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A new report from the Canadian Institute for Health Information about access to primary care and emergency department use underscores the need for a more integrated, data-driven approach to health-care reforms, says a New Brunswick ER doctor. The report found nearly 15 per cent of visits to the emergency department in Canada in 2023-24 were for conditions that could have been managed by a family doctor or other primary care provider, such as a nurse practitioner or pediatrician. Even among people with a family doctor, about 13 per cent go to the ER to get basic primary care, according to the Canadian Institute for Health Information, or CIHI. And more than half of those visits could have been handled virtually, says the report, which was based on data from Prince Edward Island, Nova Scotia, Ontario, Saskatchewan, Alberta and Yukon. 1 in 7 ER visits in Canada are for conditions that could have been managed in primary care: report Although no New Brunswick data is included, Dr. Fraser Mackay, an emergency physician in Saint John and chair of the rural, remote and small urban section of the Canadian Association of Emergency Physicians (CAEP), said the findings align with what he sees on a daily basis. He believes the proportion of ER visits for conditions that could be handled elsewhere, such as ear infections and prescription refills, is closer to 25 per cent in New Brunswick, he said, citing the report's the findings for rural and remote communities and noting the rural nature of the province. Any problems in health-care access are "magnified" in rural communities, said Mackay. There are fewer doctors in rural areas, so fewer citizens have access to primary care, he said. Emergency departments often end up being "the clearinghouse for all-comers," which is "not best patient care." 'Slow-burning disaster' He described ERs as "a slow burning disaster." The most challenging part, he said, is dealing with patients who apologize for resorting to the emergency department out of frustration. But patients who don't have a family doctor and seek treatment for minor ailments aren't the ones driving ER overcrowding and long wait times, Mackay said. The bigger problem, he said, is ER patients who have been admitted but can't be moved to a hospital unit because too many beds are occupied by seniors and other patients waiting for a nursing home bed or other long-term care placement. "That fundamentally isn't actually an emergency medicine problem," said Mackay. "It's a health-care problem, and that is a government policy, big-scale problem." WATCH | 'There has to be overlapping accountability for this': Here’s what one Saint John doctor thinks of ER report findings 1 hour ago Duration 1:58 Dr. Fraser Mackay says a new report from the Canadian Institute for Health Information, about access to primary and emergency health care, lines up with what he's experiencing in N.B emergency rooms. He said what's needed is an integrated approach to planning and management that recognizes the overlap between primary care, emergency care, inpatient care and long-term care. As it stands, Mackay said there is "a series of different departments and programs, but there is no overarching system" in health care. He also called for more accountability for how health-care dollars are spent, including patient outcomes. Not all doom and gloom However, Mackay acknowledged there are "a lot of positive changes" underway in New Brunswick. He cited Premier Susan Holt's pledge to open "at least" 30 collaborative health-care clinics , including 10 in 2025. These clinics, which will bring together doctors, nurses, nurse practitioners, psychologists, physiotherapists, pharmacists and others to provide a "health-care home" for patients, have been shown to increase access, satisfaction and overall quality of care, said Mackay. The Liberals pledged during the election campaign this fall to open at least 30 collaborative health-care clinics before 2028. (Shutterstock) Virtual care models are "another piece of the puzzle," he said. Medical schools have also increased enrolment for students as well as residents. "I think there's a lot of things [that] are moving in the right direction," said Mackay, adding that "it's going to be slow and it's going to be hard for a while." 