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Ensure that Aboriginal people have access to a health, wellbeing and care system that is holistic, culturally safe, accessible, and empowering.

Ensure that communities in rural and regional areas can have equitable health outcomes irrespective of locality.

Goals

• Continue to strengthen AV鈥檚 commitment to ensure Aboriginal communities have access to culturally safe and sensitive services
• Strengthen cultural safety in the delivery of services
• Expand the delivery of high-quality cultural safety training for all staff to align with the Aboriginal and Torres Strait Islander cultural safety framework
• Improve access to services for rural and regional people, including through community based and virtual care, and
• Work with other system partners to optimise availability of ambulances and paramedic skills in rural and regional locations.

AV Deliverables

1

Progress implementation of AV鈥檚 鈥楻eflect鈥� Reconciliation Action Plan (RAP) in accordance with agreed timeframes outlined in the Plan.

This Plan will help to strengthen relationships with Aboriginal and Torres Strait Islander stakeholders and improve cultural safety for the workforce and patients. In 2024-25, this will include:

• uplifting the capability of staff to support cultural safety of patients by implementing mandatory cultural safety training and assessment for all staff
• building knowledge and tools to support a more inclusive workplace, and
• supporting reconciliation events that demonstrate organisational solidarity with Aboriginal and Torres Strait Islander peoples and communities.

Associated Strategic Plan outcome

4.3: Our communities are resilient and informed

Associated AV Annual Plan Initiative

Reconciliation Action Plan

AV Achievements

AV has completed implementation of our 鈥楻eflect鈥� RAP and has developed our 鈥業nnovate鈥� RAP which will commence implemented in 2025-26.

Patient identity fields in VACIS relating to Aboriginal and Torres Strait Islander status are in the process of being made mandatory. Asking every patient if they identify as Aboriginal and/or Torres Strait Islander helps to create safer, more affirming experiences for Aboriginal and Torres Strait Islander peoples and link people in with the right care. Mandating this field in VACIS will also improve the quality of our data, helping us understand the needs of the people we care for.

Cultural recognition training is available to all staff. This training module incorporates strategies for working with Aboriginal and Torres Strait Islanders (both as co-workers and/or patients).

Aboriginal and Torres Strait Islander reference material is available to all staff.

AV proudly attends key Aboriginal events such as NAIDOC Week and National Reconciliation Week.

2

AV will continue to expand the use of the VVED and increase state-wide utilisation. This will include:

• promoting utilisation of VVED through AV鈥檚 Secondary Triage Service and via in-field referral from paramedics and other responders for all suitable patients; and
• ensuring continuous improvement of processes and systems associated with the safe use of virtual care, including providing staff and consumers with appropriate support and communications.

Associated Strategic Plan outcome

2.1 All patients receive best care, improved health outcomes and experience

AV Achievements

For non-life-threatening conditions, AV encourages the community, secondary triage practitioners and paramedics in-field to utilise the VVED. VVED has continued to be promoted via the AV public facing website with targeted in-field education of Residential Aged Care Facilities.

In 2024-25, the Secondary Triage team expanded use of Video Assisted Triage. This service enables expert nurses and paramedics to better assess patients and connect them with the most appropriate care. This is an Australasian first, and ensures ambulances are available for the most critically ill patients. Being able to both see and hear the patient has been a significant innovation for the AV triage services team and is resulting in increased utilisation of alternate service providers, including VVED.

3

Support the development and delivery of Paramedic Practitioners in rural and regional Victoria, in line with the government鈥檚 election commitment.

Associated Strategic Plan outcome

2.2 Remote and marginalised cohorts have better access to healthcare and improved health outcomes

Associated AV Annual Plan Initiative

Paramedic Practitioner

AV Achievements

AV is continuing to support establishment of the new Paramedic Practitioner role within rural Victoria by December 2026.

AV is working closely with the Department of Health, Safer Care Victoria and Monash University and other key stakeholders to help design this innovative role, agreeing the service delivery model and drafting the scope of practice.

The first cohort of students who commenced the Paramedic Practitioner course in 2024 are now undertaking their second year of the three-year degree which includes clinical placements. In February 2025, the second cohort of 26 students commenced their studies, expanding the number of overall practitioners available to step into advanced practitioner roles.

4

AV will work with the Country Fire Authority (CFA) to continue to implement the Fire Medical Response (FMR) program. The program is being developed to align with the Emergency Medical Response program and aims to utilise Country Fire Authority (CFA) people to provide rapid responses and specific treatment to targeted medical emergencies including Priority Zero responses.

Associated Strategic Plan outcome

2.2 Remote and marginalised cohorts have better access to healthcare and improved health outcomes

AV Achievements

AV is continuing to work with CFA to implement the FMR program, which was developed to align with AV鈥檚 commitment to improve out of hospital cardiac arrest (OHCA) survival rates.

83 per cent of all CFA brigades invited to participate in the program have accepted. As of 30 June 2025, 20 CFA brigades are operational and responding to Priority Zero events across rural and remote Victoria. A further 15 brigades are in training or preparing for training and consultation is continuing with remaining brigades.

Under this program, 33 per cent of all calls, where CFA are in attendance and resuscitation commenced, have achieved Return of Spontaneous Circulation (ROSC).

In partnership with the AV Registered Training Organisation, AV paramedics have so far provided nationally recognised training to over 350 CFA volunteers and provided 44 continuing education sessions across Victoria as part of the FMR program.