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Quebec to open two nurse-run clinics in Montreal to ease emergency room crisis

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MONTREAL — Quebec’s health minister on Tuesday promised that his new three-point plan to ease emergency room overcrowding will show results in a few weeks, as ER doctors warned that the network has reached a “breaking point.”

Christian Dubé said his 20-member health-care “crisis unit” has been meeting frequently, adding that he toured several of the province’s hospitals last week to listen to workers’ concerns. His plan, he said, is to quickly open two clinics in Montreal run entirely by nurse practitioners, to extend the 811 health-care hotline to pediatric patients, and to free up hospital beds more quickly.

The solutions aren’t new, Dubé said, but they just haven’t been implemented over the years for a variety of reasons.

“Our challenge is to implement them throughout the network; it’s all in the execution,” Dubé said, adding that while the situation in Quebec’s ERs isn’t unique in Canada, it’s “not an excuse for not having done what we should have done.”

Dubé announced his plan the same day a letter was leaked to several media outlets, authored by a group representing the heads of Quebec’s emergency departments, who stated bluntly that ERs in the province have reached a “breaking point.” It was addressed to several people in the Health Department, including Dubé.

The emergency chiefs said that for several months, they had been raising concerns about overcrowding and shortages. “The finding is distressing: the emergency situation in Quebec has reached breaking point,” said the letter, penned by a group calling themselves Regroupement des chefs d’urgence du Québec.

“We have not received the support of our management to better distribute the pressure between the different network structures to mitigate the impact on emergency services and on patient care safety.”

The letter, dated last Friday, said emergency rooms are “the victims of a failing system.”

“Indeed, the persistent and recurrent closures of hospital beds force emergency departments to disproportionately bear the burden of hospital overcapacity,” the letter read. “Emergencies are now condemned to sacrifice their primary mission, which is to treat in a timely manner people whose clinical condition is unstable, or even potentially deadly.”

The ER doctors said hospitals need better protocols to manage overcapacity and the management of resources, such as hospital beds. As well, they said the public should have easy access to data about emergency room capacity and wait time expectations.

Dubé on Tuesday said he agreed with the letter, adding that he was scheduled to meet with some of its authors on Wednesday in Quebec City.

“I think we all appreciate what they’re saying because they’re right: we should act on certain things,” Dubé said. “I’m just saying to those doctors that have signed this letter that we agree with those recommendations.”

According to IndexSante.ca, a website that tracks hospital occupancy, emergency rooms Tuesday afternoon across the province were above capacity in many regions, with the average provincewide occupancy at 125 per cent. Dubé said one out of two patients who end up in an ER could be treated outside the hospital system.

Dubé said he planned to open “in the coming weeks” a pair of clinics in Montreal run entirely by nurse practitioners. The hope, he said, is that such clinics can be widely used to accommodate patients who do not have a family doctor.

The second part of his plan is to extend service of the 811 health-care phone line to pediatric patients, allowing parents to obtain a consultation and avoid going to the emergency room. The new service, based on a pediatric phone line that was operational during the height of the COVID-19 pandemic, is only available in Montreal at the moment, but Dubé said it will be extended soon across the province.

“When in doubt, when you don’t know what to do, 811 is the place,” Dubé said. On Tuesday, Montreal’s two children’s hospitals — Sainte-Justine and Montreal Children’s — were at 163 and 175 per cent capacity, respectively.

Dubé said the third part of his strategy involves moving patients out of hospital who can’t be returned home and don’t have a spot in a long-term care facility.

The government, he said, has put out a call for tender for 1,700 beds outside the hospital network, adding that 58 per cent of that extra bed space has already been found. Dubé said the Health Department is also looking to discharge patients more quickly to their homes, with access to home care. Doing so, he said, would allow people to recover in a familiar, comfortable environment, adding that it would also free up hospital space.

This report by The Canadian Press was first published Nov. 1, 2022.

 

Sidhartha Banerjee, The Canadian Press

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Quick Quotes: What Liberal MPs have to say as the caucus debates Trudeau’s future

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OTTAWA – Here are some notable quotes from Liberal members of Parliament as they headed into a caucus meeting Wednesday where they are set to debate Prime Minister Justin Trudeau’s leadership.

Comments made after the caucus meeting:

“The Liberal party is strong and united.”

Prime Minister Justin Trudeau

———

“Justin Trudeau is reflecting and he’s standing strong and we’re standing strong as a Liberal party.”

“We as a party recognize that the real threat here is Pierre Poilievre and that’s what we’re fighting for.”

“Trudeau has made very clear that he feels he’s the right choice but he appreciates all of what is being said because he’s reflecting on what is being done across Canada. I respect his decision, whatever that may be.”

Charles Sousa, MP for Mississauga—Lakeshore

———

“We had some open and frank discussions. People are relentlessly focused on serving Canadians and win the next election. This was really a rallying call to win the next election.”

