Good morning and thank you for allowing us the opportunity to speak today.
My name is Darlene Jackson and I serve as the president of the Manitoba Nurses Union, or MNU. I am speaking on behalf of the Canadian Federation of Nurses Unions, or CFNU.
The CFNU is composed of nine provincial nurses unions from every province except Quebec, as well as the Canadian Nursing Students' Association. We do, however, work closely and often collaborate with the Fédération Interprofessionnelle de la santé du Québec, or FIQ.
The CFNU is Canada's largest nursing organization, representing 250,000 frontline nurses and nursing students. We're proud to advocate for our members and promote the nursing profession on a national level. We work tirelessly to protect the quality of health care for our patients and our public health care system.
My fellow CFNU member, Maria Richard of the New Brunswick Nurses Union, had the privilege of speaking to this committee in Fredericton several weeks ago. As she noted, Canada's nurses face an extremely dire daily reality. In Manitoba, the vacancy rate for nurses in the public health care system remains high, at more than 2,800 unfilled positions as of this past summer, which has further exhausted the front line.
As you can imagine, the vacant positions cannot keep the patient load at bay. The work, therefore, is layered on an already exhausted staff. As a result, we have seen the health regions spend more and more public dollars on private nursing agencies.
I should note that private agencies have a purpose, but we find ourselves in a position where for-profit businesses have managed to find their way into the former Progressive Conservative government's austerity agenda under former premier Brian Pallister. In other words, well before the COVID-19 pandemic and Premier Pallister's replacement, Premier Heather Stefanson, the system was in need of a health human resources injection. The situation in our province became so dire that we at the union needed to create a public awareness campaign to educate Manitobans on the state of our health care system, which was and remains outrageous.
MNU's request for meetings and offers to collaborate with the previous government fell on deaf ears. This past October, Manitobans elected a new government, and with the announcement of Minister of Health and Deputy Premier Uzoma Asagwara, a nurse herself, we find ourselves in a hopeful position, one where we truly believe there exists a willingness to listen to our frontline nurses and an attitude to improve patient care standards. Unfortunately, despite historic investments committed to by the federal government, nurses, other health care workers and, more importantly, patients continue to experience the punishing consequences of insufficient staff to provide the level of care that workers were trained to deliver and that patients deserve to receive.
The CFNU submitted a brief to your committee with six recommendations for budget 2024. I will reiterate them here, as my colleague Maria did, but I'm happy to provide more details on any of them in the question and answer portion of the hearing.
Canada's nurses recommend that the federal government introduce a tax credit for nurses and other health care professionals that incentivizes the retention of health care professionals and their return to the workforce.
We recommend that the government provide funding in the amount of $8 million over four years through the Public Health Agency of Canada to tailor and pilot an Internet-delivered cognitive behavioural therapy program for nurses. CFNU submitted a proposal but were told the funding was not available despite the desire to fund this. We need urgent mental health supports for nurses.
We recommend that the government work with the provinces and territories to set legislated limits on the consecutive hours of work for nurses.
We recommend that the government include measures for the bilateral health agreements with provinces and territories that phase out private nursing agencies from provincial spending, ensuring federal investments aren't wasted on private agency profits.
We recommend that the government earmark $10 million in funding to establish a health workplace violence reduction plan that includes key recommendations from the parliamentary health committee study from 2019, including a national public awareness campaign, a pan-Canadian framework for the prevention of violence in health care settings enshrined in federal legislation, targeted funding to the provinces and territories to upgrade violence prevention infrastructure and training, and appropriate training for prosecutors and public safety personnel to enforce Bill C-3, which came into law at the national level nearly two years ago.
Finally, we recommend that the government lead a national nursing retention strategy, in partnership with provincial and territorial governments, that advances proven retention, return and recruitment initiatives. This includes adopting safe staffing measures such as improved nurse-to-patient ratios, expanding nursing programs, supporting students with mentorship and paid preceptorships, supporting nurses across their careers through initiatives such as bridging programs and flexible schedules, and expediting registration and workforce integration for internationally educated nurses through an ethical framework.
Thank you so much for hearing me. I look forward to receiving any questions or comments.