• Quebec First Nations Health and Social Services Governance Process
Dec 03, 2018
The governance model takes shape and work continues


In recent months, work on the Quebec First Nations health and social services governance process has continued. Much progress has been made and here are some examples:

Phase III planning


Phase II was devoted to the appropriation of the framework model. In concrete terms, this resulted in a three-step approach: taking stock of the current situation, identifying the desired changes and developing guidelines to direct the development of the new health and social services governance model. The objective of phase III is to have in hand a complete effective governance model in health and social services to be adopted by the Chiefs of the AFNQL in March 2020. In order to achieve this objective, it will be necessary to detail each of the components of the model that was validated at the meeting in November 2017. It is therefore a question of reflecting on the different structures to be implemented by defining their roles and responsibilities, composition and rules of operation.

Development of the toolbox

A toolbox intended for the communities and organizations is being developed. The main goal of the information and tools provided is to facilitate understanding of the Quebec First Nations health and social services governance process, in addition to supporting and guiding First Nations communities and organizations in their communication and implementation efforts in a context of change.

This toolbox features five sections:

1. What is governance?
2. Why governance in health and social services?
3. The new model of governance
4. Change management
5. Engagement

The contents of the toolbox will be evolving in nature and enhanced based on the needs and feedback received from First Nations community members. A memo will be sent out in early 2019 to announce the official posting of these tools on the governance process web page.

Committee of Partners

The last meeting of the Committee of Partners was held on November 6, 2018. Updates were provided regarding the governance process as well as all ongoing changes and initiatives such as the upcoming signing of the tripartite memorandum of understanding and work on the Calls to Action of the Truth and Reconciliation Commission of Canada. Ways to resolve obstacles related to jurisdictional conflicts were also discussed.

Decision-making process

Since its creation, the working group has held three work meetings. The group focused on the distribution of additional budgets between the communities for specific programs (e.g., mental wellness teams, suicide prevention, and substance abuse). New ways of distributing funds are currently under study and are aimed at equitable distribution and meeting the needs of communities, while taking into consideration the collective goal of improving wellness. The guide focused on outlining and formalizing the activities of the decision-making process is being written. Working group members must now define the desired mechanisms for planning, budgets and reciprocal accountability. All the work carried out as part of the decision-making process is being done while taking into consideration the new fiscal relationship with Indigenous Services Canada and its departmental transformation.