CAPITAL & COAST DHB
MEETING OF THE BOARD HELD IN THE BOARD ROOM, LEVEL 1,
LOTTERIES COMMISSION BUILDING, 54 CAMBRIDGE TCE
ON WEDNESDAY 1 AUGUST 2007 AT 9.15AM
PUBLIC SECTION
PRESENT:
IN ATTENDANCE:
Judith Aitken (Chair)
Margot Mains (Chief Executive Officer)
Ken Douglas
Calum Laurie (Director of Finance)
Brendon Bowkett
Nick Chamberlain (Director, P&F)
Peter Dady
Sandy Dean (Executive Co-ordinator, Governance)
Ruth Gotlieb
Margaret Faulkner
Kiri Parata
Fuimaono Karl Pulotu-Endemann
Helene Ritchie
APOLOGIES: Ruth Bradwell , Peter Douglas
KARAKIA
Sam Jackson opened the meeting with a karakia.
7460 PUBLIC PARTICIPATION
Celia Wade-Brown and Mike Ennis joined the meeting to talk about Whanau Link, a
collaborative project initiated by Wellington 2020 Communications Trust. It provides
inpatients and their family with broadband wi-fi Internet access including the facility to
send and receive emails. A Whanau Link information sheet was tabled. The object of
the visit was to explore whether Whanau Link could be extended to C&C DHB.
Helene Ritchie joined the meeting at 9.20am.
The Chair thanked Celia and Mike for coming.
possibilities and come back to them.
The CEO agreed to discuss the
7461 DECLARATION OF INTEREST
There was some discussion on the Conflict of Interest Policy and in particular the issues
confronting professional employees of a DHB. The Chair undertook to reflect on the
matters raised and to consider raising with the Minister this area of conflict with respect
to employees.
7462 SUSTAINABLE HEALTH SERVICES REVIEW
The Board resolved to note the contents of the report.
7463
DRAFT CONSULTATION PLAN FOR DEVELOPING COMMUNITY NURSING
AND ALLIED HEALTH SERVICES
The Draft Consultation Plan for Developing Community Nursing and Allied Health
Services was tabled. Ken Douglas advised that he should not take part in the
deliberations due to a possible conflict of interest and left the room during this item.
The Board resolved to:
1. Note that the options paper and consultation document will be discussed on 5
September Board meeting.
2. Approve the consultation plan and timeframe.
The Board noted that comments raised at the Open Forums are not part of the formal
consultation process but have been taken into consideration in the preparation of the
options.
7464 MAORI PARTNERSHIP BOARD
Herani Demuth, Chair, MPB joined the meeting and gave an MPB update presentation
highlighting the following:
1. HEHA Strategy – Maori parts of the strategy are to be separated out to develop a
Maori specific plan with clear indicators.
2. Oral Health Proposal – generally supportive, however, noted that the current service
is poor and there needs to be greater accessibility for Maori communities.
3. Maori Led PHO – congratulated the C&C DHB for the Maori-led PHO, Ora Toa - a
first for our region.
4. Maori Health Communications Framework is being developed.
Coming Up:
1. There will be Regional Maori Partnership Boards meeting in Wairarapa this month.
2. Joint Boards Meeting (17th of August)
The Board congratulated the MPB on the MPB dashboard of Health indicators and
thanked Herani for her support.
CONFIRMATION OF MINUTES – 4 July 2007
The minutes of the meeting of the Capital and Coast DHB held on 4 July 2007, public
section, were confirmed as a true and correct record of proceedings, subject to attaching
the actual “Suggested Processes around Conflicts of Interest” document referred to in
the minutes for 4 July.
The Board noted that the 4 July document was included in the Information Only papers
(Conflicts of Interest Policy) for the agenda of the 1 August meeting.
MATTERS ARISING:
7465 Pacific
The Board noted that in the Pacific Plan there should be strategic indicators similar to
those in Te Plan and it should include a commitment to employ locally trained pacific
nurses.
Action Points Schedule
The Board noted the updated action point schedule.
7466 CEO’s REPORT
The Board resolved to:
1. Note the contents of the CEO’s report
2. Note the contents of the CEO Information paper, included in the “Information Only”
papers, and the invitation to comment or seek further advice on any matter raised in
that appended report.
