Debates of October 16, 2020 (day 38)

Date
October
16
2020
Session
19th Assembly, 2nd Session
Day
38
Members Present
Hon. Diane Archie, Hon. Frederick Blake Jr, Mr. Bonnetrouge, Hon. Paulie Chinna, Ms. Cleveland, Hon. Caroline Cochrane, Hon. Julie Green, Mr. Johnson, Mr. Lafferty, Ms. Martselos, Ms. Nokleby, Mr. Norn, Mr. O'Reilly, Ms. Semmler, Hon. R.J. Simpson, Mr. Rocky Simpson, Hon. Shane Thompson, Hon. Caroline Wawzonek
Statements

Question 359-19(2): Home Care

Marsi cho, Mr. Speaker. I have some questions for the Minister of Health and Social Services. Just to get some context here, just listening to some of the comments and hearing my colleague from Deh Cho. There's a clear picture here. There are some gaps here in our care for our elders. I gave that visual earlier in my Member's statement. There're some gaps here, and I think that we need to really step back and start looking at some of these issues. We've got to find whatever ways we can. Let our elders live in their homes. A lot of our small communities, we look after elders. We have relatives that come and check in on our elders. Quite often, we're not. To get some of the specialized care, there's a gap there.

My first question to the Minister is: if an elder is ill in their homes, what is the policy for local nurses on home visits? Mahsi cho.

Speaker: MR. SPEAKER

Thank you, Member for Tu Nedhe-Wiilideh. Minister of Health and Social Services.

Thank you, Mr. Speaker. The nurses in the health centres don't make house calls. Thank you.

It is concerning. I know there are some safety in terms of protecting our healthcare providers, our doctors and nurses from doing home visits. My second question: a lot of our small communities, there are no ambulance services. What does this department do to deal with patients who need emergent care?

Thank you for that question. It's not the role of Health and Social Services to provide ambulance services. That's under the Department of Municipal and Community Affairs. I am assuming that community members drive one another to the health centre. That's probably the most common practice, and I hope that that would still be the practice. In the event that somebody doesn't have a ride close to hand, that person should call 911 and ask them for help to get to the health centre.

Again, this picture has started to get a little more clear for me now, and I think it's important that the Minister of Health and Social Services and MACA do work together on these type of issues. I think it's important. A lot of our small communities, a few are on the floor or someplace and in trouble. It's going to be tough. You'll probably have to get a relative or the RCMP to get the emergent care. That's something to think about. My next question for the Minister is: what proactive measures is this department taking to dealing with patients who need healthcare in their homes?

Thank you for the point that we should be working together. I completely agree. What we're doing about homecare is that in June of this year, the Minister of the time tabled the home and community care review, and it made 22 recommendations for improving home and community care in the Northwest Territories. A number of recommendations have been accepted and implementation work is under way. Some of the other recommendations are dependent on other program evaluation, like the paid caregiver program.

What we're doing here is trying to, I'm going to say, rationalize homecare so that there is a clear set of services that are provided, that these services are available more widely than they are now, and that the service is provided in more hours than it is now, so that it's not just a Monday to Friday 9:00 to 5:00 service, but that there's some flexibility to help people, for example, get to bed in the evening, which they probably don't want to do at five o'clock. We are attempting to make home and community care more effective for people to age in place. That's our ultimate goal.

Speaker: MR. SPEAKER

Thank you, Minister. Final supplementary. Member for Tu Nedhe-Wiilideh.

Marsi cho, Mr. Speaker. That's good to hear there are some measures being put in place. There are these gaps. We still need to keep talking about them. We are still hearing them. I know you are in a new role, and already, we've got you to rise quite a few times already. It just goes to show that there are some really glaring areas of need, like yesterday.

My final question: I think from looking at things, I think homecare nurses might be a good starting point in small communities. I know in my home community of Deninu Kue, we do not have a homecare position per se. Would the Minister commit to creating a homecare nurse position in Deninu Kue? Marsi cho.

The situation in communities without homecare is that the community health nurse is the person who provides the homecare in default. The allocation of resources is really dependent on the number of clients and the types of needs they have, so the allocation of homecare services is something that the department is working on. Depending on the age profile and need profile of people in your community, it may be necessary to assign additional resources, but I can't make that commitment today. Thank you.

Speaker: MR. SPEAKER

Thank you, Minister. Oral questions. Member for Yellowknife North.