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

Page 227

Bill Braden

Bill Braden Great Slave

Thank you, Mr. Chairman. That is encouraging. I look forward to those progress reports and to the inclusion and the involvement of the NGOs that we have up here and hope they have some ownership in the plan and can help be part of that success. I would like to ask about the area of early childhood development. There may be some other terminology applied to this, Mr. Chairman, but taking from some briefings that the department has provided us, and there has been a very strong emphasis in those briefings for a shift toward more attention in the earliest years of our people.

Right from birth or even prenatal attention up to the age of five or six, the impression that I get is the habits and the lifestyles and the general health of the child is really going to be built in those years. My question relates to, again, I was not on the committee so I do not have the benefit of more detailed information, but can the Minister say in the budget and allocations that are put forward here, are we seeing a shift in the department's approach that would reflect the importance of early childhood development? Thank you, Mr. Chairman.

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

Page 227

The Chair

The Chair Paul Delorey

Thank you, Mr. Braden. Madam Minister.

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

Page 227

Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Mr. Chairman, the Member mentions some of the presentations that have been made by the department, to date, to Caucus and to the standing committee and certainly I can speak for our department that early childhood development is a very key priority.

As we have shared with Members, the potential impact on the life and well-being of a child, of a person, can be so significantly impacted in those first six years. So I can speak for this department and I can speak for myself that it is a priority. The department is working cooperatively with the boards, other departments and jurisdictions and the federal government, as was previously mentioned, to coordinate and implement early childhood development programs for children, family and communities. I am sure that in my briefings with the department I know that this is an issue that is very near and dear to the deputy's heart as well, and perhaps she could add to that.

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

Page 227

The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Ms. Ballantyne.

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

Page 227

Ballantyne

Thank you, Mr. Chairman. Mr. Chairman, the Member asked whether the department would be forwarding any specific initiatives with respect to early childhood development next year. I would have to say that any initiatives that we put forward in the business plan will be quite modest, because we did not get the expected federal funding for early childhood development announced in the last federal budget. There was a commitment in the last federal budget to develop a new national children's program by December 2000, collaboratively with the provinces and territories.

So we are very actively participating in that program development with our provincial and federal colleagues, but new funding for any early childhood initiative is not there at this point. So, anything we would do this year would need to come from internal resources. Obviously that would be a real challenge, to try to do anything significant this year. Thank you.

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

Page 228

The Chair

The Chair Paul Delorey

Thank you, Ms. Ballantyne. Mr. Braden.

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

Page 228

Bill Braden

Bill Braden Great Slave

Thank you, Mr. Chairman. That answers my question. Has the department been able and made any attempt at re-profiling shifting the balance, even of internal resources, to at least start to put some more emphasis in early childhood development?

I think the answer basically is no, not yet. I was very impressed with the evidence and the information that the department has provided on early childhood development as a way, at least through government, to really make a difference in the health and the future success of the population. So I would certainly encourage the department to continue to emphasize that. I think it is one of those long term things that if we are able to make those investments now, the returns will be many. Thank you, Mr. Chairman. With 22 seconds to go I give you the floor.

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

Page 228

The Chair

The Chair Paul Delorey

Thank you, Mr. Braden. General comments. The Chair recognizes the Member for North Slave, Mr. Lafferty.

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

Page 228

Leon Lafferty North Slave

Thank you, Mr. Chairman. For the Minister, a couple of Members have mentioned the business plan. It seems to me we are having a lot of contracts that are down south. Just looking at the interim appropriation, there is about $13.2 million. That is just some of the figures I picked up, and I was just wondering if they were ever thinking of repatriation into the Territories?

I did ask a question in the House on funding for additional services down south and I was given a number, but it did not say if it was an annual figure for the board or if it was for the Stanton Regional Health Board or if a whole bunch of boards are together. It could be more, the figure could be higher. I would just like to know if your business plans include bringing a lot of the services back to the North, keeping the money in the North and building facilities that people can access closer to home? Thank you.

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

Page 228

The Chair

The Chair Paul Delorey

Thank you, Mr. Lafferty. Madam Minister.

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

Page 228

Jane Groenewegen

Jane Groenewegen Hay River South

Thank you. I am going to refer that question to Ms. Ballantyne. Thank you.

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

Page 228

The Chair

The Chair Paul Delorey

Ms. Ballantyne.

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

Page 228

Ballantyne

Thank you, Mr. Chairman. Mr. Chairman, we are certainly always looking for opportunities to repatriate services to the North where it is cost-effective to do so. One area that we are looking at very actively right now is the repatriation of some of the services that are provided to children in the south. We currently have about 40 children in southern placements. If we are able to implement our alternative programming initiative, we would be able to repatriate some of those services. So, we are certainly looking at that.

