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'If we close, people die': Rural Ontario hospitals await ER staffing certainty
'If we close, people die': Rural Ontario hospitals await ER staffing certainty

CBC

time07-04-2025

  • Health
  • CBC

'If we close, people die': Rural Ontario hospitals await ER staffing certainty

Rural and northern Ontario hospitals are anxiously awaiting word from the provincial government on a program that helps them keep emergency rooms open, after it ended last month. Health Minister Sylvia Jones' office has said it is working on a permanent solution after the temporary program expired, but in the meantime the people who work to keep ERs open are concerned about filling those shifts. "Because we're so short-staffed, we cannot run a 24-hour emergency department without outside physician support," said Ann Fenlon, the medical recruitment and retention co-ordinator at Lady Dunn Health Centre in Wawa, Ont. The northern Ontario community is supposed to have seven doctors who provide both family and emergency medicine, but they currently have three, Fenlon said. They have not had to close their ER, but they have come close, she said. "We're 240 kilometres away from the next hospital," Fenlon said. "If we close, people die." The Temporary Locum Program pays doctors an incentive to fill emergency department shifts -- with most of those physicians coming from other, more urban parts of the province -- to help hospitals in more isolated areas on a locum, or temporary, basis. Ontario first established it as a temporary program during the COVID-19 pandemic, but amid broader physician staffing challenges the rural and northern hospitals have come to rely on it. The Ontario Medical Association's emergency medicine section chair suggested in a recent memo to emergency department leads that staff at several hospitals have been expressing concerns about the current limbo. "The section is acutely aware of the impact the end of this program will have on staffing stability of emergency departments across the province," Angela Marrocco wrote. "We have done everything we can to emphasize this reality to the Ministry of OMA is continuing to pursue ways to mitigate any negative impacts related to timing between expiry of TLP and implementation of a permanent model." Province working on a permanent program A spokesperson for Jones said the goal has always been a permanent program, and the ministry is currently in negotiations with the OMA. "Hospitals can continue to schedule physician coverage as required as we work with the Ontario Medical Association to transition the temporary locum program into a permanent program through the new Physician Services Agreement," Hannah Jensen said. But the question is not whether hospitals can continue to try to book doctors on a locum basis, said Melanie Goulet, recruitment co-ordinator for health professionals at Notre-Dame Hospital in Hearst, Ont. It's whether there will be funding to incentivize physicians to fill those shifts. "Obviously (we'll) continue to book don't want to close our emerg," she said. But at the moment she isn't sure what will happen with the doctors currently in Hearst on a locum basis or those with shifts coming up -- will their additional pay come later, on a retroactive basis? In her region it amounts to almost $900 for a 12-hour shift, so without it she worries recruitment will be hampered. "We have one physician, she's in Hearst for almost two I don't know what to tell her," Goulet said. "So as much as they say they're clear, I don't think they actually understand the situation." The ministry also offers an Emergency Department Locum Program, but there are different criteria, and it is mostly for last-minute needs, not allowing co-ordinators to plan too far ahead, Goulet said. Both programs help ERs stay open, she said. The Temporary Locum Program has been extended several times, in at least one case months after it had already expired. Hospitals just want some certainty, Fenlon said.

'If we close, people die': Rural Ontario hospitals await ER staffing certainty
'If we close, people die': Rural Ontario hospitals await ER staffing certainty

