31 August 2022
John Luke
By email: [FYI request #20114 email]
Tēnā koe John,
Official information request
Please find below our response to your official information request relating to the Commission
Board minutes for 2022.
Please find enclosed the website Board minutes and agendas from 18 February 2022, 8 April
2022, 26 and 27 May 2022, along with the agendas for 8 July 2022 and 26 August 2022.
Some sections of the 26 and 27 May 2022 minutes have been redacted under the Official
Information Act, section 9 (2 j):
Withholding the information is necessary to - “enable a Minister of the Crown or any
public service agency or organisation holding the information to carry on, without
prejudice or disadvantage, negotiations (including commercial and industrial
negotiations).”
The un-redacted minutes will be available on our website in due course, once these sections
no longer impact upon negotiations.
Minutes for each meeting are approved at the subsequent meeting. We then endeavour to
have minutes available on our website within 14 days following Board approval. In accordance
with this policy, the minutes from 8 July 2022 will be available on our website by 9 September
2022. The minutes from the 26 August 2022 Board meeting will be approved at the next
meeting currently scheduled for 14 October 2022 and will be available on our website 14 days
later.
If you have any queries, please feel free to contact us at [Health Quality and Safety Commission request email]. If any additional
factors became known which are relevant to your request, please do not hesitate to contact us
so that these can be considered.
Please note that the Commission publishes some of its OIA responses on its website,
after the response is sent to the requester. The responses published are those that are
considered to have a high level of public interest. We will not publish your name,
address or contact details.
Yours sincerely

Alana Emery
OIA Coordinator
Health Quality & Safety Commission

Board Meeting Agenda
No. 90

  Date:
18 February 2022
Time:
9.00am – 12.25pm
Location:
Zoom
Chair:
Dr Dale Bramley
Board Members:  Mena Antonio
Shenagh Gleisner
Jenny Parr
Andrew Connol y
Tristram Ingham
Collin Tukuitonga
Peter Crampton
Rae Lamb
In attendance
Janice Wilson
Kere Pomare
Shel ey Hanifan (minutes)

Gillian Bohm
Bevan Sloan
Paula Farrand (EA to the Board)
Victoria Evans
Martin Thomas
Deon York (item 8)
Fritz Evile
Stephanie Turner
Richard Hamblin
Chris Walsh

Guests:
Morag McDowell – Health and Disability Commissioner
Rowena Lewis - Chair, Consumer Advisory Group
Ria Earp – Chair, Te Rōpū
Rory Matthews – Review Director, Francis Health (item 9)
Kevin Al an – Engagement Lead, Francis Health (item 9)
Tuhakia Keepa – Advisor and Iwi Engagement Lead, Francis Health (item 9)
Apologies:
Wil Harrison
Zoom link

Password

Item

Lead
1
09.00-09.30
Board only time
Dale Bramley
2
09.30-09.35
Board and chief executive time
Dale Bramley

Ria Earp, Rowena Lewis and executive leadership team join

the meeting:

Opening karakia and welcome to Fritz Evile
All
3
09.35-09.45
3.1 Minutes of meeting held on 25/26 November 2021
Dale Bramley
3.2 Actions update from 25/26 November 2021
3.3 Interests register
3.4 Board activities
4
09.45-09.55
Patient story
Chris Walsh
5
09.55-10.05
Health and Disability Commissioner update
Morag McDowell
6
10.05-10.20
Chief executive report
Janice Wilson
7
10.20-10.30
Finance report
Bevan Sloan
8
10.30-11.00
Code of Expectations for consumer engagement
Chris Walsh and
Deon York

11.00-11.10
Break

9
11.10-12.10
Review of National Mortality Review Function – Presentation by  Kere Pomare and
Francis Health
Francis Health
10
12.10-12.15
Mortality Review Committee appointments
Kere Pomare

11
12.15-12.25
Noting papers:
Dale Bramley
11.1  Correspondence
11.2  Board requests for next agenda
12
12.25
Closing karakia
All

Proposed agenda for 8 April 2022

Board only time
Dale
Board and chief executive time
Dale
Standard business
Dale
Health & Disability Commissioner update
Morag
Patient story
Chris
Chief executive report
Janice
Finance report
Bevan
Mortality review function – Francis Health final report
Kere
Draft Statement of Performance Expectations 2022/23
Bevan
Heatlhcare Associated Infections point prevalence survey
Nikki
Update on light surveil ance for orthopaedic SSI data collection
Nikki
Proposed branding refresh
Victoria
Noting papers:
Dale
•  Measures Library launch on 30 June
•  Correspondence

Notes of the 90th meeting of the Health Quality & Safety Commission Board on 18th
February 2022 held via Zoom.

Members:
Dr Dale Bramley (Chair), Mena Antonio, Prof Peter Crampton, Shenagh
Gleisner, Dr Tristram Ingham, Rae Lamb, Dr Jenny Parr.

