DISABILITY SUPPORT ADVISORY COMMITTEE MEETING

DISABILITY SUPPORT ADVISORY COMMITTEE MEETING Thursday, 2 March 2017 1.00pm Board Room Level 1 32 Oxford Terrace Christchurch

AGENDA DISABILITY SUPPORT ADVISORY COMMITTEE MEETING To be held in the Board Room, Level 1, 32 Oxford Terrace, Christchurch Thursday, 2 March 2017 commencing at 1:00pm ADMINISTRATION Apologies 1. Interest Register Update Committee Interest Register and Declaration of Interest on items to be covered during the meeting. 1.00pm 2. Confirmation of the Minutes of the Previous Meeting & Matters Arising Minutes of the meeting of 3 November 2016. 3. Carried Forward/Action List Items 4. Our People REPORTS/PRESENTATIONS 5. Terms of Reference Review Anna Craw Board Secretary 1.15pm 1.15-1.25pm 6. 2017 Workplan (Working Document) Anna Craw 1.25-1.35pm 7. Establishment of the Disability Steering Group & Update on Activity being Undertaken to Progress the Priority Actions of the Disability Action Plan Stella Ward Executive Director of Allied Health 1.35-2.00pm 8. Equipment Update Stella Ward 2.00-2.15pm ESTIMATED FINISH TIME 2.15pm INFORMATION ITEMS NZ Spinal Trust Letter (Nov 2016) 2017 Meeting Schedule Glossary and Acronyms NEXT MEETING Date of Next Meeting: 4 May 2017 DSAC-02mar17-agenda Page 1 of 1 02/03/2017

ATTENDANCE DISABILITY SUPPORT ADVISORY COMMITTEE Tracey Chambers (Chair) Chris Mene (Deputy Chair) Sally Buck Anna Crighton Aaron Keown Susan Foster-Cohen Sandy Lockhart Ben Lucas Olive Webb Sir Mark Solomon Ex Officio Executive Support David Meates Chief Executive Mary Gordon Executive Director of Nursing Stella Ward Executive Director Allied Health Carolyn Gullery - General Manager Planning and Funding Hector Matthews Executive Director of Maori & Pacific Health Kay Jenkins - Executive Assistant - Governance Support Anna Craw Board Secretary DSAC-02mar17-attendance list Page 1 of 1 02/03/2017

DISABILITY SUPPORT ADVISORY COMMITTEE MEMBERS INTERESTS REGISTER DISABILITY SUPPORT ADVISORY COMMITTEE REGISTER OF MEMBERS CONFLICTS (As disclosed on appointment to the Board/Committee and updated from time-to-time, as necessary) TRACEY CHAMBERS (CHAIR) Chambers Limited - Director Arohanaui Trust - Trustee Rata Foundation - Trustee Chambers Limited has clients and former clients that may mean a conflict or potential conflict arises. These will be discussed at the appropriate time if they arise. CHRIS MENE (DEPUTY CHAIR) Canterbury Clinical Network Child & Youth Workstream Member Core Education Director Has an interest in the interface between education and health. Wayne Francis Charitable Trust - Board Member The Wayne Francis Charitable Trust is a philanthropic family organisation committed to making a positive and lasting contribution to the community. The Youth focussed Trust funds cancer research which embodies some of the Trust s fundamental objectives prevention, long-term change, and actions that strive to benefit the lives of many. Regenerate Christchurch General Manager, Partnerships and Engagement Regenerate Christchurch (RC) is a new entity, established to lead regeneration activities across Greater Christchurch. RC will work with strategic partners, including the Canterbury DHB, the community, iwi and other stakeholders to plan and drive development in key areas of the city. SALLY BUCK Christchurch City Council (CCC) Community Board Member Chair of the Central/Linwood/Heathcote Community Board which has delegated responsibilities from the CCC. Independence House Acting Manager Independence House is funded through the Ministry of Health to provide residential care for intellectually disabled youth and adults. ANNA CRIGHTON Christchurch Heritage Trust Chair - Governance of Christchurch Heritage Christchurch Heritage Limited - Chair - Governance of Christchurch Heritage Heritage New Zealand Honorary Life Member DSAC-02mar17-interest register Page 1 of 3 02/03/2017

AARON KEOWN Christchurch City Council Councillor and Community Board Member Elected member and of the Fendalton/Waimairi/Harewood Community Board. Grouse Entertainment Ltd Director and Shareholder Grouse Films Ltd Director O3 Productions Writer/Director No conflicts of interest are anticipated from these roles but will be discussed at the appropriate time should they arise. DR SUSAN FOSTER-COHEN Dyspraxia Support Group Patron Parent Support Group for families/children with dyspraxia. New Zealand Institute of Language Brain and Behaviour Member Researcher with NZILBB through Champion Centre partnership. University of Canterbury Adjunct Associate Professor Researcher and graduate student supervisor in Linguistics and in Communication Disorders. (Lecturer on short term contracts as needed.) New Zealand Speech Therapy Association Associate Member Professional body for Speech and Language therapists. Early Intervention Association of Aotearoa New Zealand Chair Professional association that aims to support early intervention professionals through professional development and information sharing. Has representation on ECAC and Early Childhood Federation. Director Champion Centre Receives funding from both the MoH and CDHB. SANDY LOCKHART Comcare Charitable Trust Board Member Rural Canterbury Public Health Org Board Member Windermere Consultancy Director/Consultant Project Management Health BEN LUCAS ACC Manager Voice of the Consumer Parafed Canterbury Board Member CCS Disability Action Canterbury/West Coast Patron Halberg Trust - Trustee Paralympics New Zealand Chef de Mission NZ-Rio 2016 Paralympic Games Team Earthquake Disability Leadership Group Member Provide advice and lobbying for an accessible and universally re-built Christchurch post-quakes. DSAC-02mar17-interest register Page 2 of 3 02/03/2017

