CFN – The meeting space at McConnell Manor was full in Cornwall Ontario as presentations and consultations took place. Organized by Mark A Macdonald, former City Councilor and two high school students (Josh Welsh &Emily Ladoucer-MacDonald) The public was able to discuss the future of the old Cornwall General Hospital; something that CCH management are refusing to do as you can see in our interview footage with both Jeanette Despatie & Helen Periard.
While Ms Periard & Despatie are insisting on the sale being a “Done Deal” members of the public are wrestling with the lack of communication to the public or accountability. It’s almost impossible to figure out whose really responsible and why the sale has been handled in the manner it has.
First speaker was City Councilor and member of the board of the EOHU, Andre Rivette.
What we do know and confirm is that the Hospital cannot be sold without permission of the Minster of Health, Deb Matthews.
We do know that City Councilor Bernadette Clement is on new Premier Kathleen Wynne’s transition team. IE she has the ear of the Premier to nibble on about gaining support for Healthcare in the region.
We do know that the plan nearly a decade ago was to move the Hospital, but this scribbler sees no documents that suggest that this hospital change hands in the manner that it has.
We do know that in spite of the EOHU wanting a Task force to look at alternative health care uses for the facility that Ms. Periard & Despatie put the hospital up for sale without having a RSP for which real estate company would handle the sale and instead tossed it over to Remax whose Terry Langdon handled the Benson centre lands as well.
We know that the hospital is refusing to share if they really did have an evaluation and if so who performed the evaluation. As you’ll see in the question session video that one gentleman showed up with comparative listings that made the $2M sticker price non-sensical.
We know that there seems to be a total vacuum of leadership from the Mayor to the MP. While our MPP showed up late and has been positive he seems to be shying away from actually stepping up and one, asking for a continuation of the funding for the 32 short term care beds at Second Street nor is he seeming willing to find solutions to protect the facility for the future.
MPP McDonell arrived late to the meeting and did not speak. He did answer questions after from myself and Greg Kielec of The Journal.
We also know that no clear numbers are available as to the clear costs of using this facility.
See all the players have the same answer; that it’s not their area of responsibility. And to a degree they’re right. It really is up to the community to put pressure so that our public servants respond.
We do need a current public consultation which covers honest questions and honest answers as opposed as the BS presentation made to council last week that really wasn’t challenged. After all, if you don’t ask the right questions you won’t get the right answers. And that begets the question as to why our Mayor and council refuse to ask those questions?
By far the most impressive speaker was Ms Manon Thompson who has worked in the past for both the hospital and CCH foundation. Ms Thompson actually crunched some numbers that illustrate the crisis that our area, rich with voters over the age of 65 will need place in the short future.
It has been the community who has built both hospitals. And it is money from your pockets that has kept these two hospitals alive and running.
Sadly CCH did not send a representative; nor did City Hall as they did a flash call budget meeting that precluded council from attending. Councilor Rivette, who spoke, did so as board member of the EOHU and had to leave to attend the budget meeting; a rare call for a Monday night.
Healthcare being something that is my personal issue of choice meant that I’m active in this crisis as well.
Again, it’s up to the public to stop this sale or to make sure that if a sale takes place that the facility ends up in some form of Community trust or entity that will allow it to continue to be used for Health Care in our community.
Mark answered some questions after the meeting.
The bottom line is that there is no clear solution at this point. The first step is ceasing the sale which we have created the following petition for until the community gets some clear answers and is consulted with. After all it’s the community that pays the price at the end of the day!
[emailpetition id=”2″]
[signaturelist id=”2″]
In the meanwhile here are a list of organizations that should play some role in finding a solution.
The EOHU
Cornwall City Council
United Counties of SD&G
Mohawk Council of Akwesasne
The Champlain LHIN
The Ontario Ministry of Health
Health Minister Deb Matthews
MPP Jim McDonell
Organizers of the Coalition will be creating print petitions as well.
You can also vote in our polls below and post your comments.
I want to Thank-you for the coverage and and video off the meeting and all the work .Interviewing all parties involved great job .I applaude Mister Rivette for his support and Mister MacDonald for standing up for what is best for all of us Thank-you. As for Jeanette & Helen they don`t seem to be stable and not the quality staff that should be running a hospital.
I would like to see them read us the rules for amalgamation.