Staff:
In attendance: Dr Janice Wilson, Gillian Bohm, Victoria Evans, Fritz Evile,
Richard Hamblin, Kere Pomare, Hikitia Ropata, Bevan Sloan, Martin
Thomas, Chris Walsh, Deon York (item 8), Heidi Cannell (item 9), Paula
Farrand (EA to the Board), Shelley Hanifan (minutes).

Guests:
Rowena Lewis – Chair, Consumer Advisory Group, Morag McDowell –
Health and Disability Commissioner, Rory Matthews, Kevin Al an and
Tuhakia Keepa – Francis Health (item 9).

Apologies:
Mr Andrew Connolly, Dr Wil Harrison, Dr Collin Tukuitonga, Ria Earp and
Stephanie Turner.
•  The minutes of the previous meeting were approved.
•  The actions of the previous meeting were updated and noted.
•  The interests register, and special register of interests were updated.
•  Members board related activities were noted.
•  The Health and Disability Commissioner update was noted.
•  A patient story was provided by way of a video.
•  The chief executive report was noted.
•  The financial report and risk register were discussed.

Key decisions/actions

The board:
  a)  Agreed: to appoint Dr Jay Ritzema-Carter to the Perioperative Mortality Review
Committee to 31 December 2022.
b)  Agreed: to appoint Rob Vigor-Brown to the Perioperative Mortality Review
Committee to 31 December 2022.
c)  Noted: that Denis Grennell, who was appointed as a member of the Perinatal and
Maternal Mortality Review Committee in October 2021, has stepped down from his
membership, in order to use his specific skil s in a contracting capacity, as Pou
Tikanga to the commit ee.

Code of expectations for consumer engagement (the Code)
Chris Walsh provided a brief overview of the broad range of engagement on the Code that
has taken place to date. Both the Partners in Care team and Ahuahu Kaunuku have been
leading engagement, to get input and to encourage feedback on the Code.

The board discussed:
•  the need for operational guidance and case studies. Current information on the Code is
at a fairly high and generic level and therefore understanding how it can be applied may
be difficult
•  the need to understand how success wil  be measured
•  the need for clear distinction between the Code of Rights and the Code of Expectations
•  clarity around how the Code wil  be monitored and by whom
•  the need to provide for, and distinguish between, both the consumer/whānau as the unit
receiving services, and the representative of a group or network

1

•  the need for the Code to support the value of both lived experience and expert advisors
•  where complaints might be directed to for breeches of the Code.

The importance of a legislative framework was highlighted to ensure that responsibility for
enacting the Code is firmly placed with service providers, and that specific reporting
requirements are in place.

Review of National Mortality Review Function – Presentation by Francis Health
Members of the Francis Health team presented their draft review of the National Mortality
Review Function to the board.

The board raised the following discussion points:
•  managing time delays for mortality information and contributing to real time action is
challenging.
•  we need accessible information for decision makers, that is available quickly.
•  we need agency engagement, and may need specific ministerial support for this, as
there are large demands already for cross-agency collaboration.
•  consumer participation is an area which requires emphasis, and we need to consider
how consumer groups are engaged with, both within this review and within ongoing
processes of mortality review.
•  value for money and the need to scale to resource is one point emphasised by
stakeholders, and there is also a counter narrative that emphasises growing resource to
support mortality review to do more.
•  more thinking is needed around Te Tiriti o Waitangi and how to best enact it, within and
through mortality review.
•  more matauranga Māori views and engagement are needed.
•  there is a need to focus on reducing inequity in mortality rates, and this must be
prioritised.

Mortality Review Committee appointments
The board considered two appointments to the Mortality Review Committees and agreed to:
•  recommended appointments to the Perioperative Mortality Review Commit ee to 31
December 2022.
•  The board noted a member of the Perinatal and Maternal Mortality Review Committee,
has stepped down from his membership, in order to use his specific skil s in a contracting
capacity, as Pou Tikanga to the commit ee.

2

Board Meeting Agenda
No. 91

  Date:
8 April 2022
Time:
9.00am – 12.35pm
Location:
Zoom
Chair:
Dr Dale Bramley
Board Members:  Mena Antonio
Shenagh Gleisner
Rae Lamb
Andrew Connol y
Wil Harrison (until 11am)
Jenny Parr
Peter Crampton
Tristram Ingham
Collin Tukuitonga

In attendance
Janice Wilson
Kere Pomare
Shel ey Hanifan (minutes)

Gillian Bohm
Bevan Sloan
Paula Farrand (EA to the Board)
Victoria Evans
Martin Thomas
Pauline Gul iver (item 6)
Fritz Evile
Stephanie Turner
Heidi Cannell (item 7)
Richard Hamblin
Deon York

Guests:
Rowena Lewis - Chair, Consumer Advisory Group
Ria Earp – Chair, Te Rōpū
Fiona Cram – Chair, Family Violence Death Review Committee (item 6)
Rory Matthews – Review Director, Francis Health (item 7)
Kevin Al an – Engagement Lead, Francis Health (item 7)
Tuhakia Keepa – Advisor and Iwi Engagement Lead, Francis Health (item 7)
Apologies:
Chris Walsh, Morag McDowell – Health and Disability Commissioner
Zoom link

