This is page numbers 1093 - 1140 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.

Topics

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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The Chair John Ningark

Agreed?

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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Some Hon. Members

Agreed.

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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The Speaker Samuel Gargan

Thank you, Proceed. For the record, Mr. Ng, would you please introduce the witnesses to the committee? 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

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Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. To my right, Mr. David Ramsden, deputy minister, to my left, Mr. Warren St. Germaine, director of financial management services.

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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The Chair John Ningark

Thank you. Mr. Ramsden and Mr. St. Germaine, welcome to the committee. On the list I have Mr. Steen and Mr. Ootes. Mr. Steen. We are considering Health and Social Services on page 6-10 of 1998-99 main estimates, activity summary, community health programs, total operations and maintenance, $27.437 million. Mr. Steen.

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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Vince Steen

Vince Steen Nunakput

Thank you, Mr. Chairman. Mr. Chairman, yesterday I was questioning the department on transfer of health to the communities. I was asking for clarification and what was involved in the transfers and what type of responsibility would be transferred to the communities. Mr. Chairman, I would like to ask the department if the communities are made aware of what type of pay scale or pay rates are expected by the government employees when these positions are being transferred to the communities? 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

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The Chair John Ningark

Thank you, Mr. Steen. Mr. Minister.

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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Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. I understand that the same pay and benefits package goes over with the transfers. Of course, the municipalities are obliged to offer reasonable pay and benefits because they have all the funds that would have been provided by the GNWT to those employees. 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

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The Chair John Ningark

Thank you, Mr. Steen.

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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Vince Steen

Vince Steen Nunakput

Thank you, Mr. Chairman. Does that mean then that theoretically the municipalities could pay other than what the particular individual was receiving under government pay scale?

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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The Chair John Ningark

Thank you. Mr. Minister.

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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Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. Mr. Chairman, when the government first undertook the community transfers and community empowerment, there were discussions with the Union of Northern Workers that represented a majority of the employees. There is an understanding that employees who transferred over get at least comparable pay and benefits. Municipalities, of course, do have the option of providing more and in some cases they do, but certainly it is nothing less then expected that an employee would receive as a matter of transferring over.

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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The Chair John Ningark

Thank you, Mr. Steen.

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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Vince Steen

Vince Steen Nunakput

Thank you, Mr. Chairman. Mr. Chairman, there are two points I wish to bring out. One is a very important one, I think. In the community empowerment transfers including this particular department, I am not sure whether the departments are fully aware of the amount of responsibility they are putting on the communities, in particular administrative staff. I am sure the department is aware that the municipality has been experiencing difficulties in recruiting long-term SAOs because there is a lot of weight and responsibilities put on this particular individual and it seems to be growing every year depending on the aspiration of the council.

the councils. As an example, and this could reflect on what councils may be paying nurses in future or it may reflect, for instance, on what they pay SAOs and therefore, have the ability to handle the responsibilities that are being passed on. I quote from the report, Mr. Chairman, it says, "the average salary for a hamlet employee is $35,500 per year compared to territorial government salaries, $49,000 per year; compared to federal employees, NWT based, $61,600."

Therefore, this indicates that the amount of funding being transferred to hamlets to actually do their job is quite a bit lower than what this government is paying their own staff. It suggests to me that there is a possibility that the salaries will be going down for the Health and Social Service employees in the hamlets based on what they are already paying their own employees.

Furthermore, unless there are some stipulations, I believe that the funding is being transferred must be used specifically for that purpose. The councils are going to run into problems of recruitment of proper social services and health staff. I hope the Minister and the department, Mr. Chairman, will take this into consideration when negotiating the health transfers. 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

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The Chair John Ningark

Thank you, Mr. Steen. Mr. Minister.

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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Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. Mr. Chairman, I do not dispute the comments made by the honourable Member in respect to SAOs being placed in a difficult position as a result of a lot of increased responsibilities. He is correct. A lot of municipalities have chosen to take on a lot of problems that have really expanded the responsibilities of the SAO and some of the senior management at the municipal level. I cannot speak directly to it with Municipal and Community Affairs, I know they have a community empowerment development fund that is particularly used for those types of situations, in trying to beef up some of the expertise at a municipal level, management level and a council level as they assume so more of these responsibilities.

On the specific issue on recruitment and hiring retention of health care professionals, social workers and nurses, the honourable Member refers to, we do recognize that it cannot be done on a community-by-community basis. There are no economies of scale there. Even right now, we find in our recruitment and retention plan that even on a regional-by-regional basis, there is not a lot of sense in all the boards competing with each other for those same resources. It makes a lot more sense to do it on a larger scale, a territorial scale in trying to provide uniform standards, first of all, pay rates and benefits so that there is not that competition between communities and between boards, where you have some economies of having one central individual or agency providing the broader recruitment for all communities and regions, Mr. Chairman. I thank the Member for his comments.

