-informed about the historic and contemporary operations of race and racism within their disciplines and Australian health services that maintain the poor health outcomes and lower life expectancy of Aboriginal and Torres Strait Islander peoples. These knowledges and experiences engender a unique and significant contribution to the ongoing development of nursing and midwifery excellence in growing Culturally Safe and effective Australian health services, especially for Aboriginal and Torres Strait Islander peoples. Yet, the value of Aboriginal and Torres Strait Islander nurses and midwives has yet to be fully realised by their professions and by the broader Australian health services.

In deep recognition of this, in 2002, trailblazing nurses Dr Sally Goold, Maria Miller, Dr Sue Turale and Professor Kim Usher developed the seminal – gettin em n keepin em:’ Report of the Indigenous Nursing Education Working Group to the Commonwealth Department of Health and Ageing Office for Aboriginal and Torres Strait Islander Health September 2002 (GENKE I). The GENKE I report proposed a strategic framework that had several aims including to increase Aboriginal and Torres Strait Islander nursing recruitment, retention, and completion. Twenty years later, in light of the fact that Aboriginal and Torres Strait Islander people comprised 3.2% of Australia’s total population, but only 1.4% of Australia’s nursing and midwifery workforce, CATSINaM sought to look back at the impact of the GENKE I report.

In the lead up to the 20-year anniversary of GENKE I, in the first half of the 2021–22 financial year, CATSINaM commissioned an independent review to evaluate both the implementation of GENKE I by Australia’s nursing and midwifery professions, and the preparedness of the professions to address the ongoing under-representation of Aboriginal and Torres Strait Islander people in Australia’s nursing and midwifery workforce. Professor Kim Usher and Dr Joanne Durkin undertook the review. Their review highlighted inconsistency in the implementation of the GENKE I report, which was a result of a significant lack of monitoring and accountability by nursing and midwifery agencies.

The findings informed a substantial program of work in the second half of the financial year, to develop the GENKE II report – ‘gettin em n keepin em n growin em’. GENKE II is building on the learnings from the GENKE I report to recommend a suite of national-level strategic education reforms for future work. The recommendations will be framed by principles of partnership, co-design and co-production to support improvements in the health and wellbeing of Aboriginal and Torres Strait Islander peoples through increasing the numbers of Aboriginal and Torres Strait Islander nurses and midwives and promoting Culturally Safe nursing and midwifery practice.

GENKE II will be launched at the CATSINaM 25th Anniversary National conference, in August 2022.

Title unknown Artist: Kerry Thompson

This artwork was commissioned for the ‘gettin em n keepin em’ Report of the Indigenous Nursing Education Working Group.

Source: INEWG 2002, ‘gettin em n keepin em’ Report of the Indigenous Nursing Education Working Group to the Commonwealth Department of Health and Ageing Office for Aboriginal and Torres Strait Islander Health September 2002, Australian Government Department of Health and Aged Care, Canberra.

Murra Mullangari

Introduction to Cultural Safety and Cultural Humility – eLearning Program

Dr Karen Martin led the development of the Murra Mullangari eLearning program with academic support from Professor Roianne West. Ganeshan Rao joined the team in November 2021 as the Learning & Teaching Design Consultant and collaborated extensively with Benchmarque for the educational design and delivery of this program via the Access IQ – the online delivery platform. The program was piloted in January 2022 with 26 participants from which the feedback was incorporated to enhance the program.

Offering of this program:

The first intake in March–May 2022 had 124 enrolments. Current enrolments indicate that the second intake (July–September 2022) will be approximately 246 enrolments.

Next phase

A proposal to deliver this program as an elective in Vocational Education Training (VET) programs has been approved by the Australian Skills Quality Authority (ASQA) as a course concept. It will be progressed to full approval process in 2023.

About the Program

Cultural Safety is as critical as clinical safety. The term ‘cultural’ is not about cultural identity/ethnicity or traditions. Rather, it’s about the ‘culture’ of power.

The concept does not require nurses and midwives to learn about the ethnicity of other people. Rather it requires them to look at and understand their own cultures, and the cultures of their workplace and health profession, and how these cultures influence their practice and, how this can impact clients.

