Board Meeting Wednesday 29 October 2014 2.30pm A+ … Board Meeti… · Board Meeting Wednesday 29...

Board Meeting

Wednesday 29 October 2014

2.30pm

A+ Trust RoomClinical Education Centre

Level 5Auckland City Hospital

Grafton

Communities, Quality Healthcare

Published 22/10/14

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Auckland District Health BoardMeeting of the Board 29 October 2014

AgendaMeeting of the Board

29 October 2014

Venue: A+ Trust Room, Clinical Education Centre, Level 5, Auckland City Hospital, Grafton

Time: 2.30pm

ADHB Board Members PresentDr Lester Levy (Chair)Jo AgnewPeter AitkenDoug ArmstrongJudith BassettDr Chris ChambersDr Lee Mathias (Deputy Chair)Robyn NortheyMorris PitaGwen Tepania-PalmerIan Ward

ADHB Management PresentAilsa Claire Chief Executive OfficerSimon Bowen Director of Health Outcomes – Auckland and

Waitemata District Health BoardsMargaret Dotchin Chief Nursing OfficerFionnagh Dougan Director Provider ServicesDr Debbie Holdsworth Director Funding – Auckland and Waitemata District

Health BoardsDr Andrew Old Chief Strategy, Participation and InnovationRosalie Percival Chief Financial OfficerVivienne Rawlings Chief Human Resources OfficerLinda Wakeling Chief of Intelligence and InformaticsSue Waters Chief Health Professions OfficerDr Margaret Wilsher Chief Medical Officer

ADHB Senior StaffLita Foliaki Pacific Planning & Funding ManagerNaida Glavish General Manager Maori Health & Chief Advisor TikangaBruce Levi Acting Pacific General Manager for Hospital Services,

Waitemata and AucklandAuxilia Nyangoni Deputy Chief Financial OfficerMarlene Skelton Corporate Business ManagerGilbert Wong Director Communications

(Other staff members who attend for a particular item are named at the start of the minute for that item)

Apologies Members:

Apologies Staff:

Register of InterestsDoes any member have an interest they have not previously disclosed?Does any member have an interest that may give rise to a conflict of interest with a matter on the agenda?

Karakia

AgendaPlease note that agenda item times are estimates only

2:30pm 1 ATTENDANCE AND APOLOGIES

2 CONFLICTS OF INTEREST

3 CONFIRMATION OF MINUTES 17 SEPTEMBER 2014

2:35pm 4 ACTION POINTS 17 SEPTEMBER 2014 - NIL

2:40pm 5 CHAIRMAN’S REPORT – VERBAL

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2:45pm 6 CHIEF EXECUTIVE’S REPORT

2:50pm 7 LIFT THE HEALTH OF PEOPLE IN AUCKLAND CITY7.1 CPHAC Recommendations - Nil

2:55pm 8 LIVE WITHIN OUR MEANS8.1 Eastern Bays Hospice Update8.2 Values for Auckland DHB: Progress Update

9 GENERAL BUSINESS

3:15pm 10 RESOLUTION TO EXCLUDE THE PUBLIC

Next Meeting Wednesday 10 December 2014 at 2.00pm A+ Trust Room, Clinical Education Centre, Level 5, Auckland City Hospital, Grafton

Hei Oranga Tika Mo Te Iti Me Te Rahi

Healthy Communities, Quality Healthcare

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Auckland District Health Board

KarakiaE te Kaihanga e te Wahingaro

E mihi ana mo te ha o to koutou oranga

Kia kotahi ai o matou whakaaro i roto i te tu waatea.

Kia U ai matou ki te pono me te tika

I runga i to ingoa tapu

Kia haumie kia huie Taiki eee.

Creator and Spirit of lifeTo the ancient realms of the Creator

Thank you for the life we each breathe to help us be of one mindAs we seek to be of service to those in need.Give us the courage to do what is right and help us to always be awareOf the need to be fair and transparent in all we do.

We ask this in the name of Creation and the Living Earth.

Well Being to All.

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Auckland District Health BoardMeeting of the Board 17 September 2014

Attendance at Auckland District Health Board Meetings

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14 M

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25 Ju

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17 S

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Dr Lester Levy (Chair) 1 1 1 1 1 1 1 1Jo Agnew 1 1 1 1 1 1 1 1Peter Aitken 1 1 1 1 1 1 1 1Doug Armstrong 1 1 1 1 1 1 1 1Judith Bassett 1 1 x 1 1 x 1 1Dr Chris Chambers 1 1 1 1 1 1 1 1Dr Lee Mathias (Deputy Chair) 1 1 1 1 1 1 1 xRobyn Northey 1 1 1 1 1 1 x 1Morris Pita 1 1 1 1 x 1 1 1Gwen Tepania-Palmer 1 1 x 1 1 1 1 1Ian Ward 1 1 1 1 1 1 x 1

x absent# leave of absence

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Conflicts of Interest Quick Reference GuideUnder the NZ Public Health and Disability Act Board members must disclose all interests, and the full nature of the interest, as soon as practicable after the relevant facts come to his or her knowledge.

An “interest” can include, but is not limited to:

∑ Being a party to, or deriving a financial benefit from, a transaction∑ Having a financial interest in another party to a transaction∑ Being a director, member, official, partner or trustee of another party to a transaction or a

person who will or may derive a financial benefit from it∑ Being the parent, child, spouse or partner of another person or party who will or may derive a

financial benefit from the transaction∑ Being otherwise directly or indirectly interested in the transaction

If the interest is so remote or insignificant that it cannot reasonably be regarded as likely to influence the Board member in carrying out duties under the Act then he or she may not be “interested in the transaction”. The Board should generally make this decision, not the individual concerned.

Gifts and offers of hospitality or sponsorship could be perceived as influencing your activities as a Board member and are unlikely to be appropriate in any circumstances.

∑ When a disclosure is made the Board member concerned must not take part in any deliberation or decision of the Board relating to the transaction, or be included in any quorum or decision, or sign any documents related to the transaction.

∑ The disclosure must be recorded in the minutes of the next meeting and entered into the interests register.

∑ The member can take part in deliberations (but not any decision) of the Board in relation to the transaction if the majority of other members of the Board permit the member to do so.

∑ If this occurs, the minutes of the meeting must record the permission given and the majority’s reasons for doing so, along with what the member said during any deliberation of the Board relating to the transaction concerned.

IMPORTANT

If in doubt – declare.

Ensure the full nature of the interest is disclosed, not just the existence of the interest.

