X
  • Our Partners:

Archive for the ‘Uncategorized’ Category

Summer 2017 Update

Date:

The FNHC Mandate

In May 2011, BC First Nations provided the First Nations Health Council (FNHC) an ambitious mandate. In addition to providing dedicated political leadership for the implementation of the health plans and agreements, and supporting health systems transformation, leaders called upon the FNHC to build partnerships to make progress on the social determinants of health.

At that time, the FNHC mandate was captured in the Consensus Paper 2011: British Columbia Perspectives on a New Health Governance Arrangement – approved and adopted by BC First Nations Chiefs at Gathering Wisdom for a Shared Journey in May 2011.

In working to fulfil these commitments the FNHC has been building new partnerships with Canada and BC and engaging First Nations on ways to improve the health and wellbeing of children, families and communities.

During these discussions and deliberations, the FNHC has been challenged on whether we are reaching beyond the third pillar of our mandate. As a result the FNHC requested a legal opinion to clarify whether it is acting appropriately in pursuing agreements with BC and Canada to create a platform for collaboration with First Nations on broader issues that influence health and wellbeing.

The legal opinion has determined that the FNHC is acting within the mandate set out by BC First Nations in the Consensus Papers. It can be viewed on our website here.


Progress Report on Regional Caucuses

The Regional Caucus sessions are well underway with the Vancouver Coastal, Interior and Fraser Salish sessions now completed. At each session, Chiefs, Leaders, and Health Leads have engaged senior decision-makers from the Department of Indigenous and Northern Affairs Canada (INAC) and Employment and Social Development Canada (ESDC) on a wide range of topics, including children and family wellbeing, early learning and childcare, and poverty.

A highlight for many participants has been a presentation delivered by Terry Cross – the founder of the National Indian Child Welfare Association in the United States. At each session, Terry led a discussion on decolonizing First Nations child welfare and the linkage between the social determinants of health and the ability to improve outcomes for children, youth and families.

 

Feedback from Regional Caucuses:

“I loved Terry Cross! I learned a lot from him – his wisdom and his wonderful energy. The discussion was very focused and we covered a lot of ground – at the same time the social determinants links to Health & Wellness outcomes was and is obvious. Holistic models = transformation!”

“[The session can be improved by] a form sent to bands in advance – For our Health director/Manager to fill in if they are unable to attend. So we can include their comments.”

“Discussion and dialogue with INAC reps was very informative and opportunity to voice concerns and ideas.”

“The information & discussions that took place gave lots of different insight into the issues & how we can work to change them.”

“Terry Cross presentation was inspiring. It puts the community in a position to solve its own problems and issues.”

“I would love to be invited/included in the future.”

 

Common Themes and Considerations:

The discussions at each session have highlighted common themes and considerations for improving health and social services, including:

  • Nations need flexible, needs-based funding
  • Funding must flow directly to communities for prevention programming
  • Nation-to-Nation relationship is key to federal reforms
  • New resources are required to support health and wellness planning at the Nation level
  • Break down siloes to support a more coordinated and integrated approach to health and social service planning and delivery
  • Focus on outcomes – less on rules and reporting when it comes to community funding
  • Relationships with Canada and BC must be based on reciprocal accountability – all accountable for outcomes
  • Poverty will be eliminated when First Nations have full access and control over their lands, waters and resources

Next Steps:

At the end of the spring Regional Caucuses, the FNHC will revise the Regional Summary Reports shared with First Nations in November of last year. These Regional Summary Reports will build upon the body of knowledge developed throughout this process and will be tabled for review during the Regional Caucuses in the fall of this year.

The Regional Caucuses are part of an ongoing process of engagement with First Nations with respect to the social determinants of health. The FNHC is guided in its engagement work by the engagement and approvals pathway as outlined in the Consensus Paper 2012: Navigating the Currents of Change: Transitioning to a New First Nations Health Governance Structure.

The engagement and approvals pathway is the process by which input is shared and consensus is built for key decisions within the health governance structure. Through dialogue at Sub-Regional Caucuses and Regional Caucuses, the FNHC aims to support a process of priority setting and consensus building.

BC First Nations are set to come together at Gathering Wisdom for a Shared Journey IX in May 2018. At this Gathering Wisdom forum, BC First Nations will be asked to make a decision on a long-term strategy aimed at addressing the social determinants of health. There is a full year to work together through Sub-Regional Caucuses and Regional Caucuses to build a blueprint that sets priorities for investment, partnership and policy change.


