This is page numbers 121 - 155 of the Hansard for the 14th 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.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 141

The Chair

The Chair David Krutko

Mr. Dent.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. I think a number of us have been concerned for a while that we do not get what the Minister himself used to call blue-chip information when it comes to the financial management information that we get from the Department of Health and Social Services. From his explanation, I am afraid that we are not seeing an awful lot of this money going into a revision of the financial information systems. I think that is something that we have seen as being fairly weak in the department for a while. Can the Minister tell us what is planned in order to upgrade the financial information systems in the department?

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 141

The Chair

The Chair David Krutko

The Minister of Health and Social Services.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. We are going to do a number of things. We have moved to a standard chart of accounts. We are going to make sure that we move with the boards to a common financial system among the boards. We want to come up with common reporting information requirements. Those are the key areas that we want to look at. Of course, we are going to better synchronize the business planning process between the department and the health boards, so that the information is not only there but that it is properly sequenced and that it can be put to use at the appropriate time, both by the boards and by the departments. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 141

The Chair

The Chair David Krutko

Mr. Dent.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. What time line are we looking at for institution of the new financial systems and how much is it going to cost to implement?

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Krutko

The Minister of Health.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. The target date is April 1st of next year. The cost is projected at...

-- Interjection

We have not determined the final cost yet. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 141

The Chair

The Chair David Krutko

Mr. Dent.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Charles Dent

Charles Dent Frame Lake

Thank you, Mr. Chairman. I am surprised that the Minister cannot give us at least an order of magnitude. I had expected that it was going to be fairly expensive and I was looking forward to having some indication of what it was going to cost.

There is another line here called population health. I note that in fact, there has been a decrease in the amount that we are spending, from $1.8 million to $1.7 million, so a decrease of just over $100,000. Given the Minister's comments the past couple of days about the importance of moving from treatment to prevention and the importance that I know he places on population health measures, why are we not seeing a dramatic increase in population health spending?

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 142

The Chair

The Chair David Krutko

The Minister of Health, Mr. Miltenberger.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: 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 am planning, and I think we are planning as a department and as a system, to be moving aggressively on this. As we look at the implementation of the action plan and as we start the planning for the upcoming budget cycle, that it is an area of significant concern. We talked about it in this House as a sustainability issue. I agree that it is one that we have to be putting more resources into. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 142

The Chair

The Chair David Krutko

Ms. Lee.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Lee

Thank you, Mr. Chairman. My question has to do with the recruitment and development section as well. Along with other Members, I have been expressing to the Minister about some of the inequities that exist with respect to bonuses or some sort of incentives to recruit and retain not only the nurses and doctors, but also for other health care deliverers, which we have been calling allied health workers. Just today, the Minister provided us with a letter that suggests that the vacancy rate in this area may not be as severe as the nurses and doctors.

Also, the Minister, in previous answers to other Members in this House, suggested that he may be looking at social workers as well. I guess what I am getting out of this is that his work on this is still very preliminary, sketchy. He is still thinking on it. Could I have the Minister's latest position on where he is at with respect to this issue?

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Krutko

The Minister of Health and Social Services, Mr. Miltenberger.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: 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, what we are in a broad sense moving towards is the goal of a comprehensive human resource strategy that will address the human resource requirements for the whole health and social services system. A key component of that is the Recruitment and Retention Program.

As it was initially designed, it applied to doctors and nurses where we came up with the idea of temporary supplements for the nurses. Very clearly it has been determined that there are impacts to that which are system-wide in terms of the way it is perceived, the optics, the determination of value that other professions may have by not being given the same kind of monetary consideration.

The boards have identified this along with the department as our number one priority. The joint senior management committee is looking at this, which comprises of the board CEOs and the senior management of the department. They are reviewing this particular area along with the overall comprehensive human resource strategy.

We are also anticipating that the issue of supplements will be dealt with through the collective bargaining process as the UNW and the bargaining unit brings it forward as an issue that they want to see addressed as well in the processes that they have available to themselves.

