2020 04 28 Wairarapa Board Meeting PUBLIC - Agenda Public Board Meeting Meeting Date: 28th April 2020 Meeting Time: 09:30am Venue: Zoom 1 2020 04 28 Wairarapa Board Meeting PUBLIC - Agenda Wairarapa District Health Board Government Priorities 2019/20 “Improving the wellbeing of New Zealanders and their families“ Government Priorities 2019/20 “Improving the wellbeing of New Zealanders and their families“ Improving child wellbeing Improving mental wellbeing Better population health outcomes Improving wellbeing through prevention supported by a strong and equitable public health and disability system Better population health outcomes Strong fiscal management supported by primary health care 2 2020 04 28 Wairarapa Board Meeting PUBLIC - Agenda AGENDA Held on 28 April 2020 Zoom video conference Commencing at 9:30am – 11:30am BOARD PUBLIC SESSION Item Action Lead Minute Allocation 1. Procedural Business 1.1 Karakia 1.2 Apologies Accept 1.3 Interest/Conflict register 1.4 Previous Minutes Accept Chair 25 9:55am 1.5 Previous Actions Confirm 1.6 Draft 2020 Board Work Plan 1.7 Chairperson Report Verbal 1.8 Chief Executive Report Note D Oliff 2. Patient Story Verbal C Matthews 15 10:10am 3. Presentation: Allied Health Verbal N Rivers 20 10:25am 4. Decision 4.1 Youth Health Service Development Approve S Williams 10 10:45am 4.2 Strategic Direction Decline 5. Information 5.1 Planning & Funding Report S Williams 5 10:55am 5.2 Finance Report F vanHam 5 11:00am 5.3 Hospital & Community Services Report K McCann 5 11:05am 5.4 People & Capability Report Receive S McKay 5 11:10am 5.5 Information Communication Report T Voice 5 11:15am 5.6 Quality, Risk & Innovation Report C Stewart 5 11:20am 5.7 Chief Medical Officer Report S Sturland 5 11:25am 6. Other 6.1 General Business 5 11:30am 6.2 Resolution to Exclude the Public Agree Morning Tea Date of next meeting: 25th May 2020 3 2020 04 28 Wairarapa Board Meeting PUBLIC - Procedual Business Karakia Tuia ki runga, Tuia ki raro Tuia ki roto, Tuia ki waho Ka rongo te ao, Ka rongo te pō Haumi e, Hui e Taiki e --------------- Unite above Unite below Unite without Unite within Listen to the night Listen to the world Now we come together As one. Wairarapa District Hutt Board 4 2020 04 28 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 Health Partnerships Limited ∑ Trustee of the Malaghan Institute of Medical Research ∑ Member to Governance Board for Health Finance, Procurement & information Management System Programme (FPIM) Dr Tony Becker ∑ Shareholder and Director (Clinical) Masterton Medical Limited Deputy Chair ∑ Shareholder and Director Wairarapa Skin Clinic ∑ Wife contracts to Wairarapa District Health Board ∑ Trustee, Hau Kainga ∑ Member Alliance Leadership Team Mrs Leanne Southey ∑ Chair, Wairarapa District Health Board, Finance Risk & Audit Committee Member ∑ 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 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 ∑ RK Consulting Ltd, Business owner ∑ Whanau ora Collective Member Te Hauora and Whaiora via Te Pou Matakana Helen Pocknall ∑ Contractor with Ministry of Health Member Ryan Soriano ∑ Community Coordinator for FOCUS, Disability Support Services at Wairarapa DHB Member ∑ Member, Board Trustee for Saint Patrick School Board, Masterton ∑ Wife Employed as Senior Caregiver at Lansdowne Park Aged Care Facility Joy Cooper ∑ Chairperson Wharekaka Trust Board Incorporated Member Updated: 2020-04-16 1 5 2020 04 28 Wairarapa Board Meeting PUBLIC - Procedual Business Norman Gray ∑ Association of Salaried Medical Specialists (ASMS) Branch Representative for Wairarapa Member ∑ Emergency Consultant and Clinical Lead, Wairarapa DHB ∑ Member, Mid Central DHB Jill Stringer ∑ Director, Touchwood Services Limited Member ∑ Husband employed by Rigg-Zschokke Ltd Yvette Grace ∑ General Manager, Rangitāne Tu Mai Rā Treaty Settlement Trust Member ∑ Member, Hutt Valley District Health Board ∑ Husband is a Family Violence Intervention Coordinator at Wairarapa District Health Board ∑ Sister-in-law is a Nurse at Hutt Hospital ∑ Sister-in-law is a Private Physiotherapist in Upper Hutt Jill Pettis ∑ Nil Interests declared Member Updated: 2020-04-16 2 6 2020 04 28 Wairarapa Board Meeting PUBLIC - Procedual Business Minutes: Kadeen Williams , Board Secretary Held on 30th March 2020 