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Thames ;Prea Alth Ard Vol. A

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Thames ;Prea Alth Ard Vol. A THAMES ;PREA I I ALTH-S ARD A PROPOSAL TO THE MINISTER OF HEALTH THE HON. DR. MICHAEL. BASSETT VOL. A Al FINANCE A2 PERSONNEL A3 NURSING WORKFORCE A4 REPORT OF_MS N. CLARKE A5 C.V.- OF CHAIRMAN, MR N. CLARKE 1 AM ES HOSPITAL BOARD LETTER TO MINISTER OF HEALTH FROM CHAIRMAN THAMES HOSPITAL BOARD 4.... !..; ..- - - :: •:- Wsn cUnq 12 February 1987 The Hon. Dr. M. Bassett, Minister of Health, Parliament Buildings, WELLINGTON. Dear Dr. Bassett, Herewith the Thames Hospital Boards proposal that requests your approval for the formation of the Thames Area Health District and Board. My Board has chosen to proceed differently to Northland, Nelson and Wanganui. Rather than form a Steering Committee we chose to use Thames Hospital Board staff to plan the proposed Area Health Board, and to then issue a "Public Discussion Document". The contents of this document were then widely circulated amongst health professionals, the private and voluntary sectors and amongst community groups likely to be interested. Advertisements in newspapers, articles in local newspapers and on the several radio stations serving the district were used to further increase coverage. Meetings were held throughout the district with health professionals and a series of public meetings were scheduled in all major communities of the district. Public meetings were chaired by Mr. N. Clarke a prominent resident and his report to you is attached. Submissions were called from the public to the "Discussion Document" and these are included in Appendix C. The Thames Hospital Board received 25 in total. The major modifications to the circulated discussion document are - 1. Maori Health The Thames Area Health Board will form a Maori Health Committee. This committee will have similar status to other committees of the Board - (namely Executive, Finance, Planning and Community Health), and it will have a membership drawn from the Board itself and from nominees of the Hauraki District Maori Council. 2. Community Committees The membership of various community committees has been modified to allow for the inclusion of nominees of local authorities (rather than necessarily councillors per se). 3. The Accident Compensation Commission The ACC will be invited to provide input into all management units of the Board, however we see a prominent role for the Commission especially the Health Promotion Unit. Contd... -2- 4. The Thames Hospital Board has no objection to the inclusion of Kaiaua in the Thames Area Health Board District as requested by that community. If the Minister so desires a formal approach could be made to the residents of Kaiaua and the Auckland Hospital Board for the inclusion of Kaiaua in this district. The Thames Hospital Board, sir, has pleasure in submitting this proposal to you and looks forward to your reply. Yours sincerely, Aa-"-et^ J.P. Farrow, CHAIRMAN. LEVIER TO MINISTER OF HEALTH FROM MR. N. CLARKE, OBE, JP CHAIRMAN PUBLIC MEETINGS The Honourable Minister of Health, Parliament Buildings, Private Bag, WELLINGTON. Dear Sir, AN AREA HEALTH BOARD FOR THAMES The Thames Hospital Board asked me if I would assume the position of Chairman for the organised series of public meetings to discuss the proposed "Thames Area Health Board". In so doing the Hospital Board stated a Chairman was required who was: independant from the Hospital Board and the health profession in general who would be accepted and considered impartial by all communities and their leaders who displayed no overt political persuasions who had experience chairing large meetings I was pleased to accept the Thames Hospital Boards invitation. The duties of Chairman were perceived by myself and the Thames Hospital Board as: to conduct advertised public meetings to ensure these meetings provided an opportunity for: The Thames Hospital Board to describe in detail the implications of the Area Health Board Act 1983, and the proposed "Thames Area Health Board". The public to clarify matters relating to the Act and the proposal. The public an opportunity to express its opinion. As an independant resident I was requested by the Thames Hospital Board if possible to access the reaction (largely as expressed at the public meetings) of the residents of this district to the proposed "Thames Area Health Board", and to convey my assessment to the Minister of Health. At all public meetings at least one resolution arose spontaneously from the floor. In carrying out the task I have given consideration to the following: the extensve advertising campaign by the Thames Hospital Board (via the "Public Discussion Document", leaflets, press, radio, posters, word of mouth). the excellent attendance at public meetings (eight meetings held throughout the region). the discussion at public meetings the resolutions passed at public meetings (all meetings proposed a resolution in support of the proposed Thames Area Health Board, and all resolutions