Minutes of the Kaipara Care Incorporated PHO Board Meeting
19th May 2004
Video Conference Room, Dargaville Hospital

Karakia
Meeting opened at 1.05
Welcome to all by the Chairman, especially to Marion Edwards, this being her first meeting with KCI.

Present
John Marsden (Chair), Jen Udy, Trish Crompton, Donna Mawson, Lyndsey Bargh, Pam Baldwin, Hannah Yakas, Marion Edwards (till 2.45), Rhonda Zeilinski, Chris Tipa, Raewyn Fowlie & Scott Davidson at 1.20. Steve Main in attendance for 45 minutes & Pauline Allen-Downes for 15 minutes.

Apologies
Brian Gaukrodger & Derek Gibbons. Scott Davidson for lateness. M/S Jen Udy / Pam Baldwin that apologies be accepted. Carried

Minutes from the previous meeting
M/S Pam Baldwin / Hannah Yakas that the minutes of the April 2004 meeting be passed as true and correct. Carried

Matters arising from the minutes
· Result of the Kaipara Pharmacy Appeal: Before going on leave, Brian advised that the appeal has been successful with both Ruawai & Maungaturoto Pharmacies being given the right to dispense pharmacy only medicines in the absence of a pharmacist. Brian would like to thank the Board and individual service providers for their support in this matter.
· Other: Nil

Correspondence
M/S Rhonda Zeilinski / Hannah Yakas that the incoming correspondence be received and outgoing approved. Carried

Treasurer's Report
The report covers April 2004 transactions.
M/S Trish Crompton / Jen Udy that the Treasurer's Report be accepted and the transactions passed for payment. Carried
· Provisional Budget circulated and spoken to. Members to look over and bring back to the June meeting for discussion prior to ratification.
· IR330’s circulated for Board Members to supply IRD nos. and sign.

KCHT Verbal Report
By Lyndsey Bargh
· Met on Monday night.
· Allan Mortenson is the new Chairperson.
· Shuttle – looking at Taskforce Green for funding of drivers as volunteer drivers are not forthcoming. Service will continue to operate out of Te Ha.
· Contract with the Joint Venture Group ended in May. Negotiations have been unproductive. Legal advice on situation being sought.
· Complaints – mainly via Donna – are still being received by KCHT on Maternity Services. A meeting has been scheduled with the DHB to discuss further.
· Afternoon tea with Jen and Ward staff this afternoon to celebrate the new hoist funded through a KCHT grant.

Operational Report
by Chris Tipa – circulated at the meeting, together with reports from Trish Crompton and Steve Main.

The first part of Chris’s report/presentation was moved forward in the agenda to allow participation by Steve Main.
· Powerpoint Presentation on Care Plus:
the funding mechanism that will eventually replace the HUC – for patients with long term chronic conditions. Capping of patients enrolling in Care Plus will be limited to 5% of the roll. KCI will be funded from today for the preparatory phase.
Chronic Care Management:
A tool devised by Counties Manaukau, covering 4 chronic conditions, CVD, Diabetes, CHF, COPD. It will require significant input by nursing staff. PHO’s are now being asked to pay for this online service – approx cost $9-10,000p.a.Trish & Steve spoke to their handouts. Discussion ensued, resulting in the following motion:
M/S Pam Baldwin / Trish Crompton that the Board initiate a subcommittee to investigate further. Carried

Subcommittee members to be: Trish, Jen, Rhonda, Pam & Chris, with Steve co-opted on as Clinical Champion.

· Powerpoint Presentation on: Rural Workforce Retention Funding: $134,361.00 for the recruitment and retention of rural GP’s & Nurses (debatable?) to come to the PHO between July 2004 – June 2005. Some funding for this year already received. KCI need to formulate Goals, Objectives and Policy on how the money is to be used. DMC have historically used this funding for locums and supporting current GP’s. A copy of the Service Specs to be distributed to all Board Members & Julie Palmer. Members to peruse for the next meeting which will see a subcommittee formed to discuss policy on the funding.
Copies of these these Powerpoint presentations can be supplied. Contact Chris.
· See circulated report: - changes & updates as follow:
1. Intersectoral Meetings: These meetings have potential value to KCI and Its core business. The Board agreed that involvement of the CEO should continue.
2. Mental Health Proposal: Consultation with Counsellors still to take place. Deadline extended for a week.
3. RSM – refers to Pharmacy/Lab ordering by GP’s. Information available to those who would like it.
4. DMC/Te Ha Meeting - As read
5. Meeting with PHO’s/DHB - As read – question re availability of free checks on diabetes meters. Chris to enquire further.
6. NIR/Meningitis Vaccine - As read
7. PSAAPSG - As read
8. Whangaroa Register – As read

General Business
· Purchase of Books for the Bicultural Library – See blue attachment with agenda
M/S Pam Baldwin / Jen Udy that the books as specified be purchased for $180.00 Carried
The Board were made aware that a further funding request from the Bicultural Group may come about in the future, regarding artwork/paneling of the Community Services Room.
· Other Business
Lack of Material/Reports Circulated to Board Members
Some Members are aware of lost opportunities to attend conferences etc due to lack of circulated information. This also includes the circulation of the CEO’s Report at the meeting. It would be advantageous to have it with the agenda. The CEO will endeavor to redress these problems.
Hospital Pool
Was not open last year due to the effort required by NH’s Estate Management Services to meet OSH requirements. Marion will be asked to follow up on the pool’s future.

Next Meeting
Scheduled for 16th June 2004, @ 1.00pm, Video Conference Room, Dargaville Hospital
Meeting closed at 3.15 with a karakia.

Other
NIL REPORT: - as circulated with the agenda.
Julie has identified plans for moving forward. Board to read and get back to Julie with any comments/queries.