This sheet provides summary information only - refer to clause 36, schedule 3 of the New Zealand Public Health and Disability Act 2000 and the Crown Entities Act 2004 for further information (available at www.legisaltion.govt.nz) and “Managing Conflicts of Interest – Guidance for Public Entities” (www.oag.govt.nz ).

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Register of Interests – Board

Board Member Organisation Latest Disclosure

Lester LEVY (Chair) Chairman - Waitemata District Health BoardDeputy Chairman – Health Benefits LtdChairman - Auckland TransportIndependent Chairman - Tonkin & TaylorDirector - Orion HealthChief Executive - New Zealand Leadership InstituteProfessor (Adjunct) of Leadership - University of Auckland Business SchoolTrustee of the Well Foundation (ex-officio member as Waitemata DHB Chairman)Director and sole shareholder – Brilliant Solutions LtdDirector and shareholder – LLC Limited (no investments, no assets, non-trading company)Director and shareholder – Mentum Limited (no investments, no assets, non-trading inactive company)Trustee – Levy Family TrustTrustee – Brilliant Street Trust

20 Aug 2014

Jo AGNEW Professional Teaching Fellow - School of Nursing, Auckland UniversityAppointed trustee Starship FoundationCasual Staff Nurse - ADHB

1 Mar 2014

Peter AITKEN Pharmacy Locum - PharmacistShareholder/ Director, Consultant - Pharmacy Care Systems LtdShareholder/ Director - Pharmacy New Lynn Medical Centre

17 Jan 2014

Doug ARMSTRONG Fisher and Paykel HealthcareRyman HealthcareDaughter is a partner – Russell McVeagh Lawyers

12 Mar 2014

Judith BASSETT Fisher and Paykel HealthcareWestpac Banking Corporation

14 May 2014

Dr Chris CHAMBERS Employee - ADHBWife is an employee - Starship Trauma ServiceClinical Senior Lecturer in Anaesthesia - Auckland Clinical SchoolMember – Association of Salaried Medical SpecialistsAssociate - Epsom Anaesthetic GroupShareholder - Ormiston Surgical

26 Jan 2014

Lee MATHIAS Chair - Counties Manukau Health Deputy Chair - Auckland District Health BoardChair - Health Promotion AgencyChair - Unitec.Director - Health Innovation Hub Director - Health Alliance LimitedDirector - Health Alliance (FPSC) LimitedChair - IAC IP LimitedDirector/shareholder - Pictor LimitedDirector - Lee Mathias LimitedDirector - John Seabrook Holdings LimitedAdvisory Chair - Company of Women LimitedTrustee - Lee Mathias Family TrustTrustee - Awamoana Family TrustTrustee - Mathias Martin Family Trust

23 Oct 2014

Robyn NORTHEY Self-employed Contractor - Project management, service review, planning etc.Board Member - Hope Foundation Trustee - A+ Charitable Trust

20 June 2012

Morris PITA Member – Waitemata District Health BoardShareholder – Turuki Pharmacy, South AucklandOwner and operator with wife - Shea Pita & Associates LtdWife is member of Northland District Health BoardWife provides advice to Maori health organisations

13 Dec 2013

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Board Member Organisation Latest Disclosure

Gwen TEPANIA-PALMER

Board Member - Waitemata District Health BoardBoard Member - Manaia PHOChair - Ngati Hine Health TrustCommittee Member - Te Taitokerau Whanau OraCommittee Member - Lottery Northland Community CommitteeMember - Health Quality and Safety commission

2 Apr 2013

Ian WARD Board Member - NZ Blood ServiceDirector and Shareholder – C4 Consulting LtdCEO – Auckland Energy Consumer TrustShareholder – Vector Group

9 Jul 2014

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Auckland District Health BoardMeeting of the Board 17 September 2014 Page 1 of 7

MinutesMeeting of the Board

17 September 2014

Minutes of the Auckland District Health Board meeting held on Wednesday 17 September 2014 in the A+ Trust Room, Clinical Education Centre, Level 5, Auckland City Hospital, Grafton commencing at 2:00pm

ADHB Board Members PresentDr Lester Levy (Chair)Jo AgnewPeter AitkenDoug ArmstrongJudith BassettDr Chris ChambersRobyn NortheyMorris PitaGwen Tepania-PalmerIan Ward

ADHB Management PresentAilsa Claire Chief Executive OfficerSimon Bowen Director of Health Outcomes – Auckland and

Waitemata District Health BoardsMargaret Dotchin Chief Nursing OfficerFionnagh Dougan Director Provider ServicesDr Debbie Holdsworth Director Funding – Auckland and Waitemata District

Health BoardsRosalie Percival Chief Financial OfficerVivienne Rawlings Chief Human Resources OfficerLinda Wakeling Chief of Intelligence and InformaticsSue Waters Chief Health Professions OfficerDr Margaret Wilsher Chief Medical Officer

ADHB Senior StaffAuxilia Nyangoni Deputy Chief Financial OfficerMarlene Skelton Corporate Business Manager

(Other staff members who attend for a particular item are named at the start of the minute for that item)

1 ATTENDANCE AND APOLOGIES

That the apology of Board Member Dr Lee Mathias (Deputy Chair) be received.

That the apology of senior staff member Dr Andrew Old, Chief Strategy, Participation and Innovation be received.

2 CONFLICTS OF INTEREST

There were no declarations of conflicts of interest for any items on the open agenda.

Lester Levy advised a new interest to be included in the interests register. He had now been appointed as a Director on the Board of Orion Health.

3 CONFIRMATION OF MINUTES 6 AUGUST 2014 (Pages 8 - 16)

Resolution: Moved Peter Aitken/Seconded Gwen Tepania-Palmer

That the minutes of the Auckland District Health Board meeting held on 6 August 2014 be confirmed as a true and correct record.

Carried

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4 ACTION POINTS 6 AUGUST 2014 (Page 17)

It was agreed that the item “Funder Budget-How it is Presented” could be removed from the list as progress is demonstrably underway.

5 CHAIRMAN’S REPORT

There was no report.

6 CHIEF EXECUTIVE’S REPORT (Pages 18 - 24)

The Chief Executive asked that her report be taken as read, highlighting and drawing attention to:

∑ At our Best – Defining our Values. Values week took place under the banner “At our Best”. More than 2000 people engaged in the process through events and surveys. During the week more than 500 staff attended events and around 70 patients. The events were well-received, with around 96 per cent of people rating them positively

∑ Dr Margaret Wilsher has been appointed as crown monitor for Capital and Coast District Health Board. This is a one year appointment and will take one day a week of Margaret’s time. She will continue as Chief Medical Officer at Auckland DHB.

