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June 15, 2017 - Meeting Minutes - Board of Health

Members Present:

Ms. Maureen Cassidy
Mr. Michael Clarke
Ms. Patricia Fulton
Mr. Jesse Helmer (Chair)
Mr. Trevor Hunter
Ms. Tino Kasi
Mr. Marcel Meyer
Mr. Ian Peer
Mr. Kurtis Smith
Ms. Joanne Vanderheyden (Vice-Chair)

Others Present:

Ms. Laura Di Cesare, Secretary-Treasurer
Dr. Christopher Mackie, Medical Officer of Health/CEO
Ms. Elizabeth Milne, Executive Assistant to the Board of Health and Communications (Recorder)
Mr. Jordan Banninga, Manager, Strategic Projects
Mr. Sean Bertleff, Manager, Emergency Preparedness
Mr. Dan Flaherty, Communications Manager
Dr. Gayane Hovhannisyan, Acting Medical Officer of Health
Ms. Heather Lokko, Manager, Healthy Start
Mr. John Millson, Associate Director, Finance
Ms. Linda Stobo, Manager, Chronic Disease Prevention and Tobacco Control
Mr. Alex Tyml, Online Communications Coordinator
Ms. Suzanne Vandervoort, Director, Healthy Living
Mr. Ian Jeffreys, Partner, KPMG

Chair Helmer called the meeting to order at 7:00 p.m.

Disclosures Of Conflict(S) Of Interest

Chair Helmer inquired if there were any disclosures of conflicts of interest. None were declared.

Approval of Agenda

It was moved by Ms. Vanderheyden, seconded by Mr. Peer, that the AGENDA for the June 15, 2017 Board of Health meeting be approved.
Carried

Approval of Minutes

It was moved by Mr. Meyer, seconded by Mr. Smith, that the MINUTES of the May 18, 2017 Board of Health meeting be approved.
Carried

Delegations

7:05 – 7:15 p.m.
Mr. John Millson, Associate Director, Finance, and Mr. Ian Jeffreys, Partner, KPMG, re: Item #3, 2016 Draft Financial Statements

2016 Draft Financial Statements (Report No. 032-17)

Chair Helmer introduced Mr. Millson and Mr. Jeffreys, and advised the Board of its option to go in-camera should any questions regarding the audit report arise following the presentation and discussion on this item.

Mr. Millson provided a brief summary of the financial statements.

Discussion ensued on the following items:

  • The decreased revenues and expenses of the last year, and what contributed to those decreases.
  • The dental reserve, which has stayed the same from 2015 to 2016.

Mr. Jeffreys reviewed the KPMG audit findings and summarized the Executive Summary, the audit plan, materiality, audit risk and results, adjustments and the process to finalize the audit (subject to the Board’s deliberation and approval this evening).

Discussion ensued on the following items:

  • The fact that there were no significant control deficiencies or changes to accounting practices identified in the Health Unit’s audit.
  • Details of the materiality taken and applied to the financial audit, where no errors were found in excess of $53,500 dollars.
  • The fraud risk analysis, which indicated that there was no fraud from a financial statement audit perspective.
  • The fact that there were no unusual issues or adjustments required, corrected or uncorrected.
  • KPMG’s reporting process to the Board of Health, and the fact that KPMG is independent of the Middlesex-London Health Unit.

At 7:18 p.m., it was moved by Ms. Fulton, seconded by Mr. Hunter, that the Board of Health move in-camera to discuss matters regarding identifiable individuals.
Carried

Chair Helmer requested that all in attendance except the Board of Health, Ms. Elizabeth Milne and Mr. Ian Jeffreys leave the meeting.

It was moved by Ms. Vanderheyden, seconded by Mr. Meyer, that the Board of Health return to public session.
Carried

The Board of Health returned to public session at 7:29 p.m.

