Minutes of the Kaipara Care Incorporated PHO Board Meeting
15th March 2006
Video Conference Room, Dargaville Hospital

Karakia

OSH Requirements – Fire Evacuation and requirement to inform NH front office of approx nos. in attendance satisfied.

Meeting opened at 3.10

Present
John Marsden, Ani Edwards, Cherry Waldron, Marcus Liddell, Scott Davidson, Allan Mortensen, Pam Baldwin, Jen Udy, June Henwood, Derek Gibbons, Chris Tipa, Julie Palmer, Raewyn Fowlie

Apologies
Judy Harris, Lyndsey Bargh M/S Marcus Liddell / Ani Edwards that apologies be accepted. Carried

Minutes from the previous meeting
M/S Allan Mortensen / Ani Edwards that the minutes of the 15th February 2006 meeting be recorded as true and correct. Carried

Matters arising from the minutes

• Legal Opinion:
Letter dated 7th March 06 from DMC to K McPeake tabled. Reply still to be received.
Correspondence from the MOH to DMC advised that the matter should be taken up with the DHB. However, this response was considered by DMC to be ambiguous as per the deed with the Crown and a legal opinion is being sought to clarify the matter. DMC are waiting on John Watson for this.
With regards to KCI financially supporting DMC and KCHT on their different legal actions, Mike Smith will provide a legal opinion by the next meeting.
• NIL Pilot Update:
NPHO’s proposal, with input from Nick Chamberlain, has only recently been presented to Karen McPeake. No feedback as yet.
• SIA Proposal:
Still waiting the DHB’s endorsement of the recommendation re Guardian Heathcare’s proposal.
• Rural Workforce Retention Funding Round:
Submission forms for the funding round are ready to be distributed and the plan is to allocate expenditure of these funds by the end of our financial year (30th June).
• PHONZ meeting, Wellington: The meeting has been postponed.
• Strategic Planning: See CEO’s report and old copies of Good Governance distributed with the agenda.
• Other – Nil

Correspondence
As listed on the agenda:
M/S Pam Baldwin / June Henwood that incoming correspondence be received and the outgoing approved. Carried

Treasurer's Report
Presented by the CEO
Query re costs on the Mental Health Website – spoken to be the CEO.
M/S Pam Baldwin / Marcus Liddell that the Treasurer's Report for February be accepted and the transactions passed for payment. Carried

KCHT Verbal Report
Presented by Scott Davidson
Mediation with NH re the JV agreement is going ahead. This is seen as a separate issue from the laboratory and KCHT give full support to DMC over their legal issues on this matter.
Debbie Wright (previously from Heartlands) – is a new employee as assistant to the CEO.

Operational Report
CEO’s REPORT: - by Chris Tipa
The following is in addition to the report that was circulated with the agenda.
1. Visit by Coast to Coast PHO – Date for meeting with Naida Glavish, Runange Chair, still to be scheduled.

2. Asthma Contract – Up for review, met with new portfolio manager, Paul Baines re the contract this week. Current situation is that Asthma Society employs 1 FTE Whangarei & 1 FTE Mid North, KCI 1FTE Kaipara. Paul wants better equity throughout Northland. Asthma services not in DAP for this year so no increase in resources budgeted. KCI has had a historical contract at $120k – 80-85 to FTE position and the remainder for the database upkeep here and for the Mid North position. KCI to negotiate the status quo but may have to consider losing .5FTE Asthma Nurse to TTT PHO for the Far North/Whangaroa region, retaining $30-35k for a regional database contract. The Asthma Society is collegial and supportive of these plans. Te Ha have been advised to hold off on appointing a 1FTE Asthma Nurse at this stage.

3. NPHO’s Regional Strategic Plan (draft circulated)
4. Project Update, PHC Strategy Implementation – The Next 5 Years (also circulated) – A roadshow taking this plan throughout the country is planned. Thursday, 30th March, 1.00 - 3.00pm , at The Learning Centre, Maunu House, Whangarei The evening of the 30th is also the NPHO’s Governance Meeting.
5. Mental Health Pilots –More than 300 people on the database although 4/7 still cannot connect reliably to the system. Lessons learned in this IT exercise should make the proposed Asthma database run smoothly,
6. KCI Strategic Planning options – Sharon Shea and Anthony Cooke put forward as facilitators and attributes discussed.

M/S Allan Mortensen / Pam Baldwin that the CEO makes a decision and staff liaise re a suitable date. Carried

7. Diabetes Annual Checks – Beta test site re the new Diabetes system nearly up and running with a lot of input and involvement by KCI’s Information Administrator, Maureen Hendry, who is to be applauded for her efforts.

General Business

• KCHT – Trust has taken out Liability Insurance. KCI also has Liability Insurance cover.
• KCHT – CEO wishes to sit on the Board’s Strategic Planning Day. No objections to this.
• Query re Kaipara’s new Nurse Practitioner – She is still in orientation and considering concentrating on men’s health re CVD in Maori/Pacifica peoples. It was suggested that she could be invited to speak to the Board on her role.
• Board Member Resignation - June has given notice. 21st April is her last day at Te Ha.
• Service Gap Identified – no local “safe house” in the area willing to take a known drug user who was waiting to be seen by a drug rehab service. Whanau/Friends the only current resource although it should be noted that the Ward has taken GP referrals for detox. Also noted is that there are very limited detox services and spaces in Northland as a whole. Salvation Army may have further information.
• Avian Flu – Te Ha hosted a presentation by Dr Jarman at Wellsford. Many kuia, kaumatua and whanau in attendance.
At DHB level, meetings are held regularly and MOH Guidelines are being followed.
• Capital Purchase – Derek is undertaking ultrasound training to add to his expertise in the ward. Rural Consortium can source a machine around $40K. DMC are raising awareness that some funding for this machine may be sought through the PHO.

Next Meeting
19th April 2006 Video Conference Room.
Allan Mortensen & Marcus Liddell – Apologies for the next meeting.

Meeting closed at 4.10 with karakia

Other
NIL Report circulated with the agenda
Congratulation on the NIL securing Cindy Cairo, Children’s Commissioner for the Kaipara Abuse Prevention (KAP) dinner on Sept 28th.
It was noted that the Family Centre project is a good example of the PHO working with their community, as per the PHC Strategy.