I would also like to see them read the French Language service Act. I read them and the actions of Jeanette and Helen have made me ashame of being a true French Canadian.
I feel they should sign the General Hospital back to St.Josheps continuing care did they not donate the hospital on McConnel in the first place.Too much history to be lost for stupidiy,And The BS from the mayor not married to the hospital ,What about us his city and all surrounding areas is he not married to us either.Mister Rivette would be a better mayor and Mister MacDonald could be a councilor again.
Please someone with a better education than me read the (FLSA)and (amalmagation) rules and tell me if I am wrong.I truley beleive they are breaking the rules .
Thank-you for letting me voice my opinion!
Thank you for that comment and welcome to CFN Stacey!
With the care need for our seniors about to explode ANY potential buyer should be required to make a commitment to provide this property as a private health care facility.
This would act financially the same as any Manor, Residence or Senior acute nursing care in that where financial needs are required, then social services for care should be applied just as it is with any other such facility in the counties.
A qualified purchaser suggestion would even extend to Akwasasne MCA who can set this up in this way for their seniors as welll as the rest of the S.D. and G counties. Perhaps an interview about this could be arranged with Akwasasne MCA…..if purchasing private property off the Reserve is in their venue and in a away that would extend their current needs.
It is currently ‘rumored’ that they would like to have their own hospital……well then, why not this one?
Would the city be able to enact a use bylaw for a health care facility only for this property prior to any purchase.
Code 10 is an open door for mkulti applications for the site location. This is an open window to use for any purpose a buyer may have. If it is NOT the same as we prefer, so sad, too bad, as it stands now.
Dave,
Couldn’t blame the Akwesasne people for wanting their own hospital as I hear first hand over and over how CCH does not accommodate to “their people”. With a lot higher native populations, it only stands to reason that CCH if making any bilingual “rules” should have supported them rather than the very small, elite French only group here in town. Money talks.
^Good idea! The city could enact a bylaw to provide more time. It would then go to the Ontario Municipal Board for review. Stall things for at least six months.
Stacey
February 5, 2013 at 7:01 pm
“I would also like to see them read the French Language service Act. I read them and the actions of Jeanette and Helen have made me ashame of being a true French Canadian.”
Thank you Stacey for speaking up on the inequity the Hospital has created under THEIR version of implementing the french services language act.
I am French /Native as well as Scottish I remain proud of my french roots as all others .
But because I do not speak french does not make me any less french.
Is the Haitian more french then I because they speak french?
I understand the need to provide French services where “warranted”,yet I will not agree that it should violate others rights.
The FLSA states:
Existing practice protected
6. This Act shall not be construed to limit the use of the English or French language outside of the application of this Act. R.S.O. 1990, c. F.32, s. 6.
7. The obligations of government agencies and institutions of the Legislature under this Act are subject to such limits as circumstances make reasonable and necessary, if all reasonable measures and plans for compliance with this Act have been taken or made. R.S.O. 1990, c. F.32, s. 7.
– limits as circumstances make reasonable and necessary,
The hiring policies for need of services have far surpassed reasonable!
Functions
(2) The functions of the Minister are to develop and co-ordinate the policies and programs of the government relating to Francophone Affairs and the provision of French language services and for the purpose, the Minister may,
(e) require the formulation and submission of government plans for the implementation of this Act and fix time limits for their formulation and submission.
-Where is the measurable outcome of the hiring policies that is representative to the community? The hospital has not given any indication of this.
Human Rights Code PART I
FREEDOM FROM DISCRIMINATION
Services
1. Every person has a right to equal treatment with respect to services, goods and facilities, without discrimination because of race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity, gender expression, age, marital status, family status or disability. R.S.O. 1990, c. H.19, s. 1; 1999, c. 6, s. 28 (1); 2001, c. 32, s. 27 (1); 2005, c. 5, s. 32 (1); 2012, c. 7, s. 1.
How is it the government supports FRENCH ONLY clinic services as this violates the above statement.
Employment
5. (1) Every person has a right to equal treatment with respect to employment without discrimination because of race, ancestry, place of origin, colour, ethnic origin, citizenship, creed, sex, sexual orientation, gender identity, gender expression, age, record of offences, marital status, family status or disability. R.S.O. 1990, c. H.19, s. 5 (1); 1999, c. 6, s. 28 (5); 2001, c. 32, s. 27 (1); 2005, c. 5, s. 32 (5); 2012, c. 7, s. 4 (1).
