House of Assembly
Newfoundland and Labrador

Oral Questions  
May 1, 2008

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MS JONES: Thank you, Mr. Speaker.


My questions today are the Minister of Health and Community Services.

Mr. Speaker, yesterday, we learned that another pathologist will be leaving Eastern Health. Dr. Dan Fontaine was a cervical cancer specialist and also did testing on samples from across the Province. He also does pathology work for patients suffering from lung cancer, thyroid and other cancers.

I ask the minister: What will be the service impact on patients as a result of his resignation?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: Thank you, Mr. Speaker.

Yes, we are aware that we have had another resignation. He will be leaving, I understand, sometime in the latter part of June, as I understand it now. We met with Eastern Health last week to have a discussion around what might be the impact, because we had some sense that might happen.

We had a discussion with Eastern Health last week about what might happen with respect to services. They are now evaluating what impact that might have. They have made some initial contacts with a couple of labs outside the Province to be able to assist them during an interim period of time while they are continuing to recruit. We are hopeful then, in the immediate term, there will not be any interruption in service to pathology services within Eastern Health or for the people of the Province as a result of that resignation. Obviously, Eastern Health, together with the department, is anxious to ensure that they are restored to a full complement of pathologists.

The Premier and I met with the medical association last week to have a discussion around the issue of pathology service for the Province. There is a follow-up meeting tomorrow with myself and the medical association and representatives from Eastern Health to continue some dialogue as to what might be, both the short-term strategy to deal with the workload today, but more importantly, Mr. Speaker -

MR. SPEAKER: Order, please!

I ask the hon. member to conclude his answer.

MR. WISEMAN: Thank you.

More importantly, to look at what are some of the long-term solutions to ensure that we have an adequate complement of pathologists for the Province.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Mr. Speaker, Dr. Fontaine’s resignation now brings it to eight vacancies in pathology at Eastern Health. The head of laboratory services have told us that this resignation will no doubt lead to longer wait times.

I ask the minister: How much of the new testing will now have to be done outside the Province? Wait times that would have normally been a few weeks, how much longer will they be extended for those patients waiting to hear what their treatments and diagnosis will be?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: With respect to the workload, I just want to comment about the reference to the eight positions. There are eight positions that have been referenced in the media and in this House on several occasions, but I just want to create some understanding of that. There are two people who have resigned but have not yet left. So, those resignations have not yet had an impact. There are two other people, who - one is on maternity leave, returning early in the summer. There is another person on an education leave, I believe, and they are returning early in the summer. There are two vacancies where replacements have already been recruited, and they are starting early in the summer. So when you look at trying to figure out what impact it will have on the departure of those two people who recently resigned, their resignation effective dates are coinciding with recruitment of a couple of other pathologists.

Eastern Health are trying to determine the exact impact, in terms of workload, but clearly, as I said a moment ago, they have made arrangements with two outside labs to be able to assist them in the interim.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Mr. Speaker, if you listen to the minister, you would think that we do not have a problem here, yet the people who work in those labs are telling us that we are into a crisis position. The minister knows that if you cannot retain the professional pathologists that we have here, our efforts in recruitment have not been that great in this Province.

Mr. Speaker, the minister has already said he has met with these pathologists, and I think he is due to meet with them again. They have outlined five particular things that they need in order to be able address the shortage and to deal with the recruitment. We did not see any of those pieces funded in the Budget.

I ask the minister, why there have been some gaps in dealing with this issue?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: First of all, I want to correct something the member opposite has said.

I clearly - any comments I have made in the House in response to questions, is to be able to answer your questions in a factual way. My answers in no way should indicate, should have indicated, nor do they indicate, that we are not concerned any time that there is a vacancy. Obviously, the recruitment of physicians and the retention of physicians in this Province is a big priority for our government. My statement a moment ago talked about some of the successes and some of the work we are doing with the medical school to enhance those efforts.

So, I say, Mr. Speaker, any time we have resignations, or multiple resignations in any discipline, it gives reason for concern, and that is why we are moving quickly to work with the medical association and Eastern Health to be able to address the issue.

