By Doug Draper
After more than a year of stubborn refusals, it appears that Ontario Health Minister Deb Matthews has said okay to some kind of an “investigation” or “evaluation” of the way the Niagara Health System has been managing hospital services in the region.
The minister, who has repeatedly brushed away calls from Niagara citizen groups and municipal leaders for an investigation, sent a letter to the regional government’s chair, Gary Burroughs, this May 31 saying she will now allow some kind of “third-party review” into how the NHS, an administrative board created under the province’s former Conservative government, is rolling out plans for hospital services here.
“After thoughtful deliberation and consideration, I have come to the conclusion that an independent, third-party evaluation of the implemented phases of the (NHS’s) Hospital Improvement Plan (HIP) would be valuable,” stated Matthews in the letter. “I agree that such an evaluation would be best served by requesting the (Hamilton Niagara Haldimand Brant Local Health Integration Network or LHIN, for short,) establish a tripartite steering committee to develop the terms of reference for the evaluation. Representation on this committee must include LYIN board members, HNS board members, and members of regional council as determined by the regional chair. The LHIN board is responsible under their mandate to establish such a committee and determine its membership and timelines.”
Port Colborne, Ontario Mayor Vance Badawey, who has witness hospital services in his community diminished under the NHS and its hospital plan, told Niagara At Large this June 1 that “the satisfying thing about this is that (Matthews) has said ‘yes’ to a third-party review. However, it is extremely critical that it is done right.”
“All stakeholders should be involved,” added Badawey, including front-line doctors, nurses and others in the hospital system, and it is also vital that the investigation be region-wide in the sense that it establishes the domino effect of closing emergency rooms at hospitals in Port Colborne and Fort Erie, for example, has done to tax the time and resources of other hospitals in the region.
Badawey’s municipality was one of seven in Niagara, including St. Catharines, Fort Erie, Wainfleet, Welland, Niagara-on-the-Lake and Niagara Falls, that passed resolutions calling for an independent review of the NHS’s hospital management decisions and plans. Earlier this year, a majority of Niagara regional councillors also called for such an investigation, and so have thousands of residents who’ve signed petitions across the region.
Niagara Falls MPP Kim Craitor, a member of the province’s Liberal government and another stalwart voice calling for an NHS investigation, almost looked to some in the region like he was being left to twist in the wind by his own government on this one. This June 1, however, he said he was pleased to see that “we have done what has been asked for.”
Craitor acknowledged that it may have been a long time coming. But he recalled sitting on Niagara Falls council in the years when, up to 1993, the former Mike Harris/Tim Hudak Conservative government was still in power, and being told; ‘ There is going to be a Niagara Health System and you are going to lose (hospital services in local municipalities), and when we asked; ‘Will there be consultation, basically the answer was go to hell.’
So as stubborn as Matthews has been (and those are NAL’s words, not Craitor’s, the bottomline said Craitor “is at least we listened at the end.”
Matthews and the province’s Liberal government have also been pressed repeatedly by the opposition New Democratic Party for an investigation. This June 1, Andrea Horwath, leader of the party said she welcomes this review from a “government that has repeatedly ignored grassroots calls for an investigation into the Niagara Health System from the community, local leadership and medical personnel”
“Niagara families are worried about the state of their health care and they deserve some answers before they vote,” added Horwath with reference to the provincial election scheduled for Oct. 6. “After months of stalling, the McGuinty Liberals have finally agreed to an investigation but we won’t see findings until after election day. That’s just not acceptable.”
Badawey, whose hospital in Port Colborne has lost many of its services, including its emergency room a year ago, said he’s less interested in election dates than he is in getting a full and fair investigation.
“Politics should not play any role in this,” said the Port Colborne mayor. “Quite frankly, the only thing we should be looking at is providing fair and equitable hospital services for all Niagara residents.
Niagara At Large also attempted to contact Niagara Falls, Ontario Mayor Jim Diodati, who has also been a prime mover in calling for an investigation, but he was out of town at press time.
Niagara At Large will have more in the days and weeks ahead on this issue.
(We invite your comments on this issue below and please continue to visit Niagara At Large at www.niagaraatlarge.com, and encourage your friends and associates to do so, for more news and commentary on matters of interest and concern to our greater Niagara region and beyond.)

Lets see if we have this correct
In a six week time span without stakeholder input, the minions of NHS
develop the incidious Hospital Improvement Plan
They then proceed to impliment this plan with seemingly joy, pleasure and disregard for the havoc being created.
It then takes two years of community, medical and political objection to the HIP Plan to bully the Health Minister into “Doing the Right Thing”
And now we have the same NHS named as a partner to form the Terms of reference to investigate themselves.
Sounds like a typically sound Liberal plan of action to me.
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What a bunch of crap — turf them out they will not change a thing — Gauranteed
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The investigation needs to be conducted by front line staff members of the hospital system, not administrators and not a bunch of bureaucrats who have no knowledge of what makes a health system work effectively. That would be like asking a carpenter to fly the space shuttle or having a plumber perform brain surgery. Ask people who know what they’re doing and what is needed, not a bunch of desk jockeys, otherwise there will just be more stupid plans implemented resulting in more money spent and no results obtained. How about a little less talk and a little more action.
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The Liberals and Conservatives are more or less on the same page on health care: privatization, and I don’t see that changing. The best outcome for all is an expanded Universal Health Care. There is money for that, and we shouldn’t be accepting anything less. It’s about priorities and values.
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As I have stated so many times – IT DOES NOT MATTER WHO STARTED IT – IT MATTERS WHO STOPS IT.
Yes. The Minister of Health has finally answered the request made many times, the latest one being the personal meeting with the Mayors and Regional Council some time ago. They went there as a group to ask personally for the investigation as passed by Regional Council four months ago
Insisting on having the NHS and the LHIN as members of this investigation committee is like handing the keys to the hen house to the fox. It will be a “stacked deck” like any other committee set up by the system governing Ontario. The same government that formed and appointed, the LHIN and the NHS.
Whatever happened to the wording independent investigation or the word impartial? The review will likely turn out to be another lesson in futility as it will not be impartial nor independent but will have the same persons on it that created the downfall of equal accessible healthcare for all.
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The problem is just that – who is the “WHO” that will stop it???!!! Nobody seems to fit that description at present. Just hollow promises AGAIN!
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