-For the government to hire bilingual applicant it discriminates through ancestry as the applicant has a different cultural background.
PART II
INTERPRETATION AND APPLICATION
Constructive discrimination
11. (1) A right of a person under Part I is infringed where a requirement, qualification or factor exists that is not discrimination on a prohibited ground but that results in the exclusion, restriction or preference of a group of persons who are identified by a prohibited ground of discrimination and of whom the person is a member.
The requirement of bilingualism is an exclusionary factor in the Ontario Government as well as Cornwall Community Hospital-through ancestry.
Why Mr Cameron has this subject about the Cornwall General hospital become a language issue.. I am personally fed up that every topic that is discussed ends up in language discussions and vents..
Long term facility beds are definitely in short supply here in Cornwall.. I know of 3 people waiting to get into these places and there is a long wait..
I agree let’s stick to the topic and stop talking about language unless directly related to the article.
However, thank you Chris for your input and is nice to see you involved in something other than the language issue.
Organizing and delivering a clear message is important! To gain support for this cause we need to show how this facility “could be used” to spark debate.
Ex. Dr. Baitz suggested a Dr. Clinic in Cornwall and this facility may be part of that solution. However, the costs still need to be varified or all of this talk and effort for, regarding the General Hospital, could be for nothing!
We truly need to clarify if this building is suitable for different uses! This is where the hospital team and management could lend some advice based on their studies to help everyone and provide clarity!
Thank You,
Mike Bedard
Dr Baitz is again right on target with his proposed solution
I could never understand why a Dr. does not have patient services in a hospital rather then in offices around town. Imagine how economically efficient it would be setting a fixed rate for Dr’s to set up in a hospital. There are many variations on billing possibilities but a flat rate would best suite all.
Leaving money out of it, if a patient needs emergency services, it is merely an elevator ride to the patient.
Mike the costs need to be verified? Or quantified?
Putting them in one facility provides
cost reductions – as well as energy, consider costs and benefits associated with repairs and maintenance, reduced water use, reduced waste charges, material inputs or labor costs
Salvage value of surplus assets – if equipment is no longer required and can be sold turning revenue back into the facility
Avoided or deferred capital expenditure as well as shared costs in original set up– in one case we would also have reduced energy consumption creates spare capacity.
Productivity improvements – where access is a constraining factor, or if modifications increase patient satisfaction and ease of services
Quality improvements – a happy client always makes for a happy employee for they are usually one in the same
Verified? I think it already is done; we do not need another professional services group to revisit old data and tell us how to do the obvious. That also takes away from the work being done
Stacey wrote: As for Jeanette & Helen they don`t seem to be stable and not the quality staff that should be running a hospital.
Hmmm wondering how YOU arrive to that conclusion? If you never had dealings with them, how can you publicly degrade someone you don’t personally know? Until you know all the facts, you have no right to judge.
Stacey also wrote: I would also like to see them read the French Language service Act
What does the Act have to do with this article? The same question goes to Chris. The answer to that question is very simple………LANGUAGE HAS NOTHING TO DO WITH THIS ARTICLE SO LEAVE IT OUT!!!!!
@ stella
Oh language WILL eventually have a lot to do with it. First off, those 2 women running the show were most likely trying to make a quick sale to some Franco group for a measly $2 million. Dump it quickly and quietly.
Yes, we are discussing about the building itself, but if Chris, Stacey or anyone else wants to elaborate now and then it is not your place to JUDGE them.
This city of language discrimination will not play fair when it comes to hiring practices. I will not mention language here again to keep the whining to a minimum, BUT I must commend Chris for standing up for language AND the seniors/those needing special housing. His name is on the boards and it is on the petition. Do you not care about seniors Stellla? Or is your name Jeanette or Helene and that is why I don’t see you signing the petition.
Stelll interesting post, but when you state
‘Hmmm wondering how YOU arrive to that conclusion? If you never had dealings with them, how can you publicly degrade someone you don’t personally know? Until you know all the facts, you have no right to judge.”
I ask you, how do you know poop is bad if you haven’t tried it?
My big concern is, are we being had yet again with the big flip…..by low, sell high IN SHORT ORDER.
