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HomeMy WebLinkAbout2-25-25 - No. 07 CITY Or ca4AOA NIAGARA FALLS. The City of Niagara Falls, Ontario Resolution February 25th, 2025 No. 7 Moved by: Councillor Lococo Seconded by: Councillor Patel Re: Provincial Election Health Care Advocacy THAT the resolution adopted by the Town of Fort Erie adopted at its Special Council meeting of February 11, 2025 pertaining to "Provincial Election Health Care Advocacy, be received and supported. AND The Seal of the Corporation be hereto affixed. CARRIED UNANIMOUSLY C WILLIAM G. MATSON, CITY CLERK ES M. DIODATI, MAYOR Niagaraaalls February 28, 2025 The Honourable Doug Ford The Honourable Sylvia Jones Premier of Ontario Minister of Health Legislative Building, Queen's Park 5th floor, 777 Bay Street Toronto, ON M7A 1A1 Toronto, ON M7A 2J3 premierontario.ca Sylvia.Jonespc.olaorq Honourable and Dear Sir and Madam, Re: Provincial Election Health Care Advocacy Please be advised that at its meeting of February 25, 2025, the Council of the Corporation of the City of Niagara Falls passed the following resolution: THAT the resolution adopted by the Town of Fort Erie adopted at its Special Council meeting of February 11, 2025 pertaining to Provincial Election Health Care Advocacy, be received and supported. Attached, please find a copy of the City of Niagara Falls' resolution. Thank you for your attention to this matter. Sincerely, Bill Matson City Clerk cc. MPP, Jennifer Stevens, jstevens-condp.on.ca MPP, Jeff Burch, jburch-gpr7a,ndp.on.ca MPP, Wayne Gates, wgates-co©ndp.on.ca MPP, Sam Oosterhoff, sam.00sterhoff©pc.ola.org Local Area Municipalities -FORT ERIE O NTARIO Legal and Legislative Services Our Focus:Your Future February 12, 2025 The Honourable Doug Ford The Honourable Sylvia Jones, Premier of Ontario Minister of Health Legislative Building, Queen's Park 5th floor, 777 Bay Street Toronto, ON M7A 1A1 Toronto, ON M7A 2J3 premier@ontario.ca Sylvia.Jones@pc.ola.org Honourable and Dear Sir and Madam: Re: Provincial Election Health Care Advocacy The Municipal Council of the Town of Fort Erie at its Special Council meeting of February 11, 2025 passed the following resolution: Whereas the Town of Fort Erie submitted a letter to the Minister of Health dated August 7, 2024, advocating for the continuation of the Douglas Memorial Urgent Care Centre as a primary care safety net in the community, which has not received a response, and Whereas the Province of Ontario has appointed Dr. Philpott as the Chair of the New Primary Care Action Team to develop a strategy to address the shortage of primary care physicians with a mandate to attach all Ontarians to primary care in the next five years (2030), and Whereas the Town of Fort Erie has a population of 36,000 residents, with over 8,000 who are unattached to a primary care physician, demonstrating a need for a primary care safety net locally, and Whereas the Douglas Memorial Urgent Care Centre provides a first point of contact with our health care system for Niagara residents without a primary care physician, which will continue beyond the opening of the South Niagara Hospital in 2028, and Whereas the Council for the Town of Fort Erie passed a resolution on October 21, 2024 requesting a continuation of funding for Douglas Memorial operations, without reduction of any funding to Niagara Health for construction and operation of the new South Niagara • Hospital, and that the Premier support that resolution, and ../2 Mailing Address: The Corporation of the Town of Fort Erie 1 Municipal Centre Drive, Fort Erie ON L2A 2S6 Office Hours 8:30 a.m.to 4:30 p.m. Phone:(905)871-1600 FAX: (905)871-4022 Web-site: www.forterie.ca The Honourable Doug Ford, Premier of Ontario The Honourable Sylvia Jones, Minister of Health Page two Now, therefore, be it resolved, That: The Town of Fort Erie Mayor and Council requests a response from the Premier of Ontario and the Minister of Health regarding submissions by the Town of Fort Erie, including letter dated August 7, 2024, the Town of Fort Erie Rural Ontario Municipalities Association presentation to the Ministry of Health, Parliamentary Assistant, Anthony Leardi, the resolution passed by the Town Council on October 21, 2024, and the Niagara Health resolution that the Town of Fort Erie presented to the Niagara Health Board on January 28, 2025, and That: The Town of Fort Erie Mayor and Council requests that the Province of Ontario put a moratorium on the closure of urgent care centres and the implicit removal of primary care health services from the Town of Fort Erie and all small and rural communities in Ontario until Dr. Philpott's mandate is complete to ensure that all Ontarians are attached to a primary care physician, and; That: This resolution and the information it references be forwarded to Niagara's local MPPs and all candidates seeking election in Niagara and circulated to the Rural Ontario Municipal Association