3. Noted the changed format to the CEO’s report and agreed that in future it would
focus on progress with respect to alignment with the DAP.
7467 After Hours Services
The Board noted that there would be an After Hours report at the September Board
meeting and that in strictly legal terms C&C DHB has met its requirements with respect
to consultation. A letter from the MoH on consultation processes was included in the
Information Only papers.
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The Board received managements’ views that
1. The changes to Kenepuru After Hours sought are not changes to the services
provided but to its administration and governance;
2. Meetings are being held with people in the community to address issues of concern;
3. Hon Winnie Laban had requested a meeting with the Chair and Director of Planning
and Funding, and had provided a list of questions raised by Mana constituents, the
answers for which will be made available to the public;
4. The CEO and Chair will meet with Porirua City Council Mayor, Jenny Brash in
advance of the Open Forum to be held at Pataka, Porirua on 8 August.
7468 Overview 06/07 Financial Summary
The Board noted that
1. More work is required on a “Sustainable Health Services” chart presented by the
CEO, and this would be addressed at the next Board meeting; and
2. Work is being undertaken to find the efficiencies and understand the cost drivers.
The following points were highlighted by the CEO:
- Significant progress has been made with $21M improvements achieved out of the
$26M planned, however the overall target has not been met.
- The Board has a deficit. What is yet to be confirmed is whether or not the
organisation is under-funded.
- Constant message is that there will not be any additional money available
The Board recommends for the next triennium a workforce committee to take an
innovative lead in addressing workforce shortages.
REVIEW OF POLICY: “POLICY, PROCEDURE, PROTOCOL OR GUIDELINE
DOCUMENTS (PPPG)
The Board resolved to:
1. Note the changes to the policy ( an operational document)
2. Approve the policy and implementation plan
3. Thank those involved for the work that has gone into the policy
7469
COMMITTEE REPORTS:
7470 HOSPITAL ADVISORY COMMITTEE
The Board resolved to note the contents of the minutes of the HAC meeting held on 2
July 2007.
7471 HHS Financial Performance
The Board noted that the YTD financial performance of $12,728k adverse to budget has
had a significant impact on the deterioration in the DHB deficit and resolved to agree
that everything should be done to complete the elective services contract.
7472 Radiology
The Board resolved to note that a significant milestone had been reached in that
radiology films ceased from 2 July with the PACs implementation project.
7473 Workfirst
The Board resolved to:
1. Note that the MSD has indicated that they have no funding for the extremely
successful WorkFirst delivery of integrated Supported Employment services into the
07/08 financial year.
2. Request that a letter go to the Minister concerning the impact on clients of a number
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of C&C DHB Mental Health Services involved in WorkFirst when this successful
scheme ends.
3. Request that this letter to the Minister also ask that the level of services delivered be
maintained to enable a smooth transition as the organisation moves into the New
Regional Hospital.
7474 DAP Indicators on Quality Systems
The Board resolved to express to staff appreciation for achievements in meeting key
performance indicators in the DAP, particularly around initiatives moving toward the
NRH.
7475 Methicillin Resistant Staphylococcus Aureus (MRSA)
The Board resolved to note with pleasure that incidents of MRSA in C&C DHB is one of
the lowest in New Zealand and to express its interest in the maintenance of this level of
incidence.
7476 Terms of Reference
The Board noted that committee members have provided feedback with respect to the
Committees’ Terms of Reference and that these have gone to the Chairs for input and
will come to the Board. It is expected that the incoming Board will consider any
suggested changes.
7477 DISABILITY SUPPORT ADVISORY COMMITTEE
The Board noted the contents of the unconfirmed minutes of the DSAC meeting held on
10 July 2007 and affirmed the recommendations made.
7478
Submission on the Inquiry into the Quality and Care of Services Provision
for Disabled People and how they might be Improved.
The Board noted with concern the quantity of concerns for those with Disabilities in the
HHS. The MoH satisfaction survey does not effectively cover those people who have a
disability. There is a need to make up one for C&C DHB. The Board thanked Margaret
Faulkner, Nick Chamberlain, Margot Mains and Maurice Priestley for the putting the
submission together and making the oral submission. It was well received.
