South Canterbury District Health Board - BOARD PACK SCDHB Board Meeting - South Canterbury DHB

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South Canterbury District Health Board
BOARD PACK
for

SCDHB Board Meeting
Friday, 27 August 2021
12:45 pm

Held at:
Timaru Hospital
Queen Street, Timaru

Generated: 2021-08-20 14:49:43
INDEX

Cover Page

Index

Agenda

Attached Documents:

   2.1 a     Glossary of Terms - August 2021.pdf..................................................................................... 7

   2.2 a     Board Interest Register.pdf.................................................................................................... 11

   2.2 b     SLT Interest Register.pdf....................................................................................................... 15

   2.3 a     30 Jul 2021 Minutes in Review SCDHB Board Meeting.pdf................................................... 17

   2.5 a     Action List for Board.pdf......................................................................................................... 21

   3.2 a     Chief Executive Report.pdf..................................................................................................... 22

   3.3 a     Board Financial Report.pdf..................................................................................................... 25

   3.4 a     Health & Safety Board Report.pdf.......................................................................................... 37

   3.5 a     Facilities Report.pdf................................................................................................................ 40

   3.7 a     COVID 19 Vaccination & Immunisation Programme Report.pdf............................................ 42

   4.1 a     Public Excluded Resolution.pdf.............................................................................................. 45

   4.2 a     30 July 2021 Draft Minutes SCDHB Board Meeting PE.pdf................................................... 46

   5.5 a     Employment Relations Update.pdf......................................................................................... 49

   5.7 a     Sale and Supply of Alcohol.pdf.............................................................................................. 50

   5.8 a     Smokefree Aotearoa 2025.pdf............................................................................................... 70

   5.10 a Resolution to open meeting.pdf.............................................................................................. 86
Generated
Board Pack        on: 2021-08-20
           for SCDHB             14:49:34
                       Board Meeting - 27 Aug 2021

        AGENDA
        SCDHB BOARD MEETING

        Name:                 South Canterbury District Health Board
        Date:                 Friday, 27 August 2021
        Time:                 12:45 pm to 2:45 pm
        Location:             Timaru Hospital, Queen Street, Timaru
        Board Members: Ron Luxton (Chair), Bruce Small, Jo Goodhew, Karl Te Raki, Mark Rogers,
                       Paul Annear, Peter Binns, Phil Hope, Raeleen de Joux, Rene Crawford,
                       Suran Dickson
        Attendees:            Grant Keene, Jason Power, Kara Hayes

        1.      Opening

        1.1     Welcome

        1.2     Apologies

        2.      Standing Items - Public

        2.1     Glossary of Terms - for information only
        Supporting Documents:
        2.1.a   Glossary of Terms - August 2021.pdf                                              7

        2.2     Declarations of Interest
        Supporting Documents:
        2.2.a   Board Interest Register.pdf                                                      11

        2.2.b   SLT Interest Register.pdf                                                        15

        2.3     Confirmation of Minutes of 30 July 2021
        Supporting Documents:
        2.3.a   30 Jul 2021 Minutes in Review SCDHB Board Meeting.pdf                            17

        2.4     Matters Arising from the Minutes

        2.5     Actions Register
        Supporting Documents:
        2.5.a   Action List for Board.pdf                                                        21

        Powered by BoardPro                                                                          1   3
Agenda
Board Pack      : SCDHB
           for SCDHB    Board
                      Board   Meeting- -27
                            Meeting      27Aug
                                            Aug2021
                                                2021

        3.      Agenda Items - Public

        3.1     Chair Update - Verbal

        3.2     Chief Executive Report
        Supporting Documents:
        3.2.a    Chief Executive Report.pdf                                     22

        3.3     Financial Report
        Supporting Documents:
        3.3.a    Board Financial Report.pdf                                     25

        3.4     Health, Safety and Wellbeing
        Supporting Documents:
        3.4.a    Health & Safety Board Report.pdf                               37

        3.5     Facilities Report
        Supporting Documents:
        3.5.a    Facilities Report.pdf                                          40

        3.6     COVID Response Update - Verbal

        3.7     COVID-19 Vaccination & Immunisation Programme Report
        Supporting Documents:
        3.7.a    COVID 19 Vaccination & Immunisation Programme Report.pdf       42

        3.8     Hospital Advisory Committee Update - Verbal
        3.9     Community Public Health Disability Support Advisory Committee
                Update-Verbal

        3.10 Maori Health Advisory Committee - Verbal

        4.      Standing Items - Public Excluded

        4.1     Public Excluded Resolution
        Supporting Documents:
        4.1.a    Public Excluded Resolution.pdf                                 45

        4.2     Confirmation of Minutes of 30 July 2021
        Supporting Documents:
        4.2.a    30 July 2021 Draft Minutes SCDHB Board Meeting PE.pdf          46

        Powered by BoardPro                                                      2   4
Agenda
Board Pack      : SCDHB
           for SCDHB    Board
                      Board   Meeting- -27
                            Meeting      27Aug
                                            Aug2021
                                                2021

        4.3     Action List - Public Excluded

        5.      Agenda Items - Public Excluded

        5.1     Chair Update - Verbal

        5.2     Chief Executive Update - Verbal

        5.3     Hospital Advisory Committee Update - Verbal
        5.4     Community & Public Health / Disability Support Advisory Committee -
                Verbal

        5.5     Employment Relations Update
        Supporting Documents:
        5.5.a    Employment Relations Update.pdf                                  49

        5.6     Health and Disability Reform - Verbal

        5.7     Sale and Supply of Alcohol
        For Decision
        Supporting Documents:
        5.7.a    Sale and Supply of Alcohol.pdf                                   50

        5.8     Smokefree Aotearoa 2025
        For Decision
        Supporting Documents:
        5.8.a    Smokefree Aotearoa 2025.pdf                                      70

        5.9     Facilities Update - Verbal
        For information

        5.10 Resolution to Resume Open Meeting
        Supporting Documents:
        5.10.a Resolution to open meeting.pdf                                     86

        5.11 General Business

        6.      Close Meeting

        6.1     Karakia

        Powered by BoardPro                                                           3   5
Agenda
Board Pack      : SCDHB
           for SCDHB    Board
                      Board   Meeting- -27
                            Meeting      27Aug
                                            Aug2021
                                                2021