∑ Recruitment has been completed for the new permanent role of Chief of Strategy, Participation and Improvement and Ailsa Claire was delighted to announce that Dr Andrew Old, who has been acting in an interim capacity, has been confirmed in the role.

∑ The Alliance agreement has been signed.

Matters covered in discussion of the report and in response to questions included:∑ Lester Levy commented that the signing ceremony for the Alliance Agreement had

very good representation with attendance by Ministry of Health representatives. The challenge now was to ensure that action ensued from the agreement.

∑ He also advised that Ailsa Claire had been presented with a certificate acknowledging Auckland District Health Board as the first of only two District Health Boards to achieve their primary health care targets.

That the report be received.

7 HEALTH AND SAFETY SCORECARD (Pages 25 – 28)

Vivienne Rawlings, Chief Human Resources Officer spoke and asked that her report be taken as read.

Matters covered in discussion of the report and in response to questions included:

∑ Advice that there were approximately 11 FTE working within the occupational healtharea in the Auckland District Health Board

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∑ Morris Pita made an observation that there were not a lot of leading indicators contained within the report and that the report did not reflect a proactive approach. There were seven serious incidents reported but not a lot of detail was provided about the incidents. This is a governance issue and requires in-depth reporting.

That the health and safety scorecard be received.

8 PRESENTATION (Page 29)

8.1 Releasing Time to Care

Abbi Harwood-Tobin attended the meeting to introduce the video which was about the introduction and success of the Releasing Time to Care programme. The video has been produced by staff of Ward 31 with support from the District Health Board Communications Team. It will be used to raise awareness about the programme and was presented to the Board for their information.

Following the video presentation the discussion and general comment included:

∑ Comment that it was a great example of staff driven improvement work that was happening within the hospital. It was impressive to see the staff involvement and passion for the programme.

∑ Margaret Wilsher commented that she wished to pay tribute to Margaret Dotchin’s involvement with the programme. She had brought a personal commitment and an excitement and passion that had transferred to the staff.


9 LIFE THE HEALTH OF PEOPLE IN AUCKLAND CITY

9.1 CPHAC Recommendations

There were none.

10 LIVE WITHIN OUR MEANS

10.1 Audit and Finance Committee Recommendations

There were none.

11 GENERAL BUSINESS

There was none.

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12 RESOLUTION TO EXCLUDE THE PUBLIC (Pages 30 – 32)

Resolution: Moved Robyn Northey /Seconded Judith Bassett

That in accordance with the provisions of Clauses 32 and 33, Schedule 3, of the New Zealand Public Health and Disability Act 2000 (“Act”), the Auckland District Health Board resolve that the public now be excluded from the meeting for consideration of the following items, for the reasons and grounds set out below:

General subject of each itemto be considered:

Reasons for passing this resolution in relation to each item:

Ground(s) under Clause 32for the passing of this resolution

1Confirmation of the Public Excluded Minutes of the Board Committee Meeting 6 August 2014

Confirmation of MinutesAs per resolution(s) from the open section of the minutes of the above meeting, in terms of the NZPH&D Act 2000.

That the public conduct of the whole or the relevant part of the meeting would be likely to result in the disclosure of information for which good reason for withholding would exist under any of sections 6, 7, or 9 (except section 9(2)(g)(i)) of the Official Information Act 1982 [NZPH&D Act 2000]

2Action Points 6 August 2014

NegotiationsTo enable the Board to carry on, without prejudice or disadvantage, negotiations (including commercial and industrial negotiations)[Official Information Act 1982 S.9 (2) (j)]


3.1Financial Report

Commercial ActivitiesTo enable the Board to carry out, without prejudice or disadvantage, commercial activities[Official Information Act 1982 S.9 (2) (i)]


3.2ADHB-WDHB Facilities and Development Collaboration Decision and Implementation Update



4.1Approval for Contract Amendment for Patient Portal Implementation

Commercial ActivitiesTo enable the Board to carry out, without prejudice or

That the public conduct of the whole or the relevant part of the meeting would be likely to result

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disadvantage, commercial activities[Official Information Act 1982 S.9 (2) (i)]

in the disclosure of information for which good reason for withholding would exist under any of sections 6, 7, or 9 (exceptsection 9(2)(g)(i)) of the Official Information Act 1982 [NZPH&D Act 2000]

4.2Cogeneration Contract Resolution Package



4.3Delegated Authority Policy


Obligations of ConfidenceThe disclosure of information would not be in the public interest because of the greater need to protect information which is subject to an obligation of confidence [Official Information Act 1982 S.9(2)(ba)]

That the public conduct of the whole or the relevant part of the meeting would be likely to result in the disclosure of information for which good reason for withholding would exist under any of sections 6, 7, or 9 (exceptsection 9(2)(g)(i)) of the Official Information Act 1982 [NZPH&D Act 2000]

4.4healthAlliance (NZ) Capital Plan and New C Shares



4.5Patient Physiological Monitors Business Case



4.6Trendcare Business Case

NegotiationsTo enable the Board to carry on, without prejudice or disadvantage, negotiations (including commercial andindustrial negotiations)

That the public conduct of the whole or the relevant part of the meeting would be likely to result in the disclosure of information for which good reason for withholding would exist under

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[Official Information Act 1982 S.9 (2) (j)]

any of sections 6, 7, or 9 (except section 9(2)(g)(i)) of the Official Information Act 1982 [NZPH&D Act 2000]

4.7Linen and Laundry Business Case



4.8After Hours Business Case



5.1Human Resources Report



6.1DHB Board Community Referred Laboratory Services



Carried

The meeting closed at 3.50pm.

Next MeetingThe next ordinary scheduled meeting will be held:2:30pm, Wednesday, 29 October 2014A+ Trust Room, Clinical Education Centre, Level 5, Auckland City Hospital, Grafton

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Signed as a true and correct record of the Auckland District Health Board meeting held on Wednesday, 17 September 2014

_____________________________________________ Chair ___________________________ Date

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Auckland District Health BoardMeeting of the Board 29/10/2014Page 1

Chief Executive’s Report

Recommendation

That the report is received.

Prepared by: Ailsa Claire (Chief Executive)

Glossary

ACH = Auckland City HospitalMRI = Magnetic Resonance Imaging‘Aiga = FamilyTamariki = Children

1. IntroductionThis report covers the period from 1 September to 10 October. It includes an update on the management of the wider health system and is a summary of progress against the Board’s priorities to confirm that matters are being appropriately addressed.

