P3s and Privatization - Ontario Nurses' Association
P3s and Privatization - Ontario Nurses' Association
P3s and Privatization - Ontario Nurses' Association
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ONA<br />
The magazine for<br />
members of the <strong>Ontario</strong><br />
Nurses’ <strong>Association</strong><br />
Summer 2006 VOL 33 NO 3<br />
www.ona.org<br />
ONA welcomes 673 more RNs to the fold:<br />
Successful vote means new bargaining unit<br />
for Richmond Hill’s York Central Hospital.<br />
Story p. 5<br />
VISION FEATURE:<br />
<strong>P3s</strong> <strong>and</strong> <strong>Privatization</strong><br />
Research has found this to be a costly option, but<br />
the <strong>Ontario</strong> government is forging ahead. ONA<br />
members worry this could be the tip of the iceberg<br />
for more privatization of health services.<br />
Story p. 15<br />
Bargaining Update:<br />
Hospital negotiations stalemated;<br />
Mediation in June.<br />
…Read it in the President’s column.<br />
Story p. 11<br />
ONTARIO NURSES’ ASSOCIATION 1
IMPORTANT INFORMATION FOR ALL ONA MEMBERS<br />
HOW TO...<br />
…file a Workplace Safety <strong>and</strong> Insurance Board (WSIB) claim<br />
If you believe an accident, injury, illness or onset<br />
of pain is work-related, you must immediately:<br />
• report it to your employer.<br />
• complete an employer Incident Report.<br />
• have the employer complete a Form 7<br />
(“Employer’s Report of Injury/Disease”).<br />
• sign the Form 7 or a Form 1492<br />
(available from your employer).<br />
• seek medical attention.<br />
• report your injury to your health professional<br />
<strong>and</strong> have her/him complete a Form 8 (“Health<br />
Professional’s Report”).<br />
• inform a co-worker or witness.<br />
If you do not get a copy of your signed Form 7<br />
or Form 1492 or have any problems with the<br />
above:<br />
• contact the WSIB in writing immediately,<br />
reporting your injury.<br />
• contact your Local ONA representative.<br />
HOW TO...<br />
…contact your 2006 ONA Board of Directors<br />
For accidents on or after January 1, 1998 there is<br />
a six-month time limit for filing claims with the<br />
WSIB <strong>and</strong> claims will only be accepted after the<br />
six months in exceptional circumstances. Claims<br />
with accident dates prior to January 1, 1998 are<br />
exempted from the application of the six-month<br />
time limit on filing a claim.<br />
You have a right under the law to report any<br />
workplace accident or injury <strong>and</strong> cannot be told<br />
by anyone that you cannot file a claim.<br />
You have the right to be treated by your own<br />
health care professional. This could be your<br />
family physician, chiropractor, RN extended<br />
class, physiotherapist or dentist. You make your<br />
first choice of health professional when you<br />
accept treatment after the initial or emergency<br />
treatment. Once the initial choice is made, you<br />
are not permitted to change to another health<br />
professional without the WSIB’s approval.<br />
Call ONA at 1-800-387-5580 (toll-free) or (416) 964-1979 in Toronto <strong>and</strong> follow the operator’s<br />
prompts to access board members’ voice-mail. Voice-mail numbers (VM) for Board members in<br />
the Toronto office are listed below.<br />
HOW TO...<br />
…file a WSIB appeal<br />
Injured workers <strong>and</strong> employers have the right to<br />
appeal all decisions of the Workplace Safety <strong>and</strong><br />
Insurance Board (WSIB).<br />
ONA represents members before the WSIB if they<br />
meet all criteria. Your ONA WSIB representative<br />
can explain what the criteria are for<br />
representation. If you want ONA to act on your<br />
behalf, you should immediately contact your local<br />
ONA representative <strong>and</strong> ensure you are referred<br />
to WSIB Intake at ONA, within ONA’s notification<br />
time limits. To find out how, see box below.<br />
Members who receive an adverse written WSIB<br />
decision <strong>and</strong> want ONA to represent them on<br />
appeal must notify WSIB Intake within ONA’s<br />
time limits. To find out how, see story on page<br />
25. These time limits are:<br />
• within one week of the date of the adverse<br />
WSIB decision if it is a 30-day appeal.<br />
• within four weeks of the date of the adverse<br />
WSIB decision if it is a six-month appeal.<br />
Also, you should contact ONA immediately if<br />
you are advised of an employer appeal. If you<br />
want ONA to represent you:<br />
• Do not verbally, in writing or on any form<br />
object to a WSIB decision.<br />
• Do not set any meeting or hearing dates.<br />
• Do not request access to your WSIB files.<br />
HOW TO...<br />
Need help with an LTD appeal?<br />
Linda Haslam-Stroud, RN<br />
President, VM #2254<br />
Communications &<br />
Public Relations<br />
Andy Summers, RN<br />
VP Region 3, VM #7754<br />
Human Rights & Equity<br />
Vicki McKenna, RN<br />
First VP, VM #2314<br />
Political Action &<br />
Professional Issues<br />
Dianne LeClair, RN<br />
VP Region 4, VM #7752<br />
Finance<br />
Diane Parker, RN<br />
VP Region 1, VM #7710<br />
Occupational Health &<br />
Safety<br />
Jeanne Soden, RN<br />
VP Region 5, VM #7702<br />
Education<br />
Anne Clark, RN<br />
VP Region 2, VM #7758<br />
Labour Relations<br />
Lesley Bell, RN<br />
Chief Executive Officer,<br />
VM #2255<br />
Insurance companies set time limits for appealing<br />
the denial or termination of Long-Term Disability<br />
(LTD) benefits. There are also conditions a claimant<br />
must meet. ONA Policy requires you to:<br />
• Contact your ONA bargaining unit representative<br />
or Labour Relations Officer (LRO) by mail,<br />
phone, e-mail or Fax, no later than 14 calendar<br />
days following the date on the letter of<br />
denial or termination of benefits. (Mail should<br />
be postmarked within this time frame.)<br />
• Respond promptly when the LRO asks you to<br />
call or to send information.<br />
• Cooperate with the LRO’s efforts to help you.<br />
• Comply with terms <strong>and</strong> requirements of the<br />
insurance policy.<br />
Labour legislation <strong>and</strong> ONA policy does not<br />
require us to assist with appeals. Please ensure<br />
you follow the above process. We can help<br />
– call us!<br />
2 VISION, SUMMER 2006
ONA<br />
The magazine for members of the<br />
<strong>Ontario</strong> Nurses’ <strong>Association</strong><br />
SUMMER 2006 VOL 33 NO 3<br />
The <strong>Ontario</strong> Nurses’ <strong>Association</strong> is the Union representing<br />
approximately 52,500 registered staff nurses <strong>and</strong> allied healt<br />
care professionals. Vision is published four times yearly by<br />
ONA, <strong>and</strong> is distributed to all members. We welcome submissions<br />
from members <strong>and</strong> will endeavour to print as many as<br />
possible, within our space limitations.<br />
Copyright © 2006 <strong>Ontario</strong> Nurses’ <strong>Association</strong><br />
All rights reserved. No part of this publication may be reproduced<br />
or transmitted in any form or by any means, including<br />
electronic, mechanical, photocopy, recording, or by any<br />
information storage or retrieval system, without permission in<br />
writing from the publisher.<br />
ISSN: 0834-9088<br />
Editor: Melanie Levenson<br />
Contributors to this issue: Sheree Bond, Erna Bujna, Mary<br />
Lou King, Melanie Levenson, Bev Mathers, Enid Mitchell, David<br />
Nicholson, Shalom Schachter, Lawrence Walter.<br />
Designed by: Artifact graphic design<br />
Printed by union labour: Thistle Printing Limited<br />
Send submissions to: Melanie Levenson<br />
melaniel@ona.org<br />
In this issue…<br />
How to…WSIB claims/WSIB & LTD appeals/ ONA Board . . . . . . . . . . . . . . . . . . . . 2<br />
ONA members across <strong>Ontario</strong>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 4<br />
ONA welcomes 673 more RNs to the union . . . . . . . . . . . . . . . . . . . . . . . . . . . 5<br />
Still Not Enough Nurses<br />
advertising blitz<br />
PAGE 6<br />
Our members write . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 10<br />
A message from ONA President Linda Haslam-Stroud . . . . . . . . . . . . . . . . . . . . . . 11<br />
A message from ONA CEO Lesley Bell . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12<br />
Message de la présidente Linda Haslam-Stroud. . . . . . . . . . . . . . . . . . . . . . . . . . 13<br />
Message de la directrice générale Lesley Bell . . . . . . . . . . . . . . . . . . . . . . . . . . . 14<br />
<strong>P3s</strong> <strong>and</strong> <strong>Privatization</strong>: a costly option<br />
ONA Head Office<br />
85 Grenville St., Ste. 400, Toronto ON M5S 3A2<br />
tel: (416) 964-8833 toll free: 1-800-387-5580<br />
fax: (416) 964-8864 email: onamail@ona.org<br />
www.ona.org<br />
ONA Regional Offices<br />
Hamilton<br />
2 King St., W., 2nd Floor Rear, Dundas, ON L9H 6Z1<br />
tel: (905) 628-0850 fax: (905) 628-2557<br />
Kingston<br />
4 Cataraqui St., Ste. 306, Kingston ON K7K 1Z7<br />
tel: (613) 545-1110 fax: (613) 531-9043<br />
London<br />
750 Baseline Rd. E., Ste. 204, London ON N6C 2R5<br />
tel: (519) 438-2153 fax: (519) 433-2050<br />
Orillia<br />
210 Memorial Ave., Unit 126A, Orillia ON L3V 7V1<br />
tel: (705) 327-0404 fax: (705) 327-0511<br />
Ottawa<br />
1400 Clyde Ave., Ste. 211, Nepean ON K2G 3J2<br />
tel: (613) 226-3733 fax: (613) 723-0947<br />
Sudbury<br />
764 Notre Dame Ave., Unit 3, Sudbury ON P3A 2T4<br />
tel: (705) 560-2610 fax: (705) 560-1411<br />
Thunder Bay<br />
#214, Woodgate Centre, 1139 Alloy Dr.<br />
Thunder Bay ON P7B 6M8<br />
tel: (807) 344-9115 fax: (807) 344-8850<br />
Timmins – Canadian Mental Health <strong>Association</strong> Building<br />
330 Second Ave, Ste. 203, Timmins ON P4N 8A4<br />
tel: (705) 264-2294 fax: (705) 268-4355<br />
Windsor<br />
3155 Howard Ave., Ste. 220, Windsor ON N8X 3Y9<br />
tel: (519) 966-6350 fax: (519) 972-0814<br />
PAGE 15<br />
Government initiative provides opportunities for RNs<br />
seeking extended class designation. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18<br />
A message from ONA First Vice-President Vicki McKenna . . . . . . . . . . . . . . . . . . 19<br />
Queen’s Park Update . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 20<br />
Awards <strong>and</strong> Decisions Summary . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23<br />
ONA Retirees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 25<br />
<strong>Ontario</strong> Nurses’ <strong>Association</strong>: Our Union.<br />
Respected. Strong. United.<br />
Committed to members who care for people.<br />
L’<strong>Association</strong> des infirmières et infirmiers de l’<strong>Ontario</strong> : notre syndicat.<br />
Respectée. Forte. Unie.<br />
Dévouée à ses membres qui prennent soin des gens.<br />
ON THE COVER: ONA has been fighting to preserve our publicly-funded health care system for years. The cover picture<br />
shows an ONA member during one of many “Save Medicare” rallies held to pressure the <strong>Ontario</strong><br />
government to stop further privatization.<br />
ONTARIO NURSES’ ASSOCIATION 3
ONA MEMBERS ACROSS ONTARIO<br />
In Memoriam<br />
Jean Lowery, RN<br />
ONA inaugural President, founding member<br />
ONA is mourning the loss of inaugural<br />
President <strong>and</strong> founding member Jean Lowery,<br />
RN, who passed away on April 3 in Toronto.<br />
Lowery was a pioneer in the Canadian<br />
nursing union movement, championing better<br />
working conditions for nurses <strong>and</strong> devoting<br />
her skills <strong>and</strong> energy to nursing for over<br />
40 years.<br />
“Jean worked tirelessly to make things<br />
better for RNs,” said ONA President Linda<br />
Halsam-Stroud, RN. “She didn’t like the<br />
lack of respect that was afforded nurses in<br />
the 1950s <strong>and</strong> ‘60s, <strong>and</strong> dedicated her life to<br />
effect change.”<br />
As a founding member of ONA, Mrs.<br />
Lowery was part of the l<strong>and</strong>mark meeting on<br />
ONA toll-free fax service<br />
In the last issue of ONA Vision, we ran a<br />
notice about ONA’s new toll-free fax service<br />
to our regional offices. Unfortunately, the<br />
local fax number for the Hamilton office<br />
was incorrect. The following table shows<br />
the correct information for both local <strong>and</strong><br />
toll-free fax numbers for all regional offices.<br />
For long-distance faxing using the toll-free<br />
service, simply send (dial) your fax to the<br />
toll-free number of the regional office you<br />
require. If your call is local, utilize the local<br />
dialing option.<br />
October 13, 1973 in Toronto when ONA was<br />
formed as the union for registered nurses in<br />
<strong>Ontario</strong>. She was installed at that meeting as<br />
ONA’s first President.<br />
Graduating as a psychiatric nurse in 1951,<br />
Lowery received her public health certificate<br />
from the University of Toronto School of<br />
Nursing in 1957.<br />
“While working as a nurse, she realized<br />
many nurses were unhappy with their work,<br />
their hours, shift work, low pay <strong>and</strong> lack of<br />
prestige,” said ONA Chief Executive Officer<br />
Lesley Bell, RN. “When attempts to work<br />
with management to set st<strong>and</strong>ards failed, she<br />
<strong>and</strong> others decided that collective bargaining<br />
was the answer. Thous<strong>and</strong>s of RNs have<br />
benefited from her efforts since.”<br />
Lowery also served in various capacities as<br />
a member of ONA’s staff until her retirement<br />
in 1991. She was the Director of Human<br />
Resources <strong>and</strong> Director of <strong>Association</strong><br />
Nursing Week 2006<br />
Services, <strong>and</strong> she began her career with ONA<br />
as a staff Employment Relations Officer,<br />
working directly with front-line nurses in<br />
labour relations matters.<br />
Upon her retirement, she was awarded an<br />
ONA Honourary Membership.<br />
This poster went to all bargaining units for Nursing Week 2006, May 8-14. How did you celebrate?<br />
Send your Nursing Week stories <strong>and</strong> photos for possible use in a future membership publication<br />
to the <strong>Ontario</strong> Nurses’ <strong>Association</strong>, c/o ONA Vision Editor Melanie Levenson, Public Relations<br />
Team, 85 Grenville Street, Suite 400, Toronto, ON. M5S 3A2. E-mail: melaniel@ona.org.<br />
Regional<br />
Office Local Fax Toll Free Fax<br />
Head Office (416) 964-8864 866-964-8864<br />
Hamilton (905) 628-2557 866-928-3496<br />
Kingston (613) 531-9043 866-931-9043<br />
London (519) 433-2050 866-933-2050<br />
Orillia (705) 327-0511 866-927-0511<br />
Ottawa (613) 723-0947 866-523-0947<br />
Sudbury (705) 560-1411 866-460-1411<br />
Thunder Bay (807) 344-8850 866-744-8850<br />
Timmins (705) 268-4355 866-568-4355<br />
Windsor (519) 972-0814 866-972-0814<br />
4 VISION, SUMMER 2006
ONA MEMBERS ACROSS ONTARIO<br />
ONA welcomes 673 more RNs to the union<br />
Successful vote means a new<br />
bargaining for Richmond Hill’s York<br />
Central Hospital<br />
After an intensive year-long campaign,<br />
ONA was successful in a vote to organize a<br />
new bargaining unit of 673 part-time <strong>and</strong><br />
full-time registered nurses at York Central<br />
Hospital in Richmond Hill.<br />
The vote took place on April 5.<br />
“We’re thrilled these RNs have voted to join<br />
our union. We welcome them all with open<br />
arms,” said ONA President Linda Haslam-<br />
Stroud, RN. “Our next step is to negotiate<br />
a collective agreement on their behalf. We<br />
look forward to sharing with them the many<br />
benefits of being an ONA member.”<br />
Coroner’s investigation into Dupont’s death welcome<br />
ONA is pleased that a coroner’s investigation<br />
will be held into the death of Lori<br />
Dupont, RN.<br />
An ONA member from Local 8, Lori was<br />
murdered by a co-worker on November 12,<br />
2005, during her shift in the recovery room<br />
at Windsor’s Hotel-Dieu Grace Hospital.<br />
A regional coroner will be conducting an<br />
investigation into her death <strong>and</strong> the suicide<br />
death of her killer, Dr. Marc Daniel, a coworker<br />
who had a history of mental illness.<br />
A petition calling for a coroner’s investigation,<br />
circulated by ONA <strong>and</strong> Dupont family<br />
members, had been signed by almost 10,000<br />
Ontarians – including nurses <strong>and</strong> public<br />
members. The investigation was called in<br />
late March.<br />
ONA remains extremely disappointed<br />
that Labour Minister Steve Peters has yet<br />
to order a fatality investigation into the circumstances<br />
surrounding Lori’s murder, <strong>and</strong><br />
the actions of her employer.<br />
“This is a fatality in the workplace <strong>and</strong><br />
requires a fatality investigation by the<br />
Ministry of Labour,” said ONA President<br />
Linda Haslam-Stroud, RN.<br />
ONA continues to pressure the Labour<br />
Minister for a fatality investigation into<br />
ONA representatives have worked with<br />
RNs at York Central since 2005. Nurses at<br />
the facility, which has approximately 415<br />
beds <strong>and</strong> services a large community in<br />
Richmond Hill, just outside of Toronto,<br />
have been increasingly concerned with<br />
workload issues, scheduling changes <strong>and</strong><br />
excessive amounts of overtime.<br />
Meanwhile, ONA is stepping up organizing<br />
efforts. At their February meeting,<br />
the Board of Directors approved the use of<br />
$600,000 from the Security Fund for future<br />
campaigns.<br />
Other organizing drives are underway,<br />
<strong>and</strong> ONA is also working with OPSEU,<br />
SEIU <strong>and</strong> CUPE on joint campaigns.<br />
Lori’s death, <strong>and</strong> has asked members to join<br />
in the effort by writing letters dem<strong>and</strong>ing<br />
an investigation, <strong>and</strong> asking for reforms<br />