$2,000,000,000 can be turned into $6,000,000,000 easy enough………….$6,000,000,000 can be rolled over into $12,000,000,000 before A 5 or 6 year cycle and so on until it reaches its more truer value…….WAIT AND SEE.
IT IS VERY DOUBTFUL THAT ANY INITIAL BUYER WOULD HAVE THE SAME DESIRES AS THIS COMMUNITY TO SEE AN APPROPRIATE FIT FOR SENIORS CARE AND PERHAPS DOCTORS CLINIOC/OFFICES….
AND DOCTORS BEDS AS IN WHAT WE ARE LOSING, PARDON ME FROM WHAT WE HAD, D32 BEDS FDOR THIRD NORTH REHAB…MUCH NEEDED PULLED OUT FROM UNDER A DOCTOR IN CHARGE……
typifies the kind of politics involved between doctors and management…no freakin wonder we are losing doctors left and right and none of the wish to be in residence at the hospital (CCH) itself.
Go figure.
In reply to what this has to do with the (FLSA).
This was all predicted on october 31 1985!
Legislative Assembly of Ontario!
By who you say?
Dr.Robert W Harris ,”Because of the restrictive qualities of the Regie de l`assurance-maladie du Quebec and the contraction in
patient care facilities,such as hospital beds,operating time ,etc…..
Who is he ?
He was the man who reconstructed alot of hands that where crushed in the rollers at Domtar!
He was the only specialist of his kind in the region at that time,he worked at Cornwall General hospital and Hotel Dieux.
I was there at the Hospital in Montreal in 1976 with my mother.
My mother was in labour and told take a number and wait in line.
The health care in ontario is the same now as it was in the point St. Charles in 1976.
The Cornwall community hospital has biting off more than it can chew .The nuns gave hotel dieux to them us whoever for free,Not the General .The hotel dieux took on the (flsa)this act has it`s own downfalls and exempts.
The act excludes Long-term care and mental illness (3rd south).
Why do you think they are pushing everything out in the community they are acute care only .
These are the same reasons we lost good doctor`s and nurses to the USA.
The rules to amalmagation was ,We don`t loose services and what`s happening all we have been doing is losing.
And the ministry didn`t say sell the hospital,It`s Helen,and Jeanette `s Recomendation Why where they so secretive watch the video she is laughing in our face.How do the patients that are in the Genral hospital feel,With a For sale on the building nothing but undue hardship for nothing that cant be healthy for them or our seniors that are being affected over political crossfire.
An important note on the FLSA in Ontario . This is not a mandatory program or requirement but rather an optional position that the hospital board adopted. Police forces such as the Cornwall Police Force which also serve the community in a vital capacity took a different path and chose to be reflective of the needs of the community when it comes to language. How progressive and fair minded is that ? Not to mention far sighted !
Love your passion Stacey! Yes, doctors leaving are another BIG issue. By the way I wonder if people know that until recently we had a cardiologist from Ottawa practising here. Reliable source told me that the other 2 older internists couldn’t get along with him so he went back to Ottawa. CCH also has a huge control over OR time and Doctors are forced elsewhere if you challenge them. Hmmm seems to me I heard that Dr. T is working in the US as well now, even with such a busy practice.
RE: Dave, ENOUGH with the language fiasco you discredit a valid cause by adding your FLSA BS to every debate …Stop!!!
My wife and I attended an information session for Pre-Kindergarten Parents tonight and the Principals and Teachers made sure to ask if anyone could not speak French as they would speak in English for the parents!
Do you think that anyone at any English school would be as willing, or capable, of speaking French for Francophone parents?
NO they wouldn’t!
The Francophone, who are proud to help everyone learn French are NOT the problem!
Did you know that many SMART parents send their kids to French school even though they cannot speak a word of French themselves? Did you know that the French Catholic School that we attended made sure to offer additional support to those children and parents who fall into this category?
Your pre-conceived hatred due to personal issues stop you from seeing how beneficial and better we can be if our community was more cultured!
RE: Haily Brown, I am a graduate of St. Lawrence College’s Business Administration Accounting Program and the recipient of the President’s List Awarded for Highest GPA in my Program!
This still did not save me from making some poor financial decisions that had me buy and then close a business for various reasons!
I was “too” passionate and eager in the past but have learned early in life to get my ducks in line before making any serious decisions. This is a very serious decision that cannot be made without some serious leg work!
