Modern Slavery 2020

Modern Slavery

STATEMENT

2020

Legal/74518799_1

This Statement is made on behalf of St Vincent’s Health Australia Ltd (ABN 75 073 503 536), and all entities owned or controlled by St Vincent’s Health Australia Ltd.

ACKNOWLEDGEMENT

Contents

3 Who we are

4 Our Commitment to addressing Modern Slavery

5 A message from our Chair

6 Board approved Statement

7 Reporting Criteria 1 & 2: About St Vincent’s Health Australia

8 Reporting Criteria 3: Modern slavery risks in operations & supply chain

11 Reporting Criteria 4: Actions taken to assess & address risk

13 Reporting Criteria 5: Effectiveness Assessment

13 Reporting Criteria 6: Process of consultation with entities owned or controlled

14 Reporting Criteria 7: Other

Modern Slavery Statement 2020 3

we areWho

Our MissionAs a Catholic health care service, we bring God’s love to those in need through the healing ministry of Jesus. We are especially committed to people who are poor or vulnerable.

Our ValuesCompassion, Justice, Integrity, Excellence.

Our VisionWe lead through research driven, excellent and compassionate health and aged care.

Founded by the Sisters of Charity more than 180 years ago, St Vincent’s Health Australia is a clinical, research and education leader working in private hospitals, public hospitals, and aged care services in New South Wales, Victoria and Queensland.

When the first five Sisters arrived in Australia in 1838 they carried with them the vision of their Founder, Mary Aikenhead, to reach out to all in need of care, but particularly those living on the fringes of our society.

Today, St Vincent’s Health Australia is the largest not-for-profit health and aged care provider in Australia.

It is the legacy entrusted to us by the Sisters of Charity that continues to inspire St Vincent’s Health Australia to strengthen and grow our mission.

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to addressing Modern SlaveryOur Commitment

St Vincent’s places its Mission at the heart of everything we do. Arising from the core of this Mission is our special commitment to those who are poor or vulnerable in our community. Initiatives which endeavour to care for those who find themselves on the margins of society are an essential part of the continuation of our Mission.

At the core of our ethic of care are the principles of dignity, justice and flourishing. Accompanying this is a conviction that each and every person possesses an inherent, sacred dignity. When one is subject to slavery or slavery-like conditions, it profoundly threatens their dignity and right to live a good life of their choosing. The task of upholding the dignity of all impels us to work for justice in health and aged care and beyond, such that all might have the opportunity to flourish.

Modern Slavery and human trafficking is a global issue and one that remains largely hidden in Australia. Thankful for our collaboration with Australian Catholic Religious Against Trafficking in Humans (ACRATH), St Vincent’s’ work in this area aims at achieving systematic change in the Australian healthcare community, so that the needs of those affected by human trafficking and modern slavery can be more strategically addressed within the sector. In line with the Modern Slavery Act 2018 (Cth), St Vincent’s Health Australia takes seriously its responsibility to reduce or eliminate the risk of modern slavery occurring in the supply chains of purchased goods and services. We are also committed to awareness raising of the issue among our community and the safe identification, treatment and referral of victims of human trafficking and modern slavery who present for treatment at our service.


from our ChairA message

St Vincent’s Health Australia exists to bring God’s love to all people in need, with a special commitment to those who are poor or vulnerable. Core to this Mission of ours is the belief in the inherent and sacred dignity of all people. As we continue to respond to the signs of the times in many and varied ways, our commitment to those who find themselves on the margins, in danger of being cast aside by society, does not waver.

Today, in our work in health and aged care, we stand on the shoulders of the Sisters of Charity who founded our service some 182 years ago. Now, as the largest not-for-profit health and aged care provider in Australia, St Vincent’s Health Australia is committed to using our skills and influence to uphold the dignity of all and promote human flourishing.

When an individual is caught up in Modern Slavery, their freedom to live a life of their choosing is categorically undermined.

Speaking earlier this year, Pope Francis said that an economy without human trafficking is an “economy of care” which “cares for work, creating

employment opportunities that do not exploit workers through degrading working conditions and gruelling hours.”1 In making combating human trafficking and slavery a priority of his papacy, he has commented that the utilitarian perspective of our contemporary society which views “others according to the criteria of convenience and personal gain” keeps those who are enslaved from experiencing “the fullness of their unique and unrepeatable humanity”.2

Pope Francis recognises the endemic problem as “a scourge that wounds the dignity of our weakest brothers and sisters” and has called for sustained effort to be committed to its total eradication.3 He has stressed that the aim of these efforts should be “for every enslaved person to return to being a free agent of his or her own life and to take an active part in the construction of the common good.” 4

In publishing our first Modern Slavery Statement, we are mindful that there is still a long way to go in Australia and globally to address the horror of this issue and that the urgency to address it remains. As an organisation, we are able to take good strides in an effort to affect change and help protect those who are most vulnerable to exploitation. However, the scope of the problem requires that we maintain a concerted effort to address it, acting always with integrity and ensuring that those we work with and procure from also engage in best practice and ethical behaviours.

Notwithstanding the significant work already undertaken at St Vincent’s Health Australia to examine our procurement processes, there remains considerable work to be done in interrogating our own supply chains and holding our suppliers to account, continuing to educate ourselves about the reach and impacts of Modern Slavery and changing our practices accordingly.

As a health care organisation, we recognise our obligation to hold ourselves to a particular standard which includes understanding how victims of Modern Slavery interact with our services. It is incumbent on us to know how victims may present to any number of our services and the ways in which we can help assist them to safety and security. As such, in the pages of this statement, we make an additional commitment to equip our staff with the knowledge and skills to be able to respond appropriately to victims of Modern Slavery who are identified as such in our services.

In these goals, we are keen to share and collaborate within the network of Catholic health and aged care providers so that we can help affect change more broadly and not miss opportunities to rescue people who are victims of Modern Slavery. We are grateful for our collaborations with Australian Catholic Religious Against Trafficking in Humans (ACRATH) who helped us immeasurably as we commenced this work, and as a member organisation of the Australian Catholic Anti-Slavery Network (ACAN).

In the service of human dignity and flourishing, St Vincent’s Health Australia is committed to continually improving, remaining focussed and working to eradicate Modern Slavery.

Mr Paul McClintock AO

1. https://www.vaticannews.va/en/pope/news/2021-02/pope-francis-human-trafficking-world-day-prayer.html 2. https://www.vaticannews.va/en/pope/news/2020-08/pope-francis-human-trafficking-scourge-against-dignity.html 3. Ibid. 4. https://www.vaticannews.va/en/pope/news/2021-02/pope-francis-human-trafficking-world-day-prayer.html

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This Modern Slavery Statement was approved by the Board of St Vincent’s Health Australia Ltd on 4th February, 2021. It is submitted as a joint statement by the following reporting entity:St Vincent’s Health Australia Ltd ABN 75 073 503 536

on its own behalf and on behalf of the following subsidiary or affiliated entities:

St Vincent’s Hospital Sydney Limited ABN 77 054 038 872

St Vincent’s Hospital (Melbourne) Limited ABN 22 052 110 755

St Vincent’s Private Hospitals Ltd ABN 61 083 645 505

*St Vincent’s Private Hospital Sydney ABN 99 269 630 262

St Vincent’s Care Services Ltd ABN 50 055 210 378

St Vincent’s Healthcare Ltd ABN 46 095 382 791

St Vincent’s Care Services Boondall Ltd ABN 15 146 972 303

St Vincent’s Care Services Carseldine Ltd ABN 49 094 645 262

*affiliated entity

Mr Paul McClintock AO4 February 2021

approved StatementBoard


Criteria 1 & 2:Reporting

Our Organisational StructureSt Vincent’s Health Australia (SVHA) is a not-for-profit group of companies operating under the stewardship of Mary Aikenhead Ministries.

SVHA is governed by a board that sets our strategic direction and ensures that we comply with legal and legislative requirements. The SVHA Board sits as the board of SVHA and of 6 of the subsidiary companies, including those that operate our private and public health facilities and services and our aged care services. It also governs the SVHA group of companies in compliance with the Corporations Act 2001 (Cth), the Australian Charities and Not-for-profits Commissions Act 2012 (Cth), and all other relevant civil legislation.

Our group executive aims to manage the daily operations of the organisation to the highest standard. We all work together to realise the mission of our founders to serve all in need of care.

The parent company of the group is St Vincent’s Health Australia Ltd ABN 75 073 503 536.

The following are wholly owned subsidiaries of St Vincent’s Health Australia Ltd:• St Vincent’s Hospital Sydney Limited• St Vincent’s Hospital (Melbourne) Limited• St Vincent’s Private Hospitals Ltd• St Vincent’s Care Services Ltd• St Vincent’s Healthcare Ltd

The following are wholly owned subsidiaries of St Vincent’s Care Services Ltd:• St Vincent’s Care Services Boondall Ltd• St Vincent’s Care Services Carseldine Ltd

The following is an affiliated hospital:• St Vincent’s Private Hospital Sydney

Our Governance FrameworkThe Executive sponsor of our Modern Slavery work is the SVHA Group Mission Leader, Dr Lisa McDonald who has convened the Anti- Modern Slavery Working Group, chaired by Genevieve Alexander, Senior Procurement Officer.

The Group Mission Leader presents this work to the Executive Leadership Team of SVHA. It is reported to the SVHA Board through the Mission Ethics and Advocacy Committee.

Our OperationsWe operate 6 public hospitals, 10 private hospitals and 20 aged care facilities in Queensland, New South Wales and Victoria. Along with three co-located research institutes – the Victor Chang Cardiac Research Institute, the Garvan Institute of Medical Research, and St Vincent’s Institute of Medical Research – we work in close partnership with other research bodies, universities, and health care providers.

St Vincent’s Health Australia employs around 20,494 staff and operates more than 2,800 hospital beds and 1,956 residential aged care beds. In our hospitals, we provide more than 1 million episodes of care for patients each year.

We are a clinical and education leader with a national and international reputation in medical research. Our areas of expertise include heart lung transplantation; bone marrow transplantation; cardiology; neurosurgery; cancer; clinical genomics; HIV medicine; palliative care; respiratory medicine; mental health; drug and alcohol services; aged psychiatry; homeless health; and prisoner health.

Our Supply ChainSt Vincent’s Health Australia deploys a “federated” procurement model. A “centre led” Procurement Team, Group Procurement Services, organises and manages “common use” contracts covering a substantial proportion of clinical and non-clinical spend across the Group. Group procurement also manages the Group’s catalogue of material goods holding over 120,000 material items.

Distributed on-site supply chain teams manage day to day materials management and supply as well as local purchasing, with facilities management procurement also at a local level.

Our two major public hospitals in Sydney and Melbourne have access to respective State Government Procurement arrangements which they access directly.

Our Group Procurement Services team is responsible for selecting and appointing common use suppliers of all commodities and services used by the group. We prefer to develop longer-term partnerships with our suppliers, while continually assessing alternative sources of supply. Competitive tender processes are used to monitor the marketplace and potential suppliers and only those suppliers who can meet our standards are appointed.

SVHA has a diverse and complex global supply chain – our largest suppliers operate mainly in the Asia-Pacific region, South Asia, Northern, Southern and Central America, Europe and Australia. We source almost $1billion per annum in clinical and non-clinical goods and services across almost 16,000 suppliers.

Our clinical supply chain comprises general medical and surgical consumables, drugs and pharmacy, pathology and laboratory, medical devices, medical imaging, surgical equipment and protheses/implants, through to wound care, dressings, intravenous products, airway management, medical gases and robotics. Our non-clinical supply chain encompasses ICT, facilities maintenance, cleaning, food and beverage, linen and laundry services, uniforms and equipment servicing and repairs as well as corporate overheads such as office supplies and travel.

About St Vincent’s Health Australia

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Criteria 3:Reporting

Since May 2017, St Vincent’s has been working in collaboration with the Australian Catholic Religious Against Trafficking in Humans (ACRATH) as part of a joint Anti- Human-Trafficking Project. The goal of the Project is to achieve systemic change in the Australian health care community so that the needs of those affected by human trafficking and slavery can be identified and more strategically addressed in the health care sector.

Underpinned by the St Vincent’s – ACRATH Memorandum of Understanding (MOU) 2017, the Project had three key objectives:1. The safe identification, treatment and referral of victims

of human trafficking and modern slavery who present for treatment,

2. Investigations of the supply chain of services and goods used that are liable to human trafficking and develop a plan to address these issues,

3. To incorporate suitable activities (awareness raising and prayer) across the organisation to increase recognition of the issues and give staff the opportunity to take action in the workplace (and beyond) to help eliminate human trafficking and modern slavery.

While the Project itself was finalised in late 2019, SVHA continues to maintain a close working relationship with ACRATH and continues to progress the objectives to achieve systemic change through the work continued by SVHA’s internal Modern Slavery Working Group.

St Vincent’s is also a participating organisation of the Australian Catholic Anti-Slavery Network (ACAN).

OPERATIONAL RISKSOur OperationsRegardless of the form of exploitation, research shows that health care providers are one of the few groups of professionals likely to interact with victims of human trafficking. However, there are barriers that exist within health care settings, both here in Australia and internationally, which hinder the identification of victims of trafficking and the delivery of appropriate treatment and support to this vulnerable group.

It is through the first objective of our joint Anti Human-Trafficking Project with ACRATH that we set out to further understand this issue.

We acknowledged that the harm caused by exploitative activities means that a person who is trafficked has an increased likelihood of presenting to a hospital. We also recognised that we are in a unique position to intervene and disrupt the cycle of exploitation, but that our health care staff need support to identify and respond appropriately.

Our first objective is underpinned by two research studies including:– a literature review to identify world’s best practice in

identifying, assessing and responding to trafficked people, as well as;

– a qualitative focus group research study to explore awareness of human trafficking and investigate if the international findings were transferable to an Australian health care setting (Appendix 1).

This information was then used to inform the development a clinical pathway for victims of human trafficking in St Vincent’s (Appendix 2).

Our PeopleOur values are evident in the way we behave, care for our patients and residents and interact with each other within the SVHA community.

We are confident that our risk of modern slavery through our internal staff is low due to a range of policies, systems and practices we have in operation. These include Human Resource policies which are intended to ensure that all staff are paid at award rates (or above) according to their role and qualification. All employment information is managed through our HR Information System and Payroll System to manage our staff and their relevant employment and pay details. We also operate Kronos, our time management system, the intended purpose of which is to manage rosters and ensure that we are paying our staff accurately for the hours that they work. Other relevant policies and frameworks we have in place include:• Code of Conduct• Whistle-blower policy• Ethics Competency Framework

Regarding employment law, all of our HR teams strive to remain up to date on relevant legislation and review our contract templates and obligations on a regular basis. Where an employment law specialist is required, we seek external assistance as required. Regarding visa management, we aim to ensure all our recruitment and employment operations are carried out in line with relevant visa management guidelines outlined by the Australian Government.

We recognise the importance of raising awareness of human trafficking among the broader SVHA community. Which is why our third objective has been to develop and implement a communications plan to add key human trafficking campaigns, issues, recommended community activities to the SVHA mission calendar.

Modern slavery risks in operations & supply chain


SUPPLY CHAIN RISKSSt Vincent’s is committed to leading the way in managing modern slavery and human rights risks amongst faith-based organisations in Australia and is taking steps to identify and eradicate modern slavery and human trafficking from our supply chain.

Hence why the second objective of our joint SVHA-ACRATH Anti Human Trafficking Project focuses on reducing or eliminating the risks of modern slavery occurring in SVHA’s supply chain. We believe that we can achieve a slavery free supply chain within our lifetime.

In 2018, with support from SD Strategies and Mills Oakley, SVHA undertook a deep dive assessment into our top 50 suppliers, who were selected based on the size of their relationship to SVHA (spend) or their assumed exposure to modern slavery risks (goods or service supplied). Collectively, these suppliers represent ~75% of our supply chain. The survey sought to understand business operations, governance and due diligence, risk management, employee and labour rights and training and reporting.

Following the survey, a summary report was presented to the Board in December 2018 to raise awareness of the risks that these findings created for the SVHA supply chain.

A summary of the number of suppliers in each category as well as key findings and subsequent implications are outlined below: (noting that these findings relate to an almost 50% response rate of top 50 suppliers).

Summary overview of returned 2018 Supplier Modern Slavery Survey

Business & Operations

Governance & Due Diligence

Risk Management

Employment & Labour Rights

Training & Reporting

Fully Effective 0 1 0 1 1

Substantially Effective 5 4 0 9 1

Partially Effective 13 11 7 7 4

Largely Ineffective 3 5 11 3 15

Totally Ineffective 0 0 3 0 0

Not assessed 0 0 0 1 0

Total number of Suppliers 21 21 21 21 21

SVHA acknowledges that the above results do not indicate that suppliers are engaging in modern slavery practices, however it does assist us in identifying where the risk to our own supply chain might lie.

Key finding from responses Implications & risk to SVHA

1. Less than 20% of our suppliers have mapped their supply chain. None provided evidence. Visibility beyond our tier 1 suppliers is very low.

2. Our suppliers operate globally and source products and services from a number of high-risk countries and regions

Our modern slavery risk is increased when suppliers operate in high-risk geographies.

3. Suppliers who are larger global entities refer to corporate (global) policies but did not provide evidence of how these policies are implemented or tailored to local operations.

Risk that our suppliers are not educating staff appropriately on policies and that there is no verification of internal or external codes of conduct.

4. No supplier was found to be low risk.Lack of fully effective governance, due diligence and risk management processes in place exposes SVHA to risk of exploitation across our supply chain.

5. Suppliers scored lowest in risk management and training and reporting.

Risk of modern slavery is increased when there is a lack of awareness, or, lack of effective risk management and verification processes, across an organisation’s Board, management and staff.

6. Verificationandmonitoringofsuppliermodernslaveryrisklevels is low.

Exposure to modern slavery risks are increased when the issue is not addressed, monitored or lacks implementation of corrective action plans.

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Continued…Reporting Criteria 3: Modern slavery risks in operations & supply chain

Modern Slavery Risk by spend category ($M)

Medical equipment & consumables

Prothesis, implants & medical devices

Building, construction & fabrication services

ICT Software & services

Food & hospitality

Officesupplies&services

Property & facility maintenance

Our COVID-19 ResponseOver the last 160 years, St Vincent’s Health Australia has been called on to provide professional and compassionate care during several pandemics, and this current COVID-19 pandemic is no different. These are uncertain times and, as we have shown throughout history, we have an enduring commitment to care for everyone, including the most disadvantaged and marginalised members of our community.

While we continue to play our part in a coordinated, nationwide response to the pandemic, we see the increase in pressure across our global supply chains as the demand for health care resources surge. We must work together in these unprecedented times to ensure that modern slavery practices are not amplified, abused or, indeed, forgotten.

Now, more than ever, it is critical that we remember our vulnerable workers and continue to advocate for the total respect of human rights and zero tolerance of labour rights abuses. Whether it is access to paid overtime and sick leave, ability to keep identity documents safe and secure, access to clean water for handwashing or practicing social distancing measures at factories and in provided accommodation, every worker has the right to be protected against COVID-19.

St Vincent’s has continued to seek assurance as to what measures specific high-risk suppliers have implemented for workers to guarantee that the appropriate controls and protections are in place in workplaces across every level of their supply chain.

$300,000,000$250,000,000$150,000,000$50,000,000$– $200,000,000$100,000,000



Recognition & support for victims of human traffickingSVHA established an Anti- Modern Slavery and Human Trafficking Working Group in 2017 that has overseen all activities and actions. The current membership of this group includes:• Group Mission Leader (Executive sponsor)• Senior Procurement Specialist (Chair)• Group Legal Counsel• Chief Social Worker• HR Consultant• Group Manager Procurement• Group Manage Inclusive Health• Modern Slavery Advocates• Mission Leaders

One of the first actions SVHA undertook was the exploration of staff awareness of the issue of modern slavery and human trafficking. In 2017, we conducted a qualitative research project in partnership with ACRATH to explore health care staff awareness of the issue, their perceptions of the likelihood that trafficked people would present for health care, and their ability to respond appropriately (findings of this study were published in February 2019 and can be seen in Appendix 1). Similar to research conducted internationally, the study indicated that staff required training and protocols (a referral pathway) to ensure that appropriate care is delivered from identification through to discharge. In response to these findings, SVHA, with support from ACRATH, began to implement a number of measures to better support staff to recognise and respond to victims of trafficking who present to our services. These measures (which continue to evolve and improve) have included the following:• Training with social work and emergency department

staff at Sydney and Melbourne Public Hospitals• Development of a Human Trafficking and Modern Slavery

Education Guide• Drafting a Human Trafficking and Modern Slavery clinical

policy• Development of a clinical pathway to guide clinicians to

better identify and respond to victims who come into their care (Appendix 2)

• Data collection of identified cases presenting to SVHA facilities, so as to monitor and improve care from our experiences

• Recruitment of staff champions (known as Modern Slavery Advocates for Change) across the organisation (program described further under Criteria 7)

• Delivery of extended training session (utilising education guide) to advocates

• Delivery of localised targeted training by advocates to staff across their teams (wider training was planned for 2020 but has been delayed by COVID-19)

• Awareness raising activities by advocates and mission staff to mark key dates throughout the year (namely St Bakhita’s Day, Easter and Christmas)

• In Melbourne, alignment of Anti- Modern Slavery and

Human Trafficking work with Forced Marriage (part of the Royal Commission) along with Strengthening Hospital Responses to Family Violence as part of Social Work Safer Communities and Equitable Health program to support visibility and engagement using a Trauma Informed Care approach.

Below is a case study from a case earlier in 2020 presenting to SVHM ED. A remarkable piece of work by the clinician, and the Australian Federal Police, despite the additional challenges of the COVID-19 pandemic, and a wonderful outcome for the client:

Rose*(not her real name) is a 27 woman found by police in the city, intoxicated, in an altered conscious state, and expressing suicidal ideations in the setting of recent homelessness. She was brought by police to St Vincent’s Hospital Melbourne Emergency Department.

Previously working in a brothel, where she also resided, Rose had been homeless for four weeks after the brothel was forced to close due to COVID-19.

Rose came to Australia from Indonesia 2 years ago – after being forcibly sent her by her ‘abusive’ husband who was ‘in trouble with drugs and needed to get out of the country’. She reported that her husband planned for her to come to Australia to set-up, and then bring him across to live as her husband.

Rose reported that her husband controlled her flights, passport, access to money, and that she arrived on a student visa. Sadly, she reported that she was ‘sent away’ from her baby who she was still breastfeeding. Her husband initially paid for her accommodation in a private rental in Swanston Street, and she worked for a time whilst studying early childcare education. However he stopped paying the rent, and she was forced to move into and work in a brothel.

ED Care Coordinator and Modern Slavery Advocate for Change noted when assessing this client that there were several ‘red flags’ for Human Trafficking, and that the client was very vulnerable to exploitation. She made a referral to the Australian Federal Police who attended the Emergency Department to assess the client. They provided a trauma-informed, compassionate and highly specialised response to the patient as well as providing coordinated and timely advice to the clinician.

The AFP ensured a female Member attended, which was critical to the emotional safety of the highly traumatised patient sharing her story. They deemed that Rose was indeed a victim of human trafficking and on-referred to the Red Cross for case management, specialist support, and accommodation.

Actions taken to assess & address risk

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Supplier engagement planningSVHA has done a deep dive review into our top 50 suppliers and a high-level stakeholder engagement strategy has been developed but has not yet been implemented across our broader supply chain. Further stakeholder engagement and supplier awareness and training will be a focus over the next 6 – 12 months.

Procurement activitiesIn addition to the initial work that SVHA has undertaken to audit our top 50 suppliers, we have also completed the following actions to address the risk:– A modern slavery clause has been included in our

standard Terms and Conditions enforcing that SVHA will not, to the extent that it is aware, contract with a supplier who knowingly engages in modern slavery practices.

– Modern slavery and human trafficking considerations are applied to our tendering activities, including RFPs and RFQ’s.

– Social and ethical procurement considerations have been included in our Group Procurement Policy.

– Investigations have begun into existing internal SVHA policies to understand where modern slavery, and ethical procurement more broadly, may need to be considered/included.

Direct supplier engagementGroup Procurement strives to develop long-term partnerships with our suppliers and care is taken to ensure that suppliers remain the best all-round provider to our organisation. As such, we believe in engaging with suppliers directly and openly when issues are identified. One example of this has been our communications with Ansell, following allegations of modern slavery and forced labour surrounding their manufacturer, Top Glove. While SVHA has been reassured that there are no Top Glove manufactured gloves in our supply chain, this is still a serious concern for SVHA and we continue to be vocal in our advocacy to Ansell to address these issues across their own supply chain.

It is important for SVHA to continue to investigate the risks across our supply chain and understand how we can address these risks as an industry and how we can educate and support our suppliers to eradicate these issues.

SVHA Anti- Modern Slavery Working GroupWe have continued the objectives of the ACRATH Joint Project through the formation of the Anti- Modern Slavery Working Group. The Working Group meets bi-monthly to discuss progress of initiatives and opportunities to further create systemic change in the way that the Australian heath care community approaches modern slavery risks.

We have also drafted a Group Modern Slavery Policy and begun consultation. We have also developed high level Key Performance Indicators and a governance framework for the Working Group.

Awareness raisingAt the commencement of the second phase of work with ACRATH, in May 2018, SVHA added the third strategic objective to our work to combat Modern Slavery – to raise awareness of the issue of modern slavery and human trafficking, both internally and in the wider community.

Awareness raising has taken many forms including the delivery of an Awareness Raising Module in 2018 of which 54 staff across St Vincent’s Hospital Melbourne attended.

The Modern Slavery Advocates for Change (who formed in October 2019) developed the Advocates’ Calendar of Events that focus on three dates throughout the year on which to hold events at their facilities: St Bakhita’s Day (on February 8th), Easter and Christmas. While only having been together for a sort time, and despite the disruption of COVID-19, the group have already supported numerous events including:• St Bakhita’s Day events held across 5 sites in 2020• Staff at SVHNS and SVHM have met with local

procurement teams in 2019/20, to discuss development of ‘Slavery-Free Tea Rooms’

• 12 Days of Slavery Free Christmas shopping (December 2019) – communications run via SVHA internal online platform Workplace Connect.

• Promoting the use of Slavery-Free Fashion Guides (via ACRATH) and Apps was been well received by staff in 2019.

In addition, SVHA continues to promote activities through our Mission Calendar including holding an online prayer session with ACRATH on 30/07/2020 for World Day Against Trafficking in Persons.

There have been various educational events held, attendance and presentations at conferences, articles in Catholic publications, and a range of other advocacy work – see Criteria 7 for further details.

In conjunction with ACAN, SVHA has begun rolling out a modern slavery 101 e-learning training course. This is separate to the clinical training of our frontline staff and aims to create a broader, more general awareness of modern slavery across our organisation.

