It is an honour to welcome the Nurse Practitioners’ Association to Queen’s Park. That includes: Barbara Bailey, Amanda Rainville, Corsita Garraway, Jennifer Clement, Chantal Sorhaindo, Dana Cooper, Lauren Scott, Teresa Wetselaar, Kelsey York, Clinton Baretto, Krysta Cameron, Claudia Mariano, Valerie Winberg, Andrea Anderson, Beth Cowper-Fung, James Lindberg, Jayme Wilson, Thomas Gendron, Noah Mondrow, Vanessa Mooney, Justine Rose, Marcela Killin and Pavarni Jorgensen.

I also want to thank police officers from my riding who are here: Matt Hall, Jacques Roberge and Steve Train. Thank you for coming to Queen’s Park.

Ma question est pour la ministre de la Santé.

The nurse practitioners’ association is at Queen’s Park today. They have a very simple ask to the government: Lift the cap on the number of nurse practitioner-led clinics. The 25 existing nurse practitioner-led clinics are all success stories. Everywhere in Ontario, they provide access to top-quality, interdisciplinary primary care to over 100,000 Ontarians who used to go to our overcrowded emergency rooms for care.

Will the minister lift the cap on the number of nurse practitioner-led clinics so unattached patients in communities across Ontario, including in Coniston in my riding, can gain access to primary care?

In Capreol, the nurse practitioner-led clinic is the only show in town. They have thousands of people who want access to primary care. They have nurse practitioners who are available to fill those roles, but the nurse practitioner clinic in Capreol has no funding to hire them. Their request for funding continues to go unanswered.

Minister, why is this affordable, effective, immediate solution to our health care crisis being ignored? Why don’t you fund more nurse practitioners in the existing clinics?

I move that:

Whereas staffing shortages in Ontario have forced emergency room and ICU closures across Ontario, reducing access to complex and potentially life-saving care in many communities; and

Whereas other hospitals have been forced to close units, redirect patients to other facilities and reduce beds, contributing to ER wait times of up to 36 hours for patients that require a hospital stay; and

Whereas health care job vacancies have more than quadrupled since 2015, resulting in more than 45,000 openings in primary care, and research by the Financial Accountability Office of Ontario underscores the urgent need to train and hire tens of thousands of extra nurses, PSWs and allied health professionals to meet the government’s own 2024-25 long-term care targets for hands-on staffing care, while the College of Nurses of Ontario reports over 15,000 nurses in Ontario are licensed and not practising; and

Whereas health care workers are overworked, underpaid, subject to violence, and distressed by their inability to provide the care patients need due to poor working conditions and inadequate staffing, driving many to leave the profession in record numbers; and

Whereas Ford government policies such as the Protecting a Sustainable Public Sector for Future Generations Act, 2019—previously Bill 124—and other stopgap measures have failed to fix the problem, leaving nurses, allied health professionals and other front-line health care workers with wages falling far short of inflation, while the government of Ontario chose not to invest over $1 billion of the money allocated for hospitals in the 2021-22 budget; and

Whereas this government allowed the health human resource crisis to persist while billions of dollars in unspent public funds have been allocated to discretionary funds instead of Ontario hospitals that are struggling to maintain quality of care because they are dramatically understaffed; and

Whereas the Ford government has failed to develop a comprehensive health care staffing plan to train, recruit and retain sufficient numbers of health care workers and have ignored the advice of health care professionals on how to solve the staffing crisis in hospital and primary care; and

Whereas the Ministry of Health’s inadequate temporary retention bonus for nurses fails to address systemic issues in the sector and falls far short of the efforts to retain, retrain and recruit front-line health care staff in Quebec, British Columbia and Atlantic Canada; and

Whereas the Minister of Health’s recent directives on internationally trained health care professionals fail to provide the funding, education spaces and internships needed to help address the staffing shortfall, and fails to implement many of the painful lessons learned during the pandemic; and

Whereas nursing vacancies in Ontario hospitals increased by almost 300% between March 2020 and March 2022, the turnover rate for nurses has increased by 72% since 2020, and the turnover rate for RPNs, PSWs and other health care workers more than doubled since 2016;

Therefore the Legislative Assembly calls on the Ford government to create, in consultation with unions and other health sector stakeholders, a multi-layer health care worker recruitment and retention incentive package that includes short-, medium- and long-term solutions to recruit, retain and return workers across the health sector with full-time, public, unionized positions and immediately repeals Bill 124, restoring workers’ right to bargain for wages that reflect their worth and the significant impact of rising inflation.

There is a severe shortage of health human resources in Ontario, and it’s brought our health care system to its knees. We haven’t seen a crisis like this in generations. Health care is something that happens between two human beings. When one of them is burnt-out and cannot continue to work, our system collapses.

If it was even possible, across the province, hallway medicine has worsened; people are waiting 24, sometimes 48, hours on a stretcher in a hallway in an emergency room before being admitted. We’re talking about people that are sick enough to need admission into our hospital waiting in a busy, noisy emergency room for days on end, Speaker.

