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alPHa Resolutions - PH Funding & Policy
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January 28 2014 written submission from the Association of Local Public Health Agencies to the Standing Committee on Social Policy as part of its review of the Local Health System Integration Act and Regulations.

alPHa Position:

Health surveillance, protection and promotion are effective and cost-beneficial strategies to keep people healthy. At a fraction of the cost of treating disease, public health services are extremely valuable mechanisms for the reduction of morbidity and mortality by preventive means. The chronic underfunding of these services remains despite the "wake-up calls" of Walkerton, West Nile Virus and SARS, and the continuing inability of boards of health to deliver their basic mandated programs. Governments at all levels must make a much stronger commitment to ensure the timely availability of sustained and adequate resources (financial, human and supportive) for the optimal delivery of public health services in all communities.

The responsibility for health protection, disease prevention and health promotion is neither limited to one level of government nor to a single ministry. As such, alPHa believes that it is essential for the province to establish a set of health goals and to secure commitments from all government ministries and government-funded agencies to following standards that are binding, comprehensive, complementary and effective in achieving them. Complementing the Mandatory Health Programs and Services Guidelines, this would create a much stronger foundation for a healthy population by requiring health impact considerations and statements in any public policy decision.

 

In-Year alPHa Board Resolution (2015) - Public Health Funding Formula


THAT
alPHa urge the Ministry of Health and Long Term Care to commit to maintaining a minimum cost of living annual growth rate for grants provided to all boards of health to fund public health programs;

AND FURTHER THAT alPHa urge the Ministry of Health and Long-Term Care to make an evidence-informed decision to adjust upwards the overall percentage of the Ministry’s total budget that is allocated to fund public health programs delivered through boards of health;

AND FURTHER THAT alPHa urge the Ministry of Health and Long-Term Care to engage in a process to implement a comprehensive monitoring strategy in close consultation with Ontario’s boards of health to evaluate the impacts of the new funding model, both in terms of health outcomes and total public health expenditures at the local level.


 

Developments 

November 3, 2012

alPHa has sent a letter to the Minister of Health and Long-Term Care introducing this resolution. 

 

Resolution:  #A12-7 -Continuation of Funding for the Healthy Communities Fund
THAT the Association of Local Public Health Agencies (alPHa) urge the Minister of Health and Long-Term Care to take immediate steps to allocate long-term funding to health units to support the Healthy Communities Fund – Partnership Stream as a key program to make Ontario the healthiest province possible. 

 

Developments on #A12-7:

July 11 2012

alPHa has written a letter to the Minister of Health and Long-Term Care introducing this resolution.


Resolution: #A11-4, Promoting Public Health in Ontario
THAT alPHa request all three funding Ministries (Health and Long- Term Care, Health Promotion and Sport, and Children and Youth Services) to fund a single, centralized provincial public relations campaign to increase the profile of the public health system and public health issues among Ontario residents.

Developments on #A11-4:

February 9-10, 2012
alPHa held its annual Winter Symposium, the theme of which was "Promoting Public Health in Ontario”. Delegates heard from several presenters about branding, communications and marketing strategies for promoting public health to key stakeholders as well as the public. The theme was chosen as a direct response to the resolution. Please click here for Symposium Proceedings.

November 17, 2011
Response to this and four other 2011 Resolutions received from the Minister of Health and Long-Term Care. Please click here to read.

August 29, 2011
Response received from the Premier. Please click here to read.

August 17, 2011
alPHa has written to the Premier of Ontario urging action on this and two other 2011 alPHa Resolutions. Please click here to read.

August 17, 2011
alPHa has written to the Minister of Health and Long-Term Care urging action on this and five other 2011 alPHa Resolutions. Please click here to read.

 

Resolution: #A10-9, Local Public Health and Local Health Integration Networks
THAT the Association of Local Public Health Agencies (alPHa) strongly promote that Public Health Agencies in Ontario remain as independent and separate entities from Local Health Integration Networks (LHINs) and that this position be communicated to the Minister of Health and Long-Term Care.

