Grey County Committee of the Whole Meeting Transcript — July 23, 2026

00:26:48 Speaker 01: call to order this committee. The

00:26:50 Speaker 01: whole meeting of July twenty third,

00:26:52 Speaker 01: twenty twenty six. At this point

00:26:53 Speaker 01: in time, I'll put out a

00:26:56 Speaker 01: call. Are there any declarations of

00:26:58 Speaker 01: interest? See no hands raised. Business

00:26:59 Speaker 01: arising for minutes. See no hands.

00:27:00 Speaker 01: We will move on to the

00:27:02 Speaker 01: delegation. We have one delegation this

00:27:02 Speaker 01: morning. I would like to welcome

00:27:04 Speaker 01: Executive Director Lindsey Johnson. She will

00:27:13 Speaker 01: be providing us with this regular

00:27:15 Speaker 01: update. We look forward to it.

00:27:16 Speaker 01: Please come on up to the

00:27:18 Speaker 01: lectern, and I think they've they've

00:27:19 Speaker 01: given you the go-to on how

00:27:21 Speaker 01: to get that that microphone going.

00:27:23 Speaker 01: And what we'll do is, well,

00:27:24 Speaker 01: it'll either have to be your

00:27:26 Speaker 01: microphone or mine, back and forth,

00:27:28 Speaker 01: so that I can receive questions

00:27:32 Speaker 01: for you at the end of

00:27:35 Speaker 14: your presentation. So welcome. We're glad

00:27:38 Speaker 14: you're here. Thank you so much,

00:27:41 Speaker 14: Warden. So good morning, everyone, and

00:27:44 Speaker 14: thank you so much for having

00:27:48 Speaker 14: me here today to speak with

00:27:53 Speaker 14: you. I think I've had the

00:27:56 Speaker 14: opportunity to speak to many of

00:27:57 Speaker 14: you over the past couple years

00:28:00 Speaker 14: as I've been in the role

00:28:02 Speaker 14: of Executive Director of the Grey

00:28:04 Speaker 14: Bruce Ontario Health Team. I'm

00:28:09 Speaker 14: here to provide a brief update

00:28:12 Speaker 14: on some of the the work.

00:28:15 Speaker 14: that we've been doing over the

00:28:18 Speaker 14: past year, and part of this

00:28:21 Speaker 14: is the we've set up with

00:28:22 Speaker 14: the counties and the help of

00:28:28 Speaker 14: Randy and Christine in Bruce County

00:28:30 Speaker 14: a regular regular communication with the

00:28:31 Speaker 14: counties and municipalities over the course

00:28:35 Speaker 14: of the year. So I will

00:28:36 Speaker 14: aim to provide a delegation twice

00:28:39 Speaker 14: a year to both Gray County

00:28:41 Speaker 14: and Bruce. Years both Gray County

00:28:43 Speaker 14: and Bruce County, as well as

00:28:44 Speaker 14: provide continuous quarterly municipal updates, which

00:28:48 Speaker 14: I appreciate the spreading of those

00:28:51 Speaker 14: to your to your council members

00:28:54 Speaker 14: to provide more detailed updates about

00:28:57 Speaker 14: some of the progress and activities

00:28:58 Speaker 14: and initiatives of the Great Bruce

00:28:59 Speaker 14: OHD. So this this slide is

00:29:01 Speaker 14: not in your package, but it's

00:29:04 Speaker 14: one that I shared recently. at

00:29:08 Speaker 14: a a presentation to Bruce County,

00:29:12 Speaker 14: and I just wanted to share

00:29:13 Speaker 14: it as I give a bit

00:29:18 Speaker 14: of an introduction to to what

00:29:19 Speaker 14: OHTs are. And this is actually

00:29:22 Speaker 14: a diagram that one of my

00:29:24 Speaker 14: staff members put together of the

00:29:26 Speaker 14: Ontario healthcare system. And so, as

00:29:27 Speaker 14: you can see, extremely complex, many

00:29:29 Speaker 14: different levels, and over on I

00:29:33 Speaker 14: guess it's on the if you're

00:29:35 Speaker 14: looking at the screen, the right

00:29:38 Speaker 14: hand side. Looking at the screen,

00:29:40 Speaker 14: the right-hand side in the blue

00:29:44 Speaker 14: square—that's Ontario Health Teams. And so,

00:29:46 Speaker 14: Ontario Health Teams were actually started

00:29:48 Speaker 14: in, I think, it was 2019

00:29:50 Speaker 14: as the new way of organizing

00:29:51 Speaker 14: local healthcare. And the previous method

00:29:55 Speaker 14: of organizing healthcare, as many of

00:29:58 Speaker 14: you will probably remember, are the

00:30:01 Speaker 14: Linds. And there were, I think,

00:30:03 Speaker 14: there were maybe 11 Linds that

00:30:06 Speaker 14: kind of divided up the province

00:30:08 Speaker 14: of Ontario. and they were quite

00:30:12 Speaker 14: large. And the Grey Bruce was

00:30:17 Speaker 14: part of the Southwestland, which also

00:30:20 Speaker 14: included Elgin, Middlesex, London, Oxford. So

00:30:23 Speaker 14: a really large and very diverse

00:30:27 Speaker 14: area. And so the way that

00:30:30 Speaker 14: local healthcare and system level healthcare

00:30:32 Speaker 14: is being organized now is in

00:30:33 Speaker 14: the form of Ontario Health Teams,

00:30:35 Speaker 14: and there are actually fifty-eight Ontario

00:30:37 Speaker 14: Health Teams throughout Ontario at present,

00:30:39 Speaker 14: and they're with. And there, with

00:30:42 Speaker 14: these kind of a smaller focus

00:30:47 Speaker 14: on smaller regions, we're able to

00:30:50 Speaker 14: provide a more hyper-local look at

00:30:52 Speaker 14: the needs of a population of

00:30:55 Speaker 14: communities of the providers within a

00:30:57 Speaker 14: a smaller region, and really target

00:30:59 Speaker 14: initiatives and planning that will really

00:31:02 Speaker 14: help meet the needs locally as

00:31:04 Speaker 14: they as they shift and change

00:31:07 Speaker 14: as well. so the Gravers OHT

00:31:10 Speaker 14: has had an evolving structure over

00:31:13 Speaker 14: the past, at least the past

00:31:14 Speaker 14: three and a half years that

00:31:16 Speaker 14: I've been part of it, and

00:31:18 Speaker 14: most recently in this last fiscal

00:31:20 Speaker 14: year, we were able to really

00:31:22 Speaker 14: solidify our collaborative decision-making agreement and

00:31:25 Speaker 14: our our partnerships to form a

00:31:27 Speaker 14: structure that was able to leverage

00:31:32 Speaker 14: leadership from primary care providers, so.

00:31:33 Speaker 14: physicians and nurse practitioners, as well

00:31:35 Speaker 14: as health system leaders throughout all

00:31:37 Speaker 14: of Grey Bruce, so including primary

00:31:38 Speaker 14: care, acute care, mental health and

00:31:42 Speaker 14: addictions, and other levels of home

00:31:45 Speaker 14: and community care, and also involve

00:31:46 Speaker 14: community members, so patients, families, and

00:31:51 Speaker 14: caregivers, and kind of together, as

00:31:53 Speaker 14: you'll see in the center of

00:31:58 Speaker 14: the graphic, that makes up kind

00:32:01 Speaker 14: of the decision-making structure for the

00:32:05 Speaker 14: Grey Bruce Ontario Health team, and

00:32:06 Speaker 14: then we have even. larger networks

00:32:08 Speaker 14: of of partnerships, including those that

00:32:11 Speaker 14: we have with local counties and

00:32:13 Speaker 14: municipalities. So I know this looks

00:32:16 Speaker 14: a bit small on the slide,

00:32:19 Speaker 14: but hopefully you're able to to

00:32:22 Speaker 14: see it on your screen and

00:32:26 Speaker 14: in the slides that were shared.

00:32:30 Speaker 14: So our our strategic priorities are

00:32:32 Speaker 14: dictated by the province of Ontario,

00:32:33 Speaker 14: so the Ministry of Health and

00:32:35 Speaker 14: subsequently Ontario Health, and this. year,

00:32:39 Speaker 14: our strategic priorities focus on three

00:32:41 Speaker 14: different high-level priorities, which are primary

00:32:43 Speaker 14: care access and attachment, integrated clinical

00:32:45 Speaker 14: priorities, and OHT capacity building. And

00:32:48 Speaker 14: what I've done under each of

00:32:51 Speaker 14: these categories is list out the

00:32:54 Speaker 14: specific deliverables. What I really want

00:32:56 Speaker 14: to show by this graphic is

00:32:58 Speaker 14: the kind of the really strong

00:33:00 Speaker 14: attention that's being placed on. primary

00:33:02 Speaker 14: care access and attachment for OHTs,

00:33:06 Speaker 14: and the the focus of the

00:33:08 Speaker 14: province currently on this strategic priority.

00:33:12 Speaker 14: And what's listed in the in

00:33:13 Speaker 14: the small box is kind of

00:33:16 Speaker 14: at the bottom there. Those are

00:33:17 Speaker 14: our KPIs that are associated with

00:33:21 Speaker 14: each one of the strategic priorities.

