Debates of October 27, 2014 (day 43)

Date
October
27
2014
Session
17th Assembly, 5th Session
Day
43
Speaker
Members Present
Hon. Glen Abernethy, Hon. Tom Beaulieu, Ms. Bisaro, Mr. Blake, Mr. Bouchard, Mr. Bromley, Mr. Dolynny, Mrs. Groenewegen, Mr. Hawkins, Hon. Jackie Jacobson, Hon. Jackson Lafferty, Hon. Bob McLeod, Hon. Robert McLeod, Hon. Michael Miltenberger, Mr. Moses, Mr. Nadli, Hon. David Ramsay, Mr. Yakeleya
Topics
Statements

QUESTION 448-17(5); NURSING SERVICES IN TSIIGEHTCHIC

Thank you, Mr. Speaker. As I mentioned, the community of Tsiigehtchic is preparing for freeze-up as the service of the ferry is cut off in the next couple of days here.

As I mentioned in my statement, it’s been almost two years since the commitment from the previous Minister for a full-time licenced practical nurse in Tsiigehtchic. So, I’d like to ask the Minister, what stage are we at with that commitment? Thank you, Mr. Speaker.

Speaker: MR. SPEAKER

Thank you, Mr. Blake. Minister of Health, Mr. Abernethy.

Thank you, Mr. Speaker. We’re always looking for ways to enhance the services that we provide in our communities. Currently, in Tsiigehtchic we have a public health nurse who comes in one day a week for the 40 weeks that there isn’t a nurse located in the community. For six weeks at freeze-up and six weeks at breakup, there is a nurse actually located in the community to ensure some continuity of services.

Earlier this year, representatives from the department participated in a Canadian Foundation for Healthcare Improvement collaboration round-table, which was held on May 29th and 30th, where staff learned about different best practices from other remote areas of Canada and other places throughout the world and explored those models. We are looking right now at the different models that were presented from the other jurisdictions to see how, if at all, they can be applied here in the Northwest Territories.

A review of the Integrated Service Delivery Model, medical travel, community health work training and the utilization of telehealth are also being incorporated into this review. The opportunities to support wellness and traditional healing in communities are being sought by the department’s new Aboriginal health and community wellness division.

So, there are a number of things we’re doing right now. We’re doing the research and analysis that will help us bring forward new tools and new opportunities to enhance care in communities, including finding ways to get local people more involved in the provision of services and health care within their communities. So a number of things are happening at this time.

When will the department extend the service of providing a nurse to Tsiigehtchic from up to five months to 12 months of the year?

As I indicated, we’re already providing a nurse in the community one day a week to provide general services, and we’re always trying to find ways to enhance services in cases of emergencies. I’ve had the opportunity to visit a number of the small communities throughout the Northwest Territories, and what I’ve been told is one of the major concerns they had is emergency response. We are rolling out Med-Response as we speak. We are hoping to have it out shortly. Med-Response is going to be a tool that your CHRs and your CHWs can use to help focus response in emergency situations in all communities, not just the small and isolated communities.

It all depends on the timing of the breakup and freeze-up months. It can be up to five months.

Will the Minister direct his department to double the funding provided to have a nurse in Tsiigehtchic from half the year to provide it for the full year?

I’ll continue to have dialogue with the authority as well as the community on how to best meet the community needs. But, as I indicated, we are exploring a number of different alternate delivery models that will benefit the community and we’re also rolling out Med-Response, which is going to have a direct positive impact on delivery of services with communities like Tsiigehtchic. So, there are a number of things that are currently underway. Thank you, Mr. Speaker.

Speaker: MR. SPEAKER

Thank you, Mr. Abernethy. Member for Weledeh, Mr. Bromley.