Debates of Feb. 18th, 2014

This is page numbers 3683 – 3722 of the Hansard for the 17th Assembly, 5th Session. The original version can be accessed on the Legislative Assembly's website or by contacting the Legislative Assembly Library.

The word of the day was housing .

Topics

Oral Questions

Members Present

Prayer

Canada’s Outstanding Principals – Simone Gessler

Financial Security For Operating Mines

Kakisa Fish Plant

Nursing Services In Tsiigehtchic

Nursing Services In Wrigley

Regulation Of Sugar Consumption

Naturopathic Doctors’ Prescription Abilities

2014 Northern And Dene Games Summit

Nursing Services In Small Communities

Support To Seniors

GNWT Position Vacancies

Nursing Services In Tsiigehtchic

Support To Seniors

Nursing Services In Wrigley

Regulation Of Sugar Consumption

Nursing Services In Small Communities

Extended Care Facilities For Seniors

Financial Security For Operating Mines

Kakisa Fish Plant

NWT Helpline

GNWT Position Vacancies

Naturopathic Doctors’ Prescription Abilities

Financial Security For Operating Mines

Medevac Air Ambulance Request For Proposal

Tabled Document 39-17(5): Government Of The Northwest Territories Response To Motion 26-17(4), Universal Affordable Daycare Tabled Document 40-17(5): Government Of The Northwest Territories Response To Motion 1-17(5), Sahtu Institute Of Technology Planning Study Tabled Document 41-17(5): Government

Creation Of Regional Land And Water Offices

Consideration in Committee of the Whole of Bills and Other Matters

Conclusion Of Consideration Of NWT Housing Corporation

Report of Committee of the Whole

Orders of the Day

The House met at 1:30 p.m.

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---Prayer

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Prayer

Prayer

The Speaker

Jackie Jacobson

Good afternoon, colleagues. Item 2, Ministers’ statements. The honourable Minister of Education, Culture and Employment , Mr. Lafferty .

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Minister's Statement 27-17(5): Canada’s Outstanding Principals – Simone Gessler

Ministers’ Statements

Jackson Lafferty

Monfwi

Mr. Speaker, I want to congratulate Ms. Simone Gessler, principal of Weledeh Catholic School in Yellowknife, on being recognized as one of Canada’s Outstanding Principals for 2014.

The Learning Partnership recently announced Ms. Gessler as one of 40 exceptional educators from across Canada. Through her leadership at Weledeh Catholic School since 2010, literacy rates have improved substantially, with 100 percent of students now demonstrating significant improvements in reading, sense of confidence and self-efficacy, and 70 percent are reading at or above grade level.

To achieve this, Ms. Gessler adapted the “Response to Intervention” approach to create a program aimed at improving literacy for all students. This program addresses the needs of students who struggle with reading and challenges the entire student body in a relevant and interactive three-tiered approach. The International Reading Association has recognized the program’s success and I presented Ms. Gessler with a Ministerial Award for Literacy in 2013 for her achievement.

Ms. Gessler now has the opportunity to attend a five-day Executive Leadership Training Program delivered by the internationally renowned Rotman School of Management later this month. Once complete, she joins some 300 exceptional educators that comprise the National Academy of Canada’s Outstanding Principals.

Ms. Gessler graciously attributes the successes of her school to the hard work and dedication of each of her staff. Under her leadership, teachers and

students work purposefully and her school is a place for learning directed at success for all.

Please join me in congratulating Ms. Simone Gessler for her passion and dedication to excellence in education. Mahsi, Mr. Speaker.

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Minister's Statement 27-17(5): Canada’s Outstanding Principals – Simone Gessler

Ministers’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Lafferty . Item 3, Members’ statements. The honourable Member for Weledeh , Mr. Bromley .

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Financial Security For Operating Mines

Members’ Statements

Bob Bromley

Weledeh

Thank you, Mr. Speaker. With devolution implementation in less than six weeks, GNWT assumes responsibility for mines, oil and gas installations set up under “modern environmental review processes.” Already an enormous responsibility, if we are unprepared, this could become an enormous liability.

Under today’s system, each project, mine or whatever is required to post financial securities as part of the review process. This is meant to provide money that protects the public and the environment from closure and clean-up costs even if the operator goes bankrupt. Until April 1st , this financial

security will be held by Canada, presumably with immediate transfer to GNWT on that date.

Mr. Speaker, the federal government has not collected all the financial securities approved by our management structures. I found one example of financial security where $263 million was approved by the Wek'eezhii Land and Water Board for a mine, but the federal government holds only $127 million in security leaving a gap of $136 million, greater than 50 percent.

Just recently a diamond mine in Nunavut shut down. Guess what. They have not paid their security deposit, so the federal government – i.e., the public – is paying the bill.

This raises a number of questions. How many sites? What is the total gap between approved financial security versus that actually held by the federal government for transfer? The Commissioner for Sustainable Development notes that Canada is

already liable for $8 billion in mine clean-up costs because of previous failures to hold security.

Will they hand over to us the financial securities held on the 1st of April? Will the GNWT and the

public be left on the hook for the substantial liability gap that exists?

Oil and gas operations also present a sticky problem. As of April 1st we will be the oil and gas

regulator, yet financial securities are apparently held by the National Energy Board in an office in Calgary. Is there a gap in the holdings there and how can we understand the level of liability we are assuming when we don’t even have a functioning oil and gas regulatory office?

Mr. Speaker, I seek unanimous consent to conclude my statement.

---Unanimous consent granted

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Financial Security For Operating Mines

Members’ Statements

Bob Bromley

Weledeh

While Cabinet proposes to roll out even more subsidies to the resource extraction industry, are they secretly deciding that fully paid security deposits are an unnecessary burden on industry that hinders our competitiveness?

We have spent the last week insisting we leave a positive heritage for future generations. This potential liability could do the exact opposite. I will have questions. Mahsi.

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Financial Security For Operating Mines

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Bromley . The honourable Member for Deh Cho , Mr. Nadli .

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Kakisa Fish Plant

Members’ Statements

Michael Nadli

Deh Cho

Thank you, Mr. Speaker. Like all Aboriginal people of the NWT, the people of Kakisa have fished for generations. Kakisa was established in 1962 when the Dene living at Tathlina Lake moved to the east side of Kakisa Lake to be close to the Mackenzie Highway.

Fishing is integral to their way of life. In late 2012, Noda Enterprises, the business arm of Ka’a’gee Tu First Nation, opened a fish plant in Kakisa. This basic fish processing and holding facility allows local fishermen to prepare pickerel for sale in the region as an alternative to selling to the Freshwater Fish Marketing Corporation.

In 2011 and 2012, the Department of Industry, Tourism and Investment made valuable contributions to the establishment of a fish plant through a funding arrangement that has now become the Northern Food Development Program.

There’s an increasing demand for fresh fish. The Northwest Territories has some of the highest quality fish in the country. It is a popular menu item at local restaurants. MLAs have long waited to see fish served in seniors homes, hospitals and other facilities. Operations like the Kakisa fish plant is an

important step towards developing local and regional markets.

It would be good for the community if the fish plant in Kakisa could stay open longer and serve more customers. Commercial fishery is a priority in the implementation of the Economic Opportunities Strategy. I support the government’s initiative to increase commercial fishing and want to see benefits extend throughout the Northwest Territories. We need to encourage people to work in the local fishing industry.

The fish plant in Kakisa is an example of how communities can work using traditional skills and a renewable resource. I encourage the Department of Industry, Tourism and Investment to work closely with fishermen and all interested communities to ensure the best use of public funds and help the commercial fishing industry in the NWT reach its potential. Mahsi, Mr. Speaker.

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Kakisa Fish Plant

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Nadli . The honourable Member for Mackenzie Delta , Mr. Blake .

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Nursing Services In Tsiigehtchic

Members’ Statements

Frederick Blake Jr.

