This is page numbers 5763 - 5814 of the Hansard for the 16th 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 program.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

David Ramsay

David Ramsay Kam Lake

Mr. Chairman, I know the Minister gave me a long answer, but it really didn’t answer the question that I had. That is, where is the CHN program, the Community Health Nurse Program at Aurora College in 2011-12? It’s not there. It’s not on the academic calendar. I’m trying to understand why it’s not there when the Minister is stating all the good reasons why it should be. That’s the issue that I’m bringing up, Mr. Chairman.

The Minister says she didn’t mean to say that northern nursing grads weren’t trained enough to get out of the program and into jobs. She might not have meant to say that, but that’s what she said. That’s why they’re offended. Because the Minister said, “I don’t think they’d be able to apply for a job from the website.” That’s offensive. That’s a program from the University of Victoria. A reputable, reputable school. The answer the Minister provided me the other day where she talked about the 11 grads last year, there were two of them that got jobs on their own. They didn’t go through the Graduate Placement Program, even though I think the Minister thought that 11 of them did. They didn’t. Two of them got jobs on their own. And you know what? Nursing graduates from universities across the country apply on jobs that are posted on websites across this country and get jobs. That happens, Mr. Chairman. Again, I think it was offensive what the Minister said the other day in regard to our northern nursing students and I think she owes them an apology, at the very least.

Again, I want to ask the Minister where is the Community Health Nursing Program. Why is it not on the academic calendar? I really, really want to know that. Why isn’t it on the academic calendar for 2011-12 at Aurora College? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

With all due respect, he is completely misinterpreting what I said about the website. Mr. Chairman, my answer was the grads coming out of Aurora College don’t need to go and respond to ads for nursing positions because we have a program that we are working with them, which is the Northern Graduate Employment Program. That has been set up for HR and so we have a separate path to facilitate them because we do want to work with them and we want to recruit and retain them. The question was why aren’t the jobs on the website so that they can apply, and my answer was they don’t necessarily have to do that, not that they can’t. Not that they can’t be qualified for the jobs. I think it’s important for this House to tell the grads that we appreciate you, that we are glad that you have gone through the Nursing Program for four years and we are here for you to work with you. I want to commit again that I told them and I wrote the e-mail back to the student to say that I have asked my officials and HR and health authority people to go there to talk to them so that they can have their questions answered.

CHN program is still there, but it is fully subscribed. We have people there already. We are not able to bring in any more new people at the moment, which is another reason why we need to review all of our HR training for health and social services. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

David Ramsay

David Ramsay Kam Lake

Mr. Chairman, I don’t want to belabour the point here, but Wednesday, February 9, 2011, page 19 unedited Hansard quote from the

Minister: “They wouldn’t be, I don’t think, ready to apply to a job that is available on the website right away.” Those are her direct words from Hansard on Wednesday. Again, I think that is offensive. It is offensive to individuals who spent four years, and we made it a four-year degree program. That is an offensive line.

Like I said, the Minister, at the very least, owes an apology to those grads, some of whom won’t need the Graduate Replacement Program. I am not sure if the Minister understands that. They have practicums. They have been there for four years. They can walk into some positions and they should be able to apply on some positions. That was my point the other day.

Again, Mr. Chairman, I really am struggling to understand. I know the Minister says there are programs fully subscribed but where is it for 2011-12? It is not there. That is my point. It is not in the academic calendar. Who is going to be providing the program? Nobody. Where is it? It is not anywhere to be found, Mr. Chairman. Thanks.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Mr. Chairman, I don’t think it precludes any grads from Aurora College to apply if they want to. I think they noticed that there are not enough of them posted to apply. I want to let the Members know that we worked in the last year to put the students through the Graduate Employment Program and many of them were direct appointed. Those jobs were not advertised.

Mr. Chairman, I think our records show that the government is committed and it is incumbent on the students to work with us so that we could help them be placed into positions. There is a process and there are rules to follow. I understand that some of them are discouraged because the jobs are not on the website and we were simply trying to tell them that we are going to work with them within our system to maximize the opportunities that they have different paths than somebody walking into the Territories looking for nursing job might be faced with.

Second thing, CHN program, like I stated, is fully subscribed. The money was overspent so we were not able to bring any more grads into that. We are putting through the people that are involved in that program on their year two and we are going to continue to do that and see that program through. But CHN program has to be reviewed like every other HR program we have with respect to health and social services. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Minister. Next on my list is Mr. Hawkins.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Thank you, Mr. Chairman. I guess if we are on page 8-21, I would like to take the opportunity to ask another question under program delivery details. Medical equipment under $50,000 appears that the department is budgeting. It looks

like a consistent budget just under a million dollars. Would the Minister help me understand this particular amount? Is it money spent under the departmental sort of as a broad spending initiative or is it actually money that is filtered down into the authorities and spent, well, for running the authorities? Is it department money or is it money further transferred to the authorities? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Mr. Hawkins. Minister Lee.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Mr. Chairman, that item is for the department. It is for evergreening. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Mr. Chairman, that is fine. If it is just evergreening, are we talking about office equipment? It says medical supply. That is fine. I just wanted to make sure it wasn’t...

