Debates of May 27, 2019 (day 74)
I think that the Minister was speaking about what is called the Nuka model, or something based on that. He mentioned that there is a pilot project going on in a few different regions. When can Hay River expect to become part of this pilot project or expect to have the end result of the pilot project fully implemented?
Nuka is a model that is very similar to what we are moving toward here, and we are certainly learning a lot from them, but it will be a made-in-the-North design. The primary healthcare reform is a system-wide initiative. Although our first six demonstration projects don't include Hay River, I want to be clear that Hay River Health and Social Services is participating in the planning and design process to ensure that they are a part of the effort from the very beginning. Although the pilot isn't happening in the community, they are definitely a part.
As we begin to implement integrated care teams in other parts of the Northwest Territories, we will be able to test these new approaches that might work well in Hay River and will likely work well in Hay River. We will certainly be helping with local staff, leadership, and residents to be more active once we start rolling those types of things out in the community.
Primary healthcare reform has been identified as a strategic priority for the Hay River Health and Social Services authority, and we look forward to them being part of our solutions moving forward.
Oral questions. Member for Hay River North.
Thank you, Mr. Speaker. I appreciate the thorough response. If this type of model is implemented, will there need to be staffing changes, like a reduction of staff? A change in staff? New positions? Can the Minister elaborate on that?
We are talking about a new model, and in many of these primary healthcare teams where we've seen, it does involve different types of staff working in different relationships. It doesn't necessarily mean we need to get rid of staff. It doesn't necessarily mean we need to add staff, but it does mean we need to change how they operate and work together and the structure that they provide services in. It could result in some job description changes. Those always have a potential of having some impact on employees, but we have proven that we are quite good at working with our employees to recruit and retain, and especially when they have skillsets that are very, very valuable in the Northwest Territories. Our front line providers clearly fit that, and obviously, we don't want to lose any of our professionals, but we need a system that really meets the need of our residents, and it needs to be designed with outcomes as a priority, and focus on our clients, not on the systems themselves. Thank you, Mr. Speaker.
Masi. Oral questions. Member for Deh Cho.
Question 722-18(3): Fort Providence Seniors' Facility
Thank you, Mr. Speaker. I wanted to thank the Minister of Health and Social Services on his recent visit to Fort Providence. They had a meeting that evening, and I think it was very clear that constituents were concerned about the well-being of elders. It's a known fact that we have an aging population in the NWT, and also Canada. This government has committed itself in terms of creating available beds at a specific date, and including beds, including facilities, and those facilities more likely will provide senior care and specialized care. I wanted to ask the Minister if he could update this House whether we're making progress in meeting those targets? Mahsi.
Masi. Minister of Health and Social Services.
Thank you, Mr. Speaker. Just to start off this conversation, I want to be clear that our priority is to help keep seniors in their homes first, their communities, their regions, and then, if they do require high levels of care due to different degrees of acuity, obviously they would need to be going to a long-term care facility. Long-term care facilities are those level four, five facilities where individuals' needs are significant. They need a greater degree of care that can be safely provided in a community. We built long-term care facilities where we also have physician positions located.
Having said that, we know we're 258 long-term care beds short by 2026. In the budget, we have already begun to move forward with long-term care beds in Hay River. We've got plans to move forward with long-term care beds in Inuvik. There are 72 long-term care beds going into the old Stanton, the Legacy Building. We're looking at, at least 30 new beds in Fort Simpson over the next couple of years. A lot of work needs to be done. We're still moving forward with the plan that I believe was presented both at the witness table and others over the years, and we are committed to getting that work done.
What I did not hear is reference to small communities, so that's the question that I have: what are the plans for the Minister and his department in addressing the needs for senior care and elderly care programming and facilities in small communities?
Under the Health and Social Services mandate, our responsibility is for the long-term care facilities. That doesn't mean that there isn't a responsibility for this government to move forward with living units for seniors, which the Housing Corporation has done. Over the last number of years, we have built or are in the process of building five independent living units for seniors throughout the Northwest Territories. I do have to applaud the Housing Corporation. They have worked very well with Health and Social Services to make sure that these new independent-living units for seniors have program space located within, where we have seen elders from the community go to and take advantage of different programs. We have seen that in Liard. We have seen that the in other communities. We will continue to work with the Housing Corporation to identify potential areas that they can explore for independent living. We'll keep working with them on design so that we can continue to evolve to meet the needs of our residents.
