Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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Community and Public Health & Disability Support Advisory Committee MEETING PACK for CPHDSAC Meeting Friday, 27 August 2021 10:30 am Held at: Gardens Block Boardroom Queen Street, Timaru Generated: 2021-08-20 12:05:37
INDEX Cover Page Index Agenda Attached Documents: 2.1 a Glossary of Terms - August 2021.pdf..................................................................................... 6 2.2 a CPHDSAC Interest Register.pdf............................................................................................ 10 2.3 a Draft Minutes CPHDSAC 30 July 2021 Public.pdf................................................................. 14 2.5 a Action Register.pdf................................................................................................................. 17 3.1 a Financial report.pdf................................................................................................................. 19 3.2 a Community & Public Health Report.pdf.................................................................................. 23 3.2 b CPH Childhood Obesity, Drinking Water, Notifiable Diseases, Vaping Report.pdf................ 40 3.3 a Primary Health Partnerships Report.pdf................................................................................. 44 3.4 a Immunisation Report.pdf........................................................................................................ 47 3.5 a Health of Older Persons Update.pdf...................................................................................... 52 4.1 a CPHDSAC Meeting Themes for 2021.pdf.............................................................................. 57 5.1 a Public Excluded Resolution.pdf.............................................................................................. 58 5.2 a Draft Minutes CPHDSAC 30 July 2021 Public Excluded.pdf................................................. 59 5.3 a Public Excluded Action Register.pdf...................................................................................... 61 5.4 a Remote Patient Monitoring Report.pdf................................................................................... 62 5.6 a Resolution to Open Meeting.pdf............................................................................................. 63
Generated
Meeting Pack on: 2021-08-20
for CPHDSAC 12:05:30
Meeting - 27 Aug 2021
AGENDA
CPHDSAC MEETING
Name: Community and Public Health & Disability Support Advisory Committee
Date: Friday, 27 August 2021
Time: 10:30 am to 12:15 pm
Location: Gardens Block Boardroom, Queen Street, Timaru
Committee Jo Goodhew (Committee Chair), Bruce Small, Karl Te Raki, Mark Rogers,
Members: Paul Annear, Peter Binns, Phil Hope, Raeleen de Joux, Rene Crawford, Ron
Luxton, Suran Dickson
Attendees: Ruth Kibble, Jason Power, Joseph Tyro, Stefanie Green, Rose Orr, Dr Matt
Reid, Angela Leadley, Daniel Pickup
1. Opening
1.1 Apologies
2. Standing Items
2.1 Glossary of Terms - for information only
Supporting Documents:
2.1.a Glossary of Terms - August 2021.pdf 6
2.2 Declaration of Interests
Supporting Documents:
2.2.a CPHDSAC Interest Register.pdf 10
2.3 Confirmation of Minutes
Supporting Documents:
2.3.a Draft Minutes CPHDSAC 30 July 2021 Public.pdf 14
2.4 Matters Arising
2.5 Action Register
Supporting Documents:
2.5.a Action Register.pdf 17
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3. Public Agenda Items
3.1 Financial Report
Supporting Documents:
3.1.a Financial report.pdf 19
3.2 Community & Public Health (CPH) Report
Rose Orr, Team Leader
Daniel Pickup, Drinking Water Assessor
10.45am - 11.00am
Supporting Documents:
3.2.a Community & Public Health Report.pdf 23
3.2.b CPH Childhood Obesity, Drinking Water, Notifiable Diseases, Vaping Report.pdf 40
3.3 Primary Health Partnerships Report
Supporting Documents:
3.3.a Primary Health Partnerships Report.pdf 44
3.4 Immunisation Report
Supporting Documents:
3.4.a Immunisation Report.pdf 47
3.5 Health of Older Persons Update
Supporting Documents:
3.5.a Health of Older Persons Update.pdf 52
4. General Business
4.1 CPHDSAC Meeting Themes for 2021
Supporting Documents:
4.1.a CPHDSAC Meeting Themes for 2021.pdf 57
5. Public Excluded Agenda Items
5.1 Public Excluded Resolution
Supporting Documents:
5.1.a Public Excluded Resolution.pdf 58
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5.2 Confirmation of Public Excluded Minutes
Supporting Documents:
5.2.a Draft Minutes CPHDSAC 30 July 2021 Public Excluded.pdf 59
5.3 Public Excluded Action Register
Supporting Documents:
5.3.a Public Excluded Action Register.pdf 61
5.4 Remote Patient Monitoring Report
Supporting Documents:
5.4.a Remote Patient Monitoring Report.pdf 62
5.5 COVID-19 Tracking and Management Tools Presentation
Ruth Kibble
12.00pm - 12.10pm
5.6 Resolution to Resume Open Meeting
Supporting Documents:
5.6.a Resolution to Open Meeting.pdf 63
6. Close Meeting
6.1 Close the meeting
Next meeting: CPHDSAC Meeting - 24 Sep 2021, 10:30 am
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Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Glossary of Terms - for information... 2.1 a
Glossary of Terms
Ask about and document every person’s smoking status, give brief advice to stop every person who smokes, and
ABC strongly encourage every person who smokes to use cessation support (a combination of behavioral support and
stop-smoking medicine works best) and offer to help them access it.
ABCD2 TIA assessment – age, blood pressure, clinical symptoms, diabetes and duration.
ACC Accident Compensation Corporation
ACP Advance Care Planning
ACPP Accelerated Chest Pain Pathway
ACS Acute Coronary Syndrome
ADOM Alcohol and Drug Outcome Measure
Aoraki HealthPathways. Pathways, for the care and management of patients within South Canterbury that have
AHP
been developed jointly by primary and secondary care clinicians.
Ajexus Mental Health Information System Software
ALOS Average Length of Stay
A web-based system to support clinical quality improvement in secondary care cardiology practice and to better
ANZACS - QI
understand the relevant population health profile within regions and nationally.
AOD Alcohol and Other Drug
ARRC Age Related Residential Care
The Atlas of Healthcare Variation displays easy-to-use maps, graphs, tables and commentaries that highlight
ATLAS
variations by geographic area in the provision and use of specific health services and health outcomes.
ATR Assessment, Treatment & Rehabilitation Services
AWS Arowhenua Whānau Services
BadgerNet Specialist perinatal management software
BFAG Breast Feeding Action Group
Calderdale
Framework to enable the sharing of skills between healthcare professions.