Mackenzie Delta

Thank you, Mr. Speaker. On paper, this government provides quality health care to all residents no matter where they live, yet a select group of NWT communities does not have year-round nurses. Tsiigehtchic is one of them and it’s a stressful situation not to have reliable access to care, Mr. Speaker. Residents are fed up.

Being without a nurse in Tsiigehtchic isn’t for lack of trying. For years the community has been petitioning the Department of Health and Social Services for a year-round licenced practical nurse. The idea made it into the Health and Social Services 2010-11 Business Plan, but the Minister of Health eventually reneged on that commitment.

In the House on February 7, 2013, another promise was made. The former Minister of Health , the Honourable Tom Beaulieu , stated the department plans to continue to work with community leaders in the Beaufort-Delta Health Authority to try to provide nursing services in Tsiigehtchic. When I asked the Minister if he would commit to an interim measure, a pilot project to hire a licenced practical nurse, he gave an unequivocal yes. That was more than a year ago. Once again, nothing materialized.

Now, I have discovered that the new Minister of Health retracted his predecessor’s commitment. A meeting took place a few weeks ago in which the Minister informed the chief and a few others that an LPN would not be hired because of limitations posed by the service delivery policy.

Mr. Speaker, what doesn’t make sense to me is that the service delivery policy hasn’t changed since the Honourable Tom Beaulieu was in charge.

The lack of housing had been mentioned as a barrier, but that’s no longer a problem. The community has set aside housing specifically for nursing staff.

For far too long Tsiigehtchic residents have not had reliable access to health care. This government has to do better. The Minister of Health appears to be someone who can’t follow through on commitment.

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Nursing Services In Tsiigehtchic

Members’ Statements

The Speaker

Jackie Jacobson

Mr. Blake , the time for your Member’s statement has expired.

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Nursing Services In Tsiigehtchic

Members’ Statements

Frederick Blake Jr.

Mackenzie Delta

Mr. Speaker, I seek unanimous consent to conclude my statement.

---Unanimous consent granted

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Nursing Services In Tsiigehtchic

Members’ Statements

Frederick Blake Jr.

Mackenzie Delta

For far too long Tsiigehtchic residents have not had reliable access to health care. This government has to do better. The Minister of Health appears to be someone who can’t follow through on commitments. He will have an opportunity to repair his reputation during oral questions today. Thank you, Mr. Speaker.

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Nursing Services In Tsiigehtchic

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Blake . The honourable Member for Nahendeh , Mr. Menicoche .

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Nursing Services In Wrigley

Members’ Statements

Kevin A. Menicoche

Nahendeh

Thank you, Mr. Speaker. I am pleased to stand here today on our micro theme day on community nursing.

In theory, this government provides high quality health care to all residents regardless of where they live. In reality, there’s a two-tiered system. A handful of small communities don’t have year-round fully accredited health providers. Wrigley is one of them.

When the nurse isn’t there, except on a fly-in basis, residents don’t have reliable access to health care like the larger centres. This creates a scary situation when a serious medical emergency arises.

For years I’ve been pressing the government to staff empty nursing stations in Wrigley. We were told full-time nurses couldn’t be hired unless police officers were on site. In 2010 we seemed to be making progress by securing policing services. However, that is where everything came to a halt.

Although the former Minister of Health and Social Services , Ms. Sandy Lee, approached the Dehcho Health and Social Services Authority with a plan to enhance services in Wrigley, it was never implemented. It seems there was a peculiar disconnect as the regional authority disregarded the Minister’s recommendations.

Regrettably, the succeeding Minister of Health and Social Services withdrew the plans, stating that Wrigley didn’t meet the minimum threshold under the department’s service delivery model. The

reason given was the community has to have 250 people to warrant full-time nursing staff.

This delivery model must be revamped. I should not have to provide a report of the statistics on the rise of cancer, diabetes and heart disease in the communities. Health care shouldn’t be reduced to numbers. People’s lives hang in the balance. Who says because you live in a smaller centre, you can’t enjoy the same level of health care as the larger centres do?

Nurses play a critical role in the lives of people every day because there are no doctors in the communities. Often it is the nurses who help diagnose conditions such as cancer and diabetes at the earliest opportunity. Nurses providing preventative measures should be our goal in health care.

There’s another element. With the new oil and gas exploration in the Sahtu region, Wrigley is experiencing more traffic visitors and activity. Due to these changes, the community’s needs have begun to escalate.

At this time I seek unanimous consent to conclude my statement.

---Unanimous consent granted

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Nursing Services In Wrigley

Members’ Statements

Kevin A. Menicoche

Nahendeh

Thank you very much, colleagues, for being content with me concluding my statement. Due to these changes, the community needs have begun to escalate. It is the only community on the winter road from the Sahtu to the Mackenzie Highway. It’s about halfway between Tulita and Fort Simpson. There are no services in between.

We have been told in the House that the Department of Health and Social Services is currently reviewing options and creative ways to provide health care. I would like a report from the current Minister on plans to enhance nursing services in Wrigley and other small communities within Nahendeh.

It’s no secret that governments across this nation struggle to provide high-quality health care in small Aboriginal communities. Given that 50 percent of our Aboriginal population is smack dab in the midst of that statistic, I say it’s time for us to lead the way and refuse to accept the status quo by developing a plan that meets the community needs within the 17th Assembly. Thank you, Mr. Speaker.

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Nursing Services In Wrigley

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Menicoche . Member for Range Lake , Mr. Dolynny .

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Regulation Of Sugar Consumption

Members’ Statements

Daryl Dolynny

Range Lake

Thank you, Mr. Speaker. On the eve of National Nutritional Month in March, we recently were reminded of the nine-year success of the Drop the Pop campaign in the NWT, which I

want to commend all stakeholders for upholding and supporting all these years.

This campaign, which is part of the Healthy Choices framework, has done wonders to support the reduction and sometimes elimination of sugary beverages in our schools, promoting healthier eating and lifestyle management.

However, recently Canada has come under fire since the publication of a study in the journal of JAMA Internal Medicine that concluded people who get 25 percent or more of their daily calories from added sugar are three times more likely to die of heart disease. According to Statistics Canada, the average Canadian consumes upward of 26 teaspoons of sugar a day, which accounts for more than 20 percent of total calories, and further estimates that more than one-third of sugar Canadians consume is added by manufacturers to foods.

I can only assume, based on NWT’s eating habits and lack of affordable healthy food choices, our sugar consumption is much higher. The political spin on this is that our related health costs due to caloric obesity, hypertension, cardiovascular and diabetes are many times higher than the rest of Canada and, thus, we should be paying attention.

These national statistics are so alarming that the Heart and Stroke Foundation of Canada is planning to unveil new guidelines on sugar consumption sometime this spring and urging all levels of government to get involved. We are already seeing such organizations like the American Heart Association recommending a sugar limit of 5 percent of daily calories for women and 7.5 percent for men. Given all the data, it’s clear that we need to collectively toughen our stance on sugar, like our previous governments did with the Drop the Pop campaign.

Not wanting to leave things to chance, I will be proposing an action on sugar awareness program for the Minister of Health and Social Services and seeking his support on NWT promoting a less sugary world for our residents. Let’s see if his taste buds are up for the challenge. Thank you, Mr. Speaker.

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Regulation Of Sugar Consumption

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Dolynny . Member for Frame Lake , Ms. Bisaro .

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Naturopathic Doctors’ Prescription Abilities

Members’ Statements

Wendy Bisaro

Frame Lake

Thank you, Mr. Speaker. Today I want to discuss the need to allow naturopathic doctors in the NWT to write prescriptions and order tests for their patients.

Recently Ontario became the second province in Canada to give the green light for increased prescribing rights for naturopathic doctors. Their

announcement followed the granting of more powers to other health professionals in Ontario, such as midwives and registered nurses.

The leader in this area is British Columbia, who granted its naturopaths the right to prescribe a greater number of medications as well as high-dose vitamins, amino acid hormones, botanicals and herbs in April of 2009.

