Grey County Committee of the Whole Meeting Transcript — August 13, 2026

01:06:42 Speaker 02: so I'd like to call to

01:06:44 Speaker 02: order this committee the whole. of

01:06:46 Speaker 02: August thirteenth, twenty twenty-six. At this

01:06:47 Speaker 02: point in time, I'll put out

01:06:49 Speaker 02: a call if there are any

01:06:51 Speaker 02: declarations of interest. Seeing no hands

01:06:54 Speaker 02: raised, we'll move on. Business arising

01:06:55 Speaker 02: from minutes, we have healthy discussion

01:06:57 Speaker 02: on minutes. Delegations, we do not

01:07:00 Speaker 02: have any today, and so we'll

01:07:03 Speaker 02: go to item five: determination of

01:07:06 Speaker 02: items requiring separate discussion. On the

01:07:08 Speaker 02: consent agenda listed in six, we

01:07:09 Speaker 02: have seven different items listed. So

01:07:11 Speaker 02: I'll ask if you. could identify

01:07:13 Speaker 02: any items you wish to have

01:07:14 Speaker 02: a separate discussion for, Councillor Gregg.

01:07:15 Speaker 02: Six C, just for a point

01:09:49 Speaker 03: of a question. Thanks. So, question

01:13:37 Speaker 03: for six C, so we'll pull

01:19:33 Speaker 03: that one separately. Anything else, Councillor

01:19:34 Speaker 01: McQueen? Thank you, Madam Warden. Yes,

01:19:35 Speaker 01: six F. Okay, six F. Anything

01:19:53 Speaker 01: else? Okay, I'm not seeing any

01:19:55 Speaker 01: further hands. Therefore, we'll just tidy

01:19:57 Speaker 03: up then the consent agenda. It's

01:19:59 Speaker 02: recommended that the following consent agenda

01:20:02 Speaker 02: items be received, and that staff

01:20:03 Speaker 02: be authorised to take actions necessary

01:20:05 Speaker 02: to give effect to the recommendations

01:20:07 Speaker 02: in the staff reports, and that

01:20:10 Speaker 02: the correspondence be supported or received

01:20:12 Speaker 02: for information as recommended in the

01:20:15 Speaker 02: consent agenda. It will be all

01:20:16 Speaker 02: items less item 6C, as in

01:20:18 Speaker 02: cat, and F, as in frog.

01:20:20 Speaker 02: May I ask for a mover

01:20:22 Speaker 02: to secondeer? Move by. Moved by

01:20:23 Speaker 02: Councillor Eccles, seconded by Councillor Mackie.

01:20:25 Speaker 02: Any discussion? All those in favour?

01:20:26 Speaker 02: And that motion is carried. Thank

01:20:28 Speaker 02: you. So let's take a break

01:20:29 Speaker 02: now until eleven ten, and then

01:20:32 Speaker 02: we'll carry on with the remainder

01:20:34 Speaker 02: of our agenda in the morning

01:20:37 Speaker 02: and see where we are by

01:20:41 Speaker 02: twelve fifteen. Okay. Could I please

01:20:43 Speaker 02: invite all of our committee, the

01:20:47 Speaker 24: whole members, back to the horseshoe?

01:20:50 Speaker 24: Okay, so we are reconvening after

01:20:52 Speaker 24: our break, and we are at

01:20:55 Speaker 24: item seven A, and this is

01:20:57 Speaker 24: with regards to Community Services

01:21:00 Speaker 24: Committee minutes. And in a

01:21:03 Speaker 24: moment, we'll call up Director Shaw

01:21:04 Speaker 24: to speak to that. So it's

01:21:06 Speaker 24: recommended that the Community Services Committee

01:21:09 Speaker 24: minutes dated August six, twenty twenty

01:21:11 Speaker 24: six, be adopted as presented, and

01:21:14 Speaker 24: that the following resolutions contained therein

01:21:15 Speaker 24: be endorsed. There are a number

01:21:17 Speaker 24: of them that have been. outlined

01:21:19 Speaker 24: and highlighted here in the circulated

01:21:20 Speaker 24: agenda that's been made public and

01:21:23 Speaker 24: circulated to all committee, the whole

01:21:25 Speaker 24: members. So at this point in

01:21:27 Speaker 24: time, I will look for a

01:21:32 Speaker 24: mover and a seconder. We've got

01:21:33 Speaker 24: a move by Councillor Hutchison, seconded

01:21:35 Speaker 24: by Councillor Doreen. So it's now

01:21:38 Speaker 24: on the floor for discussion. Welcome,

01:21:40 Speaker 24: Director Shaw. Thank you, Madam Warden,

01:21:41 Speaker 24: and good morning, County Council. Starting

01:21:43 Speaker 24: off with the first recommendation, it

01:21:46 Speaker 24: is our community service Our community

01:21:49 Speaker 24: services systems planning and compliance analyst

01:21:51 Speaker 24: position. The Ministry of Education has

01:21:54 Speaker 24: a provincially mandated modernization initiatives over

01:21:57 Speaker 24: the next five years. They're looking

01:22:00 Speaker 24: at increasing requirements for IT modernization,

01:22:03 Speaker 24: data management, compliance monitoring, and performance

01:22:04 Speaker 24: measures. This is actually a really

01:22:07 Speaker 24: good news story. We do not

01:22:09 Speaker 24: have a centralized wait list for

01:22:11 Speaker 24: childcare in anywhere in the

01:22:13 Speaker 24: province, and so right now, majority

01:22:16 Speaker 24: of people that are looking for

01:22:18 Speaker 24: childcare would have to put an

01:22:21 Speaker 24: application into all of the existing

01:22:22 Speaker 24: childcare centres out there, rather than

01:22:25 Speaker 24: having one centralized area to do

01:22:29 Speaker 24: it. There are many other options

01:22:31 Speaker 24: when it comes to early on

01:22:33 Speaker 24: programmemes standardizing, taking, scanning people in

01:22:35 Speaker 24: and out of the programmemes. So

01:22:37 Speaker 24: there's a lot of that other

01:22:39 Speaker 24: security and safety aspects of it.

01:22:41 Speaker 24: The province is looking at this

01:22:43 Speaker 24: taking about three to five years,

01:22:45 Speaker 24: and there are five different phases.

01:22:48 Speaker 24: The first phase is starting this

01:22:50 Speaker 24: September and will continue on until

01:22:53 Speaker 24: September of 2027. And that is

01:22:54 Speaker 24: again modernizing our early on. We

01:22:56 Speaker 24: are looking at a position in

01:22:58 Speaker 24: order to do this. The position

01:23:00 Speaker 24: itself is proposed to to also

01:23:04 Speaker 24: expand to all of our services

01:23:05 Speaker 24: and community services. So, for instance,

01:23:07 Speaker 24: in 2027, we're going to have

01:23:09 Speaker 24: a review under the MMNH. So,

01:23:11 Speaker 24: I'm sure there's going to be

01:23:15 Speaker 24: modernization recommendations coming from that, and

01:23:18 Speaker 24: also our housing and homelessness plan.

01:23:23 Speaker 24: So developing and dashboards and having

01:23:24 Speaker 24: a way of us to report

01:23:26 Speaker 24: on a number of our initiatives.

01:23:27 Speaker 24: Along with this comes increased data

01:23:29 Speaker 24: collection from the province, and as

01:23:31 Speaker 24: part of the C. Well programme,

01:23:32 Speaker 24: we are at now asking our

01:23:34 Speaker 24: childcare centres to put together business

01:23:36 Speaker 24: plans and do a lot of

01:23:38 Speaker 24: financial work and audit. Financial work

01:23:39 Speaker 24: and auditing that didn't happen in

01:23:40 Speaker 24: the past, and this position will

01:23:46 Speaker 24: also help some of our smaller

01:23:48 Speaker 24: smaller centres in order to meet

01:23:51 Speaker 24: those regulatory requirements now from from

01:23:53 Speaker 02: the province. The funding we did

01:23:54 Speaker 02: receive funding from the Ministry of

01:23:55 Speaker 02: Education in order to assist with

01:23:59 Speaker 02: that. We received forty six thousand

01:24:01 Speaker 02: dollars for two thousand and twenty

01:24:03 Speaker 02: six, but that is prorated.

01:24:07 Speaker 24: There will be a different amount

01:24:09 Speaker 24: coming for twenty twenty seven, and

01:24:14 Speaker 24: we also received some additional funding.

01:24:17 Speaker 24: Some additional funds in early on

01:24:19 Speaker 24: for next year, also as administrative

01:24:20 Speaker 24: funds. The position itself will be

01:24:24 Speaker 24: looking at salary, benefits, supplies, materials,

01:24:26 Speaker 24: travel, a computer, cell phone, all

01:24:30 Speaker 24: of that around the hundred

01:24:32 Speaker 24: and fifty thousand dollars. So there

01:24:34 Speaker 24: are no levy dollars at this

01:24:36 Speaker 24: point going into it. And if

01:24:38 Speaker 24: at some time in the next

01:24:39 Speaker 24: five years it is required, we

01:24:41 Speaker 24: do have mitigation funds that we

01:24:43 Speaker 24: could use for that. And I'm

01:24:45 Speaker 24: happy to answer. questions about that.

01:24:47 Speaker 24: Or would you like me to

01:24:50 Speaker 24: continue with them all, Madam Warden?

01:24:53 Speaker 24: Let me see. Why don't we

01:24:55 Speaker 24: let's try to contain our discussion.

01:24:57 Speaker 24: So let's go ahead and just

01:24:58 Speaker 24: present everything, and we'll just we'll

01:25:01 Speaker 24: zero back to what it is

01:25:04 Speaker 24: people would like to talk to.

