This is page numbers 113 - 151 of the Hansard for the 14th Assembly, 4th 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

Page 148

The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Mr. Handley.

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 148

Joe Handley

Joe Handley Weledeh

Thank you, Mr. Chairman. Mr. Chairman, I would expect that the medical internist would not require a full-time surgical unit. The internal medicine deals with chronic illnesses such as diabetes, liver, kidney diseases, cancer and so on. I expect that while a surgical unit complements it nicely, I do not think one is 100 percent dependant on the other. 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 148

The Chair

The Chair Paul Delorey

Thank you, Mr. Handley. Mr. Dent.

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 148

Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. My question was not whether it needed to be there 100 percent of the time, but I guess I am really trying to find out, since we do not know yet when or if the surgical ward is going to open, is this position not a position that would have need of a surgical ward in order to fully perform the function of their job?

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 148

The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Mr. Handley.

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 148

Joe Handley

Joe Handley Weledeh

Thank you, Mr. Chairman. Mr. Chairman, I do not think that not having a surgical ward would mean we should not have an internal medicine specialist. While a surgical ward would be useful, it is not absolutely essential. I notice that part of the ongoing annual operating costs includes travel to other centres, for example, Hay River, Fort Smith and Inuvik as well. We do not have surgical wards in all of those. I think while a surgical ward and internal medical specialists complement each other very well, one is not a requirement for the other. 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 148

The Chair

The Chair Paul Delorey

Thank you, Mr. Handley. Mr. Dent.

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 148

Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. Are there surgical wards in operation at other places like Inuvik?

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 148

The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Mrs. Groenewegen.

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 149

Jane Groenewegen

Jane Groenewegen Hay River South

I know that there is not in Hay River, not in Fort Smith, and whether they perform surgery in Inuvik, I do not know.

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 149

The Chair

The Chair Paul Delorey

Thank you, Madam Minister. Mr. Dent.

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 149

Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. I was just trying to find out whether or not there was any tie at all to the surgical ward. I know we are hoping to find out in the near future whether or not the surgical ward will be reopening, and I wanted to know whether or not this position was somewhat tied to it. I guess we will have to accept the Minister's statement that in fact it is not.

One other issue I would like to question while I still have the floor is that I notice we have some forced growth funding here for the boards. Specifically, there is $915,000 for the Stanton Regional Health Board. My question is, since we are providing this extra funding, does this deal with the deficit or shortfall that Stanton had in the past, or is this to deal with this year's shortfall? What specifically does this $915,000 address?

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 149

The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Mr. Voytilla.

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 149

Voytilla

Thank you, Mr. Chairman. The $915,000 is for this fiscal year, so it is to provide additional funding to Stanton for 2001-2002. It should, in the view of the department, allow Stanton to be able to get their operations back on keel. In other words, they should not have a significant deficit this year. This will not address the accumulated deficit for the last two years. That is still something that the boards and the department have to work out a strategy 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 149

The Chair

The Chair Paul Delorey

Thank you, Mr. Voytilla. Mr. Dent.

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 149

Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. I notice that in the description above, it says that these funds for the other boards relate to base funding shortfalls from 1997-1998 to 2001-2002. From what Mr. Voytilla has said, did I hear him incorrectly that none of this $915,000 applies back to 1997-1998, 1998-1999 or 1999-2000? That all of this $915,000 is for this current fiscal year for Stanton? Can I just get some clarification on that, please?

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 149

The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Mr. Voytilla.

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 149

Voytilla

Thank you, Mr. Chairman. Yes, to clarify, this is for this year. Stanton had an operating surplus in 1997-1998 of $338,000. They had an operating surplus in 1998-1999 of $107,000, so they had an accumulated surplus of almost $300,000 at the end of March 31, 1999. Then they went into deficit in the following year to the tune of $1.3 million, and they have a projected deficit for last year, that is just a projected deficit, of about $1.2 million.

They have an accumulated deficit forecast, not actual, of about $2.5 million, which represents about five percent of their annual budgetary expenditure. In 2000-2001, their total revenue was close to $48 million. So standing at five percent, it is a significant accumulated deficit to have, but not one that should be out of the realm of manageability.

With this additional ongoing funding, it will prevent them from getting into any greater financial difficulty and give them the opportunity to address the accumulated deficit in a managed way.

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 149

The Chair

The Chair Paul Delorey

Thank you, Mr. Voytilla. Mr. Dent.

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 149

Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. Mr. Voytilla's characterization of $2.5 million as a small percentage is small comfort to those who may be faced with reduced hours in the emergency ward, for instance, or whatever else it may take for Stanton to deal with that. I think there is going to be some concern about how that $2.5 million is dealt with.

However, I noticed that for the last two years, the deficit has been $1.2 or $1.3 million. Is this $915,000 then sufficient to address what would otherwise be their deficit for this year? Or is this in fact a short fall again, so they will still have a deficit over and above this $915,000?

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 149

The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Mr. Voytilla.

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 149

Voytilla

Thank you, Mr. Chairman. Our understanding is that this $915,000 represents the amount of their operational requirement for this year that pertains to forced growth and that the department is continuing work with the boards, including Stanton, on further assessing their operational requests and needs. They will be reporting back to the Financial Management Board later in the year as a result of those discussions.

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 149

The Chair

The Chair Paul Delorey

Thank you, Mr. Voytilla. Mr. Dent.

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 149

Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. So I guess the bottom line is that we could be seeing supplementary appropriation coming through for the board because, unless they found some way to eliminate an awful large expenditure, it looks like we are talking $200,000 to $300,000 based on the last couple of years, at least. It must be cut out or else they are going to go further in debt. They could be facing some problems.

Is it a similar situation for the other boards? When I look at this $3.9 million, are we in some cases going to be talking about situations there where perhaps the boards are not getting enough to meet the needs for this year, unless they have an approved deficit recovery plan? If so, when can we expect to hear about those deficit recovery plans and the impacts they will have on service levels across the Territories?

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 149

The Chair

The Chair Paul Delorey

Thank you, Mr. Dent. Mr. Voytilla.