We’re certainly already maximizing, to the best of our ability, the use of the technology and the existing physician and nurse practitioner resources as far as the use of specialists that are
now available to the other authorities and the review of everything from lab tests to X-ray results. We are continually challenging ourselves on the use of telehealth and that equipment. But the Territorial Service Network will be extremely complex. There is controversy amongst physicians. If I am a locum physician, part of my interest in coming here is I can make a lot of money on call. If I’m a physician who wants to come here -- and I’m talking about outside of Yellowknife -- and I want to come here, one of the deterrents is that I don’t want to be on call every second night or have a solo practice. We’re looking at how we actually move dispatch and clinic dispatch into our medevacs. We’re being pushed by this because of the pressures from other jurisdictions as well as our own complexities. We’re already doing as much as we can. I’m talking about a real change of delivery model that will take buy-in from all the providers and while we have seen some pieces of this... Australia’s medevac, some of the STARS ambulance use of dispatch, we’re borrowing all of that, we’ve just got interest from Ottawa on what’s called The Best Brains to come and help us share some of this because this has not been done in Canada before. We’re looking at Labrador and how they’re utilizing on call with physicians and nurse practitioners. We’re not using what we have now, but this really will be something that has not been done in Canada and certainly we want to make sure before we roll it out, that we’re not having unintended consequences. Even talking about what will initially be in the mix and how that impacts simple things like the calls to ER, who’s going to answer and how we marry that up with dispatch to a medevac, it actually is extremely complex to get it right. So we’re not not doing it, but that core piece is pretty complex.