Thank you, Mr. Speaker. So, Mr. Speaker, the Member is right. In the previous Assembly, there was a change made in regulation that made it a requirement that parents were involved in this decision-making. And that's a relationship and a conversation that happens right from the child's school to the family. And so it's the teacher and the school-based support team that participate together with the family to ensure that they have all of the decisions and all of the options in front of them as well as the details of the child's individualized education plan so that together those decisions can be made. But it's critically important that families are involved in that decision-making and can continue to support their child at home as well. Thank you.
Thank you, Minister of Education, Culture and Employment. Oral questions. Member from Tu Nedhe-Wiilideh.
Thank you, Mr. Speaker. Mr. Speaker, in my Member's statement, I talked about the auditor general's report and audit also talked about the UNDRIPIA and also the council supposed to work in collaboration with Indigenous governments to create an action plan.
Mr. Speaker, my question to the Premier is who in this government is responsible for the failure to implement the UNDRIPIA action plan and where is the accountability within this government for missing this obligation and what are the consequences? Thank you, Mr. Speaker.
Thank you, Member from Tu Nedhe-Wiilideh. Mr. Premier.
Thank you, Mr. Speaker. That's a good question, and all of those answers are actually found in the legislation. So the United Nations Declaration on the Rights of Indigenous Peoples Implementation Act was passed at the end of the last government. It may have been our last sitting actually. Because there was a no coming into force clause, the legislation actually came into force immediately, which I believe was last October 6th -- perhaps -- 2023. I am looking at the clerks to see if they're nodding their heads but they are stone-faced so no support there. Which meant the clock started ticking during the election period, really. And so it wasn't until April of the following year that the action plan committee got together, and then I was -- just like everyone else, I was expecting that report two years after the law came into force in last October. I wrote to the action plan committee noting to them that I expected to receive the report as required by the legislation. But as it goes, when you collaborate and, as I've said since day one, it takes longer to do things when you do things together but we have to do things together, and this is an area where we are actually mandated to do this together, and it's a requirement that the Government of the Northwest Territories and Indigenous governments collectively work on this action plan.
The action plan committee let me know that they are still continuing their work; they're not prepared to put something forward. And so that is the way things are going. I am not the boss of the action plan committee. I am not the boss of the Indigenous governments who are on the action plan committee. And so I don't have the ability to compel them to bring it forward.
In the Act, there are no provisions for violations of the Act. There's no fines. There's no imprisonment specified. And so like much of our legislation it's essentially the honour system, and it is Members standing up in the House and bringing this to our attention and holding us accountable is how accountability works. Thank you, Mr. Speaker.
Thank you, Mr. Speaker. Mr. Speaker, in the 19th Assembly, I was part of Bill 85 when we created that document. But, Mr. Speaker, my question is that a lot of the resources and time went into this -- and energy went into this bill -- my question again is to the Premier what did this government allow the legislated timeline under UNDRIP to pass without tabling the required action plan? Thank you, Mr. Speaker.
Thank you, Mr. Speaker. I am required as the Minister under the legislation to table the action plan in the House, and I failed to do that. It's because I didn't have an action plan to table. And so once again the action plan committee is comprised of officials from the Government of the Northwest Territories as well as a number of Indigenous governments. I was not in a position to go to one of their meetings and take the papers off the desk and say this is what you have at this date, this is what I am tabling. And so I am still waiting for the action plan committee to submit an action plan, and once that's done I will happily table it in the House and there will be the public comment period as prescribed by the legislation. Thank you, Mr. Speaker.
Final supplementary. Member from Tu Nedhe-Wiilideh.
Mr. Speaker, we are going into our third year of our mandate. My question is to the Premier. How does the Premier intend to honour treaty/Metis rights when his government has failed to honour its own UNDRIP legislation? So what assurances can the Premier do to get this action plan started and done? Thank you, Mr. Speaker.
Thank you, Mr. Speaker. I am a little confused. I think I heard two questions. One was about Metis rights, which is maybe from a different statement; I am not sure. But the other is what we're going to do to get the action plan going. There's an action plan committee. They first met in April of 2024, I believe. They have been working on the action plan for a number of years since then. I have written to them. I said I expect it to be presented by the date as required under the legislation. I was informed they were not in a position to share that. We are continuing to press to have it completed. We're doing our part, and I know the Indigenous governments are doing their part as well. So we look forward to receiving that when we receive it and tabling it in this House sometime later this year. Thank you, Mr. Speaker.
Thank you, Mr. Premier. Oral questions. Member from Monfwi.
Thank you, Mr. Speaker. Mr. Speaker, my questions are for the Minister of Health and Social Services.
Mr. Speaker, can the Minister explain what steps the department is taking to ensure children who enter care are able to remain in their home communities whenever possible? Thank you.
Thank you, Member from Monfwi. Minister of Health and Social Services.
Thank you, Mr. Speaker. Mr. Speaker, as per the process for when children, you know, are accessing child and family services, when families come into contact with child and family services, it's when there is either a child protection issue or the family themselves are coming and requesting assistance to support them. When there is a child protection issue, the child protection issue is investigated and the child protection worker -- the child and family services does everything in their power to try to work with the family to provide supports for the child to stay within their family or, you know, to stay within their community if there is supports in the community to support that family or that child. And the next best thing is to -- you know, to remain with an Indigenous family within the community. And then the last would be in the foster family. Thank you, Mr. Speaker.
