friends of milton hospital

What would you ask them?

Mike Cluett

Next week will be my first AMO (Associations of Municipalities of Ontario)Conference.  Its going to be held in London this year and goes from Sunday August 21st to Wednesday the 24th.

The conference is designed for municipal leaders from all over the province to meet and discuss issues and share knowledge and resources to help come up with solutions to problems.  There’s going to be roughly 1600 politicians running around London (sounds scary doesn’t it 🙂 ) for those days and I’m personally looking forward to a number of events that will be happening over the course of the conference.

Most importantly to me is some of the meetings that have been scheduled with provincial representatives by Regional Chair Gary Carr and ministers in the Province of Ontario.  I along with other Milton & Halton councillors will be attending these meetings.  This will provide us with an opportunity to speak directly with those ministers, mainly the Minister of Health Deb Matthews and Minister of Infrastructure Bob Chiarelli.  If those names sound familiar, you must have been reading my blog on a regular basis. 

These ministers are two of the key decision makers when it comes to getting a green light for the Milton Hospital expansion.  There have been meetings in the past, of course with no firm date or timeframe given to us, but hopefully we can “twist their arms” slightly in getting something done.  It is no secret in Milton that the expansion of the Milton District Hospital is “THE” issue in town.  

Week after week, organization after organization holds events in support of MDHF and the importance of supporting our local hospital.  Thousands of dollars has been raised for the foundation and even more will come with future events.

Regional Councillor Colin Best wrote a letter to the ministers via the Milton Canadian Champion recently outlining our concerns once again with the lack of detail in their latest “capital project projections”

If there is one issue that everyone in Milton can unite behind its the hospital.  We as elected officials in Milton have to keep up the pressure.  Its been well documented on my site about the efforts of the  Friends of Milton Hospital a few years ago and most recently the Grow Milton Hospital campaign and the numbers of signatures that have been collected and delivered to the Province of Ontario letting our voices be heard that we need that expansion to start now.

Unofficially the Town of Milton is over 90,000 in population with 100,000 in our sights.  The hospital continues to be under intense pressure to be able to deliver the health care services that Milton needs.  Beds are in short number, the nurses and doctors are doing their best but without the facilities needed to serve a growing population, it runs the risk of a disaster happening.

I’m hoping at this meeting, myself along with other Milton and Halton councillors can convince these provincial ministers (it IS a provincial election year mind you) to get off the fence and approve the expansion of Milton’s hospital.   There will also be opportunities to speak with the provincial party leaders as well during this conference (Dalton Mcguinty, Tim Hudak, Andrea Horvath) and rest assure I will be “badgering” them as well over the course of the four days.

If you have any comments or questions you would like me to pass on to the Health Minister and Minister of Infrastructure, please email me mike@mikecluett.ca and I will ask them directly when we meet with them.

Milton Canadian Champion Covers Grow Milton Hospital

Mike Cluett

Citizens rally for Milton hospital expansion

(Photo Courtesy of Milton Canadian Champion, Graham Paine) – By Christina Commisso, Milton Canadian Champion

The signs are up, the signatures are in and the will is strong.

The time for Milton’s hospital expansion is now — that message was heard loud and clear Saturday morning.

About 30 people huddled under the gazebo at Victoria Park, sheltered against the rain and wind, to show their support for the expansion.

“We’re a small group, but we’re mighty,” said Halton MPP Ted Chudleigh.

He, along with citizen’s group Grow Milton Hospital, has collected more than 5,000 signatures of support for the expansion over a six-week campaign.

The petitions were delivered to Queen’s Park yesterday.

The urgency of the expansion was outlined by Milton District Hospital (MDH) surgeon Dr. Jeff Kolbasnik, who spoke during the morning event. 

“When I started (at MDH) we had lots of ward beds. Anytime I needed to admit a patient there was no issue. In the emergency department there would be a few people backed up, but routinely people would get seen within an hour. We never had surgery cancelled because no beds were available and getting a patient in urgently was no problem. Things have really changed.”

According to Kolbasnik, it’s not just the population spike that has placed mounting pressure on MDH; the infrastructure at the hospital is showing signs of deterioration.

He pointed to a leaky roof last summer that led to the evacuation of the medical surgical ward for almost a week. MDH recently received a “state of the art” surgical sterilization machine, which Kolbasnik said took a week to install because the hospital’s infrastructure was too old to support the new technology.

