Thank you, Mr. Speaker.
WHEREAS the Fort Smith Health Centre has been regarded as a vital health care facility by the residents of Fort Smith for many years;
AND WHEREAS an agreement was made with the Commissioner of the Northwest Territories on September 12, 1980, establishing that the health centre should be managed and operated by an appointed board of management;
AND WHEREAS over the past year there has been growing public recognition of communication difficulties and conflict among the board of management administrative staff and medical personnel;
AND WHEREAS the Wilson and Associates reports identified major problems in the operation of the health centre, and there has been little or no action on the vast majority of recommendations included in this report;
AND WHEREAS the Saskatchewan College of Physicians and Surgeons was asked to prepare a report, which commented on aspects of the quality of medical services delivery;
AND WHEREAS this report has not been made public;
AND WHEREAS following the resignation of several board members, the Minister of Health appointed a public administrator under the Territorial Hospital Insurance Services Act;
AND WHEREAS this appointment has caused concern and speculation among the residents of Fort Smith, thus diminishing the community confidence in the Fort Smith Health Centre;
AND WHEREAS the status of a physician who has been a long term Fort Smith resident, is unclear in the public's mind;
AND WHEREAS by demonstration, petition and at a public meeting, the residents of Fort Smith have showed their support for an early public review, and resolution of the medical and administration activities of the Fort Smith Health Centre;
AND WHEREAS the Minister of Health has referred the non- public report of the Saskatchewan College of Physicians and Surgeons to a board of inquiry established under the Medical Professions Act;
AND WHEREAS the Public Inquiries Act, passed by the Legislative Assembly, provides the mechanism and opportunity for residents of the Northwest Territories to be able to request the Commissioner of the Northwest Territories to cause a public inquiry into the matters relating to the conduct of a public business of the territories, or any matter of public concern;
AND WHEREAS the public of Fort Smith have a grave concern with the administration, and quality, of medical services in the community of Fort Smith;
NOW THEREFORE I MOVE, seconded by the honourable Member for Mackenzie Delta, that this Legislative Assembly supports the need for a public inquiry into the issues surrounding the administration, and quality, of medical services provided by the Fort Smith Health Centre to the residents of Fort Smith;
AND FURTHER request the Commissioner of the Northwest Territories to give earnest and immediate consideration to cause an inquiry to be held on the matter pursuant to section two of the Public Inquiries Act. Thank you.
Thank you very much, Mr. Speaker. Mr. Speaker and honourable Members, I have indicated to the public prior to the session sitting, that I would ask for a public inquiry into the Fort Smith Health Centre.
The Minister of Health, however, prior to the session held, decided to, instead, create a board of inquiry under the Medical Profession Act, to address many concerns of the Fort Smith Health Centre. I would like to advise Members of this House as to what has happened to date, to my knowledge, and why I am asking for a public inquiry.
Last year I met with the board of the Fort Smith Health Centre. At that time, they indicated that they wanted to do a review, or a terms of reference was going to be developed. However, I recognized after the review was done, that even the terms of reference were not adhered to. I looked at section two of the terms of reference, that I tabled in this House last week, where it indicates that the committee will be comprised of at least four to five members, as selected by the Saskatchewan College of Physicians and Surgeons. I have since been advised that this report that was completed, that the Minister seems to be passing around, had been done by only two physicians of the College of Saskatchewan, they went into the Fort Smith Health Centre, and did a review in one and a half days. The terms of reference that the board developed, for the College of Physicians to go in to do the review, makes me wonder how the review was done.
I was advised that the report in question has some concern in respect to its validity, and the fairness, of how it is being done. It is a process used in developing the report that has caused concern, and even indicated that the terms of reference were not adhered to. I indicated that the process of the report was questionable. I also indicated, that at the time the operation of the board under the current chairmanship continued to be problematic, and that the board was questionable. That the board was operating under the dictatorship of the chairman and the administrator. The Minister at the time, I felt took action, wrote to the chairman, and requested a copy of the report. So, therefore, he wrote to him on July 23 and thanked him for the report. At that time, he directed the chairman to ensure three preconditions, be met prior to this profession going back to work in the Fort Smith Health Centre.
These preconditions were to be agreed to by July 31. He sent this letter on July 23. Seven days was granted to the board to deal with this. However, the board did not meet within those seven days. The chairman was not even in town, and they only ran a five member board, so it was difficult to meet. On August 5, though, the chairman went back to Fort Smith. He called all the board members, he requested that they resign, and he was willing to send to the board members, developed letters of resignation which they should sign, he stated.
He also indicated to two board members that three had already resigned. One board member indicated information to the public, at the public meeting, that I held on September 3. So, since three out of five board members resigned, the board was non-functioning. So quickly, exactly what the Minister wanted, he appointed a public administrator, Mr. Don Ellis, who is our Regional Director.
There are many questions that arose at the public meeting on September 3. The appointment of the public administrator was made without advising the public, they wanted to know why. I know it was because of the poor chairmanship that the board was under, but why did the Minister not just remove the chairman? Because the chairman at the time was at pleasure.
On August 10 I flew to Yellowknife to meet with the Minister, to ensure that it was not the intentions of his office to suspend a professional, that he referred to in the letter that he wrote to Peter Fraser, on July 23, who at the time was the chairman. The Minister assured me that the professional would not be suspended, and that he would give me a copy of the terms of reference for the public administrator. He also indicated that he would leave everything up to the public administrator to address on this issue.
