The bill is quite simple. It gives the number of patients that a nurse can be responsible for for one shift. To give you an example, if a patient is in intensive care on a ventilator, the law would say you need one nurse to one patient. On the flipside, if patients are admitted to the rehab unit on a nightshift, then you would have one nurse to seven patients, and there is a list that is given for people in ICUs, specialist care, in-patient, palliative care, rehab etc. that are listed in the bill.

I brought this bill forward because our health care system is in crisis. From Chesley to Wingham, from Marathon to Hawkesbury, from Red Lake to Carleton Place, we have seen over 1,000 emergency room closures in our province. Ontario has never, never seen that before.

If you look at the reason behind the closure of emergency rooms, the closure of important hospital services in different hospitals, up to permanent closures of hospitals, the number one reason why this is happening is always a lack of staff, and the number one reason why we have nursing shortages is burnout. Our nurses are burnt out.

I want to quote quite a few nurses. The nurses are watching right now. They know that I’m bringing this bill forward, and many of them are hoping that things will change, so they sent me quotes.

First: “I believe a legislated ratio is the single most important factor that would improve my own willingness to remain at bedside and within the nursing profession.”

Another quote: “I left a direct-care role in the hospital due to poor patient-to-nurse ratios and constant understaffing. Many times I felt unsafe and overwhelmed due to the short-staffing and increased patient needs.”

Third quote: “Higher wages would attract more nurses and better ratios would stop burnout and address nurses leaving the profession.”

Another quote: “I think wages and better staffing ratios would keep RPNs in Ontario.”

Another quote: “We should be implementing standard ratios. Education has them. Why not health care?”

Another quote: “I left direct patient care due to increase in violence ... and increased patient ratios.”

Another quote: “It’s increasingly difficult to provide quality care for patients when your patient ratio keeps growing.”

Another nurse: “We’re still working in unsafe nurse-patient ratios so often. Our workplace environment impacts the care that the people in the province receive.”

Another nurse: “It’s disappointing, stressful and exhausting. Nurses deserve better than what we have been provided for staffing and for patient ratios currently.”

I could go on, but I know I only have 12 minutes.

I would like to quote from WeRPN. They did a review called The State of Nursing in Ontario. They found out that nearly 48% of their members intend or are considering leaving the profession. When they asked what would sway them to remain, 72% of them said better nurse-to-patient ratios.

It’s not only nurses and RPNs; nurse practitioners also are watching this bill. They said, “The introduction of improved patient-to-nurse ratios is an important step towards addressing the deepening crisis in our health care system, acknowledging the overwhelming evidence seen first-hand by nurse practitioners in the field. Simply put, proper nurse-to-patient ratios improve patient outcomes and reduce nurses’ burnout.” I fully agree with them. Research is showing us that between 34% and 54% of nursing personnel are showing signs of burnout. The number one reason? Workload.

I was able to identify thousands of peer-reviewed publications dealing with the nursing ratios and how they can help address the burnout in our nurses. You do not have to take my word for it, Speaker. Go on your phone. Any of you, go on your phone right now and google articles dealing with nursing ratios in peer-reviewed medical journals, and you will see over 3,000 articles will come up. Let me quote from a few of those.

The National Academy of Medicine—this is a USA journal—looked at nurses’ well-being and found that 54% of nurses exhibited substantial burnout symptoms. The report from the National Academy of Medicine cites higher nurse-to-patient ratios as a factor associated with nursing burnout.

I then looked at some of the reports from Australia. Why not? They published this: Effects of Nurse-to-Patient Ratio Legislation on Nurse Staffing and Patient Mortality, Readmissions, and Length of Stay. Just so you know, Speaker, in 2016, Queensland, which is in Australia, implemented minimum nurse-to-patient ratios in their hospitals. After a few years, they did a study. They looked at 231,902 patients and found that the ratio that they had implemented—in addition to producing better outcomes, the costs avoided due to fewer readmissions and shortened lengths of stay were more than twice the costs of the additional nurse staffing.

