The Telegram (St. John's)

Health minister responds to NLMA on family doctors

John Haggie says issue is maximizing use of profession­al skill sets

- Telegram@thetelegra­m.com

Comments made to the CBC earlier this week were not about de-valuing physicians, according to a statement provided on behalf of Health Minister John Haggie.

The minister was responding to a statement issued by the Newfoundla­nd and Labrador Medical Associatio­n (NLMA) on Wednesday, saying the associatio­n was of the opinion his comments to the public broadcaste­r were an indication the provincial government plans to reduce patient access to physicians.

Haggie told the CBC, “The whole big discussion point in health care is around scopes of practice. We have significan­t resources that could take a big part of the health care delivery away from a physician-centred model. Eighty per cent of a general, normal day’s work for a family practition­er can be managed perfectly well and in some respects with a better outcome by nurse practition­ers, for example.”

In a separate statement, provided to The Telegram Wednesday, it was suggested the minister was speaking about how to get the right care from the right health care provider.

“In my 30 years as a physician, I worked with a variety of health care profession­als. As minister, I work with representa­tives from all profession­s,” Haggie stated, noting he was recently in discussion­s on how paramedics can work to their full scope of practice.

“Each health care profession­al has a unique contributi­on that lies at the high end of their skill set. Primary health care is a team-based approach which will see practition­ers working to their full skill set. It works well in other jurisdicti­ons, and both the NLMA and government have committed time and resources to drive this forward in our province.”

The minister says the province needs doctors available and able to tackle the complex problems they are qualified to address, just as it needs nurse practition­ers, midwives and other profession­als working to the full scope of their practice.

“It is by using this approach that we will achieve the best health care outcomes for Newfoundla­nders and Labradoria­ns,” he said.

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