Policy and Political Action

Policy & Political Action

Bill 21: Safeguarding Health Care Integrity Act, 2014

The Registered Nurses’ Association of Ontario (RNAO) is the professional association representing registered nurses (RNs), nurse practitioners (NPs), and nursing students in all roles and sectors across Ontario. Since 1925, RNAO has advocated for healthy public policy, promoted excellence in nursing practice, increased nurses' contributions to shaping the health-care system, and influenced decisions that affect nurses and the public they serve. RNAO appreciates this opportunity to provide feedback to the Standing Committee on Social Policy on Bill 21, An Act to safeguard health care integrity by enacting the Voluntary Blood Donations Act, 2014 and by amending certain statutes with respect to the regulation of pharmacies and other matters concerning regulated health professions or the Safeguarding Health Care Integrity Act, 2014 for short.

RNAO's analysis and recommendations on ways to strengthen the integrity of Ontario's health-care system are divided in three sections: safety of blood supply; access to safe and sustainable pharmaceuticals; and increasing effectiveness of self-regulation of health professionals.

Summary of Recommendations:

  • Prohibit for-profit collection of blood and blood products. Instead of moving away from the World Health Organization and Krever Commission recommendations, the Canadian blood supply must build self-sufficiency. This can be done by ensuring the blood and blood products are used responsibly; cost savings generated through a national pharmacare program; and ensuring that blood donor criteria are evidence-based to account for actual risks rather than stereotypes
  • Implement recommendation #2 of the Standing Committee on Social Policy's Report on Diluted Drugs. That is,

    In order to maintain transparency and accountability, the government of Ontario, through legislative or other means, take those steps necessary to ensure that

    • group purchasing organizations and shared services organizations are subject to all aspects of the Broader Public Sector Accountability Act, 2010;
    • the salaries of employees and executives of group purchasing organizations and shared service organizations are reported under the Public Sector Salary Disclosures Act, 1996;
    • group purchasing organizations and shared services organizations are subject to audits by the Office of the Auditor General of Ontario;
    • public and broader public sector members of group purchasing organizations and shared service organizations pay for the value of procurement services as opposed to a percentage of purchases; and
    • rebates and value adds are discontinued.
  • RNAO looks to the government of Ontario to provide leadership for a pan-Canadian standardized, publicly funded and publicly controlled pharmacare program.
  • Advance amendments to the Regulated Health Professions Act that will promote public safety, confidence in the self-regulatory system and accountability of regulators, while promoting fairness to the health-care professionals involved.

See the full submission with footnotes and references below

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