Higgs doubles down, blames poor Vitalit management for costly travel nurse contracts

Premier Blaine Higgsis disputing claims by the CEO of Vitalit Health Network thatcostly travel nurse contracts were the result of a refusal by his government to approve other, less expensive options to deal with thestaffing crisis in 2022.

Dr. France Desrosierstold a legislative committee Thursday that the $123 million in contracts were awarded due to pressure from the Higgs government to fix the health-care system quickly and after nine other proposals, such as retention bonuses and premiums for working in short-staffed units,were rejected.

In a writtenstatement issued Friday afternoon, Higgs said, it's "inaccurate" to say Vitalit's recommendations were less expensive or would have resolved issues more quickly.

"Vitalit was proposing long-term, permanent changes to how nurses are compensated, which ultimately would have cost taxpayers significantly more," he argued.

The options presentedby Vitalitcould not be unilaterally implemented by the government either, said Higgs. Any changes to compensation for nurses, such as pay and vacation days, must be negotiated with the New Brunswick NursesUnion. "As everyone knows, union negotiations take time."

While Higgs acknowledged there was an urgencyto fill vacancies during the COVID-19 pandemic, "there was absolutely no direction by our government or by public servants for the CEO to sign long-term contracts," he said, noting the current contract doesn't expire until 2026, and it is set to automatically renew, without any end date.

"The CEO is seeking to blame non-partisan public servants for poor management decisions that she made," Higgs alleged.

"The real issue is that a very poor contract was signed," he said. "We continue to call on the board of Vitalit to find a legal way to end this contract."

CEO opts to 'take the high road'

In response, Desrosiersissued her own statement Friday, saying it's "very unfortunate that we are at this stage.

"To bring further transparency, the measures proposed were not intended to be permanent and amounted to $25M for the Network for each year they would be in place," she said.

"As for the approvals and the perspective on leadership, the Network will opt to take the high road and focus its efforts on providing care to its patients and communities."

'Enough is enough,' says Opposition

Meanwhile, the Opposition called Friday for a public inquiry into the "mismanagementthat led to the signing of these private travel nurse contracts and the premier's involvement in it."

Liberal Leader Susan Holt noted most of the other options presented by Vitalit involved efforts to retain health-care workers.

Higgs has had time and opportunity to fix the health-care crisis, she said in a statement. "And what is there to show for it? $174 million for travel nurses, corporate profits and unprecedented disrespect for New Brunswick nurses."

Her comments come on the heels ofa former provincial health minister in the Progressive Conservative government saying key failures at the heart of thetravel nurse contracts may need "more investigation."

On Tuesday, Saint John Lancaster MLA Dorothy Shephard, who is not seeking re-election,told the public accounts committee she was struck by how many invoices were paid to private travel-nurse companies without proper documentation of services being delivered.

"Process is what protects everybody," she said,but the "process failed."

Auditor general slams 'lack of accountability'

Auditor General Paul Martin also took issue Friday with comments made by Vitalit leadership during their public accounts committee appearance, following his scathing report earlier this month about travel nurse contractsand what he concluded was a lack of due diligence.

"To publicly call into question the work of the Office of the Auditor General adds to our concern regarding the lack of ownership and accountability displayed by Vitalit," Martin said in a statement.

"We encourage government to hold Vitalit accountable and trust our recommendations will be taken seriously and implemented in a timely fashion."

Martin found Vitalit'scontracts with private nursing agencies,were "not reflective of best practices and did not demonstrate value for money."

What is "quite scary," he told MLAs, is that the current contract with Canadian Health Labsallows the company to deploy nurses "regardless of the actual need" and still be paid up to $85 million during the life of the agreement.

"As the independent arm of government charged with providing assurance and advice regarding the stewardship of public funds, we follow professional audit and quality assurance standards and ensure that appropriate evidence is obtained to support our findings and recommendations," Martin said Friday.

"Our team of experienced audit professionals performed extensive testing, analysis and review that led to reporting on Vitalit's failure to ensure appropriate contract management and oversight."