This is page numbers 1355 – 1384 of the Hansard for the 18th Assembly, 2nd 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 going.

Topics

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

Julie Green

Julie Green Yellowknife Centre

Mahsi, Mr. Speaker. Mr. Speaker, my questions are for the Minister of Health and Social Services. At a recent constituency meeting homecare services were the main topic of conversation, and devoted users of the service in Yellowknife reported to me that their homecare support worker visits had dropped from the past frequency of weekly to as infrequently as once every two or three weeks. This doesn't speak very well for the preservation of this service or the enhancement either. Can the Minister explain to me why these reductions in service are taking place? I'll start with that, thank you, Mr. Speaker.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

The Speaker

Masi. Minister of Health and Social Services.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Speaker. Mr. Speaker, homecare services that are provided to individuals are based on clinical need or direction from a physician on the types of services that an individual will require. Conceivably, those can change over time. Without knowing the details of the individual case, I certainly can't answer why one individual might have a reduction in their services. I would encourage the individual who has had the reduction to talk to their practitioner to see what can be done and whether or not the homecare that's provided is meeting the clinical needs of the patient. Thank you, Mr. Speaker.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

Julie Green

Julie Green Yellowknife Centre

Thank you to the Minister for that answer. It was more than one person, and the frequency seems to be decreasing. All these particular constituents of course are aging. So I'm wondering if this drying up of services is a permanent situation or is it simply a matter of staffing?

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Mr. Speaker, we have made no financial reductions in the area of homecare in the Government of the Northwest Territories. It's conceivable that we do have some staffing changes from time to time that may have a temporary impact. But I come back to my original statement, at the end of the day the homecare that's provided to an individual is based on clinical needs, those clinical needs can change. I would encourage the patients to deal with their practitioners to ensure that they're getting the level of support they need to ensure that they're meeting their clinical needs.

Mr. Speaker, we are also working on the continuing care review that's going to help us identify where our resource is being spent, is it being spent appropriately, are we getting maximum bang for our buck, and do we need to look at additional resources over the long-term recognizing that we do have an aging population? But I do encourage the Member to have her constituents talk to the practitioners to see why their level of care has changed. It may be a clinical requirement or a clinical need that's being met. Thank you, Mr. Speaker.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

Julie Green

Julie Green Yellowknife Centre

I'm glad the Minister referenced the work on the continuing care plan. My understanding from the responses that were given to my colleague, the Member for Tu Nedhe-Wiilideh, yesterday is that the plan will not be available until the end of the current fiscal year, and so I'm wondering, then, when funding would come into place to put that plan into operation because, if it's not in the current business plans, then the wait could be up to 18 months.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Mr. Speaker, when spending public funds, it's important that we make sure that we're spending funds effectively, getting bang for buck, that we're getting maximum benefit for every penny that we spend. We need to look at how we're spending the dollars today. We need to make sure that we're spending them appropriately. If possible, we need to re-profile our funds within the existing home care services to make sure that we are getting those benefits.

I can't say when we would be asking for additional funds because I don't know what degree or amount of funds are needed at this point. The normal process would be we will have something done here at the end of the fiscal year, as I've committed and promised; we'll have an opportunity to have discussions with Members through the next business planning process; and, if money is required, hopefully, we can build it into the mains for the following fiscal year.

Urgency sometimes expedites those processes. There are steps and opportunity, but we're unprepared to make some decisions on that until we have the data and the information we need to help everybody in this building make evidence-based decisions. Thank you, Mr. Speaker.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

The Speaker

Masi. Oral questions. Member for Yellowknife Centre.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

Julie Green

Julie Green Yellowknife Centre

Thank you, Mr. Speaker. Mr. Speaker, I'd like to say I'm aware about evidence-based decisions. The evidence at this point shows that our population is aging and the need for home care is just getting greater and greater, so I just can't get my head around the idea that there could be a delay of 18 months in finding new or re-profiling existing funding to meet the needs of people who want to age in place. I guess I'm looking for the Minister to make a commitment that there will in fact be a response to this plan by attaching money to it sooner than 18 months. Thank you, Mr. Speaker.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Mr. Speaker, I mean, I've said it once, I'll say it again: until we do the analysis, we won't know if we are spending our money wisely and effectively. We might actually be able to get significant benefits for our residents with the existing money if we change the way that we're doing business. I think this is practical and responsible. The Member is absolutely correct, we have an aging population here in the Northwest Territories, and there are some more demands. Does it require more money? Does it require us to change the way that we're providing home care services and re-profiling money from other areas to help us enhance what we're doing in home care?

Mr. Speaker, we need the data. We need the information. I will absolutely commit to sharing that with Members. If there's an opportunity to expedite, we're certainly looking at that, but we need the data. I need to share it with Members. We need to have a discussion on how we want to move forward together. Thank you, Mr. Speaker.

