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Northland District Health Board Equity in Hospitals Committee Meeting

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Northland District Health Board Equity in Hospitals Committee Meeting NORTHLAND DISTRICT HEALTH BOARD EQUITY IN HOSPITALS COMMITTEE MEETING AGENDA Monday 13 July 2020, 9.00 AM VENUE Tangihua Room, Tohora House Whangarei Hospital NORTHLAND DHB EQUITY IN HOSPITALS COMMITTEE AGENDA | 1 AGENDA MONDAY 13 JULY 2020 EQUITY IN HOSPITALS COMMITTEE 9.00am Karakia Apologies Register of Interests 3 Does any member have an interest they have not previously disclosed? Does any member have an interest that may give rise to a conflict of interest with a matter on the agenda? Attendance Register 5 9.00am 1.0 Committee Minutes 1.1 Confirmation of Minutes 18 November 2019 6 1.2 Matters/Actions Arising 9 9.10 am 2.0 Chair’s Report 9.15 am 3.0 Committee Terms of Reference and Work Plan 14 9.20am 4.0 System Performance 4.1 Operational Report 17 4.2 Reporting Metrics 76 10.00am 5.0 Information Reports & Updates 5.1 Presentation; COVID-19 Update – Planned Care (Elective prioritisation) 5.2 National Asset Management Programme 78 10.30am 5.0 Next Meeting Details The next meeting will be 9.00am on Monday 24 August 2020 at Tangihua Room, Tohora House, Whangarei Hospital. NORTHLAND DHB EQUITY IN HOSPITALS COMMITTEE AGENDA 2 EQUITY IN HOSPITALS COMMITTEE - INTERESTS REGISTER Name Nature of Interest Date Updated Mataroria Employee – Te Kaupapa Mahitahi Hauora Te Papa O Te Raki 29/4/20 LYNDON Trust Lecturer – University of Auckland Chair Board member – Health Promotion Agency Member - Advisory Group, Aktive Sport Auckland Member - Steering Group, Ministry of Health Primary Care Models of Care Research Partnership Member - Health, Quality & Safety Commission Patient Experience of Care Governance Group Employee -Tend Healthcare Iwi affiliations Ngāti Hine, Ngāti Whātua, Ngapuhi John Councillor - Northland Regional Council 29/6/20 BAIN Director - Noble Imports Ltd. Director -Banjo Trading Co Ltd Trustee – Northland Road Safety Trust Justice of the Peace Harry Director/Owner - Replas Ltd 9/12/19 BURKHARDT Chair - Ngāti Kuri Trust Board President - Packaging Council of New Zealand Member - Independent Advisory Panel for MPI Chair - Northland Economic Advisory Committee Board member - Māori Economic Development Board Chair - New Zealand Maori Arts and Crafts Institute | Te Puia Director - Burkhardt Investments Limited Director - Ngāti Kuri Tourism Limited Director - Te Manawa o Ngāti Kuri Trustee Limited Director - Taitokerau Investment Fund General Partner Limited Director - Burkhardt Ventures Limited Director - Te Urungi o Ngāti Kuri Limited Director - Te Paki Limited Director - Waimarama Orchards Limited Director - Wharekapua Limited Hapu/Iwi affiliations: Hapu: Ngāti Waiora, Ngāti Murikahara Iwi: Ngāti Kuri; Whakapapa links to Te Rarawa, Ngāti Kahu Vince Councillor (Okara Ward) – Whangarei District Council 28/1/20 COCURULLO Director/Owner - Cocurullo's Ltd Director - Cocurullo Investments Ltd President - Whangarei Club Councillor - Northland Automotive Association Member of several Service Clubs within Whangarei Kyle Employee - Ki A Ora Ngätiwai 23/6/20 EGGLETON Member - Northland Faculty Board, Royal New Zealand College of General Practitioners Member - Medicine Adverse Reactions Committee, MedSafe Trustee - Auckland Faculty, Royal New Zealand College of General Practitioners, Charitable Research and Education Trust Chairperson - Bream Bay Community Support Trust Member - Australasian Association of Academic Primary Care 3 Name Nature of Interest Date Updated Advocacy and Policy Committee Senior Lecturer University of Auckland Family members Marcia Underwood - Employee – Northland DHB Debbie CEO – Kaipara Community Health Trust (KCHT) 27/5/20 EVANS KCHT Representative – Kaipara Total Health Care Joint Venture Board KCHT Representative Kaipara Care Committee KCHT Representative - Dargaville Integrated Family Health Centre Committee Member – Northland Community Foundation Grassroots Funding Allocation Committee Family Members associated with Northland DHB employment/programmes Bernadette Buisman, Registered Nurse – Renal Unit George McNally, Lecturer at NorthTec – Nursing Department Libby Deputy Chair – Northland Rural Support Trust 15/6/20 JONES Deputy Chair - Sport Northland Deputy Chair - Paparoa Medical Society Member - Rural Health Alliance Aotearoa New Zealand (RHAANZ) Member – Rural Women NZ Manager - Jigsaw North Family Services Trustee – Volunteering Northland Sally Chairman – Bay of Islands Arts Festival Trust 9/3/20 MACAULEY Director/Trustee – Kerikeri International Piano Competition Trust Director – Kaikohe Education Trust Director- Kaikohe Community and Youth Centre Trust Judicial and Ministerial Justice of the Peace – Far North Justice of the Peace Association