2020 Ontario Pre-Budget Submission

A SYSTEM IN NEED OF REBALANCING
Helping Ontarians live well at home through home and community care
Introduction
At the heart of our health care system are Ontarians who need and receive critical health services at home and in their communities. This point is often lost in the discussions about hallway health care, the alternate level of care (ALC) issue and health system transformation. This submission will tell the stories of Eric, Joy and Albert to illustrate the way the current health care system shapes the lives of everyday Ontarians and how the impact of home and community services can help to rebalance outcomes.
In 2019, a record 5,400 patients in Ontario hospitals were designated ALC and in June, there were over 1,000 people being treated in hospital hallways across the province.1 Not only is this an ineffective use of limited resources, it is a situation that no patient or family member wants to experience. In fact, the cost of caring for a single patient using an ALC bed for one year is comparable to three people living safely and independently at home and in their communities in the same period.
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Our health system needs to be drastically, yet safely, rebalanced to better serve people. Home and community care services have untapped potential to help end hallway health care and reduce the demand for more expensive institutional settings like hospitals and longterm care. A recent study found that the biggest concern of people transitioning home from hospital was not enough publicly funded home care services to meet their needs.2 The development of Ontario Health and Ontario Health Teams (OHTs) are a key opportunity to strengthen the home and community care sector by enhancing integrated care across the entire health care system.
We know that if no changes are made, the waiting list for long-term care is expected to balloon to 40,000 people over the next few years. This is a situation that can be alleviated. Last year, almost 18,000 people living in longterm care homes could have continued to live at home and in their communities if the proper supports were available and appropriately funded.
Ontarians, like Joy and Eric, wish to receive care at home and in their community, but systemic issues can prevent that from happening, costing all of us in the long run.
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Ontario, Canada — April 1, 2026 — The Ontario Community Support Association (OCSA) and the Ontario SPCA and Humane Society (Ontario SPCA) are launching a new partnership to support seniors and their pets by delivering pet food alongside Meals on Wheels deliveries. This collaboration brings together community support providers and animal welfare services to address a practical challenge faced by many older adults—accessing pet food due to limited mobility, fixed incomes, or transportation barriers. By leveraging existing Meals on Wheels routes, volunteers can now also deliver pet supplies donated by the Ontario SPCA during their regular visits. The initiative is being introduced through an initial pilot with a small group of participating providers, including Meals on Wheels Sudbury, and Meals on Wheels Cornwall, which has already completed its first pet food deliveries to local seniors. “Meals on Wheels programs do far more than deliver food, they are a vital connection point into the community,” said Lori Holloway, CEO of OCSA. “This partnership reflects how organizations can work together to respond to real, everyday challenges seniors face. It’s a practical example of how community-based care supports the whole person, not just clinical needs.” “Pets are family, and we know the positive impact they have on people’s mental and emotional health,” said Jennifer Bluhm, VP, Community Outreach, Ontario SPCA and Humane Society. “This partnership helps remove barriers so seniors can continue to enjoy the companionship of their pets.” The program is already making an impact at the community level, with local providers seeing firsthand how small supports can improve quality of life for clients. “Pets can play a powerful role in reducing the isolation many seniors experience,” said Tammi Lear, Executive Director, Meals on Wheels Sudbury. “Meals on Wheels Sudbury is excited to partner with the Ontario SPCA and Humane Society to help keep our seniors healthy, connected, and able to remain in their homes with their pets.” “Meals on Wheels Cornwall is proud to be the first organization to pilot this program with the Ontario SPCA,” said Andree-Ann Morin, Meals on Wheels Coordinator, Glen Stor Dun Lodge. “This pilot program recognizes that food security doesn’t stop with the individual — it includes the pets who bring comfort and companionship. Thanks to the Ontario SPCA, we’ve already been able to help clients who were struggling with the cost, access, and special dietary needs of their pets. Even with just a few clients so far, we’ve seen how removing this worry can improve overall wellbeing.” Evidence shows that pets can reduce loneliness and support mental well-being among older adults. Small, practical supports like this can play an important role in maintaining health, preventing more complex needs over time, and improving client outcomes. This new partnership demonstrates the potential of cross-sector collaboration to better support seniors aging at home, while strengthening connections between health, community, and social supports. OCSA and the Ontario SPCA will continue working together to explore opportunities to expand the program with additional community partners across Ontario. Media Contact: Karla Sealy Ontario Community Support Association (OCSA) karla.sealy@ocsa.on.ca 416-256-3010 / 1-800-267-6272 ext. 242 About the Ontario Community Support Association (OCSA) The Ontario Community Support Association (OCSA) is the leading voice for home and community care in Ontario, representing hundreds of not-for-profit organizations delivering both home care and community support services across the province. OCSA members provide essential services including nursing, personal support and therapies; Meals on Wheels, transportation, caregiver supports, and other programs that help people remain safely in their homes and communities. Serving over one million Ontarians each year, OCSA works with government and system partners to advance integrated, community-based care as a cornerstone of a sustainable health system. About the Ontario SPCA and Humane Society The Ontario SPCA and Humane Society is a registered charity that has been operating for more than 150 years. The organization provides care, comfort, and compassion to animals in need in communities across Ontario, and works to keep pets and people together through a variety of community support services, education, and animal wellness initiatives.

Ontario, March 27, 2026 — The Ontario Community Support Association (OCSA) welcomes the Ontario government’s continued investment in home care and community support services as part of the 2026 provincial budget. Building on recent commitments, this investment signals a sustained shift toward strengthening care in the home and community as a central pillar of Ontario’s health system. As demand continues to grow—driven by an aging population, increasing caregiver strain, and sustained pressure across hospitals and long-term care—expanding access to care outside of institutions is critical to improving system flow and long term sustainability. “We are listening closely to what Ontarians are telling us—and so is the government,” said Lori Holloway, CEO of OCSA. “People want to receive care at home and in their communities, surrounded by the people and supports that matter most. This investment reflects that reality and moves us further toward a system designed around where people actually want and need care.” Home care and community support services each play distinct but complementary roles. Home care provides essential clinical and personal care in the home, while community support services focus on prevention, independence, and quality of life through programs such as Meals on Wheels, transportation, adult day programs, and caregiver respite. Together, they form the foundation of a modern, community-based care system that helps people remain at home longer while reducing avoidable hospital use and delaying or preventing long-term care placement. This level of sustained investment has the potential to significantly expand access to care at home, strengthen community capacity, and improve outcomes for individuals and families across the province—while supporting a more balanced and sustainable health system overall. OCSA is committed to working with government and system partners to ensure these investments translate into real improvements in access, stronger community supports, and measurable impact for Ontarians. About OCSA The Ontario Community Support Association represents more than 200 not-for-profit organizations providing home care and community support services across the province. OCSA members deliver essential services that help people live independently, age at home, and reduce pressure on hospitals and long-term care. For media inquiries please contact: Karla Sealy (she/her) Manager of Communications 416-256-3010/1-800-267-6272, ext 242 karla.sealy@ocsa.on.ca