01:25:05 Speaker 24: Thank you. Thank you. So the

01:25:08 Speaker 24: next one on the list is

01:25:09 Speaker 24: our Canada Ontario Community Housing Initiatives

01:25:11 Speaker 24: in Ontario. priorities, housing initiatives, investment

01:25:14 Speaker 24: plans. These are 100% provincial funded.

01:25:15 Speaker 24: We did receive our allocation for

01:25:18 Speaker 24: this year. Normally, we do have

01:25:21 Speaker 24: it before budget, but this year

01:25:23 Speaker 24: and last year, we did not.

01:25:25 Speaker 24: These funds are to protect the

01:25:27 Speaker 24: long-term viability of community housing by

01:25:28 Speaker 24: supporting ongoing repairs, supporting end-of-operating agreements,

01:25:31 Speaker 24: and expanding the stock. We normally

01:25:32 Speaker 24: work. with our nonprofits with these

01:25:33 Speaker 24: funds too, in order to provide

01:25:37 Speaker 24: any capital repair funds that might

01:25:40 Speaker 24: be available to them. As part

01:25:42 Speaker 24: of the national housing strategy, we

01:25:46 Speaker 24: also have a requirement of fifteen

01:25:48 Speaker 24: new units in order to meet

01:25:50 Speaker 24: the funding requirements for the province.

01:25:52 Speaker 24: We are proposing to keep our

01:25:55 Speaker 24: rent supplement programme going. Right now,

01:25:57 Speaker 24: we have forty-five rent supplements that

01:25:58 Speaker 24: we provide, and we're going to

01:26:01 Speaker 24: add two new rent or twelve

01:26:03 Speaker 24: new rent supplements as a total.

01:26:06 Speaker 24: towards that fifteen, we're looking at

01:26:10 Speaker 24: five hundred thousand dollars towards our

01:26:12 Speaker 24: capital build in Dundalk, and that

01:26:14 Speaker 24: would provide for three new units.

01:26:16 Speaker 24: And of course, our community housing

01:26:17 Speaker 24: repairs funds at about three hundred

01:26:18 Speaker 24: and thirteen, and those would go

01:26:20 Speaker 24: towards funding needs in ourselves, emergency

01:26:23 Speaker 24: funding needs, or funding needs for

01:26:24 Speaker 24: our nonprofits. Part of our priority

01:26:26 Speaker 24: housing would be our rental supplements

01:26:28 Speaker 24: again, and we also put a

01:26:30 Speaker 24: ten percent allocation to be used

01:26:32 Speaker 24: towards support services. ten percent is

01:26:35 Speaker 24: the highest that we can go

01:26:36 Speaker 24: according to that fund. Our next

01:26:40 Speaker 24: item is Gariffraxa Nonprofit Homes. These

01:26:41 Speaker 24: are one of our nine nonprofits

01:26:42 Speaker 15: that we support. So through the

01:26:44 Speaker 15: Housing Services Act, we have a

01:26:45 Speaker 15: number of not for profits that

01:26:46 Speaker 15: the county supports, and these are

01:26:48 Speaker 15: one of them. They had a

01:26:53 Speaker 15: sinkhole in their parking lot as

01:26:59 Speaker 15: part of all that rain we

01:27:02 Speaker 25: had back in April, and there

01:27:04 Speaker 25: were needs repair needs for the

01:27:07 Speaker 25: retaining wall and also for the

01:27:12 Speaker 17: driveway itself. The we the repairs

01:27:13 Speaker 17: are costing two hundred and seventy

01:27:15 Speaker 17: five thousand dollars. They do have

01:27:19 Speaker 17: some funds available, but they also

01:27:22 Speaker 17: have other capital needs that are

01:27:25 Speaker 17: coming up. So they approached the

01:27:27 Speaker 17: county to see if we could

01:27:29 Speaker 17: provide any extra or any funding

01:27:33 Speaker 17: towards it. We proposed one hundred

01:27:38 Speaker 17: and twenty five thousand dollars. We

01:27:40 Speaker 17: have seventy five thousand dollars that

01:27:41 Speaker 17: we're going to. use from our

01:27:44 Speaker 17: nonprofit housing general reserve and fifty

01:27:46 Speaker 17: thousand dollars from the Cochi initiatives

01:27:49 Speaker 26: that I just talked about. And

01:27:49 Speaker 26: I'm happy to answer any questions.

01:27:51 Speaker 26: Okay, thank you. So I'll put

01:27:54 Speaker 26: it out. If there are any

01:27:56 Speaker 26: questions from members of the committee,

01:27:59 Speaker 26: the whole, perhaps you can refer

01:28:01 Speaker 26: to if it's item one, two,

01:28:02 Speaker 26: or three to help clarify, and

01:28:04 Speaker 26: then we'll look into that. Any

01:28:08 Speaker 26: questions? Okay, we'll begin with Councillor

01:28:10 Speaker 26: Ackles. And through you, Madam Warden,

01:28:11 Speaker 26: and probably to Terret, has really

01:28:12 Speaker 26: nothing to do with your report

01:28:17 Speaker 26: whatsoever, Emery. It has to do

01:28:22 Speaker 26: with just procedural. I noticed at

01:28:25 Speaker 26: the end of the meeting, the

01:28:27 Speaker 22: meeting was adjourned by Councillor Debrine,

01:28:29 Speaker 22: made the motion, and the chair

01:28:31 Speaker 22: seconded the motion. Procedurally, can the

01:28:32 Speaker 22: chair move and second? The chair

01:28:41 Speaker 22: move in second motions, and that's

01:28:43 Speaker 22: why I'm looking towards Tara and

01:28:45 Speaker 22: Marie, not you. Okay, I'll look

01:28:48 Speaker 22: to Madam Clerk. Thank you, and

01:28:49 Speaker 22: through you, Madam Warden. I do

01:28:51 Speaker 22: not know the answer to that

01:28:55 Speaker 27: offhand. It's certainly something that I

01:28:57 Speaker 27: can look into. I did glance

01:29:03 Speaker 27: our procedural bylaw, and it's it

01:29:07 Speaker 27: doesn't speak to that. So I

01:29:08 Speaker 27: think the answer is probably somewhere

01:29:10 Speaker 15: in Roberts' Rules of Order. I

01:29:11 Speaker 15: know. that our procedure bylaw, though

01:29:14 Speaker 15: it doesn't speak to it, some

01:29:17 Speaker 15: municipalities, the chair, I believe, their

01:29:18 Speaker 15: procedure bylaw allows for the chair

01:29:20 Speaker 15: to adjourn meetings, but it is

01:29:21 Speaker 15: unclear to me what proper protocol

01:29:23 Speaker 15: would be in our in our

01:29:26 Speaker 15: circumstances. So I can certainly look

01:29:30 Speaker 15: into that. I think we we

01:29:33 Speaker 15: would have fun looking into that

01:29:35 Speaker 15: for you. Okay, thank you, Councillor

01:29:40 Speaker 15: Nielsen. Thank you for. Thank you

01:29:42 Speaker 15: very much, Word Microsoft, to Councillor

01:29:43 Speaker 15: Eccles. If my motion to adjourn

01:29:44 Speaker 15: was incorrect, I apologize for the

01:29:46 Speaker 15: world record of the longest Community

01:29:48 Speaker 15: Services Committee, as it is still

01:29:51 Speaker 15: currently running. Thank you. Anything else,

01:29:53 Speaker 15: Councillor McQueen? I just to follow

01:29:54 Speaker 15: up to the question. I know

01:29:57 Speaker 28: with procedure, I know with our

01:29:58 Speaker 28: grey hands, we allow the chair

01:30:00 Speaker 28: to second, but one. To second,

01:30:02 Speaker 28: but won't allow the chair to

01:30:21 Speaker 28: move. So you may be the

01:30:23 Speaker 28: meeting may be over. Thank you.

01:30:26 Speaker 29: Okay, so if there's no further

01:30:33 Speaker 28: discussion or questions for Director Shaw,

01:30:36 Speaker 28: I'll call the question. Then all

01:30:37 Speaker 28: those in favour, that motion is

01:30:39 Speaker 28: carried. Thank you very much, Director

01:30:40 Speaker 28: Shaw. Okay, so we're going to

01:30:42 Speaker 28: move on now to item seven

01:30:43 Speaker 28: B, and in fact, we're going

01:30:46 Speaker 28: to in. 7B, C, and D,

01:30:47 Speaker 28: we're going to see a lot

01:30:52 Speaker 28: of Director McNabb. So let's get

01:30:54 Speaker 28: started on on this part here.

01:30:56 Speaker 28: The first one is item 7B.

01:31:00 Speaker 28: It's recommended that the 2027 response

01:31:01 Speaker 28: time performance plan, as outlined in

01:31:04 Speaker 28: the report PSRCW0426, be approved and

01:31:07 Speaker 28: submitted to the Ministry of Health.

01:31:09 Speaker 28: May I ask for a mover

01:31:11 Speaker 28: and a second? Move by Councillor

01:31:15 Speaker 28: Nielsen, second by Councillor Eccles. It's

01:31:16 Speaker 28: now on the floor for discussion.

01:31:18 Speaker 28: Welcome. Director McCloud. Good morning, Warden

01:31:19 Speaker 28: County Council. I did bring a

01:31:21 Speaker 28: friend, and I'll introduce Jessica when

01:31:24 Speaker 28: she comes up here. But, anyways,

01:31:26 Speaker 28: knowing that I have three reports,

01:31:28 Speaker 28: so I'll try to keep them

01:31:30 Speaker 28: short. That I might be before

01:31:32 Speaker 28: lunch. So. Okay, so each year

01:31:34 Speaker 28: we have to develop a response

01:31:35 Speaker 28: time plan for the upcoming year,

01:31:38 Speaker 28: and yeah, sorry. Have a response

01:31:41 Speaker 28: time. Oh, okay. Each year we

01:31:42 Speaker 28: have to develop a response time

01:31:45 Speaker 28: performance plan prior to October first,

01:31:46 Speaker 28: and then submit it to the

01:31:49 Speaker 28: ministry prior to the end of

01:31:50 Speaker 28: October. This plan is to cover

01:31:53 Speaker 28: the twenty twenty seven year. To

01:31:55 Speaker 28: cover the 2027 year, and in

01:31:58 Speaker 28: March of next year, we'll report

01:32:00 Speaker 28: on the response times from 2026.