Framework
CAPA Choice And Partnership Approach
CAPEX Capital Expenditure
A national method of measuring dissimilar outputs in a common way. E.g. a hip replacement is 4.008 case
Caseweight weights and an appendix removal is 1.044 case weights. I.e. a hip replacement is considered to use about four
times the resources (or cost) than an appendectomy.
CCDM Care Capacity Demand Management
CCP Contribution to Cost Pressure
CDHB Canterbury District Health Board
CMO Chief Medical Officer
CNC Cancer Nurse Coordinator
CNM Charge Nurse Manager
CNS Clinical Nurse Specialist
CPAC Clinical Prioritisation Assessment Criteria
CPH Community & Public Health
CPHDSAC Community & Public Health and Disability Support Advisory Committee
A generic term for a diverse range of entities within one of the five categories referred to in section 7(1) of the
Crown Entities Act 2004, namely: statutory entities, Crown entity companies, Crown entity subsidiaries, school
Crown Entity boards of trustees, and tertiary education institutions. Crown entities are legally separate from the Crown and
operate at arm’s length from the responsible or shareholding Minister(s); they are included in the annual financial
statements of the Government.
CSNZ Cancer Society New Zealand
CT Computed Tomography
CVD Cardiovascular Disease
CWD Cost Weighted Discharge
DBI Drug Burden Index
HDC Health and Disability Commissioner
DHB District Health Board
DMFT Decayed, Missing, Filled Teeth
DMO Debt Management Office
1 6
Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Glossary of Terms - for information... 2.1 a
DNA Did Not Attend
DPNM Director Patient, Nursing & Midwifery Services
Dr Info is an electronic software programme which pulls and collates information allowing general practice access
Dr Info
at the point of service to real-time health information from a number of data sources.
DSS Disability Support Services
DXA A scan which measures bone density and is typically used to diagnose and monitor osteoporosis.
ECAN Environment Canterbury
ECG Electrocardiogram
ED Emergency Department
eMR Electronic Medicines Reconciliation
An intensive 12 week programme to assist either newly diagnosed Type 2 diabetics, Type 2 diabetics starting on
Encounter insulin therapy and patients who have not attended their Diabetes Annual Review and are considered at high risk
Programme of complications from diabetes due to poor metabolic control, to better self-manage lifestyle and medication
requirements and to allow for a better quality of life and improved metabolic control.
ENT Ear, Nose and Throat
ePA ePrescribing and Administration
ePM ePharmacy
EPOA Enduring Power of Attorney
ERAS Early Recovery After Surgery
ESPI Elective Services Patient Flow Indicator
eSURV Electronic Shared Care Record View
ERMS Electronic Referral Management System
FAST Sudden signs of stroke – face dropping, arm weakness, speech difficulty – time to call 111.
FCT Faster Cancer Treatment
FIM Functional Interdependence Measure
FSA First Specialist Assessment
FST Financial Sustainable Threshold
FTE Full Time Equivalent, e.g., two people each working 20 hours per week = 1 FTE.
FVIP Family Violence Intervention Programme
The part of the DHB that funds (purchases) services from providers of health services, including the DHB’s own
Funder Arm
Provider Arm.
GP General Practitioner
GST Goods and Services Tax
HAC Hospital Advisory Committee
HAI Hospital Acquired Infection
HBSS Home Based Support Services
HCS Health Connect South
HEEADSSS Home, Education & employment, Eating, Activities with peers, Drugs, Sexual activity, Suicide & Depression, Safety.
HOP Health of Older Persons
HPV Human Papilloma Virus
HQSC Health Quality & Safety Commission
HR Human Resources
HRMIS Human Resource Management Information System
HWNZ Health Workforce New Zealand
ICAMHS Infant, Child and Adolescent Mental Health Services
ICATT Integrated Community Assessment Treatment Team
IDF Inter-District Flows. Patients who live in one district receiving services in another district.
Impact measures are attributed to agency (DHBs) outputs in a credible way. Impact measures represent near-
Impact measures term results expected from the goods and services you deliver; can often be measured soon after delivery,
promoting timely decisions; and may reveal specific ways in which managers can remedy performance shortfalls.
A framework for describing the relationships between resources, activities and results. It provides a common
Intervention logic
approach for integrating planning, implementation, evaluation and reporting. Intervention logic also focuses on
model
being accountable for what matters – impacts and outcomes.
InterRAI Clinical assessment tool used in Older Persons Care.
ISSP Information Systems Strategic Plan
IS Information Services
2 7
Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Glossary of Terms - for information... 2.1 a
IT Information Technology
KPI Key Performance Indicator
“Living within our Providing the expected level of outputs within a break even budget or National Health Board (NHB) agreed deficit
means” step toward break even by a specific time.
LMC Lead Maternity Carer
LOS Length of Stay
LTC Long Term Condition
MARS Measurement Analysis and Reporting System
Multi Condition Rehab. A 6 week long, twice weekly, rehabilitation programme for people with long term
MCR conditions such as diabetes, heart and respiratory conditions.
The focus of the programme is to teach people how to manage their conditions better themselves.
MDMs Multi-Disciplinary Meetings
MHAC Māori Health Advisory Committee
MOH Ministry of Health
MOSAIQ is a complete patient information management system that centralizes radiation oncology, particle
MOSAIQ therapy and medical oncology patient data into a single user interface, accessible by multi-disciplinary teams
across multiple locations.
MOU Memorandum of Understanding
MRI Magnetic Resonance Imaging
NASC Needs Assessment Service Coordination
NCCP National Costing Collection and Pricing Programme
NGO Non-Government Organisation
NHAPI National Health Assessment Pressure Injury
NIR National Immunisation Register
NOF Neck of Femur
NPWT Negative Pressure Wound Therapy
NZD New Zealand Dollar
NZDep New Zealand Index of Deprivation
NZGAAP New Zealand Generally Accepted Accounting Practice
NZIFRS New Zealand International Financial Reporting Standards
NZULM New Zealand Universal List of Medicines
Outcomes are the impacts on or the consequences for, the community of the outputs or activities of government.
In common usage, however, the term 'outcomes' is often used more generally to mean results, regardless of
whether they are produced by government action or other means. An intermediate outcome is expected to lead
to an end outcome, but, in itself, is not the desired result. An end outcome is the final result desired from
Outcome
delivering outputs. An output may have more than one end outcome; or several outputs may contribute to a
single end outcome.
A state or condition of society, the economy or the environment and includes a change in that state or condition.