Australian Catholic Anti-Slavery Network (ACAN)Following initial engagement with our suppliers, SVHA took a pause to collaborate with ACAN and the other Catholic entities to plan our next steps together. We have a nominated Modern Slavery Liaison Officer who participates in the regular monthly ACAN meetings and provides updates to the SVHA Working Group.

Anti- Modern slavery road mapAn updated Action Plan has recently been drafted that includes all activities to date along with planned activities over the coming years.

Continued…Reporting Criteria 4: Actions taken to assess & address risk


Criteria 5:

Criteria 6:

Reporting

Reporting

SVHA is committed to measuring the effectiveness of its work to combat modern slavery. During the two year initial phase of working with ACRATH from May 1st 2017 – June 30th 2019, an evaluation framework was established to measure SVHA’s progress against key objectives. Process and impact evaluation measures were used and the evaluation was conducted progressively through the implementation period, independently to SVHA. For a full summary of project achievements during this period, please refer to the SVHA-ACRATH Human Trafficking Final Evaluation Report (Appendix 3).

As outlined in the Procurement Activities section above we have undertaken an audit of our top 50 suppliers and have begun addressing risks identified. We have also developed a clinical pathway process (Appendix 2). In addition to awareness raising we have tracked numbers of staff completing education training sessions conducted since the commencement of the project.• Interim Education Sessions (2018) – 50 staff across SVHA• Modern Slavery Advocates for Change training (2019) – 8 staff across SVHA• Educations sessions conducted by Advocates (2019/20) – 80 staff across SVHA

SVHA now needs to move to establish a thorough effectiveness assessment process, but progress towards this has been limited in 2020 due to COVID-19.

As noted under Reporting Criteria 1 and 2 above, SVHA is a group of companies bringing together private and public health facilities and services, aged care services, and related mission activities which are committed to helping those who are poor and vulnerable. SVHA is governed by a board that sits concurrently as the board of SVHA and of 6 of the subsidiary companies, including those that operate our private and public health facilities and services and our aged care services. The Group CEO and divisional CEOs of the public hospitals division, private hospitals division, care services division and other senior executives make up the Executive Leadership Team (ELT) of SVHA which meets monthly. Functions of the ELT include making strategic decisions and setting the policy direction for the SVHA group.

As a result of the common board and the ELT structure, underpinned by the common mission and values, there is a general consistency of policies and processes across the various entities making up the group.

Consultation as between the parent company St Vincent’s Health Australia Ltd and the subsidiaries and affiliates in the preparation of this statement has occurred via the common board and ELT structures as described above and Group Procurement, as well as the Board Mission Ethics and Advocacy Committee and the Anti- Modern Slavery Working Group which comprises staff drawn from the different entities, facilities and group functions. In light of these structures, SVHA considers it is reasonable and appropriate for St Vincent’s Health Australia Ltd to provide this joint statement on behalf of all reporting entities in the group, including a consolidated description of their actions to address modern slavery risks.

Effectiveness Assessment

Process of consultation with entities owned or controlled

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SVHA is vocal in advocating for the eradication of modern slavery. Below is a snapshot of recent advocacy regarding our work:• Group CEO, Toby Hall, wrote to Australian Border Force

on 13 February 2020 to provide comment on the National Action Plan to Combat Modern Slavery 2020-2024 Public Consultation Paper.

• The CEO of St Vincent’s Public Hospital Sydney, Anthony Schembri, wrote to the NSW Government on the 30th July 2020, to voice support for the importance of the NSW Modern Slavery Act (Appendix 4).

• In August 2018 SVHA, in partnership with ACRATH, presented to the Senate Committee review into the Modern Slavery Act, advocating heavily for further accountabilities on participating entities and the need to include a Commissioner role.

• In March 2019, SVHA and ACRATH presented to the Catholic Mission Conference in Sydney.

• Articles in CathNews and the Caritas Internationalis newsletter regarding the Advocates for Change initiative.

• Bakhita Day Ethical Sourcing Seminar Panellist, February, 2019.

• Working Party Open Meeting in November 2018, attended by CHA, Mercy Foundation, Cabrini Health, Mater Hospital, St John of God Health Care, Calvary Health Care, and Villa Maria Homes.

• Presentation at Catholic Health Australia Conference, August, 2018

SVHA has also participated in numerous modern slavery conferences, seminars and training workshops including attending the Commonwealth’s Implementing Australia’s Modern Slavery Conference (26-27 June 2019), Procurement Australia’s Modern Slavery Workshop (16 April 2019) as well as presenting at the QLD Chartered Institute of Procurement and Supply (CIPS) Modern Slavery Presentation (29 August 2019) and the ACAN National Conference (30-31 July 2019). Other events of note in the last 12 months include:• St Vincent’s Hospital Melbourne (SVHM) featured Modern

Slavery in the June 2020 Allied Health Grand Round. Dr Dominique Martin (Deakin University) presented to allied health staff on “what more we can do to combat organ trafficking and transplant tourism?” Approximately 80 staff attended this event where they were encouraged to explore the role and responsibilities of allied health professionals in helping to address these issues domestically and within the region.

• The Social Work Department at St Vincent’s Health Network Sydney (SVHNS) held an event on Tuesday 15th October 2019 exploring the landscape of modern-day slavery highlighted by Australian and international examples. The session featured keynote speaker, Professor Jennifer Burn, NSW Anti-Slavery Interim Commissioner, and informed social workers of the current avenues being used to tackle this issue. Approximately 60 people attended this event from SVHNS and beyond.

And finally, we are really excited about the opportunities coming to life via the SVHA Modern Slavery Advocates for Change. This groundbreaking program has involved selecting and training key staff from across the organisation. Staff have both clinical and non-clinical backgrounds, and take the lead in providing education and undertaking awareness raising activities at their workplaces. They are exploring localized opportunities to liaise with procurement, network with external agencies, and investigate research activities. We are strongly committed to serving and advocating for the poor and vulnerable and will continue to be a loud voice in the work to eradicate modern slavery and human trafficking.

Other

Appendix 1 – Publication: Hospital Health Provider Experiences

Appendix 2 – St Vincent’s Hospital Melbourne: Clinical Pathway

Appendix 3 – SVHA-ACRATH Human Trafficking Final Evaluation Report

Appendix 4 – SVHNS CEO Letter to NSW Premier

Appendices

16

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Australian Social Work

ISSN: 0312-407X (Print) 1447-0748 (Online) Journal homepage: https://www.tandfonline.com/loi/rasw20

Hospital Health Provider Experiences ofIdentifying and Treating Trafficked Persons

Doris Testa

To cite this article: Doris Testa (2019): Hospital Health Provider Experiences of Identifying andTreating Trafficked Persons, Australian Social Work

To link to this article: https://doi.org/10.1080/0312407X.2018.1529812

Published online: 17 Feb 2019.

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Hospital Health Provider Experiences of Identifying andTreating Trafficked PersonsDoris Testa

College of Health and Biomedicine, Victoria University, Melbourne, Victoria, Australia

ABSTRACTOver the past 20 years, human trafficking (“trafficking”) hasgenerated much public attention throughout the world. Theproblem has received growing media coverage and increasedanti-trafficking activism. Additionally countries have created newpolicies, laws, and enforcement mechanisms to tackle theproblem. This micro level study examined the lived experiences of22 health and allied health workers situated within St Vincent’sHealth Australia’s Melbourne facility, and reports on theiridentification, assessment, treatment, and outreach to traffickedpersons. The results indicated that trafficked persons werepredominantly invisible within the health setting. Whenpractitioners did suspect trafficking, they considered themselvesas lacking the professional skills and knowledge, or the clearorganisational policy or procedures to confidently identify andmanage the complex health needs of the suspected traffickedpersons. The findings contribute to St Vincent’s Health Australia’sgoal of formulating contextually appropriate policy and practicesthat will assist in the identification of and response to the healthneeds of trafficked persons.

IMPLICATIONS. The health needs of trafficked persons are multiple and interrelated

and require health care providers and systems to be skilled in theidentification, intervention, and treatment of trafficked persons.

. Education and training of health professionals is the cornerstone ofthe identification, intervention, and treatment of trafficked persons.

. Social workers’ specific focus on person-in-environment may be animportant contribution to the identification and treatment oftrafficked persons.

ARTICLE HISTORYReceived 20 February 2018Accepted 6 August 2018

KEYWORDSTrafficking; Enslavement;Practice

Human trafficking, also referred to as modern-day slavery, is defined as

The recruitment, transportation, transfer, harbouring or receipt of persons, by means of thethreat or use of force or other forms of coercion, of abduction, of fraud, of deception, of theabuse of power or of a position of vulnerability or of the giving or receiving of payments orbenefits to achieve the consent of a person having control over another person, for thepurpose of exploitation. (Office of the United Nations High Commissioner for HumanRights [OHCHR], 2000) Article 3 (a))

© 2019 Australian Association of Social Workers

CONTACT Doris Testa [email protected] College of Health and Biomedicine, Victoria University, Footscray ParkCampus, PO Box 14428, Melbourne, Vic 8001, Australia

AUSTRALIAN SOCIAL WORKhttps://doi.org/10.1080/0312407X.2018.1529812

Appendix 1


Hospital Health Provider Experiences of Identifying andTreating Trafficked PersonsDoris Testa

College of Health and Biomedicine, Victoria University, Melbourne, Victoria, Australia

ABSTRACTOver the past 20 years, human trafficking (“trafficking”) hasgenerated much public attention throughout the world. Theproblem has received growing media coverage and increasedanti-trafficking activism. Additionally countries have created newpolicies, laws, and enforcement mechanisms to tackle theproblem. This micro level study examined the lived experiences of22 health and allied health workers situated within St Vincent’sHealth Australia’s Melbourne facility, and reports on theiridentification, assessment, treatment, and outreach to traffickedpersons. The results indicated that trafficked persons werepredominantly invisible within the health setting. Whenpractitioners did suspect trafficking, they considered themselvesas lacking the professional skills and knowledge, or the clearorganisational policy or procedures to confidently identify andmanage the complex health needs of the suspected traffickedpersons. The findings contribute to St Vincent’s Health Australia’sgoal of formulating contextually appropriate policy and practicesthat will assist in the identification of and response to the healthneeds of trafficked persons.

IMPLICATIONS. The health needs of trafficked persons are multiple and interrelated

and require health care providers and systems to be skilled in theidentification, intervention, and treatment of trafficked persons.

. Education and training of health professionals is the cornerstone ofthe identification, intervention, and treatment of trafficked persons.

. Social workers’ specific focus on person-in-environment may be animportant contribution to the identification and treatment oftrafficked persons.

ARTICLE HISTORYReceived 20 February 2018Accepted 6 August 2018

KEYWORDSTrafficking; Enslavement;Practice

Human trafficking, also referred to as modern-day slavery, is defined as

The recruitment, transportation, transfer, harbouring or receipt of persons, by means of thethreat or use of force or other forms of coercion, of abduction, of fraud, of deception, of theabuse of power or of a position of vulnerability or of the giving or receiving of payments orbenefits to achieve the consent of a person having control over another person, for thepurpose of exploitation. (Office of the United Nations High Commissioner for HumanRights [OHCHR], 2000) Article 3 (a))

© 2019 Australian Association of Social Workers

CONTACT Doris Testa [email protected] College of Health and Biomedicine, Victoria University, Footscray ParkCampus, PO Box 14428, Melbourne, Vic 8001, Australia

AUSTRALIAN SOCIAL WORKhttps://doi.org/10.1080/0312407X.2018.1529812

18

Oram, Howard, Trevillion, & Byford, 2016; Cheshire, 2017; Titchen et al., 2015) andnationally (George, McNaughton, & Tsourtos, 2017) many trafficked persons go undis-covered or unrecognised when interacting with health systems. Several factors drivethis, these include: the trafficked person’s survival-driven priority to often work longhours to support themselves and their families; disconnection from or the absence ofaccessible mental health services (Lewis-O’Connor & Alpert, 2017); the cumulativephysical and mental health impacts of repeated and sustained substance or sexual abuse(Alpert et al., 2014; Domoney, 2015; Patel, Ahn, & Burke, 2010); the trafficker’s adeptcontrolling of the trafficked person (Alpert et al., 2014); profound patient fearfulness;inconsistent stories; and, resistance to work with law enforcement agencies (Gibbons &Stoklosa, 2016).

Systemic and organisational factors that prohibit the identification, treatment, andreferral of trafficked persons further contribute to invisibility in the health care system.These include the absence of linguistically matched or culturally sensitive services,limited organisational and practitioner capacity and resources (Davy, 2016); inadequatehealth provider formal education, identification, screening, and treatment protocols(Yarborough, Jones, Cyr, Phillips, & Stelzner, 2000) and unidentified service needs thatextend beyond the health providers’ expertise and effective interagency collaboration(Helton, 2016; Titchen et al., 2015). Cheshire (2017) additionally points to the healthorganisation’s surrender of its moral responsibility and overreliance on well-intentioned,under-resourced and ill-informed medical professionals for not taking action. D’amourand Oandasan (2005) highlight media coverage that fails to communicate the severityand complexity of the problem, and perpetuates invisibility through the use of imagesand representations of trafficked persons as either exploited in countries other than thehost country or as limited to subjects of particular profiles, for example, womentrafficked for prostitution.

Juxtaposing invisibility, international literature reports whole-of-system approachesdesigned to build organisational capacity to identify and treat trafficked persons.These include trafficking–enslavement training programs and guidebooks thateducate in trauma-informed responses (Macias-Konstantopoulos, 2016). Otherexamples of specific screening questions canvass issues relating to safety, physicalhealth and history, living circumstances, employment travel and immigration status,living environment, and child-specific issues (Alpert et al., 2014; Gibbons & Stoklosa,2016), which aim to equip health workers to respond to behavioural and physical“red flags,” by providing safe, trustworthy spaces when further investigating the poten-tiality of trafficking (Alpert et al., 2014). Additionally, effective programs clearly definestakeholder roles and clearly articulate and reference policies that may be implicated intreatment and referral (Macias-Konstantopoulos, 2016; Schwarz et al., 2016) oftrafficked persons.

In the Australian health care system, there is currently limited literature that evidencesif and how healthcare providers identify, treat, and refer trafficked persons (Davy, 2015;Macias-Konstantopoulos, 2016), nor is there evidence of any trafficking–enslavementtraining programs and guidebooks that can guide a health practitioner’s work. Thiscurrent study seeks to address this gap and increase understanding of the factors thatimpede health care providers’ ability to identify a trafficked person who seeks medicalattention within Australian hospitals.

AUSTRALIAN SOCIAL WORK 3

Trafficking crosses local, national, and global borders and ranges from sexual exploita-tion, labour exploitation, criminal involvement, forced marriages, and organ trafficking toforced military service. All forms of trafficking involve the violent exploitation and abuseof human beings and their rights. Factors such as globalisation, economic and politicalinstability, disease, disintegration of families, and war (Carolan & Simmons, 2016) haveincreased the numbers of vulnerable populations that expose people to the risk of traffick-ing. While precise statistics remain elusive (Cannon, Arcara, Graham, & Macy, 2016),sexual exploitation and forced labour has been estimated by De Chesnay (2013) toaffect 27 million people, and by the International Labor Organisation (2017) to affect21 million people.

In the Asia–Pacific region it is generally accepted that although only a small percentageof irregular migrants are trafficked for exploitation, most victims are irregular migrantswho are subjected to exploitation such as forced labour in a country that is not theirown but to which they travelled to obtain work (Carolan & Simmons, 2016). In Australiathere exists a wide discrepancy between officially detected cases and estimates of thenumber of trafficked persons. The available aggregate statistics from Australian Govern-ment agencies indicate that between January 2004 and June 2011, 184 persons werevictims of trafficking (Larsen & Renshaw, 2012). Regardless of the form of their exploita-tion, people who are trafficked suffer intense abuse that often results in physical andmental illness (Baldwin, Eisenman, Sayles, Ryan, & Chuang, 2011).

This article reports on stage one of a two-stage project commissioned by St Vincent’sHealth Australia (SVHA), within the St Vincent’s Health Melbourne facility (SVHM), andcarried out by the non-government organisation Australian Catholic Religious AgainstTrafficking of Humans (ACRATH). Prior to reporting the research, I will canvass thecurrent literature regarding the health needs of trafficked persons and global and nationalhealth provider responses to these health needs.

The Health Needs of Trafficked Persons

The cumulative harm of each stage of trafficking (recruitment, travel–transit, exploitation,detention and integration, or reintegration) results in adverse and multiple interrelatedphysical, reproductive, developmental, behavioural, and psychological health impacts(Zimmerman, Kiss, & Hossain, 2011). These interact with the personal, social–environmental, and contextual systemic factors specific to the trafficked person (Alpertet al., 2014; Banović & Bjelajac, 2012; De Chesnay, 2013; Dovydaitis, 2010; Gibbons &Stoklosa, 2016; Schwarz et al., 2016). Regardless of the reason for being trafficked, an indi-vidual’s development and life trajectory is negatively disrupted. Many may seek thesupport of mental health services, physical healthcare services, and social services(Cannon et al., 2016).

Invisibility and the Health Care System

Health care providers are one of the few groups of professionals likely to interact withvictims of trafficking and therefore hold a unique position in their identification, treat-ment, and referral (Gibbons & Stoklosa, 2016). Notwithstanding this unique, butlimited opportunity to intervene in the cycle of exploitation internationally (Cary,

2 D. TESTA


Oram, Howard, Trevillion, & Byford, 2016; Cheshire, 2017; Titchen et al., 2015) andnationally (George, McNaughton, & Tsourtos, 2017) many trafficked persons go undis-covered or unrecognised when interacting with health systems. Several factors drivethis, these include: the trafficked person’s survival-driven priority to often work longhours to support themselves and their families; disconnection from or the absence ofaccessible mental health services (Lewis-O’Connor & Alpert, 2017); the cumulativephysical and mental health impacts of repeated and sustained substance or sexual abuse(Alpert et al., 2014; Domoney, 2015; Patel, Ahn, & Burke, 2010); the trafficker’s adeptcontrolling of the trafficked person (Alpert et al., 2014); profound patient fearfulness;inconsistent stories; and, resistance to work with law enforcement agencies (Gibbons &Stoklosa, 2016).

Systemic and organisational factors that prohibit the identification, treatment, andreferral of trafficked persons further contribute to invisibility in the health care system.These include the absence of linguistically matched or culturally sensitive services,limited organisational and practitioner capacity and resources (Davy, 2016); inadequatehealth provider formal education, identification, screening, and treatment protocols(Yarborough, Jones, Cyr, Phillips, & Stelzner, 2000) and unidentified service needs thatextend beyond the health providers’ expertise and effective interagency collaboration(Helton, 2016; Titchen et al., 2015). Cheshire (2017) additionally points to the healthorganisation’s surrender of its moral responsibility and overreliance on well-intentioned,under-resourced and ill-informed medical professionals for not taking action. D’amourand Oandasan (2005) highlight media coverage that fails to communicate the severityand complexity of the problem, and perpetuates invisibility through the use of imagesand representations of trafficked persons as either exploited in countries other than thehost country or as limited to subjects of particular profiles, for example, womentrafficked for prostitution.

Juxtaposing invisibility, international literature reports whole-of-system approachesdesigned to build organisational capacity to identify and treat trafficked persons.These include trafficking–enslavement training programs and guidebooks thateducate in trauma-informed responses (Macias-Konstantopoulos, 2016). Otherexamples of specific screening questions canvass issues relating to safety, physicalhealth and history, living circumstances, employment travel and immigration status,living environment, and child-specific issues (Alpert et al., 2014; Gibbons & Stoklosa,2016), which aim to equip health workers to respond to behavioural and physical“red flags,” by providing safe, trustworthy spaces when further investigating the poten-tiality of trafficking (Alpert et al., 2014). Additionally, effective programs clearly definestakeholder roles and clearly articulate and reference policies that may be implicated intreatment and referral (Macias-Konstantopoulos, 2016; Schwarz et al., 2016) oftrafficked persons.

In the Australian health care system, there is currently limited literature that evidencesif and how healthcare providers identify, treat, and refer trafficked persons (Davy, 2015;Macias-Konstantopoulos, 2016), nor is there evidence of any trafficking–enslavementtraining programs and guidebooks that can guide a health practitioner’s work. Thiscurrent study seeks to address this gap and increase understanding of the factors thatimpede health care providers’ ability to identify a trafficked person who seeks medicalattention within Australian hospitals.


20

members comprised SVHA’s Executive Team Member/Mission Leader, Inclusive HealthProgram Leader, Melbourne and Sydney Chief Social Workers, and the ProcurementOfficer; ACRATH’s Project Evaluation Officer and Research Assistant; and Victoria Uni-versity Associate Investigator.

The participant’s right to discontinue focus group participation without penalty orprejudice was stipulated at the beginning of each focus group. To alleviate any potentialrisks and discomfort that might have arisen when recalling and sharing personal or pro-fessional experiences of work with trafficked persons, participants were given the nameand contact details of a SVHM counsellor.

Participant recruitment into stage one of the project involved three phases:

. A flyer widely distributed through the regular staff meetings of the Assessment Liaisonand Early Referral Team (ALERT), Emergency Department Team, Nursing UnitLeaders and Allied Health Team called for expressions of interest.

. A general information session was conducted for interested staff. This session providedinformation about the overall project, its context within SVHA’s Inclusive Health Strat-egy, the research method, voluntary de-identified participation in the research, infor-mation and consent forms, and opportunity for questions.

. Facilitation of six, 45-minute focus group sessions involving 8–10 participants, con-ducted over three dates in a designated two-week period.

The recruitment strategy yielded 22 participants: 16 social workers, three physiotherapists,two nurses, and one social worker assigned to the Hospital Admission Risk Program(HARP) team. The researcher acknowledges that the weekday timing of the focusgroup sessions potentially restricted the participation of those who worked night shiftsand thus potentially made the group nonrepresentational of SVHM health and alliedhealth workers.

Focus groups, facilitated by the ACRATH research assistant and introduced by theSVHA’s Mission and Social Justice Development Manager, were digitally recorded.Recordings ensured that specific quotations were retrievable at the data analysis stage.An ACRATH note taker was present during each focus groups to document critical feed-back. The researcher also added her field notes to the collected data.

Using pseudonyms to protect the identity of the participants, data were analysed andmanaged through the use of NVivoTM (QSR International) computer program, codedand recoded thematically under the research questions. This involved becoming familiarwith the data through carefully reading and rereading units of data and establishing pat-terns of common and divergent understandings and practices amongst and between par-ticipants (Spencer, Ritchie, Ormston, O’Connell, & Barnard, 2014).

The analysis was interested in participants’ personal stories and how these personalstories were influenced by larger societal discourses. In this sense the strategy representedthe researcher as situated knower, shaping and analysing data and producing knowledgefrom a particular, partial perspective. The perspective was that of a person producingpotentially useful hypotheses about participants’ experiences, perceptions, and interpret-ations regarding trafficking and the health carer’s identification, treatment, and referral oftrafficked persons. To ensure that analysis was robust, credible, and trustworthy, theresearcher’s coding and initial analysis was presented to the research assistant and


Research Context

SVHA has 36 facilities: six public hospitals, nine private hospitals, 17 aged care facili-ties, three co-located research institutes and one co-located partner facility. SVHA iscommitted to changing the structures and systems that lead to some people experien-cing poorer health outcomes than others because of poverty, marginalisation, or vul-nerability (St Vincent’s Health Australia, 2018). It is this commitment thatunderpinned SVHA’s partnership with and funding of the non-government organis-ation, ACRATH. ACRATH is the peak body for 190 religious orders in Australia,working together towards the elimination of human trafficking in Australia, theAsia–Pacific region, and globally (ACRATH, 2018). The project was undertaken inSVHA’s Melbourne facility. This facility was chosen based on the accessibility andlocation of the SVHA’s Melbourne Reference Group members, ACRATH focusgroup facilitator, and the researcher.

Methodology and Method

The qualitative approach used in this research falls within the constructivist epistemologyand postmodernist theoretical perspective (Liamputtong & Ezzy, 2005). This theoreticalperspective understands that one does not simply encounter “trafficked persons,” ratherparticipants construct explanations of trafficking from the multiple beliefs and multipleperspectives they bring to it. Using focus groups as the data-gathering method, partici-pants had opportunity to explore and interpret their experiences, perceptions oftrafficked persons, and their views of the professional skills, trafficking–enslavement train-ing programs needed to identify, treat, and refer them.

The qualitative research described in this article reports on stage one of the project,stage two is to be reported elsewhere at a later date. The data gathered from the focusgroups details the experiences of 22 health and allied health workers. The questionsguiding the focus groups:

. What is your understanding of a “trafficked person”?

. In your professional duties, have you ever encountered a victim of trafficking?

. If a nurse or allied health professional at SVHM encountered a trafficked person whatcould/would they do?

. If SVHA provided awareness raising and education about human trafficking for staff,how likely would you be to seek it out and in what form would it be most accessiblefor you?

Stage one of the project was facilitated by ACRATH’s research assistant and note taker andwas carried out in SVHA’s Melbourne facility. Stage one used focus groups to scopeSVHA’s health and allied current health professionals’ current awareness, knowledge,and actions regarding trafficked patients. Stage two engaged ACRATH in the develop-ment, trial, and adoption of educational packages for educating and training SVHAworkers in the identification, treatment, and referral of trafficked persons.

The study received ethics approval from SVHA’s Human Research Ethics Committeeand was overseen by the SVHA’s Melbourne Reference Group. The seven reference group

4 D. TESTA


members comprised SVHA’s Executive Team Member/Mission Leader, Inclusive HealthProgram Leader, Melbourne and Sydney Chief Social Workers, and the ProcurementOfficer; ACRATH’s Project Evaluation Officer and Research Assistant; and Victoria Uni-versity Associate Investigator.

The participant’s right to discontinue focus group participation without penalty orprejudice was stipulated at the beginning of each focus group. To alleviate any potentialrisks and discomfort that might have arisen when recalling and sharing personal or pro-fessional experiences of work with trafficked persons, participants were given the nameand contact details of a SVHM counsellor.

Participant recruitment into stage one of the project involved three phases:

. A flyer widely distributed through the regular staff meetings of the Assessment Liaisonand Early Referral Team (ALERT), Emergency Department Team, Nursing UnitLeaders and Allied Health Team called for expressions of interest.

. A general information session was conducted for interested staff. This session providedinformation about the overall project, its context within SVHA’s Inclusive Health Strat-egy, the research method, voluntary de-identified participation in the research, infor-mation and consent forms, and opportunity for questions.

. Facilitation of six, 45-minute focus group sessions involving 8–10 participants, con-ducted over three dates in a designated two-week period.

The recruitment strategy yielded 22 participants: 16 social workers, three physiotherapists,two nurses, and one social worker assigned to the Hospital Admission Risk Program(HARP) team. The researcher acknowledges that the weekday timing of the focusgroup sessions potentially restricted the participation of those who worked night shiftsand thus potentially made the group nonrepresentational of SVHM health and alliedhealth workers.

