Newfoundland and Labrador Hansard — Members' Statements; Statements by Ministers — 6 June 2007 (45th General Assembly, 4th Session, Vol. XLV No. 25)
2007-06-06
Newfoundland and Labrador — Debates (Hansard)
June 6, 2007 HOUSE OF ASSEMBLY
PROCEEDINGS Vol. XLV No. 25
The House met at 2:00 p.m.
MR. SPEAKER (Hodder): Order, please!
Admit strangers.
This afternoon we welcome visitors from The Discovery Centre in Harbour
Grace, in the District of Carbonear-Harbour Grace, together with their
coordinator, Ms Debbie Snow and their instructors, Ms Elizabeth Baker and Ms
Joanne Mullins.
Welcome to the House of Assembly.
SOME HON. MEMBERS: Hear, hear!
Statements by Members
MR. SPEAKER: This afternoon we have members' statements as follows: the
hon. the Member for Humber Valley, the hon. the Member for Terra Nova, the hon.
the Member for Bay of Islands, the hon. the Member for Windsor-Springdale, the
hon. the Member for Port de Grave, the hon. the Member for Port au Port.
The Chair recognizes the hon. the Member for Humber Valley.
MR. BALL: Mr. Speaker, I rise in this House today to recognize an
exceptional group of young people from my district. These five young youth are
students at Elwood Regional High School in Deer Lake and recently won the
provincial Envirothon and will now have the honour of representing the Province
at the international competition in Geneva, New York.
This win is a milestone for Elwood Regional High. The provincial Envirothon
has been taking place now for seven years. Elwood has walked home with this
prestigious award for the fourth time.
Mr. Speaker, the members of the winning team who called themselves Team
Driftwood, were Kimberly Alexander, Chantel Coles, Kent Edwards, Matthew
McDonald and Sarah Spence.
This amazing group of teens wowed the judges with their presentations in the
soils, wildlife, forestry, current issues and the oral presentation categories.
The three-day competition was held at Killdevil Lodge in beautiful Gros Morne
National Park and saw about ten teams of youth from across our great Province
compete.
Mr. Speaker, I ask all members of this House to rise with me in extending
congratulations to Elwood Regional High School in Deer Lake on their success at
the 2007 Provincial Envirothon Competition. The members of Team Driftwood are
our leaders of tomorrow and environmental stewards for our planet. They are
conscientious, meticulous and exemplify the amazing talent we have throughout
our great Province.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Terra Nova.
MR. ORAM: Thank you, Mr. Speaker.
Mr. Speaker, I rise today to congratulate the 780 Freshwater Royal Canadian
Air Cadets of Gambo on their thirty-eighth annual ceremonial review and banquet
which was held on June 3, 2007 at the Gambo Lions Club.
Mr. Speaker, it was my pleasure to be the reviewing officer for this
occasion. In attendance were Mrs. Lisa Moss, Air Cadet League Representative,
Newfoundland League; Mrs. Marilyn Dowden, sponsor body chairperson; Gambo Mayor
Lloyd Noseworthy; veteran Mr. Matthew Brown; Major Robert Nolan, as well as a
large number of parents and guardians.
Mr. Speaker, the squadron of thirty-three cadets meet every week for
training, which include a flag party of five, a drill team of fifteen, and a
band of seven. One of the highlights of the evening, was the announcement as to
who would be going to summer camp. There are actually twenty-one cadets going to
Ontario and Nova Scotia to the camp this year.
Mr. Speaker, one of the biggest events occurs on November 10 and 11 when the
cadets hold an all-night vigil of the war memorial in Gambo. The cadets start at
8:00 p.m. on the tenth and finish up at 11:00 a.m. on November 11. This is the
only cadet squadron that does this each year, Mr. Speaker. There was a series of
awards handed out to cadets at the banquet, as well as twenty-two of
thirty-three cadets received perfect attendance certificates.
Mr. Speaker, I ask that all members join with me in congratulating the cadets
and the staff of the 780 Freshwater Royal Canadian Air Cadets, Captain Dennis
Wicks, Commanding Officer; Captain Laurie Wicks, Lieutenant Dana Barrow,
Lieutenant Eileen Preston, Elizabeth Wicks and special helper Mr. Roger Ford,
who is a paramedic, and Second Lieutenant Martin Murphy on thirty-eight years of
cadet excellence in Gambo.
Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Bay of Islands.
MR. JOYCE: Mr. Speaker, I rise in this House today to extend a best
wishes to the Tour de Rock represented by ten RNC Officers from its three
detachments in the Province who have been raising funds for charity. Tour de
Rock will depart from Port aux Basques and cycle across the Province to St. John's
- a journey taking ten days.
The ten members include nine current members of the RNC and a retired
officer. I am proud to stand in the House today to acknowledge a member of the
team, a constituent of mine, Constable Shawna Park of the Corner Brook
Detachment.
Last year, members raised $12,000 for Mothers Against Drunk Driving during
the seven day event. Again, this year, MADD is the charity of choice in Corner
Brook.
The Tour de Rock will begin in Port aux Basques and make stops across the
West Coast at Stephenville, Corner Brook and Deer Lake. They will continue their
ride across the Province with stops in Springdale, Grand Falls-Windsor, Gander,
Clarenville, Whitbourne, and are scheduled to complete the Tour in St. John's
on June 15.
This year, the RNC have decided to pass the proceeds on to fundraisers in
each participating community across the Province to the charity of their choice.
Tour de Rock has raised over $50,000 since it began four years ago.
I ask all hon. members of the House to join me in wishing Constable Shawna
Park and her nine teammates of Tour de Rock a great success this year as they
help raise funds for a variety of charity groups across this great Province.
Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Windsor-Springdale.
SOME HON. MEMBERS: Hear, hear!
MR. HUNTER: Thank you, Mr. Speaker.
Mr. Speaker and fellow hon. Members of the House of Assembly, I rise today
with great pride to congratulate Hockey Newfoundland & Labrador on their
2007 Hall of Fame Induction Ceremony and Awards Banquet.
The individuals inducted into the Hall of Fame were: Alex Blanchard, Leo Kane
and Harry Katrynuk for Player Category; Len Butt and Gerald Kelly for Builder
Category; Michael Anderson for the Athlete/Builder; and William Callahan for the
Media category.
The Brian Wakelin Executive of Year Award went to Joe Lane of the Port aux
Basques Minor Hockey Association. The Minor Hockey Association of the Year Award
went to Port aux Basques Minor Hockey Association as well.
Minor Hockey Meritorious Awards were presented to: Matt Chambers, Northern
Director; Stan Doucette, Stephenville Minor Hockey Association; Neil Ward, La
Scie Minor Hockey Association; and Albert Bud Chafe, Cee Bees Minor Hockey
Association.
The Junior Hockey Meritorious Award went to Chuck Norris. The C.J. McCarthy
Memorial Award went to Dale O'Brien from the Mount Pearl Blades. The Female
Hockey Promotion Award went to Veronica Coffey from the Labrador West Minor
Hockey Association. The Joe Byrne Development Award Honour Roll went to Joe Lane
of the Port aux Basques Minor Hockey Association. The Gold Stick Award went to
Garfield Bickford. The Ray Bowe Award of Merit went to Ralph Angela and Jim
Hare.
Mr. Speaker, Roseanne Ryder, wife of the late past president, Marv Ryder, was
presented with the President's Ring.
Minor Hockey Newfoundland & Labrador also honoured life members: Claude
and Lucy Anstey; Walter and Gladys Clarke; George Pardy; Don and Flo Johnson;
and Wayne Russell.
Mr. Speaker, I would ask all hon. members to join with me today to
congratulate all the award winners and organizers of the 2007 Annual Hall of
Fame Induction Ceremony and Awards Banquet.
Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Port de Grave.
MR. BUTLER: Mr. Speaker, I rise today to congratulate Jasmine Bennett, a
young musician from Bay Roberts who took home the top award from this year's
Annual Kiwanis Music Festival held in Clarenville.
In April 2006 Jasmine won the Terra Nova Shoes Senior Rose Bowl at the
thirty-sixth Kiwanis Trinity Conception Music Festival held in Carbonear, and
was recommended by the adjudicators for competition in the provincial music
festival in Gander.
A Level III French Immersion student at Ascension Collegiate, Jasmine is the
daughter of Thedie and Jim Bennett of Bay Roberts. She began her piano training
in the Music For Young Children Program when she was four years of age. Besides
piano, Jasmine also plays guitar, saxophone, flute, bass guitar and piano
accordion. She recently auditioned at Memorial University's School of Music
where she plans to study for a Bachelor of Music Performance Degree. Jasmine has
also received The Dame Vera Lynn Entrance Scholarship to MUN.
Mr. Speaker, I ask my colleagues in this House of Assembly to join with me in
congratulating seventeen-year-old Jasmine Bennett on her second Rose Bowl win,
and wish her every success in the future as she pursues her musical career.
Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Port au Port.
MR. CORNECT: Thank you, Mr. Speaker.
Mr. Speaker, I rise in this hon. House today to congratulate the students of
St. Thomas Aquinas in Port au Port East for their efforts in participating in a
very interesting fitness oriented program.
Mr. Speaker, in the month of May, 140 students, teachers and parents
participated in the Walk Across Newfoundland Challenge - a program which
encourages students to be physically active. The kindergarten to Grade 8
students have been walking in their community during and after school. They have
logged a total of 3,552 kilometres. This is equivalent to a walk from Port au
Port to St. John's and back to Port au Port - twice. That is twice, Mr.
Speaker. What an accomplishment! Because of this extraordinary effort, the
school has won a class set of thirty pedometers.
They have well exceeded the goal of the challenge, Mr. Speaker, which was to
walk across the Province one way.
To make the event more real, they erected a large map of the Province in the
school gymnasium and the students used it to track their virtual trip across the
Province.
Mr. Speaker, this is certainly in line with healthy and active living
initiatives that are introduced in our schools.
I ask all members of this hon. House, Mr. Speaker, to join me in
congratulating and thanking the students, the staff, the volunteers and the
parents of St. Thomas Aquinas for accomplishing this great feat, and to
congratulate all other schools who have participated as well.
Thank you.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: Statements by Ministers.
Statements by Ministers
MR. SPEAKER: The hon. the Minister of Transportation and Works, and
Labrador Affairs.
SOME HON. MEMBERS: Hear, hear!
MR. HICKEY: Thank you, Mr. Speaker.
Mr. Speaker, on behalf of my colleague, the hon. Kathy Dunderdale, Minister
of Natural Resources, I am pleased to advise my other hon. colleagues that
earlier today Consolidated Thompson Limited announced a tentative agreement has
been reached with the owners of Wabush Mines for the purchase of the mining
operation in Labrador West.
SOME HON. MEMBERS: Hear, hear!
MR. HICKEY: As members are aware, Mr. Speaker, last year Consolidated
Thompson entered into exclusive discussions with the owners of Wabush Mines -
Cleveland Cliffs, Stelco and Dofasco - in an effort to seek out possible
synergies between the Labrador West mine and Consolidated Thompson's Bloom
Lake iron ore project. Premier Williams engaged both Consolidate Thompson and
Cleveland Cliffs, Stelco and Dofasco during the negotiation process to expedite
a deal.
However, early in 2007, Consolidated Thompson announced that it had ended its
negotiations on the purchase of Wabush Mines. Our government was very
disappointed with that news; yet, we remained optimistic as the door was left
open for future talks.
Mr. Speaker, as our government firmly believed there were significant
opportunities to be realized through a partnership with the operations of Wabush
Mines and the Bloom Lake project, we were not prepared to give up or let the
prospect of such an arrangement pass by. It was our view that a successfully
negotiated arrangement would add to the life of Wabush Mines.
Mr. Speaker, the Premier personally intervened and spoke with representatives
of Consolidated Thompson in early February, at which time he impressed upon them
the benefits of continuing to hold discussions in an effort to secure a deal.