The hospitals in Queensland implemented the very same ratios that I have in my bill. In 2016, they did a study. They reviewed 231,000 patients, which was basically every patient who came through, and found that they produced better outcomes, fewer readmissions and shorter lengths of stay—length of stay is how long you stay in the hospital—and it cost them half as much as the cost of having those extra nurses. “Minimum nurse-to-patient ratio policies are a feasible approach to improve nurse staffing and patient outcomes with good return on investment.”

I also looked at The Lancet. How can you look at health care and not look at The Lancet? They have been there since 1832. It is a leading journal in the medical field. They have a landmark study showing that a patient’s risk of dying after surgery varied by the number of patients for whom each nurse had responsibility. They looked at over a million patients in nine European countries. They found that each additional patient added to a nurse’s average workload was associated with 7% higher odds of the patient dying. The evidence showed that better hospital nurse staffing is associated with better patient outcomes, including fewer hospital-acquired infections, shorter lengths of stay, fewer readmissions, higher patient satisfaction and lower nurse burnout. That comes from The Lancet.

Another study, this one for the International Council of Nurses, representing national nursing associations worldwide, “issued their position statement on evidence-based nurse staffing, concluding that plenty of evidence supports taking action now to improve hospital nurse staffing, echoing Nightingale’s”—you all remember Nightingale, one of the first nurses—“call to action over 150 years ago, that if we have evidence and fail to act, we are going backwards.”

Two minutes left; I still have many, many reviews, some of them from the US, where they have staffing ratios. I want to name that Connecticut, Illinois, Minnesota, Nevada, New York, Ohio, Oregon, Texas and Washington have staffing committees. They publicly report in Illinois, in New Jersey, in Rhode Island, in Vermont. Staffing ratios are not new to the States, not new to Australia, not new to the UK.

I have a study here from India, who also implemented staffing ratios, and I want to quickly read their conclusion: “Considering Indian resources”—that’s from India—“best international norms and Indian research evidence, we recommend following nurse-to-patient ratio in each shift for Indian hospitals.”

Same thing with the British journal that’s in the UK—but I won’t have time to share that.

The European Journal of Cardiovascular Nursing says the same thing: If you want to recruit and retain a healthy workforce, the easiest way to do that is to implement nursing ratios.

Anybody who follows health care will know that the NDP in British Columbia is in the process of implementing staffing ratios in the hospital. So yes, I was partly inspired by our colleagues in British Columbia, but also by the hundreds of thousands of nurses here in Ontario who are burnt out, who are on sick leave, who are on long-term disability because they cannot cope with their workload anymore.

The body of evidence is there. It’s a win-win. It is safer for patient outcomes, number of deaths, number of long-term stays. It is better for nurses if you look at the overburden and the burnout of nurses and it is better for hospital budgets. They will actually save money. So it’s a win-win-win: hospitals supported, our nurses supported.

It is time that Ontario takes a serious look at putting in place nursing ratios. It exists throughout the world. There are over 3,000 peer-reviewed papers that looked at the effect of nursing ratios. They all say the same thing: better for patients, better for nurses, better for hospital budgets. I hope people will see fit to support this bill.

We have time for another quick question.

All those in favour of the motion that the question be now put, please say “aye.”

All those opposed, please say “nay.”

In my opinion, the ayes have it.

A recorded vote being required, it will be deferred to the next instance of deferred votes.

Vote deferred.

Mme Gélinas moved second reading of the following bill:

Bill 192, An Act to amend the Health Protection and Promotion Act with respect to maximum patient-to-nurse ratios / Projet de loi 192, Loi modifiant la Loi sur la protection et la promotion de la santé en ce qui concerne les ratios patients-personnel infirmier maximaux.

I think you make good decisions when you base it on data. What I would like to say is that I don’t think it’s all developers, because we had a lot of delegations in one of the earlier bills and they support density. This was an Ottawa home builder; our member over there would get to know these home builders. It’s not all home builders that support this bill.