DR OLIVE WEBB Canterbury Plains Water Trust Trustee Private Consulting Business Sometimes works with CDHB patients and services. Involved in legal proceedings alleging breaches of human rights of people with disabilities in Ministry of Health and District Health Board services. SIR MARK SOLOMON (EX-OFFICIO) Te Waka o Maui Independent Representative Oaro M Incorporation - Member Ngāti Ruanui Holdings - Director Pure Advantage - Trustee He Toki ki te Rika / ki te Mahi - Patron Te Ohu Kai Moana - Director Deep South NSC Governance Board - Member Sustainable Seas NSC Governance Board - Member Canterbury Recovery Learning & Legacy Sponsors Group - Member Liquid Media Operations Limited - Shareholder Urban Development Strategy Implementation Committee - Member Police Commissioners Māori Focus Forum - Member Post Settlement Advisory Group Member Primary Industries Earthquake Relief Fund Assessment Panel - Member DSAC-02mar17-interest register Page 3 of 3 02/03/2017

MINUTES DRAFT MINUTES OF THE DISABILITY SUPPORT ADVISORY COMMITTEE MEETING held in the Board Room, Level 1, 32 Oxford Terrace, Christchurch on Thursday, 3 November 2016 commencing at 1.00pm PRESENT Chris Mene (Chair); Sally Buck (Deputy Chair); Andrew Dickerson; Jo Kane; Edie Moke; Sandy Lockhart and Susan Foster-Cohen. APOLOGIES Apologies for absence were received and accepted from Ben Lucas and Olive Webb. IN ATTENDANCE Carolyn Gullery (GM, Planning & Funding); Stella Ward (Executive Director, Allied Health); Kay Jenkins (Executive Assistant, Governance Support); Jessica Wise (Accountability Coordinator, Planning and Funding); Anna Craw (Board Secretary); and Jan Smith (Board Secretariat Support Officer). Item 5 Dan Coward, GM, Older Persons, Orthopaedics & Rehabilitation Liz Oliver, Service Manager, Burwood Spinal Unit Nathan Hood, Charge Nurse Manager, Spinal Services Item 6 Kathy O Neill, Service Development Manager Item 7 Allison Nichols-Dunsmuir, HIAP Advisor 1. INTEREST REGISTER Additions/Alterations to the Interest Register Sally Buck requested the following change: Independence House - TreasurerActing Manager. There were no other alterations or additions to the Interest Register. Declarations of Interest for Items on Today s Agenda There were no declarations of interest for items on today s agenda. Perceived Conflicts of Interest There were no perceived conflicts of interest. DSAC-03nov16-minutes-draft Page 1 of 4 03/11/2016

2. MINUTES OF THE PREVIOUS MEETING Resolution (06/16) (Moved: Sally Buck/Seconded: Andrew Dickerson - carried) That the minutes of the meeting of the Disability Support Advisory Committee held on 1 September 2016 be confirmed as a true and correct record, with the addition of Sandy Lockhart as present. There was a query on how the submissions as mentioned on page 3 of the previous minutes were progressing. Allison Nichols-Dunsmuir, HIAP Advisor, advised that an update would be provided under agenda item 7. Ms Nichols-Dunsmuir was pleased to advise that New Zealand has accepted the Protocol to the Convention on the Rights of Persons with Disabilities (5 October 2016). 3. CARRIED FORWARD/ACTION LIST ITEMS The carried forward action list was noted. There was a query on Enabling Good Lives and transition of the programme to Lifelinks. The Committee noted that an update will be provided to the Committee at its May 2017 meeting. There was discussion around the evaluation report mentioned at the last meeting and whether this had been published. Kathy O Neill, Service Development Manager, will endeavour to find out if a report went to the Ministry and if so, a copy will be circulated to Committee members if publicly available. 4. OUR PEOPLE The Our People story was viewed. 5. BURWOOD SPINAL UNIT - PRESENTATION Dan Coward, GM, Older Persons, Orthopaedics & Rehabilitation; Liz Oliver, Service Manager Burwood Spinal Unit; and Nathan Hood, Charge Nurse Manager, Spinal Services were in attendance to present to the Committee on the Burwood Spinal Unit. The presentation included the following: The Burwood Spinal Unit s geographical area is from New Plymouth/Hastings south. The remainder of the North Island is covered by the Auckland Spinal Unit. Admissions used to be largely young European males. Statistics now show a shift to European males with an average age between 44-50. There has also been an increase in female admissions in this age range. This change has largely been contributed to an increase in high impact sports being undertaken at an older age, with increased participation by females. Acute traumatic admissions continue to rise, while non-traumatic admissions have decreased slightly. The importance of transitional rehabilitation (TR) facilities - including TR lounge, kitchen, courtyard, accommodation units, community outings. Volunteers, community and DSAC-03nov16-minutes-draft Page 2 of 4 03/11/2016