Zoom, virtual meeting Wairarapa Hospital, Masterton Board Meeting Public Board Members Present Sir Paul Collins Board Chair Dr Tony Becker Deputy Chair Leanne Southey Member Ron Karaitiana Member Joy Cooper Member Helen Pocknall Member Ryan Soriano Member Jill Stringer Member Yvette Grace Member Sign in at 11:00am Jill Pettis Member Executive Leadership Team Present Dale Oliff CEO WrDHB 1. Procedural Business Note to extend a thank you to all the Health professionals in the current difficult circumstances. Now is the time to show leadership 1.2 Apologies As noted above 1.3 Minutes from previous meeting ∑ The Board RESOLVED to approve the minutes of the Members’ Minutes from the previous meeting as a true and accurate record of the meeting ∑ The Board NOTED Minutes were updated with minor spelling and wording updates with Chairperson and administrator prior to the meeting Moved R.Karaitiana Seconded R.Soriano Carried Action Items Register ∑ The Board NOTED and CONFIRMED no previous actions to be followed up Work plan 2020 ∑ The Board NOTED that business as usual will be continued as required but there will need to be changes as required due to current circumstances Interest/Conflict Register ∑ The Board NOTED that there are no changes to the interest register to be declared in the meeting ∑ The Board CONFIRMED current conflicts prior to discussion on each item of the agenda are accurate with one Board Member (R.Karaititana) having a conflict with the Funder Commitments 2020/21 paper under Public Excluded Wairarapa DHB Board Meeting Page 1 of 5 7 2020 04 28 Wairarapa Board Meeting PUBLIC - Procedual Business Chairperson reports ∑ The Board received a VERBAL update which has been NOTED ∑ NOTED Weekly Friday Ministerial meetings coordinated by Michelle Arrowsmith ∑ NOTED Meetings discuss working relationships across Health and importance of good Leadership at all levels. DHBs are receiving regular updates on funding, guidance, planning and reporting with a focus on vulnerable communities ∑ NOTED Ministry has asked to try keep business as usual where possible as there is still a need for healthcare Chief Executive Reports The report was taken as READ, NOTED and this paper and discussed The Board: ∑ NOTED COVID-19 updates: ∑ COVID-19 works are changing daily so the latest advise will be presented verbally ∑ Minister requested DHBs to set up local testing assessment centres and have Community Based Assessment Centres (CBACs)) ready to be available when called for (within 24hr notice) ∑ The Primary Health Organisation (PHO) and Masterton Medical Limited (MML) set up the COVID assessment centre on Columbo Rd, Masterton ∑ The DHB set up the Emergency Operation Centre (EOC) on Sunday 21st March 2020 ∑ The Hospital set up a single point of entry with testing and is adhering to the latest visitor policy/guidance for social distancing ∑ David Mates and Dale Oliff are working with the Ministry to develop National policy and community responses. For Hospital Operations ∑ Monday 22nd March Local General Practices have set up testing sites outside practices and a mobile unit is being progressed for rural areas with Wellington Free Ambulance (WFA) ∑ There are constraints with Personal Protective Equipment (PPE) and protocols and guidance on the use of PPE is being developed to help mitigate ∑ Essential services encompasses orderlies, cleaners etc. Further education for staff and their families through the Workforce/Welfare streams is being organised to assist with anxiety levels ∑ NOTED Boarders being closed has caused delays with Clinical staff entering the Country (14day stand down) which have been appropriately mitigated to ensure continued clinical cover ∑ NOTED Messages for general population to be reminded to access healthcare when they are unwell. Our communications have been updated to show “If you need care, we are here” ∑ NOTED More ventilators have been ordered for a total of seven (7) to be available. Staff are receiving training for these ∑ NOTED Waitlists are being reviewed and updated for those in high need to receive treatment and those whom can be delayed after best practice and conversations with patients ∑ NOTED Community and Public Health Advisory Committee (CPHAC) delayed, next meeting April 2020 ∑ NOTED Healthcare workers who enter people’s