Nelson Bays Primary Health AGENDA Open
Distribution Nelson Bays Board Members: . John Hunter (Chair) . Sarah Green (Deputy Chair) . Blair Carpenter Primary Health . Carol Hippolite . Graham Loveridge . Helen Kingston . Kim Ngawhika . Stuart Hebberd . Sue Stubbs AGENDA Management: . Angela Francis, Chief Executive . Emily-Rose, EA/Board Secretary . Karen Winton, Acting Chief Executive / GM Health Services Board . Linzi Birmingham, GM Golden Bay Community Health . Trudi Price, HR/Support Services Manager . Wolfgang Kloepfer, Finance Manager Open
Public: . Hard copies (3) . Open Agenda Distribution List (e) . Website Date: 7 February 2019
Time: 2.00pm Contact Details Board Secretary: Emily-Rose Richards Place: Meeting Room 2 Tel: 03 543 7850 Nelson Bays Primary Health 281 Queen Street Richmond Next Meeting Date: Thursday 7 March 2019 Nelson Bays Primary Health Board Meeting 2.00pm Thursday 7 February 2019
Open Agenda
Page
0.0 Mihi to Welcome New Board Members – Sonny Alesana
1.0 Welcome/Karakia – John Hunter
2.0 Public Forum (10 minutes)
3.0 Apologies: Angela Francis, Chief Executive; Helen Kingston
4.0 Register of Interests
4.1 Amendment to the Register of Interests 3 For review
4.2 Declaration of Conflicts in Relation to Today’s Business
5.0 Confirmation of Agenda - For review
6.0 Minutes of 6 December 2018
6.1 Confirmation of Minutes 4 For approval
6.2 Matters Arising (and not for discussion in 6.3) - Discussion
6.3 Discussion of Action Points 8 For review
7.0 Environmental Scan - Discussion
8.0 Presentations
8.1 Clinical Governance Committee by Sue Stubbs, Chair 9 For information
8.2 Te Tumu Whakaora by Kim Ngawhika, Chair 11 For information
9.0 Reports
9.1 Acting Chief Executive’s Report – Open Section 13 For information
9.1.1 Frome Health Project – Social Prescribing 26 For action
9.2 GM Health Services Operational Report – Open Section 29 For information
9.3 Health and Safety Report 32 For information
10.0 Board Work Programme 2018/19 35 For information
11.0 General Business - Discussion
Next Meeting: Thursday 7 March 2019 Register of Interests – Board | as at 22 January 2019
Possible Future Name Existing – Health Interest Relates To Existing – Other (Role) Conflicts Chair • PHO Alliance Executive • PHO • Ara Institute of Canterbury – (Director • None notified John Hunter • PHO Alliance Member since April 2011)
Blair Carpenter • None declared • None declared • None declared • None notified Carol Hippolite • None declared • None declared • None declared • None notified Graham • Harley Street Medical • General Practice owner with PHO contract • None declared • None notified Loveridge • Medical and Injury Centre • Shareholder • Spokesperson for Nelson GPs • Nelson GP interests Helen Kingston • Abbeyfield Golden Bay Inc Medical Adviser • Incorporated Society providing accommodation • None declared • Non- and Committee Member for elderly • None declared Governmental • Volunteer member of Golden Bay • Setting up and staffing Welfare centre in a Civil Provider Emergency Welfare Team (Nelson-Tasman Defence emergency • May affect Civil Defence) prioritisation of actions in an event Sarah Green • Tasman Medical Centre • Employee • None declared • None notified • Nursing leadership • Nursing • Clinical Governance Committee • Member • NZNO College of Primary Nurses • Member • NZNO College of Respiratory Nurses • Member • Institute of Directors, NZ • Member • Child Poverty Action Group • Member Stuart Hebberd • None declared • None declared • None declared • None notified Sue Stubbs • Tima Health • General Practice owner with PHO contract • None declared • None notified • Nelson Bays General Practice Limited • Shareholder • ACC • Medical Advisor Kim Ngawhika • Whakatū Marae (Kaiwhakahaere) • Social Service Provider and Marae • Nelson College for Girls Board of • None notified Trustees (Deputy Chair) CE • Institute of Directors, NZ • Member • None declared • None notified Angela Francis • Australasian College of Health Service • Fellow Management • Medical & Injury Centre • Director • ToSHA • Rotating Chair
3 Nelson Bays Primary Health Board Meeting
Minutes of meeting held at 11.00am on Thursday 6 December 2018 at Golden Bay Community Health, 10 Central Takaka Road, Golden Bay
Open
PRESENT: John Hunter (Chair), Sarah Green (Deputy Chair), Graham Loveridge, Helen Kingston, Kim Ngawhika, Stuart Hebberd, Sue Stubbs.
IN ATTENDANCE: Karen Winton, Acting Chief Executive; Emily-Rose Richards, Executive Assistant/Board Secretary; Wolfgang Kloepfer, Finance Manager; Linzi Birmingham, GM Golden Bay Community Health.
Public (4) Linda Tame, Principle of Golden Bay High School; Abbie Gilligan, Guidance Counsellor at Golden Bay High School; Dr Bruce Dooley, GP at Golden Bay Community Health; Jan Morgan.
1.0 Welcome/Karakia – Stuart Hebberd
2.0 Public Forum
Ms Tame informed the Board of the onsite nurse service at the local Golden Bay High School (GBHS) and provided a few examples of what the service has done for a few of the students at the high school who would not have accessed healthcare if the nurse was not there.
The issue for young people is not having access to healthcare and the confidentiality aspect as they see people from the community they or their parents know when in the waiting room at Golden Bay Community Health (GBCH). The nurse service at GBHS has made a huge difference and they are hoping the funding will continue. Mr Hunter thanked Ms Tame for informing the Board of this initiative. Ms Tame advised NMH’s Chief Executive has informed her the funding will continue and Ms Birmingham is following this up as the service is being seed funded by GBCH.
3.0 Apologies: Angela Francis, Chief Executive; Trudi Price, HR/Support Services Manager.
4.0 Register of Interests
4.1 Amendment to the Register of Interests
There were none.
4.2 Declaration of Conflicts in Relation to Today’s Business
There were none.
4 5.0 Confirmation of Agenda
The agenda was confirmed.
6.0 Confirmation of Minutes of 1 November 2018
6.1 The minutes of the Board meeting held on 1 November 2018 were confirmed are a true and accurate record. Loveridge/Green
6.2 Matters Arising
There were none.
6.3 Action Points
A98 NMH’s Hospital Level Care Rest Home beds. It is now listed on HealthPathways and can be found under ‘support works’. It will be advertised in the GP Newsletter. Completed.
A111 Meeting with Nelson City Council Deputy Mayor. A meeting was held with the Nelson City Council Deputy Mayor and NBPH’s Acting Chief Executive and Acting Primary Health Manager on 16 November 2018. Ms Winton provided an overview of what was discussed at the meeting and advised the Nelson City Council is focusing on Nelson having the right environment for the ageing population and what they need to do e.g. seating, health services. Health Promotion is a key thing and the Council is putting together a subcommittee to look at possible projects that NBPH could be involved in. Completed.
