Health committee  There's a national program called “Speak Up: Start the Conversation about End-of-Life Care”, which is run by my association. It's part of the advance care planning in Canada project. One of the things we found is that nurses and physicians and others who work in the field, but do

Health committee  Agreed.

Health committee  All the provinces have instituted some sort of legislative framework around advance care planning, advance directives, whatever they are calling them in each province, so it's starting. But how do you get to Canadians? It's a big issue.

Health committee  The charge from the Prime Minister in the letter to the health minister was $3 billion for home care, including palliative care. They've stopped the “including palliative care” in some of their notifications, which is a concern for some of us. We just need to make it a priority.

Health committee  That's what “The Way Forward” is about. It's about the palliative approach to care, so it's less about the specialists' care and more about the family physicians, the emergency wards, and whatnot being able to have the right conversation with the patient, know where they can refe

Health committee  It's all about providing the right level of care and the right setting of care for the right patient at the right time. Residential hospices are terrific to provide care for those who are dying with a cancer diagnosis or something that's complex, and we need more than what we hav

Health committee  There is not a firm number. Here's the thing with residential hospices. In Ontario, the Ontario government has invested money to build more residential hospices, but because their funding model is not 100% funded, they really need the support of the community to be successful. T

Health committee  CHPCA was the co-lead on the EFPPEC project that is educating future physicians in end-of-life care and trying to get palliative care education into the curriculum of family physicians. It ran for five years. It was a federally funded program. We had about 40 hours of training in

Health committee  The existing hospice palliative care programs spend a lot of time on bereavement and actually try to carry the bereavement past the point of death, but they're not funded within the health care system, so it's done by those programs and it is not done by the programs that aren't

Health committee  We have national norms and standards for hospice and palliative care that were developed in 2002 and revised in 2012. They came up with nine domains of care that are important to deal with when the patient is getting near the end of life. Only one is medical care; only one refers

Health committee  Right now there are about 35,000 Canadians who are volunteers at hospice palliative care programs in this country. It's a loose number, because there's no one database on that, but it's considerable. They take the training through the hospice palliative care programs. As we pus

Health committee  Yes. I just need to mention that the training for health care providers and caregivers is totally different. It's not the same type of training, but they're both really important.

Health committee  The training we would provide for health care providers who provide hospice care and the palliative approach to care is a totally different training model from what you would provide for caregivers who are helping care for those who are dying. It's different and we actually have

Health committee  The World Health Organization put out a definition based on a worldwide model. In Canada, unlike in the U.S., we've taken a different perspective on specialist palliative care. We don't differentiate between hospice care and palliative care in Canada the way they do in the U.S. S

Health committee  I'll just finish then. It highlights companies and organizations that support the “caregiving at end of life” roles of their employees. That was it.