00:33:24 Speaker 14: So those are the specific metrics

00:33:29 Speaker 14: that we are, as an Ontario

00:33:33 Speaker 14: Health team, being evaluated on. Valuated

00:33:37 Speaker 14: on, and we're being closely looked

00:33:39 Speaker 14: at by the province for us

00:33:45 Speaker 14: to to be successful. And you're

00:33:46 Speaker 14: no, you'll notice that attachment to

00:33:48 Speaker 14: a primary care provider is a

00:33:51 Speaker 14: key one there, as well as

00:33:53 Speaker 14: the drawdown of the Healthcare Connect

00:33:54 Speaker 14: waitlist. So focusing a bit more

00:33:56 Speaker 14: on those, the the primary care

00:33:58 Speaker 14: access and attachment, which is something

00:34:01 Speaker 14: that I know is of interest

00:34:04 Speaker 14: to all of you. plus many

00:34:06 Speaker 14: of those that that you serve,

00:34:08 Speaker 14: back in January 2025, the province

00:34:10 Speaker 14: made a commitment to attaching 100

00:34:13 Speaker 14: of Ontarians to primary care by

00:34:14 Speaker 14: 2029. Additionally, there was a a

00:34:16 Speaker 14: mandate to clear the Healthcare Connect

00:34:19 Speaker 14: waitlist, as it was January 1st,

00:34:21 Speaker 14: 2025, by spring 2026. which, as

00:34:22 Speaker 14: we all know, has passed. And

00:34:24 Speaker 14: and I will say that we

00:34:26 Speaker 14: were successful in doing that here

00:34:28 Speaker 14: in Gray Bruce. It took a

00:34:30 Speaker 14: lot of work by many of

00:34:32 Speaker 14: our partners and a lot of

00:34:34 Speaker 14: collaboration, but we were able to

00:34:39 Speaker 14: draw down from. It was just

00:34:41 Speaker 14: over 5,400 Gray Bruce residents on

00:34:44 Speaker 14: the healthcare connect list, and we

00:34:47 Speaker 14: were able to either attach them

00:34:51 Speaker 14: all to primary care locally, or

00:34:53 Speaker 14: if they had moved or had

00:34:57 Speaker 14: our Or if they had moved

00:35:00 Speaker 14: or had already been attached, clear

00:35:02 Speaker 14: them from that wait list,

00:35:04 Speaker 14: and we now have a list

00:35:08 Speaker 14: that you know is not like

00:35:11 Speaker 14: it used to be, where people

00:35:13 Speaker 14: would sign up and you know

00:35:16 Speaker 14: be waiting years to be attached.

00:35:19 Speaker 14: We are seeing kind of regular

00:35:22 Speaker 14: ebbs and flows and drawdown of

00:35:27 Speaker 14: that healthcare connect wait list as

00:35:31 Speaker 14: we attach more and more local

00:35:33 Speaker 14: residents to primary care. So I

00:35:36 Speaker 14: included this slide just so again

00:35:38 Speaker 14: you can see. the very strong

00:35:42 Speaker 14: focus. These are the the Ontario

00:35:45 Speaker 14: Health kind of KPIs and pillars

00:35:47 Speaker 14: of what they have really committed

00:35:51 Speaker 14: to do. And the mechanism for

00:35:53 Speaker 14: us locally to meet these specific

00:35:57 Speaker 14: KPIs and help the province achieve

00:36:00 Speaker 14: their goals is through an opportunity

00:36:04 Speaker 14: called Interprofessional Care Team (IPCT) expansion.

00:36:06 Speaker 14: So this is where Ontario. health

00:36:09 Speaker 14: teams and their associated primary care

00:36:12 Speaker 14: networks, which are the the network

00:36:15 Speaker 14: of local physicians and nurse practitioners

00:36:17 Speaker 14: that we have built relationships with,

00:36:24 Speaker 14: we're able to collaboratively put in

00:36:26 Speaker 14: proposals when their province to apply

00:36:27 Speaker 14: for funding to increase capacity and

00:36:30 Speaker 14: attachment to primary care, and so

00:36:35 Speaker 14: the way that this is structured

00:36:39 Speaker 14: is that. proposals can be put

00:36:40 Speaker 14: in for the expansion of current

00:36:44 Speaker 14: primary care organizations. So that includes

00:36:49 Speaker 14: family health teams and community health

00:36:51 Speaker 14: centers. And we're able to look

00:36:53 Speaker 14: at adding base funding for salaried

00:36:55 Speaker 14: health human resource positions to help

00:36:58 Speaker 14: increase capacity for the physicians to

00:36:59 Speaker 14: attach more patients. And this funding

00:37:02 Speaker 14: also helps us. increase the number

00:37:05 Speaker 14: of funded provincially funded positions for

00:37:06 Speaker 14: nurse practitioners, which are also able

00:37:08 Speaker 14: to increase capacity for attachment of

00:37:11 Speaker 14: the physicians, but also attach patients

00:37:14 Speaker 14: themselves. This is a slide that

00:37:16 Speaker 14: shows progress as of the end

00:37:18 Speaker 14: of February. I'm happy to report

00:37:20 Speaker 14: that I have very, very up-to-date

00:37:23 Speaker 14: data as of. Up to date

00:37:24 Speaker 14: data as of this morning. That

00:37:27 Speaker 14: this number actually. Let me get

00:37:28 Speaker 14: this here. So we actually have

00:37:30 Speaker 14: now attached over nine thousand local

00:37:33 Speaker 14: residents to primary care, so a

00:37:35 Speaker 14: physician or nurse practitioner, and we

00:37:39 Speaker 14: are now forty percent of the

00:37:42 Speaker 14: way there to our larger goal

00:37:48 Speaker 14: of attaching over twenty three and

00:37:51 Speaker 14: a half thousand Gray Bruce residents

00:37:53 Speaker 14: to primary care. That metric was.

00:37:56 Speaker 14: the metric the twenty three thousand

00:38:00 Speaker 14: five hundred and sixty two the

00:38:03 Speaker 14: metric that we were given January

00:38:05 Speaker 14: first twenty twenty five of how

00:38:07 Speaker 14: many unattached patients there were within

00:38:10 Speaker 14: our region, and so it's what

00:38:14 Speaker 14: we built a master plan a

00:38:18 Speaker 14: master attachment plan based off of,

00:38:20 Speaker 14: and when we did this last

00:38:22 Speaker 14: year with all of our partners

00:38:24 Speaker 14: it was estimated that we would

00:38:26 Speaker 14: require an additional eleven million dollars

00:38:28 Speaker 14: of base funding annually from the

00:38:30 Speaker 14: province, in. order to have enough

00:38:32 Speaker 14: capacity locally to have everyone attached

00:38:36 Speaker 14: to a physician or NP close

00:38:38 Speaker 14: to home, we have received as

00:38:41 Speaker 14: of this this April, so

00:38:43 Speaker 14: April twenty twenty six confirmation that

00:38:44 Speaker 14: we have as a region an

00:38:48 Speaker 14: additional seven million dollars of base

00:38:49 Speaker 14: funding locally, and our target for

00:38:52 Speaker 14: this year. specifically, is to attach

00:38:54 Speaker 14: an additional 9,000 Grey Bruce residents

00:38:56 Speaker 14: to primary care, and as of

00:38:58 Speaker 14: this morning, since April 1st, 2026,

00:39:00 Speaker 14: we've already attached almost 1,700 individuals

00:39:02 Speaker 14: to primary care. So we're 20%

00:39:05 Speaker 14: of the way towards that goal,

00:39:08 Speaker 14: and that goal, the target for

00:39:09 Speaker 14: that goal, has now been pushed

00:39:15 Speaker 14: a little bit to the end

00:39:16 Speaker 14: of June 2027, since the actual

00:39:18 Speaker 14: funds have not flowed yet. so

00:39:21 Speaker 14: we've been able to attach 1,700

00:39:23 Speaker 14: people already without actually that additional

00:39:25 Speaker 14: funding. Just with the

00:39:27 Speaker 14: promise of that funding coming,

00:39:30 Speaker 14: we are also anticipating two additional

00:39:33 Speaker 14: opportunities to apply for more funding

00:39:36 Speaker 14: for our region. We had estimated

00:39:38 Speaker 14: again that we probably need at

00:39:40 Speaker 14: least an additional four million dollars

00:39:41 Speaker 14: to attach everyone to primary care.

00:39:45 Speaker 14: That will likely shift with kind

00:39:46 Speaker 14: of population changes and as we

00:39:49 Speaker 14: engage partners. to understand a little

00:39:52 Speaker 14: bit better the specific needs of

00:39:55 Speaker 14: the individuals that remain unattached

00:39:58 Speaker 14: to primary care, but we do

00:40:02 Speaker 14: anticipate that there will be two

00:40:05 Speaker 14: more calls for proposals before 2029.

00:40:07 Speaker 14: That's all I have for you

00:40:09 Speaker 14: right now, based on on my

00:40:10 Speaker 01: slides and the time I was

00:40:12 Speaker 01: allotted. I I do want to

00:40:13 Speaker 01: say that I've had the opportunity

00:40:14 Speaker 01: to give quite a few presentations

00:40:17 Speaker 01: recently to. different municipalities and different

00:40:18 Speaker 01: groups from municipalities on primary care

00:40:22 Speaker 01: specifically, I have developed a very

00:40:23 Speaker 01: comprehensive primary care presentation that gets

00:40:25 Speaker 01: into a lot of the complexity

00:40:26 Speaker 01: of it, which I do think

00:40:29 Speaker 01: is very important for decision makers

00:40:31 Speaker 01: to understand. So, I would be

00:40:34 Speaker 01: more than happy to again speak

00:40:35 Speaker 01: to your council separately or answer

00:40:37 Speaker 01: any specific questions on the OHT

00:40:39 Speaker 01: on. primary care specifically, or upcoming

00:40:42 Speaker 01: funding opportunities. So, thank you. Thank

00:40:44 Speaker 01: you, Executive Director Johnson. It is

00:40:46 Speaker 01: very helpful, and we appreciate the

00:40:50 Speaker 01: fact that you've been able to

00:40:53 Speaker 01: distill it into something that that

00:40:55 Speaker 15: people can first of all have

00:40:59 Speaker 15: a look at, and then ask

00:41:01 Speaker 15: if they want to dig deeper.

