Health & Social Services Committee November 29, 2016 1
Budget Process Council Information Session – November 9 Health & Social Services – November 29 Planning & Public Works – November 30 Administration & Finance – December 1 Council Approval – December 14 2
Regional Taxes Property Tax Impact of Regional Government Services (Per $100,000 CVA)** 2016 2017 Change Actual Budget $ % Regional Services $ 197 $ 200 $ 4 1.9% Police Services* 114 116 2 2.0% Total Regional Taxes $ 310 $ 316 $ 6 1.9% Schedule may not balance due to rounding. * Approved by Police Services Board ** Based on projected 1.7% assessment growth 2017 Total Regional Taxes per $100,000 CVA is $316, increase of $6 or 1.9% over 2016 Tax impact based on a projected assessment growth of 1.7% 2017 Police Services Budget approved by the Police Services Board requires a net expenditure increase of 3.7%, with a 2.0% tax impact after assessment growth 2017 Budget – Pg 18 3
2017 Tax Supported Budget (excluding Police) Net Operating Budget for Tax Supported Services (Excluding Police Services) Levy Requirement by Program $000s 2016 2017 Change in Budget Approved Base Strategic Requested 2017 Base to 2017 Requested Budget Budget Investments Budget 2016 Budget to 2016 Budget Public Health Resources $ 2,000 $ 2,250 $ - $ 2,250 $ 251 12.5% $ 251 12.5% Healthy Environments & Communicable Disease 4,817 5,192 - 5,192 374 7.8% 374 7.8% Healthy Families 5,568 5,946 - 5,946 378 6.8% 378 6.8% Clinical Health Services 4,062 4,028 85 4,113 (35) -0.8% 50 1.2% Paramedic Services 16,917 17,812 782 18,594 896 5.3% 1,677 9.9% Children's Services 11,503 11,281 85 11,366 (222) -1.9% (137) -1.2% Employment & Social Services 7,015 6,415 142 6,557 (600) -8.5% (458) -6.5% Housing Services 35,882 36,425 689 37,114 543 1.5% 1,232 3.4% Quality & Service Integration 5,725 5,734 600 6,334 9 0.2% 609 10.6% Services for Seniors 17,583 18,079 - 18,079 496 2.8% 496 2.8% Planning 10,688 12,002 181 12,182 1,314 12.3% 1,494 14.0% Economic Development 2,312 2,571 - 2,571 259 11.2% 259 11.2% Waste Management 41,341 41,344 60 41,404 2 0.0% 62 0.2% Road Operations 49,608 51,291 - 51,291 1,683 3.4% 1,683 3.4% Non-Program 16,242 16,070 428 16,498 (172) -1.1% 256 1.6% Boards & Agencies 9,551 10,031 - 10,031 480 5.0% 480 5.0% Net Regional Impact 240,814 246,470 3,050 249,520 5,656 2.3% 8,706 3.6% Assessment Growth (4,094) 1.7% Regional Levy Requirement $ 240,814 $ 246,470 $ 3,050 $ 249,520 $ 5,656 2.3% $ 4,612 1.9% 2017 Budget – Pg 23 4
Provincial Subsidies Provincial Subsidy Revenue By Program $000s 2016 2017 Change in Budget Public Health Resources $ 2,586 $ 2,541 $ (44) -1.7% Healthy Environments & Communicable Disease 7,332 7,219 (113) -1.5% Healthy Families 7,830 7,716 (114) -1.5% Clinical Health Services 6,168 6,519 350 5.7% Paramedic Services 16,087 17,104 1,017 6.3% Children's Services 46,155 46,221 66 0.1% Employment & Social Services 20,334 21,720 1,386 6.8% Housing 11,503 16,894 5,391 46.9% Services for Seniors 33,427 34,129 702 2.1% Road Operations 100 100 - 0.0% Economic Developmemt 95 143 48 50.8% Heritage Services 55 56 1 1.0% Total $ 151,672 $ 160,362 $ 8,690 5.7% 2017 Budget – Pg 101 5
Ten Year Capital Forecast ($million) 2017 2018-21 2022-26 Total Rate Program: Water $ 31.7 $ 326.9 $ 753.6 $ 1,112.2 Wastewater 52.2 526.9 500.4 1,079.6 Sub-total $ 83.9 $ 853.8 $ 1,254.0 $ 2,191.8 Tax Program: Transportation $ 70.9 $ 720.2 $ 702.8 $ 1,493.9 Waste Management 1.9 30.2 9.2 41.3 Planning 22.4 82.5 77.6 182.5 Asset Management 6.0 46.8 19.2 72.0 Paramedic Services 2.4 8.1 14.3 24.8 Health & Social $33.8 Public Health - 1.4 0.7 2.0 Services million Services for Seniors 0.7 2.6 3.3 6.5 Children's Services 0.1 0.2 0.3 0.5 Corporate Admin 4.3 17.7 23.7 45.7 Police 10.1 42.7 19.2 72.0 Sub-total $ 118.6 $ 952.4 $ 870.3 $ 1,941.3 Total $ 202.5 $ 1,806.2 $ 2,124.4 $ 4,133.1 Includes financing cost. Schedule may not add due to rounding. 6
Halton Region Budget and Business Plan 2017 Health Department 7
2017 Priorities Enforcing Paramedic Core public Modernization Immunization of Response Time health services Review of School Pupils Act Targets Ontario Public & (ISPA) Health Construction of E focus on Standards Expanded Human Milton & SW health equity Papilloma Virus Oakville stations Patient’s First (HPV) Paramedic Advocacy to immunization Services 10 ‐ Year the Province Master Plan regarding funding pressures 8
