This is page numbers 833 - 910 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.

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Supplementary To Question 292-14(5): Staff Shortage At Stanton Hospital
Question 292-14(5): Staff Shortage At Stanton Hospital
Item 6: Oral Questions

Page 850

Sandy Lee

Sandy Lee Range Lake

Thank you, Mr. Speaker. I agree with the Minister that the Minister is consistent in his answers of making no commitments. Mr. Speaker, I do not think you have to be a magician to get nurses. All you have to do is offer better packages. I am sure there are nurses to be hired. Will the Minister look into that? Thank you, Mr. Speaker.

Supplementary To Question 292-14(5): Staff Shortage At Stanton Hospital
Question 292-14(5): Staff Shortage At Stanton Hospital
Item 6: Oral Questions

Page 850

The Speaker

The Speaker Tony Whitford

Thank you, Ms. Lee. The honourable Minister responsible for the Department of Health and Social Services, Mr. Miltenberger.

Further Return To Question 292-14(5): Staff Shortage At Stanton Hospital
Question 292-14(5): Staff Shortage At Stanton Hospital
Item 6: Oral Questions

Page 850

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. Mr. Speaker, it is simplistic in my mind to think that you are going to just put more money on the table and we will not have a shortage of nurses...

Further Return To Question 292-14(5): Staff Shortage At Stanton Hospital
Question 292-14(5): Staff Shortage At Stanton Hospital
Item 6: Oral Questions

Page 850

Sandy Lee

Sandy Lee Range Lake

Try it.

Further Return To Question 292-14(5): Staff Shortage At Stanton Hospital
Question 292-14(5): Staff Shortage At Stanton Hospital
Item 6: Oral Questions

Page 850

Michael Miltenberger

Michael Miltenberger Thebacha

There is a package being ratified as we speak, Mr. Speaker. I have indicated that we are going to honour that process. Clearly the Member does not think it is acceptable, if she knows what is in the package, but the reality is it was negotiated. It was put on the table for the direction of the Members of the UNW. They will be providing that direction in short order. The nurses are part of that bargaining unit. The decision will be made and we will know what the answer is when the vote is counted. Thank you.

Further Return To Question 292-14(5): Staff Shortage At Stanton Hospital
Question 292-14(5): Staff Shortage At Stanton Hospital
Item 6: Oral Questions

Page 850

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Minister. Item 6, oral questions. The honourable Member for Yellowknife South, Mr. Bell.

Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

June 17th, 2002

Page 850

Brendan Bell

Brendan Bell Yellowknife South

Thank you, Mr. Speaker. My question is also for the Minister of Health and Social Services. I understand that funding flows from this government, from his department to health boards, and then boards deliver programs and services on behalf of our residents. I am wondering if there are any conditions on how that money can be spent, Mr. Speaker. Thank you.

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Bell. The honourable Minister responsible for the Department of Health and Social Services, Mr. Miltenberger.

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. Mr. Speaker, it is not clear to me the intent of that question. Are there conditions from the government to the authorities, or from the authorities to the NGOs? I am not quite sure what the question is. Thank you.

The Speaker

The Speaker Tony Whitford

Thank you. I am not sure whether that was an answer or a question. Mr. Bell, I will allow you to clarify your question. Just a very quick, short, positive, right-to-the-point question. Mr. Bell.

Brendan Bell

Brendan Bell Yellowknife South

Thank you, Mr. Speaker. I was hoping the Minister would start to brag about his accountability framework and I was giving him that chance, but he clearly did not take me up on it. I am wondering if the Minister can tell me, are health boards free to spend the money in any manner they please? Thank you.

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Bell. The honourable Minister responsible for the Department of Health and Social Services, Mr. Miltenberger.

Return To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. Mr. Speaker, we are in the process of firming up and improving our accountability processes. We are also in the process of coming up with a core services document on a service delivery model. Are authorities given carte blanche to do whatever they should choose with the millions of dollars, the $150 million that we are giving authorities? No, they are not. There are funding areas, mandated services, legal requirements, and there are programs deemed necessary to be delivered. There is significant latitude, but not a carte blanche, if that is what the Member is asking. Thank you.