Read the Social Determinants of Health Discussion Guide

This discussion guide was prepared by the FNHC to support discussions on the social determinants of health at Sub-Regional and Regional Caucuses. This is a tool to show the link between specific sectors and health outcomes. This discussion guide includes specific information on children and family wellbeing, early childhood experiences and poverty to reflect the three main themes of the Regional Caucus.

This is a key tool to talk about the social determinants of health and to learn more about the work of the FNHC.

Find the Discussion Guide on the FNHC website through this link. 

Spring 2017 Regional Caucus

Date:

The Spring 2017 Regional Caucus Sessions will begin next week. The FNHC is continuing the process of engagement and planning with First Nations on the social determinants of health. The upcoming Regional Caucus dates will focus on children and family wellbeing with an emphasis on early years.

We are very pleased to announce that Terry Cross, founder of the National Indian Child Welfare Association, will be in attendance at each session. His presentation was a highlight for many at Gathering Wisdom for a Shared Journey VIII and can be found below. Mr. Cross will be leading a workshop on Indigenous systems of care.

The regional caucuses will invite federal departments to engage directly with First Nations on key issues that impact health, including:

  • Reforming the First Nation Children and Family Services Program (Indigenous and Northern Affairs Canada)
  • Developing an Indigenous Early Learning and Child Care Framework (Employment and Social Development Canada)
  • Developing a National Poverty Reduction Strategy (Employment and Social Development Canada)

The round of Regional Caucus marks an exciting opportunity for First Nations leaders to plan and articulate their priorities from a Community-Driven, Nation-Based perspective. We hope you will join us!

Registration is still open for the below Spring 2017 Regional Caucus dates:

May 9-11: Fraser Salish – Register Here.
May 16-18: Interior – Register Here.
May 24-26: Northern – Register Here.
May 30-June 1: Vancouver Coastal – Register Here.
June 13-15: Vancouver Island – Register Here.

FNHC Social Determinants of Health Discussion Guide

The FNHC Social Determinants of Health Discussion Guide was prepared by the First Nations Health Council to support discussions on the social determinants of health at Sub-Regional and Regional Caucuses.

This is a tool, used to show the link between specific challenges and health outcomes. It includes specific information on children and family wellbeing, early childhood experiences and poverty to reflect the three main themes of the Regional Caucus.

It also includes the opportunity for leadership to plan and identify areas for investments in capacity. This discussion guide is for informational purposes only and will not be used to collect information from communities.

Read the guide here (PDF 17 MB)

Gathering Wisdom for a Shared Journey VIII Summary Report

Gathering Wisdom for a Shared Journey VIII took place November 30 to December 2, 2016 on Coast Salish Territory in Vancouver.

The FNHC would like to thank the Chiefs, Leaders, Elders, Health Directors, and Caregivers who attended. We thank you for taking time to contribute to this important conversation. Your wisdom and advice will guide us as we work together to achieve the shared vision of healthy, self-determining and vibrant First Nations children, families and communities.

Download the Summary Report here (PDF 12.5 MB)

Gathering Wisdom VIII Presentations

In advance of the coming regional caucus sessions, watch some notable presentations from Gathering Wisdom VIII.

Gathering Wisdom for a Shared Journey VIII Summary Report

Date:

Gathering Wisdom for a Shared Journey VIII took place November 30 to December 2, 2016 on Coast Salish Territory in Vancouver.

We thank the Chiefs, Leaders, Elders, Health Directors, and Caregivers who attended Gathering Wisdom for a Shared Journey VIII.

We thank-you for taking time to contribute to this important conversation. Your wisdom and advice will guide us as we work together to achieve the shared vision of healthy, self-determining and vibrant First Nations children, families and communities.

Download the Summary Report here (PDF 12.5 MB)

First Nations Health Council and Indigenous and Northern Affairs Ceremony Marks Agreement on Improving Lives of Children and Communities in B.C.

Date:

Coast Salish Territory – Vancouver, B.C. – The First Nations Health Council (FNHC) and Indigenous and Northern Affairs Canada (INAC) have marked the signing of a recent agreement in ceremony on Coast Salish Territory in Vancouver.

The Memorandum of Understanding (MoU) is a commitment to work together, through a process of community engagement, to improve the health and wellbeing of First Nations children, youth and families in B.C. The ceremonial event follows the initial signing that took place on February 14, 2017 in Ottawa and is an integral part of bringing the agreement to life.

