Community and Health Services Committee Minutes

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Council Chambers
Members Present:
  • K. Redman, 
  • D. Craig, 
  • R. Deutschmann, 
  • J. Erb, 
  • S. Foxton, 
  • M. Harris, 
  • C. Huinink, 
  • C. James, 
  • J. Liggett, 
  • D. McCabe, 
  • J. Nowak, 
  • N. Salonen, 
  • S. Shantz, 
  • B. Vrbanovic, 
  • K. Williams, 
  • and P. Wolf 

Should you require an alternative format or a copy of the official minutes please contact the Regional Clerk at Tel.: 519-575-4400, TTY: 519-575-4605, or regionalclerk@regionofwaterloo.ca


Start time is approximate. The Community and Health Services Committee will start immediately following the Administration and Finance Committee.

Chair J. Erb called the meeting to order at 9:32 a.m.

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Chair J. Erb provided a land acknowledgement.

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None.

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Item 6.1.1. was removed from the Consent Agenda. 

The Committee recognized the improvement in the 2023-2024 immunization compliance rate, however, expressed concern that the current provincial cost sharing level for public health programs is only 68% which represents a provincial funding shortfall of $2.5 million. The Region continues to subsidize provincial programs, and the province should be urged to provide funding for these public heath programs.

Received for information.

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N. Deeb expressed concern on the removal of consumption and treatment sites in the Region of Waterloo following the provincial legislative changes. She provided a personal experience account that the surrounding community feels safer with the presence of consumption and treatment site. She urged the province to provide increased funding for these harm prevention and treatment services.

In response to the Committee, N. Deeb noted that the sites can assist with treatment as its readily available and may decrease the use of emergency services. she further noted voluntary treatment is crucial for success 

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S. Morrison provided a lived experience account of being a harm reduction worker. She highlighted the vital services of a consumption and treatment sites, specifically, the human connections. She encouraged Regional Council to advocate to the Province and that the Region should invest funding toward consumption and treatment services.

In response to the Committee, S. Morrison explained that consumption and treatment sites are a necessary resource for the community as other resources, such as hospitals, are not as trusted by community members. S. Morrison further explained that the current consumption and treatment site model needs more Staff with improved care for Staff. She also explained that individuals can access the site multiple times a day if needed.

S. Stretch expressed support for the location of the current consumption and treatment site and that assisted in creating a cleaner and safer community in Ward 10. She also provided a lived experience account of how the safe consumption sites have provided a necessary service in the community.

In response of the Committee, S. Stretch confirmed that in speaking to community members the general consensus is that Ward 10 feels safer because of the consumption and treatment site. 

SALONEN IN 1011

M. Harris left the meeting at 10:07 AM. ()
M. Harris joined the meeting at 10:07 AM. ()
M. Harris left the meeting at 10:07 AM. ()
N. Salonen joined the meeting at 10:11 AM. ()
M. Harris joined the meeting at 10:12 AM. ()

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R. Deutschmann introduced an amendment to the provided motion that was accepted by the Committee with unanimous consent.

In response to the Committee, Dr. Hsiu-Li Wang, Commissioner Public Health & Paramedic Services/Medical Officer of Health, confirmed that the Province dictates the amount of safe consumption and treatment sites in the Region, however, Staff are working to establish a satellite site located in Cambridge. 

R. Deutschmann expressed concern with the proposed provincial legislation and that harm reduction services need to be continued to be invested in and supported. He explained that advocacy to the province is essential to ensure these life saving measures are maintained in the Region.

Responding to the Committee, H. Wang explained that Staff cannot currently quantify the future impacts of the closure of the consumption and treatment sites and that the Province has expressed the intention in closing sites that are both funded and not funded by the Province. 

The Committee expressed support for the proposed motion and concern with the Provincial decision to close consumption and treatment sites.

In response to the Committee, H. Wang explained that the Federal Government needs to provide an exemption for consumption and supervised treatment sites and then the Province determines if there they will provide funding to the sites. However, the current pending provincial legislation may ban consumption and treatment sites province-wide. Staff are working with community partners to apply and optimize the amount of funding for these services. Additionally, she noted that consumption and treatment sites set for closure are prioritized for the new proposed HART Hub model sites that may receive up to three times the amount of current funding from the Province.

