Good morning, Mr. Speaker. I am so very proud to rise this morning to recognize our government’s recent investment in Hamilton. The Ontario government is investing up to $2.5 million to support the construction of Kemp Care Network’s new 10-bed children’s hospice, which will help families connect to comfortable and dignified end-of-life care, close to home, in my city of Hamilton.

Keaton’s House-Paul Paletta Children’s Hospice will offer families comprehensive palliative care for children and youth living with progressive life-limiting illnesses. Mr. Speaker, the hospice is expected to open in 2026 and will include a number of features and services, including 10 bedrooms for children where family members can stay with their child, and space for day wellness programs and therapies such as massage, movement, recreation and music.

Through the 2024 budget, our government is adding up to 84 new adult beds and 12 pediatric beds, bringing the total to over 740 planned beds. Once these beds open, the Ontario government will invest up to $2,268,000 in annual operational funding for Keaton’s House-Paul Paletta Children’s Hospice to support the delivery of nursing, personal support and other end-of-life care services.

I am so proud of our government for taking action to connect Ontario families with the care they need close to home. I am also proud of organizations in my community, such as Kemp Care Network and McMaster Children’s Hospital for making this expansion of Keaton’s House-Paul Paletta Children’s Hospice possible.

This petition comes from a small business person who lost his business during the pandemic because he paid his workers too much and can’t restart it because he’s working 24/7 to take care of his parents. He’s a family caregiver.

This petition calls on the Ontario government to support 24/7 family caregivers, including through financial compensation, so that those who are caring for their loved ones can have some relief from financial distress and the resulting mental stress.

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.

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—