Return To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Minister. Supplementary, Mr. Bell.

Supplementary To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

Brendan Bell

Brendan Bell Yellowknife South

Thank you. I am glad to hear that answer. I must say that I do recognize that this is a very difficult business and that, as the Minister has pointed out earlier, people do not choose when to get sick, and obviously we do not choose when to treat them. We treat everybody who comes to our doors. However, I am wondering if the Minister can tell me, what do we do in the event that health boards overspend what we have given them to spend? Thank you.

Supplementary To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Bell. The honourable Minister responsible for the Department of Health and Social Services, Mr. Miltenberger.

Further Return To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. Mr. Speaker, this is a two-part answer. As the Member knows, in a supplementary appropriation, there is some funding to deal with the accumulated debt of some of the authorities. Up until last year, Mr. Speaker, that was an issue. Last year, there was a significant rebasing done. We are now of the opinion, along with the authorities, barring vibrant forced growth and emergencies, that there is sufficient money in the budgets for the health authorities to be able to live with those particular budgets.

In the past, up until last year, there was approximately a two-year process of protracted negotiation between the boards and the department trying to come to some resolution of the outstanding accumulated debt issue that was not reached. Hence, the decision was made to go to the 60/40 split to move ahead, to clear that item off the books.

The rebasing was done. From here on in, the expectation is that, given our new processes and new accountability working as a system, the authorities and the department will make sure that we live within the fixed budget, still keeping in mind that there are going to be forced growth factors, such as union settlements, our Capital Health Authority contract when it is done, negotiated settlements with doctors, those type of things. Thank you.

Further Return To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Minister. Supplementary, Mr. Bell.

Supplementary To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

Brendan Bell

Brendan Bell Yellowknife South

Thank you, Mr. Speaker. Yes, I agree. We will still see forced growth, obviously, but it has to be justifiable forced growth. We have been saying this for years, Mr. Speaker, and still I do not think we have a real handle on the problem. What can the Minister do or say to assure us that he actually will recognize that only justifiable forced growth in the future will be bailed out? Thank you.

Supplementary To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Bell. The honourable Minister responsible for the Department of Health and Social Services, Mr. Miltenberger.

Further Return To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. Mr. Speaker, the Department of Health and Social Services and all of the authorities operate by the definition of forced growth set out by this government through FMBS. We are making every attempt, along with our colleagues, to be vigilant, efficient, and economical in how we run our operation. The commitment is to in fact stay within our budgets. We are taking the steps and we will be appearing before committee and this House on a regular basis. The business planning process is starting. We will be accountable all the way through this process to try to contain costs. Thank you.

Further Return To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Minister. Final, short supplementary, Mr. Bell.

Supplementary To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

Brendan Bell

Brendan Bell Yellowknife South

Thank you, Mr. Speaker. The Minister indicated that health boards would be on the hook for 40 percent of their accumulated debts and obviously will have to submit deficit elimination plans. What if they cannot recoup that money? What will the Minister do?

Supplementary To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

The Speaker

The Speaker Tony Whitford

Thank you, Mr. Bell. The honourable Minister responsible for the Department of Health and Social Services, Mr. Miltenberger, your final, short answer.

Further Return To Question 293-14(5): Conditions On Health Board Funding
Question 293-14(5): Conditions On Health Board Funding
Item 6: Oral Questions

Page 851

Michael Miltenberger

Michael Miltenberger Thebacha

Thank you, Mr. Speaker. Mr. Speaker, we are in the process of concluding that deficit reduction plan as we speak. The majority of authorities that had an accumulated debt have come up with satisfactory plans. We are just in the process of finalizing the two outstanding plans with the authorities, where it is just a matter of looking through some of the detail. There has been correspondence on an ongoing basis. I am confident that those two authorities will be able to sign off their agreements in the very near future. Thank you.