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Northern Y-Annual-Report-2008 Northern Y Regional Ethics Committee Annual Report 2008 Published in November 2009 by the Ministry of Health PO Box 5013, Wellington, New Zealand ISBN 978-0-478-31995-8 (print) ISBN 978-0-478-31998-9 (online) HP 4945 This document is available on the New Zealand Health and Disability Ethics Committees’ website: http://www.ethicscommittees.health.govt.nz Contents Chairperson’s Report 1 Committee Membership 3 Response to Cultural Issues 11 Applications 12 Issues 14 Guidelines for Chairperson’s Delegation 15 Appendix 1: Northern Y Regional Ethics Committee Terms of Reference 16 Appendix 2: Applications Received in 2008 25 Northern Y Regional Ethics Committee Annual Report 2008 iii Chairperson’s Report This report overviews the work of the Northern Y Regional Ethics Committee from 1 January to 31 December 2008. The report was presented to the committee at its meeting on 28 April 2009. This is my fourth and final annual report for the Northern Y Regional Ethics Committee. This year has been another full year for the members of the committee, as it has for the members and chairpersons of the other six ethics committees. During 2008, the committee reviewed 119 full applications and 114 expedited applications. The expedited review process has minimally reduced the work for the full committee, but has increased the workload for chairpersons, particularly deputy chairpersons. The appointment of suitably qualified committee members continues to be a problem. Vacancies increase the workload and pressure on existing members and can cause gaps in the range of committee expertise. I encourage the Minister of Health to consider reviewing the appointment process and to fill vacancies. In March 2008, Janice Wilson, deputy director-general at the Ministry of Health announced a strategic review of the ethics committee system, beginning in April 2008, rather than enacting the recommendations of the 2007 operational review. The seven chairpersons were unclear about the purpose and process of this review, and there was no information about this review throughout the year until the chairpersons’ meeting in November 2008. At this meeting, the chairpersons were informed that the Minister of Health had decided the review would be completed without the chairpersons’ involvement. An outcome of this review has seen the further reduction of regional concerns in ethical review, as the Ministry of Health has changed the committees’ terms of reference to potentially allow any of the committees to hear applications. This was to even out differences in workloads among committees. Advances from the chairpersons’ meetings include the positive and developed approach to compensation matters addressed with the Research Medicines Industry and Medical Protection Society. The attendance of Janice Wilson and, more recently, Bruce Anderson at the meetings has also supported opportunities for airing problems and seeking solutions. A positive and useful event for all of the committees was the advanced training held in June. Members of all seven committees were invited to a two-day training conference in Wellington. Feedback was very encouraging about the material presented, as well as the opportunity for committee members from around the country to connect and network with others. The committee continues to be indebted to our administrator, Amrita Kuruvilla, for her professional and friendly support to both the committee members and, especially, the researchers who connect with her as the first (and ongoing) point of contact with our committee. Northern Y Regional Ethics Committee Annual Report 2008 1 The committee’s appreciation goes to Dr Felicity Dumble, who steps aside following a two- year period as deputy chairperson. Appreciation also goes to Dr Huhana Hickey who resigned from the committee this year to follow her career. Her legal experience was valuable and the committee expresses its gratitude. My resignation has been tendered, effective 31 December 2008. I have employment and personal commitments that will take priority for 2009. I appreciate having had the opportunity and privilege to participate in this work, and to chair a committed and experienced committee. People I have met through the committee are inspiring and energising. I have a greater appreciation of the work of researchers in the health and disability fields. I wish to acknowledge Peter Alan who chaired the (former) Waikato Ethics Committee when I was first appointed in September 2002. Peter was a wonderful chair and model for me to follow, and I appreciated the way he worked for the committee and researchers, with a fine eye for ethical detail. I also wish to also acknowledge Sally Cook, national administrator for all the ethics committees. Sally has been an experienced