00:41:03 Speaker 15: That's very helpful, and and certainly

00:41:04 Speaker 15: walking us through that first slide

00:41:06 Speaker 15: that you showed is is complex

00:41:09 Speaker 15: as things have been changing, and

00:41:12 Speaker 15: you are ever so. nimble to

00:41:13 Speaker 15: be able to adapt to the

00:41:15 Speaker 15: the new approaches, the new organization,

00:41:17 Speaker 15: and those are indeed some good

00:41:19 Speaker 15: celebratory numbers about attaching people to

00:41:21 Speaker 15: doctors where we need them here

00:41:24 Speaker 15: in the county. So, with that,

00:41:27 Speaker 15: we will go to questions. So,

00:41:29 Speaker 15: we'll start with the deputy warden.

00:41:32 Speaker 15: Thank you, Lindsay, for the the

00:41:34 Speaker 15: work that you do. It's important

00:41:37 Speaker 15: for all of the residents in

00:41:39 Speaker 15: Graveroos. Before I ask my question.

00:41:40 Speaker 15: I can't help but observe the

00:41:44 Speaker 15: irony of the present provincial government

00:41:46 Speaker 15: increasing the number of Ontario

00:41:47 Speaker 15: health teams from the number of

00:41:50 Speaker 15: limbs, and at the same time

00:41:51 Speaker 15: shrinking the number of conservation authorities.

00:42:00 Speaker 15: It's kind of ironic, nonetheless. Whatever,

00:42:02 Speaker 14: maybe they'll make their mind up

00:42:06 Speaker 14: eventually. What I'm what I'm curious

00:42:07 Speaker 14: to know is, given the tremendous

00:42:10 Speaker 14: growth in various parts of the

00:42:11 Speaker 14: of the county, and I'm thinking

00:42:14 Speaker 14: specifically of of Southgate and Dundalk

00:42:18 Speaker 14: in particular. where are the real

00:42:21 Speaker 14: pinch points in providing more

00:42:25 Speaker 14: healthcare to people? Is it physicians?

00:42:28 Speaker 14: Is it NPs? Is it physical

00:42:30 Speaker 14: space to look after the customers?

00:42:32 Speaker 14: Where are the pinch points, and

00:42:35 Speaker 14: how do we get how do

00:42:39 Speaker 14: we get a positive response from

00:42:41 Speaker 14: the Ministry of Health to the

00:42:42 Speaker 14: various suggestions that you know? I'm

00:42:44 Speaker 14: thinking of Southgate again. We've made

00:42:46 Speaker 14: different approaches to the provincial government,

00:42:50 Speaker 14: and we're getting zero. buy-in to

00:42:54 Speaker 14: this point. Where do we go

00:42:55 Speaker 14: from here? Please. Okay. Thank you

00:42:57 Speaker 14: very much for your for your

00:43:00 Speaker 14: question. And I think that all

00:43:02 Speaker 14: of the things that you mentioned

00:43:04 Speaker 14: are pinch points. So sorry that

00:43:05 Speaker 14: I'm not doing a great job

00:43:06 Speaker 14: answering that, but definitely the HHR.

00:43:09 Speaker 14: But I will say that. the

00:43:13 Speaker 14: anticipated constraints of having these additional

00:43:15 Speaker 14: positions funded and finding providers to

00:43:18 Speaker 14: fill them isn't as great as

00:43:22 Speaker 14: we anticipated. With a lot of

00:43:24 Speaker 14: the work that's been done throughout

00:43:28 Speaker 14: the province in increasing NP positions

00:43:32 Speaker 14: in different academic facilities, as well

00:43:34 Speaker 14: as even locally at Georgian, all

00:43:35 Speaker 14: the work that they've been doing

00:43:38 Speaker 14: to increase the number of like

00:43:41 Speaker 14: RN and RPN and MOA graduates,

00:43:43 Speaker 14: we're actually finding that the positions

00:43:48 Speaker 14: are being filled. In some areas,

00:43:50 Speaker 14: it takes more time, but we

00:43:52 Speaker 14: are able to find those individuals.

00:43:54 Speaker 14: Infrastructure is and continues to be

00:43:57 Speaker 14: likely the biggest constraint that we

00:44:00 Speaker 14: have. And I did have it

00:44:01 Speaker 14: in my slide, and I didn't

00:44:02 Speaker 14: actually talk to it, but the

00:44:04 Speaker 14: funding cap for one-time funding for

00:44:08 Speaker 14: any of these proposals is one

00:44:10 Speaker 14: hundred. Proposals is a hundred thousand

00:44:13 Speaker 14: dollars, so there is no opportunity

00:44:17 Speaker 14: as like as an OHT or

00:44:20 Speaker 14: as like primary care organizations to

00:44:21 Speaker 14: actually apply for any infrastructure funding,

00:44:24 Speaker 14: and so we have consistently asked

00:44:25 Speaker 14: the province like what what do

00:44:28 Speaker 14: you expect us to do then

00:44:29 Speaker 14: essentially, and there has been no

00:44:31 Speaker 14: answer to date unfortunately, and I

00:44:32 Speaker 14: think to your question about how

00:44:33 Speaker 14: to actually get some movement from

00:44:35 Speaker 14: the province in terms of you

00:44:36 Speaker 14: know infrastructure funding, and I know

00:44:39 Speaker 14: specifically the the issue in Southgate,

00:44:41 Speaker 14: I actually think it's it's alignment,

00:44:42 Speaker 14: and you know alignment on the

00:44:45 Speaker 14: understanding of you know where they're

00:44:48 Speaker 14: going and what they're trying to

00:44:51 Speaker 14: do, and then aligning the ask

00:44:54 Speaker 14: with that. And so, you know,

00:44:55 Speaker 14: to to just kind of summarize

00:44:58 Speaker 14: it to some degree in Southgate.

00:45:02 Speaker 14: if that infrastructure like is not

00:45:07 Speaker 14: there, like the services cannot be

00:45:09 Speaker 14: provided locally and close to home,

00:45:12 Speaker 14: so those unattached residents cannot be

00:45:14 Speaker 14: served close to home, which is

00:45:16 Speaker 16: what the commitment has been from

00:45:19 Speaker 16: the province. And so I think

00:45:24 Speaker 16: you know again, and I'm not

00:45:26 Speaker 16: super, I'm not exactly sure how

00:45:28 Speaker 16: to do it, but I think

00:45:31 Speaker 16: there's you know enough people to

00:45:34 Speaker 16: come together to figure it out.

00:45:38 Speaker 16: But I think it is you

00:45:40 Speaker 16: know you know collaborate. You know,

00:45:46 Speaker 16: collaborating like if there's a way

00:45:47 Speaker 16: for us to collaborate with you

00:45:50 Speaker 16: know counties, municipalities, the primary care

00:45:52 Speaker 16: leaders, and all align on you

00:45:55 Speaker 16: know the advocacy, I think that

00:45:56 Speaker 16: is the best approach, and hopefully

00:46:01 Speaker 16: one that will be effective.

00:46:05 Speaker 16: But truly, the mandate cannot be

00:46:07 Speaker 16: achieved if there's not that infrastructure

00:46:10 Speaker 16: to support it. Thank you. We'll

00:46:14 Speaker 16: go to Councillor Dobrin. Thank you.

00:46:16 Speaker 16: We'll go to Councillor Dobrine and

00:46:17 Speaker 16: then to Councillor Keen. Thank you.

00:46:20 Speaker 16: Good morning. Thank you, Warden, and

00:46:23 Speaker 16: through you, thank you, Deputy Warden,

00:46:25 Speaker 16: for the questions specifically about pinch

00:46:27 Speaker 16: points. There, we're hoping that we

00:46:31 Speaker 16: will have a delegation at AMO

00:46:33 Speaker 16: in August. We love for you

00:46:37 Speaker 16: to join us, but in the

00:46:40 Speaker 16: meantime, what I am hearing from

00:46:42 Speaker 16: residents, not specifically. to Southgate, but

00:46:45 Speaker 16: but residents is that they're still

00:46:47 Speaker 16: concerned about registering, I, because they

00:46:54 Speaker 16: don't want to take the risk

00:46:55 Speaker 16: of losing the physician, the primary

00:46:58 Speaker 16: care team that they have in

00:47:00 Speaker 14: place, and they're commuting hour and

00:47:03 Speaker 14: a half, two hours when they're

00:47:06 Speaker 14: unwell, and so the numbers while

00:47:08 Speaker 14: are great achievements. Congratulations, great work.

00:47:10 Speaker 14: but I don't think that they're

00:47:11 Speaker 14: reflective of our community's need or

00:47:13 Speaker 14: the lack of attachment. So, how

00:47:16 Speaker 14: do we? Perhaps we would love

00:47:18 Speaker 14: for you to come to our

00:47:20 Speaker 14: local council to share that. Perhaps

00:47:22 Speaker 14: we can elevate that the need.

00:47:24 Speaker 14: We have said on numerous occasions

00:47:26 Speaker 14: that you will not be detached

00:47:28 Speaker 14: from your primary healthcare provider if

00:47:31 Speaker 14: you register, and the importance. of

00:47:33 Speaker 14: registering. I'm just wondering how we

00:47:37 Speaker 14: can communicate that so that people

00:47:39 Speaker 14: actually do register. Because I think

00:47:41 Speaker 14: the number is significant. The number

00:47:43 Speaker 14: that you're working toward is not

00:47:46 Speaker 14: reflective of reality. Yeah, thank you.

00:47:48 Speaker 14: Thank you so much for that.

00:47:51 Speaker 14: And it was interesting. We were

00:47:53 Speaker 14: actually going through Healthcare Connect registration

00:47:55 Speaker 14: numbers today and noting. that

00:47:58 Speaker 14: Southgate was very low in registrants,

00:48:01 Speaker 14: and we were like just brainstorming

00:48:04 Speaker 14: how we could actually do that.