Policy and Advocacy

CATSINaM was highly influential in health and workforce policy and advocacy at the national level throughout the year. CATSINaM’s engagement in developing and supporting strategies influencing nursing and midwifery workforce development and improvements in Aboriginal and Torres Strait Islander healthcare spanned a diverse range representation and consultation opportunities. We were well positioned on national strategy groups to provide valuable advice to governments, education institutions and health service providers on Aboriginal and Torres Strait Islander health, informing and monitoring health, education and workforce matters.

In informing health and education policy and strategy, CATSINaM continuously addressed the impacts of institutional racism in Australian health and education systems that stymies the growth of the Aboriginal and Torres Strait Islander nursing and midwifery workforce and equity in access to health care by Aboriginal and Torres Strait Islander peoples. Addressing racism is central to closing the health gap between Aboriginal and Torres Strait Islander people’s health outcomes and that of other Australians. CATSINaM consistently reinforced this message and the need for Cultural Safety measures to increase Aboriginal and Torres Strait Islander people within the health workforce, as well as enhancing the Cultural Safety of the entire health workforce.

Examples of CATSINaM’s national engagement include representation on the:

• Australian Government, Department of Health and Aged Care Nursing and Midwifery Strategic Reference Group (NMSRG)

• Australian Government, Department of Health and Aged Care National Nursing and Midwifery Education Advisory Network (NNMEAN)

• Australian Government, Department of Health and Aged Care Nurse Practitioner 10 Year Plan Steering Committee

• Australian Government, Office of the National Rural Health Commissioner National Rural and Remote Nursing Generalist (NRRNG) Framework Steering Committee

• Coalition of Peaks (CoP)

• National Health Leadership Forum (NHLF).

Examples of CATSINaM’s participation in written consultation influencing policy development include:

• A 2022–23 Pre-Budget submission to the Australian Government Treasury in January 2022

• A submission to the Australian Government Department of Health’s February 2022 consultation on the Nurse Practitioner 10 Year Plan

• Input to the NHLF position statement on climate and health in February 2022

• A submission to the Office of the National Rural Health Commissioner NRRNG Framework public consultation in March 2022

• Comment on the Indigenous Aged Care Governance Group’s draft Aboriginal and Torres Strait Islander Aged Care plan in June 2022

• A Joint letter to the Senate Legal and Constitutional Affairs Committee Inquiry into the Application of the United Nations Declaration on the Rights of Indigenous Peoples in Australia in June 2022.

Through policy and advocacy activities, CATSINaM, and its representatives, work to ensure that Aboriginal and Torres Strait Islander nurses and midwives play a pivotal and respected role in achieving health equality across the Australian health system for Aboriginal and Torres Strait Islander peoples and communities.

Leaders in Indigenous Nursing and Midwifery Education Network

CATSINaM’s Leaders in Indigenous Nursing and Midwifery Education Network (LINMEN) was formed as a network for Aboriginal and Torres Strait Islander and non-Indigenous nursing and midwifery educators to collaborate to improve the teaching of Cultural Safety and Aboriginal and Torres Strait Islander health, history and culture.

Healthcare is provided to Aboriginal and Torres Strait Islander peoples in mainstream healthcare services as well as in Aboriginal Community Controlled Heath Services. More than 425,000 nurses and midwives will potentially play a role in providing that care. It is essential that all nurses and midwives understand the diversity of need in Aboriginal and Torres Strait Islander healthcare and have capability to provide Culturally Safe care.

LINMEN supports a network of nursing and midwifery educators who can help develop the knowledge and skills of Australia’s nursing and midwifery workforce. This year, LINMEN concentrated on the pressing need to improve the Cultural Safety of the whole nursing and midwifery workforce, through the decolonising of the professions. LINMEN members supported preliminary work for and contributed to the review of the 2002, ‘gettin em n keepin em’ report commission by CATSINaM.

...collaborate to improve the teaching of Cultural Safety and Aboriginal and Torres Strait Islander health, history and culture

The Muliyan Consortium have continued to meet both online and face-to-face over the last year, working together to achieve significant outcomes. Following a collaborative literature review and interviews, the Consortium developed national research priorities for Aboriginal and Torres Strait Islander nursing and midwifery. These priorities are set out below and include themes contributing to the specific research focus areas of:

• Nursing and Midwifery System

• Governance, Leadership and Investment

• Evidence-Based Policy and Practice

• Organisational Systems and Workforce Growth and Development.

