Distribution Nelson Bays Board Members: . John Hunter (Chair) . Pat Curry . Philip Chapman Primary Health . Sarah Green . Stuart Hebberd . Helen Kingston . Lisa Lawrence AGENDA . Sue Stubbs Management: . Angela Francis, CE . Emily-Rose, EA/Board Secretary . Karen Winton, Acting GM Health Services . Linzi Birmingham, GM Golden Bay Board Community Health . Trudi Price, HR/Support Services Manager . Wolfgang Kloepfer, Finance Manager Open Public: . Hard copies (3) . Open Agenda Distribution List (e) . Website Date: 1 June 2017 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 6 July 2017 Nelson Bays Primary Health Board Meeting 2.00pm Thursday 1 June 2017 Open Agenda 1.45 – 2.00pm: Te Reo Training held for Board Members 2.00 – 2.10pm: Public Forum Page 1.0 Welcome/Karakia – John Hunter 2.0 Apologies: Stuart Hebberd 3.0 Register of Interests 3.1 Amendment to the Register of Interests 3 For review 3.2 Declaration of Conflicts in Relation to Today’s Business 4.0 Confirmation of Agenda For review 5.0 Minutes of 4 May 2017 5.1 Confirmation of Minutes 4 For approval 5.2 Matters Arising (and not for discussion in 5.3) 5.3 Discussion of Action Points 7 For review 6.0 Environmental Scan Discussion 7.0 Reports 7.1 Chief Executive’s Report – Open Section 8 For information 7.2 GM Health Services Operational Report 23 For information 7.3 Health and Safety Report 26 For information 8.0 Policies for Approval 28 For approval • Confidentiality Policy 30 For approval • Privacy Policy 34 For approval • Deputy Chairperson Selection Policy 41 For approval • Independent Chairperson Selection Policy 43 For approval • Subcommittee Selection Policy 45 For approval • Fixed Asset Management Policy 47 For approval 9.0 Position Descriptions for Approval 56 For approval • Position Descriptions: Independent Board Chairman 57 For approval • Position Description: Trustee 59 For approval 10.0 Board Work Programme 61 For information 11.0 General Business Discussion Next Meeting: Thursday 6 July 2017 Register of Interests – Board | as at 4 May 2017 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 since April 2011) • PHO Alliance Member • Powerhouse Ventures Ltd – Director Helen Kingston • Abbeyfield Golden Bay Inc Medical Adviser • Incorporated Society providing accommodation • None declared • Non- and Committee Member for elderly Governmental Provider Lisa Lawrence • Member of the Order of St John • Motueka Family Service Centre • None notified • Motueka Family Service Centre • Have a provider contract with NBPH (Kaiwhakahaere) • Motueka Family Service Centre • Location of a lactation clinic for Motueka area • Motueka Health Alliance • Primary Health Services in Motueka • PHARMAC Community Advisory Committee • Member Pat Curry • Director Accuro Private Health Insurance • None declared • None notified Philip Chapman • Employed by Nelson Public Health • Men’s health; positive fathering research; improve • Whakatu Boxing Trust • Potential • Manager – Men’s Centre (Male Room) access to family health services for fathers, men Community • National Chairman of Male Survivors Of & boys; Initiative Sexual Abuse A.N.Z • The Male Room receives money from the NBPH Funding Primary Mental Health Initiative. 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 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 • Nelson Branch Medical Advisor CE • Institute of Directors, NZ • Member • None declared • None notified Angela Francis • Australasian College of Health Service • Fellow Management • Medical & Injury Centre • Director • Health Systems Solutions • Director • ToSHA • Rotating Chair 3 Nelson Bays Primary Health Board Meeting Minutes of meeting held at 2.00pm on Thursday 4 May 2017 at Nelson Bays Primary Health, 281 Queen Street, Richmond Open PRESENT: John Hunter (Chair), Pat Curry (Deputy Chair), Helen Kingston, Lisa Lawrence, Philip Chapman, Sarah Green, Stuart Hebberd, Sue Stubbs. IN ATTENDANCE: Angela Francis, Chief Executive; Emily-Rose Richards, Board Secretary; Karen Winton, Acting GM Health Services; Linzi Birmingham, GM Golden Bay Community Health (GBCH); Trudi Price, HR/Support Services Manager; Wolfgang Kloepfer, Finance Manager. Public: (2) Lew Solomon and Dr Doug Smith Public Forum Mr Solomon informed the Board on his interest in Mental Health and discussed the research papers by Jonathon Schaefer and others on “Suicide Facts – Deaths and Intentional Self-Harm Hospitalisations” – MoH – Nov 2016. The paper shows that while Nelson Marlborough is below the New Zealand average in suicide deaths, it is well above average in hospitalisation owing to intentional self-harm. It also shows that while New Zealand is about average in the OECD for rate of suicide, it is very much above the OECD rate in youth suicide. J Schaefer - J Schaefer - Is MOH - Suicide and Enduring Mental He“abnormal psycholo Self Harm.pdf Dr Smith introduced himself to the Board, being a GP, with specialisation, seeking employment in the area. 1.0 Welcome/Karakia – Sarah Green 2.0 Apologies: Alistair Sowman, Chairman of Marlborough Primary Health. 