Minutes - Counties Manukau District Health Board

PHAC – 15 March 2012 Page 1 of 4
Pacific Health Advisory Committee
Minutes
Of the meeting held on Thursday, 15 March 2012, from 1pm to 4pm in the Manukau Boardroom,
CMDHB Board Office, Building 2, 19 Lambie Drive, Manukau City.
Attendees Anae Arthur Anae (Chair), Nuku Rapana (arrived late), Dr Andrew Chan Mow,
Bernadette Pereira, Sefita Hao’uli, Louisa Lavakula, David Collings (arrived late),
Rev. Uea Tuleia, Malia Hamani
CMDHB Manu Sione, Silao Vaisola‐Sefo, Vicky Tafau
Apologies Prof Gregor Coster, Frank Solomon, Sandra Alofivae, Gerhard Sundborn, Josaia Maka,
Roine Lealaiauloto
Absent David Collings, Nuku Rapana
Topics Discussion Action Items
Welcome &
Apologies
Minutes of the
Previous
Meeting
Procedural
Matters
Action
Items/Matters
Arising
General
Manager’s
Monthly
Report
Manu Sione
The Chair welcomed all present members and the meeting was opened
with a prayer from Rev. Uea Tuleia at 1.20pm.
Note: there was no quorum for this meeting.
Apologies were noted and accepted from Prof Gregor Coster, Frank
Solomon, Sandra Alofivae, Gerhard Sundborn, Josaia Maka, Roine
Lealaiauloto,
Anae requested that from the next meeting can the start time change to
12pm. The attendees around the table were in agreement.
The previous minutes of 15 February 2012 were approved as soon as a
quorum was reached.
Moved: Bernadette Pereira
Seconded: Louisa Lavakula
Passed: Unanimously
• PHAC Disclosure of Interests: Taken as read.
• PHAC Disclosure of Special Interests: No interests relating to specific
meeting agenda items were disclosed.
• PHAC Contact Details: reminder to provide Vicky with any change of
contact details.
• The Meeting Attendance schedule was noted.
•
• This report was taken as read.
• Manu advised that the Cultural Competency training has moved to Ko
Awatea. This change in venue and a reduction in the length of the
program allows for senior clinicians to attend.

PHAC – 15 March 2012 Page 2 of 4
Topics Discussion Action Items
POAC Update
Deanna
Williams (POAC
Service
Manager)
• A discussion started around two issues. Clinicians not understanding
the cultures of the patients, and their families, that they are looking
after. Also around the lack of numbers of clinicians during the night.
Manu provided PHAC members with some details of how the system
works – clinicians on call that are called back into the hospital, etc.
There was still a feeling that there is room for improvement in this
area.
• Manu advised that it was most important that families complete the
feedback form in order for issues to be progressed through the right
channels whereby their feedback is noted and acted upon.
• Manu talked to the Green Paper Submission produced by the Child
Youth & Maternity team with input from the Maaori & Pacific GMs.
• Sefita was concerned around the lack of Pacific specific input into
much of the documentation circulating the health sector. Sefita
would like to see compulsory Pacific specific input at the formulation
stage of these documents.
• A round table discussion ensued around how Pacific can be invited to
the conceptual stages of these documents and what that might look
like. A group of Pacific experts that must be invited to planning
meetings? The question was asked as to where does MPIA sit?
Should they not be sitting at the table as policy advisors?
• Manu advised that over the next few weeks he will make some
investigations into what is the process from here in regard to the
Green Paper. Where do MPIA and MoH Pacific sit?
• Bernadette would like to see practitioners that are currently out
there working amongst Pacific people sitting at the table.
• The Green Paper submission will go on to be part of the White Paper
which will dictate policy for the next 5 years.
• Manu talked to Pacific Youth Suicide moving into Phase 2. Suicide
prevention material has been developed and disseminated to the
community at large via our LotuMoui champions. Not just to
LotuMoui communities, but Pacific communities in general.
• The Mental Health First Aid program is going to be delivered to
certain people in the Pacific community. Manu has written a report
to the CEO and CMO around this training.
• Rheumatic fever – Anae wants to see any material that is printed in
languages disseminated to the Pacific Islands.
• Dr Chan Mow advised that the distribution of the Rheumatic fever
funds has seen CMDHB only secure a third despite the fact that the
highest numbers of cases are present in the CM region.
David Collings and Nuku Rapana arrived at 2pm.
• Snug Homes & Warm Up – discussion was had around whether or not
an approach can be made to have the criteria removed to negate the
need for families to fill out forms, which is usually a deterrent to
Pacific families.
• POAC is working on bettering the service whereby people presenting
at ED can be discharged to their Primary Care giver and bypass
admission.
• In terms of Cellulitis, whilst information is disseminated to the patient
for their immediate care, POAC are looking to also disseminate more