        7.      Director Only Time

        7.1     Director only discussion time
        Next meeting: SCDHB Board Meeting - 24 Sep 2021, 12:45 pm

        Powered by BoardPro                                         4   6
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                Glossary of Terms - for information... 2.1 a

       Glossary of Terms
                         Ask about and document every person’s smoking status, give brief advice to stop every person who smokes, and
        ABC              strongly encourage every person who smokes to use cessation support (a combination of behavioral support and
                         stop-smoking medicine works best) and offer to help them access it.
        ABCD2            TIA assessment – age, blood pressure, clinical symptoms, diabetes and duration.
        ACC              Accident Compensation Corporation
        ACP              Advance Care Planning
        ACPP             Accelerated Chest Pain Pathway
        ACS              Acute Coronary Syndrome
        ADOM             Alcohol and Drug Outcome Measure
                         Aoraki HealthPathways. Pathways, for the care and management of patients within South Canterbury that have
        AHP
                         been developed jointly by primary and secondary care clinicians.
        Ajexus           Mental Health Information System Software
        ALOS             Average Length of Stay
                         A web-based system to support clinical quality improvement in secondary care cardiology practice and to better
        ANZACS - QI
                         understand the relevant population health profile within regions and nationally.
        AOD              Alcohol and Other Drug
        ARRC             Age Related Residential Care
                         The Atlas of Healthcare Variation displays easy-to-use maps, graphs, tables and commentaries that highlight
        ATLAS
                         variations by geographic area in the provision and use of specific health services and health outcomes.
        ATR              Assessment, Treatment & Rehabilitation Services
        AWS              Arowhenua Whānau Services
        BadgerNet        Specialist perinatal management software
        BFAG             Breast Feeding Action Group
        Calderdale
                         Framework to enable the sharing of skills between healthcare professions.
        Framework
        CAPA             Choice And Partnership Approach
        CAPEX            Capital Expenditure
                         A national method of measuring dissimilar outputs in a common way. E.g. a hip replacement is 4.008 case
        Caseweight       weights and an appendix removal is 1.044 case weights. I.e. a hip replacement is considered to use about four
                         times the resources (or cost) than an appendectomy.
        CCDM             Care Capacity Demand Management
        CCP              Contribution to Cost Pressure
        CDHB             Canterbury District Health Board
        CMO              Chief Medical Officer
        CNC              Cancer Nurse Coordinator
        CNM              Charge Nurse Manager
        CNS              Clinical Nurse Specialist
        CPAC             Clinical Prioritisation Assessment Criteria
        CPH              Community & Public Health
        CPHDSAC          Community & Public Health and Disability Support Advisory Committee
                         A generic term for a diverse range of entities within one of the five categories referred to in section 7(1) of the
                         Crown Entities Act 2004, namely: statutory entities, Crown entity companies, Crown entity subsidiaries, school
        Crown Entity     boards of trustees, and tertiary education institutions. Crown entities are legally separate from the Crown and
                         operate at arm’s length from the responsible or shareholding Minister(s); they are included in the annual financial
                         statements of the Government.
        CSNZ             Cancer Society New Zealand
        CT               Computed Tomography
        CVD              Cardiovascular Disease
        CWD              Cost Weighted Discharge
        DBI              Drug Burden Index
        HDC              Health and Disability Commissioner
        DHB              District Health Board
        DMFT             Decayed, Missing, Filled Teeth
        DMO              Debt Management Office

                                                                                                                                         1     7
Board Pack for SCDHB Board 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   8
Board Pack for SCDHB Board 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   9
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                   Glossary of Terms - for information... 2.1 a
        PPS                Palliative Patient Score
        PRIME              Primary Response in Medical Emergencies
                           (Pronounced ‘primed’) is a Ministry of Health single national mental health and addiction information collection of
        PRIMHD
                           service activity and outcomes data for health consumers.
        Priorities         Statements of medium term policy priorities.
        Quality Accounts   A Quality Account is a report about the quality of services delivered by a healthcare provider.
        QIP                Quality Improvement Programme
        Regional           Regional collaboration refers to DHBs across geographical ‘regions’ for the purposes of planning and delivering
        collaboration      services (clinical and non-clinical) together. Four regions exist. SCDHB is part of the Southern Region.
                           Sometimes used as a synonym for 'Outcomes'; sometimes to denote the degree to which an organisation
        Results
                           successfully delivers its outputs; and sometimes with both meanings at once.
        Ring-fence         Can be used for the designated purpose only.
        RMO                Registered Medical Officer
        RMS                Orion Health’s Referral Management System
        RPM                Remote Patient Monitoring
        SAC                Severity Assessment Code
        SCDHB              South Canterbury District Health Board
        SCN                Southern Cancer Network
                           Second level health services to which the public need referral, e.g., hospital-based services except for emergency
        Secondary
                           services.
        SI                 South Island
        SIA                South Island Alliance
        SIAPO              South Island Alliance Programme Office
        SICCIS             South Island Cancer Coordination Information System
        SIISSLA            South Island Information Service, Service Level Alliance
        SIHSP              South Island Health Service Plan
        SIRTH              South Island Regional Training Hub
        SIWDH              South Island Workforce Development Hub
        SLT                Strategic Leadership Team
        SMO                Senior Medical Officer
        SS                 Secondary Services
        SSCL               Surgical Safety Check List
        SUDI               Sudden Unexpected Death of an Infant
        Strengths
                           A strengths approach is a specific method of working with and resolving the problems experienced by a person
        Recovery
                           presenting to mental health services.
        Approach
                           Strength, Wellbeing, Independence and Movement. This is a subsidised swimming programme for clients who
        SWIM               have a long term health or disability condition(s), would benefit from water therapy and land based
                           exercise/activity options have been explored and are not suitable.
        TIA                Transient Ischaemic Attack
        TOR                Terms of Reference
                           The collectively shared principles that guide judgment about what is good and proper. The standards of integrity
        Values             and conduct expected of public sector officials in concrete situations are often derived from a nation's core values
                           which, in turn, tend to be drawn from social norms, democratic principles and professional ethos.
                           The assessment of benefits relative to cost, in determining whether specific current or future
        Value for money
                           investments/expenditures are the best use of available resource.
        WIAS               Walking in Another’s Shoes – Dementia Education Programme.
        WAVE               Wellbeing and Vitality in Education: SCDHB’s Intersectoral Child and Youth Health Project.
        WCTO               Well Child Tamariki Ora
        WET                Water-based Exercise Therapy
        WHO                World Health Organisation
        YOT                Youth Offending Team

                                                                                                                                             4    10
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                Declarations of Interest 2.2 a

          Information Report

                              Board 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

                                                                                                                          11
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                               Declarations of Interest 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

                                                                                                                         12
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                            Declarations of Interest 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

                                                                                                                      13
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                                              Declarations of Interest 2.2 a

           Bruce Small

                •    Trustee Les Petits Family Trust
                •    Director & Shareholder, Dee Street Medical Properties
                •    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.