Issues around the strategy, what we will be doing in the short term and the long term, as I have said a moment ago, we are working very quickly with the medical association and Eastern Health to be able to address the issue.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Thank you, Mr. Speaker.

I say to the minister, we certainly applaud the efforts that you are making with the medical school, to have more recruits and to encourage more people to stay and work in the Province, but according to those in the profession there has not been a Canadian pathologist graduate in this Province in years. Mr. Speaker, we see that as being a longer-term solution, not a shorter-term solution.

So, I ask the minister: Will he admit today that the salary benefits and remunerations paid to pathologists in this Province is inadequate and hampering our efforts to recruit more people to this profession?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: Mr. Speaker, I stood in this House last year, about this time, around the middle of May last year, in 2007, and I announced to the House and to the people of Newfoundland and Labrador that we as a government were announcing an increase in the compensation paid to pathologists, adding to the stipend that was provided to oncologists, extending that to the pathologists in this Province, which was a reflection of our government’s commitment to ensure that our salaries for physicians and other help disciplines in this Province are competitive, and puts us in a position where we are able to recruit capable, competent people and to retain them. Looking at other issues, such as the full package of benefits and working conditions, are all a part of our retention efforts.

We are not suggesting, I say, Mr. Speaker, we are not suggesting at all that we should not be continuing to try to build on what we are doing, and improve what we are doing. That is why we are taking the efforts that we are taking now, and making the movement and putting some investment of interest and time and energy into ensuring that we work with all of the affected parties, the Medical Association and our health authorities, to ensure that we are successful in continuing the recruitment.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Mr. Speaker, the compensation or the stipend that the minister keeps referring to has allowed the pathologists in this Province to move from dead last in terms of salary benefits in North America to the bottom of the scale in Canada, I say to you, Minister. We know today that retention of these pathologists is hampered by the workload that they have, and because of the shortage. Minister, I cannot say it any clearer than I have.

What are you going to do immediately to address this problem, to deal with the benefits, to deal with the remunerations, so that we can get on with recruiting pathologists and ensuring that we have a stable and first-class health care system to the people in this Province?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: Like the member opposite, the Leader of the Opposition, I, too, cannot be any clearer when I say that we are, in fact, working with the Medical Association. We are working with the pathologists at Eastern Health. We are working with our four authorities to actually address the issue that she is raising here today. We met last week, we are meeting again tomorrow. I cannot tell you today what will come out of tomorrow’s meeting, but I can clearly tell you that we are bringing a great deal of energy to bear. We are bringing all of the affected parties to the table, to try to work through a solution collectively.

For me to stand here today and prejudge what might come out of tomorrow’s meeting would undermine the intent and the spirit of co-operation we have with these interested parties. I will not do that, Mr. Speaker.

What I will do, I will commit on behalf of this government, to the people of Newfoundland and Labrador, that we will continue with our diligent efforts to make sure that we have an adequate supply of physicians for this Province and will do our best to work with them to ensure that we are able to keep them in this Province.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Thank you, Mr. Speaker.

The minister had a proposal on his desk. He has met with them. We had a Budget, and the critical matter that we are dealing with in the Province today was not addressed, was not even spoken to in the Budget, but this is an issue that was. Let me ask him about this.

There were about 4,400 people with chronic obstructive pulmonary disorders – COPD - in this Province. A life with lung disease means being condemned to a life of minimal activity, unless assisted with oxygen. I know the minister knows that, because he brought in some money in this Budget for a portable oxygen program, but it applies to those who are on the Special Assistance Program.

I say to you, Minister, there are thousands of people out there who need this portable oxygen program, who do not fall in that program. Can you tell me what will be provided to those people?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

MR. WISEMAN: I am glad the member opposite has acknowledged the investment we made in yesterday’s Budget.

We have met with the Lung Association to talk about the issues that they have concerns about with respect to those individuals who need oxygen to have a quality of life. I say, Mr. Speaker, this program, together with many others, has been enriched in recent years as a result of our government’s Budget.

