Debates of March 12, 2021 (day 70)
Thank you, Mr. Speaker. I have a Return to Oral Question asked by the Member for Nunakput on March 10, 2021, regarding medevac services and medical escorts. From January 1, 2020, to December 31, 2020, there were 305 air ambulance transports from the Beaufort-Delta; 68 percent were sent to Inuvik Hospital, 29 percent were sent to Stanton Hospital, and 3 percent went to Edmonton.
Escort data is not available. It is tracked by the air ambulance contractors. In general, non-patients are not permitted on the plane, but an escort may be allowed if the patient is under 19 or if interpretation services are required in-flight. However, the final decision to permit an escort on the plane rests with the crew to assess and then decide, with a focus on ensuring the care and safety of the patient and that the crew is able to deliver the necessary services.
The Northwest Territories Health and Social Services system has evolved to provide a broad range of medical services. The department and the health authorities are completing an NWT Physician Workforce Plan, which has four years of engagement and inquiry behind it. The workforce plan considers the needs of the system and balances resource availability, such as the cost of air ambulances, while working towards a solution under the following principles:
Improve equity in access to physician services throughout the NWT;
Achieve continuity between family physicians and patients within multidisciplinary teams to ensure that people have access to the right category of practitioner at the right time;
Provide care as close to home as appropriate, including maximizing the use of virtual options when possible;
Meet standards for quality of care and wait times; and
Achieve sustainability.
I will share the details of the plan with all Members once a draft is finalized. At this time, the department, in collaboration with the authorities, is conducting an internal review of the medical travel programs escort policy and application. I will take into consideration the request to enhance the current policy to include escorts for all elders as part of this review. Thank you, Mr. Speaker.
Oral Questions
Question 668-19(2): School Attendance
Thank you, Mr. Speaker. Today, my Member's statement was on the lack of attendance in our small communities, so I would like to see if the Minister is willing to come up to my riding of Nunakput and go on like a tour, and meet with the local DEAs and our local leadership in regard to encouraging our staff and encouraging the teachers on doing a good job that they're doing but encouraging the parents to get their kids to school. That being said, I'm inviting the Minister up to Nunakput as soon as possible. Thank you, Mr. Speaker.
Thank you, Member for Nunakput. Minister of Education, Culture and Employment.
Thank you, Mr. Speaker. I want to thank the Member for bringing this up. Attendance is really at the heart of learning. If you're not in school, you're not going to be learning, and so there are constant discussions at the local DEA level, the DEC level, and the DECE level about how we can make improvements. A lot of the time, there are things outside of the school, and that's the reason students aren't coming. There is a lot of effort being put into ensuring that schools are welcoming, safe, caring spaces where students want to go. There are a number of other things, as well, but I'll just answer the Member's question. I have a trip to Fort Smith coming up, I have a trip to the Sahtu, and after that, my next stop will be Nunakput. Thank you, Mr. Speaker.
Thank you, Minister. Oral questions. Member for Deh Cho.
Question 669-19(2): Northwest Territories Power Corporation Strategic Plan
Mahsi, Mr. Speaker. NTPC has had its work cut out for them since its inception in 1988. Supplying power to a vast territory covering the large landmass with a small population sure has its challenges. Can the Minister elaborate on how NTPC expects to cut greenhouse gas emissions when they are increasing diesel generating plants on top of what they currently have? Mahsi.
Thank you, Member for Deh Cho. Minister responsible for the Northwest Territories Power Corporation.
Thank you, Mr. Speaker. First, I wish to thank the Member from Deh Cho for providing me with somewhat technical questions in advance so I would be able to answer the question that the Member is asking for. It's very appreciated. Renewables cannot be relied on to provide power when it is needed. NTPC must maintain enough diesel generation in each of the communities to ensure that lights stay on. That's very important. We also have a large number of diesel generators, and they do age and need to be replaced occasionally. Last week, Mr. Speaker, I did a statement on aging infrastructure, and we recognize that. When we do replace them, however, we use more efficient generators, which result in lower greenhouse gas emissions. Again, that's important, as well. Under our 2030 Energy Strategy, the GNWT has a plan to reduce greenhouse gas emissions from diesel generation by 25 percent by 2023. Thank you, Mr. Speaker.
