Nunavut: Letter of agreement to amend bilateral agreements for home and community care and mental health and addiction services

The Honourable Jean-Yves Duclos
Minister of Health
House of Commons
Ottawa, ON K1A 0A6

March 28, 2022

Dear Minister Duclos,

As you know, the COVID-19 pandemic has created significant challenges for Canadians, and has disproportionately affected those residing in long-term care facilities, assisted living facilities, and seniors' residences. Outbreaks in these facilities have taken the lives of some of Canada's most vulnerable citizens, and forever changed the lives of families and caregivers. To address this crisis, since spring 2020 Nunavut has been working to improve the safety of care for those living in long-term care settings, and those who care for them, through a broad range of measures for enhanced infection prevention and control and supported by federal investments and resources, including most recently the $740M from the September 2020 Safe Restart Agreement funding.
Further to the Government of Canada's commitment on November 30, 2020 to further support provinces and territories through a new Safe Long-term Care Fund, providing jurisdictions an additional $1 billion, Canada and Nunavut agree, through this Letter of Agreement, to amend the Canada-Nunavut Home and Community Care and Mental Health and Addiction Services Agreement (the Bilateral Agreement), in accordance with appendices A and B to this Letter, with the aim of further protecting Canadians who reside in these settings through increased infection prevention and control measures.

The amendments in Appendix A establish the terms and conditions that apply to the Safe Long-term Care funding and include the following:

• The Government of Canada will provide Nunavut with total funding of up to $3,001,000^{Footnote i} in fiscal year 2021-22 under the Safe Long-term Care Fund.
• The federal funding through the Safe Long-term Care Fund will help support Nunavut increase infection prevention and control in long-term care facilities, assisted living facilities and seniors' residences providing continuing care services. Priorities for initiatives supported by this funding will include recruitment and retention of staff; infrastructure improvements, like the installation of air purification units and handwashing stations; and assessments to enhance infection, prevention and control.
• Nunavut has attached an amended action plan (Appendix B) which includes an overview of long-term care in Nunavut, efforts to mitigate the impact of COVID-19 in long-term care settings, and particularly efforts to enhance infection prevention and control, including activities supported by the Safe Restart Agreement funding; details on the new or enhanced initiatives that will be supported by the Safe Long-term Care Fund in the three priority and other eligible areas, along with a breakdown of planned expenditures and the individual facilities benefiting from this funding; and performance measures to track progress (measures, targets and outcomes).
• Nunavut will amend its performance measurement section of the action plan and will further update this section to provide information on results, with a view to showcasing to Canadians the progress achieved to protect vulnerable Canadians in long-term care settings through its initiatives for increased infection prevention and control.

Appendix B to this Letter of Agreement sets out Nunavut's amendment to its action plan (Annex 2 to the Agreement) which provides information on the initiatives, expenditures, expected results and performance metrics on the initiatives supported by the Safe Long-term Care funding.

Except as set out in the appendices to this Letter of Agreement, the terms of the Bilateral Agreement will remain in effect.

This Letter of Agreement to amend the Bilateral Agreement will be effective upon both of our respective signatures. It, along with the updated Agreement and annexes, will be made public online by Health Canada.

The Honourable John Main,
Nunavut Minister of Health
March 28, 2022

The Honourable Jean-Yves Duclos,
Federal Minister of Health
30 mars 2022