These priorities informed CATSINaM’s successful application for an ARC grant of $2.1m over 5 years, with CATSINaM as a partner. The outcomes for this ARC grant program will be announced late 2022.

The grant application entitled ‘Achieving true representation of Indigenous people in nursing and midwifery’ aims to address an absence of true representation of Aboriginal and Torres Strait Islander peoples and knowledges in nursing and midwifery. Significantly, it intends to co-create Aboriginal and Torres Strait Islander nurse and

Nursing and Midwifery System

midwife theories and principles for practice. An anticipated goal of the research is to better understand how theory and practice can be implemented in nurse and midwifery education (inclusive of clinical settings) in regional and urban areas. The intended outcome is to provide improved Cultural Safety in nursing and midwifery, greater Cultural Safety for Aboriginal and Torres Strait Islander people together with stronger recruitment and retention of Aboriginal and Torres Strait Islander nurses and midwives.

This will be a significant project for CATSINaM as a key partner in the proposed project with Monash University as project lead, Charles Sturt University, University of the Sunshine Coast, Central Queensland University and Charles Darwin University. These outcomes are significant for the Muliyan Consortium which met monthly through the 2021–22 financial year to review literature, develop iterations of research priorities, undertake interviews and work collaboratively to prepare the successful ARC grant which will provide enormous impact for the Aboriginal and Torres Strait Islander nursing and midwifery.

Governance, Leadership, and Investment

Evidence-based Policy and Practice Workforce Growth and Development Organisational Systems

Aunty DoseenaFergie(Wuthathi, MabiauagIslandandAmbonese)

ProfJ uanitaSherwood(Wiradjuri)

AuntyJaneJones (Noongar)

(Gamilaroi) AuntyDulcie Flower (Meriam)

Over the 2021–22 period, the Elders’ Circle has continued to strengthen and support CATSINaM’s cultural and organisational integrity. The Circle has worked to establish and refine its purpose, including the review and endorsement of the Elders’ Circle Terms of Reference, the appointment of three additional Circle

the holding of an in-person meeting in Eora, on Gadigal Country, and several online meetings between members.

The last year has seen a strengthening of the connection between the Elders’ Circle and CATSINaM Board, with Elders’ Circle and Board member Professor Juanita Sherwood appointed as the representative of the Board on the Elders’ Circle.

Members of the Elders’ Circle have had input into the development of Murra Mullangari Cultural Safety module; the 2022 In Our Own Right: Black Australian Nurses’ and Midwives’ Stories II; the development of the GENKE II ‘gettin em n keepin em n growin em’ report; and the 25 Individual Acts of Activism, which will feature during CATSINaM’s 25th Anniversary in August.

Dr LynoreGeia(Bwgcolman)

Aunty PamGow

Aunty KerrieDoyle(Winninninni/Cad gi a l )

members,

Looking to the Future

CATSINaM is staunchly committed to shaping a future nursing and midwifery workforce and health care system that is free of racism to open the way for Culturally Safe care for Aboriginal and Torres Strait Islander peoples – this is their right and expectation. CATSINaM’s work agenda for the 2022–23 financial year is focused on achieving outcomes in the delivery of safer healthcare through advancing the Aboriginal and Torres Strait Islander nursing and midwifery workforce.

Key objectives ahead include:

• Launching and implementing the ‘gettin em n keepin em n growin em’: Strategies for Aboriginal and Torres Strait Islander nursing and midwifery education reform 2022 report (GENKE II). The GENKE II strategies for reform will be firmly underpinned by expectations for a formal Aboriginal and Torres Strait Islander Voice and partnerships with the Australian Nursing and Midwifery Accreditation Council (ANMAC), the Nursing and Midwifery Board of Australia (NMBA) and with the Australian Government.

• Holding the 25th Anniversary National Conference, ‘gettin em n keepin em n growin em’ 20 years on, in August to celebrate 25 years of individual and collective nursing and midwifery activism.

• Holding the In Our Own Right: 93 Black Australian Nurses and Midwives Stories 2022 National Exhibition, a celebration of Aboriginal and Torres Strait Islander nursing and midwifery activism.

• Strengthening CATSINaM member engagement to support members’ interests and professional experiences.

• Enhancing CATSINaM Eldership, leadership and governance arrangements.