Mahsi to the Minister for that. The GNWT Infrastructure Department has an energy division that looks at alternate sources of energy. Perhaps they have information on biomass generating electricity. Can the Minister ensure NTPC collaborates with the energy division to come up with greenhouse gas emission-cutting alternative sources of generating electricity?
It just happens to be that I'm Minister of Infrastructure and Minister of NTPC, so of course, our departments are going to continue to work together. I do want to add that we have looked at a feasibility of biomass-based electricity generation recently for combined heat and power in Fort Simpson. It is technically challenging and also very expensive, and I do want to note that this study is freely available on our infrastructure website.
I note that NTPC has incorporated LNG use at the Inuvik power plant and the soon-to-be new electricity generating plant at Fort Simpson. Can the Minister elaborate as to why these have gone to LNG rather than diesel?
Again, I just happen to be MLA from Inuvik, so this is right up my alley. Natural gas has been used for generation in Inuvik for a long time, for as long as I can remember, because there is a gas well that has allowed us to take right of the grant for power generation. We've been clearly happy with that. Recently, we have had to truck LNG to Inuvik due to loss of local supply. Even with the trucking cost, LNG is cheaper and cleaner option than diesel, and it also has fueled GHG emissions. For roads connected to diesel communities of a certain size, NTPC and the GNWT look at the option to use LNG for power generation. We are currently looking at LNG for Fort Simpson as well as Tuktoyaktuk.
Thank you, Minister. Final supplementary. Member for Deh Cho.
Mahsi, Mr. Speaker. I've been known to state that when the price of diesel goes up, so does my power bill. Can the Minister confirm or elaborate whether power rates go down when the price of diesel drops? Mahsi.
Part of your electricity rate is based on the average price of diesel which fluctuates over time. We recognize that. In general, if the cost of diesel drops over an extended period of time, the portion of electricity rate that includes diesel will go down but not immediately. If there is a large change in the cost of diesel, then NTPC may put in place what is called a rate rider that either adds or subtracts costs from your bill for a set period of time. Again, this doesn't happen immediately as it is best to average out the cost changes over time to be able to keep rates from going up or down too quickly. Thank you, Mr. Speaker.
Thank you, Minister. Oral questions. Member for Tu Nedhe-Wiilideh.
Question 670-19(2): Amend Policy to Allow Medical Staff Discretion to Attend Medical Calls
Marsi cho, Mr. Speaker. I'm just going back to my Member's statement about Health and Social Services. My question for the Minister is: is the Minister willing to amend the policy I mentioned in my Member's statement and have it reworded for medical staff to have some discretion that allow their staff to leave the health centre to attend emergency calls? I recognize we have to keep in mind the health of the staff and also staffing numbers, as well. Thank you, Mr. Speaker
Thank you, Member for Tu Nedhe-Wiilideh. Minister of Health and Social Services.
Thank you, Mr. Speaker. This policy is a policy of the Northwest Territories Health and Social Services Authority regarding their operations. The decision to amend that policy would be an operational decision on their part. The policies are reviewed regularly, and this policy is due for review again in June of 2022. Thank you.
That was one of the things I wrote down just about five minutes ago. The next review is 2022, and for me, that is far too long. I don't want to lose any more residents anywhere in the territory because of this really glaring service gap. I'll try to redirect this a little bit. Can the Minister have this reviewed sooner than 2022 and direct that NTHSSA to do this?
We're talking about the difference here between nurses and first responders. There is a difference. They work in different settings; they have different kinds of training; they have access to different kinds of equipment. It's not just a matter of saying to the nurse, "You're free to go and attend an emergency outside of the health centre." There is quite a bit more to it than that. I also want to note that nurses in the health centres are busy seeing people in the health centres. There would be a question then of how much further we can stretch the resources within the health centres if nurses are leaving. As I say, the idea of nurses filing in as first responders is not a good fit for the reasons I just spoke of.
I think the end goal here was just to try, and this will lead into my next question, is to try to close that gap between MACA and Health and Social Services. Again, I'm going to say it again, partnerships here. My last question is: will the Minister commit to work with MACA to find a solution, perhaps creating a task force, to address this serious gap that we spoke of? Marsi cho,
I have previously and continued to acknowledge that there is a gap in services within some communities in terms of having a paramedic response in the appropriate vehicle and equipment to provide that response. I have committed to speaking with the Minister of MACA about this to see what kind of solution we can put in place. I intend to make good on that.
