Report of the Standing Committee on Indigenous and Northern Affairs, December, 2018

Recommendations:

1. That Indigenous Services Canada provide increased funding to the First Nations and Inuit Home and Community Care Program to include palliative care as a service eligible for funding under the program.
2. That Indigenous Services Canada evaluate the current needs regarding in-home respite care under the First Nations and Inuit Home and Community Care Program and report publicly on it; and that Indigenous Services Canada review the funding allocated for the First Nations and Inuit Home and Community Care Program to ensure that in-home respite care on reserve is accessible and adequate.
3. That Indigenous Services Canada: establish a funding formula that provides stable, predictable and long-term funding to projects to build or maintain long-term care facilities on reserves and that the new formula take into account factors such as First Nation population growth, inflation and the remoteness of communities; facilitate and support partnership initiatives to build long-term care facilities; and work with First Nations and the provinces and territories, in accordance with the priorities that First Nations set for long-term care on reserves, to develop and implement pilot projects in various regions of Canada to build and maintain long-term care facilities on reserves.
4. That Indigenous Services Canada work with First Nations and the provinces and territories to take immediate measures to encourage the implementation of culturally appropriate programming and service delivery including traditional foods in long-term care facilities and as part of home care and community-based care on reserves.
5. That Indigenous Services Canada work with First Nations and provincial and territorial partners to develop and implement a mandatory training program for Indigenous and non-Indigenous health professionals providing continuing care on reserve about the values, culture and history of Indigenous peoples.
6. That, in implementing Call to Action 22 of the Truth and Reconciliation Commission of Canada, Indigenous Services Canada work with First Nations, provinces and territories and health authorities to recognize, fund and provide access to First Nation traditional healing practices in the delivery of continuing care.
7. That Indigenous Services Canada, in partnership with First Nations and other relevant federal departments, improve access to post-secondary health education and occupational training for First Nations learners to provide more opportunities for First Nations people to deliver health care on reserve.
8. That Indigenous Services Canada co-ordinate with First Nations and the provinces and territories to clarify their respective roles and responsibilities for continuing care on reserves.
9. That the Minister of Indigenous Services Canada facilitate tripartite meetings between the federal government, provinces and territories and First Nations representatives to address the jurisdictional challenges that exist regarding the delivery of home and community care, palliative care and long-term care services on reserves.
10. Based on the principles of OCAP® (ownership, control, access and possession) of the First Nations Information and Governance Centre, that Indigenous Services Canada work with First Nations and provinces and territories to develop and implement an integrated data collection protocol specific to the health and well-being of First Nations; and that this data be used to inform the provision of evidence-based health services on reserves.

http://www.ourcommons.ca/Content/Committee/421/INAN/Reports/RP10260656/inanrp17/inanrp17-e.pdf