Developments on #A10-9:

January 28 2014

alPHa has made a written submission to the Standing Committee on Social Policy as part of its review of the Local Health System Integration Act and Regulations.

October 28, 2010
Response received to the correspondence notifying the Ministry of Health and Long-Term Care of this and four other 2010 alPHa resolutions. Please click here to read.

 

August 19, 2010
alPHa has sent a letter to the Minister of Health and Long-Term Care introducing this and four other 2010 Resolutions. Please click here to read.

 

Resolution: #A10-3, Governance by Autonomous Boards
THAT the Government of Ontario continue, in consultation with alPHa and its members, to implement the governance recommendations of the Capacity Review Committee to ensure that all Ontarians are served by Boards of Health that are autonomous, skills based, with a balance between municipal and local citizen representatives, and whose resources and decisions are dedicated solely to public health in their communities.

Developments on #A10-3:

October 28, 2010
Response received to the correspondence notifying the Ministry of Health and Long-Term Care of this and four other 2010 alPHa resolutions. Please click here to read.

August 19, 2010
alPHa has sent a letter to the Minister of Health and Long-Term Care introducing this and four other 2010 Resolutions. Please click here to read.



Resolution: #A05-16, Local Public Health Funding
THAT the Association of Local Public Health Agencies (alPHa) petition the federal and provincial governments to ensure that municipalities have additional means of revenue generation to ensure the availability of resources adequate to meet local public health needs.

 

Developments on #A05-16:

Fall 2006
AMO, the City of Toronto and the Ontario Government have entered into discussions under the Provincial-Municipal Fiscal and Service Delivery Review, to include the financing and funding relationship, as well as service delivery and service governance. Report and recommendations are due in the Spring of 2008.
Please click here to read the report.

February 15, 2006
Letter sent to provincial and federal finance ministers introducing this resolution.
Please click here to read.

 

Resolution: #A04-9, Public Health Impact Statement Requirements
THAT the Government of Ontario immediately require that public health impact analysis statements be a component of Cabinet Submissions prepared by any Ministry of Government.

 

Developments on #A04-9:

May 9, 2006
Minister of Health Promotion has replied to alPHa's February 1 letter. Please click here to read.

February 1, 2006
alPHa has written to Minister of Health Promotion Jim Watson (in his capacity as Chair of the Interministerial Committee on Healthy Living) to introduce Resolutions A03-1 and A04-9 for the Committee's consideration. Please click here to read.

March 3, 2005
alPHa has written to Finance Minister Greg Sorbara to introduce resolution A04-9 in the context of his eventual receipt of the report of the Ontario Beverage Alcohol System Review. Please click here to read.

September 10, 2004
Response received from the Ministry to the letter described below. Please click here to read. The response to A04-4 and 5is on pages 2 & 3. The reponse to A04-9 is on page 4.

July 21, 2004
Letter sent to Minister of Health George Smitherman, copied to CMOH Sheela Basrur and Premier Dalton McGuinty introducing Resolutions # A04-4, 5 and 9 and others for their attention. Please click here to read.

 


Resolution: #A03-1, Establishment of Health Goals and Objectives for Ontario
THAT the Association of Local Public Health Agencies petition the government of Ontario to review the current process for development and adoption of Mandatory Health Programs and Services Guidelines within the Health Protection and Promotion Act and replace it with a process to establish health goals and objectives for the province of Ontario and subsequently set requirements and standards for all government ministries and government-funded agencies that are comprehensive, complementary and effective in promoting the health of Ontario residents in light of the provincial goals and objectives.

Developments on #A03-1:

May 9, 2006
Minister of Health Promotion has replied to alPHa's February 1 letter.
Please click here to read.

February 1, 2006
alPHa has written to Minister of Health Promotion Jim Watson (in his capacity as Chair of the Interministerial Committee on Healthy Living) to introduce Resolutions A03-1 and A04-9 for the Committee's consideration.Please click here to read.