Industry Minister François-Philippe Champagne, MP for Saint Maurice—Champlain

———

“I don’t know how many people spoke, well over 50 I’m sure. They came at this from all angles and now (we’ve) got to go back and process this.

“We’re on a good path.

“It was very respectful. You know, caucus has always had the ability to get into some tough conversations. We did it again today and it went extremely well. Where we land? Who knows? You know we have to go and really process this stuff. But one thing that is absolutely, you know, fundamental is that we are united in the fact that we cannot let that creature from the Conservative party run the country. He would ruin things that people greatly value.”

Ken Hardie, MP for Fleetwood—Port Kells

———

Comments from before the caucus meeting:

“There’s a — what would you call it? Some palace drama going on right now. And that takes us away from the number 1 job, which is focusing on Canadians and focusing on the important policies but also on showing the really clear contrast between our government, our party and Pierre Poilievre.”

Randy Boissonnault, Employment Minister, MP for Edmonton Centre

———

“We’re going to go in there and we’re going to have an excellent discussion and we are going to emerge united.”

Treasury Board President and Transport Minister Anita Anand, MP for Oakville

———

“I think caucus is nervous because of the polling that has been constantly going down in favour of Liberals, and there’s a lot of people who do want to run again. I’m not running again, although I already told the prime minister that. But there are people there that want to run again and they’re nervous because of what polls are saying.”

“He has to start listening.”

Ken McDonald, MP for Avalon

———

“We’re going to have a good caucus meeting. MPs should be free to air their perspectives, I’m sure they will, and we’ll come out of it united.”

Peter Fragiskatos, MP for London North Centre

———

“I have to read the room. There’s all sorts of wheels within wheels turning right now. I’m just going to go in there, I’m going to make my mind a blank and just soak it all in.”

“I’m not going to say anything about (the prime minister) until I have my say in there.”

Ken Hardie, MP for Fleetwood—Port Kells

———

“I wish there was a mechanism for it, yes,” he said, responding to whether he wanted a secret ballot vote in caucus to determine Trudeau’s leadership.

Sean Casey, MP for Charlottetown

———

“The prime minister will always be on my posters and he is welcome in Winnipeg North any time.”

Kevin Lamoureux, MP for Winnipeg North

———

“Absolutely I support the prime minister.”

Yvonne Jones, MP for Labrador

———

“When you look divided, you look weak.”

Judy Sgro, MP for Humber River—Black Creek

———

“I think Pierre Poilievre is absolutely beatable, he’s ripe for the picking with the right vision, the right leadership and the right direction for our party. The Liberal party is an institution in this country. It’s bigger than one person, one leader, and it’s incumbent on us as elected officials to make sure we put the best foot forward.”

Wayne Long, MP for Saint John—Rothesay

This report by The Canadian Press was first published Oct. 23, 2024.



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With Liberal election win, First Nations in N.B. look forward to improved relations

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FREDERICTON – Chief Allan Polchies says he is excited about New Brunswick’s new Liberal provincial government.

Polchies, of St. Mary’s First Nation, says he looks forward to meaningful dialogue with premier-designate Susan Holt after years of tense relations with the outgoing Progressive Conservatives under Blaine Higgs.

He is one of six Wolastoqey Nation chiefs who have filed a land claim for a significant part of the province, arguing treaty rights have not been respected by corporations and governments, both of which have exploited the land for hundreds of years.

The December 2021 court challenge has been a sore point between Indigenous Peoples and the Higgs’s government.

Eight Mi’kmaw communities are also asserting Aboriginal title to land in the province, and they say they hope to work with Holt and her team on “advancing issues that are important to our communities.”

Holt’s campaign didn’t give details on the Liberal government’s position on the Indigenous claims, but she has said she wants to rebuild trust between the province and First Nations.

This report by The Canadian Press was first published Oct. 23, 2024.

The Canadian Press. All rights reserved.



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Abdelrazik tells of despair when Ottawa denied him passport to return home from Sudan

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OTTAWA – Abousfian Abdelrazik told a court today about the roller-coaster of emotions he experienced during the tense days of early 2009 when he awaited the green light to return to Canada from Sudan.

The Sudanese-born Abdelrazik settled in Montreal as a refugee and became a Canadian citizen in 1995.

During a 2003 visit to his native country to see his ailing mother, he was arrested, imprisoned and questioned about suspected terrorist connections.

Abdelrazik says he was tortured during two periods of detention by the Sudanese intelligence agency.

He is suing the federal government, claiming officials arranged for his arbitrary imprisonment, encouraged his detention by Sudanese authorities and actively obstructed his repatriation to Canada for several years.

In March 2009, he made arrangements to fly home to Canada and asked Ottawa to issue him an emergency passport, but his hopes were dashed — at least temporarily — when the request was turned down.

This report by The Canadian Press was first published Oct. 23, 2024.

The Canadian Press. All rights reserved.



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