This is page numbers 87 - 170 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 91

The Chair

The Chair Vince Steen

Thank you, Mrs. Groenewegen. 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

October 22nd, 1997

Page 91

Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. Mr. Chairman, I believe we have some direct involvement in all of those initiatives that the Member speaks of. I cannot speak directly on exactly what depth of involvement we have right now because of the fact that I do not have that information here. But I can assure you that we are certainly aware and if not directly involved in those or coordinating those initiatives. Mr. Chairman, 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 91

The Chair

The Chair Vince Steen

Thank you, Mr. Ng. I would like to take this opportunity to inform the Members that at 11:00 a.m. this morning there will be a book signing ceremony in the Great Hall which will include a drum prayer. I am sure that we will hear, so I do not want Members to be startled or alarmed by the drums. Mrs. Groenewegen, question number six.

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 91

Jane Groenewegen

Jane Groenewegen Hay River

Thank you, Mr. Chairman. Just in closing, I would like to comment on the work that has been done by Minister Ng from my perspective over the past two years, not him in isolation, but that of the departments that he

represents and in that role of leading those departments. It is such a vast area of need that I think there is never enough that a person or the government can do to address those needs. But I would like to thank the Minister for being attentive and being approachable on the various concerns. He has attended at least in my riding, I know other ridings, over that two-year period and has tried to listen to what the people have to say. If there is one small area of suggestion or advise that I could offer that might improve communications, it is in relations to our workings here in the House. There are times that either other Members or myself ask the Minister questions, and I do not feel that we get the most direct answer. Sometimes after I ask a question, I feel kind of good and satisfied and happy with the answer, but then I sit down and when I start to try to analyse what he said, I am kind of having difficulty nailing it down and saying, yes, that is the answer I need or that is something that I can take back to my constituents. So, just a small area of suggestion, maybe just be a little more direct and straightforward in communications. That is all I have. Thank you, Mr. Chairman. No question.

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 92

The Chair

The Chair Vince Steen

Thank you, Mrs. Groenewegen. I did not hear a question. Next on the list, I will recognize the Member for Yellowknife Centre, Mr. Ootes.

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 92

Jake Ootes

Jake Ootes Yellowknife Centre

Thank you, Mr. Chairman. I would like to deal with an issue that is arising here at Station Regional Hospital, that seems to be receiving some concerns by the people who are the specialists here. The Med-Emerg report made a number of recommendations and seemed to indicate that the department will go in a certain direction. I understand that further work is going to be done on that this fall, but the concern here is that we have a group of specialists, and they are serving fairly well the whole of the Northwest Territories and certainly all of the Mackenzie Valley. There is an unease there now that the way the future through the developing of all the responsibility to the boards may result in the loss of a number of patients coming here to Yellowknife for specialist treatment. If that happens, that means we may loose specialists and it could have a snow ball effect.

In other words, right now we do have a set-up of a group of specialist here and they can provide most of the services for the residents of the western Arctic certainly if not more than that including the Keewatin. This is a major concern. I have spoken to some of the medical people myself. It is happening because of the fact that we are devolving so much responsibilities to the boards, and there is no sort of guarantee yet that we will be able to maintain the volume of patients through these specialists because it will be a choice of each board where they go. Then it becomes a competitive matter. I wonder if the Minister could enlighten us somewhat on this and provide some reassurance? I will only ask one question. Could the Minister provide some reassurance that we want to maintain this group of specialists in the north and build on that so that we do have a centre of excellence here in the Northwest Territories to treat on an ongoing basis most of the major medical concerns that require a specialist, an operation of some sort? 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 92

The Chair

The Chair Vince Steen

Thank you, Mr. Ootes. 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 92

Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. I can confirm. There is certainly a will to maintain a specialist pool in the north. We have worked hard to develop in conjunction with the boards and supporting them and funding them, developing specialist services to be as close to home as possible no matter what community they may be in. I just wanted to correct the Member. The specialist services in the Baffin and Keewatin are not supplied through Yellowknife. A majority of bills come from other jurisdictions for the Keewatin and Baffin, but certainly for the Kitikmeot, my area and the western Arctic as the Member refers to, a lot of the clientele coming from those areas went to Yellowknife for some of the specialist services that are available here. It is our intent to try to maintain, as I indicated, specialists services in the north, and we would not try to jeopardize that because of the fact, it would make sense to try to retain that service as close to home as possible. Thank you, Mr. 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 92

The Chair

The Chair Vince Steen

Thank you, Mr. Ng. Mr. Ootes.

