There are 28,000 seniors in publicly funded residential care today, and only 15 per cent of facilities are meeting the provincial standard for daily care hours. (Flicker/Creative Commons)

There are 28,000 seniors in publicly funded residential care today, and only 15 per cent of facilities are meeting the provincial standard for daily care hours. (Flicker/Creative Commons)

B.C. VIEWS: Who will care for frail elderly?

Today’s nursing home labour shortage is just the beginning

The B.C. NDP government has taken its first significant step to close the wide and persistent gap between the reality of basic support for seniors in residential care and the province’s target.

Officially, that target is an average 3.36 hours of personal care per patient, per day. In practical terms, that means getting two baths a week instead of one, or being escorted with a walker to the dining room instead of being whisked there in a wheelchair by an overworked employee.

In human terms, it means an isolated, lonely senior is not just cleaner and more comfortable, he or she gets a few more minutes of personal contact to relieve the tedium of confinement and the junk of daytime TV.

B.C.’s Seniors Advocate, Isobel Mackenzie, reported last week that as of March 2017, that standard was being met in 15 per cent of publicly funded care homes. That’s up from nine-per-cent compliance the previous year, based on an annual survey of the 293 public and contracted care homes across the province.

The first move was communicated to facility operators in conference calls last week, and will be confirmed in the NDP government budget on Feb. 20. Authorities will be funded to increase their casual and part-time care aide positions to full time as of April 1.

Health Minister Adrian Dix cautions that this is at best a partial solution, even with half of the current workforce in casual and part-time positions. Not all will accept full-time work.

“To reach the 3.36 [hours target], we’re told that it will require 900 net new care aides, in a sector where more than a quarter of care aides are over 55,” Dix told me. “So there would be considerable effort just to stay where we are now, and this is going to require a significant number of new care aides.”

Daniel Fontaine, CEO of the B.C. Care Providers Association, agrees: “Moving from casual to full-time is not going to do it.”

Fontaine has been pushing to expand dual-credit high school courses to get more young people into senior care as a first job, with virtually guaranteed employment even in rural and remote communities. These high school spaces are now mainly focused on male-dominated skilled trades, while popular culture bombards teens with the allure of high-tech careers.

At a residential care conference in Surrey Jan. 26, Dix announced new post-secondary training spaces for care aides. Unfortunately, the government is also embarking on an aggressive expansion of child care, and the labour pool for that is largely the same people.

Fontaine says he’s hearing regularly from private colleges around B.C. that have vacant health care assistant training spaces now. The fastest solution would be to fill those spaces with immigrants eager to work, but there’s a problem. Federal immigration authorities won’t issue work permits unless students train at a public college. So the province wastes money on duplicate public spaces due to Ottawa’s arbitrary rules.

And of course the shortage of young workers mirrors the vast growth in seniors as baby boomers retire. There are currently 28,000 seniors in publicly funded residential care in B.C., out of an estimated 850,000 people over 65. Total senior population is projected to reach 1.4 million over the next 15 years.

“But over 75, that number is going to increase by two and a half times in the next 20 years,” Dix said.

Progress is slowly being made, thanks to the work of the Seniors Advocate’s office to report this situation to the public and to governments.

Tom Fletcher is B.C. legislature reporter and columnist for Black Press. Email: tfletcher@blackpress.ca


@tomfletcherbc
tfletcher@blackpress.ca

Like us on Facebook and follow us on Twitter.

BC legislatureSeniors

Get local stories you won't find anywhere else right to your inbox.
Sign up here

Just Posted

People skate on a lake in a city park in Montreal, Sunday, January 10, 2021. THE CANADIAN PRESS/Graham Hughes
The end of hugs: How COVID-19 has changed daily life a year after Canada’s 1st case

Today marks the one year anniversary of COVID-19 landing in Canada

Wet’suwet’en supporters and Coastal GasLink opponents continue to protest outside the B.C. Legislature in Victoria, B.C., on Thursday, February 27, 2020. THE CANADIAN PRESS/Chad Hipolito
‘We’re still in it’: Wet’suwet’en push forward on rights recognition

The 670-km Coastal GasLink pipeline was approved by B.C. and 20 elected First Nations councils on its path

