This is page numbers 203 - 234 of the Hansard for the 14th Assembly, 2nd 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

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

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David Krutko

David Krutko Mackenzie Delta

Thank you, Mr. Chairman. Another area that I would like to see us talk about is community wellness, but I do not see any money in this interim appropriation. I think that is one area where we have to give communities the ability and authority to take on some initiatives to do things. We have to give them adequate resources to do it. The resources that we give them now are not enough. I think we should do more in that area, especially looking at the programs that we see in our communities. We are talking about increasing the amount of money and education.

I think we cannot just deal with the classroom problems and leave it in the classroom. The problem also originates from within the community, at home and also with the lifestyle the people live in our small communities. People have to have the resources to realize that we have to deal with these problems in conjunction with each other. Not just say, "put a bunch of money over here, the problem is going to go away". I would like this department to seriously consider increasing the amount of money in the Community Wellness Program.

Also, allow the communities to take on more of those responsibilities. We seem to always be stuck in the process of reacting to problems, usually after they happen, such as suicide, a death in the community, someone being murdered or find a lot of young people being institutionalized. We should be able to deal with that problem before it gets to that stage.

We have to make sure that the communities have the resources, so that when they take these on, they know best because they are dealing with these problems day in and day out at the community level. Yet, people at the regional centre or even in Yellowknife, the only time they react to something is when they get the phone call.

In the communities you are dealing with these problems day in and day out and we have to allow the communities to identify and find solutions to their own problems and also give them resources to carry them out. I would like to ask the Minister, are they planning to increase that amount and when will we see money going into communities for community wellness? Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Mr. Krutko. Madam Minister.

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

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Mr. Chairman, I think there are ways that we can create efficiencies so that the dollars that do go into communities now are used more efficiently. There are initiatives underway within the department to that end and I would like to ask Ms. Ballantyne if she would perhaps talk about how some of those collaborations may be developed. Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Mrs. Groenewegen. Ms. Ballantyne.

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

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Ballantyne

Thank you, Mr. Chairman. Mr. Chairman, the Member is right about the need for communities to have access to sufficient resources to deal with the problems and concerns at a local level.

To that end, one issue that we have been very actively pursuing in the department over the past year, has been working with the federal government to try to better coordinate the significant amount of funding that they flow to Northwest Territories communities through dozens of programs, so that federal monies can be combined with Government of the Northwest Territories monies to create one window of access for funding for community wellness dollars.

We have made quite a bit of progress in this initiative with our federal counterparts and we are talking to the territorial aboriginal organizations about collaborating with us. Several of these programs have an aboriginal aspect. They are dedicated funds solely for aboriginal people and we feel it is important that we bring in the aboriginal leadership into that decision-making process as well.

In a very quick way, just to say we have made quite a bit of progress over the last few months, we hope to conclude these discussions over the next six months. We feel we should be in a position to have this one window created, where we can pool all of this funding. Instead of communities having to apply to up to a dozen different programs to get prenatal funding from here and daycare money from here and alcohol and drug money from over there, they can put together an integrated approach to community wellness that suits their community and reflects their needs. They can apply to one funder who can then flow funds so that they do not have to do multiple proposals, audits, and then multiple sets of books.

The added value to this, I think, will be an opportunity for us at the territorial level to engage with the aboriginal leadership and with our federal counterparts around the evidence about health status so that we can really make sure that the dollars that we have available are directed where they will do the most good.

For example, to make sure that our approach to prenatal nutrition, hot lunch or breakfast programs in schools are run as efficiently in communities as possible, so that we can make sure that we get the maximum amount of dollars in a program area and a minimum amount of dollars on the administration side.

We really hope that we will be able to provide our Minister with a good status report on this initiative in the months to come and then I am sure in turn she will be pleased to communicate that to you. Thank you, Mr. Chairman.

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

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The Chair

The Chair Paul Delorey

Thank you, Ms. Ballantyne. General comments, the Chair recognizes the Member for Thebacha, Mr. Miltenberger.

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

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. Mr. Chairman I will keep my comments and questions brief if the Minister will agree to keep her replies as well, the same way. I have a number of questions, I will be brief on my comments. I know the Minister will follow suit.

Mr. Chairman, the broader issues and concerns that I have with Health and Social Services, I think, will be addressed during the business planning process, when the Minister tables her response to the Minister's Forum on Health and Social Services.

