Vehicle Purchases

(Ambulances, Emergency Response Units and Administrative vehicles)

Purchase of replacement vehicles that meet the legislated standards. Administrative vehicles would be of a similar type.

Basis – the same number of vehicles in the fleet at the time of assumption, or approved number of vehicles if different.

Two approaches are possible:

1. Establish a life cycle/vehicle replacement cycle (recommendation 4.5 years). This would lead to regular funding support for vehicle purchases based on expected vehicle replacements. May be considered as part of a UTM reserve fund.
2. Funding in the year of purchase. This would be detailed in the budget process.

Under both scenarios, if the vehicle purchased exceeds the standards, funding would be based on the cost of the standard vehicle.

Operation, Maintenance and Repair of Vehicles

Basis – operate, maintain and repair the same number of vehicles in the fleet at the time of assumption or approved number of vehicles if different.

Includes: vehicle operating costs (i.e. fuel, oil, tires, licences), preventative maintenance, repair of vehicles.

Patient Care Equipment and Supply Purchases, Repair and Maintenance

Purchase replacement equipment and supplies that meet the requirements set out in the standards.

Basis – same amount of equipment at time of assumption, or approved amount if different.

Where equipment or supplies are purchased that exceed the standards, funding would be based on the cost of the standard equipment or supply. Includes eligible base hospital costs.

Paramedic Staffing

Provide paramedic staffing (wages and benefits).

Basis – same type and hours of paramedic staff in place at time of assumption, or approved staff hours if different.

Funding of wage increases (both arbitrated and negotiated settlements) will be limited to cost sharing 50% of 2% per annum (i.e. 1%).

Provide in service training to ensure emergency medical attendants and paramedic staff meet requirements of the legislation or standards.

Provision of all office administrative services, accounting, legal, advisory committees, etc.

Administrative costs not to exceed 10% of budget.

The province paid 100% of severance costs that accrued up to December 31, 1999. Commencing with assumption, severance would be based on collective agreements where applicable, and:

1. Where a UTM/DDA incurs or accrues a severance cost, the province will share in that cost, or
2. Where a UTM/DDA is invoiced for the cost of land ambulance services, and that invoice includes severance costs, the province will share that cost.

Municipal net tax costs (e.g. GST, PST).

Municipalities incur vehicle collision, liability and building insurance premiums. Deductibles may be payable on claims.

Workplace Safety and Insurance Board (WSIB) rates/ New Experimental Experience Rating (NEER) assessments.

Ambulance Stations

Maintain same number of ambulance stations, or approved number if different (recognizing actual costs of leases, utilities, taxes, maintenance, repair, etc.)

Applies to patient transfers between hospitals, long-term care facilities, etc.

First Response Teams