family/whanau input is especially important in the transitional journey for the patient from hospital care back to community living. Input is encouraged from the patient, family/whanau and focus groups to continue to improve the experience. Data collection to benchmark against Auckland and Australian Spinal Units. Following the presentation, discussion took place around the quake repairs for the Burwood Spinal Unit, including the process and timeline going forward. The Committee was advised that the model of care for the Unit will remain unchanged and this will inform the repair/build strategy. Mr Coward confirmed that extensive consultation has taken place with staff, users and focus groups in considering various options. It is anticipated that a report will be presented to the Facilities Committee in the next 5-6 weeks for consideration. The Committee requested to be kept updated on developments in this area. The Chair requested that a copy of the presentation be appended to the minutes. 6. DISABILITY ACTION PLAN DRAFT DASHBOARD - PRESENTATION Ms O Neill presented to the Committee on the development of a dashboard, seeking feedback and a clear direction from the Committee on future reporting requirements. The Committee requested the dashboard have a greater focus on outcome data, as opposed to input data, and for it to be tied into the Outcome Framework Measures. The Committee confirmed that it was happy with Ms O Neill s progress and direction to date in development of a dashboard. The Chair requested that a copy of the presentation be appended to the minutes. A query was made about equipment/aids for daily living and when the last amnesty was held for the return of equipment. Stella Ward, Executive Director of Allied Health, advised that the last amnesty was held two years ago. Ms Ward undertook to present to the Committee in the New Year on information and statistics about equipment/aids for daily living and equipment projects currently underway. 7. NATIONAL DISABILITY STRATEGY UPDATE VERBAL Allison Nichols-Dunsmuir provided an update on the National Disability Strategy. The Committee was advised that the points raised at its last meeting had been submitted to the Ministry of Health for consideration, noting that these had not been included in Canterbury DHB s original submission. Unfortunately, the MoH advised that it was too late, as the draft National Disability Strategy had already been considered by government agencies and was now up for Cabinet consideration. Ms Nichols-Dunsmuir advised that the Committee s concerns have been recorded and will be retained for future consultation opportunities. There was discussion around inviting Nicky Wagner, Minister of Disability Issues (pending Cabinet reshuffle), to the Committee s first meeting next year to discuss pertinent information, including the National Disability Strategy. DSAC-03nov16-minutes-draft Page 3 of 4 03/11/2016

INFORMATION ITEMS 2017 Meeting Schedule. There being no further business the meeting concluded at 2.37pm. Confirmed as a true and correct record: Chris Mene Chair Date DSAC-03nov16-minutes-draft Page 4 of 4 03/11/2016

CARRIED FORWARD/ACTION ITEMS DISABILITY SUPPORT ADVISORY COMMITTEE CARRIED FORWARD/ACTION ITEMS AS AT 2 MARCH 2017 DATE ITEM COMMENTARY STATUS 1. 05 May 2016 Enabling Good Lives (EGL) Demonstration EGL demonstration concluding 30 June 2016, with services transferring to Lifelinks. Further update requested. 2. 3 Nov 2016 Enabling Good Lives Report Copy of EGL Evaluation Report to be circulated to Committee members. Presentation scheduled for 4 May 2017 mtg by Joanna Martino, EGL Lead, Ministry of Health. Report yet to be finalised. 3. 3 Nov 2016 Disability Action Plan Draft Dashboard Update on Equipment Projects Today s agenda Item 8 4. 3 Nov 2016 Burwood Spinal Unit Update on repair/build strategy Today s agenda Information Item NZ Spinal Trust Letter Further update scheduled to 4 May 2017 mtg. DSAC-02mar17 carried forward items Page 1 of 1 02/03/2017

DISABILITY SUPPORT ADVISORY COMMITTEE TERMS OF REFERENCE REVIEW TO: SOURCE: Chair and Members Disability Support Advisory Committee Corporate Services DATE: 2 March 2017 Report Status For: Decision Noting Information 1. ORIGIN OF THE REPORT. The purpose of this report is to allow the Committee the opportunity to review its current Terms of Reference (TOR) and to recommend any changes to the Board for formal ratification. 2. RECOMMENDATION The Committee recommends that the Board: i. adopts the draft Terms of Reference attached as Appendix 1. 3. SUMMARY The current TOR for the Disability Support Advisory Committee (DSAC) were adopted by the Board in September 2014. Attached as Appendix 1 is a draft amended copy of the current TOR. Changes are primarily of a housekeeping nature. These are placed before the Committee to allow it to review the content and to provide feedback and a recommendation to the Board for formal adoption. 4. APPENDICES Appendix 1: Draft Amended TOR - DSAC Report prepared by: Report approved for release by: Anna Craw, Board Secretary Justine White, GM, Finance & Corporate Services DSAC-02mar17-DSAC terms of reference review Page 1 of 1 02/03/2017

