Sandy Lee

Nursing coverage for Tsiigehtchic and Wrigley is my priority and I am happy to commit to do as much or more than what the Minister of Justice is doing in that regard.

Mr. Speaker, I just want to make it clear, because I think that going back and forth questions may sound like, you know, we are in any way not open to receiving anything. We are open to hearing from the committee members, public, any interested organization, feedback to that discussion paper and the questions we have and in whatever format they want to do.

Secondly, we are going to -- now that the final document is on and because it went through some changes -- be distributing them as widely as possible. We’re going to put them on the website; we are communicating with the regional health...

Once again, the Sahtu Health Authority does review the workload and, in fact, they have tried to do a different model of delivery where the community health rep and homecare support services were combined in some communities. I believe the authority is reviewing that, so I will undertake to discuss with the authority and get back to the Member.

That reads to be like some of the observations that we are sharing with the public and looking for their input. The Member is right in that this is, I wouldn’t call it a moving target, but it is a living document, it is a live conversation we are having about the extended health benefits with the residents of the Northwest Territories.

In our last time out it was quite obvious that not just the NWT residents, but people across the country are not very clear about exactly what’s covered under the Canada Health Act, what’s covered as extended health benefits, what options are there for them to...

Thank you, Mr. Speaker. Once again, every community has nursing services. I believe the Member is asking how many communities have nurses that don’t live there. I don’t know exactly what number. I believe it’s four or five, perhaps six. I have to get back to the Member.

Mr. Speaker, the Government of the Northwest Territories adopted an ISDM model back in 2003, and that was what had prompted withdrawal of full-time nurses in Wrigley and Tsiigehtchic. So it goes back to 2003. This is the delivery model that we are using. The Member knows that if we are going to change that, we could do that as a discussion in the House as a business plan, but, again, the Member needs to understand that our health care services are being provided by making sure that everybody has access to care. It’s not necessarily about what all the services are, because we know that we need...

I absolutely totally understand that and I think it’s much more difficult for the communities of Tsiigehtchic and Wrigley because they had a resident nurse and they now no longer have that since 2003. There are many communities in the Territories of similar size who have never had a resident nurse. What is really important for people to know is that if a community doesn’t have a resident nurse, it doesn’t mean that they don’t have the health care they need. The community health reps and other care providers are in constant touch with medical professionals all across the Territories. There is...

For the record, I need to say that I don’t understand where the February 1st came from. The Member is well aware that we’ve been working through many hours in this House to work on our health care delivery system so that we have enhanced services in communities by changing the way we do things. That’s the plan under Foundation for Change. But as it exists now, we give our block funding to the regional health and social services authorities and they are regional bodies who share their resources to provide the best services they can for all of the communities.

Thank you, Mr. Speaker. Mr. Speaker, I thank the Member for the question. It is financial in one way, but actually it’s much more than that. It’s operational as well. In terms of governance, we deliver our health care services through regional authorities. They’re provided with a block funding. They have services that they need to provide; nursing services being one crucial item. But they do not fund or they do not spend their money per community. They provide nursing coverage for the entire authority, a lot like school boards. Teachers get hired by school boards and they are employees of the...

I don’t disagree with that. I do think that having a dedicated nurse for a community would be helpful for the communities. Right now the Deh Cho authority, like many other authorities, have a high vacancy rate in nurses. They have somewhere up to 30 to 40 percent vacancies in nurses. Like all the other authorities, they look at the pool of nurses available and have to share them around the authorities so that everybody in that area gets the nursing service. But they are working on a proposal to enhance nursing coverage in small communities including Wrigley, as the Member has stated in this...