to the Occupational Health <strong>and</strong> Safety Act<br />
to strengthen protection for workers who<br />
experience harassment.<br />
Template letters calling on the Ministry to<br />
conduct a fatality investigation were developed<br />
for ONA members’ use <strong>and</strong> circulated<br />
to Local Coordinators <strong>and</strong> Bargaining Unit<br />
Presidents last November. Contact your<br />
Local executive for a copy of the letter.<br />
Lori Dupont, RN<br />
ONA tips hat to Windsor Star<br />
The following “Op Ed” piece by ONA President<br />
Linda Haslam-Stroud, RN, is reprinted from<br />
the Windsor Star (March 2006).<br />
Re: “Dupont inquest ordered”<br />
The <strong>Ontario</strong> Nurses’ <strong>Association</strong> (ONA)<br />
is thrilled with the announcement that<br />
a coroner’s inquest will be conducted<br />
to review the events surrounding the<br />
horrific murder of Lori Dupont, RN,<br />
<strong>and</strong> subsequent suicide of her attacker,<br />
Dr. Marc Daniel.<br />
ONA wishes to tip its hat to the<br />
editors <strong>and</strong> reporters of the Windsor<br />
Star who have been so supportive of<br />
our calls for appropriate <strong>and</strong> thorough<br />
investigations into Lori’s death. The<br />
Star has kept this case in the public<br />
eye for months, <strong>and</strong> has repeatedly<br />
supported ONA’s calls for a coroner’s<br />
inquest <strong>and</strong> a fatality investigation.<br />
As Windsor Star readers are aware,<br />
ONA has been appalled at the slow<br />
response from the Ministry of Labour,<br />
which has yet to announce it will hold<br />
a workplace fatality investigation. The<br />
ministry has the power to examine circumstances<br />
in the workplace under the<br />
Occupational Health <strong>and</strong> Safety Act, <strong>and</strong><br />
it has only one year from the date of the<br />
incident to do so.<br />
Hotel-Dieu Grace Hospital CEO Neil<br />
McEvoy <strong>and</strong> Chair Bill Marra continue<br />
to insist Lori’s murder was purely a case<br />
of domestic violence. The coroner’s<br />
inquest will reveal whether, as ONA<br />
believes, the case was more complex.<br />
ONA will continue to press the<br />
Ministry of Labour to conduct a fatality<br />
investigation. In the meantime, we thank<br />
the Windsor Star again for fighting for<br />
justice for Lori Dupont.<br />
Linda Haslam-Stroud, RN<br />
President, ONA<br />
Toronto<br />
ONTARIO NURSES’ ASSOCIATION 5
ONA MEMBERS ACROSS ONTARIO<br />
Still Not Enough Nurses<br />
Advertising blitz<br />
ONA’s Still Not Enough Nurses campaign took to the airwaves<br />
in April as ONA rolled out a series of television <strong>and</strong> radio advertisements<br />
across the province. Featuring a tag line that notes that everyone<br />
will need a nurse one day, the radio ads focused on the nursing shortage<br />
<strong>and</strong> its effect on patient care. The ads urged listeners to visit the<br />
campaign website at www.stillnotenoughnurses.ca to learn more <strong>and</strong><br />
join in pressing the Liberal government to keep its promise to hire<br />
more nurses. The television ads ran for one month, from April 3, during<br />
targeted television shows such as ER, Ghost Whisperer <strong>and</strong> Oprah,<br />
<strong>and</strong> during news broadcasts in selected cities, such as Kitchener,<br />
Ottawa, London, Sudbury, Timmins, Kingston <strong>and</strong> Thunder Bay. The<br />
ad campaign featured 11 ONA RN members in the print <strong>and</strong> television<br />
ads, representing all sectors. The members involved were:<br />
Television ads<br />
Susan Blayney, RN, Local 80<br />
Nancy Popp, RN, Local 68<br />
Charmaine McDonnell, RN, Local 75<br />
Carol Oates, RN, Local 24<br />
Cindy Orlicki, RN, Local 75<br />
Marcia Robinson, RN, Local 95<br />
Aurora Frias, RN, Local 97<br />
Dianne Dumais, RN, Local 82<br />
Cynthia Mascoll, RN, Local 70<br />
Print ads<br />
Judy Barth, RN, Local 16<br />
Vicky Thomas, RN, Local 6<br />
Still Not Enough Nurses campaign effective:<br />
Raises public awareness of nursing shortage<br />
Polling undertaken for ONA by Vector Polling has revealed<br />
just how effective the Still Not Enough Nurses campaign has<br />
been, with more than half of Ontarians polled saying they’re<br />
aware of the nursing shortage.<br />
ONA has taken every opportunity to work the Not Enough<br />
Nurses message into media interviews, letters to the editor <strong>and</strong><br />
opinion editorials. For instance, President Linda Haslam-Stroud,<br />
RN, told the London Free Press, following the provincial budget,<br />
that without dedicated funding for nurses, the Liberal government<br />
will fail to reach its promised target of creating 8,000 new<br />
nursing jobs.<br />
At press time for this issue of ONA Vision, ONA was organizing<br />
a province-wide Still Not Enough Nurses event for May 1, 2006,<br />
creating template letters to the editor <strong>and</strong> editorials, staging rallies,<br />
<strong>and</strong> planning a lobbying video for use with local MPPs.<br />
For more on the campaign visit its website at:<br />
www.stillnotenoughnurses.ca or ONA’s website at www.ona.org.<br />
ONA members from Local 35, Riverview Gardens Homes for the Aged<br />
(Thamesview Lodge <strong>and</strong> Victoria Residence) in Chatham, show their<br />
support for ONA’s Still Not Enough Nurses campaign by wearing<br />
campaign buttons <strong>and</strong> bracelets with the Still Not Enough Nurses<br />
message on it. St<strong>and</strong>ing with ONA Region 5 Vice-President Jeanne<br />
Soden, RN (on the extreme right) are from left to right: S<strong>and</strong>y Tyrrell,<br />
RN; Pat Beaton, RN; Local 35 Vice-Coordinator <strong>and</strong> Bargaining Unit<br />
President Greg Walden, RN; Lora Armstrong, RN; <strong>and</strong> Adrianna<br />
Renaud, RN. Walden says the Still Not Enough Nurse bracelets were<br />
so popular there was a huge dem<strong>and</strong> for more. “We ordered 100 for<br />
the bargaining unit originally at our own cost, but made up enough<br />
for our Local with funding from our Political Action budget. Now<br />
other Locals in our Region are clamoring for them.” The bargaining<br />
unit planned to give them out to members during Nursing Week.<br />
6 VISION, SUMMER 2006
ONA MEMBERS ACROSS ONTARIO<br />
Glenna Rowsell Bursary Fund<br />
ONA’s Legal Expense Assistance Program<br />
(LEAP) Advisory Team is now accepting<br />
applications for the Glenna Rowsell Bursary<br />
Fund. There are five bursaries available each<br />
year, in the amount of $1,000 each, specifically<br />
for labour education.<br />
The successful applicants for 2006 are:<br />
• Lynda Rath, RN, Local 51<br />
• Pamela Giroux, Local 80<br />
• S<strong>and</strong>ra Bolycki, Local 97<br />
Monies for this fund are generated from<br />
the MasterCard Affinity Program <strong>and</strong> are<br />
reviewed by the Board of Directors. The<br />
LEAP Advisory Team serves as the selection<br />
committee for the purpose of the bursary<br />
distribution. The fund is named for Glenna<br />
Rowsell, a pioneer of Canada’s nursing trade<br />
union movement.<br />
Applications for 2007 bursaries must be<br />
received by midnight February 28, 2007.<br />
Successful applicants will be notified by<br />
mail within one month of the decision by<br />
the Committee.<br />
Criteria for eligibility:<br />
1. Must provide a copy of an ONA Membership<br />
card as proof of bona fide membership.<br />
2. Must provide a Member Education Plan<br />
outlining the course <strong>and</strong> outcomes for the<br />
member <strong>and</strong>/or Local.<br />
3. Must be a labour-related educational program/course.<br />
4. Must show proof of acceptance in a<br />
labour educational program or course<br />
(other than ONA).<br />
5. A letter from the Local Executive must<br />
accompany the application, verifying the<br />
applicant is a member of the Local. This<br />
may include a short statement about the<br />
applicant’s participation at the Local level.<br />
6. Bursary will be awarded <strong>and</strong> monies will<br />
be provided to successful applicants upon<br />
proof of completion of course.<br />
An application form can be obtained<br />
from your Local Coordinator or Bargaining<br />
Unit President, or is downloadable from<br />
ONA’s website at www.ona.org. You can find<br />
the form in the Members Section under<br />
“Services <strong>and</strong> Benefits.” Click on the link<br />
to “Financial aid <strong>and</strong> bursaries.” You will<br />
need your ONA ID to log in to the Members<br />
Section.<br />
For more information on the Glenna<br />
Rowsell Bursary Fund, please contact Ruth<br />
Ciavaglia, RN, of the LEAP Advisory Team<br />
at (416) 964-8833, ext. 2211 in Toronto, or<br />
(toll-free) 1-800-387-5580, press “0,” <strong>and</strong><br />
ext. 2211. E-mail: ruthc@ona.org.<br />
ONA, three other <strong>Ontario</strong> nursing organizations endorse<br />
provincial government ad campaign<br />
ONA <strong>and</strong> three other provincial nursing<br />
organizations are supporting an<br />
<strong>Ontario</strong> Ministry of Health <strong>and</strong> Long-Term<br />
Care’s advertising campaign depicting the<br />
work of nurses.<br />
Also supporting the campaign, which<br />
got underway in March, are the College of<br />
Nurses of <strong>Ontario</strong> (CNO), the Registered<br />
Nurses <strong>Association</strong> of <strong>Ontario</strong> (RNAO)<br />
<strong>and</strong> the Registered Practical Nurses<br />
<strong>Association</strong> of <strong>Ontario</strong> (RPNAO).<br />
The campaign includes radio, newspaper<br />
<strong>and</strong> television ads showing nurses<br />
working in hospital, community, longterm<br />
care <strong>and</strong> other settings, as well as<br />
media stories featuring nurses in all sectors<br />
<strong>and</strong> a range of activities that fall under<br />
the nursing profession. It is intended to<br />
increase the public’s underst<strong>and</strong>ing of the<br />
role of nurses in delivering health care.<br />
The campaign is part of the Ministry’s<br />
Health Human Resources Strategy (HHRS)<br />
to recruit <strong>and</strong> retain nurses <strong>and</strong> other<br />
health care professionals.<br />
“We support the campaign in principle<br />
because it helps for nurses to be highlighted<br />
in the public, <strong>and</strong> it supports the critical role<br />
we play in the health care system,” said ONA<br />
President Linda Haslam-Stroud, RN.<br />
“It also supports our efforts around reten-<br />
tion <strong>and</strong> recruitment of nurses, <strong>and</strong> is a<br />
complementary message to our own Still<br />
Not Enough Nurses campaign.”<br />
<strong>Ontario</strong> Chief Nursing Officer Sue<br />
Matthews said the campaign recognizes<br />
the value, knowledge, expertise <strong>and</strong> experience<br />
of <strong>Ontario</strong> nurses.<br />
“Today’s nurses are highly qualified <strong>and</strong><br />
a key part of the team strengthening health<br />
care in <strong>Ontario</strong>. We believe this message<br />
needs to be reinforced with Ontarians.<br />
I am very pleased the Ministry is working<br />
in partnership with the CNO, ONA,<br />
RNAO <strong>and</strong> RPNAO to find ways to communicate<br />
this message more broadly,” said<br />
Matthews.<br />
“Public education is just a first step.<br />
Much more is being done <strong>and</strong> needs to be<br />
done to support nurses <strong>and</strong> the integral<br />
role they play in delivering health care<br />
to Ontarians. Working together, I believe<br />
we can support the nursing profession<br />
<strong>and</strong> build a better health care system in<br />
<strong>Ontario</strong>.”<br />
ONTARIO NURSES’ ASSOCIATION 7
ONA MEMBERS ACROSS ONTARIO<br />
Interested in ONA education? Here’s how!<br />
Visit ONA’s website at www.ona.org for complete information on how to access ONA<br />
education. The webpage has been updated to provide you with the information you need to<br />
see what’s available <strong>and</strong> how you can register.<br />
Members immersed in learning at<br />
It’s easy!<br />
ONA workshops.<br />
Visit www.ona.org, click on Education,<br />
Workshop Calendar, then select a workshop<br />
to review a synopsis of the program.<br />
The link will also provide you with information<br />
regarding location, registration cut-off<br />
dates, Local contact information, District<br />
Service Team contact, Map Quest for directions,<br />
etc.<br />
Want to preview the calendar by month?<br />
Click on Workshop Calendar to preview<br />
the programs by month of the year.<br />
Want to print a copy of the calendar?<br />
Click on Download PDF Calendar <strong>and</strong><br />
print by month.<br />
Not sure which program will be best suited to you?<br />
Click on Course Descriptions <strong>and</strong> review the programs that ONA<br />
offers members.<br />
ONA courses are open to all members. If interested, contact the listed<br />
Local or District Service Team representative for more information.<br />
FAQs<br />
I’m interested in attending a workshop listed for London; do I have<br />
to attend all the workshops listed during that period in London?<br />
No. You may attend one single day of education or you could<br />
attend several different workshops. However, you need to complete<br />
a separate registration form for each workshop you wish<br />
to attend. Contact your Bargaining Unit President or the Local<br />
contact that is listed for more information.<br />
How do I register for a program?<br />
Contact the listed Local contact or District Service Team contact<br />
for more information.<br />
Do I get paid when attending ONA education?<br />
Salary reimbursement for attendance at ONA education is<br />
determined by the Local Executive. Contact your Bargaining<br />
Unit President or Local Coordinator for more information.<br />
Can I use my attendance at ONA programs for Quality Assurance?<br />
Several of ONA’s workshops may help satisfy your obligations under<br />
the College of Nurses of <strong>Ontario</strong>’s Quality Assurance Program.<br />
Feedback from ONA Education Programs<br />
Bargaining Unit Structure (1 day):<br />
• As a new representative, it gave me a good underst<strong>and</strong>ing<br />
of the structure of ONA at all levels.<br />
• I now underst<strong>and</strong> my role as a union representative a<br />
whole lot better than I did before.<br />
Navigating the Collective Agreement (2 days):<br />
• Using the collective agreements <strong>and</strong> scenarios provided,<br />
we learned how to analyze each word in the clauses very<br />
carefully.<br />
• The group discussions <strong>and</strong> scenarios were very helpful.<br />
Modified/Safe Return to Work (1 day):<br />
• 85 per cent of participants felt this workshop gave them a<br />
clearer underst<strong>and</strong>ing of the role of the Union <strong>and</strong> employer<br />
in dealing with accommodation in the workplace.<br />
Grievance Arbitration (2 days):<br />
• 90 per cent of participants said this workshop addressed<br />
the gaps they had in underst<strong>and</strong>ing their role in the grievance<br />
arbitration process.<br />
• The most important points learned were: know your collective<br />
agreement, know ONA policies around grievances,<br />
be fair, investigate, clarify <strong>and</strong> support your members <strong>and</strong><br />
communicate, communicate, communicate.<br />
Effective Communications:<br />
• The most important points covered included: ways of dealing<br />
with negative behaviour; dealing with difficult individuals;<br />
helped me identify weaknesses in my communications;<br />
useful practical everyday stuff; liked the advice “When you<br />
do, I feel” as a way of dealing with difficult conversations.<br />
8 VISION, SUMMER 2006
ONA MEMBERS ACROSS ONTARIO<br />
Royalcrest bankruptcy settlement<br />
Registered Retirement Savings Plan (RRSP) payouts for ONA members<br />
from nine Royalcrest facilities in Hamilton <strong>and</strong> Toronto areas<br />
ONA has achieved a RRSP settlement for registered<br />
nurses who worked for the Royalcrest<br />
chain of nursing homes (Norcliffe, Stoney<br />
Creek, St. Olga’s, Townsview, Brantwood,<br />
Mississauga, Yorkview, Marnwood <strong>and</strong><br />
Strathaven) from November 13, 2002 to May 2,<br />
2005. This settlement is made in lieu of RRSP<br />
contributions during the insolvency period.<br />
On May 2, 2005, the Trustee (Ernst <strong>and</strong><br />
Young) paid $100,000 to Open Access on<br />
behalf of participating <strong>and</strong> former nursing<br />
staff. This money was allocated on a pro rata<br />
basis in respect of group RRSP plan contributions<br />
<strong>and</strong> deductions. The allocations were<br />
based upon the number of hours worked by<br />
each participating <strong>and</strong> former nursing staff<br />
member prior to May 2, 2005.<br />
Since May 2005, Open Access <strong>and</strong> ONA<br />
have been trying to locate past ONA members<br />
to ensure they receive their entitlement.<br />
We have been successful in many cases.<br />
The list that follows are members, past <strong>and</strong><br />
present, who have not responded to our<br />
mailings.<br />
On March 21, 2006, Open Access transferred<br />
the outst<strong>and</strong>ing monies back to ONA<br />
for disbursement. We have changed the<br />
process to facilitate ensuring our members<br />
receive their money. ONA will mail cheques<br />
for individual entitlements through ADP, the<br />
payroll provider. This process will ensure<br />
that each member receives a T4 slip for<br />
February 2007.<br />
In order to receive your entitlement, ONA<br />
requires that you provide us your full name,<br />
Social Insurance Number <strong>and</strong> current address.<br />
The nurses listed here have not yet contacted<br />
us. If your name is on this list, please<br />
contact Leanne Cooke at ONA head office in<br />
