The Speaker Jackie Jacobson

Thank you, Mr. Ramsay. Mr. Abernethy.

Glen Abernethy Great Slave

Mr. Speaker, I wish to table the following document, entitled “Annual Report of the Director of Child and Family Services 2014-2015.” Thank you, Mr. Speaker.

The Speaker Jackie Jacobson

Thank you, Mr. Abernethy. Mr. Yakeleya.

Norman Yakeleya Sahtu

Mr. Speaker, I wish to table the Report of the Special Committee on Transition Matters, “Passing the Mace: Recommendations to the 18th Legislative Assembly,” dated October 2015.

The Speaker Jackie Jacobson

Thank you, Mr. Yakeleya. Mr. Yakeleya.

Norman Yakeleya Sahtu

Mr. Speaker, I would also like to table a CBC News report on the Province of Manitoba lowering food prices in remote northern Manitoba communities.

The Speaker Jackie Jacobson

Thank you, Mr. Yakeleya. I wish to table 2015 Northwest Territories Human Rights Act Comprehensive Review.

As well, I wish to table the document entitled “Moving Forward - Implementing the Recommendations of the 2015 Comprehensive Review of Human Rights in the Northwest Territories, An Implementation Plan for Changes recommending an independent comprehensive review in the Northwest Territories Human Rights Act.

Item 15, notices of motion. Item 16, notices of motion for first reading of bills. Item 17, motions. Mr. Yakeleya.

The Speaker Jackie Jacobson

Thank you, Mr. Yakeleya. Motion is in order. To the motion. Mr. Yakeleya.

Norman Yakeleya Sahtu

Thank you, Mr. Speaker.

AND FURTHER, that the Department of Health and Social Services ensure that a mechanism is in place for monitoring and evaluating the Medical Travel Program;

AND FURTHERMORE, that the government produce a response to these recommended actions for consideration by the House by February 2016.

The Speaker Jackie Jacobson

Thank you, Mr. Yakeleya. Motion is in order. To the motion. Mr. Yakeleya.

Norman Yakeleya Sahtu

Thank you, Mr. Speaker. I’m going to make it right to the point here. I want to thank the honourable Member for Yellowknife Centre for seconding this motion.

This motion is to let the government know that there is a huge hole in our Medical Travel Policy. The Minister indicated, through his press release with the staff, that there is a policy that needs to be looked at. As a matter of fact, the Minister has stated, February 7, 2014, from Hansard, and I’m asking him questions: “We have a Medical Travel Policy. We want to have a Medical Travel Policy that is hassle-free for all our patients.” That’s a good goal. That’s a good one.

I want to state to the Minister that the Auditor General, in 2011, clearly indicated that this Medical Travel Policy is inconsistent and not applied evenly across the board. There are no sound mechanisms in place for monitoring and evaluating the Medical Travel Policy and that the government has four years to work on the report by the Auditor General. They are all clear examples that I had written down in this document from residents from the Northwest Territories between the regional health centres and Stanton Territorial Hospital. There are communication gaps to where this person in my region came to Stanton, had chest pains, he was actually having a heart attack. They didn’t know why he was at the Stanton Hospital. That’s just one example; there are many more.

Also, the small communities do not have a link of an all-weather road, so from time to time, these incidents my people have experienced difficulty with accessing the Medical Travel Policy. Things are a little different, you know, it’s not all the same. So I want to let this government know that when there are people who are really in need to be escorted for the head injuries, back injuries or life-threatening conditions such as cancers or, you know, even when I was leaving back to Norman Wells, once I came down to the hospital to get checked out. There was an old lady from Deline. She was sitting there and I asked the young person next to her father-in-law why she was down here. She said, “The Health brought her down here. She does not understand or speak English. I had to come down to get her, and get her back to Deline.” So, language barriers are a real big one for my region, my community and other communities.

I’m saying that with the flexibility that they should have some generality asking questions to the health to have these medical escorts. So, this motion strongly recommends this government to introduce a policy so that there is an avenue to look at non-medical escorts for patients in these types of life-threatening conditions, language barriers, where you know from common sense that this person needs a non-medical escort, a family member should be asked.

There are lots of conditions and I want to tell the government that I look forward to their revision of the policy, but it’s seven months away, you know, and we have to look at how we can do things better for our people who are in the small communities who need medical support.

I heard, through the discussions of drafting this motion from our committee on this side, there are a number of ways that could be looked at to sustain our costs in regards to this policy, so I would like to let this government know that we certainly want to improve our patients’ experience, because right now a lot of them don’t have a good experience. The Minister knows, and we know, that his department is working on things like this, but we also need to know to have some real good flexibility that creates as good a program that we could, in fact, stand up quickly and honestly and say we are improving our patients’ experience and helping this government here.

I want to thank the Members for allowing me, at this late stage of the government and our life here, at this time of day, to have this motion come forward, and I want to know that we, on this side, are listening to people who are having these difficulties with the Medical Travel Policy. Thank you, Mr. Speaker.

The Speaker Jackie Jacobson

Thank you, Mr. Yakeleya. To the motion. Now to the seconder of the motion to speak, Mr. Hawkins.