Today, Mr. Speaker, we are seeing the results of how that direct intervention
by our government helped to pave the way for an announcement that a deal has
been reached.
This is tremendous news for the employees of Wabush Mines, their families and
the entire Labrador West region. It will provide more stability and security for
those directly employed with the mining operation as well as for those
indirectly dependent on this operation for their livelihood. Furthermore, it is
also a significant advancement for the mining industry, specifically in
Labrador, and generally in the Province.
Mr. Speaker, I commend Consolidate Thompson and the mine owners for listening
to our encouragement and reaching an agreement toward a win-win conclusion for
both the Bloom Lake project and Wabush Mines.
I know I echo the sentiments of the people of Labrador West when I state this
is the most positive development that has happened for this mine in quite some
time. I firmly believe the cloud of uncertainty that has loomed over the future
of Wabush Mines has dissipated. A new and more certain future is on the horizon.
Great news for Labrador West, Mr. Speaker.
Thank you.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Cartwright-L'Anse au Clair.
MS JONES: Thank you, Mr. Speaker.
I want to thank my colleague for a copy of his statement prior to coming to
the House of Assembly.
We, too, want to congratulate Consolidated Thompson and Wabush Mines on
reaching a deal regarding the purchase of this mining operation in Wabush.
Mr. Speaker, I do not think there was a doubt in the minds of a lot of people
that this would happen because, as you know, the Bloom Lake iron ore project was
a perfect fit for Wabush and for Wabush Mines. The attributes of this mining
operation in Wabush to be able to carry out this project was very appealing to
Consolidated Thompson, and I think all members will agree, for it would allow
them to achieve their operations at a lower cost to their company in a site that
was already constructed, which helped them save substantial capital expenditure;
so, both financially and logistically, it made perfect sense.
Mr. Speaker, this is great news for the people of Labrador West and indeed in
Labrador. It not only sustains the jobs that exist at Wabush Mines but it helps
create more jobs in that particular area of our Province and helps sustain the
mining operation in that area into the long term, which is indeed a benefit for
all of us.
Mr. Speaker, what makes me grin in this statement is how the government is
desperately trying to take credit for the consolidation of this particular deal
and the purchase of Wabush Mines.
Mr. Speaker, we know that these are two very prominent mining companies in
the country and I am certainly sure that they did not need the intervention of
the government to see the real capital and fiscal benefits of being able to do
this.
MR. SPEAKER: Order, please!
The hon. member's allotted time has expired.
MS JONES: Mr. Speaker, may I have leave just to clue up?
AN HON. MEMBER: No leave.
MR. SPEAKER: Leave has been denied.
MS JONES: All right, thank you.
MR. SPEAKER: The hon. the Member for Signal Hill-Quidi Vidi.
MS MICHAEL: Thank you very much, Mr. Speaker.
I, too, thank the minister for the advance copy of his statement.
Obviously, it is good news that there is a tentative agreement and I, along
with the people of Wabush - I was speaking to some of them recently, since the
statement came out - look forward to a permanent agreement. As we know, all
tentative agreements are not firmly in place until they are there, and I hope
that is going to happen because the people in Wabush in particular, in Labrador
West, do need a sense of security.
I am interested in the fact that the Premier and government did play a role,
and that is good if they did, and I have no problem with that, but I think what
I would like to say to government is: Think about other roles that you can play
as well with regard to labour issues in the Province. Just as you played a role
here -
MR. SPEAKER: Order, please!
The hon. member's allotted time has expired.
MS MICHAEL: By leave, please, Mr. Speaker?
MR. SPEAKER: Leave has been requested.
AN HON. MEMBER: By leave.
MR. SPEAKER: Leave has been granted.
MS MICHAEL: Just as you played a role here, I think you should think
about the role that government has to play with all kinds of labour issues in
the Province, especially not labour rest, not labour unrest. We need labour
rest. Therefore, there is a role for government in taking a position with regard
to anti-scab legislation. I do not think government has to wait for others to
tell them what they do. I think government can take a position and let that
position be known.
Thank you, Mr. Speaker.
MR. SPEAKER: Further statements by ministers?
Oral Questions.
Oral Questions
MR. SPEAKER: The hon. the Member for Bay of Islands.
MR. JOYCE: Thank you, Mr. Speaker.
Today I have more questions about the government awarding of a contract for
jobs to Quebec firms -
MR. SPEAKER: Order, please!
I do believe that there was another ministerial statement -
SOME HON. MEMBERS: Oh, oh!
MR. RIDEOUT: It can be too late if that is the way you want to play it.
Go ahead, Mr. Speaker, and we will do it tomorrow, if that is the way the
Opposition wants to play (inaudible).
MR. SPEAKER: The Speaker understands there is no leave.
The Speaker will restart Question Period and recognize the Member for Bay of
Islands.
MR. JOYCE: Thank you, Mr. Speaker.
When in Opposition during the Voisey's Bay debate, Premier Williams stated
in the House: There are insufficient safeguards that the work and jobs will go
to Newfoundlanders and Labradorians. Not only are jobs going to Ontarians and
Manitobans, they are going to Quebecers as well. Shame on you!
Now with the construction of the long-term care facility in Corner Brook, we
know that the electrical, mechanical, and steel work will be completed in Quebec
for this $57 million contract.
Can the minister confirm what percentage of work will be completed in Quebec,
by Quebecers, work which could be completed by Newfoundlanders and Labradorians
in this Province? He did not know yesterday. Does the minister have the answer
today?
MR. SPEAKER: The hon. the Minister of Transportation and Works, and
Labrador Affairs.
SOME HON. MEMBERS: Hear, hear!
MR. HICKEY: Thank you, Mr. Speaker.
Mr. Speaker, we have tabled all the information that was requested by the
hon. member, but let me say this while he yaks about this from the other side.
Mr. Speaker, it was his government at the time that signed the
interprovincial trade agreement. We have two agreements here. We have one on
internal trade, interprovincial trade, of which Premier Clyde Wells signed. We
have another one with the Province of Quebec, Mr. Speaker, in March of 1998,
which was signed by then Premier Tobin with the Province of Quebec to allow the
opportunity for contractors and for workers between the two provinces.
Mr. Speaker, the Member for the Bay of Islands has no idea what he is talking
about. There are subcontractors from this Province that are gaining benefits
from this project. There are subcontractors from this Province that are gaining
benefits from this project. Mr. Speaker, there are workers from this Province
who are working on this project, I say to the hon. Member for Bay of Islands.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The Chair recognizes the Member for Bay of Islands.
MR. JOYCE: Thank you, Mr. Speaker.
Obviously, the minister did not do his homework because he just does not
know. Just to give the minister an example, excluding the work by the
engineering firm, minimal, 50 per cent of all the work of prefabrication and
other steel work will be done in Quebec. The minimal is 50 per cent of this
project will be done.
Mr. Speaker, again, while in Opposition Premier Williams made the following
statement during the Voisey's Bay debate, and I quote: The work is instead
being awarded to a Quebec company, Gagnier Transport. Explain why there are not
appropriate safeguards in place to protect provincial companies that hire
Newfoundlanders and Labradorians and carry on business in Newfoundland and
Labrador?
Mr. Speaker, there are safeguards in this Province. When submitting a bid
through the Public Tender Act companies are supposed to include a list of
subcontractors to whom they plan to award contracts. If this is not included,
this is a reason to exclude a company from the bidding process.
MR. SPEAKER: Order, please!
I ask the member to complete his question.
MR. JOYCE: Thank you, Mr. Speaker.
I ask the minister: Did the Quebec company, awarded this $57 million
contract, include a list of subcontractors to complete this work? If not, why
not?
MR. SPEAKER: The hon. the Minister of Transportation Works, and Labrador
Affairs.
SOME HON. MEMBERS: Hear, hear!
MR. HICKEY: Thank you, Mr. Speaker.
Mr. Speaker, just for the hon. member across the way, obviously, he is trying
to get a hold of something that is really not there. When we look at the
subcontracts for that site in Corner Brook, we have Marine Contractors from
Corner Brook, Mr. Speaker, who are doing the engineering; rebar from Harris
Steel in St. John's; rebar installation, Corner Brook, rebar from Corner
Brook; concrete supply from Atlantic rebar in Corner Brook.
MR. SPEAKER: Order, please!
MR. HICKEY: We have design services, Mr. Speaker, from Sheppard Case
Architects in St. John's; mechanical, electrical, Newton Engineering from St.
John's; structural, Atlantic Engineering from Corner Brook.
Mr. Speaker, Newfoundlanders and Labradorians are getting benefits from this
project, I can say to the hon. Member for Bay of Islands.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: Order, please!
The hon. the Member for Bay of Islands.
MR. JOYCE: Mr. Speaker, I will say to the minister again, in the Public
Tender Act, I think it is
section 27, a company has to list a number of
subcontractors that they have in the tender that are going to be used to be
approved by the minister.
I ask the minister: You did not name one of the subcontractors for the
mechanical, for the steel component or the electrical of this contract. Did this
Quebec company include, in
section 27, a list of subcontractors that are going
to be used? Yes or no?
MR. SPEAKER: The hon. the Minister of Transportation and Works, and
Labrador Affairs.
SOME HON. MEMBERS: Hear, hear!
MR. HICKEY: Thank you, Mr. Speaker.
Mr. Speaker, as I said earlier, it was that government on the other side that
signed the agreement, the Newfoundland and Labrador-Quebec Agreement on Labour
Mobility on March 6, 1998. They were the ones who did the deal with Quebec. They
were the ones who invited Quebec companies to come into the Province of
Newfoundland and Labrador.
Let me say this, Mr. Speaker, the construction industry in this Province does
not live in a bubble. We have companies that are doing business in Quebec. What
are we supposed to do, tell Joe Kruger to go back to Montreal, Transatlantic to
go back to Montreal, Air Labrador to give up a $25 million contract they just
received? Mr. Speaker, we live in a global economy and Newfoundland and Labrador
companies are participating in that economy, I say to the hon. member.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for the Bay of Islands.
SOME HON. MEMBERS: Hear, hear!
MR. JOYCE: Thank you.
I say to the Minister of Transportation and Works, Joe Kruger is using
workers from Corner Brook, the Bay of Islands and the West Coast.
I ask the minister, Mr. Speaker: If the company, Pomerleau, did not have in
section 27 a list of subcontractors for this work and if they changed the
subcontractors, will the minister immediately cancel this tender and protect the
jobs of Newfoundlanders and Labradorians and award it to the second bidder? I
ask the minister: Will you protect the jobs?
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Minister of Transportation and Works; and
Labrador Affairs.
SOME HON. MEMBERS: Hear, hear!
MR. HICKEY: Mr. Speaker, I have tabled the list of contractors, I have
listed the names of contractors, that are involved in this. Mr. Speaker, let me
say this, we are cancelling no contract for the long-term facility in Corner
Brook; absolutely not. That is a facility that is long needed by the people of
Corner Brook and we are going to build that facility sooner rather than later, I
say, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Leader of the Opposition.
SOME HON. MEMBERS: Hear, hear!
MR. REID: Mr. Speaker, my questions are for the Premier.
Mr. Speaker, in an effort to do damage control over government's
mishandling of the ER/PR test results, Mr. Abbott was removed last week as
Deputy Minister of Health.
I ask the Premier: What role did Mr. Abbott play in the ER/PR testing to
justify his removal from that department?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: As I have indicated in this House many times in the last two
to three weeks, this whole issue of the ER/PR testing at Eastern Health took
place between - the period in question was from 1997 to 2005, and issues in and
around what happened during that period, what were the causes, what were some of
the issues that gave rise to those differences -
MR. REID: (Inaudible) John Abbott last week.
MR. SPEAKER: Order, please!
