Community and Public Health & Disability Support Advisory Committee - MEETING PACK

 
Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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
Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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
Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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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Community and Public Health & Disability Support Advisory Committee - MEETING PACK
Agenda
Meeting Pack for: CPHDSAC
                  CPHDSAC Meeting
                          Meeting --27
                                     27Aug
                                        Aug2021
                                            2021

        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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Community and Public Health & Disability Support Advisory Committee - MEETING PACK
Agenda
Meeting Pack for: CPHDSAC
                  CPHDSAC Meeting
                          Meeting --27
                                     27Aug
                                        Aug2021
                                            2021

        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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Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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

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Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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
Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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
Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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

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Community and Public Health & Disability Support Advisory Committee - MEETING PACK
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

                                                                                                                          10
Meeting 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

                                                                                                                         11
Meeting 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

                                                                                                                      12
Meeting 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.

                                                                                                                                                       13
Generated
Meeting Pack      on: 2021-08-13
             for CPHDSAC         09:29:57
                           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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Minutes
Meeting Pack for :CPHDSAC
                  CPHDSAC Meeting
                          Meeting - 27
                                    30 Jul
                                       Aug2021
                                           2021                                           Confirmation of Minutes 2.3 a

        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

        Powered by BoardPro                                                                                  2     15
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                                           2021                                        Confirmation of Minutes 2.3 a

              • 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     16
Meeting 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

                                                                                                                                                                 17
Meeting 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

                                                                                                                                                                         18
Meeting 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.

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          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.

                                                                                                               20
Meeting Pack for CPHDSAC Meeting - 27 Aug 2021                                                                             Financial Report 3.1 a

                   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
                                                                                                                                             21
Meeting Pack for CPHDSAC Meeting - 27 Aug 2021                                                              Financial Report 3.1 a

        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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Meeting Pack for CPHDSAC Meeting - 27 Aug 2021                                       Community & Public Health (CPH) Rep... 3.2 a

              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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