February 15, 2018 - Board of Health - Meeting Minutes

Members Present:

Ms. Trish Fulton (Vice-Chair)
Ms. Maureen Cassidy (arrived at 7:04 p.m.)
Mr. Trevor Hunter
Mr. Marcel Meyer
Mr. Ian Peer
Mr. Kurtis Smith

Regrets:
Ms. Joanne Vanderheyden (Chair)
Mr. Michael Clarke
Ms. Tino Kasi
Mr. Jesse Helmer

Others Present:

Dr. Christopher Mackie, Secretary-Treasurer
Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications (Recorder)
Ms. Mary Lou Albanese, Manager, Infectious Disease Control
Mr. Jordan Banninga, Manager, Strategic Projects
Ms. Laura Di Cesare, Director, Corporate Services
Ms. Shaya Dhinsa, Manager, Sexual Health
Mr. Joe Belancic, Procurement and Operations Manager
Mr. Dan Flaherty, Communications Manager
Ms. Becky Griffiths, McKenzie Lake Lawyers
Ms. Marlene Haines, Nursing Student
Ms. Ellen Hobin, London Public Library
Ms. Donna Kosmack, Manager, Southwest Tobacco Control Area Network
Ms. Heather Lokko, Director, Healthy Start
Ms. Bernie McCall, Public Health Nurse
Mr. John McNair, McKenzie Lake Lawyers
Mr. Stephen Turner, Director, Environmental Health and Infectious Diseases
Mr. Alex Tyml, Online Communications Coordinator
Ms. Suzanne Vandervoort, Director, Healthy Living

Media:

Mr. Jonathan Sher, London Free Press

Vice-Chair Fulton called the meeting to order at 7:01 p.m.

Ms. Fulton said that as Vice-Chair she would serve as Chair for this evening’s meeting, since Ms. Vanderheyden could not be present.

Disclosures of Conflict(s) of Interest

Vice-Chair Fulton inquired if there were any disclosures of conflict of interest to be declared. None were declared.

Approval of Agenda

It was moved by Mr. Peer, seconded by Mr. Smith, that the AGENDA for the February 15, 2018 Board of Health meeting be approved. Carried

Approval of Minutes

It was moved by Mr. Hunter, seconded by Mr. Meyer, that the MINUTES of the January 18, 2018 Board of Health meeting be approved. Carried

It was moved by Mr. Hunter, seconded by Mr. Meyer, that the MINUTES  of the January 18, 2018 Governance Committee meeting be received. Carried

It was moved by Ms. Fulton, seconded by Mr. Meyer, that the MINUTES of the February 1, 2018 Finance & Facilities Committee be received. Carried

Mr. Peer took over as Chair so that Ms. Fulton could provide an update from the February 1, 2018 Finance & Facilities Committee meeting.

Ms. Fulton thanked the Committee and Board members who attended the full-day meeting on February 1, as well as Mr. Peer and Mr. Clarke, for their thoughtful comments on the 2018 budget.

Ms. Cassidy arrived at 7:04 p.m.

Delegations and Committee Reports

Ms. Fulton introduced and provided context for the following reports:

Health Unit Insurance Policy Review (Report No. 001-18FFC)

It was moved by Mr. Meyer, seconded by Ms. Cassidy, that the Board of Health receive Report No. 001-18FFC re: “Health Unit Insurance Policy Review” for information. Carried

2018 Finance & Facilities Reporting Calendar (Report No. 002-18FFC)

It was moved by Mr. Meyer, seconded by Ms. Cassidy, that the Board of Health receive Report No. 002-18FFC re: “Finance & Facilities Committee – Reporting Calendar” for information. Carried

2017 Vendor / Visa Payments (Report No. 003-18FFC)

It was moved by Mr. Meyer, seconded by Ms. Cassidy, that the Board of Health receive Report No. 003-18FFC re: “2017 Vendor / Visa Payments” for information. Carried

Southwest Tobacco Control Area Network (TCAN) Single Source Vendor (Report No. 004-18FFC)

Ms. Kosmack answered questions about the contract and the kinds of work that Rescue staff provide to the Health Unit.

Discussion ensued on the services Rescue provides to other health units as part of this contract; why no other agencies are doing the kind of work that Rescue does; what Rescue is able to achieve in terms of public health; and how they can help the Health Unit achieve its mandate via unique targeting of ads to alternative youth.

It was moved by Mr. Meyer, seconded by Ms. Cassidy, that the Board of Health award a single source vendor contract to Rescue: The Behavior Change Agency in an amount up to $151,439.53, as identified in Report No. 004-18FFC re: “Southwest Tobacco Control Area Network Single Source Vendor.” Carried

2018 Budget – FFC Review (Report No. 005-18FFC)

Ms. Fulton provided context and answered questions pertaining to this report and to the full-day budget meeting.

Discussion ensued on the following items:
• What a change to the public health standards might mean for the Health Unit’s budget this year and in the future.
• How next year’s budget templates will be different due to a new Ministry reporting structure and the resulting implementation of new budget templates.
• Additional full-time staff positions being added to the budget for 2018.
• Contracted IT services and the cost savings associated with switching to this service.

