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At the 1 st Annual Forum, a number of<br />

challenges and opportunities were identified as<br />

well as priorities for action, which included the<br />

establishment of the <strong>First</strong> <strong>Nations</strong> <strong>Health</strong> <strong>Council</strong>,<br />

and informing the completion of the Tripartite <strong>First</strong><br />

<strong>Nations</strong> <strong>Health</strong> Plan, signed on June 11, 2007.<br />

The Tripartite <strong>First</strong> <strong>Nations</strong> <strong>Health</strong> Plan marked<br />

the beginning of significant change for <strong>First</strong> <strong>Nations</strong><br />

health care in British Columbia. Regional Director<br />

lappe shared that minister Clement had often<br />

said that signing the Plan was one of his proudest<br />

accomplishments. BC was leading the way for<br />

fundamental changes for <strong>First</strong> <strong>Nations</strong> health<br />

service delivery, and was being closely observed<br />

by other provinces who were hoping to learn from<br />

BC’s successes.<br />

Regional Director Lappe shared that since<br />

the 1980s, <strong>Health</strong> Canada had been involved in<br />

a process to transfer health services historically<br />

delivered by <strong>Health</strong> Canada to <strong>First</strong> <strong>Nations</strong>.<br />

She continued that the Tripartite <strong>First</strong> <strong>Nations</strong><br />

<strong>Health</strong> Plan was a fundamental rethinking and<br />

realignment of how health services would be<br />

delivered for <strong>First</strong> <strong>Nations</strong> in British Columbia in<br />

a way that made sense for communities, with<br />

evaluation and monitoring by the regional offices<br />

and headquarters.<br />

Central to the Tripartite <strong>First</strong> <strong>Nations</strong> <strong>Health</strong><br />

Plan was a commitment to create a new governance<br />

structure that would enhance <strong>First</strong> <strong>Nations</strong> control<br />

of services, and promote better integration and<br />

coordination of services, to ensure improved access<br />

to quality health care by all <strong>First</strong> <strong>Nations</strong> living<br />

in British Columbia. The significant progress of the<br />

<strong>First</strong> <strong>Nations</strong> <strong>Health</strong> <strong>Council</strong>, which had actively<br />

sought partnership opportunities focused on the<br />

needs of <strong>First</strong> <strong>Nations</strong> communities, was acknowledged.<br />

Regional Director Lappe said that change would<br />

not happen overnight and that the transition plan<br />

would be a key component of the agreement to be<br />

reached. meanwhile, within bC Region, opportunities<br />

were being explored for interchanges between<br />

the <strong>First</strong> <strong>Nations</strong> and Inuit <strong>Health</strong> Branch and the<br />

<strong>Health</strong> <strong>Council</strong> to help pave the way for a smooth<br />

transition to the new <strong>First</strong> Nation governing body.<br />

As the first year anniversary of the signing of<br />

the Tripartite <strong>First</strong> <strong>Nations</strong> <strong>Health</strong> Plan approaches,<br />

there is opportunity to reflect on the successes<br />

achieved thus far, and to confirm the way<br />

forward. Over the past year, <strong>Health</strong> Canada has<br />

worked closely with its partners, building strong<br />

relationships, completing the initial work plan, and<br />

aligning efforts on a number of fronts to ensure a<br />

tripartite approach to program and service design<br />

and delivery. Efforts had also been made to initiate<br />

dialogue for the establishment of a new <strong>First</strong><br />

<strong>Nations</strong> health governing body.<br />

Regional Director Lappe acknowledged that<br />

while this was still the first year of implementation<br />

of the Tripartite <strong>First</strong> <strong>Nations</strong> <strong>Health</strong> Plan, change<br />

was already happening. Efforts would continue to<br />

adjust how we are working together as well as on<br />

aligning efforts and resources to make initiatives<br />

much more effective in moving forward. She<br />

concluded by recognizing the exciting linkages<br />

occurring between <strong>First</strong> <strong>Nations</strong> and <strong>Health</strong><br />

Authorities within BC. She thanked all parties for<br />

having the courage and energy to participate, and<br />

looked forward to continued collaborative efforts.<br />

Deborah Schwartz<br />

Executive Director, Aboriginal <strong>Health</strong> Branch<br />

BC Ministry of <strong>Health</strong><br />

“It takes tremendous leadership to get into a<br />

canoe and paddle in the same direction as others<br />

in the interest of all.”<br />

ms. Schwartz referenced the photograph on the<br />

cover of the Transformative Change Accord: <strong>First</strong><br />

<strong>Nations</strong> <strong>Health</strong> Plan which depicted three people<br />

paddling a canoe. She acknowledged the visual as<br />

a unifying metaphor about getting into the same<br />

canoe while paddling in the same direction, which<br />

took tremendous leadership in the interest of all.<br />

The excellence of the provincial, federal and <strong>First</strong><br />

<strong>Nations</strong> leadership involved in this initiative was<br />

recognized.<br />

It was shared that <strong>First</strong> <strong>Nations</strong> had brought<br />

together three political organizations in British<br />

Columbia to develop a unified vision to inspire,<br />

and that there was need to acknowledge the Chiefs<br />

for that work. ms. Schwartz also recognized the<br />

leadership of the <strong>First</strong> <strong>Nations</strong> <strong>Health</strong> <strong>Council</strong>, and<br />

its staff who were responsible for translating the<br />

Plan into actions on a day to day basis. She noted<br />

that it was remarkable for the parties to have made<br />

a commitment to overcome their differences,<br />

and to work together to achieve results guided by<br />

the vision and values set out in the Tripartite <strong>First</strong><br />

<strong>Nations</strong> <strong>Health</strong> Plan.<br />

7<br />

VANCOUVER, bC • mAY 20 - 21 , 2008

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