Debates of March 29, 2021 (day 71)

Date
March
29
2021
Session
19th Assembly, 2nd Session
Day
71
Members Present
Hon. Diane Archie, Hon. Frederick Blake Jr., Mr. Bonnetrouge, Hon. Paulie Chinna, Ms. Cleveland, Hon. Caroline Cochrane, Hon. Julie Green, Mr. Jacobson, Mr. Johnson, Mr. Lafferty, Ms. Martselos, Ms. Nokleby, Mr. Norn, Mr. O'Reilly, Hon. R.J. Simpson, Mr. Rocky Simpson, Hon. Shane Thompson, Hon. Caroline Wawzonek
Topics
Statements

Question 684-19(2): Nursing Retention

Thank you, Mr. Speaker. As the Minister stated, new hospitals and machines only work if we have the people, and the people are healthcare workers that we rely on. I know we have faced a number of retention issues; they're nothing new to the North. My question for the Minister of Health and Social Services is: what is the number one reason that nurses are leaving the Northwest Territories? Thank you.

Speaker: MR. SPEAKER

Thank you, Member for Yellowknife North. Minister of Health and Social Services.

Thank you, Mr. Speaker. Exit surveys are not consistently used, so I am unable to answer that question. Thank you.

That gets to my next question. If we're not tracking why our nurses are leaving, whether that be due to burnout, not getting paid enough, workplace culture, lack of housing, there can be a long list of reasons why a nurse does not leave. I note that the NWTA for teachers tracks this information diligently and in response to each of those concerns when a teacher decides to go down south. Is this part of the work the Department of Health and Social Services is doing in this area, is to track with exit interviews the reasons nurses leave the Northwest Territories?

The Northwest Territories Health and Social Services system has created a human resource development plan. They've done that with the Department of Finance, and it's my understanding that exit surveys will be reviewed as a potential action item in this area so that we can provide the kind of information that the Member is talking about and gain a greater understanding of why nurses do choose to leave.

I recognize that is probably a suite of these questions I can also ask to the corresponding Minister for the Department of Finance. In the Department of Health and Social Services business plan, this year, we were supposed to have completed new recruitment and retention strategies to guide that work. Has that work been completed? I heard the Minister say the potential of exit surveys. What I am really looking for is a comprehensive strategy I can sit down and nurses can review to see where we are going. Has that work for new recruitment and retention strategies been completed yet?

I'm happy to report that this work is on track. We've had a total of 14 marketing and advertising campaigns for the hard-to-fill Health and Social Services positions in the last three months, including nine of these campaigns that are specific to nurses. We've expanded the Health and Social Services professions career guide, which provides information for potential candidates about careers in Health and Social Services in the Northwest Territories. We have education, continuing education initiatives for licenced practical nurses and RNs through the targeted academic support program. We also support continuing education initiatives for speciality nursing positions through an extended mentorship program. Finally, we have an activity and programming initiative called reach that involves students and youth in the Health and Social Services area to consider careers serving the public in this way.

Speaker: MR. SPEAKER

Thank you, Minister. Final supplementary, Member for Yellowknife North.

Thank you, Mr. Speaker. I'm glad to hear that work, and I know that some of the specialization work and the training to get people into nursing is some of the best work we're doing in this area. My concern is also specifically on the retention. I know there is new recruitment unit going out, and I know we are offering signing bonuses. We're attracting locums, and we're getting more people to come here. Previously, in a number of different formats, the department has offered retention benefits. These were service agreements. If you worked one year, you get a bonus at the conclusion of that year or some sort of benefit to stay longer in the position. The collective agreement allows us to do this. Are service agreements something the department is willing to return to using? Thank you, Mr. Speaker.

Just to provide some numbers for turnover, this is for March 31, 2020, the turnover rate at the NWT Health and Social Services Authority was 15 percent. For the GNWT as a whole it was 13.2 percent. Our turnover rate at the health authority is on par with the government as a whole. The NTHSSA does not offer retention bonuses at this point. All the compensation and benefits that nurses and health professionals earn are part of the current collective agreement with the UNW. Thank you.

Speaker: MR. SPEAKER

Thank you, Minister. Oral questions. Member for Hay River South.