Minutes of the Kaipara Care Incorporated PHO Board Meeting
17th October 2007
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 3.08 pm

Present
John Marsden, Judy Harris, Sue Harris, Scott Davidson, Lyndsey Bargh, Allan Mortensen, Pam Baldwin, Deborah Ashley-Smith, Chris Tipa, Raewyn Fowlie

Apologies
Marcus Liddell, Jen Thomas, Margareth Broodkoorn, Derek Gibbons, Rachel Kidd M/S Judy/Scott that apologies be received. Carried

Minutes from the previous meeting
M/S Allan/Lyndsey that the minutes of the 19th September 2007 meeting be confirmed as a true and correct with the following amendment – that Marcus be noted as present. Carried

Matters arising from the minutes

 Meeting with DHB – see CEO’s Report
 Podiatry – A regional plan is being prepared. Unsure of additional benefits (if any) to the current system, as yet.
 Slit Lamp – The amount of $3500.00, approved last meeting, will be funded from interest.
 Northland Retrofitting Project – Verbal support, in principal, has been provided by the CEO. Many other stakeholders coming on board and KCI’s contribution as yet unknown.
 Hospital Signage – Deborah updated on progress to date. Stakeholder sign off will be required. The proposal to be put to the Joint Venture Board re financing.

Correspondence
as listed on the agenda:
Letter from DHB re stakeholder meeting also tabled & to be discussed further in CEO’s report.
M/S Pam/Judy that the incoming correspondence be received & outgoing approved. Carried

Treasurer's Report
Presented by the CEO
The Rural Workforce Retention funding will be paid by the DHB later this month.
Queries on higher than budgeted expenditure on: Asthma Database, Nurse Contract, General Expenses & Stationery. Chris to investigate and report back at the November meeting.
It was noted that while there have been overspends in some areas, the Net Income for the month was $15306.52.
M/S Allan/Scott that the Treasurer's Report for September 2007 be accepted and the transactions passed for payment. Carried

KCHT Verbal Report

 Last meeting on August 20th.

Operational Report
CEO’s REPORT: The following expands on the written report:

1. Mental Health Pilots – As Read. Currently running at approximately 200% of the counselling allocation. KCI’s new MH Co-ordinator will assist in bringing expenditure into line.
NPHO’s commissioned an early evaluation of the contract. Although now completed, NPHO’s do not agree with all recommendations.
2. SIA Decision Making – The subcommittee met earlier today. As per the Terms of Reference (TOR), quorum requirements were not satisfied, however, those present went ahead with the business at hand. This was discussed by the Board and their view was that as the subcommittee was only making a recommendation, a quorum was not required. The outcomes and recommendations of the subcommittee were that a response to the DHB letter would be researched and compiled by Chris/Margaret/Scott – co-payment shortfall of approx $36K is a strong argument. According to DHB criteria, the PHO’s SIA funding cannot be used for this purpose. John (Chair) also pointed out that the letter makes reference to capitated funding, and options around this should be considered.
Recommendation: That all SIA funding be considered annually (June). To achieve this, the proposals currently on the table, with no new submissions invited, will be moved to the December round. All projects due for review in December, with the proposals, will be considered for 6 months only.
M/S Judy/Lyndsey that the recommendation be approved. Carried
Updating the TOR and any recommendation re committing (or not) any greater amount of autonomy of the SIA Funding to Te Ha could not be made until:
- outcomes of the clinics, when compared against other projects, have been ascertained; and
- a final decision re funding is made by the DHB.
When the TOR are reviewed, the subcommittee needs to include a strategy to account for additional income that may come into the SIA funding stream throughout the year via cancellation of projects or increase in the funding formula, etc.
3. DHB & Stakeholder Meeting re GP Funding Shortfall at Te Ha – Positive meeting and a conservative/disappointing response. Discussed more fully in the previous agenda item.
4. CarePlus Reporting – As read. May need Catherine back again for further training.
5. Meeting re Implications on Closing Kaipara House – Local group to ensure that the guarantees made re the package of care pilots, eventuate.
6. New Well Elderly Pilot – As read.
7. Regional Maori Health Plan – As read.

General Business

1. Survey as Suggested via the Monitoring Committee – The Board agreed that a survey of Society Members was appropriate. These would go out with AGM invitations.
2. Board/Chair Evaluation – Last evaluation completed in 2005. A copy of the summary was distributed. Board Members to review and advise of any changes/additions they would like to make to the current format. Other formats can also be considered. To discuss further at the November meeting.
3. Application for Membership – H. Jane Dykes, Podiatrist recently moved to Ruawai.
M/S Allan/Pam that HJ Dykes membership be approved. Carried
4. Other:
Discussion on Local & NDHB Elections – Ministry appointments to be made later this week.
Northland Intersectorial Forum (NIF) - Chris attending a planning meeting over the next two days.
November Meeting – Early meeting before the AGM, so lunch will be provided from 12.00. Mayor elect will also be invited to attend.
Health Promotion - Funding round currently underway. Subcommittee will meet next month, date to be advised.
Board Chair Position – John willing to stand for another term, but encourages others to consider the role. 2007/08 will be his last year.

Next Meeting
NEXT MEETING: 21st November 2007. Lunch from 12.00p.m, followed by the AGM @ 3.00pm

Meeting closed at 4:45 p.m. with a Karakia.

Other
NURSING INTEGRATION AND HEALTH PROMOTION REPORT
As read.