This is page numbers 1119 - 1168 of the Hansard for the 15th 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 going.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: 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 have provided information quite regularly with the various officials and politicians in Ottawa, including the former Member of Parliament for the Western Arctic. We've met with the national aboriginal organizations. It's an issue not only for us, and we will be bringing this issue forward with Minister Clement from Health Canada, as well as Minister Prentice, when we get an opportunity to meet with him, as well. There are fundamental issues and the federal government will make the case that these non-insured health benefits are not a treaty right, they're just because they're a caring and good government that they provide this, and part of the argument is the conditions and restrictions they place on these programs. Thank you.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Minister Miltenberger. Mr. Yakeleya.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

February 19th, 2006

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Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Chair. Mr. Chair, I guess the interpretation of treaties and treaty obligations is before courts, or through interpretations and different means of how they view health care education to the aboriginal people. Depending on what side of the bed I guess you wake up on, you will obviously get different, various interpretations. So I just look forward to the Minister in terms of how he's going to proceed forward and something that we want to continue on. Again, its money well spent in the health service in terms of what he called a bad debt. But somehow we should continue on, and be vigilant, and be persistent and keep on moving forward. We'll move somewhere, maybe not right away, but I believe that he has a good point in terms of the health care issue.

The one issue I want to talk about is a little different. It's regarding the medical travel and the centralization of services by the Stanton Territorial Health Authority. Now the issue is it may be a good system setup, but it seems like we have some glitches in between the approval from Stanton Territorial to our regions and to our communities. Sometimes the health centres or the community itself has disagreement with the approval process and seems to have one department to have one person have a lot of authority to say yes or no to medical travel in terms of escorts. Again, it goes back to this whole issue of one person having a lot of authority to approve or not to approve certain escorts to go with certain people. I wanted to ask the Minister, would he consider providing the nursing centres and nursing stations some leverage or some flexibility to tell the medical services centralized office that this person really needs to travel and this escort needs to go with this person, and have some flexibility for our nurses to have that type of weight or argument? Otherwise, they usually get overwritten and central ops says, nope, sorry, and it just causes a lot of undue stress and abuse for the families in the communities. So would the Minister look at something like that that would give some authority to the local health centres? Thank you.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Mahsi, Mr. Yakeleya. Minister Miltenberger.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: 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, just a couple of questions, but I believe I gave a commitment on the issue of medical travel and escorts to make sure that when we next meet with the board chairs and the CEOs and the senior staff, we'll review the whole thing of medical travel and escorts. As well, I'd like to just make the point that as a matter of practice, the health practitioners are the ones that make the call. It's not the place of a clerical person or a bureaucrat to necessarily, in their wisdom, decide to override a decision that's been made by a nurse or a doctor. If those situations arise, then of course we backtrack on those very quickly to make sure things are operating appropriately. Thank you.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Minister Miltenberger. Mr. Yakeleya.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Chair. It's good to hear that the Minister is clarifying the roles of health practitioners or doctors in our communities that make the call and that the bureaucrats could not override a decision made by the health centre. So it's good for clarification that some of our health centres and that would have some clear indication as to when they ask for an escort, that it's not judged or not being challenged by the central travel agency for medical services. So I wanted to thank the Minister for looking at some of these travel policies within his department. So I think that's a good thing I heard about clarification. Thank you.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Mahsi, Mr. Yakeleya. We're on page 6-35, activity summary, supplementary health programs, grants and contributions, contributions, total contributions, $10.273 million.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Some Hon. Members

Agreed.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you. Page 6-37, activity summary, community health programs, operations expenditures summary, $65.487 million. Mr. Braden.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Bill Braden

Bill Braden Great Slave

Mr. Chairman, I believe it's under this area that we would be including the move of the Territorial Treatment Centre from Yellowknife to Hay River, and I would like to ask the Minister whether his department has considered any of the many calls to reconsider this decision or, at the very least, Mr. Chairman, to look at what kind of programming could be left in place here in Yellowknife to serve the needs of the children and the families who are already attending the TTC here and who have come to rely on the extensive network of services that has built up over the last 15 years or so? So what can the residents of the Yellowknife and the North Slave area rely on for services to children who have severe behavioural disabilities, Mr. Chairman?

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Braden. Minister Miltenberger.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: 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've looked at all the correspondence, and the issues, and the program concerns, and the people of Yellowknife, like all of the other communities in the North, will have the comfort of knowing that they'll have a well-run facility in Hay River that will help address those needs.

We've also committed to look at some repatriation initiative from the South that would better allow us to deal with some young people that may have other issues that they are dealing with, possibly with alcohol and drug issues or abuse issues or other things where we have the capacity, we believe, to provide them on a fostering small group home basis, and we are going to be looking at that initiative...We are looking at that initiative right now. Thank you.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Minister Miltenberger. Mr. Braden.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Bill Braden

Bill Braden Great Slave

What arrangements have been made for providing the service in Hay River after the closure of the Yellowknife facility, Mr. Chairman?

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Braden. Mr. Murray.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Murray

Thank you, Mr. Chairman. We are working with the current contract provider, Bosco Homes, who is a member of the committee. They will be the group we will be working with to establish the new facility in Hay River in terms of operations. They are involved in determining what the ideal situation would be and what rooms are needed and those kinds of things, security measures. They are involved in the planning of that piece.

As well, we have been talking with Bosco about what the other kinds of services we would like, as the Minister just mentioned, in terms of groups homes and those other types of facilities; repatriation of children from the South. We've also been talking about their level of interest in participating in that with us.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Murray. Mr. Braden.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Bill Braden

Bill Braden Great Slave

Has the contract with Bosco been extended, or has a new contract been cut? What is the duration of this contract with this very reputable firm, Mr. Chairman?

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Braden. Mr. Murray.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Murray

Thank you, Mr. Chairman. The contract with Bosco was extended through March 31, 2007. That's the operation here, and then we will be sitting down with them to talk about the contract operating in Hay River, as well. We just haven't had those discussions yet, but those are planned.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Murray. Mr. Braden.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Bill Braden

Bill Braden Great Slave

Mr. Chairman, one of the aspects of this transition that has been looked at very carefully is the change from a Yellowknife-based staff to starting up a Hay River-based staff. One of the concerns I know was that as the operation here in Yellowknife spools down, and I understand that the schedule has it that the TTC will cease operation here in Yellowknife in the spring of 2007, that it is going to be difficult to retain the number and calibre of staff here in Yellowknife and yet, within weeks, anticipate that the same number will be recruited in Hay River and ready to undertake the training and transition for the start-up of the program there. This is not a straightforward transition. I wonder if the Minister could advise the Assembly of plans there. Will families be able

to rely on a continuous level of service? Is it realistic to expect that there may be interruptions, Mr. Chairman?

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair David Ramsay

Thank you, Mr. Braden. Mr. Murray. Minister Miltenberger.

Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters
Item 16: Consideration In Committee Of The Whole Of Bills And Other Matters

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Michael Miltenberger

Michael Miltenberger Thebacha

Thank you. I appreciate the deputy letting me answer that question.

---Laughter

Mr. Chairman, we are working very hard to make sure that this is as smooth and as seamless a transition as possible. As we look at establishing this program in Hay River. Clearly, we are going to be making offers and encouraging any of the staff in Yellowknife that want to relocate to consider that. In the meantime, we know there is a pool of labour there and skills that we believe we can make use of. Bosco have their own skills, as well, that they are going to bring with them, so we are going to make this as seamless a transition as possible. Thank you.