“During that week we had to ration surgical equipment…that’s not the sort of thing that should be happening in a growing community like ours.”

He continued, “As much as there’s a gradual deterioration, we’re worried we’re going to reach a breaking point when things just start to fall apart.”

Organizer and Ward 6 Councillor Mike Cluett took some time to dispel common rumors circulating about the MDH expansion.

Pointing to the new north Oakville hospital, Cluett said: “The Oakville hospital is designed for Oakville’s growth, not for other communities. We need a made-in-Milton hospital expansion for Milton’s needs now.”

Cluett added that he’s unfazed by naysayers.

“We’ve heard, ‘It’s great you’re doing this but it’s not going to make a difference.’ Well we’d rather go down swinging than not do anything at all. We want to let the provincial government know that it starts with them. Give us the go ahead, and we’ll figure the rest out.”

Playing MC for the event, Scott Fox of Z103.5 said when he moved to town seven years ago he would brag to his friends about the zero wait times at MDH.

“Now the tables have turned,” he said.

“All you have to do is look around at a town that’s bursting at the seams and a hospital that was built decades ago. The fact that people are waiting, they’re being sent to other communities for critical care, surgeries are being postponed because there’s not enough beds — this screams expansion.”

Chudleigh said he hopes the message comes through loud and clear at Queen’s Park. The petition was delivered mere weeks before the Province is expected to release its 10-year infrastructure list for high-priority projects.

Despite what transpires in the next few weeks, Cluett said the momentum for the expansion won’t slow down anytime soon.

“It doesn’t end today. It’s going to continue until the spade is in the ground and we have our hospital.”

Town Council Meeting June 28, 2010

Mike Cluett

Last night I attended the town council meeting in which there was to be a discussion on possible ways for the Town of Milton to set up and fund a hospital expansion reserve fund for consideration in next years budget.

The original motion can be found here for you to review.

Some of the highlited options for funding include:

  • Capital Related Items:  Redirection of Slot Revenues, GTA Pooling Funds, Debenture Financing
  • Developer Related Items:   Development Charges
  • External Revenue Generating Items:  Hydro / Hospital Generation Partnership (similar to Oakville Hydro), Parking Facility, Tax Levy.

There was a lot of discussion from a number of delegates last night talking about the pros and cons of each item.  The general consensus around the table and in the gallery was that we need to do something …now.  But aside from some passionate discussions from some councillors there really wasn’t a lot of direction from the table other than what was in the report.

According to the report, here are the next steps:

Next Steps

Continuation of Working Group and Community Consultation.  It is anticipated that the established working group would continue throughout the project to ensure:

– help develop a co-ordinated communications plan to enable the parties to consult widely with the community about the level of municipal contribution and the Local Share plan including but not limited to the various options as outlined in this report.

Reserve Fund

Staff is recommending that the establishment of a reserve fund dedicated to funding the redevelopment and expansion of Milton District Hospital be included as a recommendation in the 2011 budget for consideration.

Now when you look at the next steps, you might think not much has changed and it really hasn’t.  The goal of everyone in this town is to ensure that Milton gets what it needs from the provincial government to expand the health care services for the residents of Milton.  The very last option to be considered would be the special tax levy that would be brought on Milton taxpayers to fund the local portion of what is needed for hospital expansion.  The VERY last option.

 There were a few interesting and controversial ideas that came up including naming rights (which the town has no control over), and selling Milton Hydro.  As you will see from my presentation, I suggested we move this idea up to the regional level of government and quite possibly pool the tax base and solve everyone’s problems.  There are some risks in that as Mayor Krantz brought up “be careful what you wish for, you just might get it!” but Milton’s tax base isn’t big enough.

 I also had concerns, that I didnt address in my presentation (due to 10 minute time limits) about slot revenues being used as we get them, instead of the towns current procedure of placing them in a reserve account for a year and then applying it to the capital budget.

I’ve been at the doors over the past few months and many of you have brought up slot revenues and how they should be used for the hospital fund.  Slot revenues are a gift, for the lack of a better word.  The Town of Milton gets a portion of the slot revenues every year but those funds aren’t 100% guaranteed.  They can end at any time and we cant take these revenues for granted.  So I’m cautious about relying solely on those funds.

Needless to say this isnt an issue that will go away or be solved in one meeting.

