Toronto Public Health (TPH) provides programs, services and policy directions to create the optimal conditions to achieve a healthy city for all, meet community public health needs, comply with the Ontario Public Health Standards, and contribute to a broader sustainable health system. TPH delivers the following services:

  • Chronic Diseases and Injuries
  • Emergency Preparedness
  • Environmental Health
  • Family Health
  • Infectious Diseases
  • Public Health Foundations

Download the Budget Analyst Notes for Toronto Public Health for detailed information on service levels, key initiatives, challenges and performance measures. You can also review budget highlights below.

Toronto Public Health reduces health inequities and improves the health of the whole population.

Download the Toronto Public Health Program Map to better understand the services and activities TPH delivers on behalf of the City.

Operating Budget

The total cost to deliver these services to Toronto residents is $255 million gross and $64.2 million net.

Highlights

  • 0.6% Budget increase over the 2018 Approved Net Operating Budget to maintain existing service levels and meet additional service demands.
  • $0.056M Base Expenditure Changes from inflationary increases in salary and non-salary budgets, the annualized cost of 2018 approved New and Enhanced services, increased operating hours for a Supervised Injection Service location which is offset by a reversal of provincial revenue for property lease costs transferred to the program in 2018.
  • $0.294M Efficiency savings achieved through streamlining and realignment of program resources and services and adjustments of budget to actual experience.
  • $1.961M New/enhanced funding to respond to the health needs of homeless individuals through investments in harm reduction, infection prevention & control, execution of a communications strategy on City’s response to homelessness prevention, maintaining 20% investment in Student Nutrition program and funding to support the fifth and final year of Toronto Urban Health Fund Expansion program.
  • 2020/2021 Increases primarily for known inflationary adjustments for salaries and benefits and non-salary contracts.

Key Challenges

  • Increasingly diverse population requires designing and delivering programs that meet the health needs at both a population and individual level.
  • Health promotion and protection takes place in a complex system with multiple stakeholders, partners, and subject matter experts which requires choosing the right collaboration at the right time to achieve the best health outcomes for the population.
  • Obtaining and analyzing data and evidence is essential to determine how to respond to current and emerging public health issues and threats.
  • Increasing the use of technology to achieve efficiencies and broaden the reach of public health programs and services.

Priority Actions

  • $0.203 million included in the 2019 Budget to implement a Service Delivery Review for TPH to ensure services are meeting the needs of the population.
  • $1.129 million recommended in the 2019 Base Budget to continue to support the Toronto Overdose Action Plan and advance the Toronto Poverty Reduction Strategy.
  • $24.100 million is included in the 2019-2028 Capital Plan to continue to invest in IT system projects to support service delivery, achieve efficiencies and broaden the reach of public health programs and services.
  • Pilot with Ontario HIV Treatment Network to link HIV patients to care.
  • Collaborate with City divisions to implement municipal plans for the legalization of non-medical cannabis.

Capital Budget and Plan

The 10-year Capital Plan is $24.1 million and comprised primarily of Information Technology projects that support the enhancement of service delivery at TPH by developing and enhancing Information Technology systems to help improve TPH’s ability to sustain and improve the client experience, provide operational efficiencies, improved management decision making and compliance with provincial mandatory requirements.

Highlights – 1 Year

  • $0.419M Begin Community Collaboration and the Correspondence and Communication Tracking System projects that will investigate a cloud-based document sharing solution and a workflow system that will help automate workflow and asset management processes.
  • $1.271M Continue the Electronic Medical Records Phase 3 project to provide a comprehensive electronic record of patients’ health-related information.
  • $1.005M Continue the Datamart Data Warehouse-Phase 3 project to better monitor performance, analyze trends to inform adjustments to program delivery and improve reporting to meet legislative requirements.
  • $0.707M Continue the Community Health Information System project to enhance the Toronto Community Health Information System.
  • $0.415M Complete the Expansion of Scarborough Dental Clinic and the Dental & Oral Health Information Systems projects.

Highlights – 10 Years

  • $16.207M Service Improvement projects that will fund new systems such as data warehousing and electronic medical records systems for better planning managing, monitoring of information, integration and replacement of multiple business systems and establishment of enhanced systems.
  • $7.893M State of Good Repair projects to enhance or replace systems that have reached their end of life due to obsolete technology such as the Community Collaboration-Seed, Correspondence and Communications Tracking-Seed, Datamart Data WarehousePhase 3, Dental & Oral Health Information System, Electronic Medical Record-Phase 3 and the Expansion of Scarborough Dental Clinic project.