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Provincial Accountability

Position:

The Public Health Branch must assure that the provincial Accountability Framework, as it applies to the roles and functions of boards of health, is fully discussed with boards of health and health unit senior management, such that the purposes, structure and impacts of Framework are fully understood by these groups and that no reduction of provincial funding should result from non-compliance with Mandatory Program requirements and standards.

Resolutions:
#A01-2, Provincial Accountability Framework and Mandatory Program Compliance/Funding

Status:
Awaiting the outcome of the Capacity Review Committee's report due to be released in Spring 2006

Recent Developments:

February 1 2006

Resolution closed by alPHa Board of Directors

December 11, 2006
alPHa Advocacy Committee recommends closure of this resolution as it refers to a Provincial Accountability Framework, which was an initiative of the Progressive Conservative government of the time. The issue appears to be concerns that failure to comply with the MHPSG would be used as leverage to reduce provincial contributions, a scenario not borne out in the intervening years (the province has significantly increased its funding to boards of health). alPHa’s resolution on adequate funding for full compliance with Mandatory Programs remains active (A02-2).

May 13, 2002
Resolution's sponsor, Brant County Health Unit Board of Health, indicated that the resolution cannot be closed given that issues were only partially addressed and requested full discussion at alPHa annual conference in June 2002.

April 16, 2002
alPHa has not received any provincial report or information on accountability to date.

February 19, 2002
Received letter from Chief MOH on behalf of the Health Minister regarding compliance (i.e. that discussion with stakeholders is ongoing and MOHLTC intends to work with alPHa and health units on planning and implementation) and funding (i.e. that there is no policy linking mandatory programs compliance levels and public health funding levels and that funding is based on 50% of approved costs).

November 20, 2001
Met with Chief MOH and Public Health Branch representatives to discuss alPHa's public health proposal which includes an accountability framework proposal.  The Branch expressed neither opposition nor endorsement to the proposal, but indicated it was moving in the right direction.  The Branch also felt any proposal by the public health sector would require continuous government funding, for which widespread lobbying efforts by municipalities, alPHa's members and provincial bureaucrats would be needed.

August 2001
Received a call from Minister Clement's office to meet with alPHa at a later date.

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