Inc. Visiting Justice Northern Regional Corrections Facility Director - Turner Art Centre, Kerikeri Family Members Peter Macauley Partner Palmer Macauley Lawyers Member of Priority Chapter NZ St John Carol Councillor – Whangarei District Council 28/1/20 PETERS Employee – 155 Community House Trustee – Channel North Trustee - Northland Rural Urban Mission (NURM) Trustee - Food Rescue Northland Trustee - Creative Northland Trustee - Climate Change Taitokerau Northland Trustee - Cnorth 4 MEMBER ATTENDANCE - Financial Year - 1 JULY 2019 - 30 JUNE 2020 2019 2020 Equity in Hospital (HAC) Jul Aug Sept Oct Nov Dec Jan Feb Mar Apr May June Mataroria Lyndon (Chair from 9/3/20) John Bain (Chair until 8/12/19) Harry Burkhardt Vince Cocurullo Kyle Eggleton Debbie Evans Libby Jones Sally Macauley Carol Peters Sue Brown Denise Jensen Gary Payinda MEMBER ATTENDANCE - Calendar Year 1 JANUARY - 31 DECEMBER 2020 2020 Equity in Hospital (HAC) Jan Feb Mar Apr May Jun Jul Aug Sept Oct Nov Dec Mataroria Lyndon (Chair from 9/3/20) John Bain (Chair until 8/12/19) Harry Burkhardt Vince Cocurullo Kyle Eggleton Debbie Evans Libby Jones Sally Macauley Carol Peters No Meeting Held Term Commenced 9/3/20 Term of Office Concluded 8/12/19 5 Northland District Health Board HOSPITAL ADVISORY COMMITTEE (HAC) Monday 18 November 2019, 9.00 - 10.30 Whangārei Hospital DRAFT MINUTES Present John Bain (Chair) Gary Payinda Debbie Evans Libby Jones Sally Macauley Sue Brown Denise Jensen In Attendance Paul Welford Pip Zammit Ian McKenzie Kathryn Leydon Mike Roberts Nick Chamberlain Liz Inch Sarah Fox (minutes) Craig Brown - Board Member Vince Cocurullo - Incoming Board Member for 2019 - 2022 1.0 General Business 1.1 Presentation Catherine Parker, Workforce Development & Wellbeing Manager gave a presentation on the Northland DHB Wellbeing Programme. Northland was in the process of becoming the first New Zealand DHB to join the Australasian ‘Mayo Wellbeing Index’, facilitated by Health Roundtable, which would enable staff to monitor and benchmark their wellbeing and provides access to resources and support. Paul Welford, Chief Operating Officer (COO), agreed to report back on how seriously operational managers took the topic. 2.0 Committee Minutes 2.1 Confirmation of Minutes 26 August 2019 It was moved that the minutes of the meeting held on 26 August 2019 be approved. MOVED Sally McCauley SECONDED Denise Jensen CARRIED 2.2 Matters/Actions Arising 2.2.1 Report on formal implementation of domestic violence leave provisions The Domestic Violence Leave policy had been developed and would be implemented following final approval by the Operational Management Group on 20 December. 2.2.2 Report on compliance with mandatory training targets Statistics had not been compiled comprehensively to-date in the way that had been requested. A review was being undertaken on which courses were required to be mandatory including comparing the number Northland categorises as mandatory compared to other DHBs. Reporting would commence once that exercise had been completed. 2.2.3 Dispensing full courses of medications on discharge It was confirmed that this had been implemented across the hospital, including in ED and child health, for at-risk patients. Hospital Advisory Committee Draft Minutes 18 November 2019 1 / 4 6 2.2.4 Name of Dargaville out-of-hours service The service had been referred to as an ‘ED’ although it did not perform this function. A more appropriate name was yet to be decided. 3.0 Chair’s Report The Chair had no report for this meeting. 4.0 System Performance 4.1 Operational Report The COO highlighted the following points from the operational report: Implementation of phase one of the Managerial Structure Review had commenced, including the redistribution of services across directorates reporting to the COO. The ongoing problem of ED being delayed in admitting patients to wards was noted for discussion at the Board meeting. Work had been continuing to find opportunities to improve contracting, for example a significant saving had been achieved by outsourcing of anatomical pathology. Various ACC initiatives were also being investigated, including increasing revenue from surgery, treatment injuries and MRI. A business case was being developed to move rehabilitation to rural hospitals. Many wards had noted a lull in activity with beds being available and had been able to stand staff down. Union actions had been continuing with some withdrawal of services. Ian McKenzie, GM Mental health & Addiction Services, gave an overview of the work of Mental Health and Addiction Services in relation to the recent national Mental Health review. The outcome of the Mental Health review had seen a shift in emphasis from focussing on specialist services to providing increased primary care mental health support in the community.
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