Public Health in Simcoe Muskoka City of Orillia

Public Health in Simcoe Muskoka City of Orillia Budget Committee Charles Gardner, Medical Officer of Health November 2016

OUR ORILLIA OFFICE AT THE COMMON ROOF • Co-located with other community services • Public health services at this site: • Sexual and vaccination clinic • Private well water testing • Needle exchange • Client, public and partner meetings – Prenatal, nutrition and breastfeeding classes / meetings – Home visit clients (HBHC)

OUR BOARD OF HEALTH IN 2016 Barry Ward, Scott Warnock City of Barrie County of Simcoe Chair Vice Chair • Thomas Ambeau, Provincial Appointee • Sandy Cairns, District of Muskoka • Ralph Cipolla, City of Orillia • Lynn Dollin, County of Simcoe • Anita Dubeau, County of Simcoe • Fred Hamelink, Provincial Appointee • Stephen Kinsella, Provincial Appointee • Betty Jo Mc. Cabe, Provincial Appointee • Sergio Morales, City of Barrie • Gail Mullen, Provincial Appointee • Margaretta Papp-Belayneh, Provincial Appointee • Terry Pilger, District of Muskoka • Ben Rattelade, Provincial Appointee • Brian Saunderson, County of Simcoe • Peter Willmott, Provincial Appointee

http: //www. simcoemuskokahealth. org/Health. Unit/Library/Reports. aspx

2015 BUDGET PROGRAM ALLOCATION

2015 PROVINCIAL MUNICIPAL FUNDING SHARE

PUBLIC HEALTH FUNDING CITY OF ORILLIA Year 2014 2015 2016 City of Orillia % Change Levy (Year Over Year) $ 366, 255. 40 $ 371, 104. 28 $ 373, 217. 57 1% 1. 3% 0. 6% Per Capita Cost (MPAC Population Figures) $ 14. 60 $ 15. 14 $ 15. 22

PROVINCIAL GRANT FREEZE FOR COST SHARED PUBLIC HEALTH PROGRAMS Grant freeze impacts in 2015 2016: • The loss of over 11 FTEs in • • staffing positions, including three management positions The reorganization of the agency with a reduction of one department The closure of the sexual health clinic in Alliston Slimmed agency strategic plan $90, 000 in operational savings achieved

2016 BUDGET AND PROVINCIAL PUBLIC HEALTH GRANTS • 2016 board approved budget based on a 2% increase in the provincial grant and a 2% increase on the 2015 levy. • Provincial grant for the cost-shared and other 100 % provincially received in September § Funding for the majority of cost-shared and 100% funded public health programs remained frozen at the 2014 level. § New shift from municipal / provincial cost shared funding to 100% provincial funding for Healthy Smiles Ontario program, one-time funding and capital funding • 2016 funding share • • Provincial share - $29, 557, 335 Municipal share - $7, 695, 490 • Board of Health presently reviewing potential service impacts for the 2017 budget – to be approved by February

PROVINCIAL ACCOUNTABILITY AGREEMENTS 2015

PUBLIC ACCOUNTABILITY Strategic Plan Balanced Scorecard, 2010 -2015

FINAL THOUGHTS The provincial approach to funding support for public health is in transition. The Board of Health is assessing this regarding the 2017 budget. The Simcoe Muskoka District Health Unit is committed to working with our communities for excellence in public health.