This is page numbers 2171 - 2212 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 work.

Topics

Question 697-18(2): Department Of Infrastructure Regional Offices
Oral Questions

Daniel McNeely

Daniel McNeely Sahtu

Thank you, Mr. Speaker. Following up on my Member statement, directed to the Minister of Transportation: as our government approaches the last month before break, what preparatory measures are under way for the pre-start-up of the new Department of Infrastructure in the Sahtu region? Thank you, Mr. Speaker.

Question 697-18(2): Department Of Infrastructure Regional Offices
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Minister of Transportation.

Question 697-18(2): Department Of Infrastructure Regional Offices
Oral Questions

Wally Schumann

Wally Schumann Hay River South

Thank you, Mr. Speaker. The proposed Department of Infrastructure, moving forward for 2017-18, is focusing on a number of things; change of management would be one of them, developing new business and processes and practices moving forward, and also establishing a new corporate presence, as it's going to be a whole different identity for the department. Thank you, Mr. Speaker.

Question 697-18(2): Department Of Infrastructure Regional Offices
Oral Questions

Daniel McNeely

Daniel McNeely Sahtu

Will the Minister elaborate a little bit on the staff recruitment plans?

Question 697-18(2): Department Of Infrastructure Regional Offices
Oral Questions

Wally Schumann

Wally Schumann Hay River South

Staff recruitment plans moving forward, I believe that with the reorganization of the departments there are a number of changes, there are a number of processes that have to be done moving forward before this is done until the budget is passed. Once the budget is passed and we implement these things moving forward, it will probably be no different than before when amalgamations take place. There will be a number of people either retiring or moving on to different departments. There are a number of people who are affected who will possibly be changing jobs within the departments and stuff. I can update the Members as we move forward.

Question 697-18(2): Department Of Infrastructure Regional Offices
Oral Questions

Daniel McNeely

Daniel McNeely Sahtu

That was leading up to my next question on progress reports and updates. I welcome the Minister's commitment to provide those reports on the progress during the transition. Maybe they can include, also, if there are any allowances for furniture for the new office there, please.

Question 697-18(2): Department Of Infrastructure Regional Offices
Oral Questions

Wally Schumann

Wally Schumann Hay River South

As we move forward, yes, there is some money there for implementation. For some of the new positions, I believe, that are created in the new region of the Sahtu, we will be looking out to fulfilling that.

Question 697-18(2): Department Of Infrastructure Regional Offices
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Oral questions. Member for Mackenzie Delta.

Question 698-18(2): Health System Patient Advocate Proposal
Oral Questions

Frederick Blake Jr.

Frederick Blake Jr. Mackenzie Delta

Thank you, Mr. Speaker. Mr. Speaker, in follow-up to my Member's statement, I have a couple of questions for the Minister of Health and Social Services. The Minister said last week that many of the recommendations line up with work the department is already doing, that existing work clearly fell short in August 2016, instead. What new changes, what new work, will the department act on in response to this review? Thank you, Mr. Speaker.

Question 698-18(2): Health System Patient Advocate Proposal
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Minister of Health and Social Services.

Question 698-18(2): Health System Patient Advocate Proposal
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Speaker. Mr. Speaker, I believe it was last October that I tabled that "Building a Culturally Respectful Health and Social Services System," which outlined a bunch of the work that we are doing that line up really nicely with the recommendations that came from the recent critical incident review.

My intention, and I have made a commitment to the family, to the leadership in the Beaufort Delta and to Members of this House, is to expedite that work and to try to get it done as quickly as possible, recognizing that it is a massive piece of work and that changing attitudes and beliefs and the way business is done in the health system that have been ingrained for generations is going to take us a bit of time.

I am committed to doing that work and seeing change. We have already given direction to start digging into the recommendations that are more operational, and we are working on the more foundational, bigger pieces that are about changing the culture of the system. Thank you, Mr. Speaker.

Question 698-18(2): Health System Patient Advocate Proposal
Oral Questions

Frederick Blake Jr.

Frederick Blake Jr. Mackenzie Delta

How will the department assess the feasibility a piloting of patient advocate in a Northwest Territories community?

Question 698-18(2): Health System Patient Advocate Proposal
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

At this time, we are not planning to do a pilot of a patient advocate in any communities throughout the Northwest Territories. I know the Member would be disappointed if I did not bring up the quality assurance professionals that we have in the system today. The quality assurance positions are also patient representatives, so they have a double role, Mr. Speaker.

Now, increasingly over the last number of months, it's becoming clear to me that having those two positions as a single position probably isn't the best way to do business here, in the Northwest Territories. Quality assurance tends to deal with situations after they have occurred or where a patient or a client has brought a concern to them that we need to fix, whereas a patient representative, I think, falls more in line with a patient advocate.

That is a person who is there to help the clients navigate their way through, overcome language barriers, understand a system that might appear intimidating or frightening to them. There is a role for that.