Looking ahead, CATSINaM is focused on building safer and more inclusive nursing and midwifery education and practice environments through challenging inequities and discrimination. Our agenda moving forward aims to improve supports and conditions for Aboriginal and Torres Strait Islander nurses and midwives, and to improve the capability of all nurse and midwives to safely meet the needs and expectations of Aboriginal and Torres Strait Islander in their care.

CATSINaM is staunchly committed to shaping a future nursing and midwifery workforce and health care system that is free of racism...

CATSINaM Governance Board Directors

The Board Directors at the end of the financial year were as follows:

• Marni Tuala (President), Queensland

• Vanessa Browne, South Australia

• Michelle Cutmore, New South Wales

• Professor Karen Adams, Board appointed

• Professor Juanita Sherwood (Deputy), Board appointed

• Kenton Winsley, Victoria

Board Directors

Marni Tuala President

Marni Tuala is a Bundjalung woman who grew up on country in Northern New South Wales and comes from a long line of healers. Prior to April 2022, Marni was employed as the Director of Aboriginal Health for Healthy North Coast, facilitators of the Primary Health Network program across the North Coast of NSW. As the strategic lead for Aboriginal Health within Healthy North Coast, Marni drew upon her experience of the regional health landscape as well as national policy and program development to inform strategy at a local level.

Marni brings a unique perspective to her role having studied both midwifery and the law. Marni holds a Bachelor of Midwifery and a Masters in Primary Maternity Care. Having worked clinically as the Aboriginal liaison midwife in a hospital-based model of care, Marni is passionate about improving the cultural safety of the broader health system and working towards the implementation of culturally safe models of care.   Marni is passionate about her responsibility to her community both culturally and to provide role modelling and mentoring, and enjoys contributing to the development of an Aboriginal and Torres Strait Islander health workforce through nurturing the next generations and developing a safe system for them to work in. Marni continues to advocate for and influence systemic reform across both the health and education sectors at both a national and regional level.

Born in Adelaide, Vanessa is a proud Larrakia, Wulna and Chinese woman; she is also a survivor of Cyclone Tracey in Darwin.

Vanessa started her nursing career in 1993 as a Nurse Assistant in a nursing home while studying a Bachelor of Nursing at the University of South Australia. She worked in the Royal Adelaide Hospital for a couple of years before commencing study for a Graduate Diploma in Mental Health Nursing at Flinders University. Vanessa then worked at Glenside Campus for around 16 years moving between rural and remote acute inpatient unit, psychiatric intensive care and emergency triage and liaison service. Vanessa also spent a year in New Zealand working in an acute mental health unit which also included a rehabilitation and psychiatric intensive care unit.

In 2019, Vanessa completed a Masters of Nurse Practitioner at the University of South Australia and is now working in a community mental health service. She has been in the community for the past four years working towards increasing the profile of the mental health service and assisting community to navigate the systems, understand illness, symptoms and strive for wellness.

Vanessa is passionate about encouraging up-and-coming nurses to complete their nursing degrees and possibly consider mental health. She is a strong believer that with support and mentoring we can better encourage our Aboriginal and Torres Strait Islander nurses to reach beyond their potential and help them to make a difference in the attitudes and stigma that is often experienced in mainstream services by our Aboriginal and Torres Strait Islander nurses and consumers/patients/clients/ community members.

Vanessa Brown

Board Directors

Michelle is a Gomeroi/Gamilaroi woman from Moree in northwest New South Wales. Michelle is from a family of five children and was the only one to finish high school and achieve higher education. Michelle started as an Aboriginal Health Worker in 1993 but after realising that nursing would allow a greater scope of practice and management of the issues faced by her people, she completed a Bachelor of Nursing as a mature aged student at the University of Western Sydney in 2008. She finished her university studies with the help of the NSW Health Nursing and Midwifery Scholarship and Cadetship program and has been a member of CATSIN (now CATSINaM) since 2003.

Michelle’s passion has always been divided between providing grass roots care within the community as well as empowering and enabling more of her people to become nurses and midwives. These passions have seen her working in a variety of high-level roles to grow career pathways for Aboriginal and Torres Strait Islander nurses and midwives, ensuring a First Nations voice in health care delivery, and to contribute to curriculum development at universities in order to increase knowledge and awareness of issues pertaining to Aboriginal and Torres Strait Islander peoples.

