November 3, 2016 - Finance and Facilities Committee Meeting Draft Minutes

Committee Members Present:

Ms. Trish Fulton (Committee Chair)
Mr. Ian Peer
Mr. Jesse Helmer
Mr. Marcel Meyer
Ms. Joanne Vanderheyden

Others Present:

Dr. Christopher Mackie, Medical Officer of Health & CEO
Ms. Elizabeth Milne, Executive Assistant to the Board of Health & Communications (Recorder)
Mr. Jordan Banninga, Manager, Strategic Projects
Ms. Laura Di Cesare, Director, Corporate Services
Mr. John Millson, Associate Director, Finance

At 9:05 a.m., Chair Fulton called the meeting to order.

Disclosure of Conflict(s) of Interest

Chair Fulton inquired if there were any disclosures of conflicts of interest.

Ms. Vanderheyden declared that she sits on the Board of Governors for the Western Fair District, regarding Report No. 042-16FFC, Appendix B, item 10.

Approval of Agenda

It was moved by Mr. Meyer, seconded by Ms. Vanderheyden that the AGENDA for the November 3, 2016 Finance and Facilities Committee meeting be approved.

Approval of Minutes

It was moved by Ms. Vanderheyden, seconded by Mr. Peer that the MINUTES from the October 6, 2016 Finance and Facilities Committee meeting be approved. Carried

New Business

4.1 Proposed Resource Reallocation for the 2017 Budget (Report No. 041-16FFC)

Mr. Millson introduced this report and provided a summary of the investments and disinvestments included in the appendices of this report. These items will be incorporated into the 2017 budget process.

A fulsome discussion ensued about many of the investment and disinvestment items, which included:
• What could change between now and the end of the year, unapproved proposals that will be brought forward by staff as an added layer of transparency and the incorporation of resource allocations into the Program Budget Templates for 2017.
• Further details were provided regarding the disinvestment of the Vector-Borne Disease Lab Technician and it was noted that this was a service identified as being provided by the province and service providers and therefore an in-house lab was no longer a requirement.
• Clarification of the student Public Health Inspector position, Public Health Dietician roles and the Drug Strategy Health Promoter role. Further details were also provided by staff on the cooling tower project, vulnerable occupancy inspection work, the Community Drug and Alcohol Strategy.

Mr. Helmer noted that staff could work with the city to receive support for vulnerable occupancy work going forward.

The Committee also had significant discussion around the HIV Prevention and Control Investment Proposal, which included:
• Timelines and next steps, how the outreach team will work within the current Health Unit structure and maintaining the safety of staff on this new team. It was noted that staff will add a sentence to this investment description to note that the outreach team will include a current full time staff member in its complement.
• The possibility of requesting 100% funding for this project from the Province or Local Health Integration Network and advocating for additional resources for HIV Prevention.
• The changes around anonymous HIV testing provided to clients and if these changes might drive deter clients from being tested. Staff will provide an update on this and bring it back to the Committee at a later date.
• Safe injection sites, the associated costs and the pending results from the feasibility study.

It was moved by Mr. Meyer, seconded by Mr. Peer, that the Finance & Facilities Committee receive Report No. 041-16FFC re: Proposed Resource Reallocation for the 2017 Budget for information. Carried

It was moved by Mr. Meyer, seconded by Ms. Vanderheyden that the Finance and Facilities recommend that the Board of Health request funding from the Province and the Local Health Integration Network to support additional resources and funding for HIV Prevention, Outreach and Control. Carried

4.2 Third Quarter Variance Report (Report No. 042-16FFC)

Mr. Millson provided context to this report and summarized some items for discussion which included: applications for additional funding, additional resources which will be put into training and two additional rent invoices received from the second quarter, noting that utilities and maintenance costs have increased significantly.

Discussion ensued about the anticipated gapping budget and projections that indicate that the Health Unit will meet its full year gapping target.

Ms. Vanderheyden noted her abstention from this motion related to her possible conflict of interest.

It was moved by Mr. Helmer, seconded by Ms. Peer, that the Finance & Facilities Committee review and recommend to the Board of Health to receive Report No. 042-16FFC re: “Q3 Financial Update & Factual Certificate” and appendices for information. Carried

Confidential

At 10:12 a.m. Chair Fulton invited a motion to move in camera to discuss items regarding a proposed or pending acquisition of land by the Middlesex-London Board of Health.

It was moved by Mr. Meyer, seconded by Mr. Helmer that the Finance and Facilities Committee move in camera to discuss items regarding a proposed or pending acquisition of land by the Middlesex-London Board of Health. Carried

It was moved by Mr. Meyer, seconded by Ms. Vanderheyden that the Finance and Facilities Committee return to return to public session.

At 11:24 a.m. the Finance and Facilities Committee returned to public session.

Other Business

Next meeting: Thursday December 1, 2016 at 9:00 a.m.

Ms. Fulton noted that she will not be able to attend the next meeting on December 1. Board of Health Chair, Mr. Helmer will take Ms. Fulton’s place as Chair at this meeting.

Adjournment

It was moved by Ms. Vanderheyden, seconded by Mr. Meyer, that the Finance and Facilities Committee adjourn the meeting.
Carried

At 11:27 a.m. Chair Fulton adjourned the meeting.

Trish Fulton
Committee Chair

Dr. Christopher Mackie
Secretary-Treasurer