Open Letter to Minister Duclos and Minister Jones

Regarding the Canada-Ontario Home and Community Care and Mental Health and Addictions Services Funding Agreement 

Minister Duclos and Minister Jones, 


Canadians want to receive care at home and in their communities. 97% of Ontarians believe it is important to improve access to home and community care. They also want governments to enable them to make this choice by making investments in home and community care a priority. The Canada-Ontario Home and Community Care and Mental Health and Addictions Services Funding Agreement signed in 2017 reflects these priorities.

 

As you embark on negotiating the framework for the allocation of $1.2 billion annual funding until 2026-27, we’d like to take the opportunity to urge you to add health human resources as a key priority to the agreement. 

 

The first five years of the agreement identified expanding access to home care, including palliative and end-of-life care, caregiver supports and information technology as priority areas for investments. It also led to the development of national indicators. These national indicators have been key in tracking the impact these investments have had on our health system. 

 

Over the next five years, we will only be successful in keeping vulnerable people living at home if we shore up our sector’s health human resources. Across Canada there are a considerable number of people having their hospital stays unnecessarily extended and others admitted to long-term care earlier than necessary due to the lack of staff within the home and community care sector. This places additional burden on a struggling long-term care sector – and costs far more money than care in a home or community setting. 


In Ontario at the end of January 2022, there were 567 people still in hospital waiting to be discharged home with home care service. This lack of capacity in the home and community care sector cost the province an additional $355,509 a day. 

 

Further, a report by the Canadian Institute for Health Information confirms that 1 in 9 newly admitted residents to long-term care in Canada could have been kept at home with the right supports in place. That means over 8,000 Ontarians could have stayed home and received the necessary supports in their communities. 


Home and Community Care organizations are unable to continue or expand on current service levels without the ability to recruit and retain health human resources. Home and community care staff are leaving the sector in droves, many to other sectors where there are incentivized opportunities to take up similar roles. In September 2022, across the three key home and community care frontline positions (PSWs, RN, RPNs), 12.8% of positions were vacant in Ontario. This is almost double the rate of 6.8% in January 2021. 


The reason so many positions are vacant is that staff in the home and community care sector are the lowest paid in the health system. PSWs in Ontario in home and community care are making on average approximately 21% less than PSWs in hospitals and 17% less than PSWs in long term care.  The median salary wage gap for RNs working in home care versus hospitals is $11.00 an hour. 


We urge you to include health human resources as a key priority in the Canada-Ontario Home and Community Care and Mental Health and Addictions Services Funding Agreement. It is only by implementing a comprehensive health human resource plan that tackles wage disparity, recruitment, and retention that we will be able to provide care for people where they need it most. 



Thank you, 

 

Deborah Simon 

CEO 

Ontario Community Support Association 


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