Toronto by September 15, 2006. Phone (416)<br />
964-8833 in Toronto or toll-free 1-800-387-<br />
5580, press 0, <strong>and</strong> ext. #2233, or e-mail<br />
Leanne at leannec@ona.org.<br />
Brantwood Lifecare<br />
Centre<br />
Bamforth, Dale<br />
Dhillon, Gursimransit<br />
Galambos, Stephanie<br />
Guzman-Payer, Nelly<br />
Heals, Katrina<br />
Holmes, Gail<br />
Liu, Lanbing<br />
Loft, Andrea<br />
Mahmutovic, Vildana<br />
Mavikaya, Fatma<br />
Mbanga, Miriro<br />
Ozen, Ayten<br />
Paton, S<strong>and</strong>ra A<br />
Poisson, Janet<br />
Walton, Marie<br />
Marnwood Lifecare<br />
Centre<br />
Barber, Susanne<br />
Carveth, Anne<br />
Church, Linda<br />
Cole, Samuel<br />
Crooks, Jennifer<br />
Fischer, Pamela<br />
Mendyk, Sharon<br />
Millson, Nicole<br />
Oliver, Gloria<br />
Pegg,Cheryl<br />
Roy, Krista<br />
Ruthard, Jennie<br />
Vivian, Kim<br />
Mississauga Lifecare<br />
Centre<br />
Aguila, Karla Mae V<br />
Antao, Florine<br />
Arning, Cristina<br />
Bailey, Jennifer<br />
Blums, Baiba<br />
Bottu, Mary<br />
Brion, Celia<br />
Burkovska, Marina<br />
Charles, Sini<br />
Chepurnaya, Olga<br />
Das, Ms, Poly<br />
Faisal, Erum<br />
Faraon, Celeste<br />
Gadioma, Diana<br />
Gong, Zhang Yu<br />
Ivanova, Loty<br />
Jose, Philomena<br />
Kuzhivelil, Jolly G<br />
Lonc, Galyna<br />
Mcanuff,Debbie<br />
Memelli, Demirke<br />
Memelli, Mira<br />
Mir<strong>and</strong>a, Cheryl<br />
Naje, Resurreccion<br />
Najjar, Nabila<br />
Nguyen, Hanh<br />
Noor, Fatima<br />
Osei-Tutu, Patience<br />
Oshin, Edith I<br />
Parsons, Virginia A<br />
Perera, Mallika<br />
Rogic, Ivana<br />
Roiballove, Irene<br />
San Juan, Marilou<br />
Sharifi, Karima<br />
Sharifi, Naeed<br />
Thomas, Sherin<br />
Thomas, Sherie<br />
Vidanocic, Dragana<br />
Visconde, Anabelle<br />
Visconde, Analyn<br />
White, Val-Marie<br />
Williams, Camya<br />
Zhuk, Iryna<br />
Norcliffe Lifecare<br />
Centre<br />
Brosseau,Susan<br />
Currie,Marjorie E<br />
Kannawin,Shasta<br />
Lecluyse,Monique<br />
Vincent,Janet<br />
St. Olga’s Lifecare<br />
Centre<br />
Acierto, Amelia<br />
Blake, Nina<br />
Boodram, Vidya K<br />
Brake, Tanya C<br />
Cika, Mirjana<br />
Francia, Aquilina<br />
Fuller, Patricia A<br />
Henderson, Patricia A<br />
Kisaka, Chantal<br />
Klajic, Ljiljana<br />
Kurucz, Maria<br />
Lalonde, Elena<br />
Ning, Shumin<br />
Rafael, Rosario<br />
Vettukallel, Dolly<br />
Stoney Creek<br />
Lifecare Centre<br />
Andres, Michael<br />
Joseph, Leena<br />
Polo, Elva<br />
Strathaven Lifecare<br />
Centre<br />
Anderson, John-Scott<br />
Cassidy, Taunia<br />
Daniels, Mary A<br />
Geist, Sonya T<br />
Hyson, Jill<br />
Lohnert, Cass<strong>and</strong>ra D<br />
Perron, Melina<br />
Reynolds, Carol J<br />
Trickey, Kathleen<br />
Townsview Lifecare<br />
Centre<br />
Abay, Maria<br />
Calubaya, Maria<br />
Cruz, Sarah Jane<br />
Dela Cruz, Edwin<br />
Drummond, Maggie<br />
Flores, Editha<br />
Fruck, Kathy H<br />
Galvez, Maria<br />
Karina<br />
Liu, Lanbing<br />
Loft, Andrea S<br />
Macleod, Sharon<br />
Maqueda, Aleli<br />
Maqueda, Rhoana A<br />
Mazun, Janina<br />
Moreno, Cindy<br />
Owen, Constance<br />
Paderon, Henry<br />
Paredes, Ana<br />
Rodgers, Rosalin<br />
Saberon, Brezhnev<br />
Sy, Irma<br />
Wesolowsky, Sharon<br />
Wren, Jennifer<br />
Yorkview Lifecare<br />
Centre<br />
Adan,Zainab<br />
Agbonkpolar, Flora<br />
Amuadua,<br />
Birikorang<br />
Douglas, Askale<br />
Felicien, Anne<br />
Joseph, Paul<br />
Khanal, Bijaya<br />
Ma, Carrie<br />
Mahmoudi, Maryam<br />
Patterson, Julian<br />
Virdi, Namdeep Kaur<br />
ONTARIO NURSES’ ASSOCIATION 9
ONA MEMBERS ACROSS ONTARIO<br />
Our members write<br />
LHINs cause for concern<br />
Reprinted from the London Free Press<br />
(February 2006)<br />
Job losses at St. Thomas-Elgin General will impact<br />
patient care, says ONA member<br />
Reprinted from the St. Thomas Times-Journal (March 2006)<br />
Re: “STEGH cuts jobs in face of deficit”<br />
I am writing about a new bill moving<br />
quickly through the legislative process.<br />
This is Bill 36, which is the formation<br />
of 14 Local Health Integration Networks<br />
(LHINs) that replace the old District Health<br />
Councils (DHCs) in <strong>Ontario</strong>. These new<br />
networks are being implemented to dictate<br />
<strong>and</strong> direct health care <strong>and</strong> funding in their<br />
designated areas. (For more information<br />
on LHINs, see the First Vice-President’s<br />
column on page 19 <strong>and</strong> Queen’s Park<br />
update on page 20.)<br />
Firstly, I have concerns about the word<br />
local. For the London area, the “local”<br />
region runs to the south to the shores of<br />
Lake Erie, north to Tobermory, west to<br />
Lake Huron just north of Sarnia, to the<br />
east almost to Kitchener. These new networks<br />
consist of a government-appointed<br />
Chief Executive Officer <strong>and</strong> a nine-member<br />
appointed board of directors, with a<br />
provincially-funded annual salary cost of<br />
$55 million. Added to this is the dismantling<br />
cost of the DHCs of $20 million.<br />
These government-appointed boards<br />
will dictate how <strong>and</strong> where health-care<br />
services will be provided. This will be done<br />
basically the same way the Community<br />
Care Access Centres were set up. Our<br />
health care will be provided through the<br />
bidding process. With this process, we all<br />
know that means going to the lowest bidder,<br />
not the best person, place or agency to<br />
provide the care or service.<br />
My question to the McGuinty government<br />
is, what happened to its campaign<br />
promises to improve health care <strong>and</strong><br />
access to health care in <strong>Ontario</strong>?<br />
We as health care consumers need to<br />
hold the <strong>Ontario</strong> government accountable,<br />
before our equal access to good<br />
health care is gone forever.<br />
Dawn Blenkhorn-Bax, RN<br />
Local 100 Coordinator<br />
London Health Sciences Centre,<br />
London, <strong>Ontario</strong><br />
I am writing to express my disappointment regarding the second page coverage on<br />
March 2 on job cuts at St. Thomas-Elgin General Hospital (STEGH).<br />
As a long-time employee <strong>and</strong> Bargaining Unit President of the <strong>Ontario</strong> Nurses’<br />
<strong>Association</strong> (ONA), representing the registered nurses at STEGH, I feel rather slighted<br />
that our local newspaper chose not to make this front page news.<br />
There have <strong>and</strong> will be jobs lost at all levels in our organization, labour <strong>and</strong> management<br />
alike. We have three unions representing employees at STEGH – the CAW, OPSEU<br />
<strong>and</strong> ONA. All three unions have worked closely with our employer over the past two<br />
years in an effort to make all programs <strong>and</strong> services remain viable.<br />
Unfortunately, their efforts were not enough, <strong>and</strong> at the end of the day, job loss will<br />
be inevitable.<br />
I’ve not been privy to the “potential” reductions in the other unions, but ONA st<strong>and</strong>s<br />
to lose up to 17 full time members ... all registered nurses. This will significantly impact<br />
patient care delivery at our facility, something the citizens of St. Thomas <strong>and</strong> Elgin<br />
County may want to sit up <strong>and</strong> take notice of.<br />
The days ahead are going to be very difficult for all of us at STEGH. It is my hope<br />
that when our local newspaper runs an article about the deficit <strong>and</strong> ensuing loss of<br />
employment, it will make front page news. It is a significant local issue <strong>and</strong> deserves to<br />
be treated as such.<br />
Trudy Frank-MacEwen, RN<br />
Bargaining Unit President, ONA Local 36<br />
St. Thomas-Elgin General Hospital, St. Thomas, <strong>Ontario</strong><br />
Another <strong>Ontario</strong> nurse lost to the United States<br />
Reprinted from the Stratford Beacon Herald (November 2005)<br />
Recently I have noticed many posters <strong>and</strong><br />
advertisements concerning the shortage of<br />
nurses in <strong>Ontario</strong> <strong>and</strong> Canada in general.<br />
I am a distressed father who assisted his<br />
daughter in her re-location to Brockton,<br />
Massachusetts to assume a full-time RN<br />
position in an emergency department. She<br />
was interviewed at two hospitals in the<br />
Boston area <strong>and</strong> immediately was offered<br />
full time positions at both. Even though<br />
she had no specific ER experience, they<br />
had the foresight to see her potential to<br />
learn.<br />
My daughter graduated in May 2004<br />
with her BScN from Hamilton’s McMaster<br />
University. She sent resumés <strong>and</strong> applications<br />
to hospitals throughout <strong>Ontario</strong>,<br />
including remote areas of the province <strong>and</strong><br />
larger centres like Toronto.<br />
To secure full-time employment, she<br />
accepted a position on a Resource Nursing<br />
Team in Hamilton, where she worked<br />
in four hospitals on 18 different units<br />
for 18 months, gaining much knowledge<br />
<strong>and</strong> experience. The only other employment<br />
offered her was a casual position<br />
in a Toronto hospital with no guaranteed<br />
hours. Most hospitals did not even<br />
acknowledge her application.<br />
If the provincial <strong>and</strong> federal government<br />
wish to keep well-educated nurses<br />
in this country, hospital management has<br />
to be open to assist these nurses in further<br />
education <strong>and</strong> training for specific areas<br />
where there are extreme shortages. More<br />
full-time positions need to be available.<br />
Gerry James,<br />
Stratford, <strong>Ontario</strong><br />
10 VISION, SUMMER 2006
President’s message<br />
Linda Haslam-Stroud, RN<br />
ONA President<br />
Central bargaining underway for<br />
hospital sector members<br />
Bargaining for ONA’s 46,000 members in the hospital sector<br />
commenced the week of February 27 to March 3, <strong>and</strong> was followed by<br />
a second week of negotiations held April 3-7.<br />
ONA is negotiating on behalf of members from approximately 149<br />
hospital-sector bargaining units.<br />
During the first week, we finalized <strong>and</strong> signed the Memor<strong>and</strong>um<br />
of Conditions for Joint Bargaining with the <strong>Ontario</strong> Hospital<br />
<strong>Association</strong> (OHA) team. The memor<strong>and</strong>um establishes the process<br />
<strong>and</strong> time frame for negotiations. We exchanged proposals with the<br />
employer <strong>and</strong> spent the remainder of the week addressing non-monetary<br />
proposals.<br />
With the assistance of a provincial conciliation officer, we continued<br />
to negotiate the non-monetary proposals into the second week of<br />
bargaining, but unfortunately came to an impasse on a number of key<br />
issues relating to job security. We proceeded to table our monetary<br />
proposals.<br />
Following some intense discussions, suffice it to say we remain a<br />
significant distance apart. The challenge of a negotiated settlement<br />
appears to be large – but your bargaining team remains hopeful of a<br />
settlement <strong>and</strong> is working hard towards that objective.<br />
We have jointly requested a “no-board report” from the conciliation<br />
office, <strong>and</strong> by the time you read this column, we will have met<br />
with the employer for mediation at the end of May. We are hopeful<br />
the mediator will assist in getting our negotiations back on track.<br />
For a full list of the participating hospitals, refer to the Memor<strong>and</strong>um<br />
of Conditions for Joint Bargaining on ONA’s website at www.ona.org<br />
in the Members Section. You will need to use your ONA ID number<br />
to access this area. Click on the link “Hospital Central Collective<br />
Agreement finalized.”<br />
A number of hospitals have chosen not to participate in this central<br />
round, including: Niagara Health Systems; Halton Healthcare<br />
(Georgetown site); Homewood; James Bay; Tillsonburg; Shouldice;<br />
McCall Centre; University Health Network (Radiation Therapists);<br />
London Health Sciences (Radiation Therapists); Lakeridge Allied;<br />
<strong>and</strong> Chapleau clerical. As participation in the central process is<br />
What’s happening with the 2004-05 Hospital Collective Agreement?<br />
The Keller Arbitration Board has issued its decision to “order up” the collective<br />
agreement that was brought down in an arbitration award in November 2005. The<br />
new collective agreement can be found on ONA’s website at www.ona.org in the<br />
“FAQ” Section linked from the Home Page, <strong>and</strong> also in our Members Section.<br />
If you have not yet received your Collective Agreement booklet, contact your<br />
Bargaining Unit President. A French translation of the agreement is also available<br />
by request through your Bargaining Unit President.<br />
voluntary, we will have to bargain these collective agreements at the<br />
Local level, but we expect they will settle on the basis of any central<br />
interest arbitration award or settlement.<br />
The Memor<strong>and</strong>um signed by ONA <strong>and</strong> the OHA included a time<br />
frame that will see local bargaining begin on or after November 15,<br />
2006. Labour Relations Officers (LROs) will soon be contacting their<br />
bargaining units about the Local process.<br />
As I write this column, we are quite far apart on a number of key<br />
issues. While we were able to agree on some editorial/housekeeping<br />
amendments to the collective agreement <strong>and</strong> minor non-monetary<br />
issues, the priority issues identified in the Have-a-Say membership<br />
research remain unresolved. The top five bargaining priorities for<br />
members are:<br />
1. Wages.<br />
2. Health & Welfare Benefits/retirement/leave issues.<br />
3. Workload/staffing/job security/scheduling/shift issues.<br />
4. Education issues/part-time issues/working conditions/workplace<br />
safety.<br />
5. More permanent/full-time positions/seniority issues/sick leave<br />
issues.<br />
You can review charts showing our respective bargaining proposals<br />
in the central bargaining update on ONA’s website.<br />
If mediation is not successful, we hope to have arbitration dates<br />
set for June <strong>and</strong>/or July. We are presently awaiting confirmation of<br />
available dates from the arbitrator.<br />
Regular updates on hospital central bargaining will be posted on<br />
ONA’s website in the Members Section, as well as in bulletins distributed<br />
to Local Coordinators <strong>and</strong> Bargaining Unit Presidents. To get<br />
regular updates by phone, call ONA’s toll-free number at 1-800-387-<br />
5580, dial “0” for the Toronto office, <strong>and</strong> extension #7740.<br />
If you have any questions for the Hospital Central Negotiating<br />
Team (HCNT), please send them to my attention at lindahs@ona.<br />
org. I will see they are brought to the attention of HCNT Chair Pat<br />
McDonald, RN.<br />
Bargaining for your collective agreement is a key priority for ONA.<br />
Your elected team <strong>and</strong> staff continue to work diligently<br />
on your behalf to achieve a timely resolution to negotiations.<br />
As the heart of health care, you deserve a collective<br />
agreement that recognizes your professional expertise<br />
<strong>and</strong> your valuable role <strong>and</strong> contribution to <strong>Ontario</strong>’s<br />
health care system. Your team will continue to negotiate<br />
on that basis.<br />
For an update on bargaining in other sectors, turn to<br />
page 21.<br />
ONTARIO NURSES’ ASSOCIATION 11
CEO’s message<br />
Lesley Bell, RN<br />
ONA Chief Executive Officer<br />
The specter of an Avian flu p<strong>and</strong>emic raises old questions about<br />
protecting the lives of our members on the front lines<br />
We don’t want to<br />
see a repeat of<br />
the disaster that<br />
was SARS. We<br />
don’t want to see<br />
our nurses dying<br />
in a flu p<strong>and</strong>emic<br />
because of the<br />
government’s<br />
lack of readiness<br />
<strong>and</strong> because of<br />
inadequate safety<br />
equipment.<br />
With pockets of Avian flu beginning to surface the<br />
world over, we as front-line health care providers have<br />
some tough questions to ask in terms of whether we are<br />
sufficiently protected in the event of a flu p<strong>and</strong>emic.<br />
As the first health care professionals to see patients in<br />
many clinical settings, we are immediately at risk of<br />
infection in the event of flu outbreaks or outbreaks of<br />
other diseases, such as SARS, if we don’t have adequate<br />
protection.<br />
All of us can recall vividly how terrifying it was when<br />
the then-mysterious SARS broke out in March 2003 <strong>and</strong><br />
continued on into the summer months, ultimately<br />
impacting hundreds of our members <strong>and</strong> resulting in<br />
the death of two of them, Nelia Laroza, RN, <strong>and</strong> Tecla<br />
Lin, RN.<br />
At the end of the day, the government <strong>and</strong> employers<br />
were not ready for the outbreak of this insidious disease,<br />
<strong>and</strong> we only learned how to protect ourselves through<br />
trial <strong>and</strong> error. Our government failed to protect our<br />
nurses by providing insufficient <strong>and</strong> often conflicting<br />
information, inadequate protective equipment <strong>and</strong><br />
making lukewarm dem<strong>and</strong>s of our employers for<br />
compliance on health <strong>and</strong> safety directives – until it was<br />
far too late.<br />
We don’t want to see a repeat of the disaster that was<br />
SARS. We don’t want to see our nurses dying in a flu<br />
p<strong>and</strong>emic because of the government’s lack of readiness<br />
<strong>and</strong> because of inadequate safety equipment. Based on<br />