A112 NBPH/MPH Boards catch up. Draft agenda sent to Board Chair on 06/11/18 and sent to Board on 12/11/18. Completed.
A113 Vulnerable people workshop data. Sent to Mr Hebberd on 05/11/18. Completed.
A114 NMH Stop Smoking Service. Ms Green has been informed that they only supply NRT. Completed.
7.0 Environmental Scan
7.1 Frome Health Project – Social Prescribing
Report taken as read. Mr Hebberd presented the report.
Mr Hunter said this initiative is taken very seriously in the UK and the response they have achieved is compelling. It is a serious matter for NBPH to consider and aligns with the direction with the DHBs and government. This is a mechanism for bringing services to the community. It is too big for NBPH to do ourselves and there needs to be other agencies to help and provide resources as required. There is no one in New Zealand using the full model.
Dr Stubbs said part of this model is already being used with NBPH’s vulnerable people strategic priority area as NBPH are using the community to provide the services. Dr Loveridge noted from a GP perspective, the overall coordination is important and there are already parts of the model being used, but there needs to be a way to connect the organisations in the community, which Churches used to do.
5 Ms Ngawhika suggested for this to be included in the strategic plan to look at health from a holistic way, so it is social too, not just healthcare.
Management were asked to identify where existing programmes and services fit into the Frome Project initiative methodology and propose a way forward to present a business case to the councils and NMH. A115 The process needs to commence if it is worthy and it may also be worthwhile mentioning this to the Primary Health Alliance to get a wider view on how this could work.
8.0 Presentation
8.1 Golden Bay Community Health – Models of Care by Linzi Birmingham
Ms Birmingham presented the Models of Care which have been implemented at Golden Bay Community Health (GBCH) over the past 12 months.
The five areas of focus are: • Urgent and Acute Care • Nurse Led Clinics – could use Shared Medical Appointments model to reduce cost for patients attending • E-Prescribing • Telehealth – GBCH has been chosen to be the pilot programme to run a clinical from Collingwood Health. This initiative is supporting GBCH to get the appropriate equipment from NMH to have the telehealth clinics • Medical Assistants in Primary Care – became permanent roles in April 2018
Golden Ba
9.0 Reports
9.1 Acting Chief Executive’s Report – Open Section
Report taken as read. Ms Winton provided a brief update.
The following areas were highlighted: • NZ Doctor celebrating transparency for NBPH holding public Board meetings • Health Care Home model • GBCH GP Collective Agreement has been ratified • Primary Care changes to fees as of 1 December 2018 • Government inquiry into Mental Health and Addictions has been released
9.2 General Manager Health Services Operational Report – Open Section
Report taken as read. Ms Winton provided a brief update.
The following areas were highlighted: • A education session around sexual health was held for youth, supported by NBPH’s Kaiatawhai Nurse • The second credentialing programme for nurses is progressing well • NBPH has permanently employed a second Locum Infectious Diseases Specialist
Mr Hunter commented on the high rate of smoking cessation and immunisation.
6 9.3 Health and Safety Report
Report taken as read.
9.3.1 Health and Safety Governance – Compliance Monitoring
Report taken as read. Ms Winton presented the report.
Ms Winton advised in November, the Board approved the updated NBPH Health and Safety related policy which reflects the current legislative and regulatory environment. During the policy approval process, the Audit and Financial Risk Committee requested recommendations from management on how internal and external monitoring of Health and Safety compliance by governance may occur.
The suggested internal and external monitoring processes are: • Internal Monitoring: o Monthly Reporting o Staff Health and Safety Surveys o Health and Safety Annual Presentation o Health and Safety Location Walkthrough • External Monitoring: o Independent Reviews o External Audit Reports o Health and Safety Legislative Updates
The Board approved the recommended Health and Safety compliance monitoring actions. Hunter/Green
9.4 Committee Meeting Updates
The Clinical Governance Committee Key Messages Summary was received.
10.0 Board Work Programme 2018/19
The Board Work Programme was received.
11.0 General Business
There was no discussion.
The open section of the meeting closed at 12.13pm.
Next Meeting: Thursday 7 February 2019
7 OPEN Action List v 29 January 2019
Meeting Action Action Bring up Who Status date number Dec 18 A115 Management were asked to identify where existing Feb 19 Acting CE Refer to agenda item 9.1.1. Completed. programmes and services fit into the Frome Project initiative methodology and propose a way forward to present a business case to the councils and NMH.
8 To Nelson Bays Primary Health Board From Sue Stubbs, Clinical Governance Committee Chair Meeting date 7 February 2019 Subject Presentation: Clinical Governance Committee
For approval For action For information √
1. PURPOSE
To provide the Board with an update of Nelson Bays Primary Health’s (NBPH’s) Clinical Governance Committee.
2. SUMMARY
The NBPH Clinical Governance Committee met regularly over the 2018 year. The Committee has representation from General Practitioners, Primary and Practice Nurses, Practice Managers, Pharmacy, Māori health, as well as from the Board, Management and Nelson Marlborough Health. We also continue to be very pleased to have a Consumer Representative on the Committee.
The Clinical Governance Committee has a role in overseeing the clinical quality of services that are provided under NBPH and as an advisory committee to the NBPH Board. The Clinical Governance Committee aims to apply a quality lens over services alongside Te Tumu Whakaora who apply their Māori health lens.
Over the past year, the Committee has considered initiatives including: • Advanced Care Planning and how to encourage this across the appropriate population • Bowel Cancer screening programme that commenced in August 2018 • The Patient Experience Survey is a quarterly online questionnaire administered to patients in our practices by the Health Quality and Safety Commission. Whilst response rates are low at the present time, these are likely to increase with time and help to inform practices, PHOs, DHBs and Government in their quality improvement activities to improve patient outcomes • The establishment of standardised Standing Orders for Nurses on HealthPathways. This work is crucial for upskilling primary care nurses to work at the top of scope, freeing doctors for more complex work and improving access for patients to care • Moving suitable services from secondary care into primary care, with appropriate resources. Examples have been spirometry, more advanced skin lesion surgeries, and iron infusions
The Clinical Governance Committee is also considering and watching with interest the introduction of the Health Care Home model of care in General Practices. This model looks at new ways of working via the domains of urgent and unplanned care, proactive care, routine and preventive care, and business efficiency. It explores the greater use of technologies, and a wider team in General Practice that might include the community pharmacist, social worker, dietitian, health coach, counselling etc.
Our Clinical Governance Committee Chair continues to share key messages and meets periodically with the Chairs of Marlborough Primary Health and Nelson Marlborough Health’s Clinical Governance Committees in a move to a more unified approach across the top of the south, and to attend the Top of the South Health Alliance (ToSHA) meetings.
9 3. RECOMMENDATION
It is recommended that: • The Board receives the presentation.
10 To Nelson Bays Primary Health Board From Kim Ngawhika, Te Tumu Whakaora Chair Meeting date 7 February 2019 Subject Presentation: Te Tumu Whakaora
For approval For action For information √
1. PURPOSE
To provide the Board with an update of Nelson Bays Primary Health’s (NBPH’s) Te Tumu Whakaora (Māori Advisory Group).
