This is page numbers 923 - 956 of the Hansard for the 17th Assembly, 3rd 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 health.

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

Debbie Delancey

Thank you, Mr. Chairman. I can run through those positions. There are three new indeterminate positions in the directorate. One is an associate deputy minister position. One is the director of policy, communications and legislation. This position was created basically as a result of the Auditor General’s report which recommended a stronger emphasis had to be taken on

accountability and evaluation of performance measurement. What we did is we split the policy and communications and legislation off from that accountability area so that we now have two directors where there was one. One of those positions is an administrative assistant position to support the new management positions. Then the last permanent position is the Child and Family Services Committee coordinator, which we’ve talked about here earlier. That’s four positions.

Then we also have created four two-year term positions that will be funded with the funding through the Territorial Health System Sustainability Initiative, THSSI. These we’ve actually created four positions but taken one away. That’s three more positions. These positions are focusing on some of the projects in our strategic plan that really are seen as reform which will make the system more sustainable. We have one that’s focusing, and the Minister has talked about shared services amongst all the authorities. We’re doing a fairly huge project to look at where we can achieve some savings through shared services and we are dedicating a project manager to that work. We’ve also dedicated a project manager to the work on revising medical travel business processes and looking at increased use of eHealth to support a reduction in medical travel. We have a position that will specifically be working on updating the Medical Travel Policy and that position will be responsible for consultation, coordinating consultation and pulling together the results of that. Then we have a project manager position.

Of the seven positions, four are indeterminate and three of the seven additional positions are two-year term positions. We did look at whether it made sense to locate those positions outside of Yellowknife but the very nature of those project positions have to work closely with our existing finance shop, with our information services and eHealth shop, and with our policy and legislation shop. It really was difficult not to have them at headquarters.

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

Alfred Moses

Alfred Moses Inuvik Boot Lake

There was mention of three positions under the THSSI funding for the two-year project. Are there any plans in place for all the good work, should this work be incomplete at the end of the two years and the THSSI funding running out, is there any plan of action to continue the work or is it just going to come to a halt? The work, especially with the shared services, I think that’s an important one. Was there any plan to look at how these positions can either continue on or how the work that these positions have been working on does continue?

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

Debbie Delancey

Our hope is that these will not be permanent positions. There’s a lot of work involved in stepping back and looking at how you’re delivering a program, how to change it, developing

the plans to implement change and to train staff while the people who are delivering the program, the medical travel staff, are doing their day-to-day work, for example.

Another possible shared service is in the area of finance. We again have finance staff in all the authorities that we can’t pull away from their day jobs to do this design. These will not be permanent positions, but the Member raises a good point that two years is not a long time to implement substantial change like this. It seems like a long time but somehow we never seem to get done when we think we will. If we are successful in negotiating an extension of THSSI funding with the federal government that might support continuing this work until such time as we’re able to implement the changes and it becomes core business. Having said that, we know we have a two-year time frame, we know we have the funding for two years and we’re making every effort to get the work done.

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 Daryl Dolynny

Thank you, Ms. DeLancey. Moving on with questions I have Mr. Yakeleya.

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

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Chairman. I want to ask the Minister, and maybe it might be in another section of the business plans, on the principle of the Nurse Practitioner Program. I’m not too sure if it’s in here or fits in this section or later on on these positions that are within the department of within the health board, so we have some graduates this year.

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 Daryl Dolynny

Thank you, Mr. Yakeleya. We’re going to go to Mr. Beaulieu.

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

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Mr. Chairman. All the nurse practitioner positions are within the authorities but we don’t have the information here on the amount of nurse practitioners who have graduated recently.

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 Daryl Dolynny

Thank you, Mr. Beaulieu. Would you be able to provide that information to the Member?

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

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Mr. Chairman. We can provide that information.

