This paper critically reviews current approaches to co-designing and faux-designing (tokenistic or superficial co-design practices) health policy for Aboriginal and Torres Strait Islander peoples. It overviews key concepts, principles and benefits of co-design; highlights concerns with contemporary practices; and outlines critical issues to address. Case studies are included to illustrate aspects of best practice.

This paper explores the inclusion and representation of cultural medicines across national level policies and practice guidelines for health professionals. It finds that clearer policy guidance, resources and training for all Australian health professionals to engage with cultural medicines are required to uphold cultural safety and the rights of Australia’s First Peoples.