So I have already directed the department to look at our positions, the quality assurance/patient representative, see what it would take to separate these out so that we can have those two roles separate and distinct within our system so that those people can provide care. As far as doing a pilot of a patient advocate in a region, that is something we have not contemplated at this time.

Question 698-18(2): Health System Patient Advocate Proposal
Oral Questions

Frederick Blake Jr.

Frederick Blake Jr. Mackenzie Delta

I know the Minister answered part of this just now, but I will ask the question anyway. In the absence of a patient advocate, how will the department ensure the service gaps I identified earlier will be closed?

Question 698-18(2): Health System Patient Advocate Proposal
Oral Questions

Glen Abernethy

Glen Abernethy Great Slave

As I indicated, I have already directed the department to look at the possibility of spitting out the roles, our quality assurance/patient representatives, into two separate roles. That wouldn't necessarily address the Member's issue about community-based advocacy or guidance, because that would likely be a regional position.

When I was up in the Beaufort Delta last week, when I met with leadership to talk about the critical incident review, the leader of the IRC, the president of the IRC, indicated to me that they were working with the federal government. There was a pot of money out there that they are looking to utilize to put in some sort of patient navigator for the Inuvialuit. This is something that I am committed to exploring, and I am going to put on my May agenda with Aboriginal leadership this exact topic, so we can have a discussion on how we can work better together to provide advocacy and guidance through the health system for residents in small communities. So I will put that on the agenda. I will work with leadership to find a way to provide those types of supports over time.

Question 698-18(2): Health System Patient Advocate Proposal
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Oral questions. Member for Kam Lake.

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

Kieron Testart

Kieron Testart Kam Lake

Thank you, Mr. Speaker. Mr. Speaker, I would like follow up with the Minister on this Aurora College next steps statement he made this morning around the foundational review. My honourable friend from Hay River North made some comments about this, but one of the things that surprised me is that the terms of reference for the foundational review are not yet known. My question for the Minister today is: the strategic plan, which the department and the college have been working on for a while, how is that different from the foundational review? I will start with that. Thank you.

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Minister of Education, Culture and Employment.

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

Thank you, Mr. Speaker. The strategic plan was going to focus on the vision of the college, working on the Skills 4 Success Action Plan, looking at programs and services that will be provided for our NWT residents. The foundational review, as was discussed, was to take a look at the whole college system and look at some of the things that the honourable Member for Hay River had mentioned, such as administration, programs that we are providing, looking at them from the ground up.

Looking at everything within Aurora College will be done externally, so we want to build on some of the work that we have received already from the strategic plan work, and it will build on to the foundational review as we move forward. Thank you, Mr. Speaker.

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

Kieron Testart

Kieron Testart Kam Lake

Thank you. I am afraid that, with some dread, I hear that a labyrinthine process of plans upon plans upon plans are being contemplated by the department. I wonder: can the Minister give some assurance that this is not going result in more action plans and strategies and will actually result in results? We have been waiting for a year for a strategic plan that has now transformed into a foundational review, so are we going to be waiting another year to see this review, or are we going to get moving on post-secondary education in the Northwest Territories?

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

We are moving on post-secondary education in the Northwest Territories currently. We do have a lot of programs and services. We work with partners such as College nordique and Dechinta. In terms of the discussions and the debate that we have had in this House regarding the two programs that we are looking at for reductions, it sparked a lot of different views and discussions from the public and from Members in this Legislative Assembly that drove us to look at a foundational review of the entire system and the core of what Aurora College is. As I mentioned in my statement, we should have the completion of the review done this fall, 2017, with an implementation target set for the 2018-19 academic year.

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

Kieron Testart

Kieron Testart Kam Lake

I agree with the Minister. It's not about two programs. It's about more than $30 million we spend on post-secondary that, by everyone's assessment, is not working but is still something students need in the Northwest Territories. So I am pleased that we are taking this seriously, but, again, the pace of this is frustrating. I think these are not new issues. These are issues we were well aware of going in. In fact, when we began the mandate process, through business plans these issues have been raised again and again and again.

The statement that the Minister made also spoke of a Post-Secondary Education Act. When does the Minister plan to implement that act?

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

Alfred Moses

Alfred Moses Inuvik Boot Lake

Yes, we are doing an overarching post-secondary education legislation. We are going through the processes right now. That means bringing an LP forward to standing committee and then having to go through the bill process, so I don't have a firm timeline for the Member right now, but I can get that information for him and share it with him, from the department.

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

The Speaker

The Speaker Jackson Lafferty

Masi. Member for Kam Lake.

Question 699-18(2): Foundational Review Of Aurora College
Oral Questions

Kieron Testart

Kieron Testart Kam Lake

Thank you, Mr. Speaker. I am going to ask, in regard to the great public interest in this issue and the hard work of our post-secondary departments with Dechinta and College nordique, if the Minister will commit to making the LP process that the standing committees normally go through a public process so that we can have a broad range of opinions on the legislation before it's finalized in the House? Thank you.