Though Ontario and BC’s naturopathic doctors are restricted in the types of drugs that they can prescribe, they will be able to provide patients with medication they would otherwise have had to seek at walk-in clinics, emergency rooms or by appointment with a medical doctor, a duplication of services wasting both time and money. This decision will decrease emergency room wait times and clear the way for speedier treatment of those who really do need to be treated in emergency rooms in Ontario.

Right now in the NWT, the patients of a naturopathic doctor must also have a medical physician to prescribe any required tests, a blood test for instance, and to prescribe any pharmaceuticals that they need, blood pressure medication for instance. They cannot get all their needs dealt with in one place at one time. It requires at least two different appointments with two different practitioners.

The number of naturopathic doctors in the NWT has increased considerably in the last couple of years and it continues to increase. We will soon have seven naturopaths to serve our needs.

It’s obvious that more and more Northerners are seeking naturopathic doctors and liking the services that they receive. It only makes sense for the NWT to recognize this increased demand and to accommodate our residents’ needs. We are behind the eight ball, not in front where we should be.

The Minister of Health must reconsider the department’s stance regarding naturopaths, embrace them as the professionals that they are, and make life so much easier for residents who like and want the service provided by their naturopathic doctor to be combined with the ability to prescribe tests and drugs. Thank you.

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Naturopathic Doctors’ Prescription Abilities

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Ms. Bisaro . The Member for Inuvik Boot Lake , Mr. Moses .

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2014 Northern And Dene Games Summit

Members’ Statements

Alfred Moses

Inuvik Boot Lake

Thank you, Mr. Speaker. Today I’d like to speak to a great event that combines both sport and the strong cultures, traditions and skills of people of the North, an event that brings our youth in connection with our elders and the leaders of the Beaufort-Delta. The opening ceremonies for the 2014 Northern and Dene Games Summit happened

yesterday at East 3 Secondary School in Inuvik, which was followed by a community feast.

Over the next couple of days, 245 students from all of the Beaufort-Delta communities ranging from grades 6 to 12 will participate in activities that will test their speed, their strength and their agility. Some of the activities they will be participating in are such things as the one foot high kick, the bench reach, the stick pull and Dene hand games.

The summit was established a couple of years ago by the Beaufort-Delta Education Council and staff at the East 3 Secondary School with the number one goal in mind to instill greater pride in heritage. The summit allows for the carrying on of our great teachings, our great stories and the legacy of our traditional lifestyles. The event will also promote friendly competition, learning traditional skills from elders, fair play, sportsmanship and storytelling.

I would like to wish all of the participants the best of luck and be safe, but most of all have fun. I’d also like to say a big thank you to the organizers, the sponsors, teachers, chaperones, coaches and volunteers who continue to make this summit an ongoing success. Thank you.

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2014 Northern And Dene Games Summit

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Moses . The Member for Sahtu , Mr. Yakeleya .

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Nursing Services In Small Communities

Members’ Statements

Norman Yakeleya

Sahtu

Thank you, Mr. Speaker. I, too, want to join my colleagues here on asking for nurses in our small communities. I think of this as a P3 project and in the departmental mission we are to promote, protect and provide healthy well-being to the people of the Northwest Territories, and certainly our small communities fit under that criteria as people of the Northwest Territories.

How long have our small communities done without any type of full-time nurses on a full-time basis? How many communities right now can truly say we do not have a full-time nurse in our community? We do have fly-ins, if the weather is good. We do have that, but we do not have full-time nurses in our communities and our communities are getting fed up, the haves and have nots. How can we sit here and still allow a community like Tsiigehtchic or Wrigley or Colville Lake not to have nurses while we enjoy them ourselves in our own communities? We take it for granted.

We hire local people to dispense medicine, to fix up sores, cuts or bruises, but we don’t have the security or the certainty of a nurse there. Those days are gone. The little house on the prairie is gone. We’ve got to have full-time nurses now, and I am looking for it from this government here, hoping that this government would set down a plan and say in the next 10 years this is what we are going to do, not reasons why we can’t do it. Reasons why we could do it and we

should do it and it must get done. Not yet, in my 10 years that I have been standing here and talking, has the government shown me a plan as thick as this that will tell us we’re going to be putting nurses in your communities each year. That’s what the people want.

I’m going to ask the Minister of Health some questions on why Colville Lake does not yet have a full-time nurse like all the communities in the North.

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Nursing Services In Small Communities

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Yakeleya . The Member for Hay River South , Mrs. Groenewegen .

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Support To Seniors

Members’ Statements

Jane Groenewegen

Hay River South

Thank you, Mr. Speaker. Last week I stood up in this House and talked about all the wonderful programs and services available in the Northwest Territories. Today I’d like to focus on one area. That is the area of support to seniors.

People are living longer in the Northwest Territories and we want to keep our population from declining by seniors thinking about having to retire in the South because of the challenges here in the North. In spite of all of our good programs, that’s something that we have to be concerned about.

I listed some of the support we do have for seniors, such as Pharmacare, vision care, driver’s licence cost relief, property tax relief, seniors emergency home repair programs, and then when you get into residential facilities owned by the GNWT, of course, we know that if a senior is over 60 and living in public housing or government housing that the rent is still very, very low. It’s not zero anymore, but it is certainly not means or income tested, and it is still very, very low. I forgot to mention the fossil fuel subsidy as well. That is another benefit to seniors living in their own home.

But I still think that we need to be very proactive as a government in assessing the needs of seniors coming up. We need to anticipate.

Now, I know that the Department of Health and Social Services keeps a lot of statistics, and I’m sure that Housing has some statistics, as well, but in the interests of ensuring the comfort and well-being and the continuance of our seniors living in the Northwest Territories, I would like to know if there is a central census database of any kind which is a proactive measure and contact means to stay in touch with seniors no matter whether they are living in a care facility, living in their own independent home, living in supported housing such as what the Housing Corporation provides.

I think that if we do not have a central database like that. We need one, because we need to anticipate the needs of seniors going forward and we need to be very proactive as a government.

I also think that the level of support to seniors, the degree of support to seniors needs to be more

level. I hear from a lot of constituents who are under extreme pressure right now with the cost of living. I can only imagine what it is like for people who are on fixed incomes and do not have the ability to go out and make more money. How much of their income, their fixed income goes towards those costs?

Later today I will have questions, I’m not sure if it’s for the Minister of Health or the Minister of Housing , about how we are anticipating the continuing and growing needs of seniors in the Northwest Territories.

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Support To Seniors

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mrs. Groenewegen . The Member for Hay River North , Mr. Bouchard .

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Support To Seniors

Members’ Statements

Robert Bouchard

Hay River North

Thank you, Mr. Speaker. I rise today to work with my colleagues on a micro theme on seniors. We know in the Northwest Territories that the population of the Northwest Territories is getting older and older and we are seeing a lot of forced expenses with that. We need to support our seniors whether they stay at home or whether they stay in facilities.

In this House over the last few years, you’ve heard us talking about the extended care beds in the H.H. Williams and the new health centre that’s going into Hay River and the fact that they’re not there. We’ve been able to get them in the budget, but the concern is what is the status of the future of Hay River seniors. How many seniors are going to be there, how much demand are we going to see in the future? The government has indicated that they are going to do a study, but we still haven’t seen anything about that study which was supposed to be completed by this year.

I will have specific questions to the Minister of Health about where that study is and what is the outcome for a regional centre like Hay River on the demands for seniors facilities. Thank you, Mr. Speaker.

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Support To Seniors

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Bouchard . Member for Yellowknife Centre , Mr. Hawkins .

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GNWT Position Vacancies

Members’ Statements

Robert Hawkins

Yellowknife Centre

Thank you, Mr. Speaker. I’d like to use today’s occasion to return to the northern jobs issue that I, as well as many of my good colleagues, have been raising over the past several days.

