Evidence of meeting #46 for Health in the 42nd Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was study.

A recording is available from Parliament.

On the agenda

MPs speaking

Also speaking

Karin Phillips  Committee Researcher

11:10 a.m.

Conservative

Colin Carrie Conservative Oshawa, ON

Mr. Chair, I'd be okay with that. It's just a matter, like I said.... One of the concerns that I heard when we did Bill C-14 was that we didn't get things moving for the palliative care issue, and I'll take the word of my colleagues over there that this won't be a way out of doing it. It's not something I'm going to die on here, but we do all want to see this move forward as quickly as possible.

11:10 a.m.

Liberal

The Chair Liberal Bill Casey

And we will have palliative care, if we just sit and make that decision. But really, I think the political will is here to do this for everybody.

Seeing no more debate, all those in favour of amendment 1?

(Amendment agreed to)

11:10 a.m.

Chair

We move on to amendment 2, moved by Mr. Oliver.

Mr. Oliver, would you like to...?

11:10 a.m.

Liberal

John Oliver Liberal Oakville, ON

Sure. This deals with paragraph 2(1)(b), and it's the second line that's being changed. It currently reads, “identifies the palliative care training and education needs of palliative health care providers;”

So we have “palliative” in there twice. It's been my experience that many, many care providers are involved in palliation. There's no such thing as a category of palliative health care providers, so you get doctors, nurses, lay clergy, anybody involved in this. It's really about education and training for health care providers and other caregivers, so the wording change is in the second sentence. I drop the word “palliative” and add to the end of it, “as well as other caregivers”, so it would read, “identifies the palliative care training and educational needs of health care providers as well as other caregivers.”

That's the proposed amendment and the rationale for it.

11:10 a.m.

Liberal

The Chair Liberal Bill Casey

Is there any debate?

(Amendment agreed to)

All right, we're on amendment 3.

Mr. Oliver.

11:10 a.m.

Liberal

John Oliver Liberal Oakville, ON

I think it's just consistent language. It proposes including the words “identifies measures to support palliative care providers”, changing “caregivers” to “care providers”, so that the language would be consistent. It's just changing the wording from “palliative caregivers” to “palliative care providers”.

11:10 a.m.

Liberal

The Chair Liberal Bill Casey

Is there any debate? The proponent supports this.

(Amendment agreed to)

Mr. Davies.

Oh, is there one more? I'm sorry, Mr. Oliver.

11:10 a.m.

Liberal

John Oliver Liberal Oakville, ON

Yes, LIB-4 proposes changing paragraph 2(1)(d), which currently reads “collect research and data on palliative care”. I think we want to promote research and include data on palliative care. Part of that is what we heard from our witnesses.

11:10 a.m.

Liberal

The Chair Liberal Bill Casey

Dr. Carrie.

11:10 a.m.

Conservative

Colin Carrie Conservative Oshawa, ON

On the wording, when you say “promotes research and includes data”, it is almost like the past tense of “include data” that we already have. I was wondering if we could make a friendly amendment and put “promote research and the collection of data on palliative care”. I would like to see the collection of the data ongoing.

11:10 a.m.

Liberal

John Oliver Liberal Oakville, ON

I have no problem with that amendment.

11:10 a.m.

Liberal

The Chair Liberal Bill Casey

Okay, a subamendment is proposed.

My understanding, Mr. Oliver, is that you're happy with that, and we can just leave it that way.

(Subamendment agreed to)

(Amendment agreed to [See Minutes of Proceedings])

On the NDP amendment, Mr. Davies.

11:10 a.m.

NDP

Don Davies NDP Vancouver Kingsway, BC

Thank you, Mr. Chair.

My amendment would add paragraph 2(1)(g), which would be another factor for the government to consider. It would ask that the government “evaluates the advisability of re-establishing the Department of Health's Secretariat on Palliative and End-of-Life Care”.

This is not obligating the government to do that, but I think they should look at it, given that there was a secretariat for a number of years, which was removed by a previous government.

I reviewed the testimony. I think I put that question to all the witnesses.

Dr José Pereira, the chief scientific officer of Pallium Canada, said, “I would strongly recommend that we re-establish a secretariat or office or framework building on the successes that we had earlier on, but adding much more to that.” Ms. Sharon Baxter, the executive director of the Canadian Hospice Palliative Care Association, and her group have called for a national secretariat. Ms. Josette Roussel, a senior nurse advisor from the Canadian Nurses Association, also said, “Reinstatement of Health Canada's secretariat on palliative and end-of-life care is a move that CNA would support.” Finally, Dr. David Henderson, the president of the Canadian Society of Palliative Care Physicians, talked about the recommendation of the Special Joint Committee on Physician-Assisted Dying, and cited its call for the re-establishment of a secretariat on palliative and end-of-life care as a very important part, or a companion piece to the physician-assisted death provisions. He also supported that.

I would hope I would get all-party support for the government to at least look at the advisability of re-establishing a secretariat.

11:15 a.m.

Liberal

The Chair Liberal Bill Casey

Thank you very much.

I noticed that Dr. Henderson received an award for his work on palliative care last week.

Is there any debate on the amendment?

(Amendment agreed to)

(Clause 2 as amended agreed to [See Minutes of Proceedings])

(Clause 3 agreed to)

(On clause 4)

On clause 4 we have a Liberal amendment from Dr. Eyolfson.

11:15 a.m.

Liberal

Doug Eyolfson Liberal Charleswood—St. James—Assiniboia—Headingley, MB

Thank you, Mr. Chair.

We want to change this to remove some of the language in the original clause, which had the Minister of Health requiring a report on an area of progress that wasn't under federal jurisdiction and may have caused some confusion of issues under provincial and federal jurisdiction. We're amending it to read:

Within five years after the day on which the report referred to in section 3 is tabled in Parliament, the Minister of Health must prepare a report on the state of palliative care in Canada, and cause the report to be laid before each House of Parliament

11:15 a.m.

Liberal

The Chair Liberal Bill Casey

Is there any debate on the amendment?

(Amendment agreed to)

Shall Clause 4 carry as amended?

(Clause 4 as amended agreed to)

All right, now we'll go back to the preamble.

Shall the preamble carry?

11:15 a.m.

Some hon. members

Agreed.

11:15 a.m.

Liberal

The Chair Liberal Bill Casey

Shall the short title carry?

11:15 a.m.

Some hon. members

Agreed.

11:15 a.m.

NDP

Don Davies NDP Vancouver Kingsway, BC

Mr. Chair, that was a vote in favour.

He caught me in-between.

11:15 a.m.

Some hon. members

Oh, oh!

11:15 a.m.

Liberal

The Chair Liberal Bill Casey

Shall the title carry?

11:15 a.m.

Some hon. members

Agreed.

11:15 a.m.

Liberal

The Chair Liberal Bill Casey

Shall the bill carry as amended?

11:15 a.m.

Some hon. members

Agreed.