I think if we really want to get home building done, we need to talk to all developers and all home builders, and leaving out stakeholder groups like environmentalists is nearsighted. I worry about some of the sensitive areas and if we don’t have expertise from biologists, hydrogeologists etc. and we don’t even allow them to speak, I think we will go very far in doing harm by not including many perspectives on what good planning actually means.

We know we have a scarcity of building supplies. If you talk to anyone, cement is the number one most expensive thing that we can use right now. So these gentle density houses in the middle of town, we can use wood and sustainable resources and reduce our cement dependence.

I move the question now be put.

Point of order: If you seek it, you will find unanimous consent to see the clock at 6.

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.

Further debate.

Quand l’année a commencé, les infirmières étaient déjà claires. On pouvait lire dans les médias que les syndicats des infirmières avaient conduit des sondages. Les résultats des sondages : 90 % des travailleurs dans les hôpitaux du nord de l’Ontario disaient qu’il manquait de « staff » et près de 50 % pensaient à quitter leur emploi dans les prochaines années à cause du stress, de l’anxiété, de la fatigue.

Ce sondage-là avait été fait sur plus de 750 membres de CUPE et inclut des infirmières praticiennes, le personnel de support et les autres travailleurs de nos hôpitaux. Ce n’est pas normal, ces chiffres-là.

On parle des institutions qui représentent 50 000 employés au total à travers l’Ontario. L’article ne s’arrête pas là. On découvre aussi, sans grande surprise, que le secteur perd des employés qualifiés à cause des conditions de travail pénibles et de « burnout » qui en découle. Ces chiffres me rentrent dedans. Je viens de Kapuskasing. J’ai grandi à Dubreuilville. J’ai de la famille partout dans le Nord.

Je vous l’ai écrit dans une lettre ouverte, il y a à peine un mois. Dans le Nord, on manque de tout. On ne peut pas laisser notre système de santé continuer à s’effondrer. Pendant que les infirmières quittent le secteur public pour gagner le salaire et les conditions du système privé et que le gouvernement paie la facture en double, le Nord en arrache.

Je salue l’effort constant de ma collègue la députée de Nickel Belt, France Gélinas, qui ne passe pas un jour sans amener des solutions pour le système de santé. Aujourd’hui, c’est simple ce qu’elle apporte, mais ça aurait un impact tellement important. Amener un quota d’infirmières-patients, ce n’est pas censé être controversé. C’est déjà le cas dans plusieurs provinces et d’autres pays, et ça marche. On ne réinventera pas la roue. Dites-moi, comment peut-on continuer de faire fonctionner nos cliniques et nos hôpitaux sans personnel qualifié? Soulignons-le : le gouvernement n’a actuellement aucun plan de rétention du personnel, mais ma collègue la députée de Nickel Belt en propose un aujourd’hui et j’espère sincèrement qu’on va se rallier derrière sa motion.

Il y a un autre article, cette fois-ci, dans le Timmins Today. On lisait que 81 % des infirmières rapportent un stress élevé et que 58 % d’entre elles se sentent malades à l’idée d’aller travailler. C’est urgent. Il faut changer la donne. Il faut supporter la motion 192, un quota d’infirmières-patients.

Compassionate.

Further debate?

Caring.

Merci. Further debate? The member for Toronto–St. Paul.

I’m pleased to stand and rise today and support Bill 192 from the member from Nickel Belt and congratulate her again on bringing forward a sensible, thoughtful bill. These essentially are international standards. These are things that are accepted across the world.

I come at this from—I’m the son of a hospital nurse. She worked at National Defence Medical Centre for 33 years on the floors. I used to pick her up at work when my dad was away. Here’s the thing I knew: If my mom finished shift at 11 o’clock, I didn’t need to get there at 11 o’clock. I should probably get there around 20 after and then, maybe by a quarter to 12, she’d be coming out. That’s because she stayed to make sure that her job was fully done, and she had good ratios back then.

