Skip to main content

Bed cuts and superbugs: 180 beds cut in St. Catharines

The total number of Niagara hospital beds (excluding West Lincoln hospital) was 1,315 in 1995-96 (this includes 149 at the former Hotel Dieu general hospital and 124 at the Shaver which became the Dieu).  

Facility
Acute
Psychiatry
Rehabilitation
Chronic

1995/96
1997/98
1995/96
1997/98
1995/96
1997/98
1995/96
1997/98
Niagara-on-the-Lake
18
9
-
-
-
-
20
11
Douglas Memorial
50
39
-
-
-
-
25
25
Port Colborne General
50
36
-
-
-
-
30
24
Shaver
-
-
-
-
22
22
102
102
West Lincoln Memorial
62
45
-
-
-
-
16
16
Welland County General
159
141
16
16
-
-
139
77
Greater Niagara General
173
173
29
29
-
-
48
48
Hôtel Dieu
149
119


-
-
-
-
St. Catharines General
223
201
26
26
-
-
36
36
Total
884
763
71
71
22
22
416
339


Now, there are only 926 beds: 787 at Niagara Health Services (including addiction services but excluding NHS long term care beds) and 139 at the Hotel Dieu Shaver.  


So there has been a loss of 389 beds (1,315-926).  Put another way, there were 42% more beds in 1995-96.  

The St. Catharines General site of the Niagara Health System says it has “more than 200 Acute Care and Mental Health beds”.  That would be a reduction of from 398 acute and mental health beds in St. Catharines in 1995-96 (at the now closed Hotel Dieu site as well as the General). Assuming 220 beds at the General now,  means St. Catharines has approximately 180 fewer beds now or, put another way, they had 82% more beds in 1995-96. 

These figures are not particularly unusual for Ontario.  Certainly the high level of bed occupancy that has gone with these sorts of cuts is not unusual. 

But given the connection between high bed occupancy and superbug infection, I do find it unsettling that there is so little official concern about them. We are even beginning to hear these outbreaks called the "new normal".


Well, if you accept the bed cuts and the housekeeping cuts as normal, perhaps this is the new normal.  


Comments

Popular posts from this blog

More spending on new hospitals and new beds? Nope

Hospital funding:  There is something off about the provincial government's Budget claims on hospital capital funding (funding to build and renovate hospital beds and facilities).    For what it is worth (which is not that much, given the long time frame the government cites), the province claims it will increase hospital capital spending over the next 10 years from $11 billion to $20 billion – or on average to about $2 billion per year.   But, this is just a notional increase from the previous announcement of future hospital capital spending.  Moreover, even if we did take this as a serious promise and not just a wisp of smoke, the government's own reports shows they have actually funded hospital infrastructure about $3 billion a year over the 2011/12-2015/16 period. So this “increase” is really a decrease from past actual spending. Even last year's (2016-17) hospital capital funding increase was reported in this Budget at $2.3 billion - i.e. about 15% more th

Ford government fails to respond to 72% increase in COVID inpatient days, deepening the capacity crisis

COVID infections continue to drive up hospital costs and inpatient hospitalizations in Ontario. For the most recent fiscal year (April 1, 2022- March 31, 2023) hospital stays related to COVID cost $1.221 billion, according to new CIHI data.   This is about 4% of total hospital spending, creating a very significant new cost pressure beyond the usual pressures of population growth, aging, inflation, and rising utilization.   Costs for COVID related hospitalizations increased 22.2% in Ontario in 2022/23 from the previous fiscal year, rising from $999 million to $1.221 billion.  That rise is particularly notable as the OMICRON spike of late 2021 and early 2022 had passed by the the 2022/23 fiscal year.   The $222 million increase in COVID hospitalization costs came in the same year as the Ford government cut special COVID funding and, in fact, cut total hospital funding by $156 million.     In total, there were 60,653 COVID hospitalizations in Ontario in 2022/3, up from 47,543 in 2021/2. 

Paramedic Services in Canada: Structure, Privatization, Unionization and other issues

Governance and Funding :  While police and fire services are usually municipal services, Emergency Medical Services (EMS) are typically controlled by provincial governments.  In Ontario, regional municipal governments have responsibility for delivering and funding EMS.  But even in Ontario the province plays a key role, strictly regulating EMS, providing funding for 50% of the approved land ambulance costs, and paying 100% of the approved costs for air ambulance, dispatch, base hospitals, First Nation EMS, and for territories without municipal government. Delivery :  Like police and fire services, EMS is predominantly a publicly provided service in Canada.   But businesses have now made some significant in-roads into EMS, primarily  Medavie,  a private corporation based in the Maritimes that describes itself as not-for-profit.  Medavie goes back over 70 years, with its roots in health insurance.  It still operates Medavie Blue Cross with 1,900 employees.  It now a