our experiences of the h<strong>and</strong>ling of SARS in 2003, we<br />
question this government’s commitment to provide our<br />
members with the protections they require in the<br />
h<strong>and</strong>ling of potentially fatally ill patients.<br />
There is a dispute now on the type of personal<br />
protective equipment that is to be made available to<br />
health care workers in the event of a flu outbreak.<br />
Currently, we are told the federal government is<br />
stockpiling 4.5 million st<strong>and</strong>ard surgical masks, at a<br />
cost of 10 cents per mask, as a protective measure for<br />
health care workers in a flu p<strong>and</strong>emic in Canada.<br />
Similarly in <strong>Ontario</strong>, officials plan to supply health care<br />
workers with surgical masks, yet we are told, emergency<br />
services workers (eg. paramedics, ambulance<br />
attendances, etc.), a male-dominated workforce, will be<br />
equipped with “face shields, Tyvex suits <strong>and</strong> N95<br />
respirators.”<br />
We don’t think surgical masks are enough to protect<br />
our members. We learned that st<strong>and</strong>ard surgical masks<br />
were a useless barrier against SARS. We dem<strong>and</strong>ed, <strong>and</strong><br />
finally got N95 respirators to protect our members<br />
against SARS, but that too was fraught with problems in<br />
that there was insufficient information provided on how<br />
to properly fit <strong>and</strong> use them. Nor were there enough of<br />
them for our members.<br />
Now we’re being told we won’t need them in the<br />
event of an outbreak of Avian flu, despite scientific<br />
evidence that indicates influenza is airborne <strong>and</strong> that<br />
N95 respirators are the minimum protection that<br />
should be used, <strong>and</strong> despite the fact that other workers<br />
will have them.<br />
Well that’s just not good enough.<br />
Even if N95s cost 10 times as much as st<strong>and</strong>ard<br />
surgical masks, as we are told they do, it’s irrelevant to<br />
the health <strong>and</strong> safety of our members. Their lives<br />
should not be subject to a gamble, nor a decision that<br />
gets down to simple dollars <strong>and</strong> cents.<br />
And this time, they can’t plead ignorance in terms of<br />
effectiveness <strong>and</strong> which type of personal protective<br />
equipment is more suitable to protect our members.<br />
The World Health Organization recommends N95<br />
masks for Avian flu, but Canadian federal <strong>and</strong> <strong>Ontario</strong><br />
provincial officials are hedging by insisting there is no<br />
evidence to show they provide any more protection<br />
than the st<strong>and</strong>ard surgical masks that proved useless<br />
against SARS.<br />
We will not take that gamble.<br />
We need the best equipment available to protect our<br />
members, <strong>and</strong> in sufficient supplies. We will continue<br />
to speak out <strong>and</strong> dem<strong>and</strong> appropriate protective<br />
equipment.<br />
12 VISION, SUMMER 2006
Un mot de la Présidente<br />
Linda Haslam-Stroud, inf. aut.<br />
Présidente de l’AIIO<br />
Le processus de négociation centrale<br />
est en cours pour les membres du<br />
secteur hospitalier<br />
Les négociations pour les 46 000 membres de l’AIIO dans le<br />
secteur hospitalier ont commencé la semaine du 27 février au 3 mars<br />
et se sont poursuivies lors d’une deuxième semaine de négociations,<br />
du 3 au 7 avril.<br />
L’AIIO négocie pour le compte d’environ 149 unités de négociation<br />
du secteur hospitalier.<br />
Au cours de la première semaine, nous avons finalisé et signé le<br />
Protocole sur les conditions de négociation commune avec l’équipe<br />
de l’<strong>Association</strong> des hôpitaux de l’<strong>Ontario</strong> (OHA). Le protocole<br />
établit le processus et l’échéancier convenus pour les négociations.<br />
Nous avons échangé des propositions avec l’employeur et consacré le<br />
reste de la semaine à traiter les questions non monétaires.<br />
Avec l’aide d’une conciliatrice provinciale, nous avons poursuivi<br />
nos négociations relatives aux propositions non monétaires lors de<br />
la deuxième semaine du processus. Malheureusement, nous sommes<br />
arrivés à une impasse quant à bon nombre de questions clés liées à<br />
la sécurité d’emploi. Nous avons alors commencé à discuter de nos<br />
propositions sur les questions d’ordre monétaire.<br />
À l’issue de discussions intenses, contentons-nous de dire que<br />
nous sommes loin de voir les choses du même oeil. Le défi que<br />
représente la négociation d’un règlement est de taille, mais votre<br />
équipe de négociation espère toujours pouvoir y parvenir et déploie<br />
des efforts soutenus en ce sens.<br />
Nous avons dem<strong>and</strong>é conjointement un « rapport recomm<strong>and</strong>ant<br />
de ne pas instituer de commission de conciliation » au bureau de<br />
la conciliation et, qu<strong>and</strong> vous lirez cette chronique, nous aurons<br />
rencontré l’employeur en vue de passer à la médiation en mai. Nous<br />
avons bon espoir que le médiateur nous aidera à remettre les négociations<br />
sur la bonne voie.<br />
Pour obtenir la liste complète des hôpitaux participants, veuillez<br />
consulter le Protocole sur les conditions de négociation commune<br />
dans la section réservée aux membres du site Web de l’AIIO à<br />
l’adresse www.ona.org. Vous aurez besoin de votre numéro de membre<br />
de l’AIIO pour avoir accès à cette section. Veuillez cliquer sur le<br />
lien « La convention collective centrale des hôpitaux est finalisée ».<br />
Certains hôpitaux ont choisi de ne pas participer à cette série<br />
de négociation centrale, dont : Niagara Health Systems; Halton<br />
Healthcare (établissement de Georgetown); Homewood; James Bay;<br />
Tillsonburg; Shouldice; McCall Centre; le Réseau universitaire<br />
de santé (radiothérapeutes); London Health Sciences (radiothérapeutes);<br />
Lakeridge Allied et le personnel administratif de Chapleau.<br />
Comme la participation au processus central est de nature volontaire,<br />
nous devrons négocier ces conventions collectives à l’échelle locale,<br />
mais nous prévoyons qu’elles seront fondées sur toute décision<br />
d’arbitrage ou tout règlement d’intérêt central éventuels.<br />
Le Protocole signé par l’AIIO et l’OHA inclut un échéancier selon<br />
lequel les négociations locales commenceront le 15 novembre 2006<br />
ou après cette date. Les responsables des relations de travail communiqueront<br />
bientôt avec leurs unités de négociation à propos du<br />
processus de négociations locales.<br />
Au moment où j’écris cette chronique, notre position et celle<br />
de l’employeur quant à de nombreuses questions clés sont très<br />
éloignées. Bien que nous soyons parvenus à nous entendre sur certaines<br />
modifications éditoriales ou d’ordre administratif à la convention<br />
collective et sur quelques questions non monétaires mineures, il<br />
a été impossible de conclure une entente sur les priorités dégagées du<br />
questionnaire Exprimez-vous rempli par les membres. Voici les cinq<br />
principales priorités de négociation :<br />
1. les salaires;<br />
2. les questions relatives aux avantages liés à l’assurance-maladie, au<br />
mieux-être, à la retraite et aux congés;<br />
3. les questions relatives à la charge de travail, à la dotation en personnel,<br />
à la sécurité d’emploi, aux horaires et aux quarts de travail;<br />
4. les questions relatives à la formation, au travail à temps partiel,<br />
aux conditions de travail et à la sécurité en milieu de travail;<br />
5. les autres questions relatives aux emplois permanents, au travail à<br />
temps plein, à l’ancienneté et aux congés de maladie.<br />
Vous pouvez consulter des graphiques illustrant nos propositions<br />
de négociation respectives dans la section des mises à jour sur les<br />
négociations centrales du site Web de l’AIIO.<br />
Si la médiation ne permet pas de parvenir à une entente, nous espérons<br />
fixer des dates pour l’arbitration en juin ou en juillet. Nous attendons<br />
actuellement la confirmation des dates de disponibilité de l’arbitre.<br />
Des mises à jour régulières seront publiées dans la section réservée aux<br />
membres du site Web de l’AIIO, ainsi que dans les bulletins distribués<br />
aux coordonnatrices locales et aux présidents des unités de négociation.<br />
Pour obtenir des mises à jour régulières par téléphone, veuillez composer<br />
le numéro sans frais de l’AIIO, soit le 1 800 387-5580, puis composer<br />
le « 0 » pour le bureau de Toronto et le numéro de poste 7740.<br />
Si vous avez des questions pour l’Équipe centrale de négociation<br />
des hôpitaux, veuillez me les faire parvenir à lindahs@ona.org. Je<br />
m’assurerai de les transmettre à la présidente de l’Équipe centrale de<br />
négociation des hôpitaux, Pat McDonald, inf. aut.<br />
Négocier une convention collective en votre nom est une priorité<br />
essentielle pour l’AIIO. Votre équipe élue continue de travailler sans<br />
relâche pour votre compte afin de conclure les négociations en temps<br />
opportun.<br />
Au coeur même des soins de santé, vous méritez une convention<br />
collective qui reconnaît votre savoir-faire professionnel ainsi que<br />
votre apport et le rôle d’importance que vous jouez dans le système<br />
de soins de santé de l’<strong>Ontario</strong>. Votre équipe continuera de négocier<br />
en se fondant sur cette réalité.<br />
Pour obtenir une mise à jour sur les négociations dans d’autres<br />
secteurs, veuillez vous référer à la page 21.<br />
ONTARIO NURSES’ ASSOCIATION 13
Message de la directrice generale<br />
Lesley Bell, inf. aut.,<br />
Directrice générale<br />
Le spectre d’une p<strong>and</strong>émie de grippe aviaire réveille de vieilles questions<br />
sur la protection de la vie de nos membres en première ligne<br />
Nous ne voulons<br />
pas que le<br />
désastre du SRAS<br />
se répète. Nous<br />
ne voulons pas<br />
voir nos<br />
infirmières mourir<br />
dans une<br />
p<strong>and</strong>émie de<br />
grippe à cause du<br />
manque de<br />
préparation du<br />
gouvernement ou<br />
de l’inefficacité<br />
de l’équipement<br />
de protection.<br />
Les foyers de grippe aviaire faisant leur apparition un<br />
peu partout dans le monde, nous, prestataires de soins de<br />
santé de première ligne, avons quelques sérieuses questions<br />
à poser quant à l’efficacité de notre protection en cas<br />
d’une p<strong>and</strong>émie de grippe.<br />
Comme nous sommes les premiers professionnels de la<br />
santé à voir les patients dans plusieurs établissements de<br />
soins, nous sommes directement exposés au risque<br />
d’infection en cas d’une éclosion de grippe ou de toute<br />
autre maladie, comme le SRAS, si nous ne sommes pas<br />
protégés adéquatement.<br />
Chacun de nous se rappelle très nettement la peur ressentie<br />
lorsque le SRAS, alors mystérieux, a fait éclosion en<br />
mars 2003 pour se poursuivre en été et finalement toucher<br />
des centaines de nos membres, ce qui a entraîné le décès<br />
de deux d’entre eux, Nelia Laroza, infirmière autorisée, et<br />
Tecla Lin, infirmière autorisée.<br />
En fin de compte, ni le gouvernement ni les employeurs<br />
n’étaient préparés à l’apparition de cette maladie insidieuse,<br />
et c’est par essais et erreurs que nous avons appris à nous<br />
protéger. Notre gouvernement n’a pas réussi à protéger nos<br />
infirmières en raison de l’information insuffisante et souvent<br />
contradictoire et de l’équipement de protection inadéquat<br />
qu’il leur a fournis, ainsi que des dem<strong>and</strong>es peu convaincantes<br />
qu’il faisait auprès de nos employeurs pour qu’ils se<br />
conforment aux directives en matière de santé et de sécurité,<br />
jusqu’à ce qu’il soit trop tard.<br />
Nous ne voulons pas que le désastre du SRAS se répète.<br />
Nous ne voulons pas voir nos infirmières mourir dans une<br />
p<strong>and</strong>émie de grippe à cause du manque de préparation du<br />
gouvernement ou de l’inefficacité de l’équipement de protection.<br />
Après l’expérience du SRAS en 2003, nous mettons en<br />
doute l’engagement du présent gouvernement de fournir à nos<br />
membres toute la protection requise pour travailler auprès de<br />
patients atteints d’une maladie potentiellement mortelle.<br />
Actuellement, un débat fait rage sur le type d’équipement<br />
de protection individuelle à fournir aux travailleurs de la<br />
santé en cas d’une p<strong>and</strong>émie de grippe. Le gouvernement<br />
fédéral nous dit qu’il fait une réserve de 4,5 millions de<br />
masques chirurgicaux st<strong>and</strong>ard, au coût de 10 cents l’unité,<br />
comme mesure de protection pour les professionnels de la<br />
santé en cas de p<strong>and</strong>émie de grippe au Canada. De même, en<br />
<strong>Ontario</strong>, les responsables prévoient distribuer des masques<br />
chirurgicaux aux professionnels de la santé; cependant, nous<br />
avons appris que les travailleurs des services d’urgence (p.<br />
ex. : techniciens médicaux d’urgence, ambulanciers, etc.), qui<br />
sont majoritairement des hommes, seront équipés «d’écrans<br />
faciaux, de combinaisons Tyvex et de respirateurs N95».<br />
Nous ne croyons pas que les masques chirurgicaux constituent<br />
une mesure de protection suffisante pour nos membres.<br />
Nous avons appris que les masques chirurgicaux<br />
st<strong>and</strong>ard formaient une barrière inutile contre le SRAS.<br />
Nous avons exigé, et finalement obtenu, des respirateurs<br />
N95 pour protéger nos membres contre le SRAS, mais<br />
l’information pour en faire une utilisation adéquate manquait<br />
cruellement. De plus, ces respirateurs étaient distribués<br />
en quantité insuffisante.<br />
Maintenant, on nous dit que nous n’en aurions pas besoin<br />
en cas d’éclosion de grippe aviaire, malgré la preuve scientifique<br />
qui indique que l’influenza se transmet dans l’air et que<br />
les respirateurs N95 constituent une protection minimale, et<br />
malgré le fait que d’autres travailleurs les porteront.<br />
Cela ne nous convient pas.<br />
Même si les respirateurs N95 sont dix fois plus chers<br />
que les masques chirurgicaux st<strong>and</strong>ard, selon ce que l’on<br />
nous a dit, cela ne doit pas compter qu<strong>and</strong> il s’agit de la<br />
santé et de la sécurité de nos membres. La vie de ces derniers<br />
ne doit pas être soumise à des risques inutiles ni à une<br />
décision qui ne repose que sur l’argent.<br />
Aujourd’hui, les autorités ne peuvent plaider l’ignorance<br />
pour ce qui est de l’efficacité et du type du matériel de<br />
protection individuelle qui est le plus efficace pour nos<br />
membres. Bien que l’Organisation mondiale de la Santé<br />
recomm<strong>and</strong>e les respirateurs N95 pour la grippe aviaire,<br />
les représentants des gouvernements canadien et ontarien<br />
se dérobent en arguant qu’il n’existe aucune preuve<br />
démontrant que cette pièce d’équipement offre plus de<br />
protection que les masques chirurgicaux st<strong>and</strong>ard, qui se<br />
sont avérés inefficaces contre le SRAS.<br />
Nous ne prendrons pas ce risque.<br />
La protection de nos membres exige le meilleur équipement<br />
qui soit, et en quantité suffisante. Nous continuerons<br />
de nous faire entendre et d’exiger un équipement de protection<br />
adéquat.<br />
14 VISION, SUMMER 2006
<strong>P3s</strong> <strong>and</strong> <strong>Privatization</strong>:<br />
A costly option<br />
ONA <strong>and</strong> other <strong>Ontario</strong> labour unions<br />
have been speaking out against<br />
privatization for a number of years.<br />
When the former Progressive Conservative<br />
government proposed construction of<br />
<strong>Ontario</strong>’s first Public-Private Partnership<br />
(P3) hospitals in Brampton <strong>and</strong> Ottawa,<br />
unionized workers were alarmed. They universally<br />
believed this heralded the beginning<br />
of a province-wide move towards full privatization<br />
of health care.<br />
With the ushering in of a Liberal government<br />
in 2003, the hope was the trend<br />
towards privatization would be reversed or<br />
cease. That has not been the case.<br />
Although the Liberals campaigned on a<br />
platform criticizing the Conservatives’ plans<br />
to build the Brampton <strong>and</strong> Ottawa P3 hospitals,<br />
<strong>and</strong> promised to shut them down, the<br />
McGuinty government has instead demonstrated<br />
a commitment to further exp<strong>and</strong>ing<br />
the P3 model for hospitals, <strong>and</strong> shown a<br />
decided interest in privatizing at least some<br />
health services.<br />
“ReNew <strong>Ontario</strong>” is the Liberal government’s<br />
five-year, $30-billion infrastructure<br />
investment plan. Announced in October 2005,<br />
this plan entails investing at least $5 billion by<br />
2010 to complete 105 hospital projects – with<br />
39 major hospitals projects already underway<br />
<strong>and</strong> a plan for 65 new ones.<br />
The provincial government has approved<br />
plans for private sector financing for the<br />
building <strong>and</strong> redevelopment of about onethird<br />
of these hospital projects, worth about<br />
$3 billion. To date, at least 23 hospital projects<br />
using a P3 financing method have been<br />
announced for <strong>Ontario</strong>.<br />
Six new projects announced<br />
In late March, the provincial government<br />
announced a “Request for Qualifications”<br />
(RFQ) for project teams to build <strong>and</strong> finance<br />
six of 11 new infrastructure initiatives for<br />
this fiscal year, 2006-07, including: Quinte<br />
Healthcare Corporation (Belleville site)<br />
redevelopment; Trillium Health Centre<br />
(Mississauga <strong>and</strong> Queensway sites) expansion<br />
<strong>and</strong> redevelopment; Sudbury Regional<br />
Hospital phase two restructuring; St. Joseph’s<br />
Health Centre (London) redevelopment;<br />
