This is page numbers 4923 – 4960 of the Hansard for the 17th 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 communities.

Topics

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

Delancey

Thank you, Mr. Chair. So, just quickly, in those regions that don’t have a family violence shelter, we have this year made some funding available through the health and social services authorities to develop the concept of safe houses in the communities. So the Sahtu is receiving $122,000, Deh Cho is receiving $46,000 and Tlicho is receiving $31,000. Then we flow that through the authorities and we’ll work with communities to try to come up with community-based solutions. 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, Deputy Minister DeLancey. Committee, we’re on page 32, Health and Social Services, community programs, infrastructure investments, $7.006. Does committee agree?

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

Thank you, committee. I’ll ask you to turn to page 34, Health and Social Services, infrastructure investments, $77.389 million. Does committee agree? 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 just had a question on the electronic medical records. I know the Minister has been mentioning how advanced we are in this area. He also did mention there were a couple, I think with regard to Stanton, issues, but I’d like to get it straight from the horse’s mouth, so to speak. So if I could get some information on what the issues are that are remaining in the implementation of electronic medical records in Yellowknife and where we are with the whole project territory-wide. 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 Abernethy.

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

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. We continue to roll out EMR and we have it in Yellowknife, Hay River and Fort Smith. Right now we’re working on Stanton. As I indicated yesterday, there have been a couple delays on our rollout at Stanton, but we continue to move forward and we intend to continue to move forward with the other communities – Deh Cho, Tlicho, Sahtu, Beaufort-Delta – over the next couple of fiscal years. For specifics on some of the delays we’re experiencing on Stanton, I’m going to go to the deputy minister to provide that detail.

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, Minister Abernethy. Ms. DeLancey.

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

Delancey

Thank you, Mr. Chair. Actually the delays aren’t too bad. We’re pretty pleased with the progress we’re making and the delays really fall into two categories. One is getting the time of practitioners. We do have some dedicated staff, but a lot of people, of course physicians and clinicians, have other jobs, and finding the time to get people together to talk about developing protocols, change management, it just takes some time to get that on

everybody’s schedule. One of the lessons learned from other jurisdictions is don’t rush it, get people on side and make sure people are ready. So, some of the delays have simply been due to timing and scheduling and the number of departments at Stanton that are involved.

The other delays have had to do with our provider. We had chosen the Wolf electronic medical records, and Wolf last year was purchased by Telus, so there have been some delays associated with the transfer of ownership. Telus is a bigger company, they have a lot more customers and a couple of the customizations that we’ve been waiting for them to do, sometimes we’ve been on a bit of a waiting list, but we did actually have our providers in town for a fairly big meeting a couple of weeks ago and I think we’re back on track. They heard our urgency, they met our folks, they saw what our problems are and we think we’re getting very good responsiveness. So we’re hoping that’s going to keep us on schedule. 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, Ms. DeLancey. 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 just have a couple of questions on the Stanton Territorial Hospital Renewal Project. First of all, I appreciate that the Minister will not privatize medical services. Of course, committee insisted that during the development of the P3 policy that if we ever contemplated hospital renovations as a P3, we would certainly not be open to privatization of medical services. Of course, as I understand it, the P3 project has something to do in its title with maintenance. I think it’s construction, operation and maintenance or something like that, not operations. That’s the medical side I hope. Anyway, what is the schedule for the… We’ve got a $40 million expenditure, I believe the Minister mentioned for this fiscal year under consideration, what’s the program for renovating this hospital? How many years will it take? Can he share with us some general details on departments within the hospital, for example, that will be impacted and how that’s going to be managed?

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 Abernethy.

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

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. I’ll say it again, there’s no intention and we will not be privatizing the delivery of medical and health services in the Northwest Territories, just so we’re incredibly clear.

This is a multi-year project. The RFP went out earlier this fiscal year. We have narrowed it down to three proponents. Discussions are happening with those proponents and we hope to have a proponent and move forward with a contract with that proponent. That, I believe, is expected to be June, if everything moves forward according to plan. Then there will be more of a design phase. That will be

the first part of the year. Then it will be basically a four- to five-year process before we are finished everything.

We have learned some lessons on trying to renovate existing facilities while at the same time providing services. We definitely had some challenges when we tried to renovate and provide services in Fort Smith and that has helped inform the process. So this, in process – and the budget that has been allocated – includes the whole plan and design around the provision of services during construction, which means we’ve taken into account our needs operationally as well as how we move forward and where we move things so that we minimize impact on the delivery of services as small or as minimal as possible. But for better detail on that, it would be better to go to Mr. Heath for the specific details.

