Provincial funding for health and social services has not kept pace with the growing number of residents in the GTA/905 - 100,000 new residents a year for the past 17 years. This growth is expected to continue for the next 20 years.
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An updated PricewaterhouseCoopers makes clear that there is a large and growing per capita funding gap for health and social services in the GTA/905 when compared with the average funding for other communities in Ontario. As of 2005/06, the annual funding gap for provincially funded social services has reached more than $708 million; as of 2007/08, the annual funding gap for hospitals is now $944 million. These funding gaps are not only large but they are worsening.
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Since 2001, the per capita funding gap for GTA/905 residents' in Adult Services has increased from $17 to $20 in 2006. GTA/905 residents receive $13 per resident which is 60 per cent less than provincial average of $33 per Ontarian. This means that the annual gap in funding for these services has grown from $28.9 million below the provincial average in 2001 to $40.8 million below in 2006 - an increase of $11.9 million since 2001. These services include programs for victims of domestic violence, rehabilitation services for the disabled and mentally ill, as well as outreach programs to the homeless and interpreter and intervener services for the hearing and visually impaired members of community.
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Since 2001, the per capita funding gap for GTA/905 residents' Child Care Services has increased from $202 to $361 in 2006. This is basically half the provincial average of $707 per child. This means that children in the GTA/905 do not have equal access to subsidized child care spaces, programs for pre-schoolers with special needs, and early childhood education and parenting support programs. This means that the annual funding gap for these services has grown from $77.3 million below the provincial average in 2001 to $148.4 million below as of 2006. This gap has increased by more than 100% since 2001. In July of 2007, the Provincial government added $132 million to the child care system. However population was not a factor in the allocation formula and the funding disparity has continued, although all communities did benefit from the new funding. This further makes the case for growth funding and a population-needs-based funding formula.
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Since 2001, the per capita funding gap for GTA/905 residents' Children's Services including Child Welfare, has increased from $275 to $406 below the provincial average of $693 per child in 2006. This means that parents seeking children's mental health services or families requiring services to avoid being in need of protection are not able to gain the same access as children in other parts of the province. The annual funding gap for these services has grown from $213.7 million below the provincial average in 2001 to $355.3 million below as of 2006- an increase of $141.6 million or 66 per cent since 2001.
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Since 2001 the per capita funding gap for GTA/905 residents' Developmental Services has increased from $35 to $50 in 2006. This per capita is half the provincial average of $101 per person with a developmental challenge. These services include day programs, respite care, in home support and residential programs. This means that the annual funding gap for these services has grown from $94.8 million below the provincial average in 2001 to $163.7 million below as of 2006 - an increase of $68.9 million since 2001 or 73 per cent. Although the province has invested considerable additional funding in this area in the 2007 budget, the funding inequity and the long waiting lists for services in the GTA/905 were not addressed as the priority was much needed salary increases for all staff serving this population across the province. This underlines the importance of the need for growth funding and a population-needs-based funding formula as per the recommendations of the Strong Communities Coalition.
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SSince 2003 and as of 2007, the per capita funding gap for GTA/905 residents' hospital care has increased from $156 to $221 below the provincial per capita funding of $939. This means that the annual funding gap in GTA/905 Hospital Services has grown from $595 million below the provincial average in 2003 to $944 million below as of 2007 - an increase of $349 million since 2003 or 59 per cent.
Services provided in GTA/905 hospitals include: emergency department care and treatment, complex continuing care, cancer care, cardiac care, obstetrics, paediatrics, hip and knee replacements, diagnostic services (MRI/CT scans), laboratory services, intensive care units and critical care, acute care, general and specialized surgery, mental health services, day surgery, rehabilitation care, pharmacy
While the need for hospital growth funding was acknowledged by the Government in 2006/07, the $23 million provided to GTA/905 hospitals while helpful, did not have an impact on reducing the funding gap. GTA/905 hospitals have yet to receive any growth funding for 2007/08 resulting in the funding gap widening ever further.
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- There are longer waiting times for health and social services in the GTA/905.
- GTA/905 residents often have to leave their communities (support of family and friends) to get services.
- In many cases, residents are going without needed services and require more costly services later on when their circumstances spiral out of control.
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By addressing the funding inequity, access to services will be improved and that means:
- Fewer problems spiralling out of control and requiring more costly interventions by the health care, child welfare and criminal justice systems.
- Allows GTA/905 residents to contribute more fully to the Ontario economy, boosting the tax revenues for all Ontarians.
- Ensures that the Ontario Government's Places to Grow plan fulfills its potential and maximizes the economic growth of the GTA/905.
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By addressing the funding inequity, access to services will be improved and that means:
- Fewer problems spiralling out of control and requiring more costly interventions by the health care, child welfare and criminal justice systems.
- Allows GTA/905 residents to contribute more fully to the Ontario economy, boosting the tax revenues for all Ontarians.
- Ensures that the Ontario Government's Places to Grow plan fulfills its potential and maximizes the economic growth of the GTA/905.
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The Coalition was created to speak out about the need to improve local and timely access to health and social services for the three million residents of Durham, Halton, Peel and York by encouraging the Province of Ontario to provide growth funding for health and social services in the GTA/905 and by revising the way provincial funds are allocated so that funds are allocated on the basis of population size, growth and characteristics.
The mandate of the coalition is to advocate for equitable and sustainable funding policies and formulae for health and social services in the GTA/905 communities.
The GTA/905 Region (Durham, Halton, Peel and York) is the fastest growing region in Ontario and North America.
Containing a quarter of Ontario's population, between 1996 and 2004, the GTA/905 grew by more than 100,000 residents each year - (the equivalent of adding all residents of the City of Kingston to the GTA/905 each year). Growing almost three times faster than Ontario as a whole, the GTA/905 represents more than half the annual population growth in Ontario. This growth is expected to continue into the future with the GTA/905 growing at more than twice the provincial rate.
In addition to growing at a faster rate than the rest of the province, the GTA/905 is also aging at twice the rate of the province as a whole. Not only growing and aging, the GTA/905 is also becoming more culturally and socio-economically diverse. Some parts of the GTA/905 have the highest rate of growth in the country for new immigrants.
In the face of rapid and sustained population growth, and given the increasing cultural and socio-economic diversity, meeting the social service and health care needs of GTA/905 residents has been a challenge due to one factor in particular - the fact that provincial funding for social services and health care services has not kept pace with population growth in the region.
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- Will There Be Room For Me?, a report on the Ontario post-secondary education sector and the challenge of the "double cohort" and beyond; and
- A Fine Balance - The Impact of Offshore IT Services on Canada's IT Landscape and A Fine Balance - The Buying and Selling of Canada, penetrating Canadian studies of the offshore movement in IT and business services.
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Recommendations to the Ontario Government
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Untitled Document
Immediately begin providing adequate and annual growth funding for health and social services in the GTA/905 regions of Durham, Halton, Peel and York.
Revise the way the province allocates funding across Ontario for health and social services so that it is
distributed on the basis of population size, growth and characteristics – that is, fundamentally population needs-based.
Develop a health and social services strategy for Ontario’s high-growth regions to complement Places to Grow, and that this strategy be developed in consultation with the GTA/905 stakeholders, including members of the Strong Communities Coalition. |
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