Skip to main content

Manitoba needs a province-wide health preventative services plan

The Pallister government recently brought in a Shared Health plan which includes a clinical services plan, but forgot to include the critically needed health preventative services plan.    Like the NDP the Pallister government is putting prevention on the back burner.  I asked about this on Thursday June 21 in the Legislature.   My comments and the Minister's comments are below.  As you will see the Minister sadly, has the same approach the NDP had and that is that preventive services are just a tiny part of clinical services.   This is wrong.  A province-wide preventative services plan is essential. 

Mr. Gerrard: I raised the issue yesterday, and I would like to  follow this up that he  [the Minister] has got in his transformation documents some significant material which deals with what the role of Shared Health is and what it will do. And it's, you know, well written and well put together. And it provides for the development of a clinical services plan, and this is a good concept, a province-wide clinical services plan, but in my view, there needs to be also a province-wide prevention services plan that can focus on prevention services province-wide and make sure that these are also adequately attended to.
      So I would ask the minister, you know, why he didn't include the development of a preventive services plan in the outline he provided for the activities that Shared Health will be responsible for.
Mr. Goertzen: In terms of the member's question on the clinical services plan and how that relates to a preventative services plan, I'm not in disagreement with the member. I mean, certainly I agree that he, you know, he acknowledges that, you know, a well‑laid-out plan, and I'll certainly commend Dr. Brock Wright and his team for the work that they've done on that.
      Also recognize the member said that there had never been a clinical plan in Manitoba or at least stress the importance of it, and he's absolutely right there. We have been operating without a clinical services plan in the province of Manitoba for the history of the province of Manitoba, and that's alarming, Mr. Chairperson, but I think that this is a significant improvement.
      I have no doubt that within the planning the clinical service plan there will be a number of components, of course, that relate to preventative care and preventative action to ensure that people are using the health-care system as little as possible through some of their own actions that they can take.
      I don't doubt that it'll be a significant part of the clinical services plan. Whether that results in a separate plan at some point in the future I would, you know, sort of defer to the advice of those at Shared Health, but no doubt in the initial iteration it'll play a significant role within it.
Mr. Gerrard: I will make the point that I think it is essential to have a preventative services plan, and part of the reason for that is that when you have a prevention that is just part of a clinical services plan, then what you tend to have is the acute-care services monopolizing the attention, and the need to dedicate and focus and have effective resources used in prevention really needs there to be in a preventive services plan.


For a recent study by Dr. Herbert Emery which shows the effectiveness of preventative approaches click on this link.

Comments

Popular posts from this blog

Comparison between Manitoba and South Dakota shows dramatic impact of Physical Distancing

Manitoba implemented physical distancing measures in mid-March.  South Dakota has still not made physical distancing mandatory.   The result is a dramatic difference in the incidence of covid-19 viral infections between the two jurisdictions.   This graph shows the number of people with Covid-19 infections from March 27 to April 14.  Manitoba ( red line )  started leveling off about April 4 and has seen only a small increase in Covid-19 infections since then.   South Dakota ( blue line )   has seen a dramatic increase in Covid-19 infections since April 4.  Those who are skeptical of the impact of physical distancing in Manitoba should look at this graph! Data are from the Johns Hopkins daily tabulations

Standing up for Seniors

Yesterday in the Legislature I  asked the Minister of Health questions about the care of seniors in personal care homes in Manitoba.   I specfically called for the Minister to increase the training and staffing requirements for personal care homes in Manitoba to bring them up to date.   My questions, the Minister's comments and the Speaker's interjection are below:  Personal-Care-Home  Improvements - Need for Upgrades to Standards and Training Hon. Jon  Gerrard   (River Heights): Madam Speaker, we're very concerned this government is not adapting to the reality of caring for seniors who are living longer. Seniors living in our personal-care homes today have much more challenging health-care conditions than those who were in similar homes even five years ago, and yet the staffing formula, or minimal personnel requirement, is over 20 years old. Too few care aides and nurses are adequately trained to look after residents with dementia and multiple chronic health conditi

Premier Pallister is wrong when he says no one could have predicted the speed and severity of the second wave

Premier Brian Pallister is just wrong in saying yesterday that "Nobody could have predicted the degree to which COVID came fast."  He was referring to the speed and severity of the COVID-19 virus spreading this fall in Manitoba.   Contrary to what the Premier says, many people were predicting the Second Wave of the pandemic  would  be worse than the first.  Historically this has often happened with pandemics in the past.  In Manitoba in 2009 the H1N1 pandemic was worse in the second wave than during the first wave.  The speed of the pandemic was not a surprise.  COVID-19 infections are well known to rise exponentially when adequate containment measures are not in place.   In jurisdictions like Italy and New York as well as elsewhere we had examples of sudden explosions of cases when the spread of the virus was increasing exponentially.  There was already evidence to suggest that the virus would be worse in winter months, and that spread would be faster as people moved indoors