Question 458-18(2): Home Care Support Worker Visits
Oral Questions

The Speaker

Masi. Oral questions. Member for Nahendeh.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Speaker. Yesterday, my colleague was asking questions of the Minister of Education, Culture, and Employment, and the Minister talked about 513 seniors accessing the seniors' heating subsidy. Can the Minister explain if this number has gone up or has it decreased from last year? Thank you, Mr. Speaker.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

The Speaker

Masi. Minister of Education, Culture, and Employment.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

Thank you, Mr. Speaker. It's roughly about just over 500 every year. The more information and more awareness that we get out there to seniors in our communities, we can expect to see possibly numbers rising. As I also mentioned, we're doing a review of the Senior Home Heating Subsidy, and we're looking at thresholds, we're looking at zones, we're also looking at fuel allocations. When that review is done, there's potential that we might even see even more seniors who can actually access that program, so it's a benefit to our seniors' population throughout the Northwest Territories. Thank you, Mr. Speaker.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

Shane Thompson

Shane Thompson Nahendeh

I thank the Minister for that answer. It's great to hear that we're helping our seniors and we're looking at that. The Minister talked about this review going on, and he's made that commitment to committee and they're working on it. Does he have a timeline when this review will actually be done and we can be looking at this review?

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

We should have something early on in the New Year. If anything, by the end of this fiscal year, we should have something ready to present to committee and share with all members of the Assembly. Thank you, Mr. Speaker.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Speaker, and I thank the Minister for that answer and look forward to that report. So what happens when the seniors are not eligible for that? Is there a process that the Minister can explain to this House? What happens if the seniors are not eligible for this support? Thank you, Mr. Speaker.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

Thank you, Mr. Speaker. We have many programs within our department. Seniors could also get assessed under the Income Assistance program, where they might be eligible for a full tank of fuel twice a year or a cord of wood twice a year. Those options are available for the seniors that might not qualify. But, if any seniors don't qualify, I also encourage them to do a reassessment to make sure that they're assessed properly and that they might actually make the needs. But, if they don't make the requirements under the Senior Home Heating Subsidy, then they can also apply under the Income Assistance program. Thank you, Mr. Speaker.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

The Speaker

Masi. Oral questions. Member for Nahendeh.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

Shane Thompson

Shane Thompson Nahendeh

Thank you, Mr. Speaker, and I thank the Minister for that answer. It's good to hear that we're able to try to find avenues to help our seniors. Mr. Speaker, can the Minister please advise this House what happens if the seniors run out of fuel or wood subsidies when they're looking at during the middle of the winter? Thank you, Mr. Speaker.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

We work it on a case-by-case basis, Mr. Speaker, and we try to inform our seniors to try to lengthen out their fuel subsidies throughout the winter months. But, because some of the concerns that were brought up at the end of last winter with some of our seniors that were running out of fuel for their homes under this program, that's why we're doing the review and we're going to be looking at threshold levels, we're going to be looking at the zones. Hopefully, it'll address that need so that seniors won't run out of fuel during the winter months. As I said, we should have that review ready by the end of this fiscal year. Thank you, Mr. Speaker.

Question 459-18(2): Senior Home Heating Subsidy
Oral Questions

The Speaker

Masi. Oral questions. Member for Tu Nedhe-Wiilideh.

Question 460-18(2): Fort Resolution Medical Referrals
Oral Questions

Tom Beaulieu

Tom Beaulieu Tu Nedhe-Wiilideh

Thank you, Mr. Speaker. Mr. Speaker, I have questions for the Minister of Health and Social Services. With the new health transformation right now, four communities that I represent all go through the Yellowknife Health and Social Services Authority. However, Fort Resolution is in close proximity to Hay River. Right now, people have to go from Fort Resolution to Hay River, get on a plane early in the morning, come here for appointments, possibly overnight and then back to Fort Resolution. I'm wondering if the Minister could tell me what the procedure would be to switch the appointments of people and have the doctors come to Hay River and the people from Fort Resolution just go to Hay River for their doctor's appointments. Thank you.

Question 460-18(2): Fort Resolution Medical Referrals
Oral Questions

The Speaker

Masi. Minister of Health and Social Services.

Question 460-18(2): Fort Resolution Medical Referrals
Oral Questions

Glen Abernathy

Thank you, Mr. Speaker. As we finalize all the details needed to move forward incorporating all the different components of the health system into one authority as part of health transformation, residents will be able to go anywhere in the Northwest Territories that they choose to go for health services. So, if we have residents in Fort Resolution who wish to see a doctor in Hay River, there's nothing stopping them from doing that.

We do encourage people to go to their local provider first. For example, somebody in Fort Resolution, if they're looking for health services, should obviously go to their Fort Resolution health centre. If they're referred out, they could be referred to a large number of places, depending on what it is that they're trying to get. If it's MRI, we're going to refer them to Edmonton. If it's a specialty physician they're going to likely go to Yellowknife; unless it happens to be one of the specialty services that is not provided in the Northwest Territories, at which point they would be referred to Edmonton. If they're looking to see a GP, there's no reason why we couldn't refer them to Hay River.

We do need to make sure that those memorandums of understanding and agreement between the territorial authority and Hay River, which we are working on; Hay River is participating and working with us to develop those memorandums of understanding. I will find out where we are with respect to allowing or supporting a referral from Fort Resolution to Hay River for the services that happen to be in Hay River, but where there aren't services in Hay River, they are going to have to be referred to somewhere else. Thank you, Mr. Speaker.