Joint Letter on Vaccination roll-out and Community Providers

January 29, 2021

Wednesday, January 27th, 2021

Subject: Vaccination roll-out

Dear Premier Ford and Minister Elliott:

Our members/staff are engaged community health providers who have been fighting on the front lines of the COVID-19 pandemic since it began. We are aware that vulnerable and home-bound individuals in the community are slated as the next priority group to receive vaccinations. These people are cared for by our providers.

While we understand that currently, there is a shortage of vaccines, and that this reality is outside of the province’s control, we are concerned that there is not a transparent plan around how needles are going to get into the arms of people identified to be in Stage 2, namely those that are vulnerable and/or home-bound and the providers that care for them.

The province must use this delay to engage with us NOW, so that we are ready to deploy our existing vaccine capabilities to reach our patients expeditiously. Waiting will result in damaging delays.Trying to recreate alternative distribution networks when they currently exist will result in further damaging delays and confusion.

Community health care providers, including primary care nurses, doctors, and pharmacists, as well as home care nurses have demonstrated experience reaching out to our patients to deliver vaccines. Our members/staff are trained in vaccine handling and program delivery. Patients trust their health care providers the most and for the vulnerable, homebound patients, it is imperative that they receive vaccines from the people who know them best. 34 Public Health Units with 34 different approaches – for the most vulnerable there needs to be a consistent approach so that they do not fall through the cracks.

It has been well-established since November, that the Pfizer vaccine has a shelf-life of five days after freezing. The risk of our members/staff not utilizing the vaccinations within this time frame is non-existent, as collectively SE Health, VON and Bayshore complete over 40,000 home visits per day. Unlike the recent vaccine rollout, we are certain that doses provided to our members/staff will be used on the cohorts for which they were intended. We base this on our experience delivering vaccination programs, on the number of people we serve and our ability to access them quickly.

Many who can travel to appointments should be vaccinated through their primary care providers and those who are home-bound will require visits from community nurses. Use our expertise as vaccines are our ‘bread and butter’ and we know our patients best.

Our members/staff need to be ready to mobilize immediately. For this reason, we are asking for more provincial direction to plan this critical effort and need government and public health leadership to engage with us. We are all in this together.


Kavita Mehta, Chief Executive Officer, Association of Family Health Teams of Ontario

Stuart Cottrelle Chief Executive Officer, Bayshore Healthcare

Leanne Clarke, Chief Executive Officer, Ontario College of Family Physicians

Dr. Doris Grinspun RN, MSN, PhD, LLD (hon), Dr (hc), FAAN, FCAN O.ONT, Chief Executive Officer, Registered Nurses Association of Ontario

Shirlee Sharkey Chief Executive Officer, SE Health

Jo-Anne Poirier, Chief Executive Officer, VON Canada

Dr. Cathy Faulds, MD, CCFP, FCFP, CAC (PC), Family Physician Focus Practice in Palliative Care

Dr. Thuy-Nga (Tia) Pham, MD, MSc, CCFP, FCFP, East Toronto Family Practice Network Physician Lead

Matthew Anderson, President and CEO – Ontario Health

Helen Angus, Deputy Minister of Health

Emily Beduz, Director of Pandemic Response

Alison Blair, Associate Deputy Minister – Pandemic Response and Recovery

Steven Del Duca, Ontario Liberal Party Leader

Colleen Geiger, President and CEO (acting) – Public Health Ontario

MPP France Gelinas, NDP Health Critic

Andrea Horwath, NDP Leader

Joyce Mankarios, Director of Policy

Mike Schreiner, Leader of the Green Party of Ontario

Rana Shamoon, Director of Health Policy (Office of the Premier)

James Wallace, Chief of Staff (to the Premier)

Heather Watt, Chief of Staff (to the Minister of Health)

See the pdf version here.