Last year, we made some major investments in our Prescription Drug Program. This year, we have made some enhancements in other programs and we will continue to do that, I say, Mr. Speaker, all within the fiscal capacity of the Province, making sure that it is sustainable for the long term.

Many of these programs, though, do have a means-testing process. There are many people in the Province who have the fiscal capacity themselves, or have group insurance programs, where they are able to cover the cost of those, which frees up the money for us, as a government, to be able to put money into things like poverty reduction, or things for other people who are socially disadvantaged.

MR. SPEAKER: Order, please!

I ask the hon. minister to conclude his answer.

MR. WISEMAN: I say, Mr. Speaker, having programs such as that one, that are universally available, sometimes may be challenged, and sometimes we are better off making some decisions to have it (inaudible) so money can be freed up (inaudible) programs.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: Order, please!

The hon. the Leader of the Opposition.

MS JONES: Mr. Speaker, portable oxygen is only one of the expenditures that these people have to deal with. They have to deal with home oxygen programs as well. All provinces right now, except for Newfoundland and Labrador, have programs for funding home oxygen to the general public, outside of those special assistance plans.

I ask the minister: Now that you understand the issue and you know the numbers of people impacted, why is it that you and your government were not prepared to bring in a similar program for people who require home oxygen as that being offered in other provinces across Canada?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: Thank you, Mr. Speaker.

I always find it interesting, Mr. Speaker, in the House where members opposite will cherry-pick an issue and compare us to the rest of the country. You can take any range of services, live in any province in this country, you can scan the environment and you will find something that is being done in other provinces that is not being done where you are living today, whether you live in Newfoundland and Labrador or you live in B.C. or in Ontario.

If you are going to use that, if that is what you want to do with Question Period, my colleague will stand up in a few moments and he will talk about the great work we are doing with poverty reduction. We are the leaders in the country. With the investment we are making this year, we will be up to about $100 million annually that we are putting into poverty reduction - the leaders in the country. We can get up in Question Period and make all kinds of comparisons, Mr. Speaker, around this country about programs we are doing.

Again, as I said a moment ago, we made a commitment this year to enhance the program. Programs such as this are always under review and evaluation, and in next year’s budgetary process we will reconsider it again, look at opportunities for –

MR. SPEAKER: Order please!

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Thank you, Mr. Speaker.

I say, cherry-picked or not, it is hard to get an answer out of that minister.

Mr. Speaker, many seniors in this Province rely on Old Age Security benefits as their only source of income, and home oxygen can range from a bare minimum of $150 a month up to $600 a month depending on what their requirement is. The average cost right now in this Province is about $300 a month for those particular people. There are about 1,500 seniors in the Province who require home oxygen, and I ask the minister if he will now review it to see if these particular people can be added to the prescription drug formulary so that they can get some subsidization on this vital medical treatment.

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: I am baffled by the member’s questions, because yesterday we went through a line of questions where she was zeroing in on very specific examples in the context of a broader program. We are having the same thing happen here today.

I say, Mr. Speaker, as a government, and through our regional health authorities who administer these programs on our behalf, sometimes individuals who find themselves maybe not quite within the parameters of the program but have some unique circumstance have an ability, through the Special Assistance Program, to have their circumstance reviewed.

I say, Mr. Speaker, that happens each and every day. If you want to take one individual or some in a group of individuals who are in an extreme set of circumstances, there are many opportunities, through the existing program and in the construct of existing programs, to have those individual circumstances evaluated. So if there are people that she has some knowledge of like that, I suggest that she refer them to her respective regional health authority.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Thank you, Mr. Speaker.

My next questions are for the Premier. The Premier indicated yesterday that public sector pensioners will not be getting any indexing or any further benefits on their pensions in the foreseeable future under his mandate.

I ask the Premier: Why is public sector pension indexing not an option for your government?

MR. SPEAKER: The hon. the Minister of Finance and President of Treasury Board.

SOME HON. MEMBERS: Hear, hear!