I understand that the facility in Fort Providence is being retrofitted and fixed up to meet current need. It's also my understanding that that upgraded facility will also have programming space, so we look forward to getting in there with our homecare teams and others to provide supports to the seniors who are actually utilizing those independent living units.
On top of that, Mr. Speaker, we continue to move forward with our continuing care action plan, and one of the first priorities on that is to do our test piloting of the family and community caregivers, pay caregivers, that we're hoping to roll out as a pilot in the next couple of months.
My other question that I have, I think the Minister made reference to it. The Minister said that they're undertaking pilot projects in terms of delivering, and caretakers, and family care program initiatives across the NWT. Is there a particular region that they're focusing on? Is it specifically for bigger regions, and perhaps not small communities?
When I stood up, I actually knew the answer to that question, and now, I've completely blanked. I know that we're trying to do the family and community caregivers across a wide-range of communities, and small communities, regional centres, but I have completely blanked. I will commit to getting the Member that information.
That was a real blank answer. Oral questions. Member for Deh Cho.
Thank you, Mr. Speaker. What I wanted to ask is the Minister noted an interesting initiative between Health and Social Services and the Northwest Territories Housing Corporation to try to not encourage, but to meet the interests of elders who want to live in their homes for as long as possible. Is there any immediate initiatives that could encourage or else at least reassure elders who want to live in their homes that at some point, there could be some tailored or customized programs to meet their needs, whether it's building access ramps for the wheelchairs, or whether it's for enhancements in terms of doorways, perhaps, upgrades, the Minister will need some cooperation with the Housing Corporation?
In short, yes, the Housing Corporation does have a number of programs around accessibility that seniors can use to do upgrades to their places to ensure that they can stay there safely for as long as possible. We've had a really great relationship with the Housing Corporation when it's come to the independent living units. They've really worked with us to make sure there's program space, and they did participate in the development of the Continuing Care Action Plan. It's not a Department of Health and Social Services action plan. It's a whole-of-government action plan. We really understand and want to, as much as possible, keep our seniors in their homes as long as possible, and the Housing Corporation has stood up, and we continue to work together to find ways to help our seniors stay where they want to stay. They want to stay in their homes, Mr. Speaker. They benefit from staying in their homes. We need them in their homes and in their communities for as long as possible. The last place we want to see them is long-term care, but we know that some will need to go to long-term care, and when they do, we want to make sure they have great facilities, providing great services for that level of care, as well. Thank you, Mr. Speaker.
Masi. Oral questions. Member for Nahendeh.
Question 723-18(3): Equity Leases
Thank you, Mr. Speaker. Recently I've been advised by a few people in the Nahendeh riding that they have purchased lots that were equity leases, but once they purchased them, they became regular lease lots. This doesn't seem fair, especially since the department is now working forward on equity lease lots in the Northwest Territories. My questions are for the Minister of Lands: can the Minister explain why the department doesn't honour the original equity lease agreements until this issue is being resolved? Thank you, Mr. Speaker.
Masi. Minister of Lands.
Thank you, Mr. Speaker. The equity leases are contracts that the department is managing and administering in accordance with the lease terms and conditions. If an existing equity lease expires, the department places the lessee in what is known as an overholding tenancy, and so, if the equity portion is paid, the annual lease would be $1 per year. The department is bound by the terms of the lease, and we are allowing the lessee to go into an overholding position. Thank you.
I was asking the questions: when the person has an equity lease and sells it to somebody else, what happens there? Why aren't we just turning it over to an equity lease? My next question here is: with leases that are being switched to Commissioner's or NWT lands, what happens to the equity that the previous landowners had on these leases?
Essentially an equity lease can be assigned to a new lessee, but we are not currently issuing any new equity leases. If a person has an equity lease, and it has a term to it, that equity lease is assigned. The new lessee would take over that lease and be bound by the terms and conditions. As I say, we are not granting new equity leases.
We are not talking about a new equity lease; we are talking about an existing one. That is a concern. When somebody purchases a lot, there is equity into this lot. Can the Minister advise us what happens to the equity leases, and why does the equity that they have into it not return back to the original owner?
