Thank you, Mr. Speaker. Mr. Speaker, your Standing Committee on Social Development is pleased to provide its Report on Healthcare Accountability and Sustainability and commends it to the House.
EXECUTIVE SUMMARY
The Standing Committee on Social Development presents this Report on Healthcare Accountability and Sustainability to provide the Government of the Northwest Territories with feedback received from experts in health care. Through this report, committee aims to inform the GNWT and, beyond its release, intends to continue holding the Government accountable for adequately addressing the health care needs of residents and the pressures facing the healthcare system.
Committee received six presentations between October 2024 and March 2026. Witnesses and subject-matter experts spoke about the recruitment and retention of healthcare workers and flexible employment models to help the Northwest Territories achieve sustainable vacancy rates in healthcare staff. Experts also spoke of ways to improve upon the administrative workload and burden of healthcare staff in the territory.
Committee learned of the importance of expanding the scope of practice for certain types of nurses in the territory and to invest in the use of registered psychiatric nurses to support the NWT's mental health system. Committee highlighted nursing education programs that are needed in the territory to support the nursing profession.
Committee analyzed the current structure and reform efforts for the NWT's healthcare system, and included sentiments on the initiative of primary healthcare reform, medical travel modernization, and the small community model of care. Committee examined the efficiency of healthcare spending in the territory, one of the highest spending rates in healthcare in jurisdictions across Canada.
With the pressures of population growth and an aging demographic in the territory, identifying efficiencies in spending is crucial to further access to care.
Throughout its study, committee identified gaps in key leadership initiatives such as the 2025-2028 people strategy. Gaps in licensing and regulation were also examined, including in pan-Canadian licensure for physicians, the labour mobility of nurses, and the regulation of allied health professionals.
The delivery of healthcare services in the territory has struggled on numerous fronts in recent years, with examples such as the decline in healthcare staff across the country and continuous issues with poor coordination of medical travel and inadequate associated supports in northern and remote communities.
Committee urges the GNWT to take timely and coordinated action to implement the 27 recommendations outlined in this report. These recommendations reflect the wishes of healthcare staff, experts, and residents of the NWT to strengthen its healthcare system.
LIST OF RECOMMENDATIONS
Recommendation 1: The Standing Committee on Social Development recommends the Government of the Northwest Territories work directly with frontline healthcare staff to incorporate their knowledge and connection to social networks into the recruitment of healthcare professionals in the Northwest Territories healthcare system.
Recommendation 2: The Standing Committee on Social Development recommends the Government of the Northwest Territories investigate and report on the feasibility of increased incentives for healthcare workers in small communities, such as subsidized rental units and designated spots at childcare centres and day homes for healthcare workers.
Recommendation 3: The Standing Committee on Social Development recommends the Government of the Northwest Territories research, identify and address barriers, including those related to privacy within the Health Information Act and related to necessary higher technology upgrades to support the timely implementation of technologies such as online booking, automated reminders for appointments, virtual care, remote ultrasound, and expanded use of artificial intelligence scribing across healthcare settings.
Recommendation 4: The Standing Committee on Social Development recommends the Government of the Northwest Territories ensure that procedures are in place for the implementation of new technologies in the healthcare system, including appropriately trained designated staff and clear processes for quick and effective application and execution.
Recommendation 5: The Standing Committee on Social Development recommends the Government of the Northwest Territories promote job sharing opportunities for healthcare professionals in the Northwest Territories, based off of Nunavut's model, as a strategy to increase the recruitment of healthcare professionals to the territory.
Recommendation 6: The Standing Committee on Social Development recommends the Government of the Northwest Territories significantly increase investments into the Northwest Territories Health and Social Services Authority for their work in providing on-the-job education training to licensed practical nurses to further enhance the sustainability of the healthcare system and the autonomy of this type of nursing profession.
Recommendation 7: The Standing Committee on Social Development recommends the Government of the Northwest Territories work with employers and licensed practical nurses to promote awareness of their changed scope of practice, and work with employers to update job descriptions to ensure that they are reflective of the regulatory scope of practice in order to provide proper support to licensed practical nurses.
Recommendation 8: The Standing Committee on Social Development recommends the Government of the Northwest Territories create a targeted initiative to expand and support the integration of nurse practitioners in small communities to improve access to timely primary care services, including ensuring that nurse practitioners have continuous and reliable access to consultations with physicians.
Recommendation 9: The Standing Committee on Social Development recommends the Government of the Northwest Territories review current job descriptions within the health and social services system to see where registered psychiatric nurses may be best utilized.
