Reopening of Carberry emergency department 'light at the end of the tunnel': health advocate

Southwestern Manitoba ER closed indefinitely last year after a staff physician's contract expired

Image | Carberry emergency room department announcement

Caption: A group of community members and health-care workers gathered Friday in Carberry for a government announcement about the reopening of the long-closed local emergency department. (Ian Froese/CBC)

Dozens of Carberry residents gathered outside their local emergency department on Friday and applauded as government officials announced they've secured more health-care staff, enabling the long-closed space to reopen.
Manitoba Health Minister Uzoma Asagwara and Premier Wab Kinew announced three physicians have been hired and will work on rotation to support the reopening of the emergency department at the Carberry Health Centre, located about 160 kilometres west of Winnipeg.
"Locally, provincially and even federally, we've sadly seen our health-care system crumble," Loretta Oliver, a member of a local health action community group, said at the news conference.
"The journey that has brought us to today's announcement has not been easy. And in fact it has been at times so very disheartening…. Today's announcement is the first major step in a positive direction."
The ER was closed indefinitely nearly nine months ago, after a staff physician's contract expired.
Two nurse practitioners continued to provide care at a walk-in clinic four times a week in Carberry, a community in the rural municipality of North Cypress-Langford, which is home to about 6,000 people.
Carberry Health Centre is a 10-bed facility that also has three-dozen personal care home beds, a clinic and an ER. It also offers diagnostic, rehabilitation and home care services.
WATCH | Advocate praises province for reopening ER:

Media | Carberry health advocate applauds ER reopening

Caption: Local health advocate Loretta Oliver thanked Manitoba Premier Wab Kinew and Health Minister Uzoma Asagwara Friday, as the province announced physicians had been hired to enable the Carberry Health Centre's emergency department to reopen after a months-long closure.

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Data obtained by CBC through a freedom of information request earlier this year said the Carberry Health Centre was closed 10 times last year, for the equivalent of over 141 days — one of several rural or remote facilities suffering from recurring ER closures in recent years due to staffing shortages, vacancies, leaves and other issues.
Carberry's ER closed Aug. 23, followed by health centres in Melita and Morris on Sept. 1.
The emergency room in Leaf Rapids closed in July 2022. The Northern Health Region insists that is still considered temporary.
ERs in Teulon, Winnipegosis and Shoal Lake have been closed indefinitely for years and no longer report closures with the province.

'We were in panic mode'

Shortly before the Carberry closure last fall, and ahead of October's provincial election, Mayor Ray Muirhead said the community was "in panic mode." He echoed that sentiment Friday.
"We were always used to having a doctor here — it was just a given. And when we lost our last doctor back in September, I mean, thank God for our nurse practitioners and our nursing staff, but we were in panic mode," Muirhead said at the announcement.
"We wanted our voices to be heard, and it's evident today that they were."
WATCH | Carberry emerging from 'panic mode' with ER reopening: mayor:

Media | Carberry emerging from 'panic mode' as ER reopens: mayor

Caption: Carberry Mayor Ray Muirhead said his community was relieved to hear its emergency room can reopen now that three doctors have been hired to staff it in rotation. The ER was closed last August due to physician staffing shortages.

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Emergency services officially returned to Carberry at the end of April, the province said in a news release, with the new trio of physicians secured as of Friday.
"This was the light at the end of the tunnel," said Oliver, who has worked at the local health centre.
In addition to providing care in the emergency department, the physicians will care for in-patients recovering at the health centre, as well as residents in the local long-term care centre, a government news release states.
Health care was the focus of last fall's election campaign for the now-governing NDP.

Image | Dr. Klevis Iliriani

Caption: Dr. Klevis Iliriani is one of three physicians recruited to work in rotation at Carberry Health Centre who will enable the facility to reopen its emergency department. (Ian Froese/CBC)

Premier Kinew said Friday he visited Mayor Muirhead during the campaign, promising physician staff would return and the ER would reopen.
"We have seen first-hand now in the efforts to reopen your emergency department just how much effort and how much work comes from the grassroots, and it really is heartwarming and awe-inspiring to see those local efforts," Kinew said.

Recruitment efforts

Carberry Health Centre, which is in the Prairie Mountain Health Region, and nearby Glenboro at one time collaborated to open their ERs on a rotating schedule.
Last week, CBC News reported several southern Manitoba communities had hired a Winnipeg-based firm to help recruit physicians to several rural health centres, including the rural municipality of Glenboro-South Cypress, also in Prairie Mountain.
The health authority has agreed to split costs with municipalities who have hired the firm, which can range from $90,000 to $150,000 per doctor.
Prairie Mountain CEO Treena Slate said the authority had to explore all options, because the region is short about 80 doctors.
Dr. Klevis Iliriani, one of the new recruits to Carberry, said Friday he was impressed by community efforts to lure in physicians.
"They seem to have a very attractive plan, everyone was super committed, so I really appreciated that," said Iliriani, who came from Ottawa.
WATCH | Seniors' group worker describes need for long-term solutions:

Media | Carberry seniors' group co-ordinator describes need for long-term solutions to care

Caption: Debra Steen is resource co-ordinator for Carberry Service for Seniors. She lauded the announcement that Carberry Health Centre will reopen, but she also said longer-term staffing solutions are needed in the community.

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Debra Steen is resource co-ordinator with Carberry Service for Seniors — a group funded through Prairie Mountain Health, Carberry and the rural municipality that helps fill service gaps left by home care. That can include activities, meal programs, education and more.
She said while she's happy to see the three part-time physicians hired, the community still needs long-term solutions.
"It's a good starting point — we just need doctors now permanently in our clinic," she said.
Health Minister Asagwara said the NDP government's health-care worker recruitment and retention office will help facilitate further collaboration between health authorities, rural communities and grassroots groups by giving them a centralized place to bring forward concerns.

Image | Manitoba Health Minister Uzoma Asagwara, Carberry ER announcement

Caption: Manitoba Health Minister Uzoma Asagwara announces details about the reopening of the Carberry emergency department. (Prabhjot Singh Lotey/CBC)

Asagwara said they intend to continue working with Carberry officials and community residents to add staff and ensure a "long-term sustainable plan."
"Building relationships is key," said Asagwara.
"Working together, bringing people to the table, listening to front-line voices, listening to community voices, valuing them in how we develop plans for rural health care is fundamentally the approach that our government will continue to take."

Media | Carberry's ER reopens with help from 3 doctors

Caption: Manitoba's provincial government delivered on its promise to reopen Carberry's emergency department after the department closed indefinitely due to a lack of staff.

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