All of your points are valid but none of them over shadow the fact that it may be cheaper and more efficient to build rather than renovate! This study/work may have already been done by the Hospital and can provide some vital details and, if provided by hospital staff, could possibly create some unity instead of divide on this topic!
I respect all of the Hospital’s staff and administration and you should too if you want to truly see some progression!
True Progression would be all of us working together ….would it not?
Thank You,
Mike Bedard
Mike
I appreciate that you accomplished so much for yourself, especially in college. But a personal achievement and college best in book smart does not really rank all that high in my book.
I would rather see a person achieve a “d” but has the ability to work well with others and have a good understanding of the expectations of the job and the ability to listen and learn.
The problem with book smart is all to often the individual is poor with actual working conditions, poor with attitude and so sure of themselves that business is often lost.
I also do not understand why you even have to mention your school grades. It appears you are still seeking approval from your peers.
The hospital staff or the people working with patients for the most part are amazing. However, I know Helen and she has always been pompous and self serving, Jeanette, I can see by her approach to things she too must have been book smart as her ethics in business practices are poor. That combined with Helen’s attitude are cause for the poor service many people receive.
I have not used the hospital myself in years. All my health needs are met in Kingston. Even something as simple as parking is easier to access and cheaper.
Take a look at how the Hospital was built in Oakville. They have put a program together that will allow it to be built managed and maintained for 3o years costing only 2 billion, and accounts for inflation of 2.7 billion have been planned for. What have we cost taxpayers so far for a simple…for the mess they have made in Cornwall thus far? And please do not get me started on the code violations that are rampant in the facility.
Something our very Jeanette and Helen would shun responsibility for.
@ Mike
“…the fact that it may be cheaper and more efficient to build rather than renovate! This study/work may have already been done by the Hospital and can provide some vital details and, if provided by hospital staff, could possibly create some unity instead of divide on this topic!”
Do you believe in the tooth fairy Mike? Have you not yet figured out that the hospital does not share anything with the public unless it fits their own agenda. Keep the faith, sit back and believe in CCH…..remember Jeanette laughs at the camera and says, “We are in the acute care business”. It is Mark, Andre, Jamie etc that are trying to save a place for seniors and those in need by exploring possibilities.
As for your comment on respect, well respect is mutual. The community respected CCH. Perriard has been there 8 yrs(Despatie longer) and during that time they have worked hard to maintain an all time low rating with the community. When these 2 laugg/ smirk during interviews while withholding info and doing underhanded things that do NOT benefit the community, well they’ve lost my respect. Lets get new blood in there and then we can start fresh. Some goes for city council!
Mike Bedard
February 7, 2013 at 12:09 am
“Did you know that many SMART parents send their kids to French school even though they cannot speak a word of French themselves? Did you know that the French Catholic School that we attended made sure to offer additional support to those children and parents who fall into this category?”
Mike now your saying only Smart parents (emphasized) the SMART send their kids to french schools !
That insults all those parents that do not !
Mike is not enrolling the children in French immersion allowing the opportunity to learn a second language or must it be a French school that makes the parent “SMART”.
please view :
http://www.theglobeandmail.com/commentary/why-is-french-immersion-so-popular/article8206738/
Do you not see that is a very ethnocentric statement?
Mike Bedard
February 7, 2013 at 12:09 am
RE: Haily Brown, I am a graduate of St. Lawrence College’s Business Administration Accounting Program and the recipient of the President’s List Awarded for Highest GPA in my Program!
Mike do you need recognition for this …there there pat pat -hows that .
I had been in post secondary school for near ten years taking of variety of courses and am well rounded.
I have met some that are educated but yet not smart and others who may not have those credentials or education but remain very smart as they research and inform themselves.
An education does not make one superior.There are many out there who may not have our credentials but are much smarter then you or I .
Thank You
Highlander
yes, look at Gilles Latour. He allegedly didn’t even graduate high school and he’s president of Team Cornwall and handles people’s money for a living! Education isn’t everything.
Educating oneself is a life long experience,its dependent on the persons willingness inform themselves.
Some of the richest people in the world are not that educated as per say ,but are smart and had the foresight and the ambition to see trends and follow through with their ambition.
Education is a great tool but its ambition and drive that gets you to your goal.
