Ombudsman’s report shows LHIN uninterested in results of hospital’s public consultation


opseudiablogue | August 19, 2010 at 4:38 pm | Categories: Local Health Integration Networks | URL: http://wp.me/pLpCD-7w

One of the key issues raised in the Ombudsman’s recent report, “The LHIN Spin” is how public consultation is dealt with.

With voluntary integrations (for example a hospital initiated change to service), there is no requirement for the LHIN to consult the public if it agrees with the integration proposal. However, there is a requirement on the part of the health service provider to do so.

The Ombudsman reports that “while LHIN officials acknowledged that they do have a role in ensuring that a health service provider conducts stakeholder outreach, they stated that they relied on and trusted the information provided by Hamilton Health Sciences concerning its efforts to obtain public input.”

However, in the case of Hamilton Health Sciences, the LHIN did not even request any of the results of that consultation.

In theory, the community could be uniformly opposed to a decision, offer good alternate proposals, and none of this would ever inform the LHIN when they made their final decision. Such disregard for the content of these consultations suggest the LHIN was not interested in what the community had to say, only in the fact that it was consulted and legal obligations were met.

In the case of Hamilton Health Sciences, when the Hamilton Spectator contacted the hospital to ask about results from their consultation, HHS said the results were recorded in the form of “personal and mental notes” and been the subject of “debriefing conversations.” In other words, consultations were held, but nothing was really recorded for review by the LHIN or others.

Further, in the case of the Hamilton Niagara Haldimand Brant LHIN, the board was told not to attend health service provider consultations sessions to hear for themselves what the public had to say.

A hospital has every incentive to filter what they have heard in order to support the proposal they are bringing to the LHIN. If neither staff nor board from the LHIN is attending these sessions, and if no real documentation is made of concerns raised at these meetings, the LHIN will have no idea if the hospital’s representation of those comments was fair

In the case of Hamilton Health Sciences, it was clear they didn’t even care.

The Ombudsman makes a recommendation that “adequate records of community outreach should also be kept and made available to ensure that stakeholder views are accurately represented.”

LHINs do not permit deputations to its board meetings. Given the community cannot rely on the self-interest of health care providers to accurately reflect their view back to the LHIN, they should have the opportunity to do it themselves.

Advertisements

CAW Calls for Government Intervention after Fruitless Meeting with Navistar


WINDSOR and TORONTO, Aug. 19 /CNW/ – The CAW is calling for the Ontario government to intervene in the more than year-long stand-off between the union and heavy truck manufacturer Navistar Corporation, after talks today failed to make any progress.

The CAW called the meeting with Navistar in an attempt to resolve the temporary closure of the plant and explore ways to maximize production at the facility, but the discussions failed to produce any resolutions.

The company did not provide any plans for the future of the facility but has pledged to provide a detailed and formal response within two weeks.

“Navistar Corporation has to understand that to manage change in a workplace it must be done in conjunction with the workers. Those who are affected by these changes must be treated with respect and dignity,” said CAW President Ken Lewenza, following the meeting.

“It is unconscionable that this corporation is allowed to send the historic production, supported by Ontario and Canadian tax dollars, to a foreign country like Mexico. The meeting today and all the meetings to this point have been extremely frustrating and now we will wait for the corporation’s response within the next two weeks.”

“This situation cannot be resolved through collective bargaining and requires significant intervention by the government.”

Navistar temporarily closed the facility in June 2009, laying off its entire workforce after a breakdown in negotiations between the two sides.

The company’s latest proposal includes reducing the workforce down to fewer than 100 people and with historic assembly work performed at the plant outsourced to Mexico. The collective agreement expired on June 30, 2009.

For further information: CAW Local 127 President Aaron Neaves, 519-350-1031; Chairpersons Cathy Wiebenga, 519-436-5184 and Sonny Galea, 519-809-2240

What we have here is a failure to communicate


city_scope_logo-cmyk
It was determined late Friday the boil water advisory, issued Thursday evening, was actually a false reading — the result of contamination at a lab in London — but it flushed out weaknesses in the city’s communication strategies.

Four hours may not seem like an excessive amount of time, but when you’re dealing with the potential of an E. coli outbreak, it might as well be an eternity.

City engineering staff knew about the suspect water sample at around 3:40 p.m. on Thursday, however the first notice went up on the city website at 7:40 p.m., when Elgin St. Thomas Public Health released details of the boil water advisory.
Continue reading