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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The Chair John Ningark

Thank you. Mr. Steen.

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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Vince Steen

Vince Steen Nunakput

Thank you, Mr. Chairman. Mr. Chairman, I think it becomes more important than ever that this particular monitoring group or staff from the department that the department is planning to put in place to monitor the regional boards. It would be more important than ever that this particular group also monitored the transfers to the communities, not so much to see whether they are actually living up to the agreement but as well help them out where direction or advice is needed so if they do take the transfer, there is a certain amount of expertise that goes with the transfer that would be available from the department. I think that is very important and I hope the Minister can respond favourably that this would seriously be looked at. 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

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The Chair John Ningark

Thank you. Since the western Caucus will be meeting at noon, I will allow the Minister to respond to Mr. Steen and then we will take a lunch break. Mr. Minister.

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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Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. Mr. Chairman, certainly, that would be the case, the monitoring evaluation unit that we have within the department. Of course, we would go through the boards, as we deal primarily with the boards, but the accountability of the boards and the communities that they represent, of course, there would be a relationship between the boards, the communities and the services that are being provided because you have to recognize there is going be coordination and some support from the board level, never mind the departmental level, to the communities, first hand in respect to provision of services. 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

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The Chair John Ningark

Thank you, Mr. St. Germaine, Mr. Ramsden and Mr. Minister. We will break for lunch.

--Break

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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The Chair John Ningark

I would like to call the committee back to order. We are on page 6-10 of the 1998-99 main estimates. We are dealing with Health and Social Services. The activity is community health programs. 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

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Jake Ootes

Jake Ootes Yellowknife Centre

Thank you, Mr. Chairman. I have been waiting for a day and half, I was on the list yesterday and was overlooked. Thank you for recognizing me finally. There are a number of groups in Yellowknife who have some concerns relating mostly to the overtaxing of their facilities. This is happening because there is an influx of people from the communities into Yellowknife. In some cases there are referrals of patients, for example, to Yellowknife. As a result they may bring their families if it is for an extended stay.

There are a number of organizations, such as the YWCA, the Salvation Army, Status of Women, the Women's Centre and the social services network. They are starting to be stretched to the limit. A lot of these, of course, are non-government agencies. They are dependent upon funding from outside sources, either through grants from the government or other locations. There really is a question of inadequate resources in Yellowknife and it is very acute. It is becoming a critical problem for many people.

There is a need to address the whole question of equitable funding. How can this be addressed? Perhaps, I can pose this as a question to start with. How can the department address this particular problem? For example, in the Department of Education when individuals move to Yellowknife from the communities if they are here by a certain date, say the school registration date is September 1st, if they are here by say October 1st, hypothetically, then they go on the school rolls, and the following year funding is transferred to the Yellowknife School Board. This is not the case in terms of Health and Social Services issues. They may come from the communities to come to Yellowknife and there is never recognition for the fact they are no longer a so-called need on the community, hypothetically, wherever they are from, say the High Arctic. The financial transfer does not take place nor does it ever take place here. This is a real area of concern to a number of agencies in Yellowknife. Could I have some comment on that from either the Minister or his officials?

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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The Chair John Ningark

Thank you, Mr. Ootes. Mr. Minister.

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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Kelvin Ng Kitikmeot

Thank you, Mr. Chairman. Mr. Chairman, in respect to the issue the honourable Member raises about school enrolments, of course, the Department of Education does ongoing reviews with the boards on their enrolment numbers. They make proportionate redistribution of existing funds based on past year school enrolments. I understand the Minister of Education will be able to speak more to that detail when he comes.

We do not have that type of flexibility or mechanism within the Department of Health and Social Services. We do recognize there is a lot of excellent work and support provided by a lot of non-profit community groups and agencies that operate services on behalf of those requiring assistance, particularly, here in Yellowknife. Yellowknife is fortunate. The honourable Member does make a good point that there are people who come to Yellowknife for various reasons and end up staying here, whether on a short-term or extended basis.

There are a lot more support mechanisms and groups in Yellowknife, certainly than there are in other communities in the Northwest Territories. It is unfortunate, but in a lot of our communities, some do not even have family violence shelters, if you use that as an example. It is a result of not having adequate resources or the support mechanisms that generate those types of resources. It is an issue that we are aware of. It is a difficult one to deal with, in respect of when we have limited resources, existing programs that we have to support. There is no new money to address this need. If there are requirements that require financial resources, it is a matter of where anyone would suggest that we reallocate resources to address immediate needs. Thank you, Mr. Chairman.