I talked about the need of not just putting strongly worded resolutions and forwarding copies of reports to provincial ministers and everyone else under the sun, but to make a concerted effort to work with other municipalities as well to put pressure on the the provincial government to change the Development Charges Act 1997.

Back then, the government changed the rules for municipalities and they were no longer allowed to use development charges (DC’s) to fund capital projects including funding local portions of the hospital.

The current government is on the record saying they wont be making changes and from reports recently other leaders are in agreement that the act shouldn’t be changed.  If this can be changed, the ability of a municipality to fund the local portion of hospital expansions becomes much easier and there is less of an impact on the taxpayer.

We need to be leaders and contact every municipal leader, every Mayor, every Councillor and get them on board to put pressure on the province to make these changes and soon.  There is an election coming up in 2011.

For those of you who were not at the meeting and cant watch on TV COGECO, here is a copy of my submission to council regarding this issue.  Feel free to comment.

Until then, I’ll see you at the doors.

Dear Gord Krantz, Mayor; Members of Town Council, Staff & Members of the public.

The purpose of my writing today is to submit my opinions on the report CORS 058-10 regarding Halton Healthcare Notice of Motion.

As a resident who has lived in Milton for over 7 years now, I along with many others have seen the need to ensure that the healthcare services for our residents are placed at the top of our priority list by the provincial government.  Outlined in the detailed staff report are many of the potential pitfalls that Halton Healthcare Services faces in getting the project started.  Many of the options that we have at our disposal are hinged on the province of Ontario coming to the realization that Milton, Canada’s fastest growing municipality for the last few years, is recognized in their long range goals for expansion.

Expansion of Milton District Hospital is not a new phenomenon whatsoever.  Just recently over half the population of Milton at the time, 35000 plus residents signed a petition to be delivered to the provincial government letting them know Milton should be a priority.  The efforts of those involved with the Friends of Milton Hospital organization should be applauded as many hours, days and weeks went into this movement to let our elected officials at the provincial level know that we need more for the residents of Milton.

I have no qualm with the goal.  I don’t think we can find anyone in our town that would disagree with the notion we need to have a bigger and better healthcare facility for Milton.  Our town is now approaching the 100,000 level and what we have right now is not enough.  This isn’t to say that the individuals, doctors, nurses and other healthcare workers at the Milton Hospital are doing a poor job.  They are doing the best they can with the resources they have.

The problem is the provincial government.  They need to make our town’s healthcare facility a priority and fast.  As Mr. Oliver from Halton Healthcare Services stated in the meeting on May 17th, even if they got approval that day for expansion, they are many years away from shovels in the ground.  Our hope is that the provincial government, after their budget deliberations, comes to the same conclusion that Halton Healthcare Services, the Town of Milton and the residents of Milton already know.  Approve the hospital expansion now.

I’m glad that staff also realized we need to put added pressure on the provincial government to change the Development Charges Act of 1997 and allow municipalities to raise funds for the local share of the hospital funding through development charges.  I would add that the town of Milton should urge all municipalities in Ontario to put added pressure on the province to get these changes put through.  All towns and cities in Ontario are either facing the same problems we are or will in the near future and there has to be concerted effort on behalf of ALL municipalities in the province to get these changes made.

This leads me to some concerns about where the funding will come from for the local portion that will be required to get the projects moving.  The face of health care services has changed over the last 20 years.  No longer do local hospitals serve local residents.  Hospitals serve the population in general throughout the region.  Milton residents can take advantage of services at the Burlington, Oakville and even Mississauga area hospitals for different health care related items.  My concern is with burdening the Town of Milton with raising all the funds required for the local portion.  Our tax base isn’t big enough to raise that kind of money in a fixed amount of time.

If we include the “hospital fund” as a budgeted line item for 2010, we run the risk of other high priority projects falling by the wayside and much needed infrastructure such as roads, bridges, etc being delayed.

One of the options listed in the report is to divert Milton Community Funds that were allocated to the Arts Centre to the hospital fund for the next few years.  This would add approximately $500,000 to the fund if it’s done over the next 5 years, which is a fraction of what would be needed.  Milton can do some of the fundraising for the local portion, but it would impede any future long term budgeting that the town needs to do to accommodate other projects, Boyne Survey growth, and Intensification along Main Street.