'Big' changes a decade away He estimates "big" changes are about 10 years away — the time it will take to train more doctors and nurses. There are, however, opportunities to increase efficiencies in the shorter term, according to Mackay. He said he's hopeful the new Holt government will engage with the various areas of health care through organizations, such as CAEP, the College of Family Physicians and the New Brunswick Medical Society, he said. Only 79% in N.B. have access to permanent primary-care provider, survey finds Data collection, analysis and dissemination is a "key building block," said MacKay, pointing to population projections and human resources planning as an example. But New Brunswick has been "subpar" in that regard to date, he said. "That's why things like the CIHI report are so critical." Province committed to improving access The Department of Health did not respond directly to any of Mackay's comments. But spokesperson David Kelly said the government is committed to increasing the percentage of New Brunswickers with access to a primary care provider, which will ease pressure on our hospital emergency departments. "Collaborative care teams are a key part of the solution," he said in an emailed statement. "To make that happen, recruitment and retention of health-care professionals, will be a top priority." The government is working to deliver retention payments to permanent full-time and part-time nurses , and is "committed to creating a multi-pronged plan to improve the working conditions of health-care workers and prioritize their wellness," said Kelly. It has also implemented short-term solutions such as NB Health Link, he said. People talk about ... the impending health-care system collapse. We're right in the middle of it. - Fraser Mackay, Saint John ER doctor That program, which provides New Brunswickers with access to a network of family doctors and nurse practitioners while they wait to be matched with a permanent provider, has more than 64,000 people eligible to receive services, said Kelly. An additional 38,000 people are waiting for more clinics to open or for existing clinics to expand, he said. More than 12,500 patients have been placed permanently with a primary care provider through NB Health Link. New Brunswickers can also use eVisitNB or Tele-Care 811, he said. Mackay said it will take "political courage because it's a very big, daunting task" to improve the system. But the situation is "urgent," he said, noting health-care professionals have been warning about the health-care crisis for about 15 years. "People talk about ... the impending health-care system collapse. We're right in the middle of it."Judge dismisses charges against Karen Read supporter who scattered rubber ducks and fake $100 billsjilibet withdrawal problem 。

Ventive Hospitality shares are set to make their stock market debut today after receiving strong response for its initial public offering (IPO). Ventive Hospitality IPO listing date is today, December 30, and the equity shares of the company will be listed on both the stock exchanges, BSE and NSE. Ventive Hospitality IPO issue was open from December 20 to 24, and the IPO allotment was finalised on December 26. “Trading Members of the Exchange are hereby informed that effective from Monday, December 30, 2024, the equity shares of Ventive Hospitality Limited shall be listed and admitted to dealings on the Exchange in the list of ‘B’ Group of Securities,” said a notice on BSE. Ventive Hospitality shares will be a part of Special Pre-open Session (SPOS) on Monday, and the stock will be available for trading from 10:00 AM. Ahead of the share listing, trends for Ventive Hospitality IPO grey market premium (GMP) today indicates a positive debut. Analysts also expect Ventive Hospitality shares to list at a premium to the IPO price. Ventive Hospitality IPO GMP Today Ventive Hospitality IPO GMP today is ₹ 70 per share, according to stock market observers. This indicates that in the grey market, Ventive Hospitality shares are trading higher by ₹ 70 apiece than their issue price. Ventive Hospitality Listing Price Considering the Ventive Hospitality IPO GMP today, the estimated listing price of Ventive Hospitality shares would be ₹ 713 apiece, a premium of 11% from the IPO price of ₹ 643 per share. Analysts also predict Ventive Hospitality share listing to be at a premium of around 10% to the issue price. “ Ventive Hospitality IPO received a decent response despite being priced at high valuations. So, I am expecting a positive debut for the company shares. One can expect the Ventive Hospitality IPO listing at around 10% to 12% premium,” said Arun Kejriwal, founder of Kejriwal Research and Investment Services. According to Akriti Mehrotra, Research Analyst, StoxBox, Ventive Hospitality IPO, oversubscribed 10.33 times, is set to debut today, with an 11% premium above the upper price band. “The company operates 11 luxury properties, including flagship hotels like JW Marriott Pune and The Ritz-Carlton Pune, benefiting from strong partnerships with global brands such as Marriott and Hilton. However, its reliance on third-party operators for 78% of its keys exposes it to reputational risks. Ventive also generates 41% of its revenue from annuity assets, providing stable cash flows. With a strong financial track record, including a 44% revenue CAGR, and plans for expansion, we recommend holding shares for medium to long-term growth,” said Mehrotra. Ventive Hospitality IPO Details The ₹ 1,600-crore worth Ventive Hospitality IPO was open for subscription from December 20 to 24 and the IPO allotment was finalised on December 26. Ventive Hospitality IPO listing date is today, December 30 and the Ventive Hospitality shares will be listed on BSE and NSE. Ventive Hospitality