DISABILITY SUPPORT ADVISORY COMMITTEE TERMS OF REFERENCE INTRODUCTION The Disability Support Advisory Committee is a Statutory Committees of the Board of the Canterbury District Health Board (CDHB) established in terms of Sections 34 and 35 of the New Zealand Public Health and Disability Act 2000 (the Act). These Terms of Reference are supplementary to the provisions of the Act, Schedule 4 to the Act and the Standing Orders of the CDHBanterbury District Health Board. DEFINITIONS A person with a disability is a person who has been identified as having a physical psychiatric intellectual sensory or age related disability or combination of these which is likely to continue for a minimum of 6 months and result in a reduction of independent functioning to the extent that ongoing support is required (Acknowledgement to Lakes DHB) FUNCTIONS The Disability Support Advisory Committee has specific aims and functions prescribed within the NZ Health and Disability Act 2000 (Schedule 4, Clauses 3), which. These exist in addition to these terms of reference. These aims and functions are: A summary of these functions and aims as per the Act is set out below. 3. Functions of disability support advisory committees (1) The functions of the disability support advisory committee of the board of a DHB are to give the board advice on: (a) the disability support needs of the resident population of the DHB; and (b) priorities for use of the disability support funding provided. (2) The aim of a disability support advisory committee s advice must be to ensure that the following promote the inclusion and participation in society, and maximise the independence, of the people with disabilities within the DHB s resident population: (a) the kinds of disability support services the DHB has provided or funded or could provide or fund for those people: (b) all policies the DHB has adopted or could adopt for those people. (3) A disability support advisory committee s advice may not be inconsistent with the New Zealand disability strategy. KEY FUNCTIONS Noting that Mental Health services are dealt with by the Hospital Advisory Committee (HAC) Committee (DHB provider aspects), Community and Public Health Committee ( and the CPHAC) Committee (for funder NGO aspects); and Older Person s Health by both HAC, CPHAC and the Quality, Finance, Audit and Risk Committee (QFARC), key functions of the Disability Support Advisory CommitteeDSAC Committee will be as follows: Statutory Functions. To carry out the functions of a Disability Support Committee as defined in the Health and Disability Act 2000 and having regard to the MoH Disability Strategic Plan 2001. DSAC-TOR-draft-mar 17 Page 1 of 6 02/03/2017

Input iinto CDHB Strategic Planning Processes. Ensure the disability support needs of the community are reflected in the CDHB strategic planning process by contributing to and reviewing the draft Annual Plan, SI Regional Services Plan and make recommendations to the Board. Approve, monitor and support the iimplementation of the CDHB Disability Action Plan. Input into Policy Development Input into the development of strategies and policies related to disability support services, disability issues and health services provision to people with disabilities and recommendations to the Board in respect to these. To monitor and report on the quality of services provided by the CDHB to people with Disabilities and the quality of life of people with disabilities living in CDHB services. Advocacy on Health Related Disability Issues Including establishing relationships with other disability support service providers, where relevant and mutually advantageous KEY PROCESSES The Board approves the Annual Plans and associated Regional Plans and any individual strategies developed to meet the health and disability needs of our population. The Committee's advice to the Board must be consistent with the priorities identified in the New Zealand Health Strategy, the New Zealand Disability Strategy and approved strategic plans and the Disability Support Action Plan of the Canterbury District Health Board. Any paper or piece of work being presented to the Ccommittee should identify how it links to the Annual Plan (the annual workplan of the Canterbury DHB). Any update on progress with implementation must identify the risks or barriers to the delivery of the strategies. The Committee will prepare an annual workplan designed to implement its Terms of Reference. ACCOUNTABILITY The Disability Support Advisory Committee is a Statutory Committee of the Board and as such its members are accountable to the Board and will report regularly to the Board. Members of the Disability Support Advisory Committee are to carry out an assessment role but are not to be advocates of any one health sector group. They are to act in an impartial and objective evidence based manner (where evidence is available) for the overall aims of the Committee. Legislative requirements for dealing with conflicts of interest will apply to all Disability Support Advisory Committee members, and members will abide by the Canterbury District Health Board's Media Policy, its Conflict of Interest, Probity and Gift Policy, and with its Standing Orders. The Committee Chair will annually review the performance of the Disability Support Advisory Committee and members. DSAC-TOR-draft-mar17 Page 2 of 6 02/03/2017

LIMITS ON AUTHORITY The Disability Support Advisory Committee must operate in accordance with directions from the Board and, unless the Board delegates specific decision making power to the Committee, it has no delegated authority except to make recommendations or provide advice to the Board. The Disability Support Advisory Committee provides advice to the Board by assessing and making recommendations on the reports and material submitted to it. The Disability Support Advisory Committee should refer any issues that fall within the Terms of Reference of the other Board committees to those committees. Requests by the members of the Disability Support Advisory Committee for work to be done by management or external advisors (from both within a meeting and external to it) should be made via the Committee Chair and directed to the Chief Executive or their delegate. Such requests should fall within the District Annual Plan and the District Strategic Plan. There will be no alternates or proxy voting of Committee members. All Disability Support Advisory Committee members must comply with the provisions of Schedule 4 of the Act relating in the main to: The term of members not exceeding three years. A conflict of interest statement being required prior to nomination. Remuneration. Resignation, vacation and removal from office. The management team of the Canterbury DHB makes decisions about the funding of services within the Board approved parameters and delegations. RELATIONSHIPS The Disability Support Advisory Committee is to be cognisant of the work being undertaken by the other Committees of the Canterbury District Health Board to ensure a cohesive approach to health and disability planning and delivery and as such will be required to develop relationships with: the Board; consumer groups; management of the CDHB; clinical staff of the CDHB; Manawhenua Ki Waitaha; the community of the CDHB; and other Committees of the CDHB. This will also be achieved through the sharing of agendas and the regular meetings of the Chairs of the Committees. Management will provide the Disability Support Advisory Committee with updates on the work of other government agencies, funders or territorial local authorities that may affect the health status of the resident population of the CDHB. TERM DSAC-TOR-draft-mar17 Page 3 of 6 02/03/2017