Currently, Michelle is working as Nurse Navigator for Queensland Health, where she would like to create opportunities for sharing cultural knowledge and learning with colleagues, ultimately increasing Cultural Safety in the workplace for growing the representation of the Aboriginal and Torres Strait Islander nurses and midwifes in the workforce in Queensland Health.

Professor Karen Adams

A Wiradjuri woman, Professor Karen Adams is the Director of Gukwonderuk, the Faculty of Medicine, Nursing and Health Sciences’ Indigenous engagement unit at Monash University.

Professor Adams is ignited by the question: ‘how do you know if it’s working?’ fuelled by work in the early years of her career in community education within Aboriginal Community Controlled Organisations. This question led her to complete a Master of Applied Epidemiology, followed by a PhD which focused on social network analysis and child health. Today, along with her team, Professor Adams’ research aims to increase the number of Indigenous health professionals across the sector, and to educate healthcare workers to respectfully engage with Indigenous patients.

Professor Adams speaks of her research as a life-long learning journey and asserts that the path forward needs to be a staunchly anti-racist approach, involving increasing the capacity of Indigenous students and a robust Indigenous healthcare workforce. Professor Adams stresses that ‘healthcare learning and teaching needs to include what Indigenous health service consumers want. The voice of the consumer must be present during the education and training stage.’

A founding member of Muliyan, Professor Adams also convenes an Indigenous Health Graduate Research Circle. The Circle is comprised of a growing number of Indigenous and non-Indigenous PhD students researching in the Indigenous health space. Students’ research has an educational and social and emotional wellbeing focus including areas, such as: lateral violence; men’s groups; young urban peoples’ connection to culture and the relationship between land-based practices and social and emotional wellbeing.

Michelle Cutmore

Board Directors

Professor Juanita Sherwood

A Wiradjuri woman, Professor Sherwood is currently the Pro Vice-Chancellor Indigenous Engagement at Charles Sturt University. For more than 35 years, she has worked as a nurse, teacher, lecturer, and researcher to change health and education outcomes for First Nations peoples.

Professor Sherwood is widely credited for recognising colonisation as the primary determinant of First Nations health and increasing the uptake of First Nations centred research and decolonisation methods. She is one of the top five most productive researchers globally on the topic of decolonisation and her work has popularised the use of decolonising frameworks and praxes in teaching, research and health care across Australia.

Having lived and worked in many diverse urban, rural and remote settings, Professor Sherwood has experienced and witnessed first-hand the damaging impacts of colonial racism – particularly in the health system. Her longstanding commitment to Indigenous health research as a social justice praxis is concerned with building local First Nations power in the Aboriginal Community Controlled Health sector as well as pursuing structural change in mainstream health settings to ensure greater cultural safety for First Nations patients and health workers.

Professor Sherwood is currently involved in several National Health and Medical Research Centre (NHMRC) funded projects toward these ends, including ‘Birthing on Country’ (BoC), ‘Strengthening systems for Indigenous healthcare equity’ (STRIDE), ‘Decolonising Practice in Aboriginal and Torres Strait Islander primary health care’ and the ‘National First Nations Research Network’. Professor Sherwood is a CATSINaM founding member, member of the Elders’ Circle, Board Director and Muliyan founding member.

Kenton Winsley

Kenton Winsley is originally from Belyuen, in the Northern Territory. Kenton is the Regional Director of Public Health and Emergency Management for the Department of Health in Victoria.

Kenton is committed to ensuring individuals, families, and communities receive culturally responsive services such that services are underpinned by the principles of social justice, community engagement and community expectations. Kenton currently fulfils several roles. As a registered Aboriginal Health Practitioner, Kenton provides strategic advice to stakeholders on Aboriginal Health and Engagement; as a registered paramedic with Ambulance Victoria, Kenton undertakes clinical practice providing prehospital trauma care; and as a Registered Nurse with Monash Health, Kenton works in emergency departments.

Financial Snapshot

At 30 June 2022, CATSINaM recorded a decrease in revenue growth. This was a result of the 2020–21 year including carry forward grant funds and one-off grant funding for the Online Cultural E-safety project. During 2021–22 CATSINaM did not hold an annual conference, choosing to amalgamate the conference with the 25th Anniversary Gala Dinner to be held in the 2022–23 financial year.

CATSINaM further pursued its strategy of improving technology capabilities and staff professional development with a long-term focus of being self-sustainable.