This agreement intends to create space for communities to engage in direct dialogue with the FNHC and INAC on funding, policy and programs that will help to shape and improve the way services for children and families are designed and delivered in the future, including to reduce the disproportionate rate of Indigenous children being taken into care. With a vision of keeping children safe and families together, one of the goals of the engagement process is to see an increase in investments for community-based prevention services.

The parties acknowledge the diversity of perspectives, capacity and priorities of First Nations to reform the systems that serve their children, youth and families in B.C. The engagement process envisioned in this agreement will be inclusive, comprehensive and community-led, providing opportunities to build consensus on new priorities, models, and processes. This process will be community-driven and Nation-based, ensuring each Nation has the time and ability to contribute fully to this conversation.

Canada and First Nations in B.C. now have the opportunity to address historic funding shortfalls and build new relationships together, ones that are based on mutual accountability, increased flexibility and greater First Nations control. The MoU provides new opportunities for communities to lead in the design, planning, and dialogue around Indigenous child and family well-being in order to address the broader social determinants of health. The primary goal is to build healthy and sustainable communities that are adequately funded to deliver culturally appropriate and safe services for First Nations children, youth and families.

Importantly, this work is without prejudice to First Nations interests and does not limit, impede, or alter existing agreements or discussions between First Nations and the federal and provincial government. This is a starting point for dialogue between Canada and B.C. First Nations, opening the door for a conversation to take place on change. It is intended to strengthen linkages between agencies involved in health, education, justice, public safety, employment and training, social services and child welfare, while acknowledging the impacts of intergenerational trauma, poverty and mental wellness and substance use on health.

Grand Chief Doug Kelly First Nations Health Council Chair
“For too long, the government took decisions about us without us. This agreement creates the space for Chiefs and leaders to engage directly with government decision-makers to transform together child, youth, and family services. Transformative change is heavy work and it requires many hands – but we can do this!”

The Honourable Carolyn Bennett, M.D., P.C., M.P. Minister of Indigenous Affairs and Northern Development
“Our priority as Canadians must be—first and foremost—the health, well-being and protection of Indigenous children. Reconciliation and its progress between Canada and Indigenous Peoples is crucial. We are proud to be working with the First Nations Health Council in British Columbia to take this step on the path forward to ensuring the program meets the needs of children, families and communities.”

The Honourable Stephanie Cadieux Minister of Children and Family Development
“This MoU is an important milestone that brings focus to our shared goal of helping to keep families together and ensuring that Indigenous children remain connected to their cultures, traditions and communities. This agreement reflects the direction in the Calls to Action from the Truth and Reconciliation Commission as well as a number of key reports and engagement processes informing positive change to Indigenous child welfare. I’m honoured to be a part of the changes we are all making — as full and equal partners — to improve the health and well-being of First Nations children, youth and families.”

To view the Memorandum of Understanding, please visit: http://fnhc.ca/2017/02/first-nations-health-council-and-indigenous-and-northern-affairs-sign-mou-on-root-causes/

Media Contacts:
First Nations Health Council 604-831-4898

Sabrina Williams – Press Secretary Office of the Honourable Carolyn Bennett 613-697-8316

Indigenous and Northern Affairs Canada 819-953-1160

First Nations Health Authority and First Nations Health Council Letter to Attendees of Gathering Wisdom for a Shared Journey VIII

Date:

January 6, 2017
Greetings and Happy New Year,

Following up on recent dialogue at the Gathering Wisdom for a Shared Journey Forum, First Nations Health Authority (FNHA) and First Nations Health Council (FNHC) offer a few points of clarification on items raised by forum delegates.

Because the focus of this year’s forum was the social determinants of health, the FNHA participated in Gathering Wisdom VIII as an invited guest of the FNHC. The intention was to discuss influencing change within the determinants of health of First Nations communities rather than FNHA service improvements.

The FNHC and FNHA respectively offer the following information in the spirit of open dialogue and continuous improvement, recognizing that we have much work to do together.

 

In health and wellness,

 

Grand Chief Doug Kelly,                                        Lydia Hwitsum,

Chair, First Nations Health Council                    Chair, First Nations Health Authority

 

 

  


First Nations Health Council

 

Misconception: Health Directors are being excluded from the health governance/transformation process by not being invited to Gathering Wisdom.

FNHC Clarification

We appreciated the active participation of over 100 Health Directors and Health Leads at this year’s Gathering Wisdom. The Gathering Wisdom forums have evolved over the years to reflect our health and wellness journey as BC First Nations.

