44th Parl. 1st Sess.
December 4, 2023 11:00AM
Mr. Speaker, I am pleased to rise to give some of my thoughts on Bill C-295, which was introduced by the member for Vancouver Centre. It is an act that would amend the Criminal Code on the subject of neglect of vulnerable adults.
I am very pleased to be speaking to this subject, especially on behalf of all vulnerable seniors in my riding, but also their families. Families, as we have seen over the last three years, also suffered through the subject matter we will be discussing as part of the bill.
It is a fact the chronic neglect and abuse of older adults living in long-term care facilities is a long-standing problem. This is something that slipped under the radar for many years before COVID so frighteningly put it to light and exposed what was there all along.
Bill C-295 would specifically amend the Criminal Code to create a specific offence for long-term care facilities, their owners and officers when they fail to provide necessaries of life to residents of facilities. We would finally, this Parliament, be putting into the Criminal Code a specific offence when the people who run these facilities fail to uphold their part of the bargain.
It would also allow the court to make an order prohibiting any owner or officer of such a facility from being, through employment or volunteering, in charge or in a position of trust or authority toward vulnerable adults. Again, there will be consequences for people who are in those trust positions, but it will also allow courts to consider as an aggravating factor for the purpose of sentencing the fact that an organization failed to perform the legal duty it owed to a vulnerable adult.
We could rightly question why it has taken so long to even consider putting these things into the Criminal Code, but here we are, and it is about time we moved forward with the bill.
I want to also recognize that the Standing Committee on Justice and Human Rights did its due consideration of the bill. During its review of the bill, 15 witnesses appeared before the committee, including the research chair on the mistreatment of older adults, from the University of Sherbrooke, the Canadian Network for the Prevention of Elder Abuse, Elder Abuse Prevention Ontario and the Canadian Federation of Nurses Unions. There were 15 witnesses in total over four meetings at that committee. The committee also had 26 briefs submitted to it as a part of its study.
Going to the committee report, I will direct members of the House to the fact that one of the big changes that was made was replacing the word “manager” with the word “officer” and specifically putting a new definition, so now the people who are covered by the word “officer” include the chair person of the board of directors, the president, vice-president, the secretary, the treasury, the comptroller, the general counsel and the general manager or managing director of a long-term care facility. Again, it goes after that top echelon of people who are responsible not only for the overall budget of a place but for how it directs its care levels, its staffing standards and the level of service that residents can expect at those facilities.
It is no secret that there has been a long history of neglect, and what the pandemic did was shine a very important light on that. However, it has often been called “hidden neglect” because many people who worked in the industry, worked at long-term care homes or even those who were responsible for reviewing their actions have known that unfortunately this has existed for quite some time.
It is also a fact that during the pandemic especially, there was a huge difference between the for-profit long-term care homes and the public or non-profit facilities. The for-profit facilities had a much worse patient outcome overall than not-for-profit homes in general.
In my home province of British Columbia, the Seniors Advocate recently reviewed the situation with for-profit long-term care homes. It has been noted that in British Columbia the cost of a publicly subsidized long-term care bed through a private operator has jumped 35% in the last five years. The Seniors Advocate found that not-for-profit facilities spent about 25% more per resident on direct care when compared with for-profit care.
When a review was conducted on the financial records from 2021 and 2022, it showed that long-term care facilities operated by for-profit companies delivered 500,000 fewer care hours than they were funded for by the province.
Again, it speaks to the larger theme, that when profit is introduced into the health care system, other considerations seem to make their way to the forefront rather than looking after the people for which the facility was designed.
I also want to point out that we are all very familiar with the time when the Canadian Armed Forces were deployed to some of the hardest hit long-term care homes, where they documented horrific accounts of inhumane treatment, abuse and substandard care.
According to the Canadian Armed Forces' reports, dozens of residents in two Ontario nursing homes died, not from COVID-19 but from dehydration and neglect.
I have looked at some of the short Coles Notes from those reports. I will read them out for the record: “conditions in two of the seniors homes...appeared to be nothing short of horrid and inhumane as ill-trained, burned-out and, in some cases, neglectful staff coped with the growing care needs of elderly residents”, residents faced “inadequate nutrition” because most of them were not getting three meals a day — and when they did, “underfeeding was reported.”; “Respecting the dignity of patients is not always a priority.”; Other patients were “left in beds soiled, in diapers, rather than being ambulated to the toilets.”; and “troops had to send a senior to hospital after the resident fractured a hip and was not cared for by staff.”
