Southwestern Manitoba town starts new year with closure of EMS station

A southwestern Manitoba town marked the start of 2023 with the closureof itsonly emergency medical services station.

The EMS station in Wawanesa, just southeast of Brandon, was closedon Jan. 1.

That closure has been coming for years, saidDave Kreklewich, the head of council for the Oakland-Wawanesa municipality.

In 2017,Manitoba's Progressive Conservativegovernment said it was moving forward on a large-scale transformation of the province's emergency medical services system, which would includeclosing more than a dozen rural Manitoba EMS stations.

"It's been a topic of discussion for a long time. We knew it was coming," Kreklewich said.

"It's been bare bones and we've been doing everything we can to maintain it, but it's now got to the point where ... it's not workable any longer."

Before COVID-19, Wawanesa's ambulance servicenever experienced staffing shortages, he said, but that changed when the pandemic hit.

Under the provincial plan announced in 2017, low-volume stations would be closed, butfive new stations wouldbe built and staffed with full-time paramedicsin the communities ofMiniota, Cowan, Alonsa, Manigotogan and Eriksdale, while stations in Virden and Glenboro wouldbe "enhanced," the province said.

But Kreklewich said there are fears the lack of a local ambulance in the area will increase response times.

"Ambulances shouldn't be 30 minutes away.... We're looking at a space of 10 to 15, or 20, or maybe even 35 miles away from an ambulance. That is, to us not acceptable," Kreklewich said.

"You still need somebody that's available to give ... immediate care."

EMS coverage is the responsibility of the provincial Shared Health organization and the provincial government, Kreklewichsaid, and hehopes they can get a handle on what he calls a "crisis" in the health-care system.

'More robust staffing model' needed: union president

Jason Linklater, president of the Manitoba Association of Health Care Professionals,said while the closure of the Wawanesa EMS station is unfortunate, it speaks to a larger issue of rural paramedic staffing and funding.

"Rural EMS is in a crisis right now," Linklater said. "We don't have the number of paramedics we need to service Manitobans."

Other stations have also been shuttered in rural Manitoba recently, including Birtle, Hamiota and McCreary, said Linklater.

"If the province is closing these smaller EMS stations, they need staffing increases and [to] move away from their on-call to a more robust staffing model," he said.

Recruitment and retention efforts are failing, as paramedics have not had a new contract for over five years, said Linklater.

Without a competitive contract, and wage increases to address thedisparity between rural and Winnipeg paramedics, the situation will only get worse, he said.

"We've really noticed it over the last two to three years, I would say, and it's getting to the point where people are leaving," Linklater said. "It creates a huge amount of burnout for the people in those jobs."

Working onrecruiting, retention:Shared Health

Emergency medical services continueto face staffing challenges, like many otherfieldsacross Manitoba and Canada, said Callum Melvin, the director of EMS operations forShared Health's west zone.

Paramedics do "tremendous work" every day in Manitoba, Melvin said, even though they are short-staffed.

"They are working very, very hard and they continue to serve the residents and communities in Manitoba exceptionally well and provide that high level of care," Melvin said.

"As the organization responsible, we know that, and their communities know that. It's been a very tough last three years in health care, as we all know, with the pandemic, and they continue to persevere and provide that care."

He says it is challenging to recruit enough qualified professionals to fulfilneeded roles in the province especiallyin rural areas, because many people opt to work in urban settings.

McCreary, Birtle and Hamiota historically experienced very challenging staffing patterns, rotations and recruitment, he said, but numerousattempts to find staff inthose communities did not have great success.

Shared Health is working on several initiatives to boost rural paramedic numbers, including a long-term strategy of recruiting at the local level and attempts to buildinterest in the profession as a career option.

"The hope is that then they will come back and work in their home community, which is rural Manitoba," Melvin said.

"With our overall staffing vacancy the way it is, we have been very intentional to try and be strategic about where we're recruiting to."