Julie Green

Yes, thank you. I don't have any information on a comprehensive program.

Osteoarthritis, which I have, and rheumatoid arthritis are different conditions. Rheumatoid arthritis is an immune system issue, usually diagnosed in people when they are in their early 30s and requires ongoing care. Osteoarthritis is not the same problem, and it's dealt with by orthopaedic surgeons, not by rheumatologists. So what I can see happening is that the more intense care that people with rheumatoid arthritis need will be rebuilt here in the NWT so that we can achieve our two goals of making patient care close to...

Thank you, Mr. Speaker. Mr. Speaker, I want to, first of all, say that the 400 people who need services from rheumatology continue to get those services, not in Yellowknife but in Alberta. So the program is not offered here but there are services available to people with rheumatoid arthritis.

What I want to say is that this is a temporary interruption. The medical director has been clear that the intention is to rebuild the program with a better service model that provides care close to home and she continues, I know, to work on this as a priority.

In the past, we have closed the chemotherapy...

Thank you. Mr. Speaker, this is a core service of the NTHSSA and so when people need this service, it's provided, and so we budget an amount, which we'll see in the main estimates. But if it turns out there's more demand than we have money for, then we go through a supplementary appropriation to ensure that we have the money we need to pay for the services that are offered.

The additional cost here is for medical travel but we always paid Alberta for the services and so we continue to pay them, in Edmonton now, rather than operating here. Thank you.

Thank you, Mr. Speaker. Mr. Speaker, our priority is always patient care. The reality of the size of our territory is that we can't attract or fully engage specialists here the way a specialist working in a population of a million people can. So we continue to depend on Alberta health services to supplement our healthcare system, and we're very grateful that they triage our patients the same as Albertans so that we get very good service from them. Thank you.

Yes, thank you, Mr. Speaker. And thank you to the Member for the question. The reasons the nurses don't leave the health centre is they are prohibited from doing so by policy. The emergency first responders who attend to immediate problems car crashes, people fainting, and so on they are specifically trained as first responders and they have the appropriate equipment, including transportation, to respond to the situation. So there are four communities in the NWT where municipalities provide that service but, unfortunately, this does not happen in the small communities. And I realize that...

Thank you, Mr. Speaker. Mr. Speaker, it is generally the fire departments who also take care of the emergency responder calls, and there is training available through the Department of Municipal and Community Affairs. It was being done online during the COVID time, but I think it's gone back to inperson training now. So I would encourage the Member to connect with my colleague, the Minister of Municipal and Community Affairs, for more information. Thank you.

Thank you, Mr. Speaker. Mr. Speaker, I don't have an answer to that question. I'll have to take it on notice.

Yes, thank you. The issue of selfreferral is a little bit problematic because it doesn't give the counsellor or other support workers the ability to continue connecting with that person before treatment, after treatment, and making sure that they are accessing the resources that are available to them. We have contracts at this point with five facilities. So if people use our referral process to one of those five centres, then the costs are covered. Thank you.

Yes, thank you, Mr. Speaker. Last month, the Department of Health and Social Services asked for Indigenous addictionsbased treatment facilities to provide proposals for Indigenous treatment for NWT residents or addictions treatment with an Indigenous lens for NWT residents. That competition, or that request for proposal closed on Friday. And it's my understanding that procurement shared services are now evaluating those proposals. The goal that the department set out with was to have the new service provider in place by April 1st. Thank you.

Yes, thank you. I have to say that I personally, and the department as well, recognizes the need for stability and support in the NGO sector and the value of the services they provide to our communities. So we are certainly open to looking first at more compensation and secondly multiyear agreements. Thank you.