The forum this year was different in a number of ways: 1) the forum was hosted by FNHC rather than FNHA; 2) the focus of the forum was broader than health and focused on the social determinants of health; 3). Finally, in accordance with Directive 6 the FNHC recognizes each First Nation organizes its staffing and technical supports according to its own needs and aspirations. As such, each Chief had the opportunity to invite one technical lead, such as a Health Director, to the forum.

Health Directors will continue to be active partners in the transformation of programs and services. Work that requires Health Directors, FNHA and provincial partner participation and engagement. An important upcoming opportunity is the Best of Both Worlds forum on March 1, 2017 – a conversation about quality improvements for provincial, FNHA-delivered, and FNHA-funded and Health Director-delivered programs and services.

 


Misconception:
First Nations Health Council and First Nations Health Authority are taking over Child and Family Services.

FNHC Clarification:

FNHC is facilitating conversations on the Social Determinants of Health with leadership using existing engagement pathways. The FNHC is not taking over administration of Child and Family services. The decision of how to organize in order to move forward on these items rests with First Nations leaders and in accordance with the Seven Directives.

Specifically, ​Directive #1: Community-Driven, Nation-Based; Directive #2: Increase First Nations Decision-Making and Control; Directive #4: Foster Meaningful Collaboration and Partnership; and Directive #6: Be Without Prejudice to First Nations Interests. As described on the floor at Gathering Wisdom, this is the beginning of the process using the engagement and approvals pathway that will span the next 24 months.


Misconception:
First Nations Health Council is abandoning its responsibilities in health by focusing on the social determinants.

FNHC Clarification:

First Nations Health Council has a mandate of health transformation. Social determinants of health are an important influencer of health outcomes for First Nations people. The FNHC is actively engaged with the FNHC/FNHDA/FNHA collaboration committee which guides the transformation of health services. The FNHC look forward to continuing engagement with regional caucuses to make progress on the social determinants of health agenda in 2017/2018.

 

Misconception: FNHA has cut First Nations Health Benefits funding.

FNHA Clarification:

No elements of the First Nations Health benefits program have seen a cut in funding. In fact, expenditures have increased as number of clients accessing the program continues to grow, including in the areas of patient travel meals and medical transportation.

There is still much work to be done. We encourage those with feedback about First Nations Health Benefits to fill out the Health Benefits Client Satisfaction Survey available through www.fnha.ca/benefits. For more information, please view the FNHA Annual Report Health Benefits section or the First Nations Health Benefits Annual Report: www.fnha.ca/about/governance-and-accountability/annual-reports.


Misconception:
FNHA has cut contribution agreement funding to First Nations communities.

FNHA Clarification:

Since novation in 2013, FNHA has supported year over year increases for all Set, Flexible and Block community contribution agreements of between 2.5-5.5%.  Increases for community contribution agreements in the BC region have outpaced all other regions in Canada.

 


Misconception:
FNHA has introduced generic drugs as a cost-cutting measure.

FNHA Clarification:

BC First Nations receive the same proportion of generic and brand names drugs as before transfer.

Brand name drugs are not better because they are more expensive; they are more expensive because of investments made in research, development and marketing (branding) – which increases pricing by 30 to 40 percent. Any cost savings realized by generic drugs provide the opportunity to reinvest in wellness programing for First Nations.

The FNHA prescription drug list is similar to the BC Pharmacare prescription drug list that is mandated for all citizens of BC. Most drug plans – including Pharmacare, Veterans and NIHB – switch coverage to the generic version of a drug once the patent on the brand name drug has expired. To ensure optimal client safety, a drug exception process is also available.

Both generic and brand name drugs contain the same active medicinal ingredients and are equally safe and effective. Both generic and brand name drugs are tested for quality, safety and effectiveness by Health Canada.

For more information on generic drugs and the FNHA, visit our website: www.fnha.ca and search: Generic Drugs.


Question:
What is the FNHA doing about the overdose crisis?

FNHA Response:

FNHA has been actively engaged in the provincial overdose task force, presenting at community town halls on overdose and engaging in community training to prevent opioid overdose.

Over 94 First Nations Health Centres are now registered to provide naloxone kits, at no cost to First Nations, with BC Centre for Disease Control’s (BCCDC) ‘Toward the Heart’ program. Find a location here. More naloxone kit training sessions are planned.

FNHA is reaching out to communities with its new model: ‘Indigenizing Harm Reduction.’ The model uses a First Nations lens to facilitate dialogue on harm reduction practices and is provided by FNHA’s Indigenous Wellness team. The model was well received in five naloxone training sessions this fall, which reached more than a dozen First Nations communities. Due to high demand, more training sessions will be delivered. To have a presentation in your community please email Janine.Stevenson@fnha.ca.