                                                                                                                                                        14
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                                                            Declarations of Interest 2.2 b
                                                            STRATEGIC LEADERSHIP TEAM

                                                                  INTERESTS REGISTER
                                                                             (as at 02 July 2021)

    Director             Title                     Directorate           Interest                                               Interest          Date Declared
    Roberta (Robbie)     Director                  Organisational,       • Shareholder, Four Peak Enterprises                   Personal          Updated
    Moginie                                        Capability & Safety                                                                            (11/05/2021)
                                                                                                                                                  13/07/2016
    Ruth Kibble          Director                  Allied Health &       • Sister is employed by SCDHB as a COVID               Personal          13/04/2021
                                                   Primary Health          Vaccinator
                                                   Partnerships
    Robyn Carey          Chief Medical Officer     CEO                    • Husband works privately with Dr Rene Van den        Personal          18/03/2019
                                                                            Bosch as a Vascular Sonographer
                                                                         • My Precious Properties Ltd (Director and             Pecuniary         18/03/2019
                                                                            Shareholder)
                                                                         • Chelsea House Early Childhood Ltd (Director)
    Lik Loh              Chief Medical Officer –   Primary Care          •    GP at Timaru Primary Care                         Work              18/11/2019
                         Primary Health Care                             •    Honorary Research Fellow at University of Otago
                                                                         •    Clinical Advisor – Celo Health (pro bono basis)
                                                                         •    Backroom Lab Limited (Director and shareholder)
                                                                                                                                Pecuniary         18/11/2019
    Lisa Blackler        Director Patient,         Patient, Nursing &    •    Honorary Appointment – Research and Support –                       06/07/2021
                         Nursing & Midwifery       Midwifery                  Australian Catholic University
                                                                         •    Technical Expert Advisor – DAA Group                                06/07/2021
                                                                         •    Technical Expert Advisor – HealthCert                               06/07/2021
                                                                         •    WAVE – Governance Member                          Pecuniary –       06/07/2021
                                                                                                                                WAVE only
    Jason Power          Director                  Corporate Services    No interests to declare

    Joseph Tyro          Director                  Maori Health          Tutor in social work at ARA (part-time)                Personal          9/04/2019

                                                                                                                                                                      15
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                       Declarations of Interest 2.2 b

                                                                       Other attendees

    Kara Hayes           Executive Officer         Support office to   No interests to declare               02/07/2021
                                                   CEO
    Karen Berry          Communications            Support office to   Director – SB Contracting Ltd         02/07/2021
                         Manager                   CEO

                                                                                                                                 16
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                       Board Meeting - 27 Aug 2021                          Confirmation of Minutes of 30 July ... 2.3 a

        MINUTES (in Review)
        SCDHB BOARD MEETING

        Name:                South Canterbury District Health Board
        Date:                Friday, 30 July 2021
        Time:                12:45 pm to 2:45 pm
        Location:            Boardroom, Timaru Hospital, Gardens Block, Level 6
        Board Members: Ron Luxton (Chair), Bruce Small, Jo Goodhew, Karl Te Raki, Mark Rogers,
                       Paul Annear, Peter Binns, Phil Hope, Raeleen de Joux, Rene Crawford,
                       Suran Dickson
        Attendees:           Jason Power, Kara Hayes

        1.      Opening

        1.1     Welcome

        1.2     Apologies
        Apologies were received from Raeleen de Joux, Karl Te Raki

        2.      Standing Items - Public

        2.1     Glossary of Terms - for information only

        2.2     Declarations of Interest

        The report was received and agreed.

        2.3     Confirmation of Minutes of 25 June 2021

        The minutes were accepted as a true and correct recording of the meeting held on 25 June 2021.

        2.4     Matters Arising from the Minutes

        2.5     Actions Register

        3.      Agenda Items - Public

        3.1     Chair update - verbal

        The Chair provided an update of meetings attended.
        Attended a farewell for Sheila van den Heever.
        Attended the Canterbury Mayrol forum which includes Mayors from Kaikoura to Waitaki. CE also
        attended. The forum members were particularly interested in the changes to the health system
                                                                                                             1      17
Minutes
Board Pack      : SCDHB
           for SCDHB    Board
                      Board   Meeting- 27
                            Meeting    - 30Aug
                                            Jul 2021
                                                2021                           Confirmation of Minutes of 30 July ... 2.3 a

        including the Maori health authority. The forum was interested in where they fit in with regards to
        the transition. The interim CE will be appointed in sept.
        Attended a ZOOM meeting with the Minister around the regional plan and looked at regional IT
        structure.
        Hosted a visit by Jo Luxton MP to the COVID vaccination centre.
        Attended a Kia ora Hauora presentation - employing and engaging Maori into the health
        system. Breakfast planned in November hoping to launch the programme and implement along
        with WISH programme in March next year.
        Health awards judging was undertaken to decide a winner for the Chairman's award.
        Discussion with Rhonda Sherriff (Executive of Aged Care facilities) around shortage in nursing
        numbers.
        Upcoming meetings:
        In August Mark will be attending the State Services/Crown Entities workshop in Wellington on
        Ron's behalf.
        Health awards Gala 7th August - Board members are attending.
        Regional IT strategy - focus in the next few months is to get a single data warehouse to report
        regionally. Will use the resources in the South Island for the South Island. Dashboards for each
        area to access information. Authorised 1FTE to coordinate this. South Island Alliance workplan
        reduced.
        Report received and agreed.