(Public Finance Act 1989).
An aggregation of outputs, or groups of similar outputs. (Public Finance Act 1989)
Output classes Outputs can be grouped if they are of a similar nature. The output classes selected in your non-financial
measures must also be reflected in your financial measures (s 142 (2) (b) Crown Entities Act 2004).
PACS Picture Archiving and Communication System.
PACU Post-Anaesthesia Care Unit
PAS Patient Administration System
PBFF Population Based Funding Formula
PCI Percutaneous Coronary Intervention
PCS Primary & Community Services
Plan, Study, Do, Act. Using PDSA cycles enables you to test out changes before wholesale implementation and
PDSA
gives stakeholders the opportunity to see if the proposed change will work.
Selected measures must align with the DHBs Regional Service Plan and Annual Plan. Four or five key outcomes
Performance
with associated outputs for non-financial forecast service performance are considered adequate. Appropriate
measure
measures should be selected and should consider quality, quantity, effectiveness and timeliness.
PHNS Public Health Nursing Service
PHO Primary Health Organisation
PPIG Primary Physiotherapy Intervention Group.
PPP Primary Performance Programme
3 8
Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Glossary of Terms - for information... 2.1 a
PPS Palliative Patient Score
PRIME Primary Response in Medical Emergencies
(Pronounced ‘primed’) is a Ministry of Health single national mental health and addiction information collection of
PRIMHD
service activity and outcomes data for health consumers.
Priorities Statements of medium term policy priorities.
Quality Accounts A Quality Account is a report about the quality of services delivered by a healthcare provider.
QIP Quality Improvement Programme
Regional Regional collaboration refers to DHBs across geographical ‘regions’ for the purposes of planning and delivering
collaboration services (clinical and non-clinical) together. Four regions exist. SCDHB is part of the Southern Region.
Sometimes used as a synonym for 'Outcomes'; sometimes to denote the degree to which an organisation
Results
successfully delivers its outputs; and sometimes with both meanings at once.
Ring-fence Can be used for the designated purpose only.
RMO Registered Medical Officer
RMS Orion Health’s Referral Management System
RPM Remote Patient Monitoring
SAC Severity Assessment Code
SCDHB South Canterbury District Health Board
SCN Southern Cancer Network
Second level health services to which the public need referral, e.g., hospital-based services except for emergency
Secondary
services.
SI South Island
SIA South Island Alliance
SIAPO South Island Alliance Programme Office
SICCIS South Island Cancer Coordination Information System
SIISSLA South Island Information Service, Service Level Alliance
SIHSP South Island Health Service Plan
SIRTH South Island Regional Training Hub
SIWDH South Island Workforce Development Hub
SLT Strategic Leadership Team
SMO Senior Medical Officer
SS Secondary Services
SSCL Surgical Safety Check List
SUDI Sudden Unexpected Death of an Infant
Strengths
A strengths approach is a specific method of working with and resolving the problems experienced by a person
Recovery
presenting to mental health services.
Approach
Strength, Wellbeing, Independence and Movement. This is a subsidised swimming programme for clients who
SWIM have a long term health or disability condition(s), would benefit from water therapy and land based
exercise/activity options have been explored and are not suitable.
TIA Transient Ischaemic Attack
TOR Terms of Reference
The collectively shared principles that guide judgment about what is good and proper. The standards of integrity
Values and conduct expected of public sector officials in concrete situations are often derived from a nation's core values
which, in turn, tend to be drawn from social norms, democratic principles and professional ethos.
The assessment of benefits relative to cost, in determining whether specific current or future
Value for money
investments/expenditures are the best use of available resource.
WIAS Walking in Another’s Shoes – Dementia Education Programme.
WAVE Wellbeing and Vitality in Education: SCDHB’s Intersectoral Child and Youth Health Project.
WCTO Well Child Tamariki Ora
WET Water-based Exercise Therapy
WHO World Health Organisation
YOT Youth Offending Team
4 9
Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Declaration of Interests 2.2 a
Information Report
CPHDSAC Members’ Interest Register
Ron Luxton - Chair
• Elected member South Canterbury District Health Board, Chair
• Chair, Aoraki MRI Charitable Trust
• Justice of the Peace
• Trustee, Green-gables Trust
• Trustee Ward Family Trust
• Director, New Zealand Health Partnerships Ltd
• Director, SC Eye Clinic Ltd
• Patron, Lions New Zealand Child Mobility Foundation
• Trustee, International Board of Lions Club International Foundation
Paul Annear
• Elected member South Canterbury District Health Board
• Physiotherapist in Private Practice (Timaru & Ashburton)
• Shareholder & Director, FAIM Holdings – Family Company
• Shareholder & Director, Timaru Holdings
• Shareholder, McLeod Building (2007), Invercargill
• Shareholder, Westhills Forestry Ltd
• Daughter employed by APM Workcare Ltd
• Shareholder, Kiwispan Invercargill Limited
• Director, SC Eye Clinic Ltd
Peter Binns
• Elected member South Canterbury District Health Board
• MB, BChir, FRCS
• Retired medical practitioner
• Committee member: Timaru Greypower
• Trustee in Line Trust SC. The Trust owns 40% shares in Alpine Energy Ltd, therefore related
party of Alpine Energy Ltd
10Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Declaration of Interests 2.2 a
Rene Crawford
• Elected member South Canterbury District Health Board
• Employed by SCDHB as Associate Director of Allied Health
• Brother employed by SCDHB as a Consultant Orthopaedic Surgeon
• Physiotherapy New Zealand South Canterbury and Canterbury Branch Member
• NZ Physiotherapy Board - Professional Conduct Committee member
• Health and Disability Commissioner Physiotherapy Expert Advisor
• Trustee – Temford Family Trust
• Member, Board of Trustees – Craighead Diocesan School
• Member, Aoraki Foundation Board
Raeleen de Joux
• Elected member South Canterbury District Health Board
• Member of Community & Public Health Advisory Committee (CPHAC)
• Timaru Māori Women’s Welfare League – Secretary
• Ara Institute of Canterbury, Department of Nursing Midwifery & Allied Health – Tutor
• Te Aitarakihi Trust – Chairperson
• Parents Centre New Zealand - Board Member
• Venture Timaru - Director
• New Zealand Breastfeeding Authority – Baby Friendly Assessor
Mark Rogers
• Appointed SCDHB Board Member
• Chairman, Venture Timaru Ltd
• Shareholder & Director, MVHB Professional Services Ltd
• Treasurer, Kingsdown – Salisbury Hall
• Committee Member, Institute of Directors – Canterbury Branch
• Advisory Board Chairman, Men at Work Group
• Chairman, Waitaki District Health Services Ltd
• Chairman, Adventure Development Ltd
• Director, Westroads Ltd
• Chairman, SC Eye Clinic Ltd
• Director, Timaru District Holdings Ltd
• Director, Cumberland Property Group Ltd
• Director, Cumberland Rural Properties Ltd
11Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Declaration of Interests 2.2 a
Jo Goodhew
• Elected SCDHB Board Member
• Presbyterian Support - South Canterbury Board, Deputy Chair
• Hospice South Canterbury, Board Member
• Medical Council – daughter employed in the legal team
• Mark Goodhew Ltd, Director and Shareholder
• Husband and daughter both dentists practising in the SCDHB area.