Bluewater Health (Sarnia, Norman site)<br />
expansion <strong>and</strong> renovation; <strong>and</strong> the GTA Youth<br />
Centre (Brampton) new youth justice facility.<br />
These projects fall under the government’s<br />
P3 financing scheme, which they renamed<br />
“Alternative Financing <strong>and</strong> Procurement”<br />
(AFP).<br />
While the government claims hospitals<br />
under AFP will be publicly owned, publicly<br />
accountable <strong>and</strong> publicly controlled, making<br />
them different from <strong>P3s</strong>, in fact they will be<br />
privately financed <strong>and</strong> will cost taxpayers<br />
more in the long run.<br />
This plan clearly opens the door to privatized<br />
health services in the hospital sector,<br />
<strong>and</strong> it has sparked a major backlash among<br />
<strong>Ontario</strong>’s labour movement. There have been<br />
countless rallies, town hall meetings, letterwriting<br />
campaigns <strong>and</strong> media events speaking<br />
out against <strong>P3s</strong> <strong>and</strong> privatization over the<br />
last few years, trying to get the message out<br />
that <strong>P3s</strong> do NOT offer value for money <strong>and</strong><br />
are simply the entry point for all-out privatized<br />
health care.<br />
What exactly are <strong>P3s</strong>?<br />
Hospitals have traditionally been built <strong>and</strong><br />
redeveloped using public money. Costs<br />
are lower because government can borrow<br />
money at a lower rate than private companies,<br />
<strong>and</strong> there is no profit line.<br />
<strong>P3s</strong> are modeled on the British Private<br />
Finance Initiative (PFI) introduced in 1992<br />
by Margaret Thatcher. Under this plan, a<br />
private corporation of financiers, construction<br />
companies, designers <strong>and</strong> service providers<br />
may finance, design, own <strong>and</strong> operate<br />
the building, leasing the hospital back to a<br />
health authority or local hospital board for a<br />
profit under a 20 to 60-year arrangement.<br />
ONTARIO NURSES’ ASSOCIATION 15
The companies make their profit through<br />
the financing deals, the long-term privatization<br />
of some range of hospital facility management<br />
<strong>and</strong> support services, user fees <strong>and</strong> service<br />
charges for patients <strong>and</strong> their visitors, private<br />
development on hospital grounds <strong>and</strong> technology<br />
or other ancillary business contracts.<br />
The government says these leases are not<br />
public debt, but they are.<br />
Government spokespeople have acknowledged<br />
that alternative private financing could<br />
also include bundled service delivery, which<br />
means services that otherwise would be “public”<br />
would be bundled into the overall package.<br />
<strong>P3s</strong> mean additional costs<br />
Based on the evidence, ONA <strong>and</strong> other<br />
unions believe that P3 hospitals will lead<br />
to unnecessary additional costs for patients,<br />
have a negative effect on work environments,<br />
reduce public control over our hospitals <strong>and</strong><br />
diminish the public health system.<br />
“As nurses, we value the ability to provide<br />
safe, competent <strong>and</strong> ethical care that allows us<br />
to fulfill our ethical <strong>and</strong> professional obligations<br />
to the people we serve. Nurses uphold the<br />
principles of equity <strong>and</strong> fairness to assist persons<br />
in receiving a share of health services <strong>and</strong><br />
resources proportionate to their needs,” said<br />
ONA President Linda Haslam-Stroud, RN.<br />
“We value <strong>and</strong> advocate for practice environments<br />
that have the organizational structures<br />
<strong>and</strong> resources necessary to ensure safety,<br />
support <strong>and</strong> respect for all persons in the<br />
work setting. These values are at risk when P3<br />
hospitals are introduced into communities.”<br />
<strong>P3s</strong> mean fewer beds, longer wait times,<br />
lower quality of care <strong>and</strong> fewer jobs.<br />
ONA <strong>and</strong> the broader labour movement<br />
continue to believe that privatization undermines<br />
the health system <strong>and</strong> the quality of care.<br />
Campaigns against <strong>P3s</strong> abound<br />
As services are rationed or become less publicly<br />
accessible, those individuals who can afford to<br />
purchase services will get them, while those<br />
who can’t afford it will have to do without.<br />
ONA has long held that health care should<br />
be delivered publicly through publicly owned<br />
<strong>and</strong> not-for-profit organizations under the<br />
guiding principles of the Canada Health Act.<br />
The proliferation of private, for-profit delivery<br />
of health care is a threat to Medicare <strong>and</strong><br />
must be stopped.<br />
“We must maintain a comprehensive, publicly-funded<br />
health care system. It is fundamental<br />
to our society,” said Haslam-Stroud.<br />
“Research indicates that a privatized system<br />
is more expensive to administer <strong>and</strong> leads to<br />
a decrease in access <strong>and</strong> quality. We know<br />
public Medicare works best <strong>and</strong> it is our best<br />
option for high quality, accessible <strong>and</strong> cost<br />
efficient health care. Public funding means<br />
access, quality, fairness, efficiency, affordability,<br />
accountability <strong>and</strong> choice, <strong>and</strong> our fight is<br />
to ensure that these values are protected.”<br />
Public funding is for service delivery<br />
Public funding for health care should be<br />
targeted for service delivery <strong>and</strong> not shareholder<br />
profits. The increased use of for-profit<br />
agencies in the direct provision of health<br />
care in <strong>Ontario</strong> – noteably in home care <strong>and</strong><br />
in nursing homes – seriously compromises<br />
access to quality patient care as funds are<br />
directed away from service delivery.<br />
As part of the <strong>Ontario</strong> Health Coalition (OHC) <strong>and</strong> an affiliate of the <strong>Ontario</strong> Federation of Labour<br />
(OFL), ONA has joined the groundswell of labour activity fighting P3 hospitals <strong>and</strong> privatization.<br />
ONA has teamed with the OHC <strong>and</strong> OPSEU for the “One voice for public health care” campaign,<br />
<strong>and</strong> continues to advocate for publicly-funded health care.<br />
So far over 50,000 votes saying no to <strong>P3s</strong> have been garnered from the public in OHC community<br />
plebiscites, <strong>and</strong> more plebiscites are being planned. To find out more, visit the OHC website<br />
at: http://www.web.net/ohc/<br />
To read more about the various campaigns, also check out the OFL’s website at www.ofl.ca/.<br />
The British Medical Journal <strong>and</strong> other studies<br />
report that the high cost of P3 financing<br />
schemes are borne by cutting clinical <strong>and</strong><br />
support staff budgets, <strong>and</strong> by reducing community<br />
health services.<br />
An analysis of <strong>P3s</strong> in North Durham,<br />
Scotl<strong>and</strong>, showed that the model led to downsizing<br />
of qualified nursing staff, reducing the<br />
number of nurses by 12 per cent. Across all<br />
British <strong>P3s</strong> studied, nurses have been cut on<br />
average by 14 per cent. The impact on patient<br />
care is devastating. Research in the U.S. found<br />
higher death rates in for-profit facilities where<br />
there were fewer trained nurses.<br />
In other studies, community health services<br />
in P3 hospital areas are also cut to pay for<br />
higher costs <strong>and</strong> profits. We can expect to see<br />
similar results as <strong>P3s</strong> take money away from<br />
hospital budgets, beds <strong>and</strong> staff, <strong>and</strong> reduce<br />
funding to local community health services.<br />
Nursing shortage will get worse<br />
<strong>Ontario</strong> is already suffering from a critical<br />
nursing shortage <strong>and</strong> finding it has too few<br />
nurses to deliver the care patients need. Any<br />
further erosion of the nursing workforce will<br />
create a crisis in our health care system.<br />
Nursing jobs are already threatened by the<br />
<strong>Ontario</strong> government’s balanced-budget m<strong>and</strong>ate<br />
imposed on hospitals. As well, <strong>Ontario</strong>’s<br />
newly-regionalized Local Health Integration<br />
Network system will have an impact on<br />
nursing jobs <strong>and</strong> services as a result of mergers<br />
<strong>and</strong> amalgamations.<br />
We don’t yet know the full impact of this<br />
move towards integration, but the last time<br />
<strong>Ontario</strong> undertook a major “transformation” of<br />
the health service delivery, thous<strong>and</strong>s of nursing<br />
hours were removed from the system as<br />
nurses faced layoffs or saw their full-time jobs<br />
fragmented into part-time <strong>and</strong> casual work.<br />
The <strong>Ontario</strong> government argues that the<br />
P3 model means hospitals will be built faster,<br />
on time <strong>and</strong> within budget, <strong>and</strong> will be under<br />
public control. Evidence shows otherwise.<br />
16 VISION, SUMMER 2006
An authoritative study by the British<br />
<strong>Association</strong> of Certified Chartered Accountants,<br />
many of whom have done accounting for P3<br />
hospitals, found that premiums charged by<br />
for-profit companies exceeded past cost overruns<br />
in publicly financed projects.<br />
There is no support for the contention that<br />
P3 hospitals are cheaper than publicly funded<br />
hospitals, <strong>and</strong> claims of public control are<br />
not based on fact, since long-term contracts<br />
override the powers of a hospital board.<br />
There is also no basis for the claim that P3<br />
hospitals will be built faster.<br />
Patient care quality will deterioriate<br />
ONA Position Statement<br />
on <strong>Privatization</strong><br />
The threat of privatization is not new. We’ve<br />
been fighting this issue for years under two<br />
consecutive provincial governments.<br />
In March 2000, ONA updated its position<br />
statement on privatization, which can be<br />
read in full on our website at www.ona.org.<br />
In part, ONA’s position statement says:<br />
“ONA has long held that health care<br />
should be delivered through publicly owned<br />
<strong>and</strong> not-for-profit organizations, under the<br />
guiding principles of the Canada Health Act.<br />
We believe that the proliferation of private,<br />
for-profit delivery of health care services is<br />
a threat to our cherished Medicare system<br />
<strong>and</strong> must be stopped ….<br />
“ONA opposes the conversion of any<br />
health services currently funded <strong>and</strong> delivered<br />
by public or non-profit agencies to<br />
the for-profit sector. We believe the basic<br />
Medicare principle of accessibility, regardless<br />
of ability to pay, is at risk. Unless a<br />
strong st<strong>and</strong> is taken against the trend<br />
toward privatization, we will be faced with<br />
a health care system where ability to pay<br />
will become an ever greater force in determining<br />
what types of health care services<br />
are made available to <strong>Ontario</strong> citizens….”<br />
“ONA is opposed to the trend toward<br />
a two-tier health system. Unless strong<br />
measures are taken, the very future of our<br />
universal health system is in jeopardy.”<br />
Even more distressing is the impact of private<br />
financing on quality patient care. From<br />
the British experience, bed numbers in privately<br />
financed hospitals were reduced on<br />
average by 30 per cent, while budgets <strong>and</strong><br />
clinical staff were cut by up to 25 per cent.<br />
Fewer beds <strong>and</strong> fewer nurses is not what we<br />
want for new hospitals in <strong>Ontario</strong>.<br />
In Britain, hospitals are literally going<br />
bankrupt because they can’t afford the yearly<br />
payment to the P3 group of private companies.<br />
Using private finance to build a hospital<br />
creates debt that must be repaid over a 20 to<br />
60-year period to the private sector group.<br />
This debt in Britain is paid each year out of<br />
the hospital’s operating budget, which should<br />
go to paying for staff <strong>and</strong> patient care.<br />
<strong>Ontario</strong> nurses believe that every dollar of<br />
public funding should go to patient care <strong>and</strong><br />
not to servicing debt or for private profits.<br />
Hospital construction should be<br />
publicly financed<br />
“Hospitals are valued public institutions upon<br />
which our communities rely for life enhancing<br />
<strong>and</strong> life prolonging care. It will be less<br />
expensive to finance <strong>and</strong> manage our existing<br />
hospitals on a non-profit basis <strong>and</strong> to maintain<br />
public non-profit services throughout,”<br />
said ONA’s President Linda Haslam-Stroud.<br />
“<strong>Ontario</strong>’s nurses are asking the provincial<br />
government to stop the P3 hospital program <strong>and</strong><br />
create a public financing system for hospitals.”<br />
ONA <strong>and</strong> the other unions are calling for<br />
the <strong>Ontario</strong> Auditor General to prepare a<br />
value-for-money audit, <strong>and</strong> all current AFP<br />
projects put on hold until the findings are<br />
released to the public.<br />
<strong>Ontario</strong> nurses are extremely concerned<br />
about the impact of privatization on health<br />
care in their communities. They believe that<br />
all new hospitals should stay in public h<strong>and</strong>s<br />
<strong>and</strong> use public financing. It is the best solution<br />
for our community, for patients <strong>and</strong> for<br />
the nurses who deliver care.<br />
They are particularly concerned about the<br />
provision of health care services by for-profit<br />
corporations, as the profit motive is not compatible<br />
with the delivery of the full range of<br />
needed health services.<br />
<strong>Ontario</strong> nurses are committed to fighting<br />
privatization of our public health system in<br />
all its forms, be it P3 hospitals or contracting<br />
out of health services.<br />
What you can do to stop<br />
<strong>P3s</strong> <strong>and</strong> <strong>Privatization</strong><br />
Recently, the <strong>Ontario</strong> Health Coalition (OHC)<br />
had 70 <strong>Ontario</strong> physicians sign a letter opposing<br />
<strong>P3s</strong>, <strong>and</strong> now they are asking registered<br />
nurses to do the same.<br />
A template letter was circulated to ONA<br />
provincial leaders at the March Provincial<br />
Coordinators Meeting in Toronto, <strong>and</strong> ONA<br />
front-line members are asked to sign these<br />
letters, addressed to <strong>Ontario</strong> Premier Dalton<br />
McGuinty, to register their opposition to <strong>P3s</strong>.<br />
A copy of the template letter can be obtained<br />
from your Local executive.<br />
Here’s what else you can do:<br />
• Join public rallies.<br />
• Write letters to your MPP.<br />
• Write to your local newspapers.<br />
• Talk to the public.<br />
• Sign petitions <strong>and</strong> letters.<br />
• Participate in OHC community plebiscites<br />
(votes) to show you are opposed to P3 hospitals.<br />
• The <strong>Ontario</strong> Federation of Labour (OFL) is<br />
holding workshops in 19 <strong>Ontario</strong> communities<br />
to help you underst<strong>and</strong> this issue better.<br />
To find out how you can participate, visit the<br />
OFL website at http://www.ofl.ca/.<br />
• Sign on to local health coalitions <strong>and</strong> labour<br />
district councils to be part of a collective<br />
voice for quality health care in <strong>Ontario</strong>.<br />
Let the public know that as a member of<br />
the <strong>Ontario</strong> Nurses’ <strong>Association</strong> (ONA), you are<br />
opposed to for-profit health care, privatized<br />
health services, two-tier health are <strong>and</strong> the P3<br />
model for <strong>Ontario</strong> hospitals. Visit ONA’s website<br />
at www.ona.org for information on how to<br />
contact your MPPs.<br />
ONTARIO NURSES’ ASSOCIATION 17
Government initiative provides<br />
opportunities for RNs seeking<br />
extended class designation<br />
In an effort to find viable alternatives to<br />
physician shortages in under-serviced areas<br />
<strong>and</strong> to improve access to primary care, the<br />
provincial government recently announced<br />
initiatives to increase the number of primary<br />
health care nurse practitioners in <strong>Ontario</strong>.<br />
The “Grow Your Own Nurse Practitioner”<br />
initiative, announced in February 2006,<br />
enables health care agencies, such as community<br />
health centres, family health teams,<br />
long-term care facilities <strong>and</strong> aboriginal health<br />
access centres, to use government funding to<br />
fill NP vacancies.<br />
The program helps fund advanced education<br />
for registered nurses interested in attaining<br />
the College of Nurses of <strong>Ontario</strong> (CNO)<br />
designation of the RN-Extended Class (EC),<br />
known universally as nurse practitioners.<br />
The program:<br />
• pays the salary of an RN pursuing<br />
advanced education to achieve an<br />
RN(EC).<br />
• reimburses the RN for some educationrelated<br />
expenses.<br />
• ensures the newly-educated RN(EC)<br />
returns to work for the sponsoring<br />
health agency.<br />
This initiative could mean an additional<br />
100 nurse practitioners working in areas<br />
where they are needed most. The first province<br />
in Canada to legislate the use of nurse<br />
practitioners (launched in 1993), <strong>Ontario</strong><br />