        3.2      Chief Executive report
        The report was taken as read.
        NZNO have rejected the latest offer. Two strike notices in place. LPS (Life Preserving Services)
        documents will be worked on over the next few weeks.
        MERAS issued strike notices for 8 hours on 10th August. LPS (Life Preserving Services)
        submitted and agreed. Smaller service to cover in relation to NZNO.
        The report was received and agreed.

        3.3      Financial Report - Paper
        The report was taken as read.
        Both month and year to date were in surplus and year to date is subject to audit.
        Ahead of forecast due to recovering more for vaccinations than forecast from the Ministry of Health
        than assumed.
        Audit NZ timeframe extended for two months which could cause some concerns (due to
        timing). Awaiting a date for SCDHBs Audit.
        Continuing capital programme based on what is in the Annual Plan which has been signaled to the
        Ministry and Treasury.
        Ron noted excellent budgeting and management to get the result.
        The report was received and agreed.

        3.4      Health, Safety and Wellbeing - Paper
        The reeport was taken as read.

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Minutes
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                      Board   Meeting- 27
                            Meeting    - 30Aug
                                            Jul 2021
                                                2021                            Confirmation of Minutes of 30 July ... 2.3 a

        Lighting survey has revealed there are some parking dark spots and employees are happy this is
        to be addressed shortly.

        The Safety Advisor was completing alot of work so want to ensure there is back fill for the role and
        to fill the vacancy as soon as possible.
        The report was received and agreed.

        3.5      Facilities report - Paper
        The report was taken as read.
        Thermal kit to be installed when boiler turned off.
        Front of hospital completion expected on 10th September - some low spots revealed during recent
        rain which is being addressed.
        ATR development tenders are out and on schedule.
        Talbot Park alterations about to commence.
        Scope final designs being completed and going out for tender later in the year for build to start
        early next year.
        The report was received and agreed.

        3.6      Covid-19 Vaccination & Immunisation Programme update - Paper
        The report was taken as read.
        Acknowledgement that staff running this programme are doing an extremely good job. We
        commend the team and the solutions and unique thinking they are coming up with.
        Arowhenua Whanau Services have done a good job in this space particularly with the vulnerable
        population.
        The report was received and agreed.

        3.7      Hospital Advisory Committee update - verbal
        The report was received and agreed.

        3.8      Community Public Health Disability Support Advisory Committee
                 update-verbal
        The report was received and agreed.

        3.9      Maori Health Advisory Committee
        Joseph Tyro gave a verbal report.
        Visit from Kia ora Hauora and meeting with HR team and Maori Health Advisory committee -
        hosting a breakfast in November with guidance counsellors around going into schools and
        planning a Roadshow into schools.
        The toothbrushing programme has been very successful and looking at rolling out into other
        schools.
        Session with Director Organisational Capability & Safety for some support for the Maori Health
        team.
        Attended hui at Arowhenua Marae with CEO to explain the Health and Disability System review
        which was well received.

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Minutes
Board Pack      : SCDHB
           for SCDHB    Board
                      Board   Meeting- 27
                            Meeting    - 30Aug
                                            Jul 2021
                                                2021                        Confirmation of Minutes of 30 July ... 2.3 a

        Attended a Pasifika and church leaders meeting hosted by the Tongan Society.
        Dominique Enright has been elected onto the Consumer Council from the Maori community.
        Tania Kemp has been nominated as a representative from Te Aitarakihi following a resignation.
        There will possibly be some changes to the Maori Health Advisory structure which would to the
        Board in October.
        Waiata Wenerei held on Wednesday mornings where staff can learn Te Reo Maori and waiata,
        which is facilitated by Kera Brown.
        The report was received and agreed.

        5.12 Resolution to Resume Open Meeting
        The resolution was received and agreed.

        5.13 General Business

        6.      Close Meeting

        6.1     Karakia
        Meeting closed 2:10pm

        7.      Director Only Time

        7.1     Director only discussion time
        Next meeting: SCDHB Board Meeting - 27 Aug 2021, 12:45 pm

          Signature:____________________                    Date:_________________________

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           for SCDHB             11:06:39
                       Board Meeting - 27 Aug 2021                                                    Actions Register 2.5 a

        Action List
        South Canterbury District Health Board
        As of: 19 Aug 2021
        Owner: All
        Excluding closed actions

        Clinical Board self-review paper                                                             In Progress
        Update: The paper is being sent to SLT and Clinical Board for discussion in June. It will then be
        submitted to the Board in July.
        It was noted that a paper will be put together on the way forward and submitted to the Board in
        May.
        Due Date:             30 Jul 2021
        Owner:                Robbie Moginie
        Meeting:              26 Mar 2021 SCDHB Board Meeting, 3.8 Clinical Board Quarterly update

        Mental Health Unit HDC Review                                                                Not Started
        Review to be undertaken into HDC complaints that relate to locum doctors to be presented to the
        Board.

        Due Date:             22 Oct 2021
        Owner:                Jason Power
        Meeting:              30 Jul 2021 SCDHB Board Meeting, 5.2 Chief Executive update - verbal

        Mental Health Unit review into incidents/assaults                                            Not Started
        Review into increased incidents/assaults reported in the Mental Health unit to be presented to the
        Board.

        Due Date:             22 Oct 2021
        Owner:                Jason Power
        Meeting:              30 Jul 2021 SCDHB Board Meeting, 5.2 Chief Executive update - verbal

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                      Chief Executive Report 3.2 a

       Information Report

                                   Chief Executive Officer Report
       Prepared by:               Jason Power – Chief Executive Officer
       Date:                      17 August 2021
       Recommendation:            That the report is received

       Executive Summary

       • An outstanding night at the South Canterbury Gala awards. A big thank you to everyone involved in the
         organisation of the event and judges. The feedback has been overwhelming in how well this event was
         run and the impact it had on those that attended
       • NZNO Strike notice was received for 8 hours on 19th August from 11am to 7pm. Contingency planning
         commenced and training for volunteers is being organised
       • ASMS stop work meeting took place for 2 hours on 2nd August from 1-3pm.
       • Strike notices received from MERAS for 12 hours on 19th August from 8am to 8pm. Contingency
         planning has commenced
       • The third and final day of Kia Tika te Ara was held at the start of August and again received very positive
         feedback
       • Covid Vaccination programme continues to run well
       • Planned care met a year end outcome of 101.8%
       • COVID resurgent planning underway.