Password

Item

Lead

09.00
Opening karakia
All
1
09.00 - 09.10
1.1 Minutes of meeting held on 18 February 2022
Dale Bramley
1.2 Actions update from 18 February 2022
1.3 Interests register
1.4 Board activities
2
09.10 - 09.20
Patient story
Deon York
3
09.20 - 09.35
Chief executive report
Janice Wilson
4
09.35 - 09.45
Finance report
Bevan Sloan
5
09.45 – 10.05
Draft Statement of Expectations 2022-23
Bevan Sloan
6
10.05 – 10.25
Family Violence Death Review Committee 7th report ‘Duty of
Fiona Cram and
care’
Pauline Gul iver

10.25 – 10.35
Short break

7
10.35 – 11.35
Review of National Mortality Review Function for discussion
Kere Pomare and
and consideration – Presentation by Francis Health
Francis Health
8
11.35 – 11.45
Update on code of expectations for consumer engagement
Deon York
(verbal update)
9
11.45 – 11.55
Noting papers:
Dale Bramley
•  Whānau Māori experiences of major trauma care and
rehabilitation
•  Healthcare associated infections point prevalence survey
•  Measures Library launch
•  Correspondence

•  Board requests for next agenda

11.55 – 12.00
Closing karakia
All
10
12.00 – 12.15
Board and chief executive time
Dale Bramley
11
12.15 - -12.35
Board only time
Dale Bramley

Proposed agenda for 26/ 27 May 2022

Board only time
Dale
Board and chief executive time
Dale
Standard business
Dale
Health & Disability Commissioner update
Morag
Patient story
Chris
Chief executive report
Janice
Finance report
Bevan
Risks register
Bevan
Code of expectations for consumer engagement
Chris
Ko wai mātou – the Commission’s identity
Steph, Hikitia ,
Huataki, Jim
Review of National Mortality Review Function for decision on implementation options
Janice
Final Statement of Performance Expectations 2022/23
Bevan
Update on Te Ao Māori Framework
Steph
Measures Library demonstration
Tony Mottersfield
Board meet with Te Rōpū (to be confirmed)
Ria Earp
Noting papers
Dale
•  Update on light surveil ance for orthopaedic SSI data collection
•  Adverse events thematic analysis
•  Correspondence
•  Board requests for next agenda

Notes of the 91st meeting of the Health Quality & Safety Commission Board on 8th
April 2022 held via Zoom.

Members:
Dr Dale Bramley (Chair), Andrew Connolly, Prof Peter Crampton, Shenagh
Gleisner, Dr Tristram Ingham, Rae Lamb, Dr Collin Tukuitonga.

Staff:
In attendance: Dr Janice Wilson, Gillian Bohm, Victoria Evans, Fritz Evile,
Richard Hamblin, Kere Pomare, Bevan Sloan, Martin Thomas, Stephanie
Turner, Deon York, Pauline Gulliver (item 6), Paula Farrand (EA to the
Board), Shelley Hanifan (minutes).

Guests:
Ria Earp – Chair, Te Rōpū, Rowena Lewis – Chair, Consumer Advisory
Group, Fiona Cram – Chair, Family Violence Death Review Committee
(item 6), Rory Matthews, Kevin Al an and Tuhakia Keepa – Francis Health
(item 9).

Apologies:
Mena Antonio, Dr Wil Harrison, Dr Jenny Parr, Chris Walsh, Morag
McDowell.
•  The minutes of the previous meeting were approved.
•  The actions of the previous meeting were updated and noted.
•  The interests register, and special register of interests were updated.
•  Members board related activities were noted.
•  A patient story was provided by way of a video.
•  The chief executive report was noted.
•  The financial report and risk register were discussed.

Key decisions/actions

The board:
  a)  Agreed: to arrange a strategy session to discuss the Commission’s priorities and
strategy within the emerging reformed health system.
b)  Agreed: to the publication of the Family Violence Death Review Commit ee’s 7th
report ‘Duty of care’, once completed, on the Commission’s website.

Actions
•  to follow up on the Report: Older Māori and aged residential care in Aotearoa | Ngā
kaumātua me te mahi tauwhiro i Aotearoa and provide the web statistics to the board.
•  make a change to the National point prevalence survey of healthcare-associated
infections report on page 4, from: ‘Ethnicity and gender of patients and referral of
patients from regional DHBs were not associated with higher HAI rates.’ To: ‘Univariate
analysis did not show that ethnicity and gender of patients and referral of patients from
regional DHBs were not associated with higher HAI rates.’
•  Fiona Cram and Pauline Gulliver wil  meet with Rowena Lewis, to talk over possible
changes, with regards to legal power of attorney content in the Family Violence Death
Review Committee 7th report ‘Duty of care’.
•  to provide the Family Violence Death Review Commit ee’s 7th report ‘Duty of care’ to the
Māori Health Authority and Health New Zealand.
•  to provide Francis Health’s Review of the national morality review function to the Māori
Health Authority and ask for their views in the development of advice for the board.