March 23, 2004
The call for the establishment of Provincial Health Goals is reiterated in alPHa's Position Paper,
Creating a Sustainable Public Health System in Ontario, released on March 22.

November 26, 2003
Received a letter from the Ministry of Health and Long Term Care in response to this and three other resolutions.
Click here to view the letter.

September 8, 2003
alPHa staff sent its annual letter to the Minister of Health and Long-Term Care, introducing this and other Resolutions for consideration and action.
Please click here to read the letter.


Resolution: #A03-1, Establishment of Health Goals and Objectives for Ontario
THAT the Association of Local Public Health Agencies petition the government of Ontario to review the current process for development and adoption of Mandatory Health Programs and Services Guidelines within the Health Protection and Promotion Act and replace it with a process to establish health goals and objectives for the province of Ontario and subsequently set requirements and standards for all government ministries and government-funded agencies that are comprehensive, complementary and effective in promoting the health of Ontario residents in light of the provincial goals and objectives.

Developments on #A03-1:

May 9, 2006
Minister of Health Promotion has replied to alPHa's February 1 letter.Please click here to read.

February 1, 2006
alPHa has written to Minister of Health Promotion Jim Watson (in his capacity as Chair of the Interministerial Committee on Healthy Living) to introduce Resolutions A03-1 and A04-9 for the Committee's consideration. Please click here to read.


Resolution: #A02-2, Adequate Funding for Public Health Programs and Services
THAT alPHa urge the Government of Ontario to ensure that all boards of health receive adequate municipal and provincial funding such that all boards of health are able to fully comply with the Mandatory Health Programs and Services Guidelines; AND FURTHER that alPHa urge the Government of Ontario to recognize and affirm that an unwillingness to adequately fund public health programs and services results in further erosion of these essential programs and services which will adversely affect the health of all Ontarians and will lead to many preventable hospitalizations and deaths occurring resulting in substantial additional costs to the health care system and the overall economy.

Developments on #A02-2:

October 2006
alPHa has compiled feedback from the survey described below and shared the results with members. On October 31st, a letter was sent to Minister Smitherman on the impact of the provincial cap,focused on the inability of many health units to proceed with previously approved program expansions.
Please click here to read the letter.

June 8, 2006
alPHa has sent a letter to the CMOH and all MPPs describing the expected impacts of the announced 5% cap on growth of public health funding at the provincial level. Includes the results of a survey of all health units, to which 33 of 36 responded.Please click here to read.

January, 2006
alPHa has created and implemented a communication plan designed to inform ministers and critics of the funding pressures faced by health units in 2006.

June 2005
alPHa surveyed health departments on their 2005 budget process to deterimine the level of support that had been achieved for alPHa's position that the absolute municipal contribution to health unit funding should not be reduced as the provincial portion rises to 55%.

May 28, 2004
Province announced it will increase its share of public health funding from 50% to 75% by 2007 to strengthen public health programs and services. The government also announced that it would be investing $273 million in public health in 2004/05, growing to $469 million by 2007/08.


March 22, 2004
alPHa releases its Position Paper,
Creating a Sustainable Public Health System in Ontario.


January 26, 2004

Minister of Health and Long-Term Care announced plans to put unprecedented resources into the province's public health system.
View the report in the Globe and Mail.

 February 17, 2003
alPHa wrote letter to thank Health Minister Tony Clement for supporting public health strongly in the dispute over budget increases between the board of health of Hastings and Prince Edward Counties Health Unit and the area's mayors. Clement firmly told the mayors that municipalities must comply with their obligated duties in the HPPA to provide/pay for public health programs.

December 11, 2002
alPHa received a letter from Geoff Kettel, Public Health Branch (written on behalf of Minister Tony Clement) indicating the province cost-shares public health funding with municipalities "subject to the availability of financial resources" and has increased mandatory program funding by 17% over the last 2 years (Safe Water and West Nile virus). The letter also outlines the Ministry's new 100% funded programs (e.g. FOCUS, Asthma Strategy, Universal Influenza Immunization).

