Pre-Hospital Care in British Columbia

Year
2022
Number
NR1
Sponsor(s)
Cranbrook

Whereas the pre-hospital care system in British Columbia lies within the jurisdictional responsibility of the Ministry of Health, however it relies critically on the delivery of service by municipal, regional and First Nations organizations; And whereas the Ministry is critically reliant on this partnership in delivery of pre-hospital care in the Province of British Columbia: Therefore be it resolved that UBCM lobby the Province of British Columbia to work with the Local Government Management Association, Fire Chiefs Association of BC and First Nations Emergency Services Society to develop a fee-for-service framework to bill the Province on call outs that appropriately fund community based organizations that provide first responder services in support of the Ministrys health care responsibility to the citizens of British Columbia.

Provincial Response

Ministry of Health The support provided by First Responders FRs during medical emergencies is an important part of the delivery of pre-hospital emergency health services to the people of British Columbia. BC Emergency Health Services BCEHS and the Province value the role that FRs play in pre-hospital emergency care. The Ministry of Health appreciates the City of Cranbrooks ongoing concern for fiscal accountability, as you continue to determine how to best allocate your funding and resources for responding to urgent and routine calls. When a 911 call is triaged, BCEHS uses the Medical Priority Dispatch System to determine the care the patient requires and the most appropriate response. Based on this information, the Clinical Response Model CRM indicates the resource and response type for an event and it also indicates the relative priority of the call. The CRM uses a colour-coding system of Purple, Red, Orange, Yellow, Green or Blue. Purple is the high-acuity and urgent, and Blue is the lowest-acuity priority. BCEHS notifies first responder agencies who have agreements with BCEHS of time- critical calls purple and red. Establishing an agreement with BCEHS is voluntary and each municipality, including Cranbrook Fire Emergency Services, can determine the level of call response they respond to. This approach provides municipalities with the ability to directly manage all costs associated with their participation in pre-hospital care. Since 2017, the BC government has taken significant steps to improve emergency health services in our province by hiring more paramedics and dispatch staff, delivering more ambulances, improving services in rural communities, and significantly increasing the BCEHS budget. BCEHS is committed to providing timely, high quality and safe pre-hospital care for patients throughout British Columbia, while using public resources in an effective and efficient manner. As part of this commitment, the Ministry of Health, in collaboration with BCEHS, the Local Government Management Association of BC, the Fire Chiefs Association of BC, the First Nations Emergency Services Society and other stakeholders, are working together to implement a coordinated approach to pre-hospital care that will ensure people throughout the province have access to the pre-hospital are they need.

Convention Decision
Endorsed