MR. T. MARSHALL: Mr. Speaker, I have said in this House on many occasions that this government is very concerned about the impact of high energy costs, for example, that are having on the seniors of the Province. We feel an obligation that we have to look after all of our seniors in Newfoundland and Labrador.

All seniors have the benefit of federal government programs, such as the Old Age Security Program, the Guaranteed Income Supplement, the Canada Pension Plan, which are all indexed. Some of our retirees have had the benefits of being part of a Defined Benefit Pension Plan, but the majority of citizens in this Province have not.

What this government has said that it will do, what we did in last year’s Budget, what we have done in this year’s Budget and what we will continue to do is to proceed with more and more initiatives, like lower income tax benefits. We have doubled the seniors’ tax benefit this year. We improved the Seniors’ Benefit last year. We have lowered income taxes. We have improved the drug program. We have improved the home heating program to put more money in seniors’ pockets to help them cope with the cost of living.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Thank you, Mr. Speaker.

Today, as the Minister of Finance knows better than all of us, we have a tremendous amount of money in surplus budgets and more predicted because of soaring oil prices. Even when previous governments had little money available, in 2001 there were small increases provided to index these pensions.

I ask the minister today: With such a significant Budget surplus and the rising cost of living, why was there not some recognition of the struggle of these public servants in your Budget and some kind of inflationary measures incurred to provide some alternative subsidization for them?

MR. SPEAKER: The hon. the Minister of Finance and President of Treasury Board.

SOME HON. MEMBERS: Hear, hear!

MR. T. MARSHALL: Thank you, Mr. Speaker.

This government certainly recognizes the contribution that senior pensioners who worked for the government have done for the people of this Province. In over just a few years, our government has invested $3 billion into the pension plans of our former employees and our teachers.

SOME HON. MEMBERS: Hear, hear!

MR. T. MARSHALL: Mr. Speaker, that is $2 billion into the teachers’ pension fund; that is $982 million that was invested in the public sector pension fund. Obviously, it is very important that if any further benefits were to come out of the fund - we cannot have the Unfunded Pension Liability increased because that will totally undermine the advantages of the $3 billion. Again, Mr. Speaker, we will continue to look after the needs of all seniors and we will continue to bring forward initiatives that will help all seniors in the Province, just not one particular group.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Mr. Speaker, the piece to this that I do not understand is when the members opposite where in Opposition they were out talking about how they were standing shoulder to shoulder with pensioners in this Province and supporting this indexing. In fact, Mr. Speaker, the Member for St. John’s Centre was quoted at one point in the paper saying how he supported this.

What I do not understand is why there is such a change of heart on this particular issue at a time when we are resourced well enough to be able to tackle it and do something about it?

MR. SPEAKER: The hon. the Minister of Finance and President of Treasury Board.

SOME HON. MEMBERS: Hear, hear!

MR. T. MARSHALL: Mr. Speaker, as I said earlier, most people do not have the benefit of having been part of the Defined Benefit Pension Plan, but those who have the advantage of being in that - a Defined Benefit Pension Plan is a plan where the benefits are actually determined beforehand and an actuary is hired to calculate what investments have to be made into the plan and then the employer and the employees make contributions to the plan to fund those benefits that have been agreed upon.

In the case of our pensioners, the promise contained in the pension plan has, in fact, been met. Even though there is not enough money in the plan, the plan still remains unfunded but the pension benefits have continued to be paid.

Mr. Speaker, there are many people in this Province, as I have said, who do not have the benefit of such a plan and we have to look after them, we have to look after those people that have been - like people who worked for Kruger who have plans that they are not in as well. So we have to ensure that all seniors in the Province are protected.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Mr. Speaker, there are a number of public sector workers today who have raised a concern with us and it is regarding the increases that they are paying on their insurance benefits. Many workers with family medical plans have seen an increase of up to 25 per cent in their premiums.

I ask the minister: Why do the employees of the government now have to pay such a significant increase?

MR. SPEAKER: The hon. the Minister of Finance and President of Treasury Board.

SOME HON. MEMBERS: Hear, hear!