01:32:01 Speaker 28: So this chart it lays out

01:32:03 Speaker 28: our response time plan. It also

01:32:05 Speaker 28: gives you what the 2025 response

01:32:07 Speaker 28: time performance was, and then also

01:32:11 Speaker 28: up till June 2026 or June

01:32:13 Speaker 28: 30th, 2026, and then also our

01:32:15 Speaker 28: our five year average. The response

01:32:17 Speaker 28: times that we have were developed

01:32:19 Speaker 28: back in 2012 when this new

01:32:24 Speaker 28: response time framework was first implemented,

01:32:25 Speaker 28: and the times were took from

01:32:27 Speaker 28: how we were achieving goals at

01:32:29 Speaker 28: that point, we haven't changed the

01:32:31 Speaker 28: response times other than in 2017.

01:32:32 Speaker 28: We improved upon the CTS one

01:32:34 Speaker 28: response time from 50 percent to

01:32:37 Speaker 28: 60 percent, and we also moved

01:32:40 Speaker 28: the CTS three, four, and five

01:32:42 Speaker 28: from 30 minutes down to 20

01:32:44 Speaker 28: minutes. So we've improved upon those

01:32:46 Speaker 28: response times. Sudden cardiac arrest is

01:32:49 Speaker 28: six minutes or less, and we

01:32:51 Speaker 28: as a miss. And we, as

01:32:53 Speaker 28: a municipality, can set the percentage.

01:32:54 Speaker 28: C task one is set at

01:32:55 Speaker 28: eight minutes, and we, as municipality,

01:32:57 Speaker 28: can set the percentage of how

01:32:58 Speaker 28: often we are able to achieve

01:33:00 Speaker 28: that goal. C tasks two, three,

01:33:01 Speaker 28: four, and five, the municipality can

01:33:02 Speaker 28: set the response time as well

01:33:03 Speaker 28: as the percentage. So, if you

01:33:04 Speaker 28: can see our targets, it's forty

01:33:05 Speaker 28: percent of the time for cardiac

01:33:06 Speaker 28: arrest in six minutes or less.

01:33:07 Speaker 28: For C task one, it's eight

01:33:09 Speaker 28: minutes, sixty percent. and then C

01:33:11 Speaker 28: test two is fifteen minutes at

01:33:13 Speaker 28: ninety percent, and then C test

01:33:15 Speaker 28: three, four, and five are all

01:33:17 Speaker 28: at ninety percent for twenty minutes.

01:33:20 Speaker 28: Just to give you an idea

01:33:21 Speaker 28: about also how we look at

01:33:22 Speaker 28: calls, we also look at just

01:33:24 Speaker 28: all call floors together as opposed

01:33:26 Speaker 28: to breaking up by C test,

01:33:27 Speaker 28: and you can see we were

01:33:28 Speaker 28: in that fifteen minute range for

01:33:29 Speaker 28: quite some time, fifteen, thirty-two, and

01:33:31 Speaker 28: in twenty, twenty-five, and. in 2025

01:33:36 Speaker 28: and 1540 this year, and this

01:33:37 Speaker 28: this has been around 15 minutes

01:33:38 Speaker 28: since back almost back to 1996

01:33:41 Speaker 28: when the last response time standard

01:33:44 Speaker 28: was. We measure by 90th percentile

01:33:47 Speaker 28: because that gives us under normal

01:33:51 Speaker 28: usage what time you can expect

01:33:53 Speaker 28: the ambulance to get to the

01:33:56 Speaker 28: scene nine times out of ten

01:33:59 Speaker 28: in the county, and that's from

01:34:00 Speaker 28: the time the pager goes off

01:34:01 Speaker 28: until the time we arrive at

01:34:03 Speaker 28: the scene. So if you look

01:34:04 Speaker 28: at that, if you build in

01:34:06 Speaker 28: a shoot time of when the

01:34:07 Speaker 28: pager goes off in the base,

01:34:08 Speaker 28: it takes you a minute minute

01:34:09 Speaker 28: half to get in the truck

01:34:11 Speaker 28: and. figure out where you're going.

01:34:13 Speaker 28: Nine times out of ten, in

01:34:15 Speaker 28: gray so far this year, we're

01:34:17 Speaker 28: at the scene 15 minutes and

01:34:20 Speaker 28: 40 seconds. Nine times out of

01:34:22 Speaker 28: ten, we also look at average

01:34:25 Speaker 28: response times. Doesn't really tell you

01:34:27 Speaker 28: a lot, like as far as

01:34:29 Speaker 28: like because there's lots of two

01:34:31 Speaker 28: minute response times and maybe 28

01:34:34 Speaker 28: minute response times, but it's just

01:34:35 Speaker 28: a good gauge that we keep

01:34:36 Speaker 28: an eye on average to see

01:34:37 Speaker 28: if that's going up or down,

01:34:43 Speaker 28: and it's typically in this seven

01:34:44 Speaker 28: minute range. So. if approved, this

01:34:47 Speaker 28: will be what will be submitted

01:34:48 Speaker 28: to the ministry this year. Again,

01:34:51 Speaker 28: everything will remain the same, but

01:34:53 Speaker 28: that'll be submitted in, and then

01:34:55 Speaker 28: it'll be published for for people

01:34:58 Speaker 28: to see. Just in regards to

01:35:02 Speaker 28: call volume, this year so far,

01:35:04 Speaker 28: up until June, we've seen a

01:35:06 Speaker 28: three percent increase in call volume.

01:35:08 Speaker 28: If you look at last year,

01:35:13 Speaker 28: we had almost a nine percent

01:35:14 Speaker 28: increase in call volume last year,

01:35:15 Speaker 28: and that's. why it's important not

01:35:17 Speaker 28: to just look one year at

01:35:18 Speaker 28: a time. You have to look

01:35:21 Speaker 28: at over periods of five years

01:35:23 Speaker 28: and ten years to see. And

01:35:27 Speaker 28: if you see below the last

01:35:29 Speaker 28: bullet over the last five years,

01:35:30 Speaker 28: a forty-three percent increase in call

01:35:33 Speaker 28: volume, and the last five years,

01:35:35 Speaker 28: we're looking about averaging about a

01:35:41 Speaker 28: six point six percent per year.

01:35:42 Speaker 28: The OREH study, they're looking predicting

01:35:44 Speaker 28: about five point eight percent over

01:35:49 Speaker 28: the next ten years, beginning in

01:35:51 Speaker 28: twenty twenty three. So it's fairly

01:35:53 Speaker 28: close to what they're predicting, but

01:35:55 Speaker 28: there are times where you see

01:35:57 Speaker 28: a one percent and then you

01:35:59 Speaker 28: see a nine percent, and they

01:36:00 Speaker 28: kind of just average out. So

01:36:02 Speaker 28: we are doing a comprehensive deployment

01:36:04 Speaker 28: review update. This will be a

01:36:07 Speaker 28: check-in. We're just below the midway

01:36:09 Speaker 28: point of the plan, and the

01:36:10 Speaker 28: results of that review will be

01:36:12 Speaker 28: coming out later this year. We're

01:36:15 Speaker 28: looking at call volumes, predicted call

01:36:16 Speaker 28: volumes, response times. asking questions about

01:36:17 Speaker 28: you know looking at population growth

01:36:19 Speaker 28: to see if it's remained the

01:36:22 Speaker 28: same, looking at our bases, the

01:36:24 Speaker 28: the locations, shift patterns, staffing, and

01:36:26 Speaker 28: just kind of comparing it to

01:36:29 Speaker 28: what we have in place right

01:36:31 Speaker 28: now to make sure it's on

01:36:33 Speaker 28: track to be able to meet

01:36:36 Speaker 28: that our our intention of maintaining

01:36:37 Speaker 28: those response times in around that

01:36:40 Speaker 28: fifteen minutes for code four calls.

01:36:44 Speaker 28: So these the respect the results

01:36:48 Speaker 28: of though that. The results of

01:36:50 Speaker 28: the that review will end up

01:36:53 Speaker 15: coming forward later this year in

01:36:54 Speaker 15: 2026 to be able to present

01:36:55 Speaker 15: to receive. Also happening, and Jessica

01:36:57 Speaker 15: will talk about this in a

01:36:59 Speaker 15: minute. There's a new triage tool.

