June is ALS Awareness Month, and I’m delighted to welcome Tammy Moore and Ilayda Ulgenalp from the ALS Society of Canada back to Queen’s Park today. Welcome.

In hospitals, primary care, public health, home care, long-term care, hospices and in the community, nurses provide the people of Ontario with exceptional care and support when they need it most. Our government recognizes how important nurses are to communities in every corner of this province. We sincerely appreciate their tremendous dedication to patients and families and their integral contributions to our health care system. And under the leadership of Premier Ford and Minister Jones, our government is taking bold action and making innovative changes to grow and support the nursing workforce, now and into the future.

The year 2023 was another record year, adding 17,000 more nurses registered and ready to work in the province, as well as 2,400 new physicians and thousands of personal support workers. Since 2018, nearly 80,000 nurses and more than 12,500 doctors have joined our health care system and another 30,000 nursing students are currently studying at Ontario’s colleges and universities, providing a pipeline of talented health care workers for the future. Our government continues to build on this progress and our actions taken to date.

We are implementing a broad range of initiatives and are making significant investments to ensure Ontario maintains a high-quality nursing workforce. With an investment totalling more than $225 million over four years, our government is expanding nursing education in universities and colleges by increasing enrolment by 2,000 registered nurse, 1,000 registered practical nurse and 150 nurse practitioner seats. With these investments, thousands of additional nurses will join the health care workforce in the years ahead, and this is in addition to our government launching the largest medical school expansion in over 15 years.

In our 2024 budget, Building a Better Ontario, our government invested $743 million over three years to further address immediate health care staffing needs and grow the health care workforce. This is the same budget that the NDP and Liberals voted against.

By making the Supervised Practice Experience Partnership program permanent, up to 1,500 internationally educated nurses each year will become accredited nurses in Ontario. More than 4,200 nurses have participated in this program since its inception in 2022 and over 3,300 internationally trained nurses are already fully registered and practising in Ontario.

Our government has broken down a number of barriers for internationally educated health care professionals, including nurses, to make the process to begin working in Ontario faster and easier. Regulatory changes are allowing internationally educated nurses to register in a temporary class, to begin working sooner while they work towards full registration, and our as-of-right rules allow nurses and other health care workers from other provinces to start working as soon as they arrive in Ontario, without having to first register with a regulatory college. We reduced redundant language proficiency testing as well and are providing financial support to temporarily cover the costs of examination, application and registration fees for internationally educated and retired nurses.

Health regulatory colleges are now required to comply with time limits to make registration decisions, while, in some instances, are prohibited from requiring Canadian work experience for the purpose of registration.

We are also helping to recruit and retain health care workers in smaller, remote and rural communities like my own, through our expanded Learn and Stay grant, where up to 3,700 eligible post-secondary students enrolled in priority health care programs such as nursing are provided with upfront financial support to cover educational costs in exchange for a commitment to work in the region where they studied for a term of service.

Through the Community Commitment Program for Nurses, over 4,000 nurses hired in 2022-23 and 2023-24 will receive incentives of up to $25,000 in exchange for a two-year commitment to work in a hospital, long-term-care home, home and community care agency, primary care service provider, or mental health service provider in a high-need area of Ontario.

The Bridging Educational Grant in Nursing, which is jointly offered by the Ministry of Health and the Registered Practical Nurses Association of Ontario, provides tuition support to registered practical nurses and personal support workers to pursue further education to become registered nurses and registered practical nurses, respectively, in exchange for working in home and community care, acute care or primary care.

Our government also continues to create new pathways to connect more people to high-quality care across the province, including the Clinical Scholar Program, which pairs an experienced front-line nurse as a dedicated mentor with newly graduated nurses, internationally educated nurses, and nurses wanting to upskill. Over 100 hospitals are participating in the Clinical Scholar Program since its launch last year, and 435 experienced front-line nurses have provided more than 17,000 mentorship touch points to new graduate, internationally educated or upskilling nurses. This is another way we’re recruiting and retaining nurses and ensuring that they have the support they need to confidently transition into the nursing profession.

Emergency departments are also being supported through ongoing and increased investments to bolster and stabilize the emergency department nursing workforce through incentives and removing barriers for nurses who are interested in working in emergency nursing, while also focusing on retaining emergency department nurses and nurse leadership. In collaboration with Ontario Health, education and training for the development and standardization of emergency department skills and competencies is being offered to nurses working in smaller, rural and northern hospitals. Through this initiative, over 3,000 training grants were allotted to nurses last year, and we expect that close to 9,000 nurses will access training or grants this year.

