We have fought to ensure that issues such as health equity, health promotion and prevention are included in these accountability agreements, not least because this work does not take place in all organizations. So I agree that it is important. I think these accountability obligations help shape the goals that organizations would set for themselves and that the teams would set themselves, but if it is not mandatory, if it is not explicit, it will not happen. And if it`s not run by primary procurement or a global organization that knows how to do it and knows how to do it by talking to the community, it`s not going to happen. Ms. Robin Martin: Okay. Well, I`m glad you mentioned responsibility, because one of the subjects of the Department of Health – my colleague Effie Triantafilopoulos and I are both parliamentary assistants to the minister. One of the things that we are advised by many of the public servants who work there is that the government has never had a very clear line of sight that it buys, effectively, with taxpayers` money. He does not have those accountability agreements, so he knows that we have achieved those results. One of the things we are looking at is strengthening that kind of accountability to ensure that we receive the services that we pay for with taxpayers` money. The ministry is committed to working with First Nations “through trilateral processes and specific relationship agreements, including existing agreements, to explore opportunities to change First Nations health.” This was recorded by Minister Elliott in a letter to the Chief of Archibald Regional Ontario on February 26, 2019, which we mentioned with the former moderator.
Dr. Nadia Alam: That is why we think it is important to include an exception for physicians and medical societies specializing as HSP. We know that there are existing legal agreements and provisions, including the rep rights agreement, including the binding arbitration framework. That`s why we`re here today. That is why we will continue to come to the table, because we are very keen to work with the government to support the kinds of amendments that make this legislation useful. Ms. France Gélinas: Okay. Did you have to sign a confidentiality agreement because you were on the Board or can you let us know? The Chair (Ms. Nina Tangri): I guess there is no agreement at the moment. We can come back to that this issue this afternoon.
Mr. Anthony Dale: Well, the changes we have recommended to the Public Sector Labour Relations Transition Act bring us back to the pre-2006 state. The reason we think this is important is because it is legislation that should facilitate the consolidation of bargaining units in the event of a complete merger of companies between hospitals and other broader public bodies. The previous government made changes in 2006 to apply to partial integration of services, not to mergers of complete companies.