Focus groups, facilitated by the ACRATH research assistant and introduced by theSVHA’s Mission and Social Justice Development Manager, were digitally recorded.Recordings ensured that specific quotations were retrievable at the data analysis stage.An ACRATH note taker was present during each focus groups to document critical feed-back. The researcher also added her field notes to the collected data.

Using pseudonyms to protect the identity of the participants, data were analysed andmanaged through the use of NVivoTM (QSR International) computer program, codedand recoded thematically under the research questions. This involved becoming familiarwith the data through carefully reading and rereading units of data and establishing pat-terns of common and divergent understandings and practices amongst and between par-ticipants (Spencer, Ritchie, Ormston, O’Connell, & Barnard, 2014).

The analysis was interested in participants’ personal stories and how these personalstories were influenced by larger societal discourses. In this sense the strategy representedthe researcher as situated knower, shaping and analysing data and producing knowledgefrom a particular, partial perspective. The perspective was that of a person producingpotentially useful hypotheses about participants’ experiences, perceptions, and interpret-ations regarding trafficking and the health carer’s identification, treatment, and referral oftrafficked persons. To ensure that analysis was robust, credible, and trustworthy, theresearcher’s coding and initial analysis was presented to the research assistant and


22

was practice “blindness” and practice “uncertainty about how to proceed” when encoun-tering a trafficked person.

In Your Professional Duties, Have You Ever Encountered a Victim ofTrafficking?

Overall, participants variously reported either uncertainty (“probably”) or unawareness(“haven’t knowingly come across it”) when considering their contact with the trafficked.They also concluded that they may not been able to “put a name” to trafficking, attributinguncertainty to inexperience and lack of knowledge of the medical, psychosocial, or behav-ioural indicators that may signal trafficking and that may warrant further investigation ofthe patient’s circumstances. However, drawing on their practice wisdom and skills whendealing with other vulnerable groups, participants could describe factors that could beused to identify, treat, and refer trafficked persons

Discussing invisibility, they described the guardedness and resolve of patients who were“not going to make it all that obvious” when interacting with the health system and notedan incongruity between a patient’s narrative and body language as a possible signal thatwarranted further investigation. Participants suggested that accompanying adults, pur-porting to be family members and their reluctance to offer patient details and circum-stances, and patients “not wanting [the nurse] knowing” a medical history could signalthe cause for concern and further investigation by the treating health professional. Partici-pants also thought that the trafficker’s strategic use of a larger hospital could signal a hopethat their victim might get “in and out quickly and anonymously.”

Turning their attention to practitioner interventions, participants recalled incidents sig-nalling the probability of encounters with trafficked persons; patients “overstaying theirvisa,” having “no paperwork”, and referrals made by their colleagues to “immigrationagencies.” The participants who suspected that they had “most likely” encountered atrafficked person described themselves as registering “a radar go(ing) off” within them.Referring to these “radars” as particularly present when treating patients with complexnarratives. One of the participants described a patient as having been “very scared, [sup-plying] inconsistent information” and disclosing “large debts overseas, working in fields inthe sun for long hours with few breaks, and no proper paperwork.” Hospital triage noteswere also nominated as “hinting at something suspect,” particularly those notes that “hadinformation gaps.”

Offsetting interpretations that they may have encountered a trafficked person, partici-pants indicated that “red flags” were insufficient indicators of trafficking and that it wasplausible that a patient’s “cognitive difficulties” may also account for some of the behav-ioural and narrative inconsistencies that they encountered in their patients. Albeit the par-ticipants’ interpretations for why or why not trafficked persons are recognised, there was astated reluctance to act on their “red flags.” The reluctance was situated in their perceptionof policy and procedural uncertainty about how to proceed with treatment and referralwhen encountering trafficked persons.

In contrast to those who had indicated unawareness of contact with trafficked persons,those who were firm in their view that they had knowingly encountered them describedthe multiple or interrelated health factors that formed the basis of their firm view.Mental health, somatic complaints, and overdosing on medication were highlighted as


reference group for feedback and discussion (Neuman, 2006). In this sense, the researcherengaged in “interviewing oneself,” drawing on feedback to uncover and correct anyresearcher biases and any inappropriately presumed relevancies.

Findings

The data presented below report on stage one of the project. Findings are presented undereach of the questions that guided the focus group sessions.

What Is Your Understanding of a “Trafficked Person”?

Overall, data indicated that participants understood what constituted human traffickingand recognised the familial and employment contexts most vulnerable to people traffick-ing. The general view was that the issue was outside their realm of personal or professionalexperience and when it was front of mind, their views and perceptions were informed bymedia representations.

Participants echoed a human rights (OHCHR, 2000) definition of trafficking, under-standing trafficking as “when the person is told something else, taken against [their]will, moved between companies and [possessing] no working rights,” as “young womenwho had been forced into marriage,” and “somebody who has been convinced to movefrom somewhere to somewhere with a promise of work/housing,” or as “providingsomeone to someone else in exchange for cash.” The occupations vulnerable to traffickingwere identified as domestic work, fruit picking, hospitality industries, sex industry, andmining.

Participants reasoned that it was either familial or structural powerlessness that main-tained people in these contexts, or in some instances both familial and structural power-lessness. Acknowledging the push and pull factors of global economies, participantsmaintained that trafficking had become “more economically viable than drug trafficking.”They were also of the view that attempts to escape was problematic since “if you leave ormake trouble, your family will be harmed.” In the case of forced marriage, participantsthought that unawareness was a mitigating reason for people remaining in trafficked cir-cumstances, deeming that “some don’t even realise that they’re in forced marriages.”

Asked about how they formed their views, participants stated that they were largelyinformed by “reading news articles” and concluded from the media representations thatthe issue was “far away and something that happens overseas.” Notwithstanding themedia’s role in constructing their views and perceptions, participants argued that theviews they held could only be changed through personal and professional contact withtrafficked persons and that “until you experience (working with a trafficked person) youdon’t understand it.” Nonetheless, participants were emphatic in warning against pro-fessional complacency and the dismissal of the existence of trafficking within Australiaor within the sphere of practice. Expressing an urgency for the hospital to address theissue, the consensus view of participants was that contact with trafficked persons bringsunderstanding and that personal experience influenced their views (“we don’t live in abubble”; “trafficking happens now in my backyard”; “modern slavery is alive and well”).They maintained that the professional consequence of unfamiliarity and complacency

6 D. TESTA


was practice “blindness” and practice “uncertainty about how to proceed” when encoun-tering a trafficked person.

In Your Professional Duties, Have You Ever Encountered a Victim ofTrafficking?

Overall, participants variously reported either uncertainty (“probably”) or unawareness(“haven’t knowingly come across it”) when considering their contact with the trafficked.They also concluded that they may not been able to “put a name” to trafficking, attributinguncertainty to inexperience and lack of knowledge of the medical, psychosocial, or behav-ioural indicators that may signal trafficking and that may warrant further investigation ofthe patient’s circumstances. However, drawing on their practice wisdom and skills whendealing with other vulnerable groups, participants could describe factors that could beused to identify, treat, and refer trafficked persons

Discussing invisibility, they described the guardedness and resolve of patients who were“not going to make it all that obvious” when interacting with the health system and notedan incongruity between a patient’s narrative and body language as a possible signal thatwarranted further investigation. Participants suggested that accompanying adults, pur-porting to be family members and their reluctance to offer patient details and circum-stances, and patients “not wanting [the nurse] knowing” a medical history could signalthe cause for concern and further investigation by the treating health professional. Partici-pants also thought that the trafficker’s strategic use of a larger hospital could signal a hopethat their victim might get “in and out quickly and anonymously.”

Turning their attention to practitioner interventions, participants recalled incidents sig-nalling the probability of encounters with trafficked persons; patients “overstaying theirvisa,” having “no paperwork”, and referrals made by their colleagues to “immigrationagencies.” The participants who suspected that they had “most likely” encountered atrafficked person described themselves as registering “a radar go(ing) off” within them.Referring to these “radars” as particularly present when treating patients with complexnarratives. One of the participants described a patient as having been “very scared, [sup-plying] inconsistent information” and disclosing “large debts overseas, working in fields inthe sun for long hours with few breaks, and no proper paperwork.” Hospital triage noteswere also nominated as “hinting at something suspect,” particularly those notes that “hadinformation gaps.”

Offsetting interpretations that they may have encountered a trafficked person, partici-pants indicated that “red flags” were insufficient indicators of trafficking and that it wasplausible that a patient’s “cognitive difficulties” may also account for some of the behav-ioural and narrative inconsistencies that they encountered in their patients. Albeit the par-ticipants’ interpretations for why or why not trafficked persons are recognised, there was astated reluctance to act on their “red flags.” The reluctance was situated in their perceptionof policy and procedural uncertainty about how to proceed with treatment and referralwhen encountering trafficked persons.

In contrast to those who had indicated unawareness of contact with trafficked persons,those who were firm in their view that they had knowingly encountered them describedthe multiple or interrelated health factors that formed the basis of their firm view.Mental health, somatic complaints, and overdosing on medication were highlighted as


24

training packages for all staff, suggesting the use of window displays, and targeted trainingthat incorporated the use of case studies and the development of resources and referral kitsas a way of building a shared knowledge and skill platform. Participants stressed that anyimplementation of policies and procedures for working with trafficked people wouldrequire a “focus of senior executives and the Board” that assured practitioners that theycould confidently meet the needs of the organisation and simultaneously ensure thatthe vulnerability of the patients was not further compromised or exacerbated.

Regarding the type and modalities of education and training, social work participantsquestioned the efficacy of online learning, opining that “online stuff does nothing” toengage them in deep learning and strongly advised against its use. They suggested thatface-to-face delivery was a more productive learning mode since it provided opportunityto share discipline skills and knowledge as well as providing opportunity to challenge atti-tudes and beliefs. In contrast, nursing participants were firm in their view that onlinedelivery provided greater flexibility and access to education and training for nurses whoworked evening shifts. Although differing in their suggestion of how training could bedelivered, all participants argued the need for discipline mentors who were equippedwith specialised knowledge about trafficking and who could support frontlinepractitioners.

Finally, identifying the duty of care owed to those managing the complexity oftrafficked patients, participants drew attention to the emotional impact of working withsuch a marginalised group and the potential vicarious trauma for workers. They wereof the view that the work could be distressing and thus they must have an organisationalcommitment to “background support and resilience training” otherwise workers would beleft “carrying around this burden” of identifying and treating trafficked persons.

Discussion

Medical providers in social services are potentially the first point of contact with traffickedpersons. Being comprehensively trained to identify signs of human trafficking and inter-vene while these individuals are in their care is particularly important since it is these pro-fessionals who must account for the nuances of trauma and the complications a traffickingexperience may bring to the health professional–patient encounter. The findings of thisproject has relevance for all institutions and agencies that are likely to encountertrafficked persons and who emphasise social justice as an organising perspective for ser-vices and outreach to this cohort.

Additionally the findings of this project affirm the centrality of micro and macro prac-tices and policies that are supportive of the identification, treatment, and referral oftrafficked persons.

Findings confirm that the ability to identify, treat, and refer trafficked persons requiresindividual and organisational capacity building (Baldwin et al., 2011; Gibbons & Stoklosa,2016; Recknor, Gemeinhardt, & Selwyn, 2017) that moves practitioners and organisationsbeyond the media and individual created discursive contructions of trafficked persons toan evidence-based critique and exploration of the multifaceted issue of human trafficking.Findings also indicate that participants had more than one interpretation, explanation,description, or meaning of trafficking and thus from a postmodern perspective, educationand training must include the deconstruction of participant interpretations in order to


the complex health needs of patients they identified as trafficked. Social workers and phy-siotherapists described the psychological and contextual factors that combined with thepatient’s physical factors as “hint[ing]” at trafficking. For example, participants describedthe “very scared” stroke patient who provided “inconsistent information” as a traffickedperson and the mental and physical health concerns resulting from “violent, abusive”spousal relationships and the trauma resulting from “a child marriage.”

As with the participants who had registered “red flags,” those who had encounteredtrafficked persons believed that they did not have a strategy or hospital policy and protocolto further investigate or act on suspicion of trafficking.

If a Nurse or Allied Health Professional at SVHM Encountered a Person WhoHad Been Trafficked, What Could/Would They Do?

Generally participants indicated that investigating the circumstances of a suspected victimof trafficking was not without difficulty for the professionals involved. A lack of clarityaround policy and procedures created a reluctance to “ask the question because[workers] don’t know what to do afterwards” and a fear that practice without clear policiesmay “put the person at risk” of prosecution with immigration authorities. They main-tained the belief that they would be “opening a can of worms without the [proceduraland policy] information behind it.”

Although the majority of participants’ stated hesitancy to act on their suspicions oftrafficking, participants believed that SVHA’s staff were “predisposed to look at peoplewho are vulnerable” and noted that trafficked persons belonged to the group of vulnerable,disadvantaged people that SVHA was committed to serve. They referred to the value ofSVHA’s use of the trauma-informed treatment model and recalled the positive impactof this model on practice with other vulnerable groups. Indicating that they “aretrained in things to look for in elder abuse, children at risk, family violence,” they wereconfident that they could transfer these trauma-informed skills and knowledge to workwith trafficked persons.

At a systemic level, the view was the need for SVHA to have clear intervention pathwaysthat factored in how individual workers, departments, and multidisciplinary teams couldprogress from identification, assessment, intervention through to discharge of traffickedpersons. Participants impressed the need for individuals to, “escalate suspicion/thingsnot feeling right, to team leaders” and emphasised the role of interdisciplinary collabor-ation in cases when a “nurse would make a referral to the Assessment, Liaison andEarly Referral Team [ALERT] board.”

Discussing the circumstances that would mitigate against the stated reluctance to inter-vene in suspected trafficked cases, participants agreed that training was essential beforeimplementation of any strategy. Proposing that “people get sick, especially if not beingcared for,” participants highlighted the inevitability of encountering a trafficked personand thus their need to be professionally equipped to work with this cohort.

Participants viewed the development of a shared knowledge platform within and acrossdisciplines, and amongst other health provider groups as a priority. They suggested thatSVHA, with a strong mission focus and outreach on inclusivity, is well-placed to createshared knowledge platforms that shape referral and treatment pathways, systems, and pol-icies for work with trafficked persons. They emphasised the need for education and

8 D. TESTA


training packages for all staff, suggesting the use of window displays, and targeted trainingthat incorporated the use of case studies and the development of resources and referral kitsas a way of building a shared knowledge and skill platform. Participants stressed that anyimplementation of policies and procedures for working with trafficked people wouldrequire a “focus of senior executives and the Board” that assured practitioners that theycould confidently meet the needs of the organisation and simultaneously ensure thatthe vulnerability of the patients was not further compromised or exacerbated.

Regarding the type and modalities of education and training, social work participantsquestioned the efficacy of online learning, opining that “online stuff does nothing” toengage them in deep learning and strongly advised against its use. They suggested thatface-to-face delivery was a more productive learning mode since it provided opportunityto share discipline skills and knowledge as well as providing opportunity to challenge atti-tudes and beliefs. In contrast, nursing participants were firm in their view that onlinedelivery provided greater flexibility and access to education and training for nurses whoworked evening shifts. Although differing in their suggestion of how training could bedelivered, all participants argued the need for discipline mentors who were equippedwith specialised knowledge about trafficking and who could support frontlinepractitioners.

Finally, identifying the duty of care owed to those managing the complexity oftrafficked patients, participants drew attention to the emotional impact of working withsuch a marginalised group and the potential vicarious trauma for workers. They wereof the view that the work could be distressing and thus they must have an organisationalcommitment to “background support and resilience training” otherwise workers would beleft “carrying around this burden” of identifying and treating trafficked persons.

Discussion

Medical providers in social services are potentially the first point of contact with traffickedpersons. Being comprehensively trained to identify signs of human trafficking and inter-vene while these individuals are in their care is particularly important since it is these pro-fessionals who must account for the nuances of trauma and the complications a traffickingexperience may bring to the health professional–patient encounter. The findings of thisproject has relevance for all institutions and agencies that are likely to encountertrafficked persons and who emphasise social justice as an organising perspective for ser-vices and outreach to this cohort.

Additionally the findings of this project affirm the centrality of micro and macro prac-tices and policies that are supportive of the identification, treatment, and referral oftrafficked persons.

Findings confirm that the ability to identify, treat, and refer trafficked persons requiresindividual and organisational capacity building (Baldwin et al., 2011; Gibbons & Stoklosa,2016; Recknor, Gemeinhardt, & Selwyn, 2017) that moves practitioners and organisationsbeyond the media and individual created discursive contructions of trafficked persons toan evidence-based critique and exploration of the multifaceted issue of human trafficking.Findings also indicate that participants had more than one interpretation, explanation,description, or meaning of trafficking and thus from a postmodern perspective, educationand training must include the deconstruction of participant interpretations in order to


26

knowledge, or training that may have informed participant responses. Nonetheless, thisstudy gives some insight and direction into how SVHA and other health facilities may pro-gress their whole of system capacity to work with trafficked persons and build on thetrauma-informed approaches currently used with other vulnerable groups. Additionally,SVHA’s focus on social justice and its commitment to redress disadvantage cannot beassumed as the focus and commitment of other health providers, therefore transferabilityof these findings is limited to health providers who privilege social justice in their missionand outreach.

The uneven representation of health and allied health disciplines may also be a limit-ation. However, while the majority of participants were social workers, the participantswere informationally representative, in that data were obtained from persons whoshared similar health practitioner characteristics (Babbie, 2013).

Conclusion

The study confirms evidence elsewhere stressing the importance of well-trained, educated,and supported professionals charged to work with trafficked persons. Health care environ-ments that provide support positively change their workers’ knowledge and self-reportedrecognition of trafficked persons. Findings support the need for skills and knowledge thatfocus on the identification and specific needs of trafficked persons as well as the needs ofthe health providers and systems. More explicitly, skills and knowledge must provideworkers with step-by-step processes from identification through to discharge and engage-ment with community services and must ensure co-worker support and supervision ifpractice is to move towards evidence-informed intervention and address the currentinvisibility of trafficked persons.

Finally, the findings of this project reflect the United Nation’s (OHCHR, 2000) call toidentify trafficked persons since “a failure to identify a trafficked person correctly is likelyto result in a further denial of that person’s rights” (guideline 2).

Disclosure Statement

No potential conflict of interest was reported by the author.

ORCID

Doris Testa http://orcid.org/0000-0001-7107-1752

References

ACRATH. (2018). Mission statement. Retrieved from https://acrath.org.au/Alpert, E. J., Ahn, R., Albright, E., Purcell, G., Burke, T., & Macias-Konstantopoulos, W. (2014).

Human trafficking: Guidebook on identification, assessment, and response in the health caresetting. Waltham: Massachusetts Medical Society.

Australian Association of Social Workers (AASW). (2010). Code of ethics. Canberra: Author.Babbie, E. (2013). The practice of social research (11th ed.). Belmont, CA: Thomson Wadsworth.Baldwin, S. B., Eisenman, D. P., Sayles, J. N., Ryan, G., & Chuang, K. S. (2011). Identification of

human trafficking victims in health care settings. Health and Human Rights, 13(1), 36–49.


reconstruct the understading of trafficking to incude the role of the social and culturalcontext that shapes these interpretations.

Affirming previous literature (George et al., 2017), the project found that, with a fewexceptions, trafficked persons remained invisible when interacting within the healthsystem. Similar to previous international studies (Alpert et al., 2014; De Chesnay, 2013;Dovydaitis, 2010), this invisibility was aided by professionals who were unaware of themultiple and interrelated symptoms endured by trafficked persons and who were unskilledin the techniques that could be employed to recognise them. In the absence of adequatelyequipped workers, misidentification, and limited preparedness to respond to the needs oftrafficked persons will remain a major barrier to effective service provision, as will the pro-fessional’s ability to confidently identify, treat and refer trafficked persons. This reluctancenegatively influences the health provider’s unique, but limited opportunity to intervene inthe cycle of exploitation and role in alleviating the health of trafficked person (Gibbons &Stoklosa, 2016). While the health providers in this project felt “distant” from and generallyunable to identify trafficked persons, the burden of disclosure remains with the trafficked,adding further to this group’s marginality, adverse circumstances, vulnerability and invisi-bility (Alpert et al., 2014).

Reaffirmed as central to capacity building (Davy, 2016; Schloenhardt, Beirne, &Corsbie, 2009; Yarborough et al., 2000) was the provision and efficacy of education andtraining supports, strategies, and competencies that build a knowledge and skill basewithin and across discipline groups, and modalities that employ a variety of methodsand strategies. Recommended as key content to include in education and training is:definitions and understanding of trafficking, understanding victim behaviours, identifyingthe trafficker and victim, physical and psychological assessment of a potential victim andintervention and referral.

Moderating SVHA’s current practice and providing a point of reference and organis-ational capacity to develop whole of system responses to trafficking is SVHA’s culture,ethos, and mission. SVHA’s current holistic, rights-based, trauma-informed approachto the treatment of vulnerable and alienated populations is transferrable to practicewith trafficked populations. As noted in literature (D’amour & Oandasan, 2005;Macias-Konstantopoulos, 2016; Patel et al., 2010), trauma-informed practices provide arich resource when creating policies, practices, and protocols that aim to reduce retrauma-tisation, highlight resilience and strengths, that promote healing and recovery, and thatsupport the development of short- and long-term coping mechanisms for vulnerablepopulations, in this instance, those who are trafficked.

From an interdisciplinary perspective, the role of social workers and their simultaneousfocus on and attention to both the person and the person’s environment makes for aunique contribution to the health system’s micro and macro practices when workingwith trafficked persons. The ethics embedded in social work require social workers toengage in social and political actions that seek to ensure that all people have equalaccess to the resources needed to meet basic human needs (AASW, 2010). Thus theyare well positioned to coordinate case management and the ongoing and multiple servicesrequired by trafficked persons within and beyond the hospital site.

Limitations of this study include its location within one branch of SVHA’s health facili-ties, and therefore professionals in other SVHA facilities may have different levels ofawareness, skills, and knowledge, nor was there exploration of the previous education,

10 D. TESTA


knowledge, or training that may have informed participant responses. Nonetheless, thisstudy gives some insight and direction into how SVHA and other health facilities may pro-gress their whole of system capacity to work with trafficked persons and build on thetrauma-informed approaches currently used with other vulnerable groups. Additionally,SVHA’s focus on social justice and its commitment to redress disadvantage cannot beassumed as the focus and commitment of other health providers, therefore transferabilityof these findings is limited to health providers who privilege social justice in their missionand outreach.

The uneven representation of health and allied health disciplines may also be a limit-ation. However, while the majority of participants were social workers, the participantswere informationally representative, in that data were obtained from persons whoshared similar health practitioner characteristics (Babbie, 2013).

Conclusion

The study confirms evidence elsewhere stressing the importance of well-trained, educated,and supported professionals charged to work with trafficked persons. Health care environ-ments that provide support positively change their workers’ knowledge and self-reportedrecognition of trafficked persons. Findings support the need for skills and knowledge thatfocus on the identification and specific needs of trafficked persons as well as the needs ofthe health providers and systems. More explicitly, skills and knowledge must provideworkers with step-by-step processes from identification through to discharge and engage-ment with community services and must ensure co-worker support and supervision ifpractice is to move towards evidence-informed intervention and address the currentinvisibility of trafficked persons.

Finally, the findings of this project reflect the United Nation’s (OHCHR, 2000) call toidentify trafficked persons since “a failure to identify a trafficked person correctly is likelyto result in a further denial of that person’s rights” (guideline 2).

Disclosure Statement

No potential conflict of interest was reported by the author.

ORCID

Doris Testa http://orcid.org/0000-0001-7107-1752

References

ACRATH. (2018). Mission statement. Retrieved from https://acrath.org.au/Alpert, E. J., Ahn, R., Albright, E., Purcell, G., Burke, T., & Macias-Konstantopoulos, W. (2014).

Human trafficking: Guidebook on identification, assessment, and response in the health caresetting. Waltham: Massachusetts Medical Society.

Australian Association of Social Workers (AASW). (2010). Code of ethics. Canberra: Author.Babbie, E. (2013). The practice of social research (11th ed.). Belmont, CA: Thomson Wadsworth.Baldwin, S. B., Eisenman, D. P., Sayles, J. N., Ryan, G., & Chuang, K. S. (2011). Identification of

human trafficking victims in health care settings. Health and Human Rights, 13(1), 36–49.


28

Patel, R. B., Ahn, R., & Burke, T. F. (2010). Human trafficking in the emergency department.Western Journal of Emergency Medicine, 11(5), 402–404. Retreived from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070690/

Recknor, F. H., Gemeinhardt, G., & Selwyn, B. J. (2017). Health-care provider challenges to theidentification of human trafficking in health-care settings: A qualitative study. Journal ofHuman Trafficking, 4(3), 1–18. doi:10.1080/23322705.2017.1348740

Schloenhardt, A., Beirne, G., & Corsbie, T. (2009). Trafficking in persons in Australia: Myths andrealities. Global Crime, 10(3), 224–247. doi:10.1080/17440570903079931

Schwarz, C., Unruh, E., Cronin, K., Evans-Simpson, S., Britton, H., & Ramaswamy, M. (2016).Human trafficking identification and service provision in the medical and social servicessectors. Health and Human Rights Journal, 18(1), 11.

Spencer, L., Ritchie, J., Ormston, R., O’Connell, W., & Barnard, M. (2014). Analysis: Principles andprocesses. In J. Ritchie, J. Lewis, C. McNaughton Nicholls, & R. Ormston (Eds.), Qualitativeresearch practice: A guide for social science students and researchers (2nd ed., pp. 269–290).London: Sage.

St Vincent’s Health Australia. (2018). Inclusive health. Retrieved from https://svha.org.au/home/mission/inclusive-health

Titchen, K. E., Loo, D., Berdan, E., Rysavy, M. B., Ng, J. J., & Sharif, I. (2015). Domestic sex traffick-ing of minors: Medical student and physician awareness. Journal of Paediatric and Adolescentgynaecology, 30(1), 102–108. doi:10.1080/23322705.2018.1448956

Yarborough, M., Jones, T., Cyr, T. A., Phillips, S., & Stelzner, D. (2000). Interprofessional educationin ethics at an academic health sciences center. Academic Medicine, 75(8), 793–800.

Zimmerman, C., Kiss, L., & Hossain, M. (2011). Migration and health: A framework for 21stcentury policy-making. PLOS Medicine, 8(5), e1001034. doi:10.1371/journal.pmed.1001034


Banović, B., & Bjelajac, Ž. (2012). Traumatic experiences, psychophysical consequences and needsof human trafficking victims. Vojnosanitetski pregled, 69(1), 94–97. doi:0042-8450/2012/0042-8450120109

Cannon, A., Arcara, J., Graham, L., & Macy, R. (2016). Trafficking and health: A systematic reviewof research methods. Trauma, Violence, & Abuse, 1(17). doi:10.1080/2331205X.2017.1278841

Carolan, C., & Simmons, N. (2016). Human trafficking and slavery: A response from AustralianCatholics. Melbourne: Gerard Puigmal.