As we all know, there is immense pressure from the provincial government to grow our population.  Some examples I’ve sighted are the Boyne Survey and the intensification plans faced along Main Street.  The Town doesn’t have any indication from any other level of government on who is going to help, if any, pay for these projects.  Our budgets for the foreseeable future are going to be stretched to the limit.  Adding the addition pressure of the hospital fund, solely on the backs of the taxpayers of Milton will add further problems in long term budgeting.

This proposal should be sent to the Region of Halton for review and have the local portion of the possible expansion handled at that level.  The Town of Milton doesn’t have the resources to raise the much needed funds and if applied at the Regional level and a much greater tax base, the costs can be spread out through the region of Halton as it will be the region of Halton that will benefit from any hospital expansion.

The resources available at the regional level are greater such as debt financing, development charges and at the very last resort tax increases.  The job can get done faster and more efficiently at that level of government without putting the strain on Milton’s long term budgeting issues that we will be facing as growth continues.

I would like to urge Mayor Krantz and members of council to rethink where this motion should be coming from and with the help of our regional councillors urge Halton to look at these plans as they have greater resources to work with at this level and Milton can continue to work out its long range budget issues with regards to growth.

Thank you for your time.

Best regards,

 

Mike Cluett

 

905-878-1327 Phone | 647-888-9032 Cell | mike@mikecluett.ca | www.mikecluett.ca

Council to Debate Hospital Tax Levy

Mike Cluett

From the Milton Canadian Champion May 20, 2010 By Tim Foran

Councillors to debate hospital tax levy

Milton council will debate whether to provide cash, perhaps through a dedicated tax levy, to assist Halton Healthcare Services Corporation’s as yet unapproved plans to expand Milton District Hospital.

At Monday’s council session, Ward 3 Councillor Cindy Lunau introduced a notice of motion, which Ward 4 Councillor Paul Scherer indicated he would second, stating the Town would “endeavour” to help HHS cover its share of the costs to redevelop the half-century-old hospital, which hasn’t undergone a major expansion since the mid-1980s.

The motion states the Town would research and identify potential funding mechanisms including the possibility of including a special property tax levy beginning next year.  Council will debate and vote on the motion at the June 28 council session. Lunau said she wanted the long lead time for the community to have an opportunity to provide feedback and plan to attend the session.

Under Provincial funding guidelines that began in June, 2006, Ontario pays for all of the planning costs and 90 per cent of the bricks and mortar for hospital capital projects. Previously, most capital cost share rates varied from 50 to 80 per cent depending on the project, the Province stated at the time.

However, the hospital corporation is still responsible for the remaining 10 per cent of construction costs along with covering the full cost of building revenue-generating facilities such as cafeterias, retail areas and parking lots as well as the medical equipment inside the hospital.

In total, depending on the equipment a hospital needs, that means the Province will cover around 70 per cent of the total project costs, with the hospital corporation paying the remaining portion, dubbed the local share.

The hospital has three ways to pay that local share: its own revenues from, for example, parking lot fees or stores; fundraising done by the Milton District Hospital Foundation; and through financial assistance from municipalities.

The problem Milton council tried to wrap its head around Monday is that HHS won’t provide the municipality with an estimate right now of how much money it would need.  “At the end of the day, if we put too much (money) away, that’s fine,” Scherer said to HHS President John Oliver during Monday’s council session.  “But we need a starting point.”

Oliver said he understood council’s frustration but he doesn’t want to float a dollar figure that would inevitably turn out to be wrong years later after more detailed planning has taken place.

The hospital provided a preliminary cost estimate when it presented its business case for the expansion to the Ministry of Health in September, 2008 but Oliver said after the council meeting that number is already out of date and he doesn’t wish to release it.

“It’s not just inflation, the original size and scope has evolved from the original business case,” he explained. He said he also doesn’t want to jeopardize a competitive bidding process by leaking expected total costs.

However, Oliver did provide council with a benchmark for comparison when he said the redevelopment planned for Milton’s hospital is at least as big as the one proposed for Burlington’s Joseph Brant Memorial Hospital. The first phase of the redevelopment of Jo Brant is projected to cost $312 million, with the local share pegged at $120 million. In December, Burlington’s city council committed to covering half of that cost, or $60 million, and has already started a dedicated property tax levy this year. The City of Vaughan last year committed $80 million to a proposed new hospital for its community. Both projects are also unapproved and are in competition with the Milton hospital expansion to get on the Province’s next 10-year list of infrastructure projects, to be released next year, likely as part of the 2011 budget.