Unuhia, unuhia Unuhia ki te uru tapu nui Kia wātea, kia māmā, te ngākau, te tinana, te wairua i te ara takatā Koia rā e Rongo, whakairia ake ki runga Kia tina! TINA! Hui e! TĀIKI E!
Ki ngā tini aitua o ia whānau, e kui koro mā haere, haere ki te putaketanga o Rehua haere,moe mai rā, okioki ai.
Ki a koutou te kanohi ora o ngā Iwi tēnā koutou, tēnā koutou, tēnā koutou katoa
2. SUMMARY
Firstly I would like to acknowledge on behalf of Te Tumu Whakaora the long service of Lisa Lawrence whom recently retired from NBPH as a Trustee and as Chair of the Te Tumu Whakaora. Lisa’s knowledge of NBPH has been invaluable and her commitment for Māori voice and presence has been instrumental in ensuring services for Māori are available to our whānau in this rohe.
Te Tumu Whakaora is the advisory group to the Board of NBPH that has a focus on supporting NBPH to improve health outcomes for whānau, hapū and iwi Māori. The committee draws membership from General Practitioners, Primary and Practice Nurses, Pharmacy, consumer groups and Iwi. Our lens is a distinctly Māori world-view.
The purpose of Te Tumu Whakaora is to support the NBPH Board in fulfilling its obligations with regards to Whānau Ora, He Korowai Oranga, the Māori Health Strategy and to achieve an improvement in the health outcomes for whānau, hapū, iwi and Māori communities.
Some of the responsibilities of Te Tumu Whakaora include: • Providing tikanga and a Māori health view to support to NBPH programmes and services • Provide Māori clinical leadership, advice and insight to NBPH on all relevant clinical and community services • Seeking clinical and social, cultural and other evidence to support improvement of Māori health outcomes in the wider community • Advising and working on specific activity to support the improvement of Māori health in the Nelson Tasman region
11 Te Tumu Whakaora has struggled in the past year to meet the quorum requirements and unfortunately this has meant that several meetings have been cancelled. While the scope for procurement of members for Te Tumu Whakaora looks broad on paper we have a far smaller population pool to choose from. Often the same people are being called upon for their knowledge and expertise for many different groups in our community. This has been furthered challenged by the loss of support from a Senior Advisor position. Although this is an ex-officio membership, this position never-the-less provided tikanga support and expertise for our hui. A number of suggestion have been made to increase membership and attendance, and this will be a topic of discussion for our next hui.
Over the past year, Te Tumu Whakaora has considered a number of initiatives including but not limited to: • Models of Care Programme • Consumer Focus Feedback with GPs • Nelson Tasman Hospice new complex • Health Care Home Project • NPPH Māori Capability and Development • NBPH “Welcome/Back Package”
3. RECOMMENDATION
It is recommended that: • The Board receives the presentation.
12 To Nelson Bays Primary Health Board From Karen Winton, Acting Chief Executive Meeting date 7 February 2019 Subject Acting Chief Executive’s Report – Open Section
For approval For action For information √
1. PURPOSE
To provide the Board with an update of the organisation’s progress against strategy, risk and budget. Where appropriate, fuller details are provided in the Closed Agenda.
2. OVERVIEW
Business as usual continues: • Progress against overall strategy continues with revised strategic priorities implemented in this financial year. For example, a ‘vulnerable people’ stakeholder workshop facilitated by Philip Chapman was held on 4 September 2018 to progress work in this area. Monthly reports are provided to the Board as scheduled • Financial forecast – Nelson Bays Primary Health (NBPH) continues to track well against budget. Refer to the Financial Report in the Closed Agenda for further details • Risk identification and mitigation. Refer Closed Agenda – Risk Register • Staffing levels – NBPH staffing levels remain constant. Refer to Appendix 3 in the Acting Chief Executive’s Report – Closed Section for the attrition rates • NBPH’s joint venture – Medical and Injury Centre (MIC) continued to perform whilst operating within budget
3. MEDIA AND GOOD NEWS STORIES
3.1 NBPH Media Coverage
Diabetes Awareness Afternoon An article on the Te Piki Oranga website on 20 November 2018 provided coverage of the diabetes hui Te Piki Oranga Whakatu held in conjunction with Lions Nelson to acknowledge Diabetes Awareness Day. Bee Williamson of NBPH attended to provide information on diabetes in both Te Reo and English. Refer to Appendix 1 for the Te Piki Oranga diabetes hui article on the Te Piki Oranga website. A link to the article follows: http://www.tpo.org.nz/te-puna-dec-2018/2018/12/10/diabetes-awareness- afternoon
3.2 Golden Bay Community Health (GBCH) Media Coverage
Excellent Patient Experience An article in The Golden Bay Weekly on 18 January 2019 provided coverage on the excellent health care a visitor to Golden Bay received at the GBCH facility. Refer to Appendix 2 for the excellent patient experience article in The Golden Bay Weekly.
13 4. CORPORATE SERVICES UPDATE
Staff Update NBPH continues to prioritise staff wellbeing and organisational culture. The Staff Christmas Function was held on Wednesday 5 December 2018 at The Honest Lawyer, Monaco, where staff thoroughly enjoyed a buffet lunch and entertainment. The next bi-monthly Staff Social Event is being hosted by the Health Promotion team in February.
Human Resources The majority of roles at GBCH are covered by a Collective Agreement. Some terms are linked to DHB Multi Employer Collective Agreement (MECA) outcomes aligned with relevant roles. All but one DHB MECA agreement has been finalised and actioned for relevant GBCH staff, with the remaining MECA outcome pending confirmation of settlement.
Preparation has commenced as scheduled for the annual NBPH Satisfaction Surveys, to be distributed in February 2019. These surveys provide valuable insights from Staff and Stakeholder groups on NBPH performance and greatly assist internal planning processes.
Information Services Microsoft Office 365/Outlook 2016 user issues reported previously have been fully resolved. IT services remained reliable in both Richmond and GBCH locations during the December/January holiday period.
The independent strategic review of NBPH IT Systems completed November 2018 has provided a solid foundation for IT operational plans, prioritisation of workflows and strategic IT planning needs.
5. HEALTH SERVICES UPDATE
Health Services are tracking well against contractual and financial targets. Refer to agenda item 9.2 in the open agenda and agenda item 4.3 in the closed agenda.
6. GOLDEN BAY COMMUNITY HEALTH UPDATE
Refer to agenda item 4.1 in the closed agenda.
7. HEALTH CARE HOME
Refer to agenda item 4.5 in the closed agenda for an update.
8. LOCAL FORUMS
8.1 Community Meetings/Events Schedule
As per the Board’s request, Management have created a schedule of the upcoming community meetings/events that Board Members and Management could attend. This is an ongoing schedule that will be updated and reported to the Board each month, as meetings are scheduled. Refer to Appendix 3 for the Community Meetings/Events Schedule.
14 9. NATIONAL STRATEGIC DIRECTION
9.1 National Update
Ministry of Health Appointments Deborah Woodley has been appointed to the role of Deputy Director-General Population Health and Prevention. Deborah first joined the Ministry of Health in 1996 and during her 21 years with the organisation held a range of senior leadership roles mainly related to personal and population health.
Government Inquiry into Mental Health and Addiction The Inquiry report and associated recommendations have been published and is available on the Inquiry website [here].