Cary, M., Oram, S., Howard, L. M., Trevillion, K., & Byford, S. (2016). Human trafficking and severemental illness: An economic analysis of survivors’ use of psychiatric services. BMC HealthServices Research, 16(1), 284–291. doi:10.1186/s12913-016-1541-0

Cheshire, W. P., Jr (2017). Groupthink: How should clinicians respond to human trafficking? AMAJournal of Ethics, 19(1), 91. doi:10.1080/13561820500081604

D’amour, D., & Oandasan, I. (2005). Interprofessionality as the field of interprofessional practiceand interprofessional education: An emerging concept. Journal of Interprofessional Care, 19(Suppl. 1), 8–20. doi:10.1080/13561820500081604

Davy, D. (2015). Understanding the support needs of human-trafficking victims: A review of threehuman-trafficking program evaluations. Journal of Human Trafficking, 1(4), 318–337. doi:10.1080/23322705.2015.1090865

Davy, D. (2016). Human trafficking and slavery in Australia: Pathways, tactics, and subtle elementsof enslavement.Women & Criminal Justice, 26(3), 180–198. doi:10.1080/08974454.2015.1087363

De Chesnay, M. (2013). Psychiatric-mental health nurses and the sex trafficking pandemic. Issues inMental Health Nursing, 34(12), 901–907. doi:10.3109/01612840.2013.857200

Domoney, J. (2015). Mental health service responses to human trafficking: A qualitative study ofprofessionals’ experiences of providing care. BMC Psychiatry, 5. doi:10.1186/s12888-015-0679-3

Dovydaitis, T. (2010). Human trafficking: The role of the health care provider. The Journal ofMidwifery & Women’s Health, 55(5), 462–467. doi:10.1016/j.jmwh.2009.12.017

George, E., McNaughton, D., & Tsourtos, G. (2017). An interpretive analysis of Australia’sapproach to human trafficking and its focus on criminal justice over public health. Journal ofHuman Trafficking, 3(2), 81–92. doi:10.1080/23322705.2016.1153367

Gibbons, P., & Stoklosa, H. (2016). Identification and treatment of human trafficking victims in theemergency department: A case report. The Journal of Emergency Medicine, 50(5), 715–719.doi:10.1016/j.jemermed.2016.01.004

Helton, M. (2016). Human trafficking: How a joint task force between health care providers and lawenforcement can assist with identifying victims and prosecuting traffickers. Health Matrix, 26,433–473. Retrieved from https://scholarlycommons.law.case.edu/healthmatrix/vol26/iss1/15

International Labor Organisation. (2017). Forced labour, modern slavery and human trafficking.Retrieved from http://www.ilo.org/global/topics/forced-labour/lang--en/index.htm

Larsen, J. J., & Renshaw, L. (2012). People trafficking in Australia. Trends and Issues in Crime andCriminal Justice, (441), 1–6. doi:10.1080/15614263.2017.1291599

Lewis-O’Connor, A., & Alpert, E. J. (2017). Caring for survivors using a trauma-informed care fra-mework. In M. Chisolm-Straker & H. Stoklosa (Eds.), Human trafficking is a public health issue:A paradigm expansion in the United States (pp. 309–323). MD: Springer.

Liamputtong, P., & Ezzy, D. (2005). Qualitative research methods (2nd ed.). Melbourne: OxfordUniversity Press.

Macias-Konstantopoulos, W. (2016). Human trafficking: The role of medicine in interrupting thecycle of abuse and violence. Annals of Internal Medicine, 165(8), 582–588.

Neuman, L. (2006). Social research methods: Qualitative and quantative approaches (6th ed.).Boston, MA: Pearson International.

Office of the United Nations High Commissioner for Human Rights. (2000). Protocol to prevent,suppress and punish trafficking in persons, especially women and children, supplementing theUnited Nations Convention against Transnational Organized Crime (Doc A/55/383). Retrievedfrom https://www.humanrights.gov.au/human-rights-approach-trafficking-persons-2011

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Patel, R. B., Ahn, R., & Burke, T. F. (2010). Human trafficking in the emergency department.Western Journal of Emergency Medicine, 11(5), 402–404. Retreived from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5070690/

Recknor, F. H., Gemeinhardt, G., & Selwyn, B. J. (2017). Health-care provider challenges to theidentification of human trafficking in health-care settings: A qualitative study. Journal ofHuman Trafficking, 4(3), 1–18. doi:10.1080/23322705.2017.1348740

Schloenhardt, A., Beirne, G., & Corsbie, T. (2009). Trafficking in persons in Australia: Myths andrealities. Global Crime, 10(3), 224–247. doi:10.1080/17440570903079931

Schwarz, C., Unruh, E., Cronin, K., Evans-Simpson, S., Britton, H., & Ramaswamy, M. (2016).Human trafficking identification and service provision in the medical and social servicessectors. Health and Human Rights Journal, 18(1), 11.

Spencer, L., Ritchie, J., Ormston, R., O’Connell, W., & Barnard, M. (2014). Analysis: Principles andprocesses. In J. Ritchie, J. Lewis, C. McNaughton Nicholls, & R. Ormston (Eds.), Qualitativeresearch practice: A guide for social science students and researchers (2nd ed., pp. 269–290).London: Sage.

St Vincent’s Health Australia. (2018). Inclusive health. Retrieved from https://svha.org.au/home/mission/inclusive-health

Titchen, K. E., Loo, D., Berdan, E., Rysavy, M. B., Ng, J. J., & Sharif, I. (2015). Domestic sex traffick-ing of minors: Medical student and physician awareness. Journal of Paediatric and Adolescentgynaecology, 30(1), 102–108. doi:10.1080/23322705.2018.1448956

Yarborough, M., Jones, T., Cyr, T. A., Phillips, S., & Stelzner, D. (2000). Interprofessional educationin ethics at an academic health sciences center. Academic Medicine, 75(8), 793–800.

Zimmerman, C., Kiss, L., & Hossain, M. (2011). Migration and health: A framework for 21stcentury policy-making. PLOS Medicine, 8(5), e1001034. doi:10.1371/journal.pmed.1001034


30

Social Work Department SVHM

St Vincent’s Hospital Melbourne Clinical Pathway Responding to Victims of Human Trafficking

HUMAN TRAFFICKING & MODERN SLAVERY AND SPECIALIST SERVICES NSW

Person accesses medical services.

Consider these Red Flags: Delayed presentation for medical care; evidence of lack of care for this

condition. Person is reluctant to explain their injury Someone else is speaking for the patient/ Is trafficker present? Person presents as subordinate, hyper-vigilant or exhibits fear, anxiety,

tension or PTSD. Person is not aware of location, the current date, or time Person shows signs of physical/sexual violence, medical neglect, or

torture Person stated older than visible appearance- Is person a minor?

Not Competent Discuss situation/ options with person and “person responsible” Assess risks, psychosocial situation and existing supports Document process/case notes of safety plan, assessment and care

plan & referrals Request patient consent to provide further assistance. Determine who can provide consent and request consent to provide

further assistance according to policy.

Competent Discuss situation and options Assess risks, psychosocial situation and existing supports Document process/case notes of safety plan, assessment and care

plan & referrals Request patient consent to provide further assistance.

Assessing Capacity Does the person have a formal diagnosis from the medical team, Psychiatrists, Neurologists, Neuro-psychologist Assessment, Aged Person's Mental Health Service, Cognitive Dementia and Memory Service (CADMs) or other qualified professional?

Specialist Human Trafficking and Modern Slavery Referral & Support In addition to usual care pathways services that can be accessed include;

Victoria Police or Victoria Police Family Violence Regional Officer (Forced Marriage or criminal violence AFP (Australian Federal Police) can be contacted anonymously for advice.

AFP Assistance & Support 131 237 Melbourne Office (03) 9607 7777 Urgent after hours (02) 6126 7777 Anti-Slavery Australia: free, confidential legal advice and for advice about Forced Marriage on 02 9514 8115

Forced marriage visit www.mybluesky.org.au or connect with them on Facebook at Facebook.com/MyBlueSkyFuture or (02) 9514 8115 or text message 0481 070 844

Medical services are provided to

person

Is the person in immediate danger or at risk of harm? Does a Code Black or Grey

need to be called? Do you need to escalate to

your supervisor or manager? Is a referral to Social

Work/ALERT required?

Suspect or confirm person is experiencing Human Trafficking or Modern Slavery Speak with the patient alone 1. Do you feel safe? Do you feel safe to go home? Include in a social worker, case manager or 2. Can we talk about what has happened today?

advocate when possible 3. Is someone holding your passport or identification documents? Is an Aboriginal Health Liaison required? 4. Do you have a debt to someone you cannot pay off? Use a professional, qualified interpreter if needed 5. Has anyone threatened to hurt you or your family in any way?

Screen to identify psychosocial and other risk factors to inform a safety plan? Resume to usual care

YES NO

Does person have capacity to make decisions?

Non Consent Has an alternate decision maker been identified Consider what interventions are required Provide patient and/or substituted decision maker with referral

information for supports for future referral if required Discuss safety plan and how to escalate post discharge if required Contract for follow up contact if appropriate Consider issues of cultural sensitivity or health literacy Advocate as required Document contact in the medical record of the person

Consent Consult with patient and/or substitute decision maker Consider interventions Consider privacy issues Make referrals with consent of patient/substitute decision maker Discuss safety plan and escalation process Consider issues of cultural sensitivity Advocate as required throughout process Document contact in the medical record of the person

Appendix 2


Social Work Department SVHM

HUMAN TRAFFICKING & MODERN SLAVERY AND SPECIALIST SERVICES (VICTORIA)

Human trafficking is the recruitment, transportation, transfer, harbouring or receipt of a person for the purpose of exploiting that person through slavery. Slavery is defined as the condition of a person over whom any or all of the powers attaching to the right of ownership are exercised, including where such a condition results from a debt or contract made by the person. Please note: People smuggling – there is some form of consent to the movement of the person by the person.

LEGAL:

Australian Federal Police (AFP) - Reporting hotline, high risk cases, online reporting, referral to safe accommodation and support services. The APF have a Human Trafficking team (HTT) which is a specialist unit responsible for investigating offences related to human trafficking and slavery. HTT investigation teams located in Sydney and Melbourne.

131237 / [email protected] [email protected]

Anti – Slavery Australia – ASA are able to provide access to comprehensive legal advice and assistance to people who have experienced human trafficking, slavery or forced marriage in Australia. This includes advice on migration, criminal law, family law and compensation.

02 95149660 [email protected]

GENERAL INFO:

Salvation Army’s Trafficking and Slavery Safe House – Located in Sydney but accepts referrals from around Australia. A 10 x bed shelter for women who have experienced human trafficking and slavery. Provides non-residential support for men, women and children. Assists with housing, financial, health care, education and legal.

1300 473 560 / 92115794 [email protected]

Red Cross – Support for Trafficked people program – Administrated by the Department of Social services and delivered nationally by the Australian Red Cross. Referred by the AFP post being identified as a victim. They assist with: case management, accommodation, medical treatment, counselling, legal/migration advice, skills and development training including ESOL and vocational guidance.

1800 812 028

FORCED MARRIAGE:

AFP 131 237

The AFP can provide initial advice to people who are in, or at risk of a forced marriage. The AFP can also refer victims for support, including safe accommodation, financial support, legal advice and counselling. In cases where the victim is a child, the AFP will always act in their best interests. Contact with the AFP can be anonymous. You can call 131 AFP (131 237) or complete the online form on the human trafficking page on the AFP website.

My Blue Sky

Australia’s first website dedicated to forced marriage prevention, information, referrals and legal advice. The site empowers vulnerable people and those who support them to access resources, links to Australian support services and direct legal assistance through phone, text message email and secure online locker room.

02 95148115 text service for victims 0481070844

SEXUAL EXPLOITATION:

Sex workers outreach project (SWOP NSW) is open Monday – Friday, located in Surry Hills. Promotes the health, safety and wellbeing of sex industry workers. They provide an outreach service across NSW and have a multicultural project offering migrant sex workers direct support and service delivery in multiple languages.

02 92062166 / [email protected]

Scarlet Alliance, Australian Sex Workers Association – Specialises in peer bases service delivery by and for sex workers in Australia. This includes individual and systemic support for migrant sex workers, national research with migrant sex workers, close relationships with sex workers and sex worker organisations in Asia and the Pacific.

02 932 69455 / [email protected]

32

SVHA

-ACR

ATH

HUM

AN T

RAFF

ICKI

NG

PRO

JECT

FIN

AL E

VALU

ATIO

N R

EPO

RT

(MAY

1, 2

017

to Ju

ne 3

0, 2

019)

Erin

Cas

sell

SVHA

Wor

king

Par

ty M

embe

r M

embe

r ACR

ATH

Eval

uatio

n Te

am

Seni

or R

esea

rch

Fello

w (A

djun

ct)

Acci

dent

Res

earc

h Ce

ntre

, Mon

ash

Uni

vers

ity

Augu

st 1

5, 2

019

Appendix 3


3

SVHA

-ACR

ATH

HUM

AN T

RAFF

ICKI

NG

PRO

JECT

: FIN

AL E

VALU

ATIO

N R

EPO

RT

(MAY

1, 2

017

to Ju

ne 3

0, 2

019)

BACK

GRO

UN

D

St V

ince

nt’s

hea

lth A

ustr

alia

(SVH

A) a

nd A

ustr

alia

n Ca

thol

ic R

elig

ious

Aga

inst

Tra

ffick

ing

in H

uman

s (AC

RATH

) are

join

tly c

ondu

ctin

g a

pilo

t pro

ject

with

in S

VHA

with

the

ultim

ate

goal

of a

chie

ving

syst

emic

cha

nge

in th

e Au

stra

lian

heat

h ca

re c

omm

unity

so th

at th

e ne

eds o

f tho

se a

ffect

ed b

y hu

man

traf

ficki

ng a

nd sl

aver

y ca

n m

ore

stra

tegi

cally

add

ress

ed w

ithin

the

heal

th c

are

sect

or.

(SVH

A –

ACRA

TH H

uman

Tra

ffick

ing

Proj

ect M

OU

s 201

7 &

201

8).

PRIM

ARY

PRO

JECT

OBJ

ECTI

VES

Phas

e 1

(May

1, 2

017

to M

ay 1

, 201

8)

1.

To in

crea

se th

e re

cogn

ition

and

supp

ort o

f vic

tims o

f hum

an tr

affic

king

who

seek

hea

lth c

are

with

in S

VHA

incl

udin

g w

omen

in se

xual

exp

loita

tion,

you

ng

peop

le fa

cing

forc

ed m

arria

ge a

nd p

eopl

e w

ho h

ave

expe

rienc

ed fo

rced

labo

ur; a

nd

2.

To e

xplo

re a

nd in

vest

igat

e th

e su

pply

cha

ins o

f ser

vice

s and

goo

ds u

sed

by S

VHA,

to d

eter

min

e w

hich

are

liab

le to

hum

an tr

affic

king

and

dev

elop

a p

lan

to

addr

ess t

hese

issu

es.

Phas

e 2

(May

1, 2

018

to M

ay 1

, 201

9, e

xten

ded

to Ju

ne 3

0, 2

019)

A th

ird o

bjec

tive

was

add

ed:

3.

Inco

rpor

ate

the

follo

win

g in

to S

VHA

com

mun

icat

ions

and

oth

er su

itabl

e ac

tiviti

es: a

war

enes

s rai

sing,

pra

yer a

nd a

ppro

pria

te a

ctio

n, a

nd re

cogn

ition

of t

he

Hum

an T

raffi

ckin

g Pr

ojec

t

(SVH

A –

ACRA

TH M

OU

s 201

7 &

201

8)

34

4

PRO

JECT

PHA

SES

Nea

r the

out

set o

f the

join

t pro

ject

it w

as e

nvisi

oned

that

it w

ould

be

cond

ucte

d in

two

phas

es e

ach

last

ing

12 m

onth

s (w

ith c

omm

itmen

t to

Phas

e 2

cont

inge

nt o

n sa

tisfa

ctor

y pr

ogre

ss in

Pha

se 1

). A

Mem

oran

dum

of U

nder

stan

ding

(MO

U),

signe

d by

bot

h pa

rtie

s, g

uide

d Ph

ase

1 of

the

proj

ect f

rom

May

1, 2

017

to M

ay 1

, 201

8.

The

SVHA

Exe

cutiv

e Le

ader

ship

team

(ELT

) con

firm

ed S

VHA’

s co

mm

itmen

t to

the

join

t pro

ject

for a

furt

her 1

2 m

onth

s on

Apr

il 18

, 201

8. A

sec

ond

MO

U c

over

ed

the

perio

d M

ay 1

, 201

8 to

May

1, 2

019.

On

May

1, 2

019,

SVH

A fu

rthe

r ext

ende

d pr

ojec

t sup

port

to Ju

ne 3

0, 2

019.

PHAS

E 1

(PRE

PARA

TORY

PHA

SE) e

ncom

pass

ed: p

roje

ct p

lann

ing,

aw

aren

ess

raisi

ng ta

rget

ing

key

SVHA

sta

ff, a

lite

ratu

re re

view

and

qua

litiv

e re

sear

ch p

roje

ct to

un

derp

in th

e de

velo

pmen

t of e

vide

nce-

base

d in

terv

entio

ns to

iden

tify

and

supp

ort v

ictim

s of

hum

an tr

affic

king

in th

e ho

spita

l set

ting

(rel

ated

to O

bjec

tive

1) a

nd

step

s to

dev

elop

sup

port

ive

polic

ies,

risk

ass

essm

ent s

yste

ms

and

prac

tices

with

in S

VHA

Grou

p Pr

ocur

emen

t to

ensu

re th

at th

e SV

HA s

uppl

y ch

ains

for p

urch

ased

go

ods a

nd se

rvic

es a

re sl

aver

y fr

ee (r

elat

ed to

Obj

ectiv

e 2)

.

PHAS

E 2

(IMPL

EMEN

TATI

ON

PHA

SE) c

over

ed th

e fu

rthe

r rol

l out

the

proj

ect w

ith th

e ai

m o

f ach

ievi

ng sy

stem

ic a

nd su

stai

nabl

e ch

ange

s with

in S

VHA

to a

chie

ve th

e pr

ojec

t obj

ectiv

es.

EVAL

UAT

ION

FRA

MEW

ORK

The

Proj

ect E

valu

atio

n Fr

amew

ork

and

Plan

was

dev

elop

ed b

y th

e Pr

ojec

t Eva

luat

or E

rin C

asse

ll, a

mem

ber o

f the

Pro

ject

Wor

king

Par

ty (W

P), i

n co

nsul

tatio

n w

ith

Eliza

beth

(Liz)

Pay

ne, t

he P

roje

ct C

omm

unity

Dev

elop

men

t Wor

ker (

PW).

The

eval

uatio

n w

as c

ondu

cted

pro

gres

sivel

y th

roug

h th

e pr

ojec

t im

plem

enta

tion

perio

d an

d in

depe

nden

tly o

f the

pro

ject

wor

ker.

The

mod

el u

sed

to g

uide

this

eval

uatio

n is

com

mon

ly u

sed

in th

e he

alth

pro

mot

ion

sect

or (H

awe,

Deg

elin

g &

Hal

l, 19

90).

Und

er th

is m

odel

ther

e ar

e th

ree

type

s of

eval

uatio

n –

proc

ess,

impa

ct a

nd o

utco

me.

• Pr

oces

s ev

alua

tion

mea

sure

s th

e ac

tiviti

es o

f the

pro

ject

, pro

ject

qua

lity

and

who

is re

achi

ng, a

nd a

nsw

erin

g th

ese

ques

tions

: (1)

Did

we

do w

hat w

e sa

id

we

wer

e go

ing

to d

o? (2

) Did

we

reac

h th

e ta

rget

gro

up?

(3) W

ere

part

icip

ants

sat

isfie

d w

ith th

e pr

ojec

t? (4

) Wer

e al

l mat

eria

ls an

d co

mpo

nent

s of

the

proj

ect o

f goo

d qu

ality

? •

Impa

ct e

valu

atio

n is

conc

erne

d w

ith im

med

iate

pro

ject

effe

cts a

nd u

sual

ly m

easu

res w

heth

er th

e pr

ojec

t ach

ieve

s its

obj

ectiv

es. I

n re

latio

n to

this

proj

ect

the

ques

tions

to b

e an

swer

ed w

ere:

(1) H

as th

e pr

ojec

t dev

elop

ed th

e sy

stem

s, p

olic

ies

and

prac

tices

to id

entif

y, a

sses

s an

d re

spon

d to

traf

ficke

d pe

ople

(s

peci

fical

ly w

omen

in se

xual

exp

loita

tion,

you

ng p

eopl

e fa

cing

forc

ed m

arria

ge a

nd p

eopl

e w

ho h

ave

expe

rienc

ed fo

rced

labo

ur) w

ho p

rese

nt to

SVH

A fo

r he

alth

car

e, b

ased

on

avai

labl

e be

st p

ract

ice?

; and

(2) H

as th

e pr

ojec

t dev

elop

ed p

olic

ies

and

proc

esse

s, b

ased

on

avai

labl

e be

st p

ract

ice,

to id

entif

y an

d ad

dres

s hum

an tr

affic

king

and

mod

ern

slave

ry is

sues

with

in S

VHA

supp

ly c

hain

s for

serv

ices

and

goo

ds w

ith th

e m

issio

n of

ens

urin

g th

ey a

re sl

aver

y fr

ee?

• O

utco

me

eval

uatio

ns is

con

cern

ed w

ith th

e su

bseq

uent

(lon

g te

rm) p

roje

ct e

ffect

s an

d m

easu

res

whe

ther

the

proj

ect g

oal (

i.e. t

he e

radi

catio

n of

hum

an

traf

ficki

ng/m

oder

n sla

very

) has

bee

n ac

hiev

ed. M

easu

ring

proj

ect o

utco

mes

is o

utsid

e th

e sc

ope

of th

is ev

alua

tion.

Re

fere

nce:

Haw

e P,

Deg

elin

g D,

Hal

l J. E

valu

atin

g He

alth

Pro

mot

ion:

A H

ealth

Wor

ker's

Gui

de. M

acLe

nnan

& P

etty

. Syd

ney

1990

.


5

SUM

MAR

Y O

F PR

OJE

CT A

CHIE

VEM

ENTS

Phas

e 1

(May

1 2

017

to M

ay 1

201

8)

Actio

n 1:

Con

duct

a li

tera

ture

rev

iew

to

iden

tify

wor

ld's

best

pra

ctic

e on

the

iden

tific

atio

n, a

sses

smen

t an

d re

spon

se t

o tr

affic

ked

pers

ons

who

pre

sent

for

trea

tmen

t in

the

heal

th c

are

sett

ing.

Fully

ach

ieve

d.

• Th

e re

sear

ch li

tera

ture

was

revi

ewed

by

Dr D

oris

Test

a (A

CRAT

H re

pres

enta

tive

on W

P an

d Se

nior

Lec

ture

r, So

cial

Wor

k, V

icto

ria U

nive

rsity

) and

find

ings

w

ere

pres

ente

d to

the

July

201

7 W

P m

eetin

g.

The

full

33pp

revi

ew ti

tled

A re

view

of t

he li

tera

ture

on

iden

tifyi

ng, t

reat

ing

and

supp

ortin

g tr

affic

ked

peop

le in

the

heal

th c

are

syst

em is

ava

ilabl

e fr

om A

CRAT

H (o

ffice

@ac

rath

.org

.au)

or f

rom

the

SVHA

Hum

an tr

affic

king

Pro

ject

Lea

der (

Mob

. 043

7 56

3 26

3).

Ac

tion

2: D

evel

op a

nd c

ondu

ct a

qua

litat

ive

rese

arch

stud

y to

exp

lore

SVH

M st

aff m

embe

rs’ k

now

ledg

e an

d un

ders

tand

ing

of h

uman

traf

ficki

ng a

nd to

iden

tify

thei

r edu

catio

n, tr

aini

ng a

nd s

uppo

rt n

eeds

and

the

syst

ems

chan

ges

requ

ired

to p

rovi

ding

bes

t pra

ctic

e ca

re a

nd s

uppo

rt fo

r tra

ffick

ed p

eopl

e pr

esen

ting

to

SVHA

.

Fully

ach

ieve

d.

• Et

hics

App

rova

l for

the

St V

ince

nt’s

Hos

pita

l Mel

bour

ne (S

VHM

) foc

us g

roup

rese

arch

stud

y gr

ante

d by

SVH

M R

esea

rch

Gove

rnan

ce U

nit o

n 31

July

201

7.

• Si

x fo

cus

grou

ps in

volv

ing

26 S

VHM

hea

lth p

rofe

ssio

nals

(21

soci

al w

orke

rs, 2

nur

ses

and

3 ph

ysio

ther

apist

s) w

ere

cond

ucte

d in

Oct

ober

201

7.

Few

er

nurs

ing

staf

f tha

n an

ticip

ated

wer

e re

crui

ted

into

the

stud

y. D

ata

from

the

stud

y w

ere

anal

ysed

by

Doris

Tes

ta.

• Ke

y th

emes

, fin

ding

s and

reco

mm

enda

tions

from

the

stud

y w

ere

com

mun

icat

ed to

the

WP

by D

oris

Test

a at

the

Febr

uary

and

Apr

il 20

18 W

P m

eetin

gs.

• Th

e fin

ding

s fro

m th

e lit

erat

ure

revi

ew a

nd fo

cus g

roup

stud

y w

ere

used

to d

evel

op th

e ed

ucat

ion

pack

age

for S

VHA

heal

th p

rofe

ssio

nals,

and

to u

nder

pin

the

case

iden

tific

atio

n an

d re

ferr

al p

athw

ay p

olic

y an

d pr

otoc

ol fo

r tra

ffick

ed p

eopl

e se

ekin

g tr

eatm

ent w

ithin

SVH

A. (

See

SVHA

-ACR

ATH

Hum

an T

raffi

ckin

g Fi

nal R

epor

t for

sum

mar

ies.

)

The

findi

ngs o

f the

SVH

M fo

cus g

roup

stud

y, a

utho

red

by D

r Dor

is Te

sta,

was

pub

lishe

d in

a p

eer r

evie

wed

aca

dem

ic jo

urna

l in

2019

: Dor

is Te

sta

(201

9) H

ospi

tal

Heal

th P

rovi

der E

xper

ienc

es o

f Ide

ntify

ing

and

Trea

ting

Traf

ficke

d Pe

rson

s, A

ustr

alia

n So

cial

Wor

k, D

OI:

10.1

080/

0312

407X

.201

8.15

2981

2.

