Commission on the Reform of Ontario's Public Services

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2012 COMMISSION O N T H E REFORM O F ONTARIO’S PUBLIC SERVICES <strong>Public</strong> ServiceS for <strong>on</strong>tarianS: A PATH TO SUSTAINABILITY AND EXCELLENCE
Page 1: 2012 COMMISSION O N T H E REFORM O
Page 5 and 6: Table of Contents Table of Contents
Page 7 and 8: Table of Contents Class Sizes .....
Page 9 and 10: Chapter 14: Justice Sector Table of
Page 11 and 12: Message from the Chair Dear Premier
Page 13 and 14: Message from the Chair Ontario must
Page 15 and 16: Commission Member
Page 17 and 18: Susan Pigott, Commission</s
Page 19 and 20: Executive Summary Executive Summary
Page 21 and 22: Executive Summary Until recently, O
Page 23 and 24: Executive Summary The 2011 Budget s
Page 25 and 26: Executive Summary Not every program
Page 27 and 28: Executive Summary The federal gover
Page 29 and 30: Executive Summary The ultimate chal
Page 31 and 32: Executive Summary We can perhaps sh
Page 33 and 34: Health Executive Summary Health car
Page 35 and 36: Executive Summary The health care s
Page 37 and 38: Executive Summary The old system an
Page 39 and 40: Executive Summary The government sh
Page 41 and 42: Executive Summary The LHINs should
Page 43 and 44: Executive Summary The aging of Onta
Page 45 and 46: Executive Summary The scale of refo
Page 47 and 48: Executive Summary Full-Day Kinderga
Page 49 and 50: Executive Summary Reform of Provinc
Page 51 and 52: Post-Secondary Education Executive
Page 53 and 54:
The division of roles between the c
Page 55 and 56:
Executive Summary Generate Cost Eff
Page 57 and 58:
Executive Summary Employment and Tr
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Developmental Services: Recent legi
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Immigration Executive Summary Becau
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A new business support framework sh
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Direct Program and Tax Expenditures
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Executive Summary Prevention and Po
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Executive Summary In 2010, the gove
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Executive Summary � Accountabilit
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Executive Summary Private-sector pa
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Executive Summary Sales of GBEs: Be
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Executive Summary The government re
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Executive Summary Liability from Pe
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Intergovernmental Relations Executi
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Executive Summary Income assistance
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Executive Summary Provincial suppor
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The Outlook: Three Scenarios The pu
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There are three key forecasts in an
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The Status Quo Scenario Our mandate
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The Preferred Scenario We developed
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Debt and Deficits Over the past two
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Should the global economy turn nast
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82 CHART 1.1 Ontario’s Foreign Tr
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The human cost of this lacklustre p
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The Economy: What Lies Ahead? Can w
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As for the level issue, Ontario’s
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Important as real GDP growth is for
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In making our revenue projections,
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As an aside, we would like to make
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So whether you like our recommendat
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The Ontario Health Insurance Plan (
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Comparison of the Scenarios Across
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That does not take into account eit
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The choices we make on how to alloc
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Recommendation 1-1: We recommend th
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TABLE 1.3 Economic Assumptions Real
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The federal government’s debt rea
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New Brunswick, which went through t
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Revenue from personal income taxes
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Revenues and Expenditures: How Onta
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Indirect taxes, the kind people pay
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Ontario’s role as a laggard in pu
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122
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4. Do not recommend privatization o
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Recommendation 3-4: The government
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Recommendation 3-11: Boundaries bet
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Ambitious for Excellence: A Larger
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Periodically, the best public servi
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134
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Budget Planning The budget process
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138 • In the fiscal approach desc
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The Commission und
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142
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So if we cannot — in short — lo
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The focus on rising health care cos
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Aging in general will add about one
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A contrary finding comes from a pol
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It goes almost without saying that
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The health care system is costly Ca
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We have fewer physicians than other
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Drug costs are growing faster than
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The results of this inefficiency in
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If the province can find efficienci
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164 Case Study #3: An 80-year-old w
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Mental health and addiction issues,
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General Approach � Intervention a
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Rather than draw patients into hosp
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The public payer model now covers a
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Recommendations to Turn Problems in
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Fiscal Issues Recommendation 5-6: C
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� The LHINs could do the co-ordin
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Information Sharing and Use Recomme
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Recommendation 5-22: Increase the u
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Recommendation 5-34: Require hospit
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They could also help the government
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Recommendation 5-53: Encourage hosp
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� To provide a range of services
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Recommendation 5-73: The model desc
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With the advent of LHINs, hospitals
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In the meantime, the ODB should be
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Harmonizing patent protection for b
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Begin with doctors, clinics and hos
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Conclusion We believe these recomme
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Provincial spending on elementary a
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Recommendation 6-1: To meet our ove
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Recommendation 6-3: The elementary
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210 CHART 6.1 Share of Population w
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Recommendation 6-8: Agreements with
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The Commission con
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Empirical evidence of the benefit o
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Non-Teaching Staff Aside from class
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Encouraging Efficient Student Trans
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A Comprehensive Resource Plan to Li
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The Commission ack
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We need more information to underst
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Appropriate Incentives for Teachers
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Other areas of school staff compens
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Shared ownership of employee benefi
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Containing Costs of Retirement Bene
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Promoting an Efficient Labour Marke
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238
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Challenges Ahead Post-secondary edu
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i) Tuition freezes are not in stude
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Thrust of Our Recommendations The <
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246 CHART 7.2 Increase in Total Exp
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When students want to transfer from
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Graduating from a post-secondary in
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Currently, the tuition framework al
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Although tax credits are intended t
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In comparison, Ontario’s universi
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Conclusion We believe our recommend
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260 CHART 8.1 Social Programs Spend
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When these activities lack co-ordin
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Social assistance consists of two p
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Recommendation 8-5: The Com
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Recommendation 8-8: Prepare and sup
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Child Welfare Like social assistanc
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Children’s Mental Health Services
