{"id":28929,"date":"2023-07-21T10:15:16","date_gmt":"2023-07-21T14:15:16","guid":{"rendered":"https:\/\/www.ontariohealthcoalition.ca\/?p=28929"},"modified":"2023-09-21T16:43:12","modified_gmt":"2023-09-21T20:43:12","slug":"this-article-is-more-than-1-month-old-news-doug-ford-is-quietly-planning-to-privatize-maintenance-services-at-new-hospitals-in-ontario","status":"publish","type":"post","link":"https:\/\/www.ontariohealthcoalition.ca\/index.php\/this-article-is-more-than-1-month-old-news-doug-ford-is-quietly-planning-to-privatize-maintenance-services-at-new-hospitals-in-ontario\/","title":{"rendered":"Doug Ford is Quietly Planning to Privatize Maintenance Services at New Hospitals in Ontario"},"content":{"rendered":"

(July 19, 2023)<\/p>\n

By: Mitchell Thompson, PressProgree<\/p>\n

The Ontario government\u2019s multi-billion dollar hospital construction plan quietly includes a proposal to privatize hospital maintenance services.<\/p>\n

According to a\u00a0document<\/a>\u00a0from Infrastructure Ontario, the Ford government\u2019s multi-billion hospital plan \u2013 including\u00a0The Ottawa Hospital\u2019s new Civic campus<\/a>, its new\u00a0Windsor\/Essex regional hospital<\/a>, the Mackenzie Vaughan Hospital and its addition to Toronto\u2019s Sick Kids hospital \u2013 are all set for financing under a new P3 model.<\/p>\n

The report notes the plan is set-up to allow a \u201cconsortia\u201d of private companies to design, build, finance and maintain the sites \u2013 the code they\u2019ve adopted is \u201cprogressive DBFM.\u201d<\/p>\n

According to the Canadian Council for Public-Private Partnerships, a\u00a0DBFM model<\/a>\u00a0involves \u201cthe private sector designs, builds and finances an asset and provides hard facility management (hard fm) or maintenance services under a long-term agreement.\u201d<\/p>\n

Typically, Infrastructure Ontario notes, the province has stuck to the DFB design-finance-build p3 model \u2013 a DBFM designation would give the consortia explicit control over \u201cmaintenance.\u201d<\/p>\n

In 2021, Infrastructure Ontario President and CEO Michael Lindsay told a\u00a0trade magazine:<\/a><\/p>\n

\u201cOur traditional public-private partnership models will continue to be the primary mechanism we use for project procurement and delivery \u2026 But there are several projects in our pipeline at the moment that call for approaches that are above and beyond the traditional, fixed-price, fixed-schedule approach. Whether because of their size or their complexity, those projects require new ways of working with our development partners to understand and mitigate risks.\u201d<\/p><\/blockquote>\n

The government did not respond to questions from\u00a0PressProgress<\/em>\u00a0about what \u201cmaintenance\u201d would be under the purview of the P3 financiers.<\/p>\n

Ontario Health Coalition Executive Director Natalie Mehra says the province\u2019s history with private hospital financing is long and troubling.<\/p>\n

\u201cUsually there\u2019s a financier and then financiers financing the financiers, there\u2019s a property manager and a builder,\u201d Mehra told\u00a0PressProgress<\/em>. \u201cThey say they find savings, but they are ridiculously expensive.\u201d<\/p>\n

While it is unclear what \u201cmaintenance\u201d services the financiers will be able to control, Mehra said the province\u2019s first P3 hospitals \u2013 the\u00a0Royal Ottawa Hospital<\/a>\u00a0and the\u00a0Brampton Civic Hospital<\/a>\u00a0\u2013 operate under a similar arrangement that was \u201cbundled into the real estate deal, over a generation, all of the services of the hospital.\u201d<\/p>\n

That included patient support service, record-keeping, portering security, food services, and transcription. \u201cAll of that was privatized and bundled into the real estate deal for the duration of the contracts,\u201d Mehra noted.<\/p>\n

Registered Nurses Association of Ontario CEO Doris Grinspun says regardless of what the financiers explicitly control, they can only receive a return on their investment from the hospital\u2019s own operations.<\/p>\n

\u201cRNAO does not support P3s,\u201d Grinspun told\u00a0PressProgress<\/em>. \u201cWe are not in favor of investor-driven healthcare at all.\u201d<\/p>\n

\u201cThere is way more uncertainty from a long-run deal like this. And the consortium\u2019s revenue\u2019s come in unexpected ways, higher user fees, selling other services, cutting services and cheaper staffing to make up for shortfalls and so on.\u201d<\/p>\n

Click here for original article<\/a><\/p>\n","protected":false},"excerpt":{"rendered":"

(July 19, 2023) By: Mitchell Thompson, PressProgree The Ontario government\u2019s multi-billion dollar hospital construction plan quietly includes a proposal to privatize hospital maintenance services. According to a\u00a0document\u00a0from Infrastructure Ontario, the Ford government\u2019s multi-billion hospital plan \u2013 including\u00a0The Ottawa Hospital\u2019s new Civic campus, its new\u00a0Windsor\/Essex regional hospital, the Mackenzie Vaughan Hospital and its addition to Toronto\u2019s […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[21],"tags":[],"class_list":["post-28929","post","type-post","status-publish","format-standard","hentry","category-ohc-in-the-news"],"yoast_head":"\nDoug Ford is Quietly Planning to Privatize Maintenance Services at New Hospitals in Ontario - Ontario Health Coalition<\/title>\n<meta name=\"description\" content=\"(July 19, 2023) By: Mitchell Thompson, PressProgree The Ontario government\u2019s multi-billion dollar hospital construction plan quietly includes a proposal\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.ontariohealthcoalition.ca\/index.php\/this-article-is-more-than-1-month-old-news-doug-ford-is-quietly-planning-to-privatize-maintenance-services-at-new-hospitals-in-ontario\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Doug Ford is Quietly Planning to Privatize Maintenance Services at New Hospitals in Ontario - 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