       National and Regional Activities

       National
       • Increased focus on Cyber Security to ensure DHB’s are protected as much as possible. National approach
           and review of DHB systems to be undertaken
       • Continued focus on COVID19 vaccination programme
       • Health and Disability Reform
       • Holiday’s Act national project process now in place to support the process
       • Acute Demand affecting hospitals around the county.

       Regional
       • South Island Regional work plan agreed
       • SI Data and Digital strategy, moving to operationalisation
       • Health and Disability Reform.

       Financials

       The July result was favorable variance against a plan of $109K.

       See financial report for a detailed explanation.

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                   Chief Executive Report 3.2 a

       Site Redevelopment

       • The front of hospital remains on target for completion mid-September
       • AT&R RFP has been issued, with recommendation to the Board in September
       • Focus on Endoscopy for final detail design, and RFP to be issued mid-November with recommendation to
         the board in January 2022.

       More detail is contained within the Facilities Update Report included in the agenda.

       Organisational Performance

       •   Planned Care outsourcing is continuing for Southern DHB Orthopaedic joints and CDHB Scopes
       •   Planned care disruptions due to Strikes and energy upgrades will impact on our ability to meet planned
           care targets
       •   COVID 19 vaccination proactive work is underway to work alongside general practice and
           community pharmacies to support the delivery of COVID 19 vaccinations that is sustainable for
           businesses. Capacity is now around 4500 per week.

       Primary and Community

       • Primary Care FIT testing has been completed
       • Influenza campaign – 75% completed for over 65 years by 1st July.
       • Mental Health and Addiction Service Engagement – the feedback process is now closed. The next four
         weeks will focus on the consideration of the feedback and write up. This is likely to come to the
         September Board meeting
       • Immunisations – Measles, Mumps and Rubella (MMR) vaccinations remain a focus with six Community
         Pharmacies vaccinating. The Influenza Campaign continues to remain a focus as well.

       Secondary Services

       • Resignation has been received from Obstetrician/Gyanecologist – departing late September
       • Considerable contingency planning for NZNO/MERAS strikes. Planned care during these periods has been
         deferred
       • Three times weekly South Island Acute Demand sessions continue. There is extreme pressure in both
         North and South Island DHBs with extension into Invercargill. We continue to support these DHBs with
         patient pull options and diversion of Emergency Department presentations from Ashburton on an adhoc
         basis.

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                       Chief Executive Report 3.2 a

       Organisational Development & Human Resources

       •    16 people have undergone training as Trainers for Mask Fit Testing (including Bidwill and Primary Care
            staff)
       •    Certification was confirmed by HealthCert until January 2024
       •    This month there were 13 Exit Surveys completed which is another good result
       •    Organisational annual review rates are at 66% which is down 2% from June
       •    Admin Pay Equity Settlement – the next round of role mapping and revalidation to be undertaken
            during August
       •    Meetings with Kia Ora Hauora confirmed a new programme to be launched in 2022 to engage Maori
            youth into Health career pathways
       •    At month end there were 11 open SAE’s of which 5 were overdue (55% compliance).

       Māori and Pacific Health

        •   Rangatahi Wananga held 3/4th August with YMCA, MSD, ARA, NZ Army. This is a series of youth
            wananga targeting young Māori/pacific young people who are unemployed
        •   30 SCDHB staff attended the final day of Kia Tika te Ara and again the feedback has been that the
            course has been highly beneficial. The next two cohorts are now full.
        •   The CEO and Director of Māori Health met with leaders of the South Canterbury Tongan Society to
            discuss organising a talanoa of Pasifika health priorities in the region. Another meeting is scheduled
            with community leaders at the end of July.
        •   The SCDHB supported the nomination of the Tonga Society for the Minister of Health Volunteer
            awards, with the Society being recognised as a finalist and will travel to the Beehive in August for the
            award presentations.

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                  Financial Report 3.3 a

       Information Report

                                               Financial Report
             Prepared by:    Grant Keene, Finance Manager
             Date:           13 August 2021
             Recommendation: That this report is received

             Financials for July 2021

             Consolidated performance ($000)
             Annual Budget $ 95k
             Budget YTD          $615k
             Actual YTD         $ 724k

             Summary

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                              Financial Report 3.3 a

             Consolidated Financial Performance

             The consolidated result for the month is a surplus of $724k which is $109k favourable to
             budget.

             Operating Revenue
             Total year-to-date operating revenue is $666k favourable to budget which is comprised of
             the following variances:

             • MOH Revenue $528k
             This favourable variance was made up of:

                 o Personal Other Health Services $136k mainly driven by unbudgeted Addiction
                   System Implementation Revenue $80k, Vaccination cost recovery revenue from the
                   MOH $30K.

                 o Maori Health Services $227k driven by unbudgeted Vaccination Readiness revenue
                   $227k of set by the AWS expenditure in the month.

                 o Personal Laboratories $52k driven by unbudgeted covid revenue $52k.

                 o Personal IDF $52k driven by additional unbudgeted revenue.

                 o Public Health $17k driven by demand for colonoscopies.

                 o HWNZ $41k driven by unbudgeted Rural Medical Workforce revenue.

             •   Patient Related Revenue $8k, driven by Radiology Treatment Services $8k

                    o Other Revenue $130k driven by SDHB Orthopaedic cost recovery billing $154k ,
                      CDHB Ashburton endoscopy lists $39k off set by GP Locum demand ($29k),
                      Aoraki Midwives cost recovery ($13k).

             Operating Expenditure
             Total year-to-date operating expenditure is $537k unfavourable to budget and is
             comprised of:

             Personnel Benefit Costs ($25k)

             •   Total Medical Staff expenditure $66k
             SCDHB medical staff $134k
             Favourable variance driven by:
                • Psychiatry $45k - vacancy driven off set by Outsourced expenditure.
                • Orthopaedics $41k - vacancy driven off set by Outsourced costs.
                • Gynaecology $32k - vacancy driven.
                • RMO $31K driven by the budgeted MECA mix
                • GP locums $32k of set by cost recovery billing
                • Held Budgets $27k driven by a treasury leave accrual provision.