currently funds about 400 of them, while<br />
there are 100 vacancies.<br />
“ONA supports an exp<strong>and</strong>ed role for registered<br />
nurses <strong>and</strong> initiatives that will assist<br />
RNs in attaining advanced education <strong>and</strong><br />
preparation,” said ONA President Linda<br />
Haslam-Stroud, RN.<br />
“We see this is a means to improving access<br />
to primary care in under-serviced areas <strong>and</strong><br />
utilizing RNs to their fullest capabilities.”<br />
In a 1995 position statement, ONA supported<br />
the creation of nurse practitioner positions<br />
that allow for independent practice of<br />
RNs within an interdisciplinary health care<br />
team at all levels of the health care system:<br />
“…Once the sole domain of physicians,<br />
complex <strong>and</strong> complicated procedures are now<br />
being performed by nurses who have developed<br />
expertise in health promotion, prevention<br />
of diseases <strong>and</strong> injuries, cure, rehabilitation<br />
<strong>and</strong> support services…Registered nurses have<br />
developed superior assessment skills derived<br />
from their experience <strong>and</strong> increased responsibilities,<br />
<strong>and</strong> assess, diagnose, treat minor<br />
ailments, prescribe some medications <strong>and</strong> refer<br />
clients for further treatment in communities<br />
that are either under-serviced or not serviced<br />
by physicians…There have been numerous<br />
research studies that have positively evaluated<br />
the safety, effectiveness <strong>and</strong> cost-saving services<br />
provided by nurse practitioners…”<br />
The statement goes on to say that ONA will<br />
lobby for input into the development of st<strong>and</strong>ards<br />
for nurse practitioners as well as plan<br />
for the education <strong>and</strong> employment of them.<br />
In April 2005, ONA participated in round<br />
table consultations for <strong>Ontario</strong> stakeholders<br />
as part of the Canadian Nurse Practitioner<br />
Initiative (CNPI), a federally-funded project<br />
of the Canadian Nurses <strong>Association</strong> (CNA).<br />
Funding for the $8.9-million project ended<br />
in March 2006.<br />
Discussions included a review of the nurse<br />
practitioner role in Canada <strong>and</strong> the current<br />
work of the CNPI in developing a<br />
pan-Canadian framework to promote the<br />
sustained role of the nurse practitioner in<br />
primary health care.<br />
The goal is integration of nurse practitioners<br />
into the health care system, looking at<br />
role definitions, common titles <strong>and</strong> curriculum,<br />
with a long term goal of Masters level<br />
preparation to practice.<br />
In its position statement, ONA also indicated<br />
it would endeavour to organize nurse<br />
practitioners into ONA certifications. In fact,<br />
ONA has won a number of rights arbitration<br />
cases in the last year or so that have brought<br />
nurse practitioners into ONA bargaining units<br />
in hospital, clinic <strong>and</strong> public health unit settings.<br />
ONA currently has 31 nurse practitioner<br />
members but expects this number will<br />
increase as education opportunities exp<strong>and</strong>.<br />
An RN(EC) is an RN with advanced university<br />
education. They have the legislated<br />
right to perform controlled acts beyond the<br />
scope of a general class RN <strong>and</strong> the RPN.<br />
Nurse practitioners are qualified to prescribe<br />
certain medications, order ultrasounds <strong>and</strong> X-<br />
rays, diagnose illnesses, <strong>and</strong> treat <strong>and</strong> monitor<br />
chronic diseases. Their qualifications overlap<br />
with doctors, but do not replace family physicians.<br />
The nurse practitioner is an autonomous<br />
decision-maker who can work in consultation<br />
with a family doctor.<br />
With <strong>Ontario</strong>’s “Grow Your Own Nurse<br />
Practitioner” program, the government covers<br />
the salary, tuition fees <strong>and</strong> some other<br />
education-related costs for those who successfully<br />
complete the NP programs up to a<br />
maximum of $110,000 a year.<br />
The RN must complete the program within<br />
one year. The return of service requirement<br />
is a two-year commitment with the sponsoring<br />
agency, which begins within three<br />
months of registration.<br />
There is also a part-time studies option<br />
available only to aboriginal or underserviced<br />
communities. Similar to the full-time option,<br />
the government covers salary, tuition fees<br />
<strong>and</strong> other education-related costs to a maximum<br />
of $55,000 a year or $110,000 over<br />
two years. The RN must complete the program<br />
within two years. The return of service<br />
requirement is for three years, also beginning<br />
within three months of registration.<br />
The program is open on an application<br />
basis to agencies that are currently funded<br />
for NP positions, which for whatever reason<br />
have been vacant for at least one year,<br />
despite reasonable recruitment efforts.<br />
Addressing the shortages of health professionals<br />
has become one of the top priorities<br />
for health care renewal in Canada. The<br />
integration of nurse practitioners in primary<br />
health care is one of the solutions to access,<br />
wait times, efficiency, effectiveness <strong>and</strong> cost.<br />
18 VISION, SUMMER 2006
First Vice-President’s Message<br />
Vicki McKenna, RN<br />
ONA First Vice-President<br />
Fight to continue as unions take aim<br />
at LHIN regulations<br />
January, February <strong>and</strong> March were incredibly busy months as<br />
ONA <strong>and</strong> a coalition of three other health care unions worked<br />
together to apply some of the most sustained pressure on the <strong>Ontario</strong><br />
government in years.<br />
Representing more than 200,000 <strong>Ontario</strong> health care workers,<br />
ONA, CUPE, OPSEU <strong>and</strong> SEIU Local 1 launched a province-wide<br />
multi-media campaign, including major television, radio <strong>and</strong> newspaper<br />
advertising (see ads), as well as public forums, rallies <strong>and</strong><br />
leafleting in many communities.<br />
The purpose of the campaign was to stall or stop the passage of<br />
Bill 36, the Local Health System Integration Act (2006), to allow for<br />
more public consultation <strong>and</strong> re-consideration of vital amendments<br />
put forward by the unions to ensure the protection of patient care<br />
<strong>and</strong> workers’ rights.<br />
Unfortunately, Bill 36, which received Royal Assent on March 28,<br />
is now law (except for some provisions, which were to come into<br />
effect at a later date). While the Bill incorporates some of our amendments,<br />
it certainly doesn’t contain the comprehensive changes we<br />
were looking for.<br />
Bill 36 completely transforms how health care is to be delivered<br />
in <strong>Ontario</strong>, <strong>and</strong> will have an enormous impact on its viability <strong>and</strong><br />
sustainability, as well as on the future of the workers who provide<br />
patient care <strong>and</strong> support services all across the province.<br />
The legislation establishes 14 Local Health Integration Networks<br />
(LHINs), giving them powers to plan, integrate <strong>and</strong> fund local health<br />
services, including hospitals, Community Care Access Centres<br />
(CCACs), community health centres, home care, long-term care,<br />
mental health, addiction treatment <strong>and</strong> community support services,<br />
for their specific geographical areas. Noticeably absent from this plan<br />
for “integration” are public health units <strong>and</strong> physician services, as<br />
well as independent health facilities, laboratories <strong>and</strong> ambulances.<br />
While ONA supports the integration of health care, we think this<br />
legislation as it is written paves the way for more privatization <strong>and</strong><br />
the expansion of the competitive bidding process to all sectors (it is<br />
currently allowed only for the provision of home care services), <strong>and</strong><br />
could put thous<strong>and</strong>s of health care sector jobs in jeopardy as the<br />
government sets about amalgamating <strong>and</strong> merging services.<br />
The legislation does not protect access to, nor the delivery of, quality<br />
comprehensive health care in <strong>Ontario</strong>. It also fails to address the nursing<br />
shortage, <strong>and</strong> lacks comprehensive human resource planning to address<br />
the need for safe, quality work environments that support the retention<br />
<strong>and</strong> recruitment of registered nurses <strong>and</strong> allied health professionals.<br />
Although we were unsuccessful in slowing down the “bulldozing”<br />
through of the law, what is remarkable is how we four unions were<br />
able to find common ground <strong>and</strong> pull together for an astoundingly<br />
comprehensive public education campaign.<br />
Along with the efforts of the <strong>Ontario</strong> Health Coalition (OHC),<br />
the campaign included public townhall meetings <strong>and</strong> meetings with<br />
grassroots union members, delivering the same message: Stop LHINs<br />
<strong>and</strong> save health care!<br />
On February 14, Valentine’s Day rallies were held across the province,<br />
while ONA members <strong>and</strong> fellow health care workers from other<br />
unions stood on street corners to h<strong>and</strong> out leaflets <strong>and</strong> heart-shaped<br />
“Protect the Heart of Health Care” stickers.<br />
In March, ONA members participated in the OHC’s “Steamroll”<br />
rallies in Cornwall, Hamilton, Kingston, London, North Bay, Oshawa,<br />
Owen Sound, Peterborough/Lindsay, Sarnia, St. Catharines,<br />
Sudbury, Toronto <strong>and</strong> Windsor, to draw attention to how rapidly<br />
the government steamrolled through the legislation.<br />
To read more about the campaign, visit www.protecthealthcare.ca<br />
or ONA’s website at www.ona.org. Just click on the<br />
LHINs link.<br />
You should not feel discouraged now that Bill 36 has<br />
become law. This fight is just getting underway. We have the<br />
ability to impact on the regulations being developed.<br />
As well, the government is holding LHIN “community<br />
engagement meetings,” <strong>and</strong> our members have an opportunity<br />
to attend <strong>and</strong> ask questions about such issues as human<br />
resources planning, strategic planning <strong>and</strong> timelines. I also<br />
encourage you to try <strong>and</strong> become actively involved in the<br />
proposed Regulated Health Profession Committee of your<br />
LHIN, to influence policy <strong>and</strong> be part of decision-making in<br />
your community.<br />
ONTARIO NURSES’ ASSOCIATION 19
QUEEN’S PARK UPDATE<br />
<strong>Ontario</strong> Budget 2006: Funding boost for health comes<br />
with a warning to expect limited future increases<br />
In the Spring provincial budget, brought<br />
down on March 24, health care got a $1.9-<br />
billion boost for fiscal 2006-07. While Health<br />
<strong>and</strong> Long-Term Care Minister George<br />
Smitherman said health remains a top priority,<br />
he warned Ontarians to expect limited<br />
future increases to “keep the health system<br />
sustainable.” He indicated the focus will be<br />
on efficiency initiatives to lower the rate of<br />
growth in health spending. The province<br />
wants to keep hospital spending increases at<br />
about 5 per cent a year, down from annual<br />
increases of about 8 per cent. Hospitals, the<br />
biggest expenditure in the health budget, get<br />
about $12 billion a year. ONA President<br />
Linda Haslam-Stroud, RN, said that although<br />
the budget includes some good health-care<br />
measures, the government failed to acknowledge<br />
the nursing shortage. “There was nothing<br />
there to get more nurses into the profession,”<br />
she said. “As far as the government’s<br />
promise to have 8,000 new nurses by 2007,<br />
we don’t see any dedicated funding that will<br />
make that happen.”<br />
Bill 56 emergency management<br />
legislation introduced<br />
Monte Kwinter, Minister of Community<br />
Safety <strong>and</strong> Correctional Services, introduced<br />
Bill 56, the Emergency Management Statute Law<br />
Amendment Act (2005), on December 15,<br />
2005. Second reading on the Bill began on<br />
March 30, <strong>and</strong> it was to then go to committee<br />
for hearings. Bill 56 empowers the Lieutenant<br />
Governor <strong>and</strong> Premier to deal with provincial<br />
emergencies. The Bill amends the Emergency<br />
Management Act to clarify under what conditions<br />
the province can declare an emergency,<br />
such as dangers caused by “a disease or other<br />
health risk.” On March 17, ONA met with<br />
representatives from this ministry <strong>and</strong> from<br />
Health to clarify several provisions. Most relevant<br />
to ONA members is the authorization of<br />
any person (or any person of a class of persons)<br />
to render services of a type the person is<br />
qualified for during a declared emergency,<br />
although it does not require them to. Bill 56<br />
provides immunity from personal liability pursuant<br />
to an emergency order. An emergency<br />
order may provide for terms <strong>and</strong> conditions of<br />
service, including payment of compensation.<br />
ONA has been assured this applies to persons<br />
who may not usually provide the service, <strong>and</strong><br />
that job protection is a key element of the<br />
emergency management framework.<br />
Employees are entitled to a leave of absence<br />
without pay under the Bill, which amends the<br />
Employment St<strong>and</strong>ards Act by, among other<br />
things, adding a section that provides employees<br />
with the right to unpaid leave in certain<br />
circumstances, such as to care for family members<br />
in an emergency. An emergency order can<br />
close any facility, including a hospital or other<br />
establishment or institution.<br />
20 VISION, SUMMER 2006<br />
LHINs Bill 36 receives Royal Assent<br />
Bill 36, the Local Health Integration Act,<br />
which establishes 14 Local Health Integration<br />
Networks (LHINs) across the province,<br />
received Royal Assent on March 28, which<br />
means it is now law except for some provisions,<br />
which come into effect at a later date.<br />
In ONA’s submission to the St<strong>and</strong>ing<br />
Committee on Social Policy (found on ONA’s<br />
website in the Members’ Section at www.ona.<br />
org), we indicated effective integration of<br />
health care services must coordinate access<br />
to quality <strong>and</strong> comprehensive services for<br />
patients in institutional settings <strong>and</strong> the<br />
community. ONA argued that integration<br />
should be guided by public interest, reflecting<br />
our system of publicly funded, publicly<br />
administered health care. Presenting to the<br />
Committee on ONA members’ behalf were:<br />
ONA President Linda Haslam-Stroud, RN;<br />
First Vice-President Vicki McKenna, RN;<br />
Region 2 Vice-President Anne Clark, RN;<br />
Local 81 Coordinator Judy Carlson, RN; <strong>and</strong><br />
Local 83 members Eric Drouin, RN, <strong>and</strong><br />
Frances Smith, RN. Drouin’s speech was in<br />
French. All ONA presentations can be viewed<br />
in the Members Section of ONA’s website at<br />
www.ona.org. Based on input from ONA <strong>and</strong><br />
other groups, the Committee strengthened<br />
the language in the preamble to affirm the<br />
government’s commitment to the principles<br />
in the Canada Health Act, to the promotion of<br />
the delivery of public health services by notfor-profit<br />
organizations, <strong>and</strong> to continuous<br />
quality improvement in health service delivery.<br />
However, it rejected proposals to include<br />
public interest principles in decision-making.<br />
The Bill continues to allow for the<br />
increased privatization of health care, reaffirming<br />
the competitive bidding process, <strong>and</strong><br />
empowers Cabinet to contract out certain<br />
non-clinical hospital services up until April<br />
1, 2007. ONA <strong>and</strong> other organizations did<br />
secure amendments that would require the<br />
development of health human resource plans<br />
for LHIN-ordered integrations. However, the<br />
requirement falls short of ONA’s human<br />
resource adjustment planning proposals. The<br />
Bill retains the requirement that each LHIN<br />
establish a Health Professionals Advisory<br />
Committee, but does not set out specifics.<br />
LHINs are now starting to implement community<br />
engagement. ONA encourages members<br />
to contact their LHIN <strong>and</strong> get involved<br />
in this process. Information for each LHIN<br />
can be found at www.lhins.on.ca.<br />
OMERS Bill 206 receives Royal<br />
Assent<br />
Bill 206, which revises the <strong>Ontario</strong><br />
Municipal Employees Retirement System<br />
(OMERS), received third reading <strong>and</strong> Royal<br />
Assent on February 23. ONA provided a submission<br />
to the St<strong>and</strong>ing Committee, which<br />
can be found at www.ona.org in the Members’<br />
Section. The Bill allows for the negotiation of<br />
supplemental pension improvements for<br />
police, firefighters <strong>and</strong> paramedics, with provision<br />
for an earlier normal retirement age for<br />
police <strong>and</strong> firefighters, but requires a twothirds<br />
majority vote to make pension improvements<br />
for everyone else covered under<br />
OMERS. The government will introduce new<br />
legislation, to take effect on or before June 30,<br />
that would m<strong>and</strong>ate a future review of the<br />
new OMERS governance model.