CATSINaM continues to invest in its people, systems and infrastructure to strengthen and support the organisation. The following Summarised Financial Reports provide a snapshot of the financial performance and position of CATSINaM for the 2021–22 financial year.

Our Funding Sources

In 2021–22, CATSINaM received income from three key sources. These sources included:

• Own source income from our Murra Mullangari Education program.

• Multiple program grants from government partners.

• Multiple program grants from non-government partners.

CATSINaM INCOME SOURCES

OWN SOURCE INCOME GOVERNMENT NON-GOVERNMENT

CATSINaM has continued to generate it’s own to generate its own income in 2021–22. CATSINaM released its’ new Cultural Safety and Humility training program called Murra Mullangari.

In 2021–22 CATSINaM did not hold an annual conference, instead choosing to amalgamate our conference with the 25th Anniversary Gala Dinner to be held in the 2022–23 financial year.

CATSINaM would like to thank the Australian Government for financially supporting our work over the past year.

In 2021–22 CATSINaM secured approximately $2.6m from the Australian Government for different projects. This included $2.0m in core organisational funding to provide guidance and agreed activities.

In 2021–22 CATSINaM also secured approximately $146,000 from a mix of partners for projects that have enabled CATSINaM to provide content expertise, and deliver educational and scholarship initiatives.

We sincerely thank our supporters for their generous financial contributions this year. This support has assisted CATSINaM deliver a range of activities across Australia.

Department

Department of Health (Indigenous Australians Health Program) Online Cultural Safety Training Program for Nursing and Midwifery in Australia 47,376

Department of Health (Indigenous Australians Health Program) Leaders in Indigenous Nursing and Midwifery Education Network 500,000

Summary

TOTAL

Canberra Accountancy & Audit Pty Limited

Canberra Accountancy & Audit Pty Limited

ABN 51 164 308 052

DIRECTOR: Peter Irving CA

DIRECTOR: Peter Irving CA

CHARTERED ACCOUNTANTS

Independent Audit Report to the members of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Limited

Independent Audit Report to the members of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Limited

Report on the Audit of the Financial Report Opinion

We have audited the financial report of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Limited the registered entity, which comprises the statement of financial position as at 30 June 2022, the statement of profit or loss and other comprehensive income, the statement of changes in equity and the statement of cash flows for the year then ended, and notes to the financial statements, including a summary of significant accounting policies, and the responsible persons' declaration.

Report on the Audit of the Financial Report Opinion

We have audited the financial report of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Limited the registered entity, which comprises the statement of financial position as at 30 June 2022, the statement of profit or loss and other comprehensive income, the statement of changes in equity and the statement of cash flows for the year then ended, and notes to the financial statements, including a summary of significant accounting policies, and the responsible persons' declaration.

In our opinion the financial report of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Limited has been prepared in accordance with Division 60 of the Australian Charities and Not-for-profits Commission Act 2012, including:

(i) giving a true and fair view of the Registered Entity's financial position as at 30 June 2022 and of its financial performance for the year ended; and

In our opinion the financial report of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Limited has been prepared in accordance with Division 60 of the Australian Charities and Not-for-profits Commission Act 2012, including:

(ii) complying with Australian Accounting Standards and Division 60 of the Australian Charities and Not-for-profits Commission Regulation 2013.

(i) giving a true and fair view of the Registered Entity's financial position as at 30 June 2022 and of its financial performance for the year ended; and

Basis for Opinion

(ii) complying with Australian Accounting Standards and Division 60 of the Australian Charities and Not-for-profits Commission Regulation 2013.

Basis for Opinion

We conducted our audit in accordance with Australian Auditing Standards. Our responsibilities under those standards are further described in the Auditor's Responsibilities for the Audit of the Financial Report section of our report. We are independent of the

We conducted our audit in accordance with Australian Auditing Standards. Our responsibilities under those standards are further described in the Auditor's Responsibilities for the Audit of the Financial Report section of our report. We are independent of the Registered Entity in accordance with the auditor independence requirements of the Australian Charities and Not-for-profits Commission Act 2012 (ACNC Act) and the ethical requirements of the Accounting Professional and Ethical Standards Board's APES 110 Code of Ethics for Professional Accountants (the Code) that are relevant to our audit of the financial report in Australia. We have also fulfilled our other ethical responsibilities in accordance with the Code.