and all Ontario municipalities. Thank you for your attention to this matter. Should you have any questions, please do not hesitate to contact me. Kind regards, 0C4-0-1. Ashlea Carter, Acting Manager, Legislative Services/Town Clerk acarter@forterie.ca AC:dlk c.c: Niagara Region MPP's wqates-co(a)ndp.on.ca ;JStevens-CO@ndp.on.ca;JBurch-QP@ndp.on.ca ; sam.oosterhoff@pc.ola.orq Candidates Seeking an Election in Niagara info@niagaratintinq.com;dumelie.garv(a7gmail.com; shafolikaour(ilontarioliberal.ca;wavne.gates@ontariondp.ca; contact(a.ruth-ann.ca;oreenteam a@opo.ca Rural Ontario Municipal Association roma@roma.on.ca All Ontario Municipalities Attachments: The Honourable Sylvia Jones, Minister of Health Letter—August 7,2024 The Honourable Doug Ford, Premier and The Honourable Sylvia Jones, Minister of Health Letter—October 22,2024 Rural Ontario Municipalities Association presentation to the Ministry of Health, Parliamentary Assistant,Anthony Leardi— January 21, 2024 NH Board Resolution—January 28,2024 3�0� t% 0 Office of the Mayor WAYNE H. REDEKOP August 7, 2024 The Honourable Sylvia Jones, Minister of Health 5th floor, 777 Bay Street Toronto, ON M7A 2J3 Sylvia.Jonesc pc.ola.orq Honourable and Dear Madam: Re: Urgent Care Centre, Fort Erie I appreciate the challenges that you and your Ministry face as you endeavour to ensure that every resident of Ontario has timely, effective and meaningful access to primary health care. I also appreciate the interest that you have taken in the specific issues that challenge us in Fort Erie as we attempt to establish a model that will address the need of our residents to access primary care. The Town of Fort Erie Council recently passed a resolution calling on you and Niagara Health for a commitment to continue the operation of the Urgent Care Centre at Douglas Memorial, in Fort Erie, following the opening of the South Niagara Hospital as our primary care safety net until a viable and sustainable alternative is in place in the community. I attach a copy of that resolution. This resolution has also been supported by the City of Niagara Falls, the City of Port Colborne and the Niagara Region. The Town administration has been working with local family physicians, other health care providers, Bridges (the local Community Health Centre), the Indigenous community, Niagara Health, the Niagara Ontario Health Team and Ontario Health West to identify the specific service needs of our residents, the resources that we can rely on to meet our residents' needs and establish the model that will ensure that the primary health care, diagnostic and associated services are in place for the long term. As the community continues to grow, the Town is taking necessary steps to ensure that all residents will be rostered with a family physician, including continued support for a local Physician Recruitment Incentive program. As you can imagine, this is a significant investment and a moving target that is elusive for municipalities across Ontario. Fort Erie estimates that over 7,000 residents are unattached to a primary care physician and all of our 34,000 residents rely on the Urgent Care for primary care health issues. Hence the absolute importance of the Urgent Care Centre at Douglas Memorial continue its operation as our primary care safety net. ..../2 Mailing Address: The Corporation of the Town of Fort Erie 1 Municipal Centre Drive, Fort Erie ON L2A 2S6 Office Hours 8:30 a.m. to 4:30 p.m. Phone: (905)871-1600 FAX: (905)871-4022 Web-site: www.forterie.ca The Honourable Sylvia Jones, Minister of Health Page two In July 2023, Niagara Health reduced the hours of operation of the UCC in Fort Erie (and Port Colborne) from 24 hours to essentially 10 hours (10 a.m. to 8 p.m.). This has jeopardized the access to primary care not only of unrostered patients, but for all residents of our community after available family physician working hours. The implications seem predictable: greater pressure on the Emergency Departments in Niagara Falls and Welland, lower acuity health issues using Emergency and EMS as a first point of contact, greater demand on Emergency Medical Services and offload delay pressures, delayed medical attention by those with transportation or other logistical challenges which make it difficult to seek medical service at a distance. All of these have financial impacts that erode the ability of the hospital system to provide the services required by residents. I believe that it is unlikely that the new South Niagara hospital will eliminate these concerns. Insofar as Niagara Health is responsible for the operation of our UCC at Douglas Memorial, we understand the need to maintain a fruitful working relationship with it. Accordingly, NH has participated in our Community Health Care Services Committee and in meetings with other health care providers as we search for the model for primary care that will meet our community's needs. Regretfully, NH