I met with the public administrator, subsequently, on August 14, to advise him of my concerns on how this report was developed. However, my concerns fell on deaf ears. On August 20 the public administrator, Mr. Ellis, called to advise me that he was planning to suspend the professional in question, due to the College of Physicians' report. He also stated, that he may reconsider, if I could convince the professional to take a competency test, and a psychiatric test. I asked him at the time for even the courtesy of the weekend to see what we could do.
However, unfortunately, Mr. Ellis decided not to wait the weekend. He wrote to the professional, and advised him that his privileges in the Fort Smith Health Centre were suspended. On August 26, the Minister of Health was to open a personal care unit. He was greeted by a group of demonstrators asking for a public inquiry. At the time the Minister advised me that a public inquiry was premature without a public meeting. It was difficult, at the time, to call for a public meeting, because I did not have it confirmed that the administrator suspended the doctor's privileges.
On September 1, I knew that the privileges were officially suspended, therefore, I advertised for a public meeting on September 1, and I apologized to my constituents for not giving them enough time. However, my time frame did not allow for more time. On September 2, I came to Yellowknife to meet with the Special Committee on Health and Social Services. The Minister's officials were all in the room on September 2 and 3, so they knew where I was. In the afternoon of September 3, I was approached by a C.B.C. reporter, who advised me that the Minister of Health had set up a board of inquiry, and she asked, what did I think about it?
I guess that is one of the concerns in respect to why people want a public inquiry, Mr. Speaker, is the fact that none of this information, none of these decisions, are made at the community. None of the decisions are made with respect to consultation of the past board, or even consideration given to myself. So, therefore, I went to the public meeting on the evening of September 3, and we must remember that the board of inquiry was set up without even consideration of advising my office on the afternoon of September 3.
When I held a public meeting, of which I only gave two days notice, at least a hundred people from all across the community attended. Many of my constituents, unequivocally, requested a public inquiry. Mr. Speaker, my constituents and myself feel that there are too many unanswered questions, which I will attempt to outline for the honourable Members today.
First of all, the terms of reference, under section two, stated that the committee will comprise of at least four to five members elected by the College of Physicians. However, only two physicians from the Saskatchewan College developed the report. Why did the Board of Management not at least have the opportunity to address the report? From my understanding, the board did not want to, because of the way it was developed.
Why did the Minister send to the former chairman that the Board of Management place preconditions on this profession prior to the doctor returning from holidays? Why did the chairman have letters, all typed and developed, for each board member, and did not even call for a board meeting instead of requesting each board member to sign these developed letters of resignation?
Why was the public administrator appointed on August 7, and his terms of reference not developed until August 20? Generally, it is the practice of a Minister to develop terms of reference, and then appoint an individual to a mandated job.
The Minister of Health received a copy of my letter to Mr. Ellis on August 21, indicating my disappointment with his planned action, and also advising Mr. Ellis that it would leave me no alternative, but to request a public inquiry. So, the Minister knew I was going to ask for a public inquiry. The Minister knew I was conducting a public meeting on September 3, as I advised his Deputy Minister on September the 2, when he came in front of the Special Committee on Health and Social Services. I told him that I was having a meeting in Fort Smith the next day.
The Minister's Executive Assistant was right in the room, the same room as the Special Committee on Health and Social Services, so his saying that he did not know where I was, is very questionable. The Minister decided to hold a board of inquiry under the Medical Profession Act, because he knew that a public inquiry would bring out too many things that, I believe, he may want to hide. The public inquiry will bring out the report, and how it was developed, why the Board resigned, and why the Minister appointed a public administrator to make the decision to suspend a professional in Fort Smith, that people in Fort Smith want.
The Minister knows that the particular document he is circulating, and sent to Dr. Covert, or to his board of inquiry to address under the board of inquiry, is a document that apparently is sealed in the courts. So, there is no other avenue to even advise my constituents. I cannot even go to the courts. However, this document remains and is being circulated. I may even believe, Mr. Speaker, that the Minister may be in contempt of court. Mr. Speaker, this particular Minister, is the same Minister who wants to bring in access to information, but is denying unequivocally a request from my constituents for a public inquiry. How can we have an access to government and deny people of what is going on? There were many concerns when I held the public meeting.
There were concerns that an elder had just passed away of a heart attack, and they wondered whether that could have been prevented, and if he would have gone to the hospital, if he knew his doctor was there. I wonder how many more have to pass on.
The irony of this whole issue, Mr. Speaker, and I want to advise this House, is that the public, my constituents, want to have their doctors serve them out of the Fort Smith Health Centre, but because of the administration in the health department, they are denied of such a privilege.
Instead of allowing the public to know what is going on, this Minister is only allowing for this issue to be handled by a board of inquiry, not a public inquiry.
Friday afternoon, I agreed with the Minister of Health to get an independent legal opinion. An independent legal opinion is basically, what I was trying to tell the Minister all week. It was basically stating that the board of inquiry can only discipline or dismiss, which I know the Minister wants. It also indicated that the board of inquiry, and the medical professional inquiry, and I quote from the legal opinion "the purpose of the two statutes are very different," and that is what I was trying to tell the Minister last week.
Mr. Speaker, I feel that we at least owe it to the public of Fort Smith to bring this whole issue out, and further, to at least allow for justice to be done. Do we not owe it to the public, not to prosecute a person until proven guilty?
Members, honourable colleagues, it appears this Minister has done just that. All I can say is that I am happy he is no longer the Minister of Justice. There does not seem to be any justice in this whole fiasco. Mr. Speaker, I urge my honourable colleagues to support my motion for a public inquiry, because remember we requested the transfer of health so that we can bring the delivery of health to the people, for the people. Not to bring the health delivery for bureaucrats to tell us what to do, and this is exactly what is happening. Thank you.