These terms of reference shall apply until March 2020, at which time they will be reviewed by the newly elected Board of the CDHB, who will also review membership of the Committee to ensure an appropriate skills-mix.these Terms of Reference shall be reviewed in August 2015. MEMBERSHIP OF THE COMMITTEE The Disability Support Advisory Committee will ordinarily comprise a mix of Board members and appropriate members selected from the Community. The Board in selecting members will have regard to the need for the Committee to comprise an appropriate skill mix. including people with special interests in community and public health and also in disability and Maori and Pacific health issues. It will comply with the requirements of the Act and provide for Maori representation on the Committee by appointing a representative nominated by MKW in addition to other external appointments, in accordance with the Policy adopted by the Board in December 2012. The Board may appoint advisors to the Committee from time to time, for specific periods, to assist the work of that Committee. Such advisors will not be members of the Committee and will not have voting rights. Members of the Disability Support Advisory Committee will be appointed by the Board who will comply with the requirements of the Act. The Chair of the Disability Support Advisory Committee will be a member of the Board and will be appointed by the Board, who may also appoint a Deputy Chair of the Committee. If not appointed as members of the Committee, the Chair and Deputy Chair of the Board will be ex-officio members of the Public Health and Disability Support Advisory Committee and will have full speaking and voting rights at all meetings of the Committee. The Chair, Deputy Chair and members of the Disability Support Advisory Committee shall continue in office for a period specified by the Board, or until such time as: the Chair, Deputy Chair or member resigns; or the Chair, Deputy Chair or member ceases be a member of the Disability Support Advisory Committee in accordance with clause 9 of Schedule 4 of the Act; or the Chair, Deputy Chair or member is removed from that office by notice in writing from the Board. The Chair and Deputy Chair of the Board will be ex-officio members of the Committee (if not appointed to the Committee by the Board) and will have full speaking and voting rights at all meetings of the Committee. Board members who are not members of the Committee will receive copies of agendas and minutes of all meetings upon request, and may attend any meetings of the Committee with speaking rights for those meetings that they attend.at that meeting. The Act states that Statutory Committee members must not be appointed for a term exceeding three years. Although members are eligible for re-appointment it is appropriate that membership is reviewed by newly elected Boards to consider the skills mix of the Committee and allow for a diverse and representative cross section of the community to have input into the Committee s deliberations MEETINGS DSAC-TOR-draft-mar17 Page 4 of 6 02/03/2017

The Disability Support Advisory Committee will meet regularly as determined by the Board with the frequency and timing taking into account the workload of the Committee. Subject to the exceptions outlined in the Act, the date and time of the Disability Support Advisory Committee meetings shall be publicly notified and be open to the public. The agenda, any reports to be considered by the Committee and the minutes of the Committee meeting will be made available to the public as required under the Act. Meetings shall be held in accordance with Schedule 4 of the Act and with the CDHB s Standing Orders. In addition to formal meetings, Committee members may be required to attend workshops or fora for briefing and information sharing. REPORTING FROM MANAGEMENT Management will provide exception reporting to the Disability Support Advisory Committee to measure against performance indicators and key milestones as identified by the Committee. Management will also provide the Disability Support Advisory Committee with updates on the work of other government agencies or territorial local authorities that may affect the health status of the resident population of the Canterbury District Health Board. Management will provide such reports and information as necessary to enable the statutory ccommittees to fulfil itstheir statutory obligations. MANAGEMENT SUPPORT In accordance with best practice and the delineation between governance and management, key support for the Disability Support Advisory Committee will be from staff designated from the Chief Executive Officer from time to time who will assist in the preparation of agendas, reports and provision of information to the Committee in liaison with the Chair of the Committee. The Board may appoint advisors to the Disability Support Advisory Committee from time to time, for specific periods, to assist the work of that Committee. The Committee may also, through management, request input from advisors to assist with their work. REMUNERATION OF COMMITTEE MEMBERS In accordance with Cabinet Guidelines and the CDHB Board Fees and Expenses Policy, members of the Disability Support Advisory Committee will be remunerated for attendance at meetings at the rate of $250 per meeting up to a maximum of ten meetings, total payment per annum ($2,500). The Committee Chair will be remunerated for attendance at meetings at the rate of $312.50 per meeting, again up to a maximum of ten meetings, total payment per year ($3,125). These payments may be reviewed by Ministerial directive. Ex-officio members (if appointed) are not remunerated and will not receive a meeting attendance fee. These payments are made for attendance at public meetings and do not include workshops. Any officer or elected representative of an organisation who attends committee meetings which their organisation would expect their officer or elected representative to attend as a normal part of their duties, and who is paid by them for that attendance, should not receive remuneration. DSAC-TOR-draft-mar17 Page 5 of 6 02/03/2017

The Fees Framework for Crown Bodies includes the underlying principle that any employees of Crown Bodies should not receive remuneration for attendance at committee meetings whilst being paid by their employer. Reasonable attendance expenses (ie: reasonable travel-related costs) for Committee members may be paid. Members should adhere to the CDHB's travel and reimbursement policies. Adopted Canterbury DHB 18 September 2014 DSAC-TOR-draft-mar17 Page 6 of 6 02/03/2017

WORKPLAN FOR DSAC 2017 (WORKING DOCUMENT) Standard Items 2 March 4 May 6 July 7 September 2 November Interest Register Interest Register Interest Register Interest Register Interest Register Confirmation of Minutes Confirmation of Minutes Confirmation of Minutes Confirmation of Minutes Confirmation of Minutes Our People Our People Our People Our People Our People Planned Items Disability Action Plan Update Equipment Update Disability Action Plan Update Enabling Good Lives Update People and Capability CDHB Workforce Burwood Spinal Unit Update Repair/Build Strategy Disability Action Plan Update AT&R Update Disability Action Plan Update Community & Public Health Update Disability Action Plan Update People and Capability CDHB Workforce Update Governance and Secretariat Issues 2017 Workplan Terms of Reference - Review 2018 Workplan Information only items 2017 Meeting Schedule NZ Spinal Trust Letter Glossary & Acronyms 2017 Meeting Schedule 2017 Workplan Glossary & Acronyms 2017 Meeting Schedule 2017 Workplan Glossary & Acronyms 2017 Meeting Schedule 2017 Workplan Glossary & Acronyms 2018 Meeting Schedule 2017 Workplan Glossary & Acronyms Possible Future Presentations TBC Minister of Disability Issues DSAC WORKPLAN 2017 1 02/03/2017