The rate of overdose deaths continues to rise in BC. Tragically, over 760 people have died of overdose since January 2016. BC is presently averaging two overdose deaths per week.

Further information including videos, posters, information on the Take-Home Naloxone program and a list of treatment centres in BC is available here: www.fnha.ca/overdose.

Resources

‘Overdose can be Prevented’ poster: http://www.fnha.ca/newsContent/Documents/FNHA-Overdose-Awareness-Day-Poster-2016.pdf

Overdose Information and videos: http://www.fnha.ca/what-we-do/mental-wellness-and-substance-use/overdose-information#treatment-centres

Naloxone available at no cost to First Nations in BC: http://www.fnha.ca/wellnessContent/Wellness/FNHA-Nalaxone-Info-for-Community.pdf

 

How can I help keep people safe?

  • Print the attached ‘Overdose can be Prevented’ poster and post it in your community.
  • Have conversations with vulnerable people. A great opportunity for this conversation is when people pick up their supplies.

Key messages for conversations to keep people safe: 

    • Be extra careful when using – use less than you normally would.
    • Know the signs of overdose.
    • Try not to use alone. If you do, have someone check on you and have a safety plan in place.
    • Watch out for each other.
    • Call 911 quickly when you notice something isn’t right.
    • Breathe for someone that is overdosing: provide one breath every five seconds.
    • Get a naloxone kit – they are free!
  • Ask vulnerable people to spread the word within their social networks as vulnerable people often do not have a connection to health services.

Download this letter in PDF format here (218 KB)

Summary and presentations from Gathering Wisdom for a Shared Journey VIII

Date:

Gathering Wisdom for a Shared Journey VIII took place on November 30 to December 2, 2016 at the Sheraton Wall Centre Hotel in Vancouver, hosted by the FNHC. Delegates took part in a governance forum around the social determinants of health – the social, cultural, economic and environmental factors that contribute to healthy communities.

The theme of the forum this year was “Learning from the Past and Planning for the Future”. This theme reflects our traditions as strong, healthy and self-determining Nations. At the same time, it is an opportunity to reflect on our shared journey in health over the past ten years. It is an opportunity to draw upon our strengths as Nations and to chart the course for the next stage of our shared journey. Most importantly, it is an opportunity for First Nations leadership to inform and shape the strategic direction of provincial ministries responsible for education, post-secondary education, justice, public safety, and children and family services.

Below are the presentation slides in PDF format.

Presentation Slides

FNHA CEO, Joe Gallagher Presentation

Dr. Perry Kendall and Dr. Evan Adams Presentation

Government of British Columbia Justice and Public Safety Sector – Richard J.M. Fyfe, Deputy Attorney General & Mark Sieben, Deputy Solicitor General

Ministry of Education – Social Determinants of Health

Terry Cross, Keynote Speaker – Decolonizing First Nations Child Welfare

Implementing the Memorandum of Understanding: A Shared Agenda for Health and Wellness – Ministry of Health

Ministry of Children & Family Development – Regional Health Caucus Sessions Summary

Communique on Gathering Wisdom for a Shared Journey

Date:

The FNHC is pleased to announce more details about the upcoming Gathering Wisdom for a Shared Journey forum. Gathering Wisdom will be hosted by the FNHC on November 30 to December 2, 2016 at the Sheraton Wall Centre Hotel in Vancouver.

The focus of the forum this year is the social determinants of health – the social, cultural, economic and environmental factors that contribute to healthy communities. The forum will build on the discussions started at the Regional Caucuses this fall and will feature presentations from provincial Ministries. The forum is an opportunity for First Nations leaders to inform and shape the strategic direction of provincial Ministries responsible for education, post-secondary education, justice, public safety, and children and family services. It is an opportunity for First Nations leaders to discuss a long-term vision and strategy to address the social determinants of health.

*Please Note: Gathering Wisdom Email Address Correction*

There was an error with the event’s email address in previous communication. Please ensure to email gatheringwisdom@pacegroup.com for registration questions.

