Sandy Lee

We have responded to all of the recommendations from the Auditor General. We accept those recommendations and we take that as on top as a pat on the back, these are the things that you could do to do even better. I just need to make that point clear, because our department and our staff and the management all across the Territories are working so hard to get the evaluation that we received from the Auditor General.

Mr. Speaker, on paragraph 24 of the Auditor General’s report she says, “Finally...” in the contribution agreement “they identify some performance indicators to assess the success of...

Thank you, Mr. Speaker. In the understated language of the Auditor General, the report that we received from Sheila Fraser is a Gold Medal Performance Report. I am so proud of the way she recognized the great work that we are doing. She’s told us that the Foundation for Change Action Plan lays out clear direction and goals and action plans to the authorities. She’s also indicated that we consult regularly and well with the authorities and it is due to the management and the staff of the department and the front-line authorities that we were able to achieve such a glowing report from the...

I hope the young debaters watching us in the House can carry their debates without using a word like “pitiful” and some silly words like that, Mr. Speaker.

Mr. Speaker, we take this work of reviewing the Midwifery Program very, very seriously. We only fund two positions in Fort Smith, which is not an ideal situation. We also have a situation in Yellowknife where we have one midwife. Mr. Speaker, I can assure the House that we are doing an in-depth review of this and we believe that we need a comprehensive, wide-ranging program to make a real business case for real dollars. We believe that we...

Thank you, Mr. Speaker. The Member is quoting two different letters and without knowing the specific context of what we were speaking to in 2009 and 2011, I think it’s unfortunate that he’s making such a generalization.

I want to just state for the record that I, as the Minister, and the department have been very clear that we support expansion of the Midwifery Program in the Northwest Territories. The program has been under stress because we had to go through renewing the THAF funding, which is from the money that we fund the Midwifery Program now. The next phase that we are working on for...

Mr. Speaker, I’d like to answer by reading her the department’s response to the AG’s recommendation on developing performance agreements. We stated that we agree improving governance and accountability to ensure that delivery of quality programs and services and consistent financial management is a priority in the Foundation for Change, which the Auditor General likes. “The Department of Health and Social Services system action plan for 2009-12 key actions identified under this priority include the implementation of a new funding methodology and development of performance and service...

It’s good to know that the Member agrees that we’re doing a good job, I just never heard her saying that. On page 11 of the Auditor General’s report, paragraph 29, the Auditor General said, “We found that contribution agreements between the department and the authorities included basic financial terms and conditions and corresponding reporting requirements. Current agreements specify that authorities shall use their contribution funds for categories of expenditures, including hospital services, physician services, medical equipment…” Basically the Auditor General is saying that our financial...

We have lots of anecdotal statements from those who use midwives to tell us how well that works, but we also believe that the Midwifery Program we have right now is too heavily medically-based, so we are going to be looking at the experience and examples of Nunavut, where they have come up with a model that is less medically based.

We also, as the Minister and the department, would like to see the Midwifery Program expand outside of Yellowknife, because Yellowknife has a lot more service from physicians and health care providers, but we would like to explore a model in regional settings where...

Because, Mr. Speaker, we have to be serious about the complexities of the budgeting process, the business plan process and the work required to give birth to a full-fledged Midwifery Program. As that letter indicated, we are reviewing the Midwifery Program and analyzing the cost requirements for 2011 and 2012 with a view to putting it into the fiscal year 2013-14.

Mr. Speaker, our department is doing the work that’s required to see what kind of resource requirements that we need to undertake in order expand the Midwifery Program we have. Thank you.

Mr. Speaker, I don’t know exactly what he is asking. Mr. Speaker, with respect to the naturopath issue, I received correspondence last fall. I asked the staff to meet with the person so that we could explain what the situation is with naturopath practice. Also, there was a concern that there might be a misuse of the word “doctor,” given that our Medical Profession Act states that it prohibits use of that word where there might be some misunderstanding that some people may be practicing medicine. I am just saying this because that is what the Medical Profession Act says.

There were meetings held...

Thank you, Mr. Speaker. I had an inquiry about this issue. I have asked my staff to meet with people in question. The meeting was held. Thank you, Mr. Speaker.