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

Too many public sector workers in Ontario?

Opponents of public services often try to portray the public sector as having grown disproportionately.  In fact, since 1976, the number of public sector employees has not quite kept pace with the population. In 1976, the number of public sector employees in Ontario  as reported by Statistics Canada averaged 830,800.  By 2012, the number had increased to 1,330,700 -- a 60.2% increase.  That sounds like significant growth -- true. But the population has increased  from 8,413,779 in 1976 to 13,505,900 in 2012, a 60.5% increase.   In other words, population growth has run slightly ahead of the growth in public sector employment.     In 1976, close to 10% of the population worked in the public sector.  It stayed pretty much this way until the Mike Harris government came to power when it dipped below 9%.  It returned close to the historical range in the last six years or so, declining in 2012 to below the 1976 averag...

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...