
Fewer service disruptions expected in Quebec's health-care network this summer
Santé Québec, the Crown corporation that oversees the province's health-care network, announced on Tuesday morning that it expects fewer service disruptions this summer compared to last year.
But some regions such as the Mauricie, Centre-du-Québec, the Laurentians, Bas-Saint-Laurent and Côte-Nord remain under surveillance, said Robin Marie Coleman, Santé Québec's assistant vice-president of access and care pathway co-ordination.
"The teams at Santé Québec's head office have deployed a new tracking tool that will provide us to have a real-time picture of how things are going everywhere in the province in order to be able to provide support when needed," she said.
Coleman explained that, historically, the pressure on health-care services increases between mid-June and the beginning of September — mainly due to staff vacations and tourism across Quebec.
According to her, 80 per cent of service disruptions have been avoided so far for the summer season.
For the remaining disruptions, 90 per cent already have measures that have been identified or implemented to try and avoid them, said Véronique Wilson, general manager of network co-ordination and operations support at Santé Québec.
To manage interruptions, Wilson added, the Crown corporation plans to set up service corridors between regions, transfer patients to other hospitals, request support from employees in other regions and deploy a "public flying squad" — which consists of 246 employees working primarily in remote areas to maintain access to health-care.
Julie Delaney, director of the CISSS des Laurentides, presented the plan for her region to reporters.
Among the initiatives in Delaney's plan are massive recruitment efforts and the opening of 2.5 additional operating rooms per day — which could mean 300 to 350 more surgeries this summer than last. Every region in the province has a plan tailored to their local realities.
Provincial summer planning began in March.
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CTV News
8 hours ago
- CTV News
Risk of service disruptions again this summer in Quebec health-care network
The emergency waiting room at The Montreal Children's Hospital on Thursday, Sept. 19, 2024 in Montreal. (Christinne Muschi/The Canadian Press) As the summer season begins, Santé Québec has reported that there are 96 'service disruption situations' in the network, 13 of which have yet to be resolved. Historically, the summer season has been synonymous with service disruptions in the healthcare system due to health-care staff taking holidays. Despite this, Santé Québec insists that it is under control and that the 'situation should be relatively stable compared to last year.' 'There will be service reductions, just as there have always been service reductions during the summer period, but this year will be no different from previous years,' assured Santé Québec spokesperson Robin Marie Coleman at a press briefing on Tuesday. It is reported that so far, 80 per cent of the anticipated service disruptions have been avoided. Measures have been put in place to prevent them, including a mobile team for remote regions such as the North Shore, the Outaouais and Abitibi-Témiscamingue. This team, which was set up by the government to compensate for the withdrawal of independent labour, has 246 employees. In addition, Santé Québec indicates that the end or reduction in the use of independent labour in certain regions of Quebec will be an 'additional challenge' this year. It also states that the regions of Mauricie, Centre-du-Québec, Laurentides, Bas-Saint-Laurent and Côte-Nord are 'under surveillance.' Santé Québec was unable to provide the number of beds that will be closed during the summer. Last year, 1,500 beds were closed. This report by The Canadian Press was first published in French on June 17, 2025.
Montreal Gazette
12 hours ago
- Montreal Gazette
Santé Québec, Health Ministry squabble as heart patients die on wait lists
By Aaron Derfel A record three dozen Quebecers have perished from sudden death since the start of the year while waiting for their heart operations, even as the Health Ministry and Santé Québec squabble over jurisdiction and resources, The Gazette can reveal. Despite repeated warnings since last year from the leaders of the provincial associations of cardiologists and cardio-thoracic surgeons about abnormally long wait times for heart operations, no new targeted actions have been taken to address the crisis by either the ministry or Santé Québec. 'We've heard nothing from Santé Québec,' Dr. Bernard Cantin, president of the Association des cardiologues du Québec, said in an interview, alluding to the Crown corporation that was set up on Dec. 1, 2024 to run the province's $65-billion-a-year public health system. 'We've received no news whatsoever.' In April, the association did hold discussions with a representative from Santé Québec, who was 'very open' but who pointed out that 'it's a fight between the ministry and Santé Québec,' Cantin recalled. 'He said it's a very difficult relationship between them. But we're now stuck in the middle of that.' Dr. Louis Perrault, president of the Association des chirurgiens cardio-vasculaires et thoraciques du Québec, agreed that bureaucratic infighting between the health ministry and Santé Québec have made matters worse for heart patients. 'Sadly, the Ministry of Health has stalled the whole thing,' Perrault said. 'We had made recommendations to fix the problem that were supposed to be put in place last June. But by last September, nothing happened. That's when the ministry started talking about, ' Oh, Santé Québec is taking over. So we're not doing anything.'' 'Last December, we wrote a letter of introduction requesting a meeting with (Santé Québec CEO Geneviève) Biron, and it took four months before they answered,' Perrault added. 'We obviously were following up every month. It was complete silence. And then finally in April we got someone on the phone from Santé Québec who is in charge of all of physical health, but it's a mammoth job and he's got no staff. So we had trouble getting answers and nothing is being done.' 'Things are getting worse because they're not organized,' Perrault added of Santé Québec. 