In the 1990s Canada, along with other developed nations, faced an economic recession which had a big impact on public sector spending. Canada's provinces were forced to make major cuts to budgets, including health care budgets. Hospitals were closed and staff laid off. In May 2011 the Nuffield Trust and Canada's Health Services Research Foundation jointly hosted a Masterclass to discuss the learning from Canada's experience of handling a downturn.
In this video, Professor Terrence Sullivan, Department of Health Policy Management and Evaluation, Dalla Lana School of Public Health, University of Toronto, speaks with the Nuffield Trust about the scale of the challenge that faced Canada's health services and the impact of the cuts on the quality of care.