This report provides the latest information on how Aboriginal and Torres Strait Islander people in New South Wales are faring according to a range of indicators on health status, determinants of health and health system performance. Indicators are based on the Aboriginal and Torres Strait Islander Health Performance Framework. The report highlights the main areas of improvement and continuing concern. For example, death rates for avoidable causes and circulatory diseases have declined since 2001, but almost half of Aboriginal and Torres Strait Islander mothers smoke during pregnancy and unemployment rates continue to remain higher for Indigenous people than for non-Indigenous people.