However, the competition is not just among those three hospitals. The Ministry of Health is currently prioritizing at least 50 other proposed hospital projects before submitting its list of requests to the Ministry of Energy and Infrastructure, which will ultimately decide on the 10-year capital plan.

Other ministries are also prioritizing their own lists of proposed capital projects, one of which includes the proposed Wilfrid Laurier University campus in Milton. That prioritization is expected to take place over the next three months, said Jason Grier, a professional lobbyist from Hill and Knowlton working on behalf of HHS.

One of the things the Ministry of Health will be looking for during this time when prioritizing projects is whether the hospital corporation has a firm plan to meet its local share commitments, Grier said after council Monday.

“They don’t want to move forward on projects that aren’t going to have that local share commitment because then the project isn’t going to happen,” explained Grier, who served as executive assistant to George Smitherman when he was health minister in the provincial government.

Oliver told council it would help the hospital if the Town made a firm commitment of financial support. “I don’t know if you need to put a dollar figure behind it right now.”

Way to go Milton

Mike Cluett

35,000 people in Milton had their say.  They want the governments at all levels to make the expansion of Milton’s Hospital a priority…and NOW!  The only question that remains is will David Caplan, Minister of Health and George Smitherman, Minister of Infrastructure listen???  Only time will tell.

Overwhelming support

Nearly 35,000 residents sign petition postcards in group’s ongoing push for hospital expansion

Tim Foran, Canadian Champion Staff
Published on Jul 29, 2009

A volunteer group dedicated to securing provincial approval and funding for an expanded Milton District Hospital says it has collected signatures from close to 35,000 people on postcards addressed to Ontario’s Minister of Health.

“The incredible enthusiasm in this community is amazing,” said Pete Pomeroy, co-chair of the Friends of Milton Hospital, which started its postcard signing blitz about two months ago assisted by $25,000 in funding from the Town of Milton.

The group is now hoping to deliver the postcards personally to the Minister of Health, David Caplan, and it also wants to meet with the Minister of Infrastructure, George Smitherman. The two ministries are expected to make final decisions on which of 58 proposed hospital capital projects will get put onto an updated 10-year infrastructure plan, expected to be released this fall.

“We need a hospital (expansion), we need a place to go that ourselves and our family feel we’re going to get the care that we need, they (the hospital) have the specialties that we need, that we can have faith in our hospital,” said Cari Kovachik-MacNeil, co-chair along with Pomeroy.

The duo met last Wednesday to present their case to Dr. Sacha Bhatia, healthy policy advisor to Ontario Premier Dalton McGunity.

Bhatia listened to the group’s concerns but advised them they should be working with officials from the ministries of health and infrastructure and the Mississauga-Halton Local Health Integration Network (LHIN), said Karman Wong, a spokesperson from the Premier’s Office. LHINs are responsible for planning, funding and integrating health care services locally.

“At the end of the day, decisions on which hospitals should get funding shouldn’t be political,” said Wong. “They should be based on where the need is.”

The criteria for assessing that need is what concerns Pomeroy and Kovachik-MacNeil. They said at least one criterion the Province will be using is wait time statistics for hospital emergency rooms (ER).

In this respect, statistics show Milton District Hospital fares better than most hospitals. For the first quarter of this year, the average wait time for a serious condition at the hospital ER was just under five hours, a couple hours better than the provincial average and about half the time spent by patients at hospitals in Burlington and Mississauga.

“Having said that, health care is more than emergency (service),” argued Kovachik-MacNeil. She said patients from Milton should not be forced to go to other hospitals for specialized services.

Pomeroy added many people believe HHS’s new Oakville-Trafalgar Memorial Hospital, expected to begin construction over the next couple years, will be a regional hospital built to accommodate the needs of Miltonians.

“But it isn’t true, that isn’t the case,” said Pomeroy.

While the Friends of Milton Hospital’s postcard campaign has wrapped up, a similar petition for a Milton hospital expansion is still being circulated.

Led by former director of development with the Milton District Hospital Foundation, Donna McLaughlin, the Milton Hospital Action Committee said in April it wanted to collect 50,000 signatures on a petition to be presented to the provincial legislature by Halton MPP Ted Chudleigh on June 6.

“It (the petition) was about 8,000 (signatures) at the end of June and we decided to hold it for the summer,” said Chudleigh. “They’re still collecting signatures and I’m going to present it in the House in September.”

Tim Foran can be reached at tforan@miltoncanadianchampion.com