Health & Social Services Committee November 29, 2016 1 Budget - - PowerPoint PPT Presentation
Health & Social Services Committee November 29, 2016 1 Budget Process Council Information Session November 9 Health & Social Services November 29 Planning & Public Works November 30 Administration &
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Health & Social Services Committee November 29, 2016
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requires a net expenditure increase of 3.7%, with a 2.0% tax impact after assessment growth
2017 Budget – Pg 18
Property Tax Impact
(Per $100,000 CVA)**
2016 2017 Change Actual Budget $ %
Regional Services 197 $ 200 $ 4 $ 1.9% Police Services* 114 116 2 2.0% Total Regional Taxes 310 $ 316 $ 6 $ 1.9% Schedule may not balance due to rounding. * Approved by Police Services Board ** Based on projected 1.7% assessment growth
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2017 Budget – Pg 23
$000s 2016 Approved Base Strategic Requested Budget Budget Investments Budget
Public Health Resources 2,000 $ 2,250 $
2,250 $ 251 $ 12.5% 251 $ 12.5% Healthy Environments & Communicable Disease 4,817 5,192
374 7.8% 374 7.8% Healthy Families 5,568 5,946
378 6.8% 378 6.8% Clinical Health Services 4,062 4,028 85 4,113 (35)
50 1.2% Paramedic Services 16,917 17,812 782 18,594 896 5.3% 1,677 9.9% Children's Services 11,503 11,281 85 11,366 (222)
(137)
Employment & Social Services 7,015 6,415 142 6,557 (600)
(458)
Housing Services 35,882 36,425 689 37,114 543 1.5% 1,232 3.4% Quality & Service Integration 5,725 5,734 600 6,334 9 0.2% 609 10.6% Services for Seniors 17,583 18,079
496 2.8% 496 2.8% Planning 10,688 12,002 181 12,182 1,314 12.3% 1,494 14.0% Economic Development 2,312 2,571
259 11.2% 259 11.2% Waste Management 41,341 41,344 60 41,404 2 0.0% 62 0.2% Road Operations 49,608 51,291
1,683 3.4% 1,683 3.4% Non-Program 16,242 16,070 428 16,498 (172)
256 1.6% Boards & Agencies 9,551 10,031
480 5.0% 480 5.0% Net Regional Impact 240,814 246,470 3,050 249,520 5,656 2.3% 8,706 3.6% Assessment Growth (4,094) 1.7% Regional Levy Requirement 240,814 $ 246,470 $ 3,050 $ 249,520 $ 5,656 $ 2.3% 4,612 $ 1.9%
2016 Budget to 2016 Budget Net Operating Budget for Tax Supported Services (Excluding Police Services) Levy Requirement by Program 2017 Change in Budget 2017 Base to 2017 Requested
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2017 Budget – Pg 101
$000s 2016 2017
Public Health Resources 2,586 $ 2,541 $ (44) $
Healthy Environments & Communicable Disease 7,332 7,219 (113)
Healthy Families 7,830 7,716 (114)
Clinical Health Services 6,168 6,519 350 5.7% Paramedic Services 16,087 17,104 1,017 6.3% Children's Services 46,155 46,221 66 0.1% Employment & Social Services 20,334 21,720 1,386 6.8% Housing 11,503 16,894 5,391 46.9% Services for Seniors 33,427 34,129 702 2.1% Road Operations 100 100
Economic Developmemt 95 143 48 50.8% Heritage Services 55 56 1 1.0% Total 151,672 $ 160,362 $ 8,690 $ 5.7%
Provincial Subsidy Revenue By Program
Change in Budget
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2017 2018-21 2022-26 Total Rate Program: Water 31.7 $ 326.9 $ 753.6 $ 1,112.2 $ Wastewater 52.2 526.9 500.4 1,079.6 Sub-total 83.9 $ 853.8 $ 1,254.0 $ 2,191.8 $ Tax Program: Transportation 70.9 $ 720.2 $ 702.8 $ 1,493.9 $ Waste Management 1.9 30.2 9.2 41.3 Planning 22.4 82.5 77.6 182.5 Asset Management 6.0 46.8 19.2 72.0 Paramedic Services 2.4 8.1 14.3 24.8 Public Health
0.7 2.0 Services for Seniors 0.7 2.6 3.3 6.5 Children's Services 0.1 0.2 0.3 0.5 Corporate Admin 4.3 17.7 23.7 45.7 Police 10.1 42.7 19.2 72.0 Sub-total 118.6 $ 952.4 $ 870.3 $ 1,941.3 $ Total 202.5 $ 1,806.2 $ 2,124.4 $ 4,133.1 $
Includes financing cost. Schedule may not add due to rounding.