We all know very well that we pass compensation dollars here every single year and in every single budget, and we certainly expected that money to be used for the reason it’s passed. It’s difficult for me to go back to the taxpayer to say the government

needs more money and they’re not spending it the way we’ve appropriated it. They look and ask what are we really doing here.

Since I’ve been discussing this issue – and I, as well, extend credit to my colleagues here on this side of the House – I’ve been receiving calls and e-mails from across the Northwest Territories and even in small communities, asking where are those jobs as promised. How can the government stand up and say we have all these jobs that are sitting empty? They’ll fill them with casuals for short term, but why aren’t we employing them properly like we really should? How many vacancies are truly on the books in these small communities where every single job makes a huge difference?

I can’t tell you or anyone in this room who doesn’t already know how important a job is, because those jobs feed families, they buy Christmas presents, they even pay mortgages and rents in many cases.

As Members, we know very well human resource dollars were intended for human resources dollars, not to be used as O and M or capital. But as we all know, these job dollars sometimes find their way to cover O and M requirements and sometimes that’s millions and millions of dollars. Sometimes the human resource dollars aren’t being used and applied properly and they’re used as casual dollars instead of hiring people as we originally intended. Or even worse, if you have a small community maintainer position and you can’t fill it, why aren’t we using it as a transition work development type of opportunity? But, no, we’d rather leave it empty and use that money for other things.

Everything I’m talking about is things like human resources that aren’t properly spent, in my view and certainly the view of many others. If we just take simple facts, the rolling vacancy of the Government of the Northwest Territories is somewhere between 16 and 17 percent and that’s about $15 million. That’s a rolling vacancy.

Everything I’m talking about simply adds to this: the government deputy ministers and Ministers want the flexibility to do what they want to meet their objectives. They call this micromanagement; the public calls it accountability.

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GNWT Position Vacancies

Members’ Statements

The Speaker

Jackie Jacobson

Thank you, Mr. Hawkins . Item 4, returns to oral questions. Item 5, recognition of visitors in the gallery. Item 6, acknowledgements. Item 7, oral questions. Mr. Blake .

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

Frederick Blake Jr.

Mackenzie Delta

Thank you, Mr. Speaker. As I mentioned in my statement today, I’ve been told by my constituents that the Minister of Health and Social Services informed the chief of Tsiigehtchic

and others that a nurse would not be hired for Tsiigehtchic. The Minister did not even have the common courtesy to inform me of this.

I’d like to ask the Minister, why is the Minister of Health retracting the commitment made by the former Minister of Health and Social Services on February 7, 2013? Thank you, Mr. Speaker.

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Blake . Minister of Health and Social Services , Mr. Abernethy .

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

Glen Abernethy

Great Slave

Thank you, Mr. Speaker. As the Minister of Health and Social Services , my priority is going to be on the client, to providing the best services that we possibly can to the client. This includes residents of all communities throughout the Northwest Territories, including Tsiigehtchic.

In follow-up to the Member’s question, the department has agreed that we would start looking at alternatives and solutions for the small communities like Tsiigehtchic, Colville Lake and Wrigley and we will continue to do that, but we are limited by a number of things.

The current ISDM indicates service levels for communities and that there won’t be nurses in communities of less than 250 people. I can say that we do have regular visits to communities like Tsiigehtchic. On a regular basis, a nurse from the public health unit in Inuvik visits at least one day a week, and during freeze-up and breakup a nurse will actually reside in the community. We also have one CHR and one home support worker in the community.

I understand that more needs to be done. I am committed to working with the Member as well as residents of the community to find solutions that work.

I have directed the department to begin reviewing the ISDM to ensure that the right health services and the right mix are identified for our communities. Work needs to be done on that and I’m happy to work with the Member, with the residents of the community and with committee. Thank you.

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

Frederick Blake Jr.

Mackenzie Delta

The Minister actually brought up a good point and that point is that the community has a full-time nurse there five and a half months out of the year. So why is it so difficult for the Minister to ensure that we have a nurse in Tsiigehtchic for 12 months out of the year? Thank you.

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

Glen Abernethy

Great Slave

I know the Member doesn’t want to hear the same old same old, but the truth is we can’t put a nurse in the community on a permanent basis unless there’s an RCMP in the community, but I am interested in finding solutions and I’m sure there are solutions. If we work with the community, I’m sure we could find a balance that will give them the support and the coverage they need.

I have had an opportunity to talk to the public health nurse who goes in there on a regular basis and she talks about her interactions in the community and the good work that’s happening there, and I am interested in meeting and having further conversations with the community. In the meantime, we are going to look at our ISDM to make sure that we are finding the right balance for our small rural and remote communities throughout the Northwest Territories. Of course Tsiigehtchic is on that list. Thank you.

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

Frederick Blake Jr.

Mackenzie Delta

Just so the Minister is up to date with what happens in the community through breakup and freeze-up there’s also no RCMP in the community. So I don’t think that that’s a valid excuse.

As I mentioned in my statement, the community has done the work to set aside housing for a nurse in our community. Will the Minister work with the community leaders to find a way to put a nurse in that house? Thank you.

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

Glen Abernethy

Great Slave

The other challenge obviously is the fact that under our ISDM we don’t have one-nurse stations, so we would have a challenge there as well. I will not commit to putting a nurse in that house at this time, but I will commit to working with the community, with the committee, as well as the health authority to find solutions that work for all communities, including Tsiigehtchic. Thank you.

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Your final, short supplementary, Mr. Blake .

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

Frederick Blake Jr.

Mackenzie Delta

Thank you, Mr. Speaker. From what I understand, the policy doesn’t actually affect the licenced practical nurse as it does a full-time nurse. So will the Minister ensure that we make adjustments to the policy to make sure that communities like Tsiigehtchic have a proper nurse? Thank you.

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

Glen Abernethy

Great Slave

It’s a very complex issue and I know the Member knows this. I mean, there are health and safety issues for our staff, we have to make sure that we’re meeting certain standards, but there are also the health and safety issues of the community and we have to find that balance. As I’ve indicated, I’ve directed the department to look at their ISDM to ensure that the right balance exists within all of our communities throughout the Northwest Territories, including the small and rural and remote as well as the isolated communities.

We have to think outside the box, we have to look at other options, emergency response, we have to look at maybe expanding community health workers or community health representatives. We have to find a way that the residents have that seamless care that we’ve been talking about from their community into other centres. We are

committed to improving the system. We want better health, better care and better results for all our residents of the Northwest Territories. Thank you.

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Question 120-17(5): Nursing Services In Tsiigehtchic

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . The Member for Hay River South , Mrs. Groenewegen .

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Question 121-17(5): Support To Seniors

Oral Questions

Jane Groenewegen

Hay River South

Thank you, Mr. Speaker. Unfortunately, I’m not exactly certain who is the Minister responsible for Seniors in this government. Whoever it is, that’s who I’m directing my questions to.

What kind of proactive work is this government doing to establish a survey or a database of information on the up and coming needs of seniors? We say we want to keep seniors healthy, we want to keep them independent, we want to keep them in the North and I would like to ask, how are we anticipating the needs of seniors as our population ages? Thank you.

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Question 121-17(5): Support To Seniors

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mrs. Groenewegen . The Minister responsible for Seniors , Mr. Abernethy .

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Question 121-17(5): Support To Seniors

Oral Questions

Glen Abernethy

Great Slave

Thank you, Mr. Speaker. The department has a good relationship with the NWT Seniors’ Society. We also have statistics on the ages of all residents of the Northwest Territories. We work closely with the local seniors’ societies, as well, to make sure that we’re aware of what’s going on in the communities, and we are doing a number of things to make sure that seniors throughout the Northwest Territories are informed.

We did work closely with the NWT Seniors’ Society on the development of a Seniors’ Handbook, which basically outlines a lot of the different types of programs and services that are offered by the GNWT as well as other partners and NGOs. We are working to make sure that seniors are informed as much as possible, and we do collect statistics on population rates in the Northwest Territories on a regular basis.