NOVEMBER 29TH – EARLY REGISTRATION AND REGIONAL CAUCUSES 
TIMEAGENDA ITEM
2:00-6:00 pmEarly Registration
6:00-8:00 pmRegional Caucuses – Dinner and Discussion
NOVEMBER 30TH – DAY ONE
TIMEAGENDA ITEM
7:00 amRegistration Opens
7:30-8:15 amBreakfast
8:15-9:00 amWelcome to Coast Salish Territory
Morning SessionEstablishing the First Nation Health Governance Structure

· Joe Gallagher (Chief Executive Officer, First Nations Health Authority)

Towards a Ten-Year Population Health and Wellness Agenda

· Dr. Evan Adams (Chief Medical Officer, First Nations Health Authority)

· Dr. Perry Kendall (Provincial Health Officer, BC Ministry of Health)

Advancing the Shared Vision of Healthy, Self-Determining and Vibrant BC First Nations

· Shane Gottfriedson (BC AFN Regional Chief)

· Grand Chief Doug Kelly (Chair of the First Nations Health Council)
Afternoon SessionPartnership with BC First Nations to Improve Health and Wellness Outcomes

· Honourable John Rustad (Minister of Aboriginal Relations and Reconciliation)

Leadership Dialogue on the Social Determinants of Health Strategy
DECEMBER 1ST – DAY TWO
TIMEAGENDA ITEM
7:30-8:30 amBreakfast
Morning SessionKeynote Presentation on Children and Family Services

· Terry Cross (Founder of the National Indian Child Welfare Association)

Report Back from Regional Caucus

· Ministry of Children and Family Development
Afternoon SessionReport Back from Regional Caucus

· Ministries of Justice and Public Safety

· Ministries of Education and Advanced Education
DECEMBER 2ND – DAY THREE
TIMEAGENDA ITEM
7:30-8:30 amBreakfast
8:30-10:00 amRegional Caucuses
Morning SessionRegional Reflections and Report on Forum

· Speakers Selected by Each Region
Community Engagement and Communications: Implementing the Engagement and Approval Pathway  

· First Nations Health Council
12:00 pmAdjourn


Guest Keynote: Terry Cross,
Founder – National Indian Child Welfare Association

terry-cross

Terry Cross (Ha-ne-ga-noh), an enrolled member of the Seneca Nation, received his master’s degree in social work from Portland State University in Portland, Oregon. He is the founding executive director of National Indian Child Welfare Association, now serving as senior advisor. He is the author of Positive Indian Parenting and co-authored Towards a Culturally Competent System of Care, published by Georgetown University. He has 40 years of experience in child welfare, including 10 years direct practice.

WHO IS INVITED?

The FNHC acknowledges that the social determinants of health are broad and each First Nation organizes its staffing and technical supports according to their own needs and aspirations. The FNHC has asked that the Chief identify two representatives from their community to attend the forum – typically one political lead and one technical lead. As per past practice, the FNHC will cover the costs of two representatives per community as identified by the Chief to attend the forum.

Due to the nature of this year’s Forum, attendance is limited to the above affiliations.

REGISTRATION

For Chiefs to Register: visit https://www.regonline.ca/gatheringwisdomVIII (access code: GWVIII *Chief/proxy only*). All BC Chiefs have received invitation emails and personal phone calls from the event organizers.

For 2nd Representatives to Register: an invitation will be sent to the person identified within the Chief’s online registration process.

 (3) Draw prizes are available to everyone registered by the following deadlines:

Prizes will be gifted to the winners at onsite registration check-in, November 29th or 30th.

  • Friday, November 4th at 5:00pm
  • Thursday, November 10th at 5:00pm
  • Friday, November 18th at 5:00pm

Final deadline to attend the Forum: Friday, November 18th at 5:00pm. Registration is closed after this date.

HOTEL ROOMS

Reservations: Hotel reservation details can be found on the ‘Lodging’ page of the online registration process. If you are already registered but haven’t booked your hotel room, please contact gatheringwisdom@pacegroup.com for details.

Hotel deadline: Wednesday, November 16th at 5:00pm (group rates and availability are not guaranteed after this date).

CONTACT INFO

Email: GatheringWisdom@pacegroup.com

Phone: 604.646.3586

Download this communique in PDF format here (210 KB)

Gathering Wisdom for a Shared Journey VIII

Date:

Communique

Gathering Wisdom for a Shared Journey VIII will be hosted November 30 to December 2, 2016 at the Sheraton Wall Centre Hotel in Vancouver. Since its inception, Gathering Wisdom has been fundamental to shaping a strong and collective vision for First Nation health governance in BC.
The Tripartite Framework Agreement on First Nations Health Governance outlines a meeting at least once every 18 months between the FNHC and representatives of BC First Nations to discuss the implementation of the agreement and the operation of the new Health Governance Structure. The agreement also calls for a governance partnership meeting between the tripartite partners to discuss implementation and overall functioning of the new relationship.