A health-care worker prepares a dose of the Pfizer-BioNTech COVID-19 vaccine at a UHN COVID-19 vaccine clinic January 7, 2021. THE CANADIAN PRESS/Nathan Denette
Employers might be able to require COVID-19 vaccination from employees: B.C. lawyer

‘An employer must make the case’ using expert science, explains lawyer David Mardiros

The COVID-19 outbreak at the two Coastal GasLink workforce lodges has officially been declared over. (Lakes District News file photo)
COVID-19 outbreak at Coastal GasLink worksites declared over

In total, 56 cases were associated with the outbreak in the Burns Lake and Nechako LHAs

Brett Alexander Jones is wanted on several warrants province-wide, in connection with multiple charges. Jan. 21, 2021. Kitimat RCMP photo
Kitimat RCMP searching for man wanted on several warrants province-wide

Jones is described as a five-foot 10-inches Caucasian man, with blond hair and blue eyes.

Crews with Discovery Channel film as an Aggressive Towing driver moves a Grumman S2F Tracker aircraft around a 90-degree turn from its compound and onto the road on Saturday, Jan. 23, 2021. It was the “most difficult” part of the move for the airplane, one organizer said. (Jenna Hauck/ Chilliwack Progress)
VIDEO: Vintage military plane gets towed from Chilliwack to Greater Victoria

Grumman CP-121 Tracker’s eventual home the British Columbia Aviation Museum on Vancouver Island

Rolling seven-day average of cases by B.C. health authority to Jan. 21. Fraser Health in purple, Vancouver Coastal red, Interior Health orange, Northern Health green and Vancouver Island blue. (B.C. Centre for Disease Control)
2nd COVID vaccine doses on hold as B.C. delivery delayed again

New COVID-19 cases slowing in Fraser Health region

Provincial health officer Dr. Bonnie Henry talk about the next steps in B.C.’s COVID-19 Immunization Plan during a press conference at Legislature in Victoria, B.C., on Friday, January 22, 2021. Two more cases of the COVID-19 strain first identified in South Africa have been diagnosed in British Columbia, bringing the total to three as of Jan. 16.THE CANADIAN PRESS/Chad Hipolito
B.C. now has three cases of South African COVID-19 variant, six of U.K. strain

Both variants are thought to spread faster than earlier strains

Rodney and Ekaterina Baker in an undated photo from social media. The couple has been ticketed and charged under the Yukon’s <em>Civil Emergency Measures Act</em> for breaking isolation requirements in order to sneak into a vaccine clinic and receive Moderna vaccine doses in Beaver Creek. (Facebook/Submitted)
Great Canadian Gaming CEO resigns after being accused of sneaking into Yukon for vaccine

Rod Baker and Ekaterina Baker were charged with two CEMA violations each

Police discovered a makeshift nightclub in a Vancouver apartment on Jan. 23, 2021, and say it wasn’t the first time this month officers have been called to the unit over social gathering concerns. (Phil McLachlan - Capital News)
Doorman of makeshift ‘booze-can’ in Vancouver apartment fined; police look to court order

This marks the fourth complaint about social gatherings inside the apartment in January

A Kelowna couple welcomed their Nooner baby in December. (Flytographer)
Kelowna couple welcomes baby girl from Hotel Zed Nooner campaign

Nicole and Alex will now have 18 years of free stays at the hotel

Kyrell Sopotyk was drafted by the Kamloops Blazers in 2016 and played two seasons with the Western Hockey League club. (Photograph By ALLEN DOUGLAS/KTW)
Kamloops Blazer paralyzed in snowboarding accident sparks fundraiser for family

As of Jan. 24, more than $68,000 had been raised to help Kamloops Blazers’ forward Kyrell Sopotyk

(Pixhere photo)
B.C. dentists argue for COVID-19 vaccine priority after ‘disappointing’ exclusion from plan

Vaccines are essential for dentists as patients cannot wear masks during treatment, argues BCDA

The fine for changing lanes or merging over a solid line costs drivers $109 and two penalty points in B.C. (Screenshot via Google Street View)
B.C. drivers caught crossing, merging over solid white lines face hefty fine

Ticket for $109, two penalty points issued under Motor Vehicle Act for crossing solid lines

Most Read