Thank you, Mr. Chair, for the opportunity to be here with you along with my colleagues to address the findings and recommendations of the Auditor General's report, the audit on the Canada pension plan disability program.
I want to convey to the committee this morning how seriously we take this audit and how determined I and my team are to improve the administration of this program for the benefit of its clients.
We accept and agree with the recommendations. We will be the better for them and we are determined to do better for our clients.
Two of my senior ADMs are leading this file, Kathryn McDade and Benoît Long, and they will assist me in answering your questions this morning.
The Auditor General’s report identifies a number of significant concerns and makes important observations about a program that serves some of the most vulnerable Canadians. My department agrees with the Auditor General’s recommendations, and we have implemented a detailed management action plan to address each of them.
Before I describe that plan, I would like to provide a bit of context about the program. The Canada pension plan disability program was introduced in 1966, making this its fiftieth year. It is the largest long-term disability program in Canada for working-age people with disabilities. In 2014-15, my department provided over $4.2 billion in benefits to more than 328,000 Canadians and 82,000 of their children.
This program is not Canada’s only long-term disability program. Provincial and territorial governments, as well as private insurers, also provide disability benefits. It is estimated that every year Canadians receive between $22 billion and $26 billion in disability benefits.
To qualify for benefits, individuals must have made sufficient contributions to the Canada pension plan, and they must demonstrate that they suffer from a “severe and prolonged” disability that renders them unable to work. This is a stringent test that requires medical evidence regarding an individual’s work capacity. Gathering and evaluating this evidence can be challenging for both our applicants and our adjudicators. The evidence is not always straightforward, and medical conditions often evolve over time.
The audit found that there were challenges for my department—indeed, shortcomings for the department—in three main areas, which I will address in turn: the timeliness of our decisions, the consistency of our decisions, and our openness to working with claimants and beneficiaries to learn from their experiences.
On timeliness, a key finding of the audit is that it takes too long for clients to access the program. We have committed to improving the application process, in particular by leveraging online and electronic systems as part of a broader service improvement strategy for the Canada pension plan.
With the consent of our clients, we will also work with other providers of long-term disability support, such as private insurance companies, to share information and thus reduce the burden on clients, who often have to provide the same or similar medical information multiple times.
As we committed to in the management action plan, we have also recently completed a review of service standards across all of our national pension programs, including CPPD. We will be introducing CPPD service standards after consulting with clients and stakeholders, and that will be in the near future. The standards will be achievable, while at the same time challenging the department to continually improve our service delivery.
One of the most troubling findings in the audit is that we are not meeting our own service guidelines for applicants with terminal illnesses and grave conditions. To address this, a prototype project was launched in January to test new ways of processing these specific applications. Early results from that pilot have informed the development of the new service standards for these applications. These standards recognize the urgency of the situations faced by these clients. We believe they will be achievable and will provide more certainty for this particularly vulnerable client group.
On consistency of our decisions, the audit recommends the implementation of a formal quality assurance framework to ensure that our decisions are appropriate and consistent. The department recognizes the importance of collecting business intelligence on our decisions, not only for the purpose of providing feedback to our department's decision-makers but also to help inform continuous improvement in program policy and service delivery. We have completed our work to develop a quality assurance framework and have begun its phased implementation.
On openness, in an effort to be more open and responsive, to demonstrate a better attitude to our clients, we have renewed a dialogue with CPPD clients and stakeholders. Our aim is not only to seek their input on implementation of the specific actions in our management action plan but also to establish a sustainable, ongoing process for stakeholder and client input in the management of the program.
We initiated this dialogue on February 17 at an event that was attended by senior officials and by our minister, the the Honourable Jean-Yves Duclos, Minister of Families, Children and Social Development. We received feedback at that meeting on our response to the Auditor General's report, as well as concrete suggestions on implementation of an ongoing process for client and stakeholder engagement.
My colleagues are here to speak to the findings and recommendation of the Auditor General related to managing recourse for clients who choose to appeal a decision of the department to deny CPPD benefits.
As you are aware, the Social Security Tribunal of Canada is an independent administrative tribunal. The Auditor General has documented the significant challenges the SST faced when it began operations in April 2013. The SST was transferred a significant number of appeals by its predecessor tribunals, the vast majority of which pertained to the program.
As the audit notes, as of December 31, 2014, the SST’s inventory of CPPD appeals had reached nearly 11,000 cases. This resulted in unacceptable delays for clients awaiting a decision on their appeal.
To assist the Social Security Tribunal with its own efforts to reduce the inventory, the department assembled a specialized multidisciplinary team that was able to review more than 10,000 cases between December 2014 and the end of summer 2015 and to offer settlements where possible.
As a result of these joint efforts with the SST, the inventory of CPPD appeals has now been reduced by more than half and remains on a downward trajectory. Our review of over 10,000 case files also provided invaluable insights into our decision-making process. This is informing our work to renew the program, and in particular the improvements to the supports and tools for decision-makers.
My colleague Ms. Brazeau will provide further detail on the current performance of the SST. I want to emphasize to the committee this morning our commitment to continuing to work collaboratively with the SST.
Finally, I recognize that having a management action plan is necessary but not sufficient for success. The plan needs to be well executed. I have elaborated on some of the details of our action to this point to give the committee some assurance that we are in fact executing that plan. In that respect, I'm confident that we have the right governance to deliver on our management action plan.
First, we have established a multi-branch working group that is responsible for implementing the activities set out in the plan and which reports to me on progress—and, if necessary, course corrections—on a regular basis.
Second, a supporting committee chaired by my associate deputy minister has been created to monitor the SST inventory, assess progress in implementing the plan, and ensure seamless communication with the SST.
In closing, I would like once more to acknowledge the Auditor General's contribution to ensuring that, going forward, CPPD benefits are provided on a more timely and consistent basis and that the program will be more responsive to the feedback of our clients and stakeholders.
We will be better as a department for this audit, and our clients will be better served as a result of this process.
Thank you, Chair.