This is page numbers of the Hansard for the 20th Assembly, 1st 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.

Topics

Question 346-20(1): Restoring Balance Financial Sustainability Plan
Oral Questions

The Speaker

The Speaker Shane Thompson

Thank you, Minister of Finance. Oral questions. Member from Yellowknife North.

Question 347-20(1): Physician Workforce Plan
Oral Questions

Shauna Morgan

Shauna Morgan Yellowknife North

Okay, just under the wire. Thank you, Mr. Speaker. I have a second set of questions for the Minister of Health and Social Services.

So in 2020, the department completed a physician workforce plan to lay out how many doctors and what kinds of doctors the territory actually needs. In their March 2024 letter, which was tabled in this House, the NWT Medical Association recommended that this plan be reviewed, analyzed, updated, and implemented, so that funding could be matched to strategic and evidence-based decisions.

So, first, can the Minister confirm whether this physician workforce plan was ever implemented in terms of establishing the right kinds and number of physician positions to match the plan? Thank you, Mr. Speaker.

Question 347-20(1): Physician Workforce Plan
Oral Questions

The Speaker

The Speaker Shane Thompson

Thank you, Member from Yellowknife North. Minister of Health and Social Services.

Question 347-20(1): Physician Workforce Plan
Oral Questions

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. Mr. Speaker, I will have to get back to the Member for that. Thank you.

Question 347-20(1): Physician Workforce Plan
Oral Questions

Shauna Morgan

Shauna Morgan Yellowknife North

Thank you, Mr. Speaker. The second question is is the department, or perhaps the new health care sustainability unit, working on a new workforce plan, including all health care practitioners, so we can establish the right number of positions that we need to have a sustainable health care system? Thank you.

Question 347-20(1): Physician Workforce Plan
Oral Questions

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. Mr. Speaker, the health sustainability unit falls under the executive office under the Premier. What I can say is there is work being done within that unit to be able to look at what the core services are that we are funded for and are we adequately funded for those services through all the funding that we get. Thank you, Mr. Speaker.

Question 347-20(1): Physician Workforce Plan
Oral Questions

Shauna Morgan

Shauna Morgan Yellowknife North

Thank you, Mr. Speaker. And on that note, I have been told by some physicians in my riding that our primary care system is only funded to serve a population of about 15,000 people. Can the Minister confirm whether or not we have the right amount of funding in place for primary care to be able to serve the entire NWT population? Thank you, Mr. Speaker.

Question 347-20(1): Physician Workforce Plan
Oral Questions

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. Mr. Speaker, as anyone in this House knows, the trend over the last 20 years of the NT -- like, of the health authorities have had, you know, their own share of trying to manage a health system, operational system, for the residents of the Northwest Territories and have had deficits over the years to be able to continue services so that way when things are budgeted, that when the day they run out, those services don't stop. That's why they have a deficit budget. And so therefore where we are today is now since past COVID, we are seeing more people accessing the services of the Northwest Territories health authority. They are sicker. And they're -- and so when you say -- when there's questions of is the money enough for 15,000 residents, maybe it was five years ago but, like, when we talk about all of these things of forced growth and -- you know, and there's so much different things around this government that we are having to put on the table to pay for, health does have one of the biggest pots of money and yet we're still struggling to be able to provide services throughout the territory. And so whether or not this is the enough amount, is it today? Is it ten years ago? Will it be with changes that we make? It may be. But we have to -- that is why some of that work is being done, to see where we are, what's the right funding that we need, and it's not just in primary care in this, in the region. It's not primary care in how we're going to do it in the -- or sorry, in the capital or in the regions, and how are we going to provide primary care to our residents in the small communities as well. So it's a huge complex -- so we can't just look at it as one hospital, one community. It's a whole territory of how we're going to service our territory. Thank you, Mr. Speaker.

Question 347-20(1): Physician Workforce Plan
Oral Questions

The Speaker

The Speaker Shane Thompson

Thank you, Minister of Health and Social Services. Final supplementary. Member from Yellowknife North.