• Co-opted member of the Board of Alzheimers South Canterbury Inc.
Philip Hope
• Appointed SCDHB Board Member
• Principal at Hope & Associates legal, Oamaru and Waimate
• Trustee & Deputy Chair, Oamaru Whitestone Civic Trust
• Trustee, Melrose Family Trust (personal)
• Shareholder and Director, Selhurst Investments Ltd (personal)
• Life Member New Zealand CCS Disability Action Incorporated & Waitaki Branch
• Wife is a member of the Waitaki Hospital Action Group
• Chair of Judicial Committee North Otago Rugby Union and Life Member
• Shareholder & Director, HMIT Ltd
• Shareholder & Director, Waitaki Trustees (Mt Menzies) Ltd
• Shareholder & Director, Selhurst Investments Ltd
• Shareholder, Collie Downs Ltd
• Shareholder & Director, Waitaki Trustees Ltd
• Shareholder & Director, Waitaki Trustees No 2 Ltd
• Shareholder & Director, Waitaki Trustees (Golden Acres) Ltd
• Shareholder & Director, Waitaki Trustees (Fedamore) Ltd
• Shareholder & Director, Waitaki Trustees 2017 Ltd
• Shareholder & Director, Waitaki Trustees (Maree) Ltd
• Shareholder & Director, Waitaki Trustees (2012) Ltd
• Shareholder & Director, Waitaki Trustees CLS Ltd
• Shareholder & Director, Waitaki Trustees (RJ) Ltd
• Shareholder & Director,70 Reed St Body Corporate Ltd
• Shareholder & Director, Waitaki Trustees No 3 Ltd
• Shareholder & Director, Waitaki Trustees 2014 Ltd
• Shareholder, McMaster Properties Ltd
• Shareholder, Great King St Investments Ltd
• Shareholder, Robins Road Motels Ltd
• Shareholder, Mackenzie Irrigation Company Ltd
• Shareholder & Director, Waitaki Trustees DVG Ltd
12Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Declaration of Interests 2.2 a
Bruce Small
• Trustee Les Petits Family Trust
• Director, Dee Street Medical Properties (Trust is Shareholder, Bruce Small is Trustee,
therefore related party)
• Director & Shareholder, Timaru Health Ltd
• Director, Timaru Primary Care Ltd (B.A. SMALL Ltd is a shareholder and therefore related
party)
• GP working for Timaru Health Limited
• Daughter works for Canterbury DHB
• Director & Shareholder, B.A. SMALL Ltd
Karl Te Raki
• Appointed SCDHB Board Member
• Alternate Representative for Te Runanga O Arowhenua Marae to the TRONT Board O Te
Runanga O Ngai Tahu
• Chairperson, Arowhenua appointments review committee
• Chairperson, He Manu Hou – Bilingual Early childhood centre
• Committee Member – Te Aitarakihi Trust
• Chairperson, Te Aitarakihi Trust - Steering Committee
• Chairperson, Te Aitarakihi Trust - Building Committee
• Shareholder and Managing Director, Kitchens Direct NZ Limited
• Daughter is an employee of the South Canterbury District Health Board
• Director for Venture Timaru
Suran Dickson
• Shareholder and Director, Flipside Consulting Ltd
• Patron, United Kingdom Investor in Equality and Diversity
• Partner Consultant, Red Plate
• Trustee, Beckenham Primary School
Board members are reminded that they are responsible for notifying the Board through the Board Secretary of any changes in interests, as
soon as any changes occur. The disclosure must provide adequate information to enable a determination of the extent of the nature of the
interest and to assess actions that may need to be taken to manage any conflicts that arise.
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Meeting - 27 Aug 2021 Confirmation of Minutes 2.3 a
MINUTES (in Review)
CPHDSAC MEETING
Name: Community and Public Health & Disability Support Advisory Committee
Date: Friday, 30 July 2021
Time: 10:30 am to 12:15 pm
Location: Gardens Block Boardroom, Queen Street, Timaru
Committee Jo Goodhew (Committee Chair), Bruce Small, Mark Rogers, Paul Annear,
Members: Peter Binns, Phil Hope, Rene Crawford, Ron Luxton, Suran Dickson
Attendees: Ruth Kibble, Jason Power, Joseph Tyro, Kara Hayes, Carol Murphy, Trish
Dovestone
Apologies: Raeleen de Joux, Karl Te Raki
1. Opening
1.1 Apologies
Apologies were noted from Raeleen de Joux and Karl Te Raki.
2. Standing Items
2.1 Glossary of Terms - for information only
2.2 Declaration of Interests
The report was received and agreed.
2.3 Confirmation of Minutes
CPHDSAC Meeting 25 Jun 2021, the minutes were confirmed as presented.
The Committee confirmed and agreed the minutes of the CPHDSAC meeting held on the 25 June
2021 as a true and correct record..
2.4 Matters Arising
2.5 Action Register
Jason Power gave a verbal update on the Plunket Post Natal Adjustment Programme and the
following items were noted:
The geographic locations for the people on the Plunket Post Natal Adjustment Programme
waiting list is not currently captured
Plunket do not feel there is a concern around the wait times of rural vs urban populations.
The report was received and agreed.
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3. Public Agenda Items
3.1 Financial Report
The report was taken as read.
The report was received and agreed.
