{"id":55356,"date":"2025-02-23T10:07:38","date_gmt":"2025-02-23T14:07:38","guid":{"rendered":"https:\/\/www.chmafm.com\/welcome\/?p=55356"},"modified":"2025-02-24T10:17:54","modified_gmt":"2025-02-24T14:17:54","slug":"local-fire-departments-are-subsidizing-ambulance-nb-to-fill-rural-service-gap-say-groups","status":"publish","type":"post","link":"https:\/\/www.chmafm.com\/welcome\/local-fire-departments-are-subsidizing-ambulance-nb-to-fill-rural-service-gap-say-groups\/","title":{"rendered":"Local fire departments are subsidizing Ambulance NB to fill rural service gap, say groups"},"content":{"rendered":"\n<figure class=\"wp-block-image aligncenter size-full\"><img fetchpriority=\"high\" decoding=\"async\" width=\"618\" height=\"608\" sizes=\"(max-width: 618px) 100vw, 618px\" src=\"https:\/\/www.chmafm.com\/welcome\/wp-content\/uploads\/2023\/03\/Memramcook-fire-FB.jpg\" alt=\"\" class=\"wp-image-29965\"\/><figcaption class=\"wp-element-caption\">Memramcook Fire Department vehicle. Image: Facebook\n<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Three provincial groups are calling for reform of the province\u2019s ambulance services, and what they say is an increasing reliance on volunteer fire departments to fill in the gaps in rural ambulance services.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThere is a gap in what should with the coverage should be,\u201d says Roger Pitre, first vice president of the New Brunswick Association of Fire Chiefs and fire chief in Rogersville. \u201cWe&#8217;re being asked to fill that gap.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">The association of fire chiefs is joining the Union of Municipalities of New Brunswick (UMNB) and the Paramedic Association of New Brunswick in a joint call to address what they call \u201clong-standing structural issues\u201d with the system before the province renews its contract for the delivery of ambulance service with Medavie Health Services in 2027.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Pitre says there\u2019s design flaws with the current dynamic dispatch system that result in ambulances being moved out of rural communities whenever urban ambulances are tied up with calls or offload delays at hospitals. That increases rural response times, and creates a need for rural fire departments to be called in.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">In 2020, <a href=\"https:\/\/www.agnb-vgnb.ca\/content\/dam\/agnb-vgnb\/pdf\/Reports-Rapports\/2020V1\/Chap3e.pdf\">then auditor general Kim Adair-MacPherson reported<\/a> that the way Ambulance NB\u2019s performance is measured actually hides problems in rural areas, and \u201cputs rural and remote communities at a disadvantage.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Ambulance NB has targets of 8 minutes and 22 minutes to respond to calls in urban and rural areas, respectively. And there\u2019s incentives built into their contract that give financial bonuses if they meet those targets 90% of the time. But the results are averaged across rural and urban communities, which means the service is incentivized to focus on urban response times, where the number of calls are higher, to keep their average above 90%. When the auditor general\u2019s office crunched the numbers on a community-by-community basis in 2020, they found 19 out of 67 communities fell below the 90% target, and all those were located outside of New Brunswick\u2019s cities.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Concerns about &#8216;subsidization&#8217;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">UMNB president and mayor of Grand Bay Westfield Brittany Merrifield says municipalities, through their fire departments, have been subsidizing services that Ambulance NB is under contract to deliver. Merrifield says UMNB doens\u2019t have a figure on how much medical calls are costing local fire departments, but says that since 2010, about 157,000 calls for assistance have gone to fire departments across the province.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe\u2019re concerned about the cost of subsidization,\u201d says Merrifield, but also \u201cthe impact on our firefighters\u201d and \u201cthe safety of our residents,\u201d when it comes to longer waits for ambulances.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">There are some local fire departments that have made the decision to take on more medical calls. Fire departments in Dorchester, Memramcook, and 10 other communities in the province have invested in training and equipment to support the ability to attend calls as medical first responders. But this is not something all rural fire departments have the capacity to take on, says Pitre.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIf their municipalities are on board to give them that mandate and to support their resource needs,\u201d says Pitre, \u201cthat&#8217;s completely in order.