01:37:02 Speaker 15: The current triage tool is kind

01:37:04 Speaker 15: of it's more I'd say outdated

01:37:06 Speaker 15: now. This is a new tool

01:37:08 Speaker 15: that will allow better prioritization of

01:37:10 Speaker 15: calls. And again, I'll let Jessica

01:37:14 Speaker 15: talk. And again, I'll let Cheska

01:37:15 Speaker 15: talk about that. But we look

01:37:16 Speaker 30: forward to that to help again

01:37:19 Speaker 30: with our more immediate threats and

01:37:22 Speaker 30: life-threatening calls. It'll it'll really aid

01:37:24 Speaker 30: with it. Also happening right now

01:37:26 Speaker 30: is we've been talking about this

01:37:28 Speaker 30: for a little over a year

01:37:30 Speaker 30: now. They are relooking at the

01:37:31 Speaker 30: response time standard. In November of

01:37:33 Speaker 30: 25, they took it out of

01:37:36 Speaker 30: the regulation and brought it into

01:37:38 Speaker 30: a standard, and they've kept the

01:37:40 Speaker 30: current framework. But most likely, what

01:37:49 Speaker 30: you'll see is a new framework

01:37:50 Speaker 30: that'll look more at a urban

01:37:52 Speaker 30: rural, and remote framework in response

01:37:55 Speaker 28: to Code Four calls, but that

01:37:57 Speaker 28: has not been finished yet. I

01:37:58 Speaker 28: have seen the the final. I'm

01:38:00 Speaker 28: fortunate to be on the committee,

01:38:01 Speaker 28: so hopefully that moves forward in

01:38:03 Speaker 28: the next year or so. No,

01:38:05 Speaker 28: taking questions. Okay, thank you. So

01:38:06 Speaker 28: we'll focus our questions on the

01:38:07 Speaker 28: response time performance plan. It being

01:38:10 Speaker 28: noted that item seven C will

01:38:11 Speaker 28: be a chance for. Item 7C

01:38:14 Speaker 28: will be a chance for us

01:38:17 Speaker 28: to ask more questions, both Director

01:38:19 Speaker 28: McNabb, but also our Deputy Chief

01:38:21 Speaker 28: of Paramedic Services for the Medical

01:38:24 Speaker 28: Priority Dispatch System. So let's save

01:38:25 Speaker 28: any questions on that until we

01:38:26 Speaker 28: get to Item 7C. But with

01:38:29 Speaker 28: regards to the performance plan, any

01:38:30 Speaker 28: questions, Deputy Warden? Thank you, Madam

01:38:32 Speaker 28: Warden, and thank you, Kevin, for

01:38:34 Speaker 28: that report. It's always interesting to

01:38:37 Speaker 28: see the numbers. You indicated that

01:38:38 Speaker 28: the the average response time is

01:38:48 Speaker 28: 15 minutes plus or minus for.

01:38:50 Speaker 28: Fifteen minutes plus or minus for

01:38:51 Speaker 31: thirty some odd years. Where's the

01:38:53 Speaker 31: pinch point on that one, and

01:38:54 Speaker 31: why is that not advancing, getting

01:38:55 Speaker 31: better? Is it just because physically

01:38:57 Speaker 31: we've got not enough people and

01:38:59 Speaker 31: too much geography, or or the

01:39:01 Speaker 31: the trucks don't levitate yet, or

01:39:03 Speaker 31: what? What is the real reason

01:39:04 Speaker 31: why that number just doesn't seem

01:39:06 Speaker 31: to move? Please. In in rural

01:39:07 Speaker 31: Ontario, I think the biggest thing

01:39:09 Speaker 31: that we face is. geography, as

01:39:12 Speaker 31: far as being able to respond,

01:39:14 Speaker 31: and we're talking nine times out

01:39:15 Speaker 31: of ten, or the ninetieth percentile.

01:39:16 Speaker 31: So it really gives you only

01:39:17 Speaker 31: ten percent of the calls that

01:39:19 Speaker 31: could be above above that time.

01:39:20 Speaker 31: And when you look at the

01:39:22 Speaker 31: mapping that we're doing around bases,

01:39:24 Speaker 31: and being able to spread out

01:39:25 Speaker 31: our resources, we're trying to tackle

01:39:26 Speaker 31: those areas to try to improve

01:39:28 Speaker 31: upon them. Recognizing also that those

01:39:30 Speaker 31: areas are lower density, lower call

01:39:34 Speaker 31: volume. So being able to find

01:39:35 Speaker 31: the best way. to match resources

01:39:39 Speaker 31: with density versus area, that's why

01:39:40 Speaker 31: we have to have R H

01:39:42 Speaker 31: to help guide us in that.

01:39:45 Speaker 31: But so I would say so.

01:39:48 Speaker 21: There's a combination here. One is

01:39:49 Speaker 21: the large geography of Gray County,

01:39:51 Speaker 21: and then it's also rising in

01:40:01 Speaker 21: call volumes. But both of those,

01:40:01 Speaker 21: I would say, are the major

01:40:04 Speaker 21: factors. Considering the size of our

01:40:06 Speaker 21: county. and being able to say

01:40:08 Speaker 28: that nine times out of ten

01:40:09 Speaker 28: that we're arriving, you know, in

01:40:12 Speaker 28: the drive time of thirteen and

01:40:14 Speaker 28: a half to fourteen minutes when

01:40:15 Speaker 28: you include shoot time, we're working

01:40:16 Speaker 28: pretty hard. Like we, we, we

01:40:19 Speaker 28: don't leave areas uncovered. You know,

01:40:21 Speaker 28: we move multiple standbys to be

01:40:22 Speaker 28: able to cover those areas off

01:40:23 Speaker 28: to split differences. There's a lot

01:40:25 Speaker 28: of work that goes in the

01:40:27 Speaker 28: background. The call that's just happened,

01:40:29 Speaker 28: you know, we know what resources

01:40:31 Speaker 28: are going, what's needed, but nobody

01:40:32 Speaker 28: really sees the planning that goes

01:40:36 Speaker 28: in the background to say, well,

01:40:38 Speaker 28: what happens with the next call.

01:40:39 Speaker 28: To say, well, what happens when

01:40:42 Speaker 28: the next call happens? We're trying

01:40:44 Speaker 28: to put resources in place for

01:40:46 Speaker 28: the call that hasn't happened yet.

01:40:47 Speaker 28: So it's not just about responding

01:40:48 Speaker 28: to the call; it's about thinking

01:40:52 Speaker 28: about where the next call is

01:40:54 Speaker 28: going to be and try to

01:40:56 Speaker 28: minimizing that next response in case

01:40:58 Speaker 28: something happens, and it's hard to

01:40:59 Speaker 28: predict. Okay, thank you. We'll go

01:41:01 Speaker 28: to Councillor Kivney. Thank you, Madam

01:41:04 Speaker 28: Warden, and Director McNab. May I

01:41:05 Speaker 28: ask you how much of a

01:41:07 Speaker 28: challenge is Google mapping in terms

01:41:07 Speaker 28: of new addressing, new? civic addressing,

01:41:09 Speaker 28: getting uploaded into Google Maps, and

01:41:11 Speaker 28: and is that creating any issue

01:41:12 Speaker 28: for you in finding those new

01:41:13 Speaker 28: addresses? I would say that we

01:41:15 Speaker 28: have a fairly extensive GIS team.

01:41:17 Speaker 28: That so when there are new

01:41:18 Speaker 28: streets, they're in constant contact with

01:41:20 Speaker 28: our dispatch centre and be able

01:41:22 Speaker 28: to update those maps. I think

01:41:23 Speaker 28: sometimes we end up in new

01:41:25 Speaker 28: developments where it may be a

01:41:27 Speaker 28: private road or a private area

01:41:29 Speaker 28: that doesn't get updated, sometimes those

01:41:34 Speaker 28: take longer, and we sometimes end

01:41:38 Speaker 28: up when we see a look

01:41:43 Speaker 28: at a response time, we see

01:41:48 Speaker 15: that that wasn't indicated. So we

01:41:49 Speaker 15: do have mechanisms to trigger when

01:41:53 Speaker 15: our response times aren't met. We

01:41:55 Speaker 15: look at the reasons why, and

01:41:57 Speaker 15: sometimes that's able to trigger that

01:41:59 Speaker 14: there's a mapping update required. But

01:42:02 Speaker 14: our dispatch generally has, I would

01:42:05 Speaker 14: say, almost always the most up

01:42:07 Speaker 14: to date map in the vehicles.

01:42:09 Speaker 14: The the CAC, the dispatch. centre

01:42:12 Speaker 14: they send the location with the

01:42:14 Speaker 14: coordinates to the to the vehicle

01:42:15 Speaker 14: which has been an update that's

01:42:18 Speaker 14: been in place now, obviously since

01:42:19 Speaker 14: 2021 like having the the map

01:42:22 Speaker 14: already displayed in the truck and

01:42:24 Speaker 14: we use ways for it so

01:42:25 Speaker 14: we're able to bring in road

01:42:28 Speaker 14: closures and stuff like that, which

01:42:30 Speaker 14: has significantly helped the response. There's

01:42:32 Speaker 14: some addresses if you're not like

01:42:38 Speaker 14: if we have a paramedic working

01:42:40 Speaker 14: in Gray they could have grew

01:42:42 Speaker 31: up in Graylee and they have

01:42:43 Speaker 31: to work in Hanover, having that

01:42:45 Speaker 31: ability you know to get in

01:42:49 Speaker 31: the truck and to know where

01:42:50 Speaker 31: you're going, really helps. So we

01:42:51 Speaker 31: tried it with that, but but

01:42:54 Speaker 31: yeah, I would say you know

01:42:56 Speaker 31: there's lots of work in the

01:42:57 Speaker 31: background to ensure that the GIS

01:43:00 Speaker 31: information is up to date at

01:43:01 Speaker 31: dispatch, and they're they're always overlaying

01:43:02 Speaker 31: those new roads into the the

01:43:04 Speaker 31: CAD. I'm not saying it's perfect,

01:43:04 Speaker 31: but they they do work hard

01:43:06 Speaker 31: to make sure nothing's missed. Okay.

01:43:13 Speaker 31: Anything else, Councillor McCabe? Sorry, Mackie.

01:43:19 Speaker 31: ah, ah, you get my dessert

01:43:22 Speaker 31: at lunch. Well, Warden, I can

01:43:26 Speaker 31: say that you're not the first

01:43:27 Speaker 32: person that's made that mistake. Thank

01:43:30 Speaker 32: you, Kevin. Thank you very much

01:43:35 Speaker 32: for the report. And I'm, you

01:43:37 Speaker 32: know, I'm impressed with our response

01:43:39 Speaker 32: times. I had the the opportunity

01:43:45 Speaker 32: to witness the response times to

01:43:47 Speaker 32: my mother's house a couple days

01:43:48 Speaker 31: ago, and I was very impressed.

