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THE CITIZEN, WEDNESDAY, MARCH 31, 1993. PAGE 25.
Many at meeting express positiveness for DHC
Opportunity for input
Interested individuals and members of the health care services industry were present at a
meeting in Brussels United Church on March 23 to learn about the formation of a District
Health Council and provide input. Chair of the DHC Steering Committee, Paul Carroll, centre,
updated the group on what has been happening with the issue to date.
By Bonnie Gropp
The role of a District Health
Council (DHC) will ensure that ser-
vices in our rural communities are
community driven.
This was just one of the opinions
heard at an information meeting
regarding health care planning in
Brussels on Tuesday, March 23.
A small crowd of 20 people,
comprised of medical professionals
and lay persons, was present in the
United Church basement to hear
Paul Carroll, chair of the Huron
County DHC Steering Committee,
discuss concerns and provide input.
Mr. Carroll, who was appointed
to steer the process through to the
decision of whether or not the
county should have a DHC, said
the position has proven to be a
challenging and sometimes contro-
versial one.
DHC's are comprised of volun-
teers representing health care
providers, local governments and
consumers. They plan healthcare
services for the communities on an
integrated basis. Originating in the
1970s, the topic has been disputed
on three separate occasions in
Huron, however Mr. Carroll says
he suspects that since the initiative
to form a DHC has come this time
from the county the issues may be
discussed more rationally than in
the past.
In previous years the formation
of one has been opposed for several
reasons. It was suggested that the
current approach, with each hospi-
tal, each health agency, the county
board of health setting independent
directions was working well. Linda
Knight of Community Nursing Ser-
vices said it was her understanding
that during the early talks adminis-
tration opposed it as they felt they
would lose autonomy. Mr. Carroll
said consolidation and co-ordina-
tion mean cutting back, and while
this may mean the loss of autono-
my, it is important to find what best
serves the patients' needs.
Others see the DHC as an excuse
to let the province off the hook
when it comes to tough decisions.
The cost of establishing a DHC
was a concern; the estimated cost
of a DHC for Huron-Perth is
$250,000, said Mr. Carroll.
As well many feel it may be just
another layer of an already over-
governed society.
Jeanne Kirkby of the Walton area
expressed this concern to Mr. Car-
roll. She asked whether streamlin-
ing the services provided would not
be a better solution."It seems this
would cut costs rather than add a
layer of bureaucracy. "
Mr. Carroll said planning and co-
ordination is a function that is
beginning to emerge in talks with
people about DHC's. "It is also a
method of getting to the grassroots
voice," he said.
Having a voice is one of the
arguments for a DHC. Presently
Perth and Huron Counties are the
only ones in Ontario not represent-
ed at the province level. Those in
favour of a DHC want a direct say
in what priorities are being
addressed and how the funds are
divided, said Mr. Carroll. Some of
the issues currently being discussed
with the Ministry are: planning for
children's and women's health ser-
vices, multi-year planning for the
mental health system in Southwest-
ern Ontario, geriatric medical care
needs, strategic planning for
regional cancer care and emergency
care services. With his appointment
to the steering committee, Mr. Car-
roll has become the non-voting rep-
resentative at the decision making
table.
Due to the structure of DI-IC's,
which require a population base of
at least 100,000, should Huron
decide to form a DHC they would
need to amalgamate with Perth or
with a neighbouring existing DHC.
Mr. Carroll said should this hap-
pen, there would be terms and con-
ditions to the amalgamations with
the likelihood the two steering
committees would meet to negoti-
ate.
Bev Brown of Brussels, who
along with social worker Barb Bar-
ton-McMillan organized the meet-
ing, said she felt any concerns over
amalgamating with Perth were due
to the fear of being overshadowed
by the needs of Stratford General
Hospital. Mr. Carroll said while he
originally shared those feelings
anything he has seen thus far is of
"big brother looking after the hin-
terland which is beginning to tem-
per my concerns."
Turnberry Reeve Brian McBur-
ney said he is "a little leery of any-
thing Toronto tries to shove at us. I
see it as bringing their views to us."
"That is one of the dilemmas,"
said Mr. Carroll. "The bottom line,
though, is do we want the right to
determine what's given to us in the
period of declining resources?"
Emily Phillips of RR2, Blyth,
president of the Ontario Nurses
Association said, "I have a fear if
we don't get a DHC on our own
they will pick one for us. I believe
it is better to have a DHC that I had
input into, rather than one appoint-
ed and placed here. It is better to be
on the leading edge."
Reflexologist Carmen Ives ag-
reed. "It is time to work together.
If we don't get on that wagon,
they'll put us on any wagon that
goes by."
Mr. Carroll said this meeting was
one of a first for the steering com-
mittee to become informed and
learn about the questions which
need to be answered. The Huron
County Community Services Net-
work has arranged a series of com-
munity focus groups through April.
The first meeting of the Steering
Committee will be held on April 14
at the Clinton Town Hall com-
mencing at 7:30 p.m. The structure
of the 18 member committee will
be announced at that time. There
will be four local government rep-
resentatives, seven persons from
the health provider group and seven
consumer representatives. The
committee will be supported by a
resource team comprised of a seven
person advisory board, a number of
community resource persons and
five persons from the Huron Coun-
ty Community Services Network.
Mr. Carroll said while he knows
there will be some dissatisfaction
with the selections, he has tried to
the best of his ability to see repre-
sentation is fair. "There may not be
someone from every sector but
everyone should have a voice."
Public forum meetings will be
held at the same place and location
on each second and fourth Wednes-
day of the month until the end of
June. These are in addition to the
public hearings to be held through-
out the county. The plan will then
be formulated to the Ministry of
Health.
If the committee chooses to say
no, that ends the mandate. Other-
wise they will recommend a struc-
ture to meet the population base
criteria.
Ms Ives said she thinks it should
be looked at as a challenge. "We
have control over what happens
ahead of us. Let's get involved."
Mr. Carroll said should the com-
mittee say no to a DHC he hopes
they look at how the regional issues
should be addressed and "find a
constructive approach so our voice
is heard."
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