First Nations have been clear that the Gathering Wisdom forum is an important part of the health governance process in BC and that provincial forums must be planned in a way that makes best use of available resources.

 

Learning from the Past and Planning for the Future

At each stage of our shared journey, the Gathering Wisdom forum has evolved. It has been used as a forum for community care providers, a forum for decision-making, and a health conference. This year, Gathering Wisdom will continue its evolution as First Nation leaders gather to discuss the social determinants of health. It will be a smaller-scale event with a specific focus on health and social governance.
 

 
The theme of the forum this year is “Learning from the Past and Planning for the Future”. This theme reflects our traditions as strong, healthy and self-determining Nations. At the same time, it is an opportunity to reflect on our shared journey in health over the past ten years. It is an opportunity to draw upon our strengths as Nations and to chart the course for the next stage of our shared journey. Most importantly, it is an opportunity for First Nations leadership to inform and shape the strategic direction of BC Ministries.

The Gathering Wisdom forum will feature:

  • Dr. Perry Kendall and Dr. Evan Adams – A Report on Progress
  • First Nations Health Council – Developing the Ten-Year Social Determinants Strategy
  • BC Ministries – Ministry Priorities to Support Health and Wellbeing
  • John Rustad, Minister of Aboriginal Relations and Reconciliation
  • Keynote Speaker on Child and Family Wellness

This forum will mark an important step as we begin to build consensus on a vision and long-term strategy for addressing the social determinants of health.

 

Who is invited? Gathering Wisdom VIII and Respecting Directive 6

The FNHC acknowledges that the social determinants of health are broad and each First Nation organizes its staffing and technical supports according to their own needs and aspirations. As such, the FNHC has sent individual invitations directly to each Chief with a registration code for the event. The FNHC has asked that the Chief identify two representatives from their community to attend the forum – typically one political lead and one technical lead. As per past practice, the FNHC will cover the costs of two representatives per community as identified by the Chief to attend the forum.


What are the outcomes? An Action Plan

At Gathering Wisdom, the FNHC and Government of BC will report back to Chiefs on what we heard at Regional Caucuses, including initial priorities and potential action items related to children and family wellness, justice, public safety and education. BC Chiefs will consider strategies to improve systems and set priority areas for action on the social determinants of health in BC.

Based on the priorities and action items identified by Chiefs at Gathering Wisdom, BC Ministers will direct Ministries to include any agreed upon priorities in Ministry Service Plans starting in 2017-18 and set strategic direction for the next 18 months.

For more information on Gathering Wisdom for a Shared Journey or the work underway within the Social Determinants of Health, please visit: www.fnhc.ca or www.gathering-wisdom.ca.

 

A Health Service Focused Conference: Best of Both Worlds

At the recent First Nations Health Directors Association (FNHDA) Annual General Meeting, the First Nations Health Authority (FNHA) announced partial sponsorship for all registered members of the FNHDA to attend the 2017 BC Quality Forum on March 1-3 in Vancouver, BC. The FNHA confirmed the importance of a regular “service-focused conference” delivered in partnership with provincial health system.  The FNHA will be providing more details about this opportunity through the FNHDA in the coming weeks. To learn more please visit: http://qualityforum.ca/pre-forum-sessions/best-of-both-worlds/

 

How do I register?

Each Chief or Chief Councilor in BC received an invitation with a registration code and instructions. Please note that this registration code is required to register the two representatives from each community that will be attending the Gathering Wisdom forum. If you require the registration code or assistance with the process, please contact Pace Group at gatheringwisdom@pacegroup.com or call 604-646-3586.

The event organizers will be contacting communities directly within the next week to assist with the registration process.

 

Please register for Gathering Wisdom before Friday, November 4, 2016 at 5:00 pm to guarantee a hotel room at the venue. New registrations will be accepted until November 18 at 5:00pm.

On World Environmental Health Day, let’s talk about second-hand smoke in First Nations communities

Date:

FNHC-2016-Year-In-Review-4

By Doug Kelly, FNHC Chair

First Nations communities rarely agree on anything. But one thing we do agree on is that we want good health for ourselves, our loved ones, and our land.  And we know that these are all inextricably interconnected. As a First Nations leader, I’d like to share some thoughts on this day, World Environmental Health Day, about what leadership and community members can do to improve our health, the health of our loved ones, and the health of our communities and environments.

