Evidence of meeting #107 for Health in the 44th Parliament, 1st Session. (The original version is on Parliament’s site, as are the minutes.) The winning word was you're.

A video is available from Parliament.

On the agenda

MPs speaking

Also speaking

Heather Jeffrey  President, Public Health Agency of Canada
Catherine MacLeod  Acting President, Canadian Institutes of Health Research
Eric Costen  Associate Deputy Minister, Department of Health
Jennifer Saxe  Associate Assistant Deputy Minister, Controlled Substances and Cannabis Branch, Department of Health

12:10 p.m.

York Centre Ontario

Liberal

Ya'ara Saks LiberalMinister of Mental Health and Addictions

Thank you, Mr. Chair.

Honourable members, it's a pleasure to be joining you here today. Thank you for the invitation. I'm looking forward to having meaningful and important conversations that I know matter to Canadians.

I'm pleased to provide you with updates on some of the work we are doing to address the issues of mental health and substance use, but before I begin, I will add to the many tributes to Dr. Stephen Lucas, which are well deserved. Since our coming into this position, Dr. Lucas and his team have really guided me and Minister Holland with such a steady hand and a calm vision of what is important in the health of Canadians.

Dr. Lucas, you leave a legacy that is impressive by all standards and accounts, and you have served Canadians so well. For that, we are truly grateful.

Colleagues, this past fall, our team and I launched the 988 suicide crisis helpline, providing access to bilingual, trauma-informed and culturally appropriate suicide support to all Canadians. It is available 24 hours a day, seven days a week, and I know that we've worked across party lines on this initiative, because helping Canadians should never be a partisan issue. In its first two months of service, 988 responded to over 72,000 calls and texts from across Canada. This helpline represents an important step forward in providing timely and accessible access to crisis mental health supports.

We continue to work to build the overall capacity of the health care system through our historic investment of $200 billion over 10 years. This includes $25 billion in bilateral agreements that outline specific actions, including those to improve access to mental health and substance use services. Through these agreements, some of the actions supported by federal funding include supporting more integrated youth service hubs, reducing wait times for community mental health and substance use services, expanding access to provincial programs that provide counselling and support, and prioritizing culturally appropriate services where needed.

On top of these specific actions, mental health and substance use care is being integrated throughout the whole health care system, from family health services and the health workforce to data and digital tools. This will improve the system's capacity to respond to patients' needs for mental health and substance use support because, as we know and we say often in this place, mental health is health.

Tragically, the toxic drug supply and overdose crisis continues to cause immeasurable pain, suffering and heartbreak across our country. I want to acknowledge the important work this committee has been doing to study this critical issue. I know that we all share the same determination to end the overdose crisis and to save lives. This echoes what I'm hearing from my counterparts across the country, which is that we have the same objective: helping Canadians.

To do that, we need to learn from experts, in particular those working on the front lines of this crisis. They are truly the heroes of the health care system. We need to listen to those with lived and living experience, including family members, and as leaders, we need to work co-operatively to ensure a comprehensive and compassionate approach that is patient-centred.

Our government's actions are guided by Canada's model. Our goal is to ensure that all Canadians have access to services and supports across the spectrum of prevention, harm reduction, treatment and recovery, while also leveraging enforcement tools to keep our communities safe. As part of our approach, we are investing in programs like the substance use and addictions program, which allows us to support community organizations that are working directly to reduce harms and to support people in need.

As you have heard or may know, the illegal drug supply is deadlier than ever before, with potent substances like xylazine and nitazenes entering the already lethal illegal drug supply. This reality puts all those who consume substances at high risk. It also compels us to act to ensure that live-saving interventions are as widely available as possible, including in rural and remote areas of the country.

Colleagues, we have much more work to do in this space. However, I look forward to having meaningful discussions today on the work that is already in play and how we can better serve Canadians. I look forward to your questions.

12:15 p.m.

Liberal

The Chair Liberal Sean Casey

Thank you, Minister.

We will begin with rounds of questions, starting with Mr. Doherty, please, for six minutes.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Minister, thanks for being here today. I have a lot of questions.

First, I know you probably saw Minister Duclos and Minister Anand's press conference on fraud yesterday.

Has Mark talked to you about fraud at Health Canada?

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

I am aware that they are looking into those allegations.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

You're aware of some investigations mentioned yesterday pertaining to Health Canada.

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

I know that there are investigations that are ongoing.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Okay.

Are any of the new five to 10 cases being examined by your department?

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

At this point in time, I am not aware that they are.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Okay. Thank you.

There are investigations under way that involve PHAC.

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

PHAC also crosses not just my department but also Minister Holland's.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Okay. Thank you.

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

You're welcome.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Thank you.

Minister, is diversion illegal?

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

Yes, it is.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Okay. Thank you.

Minister, is the London InterCommunity Health Centre receiving funding through SUAP this fiscal year?

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

Yes, it is.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Thank you.

Minister, have you read the new letter from 72 B.C.-based addictions doctors blasting so-called safe supply?

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

I have read the letter, and I have met with many of the experts and physicians with regard to safe supply.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Thank you.

Minister, when Dr. Sereda was here last time, she admitted knowing that some of her prescriptions get diverted. I have a question. Why is her clinic still receiving taxpayer funds?

12:15 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

As I've said in this committee before, I take diversion very seriously, as does all of our department. At that time, we asked officials to thoroughly review the protocols of all of our 21 safe supply projects.

12:15 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Has the funding been cut off? Your testimony just prior to that was that her clinic is still receiving funds. Taxpayer funds are going to—what you said—a clinic that is prescribing safe supply where the prescribers know that some of it is being diverted.

12:20 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

Overall, across Canada, diversion is not something new. We know that there are low levels of diversion that do happen.

12:20 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Do you have the evidence?

12:20 p.m.

Liberal

Ya'ara Saks Liberal York Centre, ON

The RCMP has provided thorough information on its position on diversion.

Are you referring to a nationwide lens or specifically to that project?

12:20 p.m.

Conservative

Todd Doherty Conservative Cariboo—Prince George, BC

Is there a nationwide lens? Is there evidence nationwide with respect to safe supply and diversion?