Abstract: The Aboriginal and Torres Strait Islander Health Performance Framework 2014 report for New South Wales finds areas of improvement in the health of Aboriginal and Torres Strait Islander people living in New South Wales. Areas of improvement include: An 18% decline in deaths due to circulatory disease, which was the leading cause of death for Indigenous Australians from 2006-2012. A significant increase in Medicare-recorded health assessments for Indigenous Australians between 2006-07 and 2013-14, from 22 to 172 per 1,000. The immunisation coverage rate for Indigenous children is similar to the rate for other children at age 2 and slightly higher than for other children by age 5. The gap in the low birthweight rate for babies born to Indigenous and other mothers decreased from 6.8% in 2001 to 5.9% in 2011. Areas of concern include: Rates of Indigenous women smoking during pregnancy are high (52%), five times the rate among non-Indigenous women. Indigenous women had lower rates of access to antenatal care in the first trimester of pregnancy than non-Indigenous women (61% compared with 73%). Mortality rates for chronic diseases are much higher for Indigenous Australians than for non-Indigenous Australians; 3 times as high for diabetes, and twice as high for respiratory and kidney diseases. The incidence of end-stage renal disease in Indigenous Australians increased from 7 per 100,000 in 1996 to 22 per 100,000 in 2012. Indigenous Australians had higher rates of hospitalisations due to injury, particularly through assault, exposure to inanimate mechanical forces, and complications of medical and surgical care, compared with non-Indigenous Australians. Indigenous Australians had lower rates of hospital procedures compared with non- Indigenous Australians. The unemployment rate for people aged 15-64 continues to be higher for Indigenous than non-Indigenous Australians (22% compared with 4% in 2012-13).