00:48:06 Speaker 14: And there is a lot of

00:48:09 Speaker 14: mistrust for the healthcare Connect system

00:48:10 Speaker 14: because, like, because of the history.

00:48:13 Speaker 14: And you know, people had been

00:48:16 Speaker 14: on it for years. Don't think

00:48:21 Speaker 14: that it works very well. And

00:48:23 Speaker 14: yeah, up until I think last

00:48:26 Speaker 14: fall, you would be de rostered

00:48:28 Speaker 14: from your provider if you and

00:48:29 Speaker 14: and you know, people really like

00:48:31 Speaker 14: that. Really like that's not something

00:48:33 Speaker 14: that anybody wants to do. So

00:48:34 Speaker 14: I I think that you know

00:48:36 Speaker 14: I would welcome the opportunity to

00:48:38 Speaker 14: come and speak to people. I

00:48:39 Speaker 14: think also leveraging the CHC and

00:48:41 Speaker 14: its trust in the community. I

00:48:44 Speaker 14: know there's a lot of individuals,

00:48:45 Speaker 14: especially in Southgate, that are accessing

00:48:48 Speaker 14: CHC services, but they may be

00:48:51 Speaker 14: attached to primary care elsewhere. So

00:48:56 Speaker 14: perhaps leveraging the relationships like with

00:48:57 Speaker 14: a trusted organization, and with this

00:48:59 Speaker 14: new funding, the CHC actually will

00:49:01 Speaker 14: be rostering a significant number of

00:49:03 Speaker 01: people in addition to what they

00:49:05 Speaker 01: have right now. So perhaps just

00:49:08 Speaker 01: seeing that will entice some other

00:49:10 Speaker 01: people to to register. That just

00:49:12 Speaker 01: hasn't the movement hasn't been there

00:49:14 Speaker 01: yet because the funding hasn't flowed

00:49:15 Speaker 01: for this year. So I think

00:49:17 Speaker 01: yeah, any you know anything that

00:49:18 Speaker 11: So anything that we can do

00:49:20 Speaker 11: to help kind of build not

00:49:21 Speaker 11: only the trust in healthcare connected

00:49:22 Speaker 11: itself, but in like the system

00:49:23 Speaker 11: and where it's going, and perhaps

00:49:27 Speaker 11: it is sharing some of these

00:49:28 Speaker 11: things, right? To of you know

00:49:29 Speaker 11: the drawdown we've been able to

00:49:31 Speaker 11: achieve, the increased attachment, and that

00:49:33 Speaker 11: confidence that you know people aren't

00:49:36 Speaker 11: going to be left without a

00:49:39 Speaker 11: provider if they do get on

00:49:42 Speaker 11: the the healthcare connect system. Okay,

00:49:45 Speaker 11: thank you. And anything that we

00:49:47 Speaker 11: can do. to help with that

00:49:49 Speaker 11: education to get that message out

00:49:53 Speaker 11: because it is a fairly recent

00:49:55 Speaker 11: change, given as you mentioned the

00:49:57 Speaker 11: history, so that people need to

00:49:59 Speaker 11: trust the new rules. So, okay,

00:50:01 Speaker 11: we're going to go to Councillor

00:50:04 Speaker 11: Keaveny next. Thank you, Madam Warden,

00:50:06 Speaker 11: and Lindsay. I really appreciate you

00:50:08 Speaker 11: being here today, and would extend

00:50:10 Speaker 11: an invitation to you to come

00:50:12 Speaker 11: to speak to me for it

00:50:17 Speaker 14: as well. I just wanted to

00:50:20 Speaker 14: share that we have one new

00:50:23 Speaker 14: doctor in Meaford and two more

00:50:25 Speaker 14: coming. So, thank you for your

00:50:26 Speaker 14: participating. participation in that, and I

00:50:29 Speaker 14: just wanted to ask to pick

00:50:31 Speaker 14: your brain a little bit in

00:50:34 Speaker 14: terms of advice for municipalities, because

00:50:39 Speaker 14: I think through your response to

00:50:41 Speaker 14: Deputy Warden Mill, I'm hearing that

00:50:44 Speaker 14: infrastructure office space for doctors is

00:50:46 Speaker 14: is a key concern. So perhaps

00:50:49 Speaker 14: if municipalities gave thought to moving

00:50:51 Speaker 14: away from the Hunger Games of

00:50:53 Speaker 14: doctor incentives and focused more on

00:50:56 Speaker 14: providing space for new potential doctors.

00:50:59 Speaker 14: would. Would that be your recommendation

00:51:02 Speaker 14: as the key thing that municipalities

00:51:03 Speaker 14: could do? I mean, in Mefford,

00:51:06 Speaker 14: we now offer one hundred thousand

00:51:09 Speaker 14: dollars at one percent interest loan

00:51:10 Speaker 14: from the municipality to support doctors

00:51:15 Speaker 14: with space. But just wanted to,

00:51:16 Speaker 14: as I say, get your thoughts

00:51:17 Speaker 14: on other areas of advice for

00:51:19 Speaker 14: municipalities to participate. Thank you very

00:51:20 Speaker 14: much. Yes, I think that that

00:51:24 Speaker 14: is it. I. I do um

00:51:29 Speaker 14: yeah I think it's great to

00:51:31 Speaker 14: kind of look at that and

00:51:33 Speaker 14: reevaluate based on the new context

00:51:34 Speaker 14: where we are now and and

00:51:38 Speaker 14: shifting away potentially from, um, you

00:51:40 Speaker 14: know some of the um

00:51:43 Speaker 14: recruitment um focus and towards kind

00:51:45 Speaker 14: of the areas where um the

00:51:46 Speaker 14: system that the system can't support

00:51:47 Speaker 14: right now which is the infrastructure

00:51:50 Speaker 14: um I know with um something

00:51:55 Speaker 14: that is. we recently did some

00:51:58 Speaker 14: work with the South Bruce Peninsula,

00:52:01 Speaker 14: and this this new funding for

00:52:02 Speaker 14: every new position that is funding,

00:52:06 Speaker 14: it does also fund twenty five

00:52:09 Speaker 14: percent in terms of offer operational

00:52:12 Speaker 14: costs. So you know municipalities, if

00:52:14 Speaker 14: they're in a position that they

00:52:15 Speaker 14: may be able to kind of

00:52:18 Speaker 14: support the kind of, and again,

00:52:21 Speaker 14: I'm probably not going to say

00:52:23 Speaker 14: this right, but the leasing of

00:52:27 Speaker 14: a space or you know, they

00:52:30 Speaker 14: have a space to provide those

00:52:32 Speaker 14: operational funds. Are kind of committed

00:52:35 Speaker 14: to that, like the rent or

00:52:37 Speaker 14: whatever that is. So, if a

00:52:39 Speaker 14: town owns the building and they're

00:52:41 Speaker 14: renting it to a primary care

00:52:46 Speaker 14: organization, you know, there's that kind

00:52:52 Speaker 14: of commitment that with those additional

00:52:56 Speaker 14: positions, that operational funding comes along.

00:52:58 Speaker 08: So, we were able to do

00:53:00 Speaker 08: a bit of a business case,

00:53:02 Speaker 08: like with the South Bruce. Peninsula,

00:53:04 Speaker 08: to help the the physicians there,

00:53:06 Speaker 08: kind of get the support for

00:53:07 Speaker 08: moving into a new space. With

00:53:09 Speaker 08: them knowing that there was this

00:53:13 Speaker 08: confirmed, like there would be kind

00:53:14 Speaker 08: of confirmed funding to support the

00:53:15 Speaker 08: the rent of the additional space.

00:53:17 Speaker 08: So I think, like, kind of

00:53:19 Speaker 08: if there is opportunity to look

00:53:21 Speaker 08: at, you know, spaces that the

00:53:23 Speaker 08: municipalities may own or potential to

00:53:24 Speaker 08: support, like new spaces or leasehold

00:53:28 Speaker 08: improvements. I think that's a great

00:53:29 Speaker 08: opportunity to to explore. And again,

00:53:31 Speaker 08: it it likely will be. You

00:53:34 Speaker 08: know things will take time to

00:53:35 Speaker 08: to shift and change, but just

00:53:37 Speaker 08: being kind of open to understanding

00:53:40 Speaker 08: what this new kind of funding

00:53:43 Speaker 08: and these new structures look like,

00:53:44 Speaker 08: and how that potentially changes needs.

00:53:46 Speaker 08: for for primary care. Okay, thank

00:53:49 Speaker 08: you. We'll go to Councillor Greg.

00:53:51 Speaker 08: Thank you for the presentation this

00:53:53 Speaker 08: afternoon, Lindsay. And thanks, probably, for

00:53:54 Speaker 08: not including that complex or that

00:53:58 Speaker 08: slide that shows the complexities of

00:54:00 Speaker 08: navigating the Ministry of Health. The

00:54:03 Speaker 08: flip side of that is, I

00:54:05 Speaker 08: do have a couple questions, just

00:54:07 Speaker 08: for a little bit more framing

00:54:08 Speaker 08: around the the value. The the

00:54:11 Speaker 08: values that are in place right

00:54:13 Speaker 08: now, like to say seven million

00:54:16 Speaker 08: dollars in base funding increase since

00:54:18 Speaker 08: August twenty twenty five. What's that

00:54:20 Speaker 08: up against? Like, what what does

00:54:22 Speaker 08: seven million dollars increase in base

00:54:25 Speaker 08: funding mean? I I have no

00:54:33 Speaker 08: idea what your your starting point

00:54:36 Speaker 08: was. Because I was going to

00:54:38 Speaker 08: ask the question like, how much

00:54:40 Speaker 08: funding did each FHT get? Is

00:54:42 Speaker 08: that something you know, or is

00:54:44 Speaker 08: that some are details like that

00:54:46 Speaker 08: that you can report in an

00:54:49 Speaker 08: email back to council just because.