MR. WISEMAN: - and issues that give rise to what may have happened during
that period, will be the subject of an inquiry. Mr. Speaker, we have announced a
judicial inquiry. We announced there is going to be a very public process here.
We are going to have a judge appointed to conduct an inquiry. It is going to be
an open process, a very transparent process. That individual will have the power
and authority to subpoena witnesses, to subpoena documentation and, at the end
of the day when that individual produces a report, that report will be made
public for all of the people of Newfoundland and Labrador -
MR. SPEAKER: I ask the minister now to complete his answer.
MR. WISEMAN: - and for the people in this House and anyone else who might
have an interest. Everybody will know all of the answers in and around the
issues pertaining to the ER/PR testing from 1997 to 2005.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Leader of the Opposition.
MR. REID: Thank you, Mr. Speaker.
The minister just gave us a chronology of what happened since 1995, and never
mentioned the deputy minister or why he was fired last week.
I will ask you again; maybe you can put your headphone in so you can hear me,
because you obviously didn't.
MR. SPEAKER: Order, please!
MR. REID: I ask you or the Premier: What role did Mr. Abbott play in the
ER/PR testing that caused you and the Premier to remove him from his position as
deputy minister?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: Mr. Speaker, I understood the question perfectly well. I
heard the question very clearly.
Let me repeat it again, because obviously the member opposite did not hear my
answer. I said, very clearly, and let me repeat, I said at that point, and I
will repeat it again, we have announced a judicial commission of inquiry. That
commissioner will conduct an open and transparent inquiry into any and all
issues in and around the ER/PR testing between 1997 and 2005, and any issues
coming from that in terms of who knew what, when, the flow of information, who
took what action. Any and all of those questions, I say, Mr. Speaker, will be
answered by this inquiry, and we will be announcing - I suspect the Premier will
be announcing, in short order - the name of that person who will be the
commissioner, the terms of reference for that inquiry -
MR. SPEAKER: Order, please!
I ask the minister now to complete his answer.
MR. WISEMAN: Thank you, Mr. Speaker.
As I said before, any and all answers with respect to that issue will be
addressed during that inquiry, I say, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Leader of the Opposition.
MR. REID: Mr. Speaker, I just hope that whoever does that inquiry does
not have to ask this minister anything, because he might be twenty years before
he gets an answer.
Again, not once did he mention why he fired, or the Premier fired, the deputy
minister last week. If he is trying to make it sound, because he was involved in
it, then I have to ask the minister the question: Why hasn't the Premier
removed you? You were over there in the capacity as minister, or parliamentary
secretary to the minister, all during this fiasco, so why are you still sitting
there?
Mr. Speaker, in local newspapers around the Province today, Eastern Health
are running full page ads to do damage control over how they handled the faulty
ER/PR tests.
I ask the Premier: How can you justify allowing Eastern Health to spend
thousands, and tens of thousands, of dollars on that type of propaganda when
there are so many other health care needs that need to be addressed in the
Province?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: Let me correct two things in the member's
preamble.
Number one, Mr. Abbott, the former Deputy Minister of Health and Community
Services, was not fired. Mr. Abbott was provided an opportunity to move to
another location, another department, as a deputy minister, I say, Mr. Speaker.
Mr. Abbott, made the conscious decision himself that he would pursue a career in
professional consulting, a personal practice that he had before coming with
government.
The second thing, I say, Mr. Speaker, on which I will correct the member
opposite, it is not Eastern Health going out and doing damage control. It is
Eastern Health going out and straightening out the facts and the
misrepresentation of facts imposed on the people of Newfoundland and Labrador by
members opposite in the line of questioning in this House and their comments to
the public, I say, Mr. Speaker.
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
I ask the hon. minister now to complete his answer.
MR. WISEMAN: So, it is very important - I continue to say in this House -
it is important to understand the facts around this issue. It is important to
understand the chronology around this issue.
MR. SPEAKER: Order, please!
I ask the minister and all members to respect the general rule we have, the
protocols of one minute.
The Chair recognizes the hon. Leader of the Opposition.
SOME HON. MEMBERS: Hear, hear!
MR. REID: Thank you, Mr. Speaker.
I guess what the minister is saying is that Mr. Abbott resigned as Deputy
Minister of the Department of Health, just like I guess Ms Joan Cleary resigned
from the Bull Arm Site. She was not fired either. You never even asked for her
resignation, I suppose, did you? She tendered that.
Mr. Speaker, Eastern Health claims in this very ad that all - all - patients
whose samples were being retested were notified. Now, the minister and the
Premier know that statement is both false and misleading because they were not
all notified, I say to the minister.
Now, last week the Premier dismissed the Deputy Minister of Health. Today, he
is allowing Eastern Health to spend tens of thousands of dollars on propaganda,
misleading information that they are putting out to the public.
MR. SPEAKER: Order, please!
I ask the member to put his question quickly.
MR. REID: I ask the Premier, Mr. Speaker: When is he going to do the hon.
thing and not fire anybody else? He should ask for the resignation of the
minister, the individual who is supposed to be responsible for what happened in
his department. (Inaudible) the honourable thing and ask for his resignation?
MR. SPEAKER: Order, please!
The hon. the Premier.
SOME HON. MEMBERS: Hear, hear!
PREMIER WILLIAMS: Don't hold your breath, because you will suffocate,
because this minister will not be asked to resign, I can tell you right now.
Neither will the other ministers who were involved be contaminated with the kind
of filth and the kind of smear that you want to put over everybody.
You have to stop playing politics here and you have to realize that this is a
very serious matter. You can wave your ads and you can talk about propaganda and
everything else, but this government is going to get to the bottom of these
health problems, and we are going to go about it responsibly, but this minister
will not be asked to resign.
This goes back to the 1990s when your crowd were in government. It goes all
the way through the last period when you were a minister of the Cabinet, all the
way through. So, if there is going to be responsibility here, you be prepared to
accept some responsibility as well.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: Order, please!
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
The Chair recognizes the Member for Humber Valley.
SOME HON. MEMBERS: Hear, hear!
MR. BALL: Mr. Speaker, according to recent reports from nurses,
Newfoundland and Labrador nurses are the second-lowest paid in the country;
second only, Mr. Speaker, to those in Quebec. We understand that a benefits
package is being negotiated with Quebec nurses that, if settled, will relegate
nurses in this Province to the lowest paid in the country. What is interesting
in Quebec, Mr. Speaker, is that the minister voluntarily identified the nurses'
issue and came forward to work with them to find a solution.
I ask the minister: Is he prepared to take this proactive step and do the
same for our nurses?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: In fact, we have done just that, Mr. Speaker. We have been
proactive. We have been aggressively working with them.
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
MR. WISEMAN: In fact, Mr. Speaker, just let me share with the member
opposite some of the things we have been doing.
We have been very successful this year in recruiting numbers of nurses. Each
of our health authorities have had a real success this year in recruiting
nurses, both from new graduates and from others who are coming back into the
workforce, so we have had some real success.
Some of our authorities have put in place some recruitment incentives:
relocation bonuses, signing bonuses, assistance with accommodations when they
are moving into some of the more difficult to recruit areas.
We have put together a working group, I say, Mr. Speaker, made up of
representatives of the Department of Health and Community Services, our Regional
Health Authorities, the Association of Professional Nurses, the Council of LPNs,
and the Nurses' Union, all working together collectively trying to improve the
quality of work life of individuals who are currently in the workforce, Mr.
Speaker.
MR. SPEAKER: Order, please!
I ask the minister to conclude his answer.
MR. WISEMAN: Mr. Speaker, it is difficult to answer such a question in a
short period of time because there has been such a long list of things that we
have done to improve the lot of nurses in this Province, I say, Mr. Speaker.
MR. SPEAKER: Order, please!
The Chair recognizes the Member for Humber Valley.
MR. BALL: Mr. Speaker, according to the recent reports that we have been
hearing, that not all nurses feel the same way or feel as optimistic about the
future in the Province as the minister does. There is also a very severe
shortage, not only in the Province, but in the Labrador portion where there are
250 nursing positions. Of the 250 nursing positions, there is actually forty
that is short. Certainly, what is being created here is the impact this is
having on the nurses rights to their allotted vacation time and with reports of
nurses having to quit just to spend time with their families.
I ask the minister: Will he acknowledge that what government is doing is
inadequate to overcome the challenges and will he commit, today, to strengthen
the benefits package of our nurses, especially those in Labrador, and retain the
ones we have to recruit more?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: Mr. Speaker, just to correct something in the
preamble,
Labrador is a part of Newfoundland and Labrador by the way.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: Mr. Speaker, as I said a moment ago, each of our health
authorities have had success in recruiting this year. I think in Labrador alone,
there has been sixteen new nurses recruited this year. There is a new initiative
underway with Inuit students to get them into the nursing profession, a new
initiative of this government. So we are working with some of the regions of our
Province that have some challenges in recruitment, and historically, had
challenges in recruitment.
Just to put this question in context, as well, not only his
preamble, in
acknowledging some of the challenges in nursing recruitment in Newfoundland and
Labrador, he could have expanded that statement and made the statement that this
is not only in this Province, but it is national, it is international.
MR. SPEAKER: Order, please!
I ask the minister now to complete his answer.
MR. WISEMAN: Thank you, Mr. Speaker.
The member opposite may have listened to the news last night and heard a
nurse from Ireland, heard another nurse from Australia, both commenting on the
significant challenges they have, because it is an international issue.
MR. SPEAKER: Order, please!
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The Chair recognizes the hon. the Member for Humber Valley.
MR. BALL: Well, Mr. Speaker, there is no question that the nurses
shortage is a global and, certainly, a national issue. Our concern here today is
for nurses in our own Province and the stories that they are sharing with us.
Just to build on this more, one of the more serious issues for nurses is the
extended hours that they are being pressured to work. We know of nurses who have
worked twenty-four hour shifts and this is not unusual that they work at least
sixteen hour shifts. Nurses are concerned about the ability to provide quality
care for these sick patients.
So I ask the minister: Does he consider nurses working such unacceptable
hours of providing the quality, quality care he speaks of in this House?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: Mr. Speaker, there is no one in this House, not a single
person any more interested in quality care than I am. That is my responsibility
as a minister.
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
MR. WISEMAN: The actions of this government, Mr. Speaker, clearly
demonstrates our sincere and genuine interests.
In 2006-2007, we have the highest number of nurses in this Province today
than we have had in our history. In the last year - since we formed government
we have had a 3 per cent increase in the number of nurses in this Province, I
say, Mr. Speaker. These are initiatives that we have undertaken. If you look at
this Budget year alone, in Estimates when we talked about the number of nursing
positions, in Eastern region alone, thirty-nine FTEs; Central, nine FTEs;
Western four FTEs; Labrador-Grenfell, five FTEs. Mr. Speaker -
MR. SPEAKER: Order, please!
I ask the minister to complete his answer.
MR. WISEMAN: Thank you, Mr. Speaker.
I just want to point out, Mr. Speaker, that I think these facts become very
important because it illustrates clearly, not only the investment we have made
in the nursing profession in terms of the budget increase, the number of new
positions we have created, but the quality of work life issues that we have been
attempting to address.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: Order, please!
The Chair recognizes the hon. Member for Humber Valley.
MR. BALL: A quality work life, in my mind, is certainly not around a
sixteen hour work shift, I might add there.
Another concern I have, Mr. Speaker, is the lack of opportunities for nurses
to engage in things like professional development and training. We have heard of
overworked nurses too busy to mentor their younger colleagues, those who are
entering the system. Today we are told of some nurses who could not even attend
the nursing conference now taking place here in the city.
So, I ask the minister: Is he concerned that the quality of patient care is
being further compromised by nurses not getting the proper training they need to
keep on top of their profession?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: Mr. Speaker, we are always concerned about the amount of
education provided to our health professionals. We have just witnessed very
recently the announcement we made of $6.2 million in Child, Youth and Family
Services. A significant piece of the Human Resource factor in there was
education, continuing education, ongoing education.