and available support for the chairpersons in their and the committees’ work. The committee also acknowledges the passing of Dr Paratene Ngata, Ng āti Porou. Dr Ngata was well recognised for his contribution to M āori health both within Tairawhiti and nationally. Paul Flanagan Chairperson 2 Northern Y Regional Ethics Committee Annual Report 2008 Committee Membership Appointments The Minister of Health appointed the following members under section 11 of the New Zealand Public Health and Disability Act 2000. Chairperson Paul Flanagan B Theol, GradDipArts (Psychology), M Couns, PG Cert Couns Supervision, MNZAC Representation Lay member Member category Community representative Gender Male Date of appointment December 2004 Term of appointment 3 years Six-year maximum term December 2008 Expertise Social services, senior lecturer, University of Waikato Iwi affiliations None Paul’s last meeting was in December 2008. He had completed six years as a member of the committee. Members Dr John Moodie MB ChB, FRCA, FANZCA Representation Non-lay member Member category Health practitioner Gender Male Date of appointment December 2004 Term of appointment 3 years Six-year maximum term December 2007 Expertise Anaesthetics, clinical research Iwi affiliations None Dr Moodie’s last meeting was in March 2008. He had completed six years as a member of the ethics committee. Christina Bryant MA (medical ethics and law), LLB (Hons) Representation Lay member Member category Ethicist Gender Female Date of appointment December 2004 Term of appointment 2 years Six-year maximum term November 2010 Expertise Ethics and law Iwi affiliations None Northern Y Regional Ethics Committee Annual Report 2008 3 Peter Coughlan Certificate in Social Studies Representation Lay member Member category Community representative Gender Male Date of appointment December 2004 Term of appointment 2 years Six-year maximum term November 2010 Expertise Social studies Iwi affiliations None Robert Crawford PhD (statistics) Representation Non-lay member Member category Biostatistician Gender Male Date of appointment December 2004 Term of appointment 3 years Six-year maximum term November 2010 Expertise Statistics Iwi affiliations None Dr Crawford’s last meeting was in March 2008. He regretfully resigned due to work pressures. Felicity Dumble FAFPHM (RACP), MPH (Hons), MBChB Representation Non-lay member Member category Health researcher Gender Female Date of appointment December 2004 Term of appointment 2 years Six-year maximum term December 2008 Expertise Public health Iwi affiliations None Huhana Hickey LLB/BSocSc, LLM, PhD Representation Lay member Member category Lawyer Gender Female Date of appointment December 2004 Term of appointment 2 years Six-year maximum term November 2010 Expertise Law Iwi affiliations Waikato, Ng āti Tahinga Dr Hickey’s last meeting was in June 2008. She regretfully resigned due to work pressures. 4 Northern Y Regional Ethics Committee Annual Report 2008 Claire Stott B Pharm (Hons) Representation Non-lay member Member category Pharmacist/pharmacologist Gender Female Date of appointment December 2004 Term of appointment 3 years Six-year maximum term November 2010 Expertise Pharmacy Iwi affiliations Ng ā Puhi Claire’s last meeting was in March 2008. She regretfully resigned due to work pressures. Heather Thomson Representation Lay member Member category Community representative Gender Female Date of appointment December 2004 Term of appointment 3 years Six-year maximum term November 2010 Expertise Community development, rural health, M āori health management Iwi affiliations Te Wh ānau a Apanui Heather Thomson’s last meeting was in March 2008. She regretfully resigned due to work pressures. Michael Vale Teachers College Diploma, Dip Rehab Studies, Grad Cert Career Development, PG Dip (education) Representation Lay member Member category Consumer representative Gender Male Date of appointment December 2004 Term of appointment 2 years Six-year maximum term November 2010 Expertise Disability support Iwi affiliations None John Fitzgerald BA (Hons), MA, MSc (clinical psychology), PhD Representation Non-lay member Member category Health researcher Gender Male Date of appointment July 2005 Term of appointment 3 years Six-year maximum term July 2011 Expertise Clinical psychology Iwi affiliations None Northern Y Regional Ethics Committee Annual Report 2008 5 Tessa Turnbull MBChB, Dip Obst, FRNZCP, FRACP Representation Non-lay member Member category Health practitioner Gender Female Date of appointment December 2006 Term of appointment 3 years Six-year maximum term December 2012 Expertise General (internal) medicine, obstetrics, geriatric medicine Iwi affiliations None The following new appointments were made by the Minister of Health in 2008. Willem Fourie PhD, RN,
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