MINUTES OF THE MEETING OF THE COMMUNITY AND PUBLIC HEALTH ADVISORY COMMITTEE HELD ON FRIDAY, 27 FEBRUARY 2015 AT 8

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1 MINUTES OF THE MEETING OF THE COMMUNITY AND PUBLIC HEALTH ADVISORY COMMITTEE HELD ON FRIDAY, 27 FEBRUARY 2015 AT 8.30AM IN THE EDUCATION FACILITY, SOUTH CANTERBURY DISTRICT HEALTH BOARD PRESENT Mr R Luxton (Chair) Ms R Crawford (Deputy Chair) Mrs J Gilbert (Member) Ms A Wills (Member) Mr P Binns (Member) Mr P Annear (Member) Mr K Foley (Member) Ms S Eddington (Member) Ms N Whytock (Member) Mr D Jack (Member) IN ATTENDANCE Mr N Trainor (Chief Executive Officer) Ms J Brosnahan (Director of Nursing, Midwifery & Allied Health) Ms M Hill (GM Strategy Planning & Accountability) Dr B Small (Chief Primary Care Medical Officer) Ms F Gellatly (GM Finance, IT & Commercial) Ms E Moke (Board Member) Mr M Roberts (Board Member) Mr T Kennedy (Board Member) Mr M Cleverley (Board Chair) Ms N Prue (Communications Officer) Ms J Geels (Minute Taker) COMMUNITY & PUBLIC HEALTH REPORT ITEM 7 Ms R Orr (Team Leader Community & Public Health) Ms A Leadley (Team Leader Community & Public Health) IN-COMMITTEE ITEM 12 ONLY Mr Peter Collins (Waimate District Council) Mr Andy Hulme (Waimate Medical Centre) Mr Barney Clayton (Oak House Medical Centre) WELCOME Mr Luxton opened the meeting at 8.30am. He advised that the meeting will be going into Public Excluded at 9.30am to appoint people to the Waimate After Hours working group. A proposal was made for CPHAC and MHAC to convene a workshop to develop a strategy for oral health. An alcohol harm reduction strategy will be discussed at another working of Committee meeting. 3-1

2 APOLOGIES (ITEM 1) Nil. DECLARATION OF INTEREST (ITEM 2) The declaration of interest register was noted. Mrs Gilbert advised that Registered Nurse should be reinstated it had been deleted in error. CONFIRMATION OF MINUTES OF MEETING HELD ON 31 ST OCTOBER 2014 (ITEM 3) The minutes of the meeting held on 31 ST October 2014 were confirmed. Mrs Gilbert was omitted as being present in the minutes although was welcomed back to the committee on that date. All agreed a true and correct record. MATTERS ARISING (ITEM 4) All covered in Agenda. ACTION PLAN (ITEM 5) 1. HR involved in Staff Immunisation Programme in 2015: Jane Brosnahan advised that this is underway. Getting information on what other DHBs have done. Still a continuing process. 2. Cost of community dental services for children: Approximately $1.3million overall. 3. Review of scientific evidence of the health effects of water fluoridation: Copies provided to Members who requested a copy of the report. 4. Dr Daniel Williams and Dr Martin Lee gave a presentation at the MHAC meeting on 27th November with some CPHAC members in attendance. FINANCIALS (ITEM 6) Fiona Gellatly presented the financial reports. Report taken as read. A query was made regarding how useful the graphs provided on the first page of the report are. Ms Gellatly will review. COMMUNITY & PUBLIC HEALTH REPORT (ITEM 7) Ms Ange Leadley and Ms Rose Orr presented the report. Report taken as read. The report covers the period 1 st July to 31 st December. All work appears to be on track and most of the targets will be met by the end of June. Some highlights are: 3-2