In our nursing, I mentioned earlier about the quality of work life
initiatives. We have a fund of some $300,000 that we have set aside to be used
by health organizations throughout the Province to provide continuing education
as a special kind of funding. In addition to that, Mr. Speaker, if you look at
the budgets of each of the regional health authorities, there is a significant
piece of that which is allocated to continuing education. All of our newly
recruited nurses go through an extensive orientation throughout the entire
organization, but when they get in each individual nursing unit, I say, Mr.
Speaker, there is very intensive ongoing orientation to those students.
MR. SPEAKER: Order, please!
I ask the minister to complete his answer.
MR. WISEMAN: Yes, Mr. Speaker
I think, Mr. Speaker, one of the things that the member opposite needs to
fully understand is that the issues in and around recruitment and retention are
not simple. They are complex, and we, as a government, have made a significant
effort and a -
MR. SPEAKER: Order, please!
Again, I ask the minister for his co-operation in respecting of protocols.
The Chair recognizes the hon. the Member for Humber Valley.
SOME HON. MEMBERS: Hear, hear!
MR. BALL: Mr. Speaker, it is well known that our population in this
Province is aging and the changing demographics will bring challenges for
improved and expanded health services. As the system looks to reduce the
hospital length of stays it also looks to the community to provide the necessary
supports.
A few weeks ago the Minister of Health and Community Services stated in the
House what would amount to about twenty-five cents an hour available to the home
support sector.
Will the minister confirm whether this money will be going directly to health
authorities or to the workers?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: Mr. Speaker, just so that the member understands the process
of how health authorities are funded. As a government, we pass in this House -
and we passed last week - a significant Budget. A big chunk of it, thirty-odd
per cent of it, $2.2 billion, was for health care.
In the areas of program delivery, the service delivery is the responsibility
of each of our four health authorities. We have created a piece of legislation
that creates these authorities and gives them the mandate to deliver health care
in this Province. We funnel money to them and they in turn pay for and provide
the programs and services. We give it to the health authorities who, in turn,
provides the funding for those agencies or individual home support workers who
are providing those services.
If he needs to understand the accounting process, it goes through the health
authority. It ends up in the hands of the health provides.
MR. SPEAKER: Order, please!
I ask the hon. minister to complete his answer.
MR. WISEMAN: They are the principal benefactors of the money at the end
of the day, I say, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: A final supplementary, the Member for Humber Valley.
SOME HON. MEMBERS: Hear, hear!
MR. BALL: Mr. Speaker, we all that was the process back in 2004 when the
Premier himself intervened in the VON strike in Corner Brook.
The 2007 Budget makes provision to provide the extra twenty-five cents, as he
said, to health authorities.
I ask the minister: How does he plan to address the home support workers
working in other areas, including some other agencies?
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: I am not sure I fully understand the question, to be frank
with you, Mr. Speaker. If he is talking about how the money flows to agencies,
agencies are contracted by families to provide services to the mothers, fathers,
aunts or uncles, whoever it might be. The agencies then are paid, because they
are contracted to provide the service. They are paid for that contractual
arrangement. The money that pays them comes from the health authority. The
health authority -
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
MR. WISEMAN: - in this particular case, the funds that the health
authority pays the agency provides for the direct compensation of the home
support workers. It provides for other benefits such as an EI fund and the
Workers' Compensation.
MR. SPEAKER: Order, please!
I ask the minister to complete his answer.
MR. WISEMAN: The rates, I say, Mr. Speaker, the contractually negotiated
rates, reflect enough money to pay the home support workers.
MR. SPEAKER: Order, please!
The Chair recognizes the Member for Signal Hill-Quidi Vidi.
MS MICHAEL: Thank you very much, Mr. Speaker.
My question today is for the Minister of Environment and Conservation.
Last night, this House passed our first Sustainable Development Act, long
overdue in a Province so dependent on natural resources development. This act
came after a consultation process which included referencing other relevant
legislation in the country.
I ask the minister to explain why the act, since it closely follows the
Manitoba act, and since his department's discussion paper included principles
and guidelines, does not include principles and guidelines, the heart of any
piece of legislation?
MR. SPEAKER: The hon. the Minister of Justice.
SOME HON. MEMBERS: Hear, hear!
MR. T. OSBORNE: Thank you, Mr. Speaker.
I can undertake for the Member for Signal Hill-Quidi Vidi to find out the
answer to that question. I am not directly familiar with the answer to that, but
I will certainly find out for you.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Signal Hill-Quidi Vidi.
MS MICHAEL: Well, Mr. Speaker, I guess I may have a bit of a frustrating
time this afternoon because all of my questions are for the Minister of
Environment and Conservation, but I will plug ahead and I would like to see a
response to my question in writing.
My next question, and maybe the minister speaking for him may know the answer
to this, even through the government chose not to include principles and
guidelines in the act, and the act is passed and that is not there, and that
runs counter to what is typical in sustainable development legislation and
policy across the country, it still would be very useful to have principles and
guidelines prepared earlier rather than later.
I am asking the minister if the minister will prepare a set of principles and
guidelines to present at the first meeting of the round table, that is the
showpiece of the legislation, so that the members of the round table have some
clear direction with regard to government's expectations?
MR. SPEAKER: The hon. the Minister of Justice.
SOME HON. MEMBERS: Hear, hear!
MR. T. OSBORNE: Mr. Speaker, the Sustainable Development Act was followed
by an extensive consultation process throughout the Province by a number of
stakeholders, a number of individuals, organizations and groups that had
extensive input into the Sustainable Development Act. It is a very comprehensive
act. It covers a wide range of areas related to the Sustainable Development Act,
Mr. Speaker.
At the first meeting of the round table, as the member suggests, I am sure
they will review her concerns, but I can assure her that the Sustainable
Development Act is very comprehensive, very detailed, and covers a wide range of
areas, and I am sure that the objectives of the act will cover the principles
that you are asking about as well.
MR. SPEAKER: The hon. the Member for Signal Hill-Quidi Vidi.
MS MICHAEL: Mr. Speaker, it is precisely because of the broad
consultation that I was so surprised that there were no principles and
guidelines in the act, because the discussion paper included them and people
responded to them. I responded myself. I put my response in writing, as well, to
the minister. That is why I am so shocked that the legislation does not have any
content with regard to the principles and guidelines.
A final question. The legislation says that the minister will draft the
indicators for measuring progress towards sustainable development. Mr. Speaker,
even though our act gives the minister alone the job of defining indicators, he
will obviously need to consult widely about their content, so my question for
the minister is: Will he be open to allowing the round table a more central role
in defining the first draft of indicators, not just respond to a draft he passes
them, given that the members on the round table will represent all stakeholders
and not just the government?
MR. SPEAKER: The hon. the Minister of Justice.
SOME HON. MEMBERS: Hear, hear!
MR. T. OSBORNE: Mr. Speaker, generally speaking,
an act passed in this
House will be followed by regulations. Generally,
an act does not include
principles or guidelines.
An act is legislation. Once gazetted, and once the
regulations are put in place, guidelines and principles are generally contained
therein.
Once the round table meet and discuss the progress that is made, and follow
the progress that is made as a result of the new Sustainable Development Act
which, I may add, this government is very proud of - it does follow an extensive
consultation, it was founded based on extensive consultation - I am sure that,
when we look at the progress that has been made, and measure the progress that
has been made, Mr. Speaker, if there are further changes that are required as a
result of that we will make those changes.
MR. SPEAKER: Order, please!
The time allocated for Question Period has expired.
The Speaker wishes to rule on a matter raised in the House on Monday, June 4,
regarding the use of unparliamentary language. During Question Period, the
Premier, in reference to the Leader of the Opposition, made the following
statement as recorded in Hansard. "He issued an incorrect release,
deliberately providing incorrect, inaccurate, misleading, untrue information to
the people of Newfoundland and Labrador."
Marleau and Montpetit, on page 522, gives guidance to the Speaker in this
matter, "Remarks directed specifically at another Member, which question
that Member's integrity, honesty or character are not in order. A Member will
be requested to withdraw offensive remarks, allegations or accusations of
impropriety directed towards another Member."
The Speaker rules the words, "deliberately providing incorrect,
misleading, untrue information", used by the Premier in his statement to be
unparliamentary and asks him to withdraw.
The hon. the Premier.
PREMIER WILLIAMS: No problem, Mr. Speaker, I withdraw those remarks.
AN HON. MEMBER: Thank you. (Inaudible).
PREMIER WILLIAMS: You are welcome. You are very welcome.
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
Presenting Reports by Standing and Select Committees.
Tabling of Documents.
Notices of Motion.
Notices of Motion
MR. SPEAKER: The hon. the Opposition House Leader.
MR. PARSONS: Thank you, Mr. Speaker.
I have had some discussions earlier - yesterday, actually, or late yesterday
- with the Government House Leader concerning the private member's resolution
for today. There was one that we submitted under the usual rules on Monday past;
however, because of the imminent announcement, apparently, by Minister Hearn
with respect to that issue, we felt it would be redundant to actually debate it
here today, so we agreed that we would draft another private member's
resolution, with leave, and proceed to do it today.
I spoke with the Government House Leader and with the Leader of the NDP, and
that was deemed to be okay, and it deals with health care.
MR. SPEAKER: The Chair would ask the floor, has leave been granted?
AN HON. MEMBER: Agreed.
MR. SPEAKER: It is recognized that leave is granted.
MR. PARSONS: It is being moved by the Member for Humber Valley, seconded
by the Member for Cartwright-L'Anse au Clair.
I will just read the resolve section.
BE IT RESOLVED that this House of
Assembly urges government to take immediate and decisive action to deal with the
recruitment and retention of health care professionals in this Province.
MR. SPEAKER: I thank the hon. the Opposition House Leader.
Further notices of motion?
Answers to Questions for Which Notice has been Given.
Petitions.
The hon. the Opposition House Leader.
MR. PARSONS: Actually, it is a point of order, Mr. Speaker.
MR. SPEAKER: A point of order has been raised by the hon. the Opposition
House Leader.
MR. PARSONS: Thank you.
I have been in and out today, some medical issues ongoing. Anyway, just to
point out that there seems to have been some issue, while I was out of the
Chamber, concerning a certain Ministerial Statement. I was not here, and was not
party to it, of course, and did not know what had happened.
Just for the record, there seems to have been some confusion today about
Ministerial Statements as well. I raise it as a point of order because we always
try to keep the Speakers, of course, and the Table staff in the loop when it
comes to what is happening.
There is a process whereby Ministerial Statements are normally delivered to
the Opposition at least thirty minutes before the day's commencement, and that
happened today, but it went off the rails a little bit, I guess. I actually
thought, because as Opposition House Leader I get a copy of all of these when
they come in, that I was given a copy of only two. I was personally given a copy
of one by the Minister of Justice which dealt with new interpretive services,
improvements. There was one from Minister Burke, I do believe, and one from
Minister Hickey, but all three of them weren't in the envelope, there were
only two in the envelope. That is why I actually thought there were two
Ministerial Statements today and not three. There seems to have been some
confusion.
That is aside from the issue of what happened here, who withdrew leave and
who didn't. There has been some breakdown in the process, that three didn't
find their way to our offices in the same order, because we were prepared to
respond to Minister Osborne and Minister Hickey. There was some confusion about
Minister Burke's in any case.
MR. SPEAKER: Speaking to the point of order, the Government House Leader.
MR. RIDEOUT: Thank you, Mr. Speaker.
Just a brief response.
I acknowledge what has been said by my colleague, the Opposition House
Leader, and I understand there was some staff person who was ill on this side as
well. That may explain the foul-up in terms of what was in the package.