We also expanded the scope of practice for registered nurses, as well as for midwives and pharmacists. Registered nurses who complete additional education requirements approved by the council of the College of Nurses of Ontario are now able to prescribe certain medications and to communicate a diagnosis. These registered nurses can prescribe medications for conditions such as immunization, contraception, smoking cessation and topical wound care, as well as prescribe over-the-counter medications.

Our government also invests more than $46 million annually to fund nurse practitioner-led clinics, with Ontario being the first jurisdiction in Canada to implement this innovative model of primary care. These clinics provide comprehensive, accessible and coordinated family health care services, serving more than 80,000 people who might otherwise face challenges in accessing primary care. These clinics are also supported through our government’s recent significant investments in interprofessional primary care teams. This will connect more than 328,000 people to primary care teams in areas where it’s needed the most and add more than 400 new primary care providers and 78 new and expanded primary care teams across the province, which will include family health teams, nurse practitioner-led clinics, community health centres and Indigenous primary care health organizations. In our 2024 budget, we are building on this investment with a $546-million investment over three years to connect approximately 600,000 people to interprofessional primary care. Again, this is the same budget the members opposite voted against.

Speaker, our government has a plan, and it’s working. But we are not stopping there. We are making record investments in health care and building a stronger, patient-centred health care system that is focused on providing people with a better health care experience and better health outcomes. We are growing and supporting our health care workforce, including recruiting, retaining and supporting a strong, stable nursing workforce, to ensure that they have the tools and resources to provide patients with the connected and convenient care they need and deserve, when and where they need it.

To answer the member’s question: The use of desflurane is a clinical decision that should be best left with the clinicians, experts and the hospital leaderships, and our government will continue to trust medical experts on the best clinical tools to be used for patient safety.

But, Speaker, if the member opposite is interested in climate change and the environment, I am more than happy to talk about our government’s initiatives and actions of our health care partners.

Let me first tell you about Niagara Health System and the steps they have taken to be more energy efficient. The innovative design features at the St. Catharines site and recent investments across their other sites aim to lessen the footprint on the environment and lower long-term operating costs. The St. Catharines site is one of the first hospitals in Ontario designed to achieve certification under the Leadership in Energy and Environmental Design, or LEED, classification, the green building rating system.

Niagara Health also invested approximately $10 million across all sites through an energy retrofit project that reduces energy use and operating costs. These improvements will save substantial amounts of natural gas and electricity for years to come.

Speaker, let me tell you about another great example at Sunnybrook Health Sciences Centre. Sunnybrook has five key environmental programs: energy conservation, waste management, sustainable transportation, procurement, and an awareness and education campaign. Their green initiatives include the Harry Taylor Solar Energy Wall; gas scavenging in the operating rooms; composting and biodegradable food containers in the cafeteria; the Honeywell Energy and Facility Renewal Program; and the Green Task Force.

According to the hospital, their energy improvements will save $2.6 million and reduce CO₂ emissions by 8,965 tonnes annually. That’s the equivalent of taking 1,410 cars off the road.

Speaker, I am not quite done yet. The medical imaging team at the Toronto General Hospital provides high-quality care, diagnosis and image-guided intervention. The hospital actively works on energy efficiency and sustainability initiatives.

Additionally, Haliburton Highlands Health Services has implemented a geothermal upgrade to improve energy efficiency.

As the government of Canada is set to miss one of its own climate targets, under the premiership of Premier Ford, Ontario is on track to meet our Paris agreement and is responsible for 86% of Canada’s total emissions reductions. This achievement is only possible because of our government’s efforts, alongside my colleague the Minister of the Environment, Conservation and Parks, to build Ontario. This includes:

—making Ontario the global leader in electric vehicle production;

—working with the industry instead of against them, such as our government’s investments in green steel at AM Dofasco in Hamilton, which will see the equivalent emissions reduction of taking one million cars off the road;

—our historic investments in conservation through the Greenlands Conservation Partnership, which already has protected over 420,000 acres of land, an area two and a half times the footprint of the city of Toronto;

—holding polluters accountable by introducing new fines and tough emissions performance standards for large industrial emitters; as well as

—historic investments in the critical infrastructure to get Ontarians to where they need to be, such as the Ontario Line, which takes 28,000 cars off the road every day.

Again, Speaker, to answer the member’s question, these are clinical decisions that should be left with the clinicians and medical experts. Under the leadership of Premier Ford and Minister Jones, our government will continue to ensure a strong and robust public health system for all Ontarians for years to come.