Community and Public Health & Disability Support Advisory Committee - MEETING PACK - South Canterbury DHB
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Community and Public Health & Disability Support Advisory Committee MEETING PACK for CPHDSAC Meeting Friday, 30 July 2021 10:30 am Held at: Gardens Block Boardroom Queen Street, Timaru Generated: 2021-07-22 15:46:18
INDEX Cover Page Index Agenda Attached Documents: 2.1 a Glossary of Terms - July 2021.pdf......................................................................................... 6 2.2 a CPHDSAC Interest Register.pdf............................................................................................ 10 2.3 a Draft Minutes CPHDSAC 25 June 2021 Public.pdf................................................................ 14 2.5 a Action Register.pdf................................................................................................................. 17 3.1 a Financial Report.pdf............................................................................................................... 19 3.2 a Primary Health Partnerships Report.pdf................................................................................. 23 3.3 a Immunisation Report.pdf........................................................................................................ 28 3.4 a Health of Older Persons Update.pdf...................................................................................... 33 4.1 a CPHDSAC Meeting Themes for 2021.pdf.............................................................................. 38 5.1 a Public Excluded Resolution.pdf.............................................................................................. 39 5.2 a Draft Minutes CPHDSAC 25 June 2021 Public Excluded.pdf................................................ 40 5.3 a Public Excluded Action Register.pdf...................................................................................... 41 5.3 b Opportunities in Policies to Reduce Obesity.pdf.................................................................... 42 5.4 a Resolution to Open Meeting.pdf............................................................................................. 55
Generated
Meeting Pack on: 2021-07-22
for CPHDSAC 15:32:19
Meeting - 30 Jul 2021
AGENDA
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, 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, Kara Hayes, Carol Murphy, Trish
Dovestone
1. Opening
1.1 Apologies
2. Standing Items
2.1 Glossary of Terms - for information only
Supporting Documents:
2.1.a Glossary of Terms - July 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 25 June 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 Primary Health Partnerships Report
Supporting Documents:
3.2.a Primary Health Partnerships Report.pdf 23
3.3 Immunisation Report
Supporting Documents:
3.3.a Immunisation Report.pdf 28
3.4 Health of Older Persons Update
Supporting Documents:
3.4.a Health of Older Persons Update.pdf 33
3.5 COVID-19 Vaccination Verbal Update
Carol Murphy and Trish Dovestone
11.00am - 11.15am
4. General Business
4.1 CPHDSAC Meeting Themes for 2021
Supporting Documents:
4.1.a CPHDSAC Meeting Themes for 2021.pdf 38
5. Public Excluded Agenda Items
5.1 Public Excluded Resolution
Supporting Documents:
5.1.a Public Excluded Resolution.pdf 39
5.2 Confirmation of Public Excluded Minutes
Supporting Documents:
5.2.a Draft Minutes CPHDSAC 25 June 2021 Public Excluded.pdf 40
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5.3 Public Excluded Action Register
Supporting Documents:
5.3.a Public Excluded Action Register.pdf 41
5.3.b Opportunities in Policies to Reduce Obesity.pdf 42
5.4 Resolution to Resume Open Meeting
Supporting Documents:
5.4.a Resolution to Open Meeting.pdf 55
6. Close Meeting
6.1 Close the meeting
Next meeting: CPHDSAC Meeting - 27 Aug 2021, 10:30 am
Powered by BoardPro 3 5Meeting Pack for CPHDSAC Meeting - 30 Jul 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 6Meeting Pack for CPHDSAC Meeting - 30 Jul 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 7Meeting Pack for CPHDSAC Meeting - 30 Jul 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 8Meeting Pack for CPHDSAC Meeting - 30 Jul 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 9Meeting Pack for CPHDSAC Meeting - 30 Jul 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 - 30 Jul 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
11Meeting Pack for CPHDSAC Meeting - 30 Jul 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 - 30 Jul 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.
13Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Confirmation of Minutes 2.3 a
MINUTES (in Review)
CPHDSAC MEETING
Name: Community and Public Health & Disability Support Advisory Committee
Date: Friday, 25 June 2021
Time: 10:30 am to 12:15 pm
Location: Gardens Block Boardroom, Queen Street, Timaru
Committee Rene Crawford (Interim Chair), Jo Goodhew (Zoom), Suran Dickson,
Members: Raeleen de Joux, Karl Te Raki, Bruce Small, Paul Annear, Mark Rogers,
Peter Binns, Phil Hope, Ron Luxton
Attendees: Jason Power, Ruth Kibble, Lik Loh, Stefanie Green, Grant Keene
1. Opening
1.1 Apologies
Jo Goodhew joined the meeting via Zoom.
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
It was noted that the minutes be amended to reflect any identification of a specific Patient Portal
product be removed for commercial reasons as there are several in the market place and
SCDHB does not endorse any specific brand.
The minutes were accepted as a true and correct recording of the meeting held on 28 May 2021.
The report was received and agreed.
Check Patient Portal information advertisement in HealthBeat
Check that Patient Portal information advertisement in HealthBeat does not
name a specific product.
Due Date: 23 Jul 2021
Owner: Jason Power
2.4 Matters Arising
No items were noted.
14Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Confirmation of Minutes 2.3 a
2.5 Action Register
Jason Power gave a verbal update in regards to his action 'Check with the other DHB's to see
what they're doing in the obesity space' and the following item was noted:
The Ministry of Health (MOH) is implementing a national obesity strategy. More details will
be known in July.
The report was received and agreed.
Ruth Kibble gave a verbal update in regards to her action '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 the links
provided in May 2021. They are also interested in what we are currently doing in these areas and
anything we should or could be doing'.
This will be included in Community and Public Health's report in August
A question was raised around reporting of old data out of the MOH. It was indicated that
this is the most up to date data that has been released
The Committee members agreed that data provided to them should be in line with
SCDHB's Annual Plan priorities. Any concerning trends in data reported should always be
brought to the Committee.
The report was received and agreed.
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:
Mental Health and Addiction Document
Over 25 submissions were received from a range of organisations and individuals
The level of public and mental health and addiction sector engagement was gratifying,
identifying perceived gaps and opportunities
COVID-19 Vaccination
There is a meeting set up for 6 July 2021 between Primary Care and Community
Pharmacy to discuss how the wider vaccination programme can be introduced in a
sustainable manner without impacting business as usual.
Primary Care
COVID-19 swabbing has increased activity at the moment due to Wellingtons shift into
Level 2 this week
Cervical screening- self screening is still awaiting national guidance
The firearm legislation- an education session was held for clinicians. This legislation allows
Primary Care to notify the Police if there is concern that a patient may have access to fire
arms. Primary Care will also be notified of people who apply for a fire arms license.
The report was received and agreed.
15Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Confirmation of Minutes 2.3 a
3.3 Immunisation Report
The report was taken as read.
The report was received and agreed.
3.4 Health of Older Persons Update
Ruth Kibble spoke to her report and the following items were noted:
It was noted that data is supplied on D3 patients outside of the community, the Committee
have requested this data also be supplied for D6 patients
With the closure of Moreh house in Fairlie, NASC assessments are being completed and
care providers are making individual plans for their patients.
The report was received and agreed.
Data on Dementia Level 6 Care clients living outside of the community
Data to be supplied on Dementia Level 6 Care clients placed outside of South
Canterbury within the Health of Older Persons Report.
Due Date: 30 Jul 2021
Owner: Ruth Kibble
3.5 Primary Care CMO Update
The report was taken as read. Dr Lik Loh spoke to his report and the following item was noted:
• The System Level Measures improvement plan as been drafted. Awaiting SLT feedback
• Currently working with hospital departments and the general practice sector on a referrals-
and-replies quality improvement project. Primary Care have requested feedback on
declined referrals
• Approximately 50% of local GP's fed into the data provided in the slide regarding workforce
intentions.
The Committee commended Dr Lik Loh for his work in this space.