1

Draft Statement of Expectations 2022-23 (SPE)
Bevan introduced the draft SPE, noting that we have only just received the Letter of
Expectation (LoE) from the Minister. In the absence of the LoE, staff had developed this draft
based on our Statement of Intent; previous work; our draft chief executive performance
goals, and what we expect to be doing over the year. He highlighted that there were no
surprises in the LoE.

Discussion focused on our work in primary and community care and how we could increase
our focus and impact, particularly in health equity. Māori and Pacific NGOs are seen as a
key workforce group that we have not engaged with a lot, although we are starting to do this
now. There was a call for more focus and a deliverable that supports health quality for
disabled people.

The draft SPE wil  go to the Ministry of Health for feedback on Monday 11 April, and then wil
be shaped and returned to the board meeting in May for approval.

Family Violence Death Review Committee 7th report ‘Duty of care’
Fiona Cram and Pauline Gulliver were welcomed to the meeting.

The report makes no recommendations, but the goal is to encourage reflective practice,
engagement, and narrative. There is a strong focus on legal and relational obligations and
on supporting people and services to walk a different pathway.

The report was well received by the board. They asked about influence, and Fiona talked
about the influence that the commit ee has had in the past. The committee choose to work
with those who want to change.

Fiona and Pauline were commended for including a disability discourse; for the powerful
portrait of whānau after the death of a member; and for pushing for culture change.  It was
acknowledged that this is a report from the Family Violence Death Review Committee, taken
from information provided through death reviews, to the Commission, and not to the
government.

At the conclusion of the session, Peter Crampton provided a mihi to Fiona Cram,
acknowledging her huge commitment to the work of the Family Violence Death Review
Commit ee and to the mortality review committees and the Commission.

Review of National Mortality Review Function – Presentation by Francis Health
Peter Crampton introduced the discussion and welcomed the Francis Health team. He
reminded those present that this was the second independent review of the mortality review
function that the Commission has undertaken and was requested by the Minister. The
secretariat would bring recommendations to the next board meeting for consideration.

Francis Health provided a presentation on their review findings.

The board is responsible for the mortality review function and for reporting to the Minister, on
this function. However, the history of independent thinking and voice from experts, Māori and
consumers/whānau about mortality review wil  be important to maintain within the function
going forward.

The importance of engaging with the new health entities was emphasised and wil  need
follow up.

2

Update on code of expectations for consumer engagement
The Commission received 160 submissions on the code of expectations for consumer
engagement, including formal submissions from the Māori Health Authority, Health NZ and
the Health and Disability Commissioner. Submissions closed on 31 March.

High level feedback from the submissions gives us some clear changes, and the next
version wil  look quite different:
•
language wil  become more specific, and action focused (ie, ‘must’ to ‘will’)
•
there wil  be a careful balance of general and specific
•
there wil  be a removal of reference to direct care
•
there wil  be a streamlined complaints process clarified.

Noting papers
The themes of the Whānau Māori experiences of major trauma care and rehabilitation were
discussed, and it was noted that these themes of inequity are consistent across health care.
There were questions raised about what happens with the recommendations, and how
health services receive them, and if and how they respond. The recommendations go to
ACC, who fund the trauma programme and who wil  want to see this work influence
rehabilitation.

General discussion
The Chair acknowledged the huge amount of work and the perseverance of Commission
staff through this time of working from home. The extra work being done is impressive, and
Commission staff were thanked.

3

Board Meeting Agenda
No. 92

  Date:
26 May 2022
Time:
12.00pm – 5.25pm
Location:
Front & Centre, 69 Tory Street, Wel ington
Chair:
Dr Dale Bramley
Board Members:  Mena Antonio
Shenagh Gleisner
Jenny Parr
Andrew Connol y (zoom)
Tristram Ingham (zoom)
Collin Tukuitonga
Peter Crampton
Rae Lamb (zoom)
In attendance
Janice Wilson
Kere Pomare
Shel ey Hanifan (minutes)

Gillian Bohm
Bevan Sloan
Paula Farrand (EA to the Board)
Victoria Evans
Martin Thomas
Hitikia Ropata (item 6)
Fritz Evile
Stephanie Turner
Heidi Cannell (item 7)
Todd Krieble
Deon York

Guests:
Morag McDowell – Health and Disability Commissioner (until 4pm)
Ria Earp – Chair, Te Rōpū
Frank Bristol – Acting Chair, Consumer Advisory Group
Anthony Hil , Chen Palmer (item 7)
Apologies:
Wil Harrison, Richard Hamblin, Chris Walsh
Zoom link

Password

Item

Lead

12.00
Lunch

12.30pm
Opening karakia
All
Welcome and introductions to Todd Krieble and Frank Bristol
1
12.30 – 12.40
1.1 Minutes of meeting held on 8 April 2022
Rae Lamb
1.2 Actions update from 8 April 2022
1.3 Interests register
1.4 Board activities
2
12.40 – 12.50
Patient story
Deon York
3
12.50 – 13.00
Health and Disability Commissioner update
Morag McDowall
4
13.00 – 13.10
Update on code of expectations for consumer engagement
Deon York
5