Thank you. Thank you, Mr. Speaker. I asked for what steps.
Mr. Speaker, what is the department doing to strengthen prevention supports for families so that fewer children need to be removed from their parents in the first place? Thank you.
Thank you, Mr. Speaker. Mr. Speaker, within child and family services, there has been a bigger shift in foster care placement. I believe that there is around 1,000 kids that are actually utilizing -- families that are utilizing the service of child and family services; however, I believe there's only 154 at this time that are in placements out of that. Many of them -- 75 percent of them, I believe, are remaining in their home, and those that aren't remaining in their home are with extended family or family -- community members known to the child. So everything that child and family services does is they try to keep the child within the home using family preservation, with connecting them with services. You know, if the family needs to access family treatment, you know, child and family services goes and arranges that for them. Thank you, Mr. Speaker.
Thank you, Minister of Health and Social Services. Final supplementary. Member for Monfwi.
Mr. Speaker, what is the department doing to better support children in care in maintaining their culture, language, and sense of community? Thank you.
Thank you, Mr. Speaker. Mr. Speaker, that's a really important part of the work that the child and family services has shifted to. I think within that area that's the importance of -- the 75 percent of the kids remaining with their family, that is where they're going to get their culture. That's where they remain with their family. The next part is extended family. If it's a child protection issue within their immediate family, it's extended family and they work to support children. And that's why they now have the family volunteer agreements with family members. And this was something that we heard loud and clear, that family members that were able to take care of these kids sometimes didn't have the means of the financial piece to take care of them so there was a shift in that so that, you know, we heard from many grandparents that, you know, took care of their grandchildren but couldn't be a foster family so weren't being financially supported. These things are now happening. And so, as I said before, everything that they try to do is keep the child with the family, with extended family, and within the community, before ever going outside of that. Thank you, Mr. Speaker.
Thank you, Minister of Health and Social Services. Oral questions. The Member from Yellowknife Centre.
Thank you, Mr. Speaker. Mr. Speaker, continuing on the cost-of-living theme on Northerners, and certainly steps the government could do, my questions are now targeted to the Minister of Justice.
Mr. Speaker, is the Minister familiar with the study and assessment that has been done at the Department of Justice with respect to territorial judges being elevated to the Supreme Court bench which would be a direct cost savings to the territorial taxpayer where the federal government would pick up that cost. In other words, eliminate territorial judges and make them all Supreme Court judges. Thank you.
Thank you, Member from Yellowknife Centre. Minister of Justice.
Thank you, Mr. Speaker. No, I am not. Thank you, Mr. Speaker.
As I am sure the Minister is aware, Supreme Court judges can hear all matters but territorial judges must stay in their lane, Mr. Speaker. This is an expense saved on the Nunavut taxpayer, which is a direct comparison, Mr. Speaker. Will the Minister investigate this potential huge financial savings on the territorial taxpayer? Thank you.
Thank you, Mr. Speaker. Mr. Speaker, I will take the Member's suggestion away. Thank you, Mr. Speaker.
Thank you, Minister of Justice. Final supplementary. Member from Yellowknife Centre.
He's quickly becoming my favourite justice Minister.
Thank you, Mr. Speaker. If I recall, just to be clear, the last time this was reviewed or kicked around, it was about a $5 million savings to the territorial taxpayer. So my question now is would the Minister agree to consider the opportunity to implement this approach if it boils down to administrative process and minor tweaks to territorial legislation to accommodate this necessity, an opportunity to save money on the territorial taxpayer? Thank you.
Thank you, Mr. Speaker. Mr. Speaker, you know, as the Minister, always looking for opportunities to, you know, reduce budget across our department, you know, I think that the Member has brought forward something that I was unfamiliar with, and I am happy to consider his suggestions as we move forward. Thank you, Mr. Speaker.
Thank you, Minister of Justice. Oral questions. Member from Yellowknife North.
Thank you, Mr. Speaker. So following up with further questions for the Minister of Health and Social Services and picking up on some of the things I mentioned in my Member's statement. So my first question is do paramedics have adequate training to engage in the common primary care activities that are needed in small community health centres, such as pre- and post-natal care, chronic disease management, or, for example, recognizing when the symptoms in a stable patient might lead soon to a serious decline; do paramedics have the right training to address those things? Thank you, Mr. Speaker.
Thank you, Member from Yellowknife North. Minister of Health and Social Services.
Thank you, Mr. Speaker. Mr. Speaker, paramedics are pretty great. They are very versatile. They have different levels, and depending on the levels that they have educated and they're certified through their regulatory body in another jurisdiction, they can do many things. However, within the review that has happened and highlighting that paramedics could be implemented, that work is ongoing. And where the Member talks about all of the primary care services, that is the area that, you know, the nurses would be focused on. That is in their scope of practice. So whatever the scope of practice that they are able to do under the training that they have, that is what will be reviewed and analyzed, whether it's a good fit into implementing that type of a service and how well it could fit into the small communities. So that work is ongoing. Thank you, Mr. Speaker.