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Question 121-17(5): Support To Seniors

Oral Questions

Jane Groenewegen

Hay River South

I do recognize the department does do a lot of good work with the seniors and for seniors in the Northwest Territories. I’d like to ask the Minister, how does that information they have on the age, health status, housing conditions, how does that translate, that information, into a plan to ensure that we continue to support seniors in the appropriate levels?

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Question 121-17(5): Support To Seniors

Oral Questions

Glen Abernethy

Great Slave

All the information that comes in helps inform decisions that we, in this House, make on both sides of the House. One of the things that we’re using some of that data for within the Department of Health and Social Services is the developing of an Aging in Place Strategy for the support of all of our elders in the Northwest Territories. This Aging in Place Strategy

was intended to be ready I believe it was October or November, but we didn’t have it done at that time. I wanted to see a few additional things put in there and have a few more conversations with committee, but I will have something to present to committee in short order with respect to the Aging in Place Strategy.

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Question 121-17(5): Support To Seniors

Oral Questions

Jane Groenewegen

Hay River South

That is also good news. I would also like to ask the Minister what the government’s position is or strategy is with respect to the sustainability of the support for seniors given that some seniors do receive an extraordinary amount of support, basically living without having to worry about the cost of fuel or they’re living in government accommodation and they don’t have to worry about the cost of fuel or the cost of power. They don’t have to worry about who they’re going to pay to shovel the snow off their driveway.

That cost, as compared to the cost of seniors who are much more supported, I think that would be a good way to describe it, what is the government’s plan to ensure the sustainability and fairness of the delivery of programs to seniors?

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Question 121-17(5): Support To Seniors

Oral Questions

Glen Abernethy

Great Slave

The bottom line is we know we have an aging population. We know that with an aging population we have additional challenges on our health care system, as well, on the supports that we do provide to seniors throughout the Northwest Territories. As the population ages, the costs will go up. We have to find ways to control our costs within the system. One of the ways we’re proposing is to support more aging in place and providing mechanisms to help seniors stay in their own homes for as long as they can before they have to transition into independent living or extended care or something like a dementia facility.

We collect the data and we’re developing plans that will help us control our costs, recognizing that we will likely see increased costs over time.

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Question 121-17(5): Support To Seniors

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Final, short supplementary, Mrs. Groenewegen .

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Question 121-17(5): Support To Seniors

Oral Questions

Jane Groenewegen

Hay River South

Thank you, Mr. Speaker. I’d like to take this one step forward. Does the government or the Minister know of any program that provides for reaching out to seniors who are currently living in their own accommodation to see how they are doing health-wise, expense-wise?

You go into buildings and you read in newspapers now and it says if you’re renting accommodation and you’re spending more than 30 percent of your household income on rent, come to the Housing Corporation and we’ll give you a subsidy. I’m not saying that’s a bad program; I’m saying that’s a very a proactive program.

I’d like to know what is our government doing to ensure that we actually know what’s going on with seniors who may not be coming to the local health centre, may not be coming to the local clinic or may

not be members of the local seniors’ society. What are we doing to reach out to those who may be in their own homes and who are suffering under the weight of either health challenges or cost of living challenges?

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Question 121-17(5): Support To Seniors

Oral Questions

Glen Abernethy

Great Slave

That’s an interesting question and interesting concept. One of the things we are doing is the Seniors’ Handbook, that I already mentioned, that identifies the different types of programs. That is distributed to seniors in the territory and they have access to it through their local and territorial seniors’ societies. But with respect to any other push-type activity, I will talk to the department to see what we have and I will get back to the Member.

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Question 121-17(5): Support To Seniors

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . The honourable Member for Nahendeh , Mr. Menicoche .

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

Kevin A. Menicoche

Nahendeh

Thank you very much, Mr. Speaker. I just want to follow up, as well, on nursing in small communities. The issue in Wrigley was they had the services there. They had policing and they had nursing. That was consequently withdrawn. So there are examples of nursing in small communities previously. We are asking again, let’s get these nurses back in the communities.

What progress has the department made towards hiring full-time nurses in Wrigley and other smaller communities? Thank you.

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Menicoche . The honourable Minister of Health and Social Services , Mr. Abernethy .

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

Thank you, Mr. Speaker. The community of Wrigley falls under the Tlicho Health and Social Services Authority, so the department has obviously been working with them to try to find a… Sorry, Dehcho Health and Social Services. Everyone looked at me all of a sudden. That can’t be a good thing, right?

It falls under the responsibility of the Dehcho Health and Social Services Authority. We have been working with them in the same way that we’ve been working with the Beaufort-Delta to try to find solutions for the small communities, Wrigley being one of them.

I can say that right now a community health nurse from Simpson visits the community three to four days a month, so there are people in there, nurses, on a regular basis. In addition, during freeze-up and breakup for four weeks twice a year we do locate the nurse in the community. So two out of 12 months there is somebody there and, on top of that, three to four days a month otherwise.

As I indicated previously, the department is reviewing the ISDM to ensure that the right health

service and the right mix of staff is available in all communities. I will work with the Member, I will work with committee and I will work with the communities to find solutions. At the end of the day we want the same thing, which is better health, better care and a better future for all of our residents.

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

Kevin A. Menicoche

Nahendeh

That’s exactly what the constituents want; they want better service.

The Minister brings up the Integrated Service Delivery Model. When the report came out in 2004, it was a step forward in moving towards enhancing services in our regions and communities. Has that model been re-examined since? Thank you, Mr. Speaker.

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

There hasn’t been what I would call or consider a fully comprehensive review, but it has been tweaked over time and will continue to be so. We will continue to do that in order to meet the needs of our residents.

I hear the Member, I hear all the Members. We need to do more to improve our services in those communities. I am willing to work with committee, Members and communities to find solutions that work, recognizing that not all communities are the same and not all solutions are going to be the same. We are going to review the ISDM with respect to the matrix or mix of staff that’s available in communities and I will certainly have discussions with my colleagues. Thank you, Mr. Speaker.

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

Kevin A. Menicoche

Nahendeh

It’s important and I’ve been making the case that with the increase in development in the Sahtu, the services of Wrigley are being impacted. There are needs there and I would like the Minister to review the Wrigley situation and say, yes, there is a definite need for an increase in services and work on that aspect, much like what happened in 1973 when they got a hospital in Fort Simpson, and policing and nursing in Simpson, because of increased development. Thank you.

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

Yes, we will do a review; yes, we will work with our Members; yes, we will work with the community and try to find solutions that work for them, recognizing that we do have some limitations in place or limitations affecting our ability to get actual nurses permanently located in the communities.

We are focused on and we believe in better health, better care and better results for our residents. We will do a review of the ISDM. Thank you, Mr. Speaker.

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Final, short supplementary, Mr. Menicoche .

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

Kevin A. Menicoche

Nahendeh

Thank you very much, Mr. Speaker. An additional point is we are already paying for nursing salaries, so it’s a matter of

getting them to the communities. Can you review that as well? Thank you.

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

As we look at the ISDM with respect to the mix of staff that’s available in small communities, we will look at all options and we will consider all opportunities. Thank you, Mr. Speaker.

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Question 122-17(5): Nursing Services In Wrigley

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . The honourable Member for Range Lake , Mr. Dolynny .

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

Daryl Dolynny

Range Lake

Thank you, Mr. Speaker. Earlier today I spoke of some alarming statistics involving our daily intake of sugar and some of the national guidelines that will be forthcoming from the National Heart and Stroke Foundation of Canada.

People, more than ever, are naturally hardwired to sugar and some have even coined sugar as a new tobacco of our generation. In the wake of the NWT’s successful Drop the Pop campaign, now, more than ever, the premise of an awareness campaign dedicated to sugar is highly warranted.

My questions will be for today’s Sugar Daddy, the Minister of Health and Social Services .

