WRHA head acknowledges 'valley of despair' for employees struggling with health-care changes

Ral Cloutier, the head of the Winnipeg Regional Health Authority, saysemployees are mired ina "valley of despair" two years into a massive transformation of the province'shealth-care system.

And, he wrote in a letter to staff, it's importantto admit when"change sucks."

Cloutier offered a morecandid assessment ofcontroversial health-care reform in Winnipeg in aweekly email to the health authority'sroughly 28,000staff, a copy of which was obtained by CBC News.

He said officials should be discussing how the changes,which haveseen emergency rooms closed and other facilities converted, will improve care and create a better workplace.

"While that's true and important to remember, I think it's time we talked [about] something else: and that's that frankly change sucks," Cloutier wrote.

'Uncertainty, disruption' in work

"Two years in, I know that this change has been hard on many of you. There's uncertainty, disruption to the way we work, where we work and who we work with. For many of you, long hours and added pressure is what you're dealing with every day," he said in the letter.

"I want you to know that I see all of it, and I take it seriously."

He also refers to the current feelings of workers about the overhaul as "the valley of despair" a phrase used withinchange management circles that refers to the depression people feel before they begin to accept a major change.

Using the phrase "valley of despair" in the subject line of his email was a catchy way to get people to read on, Cloutier said in an interview.

It's generated the most feedback of any of hisdispatches to staff which includesaround 40 emailsmost of which hasbeenpositive, he said.

"We have to acknowledge that we're going through a massive change, but we're doing it for the right reasons."

'Patronizing and insulting': MGEU

He said he intentionally wrote in plain English to speak to the health authority's employees in a relatable way.

"I grew up in a working-class family. I've got lots of brothers and a sister, and wespoke this way growing up," Cloutier said.

"One of the things that I respect for the health-care professionals that I work with is that they appreciate when you can connect with them on a personal levelwhat's wrong with that?"

NDP Leader Wab Kinewinterpreted the letter differently. He says it's acondemnation of the Progressive Conservative government's health-care reform plan and proof that employee morale is low.

"If their CEO is admitting in this letter that the premier's cuts to health care are causing them depression, then unfortunately they're likely to bring that to the bedside or to the workplace, and that's going to affect the patients."

Kinew doesn't imagine health-care workers will change their opinion going forward.

"It seems unlikely that closing more emergency rooms and laying off more staff is going to help people working in the WRHAfeel better," he said.

In fall of 2017, the emergency room at Victoria General Hosptial was converted to an urgent care centre, and Misericordia Health Centre'surgent care became a community intravenous therapy clinic.

Later this year, Concordia Hospital's emergency room will close and the ER at Seven Oakswill be converted into an urgent care centre.

• Read more on Manitoba's health-care cuts and changes

Michelle Gawronsky, president of the Manitoba Government and General Employees' Union, expects more hardships.

"It's refreshing to hear the WRHA finally admit that its cuts and reshuffling of services have been hard on health-care workers, and that the WRHA needs to do better," she said in a statement.

"But trivializing the very real frustrations of health-care workers with empty slogans like 'change is good'feels patronizing and insulting to the front-line people working so hard to care for patients."

Cloutier's message didn't satisfy the Manitoba Nurses Union either, whose members deal with mandatory overtime and an increased workload because of vacancies, said president Darlene Jackson.

"Telling nurses about the 'valley of despair' serves as a harsh reminder that their concerns are not being taken seriously, because further disruption is coming whether they like it or not."

'An amazing opportunity'

Cloutierargued in an interview with CBC News thata budget that grows year after year shouldn't be described as a funding cut.

His letter saysthe overhaul will bring about a more efficient health-care system that works better for everyone.

"If we're cutting anything, it's the confusion and outdated ways of working that are holding us back," he writes.

"The truthis you are a part of making changes that will improvethecare and outcomes of countless people and their families in Manitoba for generations to come. It's challenging, but it's an amazing opportunity for all of us."

He promised thingswill get better, for patients and for staff.

"We will look at what we've built together and see that this change is good," Cloutier wrote.

Like Cloutier, Health Minister Cameron Friesenacknowledgedthe changes aren't always easy on front-line staff, but he said in an email that "Manitobans are beginning to see evidence that we are moving in the right direction."