ESTABLISHMENT OF THE DISABILITY STEERING GROUP & UPDATE ON ACTIVITY BEING UNDERTAKEN TO PROGRESS THE PRIORITY ACTIONS OF THE DISABILITY ACTION PLAN TO: SOURCE: Chair and Members Disability Support Advisory Committee Planning and Funding, Corporate DATE: 2 March 2017 Report Status For: Decision Noting Information 1. ORIGIN OF THE REPORT This report is provided as notification of the establishment of the Disability Steering Group and identification to DSAC of the Chair and members of the group. It also provides a summary of activity undertaken, or to be undertaken, in progressing the Priority Actions 2016/17 of the Disability Action Plan 2016-2026. Both of these items have been requested to be reported back to DSAC at previous Advisory Group meetings. 2. RECOMMENDATION That the Committee: i. notes the formation of the Disability Steering Group and the Chair and membership; and ii. notes the activity being undertaken, or to be undertaken, in progressing the Priority Actions 2016/17 of the Disability Action Plan 2016-2026. 3. DISCUSSION Formation of the Disability Steering Group Through August and September 2016 the Canterbury DHB Establishment Disability Action Group met to advise on a robust process for identifying and selecting members from the disability community for the Canterbury DHB Disability Steering Group (DSG). Nominations for DSG members and Chair were received in October and interviews of those shortlisted were undertaken over three days in November 2016. A respected member from the disability community participated in the selection process and the recommended group members and Chair were approved by Stella Ward as Executive Sponsor. A culturally appropriate process is being undertaken for Maori and Pacific members through the Canterbury Clinical Network, on behalf of the Canterbury DHB. In the interim, the Maori and Pacific Portfolio Manager from Planning and Funding is a temporary member of DSG to ensure a culturally appropriate perspective is brought to the group. The Chair and members of the group are attached as Appendix 1. The meetings commenced in January 2017 and will occur monthly. Summary of Progress for the Priority Actions of the Disability Action Plan For this report the objectives from the Disability Action Plan have been grouped into the following categories. DSAC-02mar17-disability action plan update Page 1 of 6 02/03/2017

1. Integrating and Addressing Gaps in Services for People with Disabilities a. To address the delay in discharge from hospital settings in the Canterbury DHB of people with disabilities who have complex needs, a series of meetings is being planned to identify a decision matrix and resolution pathway between the two parties. A Terms of Reference has been developed jointly by DSS and Canterbury DHB and a proposed membership list identified. Once developed the group s recommendations will be taken back to each organisation for the required approvals. b. The need for a broader more accessible range of respite options for children with a disability is being progressed with an exploratory meeting about potential opportunities with Brackenridge occurring in January 2017. The next step has been to approach the Chair of the Child and Youth Work Stream and the local Governance Group for the Respite Needs of Children and Families, with a request to attend their next meetings. c. Improving access to the aids of daily living is being addressed via the Older Persons Health Team who have approval to implement a training programme for accrediting other clinical practitioners across the health system for the allocation of basic equipment. 2. Provide Accessible Information and Improve Communication a. An electronic patient portal will enable people to access their own health record and to make their own appointments in General Practice. The Canterbury DHB has completed a procurement process to deliver a Patient Portal across the health system. A preferred provider has been identified and negotiations with this provider and other key stakeholders on implementation is commencing. b. A draft Communications Plan has been developed and is being considered at the February DSG meeting. The plan includes the external audit of Canterbury DHB websites, identifying and getting key documents into Easy Read format and setting up regular communication platforms with the disability community by using a variety of tools such as newsletters, websites and social media. Some preparatory work has already commenced (e.g. a quote has already been received from an external organisation on the process, scope and cost of auditing of 7 of the 17 different websites attributed to Canterbury and the West Coast DHB s). c. A detailed plan on the multifaceted approach required to increase staff disability awareness is to be developed and progressed through People and Capability and with input and support of DSG. d. Quality and Patient Safety have the development of a policy on the use of sign language and access to interpreters on their 2016-17 Work Plan, along with having the complaints process available in easy read. DSG are to receive regular updates on these quality initiatives. 3. Increase the Opportunity for Employment in the Canterbury DHB and Across the Health System a. People and Capability are to develop an affirmative action plan that will lead to processes that enables and supports more people that have an impairment to be employed within the Canterbury DHB. b. People and Capability and the Disability Lead from Planning and Funding are exploring the applicability of Project SEARCH within the Canterbury DHB with meetings occurring with local advocates of the project in December and February. Project SEARCH is a transition program designed to provide education and job training to young adults with disabilities. It was developed specifically in a hospital setting and gives young people on the job training as part of an internship that is highly successful in leading to employment either within the host organisation or an external organisation. c. The Canterbury DHB has entered into a collaboration with MSD and Pegasus Health to deliver a General Practice based pilot programme for people on a Job Seeker health DSAC-02mar17-disability action plan update Page 2 of 6 02/03/2017