Agenda items 5 & 6 combined

6
13.10 – 15.30
Board strategy session introduced by Ko wai tātou – the
Rae Lamb
Commission identity (presentation by Hikitia Ropata)

15.30 – 15.45
Afternoon tea

7
15.45 – 16.45
Review of National Mortality Review Function for discussion on  Kere Pomare
implementation options

16.45 – 16.50
Closing karakia

8
16.50 – 17.05
Board and chief executive time
Dale Bramley
9
17.05 – 17.25
Board only time
Dale Bramley

18.00
Board dinner at Hot Sauce, 90 Cable Street, Wellington
Dale, Shenagh, Rae,
Jenny, Collin & Janice

Board Meeting Agenda
No. 92

Date:
27 May 2022
Time:
9.00am – 12.10pm
Location:
Front & Centre, 69 Tory Street, Wel ington
Chair:
Dr Dale Bramley
Board Members:  Peter Crampton
Tristram Ingham (zoom)
Jenny Parr
Shenagh Gleisner
Rae Lamb (zoom)

In attendance
Janice Wilson
Kere Pomare
Shel ey Hanifan (minutes)

Gillian Bohm
Bevan Sloan
Paula Farrand (EA to the Board)
Victoria Evans
Martin Thomas
Tony Mottershead (item 14)
Fritz Evile
Stephanie Turner
Carl Shuker (item 17)
Todd Krieble
Deon York
Guests:
Frank Bristol – Acting Chair, Consumer Advisory Group
Ria Earp – Chair, Te Rōpū
Members of Te Rōpū (item 16)
Apologies:
Mena Antonio, Andrew Connolly, Wil Harrison, Col in Tukuitonga, Morag McDowell, Richard
Hamblin, Chris Walsh.
Zoom link

Password

Item

Lead

09.00
Opening karakia
All
10
09.00 – 09.15  Recap on strategy session
Dale Bramley
11
09.15 – 09.30  Chief executive report
Janice Wilson
12
09.30 – 09.40  Finance report
Bevan Sloan
13
09.40 – 10.00  Final Statement of Expectations 2022/23
Bevan Sloan
14
10.00 – 10.20  Measures library demonstration
Tony Mottershead

10.20 – 10.35  Morning tea

15
10.35 – 10.55  Te Ao Māori Framework
Steph Turner
16
10.55 – 11.40  Board meet with Te Rōpū
Ria Earp
17
11.40 – 12.00  Covid Window 2
Carl Shuker
18
12.00 - 12.10  Noting papers:
Dale Bramley
18.1  Update on light surveil ance for orthopaedic SSI data
collection
18.2  Te Pou: An indigenous framework to evaluate the
inclusion of family voice in family violence homicide
reviews
18.3  Adverse events thematic analysis
18.4  Quarter 3 report
18.5  ‘Real time monitoring’ briefing to the Minister
18.6  Correspondence
18.7  Board requests for next agenda

12.10
Closing karakia
All

Proposed agenda for 8 July 2022

Board only time
Dale
Board and chief executive time
Dale
Standard business
Dale
Health & Disability Commissioner update
Morag
Patient story
Chris
Chief executive report
Janice
Finance report
Bevan
Risk register
Bevan
Draft adverse events policy
Caroline
Covid Window 2
Carl
Noting papers
Dale
•  Correspondence
•  Board requests for next agenda

Notes of the 92nd meeting of the Health Quality & Safety Commission Board on 26th
and 27th May 2022 held at Front & Centre, 69 Tory Street, Wellington.

26th May 2022

Members:
Dr Dale Bramley (Chair), Mena Antonio, Andrew Connolly, Prof Peter
Crampton, Shenagh Gleisner, Dr Tristram Ingham, Dr Jenny Parr, Rae
Lamb, Dr Collin Tukuitonga.

Staff:
In attendance: Dr Janice Wilson, Gillian Bohm, Victoria Evans, Fritz Evile,
Todd Krieble, Kere Pomare, Bevan Sloan, Martin Thomas, Stephanie
Turner, Deon York, Huataki Whareaitu (opening), Jim Wiki, Heidi Cannell,
Paula Farrand (EA to the Board), Shelley Hanifan (minutes).

Guests:
Ria Earp – Chair, Te Rōpū, Frank Bristol – Acting Chair, Consumer
Advisory Group, Morag McDowell – Health and Disability Commissioner,
Rory Matthews, Kevin Al an and Tuhakia Keepa – Francis Health.

Apologies:
Dr Wil Harrison, Richard Hamblin, Chris Walsh.

•  The minutes of the previous meeting were approved.
•  The actions of the previous meeting were updated and noted.
•  The interests register, and special register of interests were updated.
•  Members board related activities were noted.
•  A patient story was provided by way of a video.
•  The Health and Disability Commissioner update was noted.
•  The chief executive report was noted.
•  The financial report and risk register were discussed.

Key decisions/actions

The board:
National Mortality Review Function



Actions:

•  Staff to develop a strategy update paper for the board to consider at the next board
meeting.