except that of Thames were passed unanimously. A resolution was passed in Thames with no dissent, however two residents recorded their abstentation). the press coverage the reaction of local civic leaders verbal communications to me personally a review of the submissions received by the Thames Hospital Board It is my opinion that: the public of this district have been informed in some detail as to the implications of the Thames Hospital Board requesting the Minister to consider the establishment of the "Thames Area Health Board". the public have been adequately consulted on this matter. the residents of the Thames Hospital Board District support the Board in making this proposal to the Minister of Health and wish the Minister to consider it favourably. the residents of Kaiaua desire to be included in the Thames Area Health Board District. the proposal is supported by residents with the assumption that adequate funds are made available and continue to be provided to the Thames Area Health Board in order for it to perform its duties as set down in the Area Health Board Act 1983, and the attached Thames Hospital Board Document "The Thames Area Health Board, A Proposal to the Minister of Health". I therefore commend, Sir, on the weight of evidence presented and the overwhelming public opinion expressed that you give favourable consideration to the Thames Hospital Boards proposal that the "Thames Area Health Board" be formed. Yokerei N.J. Clarke, CHAIRMAN OF PUBLIC MEETINGS. RECOMMENDATIONS It is recommended by the Thames Hospital Board: - I. That an Area Health District be established on the 1st October 1987 based on the boundaries of the Thames Hospital District and named the Ihames Area Health District. H. That an Area Health Board named the Thames Area Health Board be constituted on the 1st October, 1987, with it headquarters in Thames. ifi. That the Thames Area Health Board make a formal approach to the residents of Kaiaua and to the Auckland Hospital Board with the intention of including Kaiaua in the Thames Area Health Board (Ref 2.13.2). IV. That, in so forming the Thames Area Health Board, the Thames Hospital Board and the Hamilton District Office of the Department of Health ensure that a "new health service" is provided for the region. (3.1 & 3.7.6). V. That the objectives of the Thames Area Health Board be as stated in Section 9 of the Area Health Board Act 1983 (3.2). VI. That the Thames Area Health Board be encouraged to allocate sufficient staff and resources to its Health Promotion, Community Service and Hospital Management Units so that health promotion, health protection and caring health service are provided (3.3.13). VII. That the relationships between the private health sector and the Thames Area Health Board be further enhanced and developed (3.3.13). Yffi. That Thames Area Health Board should ensure that not only is the independence and antonomy of voluntary organisations retained, but that their relationship with the Area Health Board is developed especially through participation in Service Development Groups and Community Committees (3.5). IX. That the Thames Area Health Board consist of 12 members elected on the same ward basis as the Thames Hospital Board and that a further 3 members be appointed to the Board by the Minister. X. That the Thames Area Health Board establish the following Committees - Executive Committee, Finance Committee, Planning Committeeand Community Health Committee, and Maori Health Committee (3.9 & 5.0). XI. That and Executive Staff Unit be established comprising a Chief Executive, Chief Medical Officer and Chief Nurse (3.10.1, 3.10.2). XII. That three Management Units be formed - viz. "Community Services", "Health Promotions" and "Hospital Management" (3.1 0.3). Xffl. That the Thames Area Health Board establish (initially 9) Community Committees and a sufficient number of Service Development Groups. (3.6). XIV. That Community Committees be formed with functions and in communities as specified by the Area Health Board (6.5, 6.8). That Members be appointed to the Community Committee by the Board from the membership of the Area Health Board itself, from nominees of local authorities and. from nominees of the community represented (6.8). That each Community Committee be convened by a Area Health Board member and that it elect a Chairman from amongst its members (6.9). XV. That members of Service Development Groups be appointed by the Area Health Board (4.7). XVI. That all three management units of the Area Health Board appoint staff to "Community Liaison Posts" (5.3, 5.10). XVII. That staff in service of the Thames Hospital Board and the appropriate proportion of staff in the Hamilton District Office of the Department of Health at the time of establishment be employed by the Thames Area Health Board. XVIII. That transfer of staff to the Area Health Board from the Thames Hospital Board and the District Office of the Department of Health be in accordance with Section 47 of the Health Service Personnel Act (8.5).
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