This isn’t going to work—and I want it to work—if you don’t have the nurses to fill it, to fuel it, to make it work. When I hear arguments from the government like, “You voted against this,” “You voted against that budget,” I could list off a bunch of things like the Nursing Graduate Guarantee that your party voted against; the late-stage nursing program to keep nurses in the profession—you voted against that.

It’s not about that. We don’t have enough nurses, and things like Bill 124 that essentially take away nurses’ rights to bargain—nurses’ rights to bargain. The thing I remember about that is, there was a whole bunch of people who could still bargain. They were mostly men. Nurses are not exclusively women, but they’re mostly women, but you took away their bargaining rights. It’s a total lack of respect. If you want to keep people working for you, you need to respect them, and the Premier’s wrong-headedness and the Minister of Health’s wrong-headedness of continuing with Bill 124 did more damage than anything else.

The second thing is, you’ve got to pay them. That’s the other thing about Bill 124, but right now, you’ve got to pay them. Why are nurses leaving to go to work for private agencies? The pressure they’re feeling at work, not enough staff to help them—they feel like they can’t do what they are taught to do, what they desire to do for their patients. They don’t have enough time. Why did my mom stay for 45 minutes? Because she wanted to finish the job. They want to finish the job, but they have to have enough people. That’s the point.

The government needs to look at how they can do more not just to train more nurses but to retain more nurses, because that’s the problem. And unless we do that, unless we retain what we have and train up as much as we can, we’re not going to get to where we’re going to be able to do this. So I would hope that the government would vote for this today and support it, even though we know we can’t do it today. Because what it does is, it sets a standard that we have to achieve and that we all want to achieve.

We’re talking a lot about nurses. That’s what this is about. It’s about patients. It’s about the care that patients need and deserve so they can get well. That’s why the member is putting this forward.

I’m going to say one last thing about priorities: How is it that spending $1 billion to get beer and wine at the corner store a little more than a year earlier is more important than nurses and their patients, is more important than 2.3 million Ontarians who don’t have access to family medicine? How is it more important than people having to use their credit card instead of their OHIP card so they can get basic services? Those things are the things that are happening here in Ontario right now, and to spend $1 billion to make booze a priority over health care is just simply wrong.

This Conservative government must support our Ontario NDP legislation and pass the Patient-to-Nurse Ratios for Hospitals Act. Thank you to our health critic from Nickel Belt. This act is a life-saving piece of legislation. There are simply not enough nurses in our hospitals to take care of patients with often complex needs.

As we once said, we need at least 22,000 more nurses here in this province. This government spoke of nurses as “health care heroes” during the pandemic, yet they didn’t even ensure they had the appropriate PPE to keep all of them alive. Some of our health care professionals died on this government’s watch. In fact, nurses were taken to court by this government. And I don’t need to reiterate the disaster that was this government’s Bill 124 on nurses—racialized and women, predominately, in that sector, I might add—and other public sector workers.

This government has sat idle while over a thousand emergency room closures last year happened. This is simply not good enough. Over 3,200 different studies have been conducted proving that a lower nurse-to-patient ratio is necessary to save lives and prevent burnout of our nurses. This piece of legislation is a win-win. It’s a win for the government, it’s a win for the official opposition, but most importantly, it’s a win for the nurses, their patients and their families.

One such report was WeRPN’s latest survey of over 1,300 registered practical nurses. The 2024 report found that “unsustainable workloads, wage compression, pressured working environments and a lack of support have continued to drive RPNs out” of the profession. The current nurse-to-patient ratio directly impacts patient care. Today, this government can turn the page and do something positive for a change that will directly impact all of our nurses, all of the nurses who have been advocating day in and day out over the last six years, begging this Premier to stop his privatization-of-health-care schemes.

I want to thank Joyce, my local community member and an RPN, for expressing her concerns to me via email. I echo every single one of them:

—introduce nurse-to-patient ratios to reverse deteriorating patient care and ensure workplace safety for nurses and patients;

—pay nurses what they’re worth;

—establish a fair and professional level of compensation for RPNs that reflects their knowledge; and, yes,

—reduce reliance on for-profit nursing agencies that are siphoning out our nurses, yet another way of prompting up this government’s privatization scheme.

