Proposal There is a significant disparity in the detection, treatment and prognosis of breast cancer between Indigenous and non-Indigenous Australian women. Aboriginal and Torres Strait Islander women have a lower five-year overall survival from breast cancer compared to the general population (81% vs 90%) and a two-fold increased risk of death from breast cancer (1). This reflects the disparity in participation rates in breast cancer screening, with only 36.1% of Indigenous Australians participating in BreastScreen in 2022-2023, compared to 51.2% of non-Indigenous Australians (2). Given the unmet need to address these inequalities, we propose development of a culturally safe screening program specifically for Indigenous Australian women. This is in line with the RACS competency of ‘Cultural competence and cultural safety’ as well as the Indigenous Health Position Paper, advocating for a holistic understanding of Indigenous health in its inclusion of broader aspects of ‘family, community … and the connection to land…’. Through a Working Party including Indigenous community members, clinicians, BreastScreen Australia and the Australian Government, we aim to initiate a culturally safe subset of BreastScreen for Indigenous Australians and analyse data relating to breast cancer detection and treatment. Our proposed strategies include: 1.Provision of mobile mammography vans for remote communities 2.Empowerment of individuals with Aboriginal Liaison Officers throughout screening, delivery of results and treatment 3.Culturally safe education regarding the benefits of screening and treatment In doing so we aim to help bridge the gap in breast cancer outcomes between Indigenous and non-Indigenous Australian women. References 1.Roder D, Webster F, Zorbas H, Sinclair S. Breast screening and breast cancer survival in Aboriginal and Torres Strait Islander women of Australia. Asian Pac J Cancer Prev. 2012;13(1):147-55. 2.BreastScreen Australia Monitoring Report. Australian Institute of Health and Welfare. Updated Oct 1 2025. Accessed Jan 20 2026.