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1 CITY COUNCIL AGENDA Council Chambers, Guelph City Hall, 1 Carden Street DATE Monday, November 16, :00 p.m. Please turn off or place on non-audible all cell phones, PDAs, Blackberrys and pagers during the meeting. Disclosure of Pecuniary Interest and General Nature Thereof 2016 Local Boards and Shared Services Budgets Presentation: (presentation) Janice Sheehy - General Manager, Finance and City Treasurer Local Boards and Shared Services The Elliott Community Trevor Lee, Chief Executive Officer Wellington-Dufferin-Guelph Public Health (revised presentation) David Kennedy, Director, Finance & Corporate Operations Downtown Guelph Business Association Marty Williams, Executive Director Guelph Public Library Anne McKay, Chair Steve Kraft, Chief Executive Officer Guelph Police Services Judy Sorbara, Chair Jeff DeRuyter, Chief Recommendation: 1. That the 2016 Local Boards and Shared Services budgets be received for information. 2. That the 2016 Local Boards and Shared Services Budgets be referred to the December 9, 2015 Council Meeting for final deliberation and approval. ADJOURNMENT Page 1 of 1 CITY OF GUELPH CITY COUNCIL AGENDA

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4 Budget schedule Budget Non-tax supported - Court Services - Ontario Building Code - Water - Wastewater Staff Presentation Public Delegations Council Approval Complete Complete Complete Local Boards & Shared Services Tonight November 30 December 9 Tax supported Capital Complete Complete December 9 Operating Complete November 30 December 9 - Expansions November 18 November 30 December 9 - Reductions November 19 November 30 December 9 3

5 Agenda The Elliott Community County of Wellington Wellington-Dufferin-Guelph Public Health Downtown Guelph Business Association Guelph Public Library Guelph Police Services Recommendations 4

6 Recommendations 5

7 Recommendation That the 2016 Local Boards and Shared Services budgets be received for information; and That the 2016 Local Boards and Shared Services Budgets be referred to the December 9, 2015 Council Meeting for final deliberation and approval. 6

8 WDGPH 2016 Budget

9 Health Protection and Promotion Act Public Health: Protects health by controlling infectious diseases; Promotes health by education, collaboration and public policy advocacy; Prevents disease and injury by surveillance, screening, immunization and research; In accordance with the HPPA legislation and other governing Acts

10 WDGPH Funding Sources Overview City of Guelph County of Wellington County of Dufferin MOHLTC MCYS Public Health Agency of Canada Ontario Public Health Standards & Protocols Other Communit y Grants Cost-Shared Mandatory & Related Programs 100% Funded Related Programs 100% Funded HBHC 100% Funded PSL 100% Funded CPNP COW Wee Talk GGK SOC Report Card PETF WDGPH complete Agency budget

11 WDGPH Funding Sources MOHLTC One-Time Grants 1.9% 2015 Budgeted Revenue HBHC 5.9% County of Wellington PSL 2.9% PHAC Wee-Talk 1.4% 0.2% Other Community Grants 1.7% MOHLTC 100% Funded 7.8% Cost-Shared 78.0%

12 Budget Challenges Unknown provincial funding amount when the budget is prepared and approved. Late in the year provincial funding approval: Funding for some 100% funded programs has not increased for many years. New Provincial Funding Model (2015) for Cost-Shared Mandatory programs.

13 New Provincial Public Health Funding Model (35%) (65%) (25%) (10%) (12.5%) (42.5%) (10%)

14 Calculation of Funding Model Share Geography Language Aboriginal Ontario Marginalization Index Preventable Mortality Rate WDGPH Equity Adjustment Factor City of Guelph WDGPH Equity Adjustment Factor County of Wellington County of Dufferin Population WDGPH Equity Adjusted Population WDGPH Equity Adjusted Population Sum of Equity Adjusted Population for all Boards of Health WDGPH Target Model Share

15 Impact of Funding Model Implementation Plan on WDGPH No Growth in Provincial Funding = Downsizing of Staffing Levels (Impacts on Service Delivery)

16 Public Health Focus for 2016 E-Cigarettes Act Enforcement (Act in force January 1, 2016) WDGPH Strategic Plan Integration of six publicly funded low income dental programs into the new Healthy Smiles Ontario II (January 1, 2016): Healthy Smiles Ontario (HSO) Children in Need of Treatment (CINOT) Children in Need of Treatment Expansion Ontario Works Ontario Disability Support Program Assistance for Children with Sever Disabilities

17 WDGPH 2016 Cost-Shared Budget Funding Increase ($) Increase (%) Provincial $12,508,400 $12,441,100 ($67,300) (0.5%) Municipal 7,865,869 8,023, , % Interest 50,000 20,000 (30,000) (60.0%) Total Funding 20,424,269 20,484,263 59, % Expenditures Employee Costs 14,975,346 15,172, , % Operating Costs 5,339,023 5,312,089 (26,934) (0.5%) Total Expenditures 20,314,369 20,484, , % Net Surplus (Deficit) $0 $0 $0

18 2016 Cost-Shared Funding County of Wellington; $2,623,571 ; 13% County of Dufferin; $1,716,961 ; 8% Province; $12,441,100 ; 61% City of Guelph; $3,682,631 ; 18%

19 2016 Cost-Shared Expenditures IT Hardware and Software 3% Building Occupancy 14% Travel 1% All Other 7% Salaries & Benefits 75%

20 WDGPH Territory

21 2016 Total Agency Funding Breakdown County of Wellington 10.2% County of Dufferin 6.7% Other 3.4% City of Guelph 14.3% Province of Ontario (MOHLTC & MCYS) 65.4% *Assumption: HBHC, PSL, Wee-Talk, CPNP, HSO, and Community Grants all held at 2015 levels. ** 2016 provincial one-time grants are not included as they are not yet approved.

22 Future Concerns Capacity to be proactive: Reactive versus upstream approach; Preventative measures are key to population health. Capacity to respond: Second most long-term care homes and retirement homes of any health unit in Ontario; Contain community outbreaks. Capacity to impact community health System capacity Evidence informed planning & action Community health.

23 Questions?

Location: Council Chambers, Guelph City Hall, 1 Carden Street

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