2.1 Public information released for the media

Auckland DHB made public statements or facilitated coverage about:

∑ Health Alliance Agreement signing∑ Mental health mother and baby unit∑ NZ Innovators Award∑ B4 school checks∑ Help Our Kids – NZ Herald/Starship campaign∑ Heart attacks in young people∑ Antibiotic resistance ∑ Auckland power outage∑ Organ donation

We received 175 requests for information, interviews or for access from news media and production organisations in the period from 30 August to 9 October. Media enquiries included interest in:

∑ Flu statistics ∑ IVF and surrogacy - Fertility Plus∑ Hospital voting booths for the election∑ Paracetamol during pregnancy research ∑ Lung transplants∑ Drug resistant sexually transmitted diseases∑ Faecal transplants∑ Iron deficiency in babies research∑ Influenza-like illnesses ∑ Forensic pathology

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∑ Eating habits of patients∑ Umbilical hernia treatment ∑ Hospital property/equipment∑ Zikavirus∑ Cyclical vomiting syndrome ∑ St John ambulance documentary ∑ Hearty Towers filming∑ Patient with early onset Parkinson’s disease∑ Mortuary ∑ Maternity ward security measures∑ Nutrition guidelines∑ Genetics∑ After hours service

Apart from those noted, the remaining enquiries over the period were routine requests about the status of patients hospitalised following crimes or accidents or who were of interest because of their public profile.

Of the 16 Official Information Act requests reviewed in this period, 7 were from media organisations.

2.2 Social Media ActivityOur social media audiences at the end of the period were:

∑ Facebook – 1,532∑ Twitter – 1,177∑ LinkedIn – 2,567

Most popular items of content last month were:∑ Our People – High-fives (patient thank yous), Local Hero∑ Patient resource – Our new Your Rights patient brochures, link to Interpreting Services on

website, link to Auckland Hospital patient info page on website∑ Campaigns – Mental Health Awareness Week, Organ Donation Awareness, Stoptober, Help

Our Kids∑ News – Oct 5th power outage updates, New Zealand Innovators Award finalists ∑ Recruitment/job postings

2.3 Events, internal communications and people

Events

Mother and Baby UnitOn 16 September our specialist Mother and Baby Unit was officially opened at the Child and Family Unit of Starship Children’s Hospital.

Health Excellence AwardsApplications have now closed for the Health Excellence Awards and our judging committee is currently working through scoring applications for the list of finalists. The Annual Awards Event takes place on Wednesday 3 December 2014.

Long service

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Invitations have been sent out to staff who quality for our Long Service Awards. This year, two events will be held to recognise those with more than 30 years of consecutive employment, on 17 November.

Help Our KidsThe Starship Foundation has partnered with the New Zealand Herald to try and raise $150,000 for the upgrade of Starship’s operating theatres and surgical facilities. The Help Our Kids campaign was officially launched on 29 September - www.helpourkids.co.nz.

Alliance AgreementAn Alliance Agreement was signed in September to develop a community health system that is more cohesive, accessible, efficient, effective, safe and sustainable. The partners that form the agreement are Te Rununga O Ngati Whatua, Te Whanau o Waipareira, Alliance Health Plus, Auckland PHO, National Hauora Coalition, ProCare, Total Healthcare, Waitemata PHO and the Auckland Waitemata DHBs.

Health TargetsOn 10 September Dr Bryn Jones and Karen Evison from the Ministry of Health presented a certificate congratulating Auckland DHB and PHOs for achieving both community targets in heart and diabetes checks, and in supporting smokers to quit.

Feetbeat Challenge launchAuckland DHB staff are participating in the regional Feetbeat Challenge with 29 teams made up of more than 190 staff walking 30-minutes-a-day. The Auckland DHB Wellness Committee provided pedometers to all Auckland DHB staff who signed up for the challenge.

Upcoming events

Unlocking the Joy – Quality Grand RoundThe next Quality Grand Round takes place on Tuesday 21 October, 12pm - 12.45, in the CEC at Auckland City Hospital. The theme is Unlocking the Joy - Learnings from the 2014 APAC Forum.

Organ Awareness Day - 11 OctoberOrgan Donation New Zealand will be on site running an information booth this week leading up to the awareness day at Auckland Hospital. Margaret Wilsher is participating in an internal photo opportunity on 10 October to help highlight the campaign and the display table via social media. Internal and external communications have been shared linking to their campaign information.

International Anaesthesia Day – 16 OctoberOur Anaesthetists are planning an information activity for the day – likely in the form of a display on level 5 at Auckland City Hospital.

Internal communications∑ Two blog posts were published by the CE on the increase in patient numbers over the busy

winter months, and milestones and recognition (Long Service, Health Excellence, signing of the Alliance Agreement). In addition Margaret Dotchin published a post as acting CE on workplace celebrations and professional pride, with a key focus on the work being done towards new nursing uniforms.

∑ 11 news updates were published on the DHB intranet.∑ Six eNova (weekly electronic newsletters) were published.

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∑ An Emerging Infectious Diseases section was added to the staff intranet for communicating staff briefings on Ebola.

∑ Get Ready Week – staff participated in an emergency preparedness survey finding that 40 per cent said yes, they had a household plan and 60% said they didn’t, but were looking to put something together with the information they had received. Thee staff members received prizes to assist with their emergency planning.

∑ Our ‘Your Rights’ patient brochures received a design refresh with translations in 10 languages. This has been communicated internally for ordering purposes, as well as externally through our website and via social media channels.

PeopleFourteen people were nominated as ‘Local Heroes’ during September. A local hero award was presented to:

Sally Taamo, Nutrition Services: “Sally is our tea lady. She brightens up everyone’s day and the patients love to see her. After the first time she makes a drink for someone, she knows exactly how to make their hot drinks without asking. She takes note of patient’s diet or whether they are ‘nil by mouth’. She will even return to the kitchen if a patient hasn’t received the right meal. She is always very friendly with staff, patients and visitors.”

3. Strategy, Participation and Improvement

We have now received the initial analysis of our workshops to develop shared valued from At Our Best Week. There was a huge amount of material and the task of doing it justice has been daunting. The team have done a great job and we are well on track to agreeing a set of values for Auckland DHB. A paper with more detail is included in the agenda.

With the values analysis winding down we are able to return our focus to the broader strategy development. A final draft will be presented to the next Board meeting.