We are taking the steps to put this plan in place. We already have a system that is operational but we recognize that it needs to be better coordinated and it has to be more comprehensive and that is what we intend to do. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Krutko

Thank you, Mr. Minister. Ms. Lee.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Lee

Thank you, Mr. Chairman. Mr. Chairman, I just want to make it clear that it is not that, if we want to open up the realm of area that we want to address, it would be social workers and alcohol and addiction workers and caregivers and program deliverers in communities and cities. I do not mean to imply that any of them are any less important in their work, but at the same time, I just want to point out that sometimes reaching too far may result in losing sight of what we set out to do in the first place.

I believe the specific issues to do with the allied health care workers is the real and apparent inequities in the work place for those who are delivering health and medical care. I am sure it is the case in health centres as it is the case in bigger institutions like Stanton Hospital, where there are x-ray technologists, laboratory technicians, occupational therapists and speech therapists who are working in a very close area with the nurses and doctors and are also faced with the shortages in staff and being overworked and overburdened. They look around and see their colleagues with the same level of education receiving bonuses and incentives three years in a row. They do not want to complain about that because you do not want to begrudge your colleague for getting something you are not getting, but at the same time, it is not a good working environment.

I need to specify that as one of the more unique features about this problem. I am not getting any comfort from the Minister's answers. I know from day one that he stepped into his position as the Minister, he has worked very hard to be an action man. He has made it very clear that he has deadlines, visions, objectives and steps he is going to follow. He has gone a long way in assuring us that he is a man of action and not one of reviews and studies.

Yet in his latest answer, he is telling me that he is reviewing it, he has executive committees and deputy ministers and boards -- I think it is deputy ministers that he is going to bring to the executive committee -- looking at this, taking the same steps and coordinating and all of that.

My specific question is, has the Minister directed whoever is in charge of this? Has he made any specific direction to say we need to have equity for the allied health care workers?

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 142

The Chair

The Chair David Krutko

Mr. Minister.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Chairman. Two points I would like to make. One is that this is going to be a collective bargaining issue and there is collective bargaining currently underway. There is a process in place to deal with that particular issue.

I would also like to assure my colleague that this comprehensive human resource strategy that we are developing will be done and it will pull together all of these issues. It is not something that is just an abstract concept. This is a complicated system with a $200 million budget, over 1200 employees and a host of different occupations and professions.

Like the rest of government, as the Grant Thornton report pointed out, we need to have a comprehensive human resource strategy and we are developing that. It is not something that I do in the privacy of my office by myself. It is an undertaking that is going to require all parts of the system to come together and to pull together the information and the plans necessary in conjunction with the corporate human resources of the government as well as FMBS with their expertise.

This is a very serious undertaking. It will be done. I hope that when we do get it done and we put it on the table and we involve the MLAs, then we will be in a position to have the type of debate we need to make sure we have done the work that is required. It will be done and there will be an opportunity for that kind of feedback. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 143

The Chair

The Chair David Krutko

Ms. Lee.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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Lee

Thank you, Mr. Chairman. I am still looking for a specific commitment from the Minister. I appreciate that he understands that this is a part of the bigger picture, but I am aware that the Minister has been meeting with allied health workers. I am assuming he must have given some sort of instruction, seeing that it has made it to the collective bargaining process.

Can I get the Minister to at least confirm that he agrees with the fact that allied health workers have been treated inequitably in comparison to their colleagues in their workplaces? Can he give any assurance that he has given special consideration to this group? I am not getting that, Mr. Chairman. I am getting a general statement about the importance of the overall health system. I am pursuing this very specific issue and I would like some specific answers. Thank you, Mr. Chairman.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

Page 143

The Chair

The Chair David Krutko

Mr. Minister.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: 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, as the health and social services system, we recognize the need to have a competitive, fair and equitable compensation package for all of our employees.

As we move ahead, that is the goal we are striving to maintain or achieve. We are taking the steps through the various options open to us, the collective bargaining process plus our own planning processes that I have already referred to to ensure that all employees, all professions are given that fair and just compensation and that it is consistent and reflective of the high value that we place upon the services that are being provided. Thank you.

Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 20: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Krutko

General comments. We are on page 6-15. Grants and contributions. Mr. Bell.