The Government has indicated they will formally respond to the Inquiry in March 2019. In the meantime, the Ministry of Health has set out a proposed "engagement approach" for how it will develop its advice to the Government. The proposed engagement approach can be accessed [here].
The Primary Health Alliance is keen to ensure that we avoid an extended consultation process that may seek to re-litigate the Inquiry's recommendations and hope to move promptly to collaborative action planning and implementation. These comments were fed back to the Ministry of Health who provided an update on 11 January 2019. The update appeared to recognise the points the Alliance made and can be read [here].
Federation of Primary Health Aotearoa New Zealand On 20 December 2018, the appointments of the two Consumer Representatives to the Board of the Federation of Primary Health Aotearoa New Zealand were announced. Sheldon Ngati and Philip Chapman were appointment to the roles. Refer to Appendix 4 for the Media Release – Consumer Representatives appointed to the Board of the Federation.
Following the Federation Board's announcement of the appointment of Sheldon Ngatai and Philip Chapman as the Consumer Representatives on the Board, the Chief Executive Officer appointment has now been announced. Jim Lindsay was appointed to the role of Chief Executive Officer (CEO) on 9 January 2019. Refer to Appendix 5 for the email announcement for the appointment of the CEO of the Federation of Primary Health Aotearoa New Zealand.
The next meeting of the Federation Board will take place on 26 February 2019 and a subsequent Strategic Planning Day (the Minister of Health, Hon. Dr David Clark, has confirmed he will be attending for part of the day) will be held for all members of the Federation on 20 March 2019 in Wellington. Federation members should have already received a 'hold the date' request. Formal invites for the Chair and CEO (or appointed deputies) of each member organisation will follow with further detail asap.
On 21 December 2018, it was announced the Plunket Society have joined the of Federation of Primary Health Aotearoa New Zealand. Refer to Appendix 6 for the Media Release – Plunket Society joins the Federation of Primary Health Aotearoa New Zealand.
PSAAP The next PSAAP meeting is scheduled for 6 March 2019.
10. NATIONAL FORUMS
10.1 Primary Health Alliance
The next Primary Health Alliance meeting is scheduled for Friday 1 March 2019.
15 10.2 General Practice Roadshow
ACC are running a series of roadshows across 13 centres in New Zealand throughout February 2019, to provide an opportunity for front line General Practice teams and owners to participate in a discussion around how they can build a partnership to increase client access to care, ensure quality and consistency of care, and improve client outcomes.
A roadshow will be held in Nelson on 14 February 2019, 7.00pm, at The Hotel Nelson, Kawai Room. To register to attend, please email [email protected].
10.3 South Island Chief Executive Catch-Up
The last meeting was held on 17 August 2018. The date for the next meeting is yet to be set.
11. RECOMMENDATION
It is recommended that: • The Board receives the report.
Appendices: 1. Te Piki Oranga diabetes hui article on the Te Piki Oranga website 2. Excellent patient experience article in The Golden Bay Weekly 3. Community Meetings/Events Schedule 4. Media Release – Consumer Representatives appointed to the Board of the Federation 5. Email announcement for the appointment of the CEO of the Federation of Primary Health Aotearoa New Zealand 6. Media Release – Plunket Society joins the Federation of Primary Health Aotearoa New Zealand
16 APPENDIX 1
Diabetes Awareness Afternoon
By Karen Davidson, Pūkenga Kaiwhakahaere - Whakatū / Site Manager - Nelson and Dianne MacDonald, Nehi Arahanga / Clinical Lead - Nelson
On 15 November 2018, Te Piki Oranga Whakatū held a diabetes hui in conjunction with Lions Nelson to acknowledge Diabetes Awareness Day.
John Bilderbeck and his team came and supported us with a barbecue made up of healthy kai, with pita bread, salad and a small portion of meat. Freshwater was provided with pineapple or orange. All participants were encouraged to undertake a walk and enjoy the Atawhai area. The Whakatū TPO team decided to look at ourselves and how we could increase our knowledge about diabetes. Our nurses provided free diabetes checks and health assessments.
Other Māori services on the marae joined our event to learn more, this included the team from Whakatū Marae Whānau Ora, Te Akina o Tea Tai and Te Pouawai Kohanga. Ian Davidson kindly arrived with games and entertainment that involved bubbles, juggling and all sorts of balancing acts.
Te Hā (Quit smoking) coach Sonia was available with information on quitting smoking along with Bee Williamson from Nelson Bays Primary Health (NBPH) with diabetes information. We now have a selection of information available in both Te Reo Māori and English.
We wish to develop more fun diabetes events involving more whānau as we spread the word about how to improve our health and wellness. If you would like to be involved in an event or speak with a nurse please contact us on ph: 5469098.
Did you know?
14 November 2018 is World Diabetes Day which celebrates the birthday of Canadian physician Dr. Frederick Banting, who in 1921 was credited with discovering the hormone insulin in the pancreatic extracts of dogs.
17
18 APPENDIX 2 Research elsewhere also shows that·fim€StOlle·can corifain name of the u''""'• a considerable amount of nitrogen, varying up or down reasons can be established. Letters should not exceed 250 depending on the deposit. words. Letters that are too long might not be considered. All As a sedimentary rock, nitrogen is locked away with the correspondence is at the discretion of the manager, who reserves calcium carbonate when formed. The very factthat so much the right to decline, edit, or abridge letters without explanation. space exists in the limestone aquifer by water volume shows The views expressed are those of the correspondents and are the amount of decomposition of the limestone, and for this not necessarily endorsed or shared by The GB Weekly. • G��d�:roo B�:, Ap_.P-il�il'l'!ini;t:�� particular aquifer to store so much water within a limited area of the Takaka Valley that there must be a massive surface area available for decomposition. REPAIRS TO ALL MAKES AND MODELS Natural nitrogen is just one element of what makes this spring water mineral water. Farm nitrogen is an added value, 6J9 y Heat Pump Installation and Sales but not the only one. It shows with the surface gravel aquifer Accredited Fujitsu Installer having less N than the deeper limestone aquifer that another PHONE: 525 8679 I EMAIL: [email protected] offering 6 year warranty source of N exists than farming alone. The coal measures OFFICE HOURS: Monday-Wednesday, 9am-5pm underneath could also be a source of organic nitrogen as ARTICLE IDEA OR REQUEST Vehicle Air Conditioning can the seawater intrusion. We welcome your suggestions. Please contact us. David Rose USUAL DEADLINE FOR ALL SUBMITTED ITEMS Community Health: What an asset 9am Tuesday. Spending Christmas in Golden Bay this year was a USUAL DEADLINE FOR ALL ADVERTISING highlight and a break well and truly looked forward to. Noon Tuesday. While in the Bay I needed to see a doctor. At the Golden LATE SURCHARGE: Bay Community Health Centre reception I was greeted by a Until 4pm on Tuesday: classified ads $3; Graeme Meiklejohn warm and friendly receptionist and asked to take a seat until display ads 10% surcharge (min $3). I could be seen. AGENTS: Ph 03 525 7416 Cell 0275 038 458 I saw Felicity, a nurse, who, through her communicative Paradise Entertainment, 71 Commercial Street, Takaka or [email protected] skills and inherent training, reviewed my results and began Collingwood On the Spot store, Tasman Street. investigating. After an hour with the nurse, my life had ADVERTISING COSTS: changed. A medical condition was uncovered that I was Classifieds: 50dword. completely unaware of. Display ads: contact us fordetails or see the website. Subsequently my treatment course, after seeing the doctor The editor reserves the right to make final decisions on layout while I was in Golden Bay, took on a whole new path. of submitted ads. While every effort is made to ensure the I am completely amazed at the service I received from accuracy of information in this publication, The GB Weekly the medical centre staff, doctor and the complete experience does not accept any responsibility for errors or omissions or was profound. for any consequences arising from reliance on information The facilityand services provided from the medical centre published. The content of submitted material is not necessarily are exemplary. What an asset forTakaka. endorsed by the owners. Copies can be bought and we have I have nothing but admiration forthe attention provided, a subscription service. care and advice that has prepared me to handle and surmount this condition discovered.
