Message from the Co–Chairs

We are pleased to share the 2023 Annual Report of the Geriatric and Long-Term Care Review Committee (GLTCRC). The GLTCRC was established in 1989 and consists of respected practitioners in the fields of geriatrics, family medicine, psychiatry, nursing, pharmacology, emergency medicine and services to seniors.

The Office of the Chief Coroner (OCC), through the GLTCRC, has policy to review all homicides involving residents of long-term care or retirement homes. The GLTCRC also reviews deaths where systemic issues may be present or where significant concerns have been identified by the family, coroner or Regional Supervising Coroner.

Reviews conducted by the GLTCRC include a comprehensive and thorough review of the circumstances surrounding the death and if appropriate, the development of recommendations aimed towards the prevention of further deaths. In 2023, the GLTCRC reviewed 17 cases, involving 17 deaths, and generated 76 recommendations.

Reviews and recommendations prepared by the GLTCRC are widely distributed to service and long-term care providers and other relevant agencies and organizations throughout the province. Our role is to provide information to relevant organizations that will subsequently lead to improvements in processes, policies, and initiatives, with the goal of preventing further deaths.

It is an honour to participate in the work of the GLTCRC and we are grateful for the commitment of its members to the people of Ontario. Readers who wish to obtain the redacted narrative reports can do so by contacting the OCC at occ.inquiries@ontario.ca.

Dr. Roger Skinner
Provincial Medical Officer
Co-Chair, Geriatric and Long -Term Care Review Committee

Dr. Rejean Duwyn
Regional Supervising Coroner
Co-Chair, Geriatric and Long -Term Care Review Committee