This is page numbers 79 - 104 of the Hansard for the 19th 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 housing.

Topics

Ronald Bonnetrouge

Ronald Bonnetrouge Deh Cho

Mahsi, Mr. Speaker. Mahsi to the Minister for stating that she will look into the position. Every year, we are always having problems with seniors and other people not being able to access a lot of the programs. There is no advertising in the communities or on the radio, and we are always having the staff of the LHOs directing clients to the Hay River office because we don't have anyone in our community to help with those. Because it's important for the seniors; they are always missing the end dates, or it's too late in the winter for servicing furnaces, and whatever else is required, so it's important to have those staff people on the ground in their communities who can help, maybe go door-to-door to really assist people. Mahsi cho.

The Speaker

The Speaker Frederick Blake Jr.

Thank you, Member for Deh Cho. I didn't hear a question, but if the Minister wants to respond.

Paulie Chinna

Paulie Chinna Sahtu

Thank you, Member, for your comment. Going forward, I am looking at the program services that we offer at the local housing authority and the district offices. I guess it is kind of disturbing to hear that all of the programs are not being met and that we're not getting out to the clients who require the services that the Housing Corporation has to offer. I have instructed my department, the district offices, to be meeting with the local housing authorities monthly and going forward and looking at that, and wanting to meet the needs of the community membership; looking at the seniors, as well, and the programs; and looking at the dates that they are missing.

I would like the Member to provide me with names of the clients, and I will have my department follow up with that as soon as possible. Thank you, Mr. Speaker, and thank you, Member, for your question.

The Speaker

The Speaker Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Frame Lake.

Kevin O'Reilly

Kevin O'Reilly Frame Lake

Merci, Monsieur le President. My questions are for the Minister of Health and Social Services. Can the Minister tell this House what the current policy and practice is for ultrasounds at Stanton Territorial Hospital with regard to family members being present during the procedure? Mahsi, Mr. Speaker.

The Speaker

The Speaker Frederick Blake Jr.

Thank you, Member for Frame Lake. Minister of Health and Social Services.

Diane Archie

Diane Archie Inuvik Boot Lake

Thank you, Mr. Speaker. Currently, family members and support persons are being allowed into the ultrasound room, unless there is a specific medical reason for which this would not be appropriate. Stanton has committed to continue to monitor the situation to ensure that this approach is being applied consistently. Thank you, Mr. Speaker.

Kevin O'Reilly

Kevin O'Reilly Frame Lake

I want to thank the Minister for that, because I have a constituent who confirmed to me as recently as December that was not the case, so I look forward to the Minister carrying out the new practice. In July 2019, the practice of allowing family members was changed so that family members could not be in the same room as a patient who was getting an ultrasound, so why was that practice changed in July of 2019?

Diane Archie

Diane Archie Inuvik Boot Lake

The change was based on updated Sonography Canada Professional Practice Guidelines and feedback from the diagnostic imaging staff. This approach is evolving to become the standard practice in Canada and, at the time it was implemented, it was viewed by the diagnostic imaging department to be an internal procedural change. It is recognized, however, that this was short-sighted and did not necessarily anticipate the viewpoint and concerns of the public. As such, Stanton has committed to properly engage with practitioners, patients, and community stakeholders to discuss the intent of the practice change and impact that it may have.

Ultrasounds are medical exams that require full attention of the sonographers. Additional people in the room can make the exam more challenging. The intention was to allow the sonographer to complete the medical portion of the exam first, before inviting the patient's family into the room to show them and provide them with a photo of the baby.

Kevin O'Reilly

Kevin O'Reilly Frame Lake

I want to thank the Minister for that explanation. Look, it's great that our staff are -- and I know that they work very hard at Stanton Hospital, but clearly, when a policy like this is decided internally, it's probably not in the best interests of the patients. I have reviewed the Sonography Canada Professional Practice Guidelines; in fact, I quoted from them in my Member's statement. They were released in September of 2018, and there was nothing in there about northern healthcare or any specific guidance to exclude family members during an ultrasound. Would the Minister confirm that the guidelines that I just referenced, and she has referenced, do not prevent family members from being present during an ultrasound?

Diane Archie

Diane Archie Inuvik Boot Lake

Sonography Canada Professional Practice Guidelines are considered a best practice source of information to inform and to guide the development and/or revision of the NTSSA policies and procedures with respect to the provisions of ultrasound in Stanton and throughout the NTSSA.

The Speaker

The Speaker Frederick Blake Jr.

Thank you, Minister. Final supplementary, Member for Frame Lake.

