The 2012 report was more of an aspirational report. It wasn't actually a prescribed plan. It proposed three models for conversation: a community-based model, which the consultants felt could work in communities like Hay River, Inuvik, Yellowknife, or Behchoko; a regional model, which the consultants felt could work in the Beaufort-Delta, the Sahtu, or the Tlicho regions; and a territorial model. We did move forward and stabilize the midwifery services in Fort Smith. We did expand and provide midwifery services in Hay River. The realities in the Beaufort-Delta changed when we were actually looking at a community-based model for Inuvik. We had locum physicians, we didn't have any permanent staff, so there was a lot of turnover and inconsistency in birthing services, and we also had a very high rate of births.

The birth rates in the Beaufort-Delta have come down, and we now have stable staff in the Beaufort-Delta. As a result, we went with more of a regional model in Inuvik. The difference is we are actually moving forward on a territorial design, which is more than an aspirational document. It's a structured document outlining how we will provide the services both in Yellowknife and at a territorial level. It's actually a plan to move forward with some of the suggestions that were provided in the 2012 report.