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The BC Care Providers Association is calling for the resignation of the province’s seniors’ advocate, alleging her relationship with the Hospital Employees’ Union leadership has been too “cosy.”

In a statement, the association also asks the province to conduct an audit and review of the mandate of the Office of the Seniors’ Advocate.

But seniors’ advocate Isobel Mackenzie says she never did anything inappropriate, adding that consulting and collaborating with stakeholders is part of her mandate.

The association alleges that documents obtained through a freedom of information request show Mackenzie collaborated closely with the Hospital Employees’ Union leadership in shaping a report on the transfer of patients from care homes to hospitals.

The report, called “From Residential Care to Hospital: An Emerging Pattern,” was released in August and followed complaints from emergency room clinicians that some care homes were sending residents to the emergency department unnecessarily.

The association alleges she shared draft language of the report with the union, incorporated its feedback and notified the union of the planned timing of the report’s release.

In contrast, it says the care providers association was never advised in advance by Mackenzie’s office on the release of the report and its members were never notified beforehand of its findings.

“We have tried to work with the seniors’ advocate over the years with mixed results,” it says in a statement.

“The release of this FOI provides us with a disturbing insight into which organization is having the most profound influence over the OSA.”

In an interview, Mackenzie said the report was independent from the Hospital Employees’ Union.

“What they’ve chosen to say is, ‘Well she colluded with the HEU on this report,’ to which I’m saying, ‘Well how?’ The results, the methodology, the data sources — it’s all there. That has nothing to do with the HEU,” she said.

She said sharing contents of reports with some stakeholders or members of an opposition party is common practice.

“Everybody does that,” she said.

In the past, Mackenzie said she has shared content from reports that are favourable to the BC Care Providers Association in advance and not with the Hospital Employees’ Union.

In this case, she said her office shared contents of the report in advance with health authorities, the union and contracted care providers, which includes members of the BC Care Providers Association. She said her office has a relationship with care providers, but no obligation to the industry association.

Mackenzie suggested the association is calling for her resignation because it didn’t like the content of a report that found contracted care providers transfer patients to hospitals more often.

“The BC Care Providers took great offence to this report. What’s interesting is when the reports serve their interests, they don’t have this problem,” she said.

Mackenzie said she is not considering resigning.

The association is also calling for a full and independent review of the office.

Unlike other advocates that are independent, such as the BC Ombudsperson or the children and youth advocate, the seniors’ advocate reports to the Health Ministry, which couldn’t immediately be reached for comment.

The association says it also wasn’t consulted on a decision by the B.C. government to move more than 4,000 home support jobs from the private sector to public health authorities, and accused Mackenzie of failing to press the government on that decision.

“Not one question was posed by her to government on their reason for the change, or if any analysis had been provided,” it said.

“For BCCPA, this was a tipping point.”

Mackenzie said she was briefed by the deputy minister and health authorities in advance of the decision and she found there was an argument to be made for the change.

Health Minister Adrian Dix said the office’s position under his ministry has never stopped Mackenzie, who was appointed five years ago by the previous Liberal government, from criticizing him or the ministry freely.

“She has criticized the NDP government, the Liberal government, the care providers and just about everyone else in her advocacy,” Dix said in an interview Thursday.

Dix said he has personally been on the receiving end of her criticism but he recognizes that’s her mandate and said she does a “good job.”

“If people want to make the argument for a long-term review of what the status of the office should be, that’s something the care providers and everyone else could look at and I think absolutely could be considered,” he said.