According to Ontario Health, in September this year, the wait times in our emergency rooms across Ontario hospitals reached a record high. On average, every single day—they take it at midnight—there were 946 patients waiting for a hospital bed in an emergency room. Think about it: 946 Ontarians who were sick enough to go to the hospital, who were waiting to be assessed by a physician and a team of caring health professionals who have told you that you need to be admitted, and they are waiting in our emergency rooms.

That number in August was 884, but I am sure that as soon as the numbers for October come out, it will be even higher than 946 people.

Since this summer alone, Ontario emergency rooms have shut down more than 86 times, Speaker. In October, the emergency room in Chesley announced that it was forced to shut its doors until December. This is over eight weeks where there is no emergency department available to the good people of Chesley. Speaker, would you say that this is normal?

This comes after years of neglect by previous Conservative and Liberal governments that have brought us to where we are today—add on top of this a pandemic. We are at the point where people are afraid of falling sick. They are afraid to seek medical support. They are afraid to go to our emergency rooms, because they know that they are going to wait too long.

Now this crisis has landed in our pediatric hospitals, and families—young children—are paying the price for a crisis created by Conservative and Liberal governments’ neglect. Parents are scared, Speaker.

SickKids, a world-renowned pediatric hospital, had to shut their intensive care unit. The intensive care unit is where you care for the sickest of the sickest of the children. Right now, over half of the kids in intensive care are on a respirator. This is unheard of. SickKids cannot care for all of the kids. Their intensive care unit is full, at 130% capacity, yet here we are. They’re sending kids as young as 14 years old outside of the pediatric hospital into general hospitals, because they have no room to care for them. In a province as rich as Ontario, it is incomprehensible that we have come to that.

There are presently 32,000 job vacancies in our hospitals, long-term-care homes and residential care facilities. Add to this another 10,350 job vacancies, for a total of over 42,350 vacancies in our health care system right here, right now in Ontario. Things have to change. We cannot continue this way. Ontario has the lowest per capita investment. We have the lowest nurse per capita in Canada. We have the least hospital beds.

There are solutions: Repeal Bill 124 and give our nurses and everybody else who works in health care the respect they deserve. There will be many other solutions coming forward by my colleagues, and I hope they will be acted upon.

Thank you, Speaker. I will be using my right of reply to the motion.

It was an interesting afternoon, where a lot of real-life stories that highlight the crisis in our health care system have been shared. There is a health human resources crisis in health care. Health care happens between two people. When the people who provide the care are burnt-out, when the people who provide the care feel demoralized and disrespected and just cannot continue to do their jobs anymore—jobs that they love, jobs that they are good at, jobs that they trained to do and want to do, but the circumstances in their workplace right now, whether it be in hospital, in long-term care, in home care, in primary care are such that they can’t take it anymore—we need to act.

We cannot continue to let this happen the way it is. How can anybody sit in their seat when you know that SickKids and CHEO—those are pediatric hospitals that are world-renowned. They provide the best children’s care. People come from all over to see what we do right here in Ontario. When we hear that their ICU is full, at 130% capacity, when we hear that there are little ones in every single ICU bed and bassinet and crib and there are no more ways to care for them, how come some people can stay there and say, “All is good. We have recruited 12,000 new workers”?

You don’t look at attrition. What is happening right now in Ontario is a mass exodus of health care workers who are afraid for their licence, who are afraid for their mental health, who are afraid for their own health, and who just give up. They would love to come back. In order for that to happen, we need to acknowledge what they have gone through.

We need to acknowledge that things were not good before. You’re absolutely right that there have been hospitals full, at 120% capacity, for years. There have been people admitted into TV rooms, lounges, ends of hallways, everywhere. There is a huge patient room in the basement of my hospital, next to the morgue, where eight people lay without a window, without a bathroom. We are full, over capacity—yes, our hospitals are—but don’t just sit there and say, “We’ve recruited 12,000 more,” because the exodus is there. Go on the website of any hospital in Ontario, go on the website of any long-term care, and you will see vacancies, 42,000 of them, right here, right now, as we speak, where there is nobody applying for those jobs.

And some of the programs that the government has put forward—yes, they took the training, they went and worked as PSWs, and four weeks later, half of them had given up on that job, because it was just too hard, too difficult for what they were getting out of it. They still could not pay the rent and feed their kids with the work that they were doing as a PSW.

What we’re asking through this motion is really a multi-layer approach that looks at how we solve the health human resources crisis. How do we bring people back? How do we respect them for the hard work, the important work that they do? This is what this motion is all about. We had nurse practitioners, who are here today, going into the different offices. They are telling you, right here, right now, that there are nurse practitioners underemployed right here in Ontario. Each and every one of them, if you were to fund the position in any nurse practitioner-led clinic, they would take on 800 patients that are unattached. You could do this right here, right now this afternoon.

But no, none of that is happening. They have recruited 12,000 new health care professionals. It doesn’t matter that there are 42 vacancies. It doesn’t matter that the exodus is continuing. We see a government that is very reluctant to act, and like everybody else, you have to wonder, “Why is that?” Well, the “Why is that?” is because they will come out with a solution of privatization. They’re not proud of it. They hide it. They don’t say it. But they do it.

Repeal Bill 124. Treat people with respect and you will be amazed what Ontario health care workers will do.