One of the things we have experienced though, when we repatriate services to the North, is that generally the utilization increases. So, for example, now that we have a number of specialist physicians at Stanton and in Inuvik, the utilization of those services increases once they are here. So when we talk in terms of cost savings, there is not always a savings. It is sometimes actually an increase in the service. Yes, we will be, hopefully, able to identify specifically in the business plan opportunities for repatriation, but for the foreseeable future we certainly are going to continue to be dependent on services in the south, particularly in Alberta for some of the specialist services that we, probably given our small population, will not be able to provide north of 60. Thank you.

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

Page 228

The Chair

The Chair Paul Delorey

Thank you, Ms. Ballantyne. Mr. Lafferty.

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

Page 228

Leon Lafferty North Slave

Also, along the lines of treatment, I did mention in the House about centres for drug and alcohol addictions. It seems to me there are not enough of them in the Territories. I did ask for facilities for my region, which would benefit Yellowknife and the northern communities and regions. The last few days I have been listening on the radio to the Dogrib hour, and all they are talking about is healing and healing on the land. When we were talking about this under Justice, there were a lot of youth facilities, youth bush camps and there was not enough money for healing on the land when my constituents were trying to have some kind of a program put in place. The boards were told there were no funds for them. I am just wondering, in your business plan are you making accommodation for healing on the land programs?

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

Page 228

The Chair

The Chair Paul Delorey

Thank you, Mr. Lafferty. Madam Minister.

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

Page 228

Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Mr. Chairman, I do not think the business plans will identify new funding for drug and alcohol programs, however, with the money that is provided to community and regional health boards for community drug and alcohol treatment or services, there is latitude within that allocation if the community decided that they wanted to undertake a lands program.

I agree with the Member that certainly there is a lot of merit to youth bush camps and healing programs which do take place on the land.

If that became a priority of communities and they communicated that to their respective boards, I think we could see an increase in that type of programming.

You had referred to something to do with the Department of Justice. Again, I think that may come up when you review the Department of Justice as to where we are going to put our priorities in terms of spending money for treatment. As we know, the cost of incarcerating people is extremely high. I believe that is something that will be looked at when you visit the Department of Justice. Thank you.

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

Page 228

The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Mr. Lafferty.

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

Page 228

Leon Lafferty North Slave

Just along the line of health. Mr. Miltenberger mentioned the Dene Nation receiving funds for health services. You said no one asked you for their share. I think I would like to ask for my share for the Dogrib people. If you can take my little share and bring it back to my community, we can use it for healing on the land. Thank you.

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

Page 229

The Chair

The Chair Paul Delorey

Thank you, Mr. Lafferty. Madam Minister.

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

Page 229

Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Mr. Chairman, what we could do is forward the Member's comments and concerns on to the Dene Nation. If there was a formal communication received from MLAs that they would like to see this funding redistributed for a number of groups, that $143,000 could potentially be reprofiled and spread out. Thank you.

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

Page 229

The Chair

The Chair Paul Delorey

Thank you, Madam Minister. The Chair recognizes the Member for Frame Lake, Mr. Dent.

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

Page 229

Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. Mr. Chairman, I received a phone call a few weeks ago from a constituent who had been talking to her family doctor on a visit with her kids. She came away from the meeting with significant concerns about what was happening at the emergency department at Stanton Hospital. I know we have heard a lot about the doctor shortage. I wonder if there is anything in this interim appropriation that we can point to that the department is hoping will resolve the doctor shortage in the Territories?

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

Page 229

The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Madam Minister.

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

Page 229

Jane Groenewegen

Jane Groenewegen Hay River South

Thank you, Mr. Chairman. Yes, there are initiatives underway that may be able to provide some relief to the physician shortage and people's ability to book appointments to see physicians. Primary health care is the first level of contact with the health care system where health services are mobilized and coordinated, promote health, prevent illness and care for common illnesses and manage ongoing health problems.

In November 1999, the department approached the Northwest Territories Medical Association and proposed entering into discussions with all key stakeholders to explore the development of a coordinated primary health care model for Yellowknife, Dettah and N'Dilo and other outlying community service by Yellowknife physicians.

The purpose of that was to see if there may be a way to expand on the use of nurse practitioners who have the same kind of credentials that community health nurses have in the communities where they are the primary contact for people in the communities and whether or not this model could be transferred to the larger centres. The nurse practitioners would act in minor cases. They could provide the service. When they could not, the patients would be referred to places such as doctor's clinics, or if necessary, the emergency facilities at Stanton Yellowknife Hospital.

So yes, the discussions have been ongoing with various stakeholders. This is an area that could relieve some of the pressure on physician services in Yellowknife at this time. Thank you.