This is page numbers 545 - 604 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 know.

Question 213-20(1): Government of the Northwest Territories Asset Security Package
Oral Questions

Page 554

Robert Hawkins

Robert Hawkins Yellowknife Centre

The reason I say sound is because if I understand it correctly, although I'm not a lawyer, but you're not allowed to record unsuspecting peoples' conversations, etcetera. So that's why I'm saying without the sound piece, just to be -- so I go back to the question, is the Minister aware of any video cameras providing security on any NWT assets? Thank you.

Question 213-20(1): Government of the Northwest Territories Asset Security Package
Oral Questions

Page 554

Caroline Wawzonek

Caroline Wawzonek Yellowknife South

Thank you, Mr. Speaker. If it's on any NWT asset, that is a fairly large number of assets, Mr. Speaker, and so I will want to ensure that I am providing an accurate response. I'll have to take that away and see if there are cameras on any asset across the portfolio of the Northwest Territories government. Thank you.

Question 213-20(1): Government of the Northwest Territories Asset Security Package
Oral Questions

Page 554

The Speaker

The Speaker Shane Thompson

Thank you, Minister of Infrastructure. Final supplementary. Member from Yellowknife Centre.

Question 213-20(1): Government of the Northwest Territories Asset Security Package
Oral Questions

Page 554

Robert Hawkins

Robert Hawkins Yellowknife Centre

I'm pleased to narrow it down, Mr. Speaker. I'm more referring to office buildings. I'm sure airports have video cameras, etcetera. I'm more referring to office buildings and that similar type of nature where we have employees and day-to-day clients. Thank you.

Question 213-20(1): Government of the Northwest Territories Asset Security Package
Oral Questions

Page 554

Caroline Wawzonek

Caroline Wawzonek Yellowknife South

Thank you, Mr. Speaker. Mr. Speaker, my understanding is that there are cameras that are in use for security purposes. Exactly, again, across the entire portfolio of assets and nature of each one, I'll want to just confirm so that we're always being accurate. And I do want to assure the Member there is work in place right now to ensure there's a policy for the use of any cameras, whether on current or future assets as it may be required. And we'll be happy to take the Member's suggestions to ensure that we have abiding by whatever rules or laws appropriate as they pertain to those cameras. Thank you.

Question 213-20(1): Government of the Northwest Territories Asset Security Package
Oral Questions

Page 555

The Speaker

The Speaker Shane Thompson

Thank you, Minister of Infrastructure. Oral questions. Member from Range Lake.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Kieron Testart

Kieron Testart Range Lake

Thank you, Mr. Speaker. Mr. Speaker, I was feeling ignored. Mr. Speaker, I'd like to ask the Minister of Health and Social Services about medical travel policy. So I spoke of a terrible circumstance that happened to a constituent of mine when they were sent to Edmonton under emergent circumstances and were incapacitated and very much on death's door. And thankfully they've now recovered. Their spouse was denied on their claim to go down and provide care and support. So I'd like to know why do we have -- why is it okay for a spouse to travel on a scheduled trip but not during a medical emergency when end of life decisions may be required? Thank you.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

The Speaker

The Speaker Shane Thompson

Thank you, Member from Range Lake. Minister of Health and Social Services.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. Mr. Speaker, generally, clients who are in the care of medical escorts are not provided with -- or sorry, with medical escorts are not provided with nonmedical escorts. So that would be in the instances if somebody is medevaced. Air ambulance and emergency services are excluded under the NWT medical travel Policy. But the department is aware that -- and does acknowledge that there is an emergency service policy that could include escort criteria. Again, as I've just obtained this department and I know we're going to go through a fulsome review of our medical travel and how we move people around, you know, we know that this is another gap in the area; however, when we are moving patients -- like, the escort policy, the nonmedical escort policy, does not pertain to when someone is medevaced unless that person is a minor and falls under the criteria that it is -- although there is exceptional circumstances under our medical travel policy that go to the department for an exception request. But the NIHB does -- this is the quirk that I found out, and so it causes an imbalance and inequity in how services are provided. NIHB beneficiaries may receive a nonmedical escort supported when this kind of situation happens, but those each are approved through the northern region office right through directly through NIHB. So that's separate from the Northwest Territories medical travel policy. And I know when we say medical travel policy, everybody thinks that's just one area. But even my 15 years, 18 years, even as an NIHB navigator, becoming the Minister and trying to get the fulsome picture of this has been piece by piece and so this was a new thing that I kind of realized today. So thank you, Mr. Speaker.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Kieron Testart

Kieron Testart Range Lake

Thank you, Mr. Speaker. Mr. Speaker, I appreciate this is a mandate item as well, to fix this problem, but, I mean, we have -- when we hear stories of people who are being asked to zoom in to their loved one who is intubated at a hospital and make decisions for them because that's the option instead of flying them down, I don't know how that's compassionate. So will the Minister specifically review this set of circumstances where there are people who cannot advocate for themselves, who are in critical condition and require a spouse or someone who can speak with power of attorney or on their behalf to make those decisions, will she review the policy to make sure those people are covered by medical travel? Thank you.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. Mr. Speaker, I can review it, but we do have the exception policy. So the role of the health care practitioner is to make the assessment, provide the recommendation for an escort. That recommendation must be explicit to the reason for a request. A lot of times the request is care and compassion, and I get that -- you know, if I could give everybody a care and compassion escort, you know, I would not be liked by my colleagues very much. You know, because it's going to be -- like, the amount of people that are travelling in the Northwest Territories -- I think we provided a report, and I can find that report and send it off to Members. But I think we move about 40 to almost 50,000 people a year in medical travel and so if every one of those we were to give an escort to, you know, it starts to -- it adds up. And so -- but it's also the role of the physician who is making the recommendation to be specific on the needs of what that person is doing. Like the Member said, and I won't speak to individual cases, but they have to be very specific. Thank you, Mr. Speaker.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Kieron Testart