So absolutely, we need this patients-to-nurses ratio legislation passed today.

I want to begin, as the member of Toronto–St. Paul’s just did, by thanking the member from Nickel Belt. The member from Nickel Belt is the best Minister of Health this province is yet to have, but I see a day coming soon when this member is going to sit on that side of the House, and we are going to make sure we do what she is proposing today: make sure there are livable, attractive working conditions for every single health care professional in this province.

Do you know what we call people like the member from Nickel Belt back home, Speaker? We call them solutionaries. That’s what we call them, because it is easy for us, given the havoc in the health care system, to talk about all of the problems and we need to assess them, but we need to also celebrate the moments when someone puts forward a viable solution that people are doing elsewhere.

As my friends in government are talking about how “everything’s fine, there’s nothing to look at here,” I want to remind them that we are breaking records in hospital services closing. I want to note the fact that there were 1,199 instances in the past year where health care services were closed. That includes 868 emergency rooms. Those are not the kinds of records we want to break in the province of Ontario. Who suffers when the workplace ratios are so bad? Patients suffer, nurses suffer, the staff suffer, and there’s no amount of gloss you can put on this picture, Speaker.

I want to zoom in on Winchester District Memorial Hospital’s birthing unit. They have been unable to fill a vacancy for two RNs since 2007, and because of that, they’ve had to close this birthing unit for 763 hours in recent years. This is alarming. Can you think of the joy that families experience when their child is coming into the world? Can you think of the stress put upon that family when they have to go further afield to a different birthing unit? And it’s unnecessary. Just like the billion dollars we are paying to private nursing agencies, like Canadian Health Labs, that is putting hospitals in deficit positions under this government as they talk about how wonderful the situation is.

I want to thank people like Rachel Muir from ONA Local 83—hi, Rachel, if you’re watching this—who leads the Ottawa Hospital nursing unit. She remembers a time when she got into the nursing profession in the 1980s when you could count on having a patient-to-nurse ratio of four to five, but now people are getting upwards of six, eight, nine, 10, and we’re burning people out, and we don’t have to burn out.

If deputy ministers in this government can get 16% pay raises, if we can pork-barrel out money to beer companies, we sure as hell can give money to nurses who work hard in this province. Thank you, member for Nickel Belt.

Back to the member for Nickel Belt for a two-minute reply.

Députée Gélinas has moved second reading of Bill 192, An Act to amend the Health Protection and Promotion Act with respect to maximum patient-to-nurse ratios. Is it the pleasure of the House that the motion carry? I heard a no.

All those in favour, please say “aye.”

All those opposed, please say “nay.”

In my opinion, the nays have it.

A recorded vote being required, it will be deferred until the next instance of deferred votes.

Second reading vote deferred.

Pursuant to standing order 36, the question that this House do now adjourn is deemed to have been made.

I recognize the member for Kitchener Centre.

I really appreciate the time to talk about this issue today. Not many people know what desflurane is, so I totally understand why this circumstance came about, but I look forward to the opportunity of talking a bit about it and why it is the lowest of low-hanging fruit in terms of reducing emissions and saving money for our health care system.

The World Health Organization says that climate change is the biggest health threat facing humanity, and what we’re noticing is that people don’t always understand the impacts of climate change on their day-to-day lives, but we see more and more how it’s affecting our health with increased emergency room visits from slips and falls, extreme heat days, smoke inhalation, increasing rise in asthma and other health consequences.

I’m sad that the member from Cambridge—he’s interested in this topic. There is a glacier called the Doomsday Glacier. It is enormous and it’s sitting on the edge of a bowl, ready to go into that bowl, which will lead to a massive sea level rise across the planet. So I’ll look forward to hearing what he has to say about that.

Desflurane is not commonly known outside of medical circles, but more and more, the health sector has been moving away from this gas. I know the minister was curious what experts had to say, so I am here to share that today.

