This is page numbers 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 units.

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Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Ronald Bonnetrouge Deh Cho

Masi, Mr. Speaker. Mr. Speaker, according to the Department of Health and Social Services business plan for 2021-2022, one of the key activities to address diabetes is to implement Primary Health Care Reform. The Minister stated in the House on February 9th, 2021 that the Deh Cho would begin to receive PHCR by December 2021. Can the Minister explain what the Primary Health Care Reform program is all about? Masi.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

The Speaker Frederick Blake Jr.

Thank you, Member for Deh Cho. Minister responsible for Health and Social Services.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Julie Green Yellowknife Centre

Thank you, Mr. Speaker. And thank you to the Member for Deh Cho for that question.

So Primary Health Care Reform goes beyond the traditional health care system, and it is a system-wide initiative to provide culturally-safe and relationship-based care in both the Health and Social Services system. So rather than having decisions made in a centralized way and then implemented through regions and communities, under the Primary Health Care Reform, frontline clients and staff and communities are involved in developing new approaches and solutions based on their own needs and priority, building on their strengths, and addressing challenges that are specific to that place.

It's my understanding that work started in the Deh Cho to bring about Primary Health Care Reform in mid May but for a variety of reasons, that work has been delayed and we would like to get back to it and encourage the community to engage us in that. Thank you.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Ronald Bonnetrouge Deh Cho

Masi, Mr. Speaker, and masi to the Minister for that reply. Mr. Speaker, I note Integrated Care Teams projects have been launched in all the large regional centres. Can the Minister explain the purpose and functions of the teams? Masi.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Julie Green Yellowknife Centre

Yes, thank you, Mr. Speaker. The purpose of the Integrated Care Teams is to allow for greater access and continuity of care and delivery to patients. So the model places the patient and the family at the center of care and then it allows primary care teams to bring in other service providers to provide an integrated spectrum of services to the patient and/or their family. So the idea here is to break down these silos of care and to bring them together into one team. So it is important to know, however, at this point, per the Member's statement, that the Integrated Care Teams are separate from the Chronic Disease Management Demonstration projects that are happening in the Deh Cho, but there is potential in the future for them to overlap. Thank you.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Ronald Bonnetrouge Deh Cho

Masi, Mr. Speaker, and masi to the Minister for some good news. Looking forward to all that to help our small communities address their chronic diseases.

Mr. Speaker, the department's plan to implement community-based models to promote self-management of chronic diseases in creating new diabetic/dietician positions, or someone that looks after diabetes, can the Minister elaborate further on the department's plans for the positions and, specifically, into the small communities? Masi.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Julie Green Yellowknife Centre

Thank you, Mr. Speaker. Mr. Speaker, progress in this area has been about implementing community-based models to promote self-management of chronic diseases and creating, as the Member referenced, new diabetic/dietician positions. So the health authorities now have registered dieticians in every region of the NWT and so they, together, serve every community in the NWT. They're trained to provide to support -- to support people living with diabetes and they do this not only by providing education and support but also education in the form of, for example, grocery store tours, health fairs, and other health-promoting activities to assist people who have diabetes. So each regional dietician will see diabetic clients on a regular basis. The frequency depends on the individual's needs, and these visits could be in person, over the phone, or online, depending on what suits the needs of the patient. Thank you.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

The Speaker Frederick Blake Jr.

Thank you, Minister. Final supplementary. Member for Deh Cho.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Ronald Bonnetrouge Deh Cho

Masi, Mr. Speaker, and masi to the Minister for that bit of information. They may have regional positions. But, you know, as to really go into the small communities because they really don't have anybody face-to-face. Health centre nurses are already busy as it is. We really need someone that's specific to this kind of care, and there are people out there that are trained do that, to really help our people. Because, you know, I've had an Elder who went through a really difficult stress because he wasn't aware of the diabetes, you know, the illness and the seriousness of it and there's nobody in the community to talk to on this, and it's a really scary situation for all our small communities.

Mr. Speaker, I noted in my Member's statement the department hasn't updated statistics on diabetes in Northwest Territories for some time. This information could include age groups, male/female, by community, etcetera, etcetera. I just want to note that the Department of Infrastructure, the department I worked with previously, the maintenance department has a -- you know, a maintenance management program, WebWorks, and you can find out from one building all the work orders that were done on that building within the year. And, you know, we should be able to have something so we can identify the number of diabetics in all the different communities. I know there's challenges associated with that but I just wanted to ask the Minister if they would look into a database to track and record chronic diseases, including diabetes. Masi.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Julie Green Yellowknife Centre

Yes, thank you, Mr. Speaker. Mr. Speaker, all the provinces and territories, including the NWT, submit data to the Canadian Chronic Disease Surveillance System, and the latest statistics for diabetes were published in 2020. The information is broken down by demographics such as age, sex, ethnicity, and community type. And "community type" includes Yellowknife regional centres and small communities. And earlier today I provided the Member with the number of diabetics who live in his community.

The data gathered by the Canadian Chronic Disease Surveillance System is further broken down into a more user-friendly format for the public by reference to the Department of Health and Social Services population health division. It's important to note that diabetes rates do not change dramatically from year to year. And so with that, that kind of certainty, Health and Social Services has been able to not only plan but provide programming for people who are diabetics well in advance.

For people who need diabetic care, it really starts with the diagnosis of diabetes. And if someone is feeling the possible symptoms of diabetes, then they should go to the health centre and make known to the nurse there that they are experiencing these symptoms and ask to be tested for them. Once the diagnosis is confirmed, then these other supports are put in place. Thank you.

Oral Question 844-19(2): Primary Health Care Reform Program and Treatment of Diabetes
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

The Speaker Frederick Blake Jr.

Thank you, Minister. Oral questions. Member for Thebacha.

oral question 845-19(2): Access to Aftercare and Day Shelter Services
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

December 1st, 2021

Frieda Martselos Thebacha

Thank you, Mr. Speaker. Mr. Speaker, can the Minister tell us if there are any future plans for the government to build an aftercare facility or a wellness and recovery centre in a community outside of the capitol region? Thank you, Mr. Speaker.

oral question 845-19(2): Access to Aftercare and Day Shelter Services
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

The Speaker Frederick Blake Jr.

Thank you, Member for Thebacha. Minister responsible for Health and Social Services.

oral question 845-19(2): Access to Aftercare and Day Shelter Services
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Julie Green Yellowknife Centre

Thank you, Mr. Speaker. Mr. Speaker, I can tell the Member, the Member from Thebacha as well as the other Members, that our focus right now is opening the permanent wellness and recovery centre which the Member referenced in her statement. This facility will replace the current day and sobering centre, and the services offered in the one place will be transferred to the other once the building is open.

At this time, there are no plans to establish a similar service in any other community. That would require new resources which would need to follow established GNWT resource allocation processes which we all know start with a business plan, end with the budget. Thank you.

oral question 845-19(2): Access to Aftercare and Day Shelter Services
Oral Questionsoral Question 841-19(2)use Of Locums In Northwest Territories Healthcare

Frieda Martselos Thebacha

Mr. Speaker, would the Minister consider opening a satellite wellness and recovery centre that's related to the one in the capitol but situated in a different regional centre in the NWT? Thank you, Mr. Speaker.