Transcript The Basis Agreement

First Nations Health Governance
UBC Learning Circles
September 29, 2010
Presented by:
Grand Chief Doug Kelly
Chair, First Nations Health Council
Health Governance and Indigenous People –
Global Context
• The Tripartite First Nations Health Plan sets
out an ambitious agenda for changes to health
care for First Nations in British Columbia.
• The Plan reflects a worldwide trend of
Indigenous people taking ownership and
control over health services design & delivery.
Why is this Important?
Getting BC (and its Health Authorities), Canada, and
BC First Nations on the same page is important:
• To develop a clear understanding on
responsibilities & jurisdiction,
• To improve FN role in developing health care
policies to meet community needs, and
• To strategically invest in the health of our
communities from a population health
perspective.
A new Health Authority and a
different perspective on health
• A new First Nations Health Authority has the
opportunity to deliver health differently.
– The focus is on upstream investments and moving
away from a “sickness system.”
– There is not one way of doing “First Nations
Health” many cultural and regional
considerations.
The Basis Agreement was initialled on July 26, 2010
The Basis
Agreement was
initialled by Ian
Potter (Canada),
Andrew Hazelwood
(BC) and Grand
Chief Doug Kelly
(FNHC) in a
ceremony held in
Vancouver on 26
July 2010.
What is the Basis Agreement?
The Basis Agreement is:
• an important phase in the
implementation of the Tripartite First
Nations Health Plan
•a non-binding political agreement
•provides basic commitments to develop
a new administrative arrangement for the
delivery of First Nations health services
• reaffirms the parties commitments to
the TCA, TCA: FNHP, and TFNHP
• 10 year clock reset and 83.5 million BC
funding commitment
• On-going federal funding for TFNHP
First Nations Political Leadership has
been involved in initiating the First
Nations Health Council process.
Photo from July 26th, initialling of the
Basis Agreement.
Basis Agreement Components
The Basis Agreement includes guidelines on:
•The approach for establishing a new governance structure
•Roles and responsibilities of the First Nations Health Authority
•Transfer of federal programs, services, authorities and functions
•Federal funding
•Role of the provincial government and provincial health
authorities
•Reciprocal accountability and credible reporting
•Performance tracking
The First Nations Health Directors
Association & Health Governance
• The First Nations Health Directors Association is one of the
four components of health governance under the First
Nations Health Plan
• The FNHDA will continue to provide high quality
community-based expertise and guidance to ensure the
wealth of knowledge is used in assessing and designing
policies and programs to best meet the needs of BC First
Nations
• Roles and responsibilities of the FNHDA & FNHC will
continue to be refined
• Permanent roles and responsibilities between the FNHDA &
a First Nations Health Authority will be developed
Community Engagement
• The FNHC will undertake community
engagement with BC First Nations through
Regional Health Governance Caucuses and the
First Nations Heath Directors Association.
Next Steps
• The FNHC, with direction from Regional
Caucuses, will seek a mandate to negotiate the
legal agreement.
• Once the mandate is in place, the FNHC will
negotiate a legal agreement that will create the
First Nations Health Authority
• The FNHC will then engage with BC First Nations
regarding communications/ratification of the
legal agreement