If the lease, again, is assigned to a new lessee, then that lessee takes over the terms of that equity lease. There may be circumstances, and this would depend on the terms of the lease, where a portion of the equity could be returned. I looked today at a lease where there was a partial refunded equity. There may be, in some cases, partial refunds of equity, but generally speaking, what happens is that, if the equity lease is assigned to a lessee, the new lessee takes over the terms of the equity lease.
Masi. Oral questions. Member for Nahendeh.
Thank you, Mr. Speaker. I thank the Minister for the answers up to this point. My problem is that, when we have an equity lease and the person purchases it, the equity lease now gets turned into a regular lease again. Now the person doesn't own it; he is given a lease. Will the Minister look at those files that had equity leases, then they were turned back to leases, and will they turn them back to equity leases until all equity lease files are dealt with so that the individual can purchase it, whether it is for a home or a business? Thank you, Mr. Speaker.
As I mentioned, we are not issuing new equity leases. However, if a lease is assigned, then the new lessee takes over the terms and conditions of that equity lease. We are not, however, going to be issuing new equity leases.
As I say, there may be circumstances, and it was asked earlier by the Member opposite, about refunds. Again, looking at the portion of the lease that I have in front of me, I do see that, in some circumstances, there is a partial refund of equity. I don't know if there are cases where there is a full refund. In any case, just to repeat, we are not issuing new equity leases. However, equity leases that are currently in force can be assigned to new lessees, so they will take over the terms and conditions of that lease, but we are not issuing new equity leases. Thank you.
Masi. Oral questions. Member for Sahtu.
Question 724-18(3): Marine Transportation Services 2019 Barging Season
Thank you, Mr. Speaker. Further to my statement on the supply chain, Mackenzie River Corridor systems and the Beaufort Sea communities, my first question to the Minister of Infrastructure is: how is the MTS ensuring that Sahtu, and other communities that are customers to the division, receive the resupply services that they require in this sailing season? What preparatory measures are the department taking? Mahsi, Mr. Speaker.
Masi. Minister of Infrastructure.
Thank you, Mr. Speaker. This sailing season has already been posted online. Everyone is welcome to have a look at it. These are subject to change, of course, due to climatic change and other variables that we would be out of control of.
At this present moment we are planning to go to Norman Wells three times this year; June, July, and August. We are looking at going to Tulita twice this year, in July and August, as well. To inform Members of this House and the people of the general public, the terminal in Hay River is now open, accepting cargo for all communities across the Northwest Territories, and I encourage those who want to send cargo to get hold of our terminal or else book through our customer service desk. Thank you, Mr. Speaker.
Thanks to the Minister for that information there. My next question is: what is MTS doing differently for this 2019 season to ensure a successful resupply? For example, federal resources for upgrades to the operational side of the division, and those types of things?
As all of the Members know, we have had a challenging year there last year with the issue that happened in the Beau-Del. We are focusing our efforts on high-quality and timely resupply services. We are going to have to focus on a number of efforts across the system, what we are going to have to do to ensure that we will be able to improve resupply. One of those particular measures is trying to get out earlier this year with our ships; that is why the sailing season has been altered a little bit.
Now, again, as I said, some of this is subject to stuff that is out of our control. The supplier of petroleum products has to run their schedule and get their stuff, and hopefully they are working closely with our department, which I know they are.
Something that I didn't even think about until today that could possibly hamper delays further in the season is something as easy as a forest fire that is happening high level, which potentially shuts down the rail system. These are things that we are going to have to work closely with.
Again, communication was a big thing that came out of the impacts of last year, and we will continue to work on those with all residents of the Northwest Territories.
The Minister must be a mind reader, leading up to my next question here. We are all quite aware of the drastic fires taking place in northern Alberta, which is in the rail system. Has the inventory for the communities been delivered and stored at the facilities in Hay River, ready for barging shipment?
Hay River has limited capacity to store all of the fuel that we ship up and down the system, so we have to work hand-in-hand with our supplier to meet the demands of our shipping season. We will continue to do that. It impacts our barge deliveries for the communities.
As I said, forest fires and stuff like that can have a large impact on the system. We are very concerned about the low waters this year. That is already right across the system, but we don't believe that will impact the deliveries to the Sahtu region, because that is before the Sansu Rapids. We are monitoring this situation very closely, and we will continue to inform this House as the season moves on.
Masi. Oral questions. Member for Sahtu.