\u201d But, he says, there are many departments across the province without training and equipment who \u201cget called anyhow because of the gap in a timely ambulance service.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chris Hood says that even in the case of fire departments that willingly took on medical first responder duties, the volume of calls has been increasing. The Executive Director at the Paramedic Association of New Brunswick says, \u201cit\u2019s increasing year over year, and the system just cannot continue to sustain itself.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hood points <a href=\"https:\/\/ambulancenb.ca\/en\/accountability\/how-we-are-doing\/response-times\/\">to the latest numbers<\/a> from Port Elgin, which showed that in April 2024, 16.7% of calls met the 22-minute target. The month before, in March 2024, Ambulance NB hit it highest performance target in Port Elgin for the year, at 82.7%. In Sackville, Ambulance NB met the 22-minute response target from 67.1% to 83.3% of the time.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">&#8216;System is broken&#8217;<\/h2>\n\n\n\n<p class=\"wp-block-paragraph\">Hood says its not a case of whether trained medical first responders in local fire services are up to the task, but about whether they should be left to pick up the slack for Medavie Health Services, which in 2023 received $287 million from the province to run Ambulance NB and Extra Mural health.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe can&#8217;t continue to burden the system of the fire service to overcome the shortcomings of what is very much a highly paid, very expensive paramedic system,\u201d says Hood.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cThe system, as it stands today, is broken,\u201d says Hood, adding that he doesn\u2019t necessarily blame Medavie or Ambulance NB.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Their \u201chands are somewhat tied because they&#8217;re in a contractual relationship,\u201d says Hood. \u201cWhat we&#8217;re saying is we&#8217;ve got two years before a new contract needs to get signed with this company, or whoever. Now is the time to start planning for what a new system will look like and how we can do it better.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cIt&#8217;s time to start with a community needs assessment,\u201d says Hood. \u201cWe have contractual performance indicators that probably aren&#8217;t reflective of what is reasonable. So we&#8217;re saying we need to look and build the foundation of the system appropriately.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Hood says the three groups have a meeting scheduled with the Minister of Health John Dornan in the coming weeks to discuss their call for changes.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe really want to be consulted as municipalities more frequently on the effectiveness of ambulance services,\u201d says Merrifield, \u201cparticularly in more rural areas.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">\u201cWe want to be involved in that process,\u201d says Merrifield, \u201cso that these experiences that we&#8217;re talking about here are incorporated into that future contract.\u201d<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Three provincial groups are calling for reform of the province\u2019s ambulance services, and what they say is an increasing reliance on volunteer fire departments to fill in the gaps in [&hellip;]<\/p>\n","protected":false},"author":6,"featured_media":29965,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_tec_requires_first_save":true,"_EventAllDay":false,"_EventTimezone":"","_EventStartDate":"","_EventEndDate":"","_EventStartDateUTC":"","_EventEndDateUTC":"","_EventShowMap":false,"_EventShowMapLink":false,"_EventURL":"","_EventCost":"","_EventCostDescription":"","_EventCurrencySymbol":"","_EventCurrencyCode":"","_EventCurrencyPosition":"","_EventDateTimeSeparator":"","_EventTimeRangeSeparator":"","_EventOrganizerID":[],"_EventVenueID":[],"_OrganizerEmail":"","_OrganizerPhone":"","_OrganizerWebsite":"","_VenueAddress":"","_VenueCity":"","_VenueCountry":"","_VenueProvince":"","_VenueState":"","_VenueZip":"","_VenuePhone":"","_VenueURL":"","_VenueStateProvince":"","_VenueLat":"","_VenueLng":"","_VenueShowMap":false,"_VenueShowMapLink":false,"_tribe_blocks_recurrence_rules":"","_tribe_blocks_recurrence_description":"","_tribe_blocks_recurrence_exclusions":"","footnotes":""},"categories":[472,482,558],"tags":[],"class_list":["post-55356","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","category-front-page","category-weekly"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.1 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Local fire departments are subsidizing Ambulance NB to fill rural service gap, say groups &#187; 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