It was moved by Ms. Fulton, seconded by Ms. Cassidy, that the Board of Health:
1) Approve the amended 2018 Operating Budget in the gross amount of $35,384,706, as appended, to Report No. 005-18FFC re: “2018 Proposed Budget”; and further
2) Forward Report No. 005-18FFC to the City of London and the County of Middlesex for information; and,
3) Direct staff to submit the 2018 Operating Budget in the various formats required by the different funding agencies.
Carried

VERBAL UPDATE – Temporary Overdose Prevention Site and Supervised Consumption Facilities

Ms. Dhinsa provided a verbal update on the status of the Temporary Overdose Prevention Site (TOPS), which opened on Monday, February 12. The update included details on the following items:
• History of the application process to the Ministry for the TOPS.
• Training and orientation provided to all staff and partners participating in operating the TOPS.
• Summary of how daily operations, security, and flow have been going thus far.
• Protocols currently in place for safety and emergencies.
• Number of clients who have accessed the site so far in four days of operation: 53.
• Positive nature of interactions with clients; nurses and staff have identified positive relationships forming.
• That smudging ceremony conducted in the space before it opened by the Southwest Ontario Aboriginal Health Access Centre, and the ongoing services offered by that organization at the TOPS.

Discussion ensued on the following items:
• Whether there were any repeat clients and how client attendance is monitored.
• How much time clients spend in the space, and the space’s overall flow and use.
• The positive experience that clients have had with on-site security.
• Process for evaluation, when it will occur, and next steps.
• How the wider community is reacting to the TOPS.
• Status of an application to the federal government for a permanent Supervised Consumption Facility (SCF); staff are still putting it together and reviewing the details.

Mr. Peer commended Health Unit staff on the speed with which the TOPS became operational, especially considering the tight timeline, with just one month between the January 12 application and opening the doors on February 12.

It was moved by Mr. Peer, seconded by Mr. Hunter, that the Board of Health receive the verbal update on the Temporary Overdose Prevention Site for information. Carried

Information Reports

Temporary Overdose Prevention Site Update (Report No. 007-18)

It was moved by Mr. Peer, seconded by Mr. Hunter, that the Board of Health receive Report No. 007-18 re: “Update – Temporary Overdose Prevention Site” for information. Carried

Inspection of Hair-Cutting Establishments (Report No. 008-18)

It was moved by Ms. Cassidy, seconded by Mr. Smith, that the Board of Health receive Report No. 008-18 re: “Inspection of Hair-Cutting Establishments” for information. Carried

Summary Information Report for February 2018 (Report No. 009-18)

Dr. Mackie summarized the report and provided context.

It was moved by Mr. Peer, seconded by Mr. Meyer, that the Board of Health receive Report No. 009-18 re: “Summary Information Report for February 2018” for information. Carried

Medical Officer of Health / Chief Executive Officer Activity Report, February (Report No. 010-18)

It was moved by Ms. Cassidy, seconded by Mr. Hunter, that the Board of Health receive Report No. 010-18 re: “Medical Officer of Health Activity Report, February” for information. Carried

Correspondence

It was moved by Mr. Peer, seconded by Ms. Cassidy, that the Board of Health receive correspondence items a) through d).
Carried

Other Business

Ms. Fulton noted that Board members are required to complete the Self-Assessment by March 1, and the annual attestation on paper at their seats this evening.

Ms. Fulton reviewed the next meeting dates for the Finance & Facilities Committee, the Board of Health, and the Governance Committee.
• Next Finance & Facilities Committee meeting: Thursday, March 1, 2018 @ 9:00 a.m.
• Next Board of Health meeting: Thursday, March 15, 2018 @ 7:00 p.m.
• Next Governance Committee meeting: March 15, 2018 @ 6:00 p.m.

Confidential

At 7:39 p.m., it was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health move in-camera to consider matters regarding identifiable individuals, a proposed or pending acquisition of land by the Middlesex-London Board of Health, and the confidential minutes of the January 18, 2018 Board of Health meeting and of the February 1, 2018 Finance & Facilities Committee meeting. Carried

All guests in attendance, except the Board of Health, Dr. Mackie, Ms. Milne, Ms. Di Cesare, Mr. Banninga, Mr. Belancic, Ms. Griffiths, Mr. McNair, Ms. Lokko, Ms. Vandervoort, and Mr. Turner, left the meeting.

At 8:54 p.m., the Board of Health returned to public session.

It was moved by Mr. Peer, seconded by Mr. Hunter, that the Board of Health report that progress was made in-camera and request that Middlesex County provide their consent to the Health Unit by end of business day on Thursday, February 22, 2018.
Carried

Adjournment

At 8:58 p.m., it was moved by Mr. Hunter, seconded by Ms. Cassidy, that the meeting be adjourned. Carried

TRISH FULTON
Vice-Chair

CHRISTOPHER MACKIE
Secretary-Treasurer