Skip to main content

Government passes buck for private clinic infections

Ontario Health Minister Deb Matthews has refused the suggestion by a health expert that the province should take on responsibility for overseeing private clinics. Her comments to the Ottawa Citizen follow the disclosure that 6,800 patients would have to be notified that faulty infection control procedures at a private clinic in Ottawa could have exposed them to HIV or hepatitis.

 Matthews said she was not planning on taking over that responsibility through her ministry, the Citizen reports. "Government can't do everything.  A professional (regulating body) like the College of Physicians and Surgeons, they take responsibility for their members."

 "At this point I am delighted the College is taking that responsibility seriously and has found a problem that we need to fix." 

The Citizen reports that roughly 270 private clinics in Ontario exist without being subject to the same sanitation and infection-control standards as hospitals.  However, following the 2007 death of a Toronto woman during a botched liposuction operation, the province ordered regular inspections of those clinics by the College of Physicians and Surgeons of Ontario beginning in September 2010.

The doctors' association, the Ontario Medical Association, has vigorously lobbied for the expansion of private clinics ("Independent Health Facilities"), and the private clinics have received large funding increases from the Liberal government over the last eight years.   

So this appears to be the story so far: the docs lobby to move surgical and diagnostics work from the hospitals, the government (quietly) agrees and lets the emerging industry skip the public oversight faced by hospitals.  Subsequently, after a death (and coroners report), the government eventually requires the industry to face some regulation -- not by the public authority, but self-regulation by the docs  (who had lobbied to expand the industry).


.

Comments

  1. Sounds like the fox and the old hen house story.

    Pat

    ReplyDelete

Post a Comment

Popular posts from this blog

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...

The hospital crisis: No capacity, no plan, no end

While Canada has achieved universal public healthcare coverage, that does not mean conservative forces have given up trying to erode that coverage and expand corporate care where it does not currently exist. The battle has become particularly intense in Ontario under the Ford Progressive Conservative government, which is implementing serious cuts to the level of care and moving to bring in for-profit mini-hospitals. Inadequate Staffing.   Less and less of hospital spending is on staff.   Employee compensation as a share of hospital expenditures has consistently shrunk in Ontario. This is not some immutable law of hospital development.  It is in stark contrast with the rest of Canada, where compensation has become a larger share and now accounts for 67.1%. Hospitals in provinces other than Ontario now have 18 percent more staff per capita than hospitals in Ontario. Overall, if Ontario had the same staffing capacity as the other provinces and territories, there would be another...

The long series of failures of private clinics in Ontario

For many years, OCHU/CUPE has been concerned the Ontario government would transfer public hospital surgeries, procedures and diagnostic tests to private clinics. CUPE began campaigning in earnest against this possibility in the spring of 2007 with a tour of the province by former British Health Secretary, Frank Dobson, who talked about the disastrous British experience with private surgical clinics. The door opened years ago with the introduction of fee-for-service hospital funding (sometimes called Quality Based Funding). Then in the fall of 2013 the government announced regulatory changes to facilitate this privatization. The government announced Request for Proposals for the summer of 2014 to expand the role of "Independent Health Facilities" (IHFs).  With mass campaigns to stop the private clinic expansion by the Ontario Health Coalition the process slowed.   But it seems the provincial Liberal government continues to push the idea.  Following a recent second...