Thank you, Mr.
Chair. The
assessment of a patient that presents to any primary care setting is a collaborative process that takes place between the practitioner on the front line and their colleagues, to determine whether or not the service can be provided on site or whether a medical travel or medevac service would be required. We have many, many years of history in the Northwest Territories where community health nurses practise in this way, and they are experts in their field. And certainly, nurse practitioners have an expanded scope of practice in relation to registered nurses and community health nurses. But the decision to use the medevac is a collaborative process that usually involves a nurse or a nurse practitioner and a physician in the receiving facility. I think the answer to the question is that it’s a collaborative process.