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.
DOWNLOAD FULL REPORT
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.
Share
More Updates
September, 2026 - Meals on Wheels Ontario is excited to partner with the LCBO on a province-wide fundraising campaign to support food security for seniors and people with disabilities across Ontario. Customers can purchase a reusable LCBO and Meals on Wheels tote bag, designed by Ontario artist Sarah Farquhar, at participating LCBO stores and online . 100% of proceeds from the tote bag campaign will be donated to Meals on Wheels Ontario to provide meals to seniors and people with disabilities. Funds raised through the campaign will help support clients experiencing financial hardship and help reduce barriers to accessing nutritious meals. Looking for a tote bag? Find a participating LCBO store near you. You can also purchase a tote bag online through LCBO. Share your support Picked up a tote bag? We’d love to see it! Share a photo of your tote bag on social media and tag Ontario Community Support Association so we can see and share your campaign moments. See more at MOW and LCBO Tote Campaign | Meals on Wheels | ON
Toronto, ON – June 30, 2026 – Nearly 700 Ontarians are currently waiting in hospital for home care or community support services to be arranged before they can safely return home, according to data available from Ontario Health. The Ontario Community Support Association (OCSA) says the figures demonstrate the growing urgency of investing in the services that make aging at home possible. These findings come as new data from the Canadian Institute for Health Information (CIHI) highlight ongoing emergency department pressures across Canada and as more than 45,000 Ontarians remain on long-term care waitlists in the community. Together, these numbers point to a fundamental shift occurring across Ontario's healthcare system: more people are living longer at home, often with increasingly complex needs, while demand for community-based care continues to outpace available capacity. "Ontario has entered a new era of healthcare," said Lori Holloway, Chief Executive Officer of OCSA. "For years we've talked about aging at home as a goal. Today, it is the reality. More than 45,000 people are waiting for long-term care in the community, and nearly 700 patients are waiting in hospital for the home care and community support services needed to return home safely. The question is no longer whether Ontario needs more community capacity. The question is how quickly we can build it." Ontario's not-for-profit home care and community support organizations provide the services that make aging at home possible, including home care, transportation, Meals on Wheels, assisted living, caregiver supports, adult day programs, wellness services and hospital-to-home programs. Without these supports, seniors are more likely to remain in hospital longer, experience avoidable health crises, or require earlier admission to long-term care. “Community care is increasingly becoming healthcare's pressure valve," said Holloway. "Every hospital bed occupied by someone waiting for community services tells us the same thing: the demand for aging-at-home supports is growing faster than the system's ability to provide them. If we want to improve hospital flow, reduce pressure on emergency departments and help people remain independent longer, we need to accelerate investment in community capacity." OCSA is calling for continued investments in home care, community support services, caregiver supports; not just service volume increases but the necessary infrastructure funding to ensure Ontario can meet the needs of a rapidly aging population. "Ontario has made important investments across hospitals, long-term care and home care," Holloway added. "The next phase of healthcare transformation must focus on building the aging-at-home capacity that will determine whether our health system can meet future demand." For more information: Karla Sealy Manager, Advocacy, Policy and Community Engagement karla.sealy@ocsa.on.ca 416-256-3010/1-800-267-6272, ext. 242
Ontario's health system is at a crossroads. Nearly one in five Ontarians is over age 65, more than 2.5 million people are without access to primary care, and hospitals face persistent Alternate Level of Care (ALC) pressures. Meanwhile, long-term care (LTC) waitlists exceed 48,000 people and are projected to grow. The most cost-effective and compassionate solution is to invest in a comprehensive suite of services including community support services, home care and independent living services, which allows people to remain in their homes and communities while reducing system pressures.