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                  Financial Report 3.3 a

             Offset by:
                • General Surgery ($75k) driven by additional list payments of $25k for Ashburton Endoscopy
                    lists, of set by cost recovery revenue, and the leave earned accrual $40k
                •
             Outsourced Medical Staff ($68k)
             Unfavourable variance driven by:
                 • Psychiatry ($27k) - to cover a vacancy.
                 • Orthopaedics ($20k) - to cover a vacancy
                 • Anaesthetists ($20k) -to cover study leave

             •   Total Nursing Staff ($110k)

             SCDHB Nursing staff ($104k)
             Favourable variance driven by:
                o Held Budget – Provider ($200k), driven by budget savings initiative.
                o Covid Vaccinations ($40k) of set by cost recovery billing to the MOH.

             Offset by:
                • Surgical Services $39k
                • District Nursing $20k.
                • AT&R $18K
                • Medical ward $16k
                • Treasury provisions $27k
                • Aoraki Midwives $12k of set by cost recovery billing
                • Adult Community Mental health $12k – vacancy driven.

             Outsourced Nursing staff ($6k)
             Driven by Medical Investigation Unit ($6k) driven by cover for a vacancy

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                                                                                                                                 Financial Report 3.3 a

                      Nursing YTD Wages                          YTD                         YTD                  YTD                                                                       YTD            YTD               YTD

                   (excluding Aoraki Midwives)                  Actual                  Budget                 Variance                          Variance commentary                     Actual Hrs     Budget Hrs       Hrs Variance
                                                                                                                               Driven by 1,066 hours worked under budget.
                                                                                                                               Cost centres $8k under budget: Duty Managers;
                                                                                                                               Operating Theatre Manager; Adult Community Mental
                                                                                                                               Health; Clinical Nurse Specialists; Maternal Child &
                                                                                                                               Youth Manager. Cost Centres $9k under budget:
                                                                                                                               Medical Ward; Emergency Department; ATR.
                                                                                                                               Remaining cost centres: District Nursing $12k;
                                                                                                                               Operating Theatre $12k; Surgical Services $17k. Offset
              Ordinary Time                                        1,629,331                  1,716,655                 87,324 by COVID ($32k)                                                44,043        45,109              1,066

                                                                                                                               Driven by 766 hrs worked over budget. Callbacks do not
                                                                                                                               have budgeted hours included. Cost centres ($2k) over
                                                                                                                               budget: Surgical services; Medical ward; ED; Inpatient
                                                                                                                               mental health; Duty Managers; Oncology. Cost centres
                                                                                                                               ($4k) over budget: CIU; Director patient nursing
                                                                                                                               midwifery; Mental health manager; Paediatric ward.
              Overtime                                                   56,511                    19,268 -             37,243 Remaining: Operating theatre ($6k)                                 790            23 -              766

                                                                                                                               Driven by 893 hrs over budget.
                                                                                                                               Cost centres ($1k) over budget: Paediatric ward;
                                                                                                                               Maternal Child & Youth Manager; ED; National Bowel
                                                                                                                               Screening. Cost Centres ($2k) over budget: CIU; Staff
                                                                                                                               development; Clinical nurse specialists; District
                                                                                                                               nursing; Surgical services. Cost Centres ($3k) over
              Sick Leave                                                 71,430                    39,325 -             32,105 budget: ATR; Operating theatre; Medical ward                    1,835             941 -             893
                                                                                                                               Driven by 338 hrs worked under budget.
                                                                                                                               Cost centres $2k under budget: Medial Ward; Surgical
              Study Leave                                                23,948                    36,533               12,585 services; ATR; District Nursing                                    607            944               338
              Leave Earned                                             213,683                  256,602                 42,918
              Penals                                                   183,646                  219,219                 35,573 Driven by held budgets

                                                                                                                               Contributors to unfavourable variance: Medical ward
                                                                                                                               ($3k); Operating theatre ($6k); Held budgets ($7k);
              Allowances                                                 97,398                    74,821 -             22,577 Covid ($7k)
              ACC Levy                                                   13,330                    13,330                  -

              Super Subsidy                                              63,115                  67,448                  4,333
              Other Costs                                                39,962 -               163,970 -              203,932 Budget savings not achieved in the month

              TOTAL                                                2,392,354                  2,279,231 -              113,122                                                                47,274        47,018 -               256

                                                                 Actual Nursing Hours Worked vs Budgeted Hours

                                                           ACTUAL                            BUDGET                                                             ACTUAL                  BUDGET

                48,000                                                                                                                                                                       90%

                47,000                                                                                        88%                                                                            88%

                46,000                                                                                                                                                                       86%

                45,000                                                                                                                                                                       84%

                44,000                                                                                                                                                                       82%
                                                                                    47,274                                                47,018
                43,000                                                                                                                                                                       80%
                                                                                                              79%
                42,000                                                                                                                                                                       78%

                41,000                                                                                                                                                                       76%

                40,000                                                                                                                                                                       74%
                                                                                                              Jul-21

                                                 Actual Hours                           Budgeted Hours                           Budgeted Occupancy             Actual Occupancy

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                     Financial Report 3.3 a

                                                        Jul-21
              Actual Hours                                47,274
              Budgeted Hours                              47,018
              Budgeted Occupancy                              88%
              Actual Occupancy                                79%
              Hours Variance (over)/under budget             (256)

                 •   Total Allied Staff $56k

             SCDHB Allied Staff $63k
             Favourable variance driven by:
                 • Occupational Therapy $16k - vacancy driven.
                 • Radiology $11k
                 • NASC $9k - vacancy driven
                 • Mental Health $15k – vacancy driven
                 • Medical Investigation Unit $7k

             Outsourced Allied Staff ($7k):
             Unfavourable variance driven by:
                • Adult Community Mental Health ($6k) driven by cover for a vacancy.