Mike Bedard has been schooled by the ladies! He really is looking for a pat on the back, as always talking about his “great accomplishments and defeats (not his fault?).” Now we get to know he has a wife and a kid going to French Catholic school. He would be very funny if he wasn’t such a tormented little man.
.
Good luck with pool company number three.
Haley wrote: That combined with Helen’s attitude are cause for the poor service many people receive…….
Oh ok. Hmm…..I’ve read many letters to the editor where people had nothing but praise for our hospital……but of course there will always be those who are never happy with anything or anybody.
Highlander wrote: There are many out there who may not have our credentials but are much smarter then you or I ……..FOR ONCE I AGREE WITH YOU………**smile**
Stella,
Again you seem to miss understand what was stated.
A few people sing praise and to you all is rosy. It a poor standard we set for ourselves accepting so little and paying so much for it. Raise the bar stella
Maybe you need a little time abroad and see what service and a efficient system is all about. As I said for all my own personal health needs I visit Kingston HDH.
admin
Latour is an old business name in the area. He is riding on dads accomplishments and rapport .
Different fields but once a mamber always a member
Hailey Brown February 8, 2013 at 6:22 am
Stella, Again you seem to miss understand what was stated.
That seems to be a frequent for her to misunderstand and misinformed others.
stellabystarlight February 6, 2013 at 3:30 pm
“Until you know all the facts, you have no right to judge.”
OMG LMAOFD YOU of all people stating this when on numerous occasions admitted you do not look ANYTHING UP.
So when you post its propaganda as you till this day not have provided ANY FACTS to back your statements.
Mike BedardFebruary 7, 2013 at 12:09 am
RE: Dave, ENOUGH with the language fiasco you discredit a valid cause by adding your FLSA BS to every debate …Stop!!!
Stop!! Though Dave Oldman and I have a lot in common, including ideas that just may work for the CGH regeneration, I request you be sure of which Dave to whom you refer in your comments. Thanks Mike.
Thank you oppressed 2
Yes but Dangermanmi6 the General Hospital was not under the FLSA :
Reference :French language services commissioner report 2011-2012 to Francophone Minister Madeleine Meilleur
Under designation of government agencies 1.3.1 advantages(a)
“Indeed ,designation allows agencies to benefit from legal and political protection under the French Language services act.A designated agency or program provides it supplier with immunity that protects it from changes in the economic and political climate .Montfort Hospital is the most eloquent example of this advantage:it was able to avoid being shut down and broken up precisely because of its designated status.”
“A request for designation ,which is the result of a courageous decision by the Board of Directors ,is,above all,a highly significant political gesture .Status as a designated institution confers recognition on two levels,namely in socio-political and political spheres ,while providing a certain notoriety.Naturally ,designation acts as a political and legal shield by providing quasi-constitutional protection against the potential reduction or discontinuation of programs and services, Finally,designation has the advantage of promoting budgetary stability .This is an undeniable fact.”
You see Dangermanmi6 this is all politically driven ,if you are not designated then you do not have political protection.So yes their is a tiered system within the health care ministry.
further on the report :
“In the case of Cornwall Community Hospital ,which was created out of the merger of two health care facilities ,including Hotel Dieu Hospital ,that is precisely what happened.And given the fact the Hotel Dieu Hospital was designated under the French Services Language Act ,the new medical facility was then obliged to also apply for designation under the act .having acted any differently would have been disastrous for the Francophone community and ,more importantly ,illegal under the act and unconstitutional according to the UNWRITTEN principles of the Canadian Constitution ,as was illustrated in the Monfort court case.”
The loss of the second street site(general hospital) is directly related to the FLSA.
Under comments with regards to the report;
“Happily ,the widely reported episode of the people who objected to the implementation of the French Services Act at the Cornwall Community Hospital showed us that (i)the institution managed to stand its ground on FULL COMPLIANCE with the act ,and (ii) such attempts to generate language crisis simply do not work in 2012.”
When Madam Madeleine Meilleur (Francophone Minister) was asked by reporters with regards of the implementation of Cornwall Community Hospitals FLSA.
She stated that the Hospital was responsible for the implementation but had felt that they perhaps went beyond their mandate.
The government was only to provide the act ,whereby the institutions are to implement as they see fit.
The question where is the measurable outcome with regards to “Where Numbers Warrant.
DEEPLY POLITICAL and decisions made on politics and not for patient needs.