2019 06 Wairarapa DHB Board Papers PDF, 7.32 MB
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2019 06 24 Wairarapa Board Meeting PUBLIC - Agenda AGENDA Held on Monday 24th June 2019 Lecture Room, CSSB Building, Wairarapa DHB, Masterton Commencing at 09:30am – 12:25pm BOARD PUBLIC SESSION Item Presenter Time 1. Procedural Business 1.1. Karakia R Karaitiana 1.2. Apologies Sir P Collins 1.3. Minutes of previous meeting Sir P Collins 09:30am - 09:40am 1.4. Action items register Sir P Collins 1.5. Interest/Conflict register Sir P Collins 2. Executive Reports 2.1. CE Report C Climo 09:40am – 09:55am 2.2. CFO Report S.Flavin 09:55am – 10:10am 2.3. COO Report K.McCann 10:10am – 10:25am 2.4. GM P&P Report S.Williams 10:25am – 10:35am Morning Tea 3. Decision 3.1. Order of names on voting papers C Climo 10:55am – 11:00am 3.2. All of Government travel management S McKay 11:00am – 11:05am Statement of Intent (SOI), Statement of Service Performance Expectations (SPE) & System Level Measures Improvement 3.3. Plan (SLM) S Williams 11:05am – 11:25am 3.3.1 APPX2 Part B of the 2019/20 Annual Plan 3.3.2 APPX 32019/20 SLM 3.4. Emergency contraception service S Williams 11:25am – 11:30am Health Finance Procurement & Information Management 3.5. S Flavin 11:30am – 11:40am (FPIM) Impairment 3.6. Going concern assessment S Flavin 11:40am – 11:45am Equity application 2019/20 3.7. S Flavin 11:45am – 11:50am 3.7.1 Letter, Equity application RPH reducing alcohol related harm 3.8.1 APPX1 Position Statement 3.8. S Palmer 11:50am – 12:25pm 3.8.2 APPX2 DEC18 Progress Report 3.8.3 APPX3 OCT14 RPH Submission Wairarapa District Health Board 1 2019 06 24 Wairarapa Board Meeting PUBLIC - Agenda 4. Information S.Williams 4.1. Palliative care implementation paper M.Halford 4.2. WrDHB Schedule 2019 C Climo 4.3. Dashboard MAY 2019 C Climo 5. Late Paper 5.1. Aged Residential Care Agreements Approval to Contract S.Williams LUNCH RESOLUTION TO EXCLUDE THE PUBLIC Wairarapa District Health Board 2 2019 06 24 Wairarapa Board Meeting PUBLIC - Procedual Business Minutes: Kadeen Williams , Board Secretary Held on 27th May 2019 Lecture Room, CSSB Building, Wairarapa Hospital, Masterton Commencing at 9.30am – 12:30pm Board Meeting Public Board Members Present Sir Paul Collins Board Chair Leanne Southey Deputy Chair Adrienne Staples Member Alan Shirley Member Derek Milne Member Fiona Samuel Member Nick Crozier Member Liz Falkner Member Rick Long Member Executive Leadership Team Present Craig Climo Acting CEO WrDHB Visitors Liz Stockley Public Health Organisation Martin Hefford Public Health Organisation Apologies Ron Karaitiana Member Jane Hopkirk Member 1. Procedural Business 1.2 Apologies As noted above 1.3 Minutes from previous meeting: 29th April 2019 ∑ Minutes received and approved 1.4 Action Items Register ∑ All actions completed 1.5 Interest/Conflict Register ∑ Register has been updated as requested 2. Executive Reports 2.1 CE Report ∑ The Board received the report ∑ Extracts of SoI & Statement of Performance Expectations will be available to the Board via the 21st June 2019 FRAC papers. This will then be sent to the MoH as required on 21JUNE2019 noting that it is subjected to Board approval on 24th June 2019 available to the Board (does not need to delegate to FRAC) we will request extension to 24th June 2019 Wairarapa DHB MAY 2019 Board Meeting Page 1 of 2 3 2019 06 24 Wairarapa Board Meeting PUBLIC - Procedual Business 2.2 CFO Report ∑ The Board received the report 2.3 COO Report ∑ The Board received the report 2.4 GM P&P Report ∑ The Board received the report ∑ New System Level Measurers to be circulated to members for comment ∑ The Board agrees to the negotiations parameters to enter into negotiations and agreements for 2019/20 2.5 Quality Report ∑ The Board received the report 3. Discussion 3.1 PHO ∑ Board received a presentation from Martin Hefford/Liz Stockley; presentation to be circulated 4. Decision IT Capital expenditure for the annual NCAMP project 2018/19 ∑ The Board received the report and approved the CEO to sign off 3DHB MHAIDs Living life well 2019/25 Implementation plan ∑ The Board received the report and noted that a further report is planned for the November 2019 Board meeting Lunch Resolution to exclude the public CONFIRMED that these minutes constitute a true and accurate record Dated this day of 2019. Sir Paul Collins Chair, Wairarapa District Health Board Wairarapa DHB MAY 2019 Board Meeting Page 2 of 2 4 2019 06 24 Wairarapa Board Meeting PUBLIC - Procedual Business PUBLIC WrDHB MEETING ACTION Wairarapa DHB Public Action Register Opened Completed # Lead Action How Dealt with date Date Board requested further information on the recent Information requested from the Operations Manager and they have 1. CEO 27/05/19 31/05/19 surgeon resignation responded to CEO Further information around increase in pressure Executive Leader Operation requested to provide further 2. CEO 27/05/19 5/06/19 injuries information 5 2019 06 24 Wairarapa Board Meeting PUBLIC - Procedual Business Wairarapa Board INTEREST REGISTER Name Interest