Although there are many important areas to tackle, I’ll stick to just one in this message: how we can mitigate the harmful effects of smoking (including vaping) and second-hand smoke in our communities. The facts are scary. Even one cigarette butt in a liter of water can kill a fish in a period of 96 hours. Over 4,000 chemicals are introduced to the immediate environment from discarded butts via cigarette tar and mainstream smoke, posing a direct threat and sometimes death to fish and other marine life as well as birds. Improperly discarded cigarettes are responsible for devastating forest fires every year, including in BC. Cigarette butts are not biodegradable, and they can take up to 10 years to disintegrate. Approximately one tree is destroyed for every 300 cigarettes made.  And so on.

Provincial laws don’t apply on reserve – and of course, nor should they – so it’s up to us as leaders and community members to take action. So what can we do, exactly? Well, to begin with, our elected band councils have the legal authority to pass bylaws on our reserves that protect the health of community members. First Nations leadership can ensure enforcement of provincial laws such as the Tobacco and Vapour Control Act, which limits sales to adults aged 19 and above, restricts retail displays targeting youth, and more.

Leadership can also impose taxes on tobacco products. Since 1998, First Nations communities have had the power to enact bylaws imposing our own sales tax on reserves for fuel, tobacco products and alcoholic beverages. Over 100 studies in the US have concluded that this is one of the most effective ways to decrease smoking rates in any community. Tsleil Waututh and at least 20 other First Nations communities in BC are doing this. They are using the added revenue from the taxes to fund programs, initiatives and projects in their communities such as building a new health centre, offering health education, providing rebates to community members, or funding arts and culture. In Tsleil Waututh, one must have status to be able to purchase commercial or traditional tobacco, and there is also a maximum amount of tobacco that each individual can purchase per month.

Another thing First Nations leadership can do is get involved with educational campaigns that inform First Nations people about the dangers of smoking and second-hand smoke, not just to themselves and others but to their environments. In the Fraser Salish region, for example, we have made improving environmental health a priority and are creating an educational campaign that will address the effects of throwing cigarette butts anywhere instead of disposing of them properly. This campaign is intended to help First Nations smokers learn more not only about the poisonous substances in the cigarettes they are smoking, but about what discarded butts are doing to the people around them, the environment, animals and plants.

Because we all care about our health and the health of our environment, I think we can all agree that smoking is something we need to think about very seriously. Our communities are facing enough problems from external factors and historical factors — let’s agree to try and keep out or reduce what we allow in our communities, including harmful habits like smoking. Let’s commit to loving ourselves, our communities and our environment enough to eliminate smoking from our lives.

 

Fall 2016 Communique

Date:

FNHC-FALL-2016

First Nations in BC share a vision of healthy, self-determining and vibrant First Nation children, families and communities. We as BC First Nations have set a goal of eliminating health inequalities. In addition to improving health services, we want to work collaboratively to address the social and environmental factors that contribute to poorer health outcomes for our people. Through Regional Caucuses and Gathering Wisdom for a Shared Journey, First Nations Chiefs in BC have directed the First Nations Health Council (FNHC) to build partnerships and make progress on the social determinants of health.

Building on the work in health, the FNHC is beginning a dialogue with BC First Nations on ways to increase First Nations decision-making roles and capacity as it relates to health and social services. The FNHC is using the Engagement and Approvals Pathway to build consensus on a ten-year strategy for supporting First Nations children, families and communities in BC.

This fall, First Nations leaders in BC will contribute to a rich dialogue on the social determinants of health. For the first time, the Regional Caucuses will be attended by the Deputy Ministers responsible for child and family services, education, post-secondary education, justice and public safety. These Ministries have agreed to attend the Regional Caucuses to listen to and learn from First Nations leaders. The Ministries are seeking the direction of First Nations leaders as they shape their Ministry service plans and budgets for the year ahead. This is a significant opportunity for BC First Nations and the Government of BC to build stronger relationships and reach an understanding of what can be done differently.

At the end of the Regional Caucus sessions, we invite First Nations leaders to attend Gathering Wisdom for a Shared Journey VIII in Vancouver on November 30th-December 2nd. At the Gathering Wisdom forum, the FNHC and the Government of BC will report back to First Nations leaders on what was heard during the Regional Caucuses. This will be a time for First Nations leaders to review the outcomes of the Regional Caucuses and discuss areas of common agreement amongst BC First Nations. This dialogue will inform the work we do as BC First Nations to build a ten-year strategy to address the social determinants of health.

Read more in the FNHC Fall 2016 Communique here

Highlights include:

Report from the Chair

Upcoming Fall Regional Caucuses – Save the Date!

Gathering Wisdom for a Shared Journey VIII

Working With Other First Nations Organizations

Memorandum of Understanding on the Social Determinants of Health