Tag Archives: Canadian Blood Services

The best of Diablogue in 2012

It’s time for us to take our seasonal break and wish the best of the season to all our readers and posters. Next year will be challenging for health care activists as hospitals continue to shed services to balance their budgets, home care faces unrealistic and high expectations over relatively modest funding increases, bed shortages compound wait times in long-term care and all health providers try to find ways to better work together.

If you are new to our BLOG, or are an occasional viewer, you may have missed some of our postings throughout this year.

Here is a sampling of some of our more popular stories from 2012:

1. In recent days we have been unpacking the contents of the Auditor General’s chapter on long-term care in his 2012 annual report. Much of Ontario’s bed shortage problem is based on the Health Minister’s insistence on holding the line on opening new beds, noting Denmark’s success in diversifying long-term care options. But Denmark still has more nursing home beds per capita than Ontario and has made massive investments in home care. To read more, click here.

2.  When the province introduced its new Long Term Care Act, it was to include stepped up inspection. Problem is, they never hired enough long-term care inspectors to get the job done. Most Ontario nursing homes have not had a thorough inspection since 2009, and some may never see a detailed inspection. To read more, click here.

3. Norma Gunn won a disability rights award this year from the Ontario Federation of Labour for telling her own story about being assaulted at the Ontario Shores Centre for Mental Health Sciences and coping with the subsequent post traumatic stress disorder. A psychiatric nurse at the Whitby-based hospital, Gunn has been at the center of a struggle to reduce incidents of violence at the hospital. In recent days we’ve learned that CEO Glenna Raymond is stepping down in April. Will it be an opportunity for the hospital to press its own reset button on this issue and repair its relations with the staff who work there? To read more, click here.

4. This spring we were in Thunder Bay for a rally around the closure of the Canadian Blood Services plasma donor clinic.  Canadian Blood Services was created following the tainted blood scandal of the late 1980s and the subsequent inquiry by Justice Horace Krever. As we probed the decision by CBS to close down the Thunder Bay donation centre, we began to wonder if all the lessons from the inquiry were truly learned. To read more, click here.

5. One of our most popular stories this year was a posting about corporations stashing away record amounts of “dead” cash and the rich squirreling away billions in tax havens while insisting on further tax cuts. The impact is juxtaposed against a backdrop of hospital cuts across Ontario as the province claims it is broke. To read more, click here.

 6. This was the year that P3s (Public Private Partnerships) came back into the news. This summer we were reminded of how bad the situation is in Britain, the birthplace of these schemes. These so-called PFIs — Private Finance Initiatives — are saddling generations of Britons with a mountain of debt. Worse still, the actual value of these projects is about half the size of the accumulated debt, raising questions about value. Ontario represents more than half of such P3 projects taking place in Canada. To read more about the British experience, click here.

7. Ontario is the only province where the ombudsman does not have jurisdiction over the health sector. In BC the ombudsman has made significant contributions to staffing issues in that province’s long-term care homes. Why not here in Ontario? Click here.

8. What would Diablogue be without its bad hospital food stories? Truly if there is one issue that galvanises everyone — including hospital administrators concerned about patient satisfaction scores — it’s bad hospital food. Now the evidence would suggest it’s about more than just tasteless taters and mountains of wobbly Jello. Click here for more.

9. It’s a catch-22. We criticize much that takes place within our public health system. Then we defend the hell out of it when someone suggests we should replace it. This post reminds us of what it is we are fighting for. Click here.

10. Another of our more popular posts this year was the analysis of how former bank executive Don Drummond has skewed his economic projections to make it look like Ontario was in an even worse crisis than actually existed. To what end? Click here.

See you all back in January!

CBS warns of coming job losses in national meeting with labour

Canadian Blood Services executives Andrew Pateman and Ian Mumford.

Canadian Blood Services says the organization of the future is going to require fewer people. Caught in a funding squeeze by their provincial funders, CBS says they have to compete with other health priorities and money is getting tighter and tighter.

“The focus is not on cost cutting, but on process improvement,” says Andrew Pateman, Vice-President of Talent Management and Corporate Strategy for CBS. Speaking in Toronto November 2nd at a national meeting of unions representing more than 4,000 CBS workers, Pateman spoke about using new technology and reducing steps to improve process efficiency.

Pateman said meeting with the provinces was like getting in a mixed martial arts ring. “We’re getting beat up,” he said.

In his 18 months with the organization Pateman says he has conducted two employee surveys, the results of the second being calculated now. He said he wasn’t surprised that staff felt that “management was not leading in the way they should.”

Both Pateman and Chief Operating Officer (COO) Ian Mumford acknowledged they had work to do in better communicating with staff, including involving front line workers in the decision-making process. Mumford had specifically asked to address the meeting organized by labour.