It was very pleasing to see our good results in the first national inpatient experience survey. As reported to the Hospital Advisory Committee, Auckland DHB was above the national average for all four domains asked about in the survey (Communication, Participation, Coordination, and Needs).

Next meeting we will report back on our trial of the Happy or Not devices. These have been well received so far where they have been trialled with some very interesting results.

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4. Performance of the Wider Health System

4.1 National Health Targets Performance Summary

Status Comment

Acute patient flow (ED 6 hr) Sep 93%, Target 95%

Improved access to elective surgery 93% to plan for the year

Shorter waits for radiation therapy & chemotherapy

Sep 100%, Target 100%, Year to Date 100%

Better help for smokers to quit Sep 96%, Target 95%

Cardiac bypass surgery Sept 96 patients, Target < 104

More heart & diabetes checks Sep Qtr 90%, Target 90%

Increased immunisation 8 months Sep Qtr 95%, Target 95%

Key: Proceeding to plan Issues being addressed

Target unlikely to be met

More Heart and Diabetes Checks Health Target Q1 2014/15

Target: 90 per cent of the eligible adult population will have had their cardiovascular disease (CVD) risk assessed in the last five years by July 2015.

The ‘More Heart and Diabetes Checks’ results are monitored against the Primary Health Organisation (PHO) Integrated Performance Incentive Framework (IPIF)and are reported in the MoH DHB performance tables.

In Q1 of 2014-15, 90% of the population was CVD risk assessed. The result was based on the weekly reports provided by the PHOs. The Maori CVD risk assessment rate increased slightly from 86.3% in Q4 of 2013-14 to 87.0% for Q1 of 2014-15, while the Pacific population’s CVD risk assessment rate remained constant at 90%. Specific strategies to address Maori coverage data are under development and a focus for the PHOs.

Auckland DHB is working closely with all the PHOs to ensure that their general practices continue to carry out the five year CVD risk assessments in a timely manner and to make certain that the national health targets are achieved at all times.

Better Help for Smokers to Quit – Primary Care Health Target Q1 2014/15

Target: 90 per cent of enrolled patients who smoke and are seen by a health practitioner in primary care are offered with advice and help to quit by July 2015.

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The ‘Better Help for Smokers to Quit’ results are monitored against the PHO Integrated Performance Incentive Framework (IPIF) and are reported in the MoH DHB performance tables. The preliminary result for quarter one is not yet available. The estimated result up to the end of August is 96%. The PHOs are doing well building sustainability into their systems and maintaining their performance.

A new focus is being put on the offer of help to quit, so that more people make supported quit attempts. An electronic referral process through Care Connect from General Practices to the DHB’s smokefree triage service and referral service was implemented in early October.

4.2 Clinical Governance Commentary

Dr Jared Noel, MSc, MBChBJared lost his six year battle with bowel cancer this week. The diagnosis and its prognosis was evident from the time Jared started as a house-officer but that did not stop him demonstrating his remarkable capability as a humane and competent doctor, exemplifying the very best values this organisation strives for. Jared confronted his disease with courage and honesty and he became the face of bowel cancer in New Zealand. We acknowledge his contribution and his legacy.

Power outageThe recent Auckland power (and associated telecommunication) outage provided an exacting task for our Incident Management Team (IMT) as the key affected stakeholders were vulnerable people and health providers in the ADHB catchment area. Whilst Greenlane Clinical Centre was affected, the generators kicked in seamlessly and power was restored within 12 hours. The IMT comprising CMO, Chief Nursing Officer, Manager Emergency Management Service, Daily Ops Manager, duty managers, CNAs, AED/CED SMOs and senior nurses, Renal and Gen Med SMOs, Communications met frequently throughout the 48 hours of the outage with a mission to ensure the safety of patients in the community. Support for patients requiring home dialysis, oxygen or ventilation was provided by managers and senior nurses who volunteered their time to help. Several Aged Residential Care facilities were visited to ensure the safety of their clients. Private laboratories, A&Ms and PHOs were quick to provide support for their respective client bases. Whilst the debrief is yet to be held it became clear that ADHB has an opportunity to work more closely with all the community providers around incident management, ensuring seamless communication, cascade of support and joined up services to enable the safety of clients/patients in the community setting.

Certification Audit Corrective ActionsThe Certification audit report was finalised and received by ADHB in July 2014 with associated corrective actions. Overall there are a total of 28 Corrective actions, which consist of 13 Moderate Risk- and 15 Low Risk corrective actions. ADHB is required to provide feedback on the moderate risks by 29 October 2014. To ensure there is feedback from every directorate as well as organisational risks the quality department generated a database to individualise corrective actions by directorate and organisation. Once all feedback is received a report will be generated for approval by the executive team prior to distribution to DAA.

Baby Friendly Hospital AccreditationWe have recently had our Baby Friendly Hospital accreditation renewed for the third consecutive time. We are accredited through until 2018. This is a great achievement by the Womens Health

4.3 Financial Performance

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For September 2014, we recorded a year-to-date net deficit of $(0.7) m which is on budget. Year-to-date income and expenditure is on budget. However, there are favorable line variance in clinical supply and funder provider payment lines offset by unfavorable variances in outsourced personnel and infrastructure cost lines. Our savings programme is on track to achieve an overall target of $49.5m with YTD savings to August of $7.3m versus a budget of $7.5m, supporting our year-end breakeven target.

4.4 Primary Care and Community Services

The Alliance Agreement was formally signed by all parties on 10th September. There has been good coverage of this in New Zealand Doctor. The Alliance Leadership Team (ALT) has commenced monthly meetings since 14th August 2014. An Alliance work programme has been developed that identified Diabetes as a priority area. A working group with representation from the ALT has been established to develop an intervention logic model for diabetes to be presented at the October ALT meeting for approval. At the September meeting the ALT has endorsed ongoing support for and oversight of the Tamaki Locality Project and asked that the project team initiate engagement with Ngati Whatua o Orakei in the near future. The ALT has identified the Maori Workforce development plan as another priority area. An update on this will be to the ALT later in the year. The ALT is also working on a formal communication process to keep wider stakeholders informed of the Alliance activities.

LocalitiesThe Tamaki locality workplan has identified three workstreams:

∑ Stream 1 - Enabling better service provision by primary care providers∑ Stream 2 - Enabling primary care providers to link with community, other health services,

and other sector services∑ Stream 3 - Enabling the community to come together, support each other, link with

appropriate care & with other sectorsThese groups are tasked with scoping and shaping project proposals for each of these streams by December 2014. This work is in progress and is tracking well. It is well supported by:

∑ the leadership of Auckland DHB mental health services ∑ leaders in the wider mental health sector ∑ consumer leadership.