Thank you Felicity, foryour enquiring atteniive mind and willingness to go the extra mile to arrive at a best result for a patient and to the doctor who was also super kind and very efficient. I will walk through life feeling very well and in control of my circumstances. You have empowered me to 4 live differently, for which I will be forever grateful. I love and admire Golden Bay Health Centre and ,ts wonderful staff and19 facilities. [Abridged] Margaret Verkroost APPENDIX 3
Community Meetings/Events Schedule
Organisation Contact Name Position Email Phone AGM Date Website/Meeting Dates
Age Concern Caroline Budge Manager [email protected] 544 7624
Alzheimers Nelson Heather Lackner Filed Worker (RD/Brightwater/Wakefield) [email protected] 546 7702
Autism NZ Nelson/Marlborough Jill Hounsell Outreach Co-ordinator [email protected] 021 242 3846 Oct/Nov no 2019 dates yet
Diabetes NZ - Nelson Youth Branch Karen Lewis Secetary [email protected] 0800 342 23837 1/10/2019 http://www.diabetesyouth.org.nz/
Empowerment Trust Fiona Bryan NZ Executive Director [email protected] 0800 KID POW
Epilepsy NZ (Nelson) Ali Birtwhistle Epilepsy Educator [email protected] 546 6398 http://epilepsy.org.nz/nelson-marlborough
Family Start [email protected] 547 0940
Fifeshire Foundation Rachel Swarbrick Manager [email protected] 027 334 3374
Health Action Trust Mary Ellis General Manager [email protected] 548 2798 13/11/2018 https://www.healthaction.org.nz/
Hearing Association Nelson Inc Sharon Webber Office Manger [email protected] 548 3270
Heart Foundation Averil West Manager [email protected] 545 7112
INP Medical Clinic Gabi Henz Practice Manager [email protected] 546 8155 NA http://www.inp.co.nz/
ME CFS FM Support Nelson Bays Clare Moody Support Group Co-Ordinator [email protected] 027 698 0808 NA Talk by Dr Roz Vallings - NBPHO, 11 Feb 2019
Menzshed Tapawera John Wilmshurst Chairman [email protected] 03 522 4616
Menzshed Waimea Alan Kissell Secretary [email protected] 027 282 0185
Mohua Social Services Charitable Trust (Takaka) Jenny Randall Office Manager [email protected] (03) 525 9728
Motueka Community House Rae Dozell Co-ordinator [email protected] 03 528 0404 1/11/2018 http://www.motuekaonline.org.nz/community-house/index.html
Motueka Family Service Centre Tania Delany Centre Administrator [email protected] (03) 528 0234
Motueka Victim Support Group Donna Smith Service Co-ordinator [email protected] (03) 546 3847
Nelson Asthma Society Sue Alsop Manager [email protected] 027 456 7675 June
Nelson Asthmas Society Sue Alsop Manager [email protected] 544 1562 1/06/2019 https://www.asthmafoundation.org.nz/about-us/regional-support
Nelson Fetal Alcohol Spectrum Disorder Support Group Claire Gerrard Co-ordinator [email protected] 027 449 0459
Nelson Grey Power Assn Christine Tuffnell President [email protected] 547 2457 1/04/2019
Nelson Tasman Pasifika Community Trust Jennifer Beatson General Manager [email protected] 021 052 8371 https://nelsonpasifika.org.nz/
Nelson Women's and Children's Regue Katie O'Donnell Manager [email protected] 548 3353
Nelson Womens Centre Carrie Mozena [email protected] 546 7982
Nelson-Tasman Filipino Community Inc. Cristy Aydon Presdent [email protected]
Overeaters Anonymous 022 673 0237
Parent to Parent - Nelson Jane Linn Nelson Co-ordinator [email protected] 546 8973
Perinatal Support Nelson Harriet Denham Clinical Manager [email protected] 548 3555
20 Organisation Contact Name Position Email Phone AGM Date Website/Meeting Dates
Presbyterian Support [email protected] 547 9350
Prostate Cancer Support Group Cancer Society Nelson Centre Manager [email protected] 539 1137
Stoke Seniors [email protected] 547 2660
Stroke Foundation Anne-Marie Fowke-Stayner Stroke Advisor [email protected] 545 8183
Tahnanui Community Centre Judy Robinson Manager [email protected] 548 6036
Te Hauora o Te Awhina Marae Ltd Ann Martin [email protected] 03 528 6061
Te Korowai Trust Robyn Parkes Manager [email protected] 547 5958
The Blind Foundation Lorraine Perham Adminstrator [email protected] 547 6616
The Brain Injury Assoc. (Nelson) Inc. [email protected] 546 6656
The Male Room Philip Chapman Director [email protected] 548 0403
The Moutere Kai Collective Melody Marr [email protected] 022 648 7751
TKHNK Problem Gambling Counselling & Support Matthew McMillan 548 2230
Vctory Boxing Fiona Lulham Administrator [email protected] 021 159 4792 Sep www.victoryboxing.org.nz
Victory Community Centre Rebecca Greig Manager [email protected] 546 8389
Whakatu Maori Women's Welfare League 021 046 3512
Page21 2 of 2 APPENDIX 4
Media Release 20 December 2018 Consumer Representatives appointed to the Board of the Federation
The Federation of Primary Health Aotearoa New Zealand (the Federation) whose purpose includes ensuring a consumer focus is applied to primary health policy and provision as well as being responsive to consumer needs, has today confirmed the appointment of two Consumer Representatives to its Board. Announcing the appointments, Hon. Steve Chadwick, Chair of the Federation, said “We were amazed with the number and high standard of expressions of interest we received for these positions. To have been able to secure two new Board Directors of Sheldon and Philip’s calibre is a significant achievement and I am very excited about the emerging potential of our Board.”
Sheldon Ngatai (pictured above) is of Te Atiawa, Taranaki, Ngati Mutunga o whare kauri, Ngati Maniapoto descent. A breast cancer survivor, Sheldon has significant experience of the health sector as a consumer and has turned that to good use by becoming involved in multiple consumer panels, co-design and planning committees. With an extremely strong cultural perspective and an additional range of governance skills, Sheldon is impressed with the Federation’s commitment to consumer input, “To be one of two full-voting Board Directors co-opted as Consumer Representatives gives a signal that the Federation really means business! I am delighted to have been appointed to such a Board” she said.