The CBS COO said they expect managers to carry on a variety of roles from donor and client relations to good financial management. On top of that they are expected to be skilled negotiators and be able to manage labour relations between contracts.

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CBS: Deb Matthews’ indifference costing quality jobs in northern Ontario

Health Minister Deb Matthews is often regarded by the media as one of the front runners to replace Dalton McGuinty as Ontario Premier – a surprise given the intense scrutiny the Minister has been under for her role in the ORNGE air ambulance scandal.

Earlier this year we ran a series of stories about the April closure of the Canadian Blood Services plasma donation centre in Thunder Bay. At the time, Matthews showed little interest in defending the centre or the needed jobs in Northern Ontario – this despite the fact that Bill Mauro, a northern MPP in her caucus, was stating publicly that something didn’t smell right about the closure.

In the legislature she accepted CBS’ explanation that the plasma from Thunder Bay was not needed even though the organization’s annual report showed significant increases in imports of American-sourced plasma.

It is interesting to compare Matthews’ lack of interest over the fate of the Thunder Bay facility with that of the New Brunswick government over the closure of a CBS processing and distribution centre in Saint John.

In late 2009 the New Brunswick Liberal government learned that CBS planned to close the Saint John facility by 2012. Both the Liberals and Conservatives opposed the centralization of the centre’s activities to Dartmouth, Nova Scotia.

They were so furious the New Brunswick government even commissioned a KPMG report to look at the option of taking the province out of CBS altogether.

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Saturday Diablogue story pile-up

In sports they call it plays of the week. For us, it’s just our way to address the pile up of issues surrounding health care this week.

Labour issues are very important to us given OPSEU presents more than 41,000 members who work in our health system, about 700 more having voted to join us in just the last month. They include health care workers at such diverse locations as Orillia’s Soldier’s Memorial Hospital, London Health Sciences, the Oshawa Health Centre and Trellis Mental Health and Development Services, located throughout much of Southern Ontario. Therefore the Ontario PC white paper proposing changes to the province’s labour laws certainly caught our attention. What was more surprising, as our translator pointed out, is the Tories rushed it out in English only. Do the Tories understand there are more than 580,000 francophones who live and vote here? The PC web site offers no French button like we do here at Diablogue.

Canadian Blood Services has announced it is opening a second National Contact Centre (NCC) in Saint John, New Brunswick. The announcement follows CBS’ closure of its blood distribution centre in that city earlier this year. The present NCC is in Sudbury, Ontario. CBS Chief Operating Officer Ian Mumford says Saint John was chosen because of the presence of a bilingual workforce, although the city of 128,000 (metropolitan) is one of the more anglophone parts of the province. It has a large cross at the tip of the downtown peninsula celebrating the arrival of the Irish. The most recent census shows a little over 5,000 residents who have French as their mother tongue. Did Mumford confuse Saint John with Moncton? Mumford also says a second national call centre is necessary “for business continuity,” suggesting that “in the event of a crisis, people who need to contact Canadian Blood Services will always be able to do so.” Crisis? This is a phone centre that handles both inbound and outbound calls with donors and arranges appointments for the donation clinics. Ontario politicians may want to pay attention to the jobs, as Mumford is stating the current contact centre work will be redistributed and that additional information will be provided after a “more detailed staffing analysis is complete.” CBS closed its Thunder Bay operation in April of this year, shedding about 25 northern jobs.

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Former Thunder Bay CBS clinic staff thanks donors

The rain didn’t dampen last week’s gathering of former donors and staff from the Thunder Bay Plasma Donor clinic. Canadian Blood Services closed the clinic April 12 after two weeks’ notice, claiming they had a Canada-wide surplus of plasma for transfusion.

The appreciation event at the Thunder Bay Labour Centre was an opportunity for staff to say goodbye to long-time donors to the clinic. It was also an opportunity to sign petitions calling for greater self-sufficiency in Canada’s plasma supply.

Former staff of the Thunder Bay Plasma Donor Clinic thank long-time donors.

Former staff of the Thunder Bay Plasma Donor Clinic thank long-time donors.

CBS showed in their annual report that they are increasing imports of American plasma while shutting down the last remaining dedicated plasma donor clinic in Canada. Meanwhile several new private for-profit plasma donor clinics are being set up in Southern Ontario.

Thunder Bay resident Reg Meclay spoke about the health problems he experienced after receiving American plasma collected from an Arkansas prison. City Councillors Ken Boshcoff and Larry Hebert – both former donors at the clinic – also spoke. Messages were read from Mayor Keith Hobbs and federal MPs Bruce Hyer and John Rafferty.

