Madam Speaker, I want to thank all of my colleagues in the House today who are speaking to this very important issue. I am pleased to rise to address the motion by the hon. member for Burnaby South. I share his concerns and, I can safely say, all members' concerns for Canadians living in long-term care facilities during this unprecedented COVID-19 health crisis. The Government of Canada recognizes the impact of the virus on many vulnerable populations, including those living in long-term care facilities.
As members know, the administration of long-term care falls under provincial and territorial jurisdiction. However, as committed to in the Speech from the Throne, the federal government is taking action and will continue to take any action we can to support seniors while working alongside the provinces and territories. From the outset, these facilities were hit hard in many parts of the country. During the first wave, approximately 81% of the fatalities from COVID-19 were residents of long-term care facilities and, to date, more than 66% of deaths due to COVID-19 have occurred in long-term care.
An analysis by the Canadian Institute for Health Information in June 2020 compared Canada's experience in long-term care facilities with that of other countries in the OECD. As the member has noted, this report found that the proportion of COVID-19 deaths among long-term care residents in Canada was higher than in other OECD countries. Of course, there was substantial variation in the experiences of people and long-term care facilities across Canada's provinces and territories. Some regions have fared better than others. Generally, jurisdictions with lower COVID-19 infection rates in the community reported fewer long-term care cases and deaths, but right across the country the pandemic has highlighted long-standing and systemic challenges in Canada's long-term care system, and has had a significant impact on residents and staff in these facilities, exposing gaps in infection prevention and control, staffing, infrastructure and testing.
In response the federal government is taking important steps to respond to the significant challenges faced by long-term care facilities across the country, and the Government of Canada recognizes the need to work with the provinces and territories to develop long-term care standards. The government has committed to establishing national standards for long-term care as a means to address critical gaps in long-term care facilities, including the working conditions of lower-wage essential workers in senior care, particularly personal support workers, who have persevered in the face of adversity.
In the early stages of the pandemic, all levels of government began working in close collaboration to ensure that the public health measures being taken were in alignment. Public health authorities continue to closely monitor COVID-19 in Canada and carefully consider approaches to easing public health restrictions when and where possible. The epidemiology of COVID-19 is different in each jurisdiction, and this means that approaches across Canada will not all be the same and will need to be tailored to the unique challenges and context of the disease in each province and territory. Each jurisdiction in Canada is looking at different kinds of community settings, such as long-term care facilities, and developing risk-based approaches and assessments based on what is taking place within their own jurisdiction.
I would like to outline two key measures from the fall economic statement: the safe long-term care fund and the expansion of the long-term care plus initiative. Both measures would be implemented with funding provided through BillC-14. Unfortunately, in the House we have seen partisan games preventing this important legislation from passing.
Under the safe long-term care fund, up to $1 billion would be transferred to provinces and territories to help protect people in long-term care facilities, by their implementing additional measures for infection prevention and control. Specifically, provinces and territories would have the flexibility to use these funds to help facilities retain and hire new staff, including through topping up wages. It would also help them upgrade infrastructure, such as increased ventilation to reduce transmission, as well as undertake needed assessments to determine what other infection-prevention and control measures might be required to prevent and mitigate the effects of COVID-19. To help Canadians better understand the significant efforts under way, provinces and territories would develop detailed action plans and would report on progress and results.
Officials are working out the details now with a view to getting these investments to provinces and territories as quickly as possible to further protect Canadians who reside and work in long-term care settings. This legislation is critical, and it needs to be passed.
In July 2020, the Canadian Foundation for Healthcare Improvement published a report on lessons learned from the response to COVID-19 in long-term care and retirement homes. It was called “Reimagining Care for Older Adults”. The report is based on interviews with family partners, health care leaders and policy makers. It focuses on promising practices that have the potential to reduce the risk of future COVID-19 outbreaks in long-term care and retirement homes.
From these findings, the Canadian Foundation for Healthcare Improvement and the Canadian Patient Safety Institute, now amalgamated and known as Healthcare Excellence Canada, launched a new program called the long-term care plus initiative. This program helps prevent and control infection in long-term care homes and seniors residences, allowing them to prepare for possible future outbreaks and mitigate the pandemic's effect.
Direct support is available through coaching and seed funding to help participating facilities address gaps identified through the program.
The fall economic statement committed an additional $6.4 million over two years to further expand this initiative. As of March 10, 2021, a total of 1,086 facilities have submitted applications and are participating in the long-term care plus initiative. Of course, the safe long-term care fund and the long-term care plus initiative are only the most recent of many programs launched over the past year. I will provide a few examples of other initiatives that are already making a difference in long-term care facilities.
Last April, Health Canada, with support from the Public Service Commission of Canada, launched the COVID-19 voluntary recruitment campaign. The Government of Canada supported provinces and territories by facilitating this inventory of skilled Canadians to provide surge capacity in the following key areas: case tracking and contact tracing, health system surge capacity, case data collection and reporting. Provincial and territorial governments continue to draw upon the volunteer inventories as needed to support local public health responses.
