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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

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