CHNIG/RNAO Initial Response to Revitalizing Ontario's Public Health Capacity: The Final Report of the Capacity Review Committee
Submission to the Capacity Review Committee
Summary of Key Messages/Recommendations
1. Five essential functions make up the public health system: population health assessment; health surveillance; health promotion; disease and injury prevention; and health protection.
2. Develop a system wide view of public health that strikes a balance in the reinvestment of resources between infectious diseases and public health emergencies and other public health mandates that address determinants of health, health promotion, and disease and injury prevention.
3. All Public Health Units should have an appointed Chief Nursing Officer and the HPPA should legislate that all Public Health Units have an appointed Chief Nursing Officer.
4. Ensure Medical Officers of Health have the authority and resources in an emergency situation to protect the public without political or bureaucratic hindrances.
5. Acknowledge that the roles, functions, and skills of the MOH and CEO are distinctly different; do not mandate a local MOH to have CEO authority for local public health services.
6. Ensure adequate resources and stability through the transition period.
7. Revise Mandatory Health Programs based on five core public health functions.
8. Adequate and stable multi-year funding facilitates planning.
9. Establish and resource integrative mechanisms among ministries which carry out public health functions (Public Health Division of Ministry of Health and Long Term Care, Ministry of Health Promotion, Ministry of Children and Youth Services).
10. Introduce “Whistle-Blower Protection” legislation to protect workers who express concerns.
11. Institute equitable reimbursement for nurses across health units and equal to nurses working in the acute care sector.
12. Increase participation of nurses in meaningful decisions at local and provincial levels.
13. Significantly increase opportunities for professional development, including resourced structured mentoring opportunities.
14. Implement strategies to encourage experienced public health nurses to remain in workforce as then near retirement to capitalize on their extensive experience.
15. Promote discipline specific networks—nurses need peer support and professional nursing leadership.
16. PHRED programs be 100% provincially funded.
17. Public health nursing be resourced in order to provide link/collaboration/ Partnership/integration with primary care sites such as Family Health Teams and community health centres.