turning the tide - cappa · turning the tide tirerpartide la vague grise–harnessing the grey wave...
TRANSCRIPT
Turning the TideTirer Parti delaVagueGrise – HarnessingtheGreyWave
February27,2016JustineWadhawan,LiamStormonth&ZoeSoper
Overview
ContextandPolicyIssues
Objectives
RecommendationandAlternatives
ImplementationStrategy
2
StarkRealities 3
Projected Provincial Expenditures on Health and Pensions as a Percentage of GDP
Source: Conference Board of Canada, 2010
Estimate of Annual Total Government Health Expenditure Per Capita, By Age, Canada, 2012
Source: Canadian Institute for Health Information, 2015
GrowingConcerns
By2035,oneinfourCanadianswillbeovertheageof65
Asthepopulationages,criticalchallengesemerge:
• Healthcareexpenditureswilldoubleoverthenext20years• Rapidincreaseindemandforserviceswillfurtherstrainhealthcaresystems
• Significantrevenuelossesfromshrinkingworkingagepopulation• Provisionofhigh-qualitygovernmentserviceswillbecompromised• Pensionplansandotherentitlementswillbeunsustainable
• Reducedratesofeconomicgrowth• AnnualnationalGDPgrowthpredictedtodropfrom2%to1.5%,withOntarioandQuébectoexperiencegrowthratesbelowthenationalaverage
• Deterioratingqualityoflife• Rateofseniorslivinginpovertytripledfrom1995to2012,trendislikelytocontinue
4
KeyGovernmentActionSoFar 5
Federal
CanadaPensionPlan
(CPP)
OldAgeSecurity(OAS)
GuaranteedIncome
Supplement(GIS)
Ontario
OntarioRetirementPension
Plan(ORPP)
AgingatHomeStrategy
Taxandfinancialaidprograms
Québec
QuébecPension
Plan(QPP)
AgingandLiving
TogetherStrategy
Taxcreditsforhomesupport
PolicyIssueandNecessaryResponse
• Current process limited in its ability to address interrelated nature of issues, compromising the sustainability of services and programs
• Ontario and Québec can leverage momentum to transform approach to aging population
• Creating a sustainable system requires collaboration across sectors
• Long-term strategies should capitalize on opportunities associated with retirement of Baby Boomers
6
FracturedPolicyResponses
Short-TermPriorities
PolicyDevelopment
Silos
SingleIssueFocus
Objectives 7
Processwillbedesignedtointroducechangeinameaningfulandimpactfulway
Outcomeswillfocusonconcreteactionsoractivitiesthatdeliverresults
ProcesseswillbuildonspiritofOntario-Québecleadershiptoemploya‘forward-thinking’andinnovativeapproachtoreducepolicygaps
Policieswillbefundedandimplementedinafinanciallysustainablemanner
Transformative
Action-Oriented
ProactiveLeadership
Sustainable
Recommendation:CoalitionoftheWilling
• OntarioandQuébecprovideleadershipforestablishmentofcoalition• PremierswillleadrecruitmenteffortswithastrongfocusonsecuringFederalparticipation
• Oncemembershipisestablished,commissioncreatedtoundertakepublicengagementprocess
• Commissionwillretainprofessionalengagementservicestoensureefficientandeffectiveprocess
• Commissionfacilitatesengagementanddeliberation,providesperiodicupdatestoPremiers
• Throughthisprocess,responsibilityforpolicyimplementationissharedbyallordersofgovernment,privatesectorserviceproviders,non-profitorganizationsandcitizens
8
QuébecandOntarioPremiersmeettoestablishgoals,
leveragingexistingforums,recruitcoalitionofthewilling
Coalitionestablishesacommissiontoleadmulti-sectorengagement,pilot
projectsanddevelopreport
Reporttabledwithrecommendationsforallsectors,commission
overseesimplementation
Commission-LedEngagementModel 9
Phase1Public Dialogue• Inputissoughtfromdiversegroupsincludingcitizengroups,privatesectorandnon-profitorganizations