7479 COMMUNITY AND PUBLIC HEALTH ADVISORY COMMITTEE
The Board noted the contents of the unconfirmed minutes of the combined CPHAC
meeting held on 12 July 2007 and affirmed the recommendations made. Two useful
presentations were given at the meeting one on Public Health and the other on Maternal
Health.
7480 FOURTH QUARTER REPORT OF ACCOUNTABILITY INDICATORS
The Board resolved to:
1. Note the Accountability Indicators have been assessed by the DHB as outstanding
performance/sector leader (8 indicators), achieved (3 indicators), partially achieved
(3 indicators), not achieved (1 indicator), and no assessment required (1 indicator).
2. Note reports required under Part B and Part C of this report are not assessed.
3. Approve the draft Quarter 4 report.
4. Noted the number of outstanding/sector leader accountability indicators and
congratulated staff for their help in achieving them.
7481 REDUCING DISPARITIES WORKSHOP – 12 SEPTEMBER
The Board noted that a C&C DHB Workshop on Reducing Disparities has been
arranged for 12 September 9.00am – 12.30pm for Board Members, Senior Management
and Clinical Leaders.
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7482 CHAIR’S UPDATE
The Board noted the contents of the public section of the Chair’s report.
7483 KAPI MANA NEWS STORY - After Hours Clinic
The Board considered an article tabled from Kapi Mana News on 7 August 2007 and
noted that
1. It is completely untrue that doctors would be offered money not to be on the After
Hours roster and that
2. Doctors have the option to opt out of being on-call and this has been the case,
throughout New Zealand for some time.
7484 INFORMATION ONLY PAPERS
The Board noted the following information only papers:
 Conflicts of Declarations of Interest Register
 Board Work programme 2006/07
 Glossary
 Conflicts of Interest Policy
 Correspondence from Ken Douglas dated 26 June 2007 re: implementation of
Declarations of Interest and C&C DHB response dated 9 July 2007
 CEO’s Report – information only paper
 Letter from MoH dated 10 July on DHB decision-making and communications during
the DHB elections period.
 Letter from MoH dated 6 July 2007 re: Consultation processes
 Letter from the Minister of Health dated 9 July 2007 re: Sustainable Health Services
at C&C DHB.
7485 RESOLUTION TO EXCLUDE THE PUBLIC
The Board resolved that the public be excluded from the following parts of the
proceedings of this meeting, namely:
 for the Agenda items and general subject matter to be discussed as set out in the
first column in the table below,
 on the grounds under clause 34 of Schedule 3 to the New Zealand Public Health and
Disability Act 2000 as set out in the second column in the table below and
 for the reasons set out in the second column of the table below (including reference
to the particular interests protected by the Official Information Act, where applicable.)
TABLE
The following Agenda items are recommended for consideration in public exclusion
section under clause 34 of the Health and Disability Services Act: paragraph (a) i.e. the
public conduct of the whole or the relevant part of the meeting would be likely to result in
the disclosure of information for which good reason for withholding would exist under
any of sections 6, 7 or 9 (except section 9(2)(g)(i)) of the Official Information Act 1982
Agenda item and general subject of
matter to be discussed
Confirmation of minutes of Board
meetings on 4 July 2007 (public
excluded section) and matters arising
from those minutes.
Reason for passing the resolution in relation to
each matter, including reference to OIA where
applicable
OIA, section 9(2)(ba) to protect information which
is subject to an obligation of confidence where the
making available of that information would be likely
to prejudice the supply of information from the
same source, and it is in the public interest that
such information should continue to be supplied.
OIA, section 9(2)(j) to enable this organisation to
carry on, without prejudice or disadvantage,
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Correspondence
Committee Reports
Wellington Health Foundation
Emerging risks report
commercial and industrial negotiations.
OIA, section 9(2)(ba)
OIA, section 9(2)(ba)
OIA, section 9)2)(ba)
OIA, section 9(2)(ba)
OIA, section 9(2)(j)
CONFIRMED that these minutes constitute a true and correct record of the proceedings
of the meeting.
DATED this
day of
2007
Judith Aitken
CHAIR
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