22 Philip Chapman (pictured above) is based in Nelson and is a significant health advocate with a very impressive range of expertise. He works with multiple disadvantaged groups including family violence networks, survivors of sexual abuse and the homeless. His experience encompasses services provided through the Salvation Army and a range of marae based support services. Philip is a strong advocate for men’s health and has also undertaken research into homelessness and associated issues. His Governance expertise includes tenure as the Consumer Representative on the Board of Nelson Bays Primary Health for 3 successive terms (now completed). Highlighting the potential of the Federation, Philip said “I am looking forward to working with the Board and bringing a community focus to some really significant population health issues which we will collectively be seeking to address.” The next meeting of the Federation Board will be held in February 2019 with a subsequent strategic planning day with the full membership of the Federation being scheduled for March 2019.
ENDS
Further information can be obtained from: Philip Grant, Establishment Project Manager - Telephone 022 131 8393
23 APPENDIX 5
From: Federation Primary Health
To all Member organisations
Kia ora koutou
On behalf of your Federation Board, Hon. Steve Chadwick has today confirmed the appointment of Jim Lindsay as Chief Executive Officer of the Federation.
Jim (pictured above) has extensive experience within primary health including working with the Professional Conduct Committees of the New Zealand Medical Council and the Nursing Council.
Jim also Chairs a community based diabetes charity and an advisory panel for an inner city medical centre.
His previous roles have included management of membership engagement for the Royal College of GPs.
He is currently CEO of Tracecare Ltd - an innovative health, safety and security company.
Jim will commence in post at the start of February 2019 and is looking forward to meeting members face-to-face at the Federation's Strategic Planning Day scheduled for 20 March 2019.
A public media statement will follow towards the end of this month.
Kia pai tō koutou rā
Philip Grant
Establishment Project Manager
Federation of Primary Health Aotearoa New Zealand
24 APPENDIX 6
Media Release 21 December 2018
Plunket Society joins the Federation The Federation of Primary Health Aotearoa New Zealand (the Federation), whose purpose includes fostering effective partnerships and collaborations, has welcomed The Royal New Zealand Plunket Society (Plunket) to their growing list of member organisations.
Confirming the latest new member, Hon. Steve Chadwick, Chair of the Federation Board said “At a time when we need a greater focus on wider population health, I am delighted to be welcoming an organisation with the community reach that Plunket has through its range of free services to children in support of their development, health and wellbeing. They will be a significant and vital member of the Federation.”
Plunket Chief Executive, Amanda Malu (pictured above), emphasised the potential of the growing Federation, “Plunket’s ability to make a real difference to the lives of all children and their families can only be enhanced by the sector-wide collaboration which the Federation is making possible.” she said.
The latest new members of the Federation now bring the total number of member organisations up to 40 and includes Pharmacy, Allied Health, Midwifery, Nursing, Plunket, NGOs and PHOs encompassing General Practice services to some 3.7 million enrolled New Zealanders across the length of the country.
ENDS
Further information can be obtained from: Philip Grant, Establishment Project Manager - Telephone 022 131 8393
Note to editors:
Plunket is New Zealand's largest provider of support services for the development, health and wellbeing of children under 5. Plunket works together with families and communities, to ensure the best start for every child. Whānau āwhina - caring for families.
25 To Nelson Bays Primary Health Board From Karen Winton, Acting Chief Executive Meeting date 7 February 2019 Subject Frome Health Project – Social Prescribing
For approval For action √ For information √
1. PURPOSE
To provide the Board with a review of the concepts of social prescribing within the current provision of services delivered by Nelson Bays Primary Health (NBPH) and other organisations across our community.
To propose next steps for further promotion of this concept across the wider community agencies.
2. SUMMARY
Social prescribing, sometimes referred to as community referral, is a means of enabling GPs, Nurses and other primary care professionals to refer people to a range of local, non-clinical services.
In reviewing the Frome Health Project, there were key factors that helped to ensure social prescribing was a success, this mainly centred around the provision of dedicated health connectors but also focused on building the connections available across the wider community agencies- rather than needing to reinvent or build new services.
Social determinants are now more widely recognised as contributors of health outcomes and our local community has already signalled interest in this during the Vulnerable Populations community consult hui.
In response to feedback received, NBPH are supporting the following initiatives that incorporate some aspects of social prescribing: • Vulnerable Populations (VIP Project), where three community lead agencies will provide the “connector” role to link people to health services via a voucher, they will help pay of patient debt at the Practice, offer a $20 Pharmacy voucher for prescription medicines, connect to the Fifeshire Foundation to support dental expenses, link to other services available in the community and/or a social worker for more support if needed. These agencies were chosen due to their established links and networks and also because they are already deeply involved with the provision of social services- such as budgeting and debt management, housing, substance abuse, family violence or isolation o Partners linked to the VIP programme include: Fifeshire foundation, the Male Room, Te Korowai Trust, Whakatu Marae, Motueka Family Service Centre, Red Cross (Op shop), Woman’s Support Link, and many more community agencies • Community Strength and Balance – Falls Prevention programme. This programme, funded by ACC, is to develop a network of community-based strength and balance groups for older adults across the region. These groups are low cost, easy to access, run weekly or multiple times per week and include exercise, education, enjoyment and emotional support. Along with reducing falls risks, they also provide the social support of connecting on a regular basis, reducing social isolation or feelings of sadness or loneliness. To keep the person engaged in the group, leaders are supported and upskilled so wider health information is passed on via hard copy resources and/or newsletter items that are regularly provided by the NBPH falls team
26 o Currently (as at December 2018) there are a total of 125 approved Community Strength and Balance groups across the region o Partners in this initiative include Allied Health, Age Concern, recreation facilities, community centres – to name just a few • The Health Care Home model has a function called Interdisciplinary teams (IDTs) where a practice lead is chosen and that lead then establishes a network of supporting agencies and services that the practice can tap into or refer onto. Once chosen the IDT would meet and connect to keep everyone up to date and on occasion (where relevant) have patient discussions to see who’s service best meets the patient’s needs (Shared Care Planning) • NBPH sub-contracts Mohua Social Services in Golden Bay (via the Rural Flexible funding) to provide a social worker service that navigates and connects people to the right service at the right time • NBPH also employs a Social Worker that General Practice can refer to. This service supports the patient to connect to, or address, social determinants of health issues, with the most common issue being housing (does not have anywhere safe to live). To do this the Social Worker has a network of community services and agencies that she links to. This service is very focused on a strengths based model where the person is empowered to feel more in control of their issue and the solutions required • Green Prescription (GRx) is another service that is very similar to Social Prescribing, in that the service builds confidence and knowledge, which are often the things that limit people finding their own solutions. GRx uses a strength based model which empowers people to find their own way to better health outcomes. It helps to identify priority issues, then points people in the right direction, (rather than doing it for them)
In Summary – there is a lot happening but knowing what is happening, what is available and where to go to get the information or service remains challenging.
To attempt to address this collection of information, there is also a project being completed by NBPH called the ‘Pathways Project”. This project aims to collate and identify all the agencies and services already in our community, it will include any referral criteria or access criteria, along with contact details and how to access/refer.
