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First Nations Health Governance

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.

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First Nations Health Governance

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  1. First Nations Health Governance UBC Learning Circles September 29, 2010 Presented by: Grand Chief Doug Kelly Chair, First Nations Health Council

  2. 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.

  3. 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.

  4. 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.

  5. 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.

  6. 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.

  7. 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

  8. 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

  9. Community Engagement • The FNHC will undertake community engagement with BC First Nations through Regional Health Governance Caucuses and the First Nations Heath Directors Association.

  10. 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

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