00:54:52 Speaker 08: I'm, yes, we're representing the county,

00:54:53 Speaker 08: but I'm most familiar with Owen

00:54:55 Speaker 08: Sounds Family Health Teams, and I

00:54:57 Speaker 08: can't help but wonder how many

00:54:58 Speaker 08: people were actually connected with a

00:55:01 Speaker 08: doctor at each FHT. Like, is

00:55:04 Speaker 08: there a resource where we can

00:55:08 Speaker 08: locate that information? The third question

00:55:10 Speaker 08: I would ask is: You mentioned

00:55:12 Speaker 08: over nine thousand attached to primary

00:55:14 Speaker 08: care, which was up from about

00:55:16 Speaker 08: seventy-three hundred in the one slide,

00:55:18 Speaker 08: and that was as of this

00:55:19 Speaker 08: morning. seventeen hundred as of April

00:55:21 Speaker 08: was a number you utilized. Is

00:55:23 Speaker 08: that the same number? That seventeen

00:55:24 Speaker 08: hundred increase as of April is

00:55:28 Speaker 08: that what drove it up to

00:55:29 Speaker 14: nine thousand? As of that information

00:55:32 Speaker 14: this morning, okay. I just when

00:55:34 Speaker 14: a doctor may retire, individuals that

00:55:36 Speaker 14: may be at risk of being

00:55:38 Speaker 14: de-registered or or needing to find

00:55:39 Speaker 14: another physician, they're not counted twice,

00:55:41 Speaker 14: are they? Like, just if you

00:55:43 Speaker 14: could explain in terms of that

00:55:46 Speaker 14: process to me, and and I'm

00:55:48 Speaker 14: glad for Councillor Millen's question or

00:55:52 Speaker 14: Councillor Debrine's question. I, I'm concerned

00:55:54 Speaker 14: that there is a lot of

00:55:56 Speaker 14: gap out there because I think

00:55:57 Speaker 14: the old list or a new

00:56:02 Speaker 14: list was started in January of

00:56:04 Speaker 14: 25, and you as you commented,

00:56:05 Speaker 14: changes were made last fall, and

00:56:06 Speaker 14: your And you're working with a

00:56:08 Speaker 14: list that's somewhat dated and more

00:56:10 Speaker 14: reflective of people that were hesitant

00:56:15 Speaker 14: to to put their name forward

00:56:16 Speaker 14: at the risk of losing their

00:56:18 Speaker 14: their primary care provider at the

00:56:25 Speaker 14: time. So, a couple questions that

00:56:28 Speaker 14: if you're able to guide me

00:56:30 Speaker 14: to where I can find those

00:56:32 Speaker 14: resources, or perhaps further them back

00:56:35 Speaker 14: to counsel in the future. Thanks.

00:56:41 Speaker 14: Yeah, for sure. I'll do my

00:56:45 Speaker 14: best to answer as much of

00:56:49 Speaker 14: that as I can. I also

00:56:51 Speaker 14: when I when I do that

00:56:52 Speaker 14: more in depth presentation that I've

00:56:56 Speaker 14: developed, a lot of that is

00:56:58 Speaker 14: answered, and I think, you know,

00:57:01 Speaker 14: as you noted at the very

00:57:04 Speaker 14: beginning, that like this system is

00:57:08 Speaker 14: probably the most complex I've ever

00:57:14 Speaker 14: encountered in systems, and it is

00:57:15 Speaker 14: not logical and it's not straightforward,

00:57:17 Speaker 14: and so it makes answering a

00:57:21 Speaker 14: lot of these questions and understanding

00:57:24 Speaker 14: it all like very difficult. But

00:57:28 Speaker 14: in terms of just going back.

00:57:33 Speaker 14: to, and I'm going to try

00:57:35 Speaker 14: to remember this properly, the first

00:57:40 Speaker 14: that you asked about the amount

00:57:43 Speaker 14: of funding and the attachments at

00:57:46 Speaker 14: each organization. So, the first round

00:57:49 Speaker 14: of funding was a bit different.

00:57:50 Speaker 14: There were regions because of the

00:57:52 Speaker 14: way that they structured it that

00:57:56 Speaker 14: were eligible to apply for funding.

00:57:57 Speaker 14: The first round was specific to

00:57:58 Speaker 14: postal codes, so the N0H and

00:57:59 Speaker 14: N. The N zero H and

00:58:00 Speaker 14: N zero G postal code were

00:58:01 Speaker 14: eligible to submit proposals, and other

00:58:03 Speaker 14: regions were not eligible. And we

00:58:05 Speaker 14: had immense difficulty here because, unlike

00:58:07 Speaker 14: many urban centers, we have huge

00:58:12 Speaker 14: FSA's. Like N zero H is

00:58:13 Speaker 14: the peninsula; it's part of the

00:58:14 Speaker 14: Blue Mountains. It's like you know,

00:58:16 Speaker 14: it's a huge Soggy Shores, and

00:58:17 Speaker 14: Slogging shores, and so we put

00:58:21 Speaker 14: together proposals for that, and the

00:58:25 Speaker 14: funding, like the asks, were constructed

00:58:27 Speaker 14: by, like they were based on

00:58:32 Speaker 14: data, so data that showed us

00:58:39 Speaker 14: how many unattached patients there were,

00:58:41 Speaker 14: and also what the organizations themselves,

00:58:43 Speaker 14: so the the family health teams,

00:58:45 Speaker 14: what they saw as feasible, within

00:58:47 Speaker 14: a year to recruit in terms

00:58:51 Speaker 14: of like the staffing and also

00:58:55 Speaker 14: onboard and attach. So the we

00:59:00 Speaker 14: had to submit both an ask

00:59:02 Speaker 14: and the proposed target attachment. And

00:59:05 Speaker 14: then what happens? And I don't

00:59:07 Speaker 14: know if this happens in other

00:59:08 Speaker 14: areas when you put a proposal

00:59:10 Speaker 14: into the province. You ask for

00:59:12 Speaker 14: something and say this is what

00:59:15 Speaker 14: we're going to do, and they

00:59:17 Speaker 14: come back and say, actually, we're

00:59:20 Speaker 14: going to give you twenty percent

00:59:21 Speaker 14: of what you asked for, and

00:59:23 Speaker 14: this is now your target, which

00:59:26 Speaker 14: is like half of what you

00:59:27 Speaker 14: said you could do. Yeah, so

00:59:29 Speaker 14: that's kind of like that's what

00:59:31 Speaker 14: we ended up with. So we

00:59:32 Speaker 14: ended up in the first round

00:59:33 Speaker 14: getting, I think, I want to

00:59:35 Speaker 14: say two and a half million

00:59:37 Speaker 14: to attach about twenty five hundred

00:59:39 Speaker 14: people, and what they ended up

00:59:40 Speaker 14: coming. out with a bit later

00:59:42 Speaker 14: is targets aligned to specific positions.

00:59:46 Speaker 14: So, a nurse practitioner. If I

00:59:49 Speaker 14: was going to, let's say, I'm

00:59:51 Speaker 14: a primary care organization, I'm applying

00:59:53 Speaker 14: for a nurse practitioner position. The

00:59:57 Speaker 14: funding for it that comes along

00:59:59 Speaker 14: with a target of 800 patients.

01:00:02 Speaker 14: So, and then a. another health

01:00:06 Speaker 14: service provider, let's say like a

01:00:08 Speaker 14: social worker, that number is 250.

01:00:11 Speaker 14: Okay, so let's say I'm an

01:00:14 Speaker 14: organization. I ask for a nurse

01:00:18 Speaker 14: practitioner funding for a nurse practitioner

01:00:21 Speaker 14: and a social worker. My target

01:00:23 Speaker 14: then has to be 1,050 patients.

01:00:25 Speaker 14: So that's kind of how it

01:00:28 Speaker 14: works right now. We all know

01:00:33 Speaker 14: in like that's not actually how

01:00:37 Speaker 14: it works in any way, but

01:00:40 Speaker 14: that's how the funding is being.

01:00:43 Speaker 14: allocated, but it also has to

01:00:45 Speaker 14: be thought of in okay, like

01:00:46 Speaker 14: if I'm, you know, the executive

01:00:49 Speaker 14: director of an organization, what is

01:00:55 Speaker 14: possible for me to do in

01:00:57 Speaker 14: one year? Do I have space

01:00:59 Speaker 14: to bring these people on? Do

01:01:01 Speaker 14: I think I can actually hire

01:01:03 Speaker 14: a nurse practitioner in a year

01:01:09 Speaker 14: to meet that target? Because that's

01:01:12 Speaker 14: what I'm going to be accountable

01:01:14 Speaker 14: for. So, the um, you know,

01:01:16 Speaker 14: the numbers again, and the so

01:01:19 Speaker 14: the organizations that received funding in

01:01:22 Speaker 14: that. first round were Kingardon Family

01:01:24 Speaker 14: Health Team and the Brockton and

01:01:29 Speaker 14: Area Family Health Team, but the

01:01:31 Speaker 14: Kingardon Family Health Team, their funding

01:01:41 Speaker 14: actually went to support physician groups

01:01:42 Speaker 14: in Soggin Shores, so two of

01:01:45 Speaker 08: them, as well as the Meaford

01:01:46 Speaker 08: Thornbury and Fleischerton physician group. So

01:01:48 Speaker 08: it really was like, you know,

01:01:51 Speaker 08: quite complex in terms. of where

01:01:54 Speaker 14: funding flowed because of where it

01:01:58 Speaker 14: could only flow and where that

01:02:01 Speaker 14: money actually went to support attachment.

