Horwath releases plan for new, public and non-profit home care and long-term care system

"Precisamos de agir agora para garantir que as pessoas estejam seguras nos lares e com visitas domiciliares durante a segunda onda de COVID-19. Precisamos de reformular o sistema para que este pesadelo não se repita."

TORONTO — Starting in 2022, Andrea Horwath will create 50,000 new long-term care spaces, invest millions in quality home care, and within eight years make the entire system public and not-for-profit.

On October 9, Horwath, who is Leader of the Official Opposition New Democrats, announced her plan for an overhaul of home care and long-term care in Ontario.

“The COVID-19 pandemic revealed a disaster hiding behind the walls of Ontario’s long-term care homes. More than 1,870 residents have died, and thousands of families have been devastated,” said Horwath. “We have to take action now to make sure people are safe in nursing homes and during home-care visits during the second wave. And we have to overhaul the system to make sure this nightmare never happens again.”

Horwath’s plan is a comprehensive and detailed blueprint for an eight-year transition from a fragmented, privatized and poorly regulated system to well-regulated and well-staffed public and not-for-profit system.

“We’re going to help your parents live in their own home for longer. We’ve planned for better paid, better trained, full-time staff, so every senior gets the care they deserve. We will invest in care that is responsive to your parents’ culture and language, and finally treats family caregivers as care partners, not just visitors. We’ll get to work building nursing homes the right way – with small communities that feel like home.,” said Horwath.

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“And I’m promising to ban greedy corporations from the sector — so every last dollar goes into better care, and better living. Your parents and grandparents deserve better care. No matter how much money is in their retirement fund.”

Conservative and Liberal governments have spent 30 years letting for-profit corporations take over. The result is care homes so short-staffed that residents are regularly neglected, and can get sick from dehydration and malnourishment while a revolving door of part-time and temp workers are run off their feet.

“These for-profit corporations warehouse seniors in hospital-like facilities. They cut corners when it comes to staffing and care, in order to pocket bigger profits. All while governments, including the Doug Ford government, try to save a buck by cutting funding, cutting inspections, and blocking public, judicial inquiries. Every year, the conditions get worse and worse,” said Horwath.

“Our plan is for better care and better living for our parents and grandparents, and more peace of mind for their families.”

More about NDP’s plan

  1. Investing in home care to help people live at home longer.
    Investing millions in non-profit and public home care so we can end the for-profit, understaffed patchwork of home care companies that don’t give our seniors the care they deserve. This means bringing the system into the public and non-profit sectors over eight years, as well as new provincial standards for quality home care services, and culturally-appropriate resources, training, and job-matching of staff to communities with the same language and culture. 
  2. Making all long-term care public and not-for-profit
    Ending greedy profit-making at the expense of quality of care. Horwath will phase out for-profit operators within eight years, and increase financial reporting, transparency and accountability during the transition period. They will be replaced with non-profit and public long-term care homes where every dollar goes towards care. 
  3. Building small, modern, family-like homes
    The gloom of being warehoused in institution-like facilities is over. An NDP government will immediately start building small nursing homes in your communities that actually feel like home. Based on best practices from around the world, the NDP will build smaller living spaces shared by groups of six to 10 people. In a small town, it could look like a typical family home. In bigger cities, it could look more like a neighbourhood of villas. 
  4. Staffing up with full-time, well-paid, well-trained caregivers 
    The NDP will give personal support workers a permanent wage boost of $5 an hour over their pre-pandemic wages. The NDP will mandate enough staff to guarantee at least 4.1 hours of hands-on care per resident per day, establish a dedicated fund for training personal support workers, and more. 
  5. Making family caregivers partners
    The NDP will treat loved ones like more than just visitors, including creating a provincial Caregiver Benefit Program and ensuring every home has an active family and resident council. 
  6. Creating culturally responsive, inclusive and affirming care
    The NDP will make sure seniors feel at home, surrounded by care that is responsive and respectful of their language, culture and food. The NDP will partner with communities to deliver more culturally responsive home care and long-term care homes.  
  7. Clearing the wait list
    Clearing the 38,000-person wait list that can mean years waiting for a bed, and even longer for a culturally appropriate home. The NDP will create up to 50,000 spaces and eliminate the wait list within eight years. 
  8. Guaranteeing new and stronger protections
    Comprehensive inspections, a Seniors’ Advocate, and more will ensure care never goes downhill again. 

The NDP estimates the total cost of the plan to be $750 million per year in each of eight years for one-time capital investments; plus $3 billion in annual operations costs, which represents a 30 per cent increase to the total budget for home and long-term care, which will be implemented with annual increases over six years.