Skip to main content

Registered Practical Nurses--Major increases

A report from the Canadian Institute for Health Information shows that the Licensed Practical Nurse (or Registered Practical Nurse) workforce has grown rapidly since 2006 -- and much faster than the population.

The trend has been especially marked in Ontario. Between 2006 and 2010, 5,061 new RPN positions were created in Ontario, increasing RPN numbers from 25,084 to 30,423.  That is a 21.3% increase.

The number of RPNs  per capita also increased from 198 (per 100,000 population) to 230 (per 100,000), a 16.2% increase.  Canada-wide the increase was 15%.

There is a wide discrepancy in the number of LPNs (RPNs) per capita from province to province. Ontario is close to the country-wide average (230 RPNs per 1000,000 population in 2010, compared to 238 country-wide). But in Newfoundland, the ratio is 489 per 100,000, while in BC it is 182 per 100,000 (the number declines pretty much as you move from east to west).

In Ontario, full time RPN employment increased most rapidly (28.1% between 2006-2010), while part-time and casual RPN employment increased more slowly (12.2% and 15.8% respectively). Similar increases in those categories were seen Canada-wide as well.   By 2010, 58% of the RPN workforce was employed full time in Ontario (Canada-wide the figure was a little lower -- 49.6%).

The profession remains dominated by women, who comprise over 90% of the RPN workforce.  But men are becoming a somewhat bigger part of the RPN workforce in Ontario, increasing  from 5.9% to 6.6% (and from 7% to 7.5% Canada-wide).

Almost half of the RPN workforce in Ontario work in hospitals (44.9% in 2010) with 37.5% working in long term care facilities.  Similar numbers apply country-wide.  Employment in community care is much smaller (11.5% in Ontario), but that sector is seeing the most rapid growth by far (50.4% growth between 2006-10, versus 19.4% in hospitals, and 31.5% in LTC).

Registered Nurses (RNs) remain the largest nursing category in Canada.  But growth has been slower, with the RN workforce growing 5.7% in Ontario between 2006-2010 and 5.8% across Canada.  In Ontario, growth has been concentrated in hospitals (8.6% growth) and community care (11.9%).  There was a small reduction in RNs in LTC.   Notably, compared with RPNs, more RNs are employed full time (65.8% in Ontario, 58% Canada-wide).



Comments

Popular posts from this blog

Health care funding falls, again

Real provincial government health care funding per-person has fallen again this year in Ontario, the third year in a row.  Since 2009 real funding per-person has fallen 2.6% -- $63 per person. 

Across Canada real per person funding is in its fourth consecutive year of increase. Since 2009, real provincial funding across Canada is up $89 -- 3.6%.
In fact the funding gap between Ontario and Canada as a whole has gown consistently for years (as set out below in current dollars).

Ontario funds health care less than any other province -- indeed, the province that funds health care the second least (B.C.) provides $185 more per person per year, 4.7% more.  
Provincial health care spending in the rest of Canada (excluding Ontario) is now  $574 higher per person annually than in Ontario. 

 Ontario has not always provided lower than average health care funding increases-- but that has been the general pattern since 2005.
Private expenditures on health care have exceeded Ontario government increases …

Ontario long-term care staffing falls far short of other provinces

CUPE and others are campaigning for a legislated minimum average of four worked hours of nursing and personal care per resident per day in long-term care (LTC) facilities.  New research indicates that not only is LTC underfunded in Ontario, it is also understaffed compared to the other provinces. 
LTC staffing falls short:  The latest data published by the Canadian Institute for Health Information (and based on a mandatory survey undertaken by Statistics Canada) indicates that staffing at long-term care (LTC) facilities falls far short of other provinces. 
Part of this is driven by a low level of provincial funding for LTC.





Ontario has 0.575 health care full-time equivalent employees (FTEs) per bed staffed and in operation.[1]  The rest of Canada reports 0.665 health care FTEs.[2] The rest of Canada has 15.7% more health care staff per bed staffed and in operation than Ontario.[3] 


No other province reports fewer LTC health care staff per resident (or per bed) than Ontario.[4]

Occupancy r…

Six more problems with Public Private Partnerships (P3s)

The Auditor General (AG) has again identified issues in her annual reportwhich reflect problems with Ontario health care capacity and privatization.   First, here are six key problems with the maintenance of the 16 privatized P3 ("public private partnership") hospitals in Ontario:
There are long-term ongoing disputes with privatized P3 contractors over the P3 agreements, including about what is covered by the P3  (or “AFP” as the government likes to call them) contract.The hospitals are required to pay higher than reasonable rates tothe P3 contractor for  maintenance work the contractor has deemed to be outside of the P3 contract. Hospitals are almost forced to use P3 contractors to do maintenance work the contractors deem outside of the P3 contract or face the prospect of transferring the risk associated with maintaining the related hospital assets from the private-sector company back to the hospitalP3 companies with poor perf…