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

The Chair

The Chair Sheryl Yakeleya

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 Sheryl Yakeleya

Thank you. Sergeant-at-Arms, please escort the witnesses into the chamber.

Would the Minister please introduce his witnesses.

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

R.J. Simpson

R.J. Simpson Hay River North

Thank you. To my left is John MacDonald, deputy minister of EIA and secretary to Cabinet. And to my right is Terence Courtoreille, associate deputy minister of the health care system sustainability unit within the department of EIA. 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 Sheryl Yakeleya

Committee, we will resume where we left off last week. The next key activity is healthcare system sustainability on page 140 with information items on page 142. Are there any questions? Member for 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, Madam Chair. This is mostly me just making sure we don't swing past this key activity as people get ready to ask more substantive questions. But could the Minister please provide an update on where the unit has gotten to thus far. 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

The Chair

The Chair Sheryl Yakeleya

Minister of Executive and Indigenous Affairs.

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

R.J. Simpson

R.J. Simpson Hay River North

Thank you. I'd like to pass that to Mr. Courtoreille witness.

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 Sheryl Yakeleya

Mr. Courtoreille.

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

Terrence Courtoreille

Thank you, Madam Chair. So far to date, the unit has been busy working on a couple different fronts. The first front was to develop some of our key scoping documents that will help guide the work of our unit, and we largely completed that work prior to Christmas. And then since Christmas, we've been in engagement mode consulting with people within -- mostly within the health system. So to date, we were able to connect to every ADM or executive director for every area within the health system. We were also able to connect with the health authorities, the Hay River Health Authority, NTHSSA, as well as TCSA, and their respective PAs or boards. And we also did a fair amount of engagement out into the regions with the COOs. And then from a staffing perspective, Madam Chair, we have four staff on strength right now. We have an additional three coming on strength within the next few weeks at varying times. And then the proposed budget here has an additional ninth position to be recruited for in 2025-2026. 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

March 5th

The Chair

The Chair Sheryl Yakeleya

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

March 5th

Kate Reid

Kate Reid Great Slave

Yes, thank you, Madam Chair, and thank you for that update from Mr. Courtoreille. Could I also, for the public's knowledge, understand a little bit better the overlap or the touch points between EIA's sustainability unit and the public administrator. 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

March 5th

The Chair

The Chair Sheryl Yakeleya

Minister for Executive and Indigenous Affairs.

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

March 5th

R.J. Simpson

R.J. Simpson Hay River North

Thank you, Madam Chair. So that's also part of the work that's been happening. We, of course, have the healthcare sustainability unit, the Department of Health and Social Services, and the NT Health Authority which is right now being run by the public administrator. And so the work has been to ensure that we all know what each other is doing, and we're all working together towards common goals.

So there's a couple different areas we're looking -- or a few different areas. So there's a governance and policy considerations. There is financial sustainability, and there's operational efficiencies. So under each of those broad umbrellas, everyone has a specific role. And so the public administrator is looking at the roles and responsibilities within the health system and the corporate functions of the health authority as well as the overall governing structure that they're working in.

In terms of the fiscal sustainability part of it, the public administrator and the health authority, along with the department of health, are looking at the budget and the deficit and how that can be addressed. And for operational efficiencies, the health authority public administrator and the Department of Finance are looking at a workforce review.

The healthcare system sustainability unit, in terms of the governance and policy side, is looking at investigating how the Hay River Health Authority could become part of the GNWT which was in the mandate. And in terms of operational efficiencies, the healthcare system sustainability unit is looking at the -- looking at defining the core services of health and social services. And then, of course, there's additional roles for the department of health and the health authorities themselves. 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 5th

The Chair

The Chair Sheryl Yakeleya

Member for Great Slave.

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

March 5th

Kate Reid

Kate Reid Great Slave

Thank you, Madam Chair. I understand that the Minister of health and the public administrator will be presenting some of their initial findings and scoping to committee, and I hope that information can be made public towards the end of this first quarter. Is there any contemplation around the work that HSS and EIA are doing together on these crucial tasks to sort of give a very plain language overview for the public around their vision and expected outcomes on these two sort of pillars of healthcare sustainability on both operations and financial pieces? 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

March 5th

The Chair

The Chair Sheryl Yakeleya

Minister of Executive and Indigenous Affairs.

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

March 5th

R.J. Simpson

R.J. Simpson Hay River North

Thank you. I'll hand it to Mr. Courtoreille.

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

March 5th

The Chair

The Chair Sheryl Yakeleya

Mr. Courtoreille.

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

March 5th

Terrence Courtoreille

Thank you, Madam Chair. So to the Member's question, we do have a monitoring and evaluation framework, and that is a key piece of -- that's a key scoping document for laying out how we're going to do this work, how we're going to monitor progress, and how we're going to measure success, and the tools and the logic model are all inclusive as part of that document. So that's going to be helpful for that response. And I guess that's just my longwinded way of saying that yes, absolutely, we would be happy to provide a plain language translation of that document. 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 5th

The Chair

The Chair Sheryl Yakeleya

Member for Great Slave.

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

March 5th

Kate Reid

Kate Reid Great Slave

Thank you, Madam Chair. I'm good for this section.

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

March 5th

The Chair

The Chair Sheryl Yakeleya

Thank you. Next, I have Member for Yellowknife North.

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

March 5th, 2025

Shauna Morgan

Shauna Morgan Yellowknife North

Thank you, Madam Chair. So I also wanted to ask some questions about this unit. I know that according to the monitoring and evaluation plan of this unit, my understanding is that the first year or so is to be focusing on finding what's core and not core. And then after that, looking at diving deeper or digging deeper into specific areas in terms of finding efficiencies or different ways of doing things. My concern with that timeline is that, you know, there's an urgent need to improve healthcare system; find, you know, ways to balance the budget; find efficiencies and that, you know, the work of the public administrator might be working at a different pace or, you know, than this unit and that by the time this unit gets around to starting to find efficiencies, you know, work of the public administrator will have already proceeded to be trying to balance the budget, etcetera.

So I wonder if there's consideration to altering the work plan or the sort of monitoring and evaluation plan of this unit to better line up with the urgent work that's happening to, you know, try to balance the budget and find efficiencies in a way that ensures that our frontline services and system stays robust and able to serve people. 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

March 5th

The Chair

The Chair Sheryl Yakeleya

Minister of Executive and Indigenous Affairs.