CBC

time07-04-2025

  • Health
  • CBC

'If we close, people die': Rural Ontario hospitals await ER staffing certainty

Rural and northern Ontario hospitals are anxiously awaiting word from the provincial government on a program that helps them keep emergency rooms open, after it ended last month. Health Minister Sylvia Jones' office has said it is working on a permanent solution after the temporary program expired, but in the meantime the people who work to keep ERs open are concerned about filling those shifts. "Because we're so short-staffed, we cannot run a 24-hour emergency department without outside physician support," said Ann Fenlon, the medical recruitment and retention co-ordinator at Lady Dunn Health Centre in Wawa, Ont. The northern Ontario community is supposed to have seven doctors who provide both family and emergency medicine, but they currently have three, Fenlon said. They have not had to close their ER, but they have come close, she said. "We're 240 kilometres away from the next hospital," Fenlon said. "If we close, people die." The Temporary Locum Program pays doctors an incentive to fill emergency department shifts -- with most of those physicians coming from other, more urban parts of the province -- to help hospitals in more isolated areas on a locum, or temporary, basis. Ontario first established it as a temporary program during the COVID-19 pandemic, but amid broader physician staffing challenges the rural and northern hospitals have come to rely on it. The Ontario Medical Association's emergency medicine section chair suggested in a recent memo to emergency department leads that staff at several hospitals have been expressing concerns about the current limbo. "The section is acutely aware of the impact the end of this program will have on staffing stability of emergency departments across the province," Angela Marrocco wrote. "We have done everything we can to emphasize this reality to the Ministry of OMA is continuing to pursue ways to mitigate any negative impacts related to timing between expiry of TLP and implementation of a permanent model." Province working on a permanent program A spokesperson for Jones said the goal has always been a permanent program, and the ministry is currently in negotiations with the OMA. "Hospitals can continue to schedule physician coverage as required as we work with the Ontario Medical Association to transition the temporary locum program into a permanent program through the new Physician Services Agreement," Hannah Jensen said. But the question is not whether hospitals can continue to try to book doctors on a locum basis, said Melanie Goulet, recruitment co-ordinator for health professionals at Notre-Dame Hospital in Hearst, Ont. It's whether there will be funding to incentivize physicians to fill those shifts. "Obviously (we'll) continue to book don't want to close our emerg," she said. But at the moment she isn't sure what will happen with the doctors currently in Hearst on a locum basis or those with shifts coming up -- will their additional pay come later, on a retroactive basis? In her region it amounts to almost $900 for a 12-hour shift, so without it she worries recruitment will be hampered. "We have one physician, she's in Hearst for almost two I don't know what to tell her," Goulet said. "So as much as they say they're clear, I don't think they actually understand the situation." The ministry also offers an Emergency Department Locum Program, but there are different criteria, and it is mostly for last-minute needs, not allowing co-ordinators to plan too far ahead, Goulet said. Both programs help ERs stay open, she said. The Temporary Locum Program has been extended several times, in at least one case months after it had already expired. Hospitals just want some certainty, Fenlon said.

MEDIA ADVISORY: Public healthcare advocates to protest at Minister of Health Sylvia Jones' office
MEDIA ADVISORY: Public healthcare advocates to protest at Minister of Health Sylvia Jones' office

Yahoo

time08-02-2025

  • Health
  • Yahoo

MEDIA ADVISORY: Public healthcare advocates to protest at Minister of Health Sylvia Jones' office

SITUATION CRITICAL TORONTO, Feb. 07, 2025 (GLOBE NEWSWIRE) -- On Saturday February 8th at 12 noon, the Grey Bruce, Brampton Caledon and Greater Toronto health coalitions, local chapters of the Ontario Health Coalition, will gather outside Minister of Health Sylvia Jones' constituency office to oppose and expose her government's shocking record of failure on public healthcare. 'Our healthcare has never been in such chaos and crisis,' said Michelle Robidoux, co-chair of the Greater Toronto Health Coalition. 'As Minister of Health, Sylvia Jones must answer for her government's record of health care cuts, closures, shortages and privatization. 'While Doug Ford pretends to stand up to Trump, he is in fact implementing US-style privatized health care, plundering public health care for profit,' she continued. 'We are sounding the alarm today because our public system will not survive another four years of these policies.' Norah Beatty, a retired teacher living near Meaford and co-founder of the Grey Bruce Health Coalition, said 'Our goal for the protest is to make healthcare a key issue in the election. We want to say why we and the public are so worried about the future of single tier health care.' 'Some system failures affect all of us everywhere', she continued, 'but some — hospital emergency department closures for instance — fall more heavily on people living in rural and northern areas.' Herman Sethi, a healthcare worker and member of the Brampton Caledon Health Coalition, said: 'Ford's wage-capping Bill 124 and push for privatization have left healthcare workers overworked, underpaid, and demoralized—forcing many to leave the profession while private profits soar. Our public healthcare system is being dismantled, and those who care for us are paying the price." WHAT: Protest at Minister of Health Sylvia Jones constituency officeWHEN: Saturday February 8th at 12 noon EasternWHERE: 180 Broadway Street, Orangeville Media contacts: Grey Bruce Health Coalition – 519-477-3513Brampton Caledon Health Coalition – 647-237-6276Greater Toronto Health Coalition – 416-856-5008Sign in to access your portfolio

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