COLLECTIVE BARGAINING UPDATE<br />
Hospitals<br />
For a complete update on hospital central bargaining, see<br />
the President’s column on page 11. To get regular updates on hospital<br />
bargaining, call ONA’s toll-free number at 1-800-387-5580,<br />
dial “0” for the Toronto office, <strong>and</strong> extension #7740. Updates are<br />
also available on ONA’s website at www.ona.org. If you have any<br />
questions on hospital central bargaining, send them to ONA<br />
President Linda Haslam-Stroud, RN, at lindahs@ona.org, <strong>and</strong> Linda<br />
will forward them to team chair Pat MacDonald, RN.<br />
Long-Term Care<br />
Nursing Homes<br />
Approximately 130 nursing home employers have agreed to<br />
bargain centrally for this round of negotiations. Orientation for the<br />
Nursing Homes Central Team was held May 13-15 with bargaining<br />
scheduled to begin in the fall.<br />
Homes for the Aged<br />
Homes for the Aged are “not for profit” long-term care<br />
facilities, which include charitable homes, governed by the<br />
Charitable Institutions Act, <strong>and</strong> municipal homes, governed by the<br />
Homes for the Aged <strong>and</strong> Rest Homes Act. ONA represents about 70<br />
employers in this sector, 30 per cent of which are charitable homes.<br />
Wage grids at charitable <strong>and</strong> municipal homes, almost without<br />
exception, are at least equal to the hospital grid. To date, group<br />
bargaining only involves municipal homes in eastern <strong>Ontario</strong>,<br />
where ONA met with employer representatives for conciliation on<br />
February 23. Talks broke down, <strong>and</strong> the parties are proceeding to<br />
arbitration. Issues in dispute include the 2 per cent retention bonus<br />
for nurses with 25 years experience, <strong>and</strong> job security. The parties<br />
have agreed to Arbitrator Kevin Burkett to resolve outst<strong>and</strong>ing<br />
issues, including one day of mediation prior to arbitration. Both<br />
will occur late in the fall. To contact the EOHT team, call ONA’s<br />
toll-free line at 1-800-387-5580, press “0,” <strong>and</strong> extension #7732.<br />
Messages are retrieved regularly. A message with a brief update on<br />
the process can also be obtained there.<br />
Community Care Access Centres (CCACs)<br />
ONA currently has members in 30 bargaining units at 28<br />
CCACs across <strong>Ontario</strong>. Most are case managers <strong>and</strong> placement<br />
coordinators, but two bargaining units are allied workers.<br />
Mergers under Local Health Integration Networks (LHINs) complicate<br />
negotiations in this sector, in that the 42 CCACs will be<br />
collapsed into the 14 LHIN structure. Bill 36, the Local Health<br />
System Integration Act, will have a more direct impact on bargaining<br />
units with collective agreements expiring in 2006. Under the<br />
legislation, bargaining is suspended for one year during the amalgamation<br />
process. The collective agreement then in effect (current<br />
or expired) would be frozen until the Public Sector Labour<br />
Relations Transition Act (PSLRTA) process is completed, plus one<br />
year after that. Any incomplete bargaining would be cancelled,<br />
<strong>and</strong> the process would start over again with the successor union.<br />
In view of this, ONA is attempting to complete negotiations as<br />
quickly as possible. Members in this sector have the right to<br />
strike, <strong>and</strong> their employers have the right to lock them out. The<br />
one exception is West Parry Sound CCAC, where dispute resolution<br />
is through binding arbitration under the Hospital Labour<br />
Disputes Arbitration Act (HLDAA). In the last round, nine CCACs<br />
bargained centrally with ONA but voted against a central process<br />
for the current round. Consequently all negotiations are proceeding<br />
individually.<br />
Public Health Units<br />
ONA has members in 34 bargaining units; 33 are RN/public<br />
health nurse (PHN) units <strong>and</strong> one is allied. The majority of the<br />
members are PHN-designated, but some are RNs, inspectors <strong>and</strong><br />
clerical. Members in this sector have the right to strike if they reach<br />
an impasse in bargaining, <strong>and</strong> their employers have the right to lock<br />
them out. Although public health units currently don’t fall under<br />
the LHIN legislation, they will be impacted by the Provincial<br />
Capacity Review Committee Report. It is expected some mergers of<br />
public health units will be recommended in the report. ONA is also<br />
urging bargaining units in this sector to complete negotiations as<br />
quickly as possible.<br />
Home Care Providers<br />
ONA represents RNs, RPNs <strong>and</strong> some allied in this sector.<br />
Employers include the Victorian Order of Nurses (VON), St.<br />
Elizabeth Health Care, Comcare, Para-Med, etc. ONA members provide<br />
care in the community, such as visiting clients in their homes,<br />
as well as provide shift nursing, foot care clinics, wellness clinics,<br />
etc. These services are awarded to the agency through the Request<br />
for Proposal (RFP) process through their area CCAC. Most members<br />
in this sector are part-time or casual, with wages considerably<br />
lower than their counterparts in the hospital sector. This group has<br />
the right to strike. Each agency bargains separately <strong>and</strong> therefore all<br />
collective agreements are different. Wages <strong>and</strong> working conditions<br />
vary widely from one area to another.<br />
Industry <strong>and</strong> Clinics<br />
ONA has members in 18 bargaining units. This group is made<br />
up of Canadian Blood Services, GM, Chrysler, colleges/universities<br />
<strong>and</strong> other clinic settings. The majority of members are RNs. Members<br />
in this sector have the right to strike, <strong>and</strong> their employers have the<br />
right to lock them out.<br />
ONTARIO NURSES’ ASSOCIATION 21
CFNU identifies strategies to keep<br />
nurses working longer<br />
Unions,<br />
employers <strong>and</strong><br />
governments can<br />
– <strong>and</strong> should –<br />
work together to<br />
create supportive<br />
environments for<br />
nurses<br />
In 2004, Canada had more registered<br />
nurses (RNs) ages 50-54 employed in nursing<br />
than any other group. On average, nurses<br />
retire in their late 50s, which means we are<br />
heading towards a serious Canada-wide nursing<br />
shortage. To make matters worse, we<br />
aren’t recruiting enough nurses to replace<br />
those who are retiring.<br />
Canada’s First Ministers acknowledge this<br />
problem, <strong>and</strong> have identified recruitment<br />
<strong>and</strong> retention strategies for nursing <strong>and</strong><br />
other health care providers as a national<br />
priority.<br />
Although many provincial/territorial jurisdictions<br />
have developed strategies <strong>and</strong> programs<br />
to address nursing recruitment <strong>and</strong><br />
retention, little has been done to specifically<br />
target experienced nurses over the age of 45<br />
to see what would keep them working in<br />
the system longer. Improving the retention<br />
of these senior nurses may well be a critical<br />
factor in gaining the time needed to bolster<br />
recruitment.<br />
On January 26, 2006, the Canadian Federation<br />
of Nurses Unions (CFNU) released<br />
Canada’s first discussion paper addressing<br />
this issue.<br />
Linda Silas, RN BScN<br />
President,<br />
Canadian Federation<br />
of Nurses Unions<br />
“Taking Steps Forward, Retaining <strong>and</strong> Valuing Experiences Nurses,”<br />
authored by Arlene Wortsman <strong>and</strong> Susanna Janowitz with funding<br />
from Health Canada, identified innovative <strong>and</strong> successful approaches<br />
in current workplace practices <strong>and</strong> collective agreements that result<br />
in the healthier work environments <strong>and</strong> increase the retention of<br />
older nurses (45+).<br />
“This paper shows that unions, employers <strong>and</strong> governments can<br />
– <strong>and</strong> should – work together to create supportive environments for<br />
nurses,” said CFNU President Linda Silas, RN, BScN.<br />
“We suggest several strategies, including developing workplace<br />
mentoring programs pairing experienced nurses with new graduates,<br />
phased-in retirement options, <strong>and</strong> increased nurse involvement in<br />
workplace decision-making. These strategies can succeed with collaboration<br />
<strong>and</strong> trust from all parties.”<br />
The study reinforced that experienced nurses want their skills <strong>and</strong><br />
experience to be valued by employers.<br />
To read the complete discussion paper, visit CFNU’s website at<br />
www.cfnu.ca. The paper can be found at: http://www.nursesunions.<br />
ca/en/Press%20Releases/2006-01-26-Experienced-Nurses-Brochure-<br />
En.pdf<br />
ONA has been affiliate of the CFNU since November 2000.<br />
ONA Members…<br />
we want to hear your story!<br />
Have you had a recent success in your bargaining unit?<br />
Is there one member of your Local who deserves special<br />
mention? Did you hold a particularly successful Local event?<br />
Do you have photographs?<br />
Write to us:<br />
ONA Public Relations Team<br />
85 Grenville Street, 4 th Floor,<br />
Toronto <strong>Ontario</strong> M5S 3A2<br />
E-mail us at prteam@ona.org<br />
FAX us - our number is 416-964-8891<br />
Long-term care study undertaken<br />
A study is being undertaken of long-term care workers <strong>and</strong><br />
workplaces in <strong>Ontario</strong>, British Columbia, Manitoba <strong>and</strong> Nova<br />
Scotia.<br />
Conducted by York University researchers in collaboration<br />
with researchers in Sweden, Denmark, Finl<strong>and</strong> <strong>and</strong> Norway,<br />
comparisons between Canadian <strong>and</strong> Nordic workplaces will be<br />
used to better underst<strong>and</strong> the challenges for Canadian workers<br />
in long-term care<br />
Questionnaires are being distributed to workers at select<br />
facilities. ONA members are encouraged to participate if their<br />
facility is chosen as part of the study.<br />
22 VISION, SUMMER 2006
AWARDS AND DECISIONS SUMMARY<br />
Rights Arbitration Awards<br />
Nursing Homes award issues clarified<br />
Participating Nursing Homes<br />
(Arbitrator Kaplan, March 22, 2006)<br />
Following the issuance of the initial arbitration award on June 2,<br />
2005, a series of disagreements arose requiring clarification. The<br />
employers took the view that the elimination of semi-private<br />
hospital coverage implicitly eliminated private hospital coverage<br />
as well. As well, the employers argued that the improvement to<br />
life insurance did not adjust the level of the accidental death <strong>and</strong><br />
dismemberment (AD&D) benefit where previously the latter<br />
benefit was tied to the level of life insurance. Finally, the parties<br />
disagreed over the wage grid for Valley Manor registered practical<br />
nurses (RPNs), the only allied classification <strong>and</strong> employer<br />
that was part of group bargaining.<br />
The initial Valley Manor collective agreement was negotiated<br />
in the late 1990s, <strong>and</strong> the employer at the time needed a longterm<br />
agreement in order to phase in the industry levels of wages.<br />
The parties agreed, therefore, that the agreement would run until<br />
September 29, 2004. At the time of bargaining in the late 1990s,<br />
there were no wage rates for other ONA nursing home bargaining<br />
units for September 2004. Therefore, the Valley Manor parties<br />
stated in their collective agreement that the rates of pay as of<br />
September 29, 2004 would be whatever rates were paid that day to<br />
RPNs at Wildwood (another home where ONA represents RPNs).<br />
At the time the June 2, 2006 award came down, a renewal collective<br />
agreement for Wildwood was not completed with a September<br />
2004 grid. Valley Manor argued the percentage increases awarded by<br />
the Kaplan Board should be applied to the expired Wildwood rates,<br />
<strong>and</strong> not to the rates that will be found in the new Wildwood agreement.<br />
The parties filed their written submissions with the Kaplan<br />
Board on March 8, 2006 <strong>and</strong> met with the Board on March 16, 2006.<br />
The Board issued its supplementary award on March 22, 2006.<br />
In the supplementary award, the board ruled in the employers’<br />
favour on the private hospitalization issue, <strong>and</strong> in ONA’s favour<br />
on the AD&D issue.<br />
On the Valley Manor RPN issue, the Board declined jurisdiction.<br />
In effect, the Board adopted ONA’s view that the parties’ real<br />
dispute concerned the interpretation of the expired Valley Manor<br />
agreement, <strong>and</strong> that such a dispute should be resolved by a Rights<br />
Arbitration Board rather than by an Interest Arbitration Board.<br />
ONA will be filing such a grievance at the appropriate time.<br />
ONA will now finalize preparation of collective agreements<br />
for individual participating nursing homes.<br />
After long wait, ONA nurses receive broad<br />
retroactivity<br />
Chatham-Kent Homes for the Aged<br />
(Whitaker, January 18, 2006)<br />
It took the Chair over 10 months to decide the issues, but in the end,<br />
Chatham-Kent nurses in homes for the aged were granted general<br />
compensation levels with significant retroactivity. Hospital wage levels<br />
were implemented, retroactive to the November 14, 2002 date of<br />
notice to bargain. Shift <strong>and</strong> weekend premiums were also instituted<br />
for the first time, <strong>and</strong> made retroactive to date of notice to bargain.<br />
Phased-in increases bring them up to $1 an hour for evening shift,<br />
$1.25 an hour for night shift <strong>and</strong> $1.25 an hour for weekends by<br />
the November 13, 2004 expiry. Vacation enhancements <strong>and</strong> other<br />
improvements were also awarded. Some important non-monetary<br />
provisions were also secured, including the right for ONA to file<br />
policy grievances concerning treatment of individual bargaining unit<br />
members, <strong>and</strong> the right to arbitrate all benefits disputes.<br />
Rights Arbitration Awards<br />
Employer’s attendance st<strong>and</strong>ard unreasonable<br />
ONA & St. Joseph’s Elliot Lake<br />
(Luborsky, March 3, 2006)<br />
After the grievor had returned to work following the last of three<br />
extended absences, she was warned she would be terminated if she<br />
exceeded the hospital st<strong>and</strong>ard of 67.5 hours in the next year – <strong>and</strong> was<br />
terminated when she reached that level in seven months. Since the new<br />
absences were all for flu-like symptoms unrelated to her earlier disability,<br />
the arbitrator held there was no prognosis of poor future attendance.<br />
He also found the employer’s st<strong>and</strong>ard was unreasonable because other<br />
employees had reached it without being terminated. The grievance was<br />
allowed; the grievor was reinstated with full compensation.<br />
Education leave is for purpose of broad career<br />
advancement<br />
ONA & St. Joseph’s Elliot Lake<br />
(R<strong>and</strong>all, January 9, 2006)<br />
The grievor had two part-time positions: at this employer, <strong>and</strong> in a<br />
renal dialysis satellite for Sudbury Regional Hospital. He requested<br />