I would just like to get some updates on some very specific issues. The first one would be, given the acknowledged shortcomings of the Digital Communications Network, could the Minister indicate the plans for Telehealth in the Territories and how she plans to hopefully expand the technology, given the restrictions and limitations of the digital network? Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Mr. Miltenberger. Madam Minister.

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

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Mr. Chairman, I believe the Member is correct in his position. We have heard this in the standing committees that the expansion of the Telehealth program has considerable cost savings that may be available to the department if we were able to access it more in communities.

Mr. Bell had asked, in a previous comment, whether or not I will be willing to take this up with the Premier on how we might better improve this infrastructure to serve the needs of the Department of Health. I will commit to do that in collaboration with the Department of Education, Culture and Employment who also stand to benefit considerably from this type of technology if it were sufficient and adequate.

I could not tell the Member now exactly why the facilities provided by, as I understand it, NorthwesTel, are not sufficient in bandwidth to deliver the kind of information that our department would need. I will commit to pursuing that and finding out what kinds of options would be open to us for improving and expanding that service. Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Mr. Miltenberger.

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

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Michael Miltenberger

Michael Miltenberger Thebacha

Mr. Chairman, could the Minister elaborate then on, do they have a plan, a Telehealth strategy that may be predicated on available technical capability. Do they have a plan?

I know they have some Telehealth capabilities in some communities, I think it is Inuvik, Fort Smith and Yellowknife. If it were possible, how would they see expanding that service from a health perspective, not a technological perspective? Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Mr. Miltenberger. Madam Minister.

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

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. I will refer that question to Mr. St. Germaine.

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

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The Chair

The Chair Paul Delorey

Mr. St. Germaine.

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

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St. Germaine

Thank you, Mr. Chairman. It is our intent to continue expanding the Telehealth service at a modest pace where the technology allows the applications to be used. We are hoping, in the upcoming fiscal year, to put the service in four to five additional communities. It will be where there is the bandwidth available to handle the service.

Telehealth service that we do provide, for the Member's information, is a scheduled service, so we pre-book our time. It is a little bit easier to manage in terms of scheduling bandwidth, so we are able to manage, to the extent possible with the bandwidth issues that are there. We will continue to increase the service and enhance it over time. Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Mr. St. Germaine. Mr. Miltenberger.

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

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. I was wondering as well if the Minister could give a quick update on the CWL review. For the record, it is not the Catholic Women's League, but it is the Child Welfare League review. Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Mr. Miltenberger. Madam Minster.

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

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you. He took the words right out of my mouth, I was going to say Catholic Women's League. The Child Welfare League, we are expecting the report from the results of their findings here in the Northwest Territories within the next couple of weeks. At that time I will be in a position to share the results with the Standing Committee on Social Programs. Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Mr. Miltenberger.

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

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. I would also like to just briefly touch on the issue of the equitability of funding for aboriginal governments, specifically the item under population health for $143,000.

Now that it has been raised as an issue, how does the department intend to address the issue, and do other aboriginal governments access similar amounts of money from different pots, possibly? If not, how would the Minister see dealing with this, while a small number, an issue that could have a great political sensitivity? Thank you.

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

Page 224

The Chair

The Chair Paul Delorey

Thank you, Mr. Miltenberger. Madam Minister.

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

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Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Just a bit of background. The department has maintained the contribution agreement in the amount of $143,000 annually with the Dene Nation since the transfer of health services from the federal government in 1988.

Prior to the transfer, the Dene Nation received funding from Health Canada for their health program. The contribution agreement provides a framework for the department to work in partnership with the Dene Nation to influence the health and well-being of Dene people in the Northwest Territories.

The department and the Dene Nation set joint priorities on an annual basis and have quarterly meetings to share information and discuss progress on key priorities. This agreement is planned to be renewed in the upcoming fiscal year.

It would be difficult to break $143,000 down into much smaller components and be able to actually have the kind of planning and dialogue that goes on with the Dene Nation at this time with smaller groups. Thank you.

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

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The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Mr. Miltenberger.

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

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. Well I can appreciate the fiscal reality on this particular issue. The other reality is that the Dene Nation does not represent the Metis, Inuvialuit or, to the best of my knowledge, the Gwich'in, Sahtu, or the Dogribs as well.

Now that it is an issue, how does the department answer to the fact that it is only one group? What about the aboriginal governments, who have significant health concerns, that are not represented by the Dene Nation? Thank you.