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Recommendation 8-17: Reform funding
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Child and Youth Mental Health � F
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Ontario Labour-Market Challenges On
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The large number of programs and se
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Comprehensive Reform in Federal-Pro
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Building on previous work, 2 Statis
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Ontario’s Apprenticeship System O
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Recent Trends in Immigration Ontari
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Ontario was not only the last provi
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Immigrants to Ontario tend to be be
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If employers and the regulatory bod
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The first immigration agreement bet
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298
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The Ontario government must issue a
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Recommendation 11-1: Government nee
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304 CHART 11.1 Cutting Ontario’s
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In 2011, $2.3 billion of indirect s
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Our View on Business Subsidies Empi
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Towards a New Business Support Fram
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Recommendation 11-5: Introduce a ne
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Refundable Corporate Income Tax Cre
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The horse racing industry is anothe
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Strengthen Accountability and Trans
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1 This list is not comprehensive. I
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For example, the Long-Term Infrastr
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Operating transportation services m
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Real Estate The government of Ontar
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Over the last several years, Ontari
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330 Overview of Provincial Tax-Base
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Larger regional entities might allo
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334
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Move towards full cost recovery and
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Rationalize roles and responsibilit
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340 In September 2009, a company su
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Move towards prevention and a pollu
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Rationalize and consolidate the num
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346
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In the last 11 years, provincial ju
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Current Context — Key Fiscal Chal
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An example of where the Ontario bro
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The MCSCS needs to work in tandem w
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Many factors have contributed to th
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The remaining 23 adjudicative tribu
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The sector should collaborate more
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362
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Trends in Ontario Labour Relations
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Other key components of total compe
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Principles 1. The labour relations
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“In labour relations, the main is
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Several key principles must be esta
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An Effective System Ontario’s wor
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The overall bargaining structure in
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� Through the bureau, support res
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Achieving improvements in organizat
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382
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384 CHART 16.1 Ontario Public Servi
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The Challenge The Ontario governmen
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Further steps should be taken to ad
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Teranet’s agreement with the Onta
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The Delegated Administrative Author
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Use Alternative Service Delivery Op
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Expanding Shared Services to the Br
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Supply Chains Recommendation 16-15:
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Create Efficiencies in the Administ
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402
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404 Ontario Power Generation (OPG)
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Creating Additional Value from Onta
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The LCBO has other obligations that
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Aside from reducing this form of go
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Currently, corporate groups can use
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Recommendation 18-5: Review the ado
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Recommendation 18-14: Require that
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A decision on whether to move forwa
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420 CHART 18.1 Property Tax Revenue
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422 CHART 18.3 Education Property T
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Since introducing the plan, the pro
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Bill 186 measures, in combination w
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428
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The contingency reserve should be s
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Ontario is the only sub-national ju
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Health of the Plans There are two t
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Recommendation 19-6: In the propose
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Plan-specific costs are spread acro
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This fragmented arrangement suggest
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Discussed in greater detail in the
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Municipalities are responsible for
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The province guarantees to cover an
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448
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Federal-Provincial Relations Introd
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452 CHART 20.2 Nominal GDP per Capi
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There are further complications. Pe
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456 CHART 20.5 Governments in Canad
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Changes to the Common Tax Base Onta
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460 CHART 20.6 CHT Payments to Onta
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Areas for Potential Reform Through
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464 Relative Price Index CHART 20.8
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466 CHART 20.9 Employment Insurance
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The province requires greater influ
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470 “Due to large budget deficits
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Several labour-market agreements ex
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Furthermore, recent federal changes
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Provincial-Municipal Relations The
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Municipalities argued that LSR was
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Recommendation 18-25: Conduct a rev
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482 CHART 20.12 Ongoing Support to
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The Province and Municipalities Sha
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486
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488
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Chapter 3: Our Mandate and Approach
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Recommendation 3-10: This raises a
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Chapter 5: Health Recommendation 5-
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Recommendation 5-15: The Local Heal
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Recommendation 5-32: Empower primar
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Recommendation 5-50: Use data from
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Recommendation 5-66: Because Family
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Recommendation 5-85: Work with the
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Chapter 6: Elementary and Secondary
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Recommendation 6-14: The province s
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Recommendation 7-10: Have post-seco
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Chapter 8: Social Programs Recommen
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Recommendation 8-17: Reform funding
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Chapter 10: Immigration Recommendat
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Recommendation 11-8: Introduce legi
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Recommendation 12-14: As part of th
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Chapter 14: Justice Sector Recommen
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Recommendation 15-10: The governmen
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Recommendation 16-12: At a minimum,
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Recommendation 18-9: Establish a fo
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Chapter 19: Liability Management Re
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Chapter 20: Intergovernmental Relat
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CRA Canada Revenue Agency CRF Commu
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IT information technology JOT Justi
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OPA Ontario Power Authority OPG Ont
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ISBN 978-1-4435-8896-6 (PRINT) ISBN
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Commission on the Reform of Ontario's Public Services

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