• Submissionscollectedthroughevents,electronically,andthroughinvolvementofkeyinnovationhubs
Phase2Deliberation• Roundtableswithmulti-sectorrepresentationdeliberateonPhase1submissions
• Emphasisplacedoncreativesolutions,uniquepartnerships
• Participantsareprovidedwithallkeybackgroundresearchforinformeddecision-making
Phase3FirstMinistersForum• Commissiontablesreportproducedfromdeliberationtocoalition
• FirstMinistersprovideinput,finalizerecommendations
• Finalreportreleasedwithactionablerecommendationsforallsectors
RecommendationConsiderations
• Deliberativeengagementistransformative• Horizontalpolicydevelopmentwillfundamentallyalterthepoliciesimplemented
• Processisaction-oriented• Engagementwillhaveconcretetimelines,recommendationstabledwithinayear• Commissionwillbefundedtopilotprojectstoencouragebroaderadoption
• QuébecandOntariowillprovideleadership• Throughtheestablishmentofthecoalitionandthroughengagement
• Broadmulti-sectorengagementmaximizessustainability• Collaborationwillbetterutilizepre-existingresourcesdedicatedtoserviceprovision
• Upfrontcostofestimated$50millionover4years• Fundsforengagementoverfirstyear,ongoingreporting,andpilotprojects
• Stakeholderreactionlikelytobepositiveduetohigh-quality,responsiveengagement
10
SeniorsattheTable
OntarioandQuébecwilljointlysponsortheOurGoldenYears Report
• HearingswillbejointlyorganizedbetweentheOntarioSeniors’SecretariatandQuébecMinistryofFamilies,SeniorsandtheStatusofWomenandheldatbothprovinciallegislatures
• Hearingswillprovidetheopportunityforseniorstovoicetheirlivedexperience,identifygaps,andmakerecommendationsforchange
• Productionofthereporttobeundertakenbyseniorswithoversightfromprovincialbodies
• Hearingsandreportusedtotransformperceptionofseniors,enhancingtheirvoiceinpolicy
• Actiontobeconcurrentwithcommissionengagementtoprovideopportunitytoincreasemomentumforpolicychange
11
AlternativeOptionsConsidered
Alternative1:ConsensusApproach
Alternative2:BilateralInitiative
12
Alternative1:ConsensusApproach
• QuébecandOntarioco-chairFirstMinisters’MeetingwithFederalGovernment
• RenegotiationofHealthAccordin2017willbeinformedbyFramework
• PremiersimplementNationalAgingStrategyinpartnershipwithFederalGovernment
• Stakeholderreactionlikelytobeprimarilypositive
• AbilityforQuébecandOntariotoleaddiscussionmaybemitigated
• Cooperationamongprovinceswillbenecessarytoachieveconsensus,transformationcouldbepiecemeal
13
QuébecandOntarioPremiersrequestFirstMinisters’Meeting
onAgingConsensusinformsgoalsandFrameworkonAging
FirstMinistersadoptandimplementNationalAging
Strategy
Alternative2:BilateralInitiative
• MemorandumofUnderstandingtofocusonkeyissues,suchas:
• Pensions,labourmobility,healthcareandhousing
• Creativeengagementintheformofa“HarnessingtheGreyWaveSummit”policyhack-a-thon
• QuébecandOntariotoannouncerespectiveAgingActionPlans
• Manystakeholdersunlikelytobesatisfiedwithanythinglessthannationalstrategy
• Transformativepolicydifficulttofinancewithoutfederalgovernmentmoney
14
JointCabinetestablishesMemorandumof
UnderstandingandSteeringCommitteeonAging
HarnessingtheGreyWaveSummittoshowcasecreativepolicyoptions
Long-termAgingActionPlansputinplaceinboth
provinces
ImplementationTimeline- Recommendation 15
ShortTerm[6-12months]
• QuébecandOntariomeettodevelopgoalsandobjectives
• Identificationofforumstorecruitcoalitionofthewillingmembers
• Finalizemembershipofcoalitionandhostfirstmeeting
• OurGoldenYearsactivitiescarriedout
MediumTerm[1- 2years]
• EstablishCommission
• OurGoldenYearsReportreleased
• CommissionupdatesonPhase1and2proceedings