It was moved by Mr. Clarke, seconded by Ms. Fulton, that the Board of Health approve the audited Financial Statements for the Middlesex-London Health Unit, December 31, 2016, as appended to Report No. 032-17.
Carried

Committee Reports

1) Finance & Facilities Committee (FFC) Meeting, June 8, 2017 (Report No. 031-17)

Chair Helmer requested that Vice-Chair Vanderheyden take the Chair while he presented the June 8, 2017 FFC meeting update.

It was moved by Mr. Helmer, seconded by Mr. Peer, that the Board of Health:

  1. Approve a $55,914 drawdown from the Sick Leave Reserve Fund to fund the 2016 sick leave payments to eligible staff;
  2. Receive the 2016–17 Reserve/Reserve Fund Overview (Appendix A) for information; and
  3. Forward Report No. 024–17FFC re: 2016 Reserve/Reserve Fund Balances to the City of London and the County of Middlesex for information.

Carried

It was moved by Mr. Helmer, seconded by Mr. Hunter, that the Board of Health:

  1. Maintain the current funding apportionment for municipally funded programs at 84% for the City of London and 16% for the County of Middlesex; and
  2. Forward Report No. 025-17FFC re: Funding Apportionment to the councils of the City of London and the County of Middlesex for information.

Carried

It was moved by Mr. Helmer, seconded by Mr. Meyer, that the Board of Health authorize the Chair to sign the amended three-year FoodNet agreement when it has been received from the Public Health Agency of Canada.
Carried

It was moved by Mr. Helmer, seconded by Ms. Cassidy, that the Board of Health receive Report No. 026-17FFC, “Pending Funding Contracts,” for information.
Carried

In his update, Mr. Helmer informed the Board that the Finance & Facilities Committee approved amendments to policies G-180, G-210, G-310, G-330 and G-420, and forwarded them to the Governance Committee, and sent policy G-410 back to staff for further review.

It was moved by Mr. Helmer, seconded by Ms. Fulton, that the Board of Health receive the minutes from the May 18, May 19 and June 8, 2017 Finance & Facilities Committee meetings.
Carried

2) Governance Committee (GC) Meeting, June 15, 2017 (Verbal Update)

Mr. Trevor Hunter provided a summary of the policies discussed at the June 15, 2017 GC meeting, including a highlight of some of the Committee’s proposed wording changes.

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health approve policies G-100, G-180, G-190, G-210, G-240, G-250, G-260, G-310, G-320, G-330 and G-420, pending final wording changes by staff as recommended by the Governance Committee.
Carried

It was moved by Mr. Hunter, seconded by Ms. Cassidy, that the Board of Health receive the April 20, 2017 Governance Committee meeting minutes.
Carried

Mr. Hunter advised that the next GC meeting is scheduled for September 21, 2017.

Delegation And Recommendation Reports

Smoke-Free Clauses in the Standard Lease Under the Residential Tenancies Act (RTA) (Report No. 033-17)

Ms. Linda Stobo answered Board members’ questions, and discussion ensued on the following items:

  • How this regulation might affect those requiring medical marijuana and how individuals might be accommodated within the regulation to access their prescribed medications.
  • The regulation’s impact on small landlords, as well as on marginalized populations.
  • The benefit of having clear language for landlords to turn to, making no-smoking policies in buildings more enforceable.
  • Whether smoke-free clauses in leases might force smokers to congregate in the same housing units, and what the implications of this might be on children or non-smokers living in the vicinity.
  • The possibility of offering cessation services to those living in smoking dwellings, or encouraging them to smoke outside to reduce second-hand smoke effects on children and other non-smoking residents.
  • The fact that the Health Unit does not support an outright ban on smoking and cigarettes because a public health approach to substance use favours regulation rather than prohibition, since the former often assists in reducing illicit markets and negative health effects.

It was moved by Mr. Meyer, seconded by Mr. Clarke, that the Board of Health:

  1. Receive Report No. 033-17 re: Smoke-Free Clauses in the Standard Lease Under the Residential Tenancies Act (RTA);
  2. Communicate its support for the inclusion of smoke-free clauses in the Standard Lease Under the RTA by sending a letter to the Honourable Chris Ballard, Minister of Housing/Minister Responsible for the Poverty Reduction Strategy;
  3. Forward Report No. 033-17 to Ontario Boards of Health and the Smoke-Free Housing Ontario Coalition to communicate its support for smoke-free housing policy measures; and
  4. Direct staff to participate in consultation processes to inform regulatory changes under the RTA to increase the availability and enforceability of smoke-free clauses within tenancy agreements.

