This, we think, is actually a matter for the provinces, because it's about regulating access. Quebec provides an excellent example. Essentially we endorse the model that Quebec uses. In Quebec it's a local health authority. It would be up to provinces to figure out the appropriate body to notify. Perhaps it would be the hospital, or another body could be designated. In British Columbia we have regional health authorities.
The key is that the body would then be under an obligation to contact, as quickly as possible, the patient who has given consent for that information to be transmitted to them. That body would then be in charge of setting the patient up with someone who can provide the service. It gets the doctor out of having to make an act of referral. They simply have to tell someone that they're refusing.
We don't think that's too much to ask. The interest in conscientious objection is a carefully qualified interest. It isn't absolute. We think that forcing a physician to engage in an act of referral would be going too far, but this is an accommodation that would serve everyone.