June 28, 1999

CHIEF FINANCIAL OFFICER AND TREASURER:

The Policy and Finance Committee on June 24, 1999, had before it the following communication and report:

(i)(June 17, 1999) from the City Clerk, advising that the Community Services Committee on June 17, 1999:

(A)recommended to the Policy and Finance Committee that:

(i)City Council be requested to direct the Commissioner of Community and Neighbourhood Services to respond to the Province of Ontario's Request for Proposal for additional long-term care beds for a new City Home for the Aged prior to the July30, 1999, deadline; and

(ii)City Council be requested to endorse maintaining the same level of operating service for both the existing and expanding Homes for the Aged portfolio; and

(B)requested the Commissioner of Community and Neighbourhood Services to report to the Policy and Finance Committee for its meeting on June 24, 1999, on the budgetary implications of building a new Home for the Aged; and

(ii)(June 22, 1999) from the Commissioner of Community and Neighbourhood Services, recommending that:

(1)should City Council adopt the recommendation of the Community Services Committee directing staff to respond to the RFP for new long term care beds by the deadline of July30, 1999, City Council recognize and endorse in principle the multi-year cost implications of this decision in both the capital and operating budgets for the fiscal year, starting in 2000 (as outlined in this report); and

(2)if a proposal is submitted to and approved by the Ministry of Health, staff report back with a more detailed financial impact analysis, prior to signing any agreement with the Ministry of Health.

The Policy and Finance Committee:

(1)deferred consideration of the aforementioned communication and report until the meeting of the Policy and Finance Committee scheduled to be held on July 20, 1999, in order to afford more time for a thorough review;

(2)requested the Provincial Government to extend the July 30, 1999, deadline for response to the Province of Ontario's Request for Proposal respecting additional long-term care beds; and

(3)requested the Commissioner of Community and Neighbourhood Services, in consultation with the Chief Financial Officer and Treasurer, to submit a report to the July 20, 1999, meeting of the Policy and Finance Committee on:

(i)how the City's exposure can be reduced;

(ii)a policy of projecting what the City's future role should be respecting long-term care;

(iii)what the City's participation within the ratio of a balanced service delivery system should be;

(iv)what number of beds should be provided in the future; and

(v)whether there is an opportunity to submit a co-operative bid with the private sector:

City Clerk

P. A. Morris/tk

Item No. 15

Sent to:Minister of Health

Commissioner of Community and Neighbourhood Services

c:Committee Administrator, Community Services Committee

Att.