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 Southlake Regional Health Centre has launched a “search consultation” inviting anyone who is interested: 

“to confidentially provide input in the search process for the new President and CEO.”

The current Chief Executive, Arden Krystal, dropped a bombshell on 5 July 2023 by unexpectedly announcing her resignation in the middle of a major exercise to find a location for a second Southlake campus as close as possible to the Davis Drive site.

Big Job with Salary to Match

Being Chief Executive is a big job with a salary to match. Arden Krystal’s pay last year was $521,297 plus $10,649 in taxable benefits.

Her 2017 contract with the hospital is here. The responsibilities are huge.

I have nothing but praise for the medical staff who deserve ten out of ten. We are lucky to have them.

But it is impossible to write about Southlake without mentioning the many well publicised run-ins the nurses have had with the hospital management. 

And I was shocked to discover the hospital was cutting the number of nurses in the middle of the COVID pandemic.

Southlake’s consultation asks:

    1. From your perspective, what are the challenges, opportunities and key priority areas of focus associated with this President and CEO role and the future of Southlake Regional Health Centre.
    2. What leadership attributes and competences should the ideal candidate possess?
    3. What experience should the ideal candidate possess?
    4. If you were speaking to a good candidate for the role, what would you say about the organisation and the opportunity to generate their interest? 

This survey is confidential. However, Southlake is committed to keeping you updated. If you wish to receive updates from Southlake, including an overview of the results of this survey, please provide your information below...

I can't see a deadline for returning the survey form but I may have missed it. How much notice the Search Commitee will take of the responses is anyone's guess. 

For a non-medical person like me these are daunting questions. But, first up, I’d say the Search Committee (whoever they are) will be looking for someone with a medical background with a track record in hospital administration, delivering results. (Arden Krystal was a nurse in her earlier career.)

The successful candidate will also bring his or her own ethos to the job.

Southlake and Transparency 

The Southlake I’ve observed over the years has hoarded information, treating every scrap of paper as if it contained a patient’s medical history.

The hospital trumpets:

“Southlake Prides Itself on being transparent.” 

Pull the other one!

Shrouded in Secrecy

Meetings of the Board of Directors are shrouded in secrecy. There are no minutes available to the public – not even redacted ones. Only selective meeting summaries.

Even now, over nine months after a key meeting on 1 November 2022 when developer Michael Rice offered Greenbelt land for a new hospital for a nominal fee, Southlake insists it has no records of what happened then. Who is kidding whom?

The Board’s “meeting summaries” do not tell us about conflicts of interest that have been declared by Board members.

They do not tell us if the offer of land for a new hospital was reported to the Board at its meeting on 25 November 2022 or, indeed, at the next meeting on 26 January 2023 after the Ford Government had removed the Rice lands in King from the Greenbelt.

If everything is above board there is absolutely no reason why this information should be withheld.

The new Chief Executive has nothing to fear by opening up a closed institution and letting the daylight in.

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Update on 8 August 2023: From the Toronto Star: Doug Ford's Tories brace for auditor's report into controversial Greenbelt land swap

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Luca Bucci, the Chief Executive of the Ontario Home Builders Association, quit the organisation abruptly on Tuesday (1 August 2023) giving no explanation. Bucci was previously Chief of Staff to Municipal Affairs and Housing Minister, Steve Clark.  

In a terse letter to members, the President of the OHBA, Louie Zagordo, said 

“Luca Bucci is no longer with the Ontario Home Builders Association, effective today.”

At the OHBA "Industry Leaders Dinner" in April, Bucci boasted the home builders were effectively writing Government policy on planning and housing.

Bucci's Linked-in profile has not been updated.

This morning’s Toronto Star reports that a draft of the Audit General’s report on the Greenbelt controversy has gone to Doug Ford as is customary and is expected to be published in a few weeks. 

The Star's Robert Benzie writes:

NDP Leader Marit Stiles said the Tories are clearly worried about Lysyk’s “value-for-money” audit into the Progressive Conservatives’ decision to open up the Greenbelt for housing development.

“It’s fair to say that the walls are closing in on this Conservative government,” said Stiles, pointing out Integrity Commissioner J. David Wake is also examining the Greenbelt deals.

Tory sources, speaking confidentially in order to discuss internal deliberations, acknowledged the parallel probes were a hot topic of conversation among cabinet ministers and MPPs this week.

Also generating buzz was the revelation a former top Conservative official had left suddenly as chief executive officer of the Ontario Home Builders’ Association, an influential lobby group for property developers.ullscreen

Luca Bucci, who had been Municipal Affairs and Housing Minister Steve Clark’s chief of staff before joining the OHBA in June 2022, parted ways with the association Tuesday.