Seeing how I have the mike, can the Minister provide me some, maybe, examples of what they would define as medical equipment under this evergreening process? Are we talking about beds? Are we talking about those specific programmings? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Mr. Chairman, we are not talking about office equipment. We are talking about medical equipment and it could be all kinds of medical things, but not beds, but small medical equipment.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Mr. Chairman, I appreciate that clarification. One of the criticisms I have heard from some vendors out there is that they are not able to compete in a fair and open manner. The reason I was asking is this authority money, they are pointing particularly at authorities to be specific but they are also referring to the headquarters potentially as being a problem in this particular area, where they are either sole sourcing or just going south and, of course, contracts are written in such a way that it really comes down to one vendor can only supply knowing full well that, of course, medical supplies that are a very specialized product whereas if you offer a Phillips product and only one vendor is being granted the rights to sell Phillips in the Northwest Territories, I guess that is a funny way of really writing a sole-source contract. Of course, the department, I am not in a position to say rightly or wrongly, but of course the department then refuses any other option from anyone trying to compete to provide a low-cost alternative.

Mr. Chairman, does the department have any types of substantiation that they can show that they are spending about a million dollars on northern vendors, giving them the opportunity? Are they able to demonstrate that these contracts for supplying medical equipment under $50,000, whether they be competitive or sole-source? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Mr. Chairman, I believe the Member brought up that issue with respect to Beaufort-Delta and we had explained and we

followed up on the Member’s request. We follow all of the purchasing rules. We have to follow the contract guidelines. We have to follow the northern preference purchasing policies. We follow all of that. Mr. Chairman, I don’t think that issue is alive. That was brought up way back when and I believe it was resolved. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Mr. Chairman, I did follow that particular issue up. In essence, take my word for it, really, was a short answer to the long letter or long reply. I am asking if the Minister is very confident that they view this and they are able to stand by it, then it should be no trouble providing some factual detail. That was the follow-up information that I asked for some time ago, perhaps maybe a month ago or more. I have yet to receive it. It is difficult getting back to people when they ask these questions and then you disappear for such a lengthy time or what the Minister says is basically they follow the rules. In essence, it shouldn’t be that difficult to provide. Will the Minister provide that material and detail of those types of breakdown? The Department of Health has provided this information in the past, so I know it is viable. When Minister Miltenberger was Minister of Health at the time, I had requested that level of detail and the authorities quickly complied and certainly the department quickly complied with that request. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Mr. Chairman, I am not aware of a request that he has made that we haven’t responded to on this topic. I know he brought it up about Beaufort-Delta and we followed up in writing. I could tell you, Mr. Chairman, that the purchasing of medical equipment has been done through public tender. There are some standardized, mostly public tender or standing offer agreements in one case, but mostly all public tender. It follows the guidelines. All the northern businesses are allowed to bid on them. There are some standards that the authorities require and a lot of purchasing is done through Stanton Territorial Health Authority, who also purchases for Sahtu as a contractual arrangement. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Can the Minister provide that breakdown to demonstrate that? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Yes, we could do that.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Just changing subjects but in a somewhat related manner, the Minister has mentioned that, I guess it sounds as if it is the department or Stanton that purchases items on behalf of other authorities, does the Minister’s office support any type of mark-up if it is Stanton, by way of example purchasing medical equipment and then selling it to an authority, do they support any type of mark-up on any particular product that is resold? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Of course not. What we are talking about is Stanton Territorial Health Authority

being a $100 million organization, give or take a few. Sahtu is a $10 million organization. They have been around for five or six years. So it is authorities working together and they do the buying activities with Stanton. So if you are going out to order, I don’t know, birthing beds, it is better if Sahtu just buys one and if, say, Stanton bought ten and one of them is for Sahtu, they don’t have to go through the whole new tendering and contract procedure. But I don’t think Stanton is charging extra money to Sahtu to do that. It is just neighbours working together, which we should do more of.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

So the Minister is confirming that there is no administration fee or service fee whatsoever, in any form or other name, hereafter being charged. Is that what she is saying clearly in the House? Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

Well, an administration fee is different than a mark-up. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

Alright. Same question; let’s just insert the work administration fee. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

I don’t know if there is an administration fee. I know that Stanton provides this service for Sahtu, so I could undertake to do that, but I am thinking that his meaning is does Sahtu have to pay more to get it through Stanton, and clearly that is not the case. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Robert Hawkins

Robert Hawkins Yellowknife Centre

The Minister almost said she would look into it. That is my question. Would the Minister confirm that if an authority is purchasing through Stanton, that they are not being charged a service fee, an administration fee or a mark-up fee? And feel free to find another like-minded semantic style of word to replace administration fee or service fee, but a fee is a fee in some form or another and I am curious, are they charging them just to help bulk purchasing or is there a hidden cost there somewhere that is being passed through to the authorities. If she would do some research and confirm that, it would be appreciated. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

Sandy Lee

Sandy Lee Range Lake

I don’t know where the Member is going with this; I don’t know what his point is. The Sahtu Health Authority gets... They have their budget to run programs. There is some cross-work that happens between the authorities. Stanton might ask Sahtu to pay for some of the staffing time, but I would like to know what the Member is getting at. Thank you.

Consideration in Committee of the Whole of Bills and Other Matters
Consideration in Committee of the Whole of Bills and Other Matters

The Chair

The Chair Bob Bromley

Thank you, Minister. Time is expended for this question, but I could put you back on the list, if you wish, Mr. Hawkins. Next on the list is Mr. Abernethy.