These are just some of the alarming things that came out from the Canadian Armed Forces that were deployed to those homes. Again, for the people who are familiar with long-term care homes in Canada, this was nothing new. All COVID-19 did was to serve to shed a light on that.
On October 23, 2020, CBC posted a story to its website. I will quote from a part of its investigation:
CBC Marketplace reviewed 10,000 inspection reports and found over 30,000 "written notices," or violations of the Long-Term Care Homes Act and Regulations (LTCHA), between 2015 and 2019 inclusive. The LTCHA sets out minimum safety standards that every care home in Ontario must meet.
Marketplace isolated 21 violation codes for some of the most serious or dangerous offences, including abuse, inadequate infection control, unsafe medication storage, inadequate hydration, and poor skin and wound care, among others. The analysis found that of the 632 homes in the Ontario database, 538 — or 85 per cent — were repeat offenders.
I also want to recognize that women represent 65% of patients in Canadian residential continuing care facilities. This is absolutely a gendered issue to which we need to pay close attention.
In addition, the vast majority of care providers in supportive care are women, with a significant portion of these individuals being newcomers or immigrants, especially among personal support workers. Women account for the majority of the workers among both immigrants, which was 86%, and non-immigrants, 87%.
My NDP caucus believes that the victims of negligence in Canada's long-term care facilities deserve justice. Part of the confidence and supply agreement that we have with the Liberal government is the tabling of a safe long-term care act to ensure that seniors are guaranteed the care they deserve, no matter where they live.
Although Bill C-295 is a step in the right direction, I do not believe it goes far enough in this regard. Rather than addressing this issue solely through a private members' bill, we expect that the government will follow through on this requirement and table legislation that puts these standards into more encompassing law, so that all Canadians, from coast to coast to coast, can not only ensure that their loved ones are getting the care that they deserve, but that our vulnerable seniors have the full force of law to ensure they are living with the dignity they deserve.
1446 words
- Hear!
- Rabble!
- add
- star_border
- share
Mr. Speaker, I rise to speak to Bill C-295, an act to amend the Criminal Code on neglect of vulnerable adults.
COVID-19 brought to light issues in the long-term care industry. Canadians did not, and will not, accept the conditions that were on display during the height of the COVID-19 pandemic in long-term care facilities. This bill was initiated in that global atmosphere, with the primary objective of better protecting vulnerable people living in these facilities. Seniors and persons with disabilities in long-term care deserve safe, quality health care.
Bill C-295 is one method of delivering this care. My colleague, the member for Vancouver Centre, who sponsored this bill, is proposing changes to the Criminal Code in three ways. First, this bill proposes to amend section 215 of the Criminal Code, which criminalizes the failure to provide the necessities of life for a dependent. The bill would give owners and officers of long-term care facilities a duty to residents that is similar to parents' duty to their children; it would criminalize failure to ensure that the necessities of life, such as food, lodging and care, are provided to residents.
Second, this amendment would be supplemented by a prohibition order against persons convicted of this new offence. This order is an accessory to the sentence that may be imposed. It is discretionary and would allow the court to prohibit, for a period of time that it determines, the convicted person from seeking, obtaining or continuing any employment, even voluntary employment, that would place that person in a position of authority towards a vulnerable adult.
The third and final change proposed by this bill is the addition of an aggravating factor at the sentencing stage, requiring the court to consider a heavier sentence for organizations that fail to meet their legal obligations to a vulnerable adult.
This bill was studied last spring by the Standing Committee on Justice and Human Rights. I would like to focus my remarks on the work done by this committee and the results obtained.
Various witnesses were heard, several briefs were submitted and the majority shared the same concern, that the term “manager”, which was initially proposed in the bill, could result in the inclusion of frontline workers in this new offence. Given the critical shortage of staff in care facilities, according to the Canadian Association for Long Term Care, the proposed measure could “have a devastating impact on recruitment and retention by unintentionally creating undue risk and hardship for front-line staff. This will exacerbate an already emergency situation in many [group] homes” and facilities. LTC providers across the country provide an invaluable service to seniors and persons with disabilities.
Justice committee members from all parties welcomed amendments to this bill to carefully identify owners and officers as the responsible decision-makers, who are accountable for mismanagement. They are the ones holding senior management positions, such as those of CEO or chairperson.
