This is page numbers 23 - 84 of the Hansard for the 13th Assembly, 5th Session. The original version can be accessed on the Legislative Assembly's website or by contacting the Legislative Assembly Library. The word of the day was chairman.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Roland. Mr. Ng.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Kelvin Ng Kitikmeot

Madam Chair, I guess the issue would be, if I think I know where the Member is coming from, the health boards as the deliverers would be asked to implement the standards that we have set, and of course we would be responsible for monitoring and evaluating whether or not the standards that were set have been met. I think that is basically where we are heading as far as the responsibilities and the role and the memorandums of understanding between the department and health and social services boards in the Northwest Territories. Thank you, Madam Chair.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Ng. Mr. Roland.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Floyd Roland

Floyd Roland Inuvik

Thank you, Madam Chair. What authority has been given to the boards to make changes to their operations?

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you. Mr. Ng.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Kelvin Ng Kitikmeot

Madam Chair, they have quite a bit of flexibility in designing some of the programs and setting priorities within their own service areas and what they think are the more appropriate programs to be putting more of the emphasis on and which ones, of course, they would not place such an emphasis on if it is deemed to be as a high of a priority in their service area. Thank you, Madam Chair.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Ng. Mr. Roland.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Floyd Roland

Floyd Roland Inuvik

Thank you, Madam Chair. My question will go back to the standards. What are the results of not meeting the standards?

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Roland. Mr. Ng.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Kelvin Ng Kitikmeot

Right now it is in a state of flux in that we have an MOU that we have been working on through the health care association, but the intent, obviously Madam Chair, depending on what standards we are dealing with because as we all know, some pretty extensive programs that we are asking the boards to carry out. Obviously, we would want to make sure if things were going out of line, that we would try to make corrections and assist the boards to do that by pointing out where there may be some variances in what we would expect and work with them to try to work through that. In a worse case scenario, if you have incompetency or just boards that are unwilling to conform to standards, of course we would have to take appropriate action in whatever may be necessary to ensure that the safety and the service of the public is not at risk. That could mean as much as dissolving boards or putting in public administrators or firing CEOs and any type of option to make sure that people in the Northwest Territories are not put at risk as a result of boards not conforming or unwilling to conform to standards. Again, depending on the nature of what the variance may be. Thank you.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Ng. Mr. Roland.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Floyd Roland

Floyd Roland Inuvik

Thank you, Madam Chair. With the standards that are in place, and saying that health boards have the ability and authority to make changes in areas they feel that are priorities. Health boards that know decided to make changes, if there are areas that changes result in certain standards not being met, then is that a responsibility of the department on a territorial wide basis?

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Roland. Mr. Ng.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Kelvin Ng Kitikmeot

Thank you, Madam Chair. Once we would set standards, the basic standards that would have to amend, yes, it would be our responsibility to ensure that standard was available throughout the Northwest Territories and be able to be provided by all health and social services boards. Thank you, Madam Chair.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Ng. Mr. Roland.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Floyd Roland

Floyd Roland Inuvik

Thank you, Madam Chair. Is there a set of standards that would cover the Northwest Territories from the health and social services point of view, or do we have numerous different standards set either by federal government or territorial government or previous agreements? Do we have one that would cover the whole of the Northwest Territories in the health and social services area?

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Roland. Mr. Ng.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 76

Kelvin Ng Kitikmeot

Thank you, Madam Chair. There is obviously again depending on the complexity of the program. There are different standards for different programs and given

that there has been variations of different programs and the way they are delivered throughout the Northwest Territories, one of the things we are trying to do is to standardize so it is uniform across the territories in order to provide that consistency. Thank you, Madam Chair.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 77

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Ng. Final question, Mr. Roland.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 77

Floyd Roland

Floyd Roland Inuvik

Thank you, Madam Chair. Is the Minister saying that right now in the Northwest Territories we do not have a set of standards that could be followed throughout the Northwest Territories that can be measured to say if health boards in different areas are meeting these standards or not? They are in flux all over and each board can set its own standards?

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 77

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Roland. Mr. Ng.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 77

Kelvin Ng Kitikmeot

Thank you, Madam Chair. Madam Chair, again, depending on what programs we are speaking of, generally I can say that there are standards and that boards are at various levels in respect to those standards and that again, it is hard to get into a comparison unless we are reviewing a certain program and we can get the information on where each board is with those programs and what our standards relative to where those boards are. Thank you, Madam Chair.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 77

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Ng. Next on the list I have Mr. Henry.

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

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Seamus Henry Yellowknife South

Thank you, Madam Chair. Following up on Mr. Roland's question. This has been the topic of much debate in the House in the last few weeks, the whole mammography program. Can the Minister explain to me, does the department have a standard as to mammography program for the Northwest Territories at the department level?

Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 77

The Chair

The Chair Jane Groenewegen

Thank you, Mr. Henry. Mr. Ng.