Thank you, Mr. Speaker. And so the Minister has referred a couple times to the scope of practice of paramedics versus community health nurses; however, my question is, is there any recognized scope of practice for particular levels of paramedics in the NWT given that we don't have a regulatory body and these paramedics may have been trained in any number of different provinces with different scopes of practice? Thank you, Mr. Speaker.
Thank you, Mr. Speaker. Mr. Speaker, when hiring certified paramedics into the past work and the ongoing work, we have many, many services that we provide in the Northwest Territories that do not currently have a regulatory body, like respiratory therapists who manage patient airways in the Northwest Territories, lab technologists, occupational therapists, physiotherapists, imaging techs, x-ray techs. There's many, many -- mental health addiction, like, counsellors. They work within what their jurisdiction of their licensing is, and so within the -- as long as they're in good standing, then, you know, we can -- we write the job description or the -- what is it -- the employer has a scope of practice that they are eligible to work on under their current -- whatever level of certification that they do have through a licensing body in another jurisdiction. Thank you, Mr. Speaker.
Thank you, Minister of Health and Social Services. Final supplementary. Member from Yellowknife North.
Thank you, Mr. Speaker. So in terms of the need for paramedics, we heard earlier today about some of the successes of the health recruitment unit. Does the Minister believe that the health recruitment efforts will allow us to close the gap in terms of recruitment of community health nurses to be able to fill the current vacancies? Thank you, Mr. Speaker.
Thank you, Mr. Speaker. Mr. Speaker, I could only hope that, you know, we'd have tons of nurses that are going to go out that are going to go and take expanded scope and want to work in a health centre and live there. Yes, I wish that would happen; however, you know, I think the change in our workforce is different. We used to be able to even do job shares for 6 and 12 weeks, up to 12-week job shares in some of our communities. And now with the level that the nurses are willing to agree to, it might be 6 weeks, it might be 4 weeks. And so the change in the way that they want to work -- you know, we can continue to recruit, and we -- you know, wherever we can put them into places. There are some that are signing on and are staying. You know, we have local nurses that are going back home, which is really exciting, into small communities. However, we still have a lot of work to do. And we know what we've heard from them is that they need more supports. They need to be able to focus on some of the things to do their expanded scope whereas that's why we're looking at implementing other, like, LPNs into the smaller communities so that they can pick up a lot of the other -- and work at their scope of practice. Thank you, Mr. Speaker.
Thank you, Health and Social Services. Oral questions. Member from Frame Lake.
Thank you, Mr. Speaker. Mr. Speaker, I wanted to follow up on my earlier questions. The Minister noted and keeps referring to the health care sustainability unit. Mr. Speaker, we have no way of knowing what recommendations will come from that unit. In the meantime, we have a system coordination issue with our existing services. The ISD team is a good model, and it's an existing model. Can the Premier or health Minister commit to consider whether to support to persons with disabilities could be provided by this unit? Thank you.
Thank you, Member from Frame Lake. We need to have a Minister or a Premier; pick one.
Thank you, Mr. Speaker. I was giving them the option of deciding who wanted to -- because it's kind of cross-departmental. I will say the health Minister for now but if the Premier wants to answer, I'd be happy as well. Thank you.
Mr. Premier.
Thank you, Mr. Speaker. I will step in here, as the integrated service delivery Yellowknife falls under EIA right now. So that program is essentially a pathfinding program where individuals who are in contact with a number of different government departments to receive services, whether it's income support and housing and social services. We have pathfinders there who help these individuals make their way through the system, which is not the ideal end goal that we want. We want a system where we don't need the pathfinders. That being said, that's what we have right now. And through our service integration efforts, we would like to get to a place where we're not going to need the pathfinders where service is integrated and an individual can go get a government service that they need and they don't have to worry about going to ten different offices. But right now, the integrated service delivery team is -- they are -- their workload is full. There's no additional capacity there to take on a very large cohort of individuals. I am not saying the Member's proposal doesn't have merit; I wish that we could do it but at this time we don't have -- we're not resourced to do that. Thank you, Mr. Speaker.
Thank you, Mr. Speaker. And I appreciate the Minister's comprehensive and thoughtful answer to the question. I don't know how big the ask is. I don't know how many people are out there. I've had a few constituents reach out to me. It seems like the ISD team is a good fit for this. It's -- the service integration is exactly why I am asking for and why I've raised it with ISD. Can the Minister at least have a look into whether this is a possible interim measure while we're figuring out the health care sustainability unit for persons and their families with disabilities? Thank you.
Thank you, Mr. Speaker. Over my time overseeing the integrated service delivery Yellowknife unit, which was previously integrated case management in Yellowknife, or under the Department of Justice, I've had numerous opportunities to inquire about their ability to take on more and do more, and the answer always comes back the same in that they are fully committed with the work that they have now. That being said, I will go back, and I will have a conversation and see what comes back, but I expect that what I am saying here in the House of what I've heard in the past will be the same answer. Thank you, Mr. Speaker.
