Tag Archives: Deb Matthews

Matthews’ speeches in short supply

Today’s speech by the Minister of Health and Long Term Care before the Toronto Board of Trade is sold out.

There has been much focus on it despite suggestions by Toronto Star columnist Martin Regg Cohn that the speech will signal a new direction in health care that just happens to be the same old direction in health care.

Shortly we will know for sure.

There used to be a time when Ontario health ministers were more forthcoming with speeches about their plans.

During George Smitherman’s first full year as Minister of Health and Long Term Care (2004) he posted 14 policy speeches on-line. The following year there were nine more, seven in 2006 and another early in 2005 before Smitherman was replaced by David Caplan, who posted two speeches during his very short stay on the 10th floor of the Hepburn Block.

Since Deb Matthews was appointed in 2009, only her annual speech to the Ontario Hospital Association has been posted. That’s one per year.

Is that really the sum total of her speeches, or is that all that the Ministry feels worthwhile to post?

No wonder such anticipation meets today’s speech. Like the Hollywood film “The Artist,” we all wait for the moment to hear her speak.

Sticky Notes: Nordal gets $1.17 million bonus, more ORNGE woes

Things got a bit sticky for Health Minister Deb Matthews on two fronts this week. Her reaction? “I’m outraged,” she said.

The first was the news that former London hospital CEO Cliff Nordal received a $1.17 million bonus on top of his salary for remaining at his post for four years overseeing both St. Joseph’s Health Care and London Health Sciences. Nordal has since retired and the two hospitals are now run separately.

Nordal was not the only one to receive a large eyebrow raising cheque. Over the past five years, according to the QMI agency, the two hospitals handed out $2.9 million in severance packages to another 11 executives.

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Public left out of major policy decisions: business elite backdrop for announcements

When was the last time a major policy announcement was made by government in front of an audience of union members?

On Monday Health Minister Deb Matthews is expected to make a major announcement on health restructuring before the Toronto Board of Trade. Earlier this week Premier Dalton McGuinty made a similar speech before the Canadian Club of Toronto.

With no legislative committees operating at Queen’s Park due a disagreement among the parties as to their composition, Ontario is about to undergo a major restructuring of public services with little to no public input.

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Deb Matthews confirmed for all-candidate debate

The televised Ontario election leader’s debate won’t be the only campaign focus tomorrow night.

Deb Matthews has confirmed she will attend the London North Centre all-candidates debate Sept 27 from 7 pm to 10 pm at the AB Lucas Secondary School, 656 Tennent Ave.

Also confirmed are Mary Lou Ambrogio, Freedom Party Candidate; Steve Holmes, NDP Candidate; and Kevin Labonte, Green Party Candidate.

Conservative Party Candidate Nancy Branscombe has not confirmed.

Candidates from the Liberal, NDP, Green and Freedom parties will be attending to speak about what improvements they can offer to our health care system. 

The debate is sponsored by the Registered Nurses Association of Ontario, Middlesex-Elgin; Ontario Nurses Association locals 36, 45 & 100;  and the London Health Coalition.

For more information: please call 416-441-2502 or email ohc@sympatico.ca

Election focuses the mind — and the pace of MOHLTC’s announcements

There’s nothing like an election to focus the mind on many long-standing complaints, especially if you are the Ministry of Health and Long Term Care (MOHLTC).

While many have been soaking up the sun this summer, the Ministry has been pushing out one announcement after another, bringing hospital expansions, new MRIs and even nurse-practitioner clinics to a town near you.

This week Health Minister Deb Matthews finally appointed a supervisor to investigate community complaints around the Niagara Health System – something Matthews admits has been on her radar since day one.

Similarly, August 5th the troubled Windsor Hotel Dieu hospital received $5 million in new money to hire nurses, add more administrative after-hours support, purchase new equipment and refurbish rooms. Former CEO Ken Deane was appointed supervisor in January.

At the end of July the Ministry announced a major redevelopment and expansion of the Cambridge Memorial Hospital. That will include an expansion of their ER to accommodate an additional 10,000 patient visits per year, a redevelopment of the mental health unit, 33 new medical/surgical beds, five new intensive care beds, two new maternal beds and four additional paediatric beds.

Brockville General will also get a similar major expansion. A new wing will include 48 complex continuing care beds, 29 rehabilitation beds and 29 acute mental health beds.

Hawkesbury and District General Hospital will also get a major expansion, although tenders won’t actually happen until 2013/14. Good thing we know about it now, just before the election.