01:02:02 Speaker 14: So, the numbers, like we have

01:02:04 Speaker 14: them, whether they give you a

01:02:06 Speaker 14: lot of information that is helpful,

01:02:09 Speaker 14: I'm not sure. But that is

01:02:10 Speaker 14: kind of you know what we're

01:02:13 Speaker 14: working with and the targets this

01:02:15 Speaker 14: time around. So actually, every every

01:02:18 Speaker 14: primary care organization and physician group

01:02:20 Speaker 14: in the entire region was involved

01:02:21 Speaker 14: in our second proposal that we

01:02:24 Speaker 14: put in last November, and that

01:02:27 Speaker 14: was approved in April of this

01:02:30 Speaker 14: year. And so, all organizations have

01:02:32 Speaker 14: targets that are aligned with the

01:02:35 Speaker 14: amount of funding, which align with

01:02:36 Speaker 14: the the like eight hundred and

01:02:38 Speaker 14: two fifty that. that I was

01:02:40 Speaker 14: was speaking to, so that's the

01:02:43 Speaker 14: way that we kind of sorted

01:02:47 Speaker 14: it out. So I hope that

01:02:50 Speaker 14: sorry, it's really really difficult to

01:02:51 Speaker 14: explain, but yeah. Thank you for

01:02:53 Speaker 14: that. And just the last piece

01:02:56 Speaker 14: was patients who could be at

01:02:59 Speaker 14: risk of de rostering. How Risk

01:03:06 Speaker 14: of de-rostering? How's how's the counting

01:03:10 Speaker 01: process there? Just to ensure there's

01:03:12 Speaker 01: no double counting. Yeah. So the

01:03:13 Speaker 01: way that the numbers are counted

01:03:14 Speaker 01: for this funding is that when

01:03:15 Speaker 01: they establish like the start of

01:03:17 Speaker 01: the funding. So for this second

01:03:19 Speaker 01: round of funding, the start was

01:03:21 Speaker 01: April first, twenty twenty six. And

01:03:23 Speaker 01: so what each organization has to

01:03:24 Speaker 01: do is take their baseline roster.

01:03:25 Speaker 01: So let's say, Owen Sand Family

01:03:29 Speaker 01: Health Team. thirty thousand, let's say,

01:03:30 Speaker 01: and then any like you have

01:03:31 Speaker 01: a target of okay, your target

01:03:32 Speaker 01: based on the funding you're

01:03:34 Speaker 01: getting is two thousand net new

01:03:36 Speaker 01: patients. So it's like by the

01:03:38 Speaker 01: end of that, you know, when

01:03:39 Speaker 01: their target the by the deadline

01:03:41 Speaker 01: to hit the target, their roster

01:03:42 Speaker 01: has to be thirty two thousand.

01:03:44 Speaker 01: So whether they lose a physician

01:03:45 Speaker 01: and there's a thousand that are

01:03:47 Speaker 01: de rostered, like it has to

01:03:48 Speaker 01: be. like net new attachments. So

01:03:50 Speaker 01: yes, if you know if we

01:03:54 Speaker 01: end up losing a physician, then

01:04:00 Speaker 01: that's a lot of extra work

01:04:01 Speaker 01: that has to be done in

01:04:03 Speaker 01: order to actually hit that net

01:04:05 Speaker 01: new attachment number. Okay, thank you.

01:04:07 Speaker 01: Any further hands or questions? Not

01:04:12 Speaker 01: seen any. So thank you. It

01:04:14 Speaker 01: is always very helpful that you

01:04:19 Speaker 01: come to us on a regular

01:04:21 Speaker 01: basis, as you have been doing,

01:04:22 Speaker 01: because then hopefully then the questions

01:04:24 Speaker 01: won't be insurmountable. So we very

01:04:26 Speaker 01: much appreciate that update and all

01:04:34 Speaker 01: of the information and the follow

01:04:36 Speaker 01: up information that you've offered as

01:04:39 Speaker 01: well. So thank you for coming

01:04:43 Speaker 01: today. Okay. So what we're going

01:04:45 Speaker 01: to do at this point in

01:04:49 Speaker 01: time is I'm going to put

01:04:51 Speaker 01: a call out for the determination

01:04:52 Speaker 01: of items requiring separate discussion, so

01:04:56 Speaker 01: that staff will be aware if

01:04:57 Speaker 01: there's anything pulled from the consent

01:04:59 Speaker 01: agenda, and once we have voted

01:05:01 Speaker 01: on. the consent agenda, we will

01:05:03 Speaker 01: do our morning break, and at

01:05:05 Speaker 01: that point time, we will be

01:05:07 Speaker 01: doing the annual photo. So we're

01:05:09 Speaker 01: going to ask during the break

01:05:11 Speaker 01: time that we all gather for

01:05:13 Speaker 01: the photo first, before going off

01:05:14 Speaker 01: for refreshments, etc. So with that,

01:05:17 Speaker 01: it is there are eight. Looks

01:05:19 Speaker 01: like five, six, seven, eight. Yes,

01:05:21 Speaker 01: eight items on the consent agenda.

01:05:24 Speaker 01: Are there any that any committee,

01:05:26 Speaker 01: the whole members wish to pull,

01:05:28 Speaker 01: Councillor Eccles? Yes, thank you, Warden.

01:05:31 Speaker 01: Through you, six E and six

01:05:32 Speaker 01: F. Okay, so six E and

01:05:35 Speaker 01: F are polled. Councillor Carleton, and

01:05:37 Speaker 01: then I'll go to Councillor McKay

01:05:38 Speaker 01: after that. Thank you, Warden. I

01:05:40 Speaker 01: would like six B and six

01:05:42 Speaker 01: D. Okay, Councillor McKay. Thank you,

01:05:44 Speaker 01: through you, Warden. Six A, please.

01:05:45 Speaker 01: 6A, please. Want to get them

01:05:54 Speaker 01: all removed. Okay, so we've got

01:05:55 Speaker 01: 6C, G, and H left. Anyone

01:05:57 Speaker 01: want those ones pulled? Okay. Don't

01:05:58 Speaker 13: see any other hands raised. So

01:06:12 Speaker 17: in that case, then it's recommended

01:06:15 Speaker 13: that the following consent agenda consent

01:22:35 Speaker 18: items be received, and that staff

01:22:38 Speaker 18: be authorized to take actions necessary

01:22:40 Speaker 18: to give effect to the recommendations

01:22:42 Speaker 18: in the staff reports, and that

01:22:44 Speaker 18: the correspondence be supported or received

01:22:47 Speaker 18: for information. as recommended in the

01:22:51 Speaker 18: consent agenda, and this will be

01:22:54 Speaker 18: we will be voting on six

01:23:00 Speaker 18: C, G, and H only. So

01:23:01 Speaker 18: may ask for a mover and

01:23:03 Speaker 18: a seconder. Moved by Councillor Dobrin,

01:23:06 Speaker 18: seconded by Councillor Patterson. It's on

01:23:09 Speaker 18: the floor for any discussion. All

01:23:12 Speaker 18: those in favor, and that motion

01:23:13 Speaker 18: is carried. So after the break,

01:23:15 Speaker 18: we will continue with the two

01:23:19 Speaker 18: items for discussion on section seven,

01:23:23 Speaker 19: and then we will return to

01:23:25 Speaker 19: the pulled items for section six.

01:23:26 Speaker 19: before going into closed close meetings,

01:23:30 Speaker 19: which is scheduled for later in

01:23:33 Speaker 19: the committee of the whole. So

01:23:36 Speaker 19: let's take our break. We will

01:23:37 Speaker 19: be doing the photo as well.

01:23:39 Speaker 19: So, Madam Clerk, what time would

01:23:41 Speaker 19: you like everybody back? Okay, so

01:23:43 Speaker 19: we're going to do eleven twenty,

01:23:45 Speaker 19: a little longer than usual because

01:23:47 Speaker 19: we do need to do the

01:23:49 Speaker 19: photo first. Okay, thank you. It's

01:23:52 Speaker 19: in the lobby, and Olivia from

01:23:54 Speaker 19: Communications will meet you there. Okay.

01:23:55 Speaker 19: The the warden has been. She

01:23:57 Speaker 19: is away to a community event

01:23:58 Speaker 19: in the. Blue Mountains, so she's

01:23:59 Speaker 19: asked me to take the chair

01:24:01 Speaker 19: for the balance of the meeting.

01:24:03 Speaker 19: So, sorry for your luck. West

01:24:04 Speaker 19: Gray is no longer a member

01:24:06 Speaker 19: of Gray County Council. Excellent. All

01:24:10 Speaker 19: right. Well, we'll start off with

01:24:13 Speaker 19: items for direction and discussion. The

01:24:14 Speaker 19: first is report FRCW seventeen twenty

01:24:16 Speaker 19: six financing for paramedic services based.

01:24:20 Speaker 19: For paramedic services bases in Durham

01:24:22 Speaker 19: and Beavercam, Garrett is here to

01:24:23 Speaker 19: give us this report. I need

01:24:25 Speaker 19: a mover and seconder, please. Councilor

01:24:28 Speaker 19: Pringle, Councilor Mackey, thank you, Garrett.

