Ontario to expand surgeries performed in private facilities, sources say

Ontario will perform thousands more surgeries in private facilities in an effort to tackle the growing backlog , senior government sources said Friday.

The sources -- who were not authorized to speak ahead of an announcement set for next week --said the province will expand existing independent health facilities' capacities in its first phase of surgical health-care reform.

The first phase will focus on expansion of cataract surgeries, the sources said, followed by a second phase that expands into low complex orthopedic surgeries like knee and hip replacements as well as diagnostic tests.

The goal is to take low acuity, low complexity surgeries outside the beleaguered hospital system, the sources said.

On Wednesday, Premier Doug Ford hinted at the move, saying the province needs independent health facilities to address the growing surgical backlog and assured patients they will not have to pay out of pocket for them.

Ford said it would be "simple stuff, not complicated: knee replacements, hip replacements, cataracts."

"These are no-brainers that are backlogging the health-care system," he said.

The sources said the move won't take doctors and nurses out of the hospital system and that the independent health facilities will have to provide staffing plans to ensure the hospital system is not negatively affected.

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They also said the government will also introduced a centralized wait-list system in order to make the new surgical system more efficient.

Health Minister Sylvia Jones announced last summer the government's intention to perform some surgeries outside of the hospital system.

The registrar of the College of Physicians and Surgeons of Ontario, the province's regulatory body for doctors, said it told the government many months ago that stand-alone surgical centres needed to be connected to the hospital system to "ensure continuity of care and patient safety."

"We also shared that this wasn't the solution to the health care crisis and would further tax our health Human Resources shortages and further increase wait times for more urgent hospital-based care," Dr. Nancy Whitmore said in a statement.

"We have not recently been engaged in the conversation and were not informed that this was being announced or implemented."

In November, Ontario Health's chief medical director Dr. Chris Simpson said the provincewide surgical backlog stood at 250,000 surgeries.

It's a similar number to before the pandemic, he said, but people are now waiting longer to get those surgeries -- about 45 per cent are waiting longer than the clinically determined benchmark.

This report by The Canadian Press was first published Jan. 13, 2023.