---Laughter

Mr. Speaker, the statistics quoted today were Canadian national averages from Statistics Canada. Does the Minister have any relevant NWT statistics on how much sugar is consumed daily by NWT residents? Thank you.

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Dolynny . The honourable Minister of Health and Social Services , Mr. Abernethy .

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

Thank you, Mr. Speaker. Based on the reality that we have high rates of diabetes in the Northwest Territories, I would say our rate is high. I’m agreeing with the Member. Unfortunately, I don’t have any statistics available on hand to indicate what the consumption of sugar is in the Northwest Territories. Thank you, Mr. Speaker.

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

Daryl Dolynny

Range Lake

I was hoping for a sweeter answer than that. I will challenge the Minister and his department to research this a little bit more thoroughly.

That said, can the Minister indicate, with the pending guidelines on sugar consumption coming soon from the Heart and Stroke Foundation of Canada, what is his department doing in preparation of this announcement? Thank you.

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

The Department of Health and Social Services is obviously doing a number of things to try to curb the intake of sugar and other things such as tobacco. We do have the Drop the Pop, which the Member so clearly

articulated. We do have dieticians and nutritionists available throughout the Northwest Territories to provide advice and guidance to our residents.

The Medical Association deals with patients on a regular basis. We have nurses in our communities who have well men and well women clinics encouraging people to eat healthy, live healthy, be healthy. Thank you, Mr. Speaker.

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

Daryl Dolynny

Range Lake

Sugar is an addiction of sorts, and like all addictions, one needs to understand the root cause of its abuse.

Can the Minister indicate what he’s doing to deal with the root cause of more affordable, healthy eating choices in all communities and specifically what is he doing with daily sugar consumption for our residents? Thank you.

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

A number of the health promotion activities that we are undertaking indirectly address some of the consumption of sugar. I’m not sure and I can really speak to the specifics of whether we have programs aimed just purely at sugar, but I will get that information for the Member. Thank you, Mr. Speaker.

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Final, short supplementary, Mr. Dolynny .

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

Daryl Dolynny

Range Lake

I appreciate the Minister for his contribution. One only has to look at some quick Internet searches to see all the worldwide initiatives and awareness programs around the reducing of our sugar intake. One such initiative, called Action on Sugar, aims to help people avoid hidden sugars and tackles awareness.

Given the call for obesity in the Northwest Territories, will this Minister commit to a concerted effort to reduce NWT sugar intake by mirroring a similar campaign made for the NWT? Thank you, Mr. Speaker.

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

I’m not familiar with the particular campaign that the Member is talking about, but I like the premise and I like the concept. I would certainly like to sit down with committee and discuss how we can reduce sugar intake in the Northwest Territories. Thank you.

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Question 123-17(5): Regulation Of Sugar Consumption

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . The honourable Member for Sahtu , Mr. Yakeleya .

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

Norman Yakeleya

Sahtu

Thank you, Mr. Speaker. My questions are in line with Mr. Blake and Mr. Menicoche . I want to ask the Minister of Health and Social Services how many communities are without a full-time nurse in their communities. Thank you.

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Yakeleya . The honourable Minister of Health and Social Services , Mr. Abernethy .

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

Thank you, Mr. Speaker. I believe that number is 10: Sachs Harbour, Tsiigehtchic, Colville Lake, Jean Marie River, Kakisa, Nahanni Butte, Trout Lake, Wrigley, Wekweeti and Enterprise. So 10, Mr. Speaker.

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

Norman Yakeleya

Sahtu

So think about it, 10 communities do not have full-time nurses. They have a layperson, CHR, they have nurses come in once a month, if the weather is good, providing the plane is there, the winter road. There are 10 communities that day in and day out have no health centres. I would appreciate the Minister willing to go to bat to look at the model. We need to change the model. He says, “think outside the box.” I think I want to tell the Minister, rather than think outside the box, we need to get out of the box and see what we can do.

I want to ask the Minister, is he willing to commit to the House and to the people in the 10 communities, to this side of the government and this Cabinet here to say we have a plan, we’re willing to do this and we are going to put nurses in one of those communities so that next time it will be nine communities or eight communities? Can the Minister do that?

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

I’d like to just correct my last remark; it is nine communities. Sachs Harbour does have a nurse in charge and a CHN, so it is nine communities, so good progress there.

Mr. Speaker, it’s a similar response that I’ve had before. We are going to look at the ISDM; we are going to work with the Members and the communities to try and find solutions that work. I can’t commit to putting nurses in those communities at this time because we haven’t done the work. We need to figure out what will work to provide the residents the best care, the best health and the best results that we can. So, I will do that work; we will do that work and we will have those discussions with committee and Members. Thank you, Mr. Speaker.

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

Norman Yakeleya

Sahtu

Mr. Speaker, this Minister works pretty fast. Now he’s down from 10 to nine. I wish he could be the speed of light and then next week we could think about how we could get nurses into our communities and drop those numbers.

Given these nine communities without a permanent nurse, is there any type of analyses done across the communities where there are unique approaches to having full-time nurses and different types of programs that can bring a full-time nurse into the communities, given that the safety and health concern is a balance that this government – we have about a year, or just about 500 days – can put a plan together? I’ve seen magic work in this government. Where they can put a plan together, a business case and say, let’s start on this plan, is that something the Minister is willing to commit to?

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

Mr. Speaker, I’ve committed to having the department do a review of the ISDM with respect to the mix of professionals in our smaller, more remote communities and I’ll do that. We do need to be clear: all these communities do receive support and do receive health care services from the Department of Health and Social Services and its associated health and social services authorities. Colville Lake, by way of example, has a CHN in there for three days a month from Norman Wells and they do have community health workers, so there is some level of support there.

We are trying to enhance our ability to provide emergency response in those communities, and one of the ways we’re addressing some of those issues is through Med-Response, where the individuals in the community, the CHW, nurses and whatnot, will have a direct link to a doctor or physician, nurse practitioner or nurse who can help them through challenging situations.

We want to do more emergency training in the communities so that people and residents are prepared and ready for emergency response. Those things are going to continue and we need to do those, but we will do a review of the ISDM with respect to the matrix and mix of professionals in the communities and I will share that with Members as we proceed. Thank you, Mr. Speaker.

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Final, short supplementary, Mr. Yakeleya .

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

Norman Yakeleya

Sahtu

Thank you, Mr. Speaker. Sometimes the Minister and some of the Ministers have gone to the Sahtu to realize what it’s like to live in the small communities. We can talk about it, but once you get into the small communities, then you really understand, because not everything is in books and written down; you have to experience it. So going into Colville Lake or Tsiigehtchic or Wrigley, the Minister then understands what people have to do on a 24/7 basis.

I want to ask the Minister again, we are talking about a $700 million business case to bring the hydro down south. Let’s look at our folks and look at serving our people first. Let’s put a business case together. You can do it. I know it can be done. That’s why we have you guys over there to put something like this to give us safety and security in our communities and to go back and say for another year we still have nine communities without nurses. I want to ask the Minister, with this commitment within the life of this government, put a nurse in our communities. That’s what we’re asking for. Look at the model and change the model.

I want to ask the Minister, will he do this for the communities that do not have nurses today as we stand here?

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

Great Slave

Glen Abernethy

Minister of Health and Social Services

Mr. Speaker, we will work with communities; we will work with Members; we will work with committees to find ways to enhance and improve services for all residents of the Northwest Territories, including those in the small communities of the Northwest Territories. Thank you, Mr. Speaker.

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Question 124-17(5): Nursing Services In Small Communities

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Member for Hay River North , Mr. Bouchard .

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

Robert Bouchard

Hay River North

Thank you, Mr. Speaker. In follow-up to my Member’s statement about the extended care beds in Hay River, I forgot to mention those valuable elders in our extended care facility, especially my mom.

My question today is for the Minister of Health . When will the study be completed on the extended bed facility in Hay River?

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Bouchard . Minister of Health and Social Services , Mr. Abernethy .

