Ontario’s health care system needs to be rebalanced

OCSA releases their 2020 pre-budget submission with solutions to help people receive care at home

Toronto, January 23, 2020 – Ontario Community Support Association (OCSA) and the home and community care service providers we represent want to help the government rebalance the health care system so that Ontarians can receive care in the right place. Close to 5,300 patients are receiving hospital care each day while waiting for care in more appropriate settings. Based on the real experiences of many Ontarians, our pre-budget submission highlights two examples of clients in the health system and details how a strategic investment of under a half a billion dollars will allow the home and community care sector to help people live well at home longer for less.

Home and community care services can help prevent Ontarians from going to the hospital in the first place and allow them to live safely at home, instead of costly and unnecessary long-term care. When funded appropriately, the home and community care sector can also discharge people quickly out of hospital.

However, the sector’s solutions face a serious issue; frontline care workers are in short supply and wage freezes threaten to make an already precarious situation even worse. Closing the current wage gap is key to ensuring that people can be supported properly and move through the health care system efficiently.

As stated in our Pre-Budget Submission released today, OCSA believes the government should:

  1. Increase service volumes by 5% by investing $208 million in 2020-2021 – with targeted investments in the expansion of assisted living services for frail seniors and community based transitional care programs.
  2. Issue a directive from the Ministry of Health that all Ontario Health Teams (OHTs) must provide a comprehensive and equitable basket of home and community care services that include home care services, community support services and independent living services.
  3. Direct an average of $156 million a year for 5 years to frontline home and community care workers in order to close the wage gap with hospitals and long-term care.
  4. Invest a much needed $125 million directly into the base budgets of home and community care providers.

“Our current health care system is incredibly out of balance,” says Deborah Simon, CEO of OCSA. “The home and community care sector can help if supported properly, so that Ontarians can receive the care they need in the right place. We know that if no changes are made, the waiting list for long-term care could balloon to 40,000 people over the next few years. Ontarians need relief now. Last year, almost 18,000 people living in long-term care homes could have continued to live at home and in their communities with appropriate funding. With more investments to frontline workers, like PSWs and nurses, and adequate funding for home and community care providers, we can relieve hospital system pressure and free up much-needed resources.”

For more information, please see our pre-budget submission here. Follow #careathome2020 on social media.

-30-

About OCSA

The Ontario Community Support Association (OCSA) represents over 220 not-for-profit organizations that provide home care and community support services to over one million Ontarians. Our members help seniors and people with disabilities live independently in their own homes and communities for as long as possible.These proactive and cost-effective services improve quality of life and prevent unnecessary hospitalizations, emergency room visits and premature institutionalization. They are the key to a sustainable health care system for Ontario. 

Interviews are available with OCSA CEO Deborah Simon. For more information please contact:

Michele Vantrepote
Communications Manager
Ontario Community Support Association
416-256-3010 x 242
michele.vantrepote@ocsa.on.ca

Share

More Updates

By Karla Sealy April 9, 2026
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.
By Karla Sealy March 27, 2026
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 
By Karla Sealy March 2, 2026
Province-wide campaign highlights Meals on Wheels as essential to community care
More Posts