House of Assembly
Newfoundland and Labrador

Petition  
Presented May 12, 2009
Lack of medical services at the Ramea Clinic

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MR. SPEAKER: The hon. the Opposition House Leader.

MR. KELVIN PARSONS: Thank you, Mr. Speaker.

I appreciate an opportunity to have a few words and deliver a petition to this hon. House on behalf of the residents of Ramea, Francois and Grey River, and that is with respect to the lack of nurse practitioners at the medical clinic in Ramea, which services those communities not only through the clinic but also through coastal clinics.

The clinic calls for a quota of two nurse practitioners, but for many, many months now they have only had the one and have been unable to recruit the other. There have been several options attempted to alleviate the situation. I must say, we get good co-operation from the site facilitator in Burgeo, Ms Porter. She tries her best - and the officials, of course, from Western - but sometimes it is a policy issue that prevents it from happening. I understand there is actually a shortage of four nurse practitioners in the Western district and you might not notice it as much.

For example, there is one in Port aux Basques, a vacancy. There is a vacancy in Stephenville and there is a vacancy in Corner Brook. Now, if you are down a nurse practitioner in a place like Corner Brook or Stephenville or Port aux Basques, you might not notice it, I would think, as much as you would notice it in a facility where you only have two, and nobody else. You do not have doctors, you do not have RNs, you do not have LPNs, and you do not have other nurse practitioners to fill the gap. In the Town of Ramea you only have the two. There is no one else. So, once you are down, you are down 50 per cent of your working quota right there, and that is the problem, so the urgency is obviously far greater if you are trying to replace one person who is 50 per cent of your workload, vis-ŕ-vis trying to replace one person who might be 0.2 per cent of your workforce. That is why it is so significant that we try to have an appropriate policy which allows adequate recruitment and retention for a person there.

The current policy of the government for recruitment and retention only applies if you are a new graduate or if you are someone from outside the Province coming in. It has been suggested that maybe a solution here would be to extend that in the case of rural communities so that the recruitment bonus that is given could be given to anyone.

If you are, for example, a nurse practitioner in this Province, you may be retired, you maybe have vacation time that you are prepared to go work in Ramea, at least if the bonus were provided for a person to go there, someone in that capacity, retired, may be desirous of going there, but there is no incentive right now for them to do that.

If the incentive programming is good enough to use in other areas in the Province, in urban areas and wherever we have shortages – sometimes it is for a specialist, sometimes it is for nurses, sometimes, in this case, it is for nurse practitioners – why would we not make the policy fit the circumstances, particularly when you have these small, rural communities in our Province?

That is what is being suggested here. It is being put forward to the officials at Western, and they said they would see that was passed on to the Department of Health and hopefully those decisions can be made, because they cannot be made by the people in Western. They have to be made by the policy makers themselves, which would fall not at the board level in Western Newfoundland but at the department level, at least, in Confederation Building in here in St. John’s.

That has been conveyed to the minister and, again, we hope he at least reads the correspondence and pays some attention to it. We cannot say we have a good track record with this minister in terms of responding. It is one thing to have a problem. It is appreciated if you know that your problem is at least acknowledged, and even that has not happened.

I am sure the minister has enough staff that he could acknowledge the existence of the problem and give some indication of what he intends to look at, or the timelines in which he intends to look at it.

Thank you, Mr. Speaker.

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