Kevin O'Reilly

Kevin O'Reilly Frame Lake

Merci, Monsieur le President. Clearly, the practice of excluding family members during an ultrasound is contrary to Best Health, Best Care, for a Better Future; that's the vision of the strategic plan we have in place for the NWT health and social services system, and the concept of cultural safety. There is nothing in the guidelines that prevent family members from being there, so what is the Minister going to do in terms of developing a policy for chaperones for patients undergoing an ultrasound in the NWT, and how soon will we see that in place? Mahsi, Mr. Speaker.

Diane Archie

Diane Archie Inuvik Boot Lake

Stanton's diagnostic imaging department will be working to engage and communicate this change to external stakeholders, such as practitioners, patients, and community stakeholders, such as the Centering Pregnancy Program, to ensure that all points of view are captured. This engagement in communication is expected to be completed in spring 2020, and feedback obtained will be taken into consideration when developing policy that allows the sonographer to complete the obstetrical ultrasound in a manner that allows them to provide the best medical results and patient care. Thank you, Mr. Speaker.

The Speaker

The Speaker Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Tu Nedhe-Wiilideh.

Steve Norn

Steve Norn Tu Nedhe-Wiilideh

Mahsi cho, Mr. Speaker. This question is directed to the Minister of Education, Culture and Employment. I spoke a little bit about budget surpluses in my Member's statement, and my question is: in the spirit of getting our district education authorities more budget autonomy, will the Minister commit to let any DEA surpluses in our riding to roll over this year? Mahsi cho.

The Speaker

The Speaker Frederick Blake Jr.

Thank you, Member for Tu Nedhe-Wiilideh. Minister of Education, Culture and Employment.

R.J. Simpson

R.J. Simpson Hay River North

Thank you, Mr. Speaker. I appreciate the Member bringing this up. It's good to get this type of information out to the public. I know that, when I was a Regular Member, and even now as a Minister, there seems to be difficulty communicating with the people on the ground, with the boards, about the roles and responsibilities and the rights of education authorities.

The policy that the Member is referencing was enacted to ensure that money that is provided by this Assembly for education is spent on education, and it allows for surplus carryover that is either 7 percent of audited revenue or $250,000, whichever is greater. If this amount is exceeded, the education body has to put forward a plan on how they are going to reduce that, and that plan comes to me.

I want to let the Minister know that I am very flexible in how I am going to administer this. If there is a real need for an education authority to set aside money in order to do something like purchase school buses, then I will have that conversation. They can write to myself, write to the department, and we can begin that process. We don't really claw money back. There has never been a situation where ECE has decided we are going to take money back. Every plan has been approved so far. Thank you, Mr. Speaker.

Steve Norn

Steve Norn Tu Nedhe-Wiilideh

I don't know if there is any foreshadowing here, but did I just get a promotion to Minister? No? I just want to make sure. Thank you to the Minister for his response. I just want to make sure that there is more communication as well, and to have more meetings with our DEAs, just to make sure there is the open line communication, to make sure that I don't have to come back and ask these questions, and to work as a team.

My next question: would the Minister be open to working with our DEAs to grant their wishes and find ways to keep their surpluses?

R.J. Simpson

R.J. Simpson Hay River North

I thank my colleague. That's why I try and say "colleague" all the time because we're all equal here. There are no promotions. We are all here to represent the public. I am happy to work with the education authorities to find ways to ensure that they can use their funds to deliver education in the best possible way. We also have to look at the fact that the funding from ECE is provided to the education council, and the education council is the one that then distributes it to the education authorities.

There is another level here that we have to look at, and perhaps the way that it's distributed by the education council leaves some authorities with more funding than others. It is not so black and white. Like I said, I am happy to have those conversations and to the Member's points, or to my colleague's points, I am trying to do a better job of communicating directly with the DEAs.

The Speaker

The Speaker Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Inuvik Twin Lakes.

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. My questions are for the Minister responsible for the Status of Women, and before I get started with my questions, I just want the Minister to know that I have read the "Doing Our Part" initial response to the final report of the Missing and Murdered Indigenous Women and Girls. Can the Minister advise us if she has read the calls for justice? Thank you, Mr. Speaker.

The Speaker

The Speaker Frederick Blake Jr.

Thank you, Member for Inuvik Twin Lakes. Minister responsible for the Status of Women.

Diane Archie

Diane Archie Inuvik Boot Lake

Thank you, Mr. Speaker. I would like the Member to know that it has been printed, it is on my desk, and I will start reading it. Thank you.

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

I thank the Minister for being honest. Can the Minister tell us what steps the GNWT is taking to fully implement the calls for justice outlined in this Missing and Murdered Indigenous Women and Girls report?