'They're understaffed. They're overwhelmed and they don't know what to do, and they have to contend with making $1.5 billion in cuts. So we've seen it in the hospital. The cardiologists don't have access to the same technology. The bean counters tell them they can't do more volume, you have to decrease your volume or you can't have that brand new catheter that performs better.' Marianne Paquette, a spokesperson for Santé Québec, declined to comment about the concerns raised by the two doctors' associations, referring The Gazette instead to the Health Ministry. Meanwhile, an official with the ministry suggested the physicians' dire warnings may be motivated, in part, by their negotiations with the government over remuneration and working conditions. However, The Gazette has verified through the government's own statistics that the problem of lengthy wait times for cardiac patients has grown markedly worse since 2019 — years before the latest round of negotiations. For example, a dozen patients died while waiting for their heart operation during a six-month period in 2019, when cardiac surgeons first sounded the alarm about the problem. That compares with 37 sudden cardiac deaths for the most recent six-month period. What's more, the number of heart patients waiting beyond the medically acceptable delay of 90 days for surgery has increased steadily. On March 31, 2024, the rate was 53.2 per cent. That compares with nearly 62 per cent for the corresponding date this year, for a total of 774 cardiac patients who are now at heightened risk of sudden death. In addition, the number of patients on the wait list for electrophysiology — in order to install a pacemaker for the heart — has surged from about 3,000 three years ago to nearly 5,000 today, with 85 per cent waiting past medically acceptable delays. 'It's a scandal,' Perrault said. 'We're a G7 nation. People are dying on wait lists. This should not be happening.' As Cantin explained: 'In cardiology, we're fighting against sudden death. So depending on the intervention that's needed, it's safe to do it within two months. We know we may lose some people on the wait lists but that impact should be minimal. What's happening now, though, is that with almost two-thirds of patients not getting operated within the allotted time, you just increase the risk of sudden death. And now that's what we're seeing.' The administrative tug-of-war between the Health Ministry and Santé Québec would appear to validate the objections that critics have made about the new organization creating an unnecessary parallel bureaucracy that would only slow down the delivery of medical care. Health Minister Christian Dubé created Santé Québec with the goal of streamlining bureaucracy, entrusting the Crown corporation with negotiating with the unions and running the network on a daily basis, leaving the ministry in charge of so-called strategic planning. Both Cantin and Perrault attributed the lengthy delays for heart surgery to a severe shortage of perfusionists, the technicians who run the heart-and-lung machines. At present, there are 70 for the whole province, and they said Quebec needs 90 for the system to function smoothly. 'I'm director of the perfusionist program at the Université de Montréal and our graduates are leaving for Ontario, for Alberta, for the United States,' Perrault noted. 'Our perfusionists are the lowest-paid in Canada. A lot of people are quitting the profession, taking an early retirement because when the teams are incomplete the work becomes so hard. So much of their work is on call. People don't like the lifestyle.' As a consequence, when a perfusionist is not available, a heart surgeon is left with no choice but to postpone an operation at additional cost to the system. Marie-Claude Lacasse, coordinator of media relations at the Health Ministry, confirmed the government is 'concerned about reports of deaths directly associated with the lack of perfusionists.' 'The (Health Ministry) is aware that the needs are great and that solutions must be found,' Lacasse said in an email. At the same time, however, she disputed that the root problem may be a shortage of perfusionists. 'According to the data ... the unavailability of a perfusionist is the reason given in less than 1 per cent of surgical cancellations,' she added. 'We invite the unions to send us this data so that the appropriate follow-up can be done properly and quickly. Discussions are still underway with the unions representing perfusionists, notably involving the Treasury Board.' Audrey Noiseux, Dubé's press attaché, also appeared to downplay the concerns by the doctors' groups, suggesting this may be a bargaining tactic. 'The information reported is worrying,' she said, adding that 'one thing is clear: we, too, are very concerned about surgical waiting lists.' Still, Noiseux emphasized that 'we are negotiating with the federation of medical specialists, and that discussions are currently underway with the perfusionists' union, so we will remain cautious in our comments. That said, we cannot continue to give more money for the same results. With Santé Québec, we will continue to do everything we can to reduce waiting lists, and everyone has a role to play.'


CBC
13 hours ago
- CBC
Fewer service disruptions expected in Quebec's health-care network this summer
Santé Québec, the Crown corporation that oversees the province's health-care network, announced on Tuesday morning that it expects fewer service disruptions this summer compared to last year. But some regions such as the Mauricie, Centre-du-Québec, the Laurentians, Bas-Saint-Laurent and Côte-Nord remain under surveillance, said Robin Marie Coleman, Santé Québec's assistant vice-president of access and care pathway co-ordination. "The teams at Santé Québec's head office have deployed a new tracking tool that will provide us to have a real-time picture of how things are going everywhere in the province in order to be able to provide support when needed," she said. Coleman explained that, historically, the pressure on health-care services increases between mid-June and the beginning of September — mainly due to staff vacations and tourism across Quebec. According to her, 80 per cent of service disruptions have been avoided so far for the summer season. For the remaining disruptions, 90 per cent already have measures that have been identified or implemented to try and avoid them, said Véronique Wilson, general manager of network co-ordination and operations support at Santé Québec. To manage interruptions, Wilson added, the Crown corporation plans to set up service corridors between regions, transfer patients to other hospitals, request support from employees in other regions and deploy a "public flying squad" — which consists of 246 employees working primarily in remote areas to maintain access to health-care. Julie Delaney, director of the CISSS des Laurentides, presented the plan for her region to reporters. Among the initiatives in Delaney's plan are massive recruitment efforts and the opening of 2.5 additional operating rooms per day — which could mean 300 to 350 more surgeries this summer than last. Every region in the province has a plan tailored to their local realities. Provincial summer planning began in March.