Janette Smith, Commissioner of Health Services

Transcription

1 J Wonkilrg fon you REPORT Meeting Dte: November 7,201 3 Emergency nd Protective Services Committee DATE: October 28,201 3 REPORT TITLE: PROPOSED CHANGES TO THE PEEL REGIONAL PARAMEDIC SERVICES 10 YEAR FACILITY CAPITAL PLAN ( ) FROM: Jnette Smith, Commissioner of Helth Services RECOMMENDATION Tht the recommended chnges to the 10 Yer Fcility Cpitl Pln, s outlined in the report of the Commissioner of Helth Services, dted October 28, 2013, titled "Proposed Chnges to the Peel Regionl Prmedic Services 10 Yer Fcility Cpitl Pln ( )", be pproved. REPORT HIGHLIGHTS In June 2007, Regionl Council dopted Divisionl Model for the development of Prmedic fcilities (Council Resolution ). The 2007 HelthAnlytics presenttion recommended 29 totl prmedic fcilities. Reviews of the PRPS cpitl fcility pln resulted in reduction in the totl number of sttions to 25. Council directed stff to mximize the use of co-locted sites nd stff hve successfully secured co-locte opportunities t 17 out of the 25 proposed prmedic sttions. DISCUSSION 1. Bckground In 2005, stff engged HelthAnlytics Consultnts to ssist in plnning the future needs for prmedic service delivery in Peel nd to provide cpitl pln to support the direction. In June 2007, Regionl Council dopted Divisionl Model for the development of Prmedic fcilities consistent with the recommendtions contined within the Report of the HelthAnlytics consultnts (Council Resolution ). The pproved Peel Regionl Prmedic Services (PRPS) fcility model orgnizes smller Stellite Sttions round lrge Reporting Sttions. The model hs Prmedics reporting to Reporting Sttion nd being provided with vehicle tht hs been clened nd fully equipped by specilized vehicle nd equipment technicins. During their shift, Prmedics will be ssigned to Stellite Sttions for redy response in the community. Also in 2007, Council further directed stff (Council Resolution ) to mximize the use of co-locted sites with fire nd other municipl services, nd exmine the fesibility of

2 4.s -2- October 28,2013 FACILITY CAPITAL PLAN ( ) such sites nd report their findings to Regionl Council. To tht end, stff hve been successful in identifying co-loction nd shred use fcilities throughout the Region of Peel. These fcilities result in lower cpitl costs, lower lnd cquisition costs, nd lower operting costs for the Region of Peel. As prt of the implementtion of the PRPS 10 Yer Fcility Cpitl Pln, stff conducted vrious reviews of the HelthAnlytics recommendtions to ensure they remined pproprite in light of co-locte opportunities in the desired geogrphic res, current lnd nd development costs, nd the vilbility of suitble lnds. Stff further ssessed loctions ginst cll volumes, popultion dt, trvel times, nd the impct of newly estblished sttions to ensure the optiml use of Regionl resources in support of the Prmedic Services IO-Yer Fcility Cpitl Pln. The recommendtions of these reviews re detiled in section 3 of this report entitled, "2013 proposed mendments to the HelthAnlytics recommendtions" HelthAnlytics Recommendtions The EPSC pproved recommendtion (EPSC ), dopted s Council Resolution , ws written s follows: Tht Divisionl Model be dopted s the bsis for development of EMS fcilities in Mississug nd Brmpton for the period 2008 to 2017; And further, tht the current Sttion-Bsed Model in Cledon be mintined; And further, tht stff work with Finnce to develop ten yer cpitl pln for EMS fcilities; And further, tht stff continue to investigte, with the pproprite municipl Fire Services or Peel Regionl Police, EMS developments in the eight loctions identified in Tble 5 of the Fesibility Study Project: Fcilities presenttion. The detils of the 2007 presenttion included 29 totl loctions for prmedic fcilities, distributed in the following mnner: 6 new Reporting Sttions 23 Stellite Sttions o 9 Sttions in Brmpton o 10 Sttions in Mississug o 4 Sttions in Cledon The 2007 HelthAnlytics fcility pln is illustrted on mp tht will be distributed t the committee meeting. HelthAnlytics employed methodology utilizing dt from the Provincil Centrl Ambulnce Communiction Centre (CACC) from the yers 2000 through 2005, s well s interviews with stkeholders nd consulttion with the Emergency nd Protective Services Committee. Additionlly, the consultnts ssessed deployment sttistics, including cll volumes, trvel times, service times nd trnsport times. Bsed on the direction of Council, ll existing prmedic, fire nd police sttions in the priority res were identified for their development potentil. Loctions were identified to minimize the purchse of new property using existing emergency services fcilities wherever possible.