The Canadian Anesthesiologists’ Society recommends not using it. Ontario’s Anesthesiologists also support eliminating des from our hospitals. It’s also being banned in the European Union, Scotland and other jurisdictions around the world. So we know that experts in this field recommend banning des from our operating rooms. Why? Well, it costs more; it costs a lot more. In Health Sciences North, the hospital in Sudbury, they saved $250,000 by banning desflurane. In Mississauga, Trillium Health Partners saved $125,000 by banning it.

Not only is it good financially for hospitals to ban this, but it’s also a good way to reduce emissions. Des makes up about 5% of the carbon emissions of our hospitals, and if hospitals were a country, they would be the fifth-largest emitter worldwide. So that’s a benefit not only financially but also environmentally. So I hope that we can look forward to the government banning this anaesthetic gas.

Environmentally speaking, for example, the carbon emissions saved by Health Sciences North equated to driving to the moon and back four times. This is how much carbon emissions were reduced simply by banning desflurane.

One might ask: Well, why aren’t we banning it already? Good question, because there is an alternative, sevoflurane, which is 26.8 times less carbon emissions, and it’s cheaper. So we already have anaesthesiologists using the alternative. The companies who produce desflurane also produce the sevoflurane. It won’t have a negative impact on our economy. And so it makes a lot of sense. So if we don’t do it based on the reduction in carbon emissions, we should do it just based on the reduction of our budget to hospitals, the savings that they would see.

It’s part of a bigger work, though. I’d be remiss if I didn’t say that the Ontario Medical Association is looking for changes as part of a bigger work, like creating an office of sustainability. Yes, banning desflurane is a first step in reducing emissions in hospitals and saving money, but the OMA is looking to create a bigger, more holistic approach to reducing waste, reducing emissions in hospitals and saving more money in our hospitals sector.

We’ve seen since COVID the rise of single-use plastics and single-use apparatuses. Some of the stories are quite alarming of just throwing things out. A lot of newcomers who work in our hospitals sector are aghast at the amount of waste that we create, and I think if any of us has spent time in hospitals, we’re alarmed at the amount of garbage that’s going out the backdoor.

To say a few more words about that, at the Trillium health network, for example, using inter-surgical circuits saved $37,000 in one year; bring-your-own reusable bags saved $19,000; using Stryker sustainability services, they reduced their budget by $145,000; using reusable gowns—they don’t have a number, but they saved 15 tonnes of waste; and addressing the HVAC optimization saved $4,400.

I haven’t even mentioned a lot of the other types of waste and CO₂ reductions—

The bill is quite simple. I have shared with you testimonies from many, many nurses. Our nurses are burnt out. Many of them are out on sick leave. Many of them are out on long-term disability. Many of them are choosing to stay home. And 35,000 of them actually are choosing to not work in nursing. The number one reason for that is burnout.

We have an opportunity to help those nurses right now. This is something they have been asking for for a very long time. This is something they are telling us: “I will come out of retirement. I will go back to bedside nursing if you put in nurse-to-patient ratios.”

It exists throughout the world, from Australia to the US to the UK to India. It has been proven it works. It exists in Canada. Go out west. The NDP government put it in place in British Columbia, and it works. Nurses appreciate it, patient care improves, length of stay improves, the number of deaths decreases, and it’s cheaper for our hospitals. It’s a win-win-win.

On a l’opportunité aujourd’hui de faire un grand changement. On a l’opportunité d’écouter les infirmières et de s’assurer qu’on répond à leurs besoins. En répondant à leurs besoins, on va s’assurer que les patients reçoivent des soins de meilleure qualité. On va s’assurer que les infirmières et infirmiers se sentent appuyés et ont une charge de travail décente. Et on va s’assurer, en même temps, que les hôpitaux épargnent de l’argent. C’est gagnant-gagnant-gagnant. J’espère que tout le monde va appuyer nos infirmières.

I hope that everybody realizes that there are hundreds of thousands of nurses that are watching how we’re going to vote on this. They need the boost. Vote yes.

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.