1

Update on code of expectations for consumer engagement
The code of expectations for consumer engagement is currently with Crown Law, before
going to the Minister. Advice for agencies and organisations on how the code wil  be used is
to be published immediately, on approval by the Minister.
•  Frank Bristol highlighted that he was excited to see the progress that had been made in
this area, and what an achievement this code wil  be.
•  Morag McDowell noted that Office of the Health and Disability Commissioner (HDC)
concerns had been addressed by the focus shift to organisational engagement.

Board strategy session introduced by Ko wai tātou – the Commission identity
Rae welcomed Jim Wiki of the Commission’s Ahuahu Kaunuku to the strategy session.
Jim presented on Pūrākau (transformation), te ao hurhuri (the changing world), and talked
about the change the Commission has been working to implement, to become a truly Te
Tiriti O Waitangi based organisation in which tangata whenua and tangata te Tiriti
worldviews equally shape our identity.

He noted that we want to create an authentic organisational identity that:

•  is recognisable and known by the health sector, whānau, consumers and communities
•  reflects our desired behaviours and culture as an organisation, as articulated in our
Statement of Intent (SOI) 2020–24
•  reflects that we embrace inclusive, holistic, strengths-based hauora.

Jim finished with questions for the board. How do we, as a Te Tiriti partnership organisation
working in the reformed health system, build an identity that:
•  meets the expectations we have set for ourselves
•  is highly recognisable, holds meaning and has credibility among whānau, consumers,
communities and the sector
•  enhances our reputation as a sector leader of quality and safety?

Rae thanked Jim for his presentation to set the scene, and for introducing the session so
well.

Rae followed with a presentation reminder to the board of the key points in our SOI, and the
key organisational roles already agreed by the Minister. She posed four questions for
consideration:

1)
How should we act in the new system? For instance, should we be assertive with
information and advice, and respond proactively to quality concerns?
2)
How can we best engage with the new entities, national and local, from day one and
beyond?
3)
What are the key risks and how do we manage them?
4)
What could we stop or do less of to free up capacity within the Commission if
necessary?

2

The board broke into groups to discuss the answers to the questions. Feedback was
collected and staff wil  use these to develop a strategy paper for the next board meeting.

Review of National Mortality Review Function – Presentation by Francis Health




Next steps involve a briefing to the Minister, which would include the Māori Health Authority
and Health New Zealand views.

Noting papers
There were no comments or feedback on the noting papers.

3

27 May 2022

Members:
Dr Dale Bramley (Chair), Prof Peter Crampton, Shenagh Gleisner, Dr
Tristram Ingham, Dr Jenny Parr, Rae Lamb.

Staff:
In attendance: Dr Janice Wilson, Gil ian Bohm, Victoria Evans, Fritz Evile,
Todd Krieble, Kere Pomare, Bevan Sloan, Martin Thomas, Stephanie
Turner, Deon York, Tony Mottershead, Carl Shuker, Paula Farrand (EA to
the Board), Shelley Hanifan (minutes).

Guests:
Ria Earp – Chair, Te Rōpū, Frank Bristol – Acting Chair, Consumer
Advisory Group, members of Te Rōpū..

Apologies:
Mena Antonio, Andrew Connolly, Dr Wil Harrison, Dr Collin Tukuitonga,
Morag McDowell, Richard Hamblin, Chris Walsh.

Key decisions/actions

The board:

a)
Agreed: to the publication of the Statement of Performance Expectations 2022/23.

Final Statement of Expectations 2022/23
Bevan Sloan introduced the final draft Statement of Expectations 2022/23 (SPE) and
requested any feedback.

Jenny and Shenagh had provided specific feedback on behalf of the board, and they noted
that there had been positive progress in updating the SPE, as a result of their feedback.
They had noted that there were a number of surveys that were being used across the SPE
measures and asked that these be provided to the board, so the board could understand
how these are being used for improvement.

It was noted that the correct term ‘disabled people,’ should be used consistently through the
SPE.

Increasing capability in measures for disabled people was discussed, and the importance of
ensuring that patient experience and outcome surveys include relevant questions was
highlighted.

Measures Library demonstration
Tony Mottershead presented the measures library. The measures library will be a
centralized information resource with up-to-date data, visualisations and narratives, to
support how to understand and use measures for quality improvement. The measures library
wil launch on 1 July with a focus on the priority Health System Indicators and six HQSC
atlas domains. The intent is to undertake quarterly updates to introduce new measure
categories and functions to ensure relevant information is delivered with high quality user

4

experience. Staff wil  be working over the next 12 months to develop an approach to
integrate the curation and management of the library into Commission BAU.

The measures library was well received by the board and resulted in discussion in a range of
areas.
•  The future applicability of the library as the system changes was discussed. If boundaries
stay consistent, then the library wil  continue to work well. If boundaries change
significantly, rework wil  be required.
•  In terms of disabilities measures, in some areas these are possible and in others, there
are limitations on the basis of cell size.
•  Currently 95% of the measures are hospital based and the need to broaden our focus to
include primary care was emphasised.
•  The need to carefully plan how we develop the library and to be thoughtful about what
measures we include to support the new system and new ways of operating wil  be
important.
•  Ahuahu Kaunuku and the measures library team are working together to include whānau
ora measures.
•  The importance of the narrative that sits alongside the measures was also emphasised.
•  The workforce requirements to support the measures library on an ongoing basis was
asked about. More work is needed to understand the ongoing requirements for supporting
this important resource.