In a letter to members, OHBA president Louie Zagordo said he was “reaching out to advise that Luca Bucci (CEO) is no longer with the Ontario Home Builders’ Association, effective today.”

Zagordo did not provide a reason for the departure of Bucci, a key player in crafting the Tories’ plan to build 1.5 million new homes in the next decade to tackle Ontario’s housing crisis.

You can read the full article by clicking “read more” below.

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Update on 4 August 2023: The Auditor General Bonnie Lysyk will release her report on the Greenbelt controversy on Wednesday 9 August 2023. Her report will not contain evidence sworn under oath by Michael Rice. He refused to attend an interview.

See also: Timeline: Southlake and the Sale of the Greenbelt lands in King and The new Southlake was planned to be built on Greenbelt land owned by developer Michael Rice and former hospital Board member John Dunlap

Update on 8 August 2023: From the Toronto Star: Doug Ford's Tories brace for Auditor's Report into controversial Greenbelt land swap 

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I was surprised to see our MPP, Dawn Gallagher Murphy, tweeting about fire hazards while surrounded by leafy vegetation which could easily harbour black legged ticks, always ready to pounce when they see bare skin. They carry Lyme disease which, in rare instances, can result in death. 

As a Parliamentary Assistant to the Minister of Health I thought Dawn would be alive to the risks of wandering into the woods when dressed for the beach. 

The health experts tell us we can protect ourselves by 

“wearing long-sleeved shirts, long pants tucked into your socks, and closed-toed shoes.”

I learn that most symptoms of Lyme disease in humans usually appear between 3 and 30 days after a bite from an infected blacklegged tick. There is a painfully long list of symptoms which includes headache, stiff neck, muscle aches and joint pains, fatigue, spasms, numbness or tingling and, frighteningly, facial paralysis.

Lyme Disease is spreading

Dawn did her piece to camera in the Township of McMurrich and Monteith which lies within the North Bay Parry Sound Health District east of the town of Parry Sound and west of Huntsville.

The Health District up there says twelve human cases of Lyme disease have been reported to them in the last five years.

“As of July 26, 2023, 99 ticks have been sent for identification. Ninety one results received, with 42 as blacklegged and one as ixodes kingi. Thirty-seven have tested negative for the bacteria that causes Lyme disease.”

I like the sound of all those negative tests but, unfortunately, in recent years the areas affected by black legged ticks have been relentlessly expanding. 

3,000 cases since 2021

Infected blacklegged ticks can be found across the province. And I read there have been over 3,000 cases of Lyme disease in Ontario since 2021. Oh dear! 

We need Dawn to stay healthy so she can continue to warn us about the perils we face in our daily lives – and to thank, on our behalf, all those who keep us safe.

The last thing I want is for Dawn to wake up with a stiff neck, feeling fatigued.

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The Big Audit

The Province announced earlier today that Newmarket’s finances will be audited by the accountancy firm, Ernst & Young LLP,

“as part of its ongoing work to build 1.5 million homes by 2031”.

We are told the findings - which will examine the books of five other municipalities - will support the Province’s work to boost housing supply and affordability.

But what does Doug Ford mean by affordable housing?

Definition of housing affordability

The Province used to define maximum housing affordability (as set out in the Provincial Policy Statement 2020) as 30% of the gross household income for households with incomes in the lowest 60% of income distribution. York Region explains it this way:

“This is the maximum house price that the lowest earning 60% of households can afford to purchase, assuming that 30% of household income is spent on mortgage payments, mortgage insurance and property taxes.”

York Region’s annual household income at the sixth decile was a very substantial $150,426 which translates into a maximum affordable house price of $564,326. The chart shows the selling price of various housing types in 2022 within York Region and not a single category is affordable for a household on an annual income of $150,426!

Alice in Wonderland

We are now in the Alice and Wonderland situation where the Province is proposing a new Provincial Planning statement to replace the 2020 version but the new one doesn’t define what is meant by affordable housing. In fact, it makes no mention of affordable housing.

Instead Bill 23 (More Homes Built Faster) introduces a new vague definition of  housing affordability which is to be 80% of the average purchase price of a home. 

In 2022, 80% of the average price of a single detached house in York Region would be $1,381,074; for a semi-detached $958,476; for a townhouse $903,513 and for all housing types $1,112,264.

And this when the average Affordable Housing Threshold is $564,326.

How will the average be calculated?

The Regional Treasurer, Laura Mirabella, told members of the Regional Council in December last year that Bill 23 does not define how the average will be calculated. She expects the definition to come in 2023. Will the average be calculated using sale prices by Region? Or, more narrowly, on a municipality-by-municipality basis? Or even on a Province-wide basis?