Dr D

oris

Test

a al

so e

dite

d th

e Fe

b/M

arch

201

9 iss

ue o

f Soc

ialD

ialo

gue,

the

free

mag

azin

e of

the

Inte

rnat

iona

l Ass

ocia

tion

of S

choo

ls of

Soc

ial w

ork,

title

d Hu

man

Tr

affic

king

and

Mod

ern

Day

Slav

ery

that

incl

uded

a re

port

on

the

SVHM

focu

s gro

up st

udy:

Dor

is Te

sta.

The

hea

lth n

eeds

of t

raffi

cked

and

ens

lave

d pe

ople

– a

soci

al

resp

onse

(ww

w.s

ocia

ldia

logu

e.on

line)

.

Obj

ectiv

e 1:

To

incr

ease

the

reco

gniti

on a

nd su

ppor

t of v

ictim

s of h

uman

traf

ficki

ng w

ho se

ek h

ealth

car

e w

ithin

SVH

A...

36

6

Actio

n 3:

Dev

elop

the

SVHA

Hum

an T

raffi

ckin

g Ed

ucat

ion

Pack

age

that

incl

udes

a g

uide

and

dra

ft m

odel

trai

ning

ses

sion

on

hum

an tr

affic

king

for S

VHA

nurs

ing

and

allie

d he

alth

sta

ff, a

nd a

refe

rral

pat

hway

for v

ictim

s of

hum

an tr

affic

king

iden

tifie

d in

the

EDs

of S

t Vin

cent

's Ho

spita

ls in

Mel

bour

ne (S

VHM

) and

Syd

ney

(SVH

S)

Part

ly a

chie

ved.

•

The

plan

ned

tria

l of a

staf

f tra

inin

g se

ssio

n w

ithin

the

focu

s gro

up st

udy

was

foun

d no

t to

be fe

asib

le g

iven

the

45-m

inut

e tim

e al

loca

tion

to fo

cus g

roup

s.

• Du

e to

tim

e co

nstr

aint

s, th

e pl

anne

d ac

tion

to “

deve

lop

a gu

ide

and

mod

el tr

aini

ng s

essio

n” w

as re

vise

d in

Aug

ust 2

017

“to

deve

lop

and

deliv

er in

terim

ed

ucat

ion

sess

ions

” fo

r key

clin

ical

and

Soc

ial W

ork

staf

f at S

t Vin

cent

’s H

ealth

Mel

bour

ne (S

VHM

) and

Syd

ney

(SVH

S).

• Sc

hedu

ling

diffi

culti

es d

elay

ed th

e de

liver

y of

pla

nned

sta

ff ed

ucat

ion

sess

ions

at S

VHM

and

SVH

S (in

volv

ing

ED A

lert

Tea

m n

urse

s, m

enta

l hea

lth w

orke

rs

and

soci

al w

orke

rs) t

o Ph

ase

2.

• A

draf

t int

erna

l and

ext

erna

l ref

erra

l pat

hway

for v

ictim

s of h

uman

traf

ficki

ng w

as d

evel

oped

and

com

men

ts o

n th

e pa

thw

ay w

ere/

will

be

soug

ht fr

om st

aff

atte

ndin

g th

e in

terim

edu

catio

n se

ssio

ns.

Actio

n 4:

Dev

elop

a p

lan

for P

hase

2 o

f the

pro

ject

bas

ed o

n le

arni

ng a

nd re

com

men

datio

ns fr

om P

hase

1.

Not

ach

ieve

d •

An e

xten

ded

Wor

king

Par

ty M

eetin

g w

as p

lann

ed fo

r Jun

e 15

, 201

8 to

com

men

ce p

lann

ing

for P

hase

2.

Phas

e 2

(May

1, 2

018

to Ju

ne 3

0, 2

019)

Actio

n 1:

Con

tinue

to d

evel

op th

e SV

HA H

uman

Tra

ffick

ing

Staf

f Edu

catio

n Pa

ckag

e.

(a) T

rial a

nd re

fine

the

educ

atio

n se

ssio

n to

be

incl

uded

in th

e Ed

ucat

ion

Gui

de.

Fully

ach

ieve

d •

The

mod

el H

uman

Tra

ffick

ing

educ

atio

n se

ssio

n w

as tr

ialle

d at

SVH

M a

nd S

VHS

in Ju

ne a

nd S

epte

mbe

r 201

8. I

n to

tal,

53 st

aff (

ED A

lert

Tea

m n

urse

s, m

enta

l he

alth

wor

kers

and

soci

al w

orke

rs) a

tten

ded

the

sess

ions

and

gav

e fe

edba

ck.

• Th

e ed

ucat

ion

sess

ion

was

the

n fu

rthe

r de

velo

ped

and

tria

lled

at t

he S

VHM

STA

R (S

uppo

rt T

eam

Act

ion

Resp

onse

) Pr

ofes

siona

l Dev

elop

men

t Tr

aini

ng

Mor

ning

att

ende

d by

25

nurs

es a

nd so

cial

wor

kers

on

Mar

ch 2

1, 2

019.

(b) F

urth

er d

evel

op th

e Ed

ucat

ion

Gui

de c

onsi

stin

g of

: (i)

a ha

rd c

opy

vers

ion

for u

se b

y SV

HA H

uman

Tra

ffick

ing

Clin

ical

Cha

mpi

ons

and

Lear

ning

Dev

elop

men

t Le

ader

s (L

DL) a

t SVH

A si

tes

(to

equi

p ch

ampi

ons

to d

irect

ly d

eliv

er a

n on

goin

g pr

ogra

m o

f 45-

min

ute

educ

atio

n an

d tr

aini

ng s

essi

ons

to fr

ontli

ne E

D st

aff,

soci

al w

orke

rs, l

eade

rshi

p te

am m

embe

rs a

nd o

ther

inte

rest

ed s

taff)

; and

(ii)

an o

n-lin

e tr

aini

ng m

odul

e fo

r tra

inin

g nu

rses

, oth

er c

linic

al a

nd a

llied

hea

lth

staf

f.

Mos

tly a

chie

ved.


7

• Th

e ha

rd c

opy

Guid

e an

d ac

com

pany

ing

USB

cov

er th

e ed

ucat

ion

sess

ions

for S

VHA

Hum

an T

raffi

ckin

g Cl

inic

al C

ham

pion

s and

oth

er k

ey S

VHA

staf

f and

the

USB

incl

udes

a P

ower

Poin

t pre

sent

atio

n; b

oth

can

be a

dapt

ed a

nd u

sed

by C

ham

pion

s whe

n ed

ucat

ing

fron

tline

staf

f.

• Th

e on

-line

staf

f tra

inin

g m

odul

e w

as n

ot d

evel

oped

. Ap

prov

al w

as g

iven

at t

he M

ay 2

019

Wor

king

Par

ty m

eetin

g fo

r SVH

A st

aff (

nurs

es a

nd o

ther

clin

ical

st

aff,

soci

al w

orke

rs a

nd a

llied

hea

lth w

orke

rs) t

o ac

cess

Ant

i-Sla

very

Aus

tral

ia’s

(ASA

’s) e

-Lea

rnin

g co

urse

via

hyp

erlin

k (a

vaila

ble

from

June

22,

201

9).

• Th

e iss

ue o

f for

ced

mar

riage

was

inco

rpor

ated

into

SVH

A’s F

amily

and

Dom

estic

Vio

lenc

e St

aff E

duca

tion

mod

ules

.

(c) R

ecru

it an

d tr

ain

a te

am o

f Hum

an T

raffi

ckin

g Cl

inic

al C

ham

pion

s (le

ad fa

cilit

ator

s) t

hat

cove

r al

l 36

SVHA

site

s: (i

) Dev

elop

and

impl

emen

t a

proc

ess

for

recr

uitin

g cl

inic

al c

ham

pion

s; a

nd (i

i) Re

crui

t and

trai

n cl

inic

al c

ham

pion

s.

Not

ach

ieve

d.

• A

num

ber

of d

iffer

ent

prop

osal

s w

ere

disc

usse

d ov

er t

he c

ours

e of

the

pro

ject

. A

deta

iled

plan

and

pro

toco

l for

rec

ruiti

ng H

uman

Tra

ffick

ing

Clin

ical

Ch

ampi

ons

(cov

erin

g th

e re

crui

tmen

t pr

oces

s an

d th

eir

lead

ersh

ip r

ole)

was

dev

elop

ed b

y Sa

man

tha

Corr

ie (I

nclu

sive

Heal

th P

roje

ct O

ffice

r, SV

HA; W

P m

embe

r) a

nd d

iscus

sed

at th

e M

ay 2

019

Wor

king

Par

ty m

eetin

g. T

he p

ropo

sed

broa

der r

ole

for s

ite o

r clu

ster

Clin

ical

Cha

mpi

ons t

o co

ver o

ther

vul

nera

ble

grou

ps in

add

ition

to H

uman

Tra

ffick

ing

vict

ims w

as re

gard

ed a

s too

one

rous

, giv

en th

at th

e ro

le is

vol

unta

ry.

Sam

anth

a Co

rrie

und

erto

ok to

revi

se th

e pl

an

and

SVHA

now

aim

s to

have

spec

ific

Hum

an T

raffi

ckin

g Cl

inic

al C

ham

pion

s in

plac

e by

Dec

embe

r 201

9.

Actio

n 2:

Dev

elop

SVH

A’s

Hum

an T

raffi

ckin

g Po

licy

docu

men

t th

at c

over

s pr

otoc

ols

and

proc

edur

es (i

nclu

ding

the

ref

erra

l pat

hway

for

pot

entia

l/co

nfirm

ed

vict

ims o

f hum

an tr

affic

king

iden

tifie

d by

clin

ical

and

soci

al w

ork

staf

f) to

supp

ort s

taff

enga

gem

ent i

n sp

ecifi

ed a

ctio

ns to

redu

ce h

uman

traf

ficki

ng.

Part

ly a

chie

ved.

•

Lisa

Bra

ddy

(Man

ager

, Soc

ial W

ork,

SVH

M a

nd W

P m

embe

r), s

uppo

rted

by

the

Proj

ect W

orke

r, un

dert

ook

to d

evel

op th

e SV

HM H

uman

Tra

ffick

ing

Polic

y do

cum

ent w

ith th

e ai

m o

f usin

g th

is as

a te

mpl

ate

for S

VHA’

s po

licy.

As

repo

rted

to th

e Ap

ril 2

019

Wor

king

Par

ty m

eetin

g, o

n th

e ad

vice

of L

isa B

radd

y,

SVHA

dec

ided

to s

low

the

deve

lopm

ent o

f the

SVH

M fu

ll po

licy

docu

men

t exc

ept f

or th

e ‘C

ase

iden

tific

atio

n, e

scal

atio

n an

d re

ferr

al p

athw

ay’ s

ectio

n. A

“w

ork-

in-p

rogr

ess”

dra

ft o

f the

full

polic

y w

as ta

bled

at t

he Ju

ne 2

019

Wor

king

Par

ty m

eetin

g an

d w

ill b

e fu

rthe

r dev

elop

ed b

y SV

HM/S

VHA

over

the

next

12

mon

ths.

•

Lisa

Bra

ddy

conv

ened

a s

mal

l gro

up o

f SVH

M s

ocia

l wor

kers

to a

ssist

the

deve

lopm

ent o

f the

Clin

icia

ns’ G

uide

cov

erin

g th

e ca

se id

entif

icat

ion,

esc

alat

ion

and

refe

rral

pat

hway

s pro

cess

(to

be in

clud

ed in

the

Educ

atio

n Gu

ide)

. Th

e in

itial

dra

ft w

as p

rese

nted

to th

e M

ay 2

019

Wor

king

Par

ty m

eetin

g an

d th

e fin

al

draf

t (tit

led

SVHM

Clin

ical

Pat

hway

– R

espo

ndin

g to

Vic

tims o

f Hum

an T

raffi

ckin

g) to

the

June

201

9 W

orki

ng P

arty

mee

ting,

to b

e fin

alise

d by

mid

-July

201

9.

• At

the

May

201

9 W

orki

ng P

arty

mee

ting,

Lisa

Bra

ddy

repo

rted

that

SVH

A’s

Fam

ily a

nd D

omes

tic V

iole

nce

Polic

y ha

d be

en re

vise

d to

incl

ude

the

issue

of

forc

ed m

arria

ge.

38

8

Actio

n 3:

Rol

lout

the

SVHA

Hum

an T

raffi

ckin

g st

aff e

duca

tion

and

trai

ning

pro

gram

.

(a) C

ondu

ct “

trai

n th

e tr

aine

r” e

duca

tion

sess

ions

for p

roje

ct ch

ampi

ons a

nd L

earn

ing

and

Deve

lopm

ent L

eade

rs to

equ

ip th

em to

offe

r tra

inin

g to

nur

sing

, soc

ial

wor

k, a

llied

hea

lth a

nd o

ther

inte

rest

ed st

aff a

cros

s SVH

A si

tes.

Not

ach

ieve

d.

• Im

plem

enta

tion

of tr

aini

ng n

eces

saril

y po

stpo

ned

until

the

Hum

an T

raffi

ckin

g Cl

inic

al C

ham

pion

s are

recr

uite

d (a

ntic

ipat

ed to

occ

ur b

y De

cem

ber 2

019)

.

(b) S

VHA

to d

evel

op a

sust

aina

ble

plan

for t

he o

ngoi

ng e

duca

tion

and

trai

ning

of s

ite c

ham

pion

s, fr

ont-

line

ED c

linic

al st

aff a

nd so

cial

wor

kers

.

Not

ach

ieve

d.

• Pl

an w

ill b

e de

velo

ped

by S

VHA

in c

onsu

ltatio

n w

ith C

linic

al C

ham

pion

s whe

n ap

poin

ted.

Phas

e 1

(May

1 2

017

to M

ay 1

201

8)

Actio

n 1:

Rai

se a

war

enes

s of

the

issu

e of

hum

an tr

affic

king

/sla

very

in h

ospi

tal a

nd h

ealth

car

e su

pply

cha

ins

with

in th

e SV

HA G

roup

Pro

cure

men

t Tea

m …

and

cr

eate

pro

ject

buy

-in fr

om th

e m

anag

er a

nd k

ey st

aff.

Fully

ach

ieve

d.

• Th

e SV

HA G

roup

Pro

cure

men

t M

anag

ers

(Cra

ig D

oyle

to

June

201

7 an

d Je

ff W

estb

rook

fro

m J

uly

2017

) w

ere

brie

fed

and

join

ed t

he W

P.

Grou

p Pr

ocur

emen

t’s S

enio

r Pro

cure

men

t Tea

m S

peci

alist

(Gen

evie

ve A

lexa

nder

) joi

ned

the

WP

in A

pril

2018

.

Actio

n 2:

Inve

stig

ate

the

rang

e of

goo

ds a

nd se

rvic

es p

urch

ased

by

SVHA

Gro

up P

rocu

rem

ent t

o id

entif

y th

e su

pplie

rs/g

oods

and

serv

ices

mos

t at r

isk

of h

uman

tr

affic

king

/sla

very

. Fu

lly a

chie

ved.

•

Scop

ing

of t

he S

VHA

Grou

p Pr

ocur

emen

t’s v

endo

r su

pply

list

sho

wed

the

re w

ere

1000

sup

plie

rs o

f cl

inic

al g

oods

and

ser

vice

s –

the

top

50 s

uppl

iers

ac

coun

ted

for 7

5% o

f the

tota

l SVH

A Gr

oup

Proc

urem

ent s

pend

on

clin

ical

goo

ds a

nd se

rvic

es ($

373.

8m/$

500m

).

Obj

ectiv

e 2:

To

expl

ore

and

deve

lop

a pl

an to

add

ress

hum

an sl

aver

y is

sues

with

in S

VHA’

s sup

ply

chai

n fo

r goo

d an

d se

rvic

es...


9

• Th

e siz

e an

d co

mpl

exity

of S

VHA'

s su

pply

cha

in le

d SV

HA G

roup

Pro

cure

men

t to

con

sider

out

sour

cing

the

sup

ply

chai

n ris

k as

sess

men

t of

maj

or S

VHA

supp

liers

to a

spec

ialis

t ser

vice

with

exp

ertis

e in

this

area

. •

Afte

r the

failu

re o

f a tr

ial o

f sup

plie

r risk

self-

asse

ssm

ent (

see

belo

w),

the

SVHA

Exe

cutiv

e Le

ader

ship

Tea

m (E

LT) a

ppro

ved

that

Gro

up P

rocu

rem

ent e

ngag

e M

ills O

akle

y Le

gal t

o un

dert

ake

risk

asse

ssm

ent o

f SVH

A's t

op 5

0 su

pplie

rs a

nd d

evel

op to

ols t

o im

prov

e th

e fu

ture

cap

acity

of G

roup

Pro

cure

men

t to

audi

t an

d re

med

iate

SVH

A’s s

lave

ry in

supp

ly c

hain

issu

es.

Actio

n 3:

Tak

e st

eps

to d

evel

op a

SVH

A Co

de o

f Con

duct

or e

quiv

alen

t sta

tem

ent o

f com

mitm

ent t

o ef

fect

ivel

y ad

dres

s th

e ris

k of

sla

very

in s

uppl

y ch

ains

of

com

pani

es p

rovi

ding

goo

ds a

nd se

rvic

es to

SVH

A th

roug

h G

roup

Pro

cure

men

t...

Part

ly a

chie

ved.

•

SVHA

’s c

omm

itmen

t to

the

erad

icat

ion

of m

oder

n sla

very

was

spec

ifica

lly in

clud

ed a

mon

g th

e ob

ject

ives

of S

VHA'

s Pro

cure

men

t Pol

icy

in O

ctob

er 2

017.

• Gr

oup

Proc

urem

ent's

Ten

der C

ondi

tions

doc

umen

t was

revi

sed

to in

clud

e: a

sta

tem

ent o

f SVH

A's

com

mitm

ent t

o w

ork

with

sup

plie

rs, b

usin

ess

part

ners

an

d go

vern

men

ts to

era

dica

te m

oder

n sla

very

in a

ll its

form

s; a

requ

irem

ent t

hat s

uppl

iers

and

bus

ines

s par

tner

s sel

f-as

sess

the

effe

ctiv

enes

s of t

heir

polic

y an

d pr

actic

es o

n sla

very

and

hum

an tr

affic

king

usin

g a

supp

lied

ques

tionn

aire

; and

a st

atem

ent t

hat,

whe

n te

nder

s are

eva

luat

ed, p

refe

renc

e w

ill b

e gi

ven

by S

VHA

to su

pplie

rs w

ho d

emon

stra

te o

ngoi

ng c

omm

itmen

t to

erad

icat

e sla

very

from

thei

r sup

ply

chai

ns.

• Th

e ne

w te

nder

cond

ition

s doc

umen

t inc

ludi

ng th

e qu

estio

nnai

re w

as tr

ialle

d w

hen

the

tend

er fo

r foo

dstu

ffs w

as a

dver

tised

by

Grou

p Pr

ocur

emen

t in

2017

. Re

spon

ses f

rom

supp

liers

wer

e of

poo

r qua

lity

and

indi

cate

d th

at n

one

had

take

n st

eps t

o au

dit t

heir

oper

atio

ns o

r the

ir su

pply

chai

ns fo

r sla

very

and

hum

an

traf

ficki

ng.

• Th

e fa

ilure

of t

he se

lf-as

sess

men

t pro

cess

resu

lted

in G

roup

Pro

cure

men

t gai

ning

app

rova

l fro

m S

VHA’

s ELT

to c

ontr

act M

ills O

akle

y to

inde

pend

ently

aud

it SV

HA's

top

50 su

pplie

rs.

Actio

n 4:

Tak

e st

eps

to d

evel

op a

‘Com

mun

icat

ion

Fram

ewor

k’ to

com

mun

icat

e SV

HA’s

eng

agem

ent i

n de

velo

ping

sla

very

free

sup

ply

chai

ns to

sup

plie

rs a

nd

othe

r sta

keho

lder

s and

exp

ecte

d de

liver

able

s (ba

sed

on ‘b

est p

ract

ice’

dra

ft p

rovi

ded)

.

Not

ach

ieve

d.

• Th

e re

visio

ns in

sert

ed in

SVH

A Gr

oup

Proc

urem

ent P

olic

y an

d Te

nder

Con

ditio

ns d

ocum

ents

wer

e fir

st s

teps

in c

omm

unic

atin

g SV

HA’s

sla

very

-free

sup

ply

chai

n po

licy

to p

oten

tial s

uppl

iers

. Ac

tion

5: D

evel

op a

‘SVH

A pr

ocur

emen

t Act

ion

Plan

201

8-20

23’ t

o m

inim

ise

the

risk

of S

VHA

supp

ly c

hain

s bei

ng ta

inte

d by

traf

ficki

ng/s

lave

ry.

Not

ach

ieve

d.

• N

o lo

nger

term

act

ion

plan

was

dev

elop

ed. A

n ex

tend

ed W

P m

eetin

g w

as p

lann

ed fo

r Jun

e 15

, 201

8 to

exp

lore

the

obje

ctiv

es a

nd a

ctio

ns to

be

unde

rtak

en

in P

hase

2 o

f the

pro

ject

.

40

10

Phas

e 2

(May

1 2

018

to Ju

ne 3

0 20

19)

Actio

n 1.

SD

Stra

tegi

es (s

peci

alis

t hum

an ri

ghts

con

sulta

nts s

ub-c

ontr

acte

d by

Mill

s Oak

ley)

to b

e co

mm

issi

oned

to re

view

the

top

50 S

VHA

supp

liers

iden

tifie

d in

Pha

se 1

to a

sses

s the

risk

of h

uman

traf

ficki

ng (m

oder

n sl

aver

y) in

thei

r ext

ende

d su

pply

cha

ins a

nd th

e ad

equa

cy o

f the

ir in

tern

al p

olic

ies,

pro

cedu

res a

nd

proc

esse

s to

iden

tify

and

amel

iora

te th

ese

risks

.

(a) S

D St

rate

gies

in c

onsu

ltatio

n w

ith S

VHA

Proc

urem

ent t

o de

velo

p an

on-

line

supp

ly c

hain

mod

ern

slav

ery

risk

asse

ssm

ent t

ool (

a su

pplie

r sel

f-ass

essm

ent

ques

tionn

aire

) and

acc

ompa

nyin

g vi

deo

expl

aine

r and

FAQ

s pag

e.

Fully

ach

ieve

d.

• Su

pply

cha

in q

uest

ionn

aire

, vid

eo e

xpla

iner

and

FAQ

s pag

e ci

rcul

ated

by

emai

l to

Wor

king

Par

ty m

embe

rs o

n 24

July

201

8 an

d di

scus

sed

at 2

5 Ju

ly 2

018

Wor

king

Par

ty m

eetin

g.

• Ta

rget

ed su

pplie

rs n

otifi

ed o

f sur

vey

and

proc

edur

e by

SVH

A Pr

ocur

emen

t Man

ager

on

Augu

st 2

1, 2

018

(b

) SD

Stra

tegi

es to

con

duct

the

desk

top

risk

asse

ssm

ent o

f the

top

50 S

VHA

supp

liers

(“Ti

er 1

supp

liers

”), s

elec

ted

on th

e ba

sis o

f SVH

A’s s

pend

(n=4

6) o

r SV

HA’s

ass

essm

ent t

hat t

he su

pplie

r was

at p

oten

tially

hig

h ris

k of

exp

osur

e to

mod

ern

slav

ery

in th

eir s

uppl

y ch

ain

(n=4

).

Fully

ach

ieve

d.

• Q

uest

ionn

aire

was

upl

oade

d on

SD

Stra

tegi

es w

ebsit

e on

Aug

ust 2

2, 2

018

as p

lann

ed.

Due

to p

oor r

espo

nse,

the

clos

ing

date

was

ext

ende

d tw

ice

(from

Se

pt 1

2 to

Sep

t 24

then

Oct

19)

. Rem

inde

rs se

nt to

supp

liers

on

Sept

5 a

nd 1

2 an

d O

ct 9

. •

Fina

l par

ticip

atio

n ra

te: 6

2% (3

1/50

targ

eted

supp

liers

) [42

% (2

1/50

) res

pond

ed in

full;

20%

(10/

50) r

espo

nded

in p

art;

38%

(19/

50) d

id n

ot re

spon

d]

(c

) SD

Stra

tegi

es to

col

late

and

ana

lyse

resp

onde

nts’

dat

a, a

sses

s sup

plie

rs o

n th

e ris

k of

mod

ern

slav

ery

in th

eir s

uppl

y ch

ains

and

pro

vide

SVH

A Pr

ocur

emen

t w

ith: (

i) a

sum

mar

y re

port

of t

he o

utco

mes

of t

he re

view

and

a ri

sk a

sses

smen

t for

eac

h pa

rtic

ipat

ing

supp

lier i

nclu

ding

reco

mm

enda

tions

for f

utur

e ac

tion;

an

d (ii

) a ta

ilore

d fe

edba

ck re

port

for e

ach

part

icip

atin

g su

pplie

r tha

t inc

lude

s the

ir ris

k as

sess

men

t and

reco

mm

enda

tions

for i

mpr

ovem

ent.

Fully

ach

ieve

d.

• Da

ta fr

om fu

ll re

spon

dent

s (21

supp

liers

) wer

e an

alys

ed a

nd S

D St

rate

gies

subm

itted

thei

r Sup

ply

Chai

n As

sess

men

t Rep

ort t

o SV

HA o

n De

c 11

, 201

8 w

hich

w

as c

ircul

ated

to th

e W

P.

SVHA

Mod

ern

Slav

ery

Supp

ly C

hain

Ass

essm

ent:

Som

e ke

y fin

ding

s (n=

21 su

pplie

rs)

- Mos

t sup

plie

rs w

ere

Aust

ralia

n su

bsid

iarie

s of g

loba

l com

pani

es a

nd so

urce

d pr

oduc

ts fr

om h

igh

risk

coun

trie

s/re

gion

s for

hum

an tr

affic

king

- S

ubsid

iary

com

pani

es m

ostly

refe

rred

to c

orpo

rate

(glo

bal)

polic

ies a

nd p

rese

nted

no

evid

ence

that

thes

e w

ere

tailo

red

to th

eir A

ustr

alia

n op

erat

ions


11

or im

plem

ente

d lo

cally

- L

ess t

han

20%

of s

uppl

iers

had

map

ped

thei

r sup

ply

chai

n - A

roun

d 40

% o

f sup

plie

rs d

id n

ot a

ddre

ss, m

onito

r or e

valu

ate

mod

ern

slave

ry ri

sk in

thei

r sup

ply

chai

ns

- Les

s tha

n 25

% o

f sup

plie

rs im

plem

ente

d co

rrec

tive

actio

n - N

o su

pplie

r was

rank

ed a

s hav

ing

low

risk

of m

oder

n sla

very

in it

s sup

ply

chai

n; 1

2 w

ere

rank

ed a

s med

ium

risk

; and

9 a

s hig

h ris

k

(d) S

VHA

Gro

up P

rocu

rem

ent M

anag

er a

nd G

roup

Mis

sion

Lea

der t

o pr

esen

t the

Sup

ply

Chai

n As

sess

men

t Sum

mar

y Re

port

to S

VHA

Exec

utiv

e Le

ader

ship

Te

am (E

LT) a

nd B

oard

for i

nfor

mat

ion

and

appr

oval

to d

isse

min

ate

feed

back

to su

pplie

rs.