Te Ao Māori Framework
Stephanie reported that this work is progressing well, and engagement is continuing. The
learning from the pilots and engagement has been useful for informing the work. Feedback
has suggested that the work is considered valuable.

There are a range of tools that are currently being developed, including Ao Mai Te Rā, the
Ministry’s anti-racism work. These tools wil  provide support for each other and for the
change we want to see. Commission staff are working closely with the Ministry on the suite
of work.

Ria Earp pointed out that Māori are passionate about the reforms and the change sought.
The Te Ao Māori Framework needs to be positioned within the wider suite of work that is
occurring to support system change. Presenting the tool as a draft, rather than a completed
tool is useful, in terms of this positioning.

The opportunity for the Commission to take a more active role in supporting the system
change to embed Te Tiriti o Waitangi was discussed. One way to do this is to consider what
is missing from the suite of tools in development, and to look at what we can help with.
Stephanie emphasized that accountability tools that sit alongside frameworks and principles
wil  be important. We need to be able to use the levers that are available, so that the change
becomes a ‘must do,’ not a ‘nice to do.’

Jenny Parr and Peter Crampton offered to work with the Commission team to facilitate
potential sites to trial the framework.

5

Board meeting with Te Rōpū
Marama Parore joined the meeting via zoom, and Ria and Marama provided an update from
Te Rōpū.

Te Rōpū has had several key members resign recently and are actively looking for new
members. There is a list of potential members, who wil  be approached one by one.

There is huge demand for Māori expertise in the reformed system and Māori are under
enormous pressure in the sector. With close to 80% turn-over in Te Rōpū, and the wider
context of huge demand, risks and mitigations were discussed.
•  It wil  be important to ensure that Te Rōpū can maintain a strategic view, rather than an
operational one.
•  Taking the opportunity for a name change, was also considered important.
•  Thinking about how to better draw on and use the advice and expertise of those on Te
Rōpū wil  also be important.

Covid Window 2
Carl Shuker was welcomed to the meeting and provided an overview of progress on Window
2. Window 2 continues and extends Window 1’s analyses mostly up to March 2022, where
national datasets just released finish. It also adds new areas of analysis: mental health and
workforce impacts, and further patience experience survey data with a focus on mental
health and disability, as recommended by ELT, sector and Board consultation.

The focus remains on the secondary impacts of the pandemic on the healthcare system,
rather than focusing on vaccinations or direct COVID-19 impacts like COVID-19-related
deaths. This is in line with Window 1.

Carl noted the fast-paced work occurring in the development of the COVID Window 2. Staff
are dealing with almost live data and work is happening rapidly. Analysis requires expert
advice and engagement, so that interpretation is solid. Working in partnership with relevant
experts can give us and our readers confidence in what we share. Staff have just received a
large amount of data on workforce, which we are working through.

The Board emphasized the need for the Commission to be able to tell the improvement story
that needs to be told, without limitation.

The work occurring in the quality of care for disabled people was discussed. The
Commission has a ‘gold mine’ of data that can be used for change. The possibility of
partnering with academics and others who could use this data to support change, was
discussed.

The need to also emphasize the positive, alongside the challenges presented by COVID to
the system, was highlighted.

General discussion
Dale Bramley thanked Janice and Commission staff, acknowledging the efforts that
everyone has made over recent months, during difficult times. He also thanked the board for
coming together face-to-face, for those able to.

6

Board Meeting Agenda
No. 93

  Date:
8 July 2022
Time:
10.00am – 2.45pm
Location:
Front & Centre, 69 Tory Street, Wel ington (Te Aro Room)
Chair:
Dr Dale Bramley
Board members:  Peter Crampton
Tristram Ingham (zoom)

Shenagh Gleisoner (zoom)  Rae Lamb
Wil Harrison (zoom)
Jenny Parr

In attendance:
Janice Wilson
Kere Pomare
Deon York (items 10-14)

Gillian Bohm
Bevan Sloan (zoom)
Shel ey Hanifan (minutes)
Victoria Evans
Martin Thomas (zoom)
Paula Farrand (EA to the Board)
Fritz Evile
Stephanie Turner
Simona D’Silva (item 10)
Richard Hamblin (zoom)
Chris Walsh
Carl Shuker (item 12)

Guests:
Morag McDowell – Health and Disability Commissioner (zoom)
Ria Earp – Chair, Te Rōpū
Frank Bristol – Acting Chair, Consumer Advisory Group
Apologies:
Mena Antonio, Andrew Connolly, Col in Tukuitonga.
Zoom link:

Password:

Item

Lead

09.45
Morning tea on arrival

1
10.00-10.30
Board only time
Dale Bramley
2
10.30-11.00
Board and chief executive time
Dale Bramley

