This is page numbers 397 - 430 of the Hansard for the 13th Assembly, 7th 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

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Chairman. As I stated we have been working with the boards and the boards have been working with each other to try and look at how they can contain these costs and still maintain quality service. There has been ongoing work in the area of medical travel with the boards and I think I can get Mr. St. Germaine to give us a bit more detail on that.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

The Chair

The Chair Jake Ootes

Thank you. Mr. St. Germaine.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

St. Germaine

Thank you, Mr. Chairman. The boards in the western Arctic have been working together to look at options for managing the medical travel including how they could look at ways to reduce costs. They contracted a consultant earlier this calendar year to help them with that review and they just recently received the report and one of our recommendations is in fact to look at negotiating preferred rates or tendering for preferred rates with the commercial carriers. At this time they have not acted on this recommendation.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

The Chair

The Chair Jake Ootes

Thank you. Mr. Erasmus your time is up. Further questions from other Members? Mr. Henry.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

Seamus Henry Yellowknife South

Thank you, Mr. Chairman. I have a short comment and a number of questions of the Minister. I will start at the end of the Minister's statement where he talked about where we continue to have an excellent health and social services system in the Northwest Territories. Mr. Chairman, I would be inclined to agree with the Minister, at least from my own experience. That is not to say that there are not problems that we can work on, and I think the Minister and the officials have recognized that with some of the initiatives that are being taken. I have not had a lot of personal contact but I have talked to some of the clinic operators in Yellowknife and they are very concerned with the shortage of doctors and their ability to attract doctors to the city and I believe that it is fair to say that there is a shortage at the present time. It is certainly not critical but there is a shortage and we have an excellent facility in the capital city which serves all of the Northwest Territories. I am a little concerned that if there is difficulty in attracting medical professionals to the north, that all of the territories will suffer by not having that expertise here. My first question to the Minister is could he tell me about any assistance or plans that the department has in place to assist clinics or hospital to attract medical staff to the north? Thank you, Mr. Chairman.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

The Chair

The Chair Jake Ootes

Thank you, Mr. Henry. Mr. Minister.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Chairman. We are as well concerned with the recruitment of new doctors to the whole Northwest Territories and we have committed to work with the Northwest Territories Medical Association to sit down and look at the specific areas where we feel it can be addressed to try and improve the outlook that lies before us when it comes to physicians in the Northwest Territories. Thank you, Mr. Chairman.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

The Chair

The Chair Jake Ootes

Thank you. Further questions? Mr. Henry.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

Seamus Henry Yellowknife South

Thank you, Mr. Chairman. I note in the Minister's opening remarks that he talks highly of the co-operation of all the partners. I also note in his statement where he points out, I believe, correct me if I am wrong, that the professional staff's doctors have not had a rate increase in a couple of years and if this is in fact correct, would this not be a good indication as to why it is so difficult to attract medical professionals to the north and what proactive steps is the Minister prepared to take rather than waiting for the Medical Association to maybe come and make the suggestion. Is the Minister prepared to take into consideration that compensation and the lack of any increases in the past three years may be strongly contributing to the lack of professionals here in the territories? Thank you, Mr. Chairman.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

The Chair

The Chair Jake Ootes

Thank you, Mr. Henry. Mr. Minister.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Chairman. The Medical Association, as stated in my Minister's statement, have voluntarily took some decreases when we were going through our reduction scenarios and we do recognize compensation is one of the factors but there are a number of other factors that are included in recruitment of doctors or keeping them here for long periods of time. For example, a clear majority of our doctors are from other jurisdictions and when they travel up here for long periods of time they at some point consider the placement or where they call home. So that is one of the factors and I think that is something we are trying to work on. The government as a whole is trying to have more professionals come through the system that are residents of the territories, born here so they do not feel the urge of moving on at some point. It is one of the concerns as I stated, it is one of a number of concerns and we are going to be meeting with the Medical Association to discuss the fee schedule in the near future. Thank you, Mr. Chairman.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

The Chair

The Chair Jake Ootes

Thank you, Mr. Roland. Mr. Henry.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 421

Seamus Henry Yellowknife South

Thank you, Mr. Chairman. I do not believe that

doctor recruitment was a major concern for a number of years and as I note the Minister pointed out, there was a rollback and there have been no increases for a couple of years and the Minister did mention that some of the doctors did choose to move on. I am sure that the incentive of higher remuneration did attract them in the first place, so I am wondering if that is not the main reason that we are not being able to attract more doctors to the north? Thank you, Mr. Chairman.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

The Chair

The Chair Jake Ootes

I take it you are asking a question, Mr. Henry. Mr. Minister do you wish to comment?

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Chairman. As stated earlier, remuneration or compensation packages for doctors are part of the concern which we have in recruiting new doctors to our territory. I do not believe it would be the main reason for it. It is a number of factors. We have had a stable physician group for a number of years. One of the concerns is as the physicians are moving on to retirement, finding younger replacement doctors who have young families coming to the north is a concern. We have tried to address that, for example, out of the Alberta Medical School we have purchased a seat at the University of Alberta to try and have northern doctors trained through that facility. Thank you.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

The Chair

The Chair Jake Ootes

Thank you, Mr. Roland. Mr. Henry.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

Seamus Henry Yellowknife South

Thank you, Mr. Chairman. Are the medical schools, or does the Minister have any information to say that the medical schools in Canada are producing less doctors than they were a few years ago? Thank you, Mr. Chairman.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

The Chair

The Chair Jake Ootes

Thank you, Mr. Henry. Mr. Minister.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

April 27th, 1999

Page 422

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Chairman. One of the concerns throughout Canada is with the reduction phase that Canadians went through with the federal government and the provinces, there has been a drop in potential graduates that would come through the system or entering into it. There has been a drop and there is a concern throughout Canada as to the number of physicians that will be available for Canadians. We are facing competition from other sectors in that area as well so it is a concern.

One of the areas in the Northwest Territories, it is a little more difficult to measure or try to receive numbers or get numbers on physicians because the majority of physicians in the Northwest Territories practice privately. Whereas for nurses, they are employees of the government and the boards so we can, with much work, pull the numbers together to track. Thank you, Mr. Chairman.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

The Chair

The Chair Jake Ootes

Thank you, Mr. Minister. Mr. Henry.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

Seamus Henry Yellowknife South

Thank you, Mr. Chairman. Going on to comments on the Minister's opening remarks regarding care and protection of children and youth and I note the Minister has a continuing concern with that. I also note that there is an additional $1.2 million being allocated to meet the growing demand of foster care services and youth treatment facilities. The $1.2 million sounds like a lot of money. What is the amount of money spent in this particular area annually or what did we spend last year? Thank you, Mr. Chairman.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

The Chair

The Chair Jake Ootes

Thank you, Mr. Henry. Mr. Minister.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

Floyd Roland

Floyd Roland Inuvik

Thank you, Mr. Chairman. That would require a bit of detail so I will get the specialist on the finances for our department, Mr. St. Germaine, to answer that.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

The Chair

The Chair Jake Ootes

Thank you, Mr. Roland. Mr. St. Germaine.

Committee Motion: 23-13(7): Cooperation Between Social Envelope Department (h&ss)
Item 19: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 422

St. Germaine

Thank you, Mr. Chairman. For children's services we have budgeted for 1999-2000 approximately $6.4 million for children's services delivered by the health and social services boards and we have budgeted a further $3.2 million for services provided by southern institutions for children who are placed in the south for treatment. Thank you.