deferred benefit. The programme is aimed at working with the person holistically with a particular focus on improving the impact of the health condition which is identified as the barrier to the individual seeking employment. (For those on a health deferred benefit 80% have depression or anxiety as the reason they are unable to seek employment.) See Appendix 2 for a summary of the pilot. 4. Facilities are Fully Accessible a. A summary paper has been presented to DSG which identified the accessibility audits undertaken and the engagement of people with disabilities in the design of the new builds. This evidenced that a process has been in place for these new facilities, however, DSG are wanting to review this, as there is a need to ensure the processes undertaken are robust. b. It was communicated to DSG from the Senior Operations Manager, Hospital and Specialist Services, that a process for reviewing and addressing any accessibility issues within existing buildings needs be developed with Maintenance and Engineering. DSG will be following up on this as a priority. c. DSG Chair and disability community members are visiting the four hospital sites over the coming weeks to get a sense of the accessibility issues first hand, and this will help assist their decision making around points a. and b. 5. Implementing the Plan in Partnership 4. CONCLUSION a. The process for identifying the Chair and members of the Disability Steering Group has been complimented by those involved in the process and also people from the disability sector who see the establishment of the group as evidence of Canterbury DHB s commitment to implementing the Plan in partnership with the disability community. b. The Communication Plan is critical here in ensuring ongoing engagement with the disability community and ensuring they are aware of activity being undertaken to improve the experience and outcomes of people with disabilities of the health system. c. A plan for refreshing the Priority Actions with engagement from the disability sector needs to be planned and the Actions amended if necessary by the end of 2017. DSG is now meeting regularly through 2017 and it is expected that the momentum will accelerate as focused work is progressed, as identified in the section above. The dashboard reporting template presented in draft at the December meeting, is being further refined with the assistance of the Planning and Funding Analyst Team and this will complement written and verbal updates provided to DSAC. 5. APPENDICES Appendix 1: Appendix 2: Disability Steering Group Members Step Up - A new Primary Care pilot for people on health deferred benefits Report prepared by: Report approved for release by: Kathy O Neill, Team Leader, Planning and Funding Stella Ward, Executive Director of Allied Health, Scientific and Technical, Canterbury and West Coast District Health Boards DSAC-02mar17-disability action plan update Page 3 of 6 02/03/2017

Appendix 1 Disability Steering Group Members Member : Name Role/Background Chair Gordon Boxall Owner/Director Weaving Threads, Non-Executive Director Pathways, National Advisor People First NZ, previous Director Enabling Good Lives and has extensive background in mental health, social care and housing Canterbury DHB - Internal Executive Sponsor Stella Ward Executive Director of Allied Health, Scientific and Technical, Canterbury and West Coast District Health Boards Disability Lead, Planning and Funding Community and Public Health Kathy O Neill Allison Nichols Dunsmuir Team Leader Primary Care (including Primary Mental Health), Long Term Chronic Health Conditions and Disability Canterbury DHB Health in all Policies Advisor, Advisor Christchurch City Council Disability Advisory Group Clinical Leads Jane Hughes Kay Boon Catherine Swan Clinical Director Intellectually Disabled Persons Health, Specialist Mental Health Clinical Manager, Child Development Services Medical Specialist, Paediatric Department People and Capability Mark Lewis Wellbeing Health and Safety Manager, People and Capability George Schwass Operations Manager Service Manager Dave Nicholls Senior Operations Manager, Hospital and Specialist Services Service Manager, General Medicine, Clinical, Pharmacology and Dermatology Quality and Patient Susan Wood Director Quality and Patient Safety Safety Communications Mick O Donnell Senior Communications Advisor, Corporate Community Members Disability Community Lived Experience Paul Barclay Lived experience of a disability, South Island Regional Manager of Arthritis NZ, Governance Group Earthquake Disability Leadership Group, Christchurch City Council Disability Advisory Group, Board member Volunteering Canterbury, previously held management positions with the Blind Foundation, Member of National Serious Injury Advisory Group for ACC Lived Experience Prudence Walker Lived experience of a disability, Southern Regional Coordinator CCS Disability Action, Programme Coordinator mentoring and leadership for disabled adults and working with organisations to be accessible. Previously National Chairperson of Canteen and member of Paediatric Oncology Steering Group as well as many other advisory roles DSAC-02mar17-disability action plan update Page 4 of 6 02/03/2017

Provider of Disability Services Kathryn Jones CEO Laura Fergusson Trust, Board member and previous Chair Ministry of Health, Health and Disability NGO Council, Member, previously Canterbury DHB Quality and Patient Safety Council, Acute Demand Steering Group along with many other contributions Family Member Haley Nielsen Family member of child with a disability, Canterbury DHB Child Health Advisory Council (previously Family Advisory Council) Consumer member Paediatric Society of NZ Clinical Network, previously Psychiatric Social Worker, lived experience of a disability Health System Members NGO Provider/Older Persons perspective Simon Templeton CEO Age Concern Canterbury and West Coast. Member Health of Older People Work Stream, Chair Board CCS Disability Action Canterbury and West Coast Programme Manager, Canterbury Clinical Network Canterbury Clinical Ruth Robson Network Maori and Pacific Ngaire Button Temporary member while CCN Programme Office follow an appropriate selection process. DSAC-02mar17-disability action plan update Page 5 of 6 02/03/2017