11.00
Executive leadership team, Morag, Ria and Frank join the

meeting

11.05
Opening karakia
All
3
11.05 – 11.15
3.1 Minutes of meeting held on 26-27 May 2022
Dale Bramley
3.2 Actions update from 26-27 May 2022
3.3 Interests register
3.4 Board activities
4
11.15 – 11.35
Patient story
Chris Walsh
5
11.35 – 11.45
Health and disability commissioner update
Morag McDowall
6
11.45 – 12.05
Chief executive report
Janice Wilson
7
12.05 – 12.15
Finance report
Bevan Sloan
8
12.15 – 12.25
Revised delegation policy
Bevan Sloan
9
12.25 – 12.35
Risk register
Bevan Sloan

12.35 – 13.15
Acknowledgement to Chris Walsh

Lunch
10
13.15 – 13.30
Commission’s recommendation function in the Pae Ora
Janice Wilson
(Healthy Futures) Act 2022
11
13.30 – 14.00
Update on board strategy
Janice Wilson

12
14.00 – 14.20  Update on COVID Window Part 2
Carl Shuker
13
14.20 - 14.35  Ministerial briefing – National mortality review function
Kere Pomare
14
14.35 - 14.45  Noting papers:
Dale Bramley

Consumer Advisory Group environmental scanning

Correspondence

Board requests for next agenda

14.45
Closing karakia
All

Proposed agenda for 26 August 2022

Board only time
Dale
Board and chief executive time
Dale
Standard business
Dale
Health & disability commissioner update
Morag
Patient story
Deon
Chief executive report
Janice
Finance report
Bevan
Commission identity
Hikitia
Draft annual report
Bevan
Draft adverse events policy
Caroline
Whānau voice
Hikitia/Jim
Update on National mortality review function
Kere
Noting papers
Dale
•  Consumer advisory group environmental scan
•  Correspondence
•  Board requests for next agenda

Board Meeting Agenda
No. 94

  Date:
26 August 2022
Time:
08.30am – 12.00pm
Location:
Front & Centre, 69 Tory Street, Wel ington (Te Aro Room)
Chair:
Dr Dale Bramley
Board members:
Andrew Connol y (zoom)
Shenagh Gleisner
Rae Lamb
Peter Crampton (zoom)
Tristram Ingham (zoom)
Jenny Parr
In attendance:
Janice Wilson
Bevan Sloan (zoom)
Paula Farrand (EA to the Board)

Victoria Evans
Martin Thomas
Jocasta Whittingham (item 9)
Fritz Evile
Stephanie Turner
Jim Wiki (item 9)
Richard Hamblin
Deon York
Caroline Tilah (item 10)
Kere Pomare
Shel ey Hanifan (minutes)
Glen Mitchell (item 10)
Guests:
Morag McDowell – Health and Disability Commissioner
Ria Earp – Chair, Te Rōpū
Russ Aiton – Chair, Consumer Advisory Group
Apologies:
Mena Antonio, Wil Harrison, Collin Tukuitonga, Gil ian Bohm.
Zoom link:

Password:

Item

Lead

8.15
Tea and coffee on arrival

1
08.30 – 08.40
Board only time
Dale Bramley
2
08.40 – 08.50
Board and chief executive time
Dale Bramley

08.50-08.55
Executive leadership team, Morag, Ria and Russ join the

meeting

08.55-09.00
Opening karakia
All
Welcome to Russ and Deon
3
09.00 – 09.10
3.1 Minutes of meeting held on 8 July 2022
Dale Bramley
3.2 Actions update from 8 July 2022
3.3 Interests register
3.4 Board activities
4
09.10 – 09.20
Patient story
Deon York
5
09.20 – 09.30
Health and disability commissioner update
Morag McDowall
6
09.30 – 09.50
Chief executive report
Janice Wilson
7
09.50 – 10.00
Finance report
Bevan Sloan
8
10.00 – 10.20
Risk discussion
Bevan Sloan

10.20 – 10.40
Morning tea

9
10.40 – 11.00
Ko wai tātau – the Commission’s identity
Victoria Evans, Jocasta
Whittingham, Jim Wiki
10
11.00 – 11.30
Draft national adverse events policy
Caroline Tilah & Glen
Mitchell

11
11.30 – 11.45  Refreshing Te Rōpū membership
Ria Earp
12
11.45 – 11.55  Noting papers:
Dale Bramley

Consumer Advisory Group environmental scanning

Correspondence

Board requests for next agenda

11.55
Closing karakia
All

Proposed agenda for 14 October 2022

Board only time
Dale
Board and chief executive time
Dale
Standard business
Dale
Health & disability commissioner update
Morag
Patient story
Deon
Chief executive report
Janice
Finance report
Bevan
Draft annual report
Bevan
Joint work programme between Te Aka Whai Ora and Ahuahu Kaunuku
Hikitia / Jim
How to make effective recommendations (our function in the Pae Ora Act 2022)
Shelley / Simona
Update on National mortality review function
Kere
Noting papers
Dale
•  Consumer advisory group environmental scan
•  Correspondence
•  Board requests for next agenda

Document Outline