Thank you, Minister. Oral questions. Member for Kam Lake.
Question 671-19(2): Public Service (Procurement) Supporting Northern and Northern Businesses
Thank you very much, Mr. Speaker. My questions today are for the Minister of Industry, Tourism and Investment. I'm wondering if the Minister can please speak to what controls departments have at their disposal to ensure that GNWT dollars end up supporting northern businesses and northern workers from an industry perspective. Thank you.
Thank you, Member for Kam Lake. Minister of Industry, Tourism and Investment.
Thank you, Mr. Speaker. This actually touches on the Department of Finance, as well, insofar as Procurement Shared Services does now reside there. All departments, when they have any sort of purchasing above $25,000, do have to go through the public procurement process that resides within Procurement Shared Services. When they do so, it really is that the departments are of course required, when there are multiple bids, to go through local registered businesses as their first priority and then going through NWT bid registered businesses, then local businesses, then NWT businesses. Only then would they be looking to the non-Northwest Territories businesses. There are steps that are built into the process that all departments are expected to take and be aware of in addition to the fact that, even for those procurements that are under $25,000, there is certainly a strong expectation that we are, of course, looking to support local businesses and Northwest Territories based businesses. Thank you, Mr. Speaker.
There is a need for the GNWT to work interdepartmentally to identify where business opportunity is lacking and to use this information to strategically offer business supports in those areas. How does ITI work with departments to collect data on gaps in niche markets, where a large majority of GNWT contracts are going south? How do we educate ourselves as a government as to where money is leaving Northwest Territories markets and constantly going south?
I know that the Department of Industry, Tourism and Investment certainly does capture the data about northern spends, jobs created, and looks at SEED investments and how that is utilized. For instance, again, tourism, I know there is information captured. However, I am hearing that the question is really one that is much more multi-departmental. I can speak to examples of that in ITI. Recently, we and ENR met to discuss exactly that, what can we do in some of our areas of shared interest to ensure that we are analyzing contracts that are not being awarded routinely to Northwest Territories businesses, so that work is happening. However, I think that to truly capture the point and to say that we are doing that as a government, I will have to commit to getting back to the Member after really taking that back to all colleagues so that it is truly a whole-of-government response.
I really appreciate that and the Minister's intent to follow up on that. I think it's important for us to see where we are losing money and to see if there are markets that we are not filling in the Northwest Territories and to be able to properly communicate that to our business community. In that process of going back to departments, will the Minister also bring back information on how we are supporting businesses to be educated about that? Because, sometimes, it's just a matter of a side-step for a business and one that people would probably love to be able to take advantage of to make sure we are keeping as many dollars from the GNWT in the North.
There are a number of services offered to small- and medium-sized businesses in particular around business supports, which would then really include that kind of information: where are their opportunities, and what do they need to be doing to be more competitive on those opportunities? While I recognize, Mr. Speaker, that I am going to give an example that is maybe slightly beyond simply the idea of procurement, we are right now at ITI looking next month at bringing together a number of the different entities that provide business support services within ITI, economic development officers, BDIC, and some of the other economic development shops and entities and organizations, to make sure that, when we are doing that work to support the businesses of the North, we are doing it in a coordinated fashion, that we identify if there are areas where more supports are needed, such as what is being discussed and suggested here. As I say, that is actually lined up for next month, and this is a timely question to ensure that, when we do that, we are, in fact, answering that question for the Northwest Territories businesses.
Thank you, Minister. Final supplementary. Member for Kam Lake.
Thank you very much, Mr. Speaker. My last question is one that we have slightly touched on before, and that is the timeline for completing the procurement review. We have been told spring of this year, I believe, but I want to confirm that. Also, in confirming that, is the Minister able to let us know what the anticipated timeline is for implementing the recommendations that come out of that? Thank you.