November 4, 2002
Received a letter from Premier Ernie Eves indicating he received the information.

November 1, 2002
alPHa wrote a position statement on adequate provincial funding for public health programs and services, and posted it on its web site. Click here to read.

 

                                                    

CLOSED Resolution: #A05-10, SARS Commission
THAT aIPHa urge the Government of Ontario to act immediately to establish a consultation process to review and advance the recommendations of the second interim report of the SARS Commission that are not being addressed by Operation Health Protection.

 

Reason for Closure:

April 26 2013

The alPHa board has closed this resolution because, while it may still speak to some unresolved issues, was made in a context whose relevance has declined over time.

 

 

CLOSED Resolution: #A05-17, Board of Health Budgets, 2006
Resolution urging all Ontario Boards of Health to approve 2006 budgets that will allow them to fully comply with the delivery of all mandated public health programs and services, while also urging the province to keep its promise to pay 65%of that total.

Reason for Closure:

December 11, 2006
alPHa Advocacy Committee recommends that this resolution be closed, as the budget process for 2006 is completed. alPHa has an existing, more general Resolution calling for sufficient financial commitments from funders to allow 100% compliance with Mandatory Programs (A02-2, Adequate Funding for Public Health Programs and Services).

                                                    

CLOSED Resolution: #A04-3, National Advisory Committee on SARS and Public Health
THAT the Association of Local Public Health Agencies (alPHa) urge the Government of Canada to implement all of the National Advisory Committee's recommendations; AND FURTHER that alPHa urges the Government of Canada to strike a Ministerial Advisory Committee, including representation from alPHa and its Council of Ontario Medical Officers of Health, to oversee and guide the implementation of these recommendations; AND FURTHER that alPHa urges the Government of Canada to direct the Minister of State for Public Health to report to parliament at least annually on the progress of the implementation.

 

Reason for Closure:

April 26 2013

 

The alPHa board has closed this resolution because, while it may still speak to some unresolved issues, was made in a context whose relevance has declined over time. 

 

 

CLOSED Resolution: #A04-5, Continual Revision of General and Program Standards
alPHa urges the Government of Ontario to establish an inclusive, rapid process for continually reviewing, revising, approving and modernizing the general and program standards of the Mandatory Health Programs and Services Guidelines.

 

Reason for Closure:

February 19, 2007
Ontario Public Health Standards Consultation Draft released. In place of the former General Standards, there is a Foundational Standard, which requires Boards of Health to continuously monitor health status and adapt local services in a system of continuous quality improvement. Once finalized, alPHa's advocacy committee will be asked to consider the draft.

 

CLOSED Resolution: #A04-4, Mandatory Health Programs and Services Guidelines
alPHa urges the Government of Ontario, as an interim step, to finalize the revised chronic disease prevention, early detection of cancer, injury prevention and substance abuse prevention, reproductive health, child health and safe water program standards.

 

 

Reason for Closure:

December 11, 2006
alPHa Advocacy Committee recommends closure of resolution A04-4, as The current Review and Renewal of the Mandatory Health Programs and Services Guidelines process supersedes the recommendations made by the technical review committees in 2002.

CLOSED Resolution: #A04-2, Ontario Expert Panel on SARS and Infectious Diseases
THAT alPHa urges the Government of Ontario to strike an Expert Advisory Group, including representation from alPHa and its Council of Medical Officers of Health, to oversee and guide the implementation of these recommendations; AND FURTHER alPHa urges the Government of Ontario to direct the Minister of Health and Long-Term Care to report to the legislature at least annually on the progress of the implementation.

