1. Health care NB Perspective Bill Fraser, MLA – Miramichi Bay du Vin Official Opposition House Leader Opposition Health Critic New Brunswick Legislative Assembly

2. Common Challenges Aging population Unhealthy lifestyles Human resources High expectations Escalating costs

3. Health care budget in NB $2.5 billion in 2010-2011 33 % of total provincial budget Continuing to grow at a rate of 6-8 % per year.

4. New Provincial Health Plan - 2008 Building a stronger primary care system Streamlining administration E-Health Long-term care strategy Quality improvement and accountability

5. PRIMARY CARE

6. Family doctors Percent of residents who have a personal family doctor 92.6% Male - 90.5% Female - 94.4%

7. How quickly appointment can be made with personal family doctor (% on same or next day) 30.3% Male - 30.3% Female - 30.2%

8. Model of Care Used Most Often Family doctor – 61.9 % Emergency department – 12.0 % After hours/walk-in clinic – 18.5 % Community health centre – 1.4 % Other – 6.3 %

9. Pay Structure for NB doctors Fee for service – paid based on the # of patients seen Salaried – same compensation regardless of how many patients

10. CATASTROPHIC DRUGS

11. Catastrophic Drug Coverage by Province Nova Scotia – yes Newfoundland & Labrador – yes Quebec – yes Ontario – yes Manitoba – yes Saskatchewan – yes Alberta – yes British Columbia – yes Prince Edward Island – NO New Brunswick - NO

12. MS Society leads grassroots lobby effort for catastrophic drug coverage for ALL provinces

13. LONG-TERM CARE

14. Aging Population Fewer taxpayers More users for health and senior services

15. Acute care vs. long-term care

16. “Keeping seniors independent longer saves on future long-term care costs.” - Margaret Manderson, Miramichi Senior Citizens Home Miramichi Seniors Citizens Home Inc.

17. Innovative ways to keep seniors living independently longer Day Programs

18. Innovative ways to keep seniors living independently longer Meals on Wheels

19. Innovative ways to keep seniors living independently longer Lifeline

20. “We’re working to transform long- term care.” Ken McGeorge Executive Director York Care Centre

21. Sharing information to find better solutions Links: www.miramichiseniorshome.com www.yorkmanor.nb.ca www.gnb.ca www.nbhc.ca www.miramichiseniorshome.com www.yorkmanor.nb.ca www.gnb.cawww.nbhc.ca

22. Questions / Discussion Thank you