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Auditor General Says Manitoba Not Managing Dialysis Services Effectively

January 22, 2026 2:24 PM CDT | News


Kidney Dialysis

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Manitoba is failing to manage dialysis services in a way that ensures efficiency or delivers the best outcomes for patients, according to a new audit released by the province’s auditor general.

The report, Management of Dialysis Services, found the province lacks proper operational planning for dialysis care, making it difficult to translate long-term goals into effective action. It also found responsibilities for managing dialysis services are unclear, contributing to inefficiencies across the system.

“Even though dialysis is a life-sustaining service, the Province does not know if it is achieving the best results for patients and providing the best value for taxpayers,” said Auditor General Tyson Shtykalo.

The audit also noted that Manitoba has the highest rate of end-stage kidney disease in Canada, with the number of patients requiring dialysis continuing to rise.

The report makes six recommendations aimed at improving oversight, accountability, and planning for dialysis services across the province.

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“Dialysis is life-sustaining care, and it requires strong provincial co-ordination to ensure patients receive safe, timely treatment no matter where they live,” said Health, Seniors and Long-Term Care Minister Uzoma Asagwara, in a release.

“The OAG’s report examines a period marked by system strain and years of fragmented planning under the previous government. That was the reality we inherited. Since forming government, we have moved quickly to put proper structures in place, expand access to dialysis closer to home and build a system that is safer, more co-ordinated and focused on patient outcomes.”

The provincial government said it will review the recommendations from the report and work with Shared Health, regional health authorities, Kidney Health Manitoba and community partners to strengthen dialysis services across the province.


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