3 There has been success around special licencing and alcohol harm minimisation work, for example with the Orari Races and Winchester Rodeo during this period, with the number of incidents being reduced. One work place has just received the silver Workwell Accreditation. Ms Mary Jones has commenced in role of trainee Health Protection Officer following a recent retirement. Referrals have increased for 1:1 oral health consultations. The referrals come from various sources. A physical activity survey involved participation by over 1,100 year 9 and 10 students from all South Canterbury secondary schools. Results are being fed back to the individual schools and physical activity plans are being developed. The updated WAVE manual was distributed at this meeting. Mr Luxton advised he is impressed at the work that Community & Public Health does on behalf of SCDHB. Due to Ms Fiona Pimm s resignation from her role as GM Primary & Community Services at SCDHB, she is no longer on the South Island Public Health Alliance. Ms Moke queried what work is being done in the area of Maori Health. Ms Orr advised that currently CPH is active at Te Matatini (national Kapa Haka competition), organising and participating in the Hauora Village. The smoke-free work undertaken by CPH includes Aukati KaiPaipa, a mobile stop smoking service, and smoke-free health promotion which focusses on preventing people from starting smoking. Ms Leadley and Ms Orr were thanked for presenting the report. The Committee received the Report. PRIMARY & COMMUNITY SERVICES UPDATE (ITEM 8) Ms Hill presented the report which was prepared by Ms Fiona Pimm. Report was taken as read. District Nursing Services: Mrs Gilbert queried why there is an increase in the number of stomal patients. Dr Small advised that we have an aging population and also cancers are being found at an earlier stage. Smoking: Good progress has been made in meeting the targets. Immunisation: Although the numbers are small, they appear to have reduced slightly. Dr Small advised that this is partly due to numbers (i.e. one Maori patient not attending) and part of it is attributable to timing of attendance which could be outside the relevant timeframe. Providing monthly figures rather than three monthly or annual figures causes fluctuations in the results. There was no one covering the Immunisation Coordinator/Outreach role for a period of four weeks which also had an impact on the monthly targets. A person has now commenced in the role. CVD Risk Assessments: Small improvements are being made. A large number (1122) are yet to be assessed with 712 of these within four practices. A small group within the Clinical Board is going to talk to these four practices to motivate them to focus on this area. Some initiatives have been put in place to encourage people to have checks done, i.e. clinics open on Saturdays. The process is quite time-consuming for practices. 3-3

4 SCDHB provided payment for CVD Risk Assessments. It was noted that a national review is being undertaken to evaluate the outcomes of this national programme. The Committee received the Report. CLINICAL BOARD REPORT (ITEM 9) Report taken as read. Dr Small advised there are approximately 20 members on the Clinical Board with the aim of having a good representation of primary and secondary care. Other people can be co-opted on if appropriate. The practice nurse representative and consumer representative have recently been replaced. SUICIDE PREVENTION ACTION PLAN - PROGRESS REPORT (ITEM 10) Report was taken as read. Ms Hill will take any questions back to General Manager, Secondary Services and/or Suicide Prevention Coordinator. All DHBs are now required to develop a Suicide Prevention Plan. SCDHB is fortunate that is currently does have a Suicide Prevention Plan which is being updated to ensure it meets the MOH s requirements. Ms Crawford queried whether there has been a decrease in suicide numbers in our community. Dr Small reported that the number during December/January (four) was very high. These included ages across the spectrum. The group is being as active as possible and promoting in areas that are currently at risk, e.g. Young Farmers and Federated Farmers. Postvention: Mr Annear queried who signs the Memorandum of Understanding with Clinical Advisory Services Aotearoa (CASA) and what it involves. It was advised that approximately three senior staff within the hospital have access to coronial data. Following a suicide, a multiagency team visits the family, schools and community around the victim to give support. PUBLIC EXCLUDED RESOLUTION (ITEM 11) The Committee resolves that in accordance with the provisions of clause 32 of the 3 rd schedule of the New Zealand Public Health and Disability Act 2000 ( the Act ) that the public be excluded from the following part of this meeting in order that the Board may consider: 1. Waimate District After Hours Working Group 2. Annual Planning Documents The reason for passing this resolution in relation to: Waimate District After Hours Working Group Annual Planning Documents

5 is that the public conduct of this part of the meeting would be likely to result in the disclosure of information for which good reason for withholding exists under the Official Information Act 1982, being (a) Information that would enable the Board to carry out, without prejudice or disadvantage, commercial activities (S. 9 (2) (i) Official Information Act 1982) The grounds on which this resolution is based are those contained in clause 32 (as) 3 rd schedule of the Act. RESUME PUBLIC SESSION RESOLUTION (ITEM 14) The Committee resolves to resume in open meeting and actions taken with the public excluded are confirmed by the Committee. There being no further business, the meeting concluded at 10.11am. Mr Luxton thanked everyone for attending. Chair... Date