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, Minister Abernethy. Mr. Heath.

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

Heath

Thank you, Mr. Chair. As the Minister said, we’re in the RFP recruitment. We’re hoping to have submission in June 2015. The funding allocated in the budget is several-fold. It is, again, for the construction, but the element we talk about, operational readiness, and one side of the project is getting the building ready for the people. The other element is getting the people ready for the building. So the budget will cover all the costs associated with the construction and the planning and the operational readiness component. 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. Heath. 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 guess I would be interested in a few more details generally on what the $40 million will be used for this year and do you know what area of the hospital we’d be starting with in terms of helping people get ready as Mr. Heath mentioned.

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. Mr. Heath.

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

Heath

Thank you, Mr. Chairman. There is an indicative design and indicative phasing plan for the Stanton renewal. As the Minister said, we are very concerned about infection control, and you cannot necessarily renovate an operational hospital. So, the indicative design speaks to building an expansion to the facility. Essentially what would happen is an in-patient area would be developed first and any patients that were in the actual existing facility removed from that facility and moved into the in-patient area. We also talked about quite a bit of pressure around the ER and the emergency services area, that it’s undersized. So, those two areas would be implemented first.

We’re not expected to get into the actual construction of those facilities next year. Likely if any construction is happening next year, it will be

around site works, getting the area and foundations ready before the winter season comes in and then with the next summer, being the summer of 2016, be in full-scale construction. 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. Heath. 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

That’s all I have, Mr. Chair. 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. Committee, we are on page 34, health and social service programs, infrastructure investments, $77,389. 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. Chair. I want to say to the Minister, certainly the health centre’s flooring replacement in Fort Good Hope is much appreciated and needed. I know I did do some visits. This was actually a couple of years ago, so I’m glad it has been looked at. It has been dealt with and I appreciate it.

At the same time, when I visit the health centre facilities in Tulita, I am hoping that we would look at more urgent need because of the progress that I’ve tabled to the Minister, not to have our hardworking nurses cohabit with mice in the communities within the centres there. That’s very dangerous, very dangerous. I know the Minister is supportive of our northern nurses in our small communities. You do the best for them because they work long hours. I hope that somewhere within the small capital project this priority can be looked at in Tulita as soon as possible with the living conditions.

I understand what the Minister said about the new Tulita health centre that has been on the books. Certainly people have been asking for that and they appreciate what the Minister is saying right now. However, we need to wrap this up because the urgency now is that the health residence with the furniture, with the flooring, with just the old age of the building and hoping that we could take out some mouse traps in that facility. That’s not good for us. The same with the shed that they have storing their medical health supplies there. We have to do better. I wanted to put that in your mind so that these nurses that we get are not going to have to continue to live in those types of conditions day in and day out as we sit here. Tonight they are going to go back to the same facility.

I guess they are looking for their leadership, now that you know it’s out there, what you’re going to do about it. There are some options and I’m glad you’re open to the options. Certainly within the government there are no guarantees, but I wholeheartedly ask you to look at it seriously for the nurses. There are some units that could be looked at in Tulita and having you work with your colleagues to look at this capital infrastructure budget here. Is it somewhere we can do some work so that we can make it liveable in Tulita?

The other stuff is long term. I understand that, but priority right now is the residence and the shed. So I appreciate that, even with the work that you’ve already committed to Fort Good Hope. I wanted to raise that, Mr. Chair, at the Assembly here, and the Minister again is being reminded for the last couple of days when I talked with him. I just wanted to raise that with the department, and senior officials are here and Members are here. The conditions need to be really improved in Tulita. 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. Yakeleya. Mr. Abernethy.

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

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. With respect to Fort Good Hope, I appreciate the Member’s support. What we’re doing there is removing all the carpet in the health centre and replacement with impervious non-contaminable infection control appropriate flooring. It’s about health and safety of the patients and the staff and meeting our infection control standards. That’s what is going on there.

As I have said several times, we recognize the challenges of the Tulita facility. We know that facility is quite degraded and ready for replacement. It’s at the top of our list. It’s the first one that we feel needs to be done moving forward. It is a B facility, so we have a standard design. In the standard design, depending on the community, those units can include anywhere from two to four living units that are available for staff at market rent rates. That will address the problem long term.

But the Member is right; there are some short-term challenges in the community. The Member has raised them with me on several occasions. I have been talking with the department and we’re working with the Sahtu Health and Social Services in an attempt to identify some short-term solutions on that facility.