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GHA Board Report – July 2019-September 2019

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GHA Board Report – July 2019-September 2019 GHA BOARD MEETING AGENDA Venue: Charles Hunt Room, John Mackintosh Hall Wednesday 17th June 2020 at 11.00hrs 1. Apologies for absence 2. Minutes of the meeting held on 31st July 2019 3. Matters arising 4. Statement by the Minister for Health 5. Matters for the report 5.1 Report: Medical Director and Executive Summary 5.2 Report: Director of Public Health 5.3 Report: Head of Estates and Clinical Engineering 5.4 Report: Director of Nursing Services 5.5 Report: Human Resources Manager 5.6 Report: Hospital Services – General Manager 5.7 Report: Primary Care Services – Deputy Medical Director 5.8 Report: Mental Health – General Manager 5.9 Report: Director of Information Management and Technology 5.10 Report: School of Health Studies 6. Date and time of next meeting 7. In-Camera session 1 GHA Board Report – July 2019-September 2019 2 GHA Board Report – July 2019-September 2019 5.1 Executive Summary – Medical Director Please see 2019 Quarter 4 Board Report for Executive Summary 3 GHA Board Report – July 2019-September 2019 5.2 Director of Public Health This has been a busy time, despite the fact that summer is traditionally quiet. The Island Games created both opportunities and pressures on resources but has helped us continue to develop good relationships across many sectors. The hospital remains a focus of intense activity in terms of infection control. A Hospital is a safe environment for sick people, and therefore they should be protected from infections that could be prevented. Activities of the Health Promotion Department July – September 2019 Main Public Health Events of this Quarter Building Health & Wellbeing data Sun Safety at Gibraltar Calling Music Festival Mental Health Campaign Public Events . Island Games: Health Promotion supported the Island Games during the week commencing 6th July 2019. The provision of sun cream was welcomed by organisers, participants and visitors to events. Health and Wellbeing workshop at Dr Giraldi Home: The HPOs organised and conducted a workshop on health concerns of service users and families of Dr Giraldi Home; data collected was collated and will be used to guide the formulation of the forthcoming health and wellbeing strategy for Gibraltar. Child Friendly City: the HP team are working with Dr Annie Dai and other core members of CHAMP to look at obtaining UNICEF’s ‘Child-Friendly Status’ for Gibraltar. World Mental Health Day Campaign: HPOs have contacted GHA staff and met with several interested charities to co-ordinate efforts for WMHD, the focus being suicide prevention. Also contacted GFA to discuss collaborative health promotion: 4 GHA Board Report – July 2019-September 2019 . Gibraltar Football Association: The HP team met with Steven Gonzalez from the GFA, discussed collaborative working on production of media clips involving the team members on suicide and other relevant health issues for the next year. Hot School Lunches: The Health Promotion team attended presentations by a number of applicants for the provision of hot school lunches in schools. HP also worked with the Dietetic Department to create a nutritional standard for schools. Organ Donation: The Health Promotion team met with members of the Gibraltar Cardiac and Dialysis Association to discuss future campaigns in regard to organ donation . Department of Education: The HP team remains in communication with Ms Kerri Scott in regard to having a presence in schools on a regular basis. Suicide Prevention Week: HP joined several other local charities to support GibSams on Saturday 31st August at their awareness event at Casemates. Gibraltar Calling Music Festival (Sep 7th,8th): The HP department once again joined UNITE the Union to promote sun safety at the music festival at Europa Point. Flu Campaign: The HP team is currently working with several other departments to prepare for the forthcoming Flu season. New leaflets have been designed, radio ads have been commissioned and an infomercial is in production. Meeting with Radio Gibraltar Team: The HP team met with Ian Daniels and Joanne Wilson from GBC to discuss development of radio ads and jingles with key health messages. A short radio ad on the forthcoming flu season is already on air. 5 GHA Board Report – July 2019-September 2019 . Facebook posts attracting most attention: o Feeling the heat, take care of yourself (619 reach, 3 shares) o Enjoy a healthy summer (1632 reach, 14 shares) o NatWest Island Games Sun Safe (166 reach, I share) o Sun safety at Gibraltar Calling (4515 reach, 1 share) o Organ Donation Week (149 reach, 4 shares) o WHO Vaccines save lives (157 reach, 1 Share) o WHO Healthy Lifestyles (316 reach, 1 share) . Health Promotion at Private Companies: o HP were invited to a lunch and learn event at Hambros Bank to discuss general health and well-being issues. o HP joined the Advantage Insurance Wellfest event and presented key issues regarding healthy lifestyles, blood