H. Wang estimated that Regional health service usage, such as paramedic services, will be increased with the closure of the sites. She expressed support for the HART Hub model with the addition of harm reduction services.

The Committee noted concerns related to overdoses, prevention, and safety of the surrounding community near the consumption and treatment sites. The Committee also noted that there should be expanded data on drug use in the Region. The Committee further noted that the consumption and treatment site was to address the drug use in the identified "red zones" and it has been effective based on its intended use.

In response to the Committee, H. Wang confirmed that the Region has three to four Urgent Public Health Needs Sites and that they potentially may be closed based on the proposed provincial legislation.

The Committee discussed the effectiveness of consumption and treatments sites, voluntary versus involuntary treatment, and the need for more data to establish further service options.

M. Harris left the meeting at 11:12 AM. ()
  • Moved byR. Deutschmann
    Seconded byP. Wolf

    WHEREAS one person dies every 2.5 hours from the toxic drug supply in Ontario;

    AND WHEREAS Safe Consumption Sites, also known as Consumption and Treatment Sites, have been instrumental in preventing thousands of drug overdose deaths;

    AND WHEREAS crime statistics from the Waterloo Regional Police Services indicate that the Kitchener Consumption and Treatment Site has not been linked to an increase in crime in its vicinity;

    AND WHEREAS closing Consumption and Treatment Sites will lead to increased drug use in public spaces;

    AND WHEREAS the closure of these sites would place additional strain on emergency services and the healthcare system;

    AND WHEREAS Consumption and Treatment Sites offer access to other health and medical services, aligning with the objectives of the HART hub planned by the Ontario Government;

    AND WHEREAS healthcare should emphasize prevention as well as treatment;

    THEREFORE BE IT RESOLVED THAT the Region of Waterloo Council urges the Ontario government to continue funding all currently operating Consumption and Treatment Sites beyond the proposed termination date in March 2025.

    AND BE IT FURTHER RESOLVED THAT the Ontario government is encouraged to maintain funding for the proposed HART hubs.

    AND BE IT FURTHER RESOLVED THAT this resolution be forwarded to the Premier of Ontario, the Minister of Finance, the Health Minister and to municipalities that currently have an operating Consumption and Treatment Site/Safe Consumption Site. 

    And be it further resolved that the Ontario government does not take steps to pass legislation that would prohibit the establishment of temporary Urgent Public Health Needs Sites (UPHNS).

    In Favor (12)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, S. Shantz, S. Foxton, D. McCabe, P. Wolf, C. James, R. Deutschmann, C. Huinink, and K. Williams
    Opposed (3)J. Liggett, D. Craig, and N. Salonen
    Carried (12 to 3)

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J. Riches, Director/Chief, Paramedic Services, provided a presentation on response time performance plans for 2025. A copy of the presentation is attached to the agenda. He noted that there was an error on the response times listed on the presentation and was meant to read 2024 and 2023. He highlighted that offload delays are improving since January 2024 which was the worst month on record with 97 ambulance days lost. Staff have seen improvements due to various mitigation strategies such as the Paramedic Services Masterplan shift to the high growth scenario. He further noted that the Code Red/Yellow Terminology will be discontinued effective November 1, 2024 to streamline the system. 

In response to the Committee, J. Riches confirmed that Staff will provide municipal specific information at a future date. He also confirmed that the paramedic services has been heavily involved in the establishment of alternative destination clinics and Staff are aiming for 2025 implementation following provincial approval. He further confirmed that response systems that have a singular integrated dispatch center can be very effective and efficient, however, its implementation would be dependent on provincial approval/funding.

Responding to the Committee, J. Riches explained that the province is obligated to pay 50% of paramedic services through the Land Ambulance Service Grant and the province funds 100% of the cost of the designated off-load nurse program. The off-load nurse program has been tremendously beneficial to all Regional hospitals, however, clarified that off-load delays do continue to be costly for paramedic services through resource and time loss.