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 92

Jake Ootes

Jake Ootes Yellowknife Centre

Thank you, Mr. Chairman. Some time ago, the department stated it would develop an alcohol and drug strategy. Could the Minister tell us what has happened in that regard and what is in the process of an alcohol and drug strategy?

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 92

The Chair

The Chair Vince Steen

Thank you, Mr. Ootes. 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 92

Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. I believe that was probably the alcohol and drug reform that took place early in the mandate. We have gone from a core funding to a per diem situation with a lot of the alcohol and drug treatment centres. We have moved the dollars for the alcohol and drug residential treatment and for the community programs to their regional level where treatment centres have worked on some strategies to expand some of the services they have available including looking at some other areas besides strictly alcohol and drug treatment in order to attract and broaden some of the services for constituents. Mr. 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 92

The Chair

The Chair Vince Steen

Thank you, Mr. Ng. Questions for the Minister. Mr Ootes.

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 93

Jake Ootes

Jake Ootes Yellowknife Centre

Thank you, Mr. Chairman. To a question earlier, asked by my honourable colleague from Hay River, Mrs. Groenewegen. What does the department do? The Minister replied a number of areas, support of boards and planning. He also stated that initiatives the boards cannot undertake, such as the human resource support area. I wonder if the Minister could tell us, if there are other initiatives other than the human resource support area if the department still continues to be responsible for?

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 93

The Chair

The Chair Vince Steen

Thank you, Mr. Ootes. 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 93

Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. In the area of financing and other operations, on the capital end of things, we are still responsible for that, setting standards as I had indicated, some of the population health issues of broader programs, whether it is undertaking studies and collection of information for analysis and trends on a territorial basis so we can give guidance and advise on programming and those types of areas, Mr. Chairman. 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 93

The Chair

The Chair Vince Steen

Thank you, Mr. Ng. Questions for the Minister. Mr. Ootes.

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 93

Jake Ootes

Jake Ootes Yellowknife Centre

Thank you, I will make this my final question, Mr. Chairman. There has been a lot of criticism, Mr. Chairman, of the Med-Emerg report, and I certainly questioned it right from the start, the cost of it and fashion in which it was let, the haste. The usual applies, haste makes waste. I am wondering if the Minister could tell us today, if he would give me a comment, as to whether he would handle the awarding of this contract in a better way? 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 93

The Chair

The Chair Vince Steen

Thank you, Mr. Ootes. 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 93

Kelvin Ng Kitikmeot

Thank you, Mr. Ootes. Mr. Chairman, as I indicated in my opening remarks. I believe that those strategic planning initiatives are critical to us as a government and to use as a department as we move toward reforming some of our programs. We are doing a bunch of initiatives that, although we thought were going on the right track, we were not sure of that. Everybody can second guess whether or not you are going in the right direction. I think it is safe to say, as I indicated that the department itself has undergone, over the past five or six years, a strategic planning process that had never been concluded. I felt we had to get this done in a timely fashion because of division impending on us, because of the reforms that were undertaken and because of the great demands for replacement facilities, as I had indicated in Inuvik and Iqaluit that this necessitated knowing exactly what an integrated system would look like and how those facilities would fit into an integrated system both east and west, Mr. Chairman. 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 93

The Chair

The Chair Vince Steen

Thank you, Mr. Ng. Questions for the Minister. I have Mr. Barnabas, Member for High Arctic.

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 93

Levi Barnabas High Arctic

Thank you, Mr. Chairman. Mr. Chairman, I would like to ask the Minister of Health and Social Services how his department recruits nurses?

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 93

The Chair

The Chair Vince Steen

Thank you, Mr. Barnabas. 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 93

Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. Right now the regional Health and Social Services Boards has the responsibility for staffing, including nurses. Right now, as I have indicated in comments to other Members, we recognize there is a problem. There has historically been a problem in fully staffing the nursing compliment throughout the Northwest Territories, and we have initiated a human resource recruitment and retention plan that we are going to be actively pursuing over the next few months to try to remedy the problem of health care professionals throughout the Northwest Territories. 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 93

The Chair

The Chair Vince Steen

Thank you, Mr. Ng. Questions for the Minister. Mr. Barnabas.