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

Glen Abernethy

Great Slave

Thank you, Mr. Speaker. I’m going to have to go back to the department because I’m not 100 percent sure what study the Member is talking about. I can say that Woodland Manor expansion was approved as part of the ’13-14 GNWT capital estimates during the fall 2013 session. We are moving forward with an expansion to Woodland Manor, which will include eight long-term care rooms, one palliative care room and one respite care room. Those rooms are available for long-term care as well. Thank you, Mr. Speaker.

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

Robert Bouchard

Hay River North

Mr. Speaker, my understanding was that they were going to do a study on the needs of the community. Being a regional centre, there would be a study seeing what the demands are for that type of facility and what the future requirements for that type of facility are. I’m just wondering if the Minister would get back to me on when that type of study would be completed.

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

Glen Abernethy

Great Slave

Mr. Speaker, Hay River currently provides accommodation for 25 long-term care residents. The Woodland Manor currently operates at 15 and the hospital there currently has 10. We are taking the 10 out of what is the old hospital. We are putting the addition onto Woodland and we’re increasing capacity, or maintaining capacity at 25 in Hay River.

As far as future facilities, we are doing the Aging in Place Strategy, which is going to help inform where we go from here with respect to care facilities in the Northwest Territories, and we will continue to work with the Housing Corp, who has done a significant amount of good work with respect to independent living facilities throughout the Northwest Territories.

With respect to the plan, I’ll get back to the Member.

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

Robert Bouchard

Hay River North

Mr. Speaker, obviously I’m concerned about the seniors facility that’s being built and the needs assessment that would be in the community of Hay River. We know the population is aging. We want to know what the demands are for five, 10, 15, 20 years from now. Obviously, the 10 beds in that facility are something that we’re pleased that they actually put that back in the budget because it should have been there all along, but we also want to know what the demands are for the community in the years to come.

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

Glen Abernethy

Great Slave

Mr. Speaker, a needs forecast for the entire Northwest Territories is going to help inform the Aging in Place Strategy. I will get back to the Member with that information. Thank you, Mr. Speaker.

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Final, short supplementary, Mr. Bouchard .

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

Robert Bouchard

Hay River North

I have no more further questions, Mr. Speaker. Thank you.

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Question 125-17(5): Extended Care Facilities For Seniors

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Bouchard . Mr. Bromley .

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

Bob Bromley

Weledeh

Thank you, Mr. Speaker. My questions are for the Premier on aspects of our Devolution Agreement from my statement earlier today. I would like to note

Schedule 7, Part E of the Devolution Agreement includes a list of potentially contaminated sites that will be transferred to the GNWT as of April 1st is my understanding.

Can the Premier confirm that we, the GNWT, will be receiving financial securities to cover all the liabilities accessed by our land and water boards when this transfer takes place on April 1st or what

the

schedule is? Mahsi.

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Bromley . The honourable Premier , Mr. McLeod.

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

Yellowknife South

Bob McLeod

Premier

Thank you, Mr. Speaker.In his Member’s statement the Member referred to the mine that was in Nunavut. Obviously, we’re not going to take that one over, but currently, through the Mackenzie Valley resource management authority, the boards will continue to set securities. The GNWT will set some securities on lands, GNWT lands.

will be transferred over to our Government of the Northwest Territories. Thank you.

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

Bob Bromley

Weledeh

Thanks to the Premier . Of course, I did refer to

Schedule 7, Part E. Maybe the Premier is not aware that Nunavut is outside of that, but that wasn’t in there.

It is clear that in many cases the securities have not been collected by the federal government. We’re talking about the lists that are going to be transferred along with their liabilities to the GNWT. So it’s hard to imagine how they will be transferred, these liabilities, these securities will be transferred to us in full. The Devolution Agreement allows

Schedule 7 of the agreement to be amended before April 1st .

So, if we’re not going to be able to collect securities for these sites that we will be responsible for, including securities, will the Premier commit to removing those sites from the list until the federal government has fully paid up security deposits and they have been transferred to us? Mahsi.

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

Yellowknife South

Bob McLeod

Premier

The list that has been identified are those that have securities, proper securities. There are some sites that are very small in nature or have no identifiable contamination that are part of that list that the Member is referring to. Thank you.

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

Bob Bromley

Weledeh

Thank you. I hope the Premier becomes more familiar with our agreement soon because in less than six weeks here we will be accepting operating mines that have been developed under modern environmental legislation and it’s those that I’m talking about. In fact, the federal government has only managed to hold less than 50 percent of the financial securities, so these are major liabilities that can erode any of the good work that this Premier is doing.

So, again, the list of potential liabilities include the oil pipeline from Norman Wells to the NWT border. What is the amount of security deposit that would be transferred to the GNWT as we assume responsibility for that pipeline? Mahsi.

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

Yellowknife South

Bob McLeod

Premier

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. McLeod. Final, short supplementary, Mr. Bromley .

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

Bob Bromley

Weledeh

Thank you, Mr. Speaker. I have to say finally an answer, sort of. I appreciate that.

On behalf of our public, there are many sites that we’re taking over and we will be taking on a lot of liability.

Will the Premier commit to providing the public and this House with a final list of the amount of security

deposits and the assessed liabilities for each potentially contaminated site? For example, operating mines that we’re taking over that will be transferred to the GNWT as of April 1st and will he

commit to doing this by March 1st so that we and

the public have a full understanding of the liabilities, potentially substantial, that we will be assuming, indeed, on April 1, 2014? Mahsi.

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

Yellowknife South

Bob McLeod

Premier

Thank you. The Member is quoting the list that he’s holding in his hand as part of the Devolution Agreement was correct and it had a qualifier on there that this was not the finalized list that will be finalized before April 1, 2014. We’re being very transparent, and subject to confidentiality requirements, we’ll be as transparent as this government has always been. Thank you.

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Question 126-17(5): Financial Security For Operating Mines

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. McLeod. The Member for Deh Cho , Mr. Nadli .

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Question 127-17(5): Kakisa Fish Plant

Oral Questions

Michael Nadli

Deh Cho

Mahsi, Mr. Speaker. My questions today are for the Minister of Industry, Tourism and Investment . Kakisa, of course, is a small community, but I’m very pleased to state that the community has been working together, especially to the benefit of the local fishermen. I think DFO has been involved with working with the First Nations community at the same time, and as a product of working together, a small building was constructed.

So my question to the Minister of ITI is: What resources are available for Kakisa to extend the operating season of its fish plant beyond the summer and fall? Mahsi.

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Question 127-17(5): Kakisa Fish Plant

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Nadli . The Minister of Industry, Tourism and Investment , Mr. Ramsay .

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Question 127-17(5): Kakisa Fish Plant

Oral Questions

David Ramsay

Kam Lake

Thank you, Mr. Speaker. We’re fully supportive of the initiative that the community of Kakisa has taken on in the development of a fishery there. We have the Northern Food Development Program that fishermen can apply for a marketing subsidy to get fish into the domestic market here in the Northwest Territories and that’s certainly something that’s available to the fishermen in Kakisa and something that, if they are interested in the program, I’d encourage them to talk to our staff in the South Slave about that program.

We’ve also had a great deal of success working with the community on the new building. We’ve provided some funding for that to happen and also the processing plant itself. It’s been a real good fit for the community. Thank you.

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Question 127-17(5): Kakisa Fish Plant

Oral Questions

Michael Nadli

Deh Cho

I’d like to thank the Minister for his reply. In the Economic Opportunities Strategy it’s clearly outlined that this government is going to be supporting the fisheries industry in terms of at least bolstering the efforts of the Great Slave Lake area.

What resources are available in 2014-15 for communities that want to develop the commercial fisheries? Mahsi.