The report was received and agreed.
4. General Business
4.1 CPHDSAC Meeting Themes for 2021
The report was taken as read.
The report was received and agreed.
6. Close Meeting
6.1 Close the meeting
Next meeting: CPHDSAC Meeting - 30 Jul 2021, 10:30 am
Signature:____________________ Date:_________________________
16Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Action Register 2.5 a
Information Paper
CPHDSAC ACTION REGISTER
Action Owner Dated Added Completion Due Status
Data to be supplied on Dementia Level 6 Care clients placed outside Completed
of the SCDHB within the Health of Older Persons Report Ruth Kibble 25 June 2021 30 July 2021
(Included in HOP report)
Update on the planned approach towards getting the Breast
Screening Programme local numbers back on track with our figures Completed
R Kibble 28 May 2021 30 July 2021
included (Included in PHP report)
The Committee requested an update every two months on the Completed
progress on the Mental Health and Addiction Engagement R Kibble 28 May 2021 30 July 2021
(Included in PHP report)
The Committee requested the geographic locations for the people Verbal update
on the Plunket Post Natal Adjustment Programme waiting list J Power 28 May 2021 30 July 2021
Paper to be drafted on the Hospital at Home project and Advance 25 September
Care Planning R Kibble 27 August 2021
2020
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 the links provided in May 2021. They R Kibble 28 May 2021 27 August 2021
are also interested in what we are currently doing in these areas and
anything we should or could be doing.
17Meeting Pack for CPHDSAC Meeting - 30 Jul 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
Lisa Blackler 28 May 2021 25 June 2021
immunisations data to be included
Check that Patient Portal information advertisement in HealthBeat Completed
Jason Power 25 June 2021 30 July 2021
does not name a specific product.
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 - 30 Jul 2021 Financial Report 3.1 a
Information Report
CPHDSAC Financial Report
Prepared by: Grant Keene, Finance Manager
Date: 19 July 2021
Recommendation: That this report is received
Financials for June 2021
Funder Financial performance ($000)
The Funder is unfavourable to budget by ($72k) for the month and favourable YTD June 2021 by
$3,432. This is driven by:
Revenue was favourable to budget by $6,679k
The favourable variance was driven by;
MOH Funding $5,266k
Personal Other Health Services $2,647k mainly driven by unbudgeted MOH Funding $1,410k,
Planned Care 2019/20 $646k, Planned Care 2020/21 $349k, ACC Falls Prevention $264k, Measles
Immunisation $148k, Bowel screening $57k, B4 Schools $30k of set by a reduction in Capital
Charge - reduced from 6% to 5% ($274k)
Pharmaceuticals $417k, driven by COVID-19 $327k
GPs $1,023k driven by one Cov19 revenue $700k off set by GP swabbing costs, GP Systems
Measure Capability $79k, Community Services Card $129K, Careplus $48k, Low cost Access $44k
Personal Dental $81k, driven by additional Elective services for 2019/2020 year
Mental Base $266k, driven by favourable to budget Adventure Development $219k – off set by
additional Adventure Development expenditure, Crisis Intervention $47k
Personal Laboratories $261k, driven by unbudgeted COVID-19 revenue
Disability Support $471k driven by a Sector Service expenditure refund and In Between travel
revenue
Personal Palliative Care $27k, driven by unbudgeted Hospice
Maori health Services $84k driven by COVID-19 revenue.
19Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Financial Report 3.1 a
Other Non-Government Revenue $1,413k
Pharmacy refund $1,105k, Presbyterian Support Services revenue $138k.
Expenditure was unfavourable to budget by $3,337k
The unfavourable variance was driven by;
Personal Health $335k
The favourable variance is made up of:
Primary Health $386k, Minor expenditure $217k, Travel & Accommodation $212k, Dental
$171k, Chronic Disease Management $116k, Child & Youth $73k
Of set by;
Pharmaceuticals ($689k), additional Surgical electives ($878k) of set by additional Planned
Care revenue
Mental Health ($252k) mainly driven by:
Sub-Acute & Long Term Mental Health Inpatients ($512k), Maternal Mental Health
($164k), Other Home Based Residential Support ($492k), Day Activity & Work Rehab
Services ($58k), Alcohol & Other Drugs – Child & Youth Specific ($332k).