Question 347-20(1): Physician Workforce Plan
Oral Questions

Shauna Morgan

Shauna Morgan Yellowknife North

Thank you, Mr. Speaker. And I agree that it feels overwhelming and that there might never be enough money, but we need an accurate estimate of how much funding we need to properly staff our primary care system. So my question is can the Minister estimate when we will be able to produce an accurate estimate of how much money we need? And this is not accounting for when we can actually get that money, but we need to start with having the right estimate. Thank you, Mr. Speaker.

Question 347-20(1): Physician Workforce Plan
Oral Questions

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. As I mentioned, you know, today we might be able to come up with a number and that would meet today, and then we get something else that happens and the numbers change. You know, if we are -- like, I look at our priorities in this government and working on our accessing health care doesn't just mean fixing the issues that we have at our territorial hospital and our -- you know, and in our capital. They mean fixing some of our issues in our regional centres. You know, we have our own issues in the regional centres as MLAs from those communities are fully aware. And then we hear from the small communities that are saying, can we just have a doctor come to visit us, can we have our health centre not be on emergency services. You know, these are things that we continuously hear. And so how we get there, you know, it takes all of us as a territory and we need to start looking and that's what we're doing, is we're looking to health promotion. We're looking at looking at -- you know, looking at our health centres and how we're supporting residents in those communities and so that they're accessing the health care that they need in those communities and that they're not having to be in hospital and they're not having to always travel for health care. So it is -- it's very complex and we are working on it, and it is very -- it is a priority of this government. That's why we have the health sustainability unit that is going to help to do this work as well. Thank you, Mr. Speaker.

Question 347-20(1): Physician Workforce Plan
Oral Questions

The Speaker

The Speaker Shane Thompson

Thank you, Minister of Health and Social Services. Colleagues, our time is up for oral questions. Written questions. Returns to written questions. Replies to the Commissioner's address. Petitions. Tabling of documents. Minister of Finance.

Tabled Document 200-20(1): Supplementary Estimates (Infrastructure Expenditures), No. 2, 2024-2025 Tabled Document 201-20(1): Supplementary Estimates (Operations Expenditures), No. 1, 2024-2025
Tabling Of Documents

Caroline Wawzonek

Caroline Wawzonek Yellowknife South

Mr. Speaker, I wish to table the following two documents: Supplementary Estimates (Infrastructure Expenditures), No. 2, 2024-2025; and Supplementary Estimates (Operations Expenditure), No. 1, 2024-2025. Thank you, Mr. Speaker.

Tabled Document 200-20(1): Supplementary Estimates (Infrastructure Expenditures), No. 2, 2024-2025 Tabled Document 201-20(1): Supplementary Estimates (Operations Expenditures), No. 1, 2024-2025
Tabling Of Documents

The Speaker

The Speaker Shane Thompson

Thank you, Minister of Finance. Tabling of documents. Member from Great Slave.

Tabled Document 202-20(1): A Ladder of Citizen Participation, Sherry R. Arnstein, 1969
Tabling Of Documents

Kate Reid

Kate Reid Great Slave

Thank you, Mr. Speaker. Mr. Speaker, I wish to table a document entitled, A Ladder of Citizen Participation by Sherry R. Arnstein. Thank you, Mr. Speaker.

Tabled Document 202-20(1): A Ladder of Citizen Participation, Sherry R. Arnstein, 1969
Tabling Of Documents

The Speaker

The Speaker Shane Thompson

Thank you, Member from Great Slave. Tabling of documents. Notices of motion. Motions. Notices of motion for first reading of bills. First reading of bills. Second reading of bills. Consideration in Committee of the Whole of bills and other matters, Tabled Document 193-20(1), Tabled Document 200-20(1), Tabled Documents 201-20(1), with the Member from from Tu Nedhe-Wiilideh in the chair.

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

The Chair

The Chair Richard Edjericon

Good afternoon. Calling committee to order. I now call Committee of the Whole to order. What is the wish of the committee? I'm going to go to the Member from Inuvik Boot Lake.

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

Denny Rodgers

Denny Rodgers Inuvik Boot Lake

Thank you, Mr. Chair. Mr. Chair, the committee wishes to consider Supplementary Estimates (Infrastructure Expenditures), No. 2, 2024-2025. And Supplementary Estimates (Operations Expenditures), No. 1, 2024-2025. 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

The Chair

The Chair Richard Edjericon

Thank you. Does the committee agree?

