This is page numbers 5027 - 5084 of the Hansard for the 18th Assembly, 3rd 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 services. View the webstream of the day's session.

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Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Frederick Blake Jr.

Thank you, Minister Abernethy. Mr. O'Reilly.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Kevin O'Reilly

Kevin O'Reilly Frame Lake

Thanks, Mr. Chair. Is there anywhere that the public or Regular MLAs can go to see waiting times? I know the information is tracked somehow, but is it actually publicly reported in any way? Thanks, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

Page 5051

The Chair

The Chair Frederick Blake Jr.

Thank you, Mr. O'Reilly. Minister Abernethy.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Glen Abernethy

Glen Abernethy Great Slave

Mr. Chair, right now, the answer is no, but I, like the Member, believe it's important for people to know, and the department is working to getting to the point where we can report on some wait times. It is not here today, but it is work that is being done. I want to see it. The Member wants to see it. I think I've been asked in the House over the last couple of days a number of questions on wait times. People want to see it, so I will be directing the department to find a way to make that information public. Having said that, these investments we're making today will help us reduce the wait times, but we won't see them reduced until we bring people in and get them trained and start the work. We should start to see some improvements now, as a result of the Beaufort Delta investments, and we will see more improvements once we get Yellowknife staffed up. Thank you, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

Page 5051

The Chair

The Chair Frederick Blake Jr.

Thank you, Minister Abernethy. Mr. O'Reilly.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

February 26th, 2019

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Kevin O'Reilly

Kevin O'Reilly Frame Lake

Thanks, Mr. Chair. I appreciate the passion of the Minister on this. Any idea as to when the waiting times might be available? Is there a plan in place to do this? With the system transformation and so on, I understand that there's probably still some work that needs to be done there to standardize reporting and so on, but is it the Minister's intention to try to have this work done, what quarter of, say, 2019-2020, where the public could expect to start to see some wait times maybe posted to a website or whatever? Thanks, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

Page 5051

The Chair

The Chair Frederick Blake Jr.

Thank you, Mr. O'Reilly. Minister Abernethy.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. What has become clear over the last little while and I think it's something we may not have recognized had we not moved to a single authority is there really isn't a solid definition of how people determine wait lists across the Northwest Territories. Now, in moving forward, the department is working closely with the authority to come up with some solid definition on how to define wait times. That work is underway. Once that work is concluded, we'll be in a better position to figure out how to report in a consistent manner wait times for all of the different services that we provide. Then and only then we'll probably be in a position to figure out how to get it out into the public. I anticipate we will be able to get the work done around trying to figure out what a usable definition of wait times and how to assess it is, and, from there, we'll make the second step. I'm cautious to commit to a time at this point because there is a significant amount of work being done by these people in other areas, but the department is committed to getting it done, and we'll certainly keep committee up to date as we make progress.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

Page 5052

The Chair

The Chair Frederick Blake Jr.

Thank you, Minister Abernethy. Mr. O'Reilly.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Kevin O'Reilly

Kevin O'Reilly Frame Lake

Thanks, Mr. Chair. Sorry. I don't want to flog a dead horse here, but could the Minister make a commitment to, I don't know, report to the standing committee maybe on a quarterly basis where the work stands, just so committee and Regular MLAs know the progress that's being made and when, say, a launch date might be scheduled? Thanks, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

Page 5052

The Chair

The Chair Frederick Blake Jr.

Thank you, Mr. O'Reilly. Minister Abernethy.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. I'm not going to make that commitment, but what I will commit to is having the department sit down and quantify what it thinks it will take as far as timelines to determine and work with the authority to define how wait lists will be determined and, from there, how long it will take to find a mechanism to reasonably and responsibly make that information public on a regular basis. I will commit to having the department do the analysis on how long they think that will take, and share that with committee.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Frederick Blake Jr.

Thank you, Minister Abernethy. Mr. O'Reilly.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Kevin O'Reilly

Kevin O'Reilly Frame Lake

Thanks. I appreciate the commitment made by the Minister, and I will look forward to getting that information. Thank you.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Frederick Blake Jr.