Yes, we are anticipating a report back from the panel this spring and then looking to take that to the departments and into the government to review, to have our own consultations internally and also, once we have some ideas of how we might implement the recommendations, to continue to engage and do proper consultations, including with standing committee, and then through Cabinet. Again, while I am expecting the recommendations this spring, the final implementation of recommendations will be rolling, and it will be rolling because some may be easier to implement than others, some may take more time, some might require more and further discussion or consultation. However, my expectation is that, by the summer, we will be seeing some changes in place. Thank you, Mr. Speaker.
Thank you, Minister. Oral questions. Member for Yellowknife North.
Question 672-19(2): Polytechnic Science Program
Thank you, Mr. Speaker. As I spoke about earlier in my statement, I am very excited that one of the areas the polytechnic will focus on is skilled trades and technology. I have been happy with the information that has been released to date, but I am hoping to get a little more out of the Minister about where we are going with this. Can the Minister expand on what this specialization is presently going to look like? Is it going to be a building science program of some sort, or is it an architectural program or an engineering degree? I am just wondering the extent of this skilled trades and technology expansion the polytechnic is aiming for. Thank you, Mr. Speaker.
Thank you, Member for Yellowknife North. Minister of Education, Culture and Employment.
Thank you, Mr. Speaker, and I thank the Member for the questions. The skilled trades and technology is an area of specialization, so it's not a program; it is one of the four areas that the college is going to focus on initially. The reason to start there is, first of all, it will be a polytechnic and that is what polytechnics do, but also those are a lot of the things that the college does right now and does well. Initially, it's going to be building on those. As we move to become a polytechnic university, there will be a research component. We have recently added a position of applied climate change research chair in Inuvik, and that is the type of thing that I can see that research happening around, is northern building. I heard the Member's statement, and it sounds like he could be writing for the polytechnic university right now because those are the kind of visionary things that I think that we all want to see. We all understand that the North has natural advantages, and we want to take advantage of those in every way that we can. Thank you, Mr. Speaker.
I know the Minister is looking forward to getting the board and the polytechnic up and running so he can stop fielding so many questions about what they are going to do, and maybe one day, I will try to sit on that board. Right now, pretty soon, hopefully this summer, we are going to see a three-year economic plan for Aurora College, and I hear what the Minister is saying, and that is the building on current programming. However, I feel that the transformation requires new programming; it requires some sort of new courses, new certifications. My question for the Minister is: especially in this area of skilled trades and technology, when are we going to see some new programming and/or funding for the polytechnic?
Of course, the transformation will require new programming, but a transformation takes a long time. I wish Members could see into the guts of the college, essentially, and see what is happening right now because there is a lot going on. There are working groups. There are about 50 staff in the college who are putting in extra time and extra work to participate in this and ensure that the foundation and the structure of the college can support a polytechnic. We are not quite at the point I think where the Member would like us to be, but we will get there. Right now, it's ensuring that, when we start adding new things, it is on a solid foundation and that things are not going to have to change and that we are making those decisions with appropriate information. Soon, we are moving to a board of governors, and they really will be driving the work going forward, and that is going to be based on things such as the labour market, all of those, and also our engagement with our partners in the territory, Indigenous governments, who really have a stake in training, as well. They are already big partners with the college. I wish I could say that we are going to roll out these programs on these dates, but we are just not there yet. However, the future is exciting.
Yes, I get that. I suppose my job now in this House is that, we seem to be on the right track, but I am going to push so that it gets sped up a little more. I understand there is a lot of work being done at the college, but I think one of the big areas is curriculum reform and looking at how all of our building science and all of our trades and technologies curriculum is. We largely just adopt the Alberta curriculum, and I know the Minister is having that conversation in regard to our high school curriculum, but the amount of work to build a northern curriculum that is going to be different and is going to attract southern students is a large amount of work. Can the Minister speak to when we can expect to see some of the curriculum in this trades and technology area reviewed? Thank you, Mr. Speaker.
Times are changing. There is a lot more technologies in the trades, as well. We see across Canada that jurisdictions are incorporating more technology. Here in the North, we will be incorporating northern-specific aspects to it. I have to point out, though, that when it comes to things like becoming a Red Seal and the courses you need, that is becoming standardized across Canada, so that you can get your second year here and go to Ontario and pick up there where you left off and vice versa. There is a push for that. That being said, there will be a northern element to it. Of course, that is going to roll out as the programming rolls out.
Thank you, Minister. Oral questions. Member for Hay River South.