PHAC – 15 March 2012 Page 3 of 4
Topics Discussion Action Items
20,000 Better
Care Days
Update
Manu Sione
Localities
Planning
Discussion
Master
Planning
Discussion
Alliance
Health+
Update
generalised information around hygiene in the home.
• ROI for POAC is favourable.
Anae left the meeting at 2.50pm.
• Sefita was interested in what the actual issues are (eg; cellulitis) in
order for the Pacific community to address them.
• DNAs are also an issue for POAC. Where possible Nurses are being
sent to the home to provide treatment.
• Sefita asked Deanna if it would be possible to see a profile of CMDHB
practises and their POAC utilisation.
• 28 Feb meeting attended by Manu, Sefita and other Pacific
community persons.
• The 10 initiatives were being looked at in order to be prioritised.
Manu is meeting Diana, along with members of the Pacific Health
team to find out the order of prioritisation. Manu is looking to
understand how the Campaign will connect with Pacific communities
around these initiatives. 5 will be looked at in the first instance, with
the 2 nd five being looked at down the track in 6 months time.
• Sefita reported that he felt that there was some necessary work being
done with the Campaign, and he had gleaned a deeper understanding
of the process in getting to the point whereby information can be
disseminated to the Community. There is still much work to be
carried out before getting to that point.
• Sefita asked Manu to go back to Diana to pass on our thanks for her
engagement with PHAC and to assure her that this committee will
continue to sit at the table and advise and advocate for the Pacific
community where necessary.
• Otara Locality – 4 main initiatives. Chronic Diseases, Infectious
Diseases, Maternal Health, Mental Health.
Malia left the meeting at 3.35pm.
• David felt that it would be beneficial for PHAC to receive the
Achieving a Balance presentation that was made to the Board. Manu
to request this to be presented at the next PHAC meeting.
• Nuku is very keen to see PHAC pursue Snug Homes and Warm Up
from this forum.
• Marianne is now looking at a Strategic Direction and is looking for
Pacific & Maaori input.
• Manu will liaise with Marianne as to a suitable time for her to come
back to this forum.
• Sefita queried whether there has been an action to follow up a
request to have a Pacific presence at the Master Planning group. It
was obvious at their last presentation there was none. Dr Debbie
Ryan was put up as a possible candidate to shoulder tap.
David Collings left the meeting at 3.45pm.
• Currently reforming their Board.
• Advertisement will be released for a permanent CEO to replace Alan
Wilson (acting CEO).
• Completed a clinical framework which came into place on 1 January
2012.
• Andrew
declared his conflict and advised that not all providers in the
Manu
Manu
Manu

PHAC – 15 March 2012 Page 4 of 4
Topics Discussion Action Items
PHO have agreed to the clinical framework. There are concerns
around the way the framework was undertaken and also in regard
to
the workstreams within that framework.
• Sefita asked Manu to determine if AH+ will
present to the May 2012
meeting.
• Andrew noted
his conflict (GP with SSHC) and advised the forum that
he had a concern around Kate Moodabee being employed by a PHO
(ETHC) and seconded by CMDHB as a Locality Manager. Manu
advised that this concern has already been raised and has been taken
on board by Martin.
Conclusion Meeting closed at 4.00pm.
Closing prayer was given by Rev. Uea Tuleia.
Manu
Signed
as a true and correct record on Thursday, 21 June 2012.
Chair: Anae Arthur Anae
Resolution:
The minutes of the meeting of the Pacific Health Advisory Committee of Counties Manukau District
Health Board of 15 March, 2012 were approved.
Moved: Bernadette Pereira
Seconded: Nuku Rapana
Passed: Unanimously