MR. T. MARSHALL: Mr. Speaker, if I recall correctly, the increase in the premiums under the insurance program was caused by - well, there was an increase in the premium and that cost had to be paid by all. Generally, under the plan, I believe that the employer pays 50 per cent of any increases and the employees pay 50 per cent of the increases. What I will do, my memory of that is a bit hazy, but what I will undertake to do is get more information and come back to the House and respond in more detail to the question the hon. member has put.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Thank you, Mr. Speaker.

I remember when government made the shift from Blue Cross to Desjardins, that they were saying at the time that there would be some savings for government. Now, I do not know if government’s rates have increased as well, or if they have maintained the same levels. Maybe the minister could tell me that?

MR. SPEAKER: The hon. the Minister of Finance and President of Treasury Board.

SOME HON. MEMBERS: Hear, hear!

MR. T. MARSHALL: Mr. Speaker, there is a committee, consisting of government representatives and employee representatives on the committee that make the decisions relating to the government’s group insurance and what not, and the medical protection and the health protection and the insurance. They made this decision, and again, I will certainly undertake to check and get more information and report back to the House.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Thank you, Mr. Speaker, and I thank the minister for his answer.

Mr. Speaker, my questions now are for the Minister of Municipal Affairs.

There has been an ongoing debate around the protocols and processes for the fire commissioner’s office, but one thing we are sure of is that if has been indicated that the fire commissioner will require more funding in order to carry out proper inspections on a routine basis in public buildings throughout the Province. We did not see any funding allocated in the Budget for this particular initiative.

I ask if the minister could explain to me what resources will be provided to him, in addition to what he already has, and what new mandate of responsibilities they will be given?

MR. SPEAKER: The hon. the Minister of Municipal Affairs.

SOME HON. MEMBERS: Hear, hear!

MR. DENINE: Mr. Speaker, I said time and time again, since the deficiencies were noted in the facilities in Newfoundland and Labrador, I came back and I was going to look at the protocol; our staff now are looking at the issues there. They are looking at the volunteer fire sector. They are looking at all the stakeholders. When they get the report done, Mr. Speaker, then I will be in a position to say what is going to happen, but for me to prejudge what is going to come out of that, it is sort of unfair for me to do that. I cannot do that. I want to see those people come back with the recommendations to me, as minister, and then I can look at the recommendations and make some recommendations to government.

SOME HON. MEMBERS: Hear, hear!

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

MS JONES: Mr. Speaker, the minister was aware of, and I understand requests were made for a fire protection officer for the Labrador region. Currently they have no presence there when it comes to fire and emergency services. All the investigations, inspections and so on are being done by offices on the Island.

I ask the minister: Why was this particular position not funded?

MR. SPEAKER: The hon. the Minister of Municipal Affairs.

SOME HON. MEMBERS: Hear, hear!

MR. DENINE: Mr. Speaker, we have fire protection officers across the Province, the Labrador member is right, but the thing is that we have two on the West Coast in Deer Lake. At the time with the amount of inspection that can be done, the person on the West Coast can alternate back and forth from Labrador to the Province. That is the reason why it was not done.

SOME HON MEMBERS: Hear, hear!

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

MS JONES: Thank you, Mr. Speaker.

In fact, as we speak today there are officials of the Fire Commissioner’s Office who are traveling by helicopter in Labrador, from Mary’s Harbour to Nain, doing inspections on Coastal clinics.

I ask the minister: Why was their office not instructed to do the inspections on the schools on the Labrador Coast at the same time as they were making this trip?

MR. SPEAKER: The hon. the Minister of Municipal Affairs.

SOME HON. MEMBERS: Hear, hear!

MR. DENINE: Mr. Speaker, when the decision was made to send the fire protection officer to the Coast of Labrador, at no time did the schools become an issue with me, and it hasn’t become an issue with me in terms of the Fire Commissioner’s Office. What we did was, we sent the fire protection officer to the Coast to look at the community clinics. That was the issue at the time.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Member for Signal Hill-Quidi Vidi.