Carried

Information Reports

Summary Information Report, June 2017 (Report No. 034-17)

Discussion ensued on the following items:

  • Why some women are not accessing the Prenatal Immigrant Program.
  • That the program waitlist will be reduced when the program expands in September.
  • Populations currently being reached and not being reached by the program.

It was moved by Mr. Meyer, seconded by Mr. Smith, that the Board of Health receive Report No. 034-17 re: Summary Information Report, June 2017 for information.
Carried

Acting Medical Officer of Health / Acting Chief Executive Officer Activity Report, June 2017 (Report No. 035-17)

It was moved by Mr. Smith, seconded by Mr. Meyer, that the Board of Health receive Report No. 035-17 re: Acting Medical Officer of Health / Acting Chief Executive Officer Activity Report, June 2017.
Carried

Correspondence

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

Other Business

Mr. Meyer inquired about Minister Hoskins’s announcement earlier this week regarding new measures to tackle Ontario’s opioid crisis.

Discussion ensued on the following items:

  • How the new measures will benefit Middlesex-London.
  • Prospects for the Health Unit in terms of staffing and funding.
  • How this might fund other models; the timeframe for receiving funding; and whether or not the funding will be multi-year.

Confidential

At 8:09 p.m., Chair Helmer invited a motion to move in-camera to discuss matters regarding identifiable individuals, employee negotiations, and a proposed or pending acquisition of land by the Middlesex-London Board of Health, as well as to consider the minutes of the May 18, May 19 and June 8, 2017 Finance & Facilities Committee meetings and the May 18, 2017 Board of Health meeting.

At 8:09 p.m., it was moved by Ms. Cassidy, seconded by Mr. Peer, that the Board of Health move in-camera to discuss matters regarding identifiable individuals, employee negotiations, and a proposed or pending acquisition of land by the Middlesex-London Board of Health, as well as to consider the minutes of the May 18, May 19 and June 8, 2017 Finance & Facilities Committee meetings and the May 18, 2017 Board of Health meeting.
Carried

At 8:09 p.m., all visitors and Health Unit staff, except for Ms. Di Cesare, Dr. Hovhannisyan, Dr. Mackie, Ms. Milne, Mr. Millson, Ms. Lokko, Ms. Vandervoort and Mr. Bertleff, left the meeting.

At 9:31 p.m., it was moved by Ms. Vanderheyden, seconded by Ms. Kasi, that the Board of Health rise and return to public session.
Carried

At 9:31 p.m., the Board of Health returned to public session.

Next Meetings

Chair Helmer advised that the next Board of Health meeting will be on Thursday, July 20, 2017, at 7:00 p.m., and that the next Governance Committee meeting will be on Thursday, September 21, 2017, at 6:00 p.m.

Chair Helmer noted that there are no agenda items for the scheduled July 6 FFC meeting.

It was moved by Ms. Fulton, seconded by Mr. Peer, that the Board of Health cancel the July 6 Finance & Facilities Committee meeting.
Carried

It was moved by Mr. Smith, seconded by Ms. Cassidy, that the Board of Health:

  1. Accept the resignation of Ms. Laura Di Cesare as Secretary-Treasurer; and
  2. Approve that Dr. Mackie, Medical Officer of Health/CEO, assume the role of Secretary-Treasurer of the Board of Health.

Carried

Adjournment

At 9:32 p.m., it was moved by Ms. Vanderheyden, seconded by Ms. Cassidy, that the meeting be adjourned.
Carried

Jesse Helmer
Chair

Laura Di Cesare
Secretary-Treasurer

 
Date of creation: June 19, 2017
Last modified on: July 13, 2017