has recently decided that it will no longer participate in the committee or any meetings in which the Town of Fort Erie is represented for reasons best known to it. Furthermore, it removed the invitation to Fort Erie's Chief Administrative Officer and Health Services Coordinator to attend a recent meeting (Aug 2nd) with Ministry representatives, Ontario Health West, Niagara Health, the Niagara OHT and other health service partners, without an explanation to the attendees. This was very embarrassing and concerning to us and brings into question NH's ability to gain public trust and confidence as our publicly funded hospital, but more significantly, it raises community concern about its ability to understand the dynamic between operation of the UCC and our quest to find a long-term primary care solution for our residents. We look forward to your consideration to commit to the continuation of the Urgent Care Centre beyond 2028, as our primary care safety net or until a viable and sustainable alternative is in place. Yours very truly, . Redekop ��- ayor WHR:dlk Attach c.c C. McQueen, Chief Administrative Officer Town of Fort Erie - Resolutions Regular Council Agenda Number: 16.2. Resolution No. 14 Title: Councillor McDermott Date: Monday, May 27, 2024 Moved by: Councillor McDermott Seconded by: Councillor Christensen Whereas Niagara Health has received approval from the Provincial Government to build a new South Niagara Hospital in Niagara Falls that will provide a range of emergency and acute care services, and Whereas the shortage of primary care physicians in Fort Erie results in over 7,000 residents being unattached (unrostered) to a family physician, and Whereas the Fort Erie Urgent Care Centre at Niagara Health's Douglas Memorial site provides a primary care "safety net" for the community and serves as a first point of health care contact for both attached and unattached residents who cannot receive time-sensitive primary health care, and Whereas the Provincial Government is attempting to reduce EMS offload delays and eliminate hallway medicine arising from low acuity patients who would be better served by primary care physicians or an Urgent Care Centre providing access to the primary care "safety net", and Whereas the viability of the health care and hospital systems in Niagara are dependent on all residents having time-sensitive access to primary health care; Now therefore be it resolved, That: The Town of Fort Erie advocate to the Minister of Health and Niagara Health for a commitment to continue the operation of Urgent Care Centre at Douglas Memorial in Fort Erie following the opening of the South Niagara Hospital as the primary care safety net until a viable and sustainable alternative is in place in the community, and further That: This resolution be sent to the Niagara Region and Niagara's local area municipalities for their support and endorsement. Carried FORT ERI-E O NTARIO Legal and Legislative Services Our Focus:Your Future October 22, 2024 The Honourable Doug Ford The Honourable Sylvia Jones, Premier of Ontario Minister of Health Legislative Building, Queen's Park 5th floor, 777 Bay Street Toronto, ON M7A 1A1 Toronto, ON M7A 2J3 premierontario.ca Sylvia.Jones(c�pc.ola.orq Honourable and Dear Sir and Madam: Re: Request Provincial Funding Remain Available to Support Fort Erie's Primary Care Initiative The Municipal Council of the Town of Fort Erie at its Council meeting of October 21, 2024 unanimously passed the following resolution: Whereas the Douglas Memorial Hospital was built primarily with funds left by the estate of William Douglas on his death in 1929; and Whereas the Douglas Memorial Hospital ("the Hospital") opened for operation in 1931; and Whereas the Hospital operated in the black during all of it years of operation (1931- 1998) as a full-service hospital under the management and guidance of its own Board of Trustees; and Whereas the Health Services Restructuring Commission ("HSRC") recommended in 1998 that Douglas Memorial continue operation as a hospital within the new Niagara Health System ("NHS"), with acute and chronic care beds, emergency and ambulatory services and a range of diagnostics; and Whereas despite the creation of a standing committee of the NHS Board for Fort Erie, pursuant to recommendation of the HSRC, to assure local input into Board decision making and that no decision to eliminate any inpatient or emergency services would be made unless approved by such standing committee, the NHS embarked on a systematic reduction or elimination of various services at the Hospital until the adoption by the NHS of its "Hospital Improvement Plan" ("HIP") in 2008; and Whereas pursuant to the HIP the NHS eliminated emergency and all other health care services at the Hospital in 2009, with the exception of a 24-hour Urgent Care Centre ("UCC"), chronic care beds, palliative care beds and some diagnostics, without the approval of the