The objective of the bill is laudable, but it should not interfere with the already precarious operation of LTC facilities. Officers are the individuals who make the key decisions on the care offered, the staff in place and the budget allocated to equipment, to name a few examples.
For vulnerable persons, their inability to care for themselves makes them completely dependent on the care provided by these people, who have committed to helping them by making these decisions with their best interests in mind. However, neither owners nor officers provide direct care to their residents; rather, they oversee the facility's operations, make key management decisions and ensure that the staff under their direction have all the tools they need to carry out their duties. Owners and officers who take all reasonable precautions and care in the performance of their duties would not be affected by this change in federal law.
With this amendment, the bill would specifically place responsibility on owners and officers of long-term care facilities who fail to ensure the necessities of life are provided to residents of the facility they manage, if this would result in causing or risking permanent harm to the health of the residents in their care.
Vulnerable adults in long-term care facilities depend on the good care of frontline workers and also on the thoughtful decisions of the management team. Frontline workers such as personal support workers, who provide direct care to LTC residents, would not be affected by this change in federal law. Sufficient staffing levels and adequate functional equipment, to name a few examples, come down to management decisions that can have an impact on the health of long-term care facility residents. Owners and officers therefore have a central role to play in the health of the adults entrusted to their care.
I am grateful for the work of the committee members who adopted the amendment to make the maximum sentence four years in this case, similar to the offence under section 161 of the Criminal Code, which deals with orders prohibiting persons convicted of offences against minors from working around them. The committee worked collaboratively to advance the cause of vulnerable people in long-term care facilities, and I remain convinced that we can continue to work in the same direction. Our seniors deserve better.
The current state of the bill is, in my opinion, improved and more in line with the principles of criminal law. We have all heard the difficult stories of people trapped in long-term care facilities at the very start of the COVID-19 pandemic, in many cases without food or water. The individuals at the helm of these facilities must be dissuaded from making decisions that risk jeopardizing the health of their residents. The bill would send a clear message: Vulnerable adults in long-term care facilities can rely on third parties to provide them with a decent life, and there is no justification for compromising their health and dignity. We remain committed to working with the provinces, the territories and the long-term care sector to ensure that seniors and persons with disabilities live and thrive with the highest standard of care.
I would like to conclude by saying that I am confident that Bill C-295 will be passed quickly by this chamber so it can be studied by the other place. The revised version would more specifically place the responsibility on the people whom, as a society, we trust to make sound decisions with respect to the care of our seniors so they can live out their final years in peace. Canadians should have access to safe and quality health care at all stages of their life.
1118 words
- Hear!
- Rabble!
- add
- star_border
- share
Mr. Speaker, speaking of Bill C-295, I assume I am not the only one here today to be overcome by sad memories of the COVID-19 pandemic.
My thoughts go out to everyone who lost friends and family during the pandemic, one of the most difficult times we ever experienced as a society. There were 14,000 deaths in Quebec. It would be an understatement to say that the pandemic has had a lasting impact.
On that note, I will now address Bill C-295 in greater detail and share what the Bloc Québécois thinks of it.
The Liberal Party of Canada is suffering from a worrying bout of amnesia, since, in March 2021, the NDP moved a motion to nationalize and impose standards on long-term care facilities. All of the other parties voted against the motion. Why then are the Liberals introducing this bill today? Have they forgotten that that is an NDP position and not a Liberal one? Who knows? I must say, since the emergence of the NDP-Liberal government, the two parties seem to share some of the same positions. At least the bill introduced today is slightly different from the motion moved by the NDP in March 2021.
The Bloc Québécois proposed two amendments to Bill C-295 that were accepted. The first aimed to replace the concept of manager with that of officer. In an earlier version of the bill, the concept of manager was far too broad. As my colleague from Shefford so eloquently put it, if the concept of manager had been retained, the bill could have applied to a public servant responsible for procurement or to a nurse team leader. This is absurd, considering that the bill seeks to amend the Criminal Code to make it an offence for long-term care facilities, their owners and their officers to fail to provide the necessaries of life to the residents of facilities. The concept of officer is well established, since, in the bill, it applies to directors and senior administrators, including the president, vice-president, and so on. In short, the amendment puts the responsibility squarely on the people who run the homes, and not the workers who are already doing all the work.
