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Kincardine Council split on support of hospital de-amalgamation
By Liz Dadson

Kincardine Town Council

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Gregg McClelland

Several Kincardine councillors support the Friends of the Kincardine Hospital in their fight to de-amalgamate the site from the South Bruce Grey Health Centre. Others aren't so sure.

In the public forum at the council meeting Wednesday (Oct. 21), Friends chairman Gregg McClelland took issue with mayor Larry Kraemer discussing a letter, addressed to him, with Huron-Bruce MPP Carol Mitchell and officials at the South Bruce Grey Health Centre during a meeting Oct. 9. The mayor then discussed the letter with council at the meeting Oct. 14.

Sent by Ken Deane, assistant deputy minister, accountability and performance division, Ontario Ministry of Health and Long Term Care, the letter stated that the ministry does not support de-amalgamation of Kincardine from the health centre which also includes hospitals in Walkerton, Chesley and Durham.

McClelland did not receive the letter by E-mail until Oct. 13, and the actual letter arrived in the mail Oct. 16 with an Oct. 14 post-date from Toronto. He said this is an invasion of privacy. Turning to the mayor, he said, "How do you account for that?"

Since council allows no discussion at the public forum stage, the letter was discussed later in committee-of-the-whole.

Deputy mayor Laura Haight said that it's been about a year since Kincardine hosted a stakeholders' meeting. Now, the community has received written notification (from Deane) that de-amalgamation is off the table. "We supported the Friends of the Kincardine Hospital in their bid to find ways to improve health care at the Kincardine hospital," she said. "Perhaps it's time to hold another meeting or for Kincardine to meet with the Friends and Huron-Kinloss (residents use the hospital) and determine what steps we should take on a proactive basis."

She said that while health care is not a municipal jurisdiction, governance issues at the Kincardine hospital could benefit from municipal involvement. "We're already involved in health care," she said. "We've spent money on the clinic and on physician recruitment. Soon, we'll be looking at a redevelopment plan for the hospital. We need to work together on this."

Addressing McClelland's concerns, Kraemer said the Oct. 9 meeting was called by Mitchell. "I was asked by the MPP to share that letter with council at my earliest opportunity and that's what I did," he said.

Kraemer said a number of health care issues were discussed at that meeting, including the governance of the Kincardine hospital. In particular, the subject came up of allowing municipal representation on the hospital board. "We were told in 2002-03 that it was a conflict of interest and the Ontario Hospital Association was against it. Now Dan Gieruszak, a Brockton councillor, is chairman of the health centre board. We should look at the governance model again, and we need to talk to other councils about it."

Councillor Marsha Leggett was not impressed that council was unaware of this health care meeting being held. "I think the Friends of the Kincardine Hospital should go ahead with what they're doing," she said. "I'm behind you all the way."

Councillor Randy Roppel suggested council sit down with the Friends and have an open and honest discussion about health care in Kincardine. "We have a major problem here," he said. "We can find time to talk about hospital issues with whoever, but we cannot find time to sit down with you people (Friends) and discuss if we have common ground on this. If we can't separate from all the evildoers, then we should sit down and see how to make this work."

He said he was at the meeting in Ottawa with the health ministry representatives who made it clear they would not support de-amalgamation in Kincardine. A letter came to the mayor later, stating Kincardine's concerns about health care but there was no mention of de-amalgamation, said Roppel. "You, Larry (Kraemer), made the statement that de-amalgamation was not allowed. But if it's not in print, it's just hollow words."

Councillor Kenneth Craig supported the idea of the municipality mediating another meeting of the health care stakeholders. "But I'm confused about how municipal representation at a hospital board meeting would affect changes in the governance model," he said. "I would not support having a municipal representative at a board meeting until we have the opportunity to talk to other municipal councils."

"I fully support the Friends of the Kincardine Hospital," said councillor Ron Hewitt. "The health ministry said it does not support separation from the health centre, but it did not say it isn't possible. I encourage the Friends to continue on. They have a lot of smart people there. We're still losing services at our hospital, and if we don't do something, we won't have a hospital."

Haight said the push for de-amalgamation could jeopardize the redevelopment of the hospital because the same people voting on that project are the ones the Friends are going to war with over de-amalgamation. "Health care goes beyond municipal borders. The original idea was for the Friends to look at options for improving health care at the Kincardine hospital. Now, let's look at the LHIN (Local Health Integrated Network)'s goals and objectives and the needs of the Kincardine hospital and see how we can advance those at the board level." She suggested Kincardine and Huron-Kinloss sit down with the Friends and find out what items can be improved at the Kincardine site.

Councillor Guy Anderson supported the idea of a meeting with the Friends and the two councils. "This has dragged on long enough," he said. "We'll have the new gymnasium built at the Davidson Centre before we sort this out."

 


Dr. Gary Gurbin, a member of the Friends of the Kincardine Hospital, was allowed to speak. He thanked council for considering a meeting with the Friends. The group was planning to meet that night (Oct. 21) and would determine an opportunity for a meeting with the two councils.

Craig suggested that meeting should include representatives from the hospital board so everyone could debate the "whole story."

"The Friends of the Kincardine Hospital have asked council for some open dialogue here," said Roppel. "We should meet with these people first and go at the hospital representatives later."

Gurbin agreed, saying the Friends would likely prefer a meeting with just the councils, given the experience the Friends have had over the past year.

Council agreed and will await word from the Friends to set a date for that meeting.

In an interview after the meeting, Kraemer said the letter from Deane was actually addressed to the Friends of the Kincardine Hospital, not just McClelland. "I'm not surprised by his remarks, though," said Kraemer. "I was told that the letter had already been sent to him, so I shared the information with council. It's information for all residents, not just the Friends of the Kincardine Hospital. Everyone has a right to know."

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Wednesday, October 28, 2009