MINUTES - Ministry Of Health

MINUTESSouth Western Sydney Local Health District BoardDate: Monday 25 February 2019Time: 3:30pmVenue: Board Room, District Office1. Present and ApologiesMembersPres.Apol.MembersPres.Mr Sam Haddad (Chair) Dr Matthew Gray Dr David Abi-Hanna Prof Neil Merrett Mrs Nina Berry Ms Kerrie Murphy Mr Max Bosotti Mr Gary Reidy Ms Christine Carriage Mr John RoachProf Hugh Dickson Dr Shameran Slewa-Younan Mr John Gordon Dr Anthony Frankel, Medical StaffExecutive Council RepresentativeMs Nel Buttenshaw, ManagerExecutive & Board SecretariatMs Sonia Marshall, Director Nursing& Midwifery and Performance Apol. Other AttendeesMs Amanda Larkin, Chief Executive Mr Ross Sinclair, Director of Finance Ms Suzie Snook, A/g Director,Clinical GovernanceMs Rebecca Leon, A/g DirectorWorkforce & Development Agenda he Chair invited introductions. Mr Reidy agreed to undertakethe meeting evaluation.2. Acknowledgment ofCountry The Chair commenced the meeting by acknowledging thetraditional owners of the land and paid respect to elders pastand present.3. Declaration ofInterests The Chair invited declarations of interest. 4. Confirmation of theprevious minutes andaction list Welcome Nil were received. MOTION: A motion was moved by Dr Abi-Hanna and secondedby Prof Merrett that the Minutes of the Board meeting held on17 December 2018 be accepted as a true and accurate record. The Motion was carried.Minutes - South Western Sydney Local Health District Board Meeting25 February 2019Page 1 of 11Chairperson: Sam Haddad

5. Patient Story Ms Snook presented positive feedback in relation to the careand treatment received by a 40yo male patient in SurgicalWard B, Campbelltown Hospital following bariatric surgery(undertaken at Concord Hospital). Obesity rates in the south west are recognised through the LHD(and PHNs) strategic priorities. An outpatient clinic (forbariatric patients) is established at Camden Hospital;consideration of a related surgical model needs to occur duringthe prioritisation process. The Chief Executive undertook to follow up related (to thestory) media opportunities. Board Committee Membership – ReviewChiefExecutive6. Business Arising6.1AnnualGovernanceCheckThe Board ENDORSED the proposed Board committeemembership (including chair arrangements) for 2019 describedin the Referral Note, circulated with the Agenda, notingadditional requirements:[Climate Survey] An additional member is required for the Research &Teaching CommitteeProf Dickson to attend the Consumer & Community Council(rather than the Audit & Risk Management Committee)An additional Board member is required for the Audit &Risk Management CommitteeThe Chair undertook to share his views on the NominationsCommittee at the next Board meeting.Chairman Actions: Convey the decision to Committee executive sponsors andsecretariats and publish the list on Diligent. Circulate the prequalification criteria for the Audit & RiskManagement Committee.Ms Carriage joined the meeting at 3.55pm SecretariatBoard Charter Review The Board APPROVED the draft Board Charter, updated toreflect: Legislative changes (January, 2017)Specific issues, raised through the 2018 ClimateSurvey, regarding clinicians acting as representativesMinutes - South Western Sydney Local Health District Board Meeting25 February 2019Page 2 of 11Chairperson: Sam Haddad

Clarify (by way of source) – (ii) to ensure the districtmanages it budget to ensure performance targets aremet Delete the first dot point under ‘Duty to act honestlyand properly for the benefit of the organisation’ – thesuggested addition in this section – at the last dot point– supersedes and is worded betterSecretariatActions: Publish the Charter on Diligent and the Intranet.Code of Conduct Subject to the following amendments:The Board NOTED that all members have signed the Codeof Conduct.AICD Company Director Courses The Board CONSIDERED the information providedregarding Board member training (Foundations ofDirectorship, Australian Institute of Company Directors). 6.2DirectionsPaper – Statewide ServicesAction: Contact the Secretariat regarding registration.BoardMembers& SecretariatThe NSW MoH have advised that the NOUS Group will beconducting LHD Board Induction training – information willbe circulated when available. (Arising from Board Strategy Session – 30.08.18) The Board DISCUSSED the paper, The Future of SWSLHD Statewide Services, as circulated with the Agenda. Ms Larkin reported that in 2019 SWSLHD will develop acomprehensive renal transplantation development plan(including model of care). The development of such servicestakes significant time, engagement and consultation. The proposed approach for the development of State-wideservices for SWSLHD set out in the paper will guide futurediscussions and decision making. Prof Dickson reflected that Liverpool Hospital was identified asthe next site for renal transplantation by the former GreaterMetropolitan Taskforce.Minutes - South Western Sydney Local Health District Board Meeting25 February 2019Page 3 of 11Chairperson: Sam Haddad