Health Department Budget Summary 2017 2016 $000s Budget Budget Change Corporate Gross Subsidies Charges & Net Tax Net Tax Health Department Cost & Revenue Financing Impact Impact 2017-2016 Public Health Resources $ 4,855 $ (2,553) $ (51) $ 2,250 $ 2,000 $ 251 12.5% Healthy Environments & Communicable Disease 12,091 (7,276) 376 5,192 4,817 374 7.8% Healthy Families 13,331 (7,806) 421 5,946 5,568 378 6.8% Clinical Health Services 10,590 (6,597) 120 4,113 4,062 50 1.2% Paramedic Services 34,722 (17,115) 987 18,594 16,917 1,677 9.9% Total $ 75,588 $ (41,348) $ 1,854 $ 36,094 $ 33,364 $ 2,730 8.2% FTE 13 473 460 2.9% 2017 Budget – Pg 118 9
2017 Budget Drivers Public Health Subsidy Subsidy Budget Anticipated Shortfall $000s 2016 2017 Change 2016 2017 Change MOHLTC - Public Health: 75% Cost-Shared Programs $ 18,353 58% $ 17,996 56% $ (357) -2% $ 5,328 $ 6,035 $ 707 100% Funded Programs 1,863 83% 2,275 85% 412 22% 388 414 26 Subtotal $ 20,216 60% $ 20,271 58% $ 55 0% $ 5,716 $ 6,449 $ 733 Other Public Health Funding: Healthy Babies Healthy Children $ 1,874 59% $ 1,874 57% $ - 0% $ 1,283 $ 1,422 $ 139 Canada Prenatal Nutrition 90 99% 90 100% - 0% 0 0 (0) Subtotal $ 1,964 60% $ 1,964 58% $ - 0% $ 1,283 $ 1,422 $ 139 Total $ 22,180 60% $ 22,235 58% $ 55 0% $ 6,999 $ 7,871 $ 872 2017 Budget – Pg 119 10
2017 Key Performance Indicators Measure & Outcome Target Actual 2015 Projected 2016 Projected 2017 Achieved Annual Response Time Targets for Paramedic Services Achieved Achieved Achieved Report MO-17-16 2013 2014 2015 2016 2017 Key Performance Indicator Actual Actual Actual Projected Projected Immunization - Percent of 16/17 Year Old Students in Compliance with ISPA n/a n/a 88.8% 90.0% 90.0% Requirements Immunization - Number of HPV Doses 4,393 4,471 5,353 3,835 8,070 Administered (School Year) Paramedic Care - Number of Patient 25,575 26,784 27,959 30,195 31,705 Transports Paramedic Care - Total Call Volume 38,400 40,664 42,881 47,512 49,887 2017 Budget – Pg 83, 133 & 135 11
2017 Strategic Investments Public Health - $85,000 $85,000 (net, no subsidy) for additional nursing hours for Immunization Services Paramedic Services - $1.5M 11.6 Paramedics - $1.3M (net $708,000 after subsidy) 1.5 Logistics Officers - $139,000 (net $74,000 after subsidy) 12
Halton Region Budget and Business Plan 2017 Social & Community Services 13
2017 Priorities Activate Early Increase investment Better use of SAMS Create new assisted Finalize Review of Learning and Child in HRCIF to improve client housing Regional Services Care Plan experience opportunities for Older Adults Develop Community Preserve social Create Ontario Early Safety & Well-being Help job seekers Participate in housing stock Years Child & Family Planning Framework obtain sustainable accreditation Centres employment Increase housing process for Foster innovation in implementation plan with supports Services for addressing food Evaluate Prevent Seniors Increase research insecurity effectiveness of homelessness capacity at OKN Regionally funded Update Emergency Implement a low-income Develop a Expand school age Evacuation Centre centralized staff programs Community supports for Plan scheduling model Development children with special Develop 3 year Framework for needs strategic plan for the HCHC Halton Newcomer Strategy 14
Social & Community Services Budget Summary 2017 2016 $000s Budget Budget Change Corporate Social & Community Gross Subsidies Charges & Net Tax Net Tax Services Cost & Revenue Financing Impact Impact 2017-2016 Children's Services $ 58,134 $ (47,038) $ 270 $ 11,366 $ 11,503 $ (137) -1.2% Quality & Service Integration 6,399 - (65) 6,334 5,725 609 10.6% Employment & Social Services 29,081 (22,782) 258 6,557 7,015 (458) -6.5% Housing Services 59,780 (19,348) (3,319) 37,114 35,882 1,232 3.4% Services for Seniors 63,851 (47,892) 2,120 18,079 17,583 496 2.8% Total $ 217,245 $ (137,060) $ (736) $ 79,449 $ 77,707 $ 1,743 2.2% FTE 744 742 2 0.3% 2017 Budget – Pg 137 15
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