             Total Support Staff $34k

             SCDHB Support Staff $33k
             Favourable variance driven by: Maintenance $11k due to a vacancy, Orderly services $8k, Maori
             Mental health $6k, Health & Safety Manager $5k, CSU $3K

             Total Management & Administration ($71k)

             SCDHB Staff ($49k)
             Unfavourable variance driven by:
                • Clerical support ($23k) driven by ordinary and training hours being over budget,
                • Covid vaccination ($72k) of set by vaccination cost recovery revenue

             Offset by:
                     •    Immunisation $17k
                     •    CEO Support $14k
                     •    Primary Health & Partnerships $8k
                     •    Support Services Manager $8k

             Outsourced Admin ($22k)
                • Clerical Support ($29k) driven by unbudgeted Medical Coder expenditure.

             Offset by
                 • Information technology $7k

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                     Financial Report 3.3 a

             Treatment Related Costs ($323k)

             This unfavourable variance is comprised of:

             Outsourced Clinical Services ($153k)

             Unfavourable variances driven by:
                • Orthopaedics ($104k) driven by patients from the Southern DHB of set by cost recovery
                    billing revenue.
                • Pathology, NZ Blood demand ($42k)

             Orthopaedics is driven by additional major joint procedures at Bidwill Hospital (10 discharged to
             end of July of which 6 were SDHB patients).

             Funder Services ($16k) driven by unbudgeted Central Region ePerscription costs.

             Clinical Supplies ($168k)

             Unfavourable variance driven by:
                • Medical Supplies ($113k) timing issue
                • Pharmaceuticals ($32k) – driven by Gastro Intestinal Drug demand
                • Implants ($22k) – driven by Southern DHB joint procedures of set by cost recovery billing

             External Provider Costs ($179k)

             The main contributors to this variance are:

                 1. Personnel Health $61k driven by Primary Health Care $32k, Travel & Accommodation $30k.
                 2. Mental Health ($24k) driven by Long Term Patients ($53k) of set by Alcohol & Other Drugs
                    $30k
                 3. Disability Support Services $25k driven by Carer Support $23k.
                 4. Public Health ($257) made up of AWS Maori health vaccination costs $256k of set by
                    unbudgeted revenue
                 5. Maori Health Services $21 driven by costs from AWS.

             IDF Expenditure $5k

             Non-Treatment related costs ($47k)

             This favourable variance is due to the following;

                 •   Professional Fees & Expenses ($133k) – driven by EY Locality plan costs $100k
                 •   IT & Telecommunication $73k – driven by favourable Software costs
                 •   Catering & Cleaning $14k

                                                                                                                       30
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                         Financial Report 3.3 a

             Depreciation ($28k)

             Capital Charge $32k

             Cashflow

             The closing cash position (exclusive trust & Patient funds) as at 31 July 2021 is $10,532k which is
             $592k less than the closing cash position as at 31 July 2020. The decrease in cash was primarily
             driven by the increase in debtors.

                                                                                                                           31
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                                                    Financial Report 3.3 a

          South Canterbury District Health Board   2021/22   2021/22 2021/22         2021/22    2021/22 2021/22          2021/22
           Consolidated Financial Performance       Actual   Budget Variance         YTD Act    YTD Bud Variance         Budget
                           July 21                 Month     Month     Month          YTD        YTD       YTD

      MOH Revenue                                   19,949    19,421     528         19,949     19,421      528        233,063
      Patient Related Revenue                           65        57       8             65         57        8            682
      Other Revenue                                    298       168     130            298        168      130          2,015
      IDF Inflow Revenue                               385       385       -             385        385        -           4,615

      TOTAL OPERATING REVENUE                       20,697    20,031     666         20,697     20,031      666        240,375

      Personnel Benefit Costs                        6,033     6,008      (25)        6,033      6,008      (25)        78,085
      Treatment Related Costs                        2,172     1,848     (323)        2,172      1,848     (323)        22,938
      External Providers                             7,237     7,058     (179)        7,237      7,058     (179)        85,239
      IDF Expenditure                                2,923     2,928        5         2,923      2,928        5         35,131
      Non Treatment Related Costs                    1,084     1,070      (15)        1,084      1,070      (15)        12,844

      TOTAL OPERATING EXPENDITURE                   19,449    18,912     (537)       19,449     18,912     (537)       234,237

      NET RESULT BEFORE INTEREST DEPRECIATION        1,248     1,119     129           1,248      1,119      129           6,138

      Interest expense                                  -         -         -              -          -        -               -
      Interest Received                               (19)      (11)        8           (19)       (11)       8           (136)
      Depreciation                                    429       401       (28)          429        401      (28)         4,811

      NET RESULT BEFORE NON OPERATING ITEMS           838       729      109             838        729      109           1,463

      Donations
      Profit & (Loss) on Asset sales
      Capital Charge Expense                          114       114         -            114        114          -         1,368

      NET RESULT                                      724       615      109            724        615      109             95

                                                                                                                                                      32
Board Pack for SCDHB Board Meeting - 27 Aug 2021                             Financial Report 3.3 a

       South Canterbury District Health Board
          Consolidated Financial Position              2020/21
                      July 21                 2021/22 June 2020 Changes
      Opening Equity                            29,881

      Surplus/Deficit                            724
      Equity Movement                              -
      Capital Repaid

      TOTAL PUBLIC EQUITY                     30,605    29,881       724

      Current Assets
      Cash & Bank                                  2         2          -
      HBL Treasury Function                   10,530    14,317     (3,787)
      Short Term Investments                   8,400     7,378      1,022
      Debtors & Other Receivables              9,425     8,937        488
      Stock                                    1,630     1,605         25

      Total Current Assets                    29,987    32,239     (2,252)

      Current Liabilities
      Overdraft                                    -         -         -
      Creditors and Accruals                  13,458    13,504        46
      GST                                      1,444       852      (592)
      Employee Entitlements                   30,285    29,577      (708)
      Short Term Loans                           169       169         -

      Total Current Liabilities               45,356    44,102     (1,254)

      Working Capital                        (15,369)   (11,863)   (3,506)

      Non Current Assets                           -         -         -
      Fixed Assets                            46,785    46,512       273
      Intangibles                              2,272     1,294       978
      Term Investments                         4,579     1,601     2,978