01:43:50 Speaker 31: She is quite rurally located, and

01:43:52 Speaker 31: the length of time was it

01:43:54 Speaker 31: was less than what I anticipated.

01:43:56 Speaker 31: The ambulance arriving so, and the

01:43:58 Speaker 31: crew did a wonderful job looking

01:44:01 Speaker 31: after. My question is in response

01:44:03 Speaker 31: in regards to the response times.

01:44:04 Speaker 31: How does our winter weather factor

01:44:05 Speaker 31: into the? Do we have any

01:44:08 Speaker 31: idea what our inclement winter weather

01:44:10 Speaker 31: does to our response times? Thank

01:44:11 Speaker 31: you. Yeah, generally winter will play

01:44:13 Speaker 31: a role in this, whether it's

01:44:14 Speaker 31: icy roads or can't see and

01:44:15 Speaker 31: stuff like that. Again, that falls

01:44:16 Speaker 31: into that 10% range of anomalies.

01:44:19 Speaker 31: Like I don't can't like say

01:44:21 Speaker 31: off the top of my head

01:44:23 Speaker 31: like what what the time difference

01:44:26 Speaker 31: is, but you see it that

01:44:28 Speaker 31: when we look at response times

01:44:30 Speaker 31: where we didn't meet the target,

01:44:32 Speaker 31: that the weather is related. Like

01:44:34 Speaker 31: we ask the crew when the

01:44:34 Speaker 31: call closes, why did it take

01:44:38 Speaker 31: you this long to get to

01:44:40 Speaker 31: the call, and then usually it's.

01:44:42 Speaker 31: And usually, it's generally the two

01:44:44 Speaker 31: most common are distance and weather.

01:44:45 Speaker 31: Okay, thank you, Councillor McKay. Thank

01:44:48 Speaker 31: you, Alderman. Through you, Kevin, do

01:44:50 Speaker 31: you keep stats on AED calls,

01:44:52 Speaker 31: private, like the ones that are

01:44:56 Speaker 31: in the public hands, and that

01:44:56 Speaker 31: how many times they're used and

01:45:01 Speaker 31: are they worthwhile? Having these ones

01:45:02 Speaker 15: in certain places, I guess arenas,

01:45:06 Speaker 15: yes. But thanks. One of the

01:45:08 Speaker 15: issues with the response time framework,

01:45:14 Speaker 15: and we've talked about data a

01:45:16 Speaker 15: fair bit, is actually using that

01:45:18 Speaker 33: data towards ours and getting that

01:45:21 Speaker 33: those times back. Like typically, it's

01:45:22 Speaker 33: based only when the ambulance arrives.

01:45:24 Speaker 33: But our AEDs necessary? Yeah, they

01:45:27 Speaker 33: are. Well, if you have one

01:45:29 Speaker 33: AED work once that you. If

01:45:30 Speaker 33: you have one AED, work once

01:45:32 Speaker 33: a year. It depends who it's

01:45:33 Speaker 33: for, I guess, but I would

01:45:40 Speaker 33: say it's worth it no matter

01:45:42 Speaker 33: what. I hope someday that AEDs

01:45:43 Speaker 31: are in every home. That's where

01:45:46 Speaker 31: it needs to be. Most cardiac

01:45:49 Speaker 31: arrests happen in the home. That's

01:45:51 Speaker 31: probably where they need to get

01:45:53 Speaker 31: to. Right now, it's the men

01:45:54 Speaker 31: need to be on job sites,

01:45:56 Speaker 31: but you know, we—I'd say we

01:45:57 Speaker 31: have a fairly strong programme here

01:46:00 Speaker 31: in Gray. That part of the

01:46:01 Speaker 31: paramedic services budget is to maintain

01:46:03 Speaker 31: over the 200 that we have.

01:46:05 Speaker 31: We ensure that there's batteries and.

01:46:07 Speaker 31: pads, and that they're doing their

01:46:09 Speaker 31: checks, that they're ready to go

01:46:10 Speaker 31: when they're needed. But, but I,

01:46:12 Speaker 31: I really hope a day comes

01:46:14 Speaker 31: that we expand a DFB, maybe

01:46:17 Speaker 31: gets to be three hundred dollars

01:46:19 Speaker 31: or five hundred dollars, that people

01:46:21 Speaker 31: can afford them in their homes.

01:46:23 Speaker 31: And, but, yeah, we we do

01:46:24 Speaker 31: use public access DFBs. We've had

01:46:27 Speaker 31: them in arenas. We've used them

01:46:28 Speaker 31: in different places. Yet, I would

01:46:30 Speaker 31: say it's worthwhile to keep going

01:46:34 Speaker 31: with. Okay. Thank you. We'll go

01:46:36 Speaker 31: to Councillor Greg and then to

01:46:38 Speaker 31: alternate Councillor Kepke. Thank you, Kevin.

01:46:39 Speaker 31: My question is: How do hospital

01:46:41 Speaker 31: offloading requirements impact your your response

01:46:44 Speaker 31: times? And certainly, it was a

01:47:00 Speaker 31: significant challenge going back a few

01:47:01 Speaker 31: years. You're having your resources—I don't

01:47:03 Speaker 31: want to say tied up, but

01:47:04 Speaker 31: being required for prolonged periods of

01:47:11 Speaker 31: time at hospitals offloading. How are

01:47:14 Speaker 31: we comparing now? to the the

01:47:17 Speaker 31: challenges of a few years ago,

01:47:20 Speaker 20: and and what are the impacts

01:47:23 Speaker 20: of that still on on the

01:47:25 Speaker 20: plan that you're putting forward? Yeah,

01:47:27 Speaker 20: prior probably to 2022, I would

01:47:36 Speaker 20: say we really didn't have an

01:47:37 Speaker 20: offload problem, but in 2022 we

01:47:39 Speaker 20: have seen increases, particularly in Owen

01:47:40 Speaker 20: Sound and in Collingwood in the

01:47:42 Speaker 31: wintertime. I can't say enough about

01:47:44 Speaker 31: Bright Shores of how they've tried

01:47:45 Speaker 31: to do things to help. We

01:47:47 Speaker 31: have the fit to sit programme.

01:47:49 Speaker 31: now. We have extra offload stretchers.

01:47:51 Speaker 31: We have an offload duty nurse,

01:47:52 Speaker 31: which we've asked for more funding

01:47:54 Speaker 31: to be able to have a

01:47:55 Speaker 31: nurse available. We haven't received that

01:47:56 Speaker 31: yet. They only probably gave us

01:48:01 Speaker 31: a quarter of what we need

01:48:03 Speaker 31: for that programme that to support

01:48:05 Speaker 31: the hospital. We hope that that'll

01:48:08 Speaker 31: increase this year, but it does

01:48:10 Speaker 15: create issues. Like you know, in

01:48:11 Speaker 15: Sandwich, is our busiest centre. On

01:48:13 Speaker 15: busy days, it can be not

01:48:16 Speaker 15: uncommon to have four or five

01:48:19 Speaker 15: ambulances sitting and waiting. Of ailments

01:48:20 Speaker 15: is sitting and waiting for a

01:48:22 Speaker 15: bed, and so then that's the

01:48:24 Speaker 15: communication between supervisor and the nurse

01:48:26 Speaker 15: and crews. Sometimes we double up

01:48:27 Speaker 15: patients, stuff like that. But no,

01:48:30 Speaker 15: it can be challenging at times,

01:48:32 Speaker 15: and always seems to happen when

01:48:34 Speaker 15: you're the busiest too. Like typically,

01:48:41 Speaker 15: it's flu season, merges busy, most

01:48:42 Speaker 15: likely because we were busy. Okay,

01:48:45 Speaker 15: alternate. Part of the ORH review

01:48:47 Speaker 28: will be to to be looking

01:48:48 Speaker 28: at that again, and they will

01:48:51 Speaker 28: be able to comment on it.

01:48:53 Speaker 28: Thank you. Through you, Warden, to

01:48:54 Speaker 28: Kevin. My question is more regarding

01:48:54 Speaker 28: communication, and I wondered when a

01:48:57 Speaker 28: call comes in, and it's answered

01:48:58 Speaker 28: by. whatever services are required to

01:49:00 Speaker 28: go there, is it communicated to

01:49:08 Speaker 28: the incident how long approximately resources

01:49:13 Speaker 28: may be coming? That's one thing

01:49:14 Speaker 28: our dispatch centre will not do.

01:49:16 Speaker 28: I don't believe that they will

01:49:19 Speaker 28: say that time. They will reassure

01:49:20 Speaker 28: them that they've been dispatched and

01:49:24 Speaker 28: on their way, but I don't

01:49:26 Speaker 28: believe that they actually give a

01:49:28 Speaker 28: time because that could change. If

01:49:30 Speaker 28: they're going to be delayed, they

01:49:33 Speaker 28: will call back. you know, within

01:49:35 Speaker 28: I think I believe it's thirty

01:49:36 Speaker 28: minutes to do a check-in, but

01:49:37 Speaker 28: they do not say they're going

01:49:39 Speaker 28: to be six or seven minutes

01:49:41 Speaker 28: or whatever that time is. Okay,

01:49:44 Speaker 28: any further questions on this one?

01:49:45 Speaker 28: All right, not seeing any further

01:49:47 Speaker 28: hands. All those in favour? Okay,

01:49:49 Speaker 28: that motion is carried. Thank you.

01:49:52 Speaker 34: So we will now move on

01:49:53 Speaker 34: to item seven C. It's recommended

01:49:55 Speaker 34: that report PSRCW zero six twenty

01:49:57 Speaker 34: six regarding the medical priority dispatch.

01:49:59 Speaker 34: System: The receipt for information. They

01:50:05 Speaker 34: ask for a mover and a

01:50:06 Speaker 34: seconder. Got it moved by Councillor

01:50:09 Speaker 34: Pringle, seconded by Councillor Patterson. It's

01:50:11 Speaker 34: on the floor for discussion. So,

01:50:13 Speaker 34: Director McNab, I understand you are

01:50:16 Speaker 34: going to be introducing Deputy Chief

01:50:17 Speaker 34: Rob for this one as well.