Thank you. Any further questions from committee? Seeing none, I'll call the page. Health and Social Services, diagnostic and therapeutic services, operations expenditure summary, 2019-2020 main estimates, $28,280,000. Does committee agree?

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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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

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The Chair

The Chair Frederick Blake Jr.

Agreed. Thank you. Next, we have nursing inpatient services, operations expenditure summary, $35,900,000, from pages 187 to 189. Any questions? Mr. O'Reilly.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Kevin O'Reilly

Kevin O'Reilly Frame Lake

Thanks, Mr. Chair. Our friends advised that this is where midwifery services are to be found. There are additional resources in here. Maybe if you could have somebody remind me of that and with a brief description of what the resources are going to be used towards? Thanks, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Frederick Blake Jr.

Thank you, Mr. O'Reilly. Minister Abernethy.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. There are a number of increases in this area. It's not all midwifery services. Some of it is some additional positions in intensive care, long-term care, and medical-surgical nursing to help implement Stanton and a few other things. There is $373,000 in here for midwifery program expansion, to help us move forward with the territorial midwifery program. It's a couple of different midwifery positions in Yellowknife and Hay River. Maybe I will go to the deputy minister, who can go through in greater detail exactly where those investments are to help us move forward with the territorial midwifery program.

Before we do that, just one quick note. When we made those changes around CFS that we talked about earlier, there was a half-time position which was a midwifery consultant that was vacant, that we took those dollars to roll into the CFS position. That's not in this area. That position was actually in the admin section, which was the first page we reviewed today. That reduction occurred there. It's not actually part of the midwifery program. It was a consultant position, half-time, vacant. Thank you, Mr. Chair.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Cooper

This year's budget includes $373,000 for three positions. One of them is a midwifery clinical specialist in Yellowknife. That's one FT. We have a midwife position, a three-quarter FT, for Yellowknife as well, and a three-quarter for Hay River. When you combine the total investments, our funding will be $1.789 million for midwifery. We're going to move, this year, to have a program that has, with the successful passing of this budget, 8.5 full-time equivalent midwives in the Northwest Territories, which will turn this program into one of the most robust midwife programs in the country, when you consider that Saskatchewan has, for their whole province, 15, and all of the Maritime provinces combined have 13.

With the addition of these resources this year, we are going to have the potential for a very strong program for women, and not just for maternity care, but also, using the model that we are rolling out, it is going to be an approach that will build capacity in other positions in communities to support perinatal care and education. This is really the movement to a hub-and-spoke model. This will be part of a multi-year plan where we will have made significant progress on implementing the Midwives Stakeholder Report by the end of this term, with a little bit more to do in 2021.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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The Chair

The Chair Frederick Blake Jr.

Thank you, Mr. Cooper. Mr. O'Reilly.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Kevin O'Reilly

Kevin O'Reilly Frame Lake

Thanks, Mr. Chair. The deputy minister writes a pretty good Minister's statement there. That is excellent. All good news.

More seriously, though, it would be helpful to get this out, because I think it is a good news story, and the Minister knows that I have been bugging him about this for at least three years, as long as I have been here. It is a good news story, and I do appreciate the work of the department and his staff to move this forward.

This is a great investment of money and will have long-term payoffs, all the way down to those kids who will become productive adults in our society. I appreciate the Minister and his work on this, and I thank him very much. Thanks.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

Page 5052

The Chair

The Chair Frederick Blake Jr.

Thank you, Mr. O'Reilly. Minister Abernethy.

Consideration In Committee Of The Whole Of Bills And Other Matters
Consideration In Committee Of The Whole Of Bills And Other Matters

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Glen Abernethy

Glen Abernethy Great Slave

Thank you, Mr. Chair. I was waiting, and I am still waiting for the "but." However, I appreciate the Member's comments.

This really goes to the question that the honourable Member for Tu Nedhe-Wiilideh asked earlier about early childhood development and the types of things that we are doing. This is one of those areas where, with the pre- and the postnatal services that these people provide, what we can do at a territorial level can really, I think, make some profound benefits and impacts on residents across the territory.

We look forward to seeing this roll out over a number of years and become a strong program, even though, frankly, we are better than some at this point, but there is a lot of room for improvements.