On Friday, London MPPs had the chance to tour the Health Outreach Mobile Engagement, or HOME, bus as part of RNAO’s Take Your MPP to Work day. It’s an impressive collaboration between CMHA Thames Valley Addiction and Mental Health Services, London Cares Homeless Response Services, London InterCommmunity Health Centre, Middlesex-London Paramedic Services and Regional HIV/AIDS Connection.

In 2021, these partners came together to improve the health outcomes and health equity of highly marginalized individuals in London. The team meets clients where they are, offering low-barrier yet full-scope primary and acute care, follow-up care and referrals to other wraparound services.

The bus is tight but incredibly efficient. What struck me most was how nimble this brilliant program was. On the team of nurse practitioner, registered nurse and community worker, the RNs spoke about how this allowed them to work to their full scope of practice.

This model builds trust and relationships, re-establishes connections and provides access to vital wraparound supports to help people get their health and lives on track. No one gets turned away.

A quote that will remain with me was, “There are no hard-to-serve people, only hard-to-access services.”

Hard-working RNs and the team at LIHC were clear where provincial funding comes up short. What is missing is wage parity for nurses. It’s the not-so-well-kept secret that nurses are dramatically underpaid for home and community care. They receive a fraction of what long-term-care and acute care nurses are paid. Additionally, community health centres have not seen a base budget increase in over a decade.

It’s time this government stopped attacking nurses and front-line workers. Respect them, thank them, pay them properly and invest in the community-based health care that community health centres provide.