Kieron Testart Range Lake

Thank you, Mr. Speaker. Well, I'm not talking about every case, certainly not every -- all 50,000 people we move. We're talking about a narrow set of circumstances. When people are in critical care conditions, when they are incapacitated or sedated, they're not able to make decisions for themselves, they may be at end of life, can the Minister agree to review the policy around those individuals who require nonmedical escorts to be their advocates when they're in that situation; can she commit to that? Thank you.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. Mr. Speaker, I have committed to it in the business plan. Like I said, it is in the bigger picture. I understand the Member wants this specific area but then the other Member wants a specific area, and then if I go down the list and throughout the next four years, every Member's going to have their specific instance. So we need to make sure that we have all -- compiled all those instances and come out with a policy that's fair and equitable for the Northwest Territories. Thank you, Mr. Speaker.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

The Speaker

The Speaker Shane Thompson

Thank you, Minister of Health and Social Services. Final supplementary. Member from Range Lake.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Kieron Testart

Kieron Testart Range Lake

Mr. Speaker, the story I told, that's $6,000 out-of-pocket for a retired couple. I have another constituent that's $7,000 out-of-pocket. People work paycheque to paycheque in the Northwest Territories. They can't afford these costs. Will the Minister take action and commit to solving this problem? There's a whole bunch of problems but this is a very specific one affecting a small amount of people in a very significant way; will she solve this problem? Thank you, Mr. Speaker.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. I'm going to -- I have answered that but what I'm going to say, it is not a specific instance. I have -- since Minister, five months, I have received numerous and numerous and thousands and thousands of dollars that people have spent on, you know -- like, myself, if I had to fly out if my child was sick or my mother-in-law was sick or my -- you know, my family member was sick and I had to jump on a plane and go and be with them, you know, I would be out-of-pocket as well. But I do get these BFs constantly and so this -- like I said, I am looking at it. I know that there is an area that there is a gap, but it will be part of the overall review. Thank you, Mr. Speaker.

Question 214-20(1): Medical Travel Policy
Oral Questions

Page 555

Kieron Testart

Kieron Testart Range Lake

Thank you, Mr. Speaker.

Question 215-20(1): Use of Agency Nurses
Oral Questions

Page 555

Kieron Testart

Kieron Testart Range Lake

Mr. Speaker, I have questions for the Minister of Health and Social Services. Different topic.

Mr. Speaker, how many agency nurse contracts have been utilized since 2021? Thank you.

Question 215-20(1): Use of Agency Nurses
Oral Questions

Page 555

The Speaker

The Speaker Shane Thompson

Thank you, Member from Range Lake. Minister of Health and Social Services.

Question 215-20(1): Use of Agency Nurses
Oral Questions

Page 555

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. Mr. Speaker, I don't have that level of detail but I know that the Member did have a written question. I don't know if that -- I can't recall if that information was in there, but I can get back to the Member if we can compile that data. Thanks.

Question 215-20(1): Use of Agency Nurses
Oral Questions

Page 555

Kieron Testart

Kieron Testart Range Lake

Thank you, Mr. Speaker. Mr. Speaker, I have -- in that question the Minister responded to, I have the dollar amount spent but not the actual individuals. So can the -- to be clear, how many times have individual agency nurses been brought in to Northwest Territories health care facilities? Thank you.

Question 215-20(1): Use of Agency Nurses
Oral Questions

Page 555

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Speaker. Mr. Speaker, since 2020, I think that is when we started using agency nurses, I don't have the number of the contracts and that's -- the level of detail that is. What we are doing is we're using nurses where they're not going to shut down services. And, you know, I hear that the Member -- this is something that, you know, he's raised many times in this House but then when you go out to the small communities and they're shut down and the services are -- we can't find a nurse, you know, those are the communities that, you know, may have to utilize a nurse. And so we can continue to talk about how many and how many of this, but at the end of the day, the care that these -- the residents are getting, having a nurse in the community -- you know, sometimes we have to wait, you know, does this nurse know the community? Well, the nurse knows their job. So, you know, when we sit here and we go back and forth about these numbers, when right now we have five. We have five nurses -- agency nurses keeping obstetrics open in the Northwest Territories. And so we can continue to have these discussions on the floor but I am not going to jeopardize this service in this community. And if it was in a health centre, then we'd be medevacing everybody out of that health centre to Yellowknife or to Inuvik or to Fort -- you know, this is -- that's the option. So I'll leave it at that, Mr. Speaker. Thank you very much.

Question 215-20(1): Use of Agency Nurses
Oral Questions

Page 555

The Speaker

The Speaker Shane Thompson

Thank you, Minister of Health and Social Services. Colleagues, if you're getting really into detail, maybe wish to put it as a written question, so. Member from Range Lake.

Question 215-20(1): Use of Agency Nurses
Oral Questions

Page 555

Kieron Testart

Kieron Testart Range Lake

Thank you, Mr. Speaker. Well, the Minister could tell me there are five right now so I thought she'd be able to look back with that recollection.

Mr. Speaker, we're going to keep asking questions about agency nurses as long as nurses who live and work here are upset about it and have a right to raise these concerns with their MLAs.

Mr. Speaker, how many times have agency nurses been used in small community health centres? Thank you.

Question 215-20(1): Use of Agency Nurses
Oral Questions

Page 556

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

I don't have that level of detail. Thank you, Mr. Speaker.