EvaluationA developmental evaluation and a PDSA implementation structure has been set up to support the project delivery and to ensure that all learnings are tracked and are made replicable.

Consumer storiesWe are working with AUT to support a creative technologies student of theirs from Tamaki to document the project and to start to capture consumer and family stories of service experience.

4.5 Māori HealthSmoking and pregnant mothersSmoking prevalence for Māori pregnant mothers at time of booking to birth is significantly higher than other ethnicities in both Waitemata and Auckland DHBs. The Māori Health Gain Team is in the process of identifying strategies and activities to support Māori pregnant mothers to become and stay smoke-free.

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Maternal HealthThe Māori Health Gain team are supporting a new joint project between Waitemata and Auckland DHB Maternity Services. The project will look to increase registration rates of Māori pregnant mothers with Lead Maternity Carers.

Kaumatua healthImproving the health and wellbeing of kaumatua is a local priority in the 2014/15 Māori Health Plan. A key component of the Māori Health Plan is the development of an action plan that focusses on the key issues affecting Kaumatua health e.g. access to Home Based Support Services (HBSS), Dementia Care, Palliative Care, Aged Residential Care, Respite Care and 65+ Influenza vaccination. We are in the process of conducting focus groups with kaumatua to inform the development process. A literature review, data analysis, service stocktake and review of national, regional and local strategies has already been conducted.

4.6 Pacific health report - Tautai Fakataha Pacific Navigation team

Confirmation Ceremony: for the GM Pacific Health on 15 September 2014. It was a milestone event in the journey of DHB Pacific Health, and a privilege to have had both CEs present to acknowledge in the Ava ceremony.

Inaugural WDHB Pacific week: We have completed the Inaugural WDHB Pacific week beginning 6th

October where the theme is “Launch Pasefika” profiling and celebrating Pacific peoples and the respective community services and achievements of our Pacific staff in WDHB. We launched the Pacific Best Practice modules, the Pacific allied health/nursing/clinical leadership networks, and we anticipated high level of staff engagement from the Pacific staff and an improved literacy of the services available in the community for patients and staff. We had high foot traffic in both hospital sites for the community stalls. We launched the Pacific Health Science Academies also with the performances from the respective schools. A report will follow.

Numbers of staff in attendance

PBP 7Launch 50Mens 20Mason 100HAS 115Womens 25staff network 35breakfast 15allied 40nurse 25in your shoes 20

452

Faster Cancer Treatment Maori and Pacific Patient Navigation Pilot - Steering Group: Working towards having the appropriate workforce to be recruited to this project. We have consulted over the models of care, the scope of the evaluation process and the job description for these important roles in improving the experience of Maori and Pacific people’s cancer journey.

23


DNA Rates: We have been working close with cancer and blood in following up on the Pacific families and patients and recently with the long term conditions division.

Hospital Pacific Team: Tautai Fakataha team made 674 Patient contacts in the month of September with a predominance of referrals for Paediatrics and cultural assessments. We are working with THEIA group to track the effort with more ease.

Wellness strategy: The Pacific men’s wellness group have completed their 8th week weight loss challenge in conjunction with the Healthy Village Action Zone aiga challenge. 44 Pacific male staff across the two DHBs are involved with this challenge, and have been equipped with information at a weekly basis to assist their progress. The men’s wellness group in WDHB was also launched in the WDHB Pacific week.

Pacific Best Practice Projects Manager report:1) Delivered presentations to clinical and community practitioners.2) Met with the Regional Pacific Projects Team Greenlane Clinical Centre at Samaria Room and

agreed on increasing the diversity of the group given the inclusion of the Pacific Health Science Academies Project and the Regional Pacific Tertiary Mentoring Programme. We were also shown a presentation from the media company Zoomslide. The opportunity to meet with a company who could assist us with development of training resources was exciting and innovative.

3) WDHB Inaugural Pacific Week Steering Group meetings provided the opportunity to profile Pacific Health Science Academies, and the Pacific Best Practice Programme.

4) Expectation to have 200 staff per DHB year to go through the Pacific Best Practice programme.

Pacific Health Science Academy & Mentoring Programme:1) ADHB Rangatahi Programme – regular monthly meetings have begun with ADHB ADON,

Lorraine Hetaraka-Stevens and Programme manager, Hillary Davis who are keen to accommodate HSA students particularly from Onehunga High School. The Rangatahi Programme – in addition to providing workshops and workplace experience for Y12, 13 students, provides opportunity for Cadetships which would follow students into their University life providing paid holiday employment and the potential for employment post-qualification.

2) Inaugural Academy Directors Meeting was held on 18th September at Ko Awatea was attended by ADs from Onehunga, Waitakere, Mangere, as well as James Cook, Tangaroa, and Otahuhu Colleges. Some ADs attended with their Deputy Principals. The purpose was to build relationships and to begin to build a sense of identity and shared purpose. All were keen to share ideas, information and experiences. One idea was to look at a ‘drop box’ for sharing conversations. Future meetings to be held quarterly.

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Auckland District Health Board29 October 2014Page 1

Eastern Bays Hospice Update

Recommendation:


Prepared by: Stephanie Muncaster, Programme Manager Planning Funding and Outcomes Unit; and Tim Wood, Development and Funding Manager Primary CareEndorsed by: Dr Debbie Holdsworth, Director Funding

Glossary

DHB – District Health BoardPFO – Planning Funding & Outcomes Unit

1. Introduction

Palliative care services were discussed at the Community and Public Health Advisory Committee on 30 April 2014. As Eastern Bays Hospice is not funded by the DHB, the item did not include any information on this hospice. As a result the following action arose from that meeting; “Palliative Care – information relating to Eastern Bays Hospice to be obtained and reported to Auckland DHB”.

This paper provides information on the services offered by Eastern Bays Hospice, a charity that provides services for any metro Auckland person able to access their service.

2. Background Eastern Bays Hospice

The Planning Funding and Outcomes Unit (PFO) Programme Manager, Palliative Care met with staff from Eastern Bays Hospice and clarified the service they provide. The services they provide are classified as generalist palliative care. These are highlighted below.

Access to serviceAny person living with a serious, life threatening illness can access the hospice services. The programme of care is managed by the hospice team.

Services providedThe hospice team includes a number of experienced health care professionals and volunteers.