      Total Non Current Assets                53,636    49,407     4,229

      Non Current Liabilities
      Employee Entitlements                    7,662     7,663          1
      Term Loans                                   -         -          -

      Total Non Current Liabilities            7,662     7,663         1
                                                                       -
      NET ASSETS                              30,605    29,881       724

                                                                                               33
Board Pack for SCDHB Board Meeting - 27 Aug 2021                            Financial Report 3.3 a

                                                     YTD           YTD
                                                   ACTUAL        ACTUAL
                        July 21                     Jul-21        Jul-20

                  CASHFLOW & BANK                  $(000)        $(000)

      Total Receipts                                   20,691     18,402
      Total payments                                  (22,949)   (16,767)
      CASH FLOW FROM OPERATING ACTIVITIES              (2,258)     1,635

      CASH FLOW FROM INVESTING ACTIVITIES              (1,529)      (546)

      CASH FLOW FROM FINANCING ACTIVITIES                    -       (17)

      NET CASH FLOW
      Plus: Cash (Opening)                             14,319
      YTD Net cash movements                           (3,787)
      Cash (Closing)                                   10,532     11,124

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Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                                   Financial Report 3.3 a

                                            Interest                                                     Current
               Deposit             Bank       Rate             Term           May-21   Jun-21   Jul-21    Mix

            NZHPL Sweep                      0.66%            On Call         10,458    9,985   10,532   45.2%

       Cash & cash equivalents                                                10,458    9,985   10,532   45.2%

                                 BNZ         0.61%     180 days                1,600    1,600    1,600    6.9%
                                 BNZ         1.05%     263 days (9 mths)         800      800      800    3.4%

                                 ASB         0.95%     263   days (9 mths)       700      700      700   3.00%
                                 ASB         1.05%     547   days (18 mths)    1,400    1,400    1,400    6.0%
                                 ASB         1.86%     396   days              2,400    2,400    2,400   10.3%
                                 ASB         1.85%     730   days              2,778    2,778    2,778   11.9%

                                 Westpac     1.12%     263 days (9 mths)       2,100    2,100    3,100   13.3%
                                 Westpac     1.85%     12 mths                 1,000    1,000      -      0.0%
                                                                                                          0.0%

                                 Total Term Deposits                          12,778   12,778   12,778

                                 Total Deposits                               23,236   22,763   23,310   100.0%

                                                                                                                                     35
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                                                                           Financial Report 3.3 a

                                                                      Amount     2022 Invoiced   Invoiced portion   Prior year spend still
          Capital Expenditure 2021/22              Budget                                                                                    Closing WIP
                                                                     approved      amounts        included in WIP     to be capitalised
      Carry forward Projects                               528,787         -              -
      Clinical Equipment                                 1,855,102         -              -
      Plant and Equipment                                  453,379         -              -
      Fitout                                                55,937         -              -
      IT Hardware                                          204,604       3,157            -
      IT Software                                          140,182         -           28,081              28,081              667,772           695,853
      Contingency - Clinical & Plant                       300,000      15,568            -
      Contingency - COVID                                  100,000         -              -
      Minor Capital                                        125,000      11,435            -
      Minor Capital - DHB IT equipmen                      100,000       2,770          1,373                  -
      Vehicles                                             274,000         -              -
      Strategic Projects                                26,706,692   1,153,932      1,167,422           1,167,422            4,873,413         6,040,834
      Regional IT                                        1,100,000         -           25,879              25,879            2,429,518         2,455,397
      SCEC Contingency                                      50,000         -              -                   -                    -                 -
      Total                                             31,993,684   1,186,861      1,222,754           1,221,382            7,970,703         9,192,085

                                                                                                                                                                             36
Board Pack for SCDHB Board Meeting - 27 Aug 2021                                                                Health, Safety and Wellbeing 3.4 a

          INFORMATION REPORT

                            HEALTH, SAFETY & WELLBEING REPORT
          Prepared by:   Pete Moore. Health, Safety & Wellbeing Manager
          Date:          27th August 2021
          Recommendation: That the report is received

          The following updates summarise Health & Safety related activity over the past month.

          Worker Participation & Engagement
          The benefits of having our internal service providers as members of our H&S committee was highlighted during
          our last meeting where an issue of concern was raised, timely investigation occurred and a plan agreed. This
          was a good example of PCBU’s working together, where overlapping duties exist.
          Health & Safety Representative training has now been arranged for September, having sourced an alternative
          provider.

          Hazard & Risk
          We have rolled out a process to our teams for gathering evidence of COVID-19 vaccination status. This will be
          on-going throughout August, after which we will be able to generate workgroup reports to assist with other
          risk management approaches during an alert level increase.
          Fit-testing of N95 masks is an on-going exercise.
          A small increase in the overall quarter results for our workplace inspections:
                                                      Completed Workplace Inspection Checklists*
                                                      Jul        Aug   Sep     Oct    Nov     Dec   Jan   Feb     Mar   Apr   May    Jun
         Corporate Services (6) **                  100%                                                                            100%
         Patient, Nursing & Midwifery Services (13)  77%                                                                             62%
         Primary Health Partnerships & Allied Health (12)
                                                    100%                                                                            100%
         Organisational Capability & Safety (3)     100%                                                                            100%
         Support Office CEO / Lv 6 GB (1)           100%                                                                            100%
         Total:                                                                                                                      85%
         Late total (against previous quarter):           91%
         * Received within 1 week of a quarter ending (Target 100%)  **Workgroup denominators

          The workplace aggression working group [National] have recently begun a large bow-tie analysis of workplace
          violence and aggression. This piece of work is helping to establish the critical risks. We are also preparing a
          draft standard, which will introduce auditable frameworks.

          Health & Safety
          We have started working with DeLoittes, who are helping to look at our H&S systems, priorities and maturity.
          A slip in document control, with a delay in receiving consultation feedback:
                                                    Health, Safety & Wellbeing Policies / Procedures
                                                     Jul    Aug      Sep     Oct     Nov     Dec    Jan   Feb     Mar   Apr   May   Jun
         Total number of documents                   26      25
         Total currently expired                      0       1
         Percentage complete                        100%    96%

          Recruitment for a replacement Safety Advisor was unsuccesful, so we will be re-advertising.

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