• Pilotprogramsinitiatedbycommission
• ReportreleasedatendofPhase3
LongTerm[2+Years]
• Commissiontracksimplementation
• Recommendationsmadepublic
• Bestpracticesmadeavailabletonon-memberprovinces
• UpdatestoFirstMinistersandpublicvia“ReportCardonAgingInitiatives”
RiskManagementStrategy- Recommendation
Risk Level ManagementStrategy
Sectorengagement processmaybeperceivedastoocomplex
High • Commissionretainscitizenengagementprofessionals• Strong leadershipstreamlinestheprocess• Allparticipantsprovidedwithqualitybackground
material
Specific provincial-territorialissuesmaybeoverlooked
Medium • Coalitionprovidesmemberswithopportunitytohighlighttheirviews
• Commissionreports willkeepcoalitionapprisedofdevelopments
• Choiceofimplementationislefttoeachjurisdiction
Currentcohort ofseniorsmaynotfeeltransformationalchange
Low • Currentcohortisbeingaskedforinput• Real risksareprimarilyinthelongterm
16
Determinationofrisklevelisbasedonacombinationoflikelihoodandpotentialimpact
CommunicationsStrategy
KeyMessaging• Together,QuébecandOntarioaretransforminghowweserveouragingpopulation• ProvincesandTerritoriesareinnovatingthewaywedobusiness,toleveragetheexperienceandexpertiseofourBabyBoomersandmaximizegrowthpotential
• ThecoalitionisworkingtogetherwithseniorsandstakeholderstoensurethatgovernmentactionsrespondtotherealneedsofCanadians
Events• MultiplepressconferencesandechoannouncementsfromformationoftheCoalitionto
conclusionofforum• Launchceremoniesforpilotprojects• Pressconferencesaroundannualreportcardupdates• JointhearingsforOurGoldenYears Report,pressconferencewithCabinetMinisters
17
NextSteps
Pendingapprovaloftherecommendedoption:
1. OntarioandQuébecMinistriesofIntergovernmentalAffairswilljointlydevelopanimplementationplan,includingaprojectteamtoleadthisinitiative
2. Finalizecostingmethodologyandidentifyfinancialimplications3. Developacommunicationsworkplan,includingacoordinatedoutreach
strategytoidentifycoalitionmembers4. Prepareareportbackforfurtherconsideration5. Proceedwithformalapprovalprocess
18
19
Appendices
Appendix1:EvaluationMatrix 20
Criterion RecommendedAlternative
Alternative 1 Alternative 2
Transformative 5 4 3
Action-Oriented 5 3 5
ProactiveLeadership 5 3 5
Sustainable 5 3 4
UpfrontCost 4 3 4
StakeholderReaction 5 4 3
Total 29 20 24
Appendix2:CurrentandProjectedPopulationofSeniors 21
Appendix3:HighlightsfromInterjurisdictionalScan
ProvincialProjectionsonAgingandSeniorsandCurrentInitiatives
22
BritishColumbia
Proportionofpopulationaged 65 andoverbetween 24%to 27%by2038
- Seniors'ActionPlan - Premier'sCouncilonAging- SeniorsBCWebForum - Age-FriendlyBC
NovaScotia
Proportionofpopulationaged65andoverexpectedtosurpass 30%by2038
- StrategyforPositiveAging - ElderAbuseStrategy- DepartmentofSeniors - SeniorSafetyGrant
Nunavut Proportionofpopulationaged65andovertobeapproximately9%by2038
- JointElderandYouthPrograms - SeniorAdditionalAssistancePlan- 2010-2014EldersStrategy - IqaluktuutiaqEldersMentorshipProgram
Alberta Proportionofpopulationaged65andoveranticipatedtobelessthan20%by 2038
- AffordableSupportiveLivingInitiative - GreyMattersConference- AlbertaSeniorsBenefitProgram - Seniors'Week
Appendix4:InformationFlowThroughCommission 23
CoalitionMembersFirstMinisters
CommissionCoalitionrepresentativesProfessionalengagement
facilitators
PrivateSectorProfessionalorganizationsServiceprovidersBusinessesandassociations
PublicSeniorsCaregiversCitizenGroups
Non-ProfitSectorAdvocacygroupsCharitiesServiceproviders
InnovationHubsThinkTanksAcademicinstitutions