Recommendation 10: The Standing Committee on Social Development recommends the Government of the Northwest Territories conduct research into the feasibility of establishing registered psychiatric nurse educational programs in the Northwest Territories that would meet the unique needs of our mental health system.
Recommendation 11: The Standing Committee on Social Development recommends the Government of the Northwest Territories conduct research into the feasibility of implementing programs to address key nursing education and professional development gaps such as nursing refresher programs, nurse practitioner programs, nursing bridging programs, registered psychiatric nursing programs, midwifery programs, and prescribing and diagnoses programs in the Northwest Territories.
Recommendation 12: The Standing Committee on Social Development recommends the Government of the Northwest Territories invest in the professional development of all nurses in the Northwest Territories without reducing the allocated funding envelope for professional development for other health practitioners.
Recommendation 13: The Standing Committee on Social Development recommends the Government of the Northwest Territories conduct research into potential changes to the healthcare delivery framework in the Northwest Territories, including governance and reporting structures, with potential changes to be based on the three governance structure principles outlined in this report.
Recommendation 14: The Standing Committee on Social Development recommends the Government of the Northwest Territories immediately reassign the initiative of organizing team-based care for frontline healthcare workers to the medical director to ensure there is a clear point person to take over the details of this initiative.
Recommendation 15: The Standing Committee on Social Development recommends the Government of the Northwest Territories develop, in consultation with the Standing Committee on Social Development, and publicly report on a plan for how team-based care will be operated in small community health centres and health cabins.
Recommendation 16: The Standing Committee on Social Development recommends the Government of the Northwest Territories work with the Government of Canada to share or transfer some decision-making power of the Non-insured Health Benefits Program to Yellowknife, including establishing a physical office for non-insured health benefits in the North.
Recommendation 17: The Standing Committee on Social Development recommends the Government of the Northwest Territories create a bursary program for Indigenous residents of small communities and a funding program with the purpose of incentivizing residents of small communities in the Northwest Territories to pursue nursing education programs.
Recommendation 18: The Standing Committee on Social Development recommends the Government of the Northwest Territories create a marketing strategy targeting the recruitment of Indigenous residents into healthcare fields and healthcare education programs by showcasing success stories of northern Indigenous healthcare practitioners working in the health field.
Recommendation 19: The Standing Committee on Social Development recommends the Government of the Northwest Territories staff patient advocate positions in each small community of the Northwest Territories.
Recommendation 20: The Standing Committee on Social Development recommends the Government of the Northwest Territories demonstrate that the work of the healthcare systems sustainability unit and the public administrator of the Northwest Territories Health and Social Services Authority is being informed by the experiences and input of frontline health practitioners to better understand where to find efficiencies in the healthcare system, such as with medical travel, and with every decision being made and reported upon, that it notes the input that has informed the decision.
Recommendation 21: The Standing Committee on Social Development recommends the Government of the Northwest Territories publicly release how many dollars can be saved by eliminating non-core services including a break down per program/service area.
Recommendation 22: The Standing Committee on Social Development recommends the Government of the Northwest Territories publicly release the methodology used by the healthcare systems sustainability unit for the evaluation of the seven program/service areas identified for initial sustainability efforts, and how they will gain an understanding of each program/service area.
Recommendation 23: The Standing Committee on Social Development recommends the Government of the Northwest Territories demonstrate costing and milestones of the 2025-2028 People Strategy and commit to an independent analysis of its results.
Recommendation 24: The Standing Committee on Social Development recommends the Government of the Northwest Territories prioritize the work of advancing a pan-Canadian licensure at the national level as well as work with the Yukon government and the Government of Nunavut to establish the tri-territorial licensing model.
Recommendation 25: The Standing Committee on Social Development recommends the Government of the Northwest Territories establish a scholarship or bursary (similar to British Columbia) that internationally educated nurses can access in the Northwest Territories to support the cost of their Inspire assessment program with a condition that they work a certain number of years in the Northwest Territories healthcare system upon receiving the scholarship or bursary.
Recommendation 26: The Standing Committee on Social Development recommends the Government of the Northwest Territories work with the College and Association of Nurses in the Northwest Territories and Nunavut to ensure cultural training programs are afforded to internationally educated nurses as well as cultural competencies for nurses across the board.
Recommendation 27: The Standing Committee on Social Development recommends the Government of the Northwest Territories research a regulatory model based on British Columbia's Health Professional Occupation Act with the aim of creating an arm's length regulator that encompasses a group of allied health professionals in the Northwest Territories and report on their findings.
Recommendation 28: The Standing Committee on Social Development recommends the Government of the Northwest Territories provide a response to this report within 120 days.
Masi, Mr. Speaker.