At the beginning of the pandemic, the Canadian Armed Forces provided support in Ontario and Quebec for outbreaks in long-term care facilities. Now the Canadian Red Cross continues to be available for deployment to homes that are experiencing significant outbreaks and has already supported more than 130 long-term care facilities in Quebec, Ontario and Manitoba. The Canadian Red Cross is also overseeing the recruitment and training of workers to support infection prevention and control, basic care and facility management.
Last summer, the Government of Canada negotiated the safe restart agreement with the provinces and territories. The agreement provided $740 million in funding to support vulnerable Canadians, including those in long-term care, home care and palliative care, who, as we know, are more at risk of severe cases of COVID-19.
The government is also providing comprehensive and evidence-based preliminary guidance on key populations for COVID-19 immunization, including residents and staff of congregate living settings that provide care for seniors.
Finally, a temporary COVID-19 resiliency stream was created to provide provinces and territories with added flexibility to use existing resources to fund quick-start, short-term infrastructure projects, including health infrastructure, such as long-term care homes.
Besides these activities, the Government of Canada is providing support to provinces and territories through the procurement and distribution of millions of authorized vaccines and rapid tests, which help protect long-term care residents and staff.
As well, the COVID-19 testing and screening expert advisory panel released a report this winter to help inform the development of robust testing and screening strategies in long-term care homes.
I would like to speak for a moment about the role of personal support workers. Now more than ever, Canadians understand that personal support workers are an integral and important part of the health care system, providing close direct support to residents. Every person entering a long-term care home, including essential visitors and volunteers, has a responsibility to prevent infections among residents of those facilities, who are at a high risk of severe illness and death from COVID-19.
It is because of this high risk that access to personal protective equipment and training is critical for the workers' own safety and the safety of residents. The Government of Canada is taking action to ensure that health care workers have the personal protective equipment and medical supplies they need. We have done this through collaborative bulk procurement with the provinces and territories, building domestic production capacity and identifying potential alternatives to extend product life.
We also need to recognize the contributions of workers in long-term care facilities and better compensate them for taking care of our most vulnerable citizens. Their work is essential in reducing the spread of the virus, and the government understands that. That is why up to $3 billion of federal funding was provided in support to provinces and territories to increase the wages of low-income essential workers, which could include front-line workers in hospitals and long-term care facilities. Provinces and territories will also be able to use the funding under the safe long-term care fund to top up wages of staff members in long-term care facilities.
Finally, the Government of Canada recognizes that we need to increase the number of personal support workers in the country, and we committed funding of $38.5 million over two years for Employment and Social Development Canada to support training of up to 4,000 personal support worker interns through an accelerated six-week online training program. This will be combined with a four-month work placement to help address acute labour shortages in long-term care and home care.
As we have learned more about this virus and the populations at risk, we are doing everything we can to help protect citizens in long-term care facilities. The Public Health Agency of Canada has provided infection prevention and control guidance to help prevent COVID-19 infections among residents and workers in long-term care and assisted living facilities, as well as in home care, including the appropriate use of PPE.
Many facilities have already implemented their own measures, such as restricting visitation or other non-essential on-site services. Now, as we learn more about the impact of these restrictions on residents, more and more facilities are developing nuanced and compassionate approaches to visitation. The long-term care plus program has recently released a checklist for the safe re-entry of essential care partners in long-term care facilities.
Long-term care facilities should also follow the best practices developed by the relevant provincial or territorial health authority. Examples include daily screening of anyone entering facilities, rapidly testing people who are ill, widespread testing if there is an outbreak, and supporting people in isolation and quarantine.
We know these measures have to followed diligently. We also know, now, that one of the best practices is to ensure support for the workers. Many personal support workers from racialized communities are not paid well and do not have sick leave benefits. Some of the federal supports, such as the Canada recovery sickness benefit, help with that, so that people can stay home if they are ill.
Our government is taking action to support residents of long-term care homes, but we do know there is more to do. The pandemic has highlighted challenges that the long-term care sector has faced for many years. The Government of Canada is working with provinces and territories to address these challenges and protect residents of long-term care facilities from exposure to the COVID-19 virus by helping the provinces and territories deliver on their health care responsibilities. Together, we are making progress.
After more than a year of living with the threat of COVID-19, provinces and long-term care homes across the country are ramping up vaccinations for their residents. Infections and death rates in long-term care homes are reduced. However, we still have to be able to quickly detect and respond to outbreaks if they occur. We need to be prepared for possible increases in the number of infections caused by new variants. This continues to require a coordinated effort.
As people can imagine, a lot of work is happening behind the scenes with our many partners across all levels of government, and indeed with non-governmental organizations that have stepped up. All of this work will deepen our understanding of the disease and provide the data we need to inform our response and decision-making.
If we have learned anything over the past year, it is that we have to continue with strong public health efforts to reduce transmission of the virus and minimize its impact on the vulnerable residents of long-term care facilities, and we have to work together. We must also plan and be ready for the future, as there is a lot that we still do not know about COVID-19. We have to address the needs of residents in long-term care as the situation evolves.
I can assure this House that the Government of Canada will continue to do everything within our power and jurisdiction to respond to the COVID-19 pandemic and protect the health, safety and well-being of all Canadians during these difficult and uncertain times.