A more modest expansion will also happen at Winchester District Memorial Hospital.

This summer it was also announced Barrie’s Royal Victoria Hospital will get a new MRI, as will Oakville’s Halton Health Care Services. Vaughan was reminded that they will get a totally new hospital aligned with nearby York Central. Peterborough will get a new nurse-practitioner-led clinic. Infrastructure upgrades will happen at Ross Memorial Hospital,

Long-standing complaints about doctors being overpaid due to advances in new technology were finally taken on with an amendment to the fourth year of the Ontario Medical Association agreement. The OMA is essentially giving back $223 million a year by reducing opthamology fees (including cataract surgery), payment for endoscopy services, and through a new payment model for methadone.

When the William Osler P3 hospital opened in Brampton, there was local concern about the fate of the Peel Memorial Hospital. This week a major redevelopment was announced, creating the Peel Memorial Centre for Integrated Health and Wellness. The new centre brings many services under one roof, including urgent care, preventative care for chronic care patients, diagnostic services and community learning programs. Construction is due to begin in 2013. No figure has been given on anticipated cost.

Earlier in the summer the McGuinty government vowed to regulate private patient transfer after a damning omdubsman’s report.

If the Ministry is reading, there are a few other announcements we’d like to see. How about a staffing standard for long term care, or ending competitive bidding in home care? How about a fix for Peterborough Regional Health Centre or a moratorium on bed cuts and staff losses at the province’s psychiatric hospitals? How about bringing back public coverage for some of the health services the McGuinty government delisted, such as physiotherapy and eye examinations? So little time to October 6th, so many more issues.

Will NHS supervisor rebuild public confidence?

The troubled Niagara Health System is getting a supervisor appointed by the Ministry of Health to take over the hospital.

According to the Ministry of Health news release, “these steps are being taken to restore necessary public confidence in the local hospital system. Despite the hospital’s best efforts, doubts remain about its ability to meet Niagara-area residents’ expectations of their local health care system.”

The appointment follows local pressure over more than 30 C. Difficle-related deaths at the hospital since May 28, although Health Minister Deb Matthews told the CBC that the issue is much more than that – that she had heard concerns about NHS right from day one of her appointment.

Much of the negative publicity the NHS has received stemmed from a hospital “improvement plan” that included closure of ERs in Port Colborne and Fort Erie and the planned transfer of maternity services to the new St. Catharines hospital.

The new hospital itself has been the focus of much criticism over the high cost of building and operating the facility as a public-private partnership.

This lengthy community turmoil was noted by the New Democrats. NDP leader Andrea Horwath told the St. Catharines Standard: “It seems to me that the Health Minister is the last person in Ontario to realize there’s a crisis in confidence in the Niagara Health System. Where has she been for the last couple of years?”

Matthews statement would suggest that the supervisor will have a much greater mandate than exploring hospital-based infections at NHS.

Unlike other hospitals where senior staff and board have been dismissed following such appointments, Matthews has made it clear that she expects the supervisor to work with existing staff and board.

Who gets appointed may be of concern.

The community may perceive an appointment of a nearby Hamilton hospital executive to be a conflict of interest, particularly if recommendations emerge to move any regionalized services to that city.

Given the Minister’s desire to rebuild confidence, it would be preferable to bring a supervisor from outside the region given the track record in the Hamilton Niagara Haldimand Brant LHIN on public consultation. In 2010 the ombudsman was particularly critical of the lack of proper public consultation over changes to the NHS and Hamilton Health Sciences, calling existing practices “simply illegal.”

It is also not clear how this will impact the review of the misnamed “hospital improvement plan” (HIP) in Niagara. The review was supposed to involve appointees from area municipalities in addition to the LHIN and the NHS. There was widespread suspicion over the review given two of the three organizations on the review were responsible for the original HIP.

The appointment of a supervisor may also open up the NHS to investigation by the ombudsman’s office. As private not-for-profit organizations, hospitals are normally off-limits to the ombudsman. The appointment of a supervisor effectively places the hospital under the direct control of the Ministry of Health and Long Term Care and subject to the ombudsman’s jurisdiction.

The Ombudsman has made no secret of his desire to be able to investigate the MUSH sector – municipalities, universities, school boards, hospitals, nursing homes and long-term care facilities, police, and children’s aid societies.

While the St. Catharines Standard says it will be 14 days before a supervisor is named, there is anticipation that such an announcement may come much sooner.