Of set by Mental Health Community Services $319k, Alcohol & Other Drugs –General
$317k, Community Residential Beds & Support $685k
Public Health ($632k) primarily driven by GP COVID-19 support payments ($574k) and
Tobacco Control ($22k)
Disability Support services ($1,227k);
The unfavourable variance is driven by demand for Home Based Support ($2,492k), Respite
Care ($88k)
Of set by Residential Care $1,227k, Carer Support $204k
Maori Health Services $13k
IDF ($904k)
Governance
Governance is $4k unfavourable to budget YTD June 2021
The Governance favourable variance is driven by the following:
• Contracted Costs ($217k) primarily driven by EY cost, Consultants ($65k)
• Of set by Capital Charge $160k, Directors fee and expenses $79k, Staff Travel
costs $39k
20Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Financial Report 3.1 a
South Canterbury District Health Board 2020/21 2020/21 2020/21 2020/21 2021/21 2020/21 2020/21 2020/21
Funder Financial Performance Actual Budget Variance YTD Act YTD Bud Variance Forecast Budget
June 21 Month Month Month YTD YTD YTD YTD
MOH Funding 18,563 18,054 509 221,803 216,537 5,266 222,034 216,537
Other Non Government income 173 1 172 1,419 6 1,413 1,432 6
IDF Inflow Income 353 356 (3) 4,239 4,239 - 4,239 4,239
Total Revenue 19,089 18,411 678 227,461 220,782 6,679 227,705 220,782
Payments to
Personal Health Providers 11,470 11,073 (397) 132,972 132,637 (335) 131,898 132,637
Mental Health Providers 951 1,004 53 12,196 11,944 (252) 12,369 11,944
Disability Support Providers 3,386 3,154 (232) 39,167 37,940 (1,227) 39,577 37,940
Public Health Providers 80 38 (42) 1,036 404 (632) 1,086 404
Maori Health Providers 68 67 (1) 802 815 13 806 815
DHB Governance 243 241 (2) 2,914 2,914 - 2,914 2,914
IDF Outflow Expenditure 2,830 2,701 (129) 33,965 33,061 (904) 33,743 33,061
Total Expenditure 19,028 18,278 (750) 223,052 219,715 (3,337) 222,393 219,715
Net Result (Deficit)/Surplus 61 133 (72) 4,409 1,067 3,342 5,312 1,067
21Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Financial Report 3.1 a
South Canterbury District Health Board 2020/21 2020/21 2020/21 2020/21 2020/21 2020/21 2020/21 2020/21
Governance Financial Performance Actual Budget Variance YTD Act YTD Bud Variance Forecast Budget
June 21 Month Month Month YTD YTD YTD
Total Revenue 244 241 3 2,919 2,914 5 2,914 2,914
Personnel costs - - - 1 - (1) - -
Outsourced Services 130 46 (84) 844 552 (292) 644 552
Clinical Supplies - - - - - - - -
Infrastructure & Non-Clinical Supplies 104 123 19 1,301 1,585 284 1,298 1,585
Internal Allocation from/to DHB Provider 64 58 (6) 773 773 - 773 773
Expense Total 298 227 (71) 2,919 2,910 (9) 2,715 2,910
Net Result (Deficit)/Surplus (54) 14 (68) - 4 (4) 199 4
22Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Primary Health Partnerships Report 3.2 a
INFORMATION ONLY
PRIMARY HEALTH PARTNERSHIPS REPORT
Prepared by: Ruth Kibble
Date: Friday, 9 July 2021
Recommendation: That the Committee receives this report
HEALTH OF OLDER PERSONS PROVIDER NOTICE OF EXIT
South Canterbury District Health Board has received formal notice of exit of provision of Home-Based
Support Services for South Canterbury DHB, effective from November 16th 2021 by Health Care NZ.