Fully

ach

ieve

d.

• Th

e Su

pply

Cha

in A

sses

smen

t Sum

mar

y Re

port

was

pre

sent

ed to

SVH

A EL

T an

d Bo

ard.

The

repo

rt b

y SD

Str

ateg

ies t

itled

Sup

ply

Chai

n As

sess

men

t Und

erta

ken

for S

t Vin

cent

’s H

ealth

Aus

tral

ia: S

umm

ary

Repo

rt is

ava

ilabl

e on

app

licat

ion

to M

anag

er,

Grou

p Pr

ocur

emen

t, SV

HA (j

effe

ry.w

estb

rook

@sv

ha.o

rg.a

u).

(e) I

ndiv

idua

lised

feed

back

repo

rts

(pre

pare

d by

SD

Stra

tegi

es) t

o be

dis

sem

inat

ed to

par

ticip

atin

g su

pplie

rs (f

ull r

espo

nden

ts) i

nclu

ding

a re

ques

t for

a

resp

onse

to th

eir a

sses

smen

t.

Not

ach

ieve

d.

• Di

ssem

inat

ion

of in

divi

dual

ised

feed

-bac

k re

port

s to

supp

liers

was

del

ayed

unt

il th

e ne

xt st

eps i

n SV

HA’s

supp

lier r

isk a

sses

smen

t pro

cess

are

det

erm

ined

by

SVH

A Gr

oup

Proc

urem

ent.

Ac

tion

2. E

ncou

rage

and

supp

ort a

ll m

embe

rs o

f Cat

holic

Hea

lth A

ustr

alia

(CHA

) to

part

ner w

ith S

VHA

and

ACRA

TH to

iden

tify

and

addr

ess h

uman

traf

ficki

ng

and

mod

ern

slav

ery

in th

eir s

uppl

y ch

ains

(as m

any

of S

VHA’

s maj

or su

pplie

rs a

lso

supp

ly to

oth

er C

HA m

embe

rs).

Part

ly a

chie

ved,

no

form

al p

artn

ersh

ips d

evel

oped

. •

Pres

enta

tions

mad

e to

con

fere

nces

and

sem

inar

s: C

atho

lic H

ealth

Aus

tral

ia (C

HA) C

onfe

renc

e, A

ugus

t 29,

201

8 (C

hrist

ine

Caro

lan,

ACR

ATH

& L

isa

McD

onal

d, S

VHA,

Bak

hita

Day

Eth

ical

Sou

rcin

g Se

min

ar p

anel

list,

Feb

8, 2

019

(Jeffr

ey W

estb

rook

, SVH

A)

• SV

HA-A

CRAT

H Hu

man

Tra

ffick

ing

Proj

ect W

orki

ng P

arty

Ope

n M

eetin

g he

ld in

Nov

embe

r 201

8 at

tend

ed b

y re

pres

enta

tives

from

CHA

, Mer

cy F

ound

atio

n,

Cabr

ini H

ealth

, Mat

er H

ospi

tal,

St Jo

hn o

f God

Hea

lth C

are,

Cal

vary

Hea

lth C

are,

Vill

a M

aria

Hom

es

• SV

HA M

anag

er, G

roup

Pro

cure

men

t dist

ribut

ed S

VHA

Supp

ly C

hain

Ass

essm

ent S

umm

ary

Repo

rt to

mem

bers

of t

he C

atho

lic N

egot

iatin

g Al

lianc

e (C

NA)

, a

netw

ork

of 9

Cat

holic

hos

pita

l and

age

d ca

re p

rovi

ders

•

Num

erou

s eng

agem

ents

bet

wee

n SV

HA M

anag

er, G

roup

Pro

cure

men

t and

cou

nter

part

s in

othe

r Cat

holic

hea

lth c

are

prov

ider

org

anisa

tions

and

Uni

ting

Heal

th

• Pr

esen

tatio

n by

ACR

ATH

EO (C

hrist

ine

Caro

lan)

to: M

ercy

Gov

erna

nce

CEO

and

Boa

rd c

hairs

(Mar

ch 1

8, 2

019)

; Mer

cy H

ealth

Boa

rd (M

ay 7

, 201

9); a

nd

42

12

CHA

Lead

ersh

ip R

etre

at

• Jo

int p

rese

ntat

ion

by S

VHA

(Sam

anth

a Co

rrie

) and

ACR

ATH

(Chr

istin

e Ca

rola

n an

d No

elen

e Si

mm

ons)

to C

atho

lic M

issio

n Co

nfer

ence

(May

15,

201

9)

Actio

n 3.

Pro

gres

s the

dev

elop

men

t of a

long

er-t

erm

act

ion

plan

that

cov

ers S

VHA’

s maj

or a

nd m

inor

supp

liers

of s

ervi

ces a

nd g

oods

.

Not

ach

ieve

d.

• SV

HA’s

Pro

cure

men

t Man

ager

repo

rted

to th

e Ap

ril 2

019

WP

mee

ting

that

SVH

A is

tryi

ng to

find

a b

ody

(suc

h as

CHA

or C

NA)

to sp

onso

r joi

nt a

ctio

n by

all

Cath

olic

hea

lthca

re p

rovi

ders

to a

ddre

ss m

oder

n sla

very

in th

eir s

uppl

y ch

ains

.

[SVH

A fa

vour

s joi

nt a

ctio

n as

the

othe

r Cat

holic

(and

priv

ate)

hea

lthca

re p

rovi

ders

use

the

sam

e m

ajor

supp

liers

as S

VHA

and,

like

SVH

A, th

ey w

ill n

ow b

e re

quire

d to

repo

rt a

nnua

lly to

the

Com

mon

wea

lth g

over

nmen

t set

ting

out t

heir

actio

ns to

ass

ess a

nd a

ddre

ss m

oder

n sla

very

risk

s in

thei

r ope

ratio

ns a

nd

supp

ly c

hain

s und

er th

e pr

ovisi

ons o

f Aus

tral

ia’s

Mod

ern

Slav

ery

Act,

2018

. Jo

int a

ctio

n w

ould

bot

h pu

t mor

e pr

essu

re o

n su

pplie

rs to

add

ress

mod

ern

slave

ry a

nd, c

onve

rsel

y, re

duce

thei

r rep

ortin

g bu

rden

.]

Phas

e 2

only

Actio

n: D

evel

op a

nd im

plem

ent a

com

mun

icat

ions

pla

n to

add

key

Hum

an T

raffi

ckin

g ca

mpa

igns

/iss

ues,

rele

vant

dat

e/s a

nd re

com

men

ded

com

mun

ity

actio

ns/a

ctiv

ities

to th

e 20

19 S

VHA

mis

sion

cal

enda

r to

rais

e aw

aren

ess o

f Hum

an T

raffi

ckin

g am

ong

the

broa

der S

VHA

com

mun

ity.

(a) F

orm

a W

orki

ng G

roup

to d

evel

op a

nd im

plem

ent t

he c

omm

unic

atio

ns p

lan.

Part

ly a

chie

ved.

•

A W

orki

ng G

roup

com

prisi

ng L

iz Pa

ine

and

Daisy

Sar

gean

t 201

8/Sa

man

tha

Corr

ie 2

019

(liai

sing

with

SVH

A Co

mm

unic

atio

n Te

ams)

initi

ally

met

in

Sept

embe

r 201

8.

(b

) Sel

ect a

t lea

st th

ree

of th

e is

sues

/cam

paig

ns, k

ey d

ates

and

reco

mm

ende

d co

mm

unity

act

ions

from

the

exis

ting

list d

evel

oped

in A

ustr

alia

and

in

tern

atio

nally

(sup

plie

d by

ACR

ATH)

and

incl

ude

thes

e on

the

2019

SVH

A M

issi

on c

alen

dar.

Mos

tly a

chie

ved.

•

ACRA

TH H

uman

Tra

ffick

ing

Cale

ndar

201

9 di

strib

uted

to a

ll SV

HA M

issio

n Le

ader

s on

Feb

26, 2

019.

•

Full

impl

emen

tatio

n of

act

iviti

es d

elay

ed u

ntil

2019

/20.

Sel

ecte

d iss

ues/

cam

paig

ns a

re to

be

adde

d in

to S

VHA

faci

lity

cale

ndar

s thr

ough

neg

otia

tion

by

SVHA

Hum

an T

raffi

ckin

g Ch

ampi

ons w

hen

recr

uite

d. T

he fo

llow

ing

date

s are

like

ly to

be

targ

eted

thro

ugho

ut th

e ye

ar: B

akhi

ta D

ay o

f Pra

yer (

Febr

uary

8);

Slav

ery

Free

Eas

ter C

hoco

late

Cam

paig

n (F

ebru

ary

to E

aste

r Sun

day)

; Wor

ld H

uman

Tra

ffick

ing

Day

(July

30)

; and

16

Days

of A

ctiv

ism (N

ovem

ber)

.

Obj

ectiv

e 3:

Inco

rpor

ate

the

follo

win

g in

to S

VHA

com

mun

icat

ions

and

oth

er su

itabl

e ac

tiviti

es: a

war

enes

s rai

sing

, pra

yer a

nd a

ppro

pria

te a

ctio

n, a

nd

reco

gniti

on o

f the

Hum

an T

raffi

ckin

g Pr

ojec

t


13

• A

list o

f ide

as fo

r aw

aren

ess r

aisin

g st

rate

gies

was

incl

uded

in th

e Ed

ucat

ion

Guid

e fo

r use

by

Clin

ical

Cha

mpi

ons (

whe

n ap

poin

ted)

to p

rom

ote

actio

n on

se

lect

ed is

sues

/cam

paig

ns a

t eac

h SV

HA si

te in

202

0.

(c) D

evel

op m

edia

ale

rts t

o co

mm

unic

ate

date

s, is

sues

/cam

paig

ns a

nd re

com

men

ded

actio

ns to

the

broa

der S

VHA

com

mun

ity.

Mos

tly a

chie

ved.

•

Med

ia a

lert

s on

hum

an tr

affic

king

issu

es/c

ampa

igns

pre

pare

d an

d di

ssem

inat

ed to

SVH

A co

mm

unity

via

Miss

ion

Lead

ers &

Com

mun

icatio

n (C

omm

s) T

eam

s on

Jan

31, 2

019

for S

t Bak

hita

’s D

ay (F

eb 8

) and

Apr

il 15

, 201

9 fo

r Eas

ter M

essa

ge. T

he S

t Bak

hita

’s D

ay S

lides

how

, hig

hlig

htin

g th

e iss

ue o

f hum

an tr

affic

king

an

d th

e SV

HA-A

CRAT

H Hu

man

Tra

ffick

ing

Proj

ect,

was

sho

wn

on s

hare

d sc

reen

s th

roug

hout

St V

ince

nt’s

Priv

ate

Hosp

itals

and

the

SVHA

Miss

ion

Lead

er’s

m

essa

ge to

all

staf

f at E

aste

r urg

ed th

em to

pur

chas

e et

hica

lly s

ourc

ed (s

lave

ry fr

ee) c

hoco

late

egg

s. T

he o

ther

two

even

t dat

es fa

ll ou

tsid

e th

e pr

ojec

t’s

time

fram

e.

(d) P

rogr

essi

vely

mon

itor t

he e

ffect

iven

ess o

f the

com

mun

icat

ion

stra

tegy

on

each

sele

cted

issu

e/ca

mpa

ign

with

the

aim

of i

mpr

ovin

g th

eir u

ptak

e an

d re

ach

and

incr

easi

ng a

war

enes

s of h

uman

traf

ficki

ng is

sues

with

in S

VHA

over

201

9.

Part

ly a

chie

ved.

•

Prog

ress

repo

rts o

n th

e tw

o aw

aren

ess r

aisin

g ac

tiviti

es u

nder

take

n by

SVH

A w

ithin

Pha

se 2

tim

e pe

riod

pres

ente

d to

Wor

king

Par

ty a

t the

ir Ap

ril a

nd M

ay

2019

mee

tings

. No

info

rmat

ion

incl

uded

in th

e re

port

s on

the

upta

ke a

nd re

ach

of a

ctiv

ities

at S

VHA

sites

.

44

14

SVH

A-AC

RATH

HU

MAN

TRA

FFIC

KIN

G P

ROJE

CT E

VALU

ATIO

N R

EPO

RT 2

019

PHAS

E 1

May

1, 2

017

to M

ay 1

, 201

8: P

REPA

RATO

RY P

HAS

E O

bjec

tive

1. T

o in

crea

se th

e re

cogn

ition

and

supp

ort o

f vic

tims o

f hum

an tr

affic

king

who

seek

hea

lth c

are

with

in S

VHA

incl

udin

g w

omen

in se

xual

ex

ploi

tatio

n, p

eopl

e fa

cing

forc

ed m

arria

ge a

nd p

eopl

e w

ho h

ave

expe

rienc

ed fo

rced

labo

ur.

Plan

ned

actio

ns/a

ctiv

ities

Pe

rson

/s re

spon

sibl

e In

dica

tor/

s (m

easu

re)

Mea

ns o

f ve

rific

atio

n Pr

ogre

ss/i

mpa

cts

Actio

n 1.

Lite

ratu

re re

view

(a

) Co

nduc

t a li

tera

ture

re

view

to id

entif

y w

orld

's be

st p

ract

ice

on th

e id

entif

icat

ion,

as

sess

men

t and

re

spon

se to

traf

ficke

d pe

rson

s who

pre

sent

in

the

heal

th c

are

sett

ing;

(b

) Use

the

findi

ngs f

rom

th

e lit

erat

ure

revi

ew to

un

derp

in th

e de

velo

pmen

t of t

he

ACRA

TH-S

VHA

Hum

an

Traf

ficki

ng p

roje

ct

-Dr D

oris

Test

a (S

enio

r Le

ctur

er, V

icto

ria U

nive

rsity

, SV

HA-A

CRAT

H Hu

man

Tr

affic

king

Pro

ject

Wor

king

Pa

rty

Mem

ber)

-L

iz Pa

yne,

Pro

ject

Co

mm

unity

Dev

elop

men

t W

orke

r (PW

) sup

port

ed b

y th

e Pr

ojec

t Wor

king

Par

ty

(WP)

•

Lite

ratu

re re

view

co

mpl

eted

• Fi

ndin

gs u

sed

prog

ress

ivel

y to

un

derp

in th

e de

velo

ping

SVH

A-AC

RATH

pro

ject

•

Sum

mar

y an

d fu

ll re

view

subm

itted

to

WP

•

Min

utes

of

Wor

king

Par

ty

mee

tings

and

ot

her p

roje

ct

docu

men

ts

• Su

mm

ary

of L

itera

ture

Rev

iew

pr

esen

ted

to Ju

ly 2

017

Wor

king

Pa

rty

Mee

ting

and

incl

uded

in th

e Hu

man

Tra

ffick

ing

Proj

ect R

epor

t Ph

ase

1, 2

019

•

The

liter

atur

e re

view

was

use

d to

in

form

:(i) t

he S

VHA-

ACRA

TH H

uman

Tr

affic

king

focu

s gro

up st

udy

incl

udin

g th

e qu

estio

ns g

uidi

ng th

e fo

cus g

roup

disc

ussio

ns; (

ii) th

e et

hics

app

licat

ion

for t

he fo

cus g

roup

st

udy;

(iii)

the

ongo

ing

deve

lopm

ent

of a

mod

el S

VHA

heal

th p

rofe

ssio

nals

trai

ning

pac

kage

, and

a c

ase

iden

tific

atio

n pr

oces

s and

refe

rral

pa

thw

ay fo

r pot

entia

l vic

tims o

f hu

man

traf

ficki

ng; a

nd (i

v) th

e de

velo

pmen

t of t

wo

acad

emic

jo

urna

l art

icle

s rep

ortin

g th

e fin

ding

s fr

om th

e qu

alita

tive

stud

y (a

utho

r Dr

Doris

Tes

ta)


15

Actio

n 2.

Foc

us G

roup

Stu

dy

Deve

lop

a qu

alita

tive

rese

arch

stud

y to

: (i)

iden

tify

the

educ

atio

nal

need

s of S

VHA

nurs

ing

and

allie

d he

alth

pro

fess

iona

ls to

un

derp

in th

eir a

bilit

y to

re

cogn

ise p

oten

tial

traf

ficke

d/ex

ploi

ted

peop

le in

th

e he

alth

car

e se

ttin

g; a

nd

(ii) d

esig

n an

app

ropr

iate

re

ferr

al p

athw

ay fo

r su

ppor

ting

pote

ntia

l vic

tims

with

in S

VHA

heal

th c

are

sett

ings

SVHA

-ACR

ATH

Rese

arch

te

am:

-Lisa

Bra

ddy

(SVH

A, S

VHM

Ch

ief S

ocia

l Wor

ker a

nd

Prim

ary

Inve

stig

ator

) -C

arrie

Let

hbor

g (S

VHA,

As

soci

ate

Inve

stig

ator

) -D

oris

Test

a (A

CRAT

H,

Asso

ciat

e Re

sear

cher

) -L

iz Pa

yne

(PW

, Ass

ocia

te

Rese

arch

er)

•

Rese

arch

stud

y pl

an

deve

lope

d •

Ethi

cs A

ppro

val f

or

cond

uct o

f the

re

sear

ch st

udy

give

n by

th

e SV

HM R

esea

rch

Gove

rnan

ce U

nit

•

Docu

men

ted

rese

arch

stud

y pl

an

• Re

ceip

t of E

thic

s Ap

prov

al le

tter

• Fo

cus G

roup

Res

earc

h st

udy

plan

fin

alise

d an

d ap

prov

ed b

y SV

HA-

ACRA

TH W

orki

ng P

arty

July

10,

201

7 •

SVHM

Res

earc

h Et

hics

App

rova

l ap

plic

atio

n fo

r the

con

duct

of t

he

rese

arch

stud

y w

as su

bmitt

ed o

n 31

Ju

ly, 2

017

• SV

HM E

thic

s App

rova

l let

ter r

ecei

ved

on

1 O

ctob

er 2

017

Not

e: T

he P

roje

ct W

orke

r too

k pr

ime

resp

onsib

ility

for w

ritin

g th

e Et

hics

App

rova

l ap

plic

atio

n an

d sh

ephe

rdin

g it

thro

ugh

the

appr

oval

pro

cess

. App

rova

l too

k on

e m

onth

lo

nger

than

pla

nned

. Inf

orm

al re

crui

tmen

t of

focu

s gro

up p

artic

ipan

ts b

egan

in

Sept

embe

r with

SVH

Uni

t Man

ager

s not

ified

of

the

stud

y an

d po

ssib

le d

ates

of f

ocus

gr

oups

at t

heir

Sept

embe

r mee

tings

. For

mal

re

crui

tmen

t did

not

occ

ur u

ntil

Oct

ober

5.

The

trun

cate

d re

crui

tmen

t per

iod

adve

rsel

y af

fect

ed th

e re

crui

tmen

t of n

urse

s int

o th

e st

udy.

(a

) Con

duct

6 F

ocus

Gro

ups

invo

lvin

g SV

HM n

ursin

g an

d al

lied

heat

h st

aff t

hat

incl

udes

a re

sear

ch

com

pone

nt a

nd a

n ed

ucat

ion

sess

ion

on h

uman

tr

affic

king

/mod

ern

slave

ry to

: (i)

iden

tify

part

icip

ants

' kn

owle

dge

of th

e in

dica

tors

- Liz

Payn

e (P

W)

- Dr D

oris

Test

a (R

esea

rche

r) su

ppor

ted

by

SVHA

-ACR

ATH

Rese

arch

Te

am m

embe

rs

• Fo

cus G

roup

Stu

dy

prot

ocol

and

edu

catio

n se

ssio

n de

velo

ped

• Fo

cus g

roup

mem

bers

re

crui

ted

and

six fo

cus

grou

ps c

ondu

cted

• Fi

nal p

roto

col

and

educ

atio

n se

ssio

n pl

an

• Re

sear

ch st

udy

repo

rt p

rese

nted

to

WP

• Th

e fo

cus g

roup

stud

y pr

otoc

ol w

as

refin

ed b

y Li

z Pay

ne a

nd D

oris

Test

a in

Au

gust

201

7. T

he e

duca

tion

sess

ion

was

re

plac

ed b

y a

shor

t brie

fing

on h

uman

tr

affic

king

in A

ustr

alia

that

was

giv

en a

t th

e st

art o

f foc

us g

roup

gui

ded

disc

ussio

ns

• Si

x fo

cus g

roup

s of 4

5 m

inut

es d

urat

ion

invo

lvin

g 26

par

ticip

ants

recr

uite

d fr

om

46

16

for t

raffi

cked

peo

ple

who

m

ay p

rese

nt fo

r tre

atm

ent i

n th

e ho

spita

l set

ting

pre-

and

po

st- t

he e

duca

tion

sess

ion;

an

d (ii

) col

lect

feed

back

from

pa

rtic

ipan

ts o

n: th

e qu

ality

of

the

educ

atio

n se

ssio

n th

ey

rece

ived

(inc

ludi

ng

reco

mm

enda

tions

for

impr

ovem

ent)

; and

thei

r op

inio

ns o

n th

e m

ost

appr

opria

te re

ferr

al p

athw

ay

for t

raffi

cked

peo

ple

with

in

SVHA

car

e se

ttin

gs, t

he

optim

al ti

me

for r

efer

rals

and

any

'road

bloc

ks' t

o m

akin

g re

ferr

als t

hat n

eed

to b

e ad

dres

sed

Not

e: T

he a

ims o

f the

focu

s gr

oup

rese

arch

stud

y w

ere

revi

sed

in A

ugus

t 201

7. I

n th

e re

vise

d pr

otoc

ol th

e ed

ucat

ion

sess

ion

was

re

plac

ed b

y a

shor

t brie

fing

on h

uman

traf

ficki

ng in

Au

stra

lia a

nd th

e gu

ided

di

scus

sion

that

follo

wed

ex

plor

ed: (

i) pa

rtic

ipan

ts'

awar

enes

s and

kno

wle

dge

of

hum

an tr

affic

king

and

the

likel

ihoo

d of

traf

ficke

d/

expl

oite

d pe

rson

s pre

sent

ing

for h

ealth

car

e in

SVH

A; a

nd

(ii) t

he st

aff e

duca

tion

and

trai

ning

and

syst

ems c

hang

es

• Re

port

of l

earn

ing

and

reco

mm

enda

tions

fr

om fo

cus g

roup

s do

cum

ente

d

• Re

sear

ch st

udy

prog

ress

and

fin

al re

port

s pr

esen

ted

to W

P

SVHM

[21

soci

al w

orke

rs (8

1%),

3 ph

ysio

ther

apist

s (11

%),

2 nu

rses

(8%

)] w

ere

cond

ucte

d at

SVH

M fr

om 1

2 to

19

Oct

ober

, 201

7

• Da

ta fr

om th

e fo

cus g

roup

s wer

e co

llate

d an

d an

alys

ed b

y Dr

Dor

is Te

sta

• Ke

y th

emes

, fin

ding

and

re

com

men

datio

ns fr

om th

e Fo

cus

Grou

p st

udy

wer

e ta

bled

and

disc

usse

d at

the

Febr

uary

and

Apr

il 20

18 W

orki

ng

Part

y m

eetin

gs

• A

sum

mar

y of

the

stud

y fin

ding

s was

in

clud

ed in

the

SVHA

-ACR

ATH

Hum

an

Traf

ficki

ng P

roje

ct R

epor

t, Ph

ase

1 da

ted

Augu

st 2

018

(and

also

in th

e Pr

ojec

t Pha

ses 1

& 2

Fin

al R

epor

t dat

ed

Augu

st 1

5, 2

019)


17

that

wou

ld b

e re

quire

d to

en

sure

that

pot

entia

l vic

tims

of h

uman

traf

ficki

ng a

re

iden

tifie

d in

SVH

A an

d a

mod

el o

f car

e an

d ap

prop

riate

refe

rral

pat

hway

de

velo

ped.

Ac

tion

3. D

evel

op th

e SV

HA

Hum

an T

raffi

ckin

g St

aff

Educ

atio

n Pa

ckag

e

(a) B

ased

on

publ

ished

bes

t pr

actic

e (id

entif

ied

in th

e pr

ojec

t lite

ratu

re re

view

) and

fe

edba

ck fr

om th

e pr

ojec

t’s

focu

s gro

up st

udy:

(i)

Dev

elop

an

Educ

atio

n gu

ide

and

mod

el st

aff t

rain

ing

sess

ion

on h

uman

tr

affic

king

/mod

ern

slave

ry fo

r SV

HA n

ursin

g an

d al

lied

heat

h st

aff;

(ii) C

ondu

ct a

n ex

tend

ed

“tra

in th

e tr

aine

r” se

ssio

n fo

r pr

ojec

t lea

d fa

cilit

ator

s /s

ocia

l wor

k de

part

men

t pe

rson

nel t

o eq

uip

them

to

offe

r tra

inin

g to

nur

sing

and

allie

d he

alth

staf

f acr

oss

SVHA

site

s; a

nd

(iii)

Deve

lop

a dr

aft r

efer

ral

path

way

for v

ictim

s ide

ntifi

ed

in th

e em

erge

ncy

depa

rtm

ents

of S

t Vin

cent

's Ho

spita

ls in

Mel

bour

ne a

nd

Sydn

ey

SVHM

-ACR

ATH

Rese

arch

te

am, S

VHM

Nur

sing

and

Allie

d He

alth

Dep

artm

ent

Head

s sup

port

ed b

y Pr

ojec

t Wor

ker (

Liz P

ayne

)

•

Staf

f tra

inin

g gu

ide

and

mod

el tr

aini

ng se

ssio

n de

velo

ped

• Ex

tend

ed tr

ain-

the-

trai

ner s

essio

n de

velo

ped

and

impl

emen

ted

• Dr

aft r

efer

ral p

athw

ay

deve

lope

d

• Gu

ide

and

mod

el

trai

ning

sess

ion

pres

ente

d to

WP

•

Repo

rt o

n tr

ain-

the-

trai

ner

sess

ion

give

n by

PW

to W

P M

eetin

g •

Draf

t Ref

erra

l Pa

thw

ay

docu

men

t pr

esen

ted

at W

P m

eetin

g

Not

e: D

ue to

tim

e co

nstr

aint

s the

pla

nned

ac

tion

to d

evel

op a

gui

de a

nd m

odel

trai

ning

se

ssio

n w

as re

vise

d in

Aug

ust 2

017

and

chan

ged

to th

e de

liver

y of

inte

rim e

duca

tion

sess

ions

for k

ey st

aff a

t St V

ince

nt's

Hosp

ital

Mel

bour

ne (S

VHM

) and

Syd

ney

(SVH

S).

