14 April 2017 - Andrée Colella had been in and out of hospital for months with bladder and bone infections when her husband, Tom, broke down and asked for help from an unconventional source: a private health-care advocate.

For $90 an hour, Jana Bartley, a former obstetrics nurse and legal nurse consultant, took charge of the family’s case.

She organised meetings of the three agencies that care for Ms. Colella at home, where multiple sclerosis keeps the 60-year-old confined to a hospital bed in the kitchen. Ms. Bartley took minutes at the gatherings and set goals for Ms. Colella’s care, including reducing the number of nurses and personal-support workers who cycled through the couple’s modest house in east Toronto.

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