01:50:19 Speaker 34: Yes, thank you, Warden and Council.

01:50:22 Speaker 34: Yes, my pleasure to introduce Jessica

01:50:24 Speaker 34: Rob, who is our Deputy Chief

01:50:26 Speaker 34: of Operations, and she's done the.

01:50:30 Speaker 34: majority of the work on this

01:50:32 Speaker 34: implementation. It's in quite a process

01:50:34 Speaker 34: to get to where it is

01:50:35 Speaker 34: today. There's a lot of work

01:50:37 Speaker 34: that goes in the background to

01:50:39 Speaker 34: implement this, and so who who

01:50:41 Speaker 34: best to tell you about it

01:50:44 Speaker 34: than her? So, here we. Good

01:50:46 Speaker 34: morning, Marden, everyone, counselors. Thank you

01:50:48 Speaker 34: for having me. So it is

01:50:52 Speaker 34: the recommendation of our department that

01:50:54 Speaker 34: we present this report for. your

01:50:56 Speaker 34: information and understanding of how the

01:50:58 Speaker 34: implementation of this new system will

01:51:00 Speaker 34: impact the community. On October 14th

01:51:02 Speaker 34: of this year, our CAC London

01:51:04 Speaker 34: Dispatch Centre is going to be

01:51:05 Speaker 34: changing to a new dispatch system

01:51:07 Speaker 34: known as the Medical Priority Dispatch

01:51:09 Speaker 34: System, or MPDS, is what we

01:51:13 Speaker 34: call it. So this new system

01:51:15 Speaker 34: is being implemented by the Ministry

01:51:17 Speaker 34: of Health. They're rolling it out

01:51:21 Speaker 34: province-wide, and about half of the

01:51:23 Speaker 34: province has transitioned so far to

01:51:25 Speaker 34: date. it's going to be replacing

01:51:27 Speaker 34: our current system, which we call

01:51:29 Speaker 34: DPci. It's been in place

01:51:31 Speaker 34: since the early nineties, and the

01:51:33 Speaker 34: goal of this new system is

01:51:40 Speaker 34: to optimize the resources across the

01:51:42 Speaker 34: county and get our paramedics to

01:51:45 Speaker 34: the sickest and most at-risk patients

01:51:47 Speaker 34: first. This chart represents a comparison

01:51:50 Speaker 34: of the old model versus the

01:51:52 Speaker 34: new model. Under DPci, you'll see

01:51:54 Speaker 34: code four and code three were

01:51:56 Speaker 34: the only level of priority calls.

01:51:58 Speaker 34: for the community, so

01:52:01 Speaker 34: these two categories would be

01:52:03 Speaker 34: all inclusive of any medical emergency

01:52:07 Speaker 34: coming in through the 911 system,

01:52:09 Speaker 34: whereas the MPDS has divided it

01:52:12 Speaker 34: down into five different priority levels.

01:52:14 Speaker 34: So under the current DPci, a

01:52:20 Speaker 34: person experiencing vomiting or a laceration,

01:52:21 Speaker 34: a heart attack or a cardiac

01:52:23 Speaker 34: arrest, could all be assigned as

01:52:24 Speaker 34: a code four response. These calls

01:52:27 Speaker 34: would be entered into the queue

01:52:28 Speaker 34: as they're received, and then dispatched

01:52:31 Speaker 34: on a first come. first serve

01:52:34 Speaker 34: basis. Under the new MPDS, dispatchers

01:52:35 Speaker 34: are going to be able to

01:52:38 Speaker 34: better prioritize medical conditions and divert

01:52:41 Speaker 34: ambulances to areas when an immediate

01:52:44 Speaker 34: life threat is identified. So, if

01:52:47 Speaker 34: there is a unit that is

01:52:50 Speaker 34: assigned on a priority basis for

01:52:52 Speaker 34: a patient with a laceration, and

01:52:54 Speaker 34: if they've been identified as the

01:52:58 Speaker 34: closest unit to a cardiac arrest

01:53:00 Speaker 34: that comes in, they will be

01:53:04 Speaker 34: diverted to the patient who has

01:53:06 Speaker 34: the greater need for timely care.

01:53:09 Speaker 34: So, in addition to being able

01:53:14 Speaker 34: to improve the triaging of medical

01:53:15 Speaker 34: emergencies, some key changes include best

01:53:18 Speaker 34: unit assignments, low priority thresholds, and

01:53:20 Speaker 34: region critical counts. All of which

01:53:22 Speaker 34: will help us improve our emergency

01:53:24 Speaker 34: coverage across the county. It also

01:53:26 Speaker 34: gives us an opportunity to better

01:53:28 Speaker 34: prioritize interfacility transfers to balance our

01:53:30 Speaker 34: community needs with the hospital needs.

01:53:33 Speaker 34: MPDS is clinically validated as safe

01:53:35 Speaker 34: and reliable way to triage medical

01:53:37 Speaker 34: conditions, and there's quality assurance programmemes

01:53:41 Speaker 34: in place, including a dispatch review

01:53:46 Speaker 34: committee in each jurisdiction, and they

01:53:49 Speaker 34: continuously review calls as they come

01:53:50 Speaker 02: in and the impacts of the

01:53:51 Speaker 02: wait times. Communities are going to

01:53:53 Speaker 02: see improved prioritization of life-threatening emergencies,

01:53:55 Speaker 02: more efficient operations, more sustainable programmeings.

01:53:56 Speaker 02: There may be community members. with

01:54:01 Speaker 02: lower needs who experience delays for

01:54:02 Speaker 02: service, and healthcare facilities will see

01:54:07 Speaker 02: changes in how transfers are prioritized.

01:54:08 Speaker 02: So, to make sure that we

01:54:10 Speaker 02: are prepared, we've taken a number

01:54:13 Speaker 02: of steps. We've met with all

01:54:16 Speaker 02: of the fire chiefs in the

01:54:19 Speaker 02: county, and we've all been able

01:54:21 Speaker 02: to agree that the translation of

01:54:23 Speaker 09: responses from the current DPCI to

01:54:26 Speaker 09: MPDS will maintain the same level

01:54:29 Speaker 09: of response that the. community is

01:54:31 Speaker 09: receiving now. Our deployment utilization strategy

01:54:32 Speaker 09: has been updated to account for

01:54:35 Speaker 09: resource allocation, wait times, and thresholds.

01:54:36 Speaker 09: Staff education has been built in

01:54:38 Speaker 09: short online digestible modules for staff

01:54:40 Speaker 09: to complete at their ability. We

01:54:45 Speaker 09: have staff who are sitting on

01:54:47 Speaker 09: regional change management and dispatch review

01:54:49 Speaker 09: committees that will continue throughout the

01:54:51 Speaker 09: transition and afterwards, and we have.

01:54:53 Speaker 09: ongoing engagement sessions with our hospitals,

01:55:00 Speaker 09: long-term care, fire, and police departments.

01:55:04 Speaker 09: So dispatch operations are governed by

01:55:08 Speaker 09: the Ministry of Health, and they

01:55:10 Speaker 09: develop this patient journey, which outlines

01:55:12 Speaker 09: how emergency calls are received and

01:55:14 Speaker 09: how they're prioritized in the queue.

01:55:15 Speaker 09: And then we take that information

01:55:17 Speaker 21: and create a plan for the

01:55:19 Speaker 21: deployment to the emergency calls, based

01:55:21 Speaker 21: on our local resources and capacity.

01:55:23 Speaker 21: No changes. to funding, staffing, or

01:55:25 Speaker 21: resources is anticipated to facilitate this

01:55:28 Speaker 21: change, and we're confident we're prepared

01:55:30 Speaker 21: for a seamless transition. Thank you.

01:55:35 Speaker 21: Thank you very much for those

01:55:39 Speaker 21: details and the explanation about what

01:55:42 Speaker 21: it means differently and how you've

01:55:44 Speaker 34: been able to parse it now

01:55:46 Speaker 34: into the colour coding instead of

01:55:47 Speaker 34: grouped together. It sounds like it

01:55:48 Speaker 34: must be a very exciting transition

01:55:50 Speaker 34: for you. Yeah, absolutely. All right.

01:55:53 Speaker 34: So with that, any questions, Deputy

01:55:54 Speaker 34: Warden? Thank you, Madam Warden, and

01:55:56 Speaker 34: thank you, Jessica, for the report

01:55:58 Speaker 34: for the discussion there. When an

01:55:59 Speaker 34: airplane's taking off, there's a certain

01:56:00 Speaker 34: point of no return. They must

01:56:03 Speaker 34: continue to. What would be the

01:56:07 Speaker 34: point of no return for an

01:56:09 Speaker 34: ambulance responding to an incident of

01:56:11 Speaker 34: low acuity, before they would not

01:56:16 Speaker 34: be diverted? Like, would it be

01:56:17 Speaker 34: literally? they turn in the gate?

01:56:18 Speaker 34: No,pe we're not going there. We're

01:56:20 Speaker 34: going further. Or is is there

01:56:23 Speaker 34: a point of no return where

01:56:24 Speaker 34: they would respond to a certain

01:56:26 Speaker 34: call before they would be diverted?

01:56:27 Speaker 34: Please. Yeah, it would be my

01:56:29 Speaker 34: understanding that that would be at

01:56:31 Speaker 34: the time of patient contact. So,

01:56:33 Speaker 34: should a higher acuity call come

01:56:36 Speaker 34: in, if that ambulance hasn't made

01:56:39 Speaker 34: patient contact, they could be diverted.