Once this work is completed this will be uploaded onto Health Pathways where it will be easily accessible by General Practice, thus improving the referral pathways and connections to all services available and relevant (What best suits the patient).
NBPH acknowledges that confusion exists around available services and their respective criteria for access, hence these services often being underutilised by General Practice.
There is an acknowledgement though, that to provide this level of detail as accurately as possible, this Pathways work will need regular updating so will require ongoing resourcing in the longer term.
Next Steps Proposed: • Evaluate the progress of the Vulnerable Population project with consideration for appointing these lead services as proposed Health Connectors for the wider community. Funding for these roles in the longer term would need to be sort external to NBPH • Approach NMH, Age Concern, Ministry of Social Development and ACC around running regular workshops at the local community centres to provide advice around housing, benefits and safety. Suggest these workshops include provision of kai to support the socialising of these sessions • NBPH’s Social Worker is planning on running clinics out of the Community Centres within the next few months • Approach the two councils for funding to train up volunteer community connectors, once the Pathways Project is complete. This could well be linked to their Age Friendly City Project Coordinator roles • Maintain a resource within NBPH to update the Health Pathways information-funding required
27 3. RECOMMENDATION
It is recommended that: • The Board receives the report and provides feedback on the proposed next steps.
28 To Nelson Bays Primary Health Board From Karen Winton, GM Health Services (Acting Chief Executive) Meeting date 7 February 2019 Subject General Manager Health Services’ Operational Report – Open Section
For approval For action For information √
1. SERVICE OVERVIEW
The Health Services Division cost centres for the financial year remain within budget for the majority of services.
Programmes have all recommenced for 2019 and continue to be provided with an increased emphasis across the key strategic areas highlighted, to provide consistent health messaging.
2. PRIMARY CARE – VULNERABLE PEOPLE
Kaiatawhai Service – Social Worker The Nelson Bays Primary Health (NBPH) Social Worker is continuing to network with a wide variety of agencies and medical centres. There is now stronger links in place with the Ministry of Social Development and Abbey Fields, to support and clarify how clients can be financially supported.
There were 24 referrals in total for the months of November and December. These consisted of 6 Māori, 16 NZE and 2 whose ethnicity was not specified. The main reason for referral for this period was housing at 54% (13), which remains a major issue for Nelson.
Referral guidelines and documents have been developed with refinements to simplify the referral process.
With the pending commencement of the Vulnerable Population strategic initiative due, relationships have been established with the lead agencies involved to support referrals for enrolment with a General Practitioner.
Kaiatawhai Service – Nurse There have been a total of 55 referrals to this service in total for the months of November and December. The top reason for referral this month was for support to engage in health screening 82% (45), with 16 of these clients referred onto Te Piki Oranga for cervical smears.
Within these two months, the clients’ referred identified as 13 Māori, 39 NZE and 2 Asian.
Community Nutrition The Eat, Move, Grow programme held one session for the month of November but none in December due to insufficient referrals. There has been no new referrals received this month and discussions are being held with the vulnerable population stakeholders and Heart Foundation, to facilitate promotion of this service.
29 The emphasis on referral pathways for General Practices focuses on utilising patient group education sessions instead of individual clinics. There were 128 clients seen within the months of November and December for 1:1 sessions as well as 4 patient education groups held.
Cardiac Rehabilitation This programme continues to be run within NBPH funding. One session has been delivered over the last two months with a total of 12 patients and 5 family members attending. There have been 7 referrals received for this same period – 5 Male and 2 Female.
3. CHILD AND MATERNAL HEALTH
Gateway Services There have been 13 referrals received in total for the months of November and December. These month’s referrals are high with 6 clients transfers to Nelson included. These referrals are for Gateway Health Assessments of children and youth who are referred for either a Family Group Conference, or are directly under the care of Oranga Tamariki. The waitlist for paediatrics is increasing so discussions have commenced around alternative options for assessments to be completed.
Pasifika Trust Another community health navigator has commenced to lead this project. Their role is to develop further relationships with General Practices and begin more health checks.
A Tongan Sports Day will be held in January. This day will include Diabetes awareness and Oral Health promotion and support.
4. MENTAL HEALTH AND ADDICTIONS
Primary Mental Health Initiative (PMHI) and Brief Intervention Service (BIS) These services continue to remain in high demand.
PMHI allocations continue to be utilised in a short time by practices with most referrals being for moderate mental health issues. The current model will be reviewed alongside the DHB contract manager in February. This will include consideration of alternative options and future planning as funding does not meet the current demand.
NBPH is also currently exploring alternative options with Motueka practices, who are proactively looking at new approaches to meet their client demand for mental health support.
The second Credentialing programme for nurses is progressing well at NBPH.
The Brief Intervention Service has been involved in delivering the “Tools for Living group” which commenced in November. Clinicians are continuing to encourage clients to consider attending future group sessions planned- instead of individual therapy.
The current average wait time for clients to be seen by PMHI providers remains at 1 – 2 weeks and is 4 – 5 weeks for BIS.
Youth Alcohol and Other Drugs (Youth AOD) NBPH’s Youth AOD clinician has received 25 new referrals for the months of November and December in total.
30 The NBPH clinician has commenced meeting new clients at the Family Services Centre in Motueka and has also met with the Director of the Turning Point Rehabilitation service to build this relationship.
Clinics will continue to be held at both the Takaka High School and the Golden Bay Youth Hub.
5. OTHER SERVICES
Green Prescription Green Prescription has received 100 referrals in total for the months of November and December 2018. The Quick Start programme has delivered 2 sessions with 20 participants attending while the Kick Start programme held 10 sessions with 132 attending during this period.
Smoking Cessation NBPH’s latest data shows a 86% result via Karo. With the loss of the stop smoking funded consults in General Practice, there is some concern over the risk to this target being further impacted.
9 General Practices have taken up the TXT@Remind service that Vensa offers which has the ability of filing the messages against the patients notes.
Practices have also been given a guide on what is required for each type of smoker to ensure data is captured correctly. One practice has improved their results from 83% up to 94% within this timeframe. The NBPH Smokefree Facilitator is continuing to visit Practices 6 weekly to look at progress towards targets.
6. SPECIALIST SERVICES
Infectious Diseases NBPH’s Infectious Diseases Specialist service has noted a higher number of referrals over the December period with an increased workload resulting. Virtual appointments remain a popular option for clients under this service.
New guidelines for after-hours response have been developed and circulated widely, as this is not an expectation of this service to provide and is an additional workload.
Community Rheumatology Service NBPH’s Rheumatologist continues to provide comprehensive triaging of referrals with more advice back to GP’s with suggested management plans rather than the need for review in the clinic.
This service continues to receive between 6-10 referrals per week for Nelson alone. The team are reporting increased satisfaction with the current clinic structure.
Clinics are in place for Nelson until March 2019 and clinics for Blenheim up until June 2019 are currently being confirmed.
7. RECOMMENDATION
It is recommended that: • The Board receives the report.