All that had happened on the floor, of course, is that, when we realized
nobody had stood to carry on with another statement, we had requested that
perhaps we revert to statements, and leave wasn't given. That is fine, we will
carry on - I know the Opposition House Leader wasn't in his seat because if he
was that probably wouldn't have happened - but we will just carry on the next
parliamentary day.
MR. SPEAKER: Speaking to the point of order, the hon. the Opposition
House Leader.
MR. PARSONS: Mr. Speaker, given the confusion, I think, on all sides, if
the Government House Leader and the minister in question want to proceed with
the ministerial statement we have no problem taking it out of order and getting
it done today, if there is a timing issue here; no problem whatsoever.
MR. SPEAKER: The hon. the Government House Leader.
MR. RIDEOUT: I thank the hon. Opposition House Leader for his suggestion
and his co-operation, Mr. Speaker, but I think we are at the point in Private
Members' Day now, unless by leave, where we would want to carry on with
something else. We will do the statements the next parliamentary day and carry
on with the normal business that should be carried on with on Private Members'
Day.
MR. SPEAKER: The Chair recognizes that while the matter does not purely
constitute a point of order, there is a protocol we follow and the House
leadership are the proper persons and members to work out these arrangements.
I would also remind the hon. the Opposition House Leader about the protocol
regarding addressing members by their portfolios. This afternoon, he was rather
consistent in that particular matter, but I am sure it was inadvertent. That
happens sometimes, the Chair recognizes that.
Orders of the day.
Oh, I am sorry. The Chair had called Petitions, but the Chair didn't
recognize anyone standing at that time -
AN HON. MEMBER: (Inaudible).
MR. SPEAKER: There is time for one petition.
The hon. the Member for Fortune Bay-Cape la Hune.
MR. LANGDON: Thank you, Mr. Speaker.
For a moment, I lost my train of thought.
I have a petition here again today on behalf of the people of Ramea. I just
want to read:
WHEREUPON the undersigned, your petitioners, humbly pray and call upon the
House of Assembly to urge government to revisit their current position and
subsequently approve a groundfish licence for Ramea.
I will not go into all of the detail that I said yesterday, but, Mr. Speaker,
it is very important for the rural communities, rural, rural communities and
island communities, that they be treated somewhat differently than the norm and
the mainstream of the Province.
I think that in the situation here in Ramea, if we are going to sustain a
community then they deserve a groundfish licence. They already have an operator.
They have people who already deliver fish to their community, to be trucked to
all parts of the Province. That particular amount of fish that have been caught,
or would have been caught by the fishers out of Ramea, would provide a valuable
amount of work and employment for the people of that community. If that
groundfish licence could have been attained for the community, along with other
licences, then it could become a multi-species plant and a number of people
could find work there.
Mr. Speaker, once again, I will call upon the government to revisit that
situation. To look once again at the small rural, rural communities and island
communities to see where one policy does not fit all so that people in this
community, in this instance, might find employment.
Thank you, Mr. Speaker.
MR. SPEAKER: Orders of the Day.
Orders of the Day
Private Members' Day
MR. SPEAKER: As noted by the Opposition House Leader, the private member's
resolution under debate this afternoon stands in the name of the Member for
Humber Valley.
The Chair will dispense with the
WHEREAS clauses, and the
BE IT RESOLVED
section reads as follows:
BE IT RESOLVED that this House of Assembly urges government to take immediate
and decisive action to deal with the recruitment and retention of health care
professionals in this Province.
The Chair recognizes the hon. the Member for Humber Valley.
MR. BALL: Thank you, Mr. Speaker.
I guess the ongoing shortages in our health care system, as many would say,
has been discussed earlier today in Question Period. This has been somewhat, I
guess, a global, maybe even provincial in nature. Shortages have been existing
in our health care system for quite some time, as we all know. As I said earlier
in the House today, I guess our primary concern is actually what is going on in
our own Province.
To read the resolution as we presented it. It says:
WHEREAS there is a chronic shortage of nurses and other health care
professionals in this Province; and
WHEREAS many health care professionals are overworked and in some cases have
been denied vacation time; and
WHEREAS health care professionals are being asked to work unreasonably long
shifts; and
WHEREAS in many cases pay for health care professionals in this Province are
among the lowest in Canada; and
WHEREAS there have been several incidents where the health care system has
not provided proper health care services due in part to the shortage of health
car professionals; and
WHEREAS unions and other professional associations have raised concerns about
the current crisis and the possibility that it will further deteriorate in the
future; and
WHEREAS the current efforts to recruit and retain health care professionals
in this Province are not adequate to address the problem;
BE IT RESOLVED - as the Speaker says - that this House of Assembly urges
government to take immediate and decisive action to deal with the recruitment
and retention of health care professionals in this Province.
As I said, Mr. Speaker, the shortage of health care professionals is
something that we have all heard about throughout the country for sure, but to
merely just sit and accept the fact that our systems are short of our
professionals, really does not satisfy - I know the members on this side of the
House - our concerns.
We look to what would be the advantage of someone working in our Province.
Why would a health care professional come to the Province to work? What is it
that we do here, or do we have here that would be advantageous for someone to
stay home and work in this Province, or actually move in from some other
jurisdiction?
In yesterday's Globe and Mail we saw some tourism stats where many
people spoke - where it was suggested that the country as a whole is seen to be
very attractive to many people living outside as a place to actually visit. As I
said in this House before, not only is this Province a great place to visit, it
is indeed a great place to live.
What we offer is somewhat of an attractive lifestyle. This is a benefit, of
course, we must be able to take - we must see this as an opportunity and take
advantage of. If we are truly to take advantage of this, we must, of course, be
competitive in some other areas. They would be in terms of compensation
benefits, workplace issues that sometimes we have to deal with. We cannot be a
better place to live and have all of those attractive lifestyle issues if people
are being denied vacation, people are forced to work part-time hours instead of
full-time, because what this leads to, Mr. Speaker, is the inability to make
plans for people's lives. We have heard in recent weeks about people who
cannot plan vacation time for this upcoming summer.
So, what is the impact? What is the impact that the shortages have on the
workplace itself? What is the impact on our workers? We all know now, we have
seen recent reports that it certainly adds to a lot of stress in the workplace.
I was reading an article, actually just this morning, that we are the second
highest in the country of workplace stress among our health care professionals
and this is something in my mind that becomes a little alarming and certainly
something that government needs to address. We need to address it quickly
because, as we all know, if people have an opportunity to move, they will if
their workplace is stressful.
The other concerns that I would have, Mr. Speaker, in terms of our workers
and how the shortage in the workplace affects their lives, is just the
productivity of the workers. Workers are becoming tired. We heard earlier in
Question Period about workers being forced to work sixteen hours a day. Some
workers, for instance, in the Clarenville area, which is in the Eastern Health
Authority, one particular nurse told us a story of having to work a twenty-four
shift. Of course, we all realize that this may be an isolated incident but,
indeed, it is something we should never expect from any health care worker. So,
this less productivity and tired workers is actually having an impact on the
service levels and the care levels that we can actually provide.
The other thing, Mr. Speaker, about the shortage in health care
professionals, is that right now many professionals, including nurses,
physicians and pharmacists, and many others, are looking for ways they can
actually expand their role so that we can better utilize those health care
professionals. Nurses for sure, and LPNs, we all know have always looked for
areas where they can expand their roles so that we, as a health care system, can
better utilize their education and their training. This is very important to
them, but if we do not have the necessary human resources available, it is very
tough for those professionals to expand their roles. This, again, is another
impact that the shortage of health care professionals are having on the health
care system of today.
Then, Mr. Speaker, we have to look towards patient care. We ask ourselves, is
the shortage of health professional having any impact on patient care? There is
no question in my mind, Mr. Speaker, that patient care is compromised if we do
not have the necessary health care professionals. We have seen that throughout.
We have seen, I guess, Mr. Speaker, where people look towards the reduction of
length of stays and those sorts of things, obviously, because there are times
around bed closures and those sorts of things. We just do not have the necessary
human resources or staffing levels required to have those services available.
The other thing, Mr. Speaker, I asked is: What would be the impact of the
shortage of health care professionals? What impact would this have on our
communities?
When I look towards economic growth in our communities, I see things like
health care and things like education. These are almost pillars that we would
grow our communities from. If someone is to look at a place to live, a couple of
questions, I think, that most people would ask are: How accessible are our
health care providers? What is the education system like?
When we experience shortages in health care providers, or health care
professionals, there is no question, people will give second thought to take up
way, to those services.
Mr. Speaker, as I said, a shortage of health care professionals, not only is
it impacting the types of level of care that we provide, and the types of
service that we provide; it actually also impacts the way our communities can
grow because, as I said, health care services are certainly one of the major
pillars and foundations of community growth.
I wonder, when I look at this situation of health care shortages, I ask: What
is it that the Province can control? What is in the control of the Province? The
controllables', what are they? There are a couple of things that certainly
come to my mind. We can control, for instance, how many full-time workers we
have versus part-time workers. From time to time we have heard, in particular,
nurses are not satisfied just to work part-time forever.
I think what happens here is that they need to be given that option. Some
people might be okay to work casually or work part-time, but some others want to
work full-time and take advantage of the benefits that are associated with
full-time work, things like being able to plan their days off, things like being
able to take
part in a pension plan, and so on and so forth.
We have heard of many nurses, in particular, out there right now who had
problems attending birthday parties for their kids, and actually getting someone
to backfill a shift for them. In this day and age, Mr. Speaker, we do not see
this as being acceptable at all. People should be able to plan for time off, and
to do things with their families.
Mr. Speaker, we have heard now of consultations where nurses in particular,
again, as I said, have asked for meetings with various levels of government to
sit and discuss the staffing levels. Particularly in the Burin Peninsula we
heard stories of nurses identifying this problem, I guess, up to two years ago.
So, if this problem has existed for two years, this is something that should
have been addressed much earlier. This should not be left, and it should not be
left ongoing so, when we get to the eleventh hour, we have people not being in a
situation where they could plan for their summer vacations and so on.
This adds stress. How you would feel, how would any of us feel, if we had to
go to their kids with just two or three weeks left in school, still not knowing
if they are going to be able to get proper vacation time this summer? This, I
think, is certainly an unfair expectation and something that needs to be
addressed, as I said.
This consultation process between the health authorities staff and indeed
government themselves is certainly something that I would encourage, and
certainly something that needs to be done on a regular basis, and more of,
because right now it is certainly not successful.
Mr. Speaker, we talked a bit today about the shortages in nursing in
particular, but the shortage indeed is widespread. That is the reason why I
guess this statement talks about health care professionals as opposed to just
nursing alone.
We are experiencing shortages in physicians. We are experiencing shortages, I
know, in the profession that I spent almost thirty years at now, in pharmacists
again. These people, this is having an impact certainly on our recruiting and on
the long-term plans, I guess, that we would like to put in place for the
Province.
Mr. Speaker, I would also look at the impact. We have talked a bit about the
impact on the workers. We have talked about the impact that this is having on
communities. We talked a little bit about what is in our control. Mr. Speaker, I
guess I would like to talk a little bit about the impact that this is actually
having on the residents of the Province. What impact is this having on the
people who actually live in our communities, the people who are the residents of
Newfoundland and Labrador?
One thing for sure, Mr. Speaker, in terms of the shortages of physicians,
what we are seeing is longer wait times, people who do not have timely access to
patient care, to physicians, or even, sometimes, to nurse practitioners and
those sorts of people. This first line, this front line health care provider,
this even in my own district where there are some uncertainties in the number of
physicians that would be available even this summer.
The longer wait times is an issue. We are certainly seeing this amongst many
specialists. We are seeing this in diabetic education, for instance, Mr.
Speaker. We have a shortage of specialists. Some of the specialities we have not
been able to fill vacancies for a number of years now. This, as I said, leads to
longer wait times. What it also leads to is travel to appointments. Sometimes
people have to travel longer distances to appointments and this, of course, adds
cost to the residents in our Province.