The team provides a number of therapies including but not limited to ∑ Body therapies e.g.

o Aromatherapyo Reflexologyo Breathing well o Reikio Acupunctureo Traditional Chinese Therapy

∑ Skin care and nail care

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25


∑ Lymphedema therapy∑ Counselling and emotional support services e.g.

o Medical counsellingo Counselling o Grief and bereavement.

Services are focused on helping clients to actively participate in their health care. This includes helping the person with a life limiting illness and their family, whanau: ∑ have a better rapport with their disease ∑ understand their choices in relation to medical care and allied care services∑ being at peace with their illness∑ access beauty treatments that help alleviate some of the discomfort caused by treatments

and the progression of their disease.

Medical counselling focuses on helping the person and family interpret and understand results, treatment options and disease progression. The services are provided by a General Practitioner with a special interest in palliative care.

Eastern Bays Hospice provides three inpatient beds at St Andrews Retirement Village. The beds are staffed by one care assistant per shift. The beds are available to people needing respite and end of life care. The medical needs of these patients are overseen by the General Practitioner with a special interest in palliative care. The hospice funds the beds through their charity. If the patient has access to Aged Residential Care funding, this may be used by St Andrews and the hospice to provide inpatient care in the hospice beds.

Patients using Eastern Bays Hospice also have access to DHB funded specialist palliative care through Mercy Hospice and the Auckland City Hospital. Eastern Bays Hospice has a close workingrelationship with Mercy Hospice and an on-going relationship with other hospices in metro Auckland.

Alignment with other palliatives care servicesThe services provided by Eastern Bays Hospice are similar to the general services of hospices in the metro Auckland area. All hospices rely on their charity status and programme of fundraising to provide non-specialist care to people with life limiting illnesses. They all provide an extensive array of therapies and counselling that not only support the patient but the wider community. The General Practitioner at Eastern Bays Hospice noted this as the “humanity work” of palliative care.

DHB funding is targeted towards specialist palliative care services as defined by the Tier 2 service specifications for Specialist Palliative Care Service under the Nationwide Service Framework Library.

3. Risks/Issues

Eastern Bays Hospice currently provides three inpatient beds for general palliative care respite and end of life care. The beds are funded by the hospice and where relevant patient specific Aged Residential care funding

The fixed cost of having the beds is a matter that the Eastern Bays Hospice Board monitors as this is a significant expenditure for them. Cost pressures and a reduction in fundraising could put the inpatients beds at risk in the future.

26


4. Conclusion

Eastern Bay Hospice provides a range of non-specialist services to people with palliative care needs. People access these services as they need them. Care is planned in relation to individual need. The hospice has a good working relationship with the specialist palliative care service to ensure people get the care they need at the time that it is needed.

Eastern Bays Hospice fund their service through charity shops and fundraising. This is consistent with how the other hospices in metro Auckland fund non-specialist services. DHB funding is targeted to specialist hospice service as defined with the national service specifications.

Subsequent to this action, CPHAC has requested a broader review of hospice funding with a focus on their sustainability. This will be brought to both ADHB and Waitemata Boards in due course.

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27

OPEN


Values for Auckland DHB: Progress Update

Recommendation

That the Board:

Note the Values Project is progressing with options for a set of values being drafted

Prepared by: Julie Helean, Assistant Director Strategy

1. Executive Summary

The Values Project is well underway with work on track to produce a set of organisational values by December 2014. The main data gathering exercise was successfully completed in July with workshops being run during the At Our Best Week. These workshops were facilitated by Tim Keogh of April Strategy along with Lorraine Hetaraka-Stevens, Samantha Bennett, and Bruce Levi. These intensive workshops engaged patients, staff and providers in exploring values for this organisation. The results have now been analysed. Some options for a set of values are currently being explored,and these will be tested with staff in November. Once determined, the values can be rolled out across the organisation as a guide to staff behaviour. The roll-out will require a dedicated organisational development plan to gradually and systematically embed values across our work practices.

2. At Our Best Week results

During the At Our Best Week we had over 2500 points of engagement to help work up values. The bulk of this input was through surveys, while we also ran eighteen intensive workshops for staff, providers and for patients. There were two sessions run for Asian patients, one for Māori and one for Pacific. Other sessions were open to all. In total we engaged nearly 300 staff in ‘In our shoes’ sessions. The following slides are drawn from these staff sessions.

The At Our Best Week engagement generated over 400 pages of free-text responses describing the positive and negative experiences associated with Auckland DHB. Much of this has been collated into word pictures by Tim Keogh, some of which are attached as examples of the staff findings. In the graphics, the size of the word (or the box) represents how many times it was mentioned. This type of analysis has proved a powerful way to present results. This analysis has been used to draw some possible values options together.

We are now working up a number of possible values statements to test. During October these will be reduced to three options which can then be tested with staff. We need to do more work on these and to make sure that this process involves the participation of our Māori team and Treaty partners. Our Pacific and Asian Health Gain Managers have also been active throughout this project, and through their engagement we will make sure that the final values work well across our diverse population.

By December we plan to have a few memorable values that signify what Auckland DHB is about, and the kind of behaviour we want to see modelled across our services, and in our interactions with

8.2

28

OPEN


patients and each other. From this starting point we can draft an organisational development plan that begins to make changes to our work practice, while attending to some of the problems areas identified in the workshops.

3. Findings for At Our Best Week: Staff

2588 points of engagement through Values Week.280 Staff – ‘In our Shoes’ sessions75 Patients – ‘In your Shoes’ sessions571 Patient surveys1615 Staff surveys9 Graffiti boards in staff areas38 Providers

What a good day for staff looks like

Laughter,fun and smiles. Having lunch together.It lightens the mood and I connect with colleagues.

Collaboration.We discuss

ideas andopinions.

Fully staffed.Helps us to

meet serviceexpectations.

Helping colleagues.Offering reassurance and support.

Speak upand do theright thing.

New IT system.

Feel part of my team.We are like a family. We agree

to achieve common goals. We are in sync and effective.

Achieved what I set out to do.

I feel fulfilled, competentand satisfied when I havetime to complete my tasks.

Busy, productive and we

make progress.

In controlof my

workload. I’m ready tocontribute toour services.

Not beingdistracted.

I can focus on deliveringa high quality

outcome.

Th

ed

ay

ran

sm

oo

thly

.

Solved acomplex problem.

Seeing patients progress.Good patient outcomes.

Educationalprogrammes.

Empoweringothers through

shared learning.

Making adifferenceto someone’sjourney. It all

feels worthwhile.