Healthcare NZ is only one of four providers in South Canterbury, with the smallest market share (106 out of
1200 total clients) of the four providers that we currently fund in South Canterbury. There are three other
providers (ACCESS NZ, Presbyterian Support Services (PSS) and Forward Care), who have been approached
and are prepared to accept clients from Healthcare NZ.
South Canterbury DHB has written to all clients to provide reassurance that we are committed to ensuring
that they have a smooth transition of services to the new provider of their choice. We are appointing a
transition leader to work with each individual clients and nominated whānau/ family or significant other to
determine their choice of provider and work through a plan for transition. A dedicated phone line has
been established for persons with concerns, to contact.
EQUITY
The planned Primary Care education sessions for Kia Tika te Ara have been deferred as it is clear that there
is a need to establish the ground work more fully to ensure maximum participation. This has now been
discussed with the Primary Care Alliance and will form part of the System Level Measures relating to
consumer engagement. A future date will be set within the current financial year.
COVID -19 VACCINATION AND SWABBING
FIT Tester Primary Care – This rolled out from 14 June with all sites booked for fitting and ten sites already
visited. One practice is taking on this role for their employees, with support from SCDHB for training.
COVID-19 Vaccination – Proactive work is underway to work alongside general practice and community
pharmacies to support the delivery of COVID-19 vaccinations in a manner that is sustainable for business.
A significant meeting is planned for July 6th to walk through what is required within the set up and delivery
of this. This work is underpinned on the basis that this is likely to in the long term sit with primary care.
Currently we are working with 18 sites across primary care (General Practice and Community Pharmacy)
that, once operating, are likely to be delivering @ 2000 vaccinations per week.
We have been working within the constraints of vaccine supply; however, the focus is to prepare as many
sites as possible for Group Four. There are contracts in place (or agreed) with three general practices and
one community pharmacy at the time of writing.
23Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Primary Health Partnerships Report 3.2 a
In the last week, 15,923 letters have been sent to our Group 3 persons in the community to provide
information on accessing vaccinations, if they have not already.
In order to introduce this in primary care there is a lead time of approximately six weeks to get all systems
established. Some of the requirements that involve input from primary care include:
- Ensuring all staff have individual emails with secure domains and mobile phones
- Training on the use of the COVID-19 Immunisation Register (CIR)
- Training on the National Immunisation Booking System (NIBS) where relevant
- Planning for integration into a sustainable business model.
Primary Care providers are a rich resource for this work as they are a trusted provider of health care,
however we need to ensure there is a delivery model that does not adversely impact on our community’s
access to primary health care. As such the model we are trying to create is one that is sustainable and
enduring should there be a need for booster vaccinations in the future.
The main differences between this and other immunisations lie with the technology required for primary
care (CIR and maybe NIBS), working within a population sequencing framework, the need to draw up the
vaccine as opposed to pre-filled syringes, observation and cold chain requirements, and the central
oversight of the programme. This central oversight involves the need to work within the agreed planned
delivery that the DHB has with the MoH.
Whakarongorau has several functions that include booking support, vaccination information and advice,
outbound communications for follow-ups and outreach communications to drive participation. They are
already providing this support in South Canterbury since we transitioned to the NIBS at the beginning of
July.
Practices seeking to deliver COVID-19 vaccinations have some critical decisions to make – whether they
have the workforce and capacity to engage, whether they should use NIBS or their practice management
system (not an option for community pharmacy), how many can they commit to per week and what
workforce they should use.
The planning required for a practice includes population sequencing and priority populations, the
importance of dose two and having a focus on whānau / family approach. As such, we have developed
planning support tools to enable planning to the end of the year.
Primary and Community Support is allocating a COVID-19 Implementation Coordinator to work to on-
board each site.
24Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Primary Health Partnerships Report 3.2 a
PRO’s CON’s
PMS Practice control over Front desk will get high call
bookings volume, increasing with any
Flexibility national announcement
Familiarity Cost time / resource of making
Limits to own enrolled bookings and sending
population reminders
Can accommodate If NBS is mandated in primary
unscheduled vaccinations care - will require transition
Load each patient into CIR
NIBS Booking appointments, Needs careful planning as
answering questions and structure is more rigid once set
changing appointments is Reduced flexibility
completed by Still evolving
Whakarongorau or self – Requires skill base to manage
less impact on front desk technology
Easy to accept bookings for
non-enrolled persons
Empowers the consumer to
make bookings at times that
suits them
Send automatic reminders
Can follow up on those who
DNA for D2
Intuitive
Person is pre-loaded into
CIR
Practices can also book on
behalf and accommodate
unscheduled vaccinations
IMMUNISATION
Influenza Campaign – Primary Care has been proactive with the annual influenza vax campaign with 73.7%
completed for over 65 years by 1 July 2021.
PRIMARY CARE:
Primary Care - There has been a significant increase in persons under the age of 14 accessing afterhours care
in South Canterbury, as shown. This could be either as a result of the move to Heaton Street for this service
which occurred on 12 June 2021, or more likely, due to seasonal illness that is circulating within the
community currently.
25Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Primary Health Partnerships Report 3.2 a
As at the end of June there are only 17 persons on the wait list for a new practice, and only three of them
are not currently enrolled. This service from the primary support office is managing the majority of requests
as they arrive, or within a few days. This is despite there being 53 requests received.
COMMUNITY & ALLIED HEALTH SERVICES
Smokefree – Although not part of our Ministry of Health (MoH) agreement for Stop Smoking Services,
the issues relating to vaping are dominating the narrative within this service. This nation-wide issue
has been highlighted to the MoH, with guidance consisting of, the management of vaping, as being
part of addiction services and primary care. As yet in South Canterbury we have not fully socialised
this with relevant health care providers. Recent research states it can take at least a year for people to
quit vaping. The resource being developed by the Health Promotion Agency will provide information
to help vapers to self-manage their cessation journey and to contact Quitline and their GPs for further
support.
SUICIDE PREVENTION AND POSTVENTION
Ongoing work continues with implementing workplace wellbeing programmes in local businesses
including at the port, meat-works, social service agencies and vet clinics. Ongoing work is occurring
with psycho-social support to the MacKenzie region which included (although postponed due to
weather and COVID-19 levels in Wellington) a presentation by Dr Sarb Johal. Dr Johal still committed
and presented by ZOOM to the Tuesday CME meeting on his work. Sarb Johal Ph.D., is a registered
clinical psychologist who helped develop communications responses for the NZ and UK governments
and the World Health Organization for major crises including H1N1 and COVID-19, among others.
Part of his talk highlighted the problem of ‘languishing’, a term popularised in an April 2021 NY Times
article which has now received extensive coverage worldwide. Languishing is: “Not burnout, not
depression… languishing is a sense of stagnation, emptiness, aimlessness, feeling as if you’re muddling
through your days, looking at your life through a foggy windshield. And it might be the dominant
emotion of 2021.”
26Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Primary Health Partnerships Report 3.2 a
MENTAL HEALTH BRIEF INTERVENTION SERVICE
This service continues with its work. As part of the coverage within the directorate, this team will
report to the Mental Health and Addiction Portfolio Manager, which aligns with the increased focus in
this area on primary mental health and addiction.
Referrals remain steady on 119 for the month, with an average wait time of 20 days.
MENTAL HEALTH AND ADDICTION ENGAGEMENT
The collation of the feedback is well advanced. There is significant consensus in the feedback and it
will require us to amend our original proposal.
27Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Immunisation Report 3.3 a
IMMUNISATION REPORT
Prepared by: Lisa Blackler
Date: 21 July 2021
Recommendation: That the report is received
Quarterly Summary April June 2021
Ministry of Health Quarter 4 reporting is presented below. We acknowledge that these results show
a decrease in coverage across the ages, however within the national context SCDHB was a strong
performer. We were ranked:
• #1 DHB for coverage at 8 months with 94.1%, national coverage was 88.4%
• #4 DHB for coverage at 2 years with 91.7%, national coverage was 88.3%
• #2 DHB for coverage at 5 years with 91.3%, national coverage 86.7%
In South Canterbury, along with everywhere else, we have noticed that there has been an increase in
the public’s attention on immunisation, due to COVID vaccination planning and implementation. In
particular we have noticed an increase in negative immunisation stories and misinformation, which
is of concern. We are all aware of this, and are working hard to promote factual messages from only
reputable sources such as the Ministry of Health and the Immunisation Advisory Centre (IMAC).
Indicator: Increased Immunisation 8 months
DHB: South Canterbury
Reporting period: April-June 2021
Contact (role and name): Sarah Greensmith, Child and Youth Manager
Target definition
Percentage of eligible children fully immunised at eight months for total DHB
population, Māori and Pacific; achievement requires that the target is met for the total
population and the equity gap between Māori and non-Māori is no more than two
percent.
Note: Immunisation coverage of less than 90 percent for any one of the priority groups
or an equity gap between Māori and non-Māori populations of five percent or more will
be rated as Not Achieved regardless of any other results.
28Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Immunisation Report 3.3 a
Summary of results: coverage at age 8 months
Please complete the table (optional) and provide a brief summary of the DHB’s
performance in the Progress Report section.
Target: 95% Total Māori Pacific Dep 9-10 Change: Change:
total Māori
Q1 2020/21 96% 91% 100% 100%
Q2 2020/21 97% 91% 100% 94% +1% -
Q3 2020/21 94% 83% 91% 90% -3% -8%
Q4 2020/21 93% 89% 75% 100% -1% +6%
Of our 139 eligible babies, 129 were fully immunised for age.
The 10 unimmunised babies were:
• NZ European 7 – 5 opt off/decline, 2 missed but being actively flowed up
• Maori 2 - 1 decline/opt off, 1 missed time cut off but now vaccinated
• Pacific 1 decline (please note 75% coverage for Pacific is one child not
immunised due to decline – small numbers)
Actions to address issues/barriers impacting on performance
• Our outreach team works tirelessly to achieve immunisation for our hard to
reach families
Indicator: Increased Immunisation 2 years
DHB: South Canterbury
Reporting period: April-June 2021
Contact: Sarah Greensmith, Child and Youth Manager
Target definition
Percentage of eligible children fully immunised at eight months for total DHB
population, Māori and Pacific; achievement requires that the target is met for the total
population and the equity gap between Māori and non-Māori is no more than two
percent.
Note: Immunisation coverage of less than 90 percent for any one of the priority groups
or an equity gap between Māori and non-Māori populations of five percent or more will
be rated as Not Achieved regardless of any other results.
29Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Immunisation Report 3.3 a
Summary of results: coverage at age 2 years
Please complete the table (optional) and provide a brief summary of the DHB’s
performance in the Progress Report section.
Target: 95% Total Māori Pacific Dep 9-10 Change: Change:
total Māori
Q1 2020/21 91% 92% 100% 100%
Q2 2020/21 93% 74% 100% 60% +2% -18%
Q3 2020/21 90% 84% 100% 95% -3% +10%
Q4 2020/21 93% 92% 100% 86% +3% +8%
Of the 162 eligible children in this cohort, 150 were fully immunised for their age.
The 12 unimmunised children were:
• NZ European 9 – 5 opt off/decline, 1 missed but now immunised, 3 on active
follow-up
• Maori 2 – 1 opt off/decline, 1 still being chased by outreach
• Other 1 – 1 decline
Actions to address issues/barriers impacting on performance
• Our outreach team works tirelessly to achieve immunisation for our hard to
reach families
Indicator: Increased Immunisation 5 years
DHB: South Canterbury
Reporting period: April-June 2021
Contact (role and name): Sarah Greensmith, Child and Youth Manager
Target definition
Percentage of eligible children fully immunised at eight months for total DHB
population, Māori and Pacific; achievement requires that the target is met for the total
population and the equity gap between Māori and non-Māori is no more than two
percent.