 


Reason for Closure:


December 11, 2006
alPHa Advocacy Committee recommends closure of Resolution A04-2 as the establishment of the Capacity Review Committee, the Agency Implementation Task Force, and the Mandatory Program Review and Renewal process would appear to satisfy the operative clause

CLOSED Resolution: #A01-2, Provincial Accountability Framework and Mandatory Program Compliance/Funding
THAT the Public Health Branch 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 FURTHER that no reduction of provincial funding result from non-compliance with Mandatory Program requirements and standards.

 

Reason for Closure:

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).

CLOSED Resolution: #A00-1, Federal Funding for Public Health
THAT the Association of Local Public Health Agencies (alPHa) calls on the Federal Government to establish a national program for Disease Prevention and Health Promotion, establish national standards and provide 50% funding to Provinces for all new and expanded programs and services meeting such standards; AND FURTHER that the Association of Local Public Health Agencies (alPHa) calls on the Province of Ontario to immediately invest 1% of the projected added treatment cost of $9.5 B to provide an additional $95 M for the funding of public health agencies as the provincial share of new funding for public health activities; AND FURTHER that the Association of Local Public Health Agencies (alPHa) and all Ontario Boards of Health contact the Federal and Provincial Governments to support the enhancement of preventive services.

 

Reason for Closure:

December 11, 2006
alPHa Advocacy Committee recommends closure of Resolution A00-1 as 1) the federal government has since created the Public Health Agency of Canada (satisfies the "establish a national program for disease prevention and health promotion” clause); 2) The Federal/Provincial/Territorial Ministers of Health agreed upon Health Goals for Canada in October 2005 (satisfies the "establish national standards” clause); 3) Operation Health Protection investments, the creation of the Ministry of Health Promotion and the increase to the provincial share of public health funding more than satisfies the call for $95M in new provincial money; 4)The call on the federal government to provide 50% funding for the costs of new and expanded programs and services to meet these goals is unrealistic as worded – such funding would be part of the Canada Health Transfer, which does not itemize types of health – related spending.

Local Board Resolutions - Public Health Funding

Item Name Posted By Date Posted
APH - ENH Program Funding PDF (239.2 KB)  more ] Administration 2016-06-13
PCCHU - ENH Program Funding PDF (723.54 KB)  more ] Administration 2016-04-28
KFLA - MCYS Program Funding PDF (129.52 KB)  more ] Administration 2016-04-14
GBHU - ENH Program Funding PDF (873.14 KB)  more ] Administration 2016-03-29
NBPSDHU - ENH Program Funding PDF (443.04 KB)  more ] Administration 2016-03-10
KFLA - Public Health Funding Formula PDF (69.39 KB)  more ] Administration 2016-02-18
Chatham Kent - Public Health Funding Formula PDF (166.47 KB)  more ] Administration 2016-01-07
Elgin St Thomas - Public Health Funding Formula PDF (156.8 KB)  more ] Administration 2016-01-07
APH - Public Health Funding Formula PDF (70.49 KB)  more ] Administration 2015-12-08
SDHU - Public Health Funding Formula PDF (101.24 KB)  more ] Administration 2015-12-07
HKPR - Public Health Funding Formula PDF (52.71 KB)  more ] Administration 2015-11-20
LGL - Public Health Funding Formula PDF (735.17 KB)  more ] Administration 2015-11-11
Elgin-St. Thomas - Equity Funding Model PDF (62.05 KB)  more ] Administration 2015-11-06
Various - Funding Equity Model PDF (430.71 KB)  more ] Administration 2015-10-23
GBHU - Equity Funding Model PDF (911.06 KB)  more ] Administration 2015-10-07
KFLA - Budget Process PDF (115.29 KB)  more ] Administration 2015-10-07
Porcupine - Equity Funding Model PDF (130.34 KB)  more ] Administration 2015-10-07
KFLA - 100% Funded MCYS Programs PDF (115.27 KB)  more ] Administration 2015-04-22
KFLA - MCYS 100% Funded Programs PDF (83.61 KB)  more ] Administration 2014-04-17
NBPSDHU - 2014 Budget Submission PDF (68.96 KB)  more ] Administration 2014-01-22
SMDHU Resolution - Healthy Communities Partnership PDF (288.86 KB)  more ] Administration 2012-11-23
NBPSHU - Capital Budgets PDF (291.36 KB)  more ] Administration 2012-11-23
PCCHU - Capital Budgets PDF (434.69 KB)  more ] Administration 2012-11-23
TPH - 100% Provinically Funded Programs PPT (263 KB)  more ] Administration 2012-11-23
GBHU Resolution - HCF School Nutrition Initiative PDF (78.88 KB)  more ] Administration 2012-11-23
Clarington Township - Funding Equity PDF (376.98 KB)  more ] Administration 2012-11-23
MLHU Resolution - TPH Funding Infectious Disease PPT (263 KB)  more ] Administration 2012-11-23

