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.