Thank you, Mr. Speaker, and thanks for that information there. Moving on to the last question, can the Minister elaborate a little bit on the long-range plans on the movement of goods and services and the MTS division? Thank you, Mr. Speaker.
As I have said, this year particularly we have moved up our scheduled sailing dates and resupply for the communities. For long-term plans, we are working closely with the Canadian Coast Guard. We have reached out to them about how we can work more closely on the situation that could potentially arise in the Beau-Del again, particularly up on the Emerson Coast. This is something that we need to try to avoid, and we need to work very closely with them and their sailing schedule as well, to align with what we are trying to do, to resupply the communities.
I think that I have mentioned in this House before that we are having a strategic look at how we are storing our petroleum products, particularly in the Beaufort-Delta, and whether there is an opportunity to maybe expand on some of the resupply storage tanks in that area. I know that, in the Sahtu, for instance, we have enough fuel stored at Fort Good Hope and Tulita, and Fort Good Hope could actually support, if there was a shortage in that region, to Coville, and Tulita could certainly do the same thing for the Deline situation. However, up in the Arctic coast communities, it's a little bit tougher, and we need to have a look at what we are doing up there around our infrastructure needs and possibly what the challenges are going forward, if we are going to have to be able to have a larger supply of fuel in that region. Thank you, Mr. Speaker.
Masi. Oral questions. Member for Yellowknife Centre.
Question 725-18(3): Changes to Income Assistance
Thank you, Mr. Speaker. My questions are for the Minister of Education, Culture and Employment. The Minister received valuable feedback at her forum on how to improve the Income Assistance Program. There were dozens of suggestions, and clearly there is not time to work on them all. My question is: what are the Minister's priorities to improve the Income Assistance Program in the short term? Thank you.
Masi. Minister of Education, Culture and Employment.
Thank you, Mr. Speaker. The MLA is absolutely correct. There is not enough time to do them all. I would love to be able to do them all, and I cannot, so what we have done is, just as when I had the housing portfolio we had done the short-term, mid-term, and long-term goals, that is the process that we are in now. We will be sharing that with the MLAs and the standing committee within the next couple of weeks, and also the NGOs, because I do believe in "nothing about us without us." It was their meeting. We have been keeping them engaged right through.
The short-term goals that we are really focusing on right now, and we will be providing a full Minister's statement tomorrow, actually, are really around the communications. People are feeling that they did not know what their rights were, that the forms were too cumbersome, that they did not know their right to appeal, the programs, et cetera, things like that, so we are just doing up a new participant handbook. We actually hired an outside consultant to come in and help us streamline some of the forms, to make sure that they are appropriate, that we are only asking the information we need instead of things we do not need.
We are also really working on our relationship with the NGOs, too. It's important to note, Mr. Speaker, that the NGOs stated that this is the first time that some of them had ever been consulted on income support. My own experience in the NGOs, I cannot remember ever being invited to a meeting where NGOs were asked what their experiences were. We committed actually that, every six months, we would provide a forum that NGOs and clientele can actually provide input into the Minister, and I think that is a huge step.
Thank you to the Minister for that response. I am glad to hear that the paperwork is going to be more plain-language. Is there any thought to actually testing this new paperwork with a client group to ensure that it is meeting the goals that they are hoping?
Honestly, I had never thought about that, but consensus government is working together. I think that is a really valuable idea, and so I will implement that, because I think it's important. They are the ones who are actually be utilizing the form. They should be the ones stamping and saying, "This works for me."
I appreciate the Minister being open to that suggestion. One of the things that participants talked about was the need to address issues such as lost paperwork and late payments that come about as a result of that. Can the Minister tell us whether any progress has been made in this area?
Thank you to the MLA for reminding me. Actually, that was one of the bigger concerns that I had. If people are getting, for example, their utility bills in and it's our fault that we are late and then we are not paying their late fees and they are getting late fees, that is a sin on our side, in my opinion. We are not giving a lot of money to people. We are not giving any money for late fees, so it's coming out of their food or their clothing allowance, and I am not okay with that. We have already implemented that, if the error is on our side, we will be paying late fees. If the error is on the clientele side because they have not got the paperwork in time to us, then the clientele will still be responsible. However, any time that it's our error because of paperwork or not being on time, we will be covering those late fees effective already, so I can say effective immediately, although it's already implemented.