What is the impact on the residents of our Province? We are seeing an impact
in terms of transportation costs. We are seeing an impact on longer wait times.
The other thing that we are seeing is the turnover rate. We are seeing many
professionals - in particular, physicians, I might add, who have come to our
Province and they just do not stay. They come for a brief period of time. Many
of them just come for a couple of years and then we see a resignation. Then we
have to wait again for someone to come in and take their place.
So, what we are losing here in this high turnover rate - what is important
about this, in particular, with physicians, is this physician-patient
relationship. It is very tough to foster that, and we all know how important
that is for patient care. We all know the confidence that people get when they
have a health care professional, in particular, a physician, that they can
identify with. The relationship is built and people become very familiar and
very confident with their physician, in particular, as I say, Mr. Speaker. What
happens, too, when those people leave, they just do not leave where we have many
construction workers and many people who are working in Alberta right now, is
that they work in Alberta and some of them decide to live in the province, but
that is not what we see. That is not the trend that we see within the health
care profession. Our health care providers, when they leave they uproot their
families and they are gone.
The other thing that we have heard much of in the last few days, and we have
all experienced this, I am sure, through friends of ours and constituents in our
own district, is what happens in an emergency room. When we have a shortage of
physicians in certain areas, what happens is a backlog gets created in our
emergency rooms. We are having people who are experiencing five and six hour
wait times in emergency rooms. There was a news
article done just, I guess, a
couple of weeks ago, where someone told a story of having to wait for up to ten
hours in an emergency room, and I do not think any of us sees this as something
as acceptable. Not only are long waits in the emergency room happening in rural
areas or in smaller areas, Mr. Speaker, they are happening right here in St.
John's.
Just about a month ago, I guess, Mr. Speaker, it was Nursing Week and it was
a celebration. I think there were some statements raised in this House about
Nursing Week. As I said earlier in Question Period, right now our nurses are the
second-lowest paid in the country. I guess depending on what happens in Quebec,
they could be indeed the lowest paid in the country.
So, Mr. Speaker, this needs to be addressed. There is no way that we are
going to be able to recruit and retain nurses in this particular Province if
their pay is not competitive. There is no question, we are hearing this from the
nursing profession. They do not feel their pay fully reflects the work that they
do for us right now. We are hearing stories of workloads, very high workloads,
working shifts without breaks, extended shifts, as I said earlier, up to four
hours added to the end of a twelve hour shift, which would be like sixteen hours
for someone to work in somewhat of a very high stressful situation. That is very
difficult to ask. Not only are they asked, but in some cases people are actually
pressured to stay because they cannot go if the staff is not readily available
to come in and work the shift that would follow. This is not happening - and we
are hearing it, and I am sure everybody is hearing the fact that nurses, in
particular, are pressured into staying and are pressured into adding hours at
the end of their shift, which is something that I cannot imagine. Having to do
this on a regular basis, I am sure, would be very difficult.
We brought up earlier about the positions in Labrador, where we have 250
nursing positions -
MR. SPEAKER: Order, please!
The hon. member's allotted time to make his introductory comments have
expired.
MR. BALL: Thank you, Mr. Speaker.
I will have time, I am sure, at the end of this to clue up. I will
conclude my statements for right now.
Thank you.
MR. SPEAKER: The hon. the Minister of Health and Community Services.
SOME HON. MEMBERS: Hear, hear!
MR. WISEMAN: Thank you, Mr. Speaker.
I am not going to stand here today and suggest that everything in our health
system is rosy. I am not going to stand here and suggest that we have an
abundance of every discipline that we find in our health system, but I do want
to enlighten members of the House and the people of Newfoundland and Labrador of
some of the real facts in terms of our current status.
Mr. Speaker, right now, today, as of March 31, 2007, we have the highest
number of physicians we have ever had in this Province, the highest number. Is
that enough? Maybe not. Are they located in the right places? Maybe not. Are
there some places where we do not have an adequate number of doctors? Yes, that
is correct. In terms of our success, in being able to attract physicians to
Newfoundland and Labrador and to keep them here, in March of 2007 there were 985
physicians in this Province, 481 general practitioners, and 504 specialists. The
highest number in our history.
In 2006-2007, we achieved the highest number of RNs in this Province. We
reached a total of 5,727, the highest in the history of Newfoundland and
Labrador. Since we formed government, we have increased the number of nursing
positions in this Province by 3 per cent. We have increased the number of social
workers in this Province by 9.2 per cent. If you look at this year's Budget
alone, just look at what we have done. If you look at the Eastern region,
thirty-nine FTEs. Now, to get thirty-nine FTEs, you probably recruited some
forty-seven, forty-eight individual positions. Central, 9.75 FTEs. Again,
eighteen or nineteen new nursing positions.
If you look at this year's success, Mr. Speaker. This year alone, Eastern
Health - the member opposite mentioned the process of working casual versus
permanent. Eastern Health alone, just one authority, converted 168 casual
positions to permanent full-time and they hired 100 new grads. Central Health
hired thirty permanent RNs. Western hired thirty-nine full-time RNs. Labrador
Grenfell Health hired sixteen RNs.
I say, Mr. Speaker, we are having some real success. Are we able to always
retain ever single person we recruit? Not necessarily so. The whole issue of
recruitment and retention is always a challenge. Look at the number of lab
technologists that we have recruited. There has been an increase in the number
of overall lab technologists since we formed government. I could go through a
list of others that we have had some success in recruiting. Are we continuing to
work to do so? Yes. Is the job complete? No. Is there more we can do? Yes. Are
we doing more? Yes, absolutely.
I just want to share some of these initiatives, Mr. Speaker. One of the
things that we have here in the resolution - the resolution calls on government
to start doing something. I say, Mr. Speaker, we started a long time ago. We
have been in government since 2003 and in that period of time we have made
tremendous strides in this effort.
I just want to share with the members opposite some of the things we have
done. I shared some of it earlier, as we talked about some of the things we have
done with nursing. We have put in place a working group, as I said earlier, with
the nurses' union, the ARNN, the Department of Health and Community Services,
and our Regional Health Authorities, put together a working group, focusing on
just that, that whole issue of recruitment and what it is we are trying to do.
If you look at the kind of structure we put in place. Now today, Mr. Speaker,
we have in place a team of individuals looking at quality work life issues. One
of the things we are doing, is we now have - within that group I just described,
there are three sub-committees. One looking at human resource planning, the
other looking at scope of practice, and the other looking at leadership.
I said earlier, we had a quality professional practice environment project on
the go. A project that we fund annually out of the Department of Health and
Community Services looking at quality of work life issues, I say, Mr. Speaker.
Just some of the things that we are doing to look at improving the quality of
work life. As I mentioned earlier, as a part of the current collective agreement
there are some $300,000 spent annually in quality initiatives to improve the
quality of work life.
Looking at what we are doing with the physician side, I say, Mr. Speaker. We
have made some tremendous strides in physician recruitment. Members call upon us
to initiate an action. Let me share with the members opposite what we have done.
For some time now, I say, Mr. Speaker, for the last year and a half or so,
together with the Department of Health and Community Services, the
Vice-President of Medical Services with each of our health authorities, together
with the School of Medicine, we have been working collectively, collaboratively,
developing a human resource strategy for positions in the Province, asking
ourselves: How many should we have; what kind of specialists should we have;
where should they be located; what is an adequate number of physicians to have
in a certain region of the Province; how many should we have on the Northern
Peninsula; how many should we have in Conception Bay; what about the Burin
Peninsula, how many should we have there; what kinds of specialty services
should we provide. All those sorts of things, Mr. Speaker, are becoming a part
of this strategy that we are talking about, that we have been working on for
some time, that we will have ready before the end of this year, because we are
working in collaboration with each of the health authorities.
Not just physicians, not just nurses, we have physiotherapists, occupational
therapists, speech language pathologists, medical physicists, just to name a few
of some of the other areas and some of the other disciplines where we have had
some challenges in recruiting in the past. There are small numbers of them, they
are very difficult to recruit, but for some time, I say, Mr. Speaker, the
Province of Newfoundland and Labrador has had seats that we sponsor, that we pay
for, at Dalhousie University, to provide people in the areas of occupational
therapy and physiotherapy so that they are able to come back to the Province.
We have bursary programs, I say, Mr. Speaker. We have invested new money in
our bursary programs to ensure we provide financial incentives for individuals
from Newfoundland and Labrador to attend these universities and colleges around
the country, to get the appropriate training to be able to come back and to work
with us in this Province, I say, Mr. Speaker.
When the members opposite call upon us to take some action, I acknowledge -
and I look at the resolution, I say, Mr. Speaker - that there are some areas
where we have had some challenges. Yes, we have some vacancies today. Yes, we
are recruiting nurses. Yes, we are recruiting physiotherapists. Yes, we are
recruiting occupational therapists. We are doing some recruitment in all these
areas, Mr. Speaker, with success, I might add. We do have some challenges,
though, in retaining individuals in certain locations. That is nothing new
today, that is not unique to this Province.
Look at Alberta. Alberta, because of the big population boom they are
experiencing, are short about 1,500 physicians today. It is a challenge for them
to recruit them. The richest province in the country having some difficulty, Mr.
Speaker, recruiting physicians.
Mr. Speaker, as I said when I started, I will stand here today and
acknowledge that, as a Province, as a government, we need to continue to do some
of the great work that we have done in the recruitment of many disciplines
within our health system.
As I look at the resolution, Mr. Speaker, I see words like chronic shortages,
suggesting that they have been long-term. I say, Mr. Speaker, I look at words
like crisis. Again, the fearmongering that we have seen in this House in recent
times, and actions that are not adequate, or suggesting that we need to start
immediately to take action, Mr. Speaker, that kind of language in a resolution
would suggest that this government has been irresponsible. It would suggest that
this government has not done anything.
I say, Mr. Speaker, nothing could be further from the truth. We have invested
large amounts of money. We have undertaken some major initiatives, in
collaboration with unions, with professional associations, in trying to address
the ongoing health needs of the people of this Province and we have it, Mr.
Speaker, with some success.
I am going to propose an amendment to the resolution that the members
opposite have put forward. That amendment more adequately reflects the current
day reality. That amendment to this resolution more adequately reflects the
initiatives that this government has currently undertaken but, more importantly,
Mr. Speaker, the amendments that I am proposing more accurately reflect to the
people of Newfoundland and Labrador what is actually taking place in this
Province and not what members opposite would tend to believe, or try to convince
people that this government has not done anything.
Mr. Speaker, if we look at the resolution itself, I am going to propose that
we amend the first recital by deleting the words "is a chronic
shortage" and inserting the words "are periodic shortages".
I also propose, Mr. Speaker, that we delete the recitals listed from 2
through 5, so the second, third, fourth and fifth recital we delete all
together, Mr. Speaker.
Then, when we get to the sixth recital, I am suggesting that we delete the
word "crisis" but we would insert the word "challenges",
because there are challenges but we are not in crisis, Mr. Speaker, and that is
important to restore confidence and for the people of Newfoundland and Labrador
to understand that they do have a capable, competent workforce providing quality
care to them.
Next, Mr. Speaker, I suggest that we delete the seventh recital as well,
where it says, "Whereas the current efforts to recruit and retain health
care professionals in this Province are not adequate to address the
problem".
Finally, Mr. Speaker, the resolution itself, amend the resolution by deleting
the words "take immediate and" and inserting the words "continue
to take".
As I say, Mr. Speaker, the way it is worded now suggests that we are doing
nothing. It suggests, Mr. Speaker, that this government has sat idly by for the
last three years and has done absolutely nothing. I say, Mr. Speaker, nothing
could be further from the truth because we have, in fact, been engaging many
stakeholders in this Province in a very aggressive recruitment initiative and we
have invested the necessary funding to have achieved the success that we have
experienced, Mr. Speaker.