pressure & cholesterol, diabetes and sun awareness. Articles for the Gibraltar Chronicle included: o Stay healthy this summer New Resources . Table /stand and 2 new pop up banners (CHAMP and healthy lifestyle) . Radio: o Purchased a block of slots on Rock Radio to relay a variety of health messages for the forthcoming year. Sent material for ads covering Breastfeeding, Sexual Health, Flu, Diabetes, Physical Activity, and Mental Health. o Agreed purchase of slots on GBC TV & Radio for the forthcoming year. Working on ads for Bowel Screening and preparing for Flu. Leaflets: revamp of leaflets used by the Child Health Department o Rotavirus o Meningitis o MMR o 6-in-1 vaccine o HPV vaccine o Flu (2) On-going . Public Health Website . Health and Well-being Strategy . Meeting with CHAMP core meeting to discuss aims for future and event for 2020. Infomercials under production – 6 GHA Board Report – July 2019-September 2019 o Healthy Portion Sizes o Suicide prevention o flu campaign Training/CPD . Digital Media Course ongoing . In-house – Non-Invasive Ventilation, Basic Life Support, Infection Control . Seminar of Dyslexia . Dementia Awareness conference Infection Prevention and Control Report July – Sept– 2019 Infection Prevention and Control board report for the period form the 1st July – 30th Sept 2019. Daily surveillance of MRSA, CRE & ESBL. All patients are returning from tertiary Hospitals are screened for MRSA and CRE. o 6 monthly screening undertaken on long stay wards. Positive patient decolonised. 1st July- Known CRE+ positive patient taken to theatre from A&E with # NOF. Theatre staff followed Infection Control practitioner instructions to declutter theatres and remove all none essentials. Staff followed IC theatre flowchart and post op cleaning and fogging arranged. 30th July – CRE+ (urine & rectal swab) patient identified in VMW. Patient isolated and contact tracing undertaken on all patients on that ward. Through contact tracing 3 other patient were identified as positive. Decision to cohort 3 + patients was taken after discussion with consultant Microbiologist due to lack of side-room availability. Staff were briefed on importance of using contact precautions PPE and Hand hygiene. Contacts monitored throughout August as per PHE guidance tool –no further contacts found to be positive. 7 GHA Board Report – July 2019-September 2019 Training: o Mandatory Training for sessions; o 9th July & 10th July –GHA staff. o 19th July – Bleak House –Dr Giraldi staff. o 21st August –Bleak House-Dr Giraldi staff. o 6th Sept- GHA staff. o 13th Sept – Bleak House- Dr Giraldi staff. Attended meetings; o Infection Control Committee meetings (Monthly) o Nursing Clinical Governance meeting (Monthly). o Public Health Meetings (weekly). o Influenza Campaign meetings (on going with all stakeholders). Attended 6 Hats thinking Seminar. Monthly BBV clinic held twice a month with visiting consultant Dr Garcia. Reviewing HIV patients and Hep C patient to see if require treatment. Following plan of CRE + patient in community, currently homeless with no fixed abode. Third and fourth screen undertaken both- Negative. Patient currently in Ocean views. Environmental re-audits for Cochrane and Calpe ward were also undertaken; o Calpe ward- 61% Minimal Compliance initial audit- Re-audited-.4th July - 95% Compliance. o Cochrane Ward- 61% Minimal Compliance initial audit- Re-audited- 4th July- 92% Compliance o Rainbow ward-81% Partial Compliance second audit- 3rd Re audited 9th July -93% Compliance. o John ward – 79% Partial Compliance initial audit- Re audit- 24th July-96% Compliance. o A&E- 80% Partial Compliance initial audit- Re audit 24th July 91% Compliance. 8 GHA Board Report – July 2019-September 2019 Environmental audits carried out on floor 1,2.3 & Jewish Home & Theatre. o Floor 1- 99%Compliance o Floor 2- 97% Compliance o Floor 3- 97% Compliance o Jewish Home- 97% Compliance o Theatre audit - undertaken- findings still pending to be reported. August- Influenza Campaign (On going) - Preparations for 2019/2020 GHA Influenza Campaign. Weekly meeting to discuss strategy for delivery of Influenza vaccine with stakeholders in order to obtain accurate data on uptake from staff and community. This year’s campaign will be consisting of offering; o Adjuvanted trivalent flu vaccine (aTIV) - This is licensed for people aged 65 years and over and is the vaccine recommended by the Joint Committee on Vaccination and Immunisations (JCVI) for this age group. o Quadrivalent vaccine (QIV) - This is recommended for children aged from 6 months to 2 years and in adults from 18 years to less than 65 years of age who are at increased risk from flu because of a long term health condition. o Fluenz Tetra Nasal spray suspension Vaccine (live attenuated nasal) – will be offered for the first time in Gibraltar to children aged from 2, 3 & 4 years old will be offered. 2nd August- IT developed programme to raise ALERTs of micro resistant organisms on HIS so patient highlighted in case needed admission or went for surgery.
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