3.2 Primary Health Partnerships Report
The report was taken as read. Ruth Kibble spoke to her report and the following items were noted:
• Mask FIT testing will be completed by 8 August 2021 for all Primary Care Clinicians
• From August 2021 Roberts Pharmacy and Ashbury Pharmacy will be administering 1,000
COVID-19 vaccinations per week
• 1.5FTE vacancies have become available under Mental Health Brief Intervention Services
• The Committee requested that Community & Public Health (CPH) speak to vaping and the
work that's being undertaken
• A new Medical Officer of Health has been appointed, Dr Matt Reid
• Funding has been approved for the Mackenzie Country in regards to psychological
response. Discussions have been had with Angela Oosthuizen's (acting CEO Mackenzie
District Council) about how this would look. A proposal is going forward to the council at
their meeting being held 17 August 2021.
The report was received and agreed.
Community & Public Health
Invite Community & Public Health (CPH) to August meeting to speak to the
work that’s being undertaken in regards to vaping, when they address the
Committee in August.
Due Date: 27 Aug 2021
Owner: Stefanie Green
Medical Officer of Health
Invite the new Medical Officer of Health- Dr Matt Reid to the August meeting.
Due Date: 27 Aug 2021
Owner: Stefanie Green
3.3 Immunisation Report
The report was taken as read.
The report was received and agreed.
3.4 Health of Older Persons Update
The report was taken as read.
The report was received and agreed.
3.5 COVID-19 Vaccination Verbal Update
Carol Murphy and Trish Dovestone gave a verbal update and the following items were noted:
South Canterbury is leading the way in ensuring the vulnerable members of our community
are being vaccinated against COVID-19
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• The MoH recently congratulated SCDHB for having the highest percentage of our high-
needs disability clients vaccinated in NZ
• Reaching clients has meant in home vaccinations, specialised clinics and extended
appointment times.
The report was received and agreed and the vaccination team congratulated for their work.
4. General Business
4.1 CPHDSAC Meeting Themes for 2021
The report was taken as read and the Committee noted the following updates:
August - Public Health Focused Meeting / Hospital in the Home Project Update
September - Mental Health and Addiction
October - Long term conditions / CNS Presentation
November / December - Locality Plan.
6. Close Meeting
6.1 Close the meeting
Next meeting: CPHDSAC Meeting - 27 Aug 2021, 10:30 am
Signature:____________________ Date:_________________________
3 16Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Action Register 2.5 a
Information Paper
CPHDSAC ACTION REGISTER
Action Owner Dated Added Completion Due Status
Paper to be drafted on the Hospital at Home project and 24 September
Advance Care Planning R Kibble 25 September 2020
2021
The Committee requested an update every two months on Ongoing
the progress on the Mental Health and Addiction R Kibble 28 May 2021 24 September
Engagement 2021
The Committee have requested a summary of the relevant
information for South Canterbury's population around
childhood obesity, annual drinking water, and the
surveillance /monitoring of notifiable diseases instead of Completed
R Kibble 28 May 2021 27 August 2021
the links provided in May 2021. They are also interested in (attached as agenda
what we are currently doing in these areas and anything item 3.2b)
we should or could be doing
Invite Community & Public Health (CPH) to August
meeting to speak to the work that’s being undertaken in S Green 30 July 2021 27 August 2021 Completed
regards to vaping
Invite the new Medical Officer of Health- Dr Matt Reid to
the August meeting S Green 30 July 2021 27 August 2021 Completed
17Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Action Register 2.5 a
Completed Actions from Previous Meeting Owner Dated Added Completion Due Status
Refer to legislation and update the CPHDSAC Terms of Reference as
per the comments made in the March 2021 meeting K Berry 26 March 2021 25 June 2021 Completed
The Committee requested the Patient Portal information to be
advertised in the HealthBeat and the video to be shared on the Completed
K Berry 28 May 2021 25 June 2021
SCDHB Facebook page
The Committee requested updated data for the remainder of the
Health and Wellbeing indicators of under five year olds. Refer to the Completed
J Power 26 March 2021 25 June 2021
table in agenda item 2.5b in March 2021
Dr Lik Loh to provide a Primary Care Chief Medical Officer update
which includes a snapshot of the GP demographics and an update on Completed
the Aoraki Health Pathways. The Committee requested longer than Dr L Loh 26 March 2021 25 June 2021
20 minutes in June 2021
The Committee requested for the three and five months Completed
L Blackler 28 May 2021 25 June 2021
immunisations data to be included
Check that Patient Portal information advertisement in HealthBeat Completed
J Power 25 June 2021 30 July 2021
does not name a specific product.
Update on the planned approach towards getting the Breast
Completed
Screening Programme local numbers back on track with our figures R Kibble 28 May 2021 30 July 2021
included
Data to be supplied on Dementia Level 6 Care clients placed outside Completed
R Kibble 25 June 2021 30 July 2021
of the SCDHB within the Health of Older Persons Report
The Committee requested the geographic locations for the people Completed
J Power 28 May 2021 30 July 2021
on the Plunket Post Natal Adjustment Programme waiting list
Standing Items Frequency Months to be Included in Agenda Status
Community & Public Health Report Six-monthly February, August Ongoing
Health Promotion Matrix Six-monthly April, October Ongoing
18Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Financial Report 3.1 a
Information Report
CPHAC DSAC Financial Report
Prepared by: Grant Keene, Finance Manager
Date: 12 August 2021
Recommendation: That this report is received
Financials for July 2021
Funder Financial performance ($000)
The Funder recorded a surplus of $908k for the month which was favourable to budget by
$408k.
Revenue was favourable to budget by $470k
The favourable variance was driven by;
MOH Funding $468k
Personal Other Health Services $135k mainly driven by unbudgeted Addiction System
Implementation Revenue $80k, Vaccination cost recovery revenue from the MOH $30K.
Maori Health Services $227k driven by unbudgeted Vaccination Readiness revenue $227k
of set by the AWS expenditure in the month.
Personal Laboratories $52k driven by unbudgeted COVID-19 revenue $52k.
Personal IDF revenue $53k driven by additional to budget revenue
Other Non-Government Revenue $2k
Expenditure was unfavourable to budget by ($62k)
The unfavourable variance was driven by;
Personal Health Provider costs $160k driven by PCT Drugs $81k, Primary Care $32k, Travel
& Accommodation $30k, Minor expenditure $18k.
Mental health providers ($16k) the unfavourable variance was driven by Long Term
patients ($53k) of set by Alcohol & Other Drugs $30k.
Disability Support services $25k the favourable variance is driven by Carer Support $23k.