IPO price band was set at ₹ 610 to ₹ 643 per share, and the issue was entirely a fresh issue of 2.49 crore equity shares. Ventive Hospitality IPO received 9.82 times subscription in total as it garnered bids for 14.17 crore equity shares as against IPO size of 1.44 crore shares. The retail investors portion was booked 5.94 times, while the Non Institutional Investors (NII) portion was subscribed 13.87 times. The Qualified Institutional Buyers (QIBs) category received 9.08 times subscription. JM Financial, Axis Capital, HSBC Securities & Capital Markets, ICICI Securities, IFL Securities, Kotak Mahindra Capital Company, SBI Capital Markets are the book running lead managers of the Ventive Hospitality IPO, while Kfin Technologies is the IPO registrar. Read all IPO news here Disclaimer: The views and recommendations made above are those of individual analysts or broking companies, and not of Mint. We advise investors to check with certified experts before making any investment decisions.I’m A Celebrity viewers react as new ‘fantastic’ celebrities join ITV show

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Catholic-New Iberia has already defeated two of the top three seeds in the Division III Select bracket. Now, the Panthers attempt to take down the top seed, Dunham, in Friday afternoon’s LHSAA Prep Classic Division III Select championship game in New Orleans. Dunham takes on Catholic-New Iberia as part of the second day of the three-day Prep Classic taking place at the Caesars Superdome. How to watch Dunham vs. Catholic-New Iberia in 2024 Louisiana high school football playoffs: Live stream LHSAA Prep Classic Division III Select state championship Follow The Sporting News correspondent Buck Ringgold (@Bucks_Ballpark) for all of the live updates and scoring from New Orleans. Scroll down for live score and game updates from kickoff to the postgame. Refresh this page for the latest. CATHOLIC-NEW IBERIA 17, DUNHAM 14 2Q Refresh for updates. SECOND QUARTER - Catholic-New Iberia with plenty of momentum now. Panthers force another Dunham punt and get the ball with nearly three minutes to go in the half. - TOUCHDOWN CATHOLIC-NEW IBERIA . Panthers take their first lead on the day as QB Luke Landry, with a flick of his left arm, throws a 1-yard TD pass to Bennett Woodring, one play after Landry threw a 34-yard pass to Jaiden Mitchell. PAT puts Panthers up three (Catholic-New Iberia, 17-14 | 5:07, 2nd) - Catholic-New Iberia gets a third-down sack, and forces Dunham to punt. Panthers get the ball back with a chance to take their first lead on the day. - TOUCHDOWN CATHOLIC-NEW IBERIA . Panthers find the end zone for the first time this afternoon, as Tristan Lewis takes a handoff and bounces off several tacklers and into the end zone, finishing off a 14-yard run. PAT is good (Dunham, 14-10 | 9:59, 2nd) - Both teams punt the ball away to one another as the first quarter ends. FIRST QUARTER - TOUCHDOWN DUNHAM . Tigers quickly move down the field again and score a second TD, as QB Elijah Haven finds receiver Jarvis Washington Jr. from 36 yards out (Dunham, 14-3 | 3:21, 1st) - FIELD GOAL CATHOLIC-NEW IBERIA . Panther QB Luke Landry avoided a third-down sack by firing a short pass to Owen Morris which turned into a long gain deep in Dunham territory. That eventually set up a 35-yard field goal by Bennett Boudreaux. (Dunham, 7-3 | 5:24, 1st) - TOUCHDOWN DUNHAM . QB Elijah Haven runs a keeper 5 yards into the end zone on third down, completing a 75-yard opening drive by the Tigers. (Dunham, 7-0 | 9:05, 1st) - Dunham already in the red zone on the opening series. - Dunham will field the opening kickoff to start this game and we are under way. PREGAME - Coming to you from the Caesars Superdome, as Catholic-New Iberia gets set to take on Dunham. ABOUT CATHOLIC-NEW IBERIA (12-1) In their quarterfinal, the No. 7-seeded Panthers (12-1) upended No. 2 seed Isidore Newman, 31-0. Then in last week’s semifinal, they rallied late, getting a successful onside kick and a field goal in the closing seconds to win at No. 3 seed Calvary Baptist, 33-31. Catholic-New Iberia has one of the premier quarterbacks in the state in senior Luke Landry, who has thrown for more than 2,600 yards and 37 TDs. Making its seventh title-game appearance, the Panthers won it all in 1962 and again in 2017. ABOUT DUNHAM (13-0) Dunham has put up strong numbers on both sides of the ball. Dunham, led by perhaps the top-ranked quarterback in the Class of 2027 in sophomore Elijah Haven, has averaged 34.9 points per game while allowing 12.2 points per contest. In the quarterfinal round two weeks ago, the Tigers survived No. 9 seeded Lafayette Christian, winning 34-30. Then last week, they rolled past No. 5 seeded Bunkie, 46-22. Dunham is making its third appearance in a state championship game. The Tigers won it all in 2004 in Class 1A and then played for the Division III Select title two years ago.We will safeguard rights of all peopleTulisa’s ex boyfriend Fazer from N-Dubz makes surprise admission about star’s changing face amid heath battles