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The Declaration of Principles for Patient Health Care Act and Amendments to The Health System Governance and Accountability Act

Chamber

manitoba

Stage

Introduced

This Manitoba bill establishes patient care principles and rights, and improves sharing of critical incident information between health authorities.

Key Changes

  • Creates a new Declaration of Principles for Patient Health Care Act with guiding principles for Manitoba's health system
  • Lists specific expectations patients can have, including timely access, safe care, privacy, clear communication, and the right to raise concerns without fear of retribution
  • Requires health authorities, health care delivery organizations, and regulated health professions to publicly post patient expectations and engagement statements
  • Requires the government to designate an office of patient advocacy, experience and quality, and health authorities to designate patient advocacy officers
  • Allows the minister to share critical incident reports with the provincial health authority for clinical advice and with other health authorities to prevent future incidents
  • Explicitly states that the Act does not create new legal rights or causes of action — patients cannot sue based on this law alone

Gotchas

  • Section 5 explicitly states that the Act does not create any new legal rights or remedies — a patient cannot take anyone to court or file a legal claim simply because these principles or expectations were not met
  • The patient engagement section places expectations on patients themselves (e.g., treating providers with respect, participating in their care), which is unusual for a patient rights-style law
  • The Declaration of Principles comes into force only by proclamation (a future government decision), meaning it may not take effect immediately after royal assent
  • The critical incident information-sharing amendment comes into force immediately upon royal assent, on a faster timeline than the main principles act
  • While the bill requires posting of patient expectations and contact information for advocacy officers, it does not specify consequences or enforcement mechanisms if organizations fail to comply

Who's Affected

  • All patients receiving health care in Manitoba
  • Manitoba health authorities and health care delivery organizations
  • Regulated health professionals and their colleges or associations
  • The Manitoba provincial government and health department
  • Patient advocacy officers and staff within health organizations

Summary

This bill does two main things. First, it creates a new law called the Declaration of Principles for Patient Health Care Act, which sets out guiding principles and expectations for how patients should be treated in Manitoba's health system. It outlines what patients can expect — such as respectful treatment, timely access to care, privacy, and the ability to raise concerns — and also what is expected of patients in return, like treating health care providers with respect. It requires hospitals, health authorities, and regulated health professionals to publicly post these expectations and to designate patient advocacy officers to help patients ask questions or raise concerns. Second, the bill amends the Health System Governance and Accountability Act to allow the provincial health minister to share information about critical incidents (serious patient safety events) with the provincial health authority for advice, and with other regional health authorities to help prevent similar incidents from happening again. The bill was likely introduced to strengthen patient-centred care in Manitoba, improve transparency and accountability in the health system, and make it easier for patients to understand their rights and access support when they have concerns about their care.

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