19Meeting Pack for CPHDSAC Meeting - 27 Aug 2021 Financial Report 3.1 a
Public Health Providers ($257k), the unfavourable variance is driven by AWS vaccination
costs of set by unbudgeted revenue in the month.
Maori Health Services $21k driven by Arowhenua Whanau Services expenditure.
Governance
Governance is $26k unfavourable to budget in July 2021.
The drivers of this unfavourable variance are;
Outsourced Services ($22k) made up of a one off ePerscription service costs.
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South Canterbury District Health Board 2021/22 2021/22 2021/22 2021/22 2021/22 2021/22 2021/22
Funder Financial Performance Actual Budget Variance YTD Act YTD Bud Variance Budget
July 21 Month Month Month YTD YTD YTD YTD
MOH Funding 19,566 19,098 468 19,566 19,098 468 229,185
Other Non Government income 2 - 2 2 - 2 -
IDF Inflow Income 380 380 - 380 380 - 4,555
Total Revenue 19,948 19,478 470 19,948 19,478 470 233,740
Payments to
Personal Health Providers 10,873 11,033 160 10,873 11,033 160 132,949
Mental Health Providers 1,079 1,063 (16) 1,079 1,063 (16) 12,755
Disability Support Providers 3,407 3,432 25 3,407 3,432 25 41,195
Public Health Providers 462 205 (257) 462 205 (257) 2,445
Maori Health Providers 53 74 21 53 74 21 887
DHB Governance 243 243 - 243 243 - 2,914
IDF Outflow Expenditure 2,923 2,928 5 2,923 2,928 5 35,131
Total Expenditure 19,040 18,978 (62) 19,040 18,978 (62) 228,276
Net Result (Deficit)/Surplus 908 500 408 908 500 408 5,464
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South Canterbury District Health Board 2021/22 2021/22 2021/22 2021/22 2021/22 2021/22 2021/22
Governance Financial Performance Actual Budget Variance YTD Act YTD Bud Variance Budget
July 21 Month Month Month YTD YTD YTD
Total Revenue 244 243 1 244 243 1 2,914
Personnel costs - - - - - - 1
Outsourced Services 62 40 (22) 62 40 (22) 552
Clinical Supplies - - - - - - -
Infrastructure & Non-Clinical Supplies 117 112 (5) 117 112 (5) 1,586
Internal Allocation from/to DHB Provider 64 64 - 64 64 - 773
Expense Total 243 216 (27) 243 216 (27) 2,912
Net Result (Deficit)/Surplus 1 27 (26) 1 27 (26) 2
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South Canterbury District Health Board
Public Health Report
January to June 2021
Community and Public Health
South Canterbury Office
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CONTENTS
1. Introduction 3
2. COVID-19 4
3. Surveillance / Monitoring 5
4. Evidence / Research / Evaluation 6
5. Healthy Public Policy 7
6. Health Promoting Health System 8
7. Supporting Community Action 9
8. Education Settings 10
9. Communicable Disease Control 11
10. Healthy Physical Environment 12
11. Emergency Preparedness 14
12. Sustainability 15
13. Wellbeing and Mental Health Promotion 16
14. Alcohol Harm Reduction 17
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1. INTRODUCTION
Public health is the part of our health system that works to keep our people well. Our goal is
to improve, promote and protect the health and wellbeing of populations and to reduce
inequities. Our key strategies are based on the five core public health functions1:
1. Information: sharing evidence about our people’s health & wellbeing (and how to
improve it)
2. Capacity-building: helping agencies to work together for health
3. Health promotion: working with communities to make healthy choices easier
4. Health protection: organising to protect people’s health, including via use of
legislation
5. Supporting preventive care: supporting our health system to provide preventive care
to everyone who needs it (e.g. immunisation, stop smoking).
The principles of public health work are: focusing on the health of communities rather than
individuals; influencing health determinants; prioritising improvements in Māori health;
reducing health disparities; basing practice on the best available evidence; building effective
partnerships across the health sector and other sectors; and remaining responsive to new
and emerging health threats.
Public health takes a life course perspective, noting that action to meet our goal must begin
before birth and continue over the life span.
This report describes progress against the outcomes and priorities in our 2020-21 annual
plan.
1Williams D, Garbut B, Peters J. Core Public Health Functions for New Zealand. NZMJ 128 (1418) 2015.
https://www.nzma.org.nz/journal/read-the-journal/all-issues/2010-2019/2015/vo-128-no-1418-24-july-2015/6592
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2. COVID-19
“Minimising COVID-19’s impact on health, wellbeing and equity in our communities, and
supporting a positive community response”
The COVID-19 Programme Plan led by our Christchurch office, takes a Health in All Policies
approach by not only incorporating outbreak management functions, but also through placing
an emphasis on our interagency relationships at the borders and at the Managed Isolation and
Quarantine Facilities (based in Christchurch).
Engaging with identified communities makes up core components of the plan. We engage with
our Māori and Pasifika leaders and build collaborative and respectful relationships which
enables these communities to mobilise and provide a culturally appropriate response should
community transmission occur. Ensuring the wellbeing of our workforce also features
prominently.
All Community and Public Health staff based in South Canterbury have been allocated to
various ‘response roles’ (see Communicable Disease Control).
The Programme Plan is organised under 15 ‘workstreams’ incorporating the following priority
outcomes:
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3. SURVEILLANCE / MONITORING
“Tracking and sharing data to inform public health action”
Our key surveillance/monitoring priorities for 2020-21 are:
• To monitor and report communicable disease trends and outbreaks.
• To implement the recommendations of our monitoring / surveillance processes review, with a
focus on effective information sharing.
Community and Public Health’s Surveillance team in Christchurch provides a weekly update
on notifiable diseases for all South Island DHBs including any trends, with a breakdown across
Local Authorities.
Monthly and annual summaries are also provided. These are available on the CPH Public
Health Surveillance and Incident Intelligence website https://intel.cph.co.nz/ and are also
linked on Community and Public Health’s Information for Health Professionals webpage
https://www.cph.co.nz/health-professionals/.
Public Health Updates are also available on this page.
Influenza and respiratory pathogens
reporting - Over the winter months
Community and Public Health publishes a
weekly summary of respiratory virus
activity in the region (Canterbury, South
Canterbury and West Coast DHBs).
Reporting was paused for 2020, due to
COVID-related changes in health care and
data collection systems.
An updated report format has been
developed for 2021 and reports will be
provided each Monday until week 40.
