Skip to main content

Health care support workers have the highest number of workplace injuries

Lost time injury (LTI) claims for workers compensation by health care support workers have shot up in the last few years, even before COVID-19.   

For many years, claims were in the 2,500 range, before starting an upward track in 2014, rising to 4,271 in 2019, just before COVID-19 hit.  That is about a 60% increase.   Other major occupations in health care saw the number of claims remain basically flat between 2002 and 2019 (with things changing in 2020, as we shall see).   

WSIB lost time injury claims for health care workers

By 2019, health care support workers had the second most workplace lost time injury claims of any occupation reported by the Workplace Safety and Insurance Board (WSIB) - only motor vehicle and transit drivers had more, with 4,901 in 2019. In 2002, health care support workers had only the eighth highest number of LTI claims. So things have changed.

The increase in injury claims among health care support workers is more remarkable as WSIB has been on a tear to reduce lost time injury benefit claims – with total claims for all occupations falling from 95,572 in 2002 to 65,664 in 2019, a 31% reduction, even as the workforce grew.  (This laid the basis for major WSIB premium cuts for employers since 2015, including $1.45 billion in 2019. Current plans are to cut employer premiums by billions more.)

WSIB lost time injury claims in Ontario
The result is that health care support worker LTI claims became a much larger share of the total claims, increasing from just over 2% of all claims in the early 2000s to just over 6% in 2019.  Notably, health care support workers have accounted for the most female LTI claims since 2006. 

health care worker compensation claims as percent of total.

The explosion of health care claims after COVID:  LTI claims for health care support workers increased from 4,271 claims in 2019 to 7,850 claims in 2020[1]. That is an 84% one-year increase in LTI claims.  As a share of all LTI claims, health care support workers accounted for 6.5% of all claims in 2019, but 13% in 2020.  

The number of LTI claims by health care support workers was by far the highest of any other occpation reported in 2020 - - well more than double the occupation with the second most number of LTI claims. 

The other major categories of health care occupations also saw a major increase in LTI claims in 2020, with RN (and nurse supervisor) LTI claims increasing from 1,378 to 2,433.  That is a 76.5% increase, not quite as big as the increase in health care support worker LTI claims but quite remarkable nonethless.  “Technical and skilled” occupations in health care increased from 2,198 claims to 3,630 claims, a 65% increase.  

While  health care worker claims increased the overall number of LTI claims for all occupations decreased 8.3% in 2020 – from 65,644 to 60,248. This is another illustration of how hard COVID-19 has been on health care workers.

The increase in health care worker claims in 2020 was driven, of course, by COVID-19.  WSIB reports 12,768 COVID-19 LTI claims in 2020, fully 21.2% of all LTI claims.  


[1] Although WSIB refers to the year as “2020”, it actually reports LTI on the basis of the fiscal year April 1 -March 31, so “2020” closely fits the first year of the COVID-19 pandemic.

Comments

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 in Ontario in 2022/3, up from 47,543 in 2021/2. 

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

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 33,778 full t