Debates of February 27, 2024 (day 11)

Date
February
27
2024
Session
20th Assembly, 1st Session
Day
11
Speaker
Members Present
Hon. Caitlin Cleveland, Mr. Edjericon, Mr. Hawkins, Hon. Lucy Kuptana, Hon. Jay MacDonald, Hon. Vince McKay, Mr. McNeely, Ms. Morgan, Mr. Morse, Mr. Nerysoo, Ms. Reid, Hon. Lesa Semmler, Hon. R.J. Simpson, Mr. Testart, Mr. Thompson, Mrs. Weyallon Armstrong, Hon. Caroline Wawzonek, Mrs. Yakeleya
Topics
Statements

Minister’s Statement 24-20(1): Health Human Resources Recruitment and Retention

Mr. Speaker, the Government of the Northwest Territories continues to work to address the national shortage of health care professionals that has led to service reductions and system impacts not only in the NWT but across the country. Postpandemic, this shortage has only intensified, with many health professionals resigning, retiring, or reducing their working hours.

The results of our internal staff surveys and feedback sessions indicate that employee recruitment and retention challenges persist within our system. To address this shortage and its impact on our staff, we have increased our focus on employee engagement and employee retention through the development of the NWT Health and Social Services system human resource plan.

While recruitment remains essential, it is equally important to recognize the hard work and dedication of our existing staff and thank them for their commitment to serving residents in the face of the many challenges experienced by our health care system over the past several years.

Multiple new recruitment initiatives were introduced in August 2022. These initiatives provide additional support to our existing health system, and include incentives to both recruit new employees and retain the valuable employees we currently have.

Mr. Speaker, I am pleased to provide an update on these initiatives. Expanding the use of paramedics has provided additional support to remote and isolated communities and to acute care emergency room operations. A contract for these services was issued in the summer of 2023, resulting in paramedics being used in multiple locations across the territory, including at both Stanton and Inuvik Hospitals, as well as in Fort McPherson, Deline, Aklavik, Tuktoyaktuk, and Ulukhaktok. Paramedics also supported emergency care operations at Stanton during the citywide evacuation order in the summer of 2023 and assisted in Hay River during a physician shortage and during evacuation last summer.

The Friends and Family Program reimburses travel costs for family members visiting the Northwest Territories while an eligible HSS employee works over the holiday period. Last year, Mr. Speaker, the program supported 114 applications from employees. While we are still confirming this year's numbers, there appears to be a similar number of supported applications this recent holiday as well.

Mr. Speaker, the referral program is available to all GNWT employees and offers up to $2,000 dollars for the successful recruitment of nurse practitioners, physicians, and registered nurses. Since the launch of this last July, there have been ten successful complete referrals. The international travel to and from the Northwest Territories incentive, which offers to cover the international travel costs of any Canadian physician, nurse practitioner, or registered nurse living abroad and wishing to relocate to live and work in the NWT, or work as a locum in our system, was taken up by six physicians since it began in 2022.

We also continue to reimburse licensing fees for locum physicians. Mr. Speaker, I am pleased to report that 30 physicians were reimbursed in 2022, and 45 more in 2023. Additionally, four new positions were created to provide specialized support to new hires and as of January 24, all of these positions have been filled.

Mr. Speaker, aside from these initiatives we are actively recruiting for vacant family physicians and physician specialist positions across the territory. There was a small yet positive reduction in the system vacancy rate from June 2023 to September 2023.

The Health and Social Services recruitment team continues to work with hiring managers and Northwest Territories Health and Social Services Authority leadership to enhance our recruitment strategies. Scheduled monthly marketing campaigns for hardtofill highvacancy positions are underway, ensuring a consistent advertising presence on key job boards and association websites.

The improved consolidated hiring process for nurses has significantly reduced hiring times, down to an impressive sixweek turnaround for registered nurses and seven weeks for community health nurses.

Mr. Speaker, as a graduate of the Aurora College Northern Nursing Program, I am thrilled to share that all 16 Aurora College nursing graduates from 2023 have secured indeterminate employment with the Northwest Territories Health and Social Services Authority; 15 of whom have completed the Canadian Association of Schools of Nursing Mentorship Program created in 2022 in response to the national nursing shortage.

To support the recruitment of family medicine physicians, the NWT Family Medicine Medical Residency Training Program, launched in July 2020, has resulted in three of the four graduate residents currently working as permanent or locum physicians in the Northwest Territories.

Mr. Speaker, efforts continue to expand our work to attract NWT students and youth to careers in health and social services. Some of the work on this front includes the recent release of the 2024 NWT Health and Social Services career guide earlier this month. We have also found many opportunities for direct engagement between students and health and social services professionals, and we are supporting these through our clinical observation and job shadowing programs, inperson and virtual participation in the annual Take Our Kids to Work Day each November, and by attending health and social services career fairs in communities throughout the territory.

Mr. Speaker, hiring staff in an intensely competitive international labour market is one part of this work. The other equally, if not more important, is keeping invaluable staff we have. To this end, staff engagement at all levels has increased including through entry and exit surveys and participation in the GNWT Employee Satisfaction Working Group. The information gathered through this engagement supports efforts to evolve our retention strategies, develop hiring priorities, create career opportunities, and reinforce the programs that truly resonate with staff and are meaningful and supportive of their daytoday work.

Mr. Speaker, we will continue to monitor our initiatives as well as the broader health sector employment trends while ensuring we remain engaged and connected with the dedicated professionals working within our system. We have learned throughout the past several years that there are simply no quick fixes to end this shortage, but we remain committed to the steady improvement of our work environments and to providing the best care possible for NWT residents. And I am confident that with the support of my colleagues in this Legislative Assembly, combined with the strategic allocation of resources, and thoughtful ongoing engagement with staff, we can, and we will continue to make progress in our recruitment and retention efforts. Thank you, Mr. Speaker.

Speaker: MR. SPEAKER

Minister of Health and Social Services. Members' statements. Minister of ITI.

Speaker: Mr. Glen Rutland

Thank you, Mr. Speaker. Orders of the day for Wednesday, February 28th, 2024, at 1:30 p.m.

Prayer

Ministers’ Statements

Members’ Statements

Returns to Oral Questions

Oral Question 62-20(1): Consultation with Members of the Legislative Assembly on Policies and Strategies

Recognition of Visitors in the Gallery

Acknowledgements

Oral Questions

Written Questions

Returns to Written Questions

Replies to the Commissioner’s Address

Reports of Committees on the Review of Bills

Reports of Standing and Special Committees

Petitions

Tabling of Documents

Notices of Motion

Motions

Motion 20-20(1): Affirming Housing as a Human Right

Motion 21-20(1): Taking Action to Address Housing as Human Right

Notices of Motion for First Reading of Bills

First Reading of Bills

Second Reading of Bills

- Bill 3: Carbon Tax Repeal Act

Consideration in Committee of the Whole of Bills and Other Matters

Minister’s Statement 4-20(1): 2023 Wildfire Season Review and Planning for the 2024 Season

Minister’s Statement 5-20(1): Emergency Management Preparation

Minister’s Statement 17-20(1): Reaching Average $10 a day Child Care in the NWT

Minister’s Statement 24-20(1): Health Human Resources Recruitment and Retention

Report of Committee of the Whole

Third Reading of Bills

Orders of the Day

Thank you, Mr. Speaker.