01:56:43 Speaker 34: Okay. Thank you. Great question. Oh,

01:56:50 Speaker 34: Councillor Heaney. Thank you, Madam Warden,

01:56:53 Speaker 34: and Jessica. I'm just wondering, in

01:56:57 Speaker 34: relation to your conversations with our

01:57:01 Speaker 13: fire departments as municipalities, should we

01:57:04 Speaker 13: be concerned that there may be

01:57:06 Speaker 13: a greater number of medical calls

01:57:11 Speaker 13: coming to our fire departments? Are

01:57:15 Speaker 13: we prepared for that? Just thinking

01:57:18 Speaker 13: as you're talking about the transition

01:57:23 Speaker 13: period and the possible diversion of

01:57:28 Speaker 13: certain calls. I'm just asking: Should

01:57:31 Speaker 13: our our departments be prepared for

01:57:36 Speaker 13: a greater number of calls? Thank

01:57:38 Speaker 13: you. I I can't predict what's

01:57:40 Speaker 13: going to happen, but I don't

01:57:43 Speaker 13: I don't believe so. I think

01:57:45 Speaker 13: actually it's we're gonna this progress

01:57:49 Speaker 13: is going to make us make

01:57:50 Speaker 13: sure that we have the right

01:57:54 Speaker 13: resources going at the right times

01:57:57 Speaker 13: instead of having system overwhelm. And

01:58:00 Speaker 13: we were we were very clear

01:58:04 Speaker 13: when we sat. The fire chiefs

01:58:06 Speaker 13: were very receptive to working as

01:58:11 Speaker 13: a team, and we talked through

01:58:14 Speaker 13: a lot of the points. And

01:58:15 Speaker 13: we talked about things like MBCs,

01:58:17 Speaker 13: where a low priority MBC or

01:58:19 Speaker 13: motor vehicle collision might experience a

01:58:21 Speaker 13: delay in paramedics arriving because it's

01:58:24 Speaker 13: triaged as a green, but they

01:58:25 Speaker 15: would still be dispatched to it.

01:58:27 Speaker 15: But we talked about how that

01:58:29 Speaker 15: would be important because they have

01:58:32 Speaker 15: other roles to play when it

01:58:35 Speaker 15: comes to scene safety. and protecting

01:58:38 Speaker 15: of the scene and things, they

01:58:41 Speaker 15: have a lot of other things

01:58:43 Speaker 15: that they provide, not necessarily based

01:58:44 Speaker 15: on patient contact. So the way

01:58:46 Speaker 15: that a patient is triaged doesn't

01:58:48 Speaker 15: necessarily relate to our need for

01:58:50 Speaker 15: allied agencies on scene. Is that

01:58:52 Speaker 15: fair? Okay, thank you. We'll go

01:58:54 Speaker 15: to Councillor Dober. Thank you, Warden

01:58:55 Speaker 15: and Jessica. Just. to the deputy

01:58:57 Speaker 15: warden's question and your answer, I

01:58:59 Speaker 15: can't imagine seeing an ambulance pulling

01:59:01 Speaker 15: up my lane way and then

01:59:05 Speaker 15: having them diverted because they haven't

01:59:07 Speaker 15: actually made patient contact. I wondered

01:59:08 Speaker 15: at some point we have other

01:59:10 Speaker 15: buses, you know, covering the area

01:59:11 Speaker 34: or doing things, but. is it

01:59:14 Speaker 34: communicated to the caller their level

01:59:15 Speaker 34: of priority when the call comes

01:59:17 Speaker 34: in? I, in this instance, you

01:59:18 Speaker 34: know, you see the the ambulance

01:59:20 Speaker 34: coming down your farm lane way

01:59:21 Speaker 34: and then backing out and leaving.

01:59:23 Speaker 34: Um, it just I can't imagine

01:59:24 Speaker 34: the feeling of the patient wondering,

01:59:28 Speaker 34: you know. I'm going to bleed

01:59:30 Speaker 34: to death, or could you just

01:59:31 Speaker 34: please assure us that there's other

01:59:33 Speaker 34: methods in place that diversion would

01:59:36 Speaker 34: be a last resort, or the

01:59:37 Speaker 34: communication to the caller or patient

01:59:40 Speaker 34: they understand that they're not a

01:59:42 Speaker 34: priority. How does that work? Okay,

01:59:44 Speaker 34: just before you speak, I do

01:59:46 Speaker 34: see Director McNab is also lining

01:59:49 Speaker 34: up to be able to. facilitate

01:59:51 Speaker 34: in both of you responding, keeping

01:59:55 Speaker 34: in mind too that that what

01:59:56 Speaker 34: you're describing to us is a

01:59:58 Speaker 34: practice that's already in place. It's

02:00:00 Speaker 34: just using the old system right

02:00:03 Speaker 34: now. So I'm hearing, if we

02:00:05 Speaker 28: understand correctly, from Director Mc Dow's

02:00:08 Speaker 28: first response, the deputy warden, or

02:00:10 Speaker 28: sorry, to the the deputy chief,

02:00:11 Speaker 28: that this has always been in

02:00:14 Speaker 28: play. There's always been that question

02:00:17 Speaker 28: of when is the point of

02:00:18 Speaker 28: no return on the old

02:00:21 Speaker 28: numbered system. Now it's just further

02:00:23 Speaker 28: refined into the colour system. So

02:00:25 Speaker 28: I guess that question may arise

02:00:27 Speaker 28: more frequently than it might have

02:00:29 Speaker 28: when it was just a simple

02:00:31 Speaker 28: one, two, three. So with that,

02:00:32 Speaker 28: I invite the deputy chief to

02:00:35 Speaker 28: respond and and lean into Director

02:00:37 Speaker 28: Munab if you prefer. Thank you.

02:00:38 Speaker 28: I can say that it is

02:00:39 Speaker 28: like it is a current practice.

02:00:40 Speaker 28: As you saw in the chart,

02:00:42 Speaker 28: there is a code three and

02:00:44 Speaker 28: code four priority currently. So if

02:00:47 Speaker 28: an ambulance was dispatched on a

02:00:48 Speaker 28: code three or a low priority

02:00:50 Speaker 28: call, and a code four or

02:00:52 Speaker 28: a higher priority call came in,

02:00:53 Speaker 28: they would be redirected to that

02:00:57 Speaker 28: if they were the closest unit.

02:00:58 Speaker 28: So it is an ongoing practice.

02:01:01 Speaker 28: Prior to paramedics arriving on scene,

02:01:02 Speaker 28: the patient would be in kind

02:01:05 Speaker 28: of the care and control of

02:01:07 Speaker 28: the dispatch centre and be maintaining

02:01:09 Speaker 28: communications with them. I don't think

02:01:11 Speaker 28: I could fairly speak to their

02:01:12 Speaker 28: policies, but as Director McNaught mentioned,

02:01:15 Speaker 28: they do have regular point contacts.

02:01:16 Speaker 28: where they call back and make

02:01:19 Speaker 28: contact with the patient based on

02:01:21 Speaker 28: their acuity. I would invite Kevin

02:01:22 Speaker 28: to answer anything further that I

02:01:24 Speaker 28: might be missing. Patients are always

02:01:25 Speaker 28: advised if the condition changes to

02:01:26 Speaker 28: call back, and there also is

02:01:29 Speaker 28: check-ins. I believe it's thirty minutes.

02:01:31 Speaker 28: Just recognizing here, like the likelihood

02:01:33 Speaker 28: of that happening is small, but

02:01:35 Speaker 28: but the thing is now even

02:01:39 Speaker 28: better with this new priority tool.

02:01:41 Speaker 28: If we're pulling somebody off for

02:01:42 Speaker 28: a cardiac arrest from somebody now

02:01:45 Speaker 28: that is an imminently dying, it's

02:01:47 Speaker 28: to help that other person. These

02:01:49 Speaker 28: are difficult discussions and conversations, but

02:01:51 Speaker 28: it's with the best intent to

02:01:53 Speaker 28: do the most for the most

02:01:56 Speaker 28: critical. So I I feel for

02:01:58 Speaker 28: what you're saying, like it's not

02:02:00 Speaker 28: great, and is most likely we

02:02:01 Speaker 28: get an inquiry about why the

02:02:03 Speaker 28: ambulance left, and potentially the patient

02:02:05 Speaker 28: family could call and say, I

02:02:07 Speaker 28: think the ambulance got, they think

02:02:09 Speaker 28: they might have the wrong address,

02:02:10 Speaker 28: you know, stuff. like that. But

02:02:12 Speaker 28: those type of conversations would take

02:02:13 Speaker 28: place if they call back. I

02:02:14 Speaker 28: I know because we talked about

02:02:15 Speaker 28: this before in the past about

02:02:17 Speaker 28: outside of the thirty minutes, like

02:02:19 Speaker 28: they don't give times, and I

02:02:27 Speaker 28: can see some reasons for that.

02:02:30 Speaker 28: But I'm not sure. Like when

02:02:32 Speaker 28: I look at our like when

02:02:35 Speaker 13: we measure code four times, we

02:02:39 Speaker 13: measure from the time the pager

02:02:42 Speaker 13: goes off till the time we

02:02:45 Speaker 13: arrive, because code four life and

02:02:48 Speaker 13: death call. Because code four life

02:02:51 Speaker 13: and death calls can't be held,

02:02:54 Speaker 13: like they just they have to

02:02:57 Speaker 13: be dispatched right out. Code three

02:03:00 Speaker 13: calls are now when you look

02:03:02 Speaker 13: at your yellow, your green, yellow

02:03:09 Speaker 13: and orange, they can be held,

02:03:10 Speaker 13: and that we call that a

02:03:11 Speaker 13: T one time, not a T

02:03:14 Speaker 15: two time. When we look at

02:03:15 Speaker 15: our, if we look at it

02:03:18 Speaker 15: today, like our T one time,

02:03:21 Speaker 15: the time of the call received,

02:03:23 Speaker 15: the cact, the time we arrive

02:03:25 Speaker 15: for code threes, again back to

02:03:27 Speaker 15: these green, yellow and orange, in

02:03:32 Speaker 15: twenty. In 2026, it's 25 minutes.

