Santé Québec released a Deloitte Canada report on Tuesday morning claiming nearly $2-billion in cost savings since its inception in December 2024. The report attributes most of these savings to reductions in temporary staff and overtime costs. This comes shortly after the election of the Parti Québécois, which had pledged to dismantle Santé Québec, citing it as a "bureaucratic monster." Deloitte noted that while additional investments could further realize benefits, PQ leader Paul St-Pierre Plamondon plans to create a “governmental efficiency secretariat” to reduce bureaucracy and argues abolishing Santé Québec would save up to $100 million annually.
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Hours after the election of the Parti Québécois, which pledged to dismantle Santé Québec, the provincial health authority released a Deloitte Canada report stating it had achieved nearly $2-billion in cost savings since it started operations in December, 2024.
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it → pledge → December
PQ Leader Paul St-Pierre Plamondon, whose party will form a minority government, promised during the campaign to abolish Santé Québec, calling it “a bureaucratic monster.”
The Deloitte report was officially released Tuesday morning although it had been leaked to La Presse previously.
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it → form → Presse
Santé Québec wanted to wait until the end of the election campaign so it wouldn’t interfere in the political debate, Catherine Brousseau, the health authority’s spokeswoman, said.
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Brousseau → want → debate
The report was commissioned by Santé Québec’s board of directors in July.
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report → commission → July
It said the organization had saved $1.9-billion since its creation, mostly by reducing the use of travel nurses and other agency temporary staff, which saved $1.7-billion in almost two years.
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which → say → years
Many of those savings can be traced back to the outgoing Coalition Avenir Québec government, which made it a priority to eliminate agency personnel and reduce health care staffing – but the Deloitte report includes updated numbers.
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report → trace → numbers
The total time worked by temporary agency staff in Quebec’s health care system has shrunk by 86 per cent in nearly two years and overtime costs are also down, according to the report.
uncertain
costs → work → report
Furthermore, the increase in health care personnel slowed from an annual average of 4.7 per cent in the 2019-2023 period to 0.8 per cent for 2025-2026.
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increase → slow → 2025
The Deloitte analysis added that there were also unquantified savings from having Santé Québec act as a sole purchaser on behalf of the 30 regional health authorities and university hospital networks that it oversees.
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it → add → that
“The initiatives undertaken have generated tangible benefits.
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initiatives → undertake → benefits
In light of trends observed during major mergers and integrations, additional investments could support the continued realization of synergies and benefits,” the report said.
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report → observe → synergies
During the election campaign, Mr. St-Pierre Plamondon floated different scenarios to replace Santé Québec, with either a smaller agency, a task force or a branch of the provincial Health Department.
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Plamondon → float → Department
Meeting reporters following the election, he said a “governmental efficiency secretariat” would be created to reduce bureaucracy and “superfluous programs.”
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secretariat → meet → bureaucracy
Mr. St-Pierre Plamondon has said that abolishing Santé Québec would save up to $100-million a year and complained that its staffing was bloated, calling it “a second mammoth” since it took over some of the functions previously handled by the province’s Health Department.
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it → say → Department
The Deloitte report, however, noted that 94 per cent of the 1,192 headquarter’s employees had been transferred from the Health Department and only 66 were new hires.
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66 → note → Department
Santé Québec has been the public body providing health care services and managing the system daily since it was formed, while the Health Department sets strategic goals.
Contacted for comments on Tuesday, Christian Dubé, the former CAQ health minister who initiated Santé Québec, referred The Globe and Mail to the findings in the Deloitte report and to an open letter he made public in September.
“Quebeckers want a better healthcare system, not another reform,” Mr. Dubé wrote in the open letter, arguing that the changes he initiated in 2024 couldn’t show its full impact within a four-year electoral cycle.
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he → provide → cycle
Santé Québec was created by legislative act and abolishing it would require another law.
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abolishing → create → law
Mr. St-Pierre Plamondon acknowledged that his government will need the collaboration of opposition parties to pass its bills.
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government → acknowledge → bills
He noted that he shared similar views on tightening public spendings with Eric Duhaime’s Conservatives, who won 19 seats.
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who → note → seats
“Our desire to better manage public finances after years of wastage should find a friendly ear among the Conservatives,” the premier-designate said.
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designate → manage → Conservatives
The Aporia
