This is page numbers 3805 – 3850 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 health.

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

Thanks, Madam Chair. The GNWT’s response to the Anti-Poverty Framework is what is before us today and we have a response based on activities that we can do that fall under our mandate to combat poverty here in the Northwest Territories. So, things related to Health and Social Services, Education, Culture and Employment, Housing and the other departments that are participating. The next step is to develop the territorial action plan where all partners will identify the types of things they’re going to be doing to combat poverty. To support the work that other organizations and governments are doing, we do have the $500,000 available for them to utilize and hopefully to leverage for additional funds from other groups to help combat poverty in the Northwest Territories. In that we are going to see a territorial action plan and our GNWT action plan will certainly form a part of that. If there are requests for additional money or if there are requests for additional action within the territorial action plan, we will certainly bring those through the business planning process to make sure that those that we can support, we do and those that we can’t, we don’t.

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

Wendy Bisaro

Wendy Bisaro Frame Lake

Thanks to the Minister. So I heard the Minister say there’s not going to be an ask for more money for anti-poverty in the ‘14-15 year. You can correct me if my understanding is incorrect.

I wanted to ask a question – I think it belongs here – under the directorate. I don’t remember if it was last year or if it was a little further back than that, but my understanding is we now have I’m going to call it – it came from the French secretariat, I believe – a French position within the Department of Health and Social Services. I believe it was a pilot. I would just like to know from the Minister if I’m correct in my remembering and how that pilot is working. Is it beneficial and is it likely to be continued on a permanent basis? 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 Jane Groenewegen

Thank you, Ms. Bisaro. Ms. DeLancey.

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, Madam Chair. The Member is correct; we do have a position that’s been in place for a couple of years funded through the federal languages funding, a manager of French language. It was not a pilot so much as it was a first step towards working with the Department of Education, Culture and Employment and other departments on developing our French language services plan for the GNWT. So that position has been working with ECE, with the Federation Franco-Tenoise and we are now close to finalizing a French language services plan. It’s not a pilot, we will retain that position, but there may be other positions added once the plan is finalized and resourced. Thank you, Madam Chair.

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

Wendy Bisaro

Wendy Bisaro Frame Lake

Thanks to the deputy minister. The French language services plan that the deputy minister references, is that just for the Department of Health and Social Services or is she referencing a plan across the government?

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

Debbie Delancey

It is a GNWT-wide plan being developed under the coordination by the Francophone affairs secretariat in the Department of Education, Culture and Employment.

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

Wendy Bisaro

Wendy Bisaro Frame Lake

Thanks to the deputy minister. My other question has to do with insured services and things that are not covered under insured services. I mentioned one the other day when I talked about naturopathic doctors, but the other service, I guess, that I think and I believe there was a commitment from the previous Health Minister to consider bringing this in under our insured services, and it’s bariatric surgery. I’d like to know from the Minister, first, has bariatric surgery had any work done on it to bring it in under insured services and where does the department sit and the Minister sit in terms of bringing naturopathic doctors in as an insured service. 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 Jane Groenewegen

Thank you, Ms. Bisaro. 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, Madam Chair. There are a large number of services that have become available over the years that are not currently covered under our insured services. Our insured services coverage is fairly dated and it hasn’t really had a very comprehensive review in some time, which is one of the reasons why we’ve created the chief clinical advisor position to help us actually do this analysis to make sure that the types of things that are covered under insured services are really keeping with the times, and the fact that the health system does change and evolve and new programs and services come in.

We’ve had the chief clinical advisor on for a while. One of his primary tasks is to provide clinic guidance around clinical practice guidelines but also to provide advice and guidance on what we have and currently cover under insured services.

One of the things we are looking at, as well as many others, is bariatric surgery. It’s going to take a bit of time to make sure that we’re doing the comprehensive analysis on that and then we bring those forward for discussion.

At this point in time, there is no discussion about including naturopathic doctors under insured services.

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

Wendy Bisaro

Wendy Bisaro Frame Lake

Thanks to the Minister. So, my usual question, I guess, is in terms of timing. When might we expect this revision of the list to be done? I’m hoping that maybe there would be some communication with Regular Members as to what the department has decided on, and as part of that, is there a willingness on the part of the department

to look at including naturopathic doctors at some point and when might that be? Thank you.

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

Madam Chair, the chief clinical advisor is going to be working on this over the next year to look at different procedures that haven’t been covered, including things like bariatric surgery. That will be done over the next year and hopefully we’ll be in a position to have some discussions about what may or may not be added or included in the future.

At this point in time, there is no intention to include naturopathic doctors and the services they provide under insured services. I do have a meeting with the naturopathic doctors here in the near future, where we’ll have an opportunity to hear from them and hear what their interests are as far as providing services. We have indicated that we will make them our fourth priority for regulation for licensing purposes here in the Northwest Territories. So we are moving forward with a number of things with them, but at this point in time there’s no intention to make them an insured service. I’m looking forward to the discussions though.

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 Jane Groenewegen

Thank you, Mr. Abernethy. Activity summary, directorate, operations expenditure summary, $10.016 million. Ms. Bisaro.

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

Wendy Bisaro

Wendy Bisaro Frame Lake

Thank you, Madam Chair. I’m sorry, I lied, I do have another question that was hiding under a piece of paper.

In compensation and benefits there’s quite an increase, six and a half thousand dollars, six-hundred-whatever, from $7.8 million to $7.1 million. I have a note here, three PYs and I don’t know quite where I got that from, but can I get an explanation as to why the major increase in compensation and benefits? 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 Jane Groenewegen

Thank you, Ms. Bisaro. 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, Madam Chair. It seems vaguely familiar. I’m pretty sure that’s exactly the same question that Mr. Bromley asked earlier. It’s six positions. If you average them out to about $100,000 per, it’s about $600,000 and we can provide the detail to the Member. We’ll print off Hansard.

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

Wendy Bisaro

Wendy Bisaro Frame Lake

Madam Chair, I just wanted to apologize. I must have gapped out when Mr. Bromley asked his question, so I’m very sorry for wasting everybody’s time. I’ll read it when we get it. Thanks.

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 Jane Groenewegen

Thank you, Ms. Bisaro. Page 8-13, activity summary, directorate, operations expenditure summary, $10.016 million. Agreed?

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 Jane Groenewegen

Page 8-14, activity summary, directorate, grants and contributions, $685,000.

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 Jane Groenewegen

Page 8-15, information item, directorate, active positions. 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, Madam Chair. This is where the Minister’s explanation kind of falls apart, given that there are a total of two new positions for the department plus one indeterminate part-time, which makes, again, the increase in compensation and benefits quite high. 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 Jane Groenewegen

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, Madam Chair. There are some ins and outs in this particular area. The anti-poverty position is one in; the Health Information Act is two in; there are some financial shared services positions being transferred out, three; there’s the full part-time senior policy advisor position in; and there are two Health Information Act positions in. So there are some ins and outs in this particular area. Thank you, Madam Chair.

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 obvious, I would say, given that we’re only up two here net, but we’ve heard about six new positions. It suggests that two of those new positions must be paid in the order of $300,000 or something like that. Again, the math is fuzzy. I note that the other divisions do manage their compensation and benefits in just about every case. Just in the directorate we seem to have this issue. Thank you.