{"id":39733,"date":"2017-11-07T11:47:25","date_gmt":"2017-11-07T16:47:25","guid":{"rendered":"https:\/\/huntsville.dopperonline.ca\/?p=39733"},"modified":"2017-11-07T13:27:29","modified_gmt":"2017-11-07T18:27:29","slug":"drastic-changes-public-health-units-proposed-ministers-expert-panel-raising-concerns","status":"publish","type":"post","link":"https:\/\/doppleronline.ca\/huntsville\/drastic-changes-public-health-units-proposed-ministers-expert-panel-raising-concerns\/","title":{"rendered":"Drastic changes to public health units proposed by Minister’s expert panel are raising concerns"},"content":{"rendered":"

If the recommendations quietly released last summer by an expert panel appointed by Ontario Health Minister Eric Hoskins to analyze the role of public health in an integrated health care system are implemented, the number of health units across Ontario could decrease from 36 to 14.<\/p>\n

But such a drastic decrease is making some nervous, worried that the changes could weaken rather than strengthen the ability of public health to respond to emergencies such as the SARS outbreak of 2003 or its ability to focus on illness prevention.<\/p>\n

\u201cPublic health interventions have probably been the most powerful forces for improvement in health in the population since public health came into existence 160 years ago,\u201d noted Dr. Charles Gardner, Medical Officer of Health for the Simcoe Muskoka District Health Unit.<\/p>\n

The public health movement came about because of the unlivable conditions of cities in the mid-1800s and the earliest of our successes was actually identifying that contaminated water was the major source of repeated deadly outbreaks and therefore that municipal water needed to be cleaned and we\u2019ve found ourselves busy ever since, playing that kind of role, of identifying major problems and organizing for change. Medical Officer of Health Dr. Charles Gardner<\/cite><\/p><\/blockquote>\n

The report by the expert panel was presented to the Board of the Simcoe Muskoka District Health Unit in September for input, as requested by Ontario Minister of Health Eric Hoskins. While the board agreed with the panel\u2019s stated objectives of improving public health capacity, maintaining strong and independent boards of health as well as strong relationships with municipalities and other community partners while better aligning with Local Health Integration Networks, there were concerns that larger health units did not necessarily align with municipal boundaries.<\/p>\n

\u201cThis would be a great concern because so much of our work is done with municipalities. Our mandate is to improve health by improving living conditions, by addressing the underlying broad determinants of health and in fact municipalities have a very heavy influence over those things, to a much greater degree than Local Health Integration Networks do,\u201d said Gardner. \u201cIf municipalities find that they\u2019ve now got more than one health unit in their midst, we have a weaker relationship, whereas if you have a one-on-one relationship, it\u2019s a stronger relationship.\u201d<\/p>\n

<\/broadstreet-zone><\/strong><\/div>\n

Gardner noted that public health is very much a part of municipalities as they appoint members to their local health board and make financial contributions to their health unit. \u201cAll of that helps create legitimacy for us communicating with them about their policies, their bylaws, their legislation,\u201d he explained, adding that in some instances, the health units\u2019 boundaries proposed don\u2019t necessarily align with the Province’s 14 LHINs<\/a><\/span>, a stated goal in the panel\u2019s work. \u201cSo it\u2019s hard to say what would be achieved with this change,\u201d he noted.<\/p>\n

If saving money is what the Province is after, there would be no guarantees, said Gardner who noted that finding savings is not one of the stated objectives of the report and if it were, things like wage harmonization between larger and smaller amalgamated health units would likely cost more, not less. \u201cPublic health is tiny when it comes to our cost compared with the health care system and the report doesn\u2019t explicitly state that they\u2019re seeking to achieve reductions or savings this way,\u201d he said. \u201cThe objectives primarily seemed to be a closer alignment with LHINs so that we could support their health planning and other things that they do.\u201d<\/p>\n

Gardner said the health unit already works with the North Simcoe Muskoka Local Health Integration Network (NSM LHIN) on specific projects, but relies heavily on other partners, again, especially municipalities. Gardner referenced the 2016 Patients First Act<\/a><\/span>, which is reshaping health care delivery in Ontario. \u201cDefinitely Patients First positions that public health could help LHINs and the health care system become more effective, more efficient, more health promoting if we\u2019re more closely aligned with Local Health Integration Networks and I\u2019m sure that we could help to some degree with that, but I believe our greatest contribution to health is by working with the broad community to create healthy public policy,\u201d he said.<\/p>\n

The new boundaries proposed for this area would include Parry Sound District, and whether the City of North Bay would be included in the proposed new boundaries is still not clear. Before the local health unit became known as the Simcoe Muskoka District Health Unit, it was known as the Muskoka Parry Sound District Health Unit. In 2005, the Province merged the Muskoka part of the health unit with Simcoe County and the Parry Sound area was merged with North Bay. If the Minister approves the expert panel\u2019s recommendation Simcoe, Muskoka and Parry Sound would all be merged into one health unit.<\/p>\n

It will be up to the Minister of Health to determine if some or any of the recommendations by the expert panel will be adopted. You can find the panel\u2019s report here<\/a><\/span>.<\/p>\n

Don\u2019t miss out on Doppler! Sign up for our free newsletter here<\/u>.<\/a><\/strong><\/p>\n

<\/broadstreet-zone>\n","protected":false},"excerpt":{"rendered":"

If the recommendations quietly released last summer by an expert panel appointed by Ontario Health Minister Eric Hoskins to analyze the role of public health in an integrated health care […]<\/p>\n","protected":false},"author":6,"featured_media":39785,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[10],"tags":[26,1536,1534,1535],"class_list":["post-39733","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-breaking","tag-moh-charles-gardner","tag-public-health","tag-simcoe-muskoka-district-health-unit"],"acf":[],"yoast_head":"\nDrastic changes to public health units proposed by Minister's expert panel are raising concerns - Huntsville Doppler<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/doppleronline.ca\/huntsville\/drastic-changes-public-health-units-proposed-ministers-expert-panel-raising-concerns\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Drastic changes to public health units proposed by Minister's expert panel are raising concerns - 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