• In

terim

edu

catio

n se

ssio

ns in

volv

ing

emer

genc

y de

part

men

t (ED

) Ale

rt T

eam

nu

rses

, men

tal h

ealth

staf

f and

soci

al

wor

kers

wer

e sc

hedu

led

for J

une

6,

2018

at S

VHM

and

July

19,

201

8 at

SVH

S •

Trai

n-th

e-tr

aine

r ses

sions

pos

tpon

ed to

Ph

ase

2 of

pro

ject

. •

A dr

aft r

efer

ral P

athw

ay w

as d

evel

oped

fr

om o

ne u

sed

by A

CRAT

H in

an

earli

er

proj

ect.

The

draf

t will

be

disc

usse

d at

SV

HM a

nd S

VHS

educ

atio

n se

ssio

ns;

part

icip

ants

will

be

aske

d to

forw

ard

thei

r com

men

ts to

the

PW.

48

18

Actio

n 4.

Pha

se 2

pla

nnin

g

(a) D

evel

op a

pla

n fo

r Pha

se 2

of

the

proj

ect,

base

d on

le

arni

ng a

nd

reco

mm

enda

tions

from

Ph

ase

1

-Pro

ject

Com

mun

ity

Deve

lopm

ent W

orke

r (Li

z Pa

yne)

in c

onsu

ltatio

n w

ith W

orki

ng P

arty

m

embe

rs

•

Wor

k Pl

an d

evel

oped

• Ph

ase

2 W

ork

Plan

subm

itted

to

Wor

king

Par

ty

in M

ay 2

018

mee

ting

• Th

is ac

tion

was

not

ach

ieve

d in

the

time

fram

e •

An e

xten

ded

Wor

king

Par

ty M

eetin

g w

as p

lann

ed fo

r 15

June

201

8 to

disc

uss

prog

ress

on

Obj

ectiv

e 1

and

plan

act

ions

to

be

unde

rtak

en in

Pha

se 2

of t

he

proj

ect


19

Obj

ectiv

e 2.

To

expl

ore

and

inve

stig

ate

oppo

rtun

ities

and

dev

elop

a p

lan

to a

ddre

ss h

uman

slav

ery

issue

s with

in S

VHA

supp

ly c

hain

s for

serv

ices

and

goo

ds w

ith

the

view

of e

nsur

ing

they

are

slav

ery

free

Ac

tions

/act

iviti

es

Pers

on/s

resp

onsi

ble

In

dica

tor/

s (m

easu

re)

Mea

ns o

f ver

ifica

tion

Pr

ogre

ss

Not

e: F

ive

actio

ns/a

ctiv

ities

in su

ppor

t of O

bjec

tive

2 w

ere

initi

ally

form

ulat

ed: (

1) a

war

enes

s rai

sing

targ

etin

g SV

HA M

anag

er, G

roup

Pro

cure

men

t and

team

; (2

) sco

ping

of S

VHA

supp

liers

to id

entif

y th

e go

ods a

nd se

rvic

es m

ost a

t risk

of h

uman

traf

ficki

ng/s

lave

ry; (

3) d

evel

opm

ent o

f a C

ode

of C

ondu

ct to

add

ress

the

risk

of sl

aver

y in

ACR

ATH'

s sup

ply

chai

ns; (

4) d

evel

opm

ent o

f a

Com

mun

icat

ion

Stra

tegy

to c

omm

unic

ate

SVHA

's co

mm

itmen

t to

supp

liers

; and

(5) d

evel

opm

ent

of a

5-y

ear p

lan

to fu

lly im

plem

ent s

lave

ry S

VHA'

s fre

e su

pply

cha

in p

olic

y. T

his a

ppro

ach

was

dra

wn

from

the

step

s in

the

guid

e de

velo

ped

by th

e W

alk

Free

Fo

unda

tion

(Tac

klin

g M

oder

n Sl

aver

y in

Sup

ply

Chai

ns. A

gui

de 1

.0).

The

resig

natio

n of

the

Man

ager

, SVH

A Gr

oup

Proc

urem

ent i

n M

ay 2

017

dela

yed

the

star

t of

this

proj

ect c

ompo

nent

unt

il Au

gust

. Th

e ev

alua

tion

plan

was

then

mod

ified

to re

quire

that

'ste

ps b

e ta

ken'

tow

ards

the

deve

lopm

ent a

nd im

plem

enta

tion

of th

e Co

de o

f Con

duct

and

the

Com

mun

icat

ion

Plan

. Ac

tion

1. R

aise

aw

aren

ess o

f hu

man

traf

ficki

ng in

hea

lth

serv

ices

supp

ly c

hain

s (1

) Rai

se a

war

enes

s of t

he

issue

of h

uman

tr

affic

king

/sla

very

in h

ospi

tal

and

heal

th c

are

supp

ly c

hain

s w

ithin

the

SVHA

Gro

up

Proc

urem

ent T

eam

to:

(i) d

evel

op th

eir

unde

rsta

ndin

g of

the

SVHA

-AC

RATH

pro

ject

; and

(ii

) cre

ate

proj

ect “

buy-

in”

from

the

Grou

p Pr

ocur

emen

t m

anag

er a

nd k

ey st

aff.

-Liz

Payn

e, P

roje

ct

Com

mun

ity

Deve

lopm

ent W

orke

r -C

hrist

ine

Caro

lan

(ACR

ATH

Exec

utiv

e O

ffice

r) to

con

duct

a

brie

fing

and

awar

enes

s-ra

ising

se

ssio

n w

ith G

roup

M

anag

er, P

rocu

rem

ent

and

key

Proc

urem

ent

team

mem

bers

• Le

vel o

f “bu

y-in

” de

mon

stra

ted

thro

ugh

will

ingn

ess o

f Pr

ocur

emen

t M

anag

er a

nd

team

to e

ngag

e w

ith p

roje

ct

• Re

port

s of b

riefin

g m

eetin

gs

betw

een

PW a

nd G

roup

Pr

ocur

emen

t Man

ager

to W

P

• Pa

rtic

ipat

ion

of G

roup

Pr

ocur

emen

t Man

ager

in W

P

• Th

e in

itial

Gro

up P

rocu

rem

ent

Man

ager

(Cra

ig D

oyle

) was

brie

fed

by L

isa M

cDon

ald

(SVH

A Gr

oup

Miss

ion

Lead

er) p

rior t

o jo

inin

g th

e Pr

ojec

t Wor

king

Par

ty in

May

201

7.

He re

signe

d fr

om S

VHA

in Ju

ne 2

017.

Hi

s rep

lace

men

t (Je

ffrey

Wes

tbro

ok)

was

brie

fed

by C

hrist

ine

Caro

lan

and

Liz P

ayne

prio

r to

join

ing

the

Wor

king

Par

ty in

Aug

ust 2

017

• A

new

ly a

ppoi

nted

seni

or m

embe

r of

the

Grou

p Pr

ocur

emen

t Tea

m

(Gen

evie

ve A

lexa

nder

), w

ho w

as

task

ed to

ass

ist th

e ro

ll-ou

t of t

he

slave

ry fr

ee su

pply

cha

in in

itiat

ive,

jo

ined

the

Proj

ect W

orki

ng P

arty

in

April

201

8

50

20

Actio

n 2.

Inve

stig

ate

the

rang

e of

goo

ds a

nd se

rvic

es

purc

hase

d by

SVH

A G

roup

s Pr

ocur

emen

t to

iden

tify

the

supp

liers

/goo

ds a

nd se

rvic

es

mos

t at r

isk o

f hum

an

traf

ficki

ng/s

lave

ry

-Gro

up P

rocu

rem

ent

Man

ager

(Jef

f W

estb

rook

) -G

roup

Pro

cure

men

t Te

am m

embe

r (G

enev

ieve

Ale

xand

er)

supp

orte

d by

PW

• Go

ods a

nd

serv

ices

mos

t vu

lner

able

to

hum

an

traf

ficki

ng

inve

stig

ated

and

do

cum

ente

d

• Re

port

on

high

risk

su

pplie

rs/g

oods

and

serv

ices

su

bmitt

ed to

WP

• Gr

oup

Proc

urem

ent r

epor

ted

that

a

scan

of S

VHA’

s sup

ply

chai

n sh

owed

th

at th

ere

are

in e

xces

s of 1

000

supp

liers

on

the

SVHA

ven

dor s

uppl

y lis

t for

clin

ical

goo

ds a

nd se

rvic

es

with

the

top

50 su

pplie

rs a

ccou

ntin

g fo

r 75%

of t

heir

tota

l spe

nd o

n go

ods

and

serv

ices

exc

ludi

ng w

ages

($

373.

8/$5

00m

). •

A sa

mpl

e au

dit o

f Ans

ell,

the

supp

lier

of m

edic

al g

love

s (a

high

-risk

in

dust

ry fo

r sla

very

-like

pra

ctic

es)

was

com

plet

ed in

ear

ly O

ctob

er 2

017

by E

rin C

asse

ll (r

esea

rche

r and

m

embe

r of W

P). T

he re

port

was

pr

esen

ted

to N

ovem

ber W

P m

eetin

g an

d su

bseq

uent

ly sh

ared

with

oth

er

Cath

olic

hos

pita

ls in

volv

ed in

glo

ve

tend

er p

roce

ss.

• Th

e siz

e an

d co

mpl

exity

of S

VHA’

s su

pply

cha

in le

d SV

HA G

roup

Pr

ocur

emen

t to

cons

ider

out

sour

cing

th

e su

pply

cha

in a

uditi

ng/r

isk

asse

ssm

ent o

f maj

or S

VHA

supp

liers

to

Sal

vos L

egal

who

offe

r thi

s sp

ecia

list s

ervi

ce. T

he S

alvo

s Leg

al

team

pitc

hed

thei

r ser

vice

to Je

ff W

estb

rook

and

thre

e ot

her W

orki

ng

Part

y m

embe

rs (L

isa M

cDon

ald,

Ch

ristin

e Ca

rola

n an

d Er

in C

asse

ll) a

t a

mee

ting

on N

ovem

ber 8

, 201

7 •

At th

eir A

pril

18, 2

018

mee

ting

the

SVHA

Exe

cutiv

e Le

ader

ship

Tea

m

appr

oved

the

enga

gem

ent o

f Sal

vos

Lega

l and

, lat

er, o

f Mill

s Oak

ley

to

unde

rtak

e m

oder

n sla

very

risk


21

asse

ssm

ents

on

SVHA

's 'to

p 50

' su

pplie

rs a

nd d

evel

op re

port

ing

tool

s an

d te

mpl

ates

to im

prov

e th

e ca

paci

ty o

f Gro

up P

rocu

rem

ent t

o au

dit t

heir

supp

liers

and

repo

rt o

n co

mpl

ianc

e.

Ac

tion

3. T

ake

step

s to

deve

lop

a SV

HA C

ode

of

Cond

uct o

r equ

ival

ent

stat

emen

t to

effe

ctiv

ely

addr

ess t

he ri

sk o

f sla

very

in

supp

ly c

hain

s of c

ompa

nies

pr

ovid

ing

good

s and

serv

ices

to

SVH

A th

roug

h Gr

oup

Proc

urem

ent,

base

d on

a

‘bes

t pra

ctic

e’ d

raft

cod

e an

d th

e re

quire

men

ts o

f the

pr

opos

ed 2

018

Mod

ern

Slav

ery

Act,

Aust

ralia

.

-Gro

up P

rocu

rem

ent

Man

ager

and

key

Pr

ocur

emen

t sta

ff su

ppor

ted

by P

W

• Hi

gh q

ualit

y SV

HA C

ode

deve

lope

d an

d ap

prov

ed b

y W

orki

ng P

arty

, SV

HA E

xecu

tive

Lead

ersh

ip

Team

, and

SVH

A Bo

ard

• Pr

ogre

ss ta

ken

by S

VHA

in

supp

ort o

f Cod

e of

Con

duct

do

cum

ente

d an

d re

port

ed to

W

P.

• Co

de o

f Con

duct

not

fully

dev

elop

ed.

The

step

s tak

en a

re o

utlin

ed b

elow

. •

At it

s mee

ting

on A

pril

26, 2

017

the

Exec

utiv

e Le

ader

ship

Tea

m (E

LT)

com

mitt

ed to

Gro

up P

rocu

rem

ent

wor

king

with

SVH

A’s s

uppl

iers

to

erad

icat

e m

oder

n sla

very

, unj

ust

empl

oym

ent p

ract

ices

and

hum

an

traf

ficki

ng

• Th

is co

mm

itmen

t was

spec

ifica

lly

incl

uded

in th

e six

obj

ectiv

es o

f SV

HA’s

Gro

up P

rocu

rem

ent P

olic

y 4.

0 re

vise

d in

Oct

ober

201

7 •

SVHA

Gro

up P

rocu

rem

ent’s

Ten

der

Cond

ition

s doc

umen

t was

also

re

vise

d to

incl

ude:

a st

atem

ent o

f SV

HA’s

com

mitm

ent t

o w

ork

with

su

pplie

rs, b

usin

ess p

artn

ers a

nd

gove

rnm

ents

to e

radi

cate

mod

ern

slave

ry in

all

its fo

rms;

a re

quire

men

t th

at su

pplie

rs a

nd b

usin

ess p

artn

ers

self-

asse

ss th

e ef

fect

iven

ess o

f the

ir po

licy

and

prac

tices

on

slave

ry a

nd

hum

an tr

affic

king

usin

g a

supp

lied

ques

tionn

aire

; and

a st

atem

ent

notif

ying

supp

liers

that

, whe

n te

nder

s wer

e ev

alua

ted,

pre

fere

nce

wou

ld b

e gi

ven

to su

pplie

rs th

at

coul

d de

mon

stra

te st

rong

and

52

22

ongo

ing

com

mitm

ent t

o th

e er

adic

atio

n of

mod

ern

slave

ry

prac

tices

acr

oss t

heir

supp

ly c

hain

. •

The

new

tend

er c

ondi

tions

do

cum

ent i

nclu

ding

the

self-

asse

ssm

ent q

uest

ionn

aire

was

tr

ialle

d w

hen

the

tend

er fo

r foo

d se

rvic

es w

as a

dver

tised

by

Grou

p Pr

ocur

emen

t in

2017

. •

The

Grou

p Pr

ocur

emen

t Man

ager

re

port

ed th

at m

ost c

ompa

nies

te

nder

ing

for t

he fo

od se

rvic

es

cont

ract

did

not

ans

wer

key

qu

estio

ns o

n th

e M

oder

n Sl

aver

y qu

estio

nnai

re a

nd th

e re

spon

ses

give

n in

dica

ted

that

non

e of

the

supp

liers

had

serio

usly

add

ress

ed

slave

ry in

thei

r sup

ply

chai

n.

• Th

is po

or re

spon

se in

fluen

ced

the

Proc

urem

ent M

anag

er to

re

com

men

d SV

HA o

utso

urce

the

audi

t/ris

k as

sess

men

t pro

cess

to a

sp

ecia

list s

ervi

ce, s

uch

as th

at

offe

red

by S

alvo

s Leg

al, t

hen

Mill

s O

akle

y (s

ee a

bove

).

Actio

n 4.

Tak

e st

eps t

o de

velo

p a

‘Com

mun

icat

ion

Fram

ewor

k’ to

com

mun

icat

e SV

HA's

enga

gem

ent i

n de

velo

ping

slav

ery

free

su

pply

cha

ins t

o su

pplie

rs a

nd

othe

r sta

keho

lder

s, a

nd th

eir

expe

cted

del

iver

able

s (ba

sed

on a

‘bes

t pra

ctic

e’ d

raft

pr

ovid

ed)

-Gro

up P

rocu

rem

ent

Man

ager

and

key

staf

f su

ppor

ted

by P

W

• Hi

gh q

ualit

y Co

mm

unic

atio

n St

rate

gy

Fram

ewor

k ap

prov

ed b

y W

orki

ng P

arty

an

d SV

HA

Lead

ersh

ip T

eam

• Co

mm

unic

atio

n Fr

amew

ork

tabl

ed a

nd a

ppro

ved

at

Wor

king

Par

ty m

eetin

g

• N

ot a

chie

ved

in th

e tim

efra

me

•

The

revi

sed

SVHA

Gro

up

Proc

urem

ent t

ende

r con

ditio

ns

docu

men

t dist

ribut

ed to

Foo

d Se

rvic

es te

nder

ers w

as a

firs

t ste

p in

co

mm

unic

atin

g SV

HA’s

slav

ery-

free

su

pply

cha

in p

olic

y to

pot

entia

l su

pplie

rs.


23

Actio

n 5.

Dev

elop

SVH

A’s

Proc

urem

ent A

ctio

n Pl

an

2018

-202

3’, b

ased

on

a dr

aft

prov

ided

, to

min

imise

the

risk

of S

VHA'

s sup

ply

chai

n be

ing

tain

ted

by m

oder

n sla

very

.

-Gro

up P

rocu

rem

ent

Man

ager

and

key

staf

f in

Pro

cure

men

t rol

es,

supp

orte

d by

PW

• Hi

gh q

ualit

y Ac

tion

Plan

ap

prov

ed b

y W

orki

ng P

arty

an

d SV

HA B

oard

• Pr

ocur

emen

t Act

ion

Plan

, ba

sed

on e

vide

nce

of

effe

ctiv

enes

s and

cog

nisa

nt

of A

ustr

alia

’s d

raft

Mod

ern

Slav

ery

Act t

able

d an

d ap

prov

ed a

t Wor

king

Par

ty

mee

ting

• N

ot a

chie

ved.

•

An e

xten

ded

Wor

king

Par

ty M

eetin

g w

as p

lann

ed fo

r Jun

e 15

, 201

8 to

di

scus

s pro

gres

s on

Obj

ectiv

e 2

and

plan

act

ions

/act

iviti

es to

be

unde

rtak

en in

Pha

se 2

of t

he p

roje

ct.

54

24

PHAS

E 2:

MAY

1, 2

018

TO JU

NE

30, 2

019

- IM

PLEM

ENTA

TIO

N P

HAS

E O

bjec

tive

1. T

o in

crea

se th

e re

cogn

ition

and

supp

ort o

f vic

tims o

f hum

an tr

affic

king

who

seek

hea

lth c

are

with

in S

VHA

incl

udin

g w

omen

in se

xual

exp

loita

tion,

pe

ople

faci

ng fo

rced

mar

riage

and

peo

ple

who

hav

e ex

perie

nced

forc

ed la

bour

. Pl

anne

d ac

tions

/act

iviti

es

Pers

on/s

resp

onsi

ble

In

dica

tor/

s (m

easu

re)

Mea

ns o

f ver

ifica

tion

Prog

ress

/im

pact

s Ac

tion

1. D

evel

op S

VHA’

s Hum

an

Traf

ficki

ng st

aff e

duca

tion

and

trai

ning

pac

kage

(a

) Tria

l and

refin

e th

e ed

ucat

ion

sess

ion

as p

lann

ed in

pha

se 1

, in

volv

ing

key

staf

f at S

t Vi

ncen

t’s H

ospi

tal M

elbo

urne

(S

VHM

) and

St V

ince

nt’s

Ho

spita

l Syd

ney

(SVH

S)

(b

) Fur

ther

dev

elop

the

Educ

atio

n Gu

ide

cons

istin

g of

: (i)

a h

ard

copy

ver

sion

for u

se

by S

VHA

Hum

an T

raffi

ckin

g Cl

inic

al C

ham

pion

s and

Le

arni

ng D

evel

opm

ent

Lead

ers (

LDLs

) at S

VHA

sites

(t

o eq

uip

them

to d

irect

ly

deliv

er 4

5-m

inut

e on

goin

g ed

ucat

ion

and

trai

ning

se

ssio

ns to

fron

tline

ED

staf

f, so

cial

wor

kers

, lea

ders

hip

team

mem

bers

and

oth

er

inte

rest

ed st

aff);

and

- PW

(Liz

Payn

e)

- Se

rvic

e In

nova

tion

Proj

ect O

ffice

r, In

clus

ive

Heal

th

Prog

ram

, SVH

A (D

aisy

Sa

rgea

nt/S

aman

tha

Corr

ie)

- W

orki

ng P

arty

m

embe

rs

• In

terim

edu

catio

n se

ssio

ns h

eld

at

SVHM

& S

VHS

sites

in

June

and

Sep

tem

ber

2018

, res

pect

ivel

y

• Fi

nal d

raft

of

Educ

atio

n Gu

ide

circ

ulat

ed to

sele

cted

cl

inic

ally

exp

erie

nced

W

orki

ng P

arty

m

embe

rs fo

r fe

edba

ck b

y 31

Apr

il 20

19

•

Onl

ine

trai

ning

m

odul

e de

velo

ped

from

fina

l gui

de

cont

ent

• Re

port

as p

rese

nted

to

Wor

king

Par

ty

mee

ting

• Pr

ogre

ss d

ocum

ente

d in

WP

mee

ting

min

utes

- du

e da

tes

met

•

Fina

l ver

sion

of

Educ

atio

n gu

ide

and

on-li

ne tr

aini

ng

mod

ule

avai

labl

e an

d re

ady

to u

se o

n 31

M

ay 2

019

• 53

staf

f (ED

Ale

rt T

eam

nur

ses,

m

enta

l hea

lth w

orke

rs a

nd so

cial

w

orke

rs) a

tten

ded

educ

atio

n se

ssio

ns h

eld

at S

VHM

and

SVH

S on

Ju

ne 6

and

in S

ept 2

018.

•

Educ

atio

n se

ssio

n fu

rthe

r dev

elop

ed

and

tria

lled

at S

VHM

STA

R (S

uppo

rt

Team

Act

ion

Resp

onse

) Pro

fess

iona

l De

velo

pmen

t Tra

inin

g M

orni

ng

atte

nded

by

25 n

urse

s and

soci

al

wor

kers

on

Mar

ch 2

1, 2

019.

•

Deve

lopm

ent o

f Edu

catio

n Gu

ide

slow

er th

an a

ntic

ipat

ed.

A dr

aft w

as

circ

ulat

ed to

clin

ical

staf

f on

WP

for

com

men

t in

late

May

201

9 an

d di

scus

sed

at M

ay 2

019

WP

mee

ting.

•

Fina

l ver

sion

of E

duca

tion

Guid

e ci

rcul

ated

to se

lect

ed W

orki

ng P

arty

m

embe

rs o

n Ju

ne 1

8, 2

019

and

tabl

ed a

t Jun

e 20

19 W

orki

ng P

arty

m

eetin

g.

• St

aff o

n-lin

e tr

aini

ng m

odul

e no

t de

velo

ped;

app

rova

l giv

en a

t May

20

19 W

orki

ng P

arty

mee

ting

that

st

aff w

ill in

stea

d ac

cess

Ant

i-Sla

very


25

(ii) a

n on

-line

trai

ning

mod

ule

for t

rain

ing

nurs

es, o

ther

cl

inic

al a

nd a

llied

hea

lth st

aff

(c) R

ecru

it an

d tr

ain

a te

am o

f Hu

man

Tra

ffick

ing

Clin

ical

Ch

ampi

ons (

lead

faci

litat

ors)

th

at c

over

all

36 S

VHA

sites

: (i)

Deve

lop

and

impl

emen

t a

proc

ess f

or re

crui

ting

clin

ical

ch

ampi

ons

(ii)R

ecru

it an

d tr

ain

clin

ical

ch

ampi

ons.

Ac

tion

2. D

evel

op S

VHA’

s Hum

an

Traf

ficki

ng P

olic

y th

at c

over

s pr

otoc

ols a

nd p

roce

dure

s (in

clud

ing

the

refe

rral

pat

hway

fo

r pot

entia

l/con

firm

ed v

ictim

s of

hum

an tr

affic

king

iden

tifie

d by

cl

inic

al a

nd so

cial

wor

k st

aff)

to

supp

ort s

taff

enga

gem

ent i

n sp

ecifi

ed a

ctio

ns to

add

ress

hu

man

traf

ficki

ng

- PW

(Liz

Payn

e)

- Se

rvic

e In

nova

tion

Proj

ect O

ffice

r, In

clus

ive

Heal

th

Prog

ram

, SVH

A (S

aman

tha

Corr

ie)

- SV

HA/S

VHM

(Lisa

Br

addy

, Soc

ial W

ork)

-

Serv

ice

Inno

vatio

n Pr

ojec

t Offi

cer,

Incl

usiv

e He

alth

Pr

ogra

m, S

VHA

(Sam

anth

a Co

rrie

) -

PW (L

iz Pa

yne)

• Re

ady-

to-u

se

Educ

atio

n Gu

ide

and

mod

ule

com

plet

ed b

y 31

May

201

9

•

Hum

an T

raffi

ckin

g Cl

inic

al C

ham

pion

s pr

opos

al a

nd p

lan

pres

ente

d to

Mar

ch

and

May

201

9 W

orki

ng P

arty

m

eetin

gs

• Cl

inic

al c

ham

pion

s re

crui

ted

by Ju

ne

2019

•

A pr

otot

ype

Hum

an

Traf

ficki

ng P

olic

y do

cum

ent (

incl

udin

g re

ferr

al p

athw

ay

proc

edur

e) to

be

deve

lope

d an

d ap

prov

ed fo

r SVH

M

by e

nd A

pril

2019

w

ith th

e ai

m o

f ad

optio

n by

SVH

A at

a

late

r sta

ge

• Ap

prov

ed p

lan

and

list o

f rec

ruite

d Cl

inic

al C

ham

pion

s co

verin

g SV

HA si

tes

(as f

inal

ly p

rese

nted

to

Wor

king

Par

ty)

• SV

HM H

uman

Tr

affic

king

Dra

ft

Polic

y do

cum

ent

tabl

ed a

t May

WP

mee

ting.

Aust

ralia

’s (A

SA’s

) e-L

earn

ing

cour

se

via

hype

rlink

(neg

otia

ted

with

ASA

to

be

avai

labl

e fr

om Ju

ne 2

2, 2

019)

. Th

e iss

ue o

f for

ced

mar

riage

was

in

corp

orat

ed in

to S

VHA’

s Fam

ily

Viol

ence

Sta

ff Ed

ucat

ion

mod

ules

. •

The

hard

cop

y Gu

ide

and

acco

mpa

nyin

g U

SB in

clud

e ed

ucat

ion

sess

ions

, a P

ower

Poin

t pr

esen

tatio

n, n

otes

and

reso

urce

s th

at c

an b

e ad

apte

d an

d us

ed fo

r st

aff e

duca

tion

and

trai

ning

•

Not

ach

ieve

d, p

rogr

ess d

elay

ed.