01:24:30 Speaker 19: Welcome. Floor is yours, sir. Through

01:24:31 Speaker 19: the Deputy Boarding. Thank you and

01:24:34 Speaker 19: good morning. The report in front

01:24:36 Speaker 19: of you is requesting staff to

01:24:39 Speaker 19: have the authorization to apply for

01:24:41 Speaker 19: a loan with Infrastructure Ontario and

01:24:42 Speaker 19: to bring back a buy. And

01:24:45 Speaker 19: to bring back a bylaw to

01:24:49 Speaker 19: the next meeting of council that

01:24:51 Speaker 19: is required for that loan. Staff

01:24:54 Speaker 19: have had an initial meeting with

01:24:56 Speaker 19: Infrastructure Ontario, and they've actually recommended

01:24:58 Speaker 19: that the two capital projects that

01:25:00 Speaker 19: require financing be rolled into one

01:25:03 Speaker 19: application. They likened it to applying

01:25:04 Speaker 19: for a personal mortgage, where there's

01:25:07 Speaker 19: a credit application and a background

01:25:09 Speaker 19: process, and they really prefer that

01:25:14 Speaker 19: you only do one a year

01:25:18 Speaker 19: because it does take quite a

01:25:20 Speaker 19: bit of time. We still can

01:25:22 Speaker 19: do separate draws on the projects;

01:25:23 Speaker 19: we don't take all the money

01:25:26 Speaker 19: at one time. but packaging them

01:25:28 Speaker 19: under one joint application is the

01:25:30 Speaker 19: recommendation of Infrastructure Ontario. So the

01:25:31 Speaker 19: two projects that we'd be looking

01:25:33 Speaker 19: to finance are the Durham Paramedic

01:25:35 Speaker 19: Base, which was substantially completed in

01:25:36 Speaker 19: September, but there were some final

01:25:38 Speaker 19: items that needed to be cleaned

01:25:39 Speaker 19: up, and then we're just receiving

01:25:43 Speaker 19: the final invoicing now, which was

01:25:44 Speaker 19: expected to be based on the

01:25:46 Speaker 19: update or based on the award

01:25:49 Speaker 19: report PSR CW ten twenty. four

01:25:52 Speaker 19: to be approximately two point nine

01:25:54 Speaker 19: three three million, but based on

01:25:56 Speaker 19: not using all of the project

01:25:58 Speaker 19: contingencies, is going to come in

01:25:59 Speaker 19: at approximately two million seven hundred

01:26:02 Speaker 19: fifty thousand dollars. The second project

01:26:03 Speaker 19: is the Feversham Paramedic Base, which

01:26:05 Speaker 19: has been awarded through PSR CW

01:26:07 Speaker 19: oh six twenty five and is

01:26:08 Speaker 19: anticipated to have an overall project

01:26:11 Speaker 19: cost of two million three hundred

01:26:13 Speaker 19: ninety two thousand dollars. and is

01:26:15 Speaker 19: expected to be completed in late

01:26:16 Speaker 19: 2026. But similar to the Durham

01:26:19 Speaker 19: base, final invoicing and wrap up

01:26:22 Speaker 19: could could bleed into 2027. The

01:26:24 Speaker 19: two projects are now under budget,

01:26:26 Speaker 19: or sorry, are under budget. What

01:26:29 Speaker 19: we need to finance as well

01:26:31 Speaker 19: as we were able to use

01:26:33 Speaker 19: the current year's planned adventure payments,

01:26:34 Speaker 19: which total three hundred and sixty-two

01:26:37 Speaker 19: thousand six hundred dollars, and apply

01:26:40 Speaker 19: them against the amount we. have

01:26:42 Speaker 19: to borrow. So we're basically making

01:26:44 Speaker 19: our first adventure payment to ourselves,

01:26:46 Speaker 19: and then going out for the

01:26:48 Speaker 19: net. And then with the Chatsworth

01:26:50 Speaker 19: base, there was also some development

01:26:52 Speaker 19: charges and previous year reserve contributions

01:26:56 Speaker 19: that we're able to use as

01:26:59 Speaker 19: well, bringing that required borrow down

01:27:00 Speaker 19: to just under two point two

01:27:01 Speaker 19: million dollars. The budgets were built

01:27:03 Speaker 19: on the assumption that these bases

01:27:05 Speaker 19: would be financed over twenty five

01:27:08 Speaker 19: years at a five percent borrowing

01:27:09 Speaker 19: rate, and that's how we come.

01:27:12 Speaker 19: to the one hundred ninety-two thousand

01:27:15 Speaker 19: eight hundred dollars that's in the

01:27:16 Speaker 19: current budget for the Durham Deventure,

01:27:18 Speaker 19: and one hundred sixty-nine thousand eight

01:27:21 Speaker 19: hundred dollars that's in the Beaver

01:27:23 Speaker 19: Sham Deventure. These numbers carry forward

01:27:25 Speaker 19: throughout the ten-year capital plan, and

01:27:27 Speaker 19: if we had a twenty-five-year capital

01:27:30 Speaker 19: plan, they would continue for the

01:27:32 Speaker 19: next twenty-five years. Staff are recommending

01:27:33 Speaker 19: that we change the plan slightly.

01:27:35 Speaker 19: Instead of amortizing over a twenty-five-year

01:27:36 Speaker 19: loan, that we secure a a

01:27:38 Speaker 19: twenty-year loan instead. The reasons that

01:27:40 Speaker 19: we're recommending that is it comes

01:27:41 Speaker 19: at a slightly lower borrowing rate

01:27:43 Speaker 19: based on the current rates offered

01:27:45 Speaker 19: by Infrastructure Ontario, and it allows

01:27:48 Speaker 19: us to use the project savings

01:27:50 Speaker 19: that we've seen to eliminate five

01:27:53 Speaker 19: years of mortgage payments at the

01:27:56 Speaker 19: end of the loan, and will

01:27:59 Speaker 19: save the county approximately eight hundred

01:28:01 Speaker 19: and twenty-one thousand dollars over the

01:28:02 Speaker 19: term of that loan in interest

01:28:04 Speaker 19: payments. It's still within the approved

01:28:05 Speaker 19: capital. budget of three hundred sixty-two

01:28:07 Speaker 19: thousand six hundred. As based on

01:28:09 Speaker 19: current rates, would be at about

01:28:10 Speaker 19: three hundred and forty-four thousand. Would

01:28:12 Speaker 19: be the total mortgage payment, but

01:28:13 Speaker 19: that will be dependent on what

01:28:16 Speaker 19: the rates are when we actually

01:28:17 Speaker 19: draw the financing, as Infrastructure Ontario

01:28:19 Speaker 19: updates them weekly. And then the

01:28:20 Speaker 19: only other thing, or two other

01:28:22 Speaker 19: things I want to highlight is

01:28:24 Speaker 19: we haven't the Chatsworth base. We

01:28:25 Speaker 19: finance internally, and typically, and same

01:28:26 Speaker 19: with the administration building, typically. loans

01:28:29 Speaker 19: of this scale, we've decided to

01:28:31 Speaker 19: borrow against our own reserves, charge

01:28:35 Speaker 19: ourselves interest, and pay ourselves back

01:28:37 Speaker 19: the interest because we can do

01:28:38 Speaker 19: it at a slightly more competitive

01:28:41 Speaker 19: rate. But you still want to

01:28:43 Speaker 19: charge yourself the interest because you're

01:28:46 Speaker 19: losing out on the opportunity cost

01:28:48 Speaker 19: of having that money in your

01:28:50 Speaker 19: bank account or investing that money

01:28:52 Speaker 19: while you're paying yourself back. For

01:28:55 Speaker 19: these paramedic loans, we're recommending to

01:28:57 Speaker 19: go external for the purpose of

01:29:00 Speaker 19: maximizing provincial funding. So the interest

01:29:02 Speaker 19: cost. on these ventures are eligible

01:29:05 Speaker 19: for fifty-fifty funding from the Ministry

01:29:09 Speaker 19: of Health. So if I take

01:29:10 Speaker 19: a simple number and say that

01:29:12 Speaker 19: we can borrow at five percent,

01:29:13 Speaker 19: the province is then going to

01:29:18 Speaker 19: give us back two point five

01:29:20 Speaker 19: percent in grants. So our our

01:29:22 Speaker 19: net borrowing cost is two point

01:29:23 Speaker 19: five million dollars. We can then

01:29:25 Speaker 19: go out and take that money

01:29:26 Speaker 19: that we we might have used

01:29:28 Speaker 19: to finance it ourselves and invest

01:29:30 Speaker 19: it. And even if we're earning

01:29:32 Speaker 19: a rate of three percent, there's

01:29:36 Speaker 19: a point five percent that the

01:29:37 Speaker 19: county is now making. on that

01:29:40 Speaker 19: money, so it really does make

01:29:42 Speaker 19: sense based on the grant structure

01:29:44 Speaker 19: to finance these externally. As internal

01:29:46 Speaker 19: interest is not an eligible expense

01:29:47 Speaker 19: with Infrastructure Ontario, and then I've

01:29:50 Speaker 19: highlighted that under the Municipal Act,

01:29:52 Speaker 19: we do have the authority to

01:29:54 Speaker 19: borrow, but it is limited. We

01:29:56 Speaker 19: can only go up to 25%

01:29:57 Speaker 19: of our own sourced revenues, and

01:30:00 Speaker 19: that's calculated through our annual FIR

01:30:02 Speaker 19: filing. As of 2026, that amount

01:30:04 Speaker 19: that we could have in annual

01:30:05 Speaker 19: debt repayments before exceeding that threshold

01:30:07 Speaker 19: is twenty-four million one hundred and

01:30:10 Speaker 19: ninety-six thousand nine hundred fifty-seven dollars.

01:30:12 Speaker 19: However, Gray County has its own

01:30:22 Speaker 20: internal threshold that annual debt repayments

01:30:27 Speaker 20: shall not exceed ten percent of

01:30:31 Speaker 20: the own-source revenues. So that means

01:30:36 Speaker 20: that we can go up to

01:30:39 Speaker 20: nine point nine million eight hundred

01:30:41 Speaker 20: thirty-eight thousand seven hundred eighty-two dollars.

