In 2015 the INW PCP formed a research partnership with Deakin University to implement a health literacy project that formed part of a PhD study under the Ophelia Victoria Project. The PhD Study had three aims: 1. Develop a conceptual framework that describes the key elements of a health literacy responsive organisation. 2. Develop a self-assessment tool and guide that supports organisations to assess their health literacy responsiveness strengths and limitations, and prioritise their health system improvement activities. 3. Test the self-assessment tool and guide to determine their utility in supporting organisations to assess their health literacy responsiveness and plan their health system improvements activities.