Continuity of care is important to the delivery of home care. Each time a caregiver changes there is a necessary rebuilding of relationships. If caregivers are continually turning over, it is much more difficult to notice changes in the patient’s medical condition. For example, if a nurse never saw a wound before, how can she or he tell whether it is healing properly? Much of the care work is intimate in nature and subsequently relationships built up over time are important.
In 2003 the not-for-profit Victorian Order of Nurses lost the Community Care Access Centre’s visiting nursing contract in the Niagara region during a year in which the community was celebrating VON’s centenary. We were told over and over that the competitions were about quality, not necessarily price.
In the subsequent contract turnover one of the companies – the for-profit CarePartners – simply could not recruit sufficient experienced staff to successfully take over care from the VON. Instead they shuttled nursing staff from other operations around the province to do what they could to shore up their contract obligations. We heard first-hand patient stories about missed visits, about an inability to contact CarePartners over the weekends, about stressed staff rushing in and out to keep up with an impossible workload.
Of those few nurses who transitioned from VON to CarePartners, in 2005 we were unable to successfully argue in court that this represented a sale of business, and subsequently those workers were unable to retain their rights or union. Many of the VON’s original staff decided to find work elsewhere.
It’s more than 10 years later and the Niagara and Norfolk County staff of CarePartners chose OPSEU to help them seek a first collective agreement with the company. CarePartners is a much larger corporation these days thanks to an initial merger with Red Cross and the subsequent purchase of Red Cross’ home support operations.