This is page numbers 3897 - 3946 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 know.

Topics

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 Lesa Semmler

Thank you. Minister of Health and Social Services.

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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Julie Green

Julie Green Yellowknife Centre

Thank you. That's very operational. I think we would have to come back to you with that.

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 Lesa Semmler

Thank you. Member for Kam Lake.

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

Page 3913

Caitlin Cleveland

Caitlin Cleveland Kam Lake

Thank you very much, Minister. And I appreciate that commitment. Is it possible to table that information in the House so [Audio]

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

Page 3913

The Chair

The Chair Lesa Semmler

Member for Kam Lake.

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

Page 3913

Caitlin Cleveland

Caitlin Cleveland Kam Lake

Thank you very much, Madam Chair. I appreciate that. My concern with this and the reason that I was asking is a lot of these specialty services are hard to find positions and hard to fill positions, and we have a really long waitlist in the Northwest Territories, and so I'm wondering if any of this $28 million is also used to not only pay for the specialty services to come here but also for Northerners to access those services elsewhere? Thank you.

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

Page 3913

The Chair

The Chair Lesa Semmler

Thank you. Minister of Health and Social Services.

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

Page 3913

Julie Green

Julie Green Yellowknife Centre

What my notes say in this area, Madam Chair, is that specialty services are provided in the NWT as a result of a referral. And specialty services include areas such as internal medicine, general surgery, pediatrics, obstetrics, gynecology, orthopedics, urology, oncology, ophthalmology, gynecology, oncology, and ENT. So it's my understanding that this money pays for people to come here to deliver the services. Thank you.

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

Page 3913

The Chair

The Chair Lesa Semmler

Thank you. Member for Kam Lake.

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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Caitlin Cleveland

Caitlin Cleveland Kam Lake

Thank you very much, Madam Chair. And so just so that I'm understanding correctly, so if a doctor provides a referral then the GNWT provides access to that specialty service, is that correct? Thank you.

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

Page 3913

The Chair

The Chair Lesa Semmler

Thank you. Minister of Health and Social Services.

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

Page 3913

Julie Green

Julie Green Yellowknife Centre

Thank you. It really depends on whether it's an insured service or an uninsured service. Hospital-based services are insured services, but I feel like I'm getting over my head so I'm going to call a friend. Deputy minister Cooper.

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 Lesa Semmler

Thank you, Minister. Deputy minister Cooper.

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

Thank you, Madam Chair. So yes, specialty services would be accessed through a -- normally through a referral. And if a person is receiving a specialty service out-of-territory, then that would be something that would be covered off in the next expenditure category when we -- well, I'm not sure if it's the next one but when we get into the out-of-territory treatment, because in -- this money goes to fund salaries and the money -- and for out-of-territory, where we're dealing systems that have a fee for service and we're guided also by interprovincial billing, that's why out-of-territory services and specialty services that residents access in, for example Alberta, will show up in another section, all through the same doorway of a referral. 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 Lesa Semmler

Member for Kam Lake.

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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Caitlin Cleveland

Caitlin Cleveland Kam Lake

Thank you very much, Madam Chair. So I will come back to my next questions then in the next section for that one.

So I'm going to move on, then, to the FASD clinic -- or the FASD diagnostic clinic. And so I'm wondering what line item within here -- would that come out -- I guess if it's adult services, then the adult clinic would come out of that. And one of the things that I find very interesting just in working with different constituents is that if a resident goes through the adult diagnostic clinic and they are found to have all of the markers of FASD through working with the healthcare professionals but they do not have confirmation from a birth parent, whether or not that person for different reasons is unexcessive -- or inaccessible to get that confirmation from a birth parent, then they don't get a full FASD diagnostic. And so my concern is that there are a number of residents who could potentially fall through the cracks and not receive the support that they need, even if they're identified as needing support. And so I'm wondering if the FASD diagnostic clinic has the flexibility to still provide the support for people who meet the markers but do not receive the full diagnosis. 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 Lesa Semmler

Thank you. Minister of Health and Social Services.

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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Julie Green

Julie Green Yellowknife Centre

Yes, thank you. My understanding is that -- that the clinics are really built around providing the diagnosis and that the supports are offered separately. So in the event that someone does not have a diagnosis, there would still be supports available to them but not through that clinic. It might be through community counselling. It might be through some form of treatment. I think there are a number of ways that services could be provided but they're not necessarily within the scope of the FASD clinic. I'll just ask the deputy minister if he'd like to add. Would you like to -- no, he doesn't want to? Thank you, Madam 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 Lesa Semmler

Thank you. Member for Kam Lake.

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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Caitlin Cleveland

Caitlin Cleveland Kam Lake

Thank you very much, Madam Chair. My concern with this one is I feel like this is a point of which Northerners can easily fall through cracks that need supports in the Northwest Territories where I fully support the FASD diagnostic clinic but I feel like it gets us to a certain point but not to the next point that residents need. And so I'm wondering if within this budget for the adult FASD clinic, if there is room for either a caseworker or a navigator. 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 Lesa Semmler

Thank you. Minister of Health and Social Services.

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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Julie Green

Julie Green Yellowknife Centre

Thank you, Madam Chair. Yes, I can see where that would be useful. I think the entry point into the FASD clinic is through the healthcare provider, whether that's a doctor or nurse practitioner. And so my sense is that if there is no diagnosis, then the person would return to their healthcare practitioner and again ask for assistance in understanding what their disability is since the FASD has been ruled out. So I don't know if we need a navigator in addition to the healthcare provider who provided the initial referral and who would get the results of the referral. So the budget doesn't contemplate this at this point. But it's something that we can review and see whether we can make a business case for it for the next budget.

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 Lesa Semmler

Thank you. Member for Kam Lake.

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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Caitlin Cleveland

Caitlin Cleveland Kam Lake

Thank you very much, Madam Chair. I appreciate the Minister's willingness to continue this conversation.

My next question is in regards to the child and family services line item that I see has some -- a small increase, which I'm guessing is forced growth. Can the Minister speak to what this increase is and also what it will give the child and family services division? Thank you.

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

March 9th, 2022

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The Chair

The Chair Lesa Semmler

Thank you. Minister of Health and Social Services.