I just want to echo a little bit what Buffy was saying: that communities should be able to access education and care in their languages. You also asked about some accountability structures. I can think of an example where a community midwife from Quebec had strict limitations placed on her ability to open and set up practice because she was not francophone-speaking. However, her community is Algonquin and English-speaking, and nobody in her community would require access in French. Because of the regulations in how midwifery care is delivered in Quebec, there were significant roadblocks and challenges to her being able to set up a practice and provide care in her community.
I would probably imagine that similar things are happening for midwives who are wanting to work in their northern communities and Cree is their first language.