I propose these amendments. I shared them with the Table Officers, and I
would ask for your ruling to determine if these amendments are in order.
MR. SPEAKER (Fitzgerald): The Chair has a copy of the proposed amendments
as put forward by the hon. Minister of Health and Community Services.
The House will take a brief recess now so that the Chair can consult with the
Table Officers and return very shortly to deem whether this particular
resolution meets the test of the day.
This House is now in recess.
Recess
MR. SPEAKER: Order, please!
The Chair will read the amendment as put forward by the Minister of Health
and Community Services.
The proposed amendment reads, "Amend the first recital by deleting is
a chronic shortage' and inserting are periodic shortages'
"Delete recitals 2-5 as follows:
"Whereas many health care professionals are overworked and in some cases
have been denied vacation time;
"Whereas health care professionals are being asked to work unreasonably
long shifts;
"Whereas in many cases pay for health care professionals in this
Province are among the lowest in Canada;
"Whereas there have been several incidents where the health care system
has not provided proper health care services due to part of the shortage of
health care professionals;
"Amend the sixth recital by deleting crisis' and inserting challenges'
"Delete the seventh recital as follows:
"Whereas the current efforts to recruit and retain health care
professionals in this Province are not adequate to address the problem;
"Amend the resolution by deleting take immediate and' and inserting
continue to take'."
The Chair has had an opportunity to confer with the Table Officers and refers
members to Beauchesne's 4 th Edition , 203, page 172
(8) which states, "An amendment, substantially the same as the original motion,
but omitting considerable matter of recital both of fact and law of said main
motion, is in order."
The Chair deems this amendment to be in order.
SOME HON. MEMBERS: Oh, oh!
MR. SPEAKER: Order, please!
The hon. the Minister of Health and Community Services.
MR. WISEMAN: Thank you, Mr. Speaker.
Mr. Speaker, I am pleased that the Chair has seen the wisdom of my
recommendation and has accepted the amendments because, as I said earlier, Mr.
Speaker, the resolution as it now reads, as amended, more accurately reflects
the current day reality and more accurately reflects the efforts of this
government and what is currently taking place in Newfoundland and Labrador.
Before I conclude, Mr. Speaker, my concluding comments will be clearly this:
I want to assure the people of Newfoundland and Labrador, and I want to assure
those individuals who work in our health care system, that we support and we
will continue to support the great work done by our health professionals in this
Province. We will continue to provide a competitive compensation package for
them. We will continue to strive and work with them to improve the quality of
their work life and to make improvements in the workplace to ensure that they
are not only pleased to come to work with these health organizations but will
want to continue to stay and work and grow, professionally and personally, in
those communities and with those institutions and with those employment
settings.
To the people of Newfoundland and Labrador, they can be assured that the
people who are recruited to provide health services in this Province are second
to none. They are capable, competent, qualified individuals who are dedicated to
their profession, dedicated to their patients, dedicated to their communities
and to their colleagues. That is the kind of individuals that we recruit. That
is the kind of individuals we want to retain. That is the kind of health service
that we have in this Province, and that is the kind of health system.
So, I salute each and every one of those individuals who are a part of our
great health system and I commit to working with them and the organizations that
represent them, whether professional associations or unions, to continue to
build on the successes that we have had and to continue to enhance the quality
of their work life.
Thank you.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: Order, please!
The hon. the Member for Grand Bank.
MS FOOTE: Thank you, Mr. Speaker.
I stand today to speak to the motion on health care professional shortage in
our Province introduced by my colleague.
Clearly, what has been done here today in terms of amending our motion,
certainly from our perspective, speaks volumes in terms of how this government
really feels about what is happening in our health care system today.
As I listened to the minister stand here and talk about the professionals
that we have working in our health care sector here in Newfoundland and
Labrador, and how much the government appreciates them and their hard work,
everything he says, if he truly believes that, he would never have suggested to
delete some of the recitals in this motion today.
We believe, like the minister says he does, that the people who are working
in our health care sector are hard-working individuals, they are professionals,
and because they are, they need to be rewarded for their hard work. They need to
be considered when decisions are being made about how much they should get paid,
how many shifts they should have to work, the type of benefits they are entitled
to, what their hourly wage should be. Those are all things that go into
considering what we need to do to not only retain our professionals that we have
in our Province today in our health care sector, but as well in recruiting them.
Now, what the minister has done here today on behalf of the government is
nothing short of being criminal, to suggest that we delete number two, where it
says, "..many health care professionals are overworked and in some cases
have been denied vacation time." That is terrible. It is absolutely
terrible, Mr. Speaker, because our health care professionals are overworked and
they have been denied vacation. How can you, in all fairness, stand in this
House of Assembly today, speaking to this motion, and ask to have that
particular recital removed from the motion?
Whereas health care professionals are being asked to work unreasonably long
shifts. My colleague raised it in the House of Assembly today in a question that
was put to the minister. We have knowledge of a nurse who had to work
twenty-four hours around the clock. This nurse had to work twenty-four hours,
yet the minister asked to have this particular clause taken out of the motion:
Whereas health care professionals are being asked to work unreasonably long
shifts. Now, is that a failure by the minister and this government to
acknowledge that this is happening? To me, it sure sounds like it.
Whereas there have been several incidents where the health care system has
not provided proper health care services due in part to the shortage of health
care professionals. Again, something that the minister has asked to have removed
from this motion. The President of the Newfoundland and Labrador Medical
Association and others have already said that a lot of the errors that are
occurring may very well be attributed to the fact that there is a shortage of
health care professionals. These are the people who are on the front line. They
know better than any of us here what the real situation is, yet the minister has
the nerve to stand in the House today and remove that particular clause from the
motion that we, as the Opposition, have introduced.
Whether or not the minister wants to believe it or not, this is reality in
our Province today. This is what is happening in the health care sector in
Newfoundland and Labrador. To amend the first clause, which says:
Whereas there
is a chronic shortage of nurses and other health care professionals in this
Province. To amend that to say, instead of a chronic shortage of nurses, that
there is a periodic shortage of nurses. It must make any nurse who is watching
this today cringe.
I would suggest to the minister that he might want to go and check the
dictionary, because I can tell you, from nurses that I have spoken with, nurses
who called our office, friends of mine who are nurses, that they believe there
is a chronic shortage of nurses. To listen to the minister stand here today and
go on and on about the investments in health care as if everything is coming up
roses. Now, he did say: Well, no, we do not believe everything is perfect. Well,
I guess on behalf of all of the people who contacted our office, I would like to
tell him, no, it is not. It is not perfect. I know it is hard for everything to
be perfect, but you can do a lot in terms of making a difference in the working
conditions of these professionals.
What I find so hard to understand today is with everything that has gone down
in our Province, in terms of health care, whether it is with what has happened
on the Burin Peninsula with the radiologist's work, whether it is what has
happened in Gander with the work of another radiologist, or whether it is with
respect to the faulty hormone receptor tests, how any minister can stand today
and speak about all of the investments they have made in health care since they
have become a government and try to use that somehow as a justification for why
they should not vote for this particular motion.
What they have done today, as a government, and what he has done, as a
minister, is taken a motion that reflects what is happening in our Province -
and you do not just have to talk to health care professionals to know that this
is reality. Talk to people who are using our health care sector and you will
find out very quickly that this is, indeed, reality today in Newfoundland and
Labrador.
Our health care professionals are overworked. There is a shortage of health
care professionals in our Province. Again, I would ask you to speak to those on
the front lines, speak to the doctors, speak to the nurses, speak to the LPNs,
speak to whoever you have to, our x-ray technicians, and they will tell you
there is, indeed, a shortage; contrary to the picture that the government is
trying to put forward here today.
I do not know how many people realize it, but today there are 70,000 people
over sixty-five in our Province. We have heard time and time again that we do,
indeed, have an aging population. If you think the demands on our system are
great now, just imagine what they are going to be five, ten, fifteen years from
now. This is a time when we need to make sure that we have a health care system
that is ready to respond to all of the issues that are going to come when our
aging population becomes even larger.
This is a serious, serious matter for us in Newfoundland and Labrador, and
unfortunately it would appear, from listening to the minister today, and the
amendments he has made to this motion, the government does not realize this.
Instead of getting up and acknowledging that there is a shortage, a chronic
shortage of nurses, they want to refer instead to a periodic shortage. Instead
of acknowledging that there is a current crisis in our health care sector - I
can tell you, the people who have been impacted by what has gone on here,
whether it is individuals who have had breast cancer, whether it is those who
have had X-rays done, or ultrasounds done, or MRIs done, all tests that have
been done that have to be read by a radiologist, all of the individuals who have
been impacted by what has happened here in the last while believe there is a
crisis here in our Province in our health care sector. The government has every
opportunity to take charge here, to acknowledge that there is a serious issue
here, and to help restore people's confidence in our health care system.
Instead of trying to hide from it, instead of trying to do something about
it, instead of acknowledging that this is a difficult time in our health care
sector - instead, they amend a motion to try and suggest that things are not as
difficult as not only we believe as the Official Opposition but what people in
the Province believe.
There are so many things happening in our health care sector today that it
behooves all of us to treat this seriously; because, you know, everything else
can be going fine but if we do not have our health then it does not matter what
else is going on in your life. If you do not have good health and you have to
avail of our health care system, you want to know that the advice that you are
being given, the diagnosis that is being given, and the treatment that is being
based on that diagnosis by your family doctor, is the right one.
If we have a shortage of nurses, if we have a shortage of physicians, if we
have difficulty with making sure that the diagnosis that is being done is
accurate, then no one - no one - can take any level of comfort from the health
care system that we are availing of.
The minister says there is no chronic shortage of nurses. Oh, yes, there are
pockets where we do not have enough nurses - that is the minister's take on
all of this. If you do not acknowledge that there is a serious issue here, then,
to me, that shows a total lack of respect for those on the front lines in our
health care sector who are telling you time and time and time again that there
is a serious issue here.
It is about respect. It is about respect for those who go into our health
care system and work twelve-hour shifts, and when they get off at the end of the
twelve-hour shift they are told: I am sorry, you have to go back and work
another twelve hour shift; or, we have nurses who work eighteen-hour shifts, or
we have nurses who cannot get a vacation. These are all serious issues and these
are people - the type of work they do in our health care sector is such that we
do not need to have people working who are overtired, people who are going to be
administering medications, people who are going to be taking your blood
pressure. We do not need people who are overworked to be working in our health
care system, and that is something we should all strive to make sure does not
happen.
Today is a great opportunity for the government to acknowledge that there are
serious issues here and, instead of amending the motion we have put forward, to
acknowledge that these are serious issues and, by working with all of the
organizations involved, all of the professional associations involved, find
solutions.
The minister can talk all he wants about putting in a working group, working
groups, to work with these various professional associations. If you do not
acknowledge that there is a serious issue here, and if you do not do something
about stripping away benefits from these very people who we hope to have around
to deliver quality health care in this Province, and if you don't acknowledge
that we need to pay them comparable wages, then you can have all the working
groups in the world and you can work around the clock but you are not going to
find solutions.
I listened to the President of the National Nurses Association that is
meeting here. I listened to her last night on the news. She said, you know, here
is an opportunity for Newfoundland to lead the way, to be creative in how it
negotiates and what it negotiates with their professionals, with their nurses
and with their doctors and with other professionals in the health care sector.
Lead the way, set an example for other provinces. Wouldn't it be nice to be a
leader, instead of having our people leaving Newfoundland and Labrador and going
to some other part of the country where they can get better benefits, certainly
a better wage package. We are even losing our young graduates because, of
course, they have education expenses. We are losing them to other provinces, we
are losing them to the States, where they can get paid much better wages and
they can pay off their loans a lot sooner.
We really need to look at our health care sector. We really need to look at
whether or not we should do something different for those in our health care
sector, for our nurses and for our doctors.
We talk about what we pay a radiologist here. It is about half of what they
get paid in other parts of the country, particularly in Ontario.