3.0 Register of Interests 3.1 Amendment to the Register of Interests Remove for Mr Chapman: • Chair of Waimea “Men’s Shed” Remove for Ms Curry: • Board of Trustees on Abbeyfield Nelson Inc. TO BE CONFIRMED 4 3.2 Declaration of Conflicts in Relation to Today’s Business There were none. 4.0 Confirmation of Agenda The agenda was confirmed. 5.0 Confirmation of Minutes of 2 March 2017 The minutes of 2 March 2017 were confirmed as a true and accurate record. Stubbs/Curry 5.1 Matters Arising There were none. 5.2 Action Points Some matters for consideration this month had been dealt with, formed part of today’s agenda or were discussed as follows: A53 Discussions with Pharmacy Guild. A meeting was held between the Chief Executive and Jo Mickleson on 8 March 2017 who will contact the Pharmacy Guild Chief Executive to discuss local initiatives. Completed. A59 Hon Annette King report. Completed. A61 Update on interpreters service. Ms Winton attended a meeting at Nelson Marlborough Health (NMH) with the GM Maori Health to discuss the interpreters service. A follow up meeting is being held with Red Cross to see how there can be one organisation looking after the service. An update will be provided to the Board when information is to hand. Ongoing. A62 Board Strategic Planning Day agenda. Completed. A63 Doodle poll for Board Strategic Planning Day. Completed. 6.0 Environmental Scan Mr Chapman noted he has been competing surveys from ACC, Ministry of Health and Parliament on family violence. Noting it is a government initiative to look at family violence. Ms Winton noted the government has also provided more funding to Family Start. Mr Hunter asked if there is a role for NBPH to help our population with family violence and the possibility of accessing the latest funding initiative announced by the Government? Ms Green noted we could be starting the conversation on NBPH forms asking along the lines of ‘is the patient safe at home?’ The Board will discuss further at the Board Strategic Planning Day on 8 May 2017. Ms Francis informed the Board on the following: • Ministry for Vulnerable Children established • NMH have appointed a Consumer Council 7.0 Reports 7.1 Chief Executive’s Report – Open Section Report taken as read. TO BE CONFIRMED 5 Ms Francis noted NBPH is tracking very well to budget and predicting a good surplus for year- end. The Board held a discussion about the population who are unenrolled in a PHO in the top of the south to see how NBH can enrol the 3% of the population who are not enrolled. The requirements for enrolling in a General Practice were discussed and it was decided for a discussion on simplifying the requirements for registration, by linking to registration information already held by WINZ, to be taken to the Primary Health Alliance. Ms Winton was asked to write a one-pager on simplifying the requirements (including identification proof) for new patients enrolling in a General Practice, and send to Mr Hunter (cc Ms Lawrence), to then discuss with the Primary Health Alliance. A64 7.2 General Manager Health Services Operational Report – Open Report taken as read. Ms Winton advised that the ACC Falls Prevention Community Strength and Balance Programme contract has been received and signed. The Brief Intervention Service waiting list is down to 2 weeks and the waiting time for the Primary Mental Health Initiative is 1-2 weeks. NMH funded NBPH $170k for 6 months to increase the primary mental health service, while they undertake a full service review. Management have had involvement in the re-design process and are awaiting the outcome for the mental health service in the future. 7.3 Health and Safety Update Report Report taken as read. Mr Hunter asked if Management are using the ‘near miss’ data at GBCH to prevent future recurrences? Ms Price informed the Board that the data is reviewed at the Health and Safety Committee meetings. 8.0 Board Work Programme The Board Work Programme was received. The Board asked for the Board meeting and Strategic Planning Day to be held on consecutive days, from 2018 onwards. 9.0 General Business There was none. The meeting closed at 2.57pm. Next Meeting: Thursday 1 June 2017 TO BE CONFIRMED 6 OPEN Action List v 23 May 2017 Meeting Action Action Bring up Who Status date number Mar 17 A61 A follow up meeting is being held with Red Cross regarding June 17 GM HS Ongoing the interpreter service to see how there can be one organisation looking after the service.