unpaid leave from this hospital to attend an eight-week full-time<br />
training program, for which he was to be paid by Sudbury Regional.<br />
The employer denied the leave, solely because the grievor’s chosen<br />
ONTARIO NURSES’ ASSOCIATION 23
AWARDS AND DECISIONS SUMMARY<br />
education did not involve skills to be used in<br />
the course of employment at this hospital. It<br />
had identified no operational impediments<br />
to the leave <strong>and</strong> had granted the grievor the<br />
time off as vacation. The arbitrator allowed<br />
the grievance, stating that Articles 9.01 <strong>and</strong><br />
11.09 recognize career development generally<br />
<strong>and</strong> not just with the current employer.<br />
Requirement for recent unit<br />
experience <strong>and</strong> other flaws<br />
ONA & Thunder Bay Regional Health Sciences<br />
Centre<br />
(Schiff, January 2, 2006)<br />
An initial flawed job-posting process for fulltime<br />
recovery room positions led to Minutes<br />
of Settlement, in which the employer would<br />
interview two senior full-time ICU nurses<br />
<strong>and</strong> two junior part-time recovery room<br />
nurses. The employer chose the latter. The<br />
arbitrator held that the employer had again<br />
violated the collective agreement: (1) it was<br />
unreasonable to require one year recent<br />
recovery room experience when it had not<br />
required that as recently as one month earlier;<br />
<strong>and</strong> (2) the interviews were seriously<br />
flawed <strong>and</strong> could not be relied upon as having<br />
measured relative equality of the applicants.<br />
The arbitrator allowed the grievance,<br />
ordering the employer to re-run the process<br />
after correcting these flaws.<br />
<strong>Ontario</strong> Labour Relations<br />
Board (OLRB) Decisions<br />
Hospital cannot avoid employer<br />
responsibilities<br />
ONA, SEIU & OPSEU v Thunder Bay Regional<br />
Hospital & Steeves <strong>and</strong> Rozema<br />
(OLRB, October 17, 2005)<br />
Prior to its move into a new building, the hospital<br />
operations had included alternate level of<br />
care (ALC) patients. The hospital obtained a<br />
licence to operate a temporary long-term care<br />
24 VISION, SUMMER 2006<br />
facility at one of the sites it would be vacating,<br />
<strong>and</strong> made an arrangement with Steeves <strong>and</strong><br />
Rozema to take over hiring, firing, training,<br />
supervising <strong>and</strong> paying all of the employees.<br />
The hospital covered all the financial obligations<br />
(including employee wages), <strong>and</strong> paid<br />
Steeves <strong>and</strong> Rozema a management fee. The<br />
OLRB described the facility as a joint venture,<br />
needing the contribution of both, <strong>and</strong> ordered<br />
the hospital <strong>and</strong> the operator to be treated<br />
as joint employers because: (1) looking after<br />
ALC patients had been bargaining unit work<br />
for these unions before the creation of this<br />
facility, <strong>and</strong> represents work taken away from<br />
them; <strong>and</strong> (2) “to give the unions closer<br />
access to the true locus of power.”<br />
Long-Term Disability (LTD)<br />
Internal Carrier Appeals<br />
Complete, current medical evidence<br />
is important<br />
Hospital (North District)<br />
(October 17, 2005)<br />
A member had a number of different ailments<br />
<strong>and</strong> had medical evidence for all of<br />
them. None of it, alone or together, led to a<br />
finding of total disability from her own occupation.<br />
However, she did not have appropriate,<br />
timely information from a psychiatrist<br />
who was treating her for depression. When<br />
updated information with objective evidence<br />
was submitted from the psychiatrist, the<br />
claim was allowed.<br />
Insurer-ordered assessment may<br />
have a positive effect.<br />
Hospital (South District)<br />
(October 20, 2005)<br />
A member continued working part-time<br />
while suffering from a chronic condition. She<br />
was monitored closely by her attending physicians<br />
throughout. She complied with recommended<br />
treatments <strong>and</strong> regimens. When<br />
she applied for LTD benefits, her claim was<br />
denied. Medical evidence was submitted,<br />
stating she met the major criteria <strong>and</strong> four<br />
minor criteria for her diagnosis. The insurer<br />
sent the member for a medical exam, then<br />
approved benefits with full retroactivity for<br />
the own occupation period; it also recommended<br />
initiating rehabilitation.<br />
Workplace Safety <strong>and</strong><br />
Insurance Board (WSIB)<br />
Decisions<br />
Flare-ups prove to be related to<br />
original accident<br />
Hospital (South District)<br />
(April 26, 2005)<br />
A full-time nurse injured his back in<br />
November 2003, after being assaulted by<br />
a confused patient. His claim was initially<br />
allowed. He returned to work at the beginning<br />
of December 2003, but continued to<br />
have flare-ups. By April 2004, after increasing<br />
his physical dem<strong>and</strong>s, he experienced a new<br />
pain that involved the entire lower extremity.<br />
The worker performed modified work as of<br />
November 22, 2004, but by November 29,<br />
2004, he was taken off work after an MRI<br />
showed a left paracentral disc herniation<br />
at T8-9. He returned on several occasions,<br />
but lost time December 8-12 <strong>and</strong> December<br />
18-22, 2004. WSIB denied Loss of Earnings<br />
(LOE) benefits as of November 22, 2004,<br />
taking the position that the worker’s ongoing<br />
symptoms were not related to the compensable<br />
injury. Additional medical information<br />
was obtained from several specialists <strong>and</strong><br />
provided to the WSIB. The WSIB accepted<br />
there was a causal relationship or compatibility<br />
between the worker’s disc herniation <strong>and</strong><br />
his work related injury of November 2003,<br />
<strong>and</strong> therefore approved further entitlement<br />
in his claim to include LOE benefits since<br />
November 22, 2004.
ONA RETIREES<br />
Local 124’s “Mother” Steeves retires after 33 years<br />
Claim allowed as a permanent<br />
aggravation<br />
Hospital (West District)<br />
(April 15, 2005)<br />
The worker sustained an injury on February<br />
13, 2003 due in part to a malfunctioning chair.<br />
The occupational health nurse refused to file a<br />
WSIB claim for the injuries sustained, stating<br />
it was a health <strong>and</strong> safety issue. WSIB denied<br />
the claim on October 7, 2004. ONA appealed.<br />
The claim was subsequently allowed on the<br />
basis of an aggravation to a moderate preexisting<br />
condition. Permanent restrictions are<br />
in place <strong>and</strong> the worker has been granted a 13<br />
per cent Non-Economic Loss (NEL) award.<br />
Employer appeals initial<br />
entitlement <strong>and</strong> request cost relief<br />
Hospital (West District)<br />
(September 29, 2005)<br />
The worker sustained a low back injury on<br />
November 26, 2002 while helping a patient<br />
back to bed from a chair. WSIB loss of earning<br />
benefits were allowed, but on August 29, 2003,<br />
the worker was notified the employer intended<br />
to appeal entitlement on the basis of delay<br />
in reporting, no witnesses, length of entitlement<br />
<strong>and</strong> Secondary Injury Enhancement Fund<br />
(SIEF) relief. The employer had been granted<br />
75 per cent SIEF relief <strong>and</strong> wanted 90 per cent.<br />
The ONA employer appeal file was closed on<br />
March 11, 2004 when we were notified that<br />
the employer failed to meet a deadline. The<br />
worker ended up having back surgery on June<br />
17, 2004. On September 9, 2004, we were notified<br />
that the employer was once again appealing.<br />
In August 2005, we were notified that the<br />
employer was ready to proceed to a hearing,<br />
<strong>and</strong> the appeals officer was having discussions<br />
with the current <strong>and</strong> previous employer <strong>and</strong><br />
ONA, on the best way to proceed. The issue<br />
of LOE entitlement was subsequently dropped<br />
by the employer as the worker is still not fit to<br />
return to work. On September 23, 2005, we<br />
were notified the employer has withdrawn all<br />
objections in this file.<br />
By Carol Alfenore, RN<br />
ONA Local 124 Coordinator,<br />
Southlake Regional Health Centre<br />
Barrie, <strong>Ontario</strong><br />
It is with great fondness that we said farewell to<br />
Christine Steeves, RN, on December 16, 2005,<br />
as she finished her last day at our workplace<br />
after 33 years. Southlake Regional Health Centre<br />
staff will miss her skills <strong>and</strong> expert savvy in the<br />
operating rooms.<br />
A 1968 graduate of St Michael’s Nursing School,<br />
Chris devoted her career to peri-operative nursing.<br />
She started as a general staff nurse in<br />
the surgical suites <strong>and</strong> went on to hold many<br />
positions in her department, including assistant<br />
head nurse, resource nurse for general surgery<br />
<strong>and</strong> charge nurse, her last area of responsibility<br />
before her retirement.<br />
Surgeons <strong>and</strong> anesthetists sometimes called her<br />
“Chief” <strong>and</strong> “Mother.” She was a tough taskmaster,<br />
but was loved <strong>and</strong> respected by her colleagues<br />
for her logic <strong>and</strong> strong critical thinking<br />
skills. She displayed strong leadership <strong>and</strong> men-<br />
REGION 2<br />
Local 49<br />
Joan Chamberlain<br />
REGION 3<br />
Local 24<br />
De Freitas Elmosa<br />
Janet Kennedy<br />
Jennifer Mary Lees<br />
Brenda Claire<br />
Murray<br />
Jacqueline<br />
Stockley<br />
Local 97<br />
Judith Briggs<br />
Margaret MacNeil<br />
Local 124<br />
Julie Riley<br />
REGION 4<br />
Local 15<br />
Nancy Belanger<br />
Local 26<br />
Sydney Bell<br />
Sharon Colle<br />
Segunda Due<br />
Helen Friend<br />
Linda Gordon<br />
Theresa Groulx<br />
Angela Harris<br />
Shirley Hawkey<br />
Judy Hurst<br />
Cynthia Johnson<br />
Barb Lavis<br />
Healther Law<br />
Rosemary Leavens<br />
Karen O’Charchen<br />
Thelma<br />
Ongcangco<br />
toring skills throughout<br />
her career, <strong>and</strong> had a<br />
quick infectious smile.<br />
A mother of three in a busy household, Chris still<br />
found time to use her skills as an active member<br />
of ONA at Southlake. She was a founding member<br />
way back in 1982 <strong>and</strong> has held many positions<br />
in the bargaining unit, such as grievance<br />
chair, for many years. She led us for many years<br />
as president before she moved on to settle into<br />
her four-year term as Local 124 Coordinator. In<br />
her last two years with the Local, she mentored<br />
<strong>and</strong> supported the new executive, helping us to<br />
follow in her footsteps.<br />
We’re sad to see her go, but happy to see her<br />
busy planning for her retirement.<br />
Chris, may your retirement be full <strong>and</strong> joyous, for<br />
you so well deserve it. We will sorely miss you<br />
<strong>and</strong> your tremendous contributions to Southlake<br />
– our patients <strong>and</strong> the nurses. Thank you!<br />
Dianne Pearson<br />
Debbie<br />
Richardson<br />
Cathy Robb<br />
Aleith Sheldrick<br />
Sheila Sinsor<br />
Annie Torres<br />
Local 71<br />
Christine Belch<br />
Margaret Bernier<br />
Greta Brady<br />
Jean Brownbill<br />
Elizabeth Doull<br />
Marie Habgood<br />
Judith Knibb<br />
Linda Large<br />
Ginette Sevigny-<br />
Belanger<br />
S<strong>and</strong>ra Wilkins<br />
REGION 5<br />
Local 4<br />
Cathy Todd<br />
Local 36<br />
Elizabeth<br />
Anderson<br />
ONTARIO NURSES’ ASSOCIATION 25
Membres de l’AIIO –<br />
Comment participer aux équipes de<br />
projets et aux groupes de discussion<br />
Formulaire d’expression d’intérêt (membres)<br />
Équipes de projets spéciaux/groupes de discussion<br />
Selon la rétroaction des membres, nous avons mis au point un<br />
processus vous permettant d’exprimer votre intérêt à participer aux<br />
équipes de projets spéciaux et groupes de discussion de l’AIIO.<br />
Ceci donne la chance de vous impliquer dans les décisions et<br />
processus de l’AIIO. Veuillez remplir le formulaire et le renvoyer à :<br />
Organizational Learning, 85, rue Grenville, bureau 400<br />
Toronto (<strong>Ontario</strong>) M5S 3A2 - Télécopieur : 416 964-8864<br />
Note : Le Formulaire d’expression d’intérêt n’est valable que<br />
jusqu’au 31 décembre de l’année où il est présenté.<br />
Veuillez soumettre les nouveaux formularies pour 2006.<br />
Domaine d’intérêt n Provincial n Local<br />
n Droits de la personne/équité n Relations de travail<br />
n Santé et sécurité<br />
n Éducation<br />
n Finance<br />
n Action politique<br />
n Exercice professionnel<br />
Besoin d’une personne par région<br />
n Vision / Semaine des soins infirmiers n Élections<br />
n Équipe de consultation LEAP<br />
Expliquez brièvement les raisons pour lesquelles vous êtes<br />
intéressée à participer à une équipe de projet spécial ou à un<br />
groupe de discussion<br />
ONA Members –<br />
How to get involved with project<br />
teams <strong>and</strong> focus groups<br />
Expression of Interest Form (Members)<br />
Ad Hoc Project Teams/Focus Groups<br />
Based on membership feedback, we have developed a process that<br />
will enable you to express your interest in serving on ONA ad hoc<br />
project teams or focus groups. This provides an opportunity for<br />
you to be involved in ONA decisions <strong>and</strong> processes. Please<br />
complete the form <strong>and</strong> return it to:<br />
Organizational Learning, 85 Grenville Street, Suite 400<br />
Toronto, ON M5S 3A2 - Fax: (416) 964-8864<br />
Note: The Expression of Interest form is only valid until<br />
December 31 st of the year submitted.<br />
Please submit new forms for 2006.<br />
Area of Interest n Provincial n Local<br />
n Human Rights/Equity<br />
n Labour Relations<br />
n Health <strong>and</strong> Safety<br />
n Education<br />
n Finance<br />
n Political Action<br />
n Professional Practice<br />
Need one person per region<br />
n Vision/Nursing Week<br />
n Elections<br />
n LEAP Advisory<br />
Please provide a brief statement telling us why you are<br />
interested in serving on an ad hoc project team or getting<br />
involved in a focus group<br />
Date de présentation :<br />
Région : Local : Unité de négociation :<br />
Nom :<br />
Adresse :<br />
Ville : Province : ON Code postal :<br />
Tél. : (Bureau)<br />
Tél. : (Domicile)<br />
Secteur : n Hôpital n Foyers n Communautaire n CASC<br />
n Santé publique n VON/SEN n (Autre)<br />
n Professionnels paramédicaux<br />
Statut : n Plein temps n Temps partiel<br />
Domaine d’exercice actuel :<br />
Date Submitted:<br />
Region: Local: Bargaining Unit:<br />
Name:<br />
Address:<br />
City:<br />
Province: ON Postal Code:<br />
Phone: (Bus.)<br />
Phone: (H.)<br />
Sector: n Hospital n Homes n Community n CCAC<br />
n Public Health n VON/SEN n (Other) n Allied<br />
Status: n Full-Time n Part-Time<br />
Current Area(s) of Practice:<br />
Expérience/antécédents à l’AIIO :<br />
ONA Experience/Background:<br />
26 VISION, SUMMER 2006<br />
:
ONTARIO NURSES’ ASSOCIATION 27
ONTARIO NURSES’ ASSOCIATION<br />
Suite 400, 85 Grenville Street<br />
Toronto ON M5S 3A2<br />
Canadian Publicaton Mail Sales Agreement No. 40069108<br />
28 VISION, SUMMER 2006