Thank you very much.
The partnership is required to maintain—and this is in their directives as well—an up-to-date list of registered rehabilitation service providers to whom veterans may be referred. One of the main tasks for this group partnership will be to replace the current list and “develop and define their [own] comprehensive network of rehabilitation service providers depending on the business model for service delivery.” I'm trying to figure out that business model.
Prior to this, case managers ran the medical and psychosocial rehabilitation program, and the contractor managed the vocational.
I am aware, from an ATIP, that the full list of service providers for veterans to date is 250,000 across the nation, and it's being brought down to 9,000. Veterans are actually requesting therapies as part of their rehabilitation plans in this new partnership. They're being told by PCVRS that they can access these through their Blue Cross A-line coverage. They're actually being pushed away from this partnership to their Blue Cross coverage.
In the past, the case managers always coordinated these therapies for the vets, and it was collaborative. What we have heard from multiple practitioners—and we have heard today from a lot of those who have provided these services—is about the loss of that rapport and the working alliance between the clinicians, the veterans and the caseworkers. The new rehabilitation program appears to negate that relationship, yet they're not providing the service.
My question to you is this: Why did Veterans Affairs Canada choose to contract out the delivery of the entire rehabilitation program, and why are they already failing to meet the veterans' needs for mental and physical rehabilitation treatments? They are pushing vets to go by themselves to deal with Blue Cross for these things.