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

Norman Yakeleya

Norman Yakeleya Sahtu

Thank you, Mr. Chairman. I look forward to the Minister’s information. Just on the principle again of the nurse practitioners, and the Minister can correct me if this is the place where I need to continue digging into this or just ask about it later on in the business plan, but I am asking the Minister on the principle in the policy of these active positions, if they’re working closely with the Sahtu Health Board or the Yellowknife Health and Social Services Authority, or any other authorities we have on these valuable positions and people that we have hired. Is there a policy in health that we will hire these nurse practitioners once they graduate from our training program?

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 Daryl Dolynny

Thank you, Mr. Yakeleya. Yes, we are in that same page or close to it, so I’ll allow that type of question. For that we’ll go to Mr. Beaulieu.

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

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Mr. Chairman. This is going to be part of our review of modernizing the integrated service delivery model.

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

Norman Yakeleya

Norman Yakeleya Sahtu

I’ll get to that area when we talk about the modernization of this act. I want to definitely see the nurse practitioners in there and how we can continue to support them in their efforts and make it easier for us, and I hope we can have some fruitful discussion when we get to that area. I’m just lending my support to those professions.

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 Daryl Dolynny

Thank you, Mr. Yakeleya. Page 8-10, Health and Social Services, department summary, information item, active position summary.

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

Some Hon. Members

Agreed.

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 Daryl Dolynny

Page 8-11, Health and Social Services, department summary, information summary, active positions, health and social services authorities.

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

Some Hon. Members

Agreed.

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 Daryl Dolynny

Page 8-13, Health and Social Services, activity summary, directorate, operations expenditure summary, $7.924 million. Mr. Bromley.

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

Bob Bromley

Bob Bromley Weledeh

Thank you, Mr. Chair. I want to just follow up a little bit. I appreciated the information the Minister shared on planning for infrastructure improvements to Stanton Territorial Hospital. I am concerned, though. He started to talk about the next steps and then stopped short of that, but he did reference that the next step after the schematics would be to enter into the capital planning process. I believe there’s an understanding that that’s typically a five-year process which, of course, is alarming to a lot of people across the Northwest Territories. Has there been any discussion yet? Does the Minister feel this is already in the capital planning process? I mean, obviously, we’ve known that as soon as we got the planning done, we want to start hammering nails or look after the ventilation or whatever. Could I get some idea where we’re at on that specific front? 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 Daryl Dolynny

Thank you, Mr. Bromley. Minister Beaulieu.

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

Tom Beaulieu

Tom Beaulieu Tu Nedhe

Thank you, Mr. Chairman. This year, in this budget, our plan is to spend $4 million to complete the remaining schematic planning and the initial occupational planning. We can’t go beyond that. We have to have approval of this House to go beyond that. We’re moving forward in this area and this is part of the process,

but I can’t anticipate what there’s going to be in the capital plan in future years.

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

Bob Bromley

Bob Bromley Weledeh

The extensive communications and discussions in the House and in committee that we’ve had over the past five years have meant nothing in terms of carving a niche for planning infrastructure dollars on an expedited basis as opposed to another five-year process. Is that the Minister’s understanding? There have been no discussions in Cabinet about 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

Tom Beaulieu

Tom Beaulieu Tu Nedhe

I think this is the final step of the planning, the program planning. I think the next step is to put money into the capital plan. This is the process for all the infrastructure that’s needed. It goes through a process when we first come up with the idea. I don’t think that the department or the government wants to see us spend $1.2 million on program planning, technical status evaluations, schematic planning, planning contingencies, and then put another $4 million in this year to complete the remaining schematic planning and occupancy planning if there isn’t an intention to seriously look at putting this into the infrastructure plan.

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

Bob Bromley

Bob Bromley Weledeh

That’s a very good point the Minister makes. I have seen the government do strange things, but I would agree that’s a logical position to take. I’m with the Minister on that and I do want to agree with his earlier comment in response to our general comments that this is something that cannot wait. I’ll leave it at that. I know this is a capable Minister who’s going to nail down those capital dollars. 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 Daryl Dolynny

Thank you, Mr. Bromley. Moving on with questions, I have Ms. Bisaro.