In response to the Committee, H. Wang explained that geographical constraints as well as population density will always be factors for response times as deployment of paramedic services to further locations will ultimately take longer. J. Riches further explained that municipality metrics can be misleading as a singular call will have an increased statistical impact for a municipality with a lower volume of emergency calls. He confirmed that the City of Cambridge response times in 2024 have improved by 19 seconds when compared to 2023. He also clarified that current discussions are underway regarding the paramedic services and the proposed HART hub programs.

Responding to the Committee, J. Riches explained that the paramedic services masterplan is being reviewed and a new version is set to be presented to Council in 2025 as the current plan expires in 2027. The new plan will consider the projected population growth in the Region over the next decade to anticipate community needs as well as the construction of the new Regional hospital. He further explained that Grand River hospital will remain as a emergency location for the first two to three years as the new hospital is being constructed. Additionally, the new hospital is planned to have a helicopter pad which will make services more efficient. Also, J. Riches agreed with the Committee that the approach for long term care residents needs to be examined for opportunities to improve on site care as well as to reduce ambulatory attendance.

In response to the Committee, J. Riches confirmed that the Staff recommendation is a requirement of the Ambulance Act and that the objective is to improve the response times for critical patients by providing paramedic services more time to respond to less critical patients. 

J. Liggett left the meeting at 12:11 PM. ()
N. Salonen left the meeting at 12:11 PM. ()
  • Moved byC. Huinink
    Seconded byB. Vrbanovic

    That the Regional Municipality of Waterloo approve the Response Time Performance Plan (RTPP) for 2025, outlined below, in accordance with the Ambulance Act, O. Reg. 267/08, amending O. Reg. 257/00, under Part VII, Response Time Performance Plans, Sections 22-24, as outlined in PHP-PSV-24-004, dated September 10, 2024.

    1. Sudden Cardiac Arrest (SCA) – 6 minutes or less 70% of the time. (Note: Ministry of Health target is 50%.)
    2. CTAS 1 – 8 minutes or less 70% of the time.
    3. CTAS 2 – 10 minutes or less 80% of the time.
    4. CTAS 3 – 15 minutes or less 80% of the time.
    5. CTAS 4 – 20 minutes or less 80% of the time.
    6. CTAS 5 – 25 minutes or less 80% of the time.

       

    In Favor (14)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, D. Craig, P. Wolf, C. James, R. Deutschmann, C. Huinink, and K. Williams
    Carried (14 to 0)

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Received for information.

Received for information.

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In response to the Committee,  H. Wang explained that Staff cannot provide drug usage projections, but Staff can estimate that drug usage will continue based on trends and that services  will need to incorporate both prevention and treatment.

The Committee recognized the good works of Regional Staff and City of Kitchener Council and Staff in assisting a community member with a housing service issue.

J. Liggett joined the meeting at 12:12 PM. ()
C. Huinink left the meeting at 12:13 PM. ()
D. McCabe left the meeting at 12:13 PM. ()
N. Salonen joined the meeting at 12:13 PM. ()
D. McCabe joined the meeting at 12:15 PM. ()

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The next Community and Health Services meeting will be October 8, 2024.

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  • Moved byS. Foxton
    Seconded byS. Shantz

    That a closed meeting of the Sustainability, Infrastructure, and Development and Administrative and Finance Committees be held on September 10, 2024 immediately following the Community and Health Services Committee, in accordance with Section 239 of the “Municipal Act, 2001”, for the purposes of considering the following subject matters:

    1. advice that is subject to solicitor-client privilege for the purpose of litigation before an administrative tribunal; and
    2. *Personal matters about an identifiable individual. 
    In Favor (15)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, J. Liggett, D. Craig, P. Wolf, C. James, R. Deutschmann, N. Salonen, and K. Williams
    Carried (15 to 0)

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  • Moved byD. McCabe
    Seconded byM. Harris

    That the meeting adjourn at 12:17 p.m.

    In Favor (15)B. Vrbanovic, J. Erb, J. Nowak, K. Redman, M. Harris, S. Shantz, S. Foxton, D. McCabe, J. Liggett, D. Craig, P. Wolf, C. James, R. Deutschmann, N. Salonen, and K. Williams
    Carried (15 to 0)