Skip to main content

Bad health care practices follow bed cuts

Since closing 30 beds designed for non-acute patients in March, the number of  non-acute patients occupying acute care beds at Health Sciences North in Sudbury has more than doubled.
OCHU/CUPE members protesting Sudbury bed cuts

In February only 44 non-acute care patients were occupying acute care beds. But since the bed closures that number has increased: to 77 in April, 96 in May, and now 100 this week.

In other words: the Liberal government cut 30 beds and now 100  patients are waiting for more appropriate services, a 127% increase compared to before the cuts.  Every day an extra 56 patients are waiting in more expensive hospital beds set up to provide services for much more acutely ill patients.

It's hard to believe this is effective health care  -- or that it is going to save money.

As a result of the hospital back-ups there is also nowhere to care for new patients. Currently about 25 patients admitted via the emergency department await beds.  The Sudbury Star reports that the hospital has reduced the number of scheduled surgeries per day from 19 to 15 (a 21% reduction) after 30 surgeries were cancelled last month when there was no beds for the patients to recover in.  Nevertheless, the Hospital reports that four surgeries have been cancelled this week due to the back ups.

The plan is to shut another 30 such beds in March.  But a peer review of the hospital headed by Murray Martin of Hamilton Health Sciences is due out October 9.

Could this lead to a pause in the bed cuts?  This bears watching -- but I wouldn't bet on it given the Liberal government's commitment to cuts.  The focus may simply stay on managing the crisis, rather than ending it.

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 ...

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...