Learn about Bill 175, ONA’s concerns and how we can support you.
February 17, 2021:
Open Letter to Minister Elliott: Re: Protect home and community care – save care coordinator jobs
Media Release: Ontario Nurses’ Association Calls on Province to Save Care Coordination, Keep Home and Community Care Public
Bill 175 is legislation that Doug Ford and his government tabled on February 25, 2020, just two weeks before the World Health Organization declared a COVID-19 pandemic on March 11.
The government rushed Bill 175 through the Ontario Legislature, while the province was in the midst of the pandemic, with very limited input from stakeholders and the public.
The bill enables fundamental change to home and community care.
It also includes changes to be set in regulation, rather than remaining in legislation. The language for the regulation has not been provided for public comment.
ONA has been advocating for positive change to home and community care since last September.
- ONA set up an online email message for members and local leaders to send to Premier Ford, his Health Minister and MPPs. Send your message now.
- ONA provided an initial submission to government on their proposed concepts for a regulation in mid-April.
- ONA synthesized feedback from members and local leaders into a final submission on Bill 175 that was presented to the legislative Standing Committee on Monday, June 15 via Zoom. Click here to read the submission.
In the proposed regulations that will accompany the bill, care coordinator functions would be provided by Health Service Providers (HSPs), as defined in the Connecting Care Act, 2019.
This definition includes the newly formed Ontario Health Teams, public hospitals, and the seven licensed private hospitals in Ontario.
The proposed regulation does not specifically say where the Care Coordination function will reside.
The regulatory and legislative proposals also fail to precisely describe the role of care coordinators within the new system.
There is also widespread concern that new requirements for “home care assessments to be performed by a regulated heath professional” may lead some current care coordinators – who are not part of the Regulated Health Professions Act – to be excluded from the role in the new framework. ONA believes Ontario needs everyone who is performing the role to continue as care coordinators to ensure clients receive the care they need.
ONA is concerned that the role of for-profit private home-care companies will be expanded in the new framework. As Ontario discovered during the pandemic, public funding must go to support care, not to enhance profits for private companies.
The patient Bill of Rights for home and community care is eliminated from legislation under Bill 175 and its future is uncertain, removing a key tool of accountability for clients and families.
Bill 175 also distracts from, and ignores, the root causes of for-profit service delivery problems in home and community care, namely job insecurity, low wages, poor working conditions and short staffing.
For years, ONA has advocated to integrate care coordination and home care delivery under a single public employer.
ONA asserts that eliminating the Request for Proposal (RFP) system and all for-profit care delivery in home care will provide savings rather than public funding going to private profits.
The savings from managing the RFPs could then be redirected to provide home-care staff with good jobs – full-time jobs with competitive wages and benefits.
ONA needs your help to keep up the pressure on the government to guarantee the important role of care coordinators in our home-care system.
We need your help to bring the message to your MPP about the important role of care coordination – directly from you as a private citizen and as a voter.
ONA is here to help you get started. Simply contact firstname.lastname@example.org for assistance.
Let’s work together to advocate for a better public home-care system.