Minutes of the Kaipara Care Incorporated PHO Board Meeting
1.05pm, Wednesday, 16th
Video Conf Room, Dargaville Hospital

Karakia

Present
John Marsden (Chair), Jen Udy, Trish Crompton, Donna Mawson, Lyndsey Bargh, Pam Baldwin, Hannah Yakas, Rhonda Zeilinski, Scott Davidson, Derek Gibbons, Chris Tipa, Rachel Kidd and Marion Edwards at 1:30 pm.

Apologies
Brian Gaukrodger. Marion Edwards for lateness. M/S Rhonda Zielinski / Pam Baldwin that apologies be accepted Carried

Minutes from the previous meeting
M/S Rhonda Zielinski / Lyndsey Bargh that the minutes of the May 2004 meeting be passed as true and correct. Carried

Matters arising from the minutes
· Update on the pool was requested, but Marion Edwards was not yet in attendance.
· Other: Nil

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

If anyone wishes to apply for exemption from RWT on their board fees, they are able to apply to IRD. See Rachel if you want form.

Treasurer's Report
By Trish Crompton·
The report covers May 2004 transactions.
M/S Trish Crompton / Hannah Yakas that the Treasurer's Report be accepted and the transactions passed for payment. Carried
· Careplus payment of approximately $24,000 is being tracked. Should have been paid but is not in our bank statements.
· Rural Expert Advisory Group to MoH – Trish was part of group and has background knowledge. Work has started on register for Careplus.

Budget:To be amended in view of recent developments.

KCHT Verbal Report
By Donna Mawson
· Three midwives from NDHB attended their last meeting.
· Homebuilders – interested in a clinic in Paparoa – they are looking into this.
· KCHT wish to review the rental for the hospital and have taken legal advice on this. Northland Health now discussing this issue (Gavin Austin). These are 5 yearly.[The timeframe for reviewing the rental was queried and the reasons behind it, whether market rentals were appropriate and whether the spirit of the original intention should be taken into account when deciding rent.]
· Maternity Review: This Council of Midwives are doing an independent review locally.

Operational Report
by Chris Tipa Chris spoke to his written report. The following is in addition to that:
1. Finished. Problem free. Minimal time – will probably take around 2 hours every three months.
2. NIF(Northland Inter-sectorial Forum) could be source of funding / support.
3. Kaipara Secure Referral Web site would cost approximately $70 - $100k. It was suggested to approach the other counsellors who have not yet been consulted.

Chris handed out presentation to Regional Diabetes Team. Cherry Waldren may present an extract at the Immunisation Conference.

General Business
Renewal of KCI ContractsKCI has received 2 contracts in mail for renewal:
- Diabetes: suggested a 3 month roll over of same contract to look more into it. SSO of 6 PHO’s could go region-wide. Collectively the Northland PHO’s may be able to get more than $40 per check (nationwide some are getting $60). Funding would all go to the regional authority who would pass the money on to the providers.
- Health Co-ordination: This is continuing for another 6 months, then will terminate.Asthma Contract: KCI have been advised this will continue for 9 months (July 04 – March 05) with the possibility of review at that time. DHB currently looking at increasing Asthma services throughout Northland and has current contracts with KCI and the Asthma Society. KCI should be well positioned with our work to date. Hopeful of renewal in 9 months with some changes.A one page summary of why KCI should pass diabetes over to a regional forum was requested. Chris to prepare.Services to Improve AccessMeeting date set: Monday 28th June at 12:30 p.m.Rural Funding Sub-Committee- A discussion took place on allocation of various funding streams .
- The Rural Retention formula has changed with PHO’s – was GP focussed, now more general.
- Any sub-committee should have a view of the past – it was suggested that Nick Chamberlain was the sole person at the DHB with the history. Chris to get this information from him initially in letter form.
- A presentation from Trish was requested – an overview of the past and why and where it is now needed to ear mark at-risk areas.- Need to look at how the money would be spent.
M/S Derek Gibbons/Trish Crompton that KCI put together a sub-committee to examine rural retention and associated funding. Carried

Members: Derek, Chris, Rhonda, Trish, Lyndsey, John.Meeting set for Thursday 1st July at 5:00 p.m. in Video Conference Room. (Failing that the 8th July)

Other business:
Data Sharing: It was advised that DMC and Te Ha have a problem with the MedTech software which needs to be solved urgently – DMC need to be able to limit access to their database to patients who have agreed to share their information. Chris advised there are major problems to making local changes to the software because this would affect their ability to receive future upgrades. Health Technology do not appear to have a satisfactory solution. A suggestion was made that only a senior Te Ha employee be able to access the records.

Next Meeting
Scheduled for 21st July 2004, @ 1.00pm, Video Conference Room, Dargaville Hospital
Meeting closed at 2.55 p.m.
Karakia

Other
NIL REPORT: - as circulated with the agenda·
It was queried which of the Ward nurses were doing the immunisation vaccinator training.
It was also queried whether Plunket was doing the training – they are not as yet. We should ask Jacqui Westren whether Plunket have been approached.