31 To Nelson Bays Primary Health Board From Sheryl Hall, Lead Health and Safety Representative Endorsed by Karen Winton, Acting Chief Executive Meeting date 7 February 2019 Subject Health and Safety Report
For approval For action For information √
1. OVERVIEW AND UPDATE
The following provides a high level update on Health and Safety for the Nelson Bays Primary Health (NBPH) workforce. This report presents records from both Richmond and Golden Bay sites. This report reflects three worker-related incidents that were reported from the Golden Bay Community Health (GBCH) location.
2. INCIDENT AND HAZARD REPORTING
During November 2018, two worker-related incidents and one near miss were reported by the GBCH location and nil reported in December. No incidents were reported for NBPH workforce at Richmond over the same period. This report is in line with the previous year over the two month period. The following graph illustrates the incidents previously reported for the previous six months. No incidents were of “serious harm”.
Graph 1. Near Miss and Incident Records at All Sites July to December 2018:
Near Miss and Incidents Reports July 2018 to December 2018 3
2
1
0 Richmond Richmond Richmond Richmond Richmond Richmond GBCH - Staff GBCH - Staff GBCH - Staff GBCH - Staff GBCH - Staff GBCH - Staff GBCH Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Near-Miss: no harm Actual: no harm Actual: injury Serious Harm
32 Graph 2. Near Miss and Incident Records for Richmond December 2017 to December 2018:
Near Miss and Incident Reports Richmond December 2017 to December 2018 3
2
1
0 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Near-Miss: no harm Actual: no harm Actual: injury Serious Harm
No Health and Safety incidents relating to the well-being of workers, contractors, nor volunteers were reported for Richmond in November and December 2018, similar to the previous year report. Richmond continues to be a low risk environment. Health and Safety committee continue to review the hazards, risks at 281 Queen street and take appropriate action as necessary, with Health and Safety updates included in all staff meetings.
Graph 3. Near Miss and Incident Records for Golden Bay Staff December 2017 to December 2018:
Near Miss and Incident Reports Golden Bay Staff December 2017 to December 2018 5
4
3
2
1
0 Dec-17 Jan-18 Feb-18 Mar-18 Apr-18 May-18 Jun-18 Jul-18 Aug-18 Sep-18 Oct-18 Nov-18 Dec-18
Golden Bay: Staff Near-Miss: no harm Actual: no harm Actual: injury Serious Harm
Two worker related incidents and one near miss were reported in November 2018. The GBCH incidents were minor with one resulting in a short term Lost Time Incident (LTI). The low number of incidents is similar to that reported at the same time last year over the two month period. No serious harm incidents were reported.
33 3. OTHER HEALTH AND SAFETY ACTIVITIES
Stress in the Workplace It is difficult to identify stress in the workplace, as stress can be revealed by both workplace and personal factors. To guide the organisation in this, the workplace monthly usage of Employee Assistant Programme (EAP) services is considered. EAP is a confidential service and the matters raised are not necessarily stress related. One staff member from the Golden Bay location accessed EAP services during November and December 2018. EAP usage remains low across the organisation, but continues to be a valuable resource for staff, and is regularly promoted by the management team.
Golden Bay Activities • Regular hazard identification and monitoring of GBCH • Regular Health and Safety Committee meetings • Fire alarm annual system survey was completed with no defects found • Additional staff evacuation wardens were appointed for the Christmas Party (174 confirmed attendees) • GBCH Trust have installed air-conditioning in the consult rooms, resuscitation area, activities and physio rooms
281 Queen Street Activities • Regular hazard identification and monitoring of Richmond workplace • Update in monthly staff meeting and 281 staff newsletter • Regular Health and Safety Committee meetings • Training on use of newly positioned AED located externally on the building at 281 Queen Street has commenced. All staff at the Health Hub were invited to attend the training demonstrations which are delivered by Linzi Birmingham, General Manager, GBCH • The “SafePlus Online Self-Assessment Survey Tool”, developed by WorkSafe, ACC and MBIE (Ministry of Business, Innovation and Employment), has been tested by the Health and Safety Committee and recommended for internal use. This survey will be distributed to staff in January
4. RECOMMENDATION
It is recommended that: • The Board receives this report.
34 Board Work Programme 2018/19 (v 18 January 2019)
2018 2019 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec BOARD Meetings Richmond 5 2 6 4 1 7 7 4 2 30 4 1 5 3 7 May Golden Bay 6 5 Strategic Planning Day 6 NBPH and MPH Board Meeting (Rai Valley) 14 Board Teleconference to approve YE financials 17 x NBPH and NMH Boards Meeting x NMH CPHAC Meeting on Mental Health/AOD 24 NMH CPHAC Meeting on Maori Health/ 25 Inequities Events Board dinner 5 10 x Agenda items Appointment of Deputy Chair x x Subcommittee appointments review x x Review of Trustee Register/Reappointment x Process Approve audited financial statements x x Approve 2018/19 Budget x Other Send Fit and Proper declarations to Trustees x for completion Management to provide Solicitor’s review of x x NBPH’s statutory compliance register / summary paper on new legislation relevant to the Board, as required Health and Safety walk around of facility x x Meetings with Director Performance Feedback Meeting Helen Stuart Kim Sarah Sue Graham Helen Stuart Kim Board Chair with John Hunter (1.30pm, Lydia’s Café) COMMITTEES Remuneration and Governance Meetings 18 15 22 21 18 Chief Executive Staff/Providers/Stakeholders Survey – carry x performance out appraisal Staff/Providers/Stakeholders Survey – review x Chief Executive performance appraisal x Agenda items Review of Trustee Register/Reappointment x Process Board Appraisal (every 2 years – Oct ‘19) x Terms of Reference (every 2 years – Nov ‘19) x Other Review Fit and Proper declarations x x Review terminology of questions for Board x Self-evaluation (two months prior to Oct ’19)
35 2018 2019 Jul Aug Sep Oct Nov Dec Jan Feb Mar Apr May Jun Jul Aug Sep Oct Nov Dec Audit and Financial Risk Meetings 6 8 5 Agenda items Review and recommend the budget x Consider year-end audited financial x x statements Meeting with Auditor/Setting Audit Fee x Reappointment of Auditor (at AGM)* x x Insurance renewal review x Review financial Reporting to Board x Review of Terms of Reference (every 2 years x – Apr ‘19), Chair, Committee Performance Te Tumu Whakaora Meetings 19 20 25 15 21 21 18 16 20 18 15 19 17 21 Clinical Governance Committee Meetings 19 20 18 15 21 21 18 16 20 18 15 19 17 21 AGM Meeting 4 3 Agenda items Adopt Annual Report x x Appoint Auditors for next financial year x x OTHER Strategy and Budget Cycle Strategic Planning Day x Strategic Plan – Annual Review x Operational Plan – Annual Review x Audit x x Budget process x x x x Consider 2019/20 Budget x Marlborough Primary Health Board meetings Blenheim 18 22 7 12 AGM Blenheim 26 Public Holidays Nelson Anniversary Day 4 Waitangi Day 6 Good Friday 19 Easter Monday 22 Anzac Day 25 Queen’s Birthday 3 Labour Day 22 28
*At the Audit and Financial Risk Committee meeting on 7 September 2017, it was confirmed that NBPH is continuing with the current Auditors (BDO, Wellington), foreseeably for the next 4 – 5 years. The Auditors will be appointed and approved at the AGM.
36