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Provincial Hospital Cuts
SSMDLC.COM -- December 4, 2008

Apologies for cross posting. Please
post/distribute widely.

Greetings,
We released our hospital cuts
report on December 2 and have been getting media coverage across the province. A
full copy of the
report is available on our website at
www.ontariohealthcoalition.ca

I
also want to bring to your attention that we also released a discussion paper
the other day on the Niagara Health System's plans for cuts and restructuring.
We are inviting feedback by December 8, 2008.  In Niagara they used an external
reviewer to justify moving virtually all hospital services out of the small
hospitals in Port Colborne and Fort Erie, and to centralize birthing services
out of small/middle-sized hospitals in Niagara Falls and Welland. This holds
serious implications for other small and rural hospitals across
Ontario.

Warm regards,
Natalie
Mehra
Director


Cross-Province
Hospital Cuts Cause Major Lay Offs, Privatization;

Threaten Local Emergency Rooms,
Birthing, Hospital Beds


 
Toronto/cross Ontario – The Ontario Health Coalition released a
report detailing hospital cuts and restructuring plans now underway across
Ontario.


« We are seeing the deepest and most widespread hospital cuts in more
than a decade, » noted Natalie Mehra, coalition director. « The province has set
funding levels for hospitals that are less than the rate of inflation for this
fiscal year, dropping further next year. Hospitals cannot maintain existing
programs and services at current levels of funding. The cuts we are seeing are
disorganized, undemocratic and causing huge public backlash. »

 
« Most communities have spent the last 50 – 100 years to build their
local hospitals and make services locally accessible, » added Helen Havlik,
retired nursing director from the Petrolia hospital and a coalition member.
« The government is going in the opposite direction, moving services out of
local communities. For small and rural hospitals, once you move out the services
that are being proposed in some communities, you no longer have a hospital at
all.»

 
« The current government plan for hospital cuts and restructuring is
saddled with similar flaws to the last round of restructuring that went over
budget by billions of dollars while reducing services and compromising people’s
health, » Mehra warned.

 
Among the major
findings of the report:



  • Province-wide at least 50% of hospitals (75
    hospitals) are, or have been in deficit this year and almost 70% (104 hospitals)
    are projected to be in deficit next year. Hospitals are forbidden to run
    deficits and must submit plans to eliminate them by the end of next fiscal
    year.

  • Provincial funding for hospitals’ global
    budgets is less than the rate of inflation for this year and next. It has been
    set at 2.4% for 2008/09 and 2.1% for 2009/10.  At these rates,
    hospitals are unable to maintain existing programs and services. The government
    has provided a multi-step program to increase fees and cut services across the
    province.

  • Cuts now proposed across Ontario include
    closures of Emergency Departments; closure of local birthing service; cuts to
    hospital beds and departments; essential closure of small and rural hospitals;
    privatization of physiotherapy, chiropody and support services; lay offs and
    attrition to reduce the size of the hospital workforce; increased fees for
    patients and their visitors, and other measures.

  • Emergency Departments are being
    restructured, closed, or reviewed in Hamilton, Port Colborne, Fort Erie,
    Leamington, Wallaceburg and Petrolia.

  • The funding squeeze is forcing hospitals to
    centralize core hospital services across large geographic regions, moving them
    out of local community hospitals.  Patients will have to travel
    from one hospital to another across their regions to access services. The
    provincial government has not made clear how far patients will be required to
    travel for hospital care.

  • There are no clear plans and funding to
    offset increased municipal costs for ambulance, paramedic, fire and police
    services that will be required if the local Emergency Departments are closed or
    converted into clinics. Ambulance offload delays are a major problem in many
    larger hospitals already.  There are concerns that the larger
    hospitals cannot take the influx of patients that would result from the movement
    of services out of local hospitals.

  • Planning for infrastructure is misaligned
    with service planning. In Ajax – Pickering, a brand new mental health suite of 9
    beds was just completed in time for all the mental health beds to be moved out
    of town to Scarborough. In Port Colborne, the government announced funding to
    expand and renovate the Emergency Department less than one year ago and now the
    Niagara Health System plans to close it down.

  • Hospital deficits are worsened by staffing
    shortages and inadequate long term care (at home and in facilities) which are
    provincial government policy.

  • Hospitals have reportedly been asked to
    sign « communication protocols » with the government-appointed LHINs, dictating
    what information can be released to the public and when.

  • There has been major public outcry. Six
    thousand people have protested in Fort Erie and Port Colborne. Municipal
    Councils are passing motions for democratically-elected hospital boards,
    dissolution of amalgamated hospitals and provincial funding support to offset
    cuts. Editorials in community newspapers across the province have decried the
    lack of clear planning and cuts to services. Tens of thousands have signed
    petitions to save local hospital services.

  • Ontario’s hospitals have already been
    restructured for more than 15 years. Current underfunding is forcing deep cuts
    to patient services.


  For more information: 416-441-2502.

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