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4. EVIDENCE / RESEARCH / EVALUATION
“Providing evidence and evaluation for public health action”
Our key evidence/research/evaluation priorities for 2020-21 are:
• To conduct and support evaluation of public health-
focused initiatives.
• To provide evidence reviews and synthesis on a
request basis to support the work of our team and
other public health focused work in our region.
• To collect / access, analyse and present data to inform
public health action.
The evaluation of the pilot Te Ha o Aoraki (SC toothbrushing project) was undertaken with
Arowhenua Māori School. The toothbrushing pilot provided pupils with a structured
opportunity to brush their teeth once each school day under the supervision of their kaiako
(teacher). Whānau were provided with an oral healthcare pack at the start of the pilot, which
included toothbrushes and toothpaste for each family member.
The evaluation report was completed by the Team Leader of our Christchurch office’s
Information Team. A summary infographic was also produced – both the report and
infographic are available on the WAVE website. The school had an opportunity to respond to
the draft report findings and has shared the findings in the school community.
The full evaluation and infographic summary are available at
www.wavesouthcanterbury.co.nz
Key findings include:
▪ 17/24 students agreed that brushing their teeth at school helped them remember to
brush at home
▪ All teachers who responded to the survey agreed that the toothbrushing programme
was a valuable addition to the day at school
▪ All whānau and teacher respondents agreed that the programme should continue to
be part of each day at Arowhenua Māori School
▪ All three school teacher respondents agreed or strongly agreed (2 strongly agree; 1
agree) that the programme manual they had been provided with had been easy to
follow.
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5. HEALTHY PUBLIC POLICY
“Supporting development of health-promoting policies and approaches in other agencies”
Our key healthy public policy priorities for 2020-21 are:
• To write submissions to influence public policy
including, where appropriate, on behalf of SCDHB.
• To work with local authorities on policies that impact
on health, for example smokefree environments and
drinking water.
• To ensure a public health perspective (e.g. equity for
Māori health) is part of inter-agency work, including
Early Childhood Network, supporting local council
planning processes, and contributing to ECan joint
work plan.
Community and Public Health prepared and sent
submissions on the following:
▪ Timaru District Council Long Term Plan
▪ Proposals for a Smokefree Aotearoa 2025
Action Plan
South Canterbury team members contributed to submissions on:
▪ Environment Canterbury’s Long Term Plan, including support for MyWay public bus
system in Timaru
▪ NZTA Land Transport Rule: Setting of Speed Limits 2021 consultation. Input from
CPH’s School Travel Planner included speed limits around schools that was informed
by the school travel plan work with schools in the Timaru district.
Community and Public Health also fed back on the SCDHB Mental Health and Addictions
Engagement Document, with an emphasis on increasing equity.
Community and Public Health prepared a submission on behalf of South Canterbury District
Health Board on the Regulation of vaping and smokeless tobacco products.
The Geraldine smokefree and Vapefree Fresh Air project (introducing smokefree and vapefree
outdoor dining areas) continues with a ‘venue of the week’ promotion taking place until
August 2021. A different venue is promoted weekly in the local community newspaper, the
national Fresh Air web page and facebook page. This promotion coincides with a customer
survey competition.
Since participating in the project, one store owner has already noted the difference the project
has made, expressing her pleasure at no longer needing to pick up dirty cigarette butts from
outside the dining space and the saving on disposable gloves She also commented on the lack
of visible smokers and smoke related litter over the whole shopping precinct.
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6. HEALTH PROMOTING HEALTH SYSTEM
“Supporting development of health-promoting policies and approaches across our health
system”
Our key health-promoting health system priorities for 2020-21 are:
• To contribute to SCDHB position statements and alcohol harm reduction strategy.
• To support the implementation of the SCDHB Health Promotion and Prevention Strategy,
including alignment of health promotion messages.
Community and Public Health contributes to three priority areas
of the SCDHB Health Promotion and Prevention Strategy:
Environment, First 1000 Days, and Healthy Food Environments
within education settings. Progress on the latter two is reported
in the following two sections of this report.
SneezeSafe has been delivered jointly by Public Health Nurses
and WAVE to 20 classes across seven schools. It provided a
timely reminder to children about handwashing and staying
home from school when unwell.
One of our Health Protection Officers attends the monthly
SCDHB IPC meeting.
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7. SUPPORTING COMMUNITY ACTION
“Supporting communities to improve their health”
Our key supporting community action priorities for 2020-21 are:
• To support communities to access health information resources.
• To partner with Marae and priority Māori and Pacific settings and organisations to deliver
culturally appropriate health promotion initiatives.
• To continue to work with other agencies to explore opportunities to support early years
parenting.
• Delivery of Smokefree Enforcement requirements.
The Accredo database continues to be used, stock is maintained, and requests actioned as
required for the resources held by Community and Public Health. The Authorised Provider
ordered 19,715 items to restock compared with 25,254 in the previous six-month period; the
higher number of resources was due to a large number of resources
ordered as part of the rollout of the bowel screening programme.
Community and Public Health facilitated the First 1000 Days
symposium organising group involving health and social sector
agencies (SCDHB, Family Works, Fale Pasifika, Arowhenua Whānau
Services, Plunket and CPH) to plan and implement the second South
Canterbury Early Years Symposium that took place in March 2021
(delayed due to COVID-19). This built on the inaugural symposium
held in November 2019. The theme for the symposium ‘Wrap Around
Response and Prevention of Family Harm’ was developed in response
to feedback from the organising group.
Seventy-three representatives from education, health and the social
sector attended the symposium. Dr. Yvonne Crichton-Hill, Senior Lecturer and Social Work
Programme Co-ordinator, University of Canterbury presented the keynote address entitled,
‘Responding to and Preventing Family Harm in our Communities’. This was followed by a panel
presentation with speakers from Te Rito, a collaboration of member organisations from
around South Canterbury who work towards ending family violence.
The post-workshop evaluation found that the 87% of respondents valued the keynote
presentation followed by networking and the Te Rito panel presentation. Of the keynote
presentation, one respondent summarised the value as “pulling together many strands to
build up a comprehensive picture of the specific problems, of effective solutions that really
work”.
CPH worked with South Canterbury DHB to organise two face-to-face meetings of the South
Canterbury Māori and Pacific Leaders meetings that were hosted by Arowhenua Marae and
Te Aitarakihi Trust respectively. Both hui included an update from South Canterbury DHB
about the COVID-19 vaccination programme.
