Province Urged to 'Go the Distance' in Addressing the Needs of the Frail Elderly

October 9, 2002 -- Ontario's 63,000 long-term care residents and their family members are looking to the provincial government for the kind of funding increase that will allow for a significant improvement in the level of care.

Queen's Park injected $100 million into long-term care operating funding this summer -- raising its contribution to about $70 a day for each resident.

"It was a much needed infusion, and was a good first step in addressing the funding shortfalls that have plagued the sector for years," says Donna Rubin, CEO of the Ontario Association of Non-Profit Homes and Services for Seniors (OANHSS).

Even with this increase, however, OANHSS estimates that long-term care remains underfunded by about $430 million a year. A further hike in the per diem paid by the province -- from $70 to $88 -- is required to close this gap.

Rubin is currently travelling across the province and meeting with OANHSS members as part of a fact-finding mission. OANHSS will be making submissions to government this Fall during the consultation process leading up to the provincial budget early next year.

"The underlying problem is that provincial funding has not kept pace with the changing needs of residents," Rubin explains. The average age of those living in long-term care facilities is now 86, compared to 73 two decades ago. Today, residents often have multiple chronic illnesses and require special care. About half suffer from dementia and other mental health illnesses, and over three-quarters require rehabilitation to maintain their level of functioning.

"Residents are older, and their care requirements are far more complex than at any time in the past. Yet funding increases from the province has barely kept up to inflation," Rubin explains.

Even with the recent increase to $70, Ontario's per diem rate remains one of the lowest in the country. Chronic underfunding has had serious consequences:

*          long-term care residents receive only about two hours of nursing and personal care a day

*          staff is stretched to the limit, with each registered nurse looking after up to 100 residents

*          even though there is a high proportion of residents with dementia and behavioural problems, less than 6 per cent receive any professional intervention

*          only 10 per cent of residents with rehabilitation potential actually receive physical therapy

*          the food allowance for each resident is only $4.49 a day

Less than 8 per cent of the Ministry of Health's annual budget is spent on the operation of long-term care facilities. "We're not a big-ticket item within the overall health system, yet we care for one of the most vulnerable populations," Rubin notes.

"We're hoping that this time, in the next provincial budget, Queen's Park will go the full distance in meeting the needs of the frail elderly."

OANHSS members operate not-for-profit long-term care facilities, housing units and community services for seniors -- serving over 140,000 people in the province every year.

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For more information contact Donna Rubin or 905-851-8821 extension 230.


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OANHSS members include not-for-profit providers of long term care, services and housing for seniors in Ontario.
Members include municipal and charitable long term care homes, non-profit nursing homes,
seniors' housing projects and community service agencies.