We believe that the audit evidence we have obtained is sufficient and appropriate to provide a basis for our opinion.

Responsibilities of Responsible Entities for the Financial Report

The directors of the Registered Entity are responsible for the preparation and fair presentation of the financial report in accordance with Australian Accounting Standards and the ACNC Act, and for such internal control as the responsible entities determine is necessary to enable the preparation of the financial report that is free from material misstatement, whether due to fraud or error.

In preparing the financial report, the responsible entities are responsible for assessing the Registered Entity's ability to continue as a going concern, disclosing, as applicable, matters related to going concern and using the going concern basis of accounting unless the responsible entities either intends to liquidate the Registered Entity or to cease operations, or has no realistic alternative but to do so.

Those charged with governance are responsible for overseeing the Registered Entity's financial reporting process.

Auditor's Responsibilities for the Audit of the Financial Report

Our objectives are to obtain reasonable assurance about whether the financial report as a whole is free from material misstatement, whether due to fraud or error, and to issue an auditor's report that includes our opinion. Reasonable assurance is a high level of assurance, but is not a guarantee that an audit conducted in accordance with Australian Auditing Standards will always detect a material misstatement when it exists. Misstatements can arise from fraud or error and are considered material if, individually or in the aggregate, they could reasonably be expected to influence the economic decisions of users taken on the basis of the financial report.

74 Lindrum Crescent, HOLT ACT 2615

Telephone : 0409666281

PO Box 158, Kippax, ACT 2615

Email: peteri@grapevine.com.au

Liability limited by a scheme approved under Professional Standards Legislation 29

Liability limited by a scheme approved under Professional Standards Legislation

Canberra Accountancy & Audit Pty Limited

Canberra Accountancy & Audit Pty Limited

ABN 51 164 308 052

DIRECTOR: Peter Irving CA

CHARTERED ACCOUNTANTS

Independent Audit Report to the members of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Limited

Independent Audit Report to the members of Congress of Aboriginal and Torres Strait Islander Nurses and Midwives Limited

As part of an audit in accordance with the Australian Auditing Standards, we exercise professional judgement and maintain professional scepticism throughout the audit. We also:

• Identify and assess the risks of material misstatement of the financial report, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.

As part of an audit in accordance with the Australian Auditing Standards, we exercise professional judgement and maintain professional scepticism throughout the audit. We also:

• Identify and assess the risks of material misstatement of the financial report, whether due to fraud or error, design and perform audit procedures responsive to those risks, and obtain audit evidence that is sufficient and appropriate to provide a basis for our opinion. The risk of not detecting a material misstatement resulting from fraud is higher than for one resulting from error, as fraud may involve collusion, forgery, intentional omissions, misrepresentations, or the override of internal control.

• Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Registered Entity's internal control.

• Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the responsible entities.

• Obtain an understanding of internal control relevant to the audit in order to design audit procedures that are appropriate in the circumstances, but not for the purpose of expressing an opinion on the effectiveness of the Registered Entity's internal control.

• Evaluate the appropriateness of accounting policies used and the reasonableness of accounting estimates and related disclosures made by the responsible entities.

• Conclude on the appropriateness of the responsible entities' use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the Registered Entity's ability to continue as a going concern. If we conclude that a material uncertainty exists,

• Conclude on the appropriateness of the responsible entities' use of the going concern basis of accounting and, based on the audit evidence obtained, whether a material uncertainty exists related to events or conditions that may cast significant doubt on the Registered Entity's ability to continue as a going concern. If we conclude that a material uncertainty exists, we are required to draw attention in our auditor's report to the related disclosures in the financial report or, if such disclosures are inadequate, to modify our opinion. Our conclusions are based on the audit evidence obtained up to the date of our auditor's report. However, future events or conditions may cause the Registered Entity to cease to continue as a going concern.

• Evaluate the overall presentation, structure and content of the financial report, including the disclosures, and whether the financial report represents the underlying transactions and events in a manner that achieves fair presentation.

We communicate with those charged with governance regarding, among other matters, the planned scope and timing of the audit and significant audit findings, including any significant deficiencies in internal control that we identify during our audit.

peteri@grapevine.com.au

Liability limited by a

scheme approved under Professional Standards Legislation

Canberra Accountancy & Audit Pty. Limited Chartered Accountants

Peter Irving Director