Note: Immunisation coverage of less than 90 percent for any one of the priority groups
or an equity gap between Māori and non-Māori populations of five percent or more will
be rated as Not Achieved regardless of any other results.
30Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Immunisation Report 3.3 a
Summary of results: coverage at age 5 years/
Please complete the table (optional) and provide a brief summary of the DHB’s
performance in the Progress Report section.
Target: 95% Total Māori Pacific Dep 9-10 Change: Change:
total Māori
Q1 2020/21 92% 94% 100% 94%
Q2 2020/21 92% 94% 86% 100% - -
Q3 2020/21 88% 82% 89% 93% -4% -12%
Q4 2020/21 95% 88.5% 100% 100% +7% +6.5%
Of the 167 eligible children in this cohort, 158 were fully immunised for age.
The 9 unimmunised children were:
• NZ European 6 – 3 opt off/declined, 3 missed the timing deadline due to family
delaying decision
• Maori 3 - 2 opt off/decline, 1 missed
Actions to address issues/barriers impacting on performance
• Our outreach team works tirelessly to achieve immunisation for our hard to
reach families
31Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Immunisation Report 3.3 a
Monthly Status Report
8 months of age
Percentage of eligible children fully immunised at eight months of age
- SCDHB
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 Jan-21 Feb-21 Mar-21 Apr-21 May -21 Jun-21
Māori Pacific Asian Other NZE Total
2 years of age
Percentage of eligible children fully immunised at two years of age - SCDHB
100%
90%
80%
70%
60%
50%
40%
30%
20%
10%
0%
Jul-20 Aug-20 Sep-20 Oct-20 Nov-20 Dec-20 Jan-21 Feb-21 Mar-21 Apr-21 May -21 Jun-21
Māori Pacific Asian Other NZE Total
32Meeting Pack for CPHDSAC Meeting - 30 Jul 2021 Health of Older Persons Update 3.4 a
INFORMATION REPORT
HEALTH OF OLDER PERSONS UPDATE
Prepared by: Lee Cordell-Smith
Date: 8th July 2021
Recommendation: That report is received
Community Services
Highlights
Monitoring of Reviews: NASC Data has been obtained from HPS so we can align to HCS. Casemix is now present
on client’s patient records on Momentum and we need to transpose this information onto the main register.
From April to June NASC have worked, despite being short staffed to reduce overdue reviews for those people
last assessed in 2019 from 191 to 129. Recruiting has been successful within the NASC service, with two people
appointed. One can cannot commence until late August due to being unable to be released from the Ward.
NASC Referrals: Continued increase in re-referrals for existing clients within NASC. This has increased from 118
referrals per month at this time last year to an average of 152. 1 FTE is able to complete approximately 7
assessments per week. Total FTE 7 less by 2 (vacancies). Maximum number of assessments they can provide is
140 per month.
Rest Home Respite Beds: Resthome Respite Beds are consistently not being utilised to their full extent, which will
require review as part of our current model of care work.
Specialised Dementia Care Beds: Unfortunately, there has been six people who have been sent out of area due
to no beds available in Timaru this causes significant stress for families and the client including additional costs of
transporting clients safely and trying to find staff to accompany the client.
InterRAI Acute Tool: See exert from Ruth’s report
COVID Vaccination Clinics have been delivered to ARC Residents with 93% of Residents being fully vaccinated
and approximately 70% of the ARC Staff within the South Canterbury District
ACC FALLS - Fracture Liaison Service (FLS): FLS contract was signed to commence on 1st July 2021. The objective
of this initiative is for SCDHB to partner with ACC to work towards delivering a GOLD standard FLS, as measured
by the International Osteoporosis Foundation’s ("IOF") best practice standards.
Clinical Nurse Manager in AT&R: Recruitment to the CNM role has been successful with the commencement
date 30th of August.
Clinical Nurse Coordinator District Nursing has been appointed for a fixed term due to the secondment of CNM
community Services to COVID Vaccination Clinic
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