{"id":9104,"date":"2016-01-08T07:44:59","date_gmt":"2016-01-08T12:44:59","guid":{"rendered":"https:\/\/huntsville.dopperonline.ca\/?p=9104"},"modified":"2016-01-08T07:44:59","modified_gmt":"2016-01-08T12:44:59","slug":"district-council-to-decide-whether-to-take-over-delivery-of-ambulance-service","status":"publish","type":"post","link":"https:\/\/doppleronline.ca\/huntsville\/district-council-to-decide-whether-to-take-over-delivery-of-ambulance-service\/","title":{"rendered":"District council to decide whether to take over delivery of ambulance service"},"content":{"rendered":"

Staff at the District Municipality of Muskoka is recommending that ambulance service delivery across the region be taken in-house rather than contracting it out. They argue it would be cheaper, primarily because municipal staff would forgo the administration fee paid to a private contractor to run the service, but that recommendation isn\u2019t sitting well with everyone.<\/p>\n

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

Huntsville Mayor Scott Aitchison says he\u2019s not convinced.<\/strong><\/p>\n

Aitchison cited a similar experience in London, Ontario which did not go as well as anticipated. He said staff there, too, predicted a savings by taking the service in-house, but six months into the experiment they were back before council asking for just as much money as they thought they\u2019d save.<\/p>\n

According to the District report by staff, there could be a savings of anywhere from an estimated $400,000 to $500,000, depending on the service option considered, which would translate to a savings on the tax levy of anywhere from 0.6 to 0.7 per cent. However, the calculation does not include other cost components such as future capital purchases, District support staff to run the program in-house, as well as the cost of ambulance building and grounds maintenance, utilities, taxes and GIS service costs.<\/p>\n

\u201cIt stands to reason that if you\u2019re not paying a private contractor a profit margin around a service, that you should be able to save money if you\u2019re doing it in-house, but governments are not particularly cheap at doing anything and the District particularly so,\u201d said Aitchison, adding, \u201cIt\u2019s a much larger bureaucracy, it\u2019s entirely unionized\u2026\u201d<\/p>\n

Lake of Bays Mayor Bob Young echoed Aitchison\u2019s sentiment.<\/strong><\/p>\n

Governments have a history of being rotten at running businesses, so that every time they take them over or continue to operate them they are not necessarily the most efficient. Lake of Bays Mayor Bob Young<\/cite><\/p><\/blockquote>\n

Lines a little blurred<\/strong><\/p>\n

Medavie has been the private contractor providing the service for the District since 2009, but the upper-tier municipality has retained responsibility for defining the level of service by choosing the location of the ambulance stations, approving the number of hours paramedics can work annually as well as their qualifications, ambulance coverage plans tied to response times, ensuring quality of service and clinical performance and vehicle procurement. Yet, according to Aitchison, there\u2019s a discomforting overlap between the administrative role of the District and the contractor.<\/p>\n

\u201cThe District of Muskoka owns the bases, we own the ambulances and we\u2019re supposed to take care of all those things so we have somebody that does that, apparently, and yet Medavie does it too. Medavie deals with the ambulances and sends them in to get whatever repair they need. We have an employee\u2026 I don\u2019t know exactly what they do because that employee\u2019s job description looks remarkably the same as one of the Medavie supervisor\u2019s job descriptions. So the hybrid system that we have right now is ridiculous,\u201d said Aitchison who also had some harsh words for staff.<\/p>\n

He said a recommendation was made to spend $200,000 for software to upgrade the defibrillators paramedics use, yet paramedics are not trained to use the upgraded version. He said the defibrillators’ value might have increased on trade-in, but the net return would not have justified the expenditure.<\/p>\n

\u201cIt\u2019s already more of a machine than our staff are capable of using and she wanted to do the software upgrade for $200,000 and couldn\u2019t explain why it was so important to be done. So we found out that, in fact, it did very little,\u201d said Aitchison.<\/p>\n

The whole file stinks to me. It\u2019s always pissed me off and now that I\u2019m the chair of Corporate and Emergency Services at the District level, I\u2019ve dug into it an awful lot more. At the end of the day, if in fact District council does decide to bring it in-house, we\u2019re going to need to do a significant overhaul of exactly how it works and who runs it because right now it\u2019s not working very well. Huntsville Mayor Scott Aitchison<\/cite><\/p><\/blockquote>\n

Would there be job loss?<\/strong><\/p>\n

Aitchison said area paramedics would still have a job and if District takes the service in-house, it would still require supervisory staff.<\/p>\n

\u201cI heard rumours that some of the folks at the District have said none of the supervisory staff that currently work for Medavie will be considered and of course that\u2019s simply not true,\u201d said Aitchison, who predicted that at the end of the day \u201cwe\u2019re going to have a much more effective and efficient service.\u201d<\/p>\n

Timing isn’t the greatest<\/strong><\/p>\n

Whatever its decision, the District will have to count on the goodwill and cooperation of Medavie, as the current contract for ambulance service with the contractor expired on December 31, 2015.<\/p>\n

Instead of having this discussion last year, we\u2019re having it now with a gun held to our headsAitchison<\/cite><\/p><\/blockquote>\n

The Huntsville mayor said that fortunately Medavie has indicated that it is willing to work with council to help it through the process.<\/p>\n

Would ambulance services be impacted?<\/strong><\/p>\n

Aitchison said residents should not be worried about the provision of ambulance service.<\/p>\n

\u201cAll the paramedics who currently work through Medavie, all that cost is borne by the District and if somehow Medavie leaves all of a sudden and says \u2018do it on your own,\u2019 we still have all those paramedics that will continue to operate. We would certainly make sure that the ambulances still run because they\u2019re all here and we pay for them.\u201d<\/p>\n

Aitchison assured that Muskoka residents \u201cwon\u2019t see a blip.\u201d<\/p>\n

More staff at the District?<\/strong><\/p>\n

Young, who is also concerned about establishing ambulance presence in his municipality, did say adding to the existing bureaucracy at the District is a bit concerning.<\/p>\n

\u201cIt really was difficult to fight the numbers the District put forward but it worries me that we\u2019re basically taking the management staff that was part of the current organization (Medavie) or hiring them or new people to do the same functions, which just expands our staff count.\u201d<\/p>\n

Young said he is also perplexed about the timing. \u201cWhy didn\u2019t we see this a year ago? Because (District staff is) saying it’ll take a year or a good part of next year to get the thing set up. So they’re proposing to negotiate with a company that’s losing the business to sort of carry on in a staged fashion until they take it over.”<\/p>\n

The report by staff was presented to the mayors’ committee on December 14, 2015. To view it click here<\/a><\/span>.<\/p>\n

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

Staff at the District Municipality of Muskoka is recommending that ambulance service delivery across the region be taken in-house rather than contracting it out. 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