“It is completely unclear how “average” will be defined. But, yes, if the purchase price of affordable ownership housing new-builds is deemed to be 80% of whatever that average purchase price is, there would be a full exemption which would be a significant loss in development charge revenue for us.”

Developers building “affordable housing” will now be eligible for a waiver on development charges which are paid to the municipality and are used to build the roads, sewers and so on that are needed to support new developments and make them viable.

Task Force

Ludicrously, the Government relies on the recommendations of the Housing Affordability Task Force which calls on the Province to 

“Develop and legislate a clear, province-wide definition of “affordable housing” to create certainty and predictability.” 

Where is the definition?

It may be staring me in the face but I can’t see it.

Target plucked out of thin air

Newmarket has been given a target of 12,000 new homes by 2031. This figure has been plucked out of thin air. I have no idea where it came from. And, in any event, it is totally unrealistic as the Town has no room to expand outwards. 

If there is an answer it is to increase density along the main corridors, Yonge and Davis, already identified for growth. But even so, 12,000 new units is a staggering number. 

I’ll believe it when I see it.

As we all know Ford makes it up as he goes along.

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Update on 27 July 2023: From Newmarket Today: Province names auditor to examine Newmarket finances and from the Toronto Star: Poll finds a majority of Ontarians believe Ford takes decisions which benefit friends

Update on 28 July 2023: From the Toronto Star: Auditing City's books doesn't add up

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My friend Kevin passed on this email exchange he had with Dawn Gallagher Murphy’s Office yesterday. He thinks it deserves wider publicity and I agree.

People can't sit on the fence on this issue. Nurses' pay is being deliberately held down. And the Ford Government is turning to agency nursing where costs are going through the roof. 

As Parliamentary Assistant to the Minister of Health, our local MPP, Dawn Gallagher Murphy, has done absolutely nothing to ensure nurses get a fair deal.

24 July 2023: 7.54am:

Good morning Dawn. 

I wonder if you have read The Globe and Mail article on the use of agency nurses in Ontario hospitals?  Do you have any thoughts on the cost of agency nursing?

Regards

Kevin Shackleton 

24 July 2023: 10.32am

MPP Gallagher Murphy noted your email this morning (24 July 2023) and asked that I provide some background on what our government is doing to address this situation.

Indeed, the proportion of agency nurses has decreased from 3.8 % in 2017 and remains under 2% of total hours worked in hospitals. As a result, we have launched the largest healthcare recruiting and training initiative in the province’s history. We also launched the “Learn and Stay” grant for nursing graduates to receive full tuition reimbursement in exchange for committing to practice in an underserved community.

Between 2018 and March 2023, over 60,000 new nurses have registered to work in Ontario. This includes over 12,000 new nurses registered and ready to work on 2022 , a record year for Ontario.

Ontario is also investing a total of $80 million over 3 years, starting in 2023-24, to further expand nursing education in universities and colleges by increasing enrolment by 1,000 registered nurses, 500 practical nurses and 150 nurse practitioner seats.

This also includes new initiatives to make it easier for foreign credentialed health workers to work in Ontario hospitals and other healthcare settings in need of staffing report.

Our government will continue to work with the healthcare sector to ensure Ontarians can continue to count on the care the need and deserve.

With all these initiatives in place we are confident that the nursing situation will continue to improve in Ontario.

I trust this helps you to better understand what our government is doing to address this important issue.

Best regards, 

Dennis C. Flaherty

24 July 2023: 11.11am

Good morning Dennis.

Thank you for your rapid response to my email.  Your comments seem to come straight from the communications person in the Deputy Premier's office, who also happens to be Minister of Health.  The article indicated that 78 hospitals are using agency nurses up from 31 in 2020-21.  It also indicated that the cost of agency nurses had ballooned 341 percent from 2020-21.  The average nurse in a hospital setting is paid $49.02 an hour while agency nurses can cost as much as $250.00 an hour.  

It seems to me that a conservative government would look at this situation and realize it is not getting value for money and pay nurses under contract a better wage.  Your comments do not address the issues raised in the article and the Ontario Nursing Association disagrees with the government's figures.

Yours truly,

Kevin Shackleton

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The Arbitration Panel's Report quotes figures from Ontario’s participating hospitals:

"In the 2020-2021 fiscal year, the Participating Hospitals reported spending $38,350,956 on agency nurses, in 2021-2022, $70,978,158 and in 2022-2023, $173,669,808 (with the numbers for 2022-2023 probably an undercount for reasons explained in the Ontario Nursing Association brief, reply brief and at the hearing). 

Agency hours grew from 449,608 in 2020-2021, to 1,183,358 in 2022-2023 (or, according to the Oontario Hospitals Association, 1,259,183).”

In the video below we can see thousands of nurses protesting in Toronto on Thursday 2 March 2023: 

Click below for Globe and Mail article:

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