Ontario Auditor General's 2025 Report Targets Health Care System
Ontario AG's annual report focuses on health care

Ontario's financial watchdog is preparing to deliver a critical assessment of the province's public services, with health care expected to be under the microscope. Auditor General Shelley Spence will release her annual report on December 2, 2025, continuing her office's tradition of scrutinizing government spending and program effectiveness.

Focus on Health Care System

The upcoming report will place a particular emphasis on Ontario's health care system. This focus comes at a time when hospitals, long-term care facilities, and surgical backlogs remain pressing concerns for residents and policymakers across the province. The auditor general's independent analysis is anticipated to examine the efficiency, accountability, and outcomes of significant health-related expenditures.

Shelley Spence, who presented her previous report in December 2024 at the Ontario legislature in Toronto, leads an office tasked with providing objective assurance on the government's use of public funds. Her findings often lead to recommendations for improved operations and greater transparency within ministries and agencies.

Scope and Significance of the Annual Report

The auditor general's annual report is a cornerstone of legislative oversight in Ontario. It typically contains multiple value-for-money audits that go beyond simple financial accounting to assess whether government programs are achieving their intended goals effectively and economically.

While the full details of the 2025 report remain under wraps until its official release, the pre-announced focus on health care signals its potential impact. Previous reports have examined topics ranging from pandemic preparedness and digital government services to environmental protection and education funding, often prompting government responses and policy adjustments.

Anticipated Impact and Next Steps

The release of the report will likely trigger reactions from opposition parties, health care advocates, and the governing administration. Key findings may influence budgetary priorities and legislative debates in the provincial parliament. The report's recommendations are not binding, but they carry substantial weight due to the auditor general's non-partisan reputation and rigorous methodology.

Following the release, relevant government ministries will be expected to review the findings and develop action plans to address any identified shortcomings. Committee hearings may also be convened to further explore the audit results and hold officials accountable for implementing suggested improvements.

The work of the Auditor General of Ontario serves as a vital mechanism for ensuring that taxpayer dollars are managed responsibly and that public services meet the standards expected by the people of the province.