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
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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
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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
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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 6Board 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 7Board 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 8Board 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 9Board 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 10Board 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
11Board 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
12Board 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
13Board 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.
14Board 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
15Board 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
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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
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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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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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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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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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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.
22Board 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.
23Board 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.
24Board 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
25Board 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.
26Board 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
27Board 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
28Board 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
29Board 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
30Board 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.
31Board 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
32Board 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
33Board 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
34Board 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%
35Board 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
36Board 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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