Hospital standing committee; and ../2 Mailing Address: The Corporation of the Town of Fort Erie 1 Municipal Centre Drive, Fort Erie ON L2A 2S6 Office Hours 8:30 a.m.to 4:30 p.m. Phone: (905)871-1600 FAX: (905)871-4022 Web-site: www.forterie.ca The Honourable Doug Ford, Premier of Ontario The Honourable Sylvia Jones, Minister of Health Page two Whereas in July 2023 Niagara Health ("NH"), as it is now designated, reduced the hours of operation of the Hospital UCC to 12 hours, although the public only has access to the UCC from 10 a.m. to 8 p.m. daily; and Whereas NH has recently adopted a 3 hospital model for the future of hospital services in Niagara that intends to completely close the Hospital, resulting in no urgent, chronic or palliative or diagnostic services in Fort Erie once the new South Niagara Hospital is opened in or about 2028; and Whereas the most recent population data available indicates that Fort Erie's current population is 36,200, far greater than projected during deliberations with respect to Niagara Region's new Official Plan, adopted in July 2022; and Whereas the Niagara Region's population is growing at a rate far greater than anticipated by the Province or NH, particularly when projections were being made for the hospital needs of South Niagara when planning for the new South Niagara Hospital; and Whereas there are over 7,000 Fort Erie residents unattached to a primary care physician, necessitating a primary care "safety net", such as a UCC or alternative to avoid first point of health care contact at local emergency departments; and Whereas the UCC at Douglas Memorial forms that primary health care "safety net" in the absence of sufficient primary care physicians or service providers in Fort Erie; and Whereas the removal of UCC services, chronic care beds, palliative care beds and diagnostics from the Hospital will result in an unreasonable and unnecessary hardship for current and future residents of Fort Erie and will foreclose the use of the Hospital as a safety valve for NH patients anywhere in Niagara in the event the new South Niagara Hospital is unable to meet the demands that the increasing population of Niagara will place on it; and Whereas a prudent approach to managing the hospital and health care needs of Niagara, particularly South Niagara and Fort Erie, would recognize the value of retaining a fully- operational UCC, with diagnostics and clinics, as well as chronic care and palliative care beds at the Hospital; and Whereas there is no indication that NH has any intention of changing course on its 3 hospital model for Niagara despite requests by the Town of Fort Erie to continue the services available at the Hospital; and Whereas the residents of Fort Erie need and deserve equitable primary health care services, including 24-hour Urgent Care and associated services; Now therefore be it resolved, 1. That the Council for the Town of Fort Erie requests that the Minister of Health commit to funding all necessary services at the new South Niagara hospital without the removal or reallocation of operational funding from the Douglas Memorial for the UCC and other current health services, and further .../3 The Honourable Doug Ford, Premier of Ontario The Honourable Sylvia Jones, Minister of Health Page three 2. That the Council for the Town of Fort Erie requests that the Minister of Health direct any and all funding from the Province of Ontario for the operation of the UCC (primary care), chronic care beds and palliative care beds, and all diagnostic and associated services at Douglas Memorial remain in Fort Erie for use by Niagara Health as part of a revised hospital model for Niagara or an alternative model operated by a qualified designated health care services entity working in collaboration with the Town of Fort Erie should NH close Douglas Memorial as a hospital site, either before or following the completion and opening of the new South Niagara Hospital, and further 3. That: the Mayor and Town of Fort Erie staff enter into discussions with the Minister of Health and Niagara Health and such other health care providers as deemed appropriate to ensure the continued operation of primary care and other current services at Douglas Memorial, with or without the involvement of NH, and further 4. That: the Premier of Ontario, the Honourable Doug Ford, be requested to support this initiative, and further 5. That: a copy of this Resolution be provided to the Premier of Ontario, the Honourable Doug Ford; the Ontario Minister of Health, Sylvia Jones; the Prime Minister of Canada, the Honourable Justin Trudeau; the federal Minister of Health, Mark Holland; the four MPPs and MPs who represent Niagara; the Niagara Region and the other 11 local area municipalities in Niagara for support. Thank you for your attention to this matter. Should you have any questions, please do not hesitate to contact me. 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