The second amendment proposed by the Bloc Québécois requires judges to take the laws of Quebec and the provinces into account. It seems to me that members here in the House of Commons often need to be reminded that health care falls under the exclusive jurisdiction of Quebec and the other provinces. While successive Liberal and Conservative governments have repeatedly tried to interfere in this provincial jurisdiction, nothing will magically change that fact.
Several provinces, including Quebec, already have legislation in place to tackle elder abuse and require care facilities to have policies and processes for handling complaints. It is therefore important that judges take these laws into account before imposing any prohibition orders.
Lucien Bouchard, one of the founders of the Bloc Québécois, said the following:
The government has neither the intent nor the mandate to abandon any part of Québec's constitutional jurisdictions...
Successive governments in Québec, regardless of their political option [as to the status of Quebec], have always worked to reaffirm its jurisdiction in order to foster its people's [Quebeckers'] control over its economic, social and cultural development....
This quotation is timeless, as enduring as Canada's resolve to make decisions for Quebec.
I campaigned for the “yes” side during the referendums of 1980 and 1995. I distinctly remember the federalists' fear campaign. They still make similar arguments today.
When Quebec stands up to Canada and stands up for its interests, threats to freeze funding that Quebec is entitled to usually follow. It is funny. Ottawa pulls out this argument as though it were pulling a rabbit out of a hat. Just two weeks ago, here in the House, Ottawa threatened Quebec with lower health transfers if we refused to exchange our francophone workers for unilingual anglophone doctors.
During the pandemic, in May 2020, the negotiations between the Premier of Quebec, François Legault, and the federal government were particularly tense, including about the need to call in the army to help with the long-term care facilities. In his Speech from the Throne, the Prime Minister of Canada used Quebec's need for military assistance to announce his intention to impose Canadian standards in long-term care facilities. It was also a Liberal campaign promise in 2021. The Liberals promised a hefty $6 billion for long-term care facilities provided their standards were imposed.
This bill raises a question. If the federal government is now going to be interfering in Quebec's long-term care facilities and private seniors' residences, will the government threaten to freeze or reduce Quebec's health transfers? That is an issue that needs to be considered. Do we also need to reiterate that, in December 2020, the Quebec National Assembly unanimously adopted a motion denouncing the implementation of pan-Canadians standards for long-term care and demanding an increase in health transfers?
This paternalism must stop. Not only does Quebec already have standards to prevent neglect and abuse, but it also has solutions on how it can improve in this area. Earlier, my colleague from Shefford listed a set of standards that Quebec is implementing to try to ensure that what happened during the pandemic never happens again. We are talking here about prevention, rather than criminalization, in order to protect the most vulnerable members of our society.
In closing, the Bloc Québécois will vote in favour of Bill C‑295, so that it can be improved in committee. We need to ensure that, with this bill, we are actually helping the provinces and Quebec to protect their seniors, rather than just quickly adding criminal offences to the Criminal Code without thinking about the long-term consequences.
I will end my speech on a more personal note. My mother lived in a long-term care facility from January 2020 to November 2020 and passed away there. She did not die from COVID‑19 necessarily, but she did experience it. She received remarkable care. When talking about this bill, I want members to keep in mind that there are people in our health care system who do an amazing job. It is not the workers themselves who are targeted by this bill, but the officers.
1102 words
- Hear!
- Rabble!
- add
- star_border
- share
- Dec/4/23 2:30:24 p.m.
- Watch
Mr. Speaker, our government understands that times are tough for many families in Canada. That is why our government is there to support them. Our government is there with the Canada child benefit, which helps less fortunate families and many children in the country.
As far as taxes are concerned, our government implemented taxes on financial institutions to pay for investments made during COVID‑19.
66 words
- Hear!
- Rabble!
- add
- star_border
- share
- Dec/4/23 2:52:25 p.m.
- Watch
Mr. Speaker, as I think every member of the House knows, Canada has a AAA rating and the lowest debt and deficit in the G7.
It is also true that the government invested in Canadians during COVID, and we were proud to do so. We supported nine million Canadians with CERB. We supported more than five million Canadian jobs with the wage subsidy, and we supported 900,000 Canadian businesses with CEBA loans. The leader of the official opposition called those “big, fat government programs”. I call them life rafts for Canadians when they needed them the most.
100 words
- Hear!
- Rabble!
- add
- star_border
- share
- menumenu
- notificationsnotifications
- home
- mailmail
- searchsearch