• De

taile

d pl

an fo

r int

rodu

cing

SVH

A Hu

man

Tra

ffick

ing

Clin

ical

Ch

ampi

ons (

cove

ring

thei

r re

crui

tmen

t and

lead

ersh

ip ro

le)

deve

lope

d by

Sam

Cor

rie (S

VHA)

an

d di

scus

sed

at M

ay 2

019

Wor

king

Pa

rty

mee

ting.

Pla

n to

be

furt

her

refin

ed.

• Re

crui

tmen

t of C

linic

al C

ham

pion

s de

ferr

ed p

ost p

roje

ct e

nd d

ate.

•

Part

ly a

chie

ved

– as

repo

rted

to

April

201

9 W

orki

ng P

arty

mee

ting,

SV

HA d

ecid

ed to

slow

the

deve

lopm

ent o

f the

SVH

M fu

ll po

licy

docu

men

t exc

ept f

or th

e “c

ase

iden

tific

atio

n, e

scal

atio

n an

d re

ferr

al p

athw

ay”

sect

ion.

A w

ork-

in-p

rogr

ess d

raft

of f

ull p

olic

y w

as

tabl

ed a

t the

June

201

9 W

P m

eetin

g fo

r fur

ther

dev

elop

men

t by

SVHM

/SVH

A ov

er n

ext 1

2 m

onth

s.

56

26

Actio

n 3:

Rol

lout

SVH

A st

aff

educ

atio

n an

d tr

aini

ng p

rogr

am

(a) C

ondu

ct “

trai

n th

e tr

aine

r”

educ

atio

n se

ssio

ns fo

r pro

ject

ch

ampi

ons a

nd L

earn

ing

and

Deve

lopm

ent L

eade

rs to

eq

uip

them

to o

ffer t

rain

ing

to n

ursin

g, so

cial

wor

k, a

llied

he

alth

and

oth

er in

tere

sted

st

aff a

cros

s SVH

A sit

es

(b) S

VHA

to d

evel

op a

sust

aina

ble

trai

ning

pla

n fo

r the

ong

oing

ed

ucat

ion

and

trai

ning

of s

ite

cham

pion

s, fr

ont-

line

ED

clin

ical

staf

f and

soci

al

wor

kers

- PW

(Liz

Payn

e) in

co

llabo

ratio

n w

ith

SVHA

site

clin

ical

ch

ampi

ons

- Se

rvic

e In

nova

tion

Proj

ect O

ffice

r, In

clus

ive

Heal

th

Prog

ram

, SVH

A (S

aman

tha

Corr

ie)

• O

rgan

isatio

n an

d co

nten

t of t

rain

-the

-tr

aine

r ses

sions

de

velo

ped

by Ju

ne

2019

•

Plan

dev

elop

ed b

y Ju

ne 2

019

• Pr

ojec

t Wor

ker’s

re

port

on

prog

ress

of

trai

ning

as p

rese

nted

to

May

201

9 W

orki

ng

Part

y M

eetin

g

• Li

sa B

radd

y (S

VHM

) rep

orte

d th

at

the

issue

of f

orce

d m

arria

ge is

now

co

vere

d in

SVH

A’s F

amily

and

Do

mes

tic V

iole

nce

Polic

y.

• Li

sa B

radd

y co

nven

ed a

smal

l gro

up

of S

VHM

soci

al w

orke

rs to

ass

ist th

e de

velo

pmen

t of t

he C

linic

ians

’ Gui

de

cove

ring

the

case

iden

tific

atio

n,

esca

latio

n an

d re

ferr

al p

athw

ays

proc

ess (

to b

e in

clud

ed in

the

Educ

atio

n Gu

ide)

. Ini

tial d

raft

was

pr

esen

ted

to M

ay 2

019

WP

mee

ting

and

final

dra

ft (t

itled

“SV

HM C

linic

al

Path

way

– R

espo

ndin

g to

Vic

tims o

f Hu

man

Tra

ffick

ing”

) to

the

June

20

19 W

P m

eetin

g (p

roje

cted

to b

e fin

alise

d by

mid

-July

).

• N

ot a

chie

ved.

•

Educ

atio

n se

ssio

ns fu

rthe

r ref

ined

bu

t im

plem

enta

tion

post

pone

d un

til

Hum

an T

raffi

ckin

g Cl

inic

al

Cham

pion

s rec

ruite

d an

d tr

aine

d (a

ntic

ipat

ed to

be

achi

eved

by

Dece

mbe

r 201

9)

• N

ot a

chie

ved

– w

ill b

e de

velo

ped

in

futu

re b

y SV

HA in

con

sulta

tion

with

Cl

inic

al C

ham

pion

s.


27

Obj

ectiv

e 2.

To

expl

ore

and

inve

stig

ate

oppo

rtun

ities

and

dev

elop

a p

lan

to a

ddre

ss h

uman

slav

ery

issue

s with

in S

VHA

supp

ly c

hain

s for

serv

ices

and

goo

ds w

ith

the

view

of e

nsur

ing

they

are

slav

ery

free

. Ac

tions

/act

iviti

es

Pers

on/s

resp

onsi

ble

In

dica

tor/

s (m

easu

re)

Mea

ns o

f ver

ifica

tion

Prog

ress

Actio

n 1.

Ass

ess t

he to

p 50

SV

HA su

pplie

rs id

entif

ied

in

Phas

e 1

to id

entif

y th

e ris

k of

hu

man

traf

ficki

ng (m

oder

n sl

aver

y) in

thei

r ext

ende

d su

pply

cha

ins a

nd th

e ad

equa

cy o

f the

ir in

tern

al

polic

ies,

pro

cedu

res a

nd

proc

esse

s to

iden

tify

and

amel

iora

te th

ese

risks

. (a

) SD

Stra

tegi

es in

co

nsul

tatio

n w

ith S

VHA

Proc

urem

ent t

o de

velo

p an

on

-line

mod

ern

slave

ry in

su

pply

cha

in ri

sk

asse

ssm

ent t

ool (

a su

pplie

r se

lf-as

sess

men

t qu

estio

nnai

re) a

nd

acco

mpa

nyin

g vi

deo

expl

aine

r and

FAQ

’s p

age

(b

) SD

Stra

tegi

es to

con

duct

a

desk

top

mod

ern

slave

ry ri

sk

asse

ssm

ent t

arge

ting

the

top

50 S

VHA

supp

liers

(“Ti

er

1 su

pplie

rs”)

, bas

ed o

n SV

HA ‘s

spen

d (n

=46)

or

SVHA

’s a

sses

smen

t tha

t a

- SV

HA G

roup

Pr

ocur

emen

t M

anag

er (J

eff

Wes

tbro

ok)

- Se

nior

Pro

cure

men

t Sp

ecia

list

(Gen

evie

ve

Alex

ande

r)

- M

ills O

akle

y (le

gal

firm

eng

aged

by

SVHA

) -

SD S

trat

egie

s (H

uman

Rig

hts

cons

ulta

nts s

ub-

cont

ract

ed b

y M

ills

Oak

ley)

to c

ondu

ct

supp

lier r

isk

asse

ssm

ent s

urve

y)

• Q

uest

ionn

aire

and

su

ppor

t mat

eria

l dr

afte

d, a

ppro

ved

and

post

ed o

n SD

Str

ateg

ies

web

site

(thr

ough

pa

ssw

ord

prot

ecte

d po

rtal

) by

end

Augu

st,

2018

.

•

Risk

ass

essm

ent

cond

ucte

d by

SD

Stra

tegi

es w

ith m

id-

Sept

embe

r clo

sing

date

• Ev

iden

ce th

at d

raft

qu

estio

nnai

re a

nd

supp

ort m

ater

ial

prov

ided

to S

VHA

Proc

urem

ent a

nd

Wor

king

Par

ty fo

r co

mm

ent p

rior t

o po

stin

g in

Aug

ust 2

018

• O

n-lin

e qu

estio

nnai

re

post

ed b

y SD

stra

tegi

es

• Su

pply

cha

in q

uest

ionn

aire

, vid

eo

expl

aine

r and

FAQ

pag

e ci

rcul

ated

by

em

ail t

o W

orki

ng P

arty

mem

bers

on

24

July

and

disc

usse

d at

25

July

20

18 W

orki

ng P

arty

mee

ting.

•

Targ

eted

supp

liers

not

ified

of

surv

ey a

nd p

roce

dure

by

SVHA

Pr

ocur

emen

t Man

ager

on

Augu

st

21, 2

018

•

Que

stio

nnai

re u

ploa

ded

by S

D St

rate

gies

on

Augu

st 2

2, 2

018

as

plan

ned.

Due

to p

oor r

espo

nse,

the

clos

ing

date

was

ext

ende

d tw

ice

(from

Sep

t 12

to S

ept 2

4 th

en O

ct

19).

Rem

inde

rs se

nt to

supp

liers

on

58

28

supp

lier w

as a

t pot

entia

lly

high

risk

of e

xpos

ure

to

mod

ern

slave

ry in

thei

r su

pply

cha

in (n

=4)

(c) S

D St

rate

gies

to c

olla

te a

nd

anal

yse

resp

onde

nts’

dat

a,

each

supp

lier o

n ris

k an

d pr

ovid

e SV

HA P

rocu

rem

ent

with

: (i)

a su

mm

ary

repo

rt o

f the

ou

tcom

es o

f the

surv

ey a

nd

a ris

k as

sess

men

t for

eac

h pa

rtic

ipat

ing

supp

lier

incl

udin

g re

com

men

datio

ns

for f

utur

e ac

tion;

and

(ii

) a ta

ilore

d fe

edba

ck

repo

rt fo

r eac

h pa

rtic

ipat

ing

supp

lier t

hat

incl

udes

thei

r risk

ratin

g an

d re

com

men

datio

ns fo

r im

prov

emen

t

(d) S

VHA

Grou

p Pr

ocur

emen

t M

anag

er a

nd G

roup

M

issio

n Le

ader

to p

rese

nt

the

Supp

ly C

hain

As

sess

men

t Sum

mar

y Re

port

to S

VHA

Exec

utiv

e Le

ader

ship

Tea

m (E

LT) a

nd

Boar

d fo

r inf

orm

atio

n an

d ap

prov

al to

diss

emin

ate

feed

back

to su

pplie

rs

(e

) Ind

ivid

ualis

ed fe

edba

ck

repo

rts d

issem

inat

ed to

the

• Su

rvey

dat

a co

llate

d,

anal

ysed

and

supp

liers

ra

ted

on ri

sk o

f mod

ern

slave

ry in

supp

ly c

hain

. •

Supp

ly C

hain

Ass

essm

ent

Sum

mar

y Re

port

pr

epar

ed a

nd

diss

emin

ated

to W

orki

ng

Part

y by

Dec

embe

r 201

8

•

Supp

ly C

hain

Ass

essm

ent

Sum

mar

y Re

port

pr

esen

ted

to S

VHA

Lead

ersh

ip T

eam

and

Bo

ard

• In

divi

dual

aud

it fe

edba

ck

repo

rts i

nclu

ding

a ri

sk

by 2

2 Au

gust

.

• M

etho

dolo

gy, r

esul

ts

and

mod

ern

slave

ry

risk

asse

ssm

ent

incl

uded

in S

VHA

Mod

ern

Slav

ery

Supp

ly

Chai

n As

sess

men

t Re

port

subm

itted

by

SD

Stra

tegi

es to

Gro

up

Proc

urem

ent M

anag

er

and

WP

by d

ue d

ate.

• As

repo

rted

to W

P an

d re

cord

ed in

WP

Min

utes

• Co

mpl

etio

n of

fe

edba

ck p

roce

ss

Sept

5 a

nd 1

2 an

d O

ct 9

. •

Fina

l par

ticip

atio

n ra

te: 6

2% (3

1/50

ta

rget

ed su

pplie

rs);

42%

(21/

50)

resp

onde

d in

full.

•

Data

from

full

resp

onde

nts (

21

supp

liers

) ana

lyse

d an

d dr

aft S

uppl

y Ch

ain

Asse

ssm

ent R

epor

t (da

ted

30

Nov

) circ

ulat

ed to

Wor

king

Par

ty o

n 11

Dec

, 201

8 •

Supp

ly C

hain

Ass

essm

ent R

epor

t: Re

sults

Sum

mar

y (n

=21

supp

liers

) -

Mos

t sup

plie

rs w

ere

Aust

ralia

n su

bsid

iarie

s of g

loba

l com

pani

es a

nd

sour

ced

prod

ucts

from

hig

h ris

k re

gion

s -

Subs

idia

ry c

ompa

nies

mos

tly re

ferr

ed

to c

orpo

rate

(glo

bal)

polic

ies a

nd

pres

ente

d no

evi

denc

e th

at th

ese

wer

e ta

ilore

d to

thei

r Aus

tral

ian

oper

atio

ns/im

plem

ente

d lo

cally

-

<20%

had

map

ped

thei

r sup

ply

chai

ns

- ~4

0% d

id n

ot a

ddre

ss, m

onito

r or

eval

uate

mod

ern

slave

ry ri

sk in

thei

r su

pply

cha

ins;

-

<25%

impl

emen

ted

corr

ectiv

e ac

tion

-

No

supp

lier w

as ra

nked

as h

avin

g lo

w

risk

of h

uman

traf

ficki

ng in

thei

r sup

ply

chai

n; 1

2 w

ere

rank

ed a

s med

ium

risk

; an

d 9

as h

igh

risk)

•

Supp

ly C

hain

Ass

essm

ent S

umm

ary

Repo

rt w

as p

rese

nted

to S

VHA

ELT

and

Boar

d.

• N

ot a

chie

ved

in p

roje

ct ti

me

fram

e:

diss

emin

atio

n of

indi

vidu

alise

d au

dit f

eed-

back

repo

rts d

elay

ed


29

21 a

udite

d su

pplie

rs

incl

udin

g a

requ

est f

or a

re

spon

se

Actio

n 2.

Enc

oura

ge a

nd

supp

ort a

ll m

embe

rs o

f Ca

thol

ic H

ealth

Aus

tral

ia (C

HA)

to p

artn

er w

ith S

VHA

and

ACRA

TH to

iden

tify

and

addr

ess h

uman

traf

ficki

ng a

nd

mod

ern

slav

ery

in th

eir s

uppl

y ch

ains

(as m

any

of S

VHA’

s m

ajor

supp

liers

als

o su

pply

to

othe

r CHA

mem

bers

)

- ACR

ATH

mem

bers

on

Wor

king

Par

ty

exte

ndin

g to

full

ACRA

TH

mem

bers

hip

- S

VHA

mem

bers

of

Wor

king

Par

ty

exte

ndin

g to

SVH

A Ex

ecut

ive

and

Boar

d.

ratin

g pr

epar

ed fo

r aud

it re

spon

dent

s di

ssem

inat

ed to

SVH

A re

spon

dent

s by

early

De

cem

ber 2

018

• Pl

anne

d an

d op

port

unist

ic

enga

gem

ents

of

ACRA

TH a

nd S

VHA

with

ot

her C

atho

lic H

ealth

ca

re p

rovi

ders

di

scus

sed

and

repo

rted

to

Wor

king

Par

ty

docu

men

ted

in W

P M

inut

es (f

rom

Gro

up

Proc

urem

ent

Man

ager

’s re

port

) •

Enga

gem

ents

reco

rded

in

WP

Min

utes

until

nex

t ste

ps in

aud

it pr

oces

s de

term

ined

by

SVHA

Gro

up

Proc

urem

ent.

•

Pres

enta

tions

mad

e to

the

follo

win

g co

nfer

ence

s and

sem

inar

s - C

atho

lic H

ealth

Aus

tral

ia (C

HA)

Conf

eren

ce, A

ugus

t 29,

201

8 (C

hrist

ine

Caro

lan,

ACR

ATH

& L

isa

McD

onal

d, S

VHA)

- B

akhi

ta D

ay E

thic

al S

ourc

ing

Sem

inar

pan

ellis

t, 8

Feb

2019

(Jef

f W

estb

rook

, SVH

A)

• SV

HA-A

CRAT

H Hu

man

Tra

ffick

ing

Proj

ect W

orki

ng P

arty

Ope

n M

eetin

g he

ld in

Nov

embe

r 201

8 at

tend

ed b

y re

pres

enta

tives

from

CH

A, M

ercy

Fou

ndat

ion,

Cab

rini

Heal

th, M

ater

Hos

pita

l, St

John

of

God

Heal

th C

are,

Cal

vary

Hea

lth

Care

, Vill

a M

aria

Hom

es

• SV

HA M

anag

er, G

roup

Pro

cure

men

t di

strib

uted

SVH

A Su

pply

Cha

in

Asse

ssm

ent S

umm

ary

Repo

rt to

m

embe

rs o

f the

Cat

holic

N

egot

iatin

g Al

lianc

e (C

NA)

, a

netw

ork

of 9

Cat

holic

hos

pita

l and

ag

ed c

are

prov

ider

s •

Num

erou

s eng

agem

ents

bet

wee

n SV

HA M

anag

er, G

roup

Pro

cure

men

t an

d co

unte

rpar

ts in

oth

er C

atho

lic

heal

th c

are

prov

ider

org

anisa

tions

an

d U

nitin

g He

alth

•

Pres

enta

tion

by A

CRAT

H EO

60

30

Actio

n 3.

Pro

gres

s the

de

velo

pmen

t of a

long

er-t

erm

ac

tion

plan

that

cov

ers S

VHA’

s m

ajor

and

min

or su

pplie

rs o

f se

rvic

es a

nd g

oods

- SV

HA G

roup

Pr

ocur

emen

t M

anag

er (J

eff

Wes

tbro

ok)

- Se

nior

Pro

cure

men

t Sp

ecia

list

(Gen

evie

ve

Alex

ande

r)

• Fo

rwar

d pl

an

deve

lope

d by

Gro

up

Proc

urem

ent

(Chr

istin

e Ca

rola

n) to

: Mer

cy

Gove

rnan

ce (C

EO a

nd B

oard

ch

airs

)18/

3/19

; Mer

cy H

ealth

Boa

rd

(7/5

/19)

; CHA

Lea

ders

hip

Retr

eat

• Jo

int p

rese

ntat

ion

by S

VHA

(Sam

anth

a Co

rrie

) and

ACR

ATH

(Chr

istin

e Ca

rola

n an

d N

oele

ne

Sim

mon

s) to

Cat

holic

Miss

ion

Conf

eren

ce (1

5/5/

19)

•

SVHA

’s P

rocu

rem

ent M

anag

er

repo

rted

at t

he A

pril

2019

Wor

king

Pa

rty

mee

ting

that

SVH

A is

tryi

ng to

fin

d a

body

(suc

h as

CHA

or C

NA)

to

spon

sor j

oint

act

ion

by a

ll Ca

thol

ic

heal

thca

re p

rovi

ders

to a

ddre

ss

mod

ern

slave

ry in

thei

r sup

ply

chai

ns.

SVHA

favo

urs j

oint

act

ion

as

othe

r Cat

holic

(and

priv

ate)

he

alth

care

pro

vide

rs u

se th

e sa

me

maj

or su

pplie

rs a

s SVH

A an

d, li

ke

SVHA

, the

y w

ill n

ow b

e re

quire

d to

re

port

ann

ually

to th

e Co

mm

onw

ealth

gov

ernm

ent s

ettin

g ou

t the

ir ac

tions

to a

sses

s and

ad

dres

s mod

ern

slave

ry ri

sks i

n th

eir o

pera

tions

and

supp

ly c

hain

s (u

nder

the

prov

ision

s of A

ustr

alia

’s

Mod

ern

Slav

ery

Act,

2018

).


31

Obj

ectiv

e 3.

To

inco

rpor

ate

the

follo

win

g in

to S

VHA

com

mun

icat

ions

and

suita

ble

activ

ities

: aw

aren

ess r

aisin

g, p

raye

r and

app

ropr

iate

act

ion

and

reco

gniti

on o

f th

e SV

HA H

uman

Tra

ffick

ing

Proj

ect t

o he

lp e

limin

ate

hum

an tr

affic

king

and

mod

ern

slave

ry.

Actio

ns/a

ctiv

ities

Pers

on/s

resp

onsi

ble

Indi

cato

r/s (

mea

sure

) M

eans

of v

erifi

catio

n Pr

ogre

ss

Actio

n 1.

Dev

elop

and

im

plem

ent a

com

mun

icat

ions

pl

an to

add

key

Hum

an

Traf

ficki

ng c

ampa

igns

/iss

ues,

re

leva

nt d

ate/

s and

re

com

men

ded

com

mun

ity

actio

ns/a

ctiv

ities

to th

e 20

19

SVHA

mis

sion

cal

enda

r to

rais

e aw

aren

ess o

f Hum

an

Traf

ficki

ng a

mon

g th

e br

oade

r SV

HA c

omm

unity

(a

) For

m a

Wor

king

Gro

up to

de

velo

p an

d im

plem

ent t

he

com

mun

icat

ions

pla

n (b

) Sel

ect a

t lea

st th

ree

of th

e iss

ues/

cam

paig

ns, k

ey d

ates

an

d re

com

men

ded

com

mun

ity a

ctio

ns fr

om

the

exist

ing

list d

evel

oped

- PW

(Liz

Payn

e)

- Se

rvic

e In

nova

tion

Proj

ect O

ffice

r, In

clus

ive

Heal

th

Prog

ram

, SVH

A (D

aisy

Sar

gean

t /S

aman

tha

Corr

ie

liaisi

ng w

ith S

VHA

Com

mun

icat

ions

Te

ams (

loca

l and

na

tiona

l)

• W

orki

ng g

roup

form

ed

by S

epte

mbe

r 201

8 •

Sele

ctio

n of

iss

ues/

cam

paig

n an

d ac

tions

to b

e in

clud

ed

in S

VHA’

s 201

9

• Pr

ojec

t Wor

ker’s

repo

rt to

W

orki

ng P

arty

•

Proj

ect W

orke

r’s p

rogr

ess

repo

rts t

o W

orki

ng P

arty

m

eetin

gs

• W

orki

ng G

roup

com

prisi

ng L

iz Pa

ine

and

Daisy

Sar

gean

t 20

18/S

aman

tha

Corr

ie 2

019

(liai

sing

with

SVH

A Co

mm

unic

atio

n Te

ams)

initi

ally

m

et in

Sep

tem

ber 2

018

•

ACRA

TH H

uman

Tra

ffick

ing

Cale

ndar

201

9 di

strib

uted

to a

ll SV

HA M

issio

n Le

ader

s on

26/2

/19.

Issu

es/c

ampa

igns

62

32

in A

ustr

alia

and

in

tern

atio

nally

(sup

plie

d by

AC

RATH

) and

incl

ude

thes

e on

the

2019

SVH

A M

issio

n ca

lend

ar

(c) D

evel

op m

edia

ale

rts t

o co

mm

unic

ate

date

s,

issue

s/ca

mpa

igns

and

re

com

men

ded

actio

ns to

th

e br

oade

r SVH

A co

mm

unity

cale

ndar

fina

lised

by

Febr

uary

28,

201

9 •

Tailo

red

med

ia a

lert

s de

velo

ped

at le

ast 4

w

eeks

in a

dvan

ce o

f da

tes o

f sel

ecte

d

• Te

xt o

f med

ia a

lert

s and

co

py o

f slid

esho

w

prov

ided

by

Proj

ect

Wor

ker t

o W

orki

ng P

arty

m

eetin

gs

cons

ider

ed fo

r inc

lusio

n in

SVH

A M

issio

n ca

lend

ars i

nclu

ded:

-B

akhi

ta D

ay: D

ay o

f Pra

yer (

8 Fe

brua

ry)

-Eas

ter C

hoco

late

Cam

paig

n (F

eb

to E

aste

r Sun

day)

-W

orld

Hum

an T

raffi

ckin

g Da

y (3

0 Ju

ly)

-16

Days

of A

ctiv

ism (N

ovem

ber)

• A

list o

f sug

gest

ed a

war

enes

s ra

ising

stra

tegi

es w

ere

incl

uded

in

the

Educ

atio

n Gu

ide

for u

se b

y Cl

inic

al C

ham

pion

s to

prom

ote

actio

n on

sele

cted

iss

ues/

cam

paig

ns a

t eac

h SV

HA

site

in 2

020.

•

Med

ia a

lert

s on

hum

an

traf

ficki

ng is

sues

/cam

paig

ns

prep

ared

and

diss

emin

ated

to

SVHA

com

mun

ity v

ia M

issio

n Le

ader

s & C

omm

unic

atio

n (C

omm

s) T

eam

s on

Jan

31, 2

019

for S

t Bak

hita

’s D

ay (F

eb 8

) and

Ap

ril 1

5, 2

019

for E

aste

r M

essa

ge. T

he S

t Bak

hita

’s D

ay

Slid

esho

w, h

ighl

ight

ing

the

issue

of

hum

an tr

affic

king

and

the

SVHA

-ACR

ATH

Hum

an

Traf

ficki

ng P

roje

ct, w

as sh

own

on sh

ared

scre

ens t

hrou

ghou

t St


33

(d) P

rogr

essiv

ely

mon

itor t

he

effe

ctiv

enes

s of t

he

com

mun

icat

ion

stra

tegy

on

each

sele

cted

iss

ue/c

ampa

ign

with

the

aim

of i

mpr

ovin

g th

eir

upta

ke a

nd re

ach

and

incr

easin

g aw

aren

ess o

f hu

man

traf

ficki

ng w

ithin

SV

HA o

ver 2

019

issue

s/ca

mpa

igns

. •

Shor

t rep

ort o

n av

aila

ble

evid

ence

on

the

effe

ctiv

enes

s of

each

cam

paig

n pr

epar

ed a

nd p

rovi

ded

to W

orki

ng P

arty

for

inpu

t

• Sh

ort r

epor

ts p

rovi

ded

to

Wor

king

Par

ty a

t the

m

eetin

g fo

llow

ing

impl

emen

tatio

n

Vinc

ent’s

Priv

ate

Hosp

itals

and

the

SVHA

Miss

ion

Lead

er’s

m

essa

ge to

all

staf

f at E

aste

r ur

ged

them

to p

urch

ase

ethi

cally

so

urce

d (s

lave

ry fr

ee) c

hoco

late

eg

gs.

The

othe

r tw

o ev

ent d

ates

fa

ll ou

tsid

e th

e pr

ojec

t’s ti

me

fram

e.

• Pr

ogre

ss re

port

s on

awar

enes

s ra

ising

act

iviti

es u

nder

take

n by

SV

HA w

ithin

the

proj

ect t

ime

perio

d pr

esen

ted

to th

e W

orki

ng

Part

y at

thei

r Apr

il an

d M

ay 2

019

mee

tings

. No

info

rmat

ion

incl

uded

on

the

upta

ke a

nd

reac

h of

act

iviti

es a

t SVH

A sit

es.

64

Appendix 4


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Modern Slavery 2020

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