02:03:35 Speaker 15: So these are lower priority emergency

02:03:36 Speaker 15: calls. Nine times out of ten,

02:03:38 Speaker 15: even including the hold time, is

02:03:40 Speaker 15: still pretty good. Out of nine

02:03:42 Speaker 15: times out of ten. But it

02:03:44 Speaker 15: can't happen, yeah. But hopefully, you

02:03:48 Speaker 15: know, I look. There's nothing more

02:03:50 Speaker 15: frustrating as a paramedic that you

02:03:51 Speaker 15: know that somebody they may be

02:03:53 Speaker 15: vomiting and short of breath. Today

02:03:55 Speaker 28: it's a code four, and then

02:03:57 Speaker 28: a cardiac arrest happens around the

02:03:59 Speaker 28: corner. We can't be taken off

02:04:01 Speaker 28: that call. I feel for the

02:04:02 Speaker 28: person that's short of breath and

02:04:05 Speaker 28: vomiting, but that's not an immediate

02:04:07 Speaker 28: threat. And now I have to

02:04:09 Speaker 28: wait for an ambulance to go

02:04:11 Speaker 28: to the cardiac arrest that's ten

02:04:13 Speaker 28: minutes away, where I could just

02:04:15 Speaker 28: go, and we we can't do

02:04:17 Speaker 28: that today. Tomorrow, tomorrow we can,

02:04:21 Speaker 28: or October we can. Follow up,

02:04:23 Speaker 28: and thank you. Totally understand. Just

02:04:25 Speaker 28: when it's said out loud and

02:04:26 Speaker 28: being recorded, it's it's often. misinterpreted

02:04:29 Speaker 28: and and the perception they they

02:04:31 Speaker 28: don't always have that information and

02:04:32 Speaker 28: I appreciate the deputy chief's comments

02:04:34 Speaker 28: about and yours about callbacks. There's

02:04:36 Speaker 28: they're in touch with the patient,

02:04:38 Speaker 28: they're monitoring their their situation. So

02:04:39 Speaker 28: the communication piece is so critical.

02:04:40 Speaker 28: And looking forward to this helping

02:04:43 Speaker 28: you deliver the service that you

02:04:44 Speaker 28: so want to do. We so

02:04:46 Speaker 28: want to do. Okay, thank you.

02:04:47 Speaker 28: Anything further? All right. Not seeing

02:04:48 Speaker 28: any further hands. I'll call the

02:04:50 Speaker 28: question. All those in favour? And

02:04:54 Speaker 28: that motion is carried. Thank you

02:04:56 Speaker 28: very much, Deputy Chief. We appreciate

02:04:58 Speaker 28: your introduction to that transition system.

02:05:00 Speaker 28: But the Director McNabb will hold

02:05:02 Speaker 28: on to you for one more

02:05:05 Speaker 28: for item seven D. It's recommended

02:05:08 Speaker 28: that report PSRCW 0526 regarding the

02:05:10 Speaker 28: twenty. Regarding the 2025 Land Ambulance

02:05:13 Speaker 28: Service review results, be received for

02:05:17 Speaker 28: information. May I ask for a

02:05:20 Speaker 28: mover in a second? Moved by

02:05:22 Speaker 28: Councillor Hutchinson, seconded by Councillor Kevney.

02:05:24 Speaker 28: It's on the floor for discussion.

02:05:26 Speaker 28: Director McNab, the lectern is yours.

02:05:28 Speaker 28: Good morning again, Ward and County

02:05:30 Speaker 28: Council. Really happy to be here

02:05:32 Speaker 28: today to talk about this. The

02:05:34 Speaker 28: results of our last service review.

02:05:35 Speaker 28: Every three years, we go through

02:05:37 Speaker 28: a service review here. It lasts

02:05:38 Speaker 28: a couple of days, and the

02:05:42 Speaker 28: last one that took place was

02:05:44 Speaker 28: last October on the 15th and

02:05:46 Speaker 28: 16th. It's held by the or

02:05:49 Speaker 28: performed by the Ministry of Health

02:05:51 Speaker 28: Emergency Health Regulatory and Accountability Branch.

02:05:55 Speaker 28: And again, they spend a couple

02:05:57 Speaker 28: days on site, more or less

02:06:00 Speaker 28: going through our entire service, looking

02:06:03 Speaker 28: at patient care, quality assurance, administration.

02:06:05 Speaker 28: Literally, I would say thousands of

02:06:07 Speaker 28: data points. They have a team

02:06:08 Speaker 28: lead, and then they have a

02:06:10 Speaker 28: management lead and a paramedic lead.

02:06:12 Speaker 28: They also bring somebody from fleet

02:06:17 Speaker 28: services from the ministry to look

02:06:19 Speaker 28: at our vehicles, and then they

02:06:21 Speaker 28: also bring paramedics to look at

02:06:22 Speaker 28: multiple factors from the bases to

02:06:24 Speaker 28: the vehicles to the. They go

02:06:25 Speaker 28: to the hospitals to look at

02:06:26 Speaker 28: patient care. They audit our ACRs,

02:06:28 Speaker 28: so they really go through all

02:06:30 Speaker 28: more or less every entity of

02:06:33 Speaker 28: the service delivery that we offer

02:06:34 Speaker 28: here, and they compare it to

02:06:36 Speaker 28: the standard and the regulations that

02:06:39 Speaker 28: we must follow to operate an

02:06:40 Speaker 28: ambulance service. So the Rio come,

02:06:42 Speaker 28: we met all the requirements of.

02:06:43 Speaker 28: the Ministry Health Service review, and

02:06:46 Speaker 28: we were recommended for a three-year

02:06:48 Speaker 28: extension of their of our licence,

02:06:51 Speaker 28: and that was in June of

02:06:53 Speaker 28: this year. We did get observations.

02:06:55 Speaker 28: There was nine in total. Four

02:06:56 Speaker 28: of them were around documentation. We

02:06:58 Speaker 28: also had an observation around deployment

02:07:00 Speaker 28: in regards to staffing and meeting

02:07:01 Speaker 28: the deployment plan. We had a

02:07:02 Speaker 28: paramedic that had an immunization. that

02:07:03 Speaker 28: was didn't have a signature on

02:07:05 Speaker 28: it, but was corrected. A paramedic

02:07:06 Speaker 28: that didn't have their ID on

02:07:08 Speaker 28: their person. It was a bit

02:07:10 Speaker 28: of a contention. It was in

02:07:11 Speaker 28: their in her sweater and inside

02:07:14 Speaker 28: the base, but it wasn't on

02:07:16 Speaker 28: her person. But, anyways, was fine.

02:07:17 Speaker 28: Loose equipment behind the vehicles, gloves

02:07:20 Speaker 28: and stuff like that, and four.

02:07:22 Speaker 28: And then a couple around egress

02:07:23 Speaker 28: stickers and some certification documents that

02:07:24 Speaker 28: we just had to fix up.

02:07:26 Speaker 28: So the observations primarily relate to

02:07:27 Speaker 28: the staffing, documentation, and administrative processes.

02:07:28 Speaker 28: None of the observations prevented the

02:07:30 Speaker 28: renewal, and we submitted all our

02:07:31 Speaker 28: responses, corrected everything that was identified,

02:07:34 Speaker 28: mostly at the time, and then

02:07:35 Speaker 28: also over the period of time

02:07:38 Speaker 28: between the review of the summary

02:07:48 Speaker 28: report and the final report. We

02:07:50 Speaker 28: we built this the service here

02:07:52 Speaker 28: around the regulation and standards. Everything

02:07:53 Speaker 15: that we do revolves around that.

02:07:55 Speaker 15: we do revolves around them. All

02:07:57 Speaker 15: our processes and all the things

02:07:59 Speaker 15: that we have in place are

02:08:02 Speaker 15: to meet them day in and

02:08:04 Speaker 15: day out. And I think that

02:08:05 Speaker 15: speaks to the work that the

02:08:06 Speaker 15: paramedics do, the supervisors, the managers,

02:08:07 Speaker 15: the administrative staff, and then also

02:08:11 Speaker 15: the support from county council and

02:08:13 Speaker 15: the SMT and all the departments.

02:08:14 Speaker 15: Got to give a shout out

02:08:15 Speaker 15: to our maintenance staff that maintain

02:08:18 Speaker 15: our vehicles top notch and all

02:08:21 Speaker 15: our equipment. Do the testing on

02:08:24 Speaker 08: it, and then whether it's IT

02:08:29 Speaker 08: or finance or clerks, whether Clerks,

02:08:30 Speaker 08: the agreements we touch almost every

02:08:35 Speaker 08: department in this county, and it

02:08:37 Speaker 08: makes a difference when it comes

02:08:39 Speaker 08: to the service review. There's a

02:08:42 Speaker 08: lot of work to get ready

02:08:44 Speaker 08: for it, but really, what it

02:08:46 Speaker 08: is is just looking at all

02:08:48 Speaker 08: the evidence that we do over

02:08:49 Speaker 08: the last three years to be

02:08:51 Speaker 08: able to show them all our

02:08:51 Speaker 08: processes and what we have in

02:08:53 Speaker 08: place. So, really happy for the

02:08:54 Speaker 08: team. It was very successful, even

02:08:56 Speaker 08: though we had some observations. But

02:08:58 Speaker 08: I would say just an excellent

02:09:00 Speaker 08: job all around. So, and we

02:09:01 Speaker 08: we continue to learn from these

02:09:04 Speaker 08: observations. and put things in place

02:09:08 Speaker 08: to help shore it up. I

02:09:11 Speaker 08: don't know if we'll ever get

02:09:13 Speaker 08: rid of the documentation. I hope