$33.8 million Health & Social Services
Health Department
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Paramedic Response Time Targets Construction of E Milton & SW Oakville stations Paramedic Services 10‐Year Master Plan Core public health services & focus on health equity Modernization Review of Ontario Public Health Standards Patient’s First Advocacy to the Province regarding funding pressures
Enforcing Immunization of School Pupils Act (ISPA) Expanded Human Papilloma Virus (HPV) immunization
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2017 Budget – Pg 118
$000s 2016 Budget Health Department Gross Cost Subsidies & Revenue Corporate Charges & Financing Net Tax Impact Net Tax Impact Public Health Resources 4,855 $ (2,553) $ (51) $ 2,250 $ 2,000 $ 251 $ 12.5% Healthy Environments & Communicable Disease 12,091 (7,276) 376 5,192 4,817 374 7.8% Healthy Families 13,331 (7,806) 421 5,946 5,568 378 6.8% Clinical Health Services 10,590 (6,597) 120 4,113 4,062 50 1.2% Paramedic Services 34,722 (17,115) 987 18,594 16,917 1,677 9.9% Total 75,588 $ (41,348) $ 1,854 $ 36,094 $ 33,364 $ 2,730 $ 8.2% FTE 473 460 13 2.9% 2017 Budget Change 2017-2016
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2017 Budget – Pg 119
$000s 2016 2017 Change MOHLTC - Public Health: 75% Cost-Shared Programs 18,353 $ 58% 17,996 $ 56% (357) $
5,328 $ 6,035 $ 707 $ 100% Funded Programs 1,863 83% 2,275 85% 412 22% 388 414 26 Subtotal 20,216 $ 60% 20,271 $ 58% 55 $ 0% 5,716 $ 6,449 $ 733 $ Other Public Health Funding: Healthy Babies Healthy Children 1,874 $ 59% 1,874 $ 57%
0% 1,283 $ 1,422 $ 139 $ Canada Prenatal Nutrition 90 99% 90 100%
(0) Subtotal 1,964 $ 60% 1,964 $ 58%
0% 1,283 $ 1,422 $ 139 $ Total 22,180 $ 60% 22,235 $ 58% 55 $ 0% 6,999 $ 7,871 $ 872 $
Public Health Subsidy
Subsidy Budget Anticipated Shortfall 2016 2017 Change
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Key Performance Indicator 2013 Actual 2014 Actual 2015 Actual 2016 Projected 2017 Projected Immunization - Percent of 16/17 Year Old Students in Compliance with ISPA Requirements n/a n/a 88.8% 90.0% 90.0% Immunization - Number of HPV Doses Administered (School Year) 4,393 4,471 5,353 3,835 8,070 Paramedic Care - Number of Patient Transports 25,575 26,784 27,959 30,195 31,705 Paramedic Care - Total Call Volume 38,400 40,664 42,881 47,512 49,887
Measure & Outcome Target Actual 2015 Projected 2016 Projected 2017 Annual Response Time Targets for Paramedic Services Achieved Achieved Report MO-17-16 Achieved Achieved
2017 Budget – Pg 83, 133 & 135
$85,000 (net, no subsidy) for additional nursing hours for
11.6 Paramedics - $1.3M (net $708,000 after subsidy) 1.5 Logistics Officers - $139,000 (net $74,000 after subsidy)
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Social & Community Services
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Activate Early Learning and Child Care Plan Create Ontario Early Years Child & Family Centres implementation plan Increase research capacity at OKN Expand school age supports for children with special needs Increase investment in HRCIF Develop Community Safety & Well-being Planning Framework Foster innovation in addressing food insecurity Update Emergency Evacuation Centre Plan Better use of SAMS to improve client experience Help job seekers
employment Evaluate effectiveness of Regionally funded low-income programs Develop 3 year strategic plan for the Halton Newcomer Strategy Create new assisted housing
Preserve social housing stock Increase housing with supports Prevent homelessness Develop a Community Development Framework for HCHC
Finalize Review of Regional Services for Older Adults Participate in accreditation process for Services for Seniors Implement a centralized staff scheduling model
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2017 Budget – Pg 137
$000s 2016 Budget Social & Community Services Gross Cost Subsidies & Revenue Corporate Charges & Financing Net Tax Impact Net Tax Impact Children's Services 58,134 $ (47,038) $ 270 $ 11,366 $ 11,503 $ (137) $
Quality & Service Integration 6,399
6,334 5,725 609 10.6% Employment & Social Services 29,081 (22,782) 258 6,557 7,015 (458)
Housing Services 59,780 (19,348) (3,319) 37,114 35,882 1,232 3.4% Services for Seniors 63,851 (47,892) 2,120 18,079 17,583 496 2.8% Total 217,245 $ (137,060) $ (736) $ 79,449 $ 77,707 $ 1,743 $ 2.2% FTE 744 742 2 0.3% 2017 Budget Change 2017-2016
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$132,000 one-time increase for Ontario Early Years Child and
Family Centres (OEYCFC) service planning
$500,000 anticipated increase in Ministry of Education (EDU)
fee subsidy, offset by removal of one-time Wage Enhancement Grant (WEG) administration funding ($529,000)
$3.4 million to make capital improvements to existing housing $1.03 million to create additional assisted housing opportunities
by leveraging senior government funding programs
$464,000 to pilot a portable housing benefit for survivors of
domestic violence
$862,000 to enhance homelessness prevention programming
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$496,000 OW benefit upload savings $610,000 forecasted caseload increase and associated benefit
rate increase
$171,000 OW cost of administration
Change in Case Mix Index, per diem funding inflationary
increases and final phase of wage enhancement of the Personal Support Services (PSSs)
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Performance Indicator 2013 Actual 2014 Actual 2015 Actual 2016 Projected 2017 Projected
Number of children rotating through child care subsidy spaces 3,965 4,794 4,480 4,830 4,830 Amount invested in community programs through the Halton Region Community Investment Fund (HRCIF) ($000s) $703 $703 $852 $1,428 $2,028 Number of clients that accessed Employment Halton services 13,529 11,501 12,468 13,328 13,650 Average monthly number of Ontario Works recipients 1,921 1,878 1,987 2,040 1,995 New assisted housing opportunities in Halton (cumulative total opportunities since 2007) 894 986 1,161 1,362 1,466 Percentage of Long‐Term Care Homes
30% 30% 29% 29% 29%
2017 Budget – Pg 140, 141, 144, 146, & 149
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Supporting research and open data initiatives at Our Kids
Network (OKN)
Fund community initiatives that support the health, safety and
wellbeing of Halton residents
2 Program Assistants to support clients, staff and programs
Establish Oakville Senior Citizen’s Residence (OSCR) as stand-
alone housing provider