Drs Waitlist

Question Period: 156,000+ on the doctor waitlist. Why is gov dismissing them?

My exchange with Health Minister Michelle Thompson about the Need a Family Practice wait list:

Last week, the Premier said: “There are different reasons people are on the list. Some actually have a doctor, but they don’t like their doctor, or they’re worried the doctor might retire, but they have access to care.” I can table that. I find this puzzling. The government actually publicly reports people’s reasons for joining the Need a Family Practice wait-list, which I will table: 54,708 are on the list because they’re new to the area; 15,672 have not needed a provider until now; 39,060 say their provider closed their practice; 31,092 said their provider had retired; and 15,256 say their provider is retiring. None of these are what the Premier said. My question is: Why is this government trying to detract from the very real experience and anxiety of the thousands of Nova Scotians without attachment to primary care?

HON. MICHELLE THOMPSON: We do continue to use the Need a Family Practice registry as one of the indicators that is important, but it’s not the only one. We do have to look at the accessibility of health care. People languished on that list for a long time before we formed government, and there was no other access point for them, other than waiting at the emergency department. We have created 60,000 new appointments per month - that’s 720,000 per year - in order for people to access health care. We are working with the list. We understand who’s on that list. We are finding different pathways for individuals who have a variety of different concerns, and we will continue to attach and provide access to people in Nova Scotia.

SUSAN LEBLANC: Also last week, the Premier told us that only some Nova Scotians need a family doctor or nurse practitioner, and that for others, virtual is working just fine. I just tabled that. These certainly aren’t the people we speak to, who without attachment to care live in constant fear of getting sick: people with young children; people who need controlled medications prescribed or titrated; people with complex health needs. Can the minister tell the 156,000 people who are waiting which one of them doesn’t need a doctor?

MICHELLE THOMPSON: It is very important that if individuals are on that list, they do update their information. Recently, we’ve been able to attach 13,000 people. Some of those people were pregnant, for example. We know they have a time-sensitive condition that requires them to be attached to a primary care provider. We were able to attach a number of individuals directly to diabetic education centres. There are other people who can look after complex needs, like our pharmacists who can manage chronic disease, and we’re seeing that through the pilot that we have across the province. There are many ways to access care. We have also given over 10,000 patients access to their information, so that they can be better advocates for themselves in accessing and attaching for health care.

Fixing Healthcare Fast Enough?

These are some of the statements I made recently about the state of Healthcare in Nova Scotia at the March 19, 2024 Health Committee meeting:

I have to say that the people who have been waiting for Primary Care who end up getting their Primary Care from a you know a doctor with a text message in Calgary or standing in line for 3 hours at a walking clinic or going to a mobile clinic and hoping to God that they're going to get there in time. It's not good enough and for a government that's been elected to fix healthcare to not be able to say by the next election this is going to be what we've done or this is where we want to be and then you can vote to tell us if you think we did a good job or not. I just find it, I find it unreal actually and I I just like it's not good enough. I know that everyone is working so hard but it feels like to the people who aren't attached or don't have like you know a a when someone feels sick that they make a choice not to contact, not to try to get an appointment because they know they're going to be waiting for hours and hours and hours or whatever. Oh we'll just see how I feel tomorrow. That's not a good state.