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 know.

Topics

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

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Chair. Mr. Chair, the way that they are dealing with surge capacity in a situation like that is that they would reduce services and so that they can target to a situation like this, that this is a communicable disease, this is something that is, you know, potentially, if not dealt with right away, you know, and as -- I know that the Minister of Finance had details on what those costs were and how many people were involved with a case that just happened recently in Yellowknife, and so the amount of service and contact tracing and then directly observed therapy and all of those things they take -- they have to be done by the staff. And so the way that we have to deal with it is through decreasing services in some times in some areas that are nonurgent, so that is traditionally how it's done. And that's how it's done in our smallest of communities. When we have surge capacity of people that are coming in, a lot of our health centres end up -- and many people who live in small communities know this -- that we end up having to decrease services to just emergency services only in those communities, so there is no other services provided, and that's traditionally how we have had to deal with it. Thank you.

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. I'm going to go to the Member from Great Slave.

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

Kate Reid

Kate Reid Great Slave

Thank you, Mr. Chair. When small communities do have outbreaks of disease, how do we reallocate our staffing to adequately address those needs, and what are the impacts in the system for staffing? I realize that's really kind of a big question, but I guess I -- maybe the Minister could follow up with any standard operating procedures. I'm just curious. 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. I'm going to go to the Minister.

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

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Chair. Mr. Chair, I know that -- and I can speak to the region that I previously am from -- shortage of staffing and movement of nurses, movement of staff to different regions, you know, when we have -- whether we have an outbreak or, you know, I mean, or when there's -- there is, you know, different things going on in the community, we know some of our communities that have higher numbers of staff and when they're at a capacity when we can't get in nurses, we will move nurses around from one health centre to another and, you know. And more recently, you know, we find we have to look at casual nurses, contract nurses, which are not necessarily agency nurses that go out to the health centres but term nurses, locum CHNs that we have in our rosters that will go out and do short-term contracts in the health centres to help and to support when there's low numbers of nurses in those communities. So that's how we do it. Thank you.

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. I'm going to go to the Member from Great Slave.

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

Kate Reid

Kate Reid Great Slave

Thank you, Mr. Chair. So with the revitalization of public health that the Member for Yellowknife North was asking about earlier, will there be a contemplation of adequate staffing levels throughout the system so that surge maybe doesn't have such a strong impact on various regional centres when required? 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. I'm going to go to the Minister.

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

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Chair. Mr. Chair, when we have surge capacity, these are unpredictable time -- like, when they happen. So normally we would just use the staff on hand, overtime, and other contract nurses if we can from the department. Like, we would just move people around. And so that's within this public health reform that -- you know, the nurses that are working in public health, the one thing that we only have is we only have nurses that work in public health here in Yellowknife and I believe in Fort Smith, in Hay River, and in Inuvik, and the duties of public health are -- we rely on CHNs, community health nurses, in those other communities that are health centres to do those duties on top of all of their other duties. 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. I'm going to go back to the Member from Great Slave.

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

February 13th

Kate Reid

Kate Reid Great Slave

Thank you, Mr. Chair. Just more of a comment, really, and then I'll cede my time. But I'm hoping, and I look forward to primary care reform possibly increasing this line item so that prevention is more of the equation. I hope the Minister shares this sentiment. 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

February 13th

The Chair

The Chair Richard Edjericon

Thank you. I'm going to go to the Member from Frame Lake.

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

February 13th

Julian Morse

Julian Morse Frame Lake

Thank you, Mr. Chair. I do apologize if I'm repeating any questions here. I was trying to follow along with all the other Members.

But the community clinics and health centres, I notice there's a pretty significant increase there. Can the Minister just give a quick summary of what's happening there.

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

February 13th

The Chair

The Chair Richard Edjericon

Thank you. I'll go to the Minister.

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

February 13th

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Chair. I'll turn it over to the ADM for that detail.

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

February 13th

The Chair

The Chair Richard Edjericon

Thank you. I'll go to the ADM.

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

February 13th

Jeannie Mathison

Thank you, Mr. Chair. The majority of that increase is due to three specific areas, two of which relate to negotiated agreements for compensation and benefits so that collective bargaining with the UNW, that's a big factor in that, totalling $6.9 million. And then there's the ratification of the agreement with the physicians for a total of $3 million. And then there's about $14 million that got added to reflect funding to address physicians, supplies, relocation costs, things that the NTHSSA had been incurring that had been contributing to their deficit in recent years, and we've now allocated funding to those areas. 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

February 13th

Julian Morse

Julian Morse Frame Lake

I really appreciate that. And similarly, the community, culture and innovation is cut almost perfectly in half. Can they just give a quick description of what's behind that.

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

February 13th

The Chair

The Chair Richard Edjericon

Thank you. I'll go to the Minister.

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

February 13th

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Chair. Mr. Chair, that's due to the renegotiation of the Northern Wellness Agreement. So once we have that agreement finalized, that the money will go back there. So it's just because we're in -- by the time the budget is done, the agreement ended and so we're in negotiations for the future agreement, multi-year agreement. 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

February 13th

The Chair

The Chair Richard Edjericon

Thank you. I'm going to go to the Member from Frame Lake.

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

February 13th

Julian Morse

Julian Morse Frame Lake

Thank you, Mr. Chair. My apologies, I'm not quite sure I understand what the Minister is telling us there. So this item is not actually being reduced, it's just showing as reduced in the budget? Or can you better explain what's meant by the answer.

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

February 13th

The Chair

The Chair Richard Edjericon

Thank you. I'll go to the Minister.

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

February 13th

Lesa Semmler

Lesa Semmler Inuvik Twin Lakes

Thank you, Mr. Chair. Mr. Chair, so the way that it shows in the budget is reduction because the Northern Wellness Agreement hadn't been signed, hadn't been done, finalized by the time the process to have the budget and so it -- as it looks like it's reduced, there is -- there is no changes in positions or anything like that because of the agreement came after, the new agreement.

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

February 13th

The Chair

The Chair Richard Edjericon

Thank you. I'm going to go to the Member from Frame Lake.