Positivefeedbackfrom patients and families.Meet their needs.

Client centered

care. Time to interact,listen and hear.

A compliment from management.Appreciation and thanks

for work I have done.This can make my week.

My teamthanked mefor doing agood job.

I had a purpose.

Recognised and

thanksfor using my skills.

I feel valued andencouraged.

Thanked by a carerfor how I’dtreated her mother. I felt warm and fuzzy.

Positivefeedbackfrom staff

after I had gonethe extra mile.

29

OPEN


What a bad day looks like for staff

Team moaning.Working against

each other.

Not enough staff to care for patients.

Rude, arrogant emails.Leave you feeling sad,

disappointed and angry.

Aggressivestaff makeme either frustrated

or defensive.

Bullied for speaking up, so I

feel unheard.Paper thrown

in my face.

Shouted atby a colleague. I felt humiliatedand frightened.

A family memberyelling at me.

Being wrongly accused withno apology.

Leave refused.

Staff aredismissed.

Meetings with a

hidden agenda.

Belittled,undermined. I feel deflated

when staffchallenge me.

Pulling rank.Others telling mehow to do my job.

Over-worked.Bombarded with

lots of little things.Pressure, feeling overwhelmed.

Put your heart and soul into

work and it feel

like no-oneappreciates it.

Pre

pa

rin

gw

ork

that

the

ng

ets

reje

cte

d.

Caught in the

middle. Others do thewrong thing.

Not enough timeto do somethingwell. Frustrating.

Mistakes.Feeling terrible and

embarrassed.

Nothing goesto plan. Youfeel helpless.

Dropped in it.Expected to manage work

which is outside my skill set.

Unrealistic demands

at short notice.

Not supported.Unclear,

conflictinginformation

Poor communication.

IT systems crash.Technology failure.

Stressed.Walking on shells.

Client deaths.Feels like the walls

are closing in on me.

Complaints.

Lack of empowerment. Treated like a child

who can’t do their job.

Aq

ueu

efo

r

fun

din

g.

Not listened to.Speaking up butother staff ignore

ideas and opinions.

8.2

30

OPEN


What staff want from leaders

More of this Less of this

31

OPEN


What staff want from managers

More of this Less of this

8.2

32

OPEN


4. Findings for At Our Best Week: Priorities for Improvement

Improvement ideas: patients Improvement ideas: staff

0

102030

4050

607080

90100

Less

Wai

ting

Hel

p m

e pa

rk m

y ca

r

Com

mun

icat

ion

bett

er w

ith…

Tell

me

wha

t is

happ

enin

g…

Focu

s on

bet

ter f

ood

List

en, U

nder

stan

d, B

e O

pen

Valu

es/B

ehav

iors

rela

ted…

Be e

ffic

ient

Mak

e m

e m

ore

com

fort

able

Giv

e m

e ac

cess

to in

terp

reto

rs

Adeq

uate

sta

ff a

nd re

sour

ces

Mor

e st

aff l

ike

me

Impr

oved

Inte

riror

…

Bett

er p

atie

nt in

form

atio

n

Clea

nlin

ess (

bath

room

s)

Hig

h Te

ch E

quip

men

t

Few

er sh

cedu

ling

chan

ges

Emai

l/on

-line

…

Sim

plify

mak

ing

appt

s

Phon

e an

swer

ing

and…

Mor

e tim

e to

car

e fo

r pat

ient

s

Sim

plify

my

jour

ney

Chart ranked by patients top 20 Improvement Ideas

33

Auckland District Health Board Page 1 of 5Meeting of the Board 29 October 2014

Resolution to exclude the public from a meeting

Recommendation:That in accordance with the provisions of Clauses 32 and 33, Schedule 3, of the New Zealand Public Health and Disability Act 2000 (“Act”):

The public now be excluded from the meeting for consideration of the following items, for the reasons and grounds set out below:

General subject of each item to be considered:

Reasons for passing this resolution in relation to each item:

Ground(s) under Clause 32 for the passing of this resolution

1Confirmation of the Public Excluded Minutes of the Board Committee Meeting 17 September 2014

Confirmation of MinutesAs per resolution(s) from the open section of the minutes of the above meeting, in terms of the NZPH&D Act 2000.


2Communicable Diseases



3.1Health and Safety Governance



4.1Financial Report



4.2Upgrade of Isolation Facilities


That the public conduct of the whole or the relevant part of the meeting would be likely to result in the disclosure of information for which good reason for withholding would exist under any of sections 6, 7, or 9 (except section 9(2)(g)(i)) of the

10

34



Official Information Act 1982 [NZPH&D Act 2000]

4.3Proposal to Purchase Commercial Property



4.4Draft Memorandum of Understanding between DHBs and HBL



5.1Proposed Appointment to the Auckland and Waitemata DHBs’ Community and Public Health Advisory Committee



6.1Regional Radiology Picture Archive System (PACS) Upgrade



6.2Replacement Heart Lung Machines for Cardiac Perfusion



6.3National Air Ambulance Service


That the public conduct of the whole or the relevant part of the meeting would be likely to result in the disclosure of information for which good reason for withholding would exist under any of sections 6, 7, or 9 (except section 9(2)(g)(i)) of the

35


Official Information Act 1982 [NZPH&D Act 2000]

6.4Security Services Contract

NegotiationsTo enable the Board to carry on, without prejudice or disadvantage,negotiations (including commercial and industrial negotiations)[Official Information Act 1982 S.9 (2) (j)]


6.5Tender for New Lab Plus Shell Roof



6.6Auckland City Hospital Car Park A Rooftop Extension Business Case



6.7Legal Proceedings

Privacy of PersonsTo protect the privacy of natural persons, including that of deceased natural persons[Official Information Act 1982 S9 (2) (a)]



6.8Air and Travel Management Services



6.9Update on the 2013/2014 Audited Annual Report



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7.1Human Resources Report



8.1Post-collaborative Review



8.2ADHB-WDHB Collaboration Governance Group Meeting 4 June 2014



8.3ADHB-WDHB Collaboration Governance Group Meeting September 2014



9.1Paediatric Liver Transplant External Review




9.2Community Laboratory Services Transition Update


That the public conduct of the whole or the relevant part of the meeting would be likely to result in the disclosure of information for which good reason for withholding would exist under any of sections 6, 7, or 9 (except section 9(2)(g)(i)) of the Official Information Act 1982

37


[NZPH&D Act 2000]

9.3Regional Wicked Project (formerly Northern Region PAS Project) Status Update



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