Robert Hawkins Yellowknife Centre

Thank you, Mr. Speaker. I appreciate the motion brought forward by my good colleague Mr. Norman Yakeleya, the MLA for Sahtu, and I think it’s very timely. It’s not just a personal experience he’s gone through. These are experiences we are hearing time and time again. Some of the challenges have been brought to my attention, even as of late, and it’s unfortunate, sometimes an experience like what Mr. Yakeleya had personally, all of a sudden it becomes a lightning rod for people all of a sudden to wake up and go, “Hey, wait a minute, that’s happened to me,” or these are the types of things where, you know, the northern culture has been, whereas people have kept to themselves and sort of accepted sort of sometimes the bumpy road and just said, “Well, I’ll put up with it. I’ll put up with it.”

But this issue is on the radar right now and it’s got people phoning in. Recently, I’ve spoken to a constituent, in particular about the medical travel issue and their experience through it, and certainly their family and relatives and the trials and tribulations that they’ve been challenged with and, you know, I mean, the motion speaks loud and clear itself, but I’ll speak to some of the areas they drew up for concern. I know these are areas that are being worked on. I shouldn’t be remiss on that; I need to emphasize that. I know medical travel is complicated. It’s never been an easy beast to wrestle down and solve and it’s one of those things that it’s very expensive. Let us not kid ourselves that medical travel is certainly an amazing benefit, but it’s an important one and represents the values and type of people we are and we feel it’s that important and this is why we need to do a good job. If we’ve committed to do this process then we’re obligated to do a decent job, and that’s the gap right there where I think we expose for fault or failure or liability, whereas in the system itself it has agreed this is what we’re going to do.

It’s funny, that type of commitment is kind of dangerous because when folks finally get through the medical travel gauntlet of approval, whereas their doctor made recommendations and they finally agree that, yes, everybody’s agreed that you require medical travel, even in non-emergency situations, but it’s the same in emergency situations as well. Then it’s, like, what do you do. The family waits. The patient waits. Whether they’re waiting by themselves or waiting to find out approval from their escort, connecting the dots seems to be an issue, and I don’t know how that could be done better. I don’t know if we have to hire a super A-type personality to get in there and put sticky notes and come up with these processes and spreadsheets. I don’t know what the right solution is. The Department of Health is a huge department. I’m sure they can find someone who has great ideas how to link these things, but linking folks through this process has been really a problem.

When you have someone that’s approved for medical travel, how do you link the escort? How do people know what they’re doing, where they’re going and what time to be there? I mean, I’ve heard many horror stories about how people have believed that they were supposed to be on that plane and they get there and there’s no plane ticket sitting there waiting for them. They didn’t get cab fare to that airport so they pay out of their pocket. They get there and then they’re told there’s no plane ticket there. Then they don’t know who to call when they’re panicking. When you’re sick it may, frankly, be an unfortunate experience. If you’re super deathly ill or you’re trying to be the hero through being the escort helping that person who’s going through this terrible experience, people are under a very difficult challenge at that time emotionally, they’re stressed, and all of a sudden now they don’t have plane tickets, they don’t know who to call. It certainly isn’t Ghostbusters.

But the fact is they are stressed. We need, I don’t know if it’s a simple pamphlet that once you’re approved they hand it to you and say, how do you connect these dots? Any problem, you call this phone number and this person has the authority to delegate a solution. I don’t know where it’s going.

But just to continue on, I don’t have a lot of the issues here that I’m going to tie committee time up with here, but there is very little follow-up. For example, if you’re someone from a small community, which happens regularly that English isn’t you’re first language. I mean, this shouldn’t be a shock to our system. It shouldn’t be a shock to anybody in this area of the Assembly. There’s the language problem. Then, of course, there’s just the connection on how you tie everything together, and certainly, there’s not a follow-up process either to make sure that, hey, did it work, how do we make it better.

I mean, sometimes they call those the 360 process where people make phone calls, who are from the system, obviously, find out, hey, did it work, what could we do better, how do we, as Stephen Covey would say, sharpen the sword. You know, you’ve just got to keep working on the system, tirelessly trying to make it better and better.

Again, I recognize and respect that the people there work on this thing every day, and I recognize that it’s complicated each and every day that they’re working on, but these are people working in ideal situations and when you’re on medical travel or trying to get medical travel, you’re not in an ideal situation. If you’re in a place, as I said at the start, you don’t know who to call, where to go, when to be there, and all of a sudden it starts to have a ripple effect. It just makes the whole experience such an incredible burden that it’s great frustration.

I’m happy we have the motion here before us, and I think, really, what it’s saying is we can find ways to do it better, and I certainly look forward to the department finding ways to make this work better. There may never be a perfect solution, but as I said earlier, I’m sure we’ve got someone who could consider things like how do we connect, as I said, people to their processes better, how do we do follow-ups, how do we ensure that the quality assurance programming on the medical travel is there and make sure people understand exactly what they need to do, where to go, and certainly where to go if you have trouble.

That’s all I’m going to say. I think that it’s an important motion. Again, I want to thank Mr. Yakeleya, and the opportunity to second is certainly an important one and a privilege to work with my colleague on this initiative.