CPH’s WAVE ECE facilitator and Hauora Māori Health Promoter are Executive members of Ka
Toi Māori o Aoraki Incorporated Society (that organises ECE and school kapa haka festival)
with the ECE facilitator also fulfilling the Secretary role of the Society. Contributions include
organising the AGM, the Team Leader working with Kaiwhakahaere Arowhenua Whānau
Services to prepare a funding application to Creative Communities which was successful, and
information sent to ECE and schools regarding the 2021 dates and venues for both festivals.
The Smokefree Enforcement role has now been filled. The staff member will attend their first
training provided by the Ministry of Health in October.
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8. EDUCATION SETTINGS
“Supporting our children and young people to learn well and be well”
Our key supporting education setting priorities for 2020-21 are:
• Effective engagement by WAVE with all education settings
including Kāhui Ako.
• To support settings to effectively engage with whānau and
the wider community.
• To continue to build effective relationships with Tangata
Whenua.
• To provide appropriate professional development,
resources and support to education settings. Ngā Takaro Taonga workshop
Following on from the pilot toothbrushing programme, Te Ha o Aoraki, South Canterbury DHB
is funding a rollout of the programme to priority ECE and primary schools. Community and
Public Health prepared a project plan for the rollout with the ECE and schools grouped across
five phases. Phase 1 is underway with five ECE invited to participate and kaiako hui undertaken
with each ECE. The hui includes information for teachers about the programme and the
practical considerations to inform implementation. To date, two ECE in Phase 2 have also had
kaiako hui.
Healthy Food Environments: 85% of settings (n=46 ECE and 42 schools) are confirmed as
having a nutrition policy in place compared with 82% at December 2020. Of the remaining five
settings, one is developing a localised policy, two are currently updating their policy and two
settings have this in practice rather than policy.
Seventy-seven percent of settings (n=40 ECE and 32 schools) have a water/milk only policy
compared with 50% at December 2020. For some settings, this element is included in the
nutrition policy.
The Healthy Food and Drink Toolkit (one for ECE and one for schools) produced by the
Ministries of Health and Education was available to health promoters in March 2021 (currently
not available on the MoH website). The WAVE team have been sharing the resource with ECE
and schools as it provides a practical and whole-of-setting (ECE/school) approach to healthy
food and drink environments.
A Nga Taonga Tākaro (Traditional Māori Games) workshop was organised by WAVE to support
the sustainability of Nga Taonga Tākaro in education settings. ECE and school staff, Sport
Canterbury staff and local Māori community members took part with 35 people attending.
The workshop was facilitated by Heperi Harris, Ara Institute of Canterbury and resulted in
positive feedback from attendees:
• 95% of respondents agreed or strongly agreed that the facilitation of the workshop
worked well
• 86% of respondents agreed or strongly agreed that the training was relevant for
their role.
• One respondent noted some adaptation was required for ECE
When asked how the information from the workshop would change their practice, two
themes emerged including using Ngā Taonga Tākaro more regularly in teaching/programmes
and increasing the use of Te Reo Māori generally.
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9. COMMUNICABLE DISEASE CONTROL
“Preventing and reducing spread of communicable diseases”
Our key communicable disease control priorities for 2020-21 are:
• To follow up communicable disease notifications
• To identify and control communicable disease
outbreaks.
• To promote infection prevention / control and
immunisation in various community settings.
Our Health Protection Officers have followed up on
130 disease notifications; these notifications range
from TB to meningitis to usual bugs such as giardia.
Investigated a contaminated sandwich following a
complaint received.
Three gastro outbreaks investigated in this period, with all relating to private water supplies.
Our Timaru team have been part of the wider Community and Public Health COVID-19
response team, rostered to cover COVID work every second week. This has been focused on
High Index Suspicion cases and cases in the MIQs, along with supporting contact monitoring
for other regions. Our Health Protection Officers have continued to provide training of our
wider Timaru team to support case investigation.
One pre-licence application for early childhood centre processed and approved.
Initial plans approved for a planned new Centre for Under 2’s.
Provided advice for ECE’s around disease prevention, range of queries from skin issues,
reusable nappies etc.
Provided a media release around an increase in gastro illness in schools and ECEs and
provided Public Health advice around this.
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10. HEALTHY PHYSICAL ENVIRONMENT
“Supporting communities to improve their health”
Our key physical environment priorities for 2020-21 are:
• To work with local authorities to improve drinking water.
• To manage risks of Vertebrate Toxic Agents.
• To meet other Ministry of Health statutory obligations in relation to the physical environment.
• To work with ECan to improve air quality.
• To work with appropriate agencies (e.g. ECan and Aoraki Environmental Consultancy) to improve
recreational water quality.
• To maintain Border Health surveillance and core capacity programmes
There are significant changes occurring in Drinking Water, with the new legislation and
drinking water unit coming into play this year. We see this as a transitional period that we are
working through with the relevant agencies.
Health Act compliance:
Section 69S - Duty of suppliers in relation to the provision of drinking water: 100%
Section 69U – Duty to take reasonable steps to contribute to protection of source of drinking
water: 100%
Section 69Y – Duty to monitor drinking water: 80%. We had five supplies that were not
compliant for monitoring for the following reasons:
• The maximum interval between samples for the distribution zone was exceeded,
also had an E. coli transgression at the treatment plant during the period the interval
was exceeded.
• UV units at treatment plant cannot produce an external output for UV irradiance,
therefore they cannot meet the monitoring requirements of Section 5.16 of the
DWSNZ.
• Turbidity monitoring data was lost for approximately 50 hours at Pleasant Point
during the commissioning of chlorination at the treatment plant in May 2020.
• The monitoring requirements of the DWSNZ were not met for the treatment plant
for the compliance year.
• the water supplier did not meet the monitoring requirements of the DWSNZ for the
2019/20 compliance period.
Section 69Z – Duty to prepare and implement a WSP: 96%
An approved WSP is not in place for one supply, only a draft version.
Section 69ZD – Duty to keep records and make them available: 96%
One supply did not meet this Health Act duty because of approximately three days’ worth of
data having been lost on the old UV units and periods of data lost over 10 days whilst the
new UV units were installed.
Section 69ZE – Duty to investigate complaints: 100%
Section 69ZF – Duty to take remedial actions if drinking-water standards are breached: 96%
One supply did not perform all remedial actions in response to E. coli transgressions at a
treatment plant. This was addressed via a letter to TLA from a Designated Officer at
Community and Public Health in May 2020.
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