3 October 28,2013 FACILITY CAPITAL PLAN ( ) Proposed Amendments to the HelthAnlytics Recommendtions Since 2007, stff hve provided nnul updtes to the Emergency nd Protective Services Committee on the sttus of the PRPS 10 Yer Fcility Cpitl Pln. In 2009 (EPSC , Council Resolution ), stff dvised the Committee of chnge in Reporting Sttions from 6 to 4 nd the svings nd efficiencies ssocited with operting fewer number of Reporting Sttions. Service delivery in ll res is ensured by the strtegic plcement of Stellite Sttions. In 2013, stff initited n in-depth ssessment of the Prmedic Services cpitl fcility pln. This ssessment included n evlution of fcility designs nd sttion loctions (existing nd proposed) in the context of ll vilble dt. The following dt were used in the ssessment: Trvel time modeling for PRPS vehicles throughout Peel Popultion distribution nd plnned growth res 2012 Centrl Ambulnce Communictions Centre (CACC) dt to identify the res of highest cll volume Illustrtive Progrm for PRPS Stellite Sttions Vlue Mngement report for PRPS Stellite Sttions nd relted documents Lnd vilbility nd costs Avilbility of co-locte opportunities, shred-use opportunities, nd Regionl lnds. An outcome of this ssessment is the proposed deletion of two Stellite Sttions from the Fcility Cpitl Pln. The removl of two stellite sttions reduces the development nd lnd cquisition costs with no reduction in service delivery. Stff lso identified opportunities to defer five sttions into future budget yers bsed on the service demnd. Stff will continue to review vilble service delivery dt to revise the quntity nd loction of future sttions. As included in Tble 1 (Appendix I) of this Report, the 25 sttions comprising the 2013 Prmedic Services 10-Yer Fcility Cpitl Pln re distributed in the following mnner: 4 Reporting Sttions 21 Stellite Sttions o 6 Sttions in Brmpton o 11 Sttions in Mississug o 4 Sttions in Cledon The 2013 fcility pln is illustrted on mp tht will be distributed t the committee meeting. Stff hve successfully secured co-locte opportunities nd shred lnd opportunities t 17 out of the 25 totl Prmedic Sttions. This is due in lrge prt to the co-opertion of our collegues in Fire nd Emergency Services within ll three municiplities, s well s the Willim Osler Helth System nd other Region of Peel deprtments with comptible uses. Co-loctes nd shred lnd developments result in significnt finncil svings to both the Region of Peel nd our prtners in the res of lnd, site development, construction, nd common re operting costs.

4 October 28, FACILITY CAPITAL PLAN ( ) 4. Decommissioning of Existing Prmedic Sttions Stff recommend tht six lesed Prmedic sttions nd two storge fcilities be decommissioned s new fcilities re constructed nd leses expire. They include: 52 Brmle Rod, Brmpton 75-b Hle Rod, Brmpton 1980 Boylen Rod, Mississug 1578 Finfr Court, Mississug 6810 Kitimt Rod, Mississug 6660 Kennedy Rod, Mississug Fewster Drive (Mteril Storge Fcility), Mississug 1165 Fewster Drive (Vehicle Storge Fcility), Mississug FINANCIAL IMPLICATIONS To mintin progress on the execution of the 10 yer Prmedic fcilities cpitl pln, stff estimtes tht pproximtely $28.5 million will be requested s prt of the 2014 cpitl budget. This is up from our 2013 estimte of $27.3 million for 2014 due to the increse in lnd vlues nd development costs ssocited with constructing fcilities essentil to the provision of emergency services to legislted post-disster stndrds. The proposed 2014 Cpitl budget will llow number of key projects to proceed through development, including two Reporting Sttions in Brmpton, one Reporting Sttion in Mississug, nd 10 Stellite Sttions throughout Peel Region. Nine of the 13 re co-locted sttions with Fire Services, other Regionl Services or community prtner. Co-locted fcilities offer substntil svings ssocited with the shring of site development costs tht would otherwise be borne by one prty. Accordingly, stff continue to seek co-locte opportunities whenever possible.

5 October 28,201 3 PROPOSED CHANGES TO THE PEEL REGIONAL PARAMEDIC SERVICES I0 YEAR FACILITY CAPITAL PLAN ( ) CONCLUSION The Divisionl Model for the development of Prmedic fcilities is well underwy, with significnt progress being mde towrds the implementtion of the Prmedic Services 10 yer Fcility Cpitl Pln (2008 to 2017). Stff continue to seek opportunities to mximize efficiencies from joint development projects- u Jnette Smith Commiesioner of Helth Sewices Approved for Submission: 'bd L- D. Smrc, Chief Administrtive Officer For further informtion regrding this repod, plese contct Peter Dunds t extension 321 or vi emil f peter.dunds@peelregion.c Authored By: Renud Cmpbell - Mnger, Helth Fcility Plnning G. Legisltive Services Mnger, Finncil Support Unit (FSU)

6 -I October 28,201 3 FACILITY CAPITAL PLAN ( ) APPENDIX I Tble I Sttions included within the Prmedic Services Reporting Sttion Model