Sir Paul Collins ∑ Director of: Active Equity Holdings Limited (Chair) Chair Hurricanes GP Limited Ides Limited Shott Beverages Limited Technical Advisory Services Limited ∑ Director and shareholder of: AEL Managers Limited Beverage Holdings Limited Cohiba Traders Limited Ecopoint Limited Tofino Trustee Limited ∑ Member of shareholders Review Group for New Zealand Partnerships Limited Mrs Leanne Southey ∑ Chair, Wairarapa District Health Board, Finance Risk & Audit Committee Deputy Chair ∑ Deputy Chair, Wairarapa District Health Board ∑ Chair of Lands Trust Masterton (15 February 2016) ∑ Director, Southey Sayer Limited ∑ Chartered Accountant to Health Professionals including Selina Sutherland Hospital and Selina Sutherland Trust ∑ Trustee, Wairarapa Community Health Trust ∑ Shareholder of Mangan Graphics Ltd ∑ Member of UCOL Council Dr Nicholas Crozier ∑ Board Member Compass Health Member ∑ Branch Medical Advisor ACC ∑ GP Masterton Medical ∑ Board Member Cancer Society Dr Liz Falkner ∑ Member, Wairarapa District Health Board Member ∑ Member, WRDHB Hospital Advisory Committee (30 March 2016) ∑ Retired General Practitioner with Masterton Medical Limited ∑ Medical Advisor – Post Polio Support Society NZ Inc ∑ Sister in Law works part time at Wairarapa District Health Board (23 February 2016) Ms Jane Hopkirk ∑ Member, Wairarapa District Health Board Member ∑ Member, Wairarapa, Hutt Valley and CCDHB Disability Support Advisory Committees (30 March 2016) ∑ Member, Wairarapa Te Iwi Kainga Committee ∑ Data Analyst, Takiri Mai Te Ata, Kokiri Hauora Mr Ronald Karaitiana ∑ Member, Wairarapa District Health Board Member ∑ Member, Wairarapa Te Iwi Kainga Committee ∑ Member, Wairarapa District Health Board, Finance Risk & Audit Committee ∑ Akura Lands Trust Chairman ∑ Extended family members work in varying roles at DHB ∑ Chair of WrDHB Hospital Advisory Committee ∑ CE Te Hauora Runanga o Wairarapa Updated: 2019-06-16 1 6 2019 06 24 Wairarapa Board Meeting PUBLIC - Procedual Business Name Interest Mr Rick Long ∑ Member, Wairarapa District Health Board Member ∑ Member, Wairarapa District Health Board, Finance Risk & Audit Committee ∑ Chairman of Wairarapa Community Transport Services Inc ∑ Chairman of Tolley Educational Trust ∑ Trustee for Sport and Vintage Aviation Society ∑ Member of Masterton Lands Trust ∑ Director, Longs Properties Limited (1 February 2016) Mr Derek Milne ∑ Member of 3DHB DSAC Member ∑ Brother-in-law is Chairman of Health Care NZ ∑ Daughter GP Masterton Medical Ltd (MML) ∑ Board member Masterton Medical Ms Fiona Samuel ∑ Member of Wairarapa District Health Board Member ∑ Casual Nurse at Wairarapa Hospital ∑ Duty Nurse Manager at Wairarapa Hospital (on a casual basis) ∑ Contractor Auditor for Central Technical Advisory Services Ltd ∑ Member of Clinical Board at Wairarapa District Health Board ∑ Violence Intervention Programme o Clinical Co-ordinator from 22 August 2017 o Casual from November 2018 ∑ Director in Primary Care Development Ltd ∑ Contractor working with Whaiora Whanui Mr Alan Shirley ∑ Member, Wairarapa District Health Board Member ∑ Member, Wairarapa, Hutt Valley and CCDHB DSAC ∑ Surgeon at Wairarapa Hospital ∑ Wairarapa Community Health Board Member ∑ Wairarapa Community Health Trust Trustee (15 September 2016) Mrs Adrienne Staples ∑ Councillor – Greater Wellington Regional Council Member ∑ Director – Sanctuary Hill Limited ∑ Trustee – Staples Property Trust ∑ Board Member – NZ Geographic Board Updated: 2019-06-16 2 7 2019 06 24 Wairarapa Board Meeting PUBLIC - Executive Reports PUBLIC BOARD INFORMATION PAPER Date: 14th June 2019 Author Craig Climo, Interim Chief Executive Officer Subject Chief Executive Officer Board Report June 2019 RECOMMENDATION It is recommended that the Board: a. NOTES: this paper and discusses as appropriate 1 FINANCIALS 1.1 May 2019 The operating result for May 2019 is an unfavourable to budget of $171k, which is a little better than par for the gap between budgets and forecast. The Chief Financial Officer’s report describes the overs and unders within the result, much of which are offset and distract from the real variances. The YTD May result is $1.38M unfavourable to budget. 1.2 Forecast year end The year-end forecast is $11.28M. This is a small improvement on the forecast as at last month although it does include the FPIM write off of $0.5M – separately in this agenda. The forecast from here is more likely to improve than not, with net IDF costs looking significantly lower than forecast, and potentially additional Ministry of Health MoH) revenue at year end for In- Between Travel and planned care (electives). 2 ANNUAL PLAN 2.1 Process The Statement of Intent and Service Performance Expectations are required to be published by 30 June 2019. These documents are in essence extracts from the annual plan and are separate in this agenda for approval and transmission to the MoH. They can be amended and will likely need to be in light of expected changes arising from the Government budget. Additionally in this Board agenda are the Service Level Measures (SLM).