MS MICHAEL: Thank you very much, Mr. Speaker.

My first question is for the Minister of Health and Community Services.

In light of the impending loss of pathologists – and I say impending because I realize some have put in resignations and are still there – in the Province, we have heard many concerns expressed by the Canadian Cancer Society, most particularly the Newfoundland and Labrador Medical Association, individual pathologists and the Director of the lab, with regard to the morale of the staff who remain.

I am wondering: In the discussions that the minister will be having with Eastern Health tomorrow, will you be dealing with the issue of helping this current staff with their morale?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: Yes, Mr. Speaker, we will.

Obviously, with the discussion we are talking about here, as I said earlier, looking at the issues before us, issues around the supply, retention and recruitment efforts, working conditions become a piece of that. The morale and working conditions will be a part of our discussions. In fact, the Premier and I will be meeting I think it is next week - next week or the week after we are going to have a meeting directly with the pathologists and oncologists themselves to continue the discussions we started last week with the Medical Association.

I say, Mr. Speaker, all aspects of working conditions, issues that impact our ability to recruit and issues that impact our ability to retain the pathologists, are all topics of discussion.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Member for Signal Hill-Quidi Vidi.

MS MICHAEL: Thank you, Mr. Speaker.

Just one more question on that, then, to the minister.

If things that you come up with in your discussions tomorrow, and your ongoing discussions, are going to involve money, are you going to be prepared to have that discussion if more money becomes part of what needs to be done, whatever that money would be for?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: As I said in response to an earlier question from the Leader of the Opposition, as a government we are interested in working with the individuals who are impacted, like the Medical Association, health authorities, and pathologists in this particular instance here. We need to better understand, what are the issues we need to be dealing with, and what are some of the strategies in and around that?

One of the things that I am committed to, I say, Mr. Speaker, and government is committed to – and I acknowledged earlier our commitment to do it – we are committed to ensuring that we have an adequate supply of capable, competent physicians in this Province, and we will work with all parties to ensure that we have strategies in place to not only help us recruit them but to help us retain them in the Province for the people of Newfoundland and Labrador.

SOME HON. MEMBERS: Hear, hear!

MR. SPEAKER: The hon. the Member for Signal Hill-Quidi Vidi.

MS MICHAEL: Thank you, Mr. Speaker.

That answer from the minister actually leads me into another question that I had hoped to ask today. It has to do with the recruitment and retention of nurses, because the Budget talked about the recruitment and retention of nurses; however, all of the incentives that I could see in the Budget, bonuses for students, cost of moving, signing bonuses, all have to do with recruitment only. I really could not find anything that could be identified as a retention strategy for nurses who are already working in the Province.

I ask the government: Why did it not see fit to invest in more full-time positions for nurses, to help with retention?

MR. SPEAKER: The hon. the Minister of Health and Community Services.

SOME HON. MEMBERS: Hear, hear!

MR. WISEMAN: Mr. Speaker, we could arrange to have officials provide a more detailed briefing of yesterday’s Budget, because there was information in there with respect to creating new positions.

If you look under the community health support system, we are creating new nurses in public health. We are creating new nurse practitioner positions, I say, Mr. Speaker, all with a view of expanding opportunities for career enhancement, expanding new opportunities for nurses in this Province.

We already had, last year, announced in our last year’s Budget, initiatives with respect to quality workplace initiatives that are carrying over. They just were not in last year’s Budget and they stopped at the end of twelve months; they are continuing into this year, I say, Mr. Speaker.

Money has been provided in the previous year’s Budget. Annualize that money; we do have money in this year’s Budget to deal with those issues. Some of it may be contained in the allocations reached for our regional health authorities, but very clearly, I say, Mr. Speaker, very clearly we are committed to – as I said with respect to the physicians, not only do we want to have the ability to recruit but we need an ability to retain nurses.

MR. SPEAKER: Order please!

I ask the minister to complete his answer.

MR. WISEMAN: Mr. Speaker, that is why we have created more permanent positions by converting casual positions to permanent positions in this year’s Budget.

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