Appendix 2 Step Up - A new Primary Care pilot for people on health deferred benefits. A cooperative programme between Health and the Ministry of Social Development (MSD) has resulted in this MSD funded collaboration with the Canterbury DHB. Both parties are working with Pegasus Health to deliver the trail programme for people on health deferred benefits. In Canterbury, around 2400 people aged 18-49 years are on a health deferred benefit for between three months and under three years. General Practice is predominantly responsible for informing the need for health related deferment. The project is seeking to support General Practice to extend the role they are able to take with this group of people and link to wider supports available in the community. The key criteria is 18 49 year olds who are receiving Jobseeker Support due to their health condition, injury or disability Extended consultation time will be supported on a quarterly basis with a person s General Practice, spanning a 12 month period to better enable the practice to address health and wellbeing needs. This will be further supported by up to three FTE Health Navigators (Allied health and/or Registered Nurses) who will each work more intensively with the individual, the General Practice, the relevant MSD Service Centre and a range of community services as needed for a three month period. People will also receive increased support over the 12 months from telehealth services using a range of media and access to existing intervention programmes. A prototype programme will commence on 27 February 2017 and will initially work with 40 people who are on health deferred benefits, and are with the Linwood WINZ Service Centre and are enrolled in 4 General Practices in the Linwood and New Brighton area. The aim of the prototype is to develop and work with the individuals from a shared plan between all involved parties. The prototype will run for 6 months and will be evaluated. The findings of the evaluation will be used to inform the trail programme which will be delivered from General Practices across Christchurch and it is currently proposed that this will able to work with 800 people over a 3 year period This cross government initiative is an exciting opportunity for the Canterbury health system to work across the health and social service sector taking a social investment approach. Being employed is a predictor of good health and wellbeing. However, poor health and disability are significant barriers to employment and may affect larger proportions of unemployed and lone-parent beneficiaries than previously recognised. DSAC-02mar17-disability action plan update Page 6 of 6 02/03/2017

EQUIPMENT UPDATE TO: SOURCE: Chair and Members Disability Support Advisory Committee Allied Health DATE: 2 March 2017 Report Status For: Decision Noting Information 1. ORIGIN OF THE REPORT This report provides a summary of activity underway in regards to equipment services within the provider arm. 2. RECOMMENDATION That the Committee: i. notes the activity underway in centralising the Occupational Therapy Short Term Loan Equipment Service across the Canterbury DHB Provider arm services; and ii. notes the need for an amnesty for returning equipment has not been required recently as the systems and processes for loan and permanent equipment have been improved. 3. DISCUSSION As part of supporting people returning home from hospital the Allied Health services prescribe and provide short term loan equipment. In previous years there has been a need to hold equipment amnesty periods where the public was encouraged through awareness campaigns to return equipment they had not yet returned. The Directors of Allied Health were asked to review the value of these amnesty periods and found that the public return most of our Occupational and Physiotherapy equipment back, so no need or value is seen in holding an equipment amnesty. However, the Directors of Allied Health have identified that there is still significant improvements that can be made to our equipment services. As such, the Canterbury DHB is progressing a project to restructure the Occupation Therapy Short Term Loan Equipment (OT-STLE) Service across Canterbury DHB sites; including the development of a centralised store and purchasing an IT equipment tracking system to expedite the dispersal and retrieving process. The OT STLE Service at Christchurch Campus has most recently experienced at least two major issues that have impacted on its operation: i. Firstly the cessation of the equipment cleaning service provided by TSU/Sterile Services, which has required the OT Department to: develop an interim cleaning facility; and manage the deployment of FTE to provide the new cleaning requirement. ii. Secondly, the closing of the Riverside entrance (due to the development of the Acute Services Block) has required the staff to conduct their patient pick-ups, equipment provision and equipment returns all within the environment of the Parkside Main entrance. It has also DSAC-02mar17-equipment update Page 1 of 2 02/03/2017

required our patients to utilise the drop off point at the Parkside entrance to return used equipment, resulting in significant traffic challenges. These two events have triggered temporary mitigations which now provoke further exploration for a more long term, efficient and sustainable solution to the provision and management of OT equipment Canterbury DHB wide. Coexisting with these issues are similar pressures on the current OT equipment service at Burwood, OPH&R, particularly with the move to the new Burwood facility and the current equipment store at The Princess Margaret Hospital. These broader needs represent an opportunity for a collective and collaborative solution. Phase 1: Establishment of a Central Cleaning and Storage facility for Canterbury DHB This facility will include easy patient access, specific parking for pickup and delivery and include rationalisation of existing staff for cleaning, repairs/maintenance and set-up. There will also be staff specific to home visits and setup utilising both registered and non-registered (AHA) staff. Allied Health staff have been working with the Site Redevelopment team to identify a suitable facility. We expect to implement Phase 1 in the 16/17 Financial Year. Phase 2: Purchase and Implementation of a Short Term Inventory Management System (STIMS). It is proposed the cost of any solution will be equally shared between Burwood/OPH&R (Inpatient and Community Service), Negative Pressure Wound Therapy Service, Palliative Care Service and the Occupational Therapy Department at Christchurch Campus and this cost is managed within their respective current budgets. Phase 2 will also require the purchasing of a bar coding system and device(s) at all sites. We expect to implement Phase 2 in the 17/18 FY. 4. CONCLUSION The Directors of Allied Health and the Occupational and Physiotherapy teams are working on the project to improve the short term loan equipment services. Report prepared by: Garth Munro, Director Allied Health, Christchurch Campus Report approved for release by: Stella Ward, Executive Director of Allied Health, Scientific and Technical, Canterbury and West Coast District Health Boards DSAC-02mar17-equipment update Page 2 of 2 02/03/2017