MR. SPEAKER: Order, please!
I remind the hon. Member for Grand Bank that her time for speaking has
expired.
MS FOOTE: Time to clue up, Mr. Speaker, please?
MR. SPEAKER: The hon. member, by leave?
AN HON. MEMBER: By leave.
MR. SPEAKER: The hon. member.
MS FOOTE: Thank you for the few minutes just to clue up.
It is a serious, serious issue that we are facing in this Province, and
whether or not the government wants to acknowledge that it is a crisis
situation, that is up to you as a government. All we can do is bring forward the
concerns that have been brought to our attention, continue to point them out,
hope that you are listening and hope that you are taking it seriously.
Instead of what the minister said today, by standing on his feet and amending
a motion that speaks to the very issue of what is going on in health care in
Newfoundland and Labrador, instead of doing what he did today, I call on the
government to acknowledge the seriousness of the situation we are facing and to
do something about it.
Thank you, Mr. Speaker.
SOME HON. MEMBERS: Hear, hear!
MR. SPEAKER: The hon. the Member for Terra Nova.
SOME HON. MEMBERS: Hear, hear!
MR. ORAM: Thank you, Mr. Speaker.
It is indeed a privilege to speak on this motion today.
I was sitting there thinking, as members were speaking, about this particular
motion. You know, there is a part of this motion that is actually pretty good.
It actually makes a lot of sense, I say to the Member for Humber Valley. When
you take all of the politics out of this, it is actually pretty sensible. In
fact, what I plan on doing in this next few minutes is actually showing how, at
the end of the day, this particular government is doing what we are asking for
in the last part of this motion, and that is, "Be it resolved that this
House of Assembly urges government to take immediate and decisive action to deal
with the recruitment and retention of health care professionals in this
Province."
I am going to show you how we are actually doing that. I do appreciate
anything that comes up, and any time we decide to talk about health care in this
Province, because, your know, it is strange but back a few years ago the number
one priority in Canada's minds in terms of what they felt their government
should do for them was health care. Now, of course, we know in recent months
that has actually changed - now it has become the environment - but I still
think that health care is among the top issues within our society today.
As I said, I am very pleased to speak on this motion and I have a few
comments to make about what we have been listening to today. As I always do,
every time I speak in this House, before I start talking about what we are doing
as a government and where we are headed as a government, I like to first of all
talk about what happened in the past. You know, before we go and look at the
future let's look at what was done in the past for health care in this
Province.
Well, what did health care actually look like in previous years? I can tell
you, Mr. Speaker, when you talk about health care and you talk about nurses, I
guess I am not much of an expert but I certainly live with a nurse because my
wife is a nurse, actually, Mr. Speaker. I remember back in the late 1980s when
she first got involved in nursing, and early 1990s and so on, I remember times
being very tough back then as well, Mr. Speaker. I remember, because Karen
worked at the hospital in Gander, James Paton, a lot of mornings it would be bad
on the road so I would have to drive her into Gander in order to get her in to
work because it would be bad for her to have to drive in. I remember going to
pick her up after work, Mr. Speaker. I remember driving into Gander, parking in
the parking lot, because she would get off at 7:30 p.m. Of course, we know it
was a twelve-hour shift and she was supposed to get off at 7:30 in the night.
Well, the fact remains, Mr. Speaker, that 7:30 p.m. would come and she would not
come out through the door, and 7:35 p.m. would come and she would not come out
through the door, and 7:45 p.m. would come and she still would not get out
through the door, and 7:50 p.m. would come and she still would not get out.
Sometimes 8:00 o'clock would come and she would not get out. Sometimes, Mr.
Speaker 8:15 p.m. would come and she still would not get out.
Why was that, Mr. Speaker? Back in the days when this government was not in
power, why was that? I will tell you the reason why, because they were very,
very busy. There were times when you had to deal with things that were going on,
on the floor, that you just could not walk away from, you could not leave.
Yes, there was a shortage of nurses back then as well. The fact of the matter
is that there was a shortage of health care workers back in the late 1980s and
1990s, and maybe even before that, Mr. Speaker, I am not sure. I cannot speak to
that because I do not have knowledge of that, but I certainly do have knowledge
of the times when my wife actually worked at James Paton Hospital. I can tell
you that it was very, very difficult.
I remember a time when we wanted to go on a family vacation to P.E.I. back in
the early 1990s. My wife had put in for holiday time, in the early 1990s - this
is a fact; she is a nurse, I say to the Member for Humber Valley - I remember
having to put those plans off. Do you know why? Because she could not get the
time off. At that time, she could not get the time off. There was no way that
she could get the time off because there was nobody to cover her shifts at that
time.
Again, I speak of this with first-hand knowledge because I remember our kids
being very disappointed because we actually could not go on that particular date
when we wanted to go to P.E.I. Is that unfair? Sure, it is. Is that difficult?
Sure, it is. It was hard on our family to have to do that. The fact remains
that, back then it happened. Does it happen today? Well, for his government to
say that it does not happen would be silly.
The problem that I have, though, with this motion is that, when we look at
the first
whereas and it talks about the chronic shortage of nurses and other
health care professions in this Province, I agree that at times there are. There
are, at times, problems with trying to provide enough staff to take care of the
people in this Province who need health care. It is a difficult situation. I
suspect it will always be a difficult situation.
The fact is, or the thing we need to talk about is, what is this government
doing to try to fix that? Is this government doing anything to try to fix that?
Well, first of all, if you look at our budget, from 2003 to 2007 our budget has
increased in health care $600 million. So, the first thing that we have done,
and we have realized as a government, it is very important that we put more
money into health care. The fact is that, in hiring folks, you have to have
money to hire them. You have to have money to retain them. I am pleased that
this government has put $600 million into health care.
Our retention rates, we have improved our retention rates of the physicians
we are recruiting. Approximately 80 per cent of MUN graduates that we recruit
are in practice in this Province after five years. There is another example of
retaining health care professionals in this Province. Those are all positive
things.
Again, as the minister already acknowledged, things are not perfect, no. We
know that. In fact, I think if we listened to, as the Member for Grand Bank had
said a little while ago, there was somebody on from the association of nursing,
and the Irish Nursing Organization, and they had actually said that this is not
just an issue in Newfoundland and Labrador; this is an issue throughout the
world. Certainly in Ireland, certainly throughout Canada, there is an issue.
Then if you look at the fact that throughout Canada there are jurisdictions that
obviously pay more than Newfoundland and Labrador for nurses but, guess what?
Here is the thing. Guess what? The fact is, even though they pay more, and quite
a bit more - I admit, quite a bit more because they do have more money than
Newfoundland and Labrador. The fact is that we do not have the riches that a lot
of provinces have in Canada. As unfortunate as that is, that is a reality, but
the thing is, even in places like Ontario, guess what? They find it hard to
retain nurses. They find it hard to retain medical professionals even when they
are paying the big bucks. The fact is that we are moving towards that.
If you look at registered nurses, and I am dealing with registered nurses
because I have to tell you - and I know all members on all sides of the House
will agree with this. I believe that nurses work very, very hard in this
Province. Nurses care for people, and I have seen it firsthand. I have been in
hospitals where I have seen nurses work very, very hard, and they do. We
acknowledge that as a government and I am sure this whole House acknowledges
that today. I am sure every side of this House will acknowledge that nurses work
very, very hard and they are on the front lines. The fact is, they are on the
front lines. They are providing services to people. I can tell you now, there
are certain people who are cut out for certain jobs. I would never be able to be
a registered nurse, I say. It would be very difficult for me to do that because
it takes a special type of person to be able to be a nurse.
What is this government doing for nurses in this Province? First of all,
registered nurses in Newfoundland and Labrador reached an all-time high in
2006-2007 with 5,727 practicing RNs. An all-time high, Mr. Speaker. That tells
me today that this government is moving in the right direction if we are now
seeing more nurses in the system than we ever saw before. That is a positive
step. It shows some positive ground that this Province is making. It shows some
good ground this government is actually making to retain and to bring nurses
into our system.
What else do we see? Approximately, 198 Bachelor of Nursing graduates are
expected in 2007. This does not include fast track students. In the fall of
2007, twenty-six graduates are expected from the Fast Track program and nine
graduates from the Nurse Practitioner-Primary Health Care program. Again, it
shows the commitment that this Province has, this government has to providing
more and more nurses to the system. Are we fixing everything today, Mr. Speaker?
Absolutely not. Would we like to fix everything today? Absolutely, we would.
The Member for Grand Bank, just a moment ago, had said that the hon. minister
was actually asking the questions and answering them. I guess I am doing the
same. We all recognize the fact that we have not done everything that we would
like to be able to do but we are moving forward. We are trying to make steady
progress here, Mr. Speaker.
This is the thing that I liked - when I read this today I felt really good
about it, in fact. Currently, there are sixteen Inuit students completing the
Integrated Nursing Access Program. Students who successfully complete the
program will qualify for application into year two of the BN program in 2007.
What does that do? What that does, Mr. Speaker, I believe, is it puts everything
into perspective in terms of Labrador. It ensures that we do have nurses. We
have medical professionals who are actually in Labrador, who are coming from
their homeland, who are studying nursing, who are going to go back to their
homeland, go back to rural Newfoundland and Labrador and they are actually going
to be able to work and they are going to be able to do things that are great in
rural Newfoundland and Labrador for the nursing profession.
Mr. Speaker, if you look at other things that we are doing. Eastern Health
has converted 168 casual positions to permanent full-time and they have hired
100 new graduates. I want to speak about that for a minute because, again, that
is a very important piece of all of this that this government is doing. That is
an important piece of our plan that we have for the medical system in this
Province.
Again, I want to go back to when my wife was a nurse. I remember when she
finished nursing school, it was very, very difficult to get a full-time job, Mr.
Speaker. There were lots of jobs around but they were casual positions. There is
no young person who can start their life off based on just a casual position. I
remember that was a big decision she had to make, should she leave the Province
to look for a full-time position or should she stick around for a casual
position. Mr. Speaker, I am talking about the early 1990s. I am talking about
the late 1980s when this happened. This is not a thing that has come up all of a
sudden in Newfoundland and Labrador since this government has taken power,
certainly not that. This is an issue that has been around for a long time. At
the time, she did take a casual position, but it did work into a permanent
position.
When you look at things that this government is doing, like providing 168
casual positions and turning them into full-time positions, again, that is a
good stride. That is a good thing that we are doing as a government. It is a
step forward. It is a move that is positive for the medical part of this
Province today.
Central Health has hired thirty permanent full-time RNs. Western Health has
hired thirty-nine permanent full-time RNs. Labrador Grenfell Health has hired
sixteen permanent full-time RNs. That is, again, good news for the Province and
it shows this government's commitment to health care in this Province.
Again, Mr. Speaker, I will go back to the motion for a moment. When we look
at the last part of the motion which - again, I do not think anybody in this
House would disagree. I do not think anybody in this House would say that we
should not urge government, that we should not take immediate action to deal
with the recruitment and retention of health care professionals. I believe
everybody on this side of the House believes that. I believe that through the
initiatives that this government has brought in, through the initiatives that we
continue to work on, that we are actually making sure that this is a reality. We
are doing this right now. It is not to the speed maybe that we would like to
even see it. We would certainly like to be able to see more and more nurses,
more and more professionals, more and more health care workers in our system.
The fact is, that it takes time, Mr. Speaker, and we are working towards that.
Budget 2007 acknowledged $1 million to be cost shared with original health
authorities to support an eight week orientation program for new nursing
graduates in front line practice. Again, another good initiative.
Budget 2007 provided $1.6 million in incremental funding to complete the
hiring of thirty-nine public health nursing positions approved last year.
Government is trying to put money where it is mostly needed, Mr. Speaker. We
are moving forward in the right manner. We are doing things that I believe are
the correct things to d