Local Board Resolutions - Public Health Policy

Item Name Posted By Date Posted
GBHU - OPHS Review PDF (411.77 KB)  more ] Administration 2016-11-28
Lambton - Patients First Recommendations (2) PDF (780.24 KB)  more ] Administration 2016-07-21
Lambton - Patients First Recommendations (1) PDF (633.27 KB)  more ] Administration 2016-07-21
FONOM - Patients First Recommendations PDF (97.15 KB)  more ] Administration 2016-06-08
WDGHU - Patients First Follow-Up PDF (860.69 KB)  more ] Administration 2016-05-17
MLHU - Patients First Response PDF (641.75 KB)  more ] Administration 2016-05-16
WDGHU - Patients First Recommendations PDF (1.92 MB)  more ] Administration 2016-04-28
LGL - Patients First Recommendations PDF (226.94 KB)  more ] Administration 2016-04-15
Durham - Patients First Recommendations PDF (101.97 KB)  more ] Administration 2016-04-15
PDHU - Patients First Recommendations PDF (122.09 KB)  more ] Administration 2016-04-15
Hamilton - Patients First Recommendations PDF (298.94 KB)  more ] Administration 2016-04-14
PCCHU - Patients First Recommendations PDF (303.45 KB)  more ] Administration 2016-03-31
GBHU - Patients First Recommendations PDF (446.35 KB)  more ] Administration 2016-03-07
York- Patients First Recommendations PDF (574.28 KB)  more ] Administration 2016-03-02
Ottawa - Patients First Recommendations PDF (365.95 KB)  more ] Administration 2016-02-19
HKPR - Patients First Recommendations PDF (1.37 MB)  more ] Administration 2016-02-19
SDHU - Patients First Motions PDF (62.51 KB)  more ] Administration 2016-10-07
KFLA - Remote Participation in BOH Meetings PDF (56.96 KB)  more ] Administration 2016-01-08
PCCHU - Remote Participation in BOH Meetings PDF (1.42 MB)  more ] Administration 2015-11-11
PCCHU - Mandatory Long Form Census (2) PDF (294.73 KB)  more ] Administration 2015-10-27
MLHU - Remote Participation in BOH Meetings PDF (425.26 KB)  more ] Administration 2015-10-20
WDGHU - Remote Participation in BOH meetings PDF (1.16 MB)  more ] Administration 2015-09-14
PCCHU - Mandatory Long Form Census PDF (97.64 KB)  more ] Administration 2015-01-07
HKPR - Mandatory Census PDF (212.52 KB)  more ] Administration 2014-12-10
Niagara - IFHP (Refugee Health) PDF (1.08 MB)  more ] Administration 2012-11-23
TBDHU - MHP Realignment PDF (84.97 KB)  more ] Administration 2012-11-23
SDHU - Teaching Health Units PDF (218.77 KB)  more ] Administration 2012-11-23
Durham - Extension of CMOH Authority PDF (124.44 KB)  more ] Administration 2012-11-23
NBPSHU - Mandatory Long-Form Census PDF (491.91 KB)  more ] Administration 2012-11-23
SDHU - Public Health Renewal PDF (46.89 KB)  more ] Administration 2012-11-23
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