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

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

The Chair

The Chair Richard Edjericon

Okay, thank you. We'll take a five-minute break and reconvene.

---SHORT RECESS

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

The Chair

The Chair Richard Edjericon

Colleagues, consideration in this Committee of the Whole of bills and other matters. Tabled Document 200-20(1), Supplementary Estimates (Infrastructure Expenditures), No. 2, 2024-2025. Committee, we have agreed to consider Tabled Document 200-20(1) Supplementary Estimates (Infrastructure Expenditures), No. 2, 2024-2025. Does the Minister of Finance have any opening remarks?

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

Caroline Wawzonek

Caroline Wawzonek Yellowknife South

Thank you, Mr. Chair, I do. Mr. Chair, for clarity, would you like me to do opening remarks on both at the same time or one at a time?

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

The Chair

The Chair Richard Edjericon

Thank you. If we could do both at the same time.

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

Caroline Wawzonek

Caroline Wawzonek Yellowknife South

Thank you, Mr. Chair. Mr. Chair, I am here to present Tabled Document 200-20(1), Supplementary Estimates (Infrastructure Expenditures), No. 2, 2024-2025. And I'll do a brief introduction to that before going to the next.

This document proposes a total increase of $236,000, comprised of the following items:

    • A $50,000 transfer of previously approved operations expenditure funding to infrastructure expenditure, allocated for the purchase of digital dispatch consoles;
    • $993,000 for increased construction costs associated with the Inuvik to Tuktoyaktuk fibre line;
    • $1.95 million to finalize the transfer of technology service centre projects from the Department of Infrastructure to the Department of Finance;
    • A decrease of $3 million to reflect changes in the timing of planned expenditures for the Yellowknife Wellness and Recovery Centre;
    • A decrease of $7 million to reflect changes in the timing of planned expenditures for the Hay River long-term care facility;
    • $71,000 for funding in support of pegmatites research in the Slave Geological Province. This funding is fully offset by revenues received from the Government of Canada;
    • $3.5 million funding for rehabilitation work on Highway No. 3. This funding is partially offset by revenues received from the Government of Canada;
    • $5 million funding for rehabilitation work on the Liard Access Road which is fully offset by revenues received from the Government of Canada; and,
    • $622,000 for ventilation upgrades in Northwest Territories dental suites. This funding is fully offset by revenues received from the Government of Canada.

Mr. Chair, with respect to the Tabled Document 201-20(1), Supplementary Estimates (Operations Expenditures), No. 1, 2024-2025, this document proposes a total increase of $187.9 million comprised of the following items:

    • $69.7 million to provide funding to reflect the impact of costs associated with the implementation of the 2023-2024 to 2025-2026 collective agreement between the Union of Northern Workers and the Government of the Northwest Territories;
    • $38.9 million to provide supplemental funding for fire suppression activities related to the 2024 wildfire season;
    • $7.8 million to provide funding to reflect the impact of costs associated with the implementation of the 2023-2026 collective agreement between the Northwest Territories Teachers' Association and the Government of the Northwest Territories;
    • $6.5 million to provide funding for cable repairs on the Deh Cho Bridge;
    • $5.4 million to provide funding in support of increases to the standard physician contract as per the agreement between the NWT Medical Association and the Government of the Northwest Territories;
    • $5.3 million to provide funding for the GNWT's share of increased compensation, benefit, and administrative costs under the territorial police service agreement; and.
    • $5 million to provide funding for increased expenditures related to short-term debt.

Additionally, I am proposing the following supplementary expenditures, which are supported by federally funded agreements, including:

    • $10.6 million to provide funding for programs and activities supported by the Territorial Health Investment Fund;
    • $7.3 million to provide funding for various environment climate change cost share agreements;
    • $4.9 million to provide funding in support of an amendment to the Canada-Northwest Territories Canada-wide Early Learning and Child Care Agreement.

That concludes my opening remarks, Mr. Chair, and I'd be happy to answer questions from Members.