01:30:45 Speaker 20: Currently, after last year's budget. process,

01:30:50 Speaker 20: the county has no debt, so

01:30:51 Speaker 20: this would be the only debt

01:30:53 Speaker 20: on the books. But as we

01:30:56 Speaker 20: know, we are going to be

01:31:00 Speaker 20: having debt payments for the new

01:31:04 Speaker 20: Rockwood Terrace redevelopment project, and those

01:31:06 Speaker 20: are expected to be approximately three

01:31:08 Speaker 20: point six million dollars per year.

01:31:10 Speaker 20: However, that full amount does not

01:31:18 Speaker 20: go against our annual repayment limit

01:31:20 Speaker 20: because we have a dedicated provincial

01:31:21 Speaker 20: grant. So you take the net

01:31:23 Speaker 19: of one point nine million dollars.

01:31:26 Speaker 19: So you take the net of

01:31:29 Speaker 19: those two numbers. and the Rockwood

01:31:30 Speaker 19: Terrace project will consume one point

01:31:32 Speaker 19: seven million dollars of our annual

01:31:34 Speaker 19: repayment limit. So, when you combine

01:31:36 Speaker 19: that with these loans, we will

01:31:40 Speaker 19: have about two million dollars of

01:31:42 Speaker 19: annual repayments of debt in our

01:31:46 Speaker 19: budget, which would leave about seven

01:31:48 Speaker 19: point seven nine million dollars for

01:31:51 Speaker 19: any future projects. With that, I'm

01:31:53 Speaker 19: happy to answer any questions. Thank

01:31:55 Speaker 19: you, sir. Very comprehensive. Are there

01:31:56 Speaker 19: any questions from council? Councillor Apples,

01:31:57 Speaker 19: please. Thank you, Deputy Warden. Through

01:31:58 Speaker 19: you, so going forward, we certainly

01:32:00 Speaker 19: have a very robust build out

01:32:03 Speaker 19: of stations, and I take it

01:32:04 Speaker 19: that staff best feeling is in

01:32:06 Speaker 19: building out the number of ones

01:32:07 Speaker 19: done. Dundalk, Holstein, Aten, Cobble Beach.

01:32:08 Speaker 19: How many other ones am I

01:32:12 Speaker 19: missing that we're going to be

01:32:16 Speaker 19: developing? There's six more. We will

01:32:17 Speaker 19: be looking at financing those ones

01:32:20 Speaker 19: instead of ramping up some of

01:32:23 Speaker 19: our tax revenues. Obviously, ramping it

01:32:25 Speaker 19: up a little bit to pay

01:32:27 Speaker 19: off the mortgage and not to

01:32:31 Speaker 19: directly pay it off. Through the

01:32:32 Speaker 19: deputy warden, yes, that's correct. The

01:32:36 Speaker 19: way our ten-year capital plan is

01:32:39 Speaker 19: built right now is all the

01:32:42 Speaker 19: future bases will be debt financed

01:32:44 Speaker 08: as well. With the Durham base,

01:32:46 Speaker 08: it was in the capital plan

01:32:49 Speaker 08: before the enhancement plan came along

01:32:50 Speaker 08: because we knew we needed more

01:32:52 Speaker 08: space. But the enhancement plan made

01:32:55 Speaker 08: that base bigger as we needed

01:32:58 Speaker 08: a operational base at the south

01:32:59 Speaker 08: end. of the county, the other

01:33:03 Speaker 08: bases, there's simply not enough time

01:33:06 Speaker 08: to build up that reserve so

01:33:08 Speaker 08: that we could finance it all

01:33:10 Speaker 08: ourselves. In a perfect world, yeah,

01:33:12 Speaker 08: if we knew we were building

01:33:16 Speaker 08: it in 25 years, we would

01:33:19 Speaker 08: start putting away money now. Or

01:33:22 Speaker 08: 10 years, even you would you

01:33:24 Speaker 08: would you could potentially increase your

01:33:26 Speaker 08: levy now, transfer to reserve, and

01:33:28 Speaker 08: then when it comes to actually

01:33:31 Speaker 08: build it, you're just paying for

01:33:32 Speaker 08: it outright, and your interest costs

01:33:36 Speaker 08: are zero. But with the deployment

01:33:38 Speaker 08: plan coming and the immediate need

01:33:40 Speaker 08: for additional ambulances and the additional

01:33:41 Speaker 08: need to put those ambulances somewhere,

01:33:43 Speaker 08: and then the benefit of having

01:33:45 Speaker 08: these rural bases built, there just

01:33:47 Speaker 08: wasn't enough time to build up

01:33:50 Speaker 08: those capital reserves that we could

01:33:52 Speaker 08: fund it. Councillor Gregg, did you

01:33:54 Speaker 08: have a question? Thank you. I

01:33:56 Speaker 08: did have a question. I I

01:33:58 Speaker 08: just. I'm intrigued with the option

01:33:59 Speaker 08: of the 15 years. The report

01:34:01 Speaker 08: notes the savings from going from

01:34:04 Speaker 08: 25 to 20 years, but there's

01:34:06 Speaker 08: substantial savings in going to 15

01:34:08 Speaker 08: years. I was talking to Garrett

01:34:10 Speaker 08: in advance, and Garrett could expand

01:34:11 Speaker 08: upon the the response provided to

01:34:16 Speaker 08: myself. But when I look at

01:34:19 Speaker 08: the just the core numbers, your

01:34:20 Speaker 08: borrowing cost is is 38 of

01:34:25 Speaker 08: the actual amount required to borrow.

01:34:26 Speaker 08: if you were to invest in

01:34:29 Speaker 08: in a mortgage over fifteen years,

01:34:31 Speaker 08: as opposed to fifty five percent

01:34:35 Speaker 08: over twenty years. There t here

01:34:37 Speaker 08: is an upfront cost, but I

01:34:39 Speaker 08: think you know it does get

01:34:40 Speaker 08: it paid off. It's nice. We're

01:34:46 Speaker 08: in a great position right now

01:34:51 Speaker 19: with zero debt. That's the best

01:34:53 Speaker 19: place to be, and I am

01:34:57 Speaker 19: I am a little bit more

01:35:00 Speaker 19: intrigued, certainly to to. look at

01:35:03 Speaker 19: a fifteen year mortgage that gets

01:35:04 Speaker 19: us back to that position, and

01:35:06 Speaker 19: it's a position where we can

01:35:08 Speaker 19: make, and you can make those

01:35:11 Speaker 19: contributions back into your capital fund

01:35:13 Speaker 19: after you've paid it off. Because

01:35:14 Speaker 19: after thirty years, that's you know

01:35:16 Speaker 19: frankly a time period that you're

01:35:17 Speaker 19: going to start having to reinvest

01:35:19 Speaker 19: back into your your typical building.

01:35:20 Speaker 19: So it gives you more opportunity

01:35:23 Speaker 19: as opposed to a twenty or

01:35:24 Speaker 19: twenty five year when you're still

01:35:26 Speaker 19: making capital payments or debenture payments

01:35:27 Speaker 19: on the capital. cost to be

01:35:28 Speaker 19: able to have it paid off,

01:35:30 Speaker 19: and be looking a little bit

01:35:34 Speaker 19: more forward in terms of making

01:35:37 Speaker 19: reserve contributions to support the the

01:35:40 Speaker 19: required capital needs after after thirty,

01:35:44 Speaker 19: thirty five, forty years that so

01:35:45 Speaker 19: many of our buildings require.

01:35:48 Speaker 19: But I guess that's my position,

01:35:50 Speaker 19: Garrett. If you want to expand

01:35:53 Speaker 19: on the difference in the capital

01:36:09 Speaker 19: budget requirement up front versus the

01:36:11 Speaker 19: ultimate. savings over that reduction from

01:36:13 Speaker 19: twenty years to fifteen years. I

01:36:14 Speaker 19: think I'm I kind of find

01:36:16 Speaker 19: it favorable the fifteen year option.

01:36:18 Speaker 19: Thank you through the warded deputy

01:36:20 Speaker 19: warded. Yeah, staff are happy to

01:36:22 Speaker 19: take direction from council on whatever

01:36:26 Speaker 19: term most suits your needs. A

01:36:31 Speaker 21: shorter borrowing period. You're correct. Results

01:36:35 Speaker 21: in lower cost over the term

01:36:37 Speaker 21: of the loan because you're paying

01:36:42 Speaker 21: it off faster. So, you know,

01:36:43 Speaker 21: if you look at the horizon

01:36:45 Speaker 21: of a 25-year mortgage, at the

01:36:46 Speaker 21: beginning, almost the entirety of your

01:36:49 Speaker 21: payment is going towards interest, and

01:36:51 Speaker 21: then as it goes along, it

01:36:53 Speaker 21: kind of drops off like this

01:36:55 Speaker 21: as as the as the payments

01:36:56 Speaker 21: are become more and more principal.

01:36:59 Speaker 21: If you shorten the term, you're

01:37:00 Speaker 21: increasing your payment. As so, at

01:37:02 Speaker 21: the beginning, your interest cost is

01:37:03 Speaker 21: the exact same, but you're paying

01:37:10 Speaker 19: off more of the principal, and

01:37:12 Speaker 19: that cascades every year. So, correct.

01:37:14 Speaker 19: If we want, if council directs

01:37:16 Speaker 19: us to go towards a a

01:37:18 Speaker 19: fifteen year mortgage, that'll certainly save.

01:37:21 Speaker 19: It'll save approximately seven hundred and

01:37:22 Speaker 19: fifty thousand dollars compared to the

01:37:25 Speaker 19: recommendation that's that's currently before you.

01:37:27 Speaker 19: But it will require an increase

01:37:29 Speaker 19: to the twenty twenty seven capital

01:37:29 Speaker 19: budget of. So currently, there's three

01:37:32 Speaker 19: hundred and sixty-two thousand in the

01:37:33 Speaker 19: in the budget. We would have

01:37:37 Speaker 19: to increase that to four hundred