Mr. Speaker, I will speak about initiatives undertaken by the Government of Canada to strengthen accountability in first nations and Inuit health programs and services, one aspect that we have not heard about today.
I will outline the government's mandate in the area, detail the provisions contained in Health Canada's new accountability framework and identify the government's short and long term accountability goals.
We currently, as a government, provide over $1.2 billion for non-insured health benefits and community based health prevention and treatment for first nations and Inuit. Over 600 facilities across Canada offer a full range of community based health programs and services which include nursing services, prenatal and children's programs, public health disease and environmental health services, prevention programs, the Indian and Inuit health careers program, the national native alcohol and drug abuse program and the first nations health information system.
We have also provided a non-insured health benefits program which supplements the benefits covered by the insured programs offered by the provinces and the territories.
The non-insured health benefits program serves over 700,000 clients. It includes not only vision care but prescription drugs, medical supplies and equipment, dental care, medical transportation services and other care such as short term mental health crisis counselling.
Anybody in the House from any party would admit there is a long road ahead to fully meet all the needs. However, the government is moving forward and we are trying to do it without criticizing the client that we serve.
Concurrently the Government of Canada has been working diligently with the stakeholders and across government departments to address issues of accountability. In the Speech from the Throne, the Government of Canada pledged to improve the health of aboriginal people and aboriginal communities by championing community based health promotion and disease prevention programs. We do this in partnership with the first nations. We are working to address the health inequalities which have plagued first nation communities for far too long.
Illness of almost every kind occurs more often among aboriginal people than among other Canadians. Consider the statistics, then move away in our minds from statistics and say that they represent real aboriginal Canadian people in this country. Diabetes, for instance, is three times higher in first nation communities than the rest of Canada. First nations and Inuit experience a higher rate of almost all chronic diseases, including heart disease to hypertension to tuberculosis. The average life expectancy for aboriginal people is at least seven years less than for other Canadians.
We have introduced concrete measures designed to improve the health and well-being of aboriginal people throughout Canada. However, increasing also at the same time the transparency and accountability of the first nations, as they manage and they deliver these services, has to be part and parcel of what is needed here.
Over the next few months Health Canada will launch a series of new initiatives and processes, both internally and with its stakeholders, to enhance the financial and program accountability to strengthen the ability to monitor grants and contributions and to respond to accountability issues.
Nobody wants to duck any problems that exist. We want to identify and develop mechanisms that help people help themselves.
At the same time, the Government of Canada recognizes that it has to maintain the objective of assisting the first nations people and the Inuit to build their own capacities to allocate and use the much needed health resources within their communities.
Since 1999 the first nations and Inuit health branch of Health Canada has been working with the partners, the Assembly of First Nations and the Inuit Tapirisat of Canada to develop an accountability framework for improved management practices. We have had assistance from many organizations. In fact, there are over 100 pilot projects on accounting management and assistance in place at this point in time.
The accountability framework will clearly outline the roles and responsibilities of relevant parties. It will also enable Health Canada to demonstrate results in investments, programs and services that are delivered. As well, it will identify the gaps in the service, improve the capacity to deliver the service and measure performance and improve overall management practices. They have to go concurrently.
An office of accountability implementation has been established to oversee the main components of this framework. These components are designed to build a more transparent accountability process. They include the programs, health plan program deliver and administrative capacity, in addition to the reporting, the evaluation and the audit elements.
An audit and accountability bureau was created which reports directly to the associate deputy minister of Health Canada. In addition to the traditional audit functions, it also oversees Health Canada's responsibility with respect to ethics and values.
A new quality assurance division will ensure that grants and contributions are well managed.
Within the first nations and Inuit health branch, regional directors are reviewing all the agreements in place to ensure that these agreements are processed, administered and maintained in accordance with Government of Canada policies and procedures. The ongoing implementation of the accountability framework will lead and has led to many improvements, not only in internal management control practices but in the standards, the policies and the controls for the negotiation signing and ongoing management of agreements.
We will, on this side of the House, support first nations and Inuit communities in building good governments, including more effective and transparent administrative practices. We are committed to continuing to work with first nations and Inuit organizations to help them improve their own accountability practices and to address any outstanding issue.
We will not list the failures. We will support, implement and encourage all of the success stories in this land. We will acknowledge around all the parties in the House that there is a need to be there helping with the health and the accountability in all programs governing our aboriginal peoples in this land.