The event was hosted by OPSEU’s Kelly Borchardt, whose son sang the national anthem to open the gathering.

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Cookies made for the occasion.

Cookies made for the occasion.

Who really wrote these letters?

Last month we wrote to the provincial and territorial ministers of health about our concerns regarding the security of Canada’s supply of plasma and plasma-based products.

This was following the announced closure of the Thunder Bay Plasma Donor Clinic. While Canada has never been self-sufficient in its plasma needs, CBS said they had 10,000 units too many and were therefore shuttering their doors in that city.

This week we got two letters back from opposite ends of the country.

In the letter from Jane Crickmore, Executive Director at the BC Ministry of Health, she writes:

“While plasma self-sufficiency was an original goal when the CBS was created over 13 years ago, after extensive stakeholder consultation, it was determined that sufficiency, not self-sufficiency, was key to a broader risk management approach to ensure a safe, secure, cost-effective plasma supply.”

In a letter arriving the same day from Bruce Cooper, a Deputy Minister with the Department of Health and Community Services in Newfoundland and Labrador, he writes:

“While plasma self-sufficiency was an original goal when the Canadian Blood Services was created over 13 years ago, after extensive stakeholder consultation, this was revised with provincial and territorial representatives in 2004, when it was determined that sufficiency, not self-sufficiency, was key to a broader risk management approach to ensuring the plasma supply.”

This raises an obvious question: when it comes to ensuring the safety and security of Canada’s plasma supply, who is really wagging the dog? Is it the provincial and territorial ministers, or a group of executives at Canadian Blood Services?

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Is Canadian Blood Services rolling the dice on the future security of needed plasma products?

Their employer fled town, but the workers are still there.

Canadian Blood Services wasted no time in vacating the premises formerly occupied by the Thunder Bay Plasma Donor Clinic up until April 12.

While CBS maintains closure of the clinic was in the works for some time, they had to break their lease and other contracts to make their quick getaway out-of-town. We have no idea what that cost, but along with the layoff of 28 managers and staff, I’m sure they regard it as “just business.”

Initially selling the public on the idea that they had too much plasma — this in a country that has never been self-sufficient in plasma – it has become clear that the real reason behind the closure is financial.

Put simply, it’s cheaper to buy products with source plasma collected from other countries than it is to collect it here and have it fractionated abroad.

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Federal petition re imports of U.S. plasma

Thousands have already signed our provincial petition asking Health Minister Deb Matthews to use the province’s role as a major funder of Canadian Blood Services to pursue more domestic content in plasma products used by Ontario hospitals.

The petition was circulated after it was learned CBS was closing its Thunder Bay plasma donor clinic at the same time it was increasing “surplus” plasma imports from the United States.

A second petition has now been drafted which asks the Federal government to intervene as regulator of the blood system.

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Playing political games with the safety of our blood system

The story in quotes:

“IVIG is a product made from large pools of human plasma and it is not possible to claim with certainty that there is no risk of infectious disease transmission.” – From Guidelines for the Use of Intravenous Immune Globulin (IVIG) for Neurologic Conditions, by Tom Feasby, Brenda Banwell, et al. April 2007.

“WHO recommends the following integrated strategy for the provision of safe blood and blood products and safe, efficacious blood transfusions…Collection of blood from voluntary, non-remunerated blood donors at low risk of infections that can be transmitted through blood and blood products, the phasing out of family/replacement donation and the elimination of paid donation.”—From Screening Donated Blood for Transfusion-Transmissible Infections, Recommendations, World Health Organization, 2010.

“We value your time. There are several ways we would like to show you how much we appreciate your continued generosity. You may choose one of the easy methods for collecting your earnings: direct credit to your bank account, cheques, or prepaid Visa cards.” – Website, Canadian Plasma Resources (ExaPharma), a private company that has applied to Health Canada to open two Plasma Donor Clinics in Toronto.

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Private Toronto company plans to pay for donations of plasma

Health Canada has received an application by an private for-profit company to operate two plasma collection sites in Toronto.

This comes on the heels of Canadian Blood Services closing down its last dedicated plasma collection site in Thunder Bay last week.

The company, ExaPharma, appears to be run by members of the Toronto Iranian community, the center’s manager an orthopaedic surgeon who had previously worked for the Iran Hemophilia Society.

Most are relatively new graduates, including President Yalda Riahi, a lawyer who was called to the bar in 2011 and works for a Vaughan-area law firm. Her background? According to the web site of Rotundo Di Iorio Quaglietta, she specializes in commercial and personal injury litigation.

While ExaPharma states on its website that it “has an uncompromising commitment to quality and strict adherence to all regulations and guidelines,” it appears to ignore one of the biggest World Health Organization guidelines – donations should not be paid.

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