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Question 127-17(5): Kakisa Fish Plant

Oral Questions

David Ramsay

Kam Lake

We’re going to take a real good run at revitalizing the fishery on Great Slave Lake in the coming years and we have some money set aside through EOS to let us accomplish that and we are also very much interested in getting other products and fish around the territory into the domestic market. We have a number of programs run through ITI totalling about $225,000 on an annual basis, so the programs that we do have available to community members and people that want to pursue fishing and pursue getting their product into the domestic market here in the Northwest Territories. Thank you.

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Question 127-17(5): Kakisa Fish Plant

Oral Questions

Michael Nadli

Deh Cho

The Minister has indicated that his staff at ITI should talk to the people of Kakisa to ensure that there is a possibility that beyond the summer and fall they could be operational.

Will the Minister work to ensure that that does indeed happen and that the carrier support from the GNWT will continue with the community? Mahsi.

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Question 127-17(5): Kakisa Fish Plant

Oral Questions

David Ramsay

Kam Lake

If there’s a possibility to extend the fishery in Kakisa into the winter months and if there’s a way that the department can help make that happen, that’s certainly something that we’re interested in seeing happen. I can also make a commitment today to the Member that we will have staff visit the community, talk to the community about the requirements to extend the fishery there. As well, according to my availability, I’d certainly like to accompany the Member to Kakisa for that visit by ITI officials. Thank you.

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Question 127-17(5): Kakisa Fish Plant

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Ramsay . The Member for Inuvik Boot Lake , Mr. Moses .

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Question 128-17(5): NWT Helpline

Oral Questions

Alfred Moses

Inuvik Boot Lake

Thank you, Mr. Speaker. Today I have some questions for the Minister of Health and Social Services in regard to some of the questions that I had posed yesterday. I go on to the website for the NWT Helpline and there’s a reference right on the top that says, “When you call, we will listen.” In fact, after I made questions in the House yesterday, I did get some correspondence from some of our community providers that work in counselling and they said they wanted to make a call to the NWT Helpline to see how helpful it is for some of the people that they might work with.

I’d like to ask the Minister, first of all, are the positions at the NWT Helpline, between the hours of 7 and 11 at night, a staffed position or is that a volunteer position?

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Question 128-17(5): NWT Helpline

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Moses . The Minister of Health , Mr. Abernethy .

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Question 128-17(5): NWT Helpline

Oral Questions

Glen Abernethy

Great Slave

Thank you, Mr. Speaker. I will answer that question, but I just want to give a little bit of background first. The Canadian Mental Health Association, the NWT division, made a decision to discontinue the NWT Helpline as well as other services while reviewing their current operations. To avoid any disruptions, the Department of Health and Social Services has been working with the NWT division to transfer ownership of the NWT Helpline, the phone number and the website, to the department.

The Department of Health and Social Services has an interim contract in place with Sykes Assistance Services Corporation, or Sykes, to operate the NWT Helpline until July 31, 2014. Sykes offers a number of speciality telephone line services across Canada and other countries, including roadside assistance to quick lines. The contract is in place for six months from February 1, 2014, to July 31, 2014, so that requests for proposals can be advertised, so we will be going out to seek a contractor.

The current contract comes in two phases. Effective February 1st we will have and we will see an

increase in operations from 7:00 a.m. to 11:00 p.m. seven days a week. This is an increase from 7:00 p.m. to 11:00 p.m. which we had previously. Services through individual people on the line include emotional support for crisis and non-crisis situations, referral to community-based services, engaging third-party services when required and support to concerned family members and friends.

We do have a second phase that is coming into place, which is going to increase the hours of service and operations to 24 hours a day, seven days a week, and that will be coming in on March 1st .

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Question 128-17(5): NWT Helpline

Oral Questions

Alfred Moses

Inuvik Boot Lake

All the information is appreciated, especially when you heard around the table today the lack of nursing services that we have in some of our small communities that need to access this helpline. What we heard today just right now from the Minister was definitely news to me in terms of the contract and also that the services were down for a while when the contracts were being put over.

Can I ask the Minister how was this mentioned to people of the Northwest Territories and to the communities? When I look on the website, there’s nothing that says that the services are going to be down at all, so how do people know that it’s down? He did mention February 1st it was starting up

again. I want to know if the services are actually in place right now as well.

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Question 128-17(5): NWT Helpline

Oral Questions

Glen Abernethy

Great Slave

Actually, interestingly enough, we had actually just approved the communications plan on this today and I was going to share all this information with the Members before I heard the Member make his statement today. We do have a communications plan. We are

going to share that. That will likely be to Members today, and that includes communicating this information to the public.

Just for the record, anyone requiring support for themselves or for their loved ones can call the NWT Helpline at 1-800-661-0844, and it has been operational since February 1st , and it operates from

7:00 a.m. to 11:00 p.m. March 1st it will change.

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Question 128-17(5): NWT Helpline

Oral Questions

Alfred Moses

Inuvik Boot Lake

It’s February 18th today. He

mentioned that the new contract takes effect February 1st .

Can I ask the Minister, in the contract layover, how many days was the phone operation not in effect? How many days was there nobody answering the phones at this service?

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Question 128-17(5): NWT Helpline

Oral Questions

Glen Abernethy

Great Slave

I did get a briefing this this morning and it’s my understanding that there was no disruption in services.

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Question 128-17(5): NWT Helpline

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Final, short supplementary, Mr. Moses .

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Question 128-17(5): NWT Helpline

Oral Questions

Alfred Moses

Inuvik Boot Lake

That begs to ask the question, why did I receive an e-mail from my questions based in the House the other day that when somebody tried to call there was nobody answering the phone? Not only that, when the phone continues to ring, there’s not even an answering machine to say, you know, nobody’s here to answer your phone, please call this number. There’s not that service, and I have to ask the Minister, what is he going to do to rectify that problem, putting an answering machine on the phone when it’s not being answered?

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Question 128-17(5): NWT Helpline

Oral Questions

Glen Abernethy

Great Slave

I’d certainly like the Member to share the details with me so we can make sure that that doesn’t happen again. That isn’t consistent with my understanding. If it was prior to 7:00 a.m. or after 11:00 p.m. they wouldn’t have got a response to their call. As of March 1st we

will be going to 24 hours. But with respect to this particular situation, I’d certainly like the Member to come to me and we can sit down and discuss it and see if we can make sure that this doesn’t happen again.

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Question 128-17(5): NWT Helpline

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Abernethy . Mr. Hawkins .

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Question 129-17(5): GNWT Position Vacancies

Oral Questions

Robert Hawkins

Yellowknife Centre

Thank you, Mr. Speaker. I appreciate the opportunity to return to the theme of jobs and, certainly, access to opportunities. We heard rightly from my colleagues, like Member Yakeleya, that, quite frankly, the average person wants to know why isn’t there a nurse in Colville or why isn’t there a community maintainer in Paulatuk or why isn’t there these plumbers in Fort Simpson. Like, why? When they hear of 1,150 job vacancies on that last snapshot, it causes great concern.

My questions, obviously, are for the Minister of Human Resources, and I’m going to say this: We passed the budget and we know that many of the positions are funded and those position dollars are moved to other positions. We also know for a fact that some of this job funding that we pass in this House is used for O and M, so the question really lies down to simply this: How many of these positions are we talking about that are specifically targeted at moving their job dollars to O and M funding and how much is that in dollars so the public knows what’s happening?

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Question 129-17(5): GNWT Position Vacancies

Oral Questions

The Speaker

Jackie Jacobson

Thank you, Mr. Hawkins . The Minister of Human Resources , Mr. Beaulieu .

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Question 129-17(5): GNWT Position Vacancies

Oral Questions

Tom Beaulieu

Tu Nedhe

Thank you, Mr. Speaker. That number is a fluid number. As of October 31, 2013, 35 positions were used between the departments and the agencies to cover other O and M requirements.

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Question 129-17(5): GNWT Position Vacancies

Oral Questions

Robert Hawkins

Yellowknife Centre

I want to ask the Minister for, quite simply, a clear and simple answer. We have 35 positions, which probably roughly