6.3Update SPHERE Action: Within Stage 2 – “ returning patient flow should read‘from’ rather than ‘to’ RPAH and Westmead ” (Arising from Board meeting – 17.12.18; Item 9.3) The Board DISCUSSED the update regarding the SPHEREpartnership, as circulated with the Agenda. Mr Sinclair clarified the annual contribution made by SWSLHD. Ms Larkin highlighted that six (of the 12) Clinical AcademicGroups are led by SWSLHD. Ms Larkin spoke to South West Sydney: Our health in 2018 – anin-depth study of the health of the population now and into thefuture and the companion summary report - South WestSydney: Our Health in 2018 – in brief, as circulated with theAgenda, highlighting: SWSLHD and South Western Sydney Primary Health Network(SWSPHN) have developed an in-depth health needs analysis ofthe population – outlining the health needs of the populationnow and into the future. The analysis will inform current and future (LHD andcollaborative) planning in south west Sydney. The Board commended and APPROVED the documents, subjectto minor amendments/clarifications, including:Manager,Planning7. New Business7.1. South WestSydney HealthNeedsAssessment7.2. SWSLHD Care inthe CommunityClinical ServicesPlan Consultation with community stakeholders References to Bankstown / Canterbury-Bankstown to beexplained, noting the LGA boundary changes Minor typographical and grammatical errors. Action: Convey the Board’s decision to the Planning Unit.Secretariat Ms Larkin undertook to appraise the Board of the launcharrangements – which will occur in collaboration with theSWSPHN.ChiefExecutive The Board APPROVED the final draft of the SWSLHD Care in theCommunity Clinical Services Plan for submission to the MoH forcomment and review.Minutes - South Western Sydney Local Health District Board Meeting25 February 2019Page 4 of 11Chairperson: Sam Haddad

Ms Larkin highlighted the ‘health neighbourhood’ conceptwithin the Plan (Liverpool/Fairfield, Bankstown and Macarthur[including Wingecarribee]), reflecting the changing role ofhospitals. Ms Larkin spoke to the Significant Issues Section of the CEReport as circulated with the Agenda and highlighted:8. Standing Items8.1 Chief Executive’sReport8.1.1CurrentSignificantMatters Surgical Registrar - experienceFollowing concerns raised by a surgical registrar regardingher experience at Bankstown-Lidcombe Hospital anoverview of the immediate actions undertaken andstrategies initiated to improve the well-being of juniordoctors was provided.8.1.2Risk Mgt The Board CONSIDERED the Risk Management Report, ascirculated with the Agenda.8.1.3RegulatoryEnvironment The next Regulatory Environment Report is due in March 2019.8.1.4Work Health& SafetyReport The Board CONSIDERED the Work Health & Safety Report, ascirculated with the Agenda. Action: Include the average cost per claim in future reports. The Board considered the Safety & Quality component of theKPI Report, as circulated with the Agenda. Ms Snook highlighted:8.1.5A/g Director,Workforce &DevelopmentKPI ReportSafety & Quality SAC 1 IncidentsPresented to the Health Care Quality & Safety CommitteeDecember meeting: Five new serious incidents since the last report whichwill undergo an RCA. Six RCAs completed since the last report, four of whichfound a root cause/s or contributing factor/s.Minutes - South Western Sydney Local Health District Board Meeting25 February 2019Page 5 of 11Chairperson: Sam Haddad

A District-wide review of neonatal resuscitation isbeing conducted.Presented to the Health Care Quality & Safety CommitteeFebruary 2019 meeting Eight new serious incidents since the last report whichwill undergo an RCA (one of which received fromBraeside Hospital).Causation Statements from completed RCA ReportsClarification provided relating to the following incidents: 2763648-20 – Liverpool Hospital – notifications 2693272-20 – Liverpool Hospital – recommendationdidn’t seem to address incident Action: Advise if legal action is being pursued 2694408-20 – Mental Health – wording withindescriptorA/g Director,ClinicalGovernanceSentinel EventsOne sentinel event reported.Access & PatientFlow The Board considered the Access & Patient Flow component ofthe KPI Report, as circulated with the Agenda. Ms Marshall highlighted: January 2019 was a challenging month in terms of demandand resultant performance. In comparison to January2018 and increase in ED presentations (9.34%), Ambulancearrivals (18.2%), Admissions from ED (6.7%). The trend ofincreasing activity continues. Work continues on the keystrategies to address the identified actors contributing tounmet targets.People & Culture The Board considered the People & Culture component of theKPI Report, as circulated with the Agenda.Finance &Activity The Board considered the Finance & Activity component of theKPI Report, as circulated with the Agenda. Mr Sinclair highlighted:Minutes - South Western Sydney Local Health District Board Meeting25 February 2019Page 6 of 11Chairperson: Sam Haddad

BudgetYTD January 2019 the LHD is 6.5M unfavourable tobudget due to surge bed activity and related staffing and adecline in private patient numbers.Liaison with the NSW MoH relating to budget forecast andthe cash position has been undertaken. ActivityResults indicate that the LHD is 101.2% of YTD target –December 2018 (the most current available data).The LHD is 35 admissions below the YTD target foradmissions from the surgical waitlist. Strategies to improveperformance at Fairfield Hospital were highlighted.8.1.6ServiceReports The following Service Reports were circulated with the Agenda: Mental HealthNo items were highlighted. Primary & Community HealthNo items were highlighted. Drug Health ServicesNo items were highlighted. Population HealthNo items were highlighted. Oral HealthNo items were highlighted.8.1.7Media &MarketingReport The Board considered the Media & Marketing Report, ascirculated with the Agenda.8.1.8StrategicPlan Report The Board considered the Strategic Plan Report (Oct-Dec 2018),as circulated with the Agenda. Action: Highlight within future Referral Notes those strategiesdeemed ‘at risk’.Manager,PlanningMs Marshall, Ms Leon, Ms Snook and Mr Sinclair left the meeting